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Case Study: Post-Concussion Syndrome – Jackie

concussion ep 43Jackie’s Story

At the time of presentation to APEX Brain centers in Asheville, NC in late 2015, Jackie was a 55-year-old, soon to be retired professional female. Post-concussive symptoms of debilitating headaches, memory loss, learning and behavioral issues, fluctuations in heart rate, and difficulty handling visual stimulation such as driving, busy public places and computer screens were preventing her from leading a normal life. Prior to traveling to APEX from Charlotte, NC, Jackie had sought care from several different doctors in her area. Vestibular therapy and chiropractic care had given her some relief of symptoms, although her other experiences were not so positive. At one point a provider told her that she was mentally ill. Jackie was outraged and, as many with post-concussion syndrome report similarly, she offered this statement: “I’m not crazy. I didn’t have any of these symptoms before I had the injury and I am definitely not making them up”. This is the unfortunate reality of many who suffer with brain injury.   

Intervention for balance and cognitive decline

Jackie underwent comprehensive Brain Training at a frequency of 3 times per day over the course of 15 days (with 2 days off between each week for much needed rest and recovery). Her brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs, eye movements, balance, mental and physical timing, and more to ensure she was receiving the proper amount of therapy to be effective without exceeding fatigue limits that could potentially promote worsening of her symptoms. Modalities implemented included, but were not limited to: neurofeedback, Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, electrical stimulation, breathing exercises and home care therapies.

Outcomes after Brain Training

Jackie reported prior to brain training that she would have a constant headache of 6 on a 0-10 scale (0 being no pain and 10 being the worst possible pain) that would escalate into an 8-9 of 10 by the end of the day. The week after her program she reported the headaches were finally manageable at a level of 3-4 of 10 and would not escalate. Jackie has had continued success and reported at 3 weeks after her program that she is headache free, unless she spends too much time in front of a screen or in a busy public place. She also reports that when this occurs, her ‘at home’ brain exercises will relieve them. Aside from headaches, Jackie has reported that she no longer feels like she is in a constant brain fog. Her heart rate has also normalized and no longer fluctuates or spikes. 

Actual, measurable objective improvements recorded with post-intensive diagnostic testing include, but are not limited to:

  • Cognitive Testing: Jackie showed an increase in her Neurocognition Index of 11%. This is a standardized overall score of cognitive performance. Significant improvements in specific areas of memory (one of her biggest concerns) are as follows: 65% in composite memory, 33% in verbal memory, and 67% in visual memory.
  • Interactive Metronome: 56% improvement in motor timing accuracy and normalization of hyper-anticipatory timing tendency with motor tasks (i.e. premature response to a specified reference tone).
  • Videonystagmography (VNG): Significant improvements in numerous aspects of oculomotor (eye movement) functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.

Implications for others:

Diagnostic and functional tests can be used to direct an effective Brain Training program and improve post-concussion symptoms. Increased sensory and environmental sensitivities are common symptoms of post-concussion syndrome. There are several areas of your brain that process information from your environment and from your body. If these areas are damaged then it becomes difficult for the brain to process sensory input, resulting in fogginess, memory and cognitive issues, impaired processing of pain, and the many other symptoms seen after concussions. The frustration felt by individuals being made to feel they are “crazy”, as Jackie noted, is entirely unnecessary and driven by a health care system that is largely focused on diagnostic testing and lacking significantly in functional treatment options. There is great hope for partial and full recovery in most cases of concussion given a thorough investigation and functional interventions addressing the physical, cognitive, metabolic and lifestyle factors that influence brain health.

If you or someone you care about is experiencing ANY of these symptoms, or anything out of the ordinary related to a head or brain injury, call APEX Brain Centers now at 828.708.5274. You may also email us at [email protected] for more information and to set up a free consultation. 

Case Study: Balance and Memory Problems – Roger

Son & Elderly FatherRoger’s story

At the time of presentation to APEX Brain Centers, Roger was a 70-year-old male struggling with severe balance problems, clumsiness, fatigue, and a general disinterest in life. He used to enjoy life as a family man, successful entrepreneur and golfer. Just over 10 years prior he had undergone radiation therapy for cancer that damaged his 8th cranial nerve (the balance and hearing nerve). He had also undergone prism therapies and surgery for eye position abnormalities, which have caused further insult to his ability to maintain good balance and to learn effectively. Although not listed as a primary complaint, he also suffered from significant cognitive decline in several areas as evidenced by very low to low average scores on standardized cognitive testing.

Roger sought care at APEX Brain Centers in Asheville, NC in May of 2015 and underwent an intensive course of Brain Training. He was admitted into in an individualized program directed by extensive diagnostic testing, and led by clinicians highly experienced in functional neurology. What follows is a sampling of some of the cutting-edge clinical interventions and amazing functional gains Roger experienced during his time at APEX.

Intervention for balance and cognitive decline

Roger underwent comprehensive Brain Training at a frequency of 3 times per day over the course of 15 days (with 2 days off between each for much needed rest and recovery). His brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs, eye movements, balance, mental and physical timing, and more to ensure he was receiving the proper amount therapy to be effective, but not too much so as to be counter-productive. Modalities implemented included, but were not limited to: neurofeedback (NFB), Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, whole body vibration, electrical stimulation, breathing exercises and home care recommendations.

Outcomes after Brain Training

Subsequent to his Brain Training program, Roger reported subjective improvements in the vast majority of his pre-intensive complaints. More profound than that; his wife was quoted as saying, “it’s like I have my old husband back”. She noted that he used to be the life of the party and had been slowly deteriorating over time to the point of sitting in his chair all day and sleeping more and more often. He was finally plugging back into life, putting an end to his isolation and apathy. As is demonstrated by his balance testing, he is also experiencing a renewed ability to maintain balance, allowing him to be safer and more efficient in navigating his physical environment.

Actual, measurable objective improvements recorded with post-intensive diagnostic testing include:

  • Cognitive Testing: Increase in his Neurocognition Index of 48%. This is a standardized overall score of cognitive performance. Increases in various aspects of memory, attention, processing speed and more as great as 21%.
  • Interactive Metronome: 56% improvement in task average with motor timing, and normalization of hyper-anticipatory timing tendency with motor tasks (i.e. responding prematurely to a pre-set reference tone).
  • Computerized Assessment of Postural Stability (CAPS): 20.5% improvement in balance on an unstable surface with eyes closed – bringing him from severe to mild reduction in balance compared to his peers. Elimination of a posterior center of pressure (CoP); significantly reducing his risk of falling backwards.
  • Videonystagmography (VNG): Significant improvements in numerous aspects of oculomotor (eye movement) functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.

Takeaway

With an alarming increase in the number of baby boomers and seniors experiencing balance issues and cognitive decline (that are in fact related), it is important to recognize the symptoms of these potentially debilitating disorders and, more importantly, that something can be done about them. Early intervention is key, as the longer one waits and the more function is lost, the more difficult it is to recover and have full engagement with life!

On Demand: Your Free Daily Dose of Brain Goodness

podcastOptimal brain health is not something you achieve overnight.

It is the culmination of the vast number of decisions you make on a daily basis; week after week, month after month, and year after year.

The choices you make today, and every day, will determine how your greatest asset will serve you at any stage of life!

Due to the ever-growing demand for information in this 21st century, and the lightning speed at which it is expected, we are often asked by folks if we have resources to teach them how to ‘Build Better Brains’.

In the absence of a comprehensive Brain Training program, and, in addition to it, it is the small things you do every single day that will dictate how well your brain and body functions well into your golden years. There is no quick fix. I repeat, there is no quick fix! While there are always the unforeseen circumstances that cause our health to decline, our brain and body health is largely well within our control.

Due to this demand for information, and realizing more and more that many folks are truly beginning to care about, and for, their brains; I have launched the ‘Train Your Brain Podcast with Dr. Michael Trayford’. This podcast was designed to deliver practical, everyday tips for building the best brain possible. Some will be familiar and some brand new, although it is the routine application of these tips that will help insulate you from one of the greatest fears of our time – that of a declining brain!

The daily tips will cover evidence-based topics and applications in the areas of physical, cognitive, metabolic, and lifestyle health; all of which impact and dictate the effectiveness of your greatest asset. I hope you will join us, and join in the conversation as we will be taking listener calls and questions, exploring popular topics in greater detail, conducting interviews, and putting listener ideas into action as the series progresses.

So, whether you’re dealing with neurological conditions such as brain injury (TBI), concussion, ADHD, dementia, memory loss, anxiety, depression, MS, Parkinson’s, PTSD, addiction and more; wanting to elevate performance in sports, academics and business; or simply looking to sharpen your mind and prevent or delay cognitive decline – this podcast is for YOU!

You can listen in daily at www.TrainYourBrainPodcast.com and/or subscribe on iTunes by searching for the Train Your Brain Podcast with Dr. Michael Trayford. See you on the air!

Your Brain’s Clock – Timing is Everything

Every breath you take, every move you make (enter the distinct guitar sounds of The Police’s wildly popular 1983 hit) is controlled by your brain’s innate timing system. Whether physical movements or production of thoughts, your brain’s ability to time these magical feats appropriately is the difference between unnoticed normal everyday functioning and disastrous consequences.

Most can relate to the impact timing has on the way we move. We’ve all seen someone with Parkinson’s disease or brain injury, or simply decline in function with aging, struggle with what most of us take for granted (i.e. walking, tying shoes, speaking, etc.). Our ability to effortlessly time movement is taken for granted… Until that ability is lost.

On the other hand, it might be a bit more difficult for one to consider that the disorganized thoughts of those with schizophrenia or similar conditions has anything to do with timing. This is in fact a growing area of research where disorganized or uncoordinated thoughts are being related to uncoordinated motor activity such as walking and speech. When movements are improved through various types of physical training, individuals experience more efficient thought processing and communication of these thoughts. Through this lens it is quite easy to see how our thoughts, and even emotions, can be impaired by improper mental timing.

Can I improve my brain’s timing???

Musicians, dancers and other athletes would tell you… Absolutely! Simply involving yourself in activities that revolve around a regular beat or rhythm (cadence) will help to strengthen your mental timing ability. The obvious here would include activities such as music and dance.

But what if there are problems with my brain???

Previously mentioned brain injury and Parkinson’s disease would be natural barriers to improving timing in the brain. Studies also show that key physical abilities (bio-markers) such as balance and eye movements are impaired in those experiencing cognitive decline with aging. Challenges in these and other abilities will undoubtedly have an impact on our ability to improve timing. Addressing the physical and metabolic aspects of these conditions would be the logical first step in improving mental timing in any situation. For those with severe impairment, and for those looking to be the best they can be, there are other options.

Can my mental timing be measured and improved???

Fortunately, yes! With sophisticated measurement and training tools such as the Interactive Metronome, those with neurological conditions and peak performers alike can have their brain’s timing measured quite accurately. This particular program utilizes auditory (sound) cues to first measure and then train one’s mental timing capacities. Through matching body movements to a standardized metronome beat, the computer software can determine (down to the millisecond) how accurately one is timing. Numerous aspects of timing can be measured including early and late timing tendencies, left vs. right side of body differences, upper vs. lower body timing differences, consistency in timing from one beat to the next, and much more. Armed with this information, experienced clinicians such as those at APEX Brain Centers in Asheville, NC can design and deliver specific Brain Training programs to repair the deficient timing issues to the highest degree possible.

What does this all mean for me???

With intact and efficient mental timing our risk of injury due to falling decreases… Thought processing and problem solving become more efficient… Attention and focus get sharper… Memory formation and retrieval becomes much easier… Certain unwanted behavioral traits improve… Academics and test taking require less effort and produce less anxiety… Our limits of physical performance can skyrocket…

I believe you get the point. There are few aspects of humanism that are not positively impacted by an improvement in our brain’s innate timing abilities. Go exercise that rhythm – your brain will thank you!

Boot Camp for Your Brain?

03E08469[1]Google defines ‘boot camp’ as: a short, intensive, and rigorous course of training. Aside from the obvious military style boot camp, many are seeking out boot camps in all shapes and sizes to help with everything from fitness to addiction.

Why not boot camp for your brain???

A basic understanding of how the brain works will help you realize that a boot camp is the most effective way to train your brain. From those with neurological issues, to those looking to elevate their level of performance to new heights, a well-trained brain will help ensure you are functioning at your highest possible level (both physically and mentally).

Neuron Theory, 101

Your brain’s sole purpose in life is to receive and transmit information. Sensory information from the environment and your body travels up to your brain to be processed; and thoughts, actions, hormone circulation and more are the end result of that input. The brain receives and transmits information through neurons (nerve cells), more specifically networks of neurons, in the brain and body. The more powerful the information traveling in those networks, or pathways, the stronger they become. In short, from a theory developed in the mid-20th century by the psychologist, Donald Hebb: cells that fire together, wire together!

What determines if cells get ‘wired’ together is the intensity and frequency of the stimulation delivered to them. There can be equal parts frequency and intensity, or more of one or the other. Using the example of learning how to play a guitar; one can play 10 minutes per day, 5 days per week – representing moderate frequency and low intensity – and could expect slow gains in the ability to play guitar. The same individual could participate in a ‘guitar boot camp’ playing for 1-2 hours, 3-5 times per day, for 5 days – very high frequency AND intensity – and expect to make much larger gains in their skills on 6 strings.

Now, About that Brain Boot Camp

Paying respect to the understanding that cells that fire together, wire together, it should now make good sense that training of brain function would yield the greatest outcomes in this high frequency, high intensity boot camp model. Every brain is different and unique, and faced with its own sets of strengths and challenges; and the frequency and intensity of individual aspects of Brain Training can be adapted to fit these unique needs.

Another added benefit of the boot camp training model is that of fitting a great deal of learning into a very short period of time. Moms and dads, sons and daughters, athletes and CEOs, brain injured and infirmed – time is a valuable commodity, and to compress months (if not years) of benefit and improved quality of life into a 5, 10, or 15 day period of time is something most folks could not put a price tag on. Further, the longer we wait (and the longer it takes) to train our brains, the less benefit we will gain from the experience.

To learn more about our Asheville, NC based Brain Boot Camps for learning and behavioral issues, peak performance, concussion and brain injury, and more; contact us at 828.708.5274 for a FREE 15 minute consultation.

iPads for Everyone!!!

Logo concept FINAL_RGB_WEBEveryone that signs up for a 5 or more day full intensive training program at APEX Brain Centers in Asheville, NC, that is! (Unique offer details below).

While technology and all that come with it can cause significant impairment for many, it can also be used to provide an extreme advantage when it comes to Training your Brain. The ever-growing list of hi-tech applications (apps) for mobile devices and tablets is astounding, many of which hold significant promise for re-training brain dysfunction, and for improving upon already strong performance in those looking to reach their peak potential. As with anything, there is a downside – apps used improperly and not under expert guidance can, in some cases, be counter-productive, and even harmful!

The following are the main areas of apps for brain performance: 

  • Memory and Attention: We have all heard of that brain training program that begins with ‘L’ that most folks pronounce incorrectly! While this and many other similar apps are quite useful and largely without side-effects, they may not be providing all they claim in the absence of a comprehensive brain health program. 
  • Eye movements: The secret is out, eye movements are directly related to our higher, more human, cognitive brain functions. A simple Google search of ‘eye movements and cognition’ should get you rolling there! The challenge is that these sensitive windows into higher brain function can very easily be trained incorrectly, leading to further dysfunction or significantly limiting peak performance. User beware: Expert direction is essential with these type of apps! 
  • Neurofeedback/Biofeedback: By far the newest and most concerning area of mobile brain training, app stores are piling up with programs that will help you regulate your brainwaves, heart rate, muscle tension, and more. Common sense should let you know that training your brainwaves in the absence of higher education in neurophysiology and neuroplasticity might not be a very wise choice. Once again, user beware!

Although just a sampling of what’s available in the various app stores in the cyber world, the take home message here is that ANY effort in training your brain should be directed by a qualified health care provider trained in these areas of brain performance for maximum benefit and decreased probability of side-effects.

Enter the iPad…

All clients entering into a 5 or more day full intensive training program at APEX Brain Centers in Asheville, NC through May 31, 2015 will receive a FREE iPad Mini with Retina Display (or comparable device) as a valuable aid to your brain training program, and to help you continue progress once discharged. All you would need to do is have an iTunes account to purchase any needed applications (typically less than $35.00), and the desire to make your brain the best possible brain it can be.

This special offer is not to be combined with any offers and you must reference this post at the time of consultation or admission for validation purposes. Let us help you harness the power of technology and put you in the driver’s seat on your journey to Building a Better Brain!

NaturalNews Blog: Do Brain Games Exploit Memory Loss Fears for Profit?

People ask me all the time if brain games “really work.” Their interest is understandable. Most people are looking tools they can use to improve their brain function and prevent age-related memory loss. But the effectiveness of brain games has been publicly called into question recently by members of the scientific community. My new blog on the NaturalNews Network responds to the critics and gives consumers some insight on the role that brain games can play in supporting brain health.

A recent article in The Guardian, titled Brain Games Exploit Anxieties About Memory Loss for ProfitScientists reference an open letter signed by 73 members of the scientific community that largely condemns the effectiveness of brain games due to lack of adequate research supporting the claims made by the various companies producing them. Claims cited include making one smarter, speeding up the time it takes to learn, and reducing cognitive slowing and forgetfulness. In this letter the signatories do acknowledge the existence of brain plasticity – the brain’s ability to change based on its experience – although apparently feel as if the positive impacts on the brain from these games do not extend beyond the “training-induced” learning that occurs from these games. Even if this were in fact the only benefit…is this a bad thing?

Read the full article HERE.

At APEX we create targeted brain training programs designed to improve brain health and function. Brain games are one of many tools we use to help our clients achieve their personal goals. Brain games alone may not be a complete solution to improving brain health, but we believe that they can be a valuable part of a comprehensive strategy to help individuals build better brains.

Read all of my NaturalNews blogs by visiting my profile.

3 Brain Exercises to Fight OCD Impulses

Obsessions (repetitive thoughts) and compulsions (repetitive behaviors) that significantly interfere with one’s daily activities affect over 2 million American adults diagnosed with obsessive compulsive disorder, according to the National Institutes for Mental Health (NIMH). Millions more people are affected by these symptoms than that number suggests, because obsessions and compulsions are quite often associated with other conditions including eating disorders, tic disorders (i.e. Tourette Syndrome), addictions, and phobias.

It is extremely difficult for a brain that is “stuck” on a certain behavior to be productive in any way, shape or form. Although OCD traits are sometimes seen in “peak performers” such as high level athletes and CEOs, there is a point where the behaviors become the only focus of the affected individual. This, as you could well imagine, could lead to significant anxiety and distress, essentially crippling an individual psychologically (and sometime physically).

There are many well-known interventions for OCD and its associated disorders including: medications (typically antidepressant and antianxiety agents), Exposure and Response Prevention (a form of Cognitive Behavioral Therapy) to desensitize individuals from their “problem” stimulus, psychological counseling, or some combination of the above.

As the numbers of those affected continue to grow each year, alternatives to conventional therapies are needed now more than ever and are in increasingly greater demand. Millions of Americans are now seeking therapies such as neurofeedback, transcranial magnetic stimulation, metabolic and nutritional therapies, chiropractic care, and acupuncture in hopes of decreasing, and possibly eliminating, their obsessions and compulsions.

Recent research from the Academic Medical Center in Amsterdam has demonstrated increases in the “feel good” neurotransmitter dopamine in the brains of those with OCD. Also singled out over the years is a decrease in Serotonin levels; which has a negative impact on mood, memory, and learning. Chemical regulation and improvements in the underlying “wiring” of pathways in the brain through Brain Training must be addressed to increase the effectiveness of the more common approaches to OCD mentioned above. Improvement in chemical regulation and brain “wiring” can occur safely and quite cost effectively through a number of approaches.

What follows are 3 examples of activities that can be done easily, inexpensively, and very likely more effectively than the standard interventions for OCD.

  1. Exercise. Physical exercise has been hailed by some of the leading scientists as the greatest medication on the planet. One thing is known for sure, moving our bodies productively can and will have an impact on neurotransmitter production and metabolism. In his groundbreaking book Spark, Dr. John Ratey of Harvard Medical School discusses the impact of certain types of exercise on specific brain chemicals. Exercise also helps to strengthen nerve connections, create new nerve cells, and improve fuel delivery to the brain.
  2. Meditation/Relaxation. Mindful meditation, breathing exercises, progressive relaxation, guided imagery, biofeedback, and many other relaxation techniques empower individuals with the ability to take the focus off of their problem thoughts and behaviors while engaging them in more productive behaviors. This can have a profound impact on brain chemicals and body systems as with exercise.
  3. Interactive Metronome.  A bit more on the hi-tech end, training the brain’s internal timing mechanisms through repetitive body movements made in concert with sound commands, one can begin to dramatically improve their focus, attention, and cognitive control; critical brain “wiring” factors that need to be addressed when dealing with OCD.

From training the brain systems that govern control over our impulses, to improving the chemical interactions that are involved in these systems, there is hope for those under the stranglehold of OCD. If you or a loved one is battling OCD and/or any of its associated disorders, understanding that the brain can be trained and returned to a state of normalcy is the first step in beating this elusive disorder.

Are You an Athlete Who Could Benefit from Brain Training? 5 Questions to Ask Yourself

apex-header-4Whether they are running, cycling, swimming, auto racing, playing ball sports, or participating in weekend warrior contests; athletes of all shapes, sizes, and abilities have one thing in common. They all want to WIN!

The road to excellence in sports has changed quite a bit over the past several decades. The vehicles that bring athletes to their peak today look nothing like the horse and buggies that used to get them there. Sports performance is a high-tech, fast-paced, ultra-competitive industry where new advances in training the human body are popping up around every corner, in every discipline.

Today you may commonly choose to enhance your athletic performance through strength, agility, and endurance training specific to your sport, metabolic therapies, and possibly indulge in cross training and sports psychology therapy. But something is missing from this list. Something BIG. Something that could make all the difference in the world. Brain Training can help you achieve peak athletic performance. Training your brain to perform at a peak level is shaping up to be the biggest, and likely most important, aspect of training for ANY athlete. Brain Training can also amplify the effects of other training methods.

If you answer yes to any of the following questions, then you are ready to take the next step in your athletic training program:

1)     Do I want to be faster?

Most sports require speed and endurance, and training your brain to be faster can be a game changer. Balance, coordination of movement, core stabilization (shunt muscles) and voluntary movement (spurt muscles), all controlled by your brain, are key factors in determining how fast your muscles will move your body. The more “tuned-up” these systems are, the faster you will be.

2)     Do I want to increase my reaction time?

Advanced applications like the Interactive Metronome were designed to improve timing abilities in key areas of the frontal lobes of your brain that govern your ability to react appropriately to stimulation coming from your environment (i.e. sight, sound, etc.). Training your brain’s ability to react to various types of stimulation, and to block other types out, can significantly speed up your reaction time and overall accuracy of thought and movement.

3)     Do I want to improve my focus?

Focus, Flow, Concentration, The Zone… whatever you prefer to call it… is one of the most complicated of all brain abilities, and very likely the most crucial brain function when it comes to success at sports. Many abilities come together to create focus, most notably vision combined with your brain’s attention network. These abilities CAN be trained to achieve higher levels of concentration and attention. This is what creates the effortless focus on the task at hand – The Zone – that most athletes crave.

4)     Do I want to outsmart my competition?

Training various aspects of memory, essentially increasing your intelligence, will provide invaluable assistance when stacking up against your competition. Working and procedural memory can be improved through intensive Brain Training programs that combine “brain games” and metal tasks with physical exercises and various types of sensory input shown to improve cognitive abilities.

5)     Do I want to decrease my risk of injury?

The brain controls your muscles as well as the tone of your tendons and ligaments. Muscles, tendons and ligaments that are controlled by a well-functioning brain are more resilient, faster to respond, and less likely to be injured. In turn, if something has been injured it tends to send “faulty” feedback to the brain, further increasing risk of injury. Training brain-body connections is critical for any high performance athlete that wants to stay off the sidelines.

APEX Brain Centers is leading the way in neuroplasticity-based brain enhancement programs that are opening new doors for those struggling with addictions, learning and behavioral disabilities, test performance, athletic performance and more.

2 Walden Ridge Drive (STE 80) ~ Asheville, NC 28803 ~ 828.708.5274
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