Showing posts with label Treatment. Show all posts
Showing posts with label Treatment. Show all posts

Sunday, December 25, 2011

Walgreens, CVS, and Rite Aid - What RE Investors Should Know in 2011

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Walgreens, CVS or Rite-Aid: Which Tenant Is Best in 2011?

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There are 3 major drugstore chains in the US: Walgreens, CVS, and Rite Aid. Below are some key statistics about the 3 major drugstore chains as of July 2010:

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Walgreens ranks #1 with market cap of .33 Billion, .25 Billion in revenue, and S&P rating of A+. According to Walgreens, 75% US population lives within 3 miles from its stores. On Oct 1, 2009, Walgreens opened its 7000-th store in Brooklyn, New York. In April 2010, it acquired 258 Duane Reade drug stores in New York Metropolitan area. CVS ranks #2 with market cap of .09 Billion, .1 Billion in revenue (CVS revenue alone is less than Walgreens if revenue from its Caremark group is taken out), and S&P rating of BBB+. CVS opened its 7000-th store in Little Canada, Minnesota on October 5, 2009 and currently operates 7025 drug stores.. Rite Aid ranks #3 with market cap of 9 Million, .53 Billion in revenue, 4780 drug stores and S&P rating of B-.

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Investors purchase properties occupied by these drugstore chains for the following reasons:

The drugstore business is very recession-insensitive. People need medicine when they are sick, regardless of the state of the economy. Both rich and poor people in the US have access to medicine. Some even argue that low-income people use more medicine due to free or low-cost drugs offered by government-assisted programs. So the tenants should do well during tough time and have money to pay rent to landlords. The drugstore business has a good prospect in the US: People are living longer and need more medicine to sustain longevity, e.g. Actonel for osteoporosis, Aricept for Alzheimer's symptoms. Older people tend to use more medicine than younger ones as they often have more medical problems. As the 78 million baby boomers are getting closer to retiring age starting from 2008, the drugstore chains anticipate the demand for medicine to increase in next 20 years. The drug market continues to expand as the US population will continue to grow. More and more Americans suffer from various diseases. The number of Americans suffers from seasonal allergies doubled in the last 15 years to 37 million people per Fortune magazine. They spent .4 Billion in 2009 for allergy drugs. As their waist lines balloon (75% of Americans are forecasted to be either overweight or obese by 2020), more Americans are diagnosed with diabetes, high cholesterol at younger and younger ages. In addition, doctors also recommend treating various diseases sooner than later due to better understanding about the diseases. For example, doctors now prescribe antiretroviral drugs for patients soon after infected with HIV virus instead of waiting for the infection to become AIDS. More doctors combine insulin with oral medicines to treat type-2 Diabetes instead of just oral medicines alone. All these factors increase the size of the drug market. Advance in genetic engineering has introduced various new genetic DNA testing kits which allow the genetic diagnosis of vulnerabilities to inherited diseases and disorders. Genetic testing is currently the highest growth segment in the diagnostics industry. Some of these genetic tests will probably transform into direct-to-consumer testing kits available in drug stores in the near future. Upon FDA approval, these new products will potentially bring in additional revenue for drug stores. The passage of Health Care Reform Bill on March 23, 2010 provides insurance coverage to an estimated 33 million more American. This is a major present to the drugstore industry. There are new drugs to treat previously untreatable illnesses, and new diseases, e.g. Viagra for men's unhappiness, Zoloft for depression, Avastin for colon cancer, Herceptin for breast cancer, Nicotine patches for smokers to kick the habit, Tamiflu for a potential bird flu pandemic, vaccine for swine (H1N1) flu pandemic, Tekturna/Rasilez for hypertension and various new drugs for AIDS and Attention Deficit Disorder (ADD). The new medicines are very expensive, e.g. a year's supply of Avastin costs about ,000. Eli Lilly has sold about .8 billion of Zyprexa in 2007 for schizophrenia and yet most people have never heard of this medicine. There are existing drugs now approved to treat new illnesses and thus increase their sales revenue. For example, Lyrica was originally intended to treat pain caused by nerve damage in people with diabetes. It is now approved by FDA to treat Fibromyalgia which affects 5.8 million Americans per WebMD. Big advances in genetics, biology and stem cells research are expected to produce a new class of drugs to treat diabetes, Parkinson's and various rare genetic disorders. For example the new drug Ilaris from Novartis targets genetic causes of an inherited disorder that there are only 7000 known cases worldwide. However, Novartis hopes to gradually broaden its drugs to a blockbuster drug to more common disorders caused by similar genetics. Technology and modern life introduce and require new products, e.g. pregnancy test kits, Lamisil for stronger clearer toe nails, Latisse for longer & thicker eyelashes, Premarin for menopausal symptoms, diabetic monitors, electronic toothbrushes, contact lenses, lenses cleaners, diet pills, vitamins, birth-control pills, IUDs, nutrition supplements and Cholesterol-lowering pills (Americans spent nearly B in 2006 on Cholesterol medications alone per IMS Health, a Connecticut-based consulting company that monitors pharmaceutical sales.) There are also more surgeries: C-sections, Kidney transplants, open-heart triple by-pass, and breast augmentations. More surgeries mean more medicines are needed such as Vicodin for pain management and Warfarin to prevent blood clots in surgeries. Before the customers can get to the medicine aisles or pharmacy counters, they have to pass by chocolates, sodas, digital cameras, watches, toys, dolls, beers and wines, cosmetics, video games, flowers, fragrances, and greeting cards. Drug stores hope you use the one-hour photos services and exchange your liquid propane tanks there. The stores also carry seasonal items, e.g. Halloween costumes, and "As Seen on TV" merchandise, e.g. Shamwow. As a result, customers buy more than their prescriptions and medicine in these drugstores. Rite Aid sells more 28,000 non-pharmacy items in its stores while Walgreens has 22,000 different items on store shelves. CVS reported that non-pharmacy sales represented 30% of the company's total sales in January of 2007. The figure for Walgreens is 34% and 37% for Rite Aid. Many pharmacy locations are in effect convenience stores especially ones that are in residential or rural areas. And so Walgreens hopes that customers also pick up WD-44, and screw drivers at its stores instead of at Home Depot; Thai Jasmine rice, and fish sauce to avoid a trip to Safeway or Kroger Supermarkets. During the recession, sales of these non-drug items are down as customers buy what they need and not what they want. Walgreens tries to reduce the number of items by 4000. It also introduces its own private label which has higher profit margins. There are more and more generic medications on the market as a number of enormously popular brand-name blockbusters will lose their 20-year long patents, e.g. Lipitor (best selling drug in the world to lower cholesterol) in 2010, Viagra (you know what it's for) in 2012. Drugstores prefer to sell generic drugs to customers due to higher profit margins than the brand-name medications. Some people are addicted to pain killers, e.g. Hydrocodone and consume a large amount of medicine, e.g. 30-day dosage in a day to get high. According to testimony from the National Institute on Drug Abuse, US retail pharmacies dispensed nearly 180 million prescriptions in 2007 for opiates, e.g. Hydrocodone. A high percentage of these prescriptions are probably not used for any legitimate medical purposes. This author estimates that at least 10% of the dispensed prescription drugs are not used at all and sit idle in the medicine cabinets. They are eventually expired and thrown away. These companies sign very long-term, NNN leases, guaranteed by their corporate assets. This makes the investment in the underlying property fairly low risk, especially for Walgreens with an A+ S&P rating. In fact, these properties are sometimes referred to as investment-grade properties. Once the drugstore chains sign the lease, they pay the rent promptly and timely. This author is not aware of any properties leased by one of these drugstore chains in which the tenants failed to pay rents. Even when the stores are closed due to weak sales (Walgreens closed 119 stores in 2007), these companies may sublease the properties to other companies and continue to pay rents on the master leases. A typical Walgreens lease consists of 20-25 year primary term plus 8-10 five-year options. During primary term and options, there will be no rent increases in most of the leases. This is the main disadvantage of investing in Walgreens drugstores. A typical CVS lease consists of 20-25 year primary term plus 4-5 five-year options. The rent is normally flat during the primary term and then there is a 2.5%-10% rent increase in the in each 5-year option. A typical Rite Aid lease consists of 20-25 year primary term plus 4-8 five-year options. The lease often has a rent increase every 5-10 years.

Investment Risks: Although the pharmacy business in general is recession-insensitive, there are risks involved in your investment:

The main downside about investing in pharmacies is there is little or no rent bump for a long time, e.g. 20-50 years, especially for Walgreens. So the rent is effectively reduced after inflation is factored in. This is one of the main reasons these properties do not appeal to younger investors. The 3 drugstore chains now have a new formidable competitor, Wal-mart. Wal-mart sells prescription drugs in more than 4000 Wal-mart, Sam's Club and Neighborhood Market stores in 49 states. The retail giant is known for launching in 2006 a highly-publicized generic prescription drug program which now sells 350 generic medications for a 30-day supply. The actual number of medications is less as the medications with different strengths are counted as different medications. For example, Metformin 500 mg, 850 mg, and 1000 mg are counted as 3 medications. Wal-mart probably makes very little profits on these medications if any. However, the marketing campaign--created by Bill Simon, the President and CEO of Wal-mart US, generates a lot of publicity for Wal-mart. Wal-mart hopes to draw customers to its stores with other prescriptions where it has higher profit margins. In an unscientific survey with just one brand-name prescription of Lyrica, this author finds the lowest price at Costco, the highest price at Walgreens and Wal-mart at the middle. Other drug chains try to counter Wal-mart in different ways. Target now offers the same 350 generic medications for for a 30-day supply. Walgreens has a Prescription drugs club with membership fee which offers 1400 generic medications for as little as /week. CVS says it will match any offers from its competitors. Chief Business Correspondent Rick Newman from US World & News Report predicted that Rite Aid might not survive in 2009. While Rite Aid is still around in 2010, dire predictions continue. The study by Audit Integrity gave Rite Aid about a 10.5 percent chance of filing for bankruptcy in 2010. Drugs are also sold in thousands of supermarkets, Target stores, and Costco warehouses. However, there are no drive-thru windows at these stores or Walmart to conveniently drop off the prescriptions and pick up medicines. Customers will not be able to pick up their prescriptions during lunch hour or after 7PM at Target stores or supermarkets. They need to have membership to buy medicines at Costco. Others may not fill their prescriptions at Walmart because they don't want to mingle with typical Walmart customers who are in lower income brackets. And some babyboomers don't want their prescriptions filled at Target or Walmart because there are no comfortable chairs for them to sit down to wait for their medicines. Many leases in areas with hurricanes and tornados are NNN leases with the exception of roof and structure. So if the roof is damaged, you will have to pay for the expenses. The tenant may move to a new location down the road or across the street when the lease expires. This risk is high when the property is located in small town where there is low barrier for entry, i.e. lots of vacant & developable land. The tenant may ask for rent concession to improve its bottom line. The possibility is higher if the tenant is Rite Aid and if the store has low sales revenue and/or higher than market rent. More Americans are walking away from their prescriptions, especially the most expensive brand-name medicines. This may have negative impact on the sales revenue and profits of drug stores and consequently may cause drug store closures. According to Wolters Kluwer Pharma Solution, a health-care data company, nearly 1 in 10 new prescriptions for brand-name drugs were abandoned by people with commercial health plans in 2010. This is up 88% compared to 4 years ago just before the recession began. This trend is driven in part by higher and higher co-pays for brand name drugs as employers are shifting more insurance costs to their employees.

Among 3 drugstore chains, Walgreens and CVS pharmacies in general have the best locations-at major intersections while Rite Aid has less than premium locations. Walgreens tends to hire only the top graduates from pharmacy schools while Rite Aid settles with bottom graduates to save costs. When possible all drugstore chains try to fill the prescriptions with generic medications which have higher profit margins

Walgreens: the company was founded in 1901 by Charles Walgreen, Sr. in Chicago. While the company has existed for more than 100 years, most stores are only 5-10 years old. This is the best managed company among the three drugstore chains and also among the most admired public companies in the US. The company has been run by executives with proven track records and hires the top graduates from universities. Due to its superior financial strength--S&P A+ rating-- and premium irreplaceable locations, properties with leases from Walgreens get the highest price per square foot and/or the lowest cap rate among the 3 drugstore chains. In addition, Walgreens gets flat rent or very low rent increase for 20 to 60 years. The cap rate is often in the low 6% to 7.5% range in 2009. Investors who buy Walgreens tend to be more mature, i.e. closer to retirement age. They are looking for a safe investment where it's more important to get the rent check than to get appreciation. They often compare the returns on their Walgreens investment with the lower returns from US treasury bonds or Certificate of Deposits from banks. Walgreens opened many new stores in 2008 and 2009 and thus you see many new Walgreens stores for sale. It will slow down this expansion in 2010 and focus on renovation of existing stores instead

CVS: CVS Corporation was founded in 1963 in Lowell, MA by Stanley Goldstein, Sidney Goldstein, and Ralph Hoagland. The name CVS stands for "Consumer Value Stores". As of 2009, CVS has about 6300 stores in the US, mostly through acquisitions. In 2004, CVS bought 1,200 Eckerd Drugstores mostly in Texas and Florida. In 2006, CVS bought 700 Savon and Osco drugstores mostly in Southern California. And in 2008 CVS acquired 521 Longs Drugs stores in California, Hawaii, Nevada and Arizona for .9B dollars. The acquisition of Long Drugs appears to be a good one as it CVS does not have any stores in Northern CA and Arizona. Besides, the price also included real estate. It is also bought Caremark, the largest pharmaceutical services company and changed the corporation name to CVS Caremark. When CVS bought 1,200 Eckerd stores, it formed a single-entity LLC (Limited Liability Company) to own each Eckerd store. Each LLC signs the lease with the property owner. In the event of a default, the owner can only legally go after the assets of the LLC and not from any other CVS-owned assets. Although the owner loses the guaranty security from CVS corporate assets, this author is not aware of any incident where CVS closes a store and does not pay rent.

Rite-Aid: Rite Aid was founded by Alex Grass (he just passed away on Aug 27, 2009 at the age of 82) and opened its first store in 1962 as "Thrif D Discount Center" in Scranton, Pennsylvania. It officially incorporated as Rite Aid Corporation and went public in 1968. By the time Alex Grass stepped down as the company's chairman and chief executive officer in 1995, Rite Aid was the nation's largest drugstore chain in terms of total stores and No. 2 in terms of revenue. His son, Martin Grass, took over but was ousted in 1999 for overstatement of Rite Aid's earnings in the late 1990s. Rite Aid is now the weakest financially among the 3 drugstore chains. In 2007, Rite-Aid acquired about 1,850 Brooks and Eckerd drugstores, mostly along the East coast to catch up with Walgreens and CVS. In the process, it added a huge long term debt (currently owes over .69 Billion) and is the most leveraged drugstore chain based on its market value. The integration of Brooks and Eckerd did not seem to go well. Revenue from some of these stores went down as much as 20% after they change the sign to Rite Aid. In 2009, Rite-Aid had over 4900 stores and over Billion in revenues. The figures went down in 2010 to 4780 stores and .53 billion in revenue. On January 21, 2009 Moody's Investor Services downgraded Rite Aid from "Caa1" to "Caa2", eight notches below investment grade. Both ratings are "junk" which indicate very high credit risk. Rite Aid contacted a number of its landlords in 2009 trying to get rent concession to improve the bottom line. In June 2009, Rite Aid successfully completed refinancing .9 Billion of its debts. However, it continues to struggle in 2010 as same store sales decreased 2.5% in June, 1.7% in May, 1% in April,.1% in March, 3.2% in February, and 2.1% in January..

Things to consider when invested in a pharmacy

If you are interested in investing in a property leased by drugstore chains, here are a few things you should consider:

If you want a low risk investment, go with Walgreens. In stable or growing areas, the degree of safety is the same whether the property is in California where you get a 6% cap or Texas where you may get a 7.5% cap. So, there is no significant advantage to invest in properties in California as the property value is based primarily on the cap rate. In 2010, the offered cap rate for Walgreens seems to come down from 7.5%-8.4% in 2009 to 6.5%-7.5% for new stores. If you are willing to take more risk, then go with Rite-Aid. Some properties outside of California may offer up to 10% cap rate in 2010. However, among the 3 drug chains, Rite Aid has 10.5% chance of going under in 2010. Should it declare bankruptcy, Rite Aid has the option to pick and choose which locations to keep open and which locations to terminate the lease. To minimize the risk that the store is shuttered, choose a location with strong sales and low rent to revenue ratio. Financing should be an important consideration. While the cap rate is lower for Walgreens than Rite Aid, you will be able to get the best rates and terms for Walgreens. A 7.25% cap Walgreens with 5.25% interest rate on the loan will generate more cash flow than a 10% cap Rite Aid with 9% interest rate (if you could find a lender for Rite Aid). If you are not a conservative investor or risk taker, you may want to consider a CVS pharmacy. It has BBB+ S&P credit rating. Its cap rate is higher than Walgreens but lower than Rite Aid. Some leases may offer better rent bumps. On the other hand, some CVS leases, especially for properties in hurricane areas, e.g. Florida are not truly NNN leases where landlords are responsible for the roof and structure. So make sure you adjust the cap rate down accordingly. Some of the CVS locations have onsite Minuteclinic staffed by registered nurses. Since this clinic idea was introduced recently, it's not clear having a clinic inside CVS is a plus or minus to the bottom line of the store. All 3 drugstore chains have similar requirements. They all want highly visible, standalone, rectangular property around 10,000 - 14,500 SF on a 1.5 - 2 acre lot, preferably at a corner with about 75 - 80 parking spaces in a growing and high traffic location. They all require the property to have a drive-thru. Hence, you should avoid purchasing an inline property, i.e. not standalone and property with no drive-thru windows. There is a chance that these drugstores may not want to renew the lease unless the property is located in a densely-populated area with no vacant land nearby. In addition, if you acquire a property that does not meet the new requirements, for example a drive-thru, you may have a problem getting financing as lenders are aware of these requirements. If the pharmacy is opened 24 hours a day, it is in a better location. Drugstore chains do not open the store 24 hours day unless the location draws customers. Many properties may have a percentage lease, i.e. the landlord can get additional rent when the store's annual revenue exceeds a certain figure, e.g. M. However, the revenue used to compute percentage rent often excludes a page-long list of items, e.g. wine and sodas, tobacco products, items sold after 10 PM, drugs paid by governmental programs. The excluded sales revenue could account for as much as 70% of store's gross revenue. As a result, this author has seen only 2 stores in which the landlord is able to collect additional percentage rent. The store with a percentage rent is required to report its monthly sales to the landlord. As an investors, you want to invest in a store with strong gross sales, e.g. over 0 per square foot a year. In addition, you also want to check the rent to revenue ratio. If the figure is in the 2-4% range, the store is likely to be very profitable so the chance the store is shut down is low. It does not matter how good the tenants are, avoid investing in declining and/or low-income areas or small towns with less than 30,000 residents within 5 miles ring. In a small town, it may be the only drug store in town and captures most of the market share. However, if a competitor opens a new location in the area, revenue may be severely affected. These properties are easy to buy now and hard to sell later. In 2009 where the credit market is tight, you may have problems finding a lender to finance these properties. Many properties have an existing loan that the buyer must assume. If you have a 1031 exchange, think twice about buying this property. You should clearly understand loan assumption requirements of the lenders before moving forward. Should you fail to assume the existing loan (assuming an existing loan is a lot more difficult than getting a new loan), you may run out of time for a 1031 exchange and may be liable to pay capital gain. With few exceptions, drugstore chains do not own the stores they occupy for several reasons. Here are just a couple of them: They know the pharmacy business but don't know real estate. Stock investors also don't want Walgreens to become a real estate investment company. Owning the real estate will require them to carry lots of long term debts which is not a brilliant idea for a publicly-traded company. About 10% of the drugstore properties for sale and typically CVS pharmacies require very small amount of equity to acquire, e.g. 10% of the purchase price. However, you are required to assume an existing fully-amortized loan with zero cash flow. That is, all of the rent paid by the tenant must be used to pay down the loan. The cap rate may be in the 7% range, and the interest rate on the loan could be attractive in the 5.5% to 6% range. Hence, the investor pays off the loan in 10 to 20 years. However, the investor has no positive cash flow. This requires you to come up with outside cash to pay income tax on the rental profits (the difference between the rent and mortgage interest). The longer you own the property, the more outside cash you will need to pay income taxes as the mortgage interest will get less and less toward the end. So who would buy this kind of property? The investors who have substantial losses from other properties. By acquiring this zero cash flow property, they may offset the income from the drugstore tenant against the losses from other investment properties. For example, a property has 5,000 of rental profits a year, and the investor also has losses of 0,000 from other investment properties. As a result, the combined taxable profits are only ,000. The uninformed investors who fail to consider that they have to raise additional cash to pay income taxes.

Out of the Box Thinking If you put too much weigh on the S&P rating of the tenants, you may end up either taking a lot of risks or passing up good opportunities.

Good location should be the key in your decision on which drug store to invest in. It's often said a lousy business should do well at a great location while the best tenant will fail at a lousy location. A Walgreens store that is closed down later on (yes, Walgreens closed 119 stores in 2007) is still a bad investment even though Walgreens continues paying rent on time. So you don't want to blindly invest in a drug store simply because it hasa Walgreens sign on the building. No company is crazy enough to close a profitable location. It does not take a rocket scientist to understand that a financially-weak company like Rite Aid will make every effort to keep a profitable location open. On the other hand, a financially-strong Walgreens will need justifications to keep an unprofitable location open. So how do you determine if a drug store location is profitable or not if the tenant is not required to disclose its profit & loss statement? The answer is you cannot. However, you can make an educated guess based on store's annual gross revenue is often reported to the landlord as required by the percentage clause in the lease. With the gross revenue, you can determine the rent to income ratio. The lower the ratio, the more likely the store is profitable. For example, if the annual base rent is 0,000 while the store's gross revenue is M then the rent to income ratio is 5%. As a rule of thumb, it's hard to make a profit if this ratio is more than 8%. So if you see a Rite Aid with 3% rent to income ratio then you know it's likely a very profitable location. In the event Rite Aid declares bankruptcy, it will keep this location open and continue paying rent. If you see a Rite Aid drug store with 3% rent to income ratio offering 11% cap, chances are it's a low risk investment with good returns. The weakness of corporate guaranty from Rite Aid is probably not as critical and the risk of having Rite Aid as a tenant is not really that significant. Drug stores with new 25 years leases tend to sell at lower cap, e.g. 7-7.5% cap on new stores versus 8.0-8.5% cap on established locations with 8-10 years remaining on the lease. This is because investors are afraid that the tenants may not renew the leases. Unfortunately, lenders also have the same fear! As a result many lenders will not finance drug stores with 2-3 years left on the leases. The fact that drugstores with new leases have a premium on the price means they have potential of 10% depreciation (buying new at 7.3% cap and selling at 8.3% cap when the leases have 10 year left). Some investors will not consider investing in drug stores with 5-10 years left on the lease. They might simply ignore the fact that the established stores may be at irreplaceable locations with very strong sales. Tenants simply have no other choices other than renewing the lease.

Walgreens, CVS, and Rite Aid - What RE Investors Should Know in 2011

Grass Allergies

Monday, December 5, 2011

Allergies - Why Use A Natural Remedy

Grass Allergies

Seasonal allergies afflict more than 22 million Americans, with symptoms occurring anywhere from early spring through late November. Allergies are basically cause by the immune system's over reaction to pollens, grass, airborne fungi, insect bites and even some kinds of foods or products you apply to your skin. Our environment is full of chemicals and new ones are created everyday which causes our immune system to be challenged boichemically.

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What basically happens when an allergen encounters our body is - our body fights back by producing an excess of inflammatory chemicals, such as histamine. Our body is trying to destroy the allergen and the overabundance of the histamine causes us to have runny noses, watery eyes and sneezing. For some people the allergy symptoms then produce a sinus infection or an ear infection both of which can be extremely painful and debilitating.

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Typically doctors prescribe antihistamines for allergies but many people do not like the physical side effects associated with the regular use of antihistamines and decongestants. These medicines tend to make one drowsy and groggy. Most of us do not perform our daily tasks very well when we are in this state; therefore every time we take the medicine our productivity takes a nose dive. Also, many people experience dry mouth which can lead to bad breath. Dehydration is an additional problem for antihistamine takers. Sometimes users get very little relief from prescription allergy medicine and have to keep constantly trying new ones.

Grass Allergies

If you are tired of the side effects or the no effects from prescription and over the counter antihistamines and decongestants you might consider an herbal remedy. Herbal remedies are normally agents that have the ability to relieve congestion and to loosen the mucus but don't produce unpleasant side effects. Many homeopathic remedies also contain anti-inflammatory agents that soothe irritated mucus membranes.

If you do choose to take a homeopathic remedy make sure to check with your doctor and pharmacist to make sure it will not interact with other medications you are taking.

Allergies - Why Use A Natural Remedy

Grass Allergies

Saturday, September 17, 2011

5 ways to fight allergies naturally Win

Grass Allergies

Allergy season is just around the corner. 35 million Americans suffer from seasonal allergies, also known as "hay fever" and known as "seasonal allergic rhinitis." These allergies occur when there are pollen and mold spores from the flowers of trees, grass and weeds and inhale.

Grass Allergies

Some of us also suffer from allergies, dust mites and domestic animal hair from our four-legged friend.

Grass Allergies

No matter what the source, we all know that feeling allergies: itchy eyes, runny noseNose, sneezing, sore throat, headache. The symptoms of allergies are the least, uncomfortable. So, we pop-antihistamines for each installation, we can get, even if we know that antihistamines and drugs for allergies, even if fast-acting, can have harmful side effects and can do more harm than good in the long run.

Grass Allergies

How long do I have allergies, I wanted more, I know what I could do to relieve my allergy symptoms without medication.

I believe in Ayurveda andnatural remedies to stimulate the immune system so that the body can fight allergies. I wrote this article to share with you natural ways to feel better with others, without suffering any unpleasant side effects of taking drugs!

5 ways to fight allergies naturally win!

Cleanse. Twice a year, a month before allergy season begins to avoid, to digest heavy foods like fatty foods and cold foods and liquids such as ice andcold drinks. Packaged foods, processed foods and leftovers are a no go. Instead of cooked vegetables, whole grains and lots of fruit bat. Be sure to drink plenty of water throughout the day. This strengthens the immune system and impair the body's ability to deal with pollutants.

Eating with the season. In the spring, consuming much more delicate, green, green vegetables. It will continue to cleanse your body and let your immune systemto keep your allergies away from concentration. If the roots are the go-to seasonal-to eat. Let the seasons be your guide natural landscapes.

Give it some spice. Seasonings can be a useful ally when it comes to your fight against allergies. They contain flavonoids and phenolic compounds, allergic reactions to plants (ie flowers, grass) can be reduced. Here is a list of some herbs particularly beneficial anti-allergy:

•Turmeric

• Sage

• Cumin

• Coriander

• Fennel

• Black pepper

• Ginger

Spice up your next meal and only eat healthy, you will feel the benefits of great taste! Fry the spices in a little olive oil or clarified butter, the full potential of these fights allergies solve spices. You can even add that herbs contain this extra protection.

Rest. It 'very important to get plenty of rest during the allergySeason. Rest stimulates the immune system is suppressed and the immune system needs all the help they can get during the allergy season. It 'is also ideal for the best sleep possible. It is recommended to bed before 10 and watch the clock until 6. The body naturally cleans the toxins, while we slept early to see the clock 10.

Taking supplements of natural herbs and allergies. If you are, your immune system is weakened due to allergies, you can also freeze dried nettlesAdditions and nettle tea to stimulate the immune system. Dried nettle leaves supports and strengthens the respiratory system. Slippery Elm Bark Herbal supplements can also help with allergies. Amerindians have been used for centuries as a natural remedy.

Personally, if I have an allergy attack is not the feeling of this recipe worked beautifully for me:

• freeze dried nettles, 400 mg 2xs

• Bark Slippery Elm, 400 mg 2xsDay

• nettle tea and slippery elm bark tea, put together in a mixing bowl (with honey, was added after the tea. Mixte, I would not recommend boiling the honey, because it produces toxins in the body.)

You can use this recipe as a natural remedy for seasonal allergies and change depending on what works for you. It may take some time to strengthen the immune system, but do not give up. Natural remedies work. Enter Ayurveda and natural remedies. Try You can enjoy the fresh air of the future and improve your health today.

Attention: Fill your cup is recommended, Inc. is a company that produced the overall health and wellness services, however, results vary from patient to patient. It is the individual (personal and financial) responsibility to determine what form of alternative health care for them.

5 ways to fight allergies naturally Win

Grass Allergies

Friday, September 16, 2011

Bee - 7 Tips for immediate treatment if stung by a bee

Grass Allergies

Ouch! I was stung by a bee!

Grass Allergies

You have not really seen the bees sting, but the guy can feel safe and there is no doubt what it was. In most cases there is evidence all around you like bees flying from a nest or in close proximity to open a soda can give you an idea of ​​what is happening now.

Grass Allergies

The bees can pass through clothing so as not to deceive, it is not. I recently had a bee sting ankle in a sock, while I was scanning the clippings. Any threat toNest on or around him in the act and the method of protection.

Grass Allergies

Here are some tips on what to do if you point to bees:

Run out of the way of other bees: Do not try to aggravate them, a swarm of bees. Running in the opposite direction reduces the possibilities of multiple stings. Go inside and jump into the water, if necessary. Getting help when you need it and someone with the person, many adults and children to panic if you point.Getting help to minimize trauma and speed up care and support. Take the bite immediately: What is the barbed stinger continues to pump venom into the skin through the bag to the bite. At the end of the outbreak within 15 seconds, significantly reduces the reaction. Move poison around the body for 45-60 seconds after being bitten. Flick the stinger with a credit card or dull knife. Tweezers could force more poison in theSkin. Wash the area. Apply ice immediately: this is a reaction to the bite of histamine immediately because the body tries to respond to the foreign substance. Inflammation and swelling will be minimized by the immediate application of ice. Area with soap and water Call 911 if you start breathing difficulties: A small percentage of people allergic to bee stings and anaphylaxis. If you noticeThey are equipped with breathing problems after the bee sting, call 911 for an emergency response team. Most anaphylactic reactions occur within the first 15-30 minutes. Bring an Epi-Pen with you if you know you are severely allergic. Always call 911 after the administration of an Epi-Pen. Avoid itching to face: Apply a cold pack, ice cream, antihistamine creams or if necessary, a systematic over-the-counter antihistamines. Natural remedies such as making a paste of baking soda and water,Meat tenderizer with papain (1K: 4 parts water), Idaho Tansy essential oils of lavender may be helpful. Use only 100% therapeutic essential oils.

If you develop nausea, vomiting, dizziness, diarrhea or swelling in other parts of the body, you can use a systemic reaction, and you should contact your doctor.

Common sense and prevention is to avoid being bitten, the best treatment. The best advice is to not upset the bees. Now that I think, is that the cardsnot only good for the Apidae family, but for Homo sapiens, as well!

Bee - 7 Tips for immediate treatment if stung by a bee

Grass Allergies

Wednesday, September 14, 2011

Allergy natural treatment that work - what we eat

Grass Allergies

Constant itching and puffy eyes?

Grass Allergies

Skin, itching, zero?

Grass Allergies

Continuous sneezing and runny nose?

Grass Allergies

The above describe what you go through three months of the year? Definitely describes me, when spring arrives with all its beautiful flowers and beautiful green grass pollen. Many doctors have told me that often the severity (and sometimes even the cause) from allergiesbe determined by the condition that we live so it makes sense to provide during the allergy season is upon us. Our food: now go to one of the most important factor in allergies, we need to talk to the control of our lives.

The foods that are delicious and ideal for allergy sufferers

Who said that foods that are good, bad aftertaste? Here are some foods that can help.

Juices of fruits and vegetables - I personally likeThe juice of three orange-green-red by a combination of green apple, cucumber, bitter melon (Chinese vegetable), carrots and turnips in the division ratio 1:1:1:2:1 cup into 6 pieces. Drink this recipe 4 times a week helped me with my hay fever. My mother, who suffers from hay fever and hives, replacing the green apples and green peppers and carrots and add more lime juice 3 parts.

Yogurt - Because it is rich in pantothenic acid (vitamin B2) andVitamin E is yogurt an excellent selection of food for allergy sufferers.

Reduce histamine in the body

Histamine is responsible for many allergic symptoms. In fact, contain a lot of drugs for allergies on the counter antihistamines that are available to keep symptoms at bay. There are a number of herbs that increase the level of histamine in the body can be kept under control.

Chamomile - This herb increases the production of cortisol in ourAdrenals body. Cortisone is known to facilitate breathing by the pulmonary inflammation is, this is especially important for people with asthma or asthma symptoms.

Nettle - Nettle is a natural plant that acts as an antihistamine, it can be found in the form of tablets and pill form in health food stores.

Quercetin - Quercetin is ideal for allergy sufferers, and can reduce the risk of certain cancers, acting as an antioxidant.

Butterbur - butterbur works as another natural antihistamine that large for the treatment of allergies According to Wiki, was used by the Indians, when they had headaches and inflammation ..

Plantain - This plant is used to treat respiratory allergies involved included because it is very effective against inflammation and cough.

Try these herbs in salads and soups are working in your meals and see if your> Allergies are best.

Allergy natural treatment that work - what we eat

Grass Allergies

Friday, September 9, 2011

Detection and treatment of skin allergies

Grass Allergies

Allergies can be defined as a hypersensitivity to some substance. This sensitivity may be present in three fundamental ways:

Grass Allergies

First Presentations airways such as rhinitis and asthma.

Grass Allergies

Second intestinal allergies such as diarrhea.

Grass Allergies

Skin allergies such as dermatitis third.

Skin allergies are very common, but also with other common skin irritations such as insect bites, you're wrong. And 'even more difficult to determine whereallergic reaction has come. If suddenly a red patch of skin rash or, ask yourself:

At first irritated skin with a large part of your body or just a small piece, like the cover of palm tree? In the latter case, can cause a contact allergy. Stay away from the allergen suspicion. When the indicator is wider, over a large area or even the whole body, the suspicion of food allergy - something done with the flow of blood through the body.

2 Have you ever eatenunusual foods, like nothing you've ever eaten? Have you started a new prescription for a drug? Drugs? What about food supplements containing vitamins or other?

3 Are you a new detergent for washing clothes?

It 'important to this analysis as quickly as possible, because it is easy to forget what you ate or came into contact with the weather. They are much more likely to hit the source of your allergies or if you think about it as soon as you notice the negativeReaction.

If you have a mild allergic reaction, it is possible to alleviate the redness and itching in combination with an antihistamine cream or ointment steroid. Here are some topical corticosteroids are used to treat allergies:

Betamethasone Clobetasol Dexmethasone Fluocinolene clobetasone desonide flumethasone Difluocortolone Dexsoxymethasone

Some herbs are also used for the relief of allergies. For skin allergies, aloe is useful. If you have an aloe veraSystem, a common house plant, only to break a leaf and rub the juice freely to red skin. It stops itching and relieves the redness quickly.

Other remedies are prepared and packaged useful. As always, check the label to make sure that does not contain all the medicines you are trying to avoid them. (And if they do, they need like a drug, not a medicine are classified by law.)

Most skin allergies are slightly raised and not too serious to yourgeneral health. However, you should consult your doctor in one of the following situations:

First you tried a topical treatment and did not work. You do not see any reduction in redness, swelling or rash.

2 Do you have another serious allergic reaction to complement your skin allergies, such as breathing difficulties, nausea and vomiting, rapid pulse and headaches. These symptoms could be precursors for the often-fatal anaphylactic shock and should be treated by a doctorimmediately.

It 'a good idea, an allergy test today. It 'pretty simple. A specialist in allergy test will give you a "scratch", he or she will introduce small amounts of common allergens in the skin. After about half an hour, will be able to tell if you used the adverse skin reactions to allergens it. This test is not painful and dangerous, but can do much to keep you healthy, because you know what substances you should avoid.

Detection and treatment of skin allergies

Grass Allergies

Thursday, August 4, 2011

Natural remedies for seasonal allergies - Picking an allergy treatment that works

Grass Allergies

Spring has emerged with a vengeance here in my family. There are a lot of sniffling going on, and blowing your nose, let me tell you! But as I used to work. This article will help you and your family do the same.

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More than 22 million Americans start sniffing with the advent of spring and it was not until late summer or early fall to stop, if at all.

Grass Allergies

"Allergy is the result of your immune system over-reaction to pollens, grasses, fungi in the airand food, and even some cosmetics .... When an allergen is introduced, the body reacts by producing an excess of inflammatory substances such as histamine, from mast cells. This experimental search and destroy allergens takes the familiar symptoms of runny nose, watery eyes and sneezing. "Karyn Seigel-Mayer, HerbalMusings.com

Grass Allergies

Supermarkets and online pharmacy their shelves with antihistamines and decongestants, and there are so many ways, it can be difficult to choose whichto use. And if you want to use a natural remedy? If you hope to find natural alternatives, here are my tips ...

Natural Strategies for seasonal allergies

Nettles

Nettle is a plant that acts as a natural antihistamine. The freeze-dried kind of seems to work better and can give some of the symptoms of seasonal allergies for hours at a time to relieve.

Other supplements

Vitamin C is also an antihistamineYes, but his best work is also strengthening the immune system. To help other natural functions of the immune system, echinacea, goldenseal and try. The best advice is a health food store or business that integrate mixes all these ingredients and more to find the best deals.

Aromatherapy

There are essential oils, which allow you to do it too. You can mix your own, or use individually. If you are a mixture, you can distribute it to breathe, put on the bottom of the foot oruse locally diluted with a carrier oil.

To use the best oils: eucalyptus, lavender, chamomile and bergamot for German children. Adults can mint, mixed with eucalyptus, lemon and lavender.

Children: 10 drops of each mixture, then with the use of bath oil in the bath or in a pot of boiling water. They can also use a carrier oil or an all-natural lotion to dilute and rub on the chest or neck or temples.

Adults can not all of the abovebut it could be a few drops in your hand and breathe in this way, or put it on the bottom of the feet.

Natural remedies for seasonal allergies - Picking an allergy treatment that works

Grass Allergies

Thursday, July 28, 2011

Other treatment against seasonal allergies

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Influence according to the American Academy of Allergy Asthma and Immunology, seasonal allergies (also known as hay fever) more than 35 million Americans and results in 16 million doctor visits per year. Symptoms often occur at about the same time every year and can be a runny nose, sneezing, congestion and itching of ears, eyes, nose and throat. Seasonal allergies are usually triggered by pollens tree, grass and weeds and moldsSpores.

Grass Allergies

Allergies

Grass Allergies

An allergy is the body overreacting to substances in the environment. These substances are often referred to as allergens, because they cause the allergic reaction. Symptoms of an allergic reaction are very similar to those of a cold, but a cold usually return in 7 to 10 days, during an allergic reaction can last for weeks or months. The runny nose with a cold is often thick and yellow, but an allergic reaction is thin andclear.

Grass Allergies

Treatments

The treatment of allergies can be as simple as using the-counter products or may include visits to the allergist for allergy skin testing and immunotherapy (SIT). This article focuses on the treatment of the counter. If you do not find relief from these tips you should be more support from your doctor.

Histamine

When exposed to an allergen, the body reacts in different ways, including the creation of additional histamine. Histaminecauses inflammation, swelling, runny nose, sneezing and itching. Histamine also contracted airways in the lungs (bronchial constriction) and increases gastric acid secretion.

Antihistamines

This class of drugs is a good starting point for the treatment of seasonal allergies. There are several over-the-counter antihistamines are available, many of which were previously only available on prescription. They work by blocking the action of histamine in the body.

Antihistaminesgenerally divided into first and second generation agents. The first-generation antihistamines are sedatives that, while the second-generation agents are generally known as non-sedating. In fact, the potential for causing antihistamines, drowsiness.

Some of the first-generation antihistamines are very popular diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton) Clemastine (Tavist) and doxylamine (Unisom). Doxylamine and diphenhydramine be sedated, they arecommonly marketed as a sleep aid. Clemastine less and less sedating than the sedating effect of the drug chlorpheniramine. One advantage of these antihistamines is their ability to produce mucus in the nose because of the sharp decline in its anticholinergic effects.

The second-generation antihistamines cetirizine (Zyrtec) and loratadine (Claritin). They are much less sedating antihistamines are first-generation and dosed once a day. They also have fewer side effects, but asThis makes them less likely to dry up a runny nose.

Consult your doctor before antihistamines if you have glaucoma, prostate problems, emphysema, bronchitis, or take tranquilizers.

Decongestants

Congestion is a symptom of allergies, it makes sense to use this class of drugs for some relief. There are only two oral questions from the bench. You phenylephrine (Sudafed) and pseudoephedrine (Sudafed PE). TheirThe work of blood vessels to constrict. This in turn leads to narrowing of the nasal mucosa (mucous membranes), passing through more air, improve drainage and a less suffocating.

Decongestants can also be found in nasal sprays such as oxymetazoline (Afrin). You may have a more urgent for oral, nasal spray, but it should not be used more than 2-3 days after discontinuation due to worsening congestion. This is known as rebound congestion.

Talk to yourDoctor before using decongestants if you have high blood pressure, heart disease, thyroid disease or diabetes.

Antihistamine decongestant combination

There are many possible combinations of products on the market. It can be an advantage to take a combination product, because both classes of drugs work together to improve the symptoms. Have your pharmacist you choose a combination product that is right for you. Alternatively, you can purchase a decongestant and an antihistamineseparately and take them both. One advantage of doing it this way, is selectively one or the other or both depending on the symptoms.

Nasal Irrigation

This is a good alternative treatment for seasonal allergies. It is an ancient technique of using a saline wash or bathe the nasal cavity. The theory is improved by taking away the allergens and mucus to reduce the normal function and inflammation.

Cromolyn nasalSpray

Cromolyn nasal spray (Nasalcrom) is a drug used less frequently. It can be used in combination with other treatments. Cromolyn helps to stabilize mast cells. These are the cells that react to allergens from pollen allergy problems and others that cause. Buy a stabilization of these cells, they have fewer inflammatory chemicals such as histamine. Cromolyn nasal spray to be effective, several times a day. Symptoms may take 1-2 weeks to improve. NotNot be used to treat sinus infections, asthma, or cold symptoms.

Local Honey

An alternative treatment for food allergies include 1-2 teaspoons of honey per day, from the region. Local honey is honey, as in years 30 to 300 miles (depending on who is speaking), in which we live, defined. Bee pollen from plants (often the same ones that cause allergies). The theory is that the continuous daily exposure to pollen in honey is fortunate that meet, ifsuspended in the air. Some people swear by this, but studies that were conducted do not support.

Completion

There are several treatments for seasonal allergies. If you suffer from seasonal allergies, starting a few weeks of treatment, symptoms generally begin, and throughout the allergy season. If the above treatments do not provide relief, you should seek the advice of a doctor.

Here are some goodResources

Check your local pollen www.pollen.com

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Other treatment against seasonal allergies

Grass Allergies

Monday, July 18, 2011

Treatment and care for grass allergies

Grass Allergies

Allergy is a form of grass allergy, which is often experienced by people around the world. Some time ago, in what may be the spring and early summer.

Grass Allergies

And 'most commonly associated with hay fever since the beginning of these two conditions the same kind of symptoms for the people, and because they can. The cause of grass allergy is a reaction to an allergen such as grass pollen on the body of aIndividual.

Grass Allergies

People who suffer from it have the good fortune of effective treatments are available. But above all, physicians should consider that, over time the grass allergy is more likely to be cautious, and should take precautions to avoid it. This may be exposing themselves, carried by the pollen.

Grass Allergies

You may be able to save a lot of problems, preventing the introduction of this allergy in the firstPlace. It is not hard to do, like be careful not to leave home too often.

Although it may have a point, not the protection of your own home, is an individual to avoid contact with pollen, which may be present in outdoor air. Another step that can be taken is to keep air conditioners work, instead of opening the windows to fresh air. If it is successful, it would be carrying the allergens from the outside.

If youhave not been put in the prevention of allergies, which are successful, do not worry you can take to a doctor whenever you want. After the doctor diagnosed his condition was, of drugs, he or she is certain that success in dealing with its consequences.

An example of a drug for this purpose is used antihistamines. In addition, you can apply a cream or ointment on the skin, an effect that has caused the allergy needs to heal. Eye drops for treatmentItchy eyes and water available.

Treatment and care for grass allergies

Grass Allergies