Ask the Doctor with Dr. Michael Lange from 03-26-16 LM

Ask the Doctor with Dr. Michael Lange from 03-12-16LM

Ask the Doctor Radio Show from 02-13-16

Ask the Doctor Radio Show from 2-6-16 with Dr. Michael Lange

Dr. Michael Lange Discussing Anti-Aging from 1-30-16

Ask The Dr. Radio Show from 12-05-15 with Dr. Michael Lange

Ask The Doctor Radio Show from 11-28-15 with Dr. Michael Lange

Nutrition, Macular Pigments and AMD

The role of lutein and zeaxanthin supplements in nutrition, as discussed by leading optometrists, and their effects on macular degeneration and macular pigments. Taking lutein, zeaxanthin and dark green leafy vegetables such as spinach and kale can help with ocular nutrition. Caution is recommended for those with kidney stones or using blood thinners. Comments by Dr. Michael Lange OD CNS, certified nutrition specialist.

Increased levels of zeaxanthin and lutein can reduce the risk of AMD.
But just how much is needed and, how do we measure results?

Tara Rosenzweig, Contributing Editor for Optometric Management magazine

It’s commonly understood: Levels of the macular pigments lutein and zeaxanthin correlate to agerelated macular degeneration risk (AMD). So, as a measure of prevention, should optometrists recommend dietary and supplemental intake of these important nutrients — carotenoids that protect against phototoxic blue light and near-ultraviolet radiation and which are found naturally in the macula?

And if so:

How much of each is needed?
Should the nutrients come from food, supplements or a combination of both?
How can you determine the success of a supplement program? Should you consider the use of devices that measure the macular pigment optical density (MPOD)?

Here, experts on ocular nutrition and MPOD-measurement devices weigh in on these, among other common questions.

How much is enough?

It’s difficult for healthcare professionals and patients to know just how much lutein and zeaxanthin should be consumed on a daily basis. Supplements with lutein and zeaxanthin vary in nutrient content and packaging. For instance, they often accompany vitamins and nutrients, such as vitamins A, C, and E and zinc. And because no recommended daily intake for these nutrients exists, many O.D.s aren’t sure how much to recommend for optimal macular health benefits.

“In general, normal lutein/zeaxanthin supplements average in the 15 mg to 20 mg (range) for lutein and 2 mg to 4 mg for zeaxanthin,” says Jeffrey Anshel, O.D., F.A.A.O., president of the Ocular Nutrition Society. “Some supplement companies add more, but most of the science points to about these amounts.”

He adds the caveat: “Since lutein is sequestered in fat tissue, different patients may require different amounts.”

There’s no exact number, explains Paul S. Bernstein, M.D., Ph.D., Mary Boesche professor of Ophthalmology and Visual Sciences at Moran Eye Center at the University of Utah School of Medicine in Salt Lake City. “Based on epidemiology and studies on risk of macular degeneration, it’s generally come up somewhere between 6 mg and 10 mg [of each] a day. Those are the reasonable numbers.”

Dr. Bernstein and others say they hope that tests of 10 mg of lutein and 2 mg of zeaxanthin in the second Age Related Eye Disease Study (AREDS2) study will provide a definitive answer.

Michael Lange, O.D., C.N.S. (certified nutrition specialist), who owns Lange Eye Care and Associates in Florida and also founded Fortifeye Vitamins, recommends dosages by age and health status. For most patients, he says he advises 6 mg to 10 mg of lutein and 1 mg to 2 mg of zeaxanthin daily. But for patients with early-to-moderate AMD, he says he recommends 10 mg to 20 mg of lutein and 2 mg to 4 mg of zeaxanthin daily. For moderate-to-advanced AMD, he says he recommends 20 mg to 30 mg of lutein and 4 mg to 6 mg of zeaxanthin.

But are lutein and zeaxanthin equally important?

The answer is unknown, says Elizabeth Johnson, Ph.D., with the Carotenoids and Health Laboratory of the Jean Mayer United States Department of Agriculture (USDA) Human Nutrition Research Center on Aging at Tufts University in Boston. She points to interesting data.

“Work that we conducted here shows definitively that of the zeaxanthin in the retina, about half of that is actually derived from lutein,” she says.

From food or supplements?

Recommended dosages of the nutrients can be absorbed from food or supplements, but some experts say it’s unlikely many patients will derive lutein and zeaxanthin from diet alone.

Kimberly Reed, O.D., F.A.A.O., associate professor at the College of Optometry at Nova Southeastern University in Fort Lauderdale, Fla., and a member of the Nutrition Ocular Society’s board of directors, says sufficient amounts of the nutrients would be difficult to amass from the typical Western diet.

“This is where patient education is essential,” Dr. Reed says.

A look at quantities of lutein in foods sheds light on how difficult levels experts recommend may be to reach, she explains. While dark leafy greens, like spinach and kale, abound with lutein at 20.4 mg and 23.7 mg per cooked cup, respectively, other foods considered good lutein sources contain far less. For example, corn and green beans — consumed more often than spinach and kale — contain just 1.5 mg and 0.9 mg per cooked cup, which presents a recommended-dosage shortfall if dark leafy vegetables aren’t also consumed, according to the Lutein Information Bureau (www.luteininfo.com) and the USDA’s Nutrient Database.

Dr. Johnson adds that patients who can’t eat green leafy vegetables because they’re on blood thinners or have a propensity toward kidney stones may benefit from lutein and zeaxanthin supplements.

Dr. Lange says he also believes in starting with diet and supplementing only if necessary.

“I will … tell my patients who aren’t on blood thinners and do not have kidney stones or gout to eat one-half-to-one-cup of dark green leafy vegetables a day,” he says.

But, Dr. Lange explains that even people with specific lutein and zeaxanthin restrictions usually don’t obtain sufficient amounts of lutein and zeaxanthin from their daily diet. This may be particularly true for the elderly, who may have limited access to shopping outlets, he says. They may need supplements, which Lange recommends “as an insurance policy for anyone with AMD.”

When should patients start?

At what age should patients start taking lutein and zeaxanthin supplementation, either through diet or supplements? Some experts suggest that people who have low MPOD should begin supplementation in their 20s. Our experts weren’t so sure.

“We know that interventions for macular degeneration are important when people are in the middle stages of macular degeneration,” Dr. Bernstein says.

When it comes to younger people with a family history of AMD, it’s more difficult to make recommendations, he adds.

“Patients have to realize the data are not as strong if they’re in their 20s and 30s,” he says. “I, in my practice as a macular degeneration specialist, counsel them most importantly to achieve a good, healthy diet: dark green, leafy vegetables and orange and yellow fruits and vegetables.”

Dr. Johnson adds that younger patients are most at risk for light damage and should know the importance lutein- and zeaxanthin-rich foods.

“The younger people are those who have the clear lens, and that makes the retina more vulnerable to light damage from being outdoors more often,” she says.

Supplements: How far should O.D.s go?

Should O.D.s recommend, or sell, lutein and zeaxanthin supplements to patients? Our experts say, “Yes,” with care and diligence.

“I make recommendations on supplements … and have them available as a convenience — just like I do glasses and contact lenses,” Dr. Anshel says. “There are several factors that the doctor must consider when evaluating a nutritional supplement, including knowing the science behind the ingredients and having a company that is third-party GMP (Good Manufacturing Practices) certified.”

The decision to recommend or sell supplements largely depends on the O.D.’s personal preference, Dr. Reed says, stressing responsibility.

“Many optometrists prefer to avoid the ‘retail’ end of nutrition, while others have seamlessly incorporated this into their already successful retail business,” she says.

She cautions that it is paramount that optometrists who begin nutritional counseling or retailing, or both, be properly educated on the topics and remain up-to-date on nutrition and the eye.

Dr. Lange recommends offering patients a whole-body supplement with enough lutein/zeaxanthin, along with various other vitamins, minerals, wholefood complexes and omega-3 essential fatty acids.

“Lutein and zeaxanthin are only two pieces of the puzzle,” Dr. Lange says, adding that optometrists should take nutrition courses and consider becoming a certified nutrition specialist (CNS) for confidence in helping patients with nutrition.

Measuring results

Of the methods used to measure MPOD, optometrists are likely most familiar with commercially available heterochromatic flicker photometry (HFP) devices. The authors of a recent review article in Clinical and Experimental Optometry (September 2010) write that due to concerns regarding the repeatability of test results, they recommend clinicians exercise caution when considering these instruments to monitor MPOD in patients who are taking lutein and zeaxanthin supplements.

Dr. Bernstein agrees with this conclusion, noting that HFP is a subjective test that is difficult for many people, even well-trained professionals, to use. He adds that often the operator or patient is not trained adequately in these devices.

“If you don’t have proper training, you’re going to get results that don’t mean very much,” he says.

So, should optometrists purchase and use the HFP devices to assess MPOD in patients? Dr. Bernstein answers “yes,” “with a healthy dose of caution.” He encourages optometrists to try the devices to determine reproducibility in their practices.

The vendors of the HFP measuring devices may also be able to lend assistance in this area as they offer training on the devices.

Dr. Anshel recommends taking a scientific approach to the devices — the same approach you would take when considering the acquisition of any diagnostic device.

“Choosing a measuring device should be based on the doctor’s confidence in using the device to obtain scientific information about macular pigment and not just for ‘marketing’ a nutritional approach,” he says.

Other MPOD-measurement tools — currently available only for research — may become more widely available, says Dr. Bernstein. Methods that could hold promise include more image-based ones, such as autofluorescence, Raman spectroscopy, and reflectometry.

Dr. Reed says clinicians also need to understand the limits of MPOD testing.

“MPOD testing is really measuring the levels of lutein and zeaxanthin in the macula, and we need to use caution when making the leap between macular pigment and AMD,” she says. “Certainly there is a strong association, but it may not be quite as linear as it would initially appear to be.”

Dr. Lange says he uses a blood test to see concentration in ug/l of lutein and zeaxanthin to help determine what dietary and supplement adjustments a patient needs.

Dr. Anshel raises another point in measuring these carotenoids: “Since lutein is sequestered in fat tissue, patient body mass index might be a factor in how much lutein is actually transferred to the eye.”

He adds that conversion of lutein to meso-zeaxanthin may also be an issue.

“Meso-zeaxanthin is converted from lutein by an enzyme, which needs to be present,” he says. “While we assume that it is, we have no way of being certain. This is relatively new science, so establishing a baseline might take more time.”

The bottom line: Be careful, and be educated

While the science is new and more research is needed, those interviewed for this article agree that with the proper education, optometrists can counsel patients on the relationship between nutrition and supplements, AMD and other eye diseases. An O.D.’s recommendation may also improve the overall care of the patient.

Says Dr. Lange: “I see it every day in clinical practice where we have made dietary and supplemental recommendations, and patients’ ocular health and overall health can improve dramatically.”

This article was originally published in the December 2010 issue of Optometric Management Magazine.

 

Lange Eye Care Locations

Gainesville Office
Lange Eye Care and Associates
3968 SW Archer Road W101
Gainesville, Florida 32608
Phone: 352-376-6622

Ocala Office
Lange Eye Care and Associates
3101 SW College Road
Ocala, Florida 34474
Phone: 352-237-3768

Triple Crown Plaza Office
Lange Eye Care and Associates
11100 SW 93rd Court Road
Suite 15
Ocala, Florida 34481
Phone: 352-291-2000

Summerfield Office
Lange Eye Care Vision Outlet Center
Unit #604 Highway 441S
Summerfield, Florida
Phone: 352-307-3273

Inverness Office
Lange Eye Care and Associates
3808 E. Gulf to Lake Highway
Inverness, FL 34453
Phone: 352-344-5110

Clearwater Offices
Lange Eye Care Optical Gallery & LASIK Center
23666 U. S. Highway 19 North
Clearwater, FL 33765
Phone: 727-791-1214

Lange Sun and Nutrition Center
2551 Drew Street
Suite 302
Clearwater, FL 33765
Phone: 727-216-6275

Williston Office
Lange Eye Care And Associates
129 S. W. 7th Street
Williston, FL 32696
Phone: 352-528-0433

The Villages Office
Lange Eye Institute
466 and CR101
The Villages, Florida
Phone: 352-753-4014

 

 

 

 

Map and Directions


View Larger Map

 

More information: Dr. Michael P. Lange is a Board Certified Optometric Physician and a Certified Nutrition Specialist who started Lange Eye Care and Associates in Ocala, Florida, in March 1993. Lange Eye Care has grown to nine locations throughout the state of Florida with three Lasik centers. The Lange Eye Institute at The Villages in central Florida is home base for many of the nutritional studies that Fortifeye is involved in. Dr. Lange is one of the first doctors in the industry to utilize intracellular blood tests and blood absorption studies to improve the Fortifeye vitamin line. Dr. Lange travels the world for nutritional research gathering valuable information to continuously improve Fortifeye vitamin formulations. Dr. Lange is still involved in the clinical practice of eyecare. He is a guest lecturer, contributing author to many eyecare magazines, and a daily syndicated talk show host of ‘Ask The Doctor’ which broadcasts every weekday at 9am and Saturdays at 2pm from Tampa Bay on radio stations throughout the country and video streaming all over the world via the Internet.

 

 

 

 

Order Fortifeye™ vitamins by clicking below:

 

Fortifeye Complete Plus | Click To Order
Fortifeye Complete Plus | Click To Order
Fortifeye™ Complete Plus

Fortifeye™ Complete Plus is an advanced formulation based on the latest clinical studies. It is a combination of synergistically blended whole foods, phytonutients, vitamins, minerals, enzymes and essential fatty acids. When combined with proper diet, exercise and a healthy life style Fortifeye™ Complete Plus lays the foundation for good eye and total body health.

Dosage: 2 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 2 tablets and 1 softgel
Best price on the Internet! $50.00
Fortifeye Complete Plus | Click To Order

Fortifeye Super Omega-3 Fish Oil | Click To Order
Fortifeye Super Omega-3 Fish Oil
Fortifeye™ Super Omega 3 Fish Oil

Fortifeye™ Super Omega-3 Fish Oil is the newest, most concentrated and purified Omega Three Fish Oil by Fortifeye™
Features: Natural Triglyceride Form • Molecularly Distilled for Maximum Purity • High Potency/Triple Strength • Natural Orange/ Lemon Flavor • Pharmaceutical Grade • Superior taste • No unpleasant odor • Unsurpassed purity (Triple Molecular distillation) • Produced in Norway in the world’s only NSF, GMP certified Omega 3 production facility
Promotes: Heart Health • Brain Health • Eye Health • Joint Health • Circulation • Good Blood Pressure • Healthy Cholesterol • Improved Triglycerides • Skin, Hair & Nail Health • Mental & Cognitive Health

Take Fortifeye™ Super Omega-3 in conjunction with Fortifeye™ Complete Plus for more intensive nutritional therapy.

Dosage: 2 softgels/day
60 softgels/bottle
Best price on the Internet! $25.00
Fortifeye Super Omega-3 Fish Oil | Click To Order

Fortifeye FOCUS | Click To Order
Fortifeye FOCUS | Click To Order
Fortifeye™ FOCUS

Fortifeye™ FOCUS is a combination of three carotenoids—astaxanthin, lutein and zeaxanthin. Clinical studies indicate that 6mg of astaxanthin reduces eye fatigue symptomology and actually improves amplitude of accommodation, the eye’s ability to focus clearly on objects at near distances. This new formulation was developed to help reduce accommodative stress due to prolonged working at a near focal length. Fortifeye FOCUS is recommended for individuals who experience eye fatigue with near point tasks or after prolonged work on a computer. Fortifeye FOCUS can be used alone or in combination with any of the Fortifeye™ Vitamins.

Dosage: 1 softgel per day
30 softgels per bottle.
Best price on the Internet! $25.00
Fortifeye FOCUS | Click To Order

Fortifeye Complete One-A-Day | Click To Order
Fortifeye Complete One-A-Day | Click To Order
Fortifeye™ Complete
One-A-Day Multivitamin

Fortifeye™ Complete One-A-Day is a powerhouse combination of 50 total body and vision specific nutrients all combined into one USP certified tablet. Fortifeye™ Complete One-A-Day multivitamin has been created by doctors who understand that quality counts. Fortifeye™ Complete One-A-Day can be used alone or in combination with Fortifeye™ Super Omega 3 Fish Oil or Fortifeye™ Dry Eye Therapy Extreme to combat against free radical damage in the eyes and body.

Dosage: 1 tablet per day
30 tablets per bottle.
Best price on the Internet! $25.00
Fortifeye Complete One-A-Day | Click To Order

Fortifeye Complete Macular Defense | Click To Order
Fortifeye Macular Defense
Fortifeye™ Complete Macular Defense

Fortifeye™ Complete Macular Defense vitamins are the newest, most advanced nutraceuticals for your eyes and body, which provide purified Natural Triglyceride omega three fish oil, along with lutein and zeaxanthin for vision support. This formula provides the equivalent in antioxidant power to 15-17 servings of fruits and vegetables a day, 30 mg of lutein and 4.75 mg of zeaxanthin.

Dosage: 3 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 3 tablets and 1 softgel
Best price on the Internet! $70.00
Fortifeye Complete Macular Defense | Click To Order

 

 

All Fortifeye products are produced in a GMP, FDA and NNFA inspected facility that supplies products to the nutraceutical industry. Fortifeye is also approved by the Therapeutics Goods Association, the leading regulatory authority for nutraceuticals world wide and by NSF.

 

 

Fortifeye™ FOCUS

Fortifeye™ FOCUS is a combination of three carotenoids—astaxanthin, lutein and zeaxanthin. Clinical studies indicate that 6mg of astaxanthin reduces eye fatigue symptomology and actually improves amplitude of accommodation, the eye’s ability to focus clearly on objects at near distances. This new formulation was developed to help reduce accommodative stress due to prolonged working at a near focal length. Fortifeye FOCUS is recommended for individuals who experience eye fatigue with near point tasks or after prolonged work on a computer. Fortifeye FOCUS can be used alone or in combination with any of the Fortifeye™ Vitamins.

The Fortifeye™ Philosophy
Right Ingredients. Right Science. Right for You.

Fortifeye FOCUS

Fortifeye FOCUS is a powerful addition to the Fortifeye line of vitamins. Fortifeye FOCUS is a combination of three carotenoids – astaxanthin, lutein and zeaxanthin. This new formulation was developed to help reduce accommodative stress due to prolonged working at a near focal length. Fortifeye FOCUS is recommended for individuals who experience eye fatigue with near point tasks or after prolonged work on a computer. Clinical studies indicate that 6mg of astaxanthin reduces eye fatigue symptomology and actually improves amplitude of accommodation, the eye’s ability to focus clearly on objects at near distances. Many symptoms associated with eye fatigue including tired eyes, sore eyes and dry eyes were dramatically reduced in less than four weeks in clinical studies using 6mg of astaxanthin a day. Astaxanthin, a powerful antioxidant and anti-inflammatory, also helps to eliminate fine lines and wrinkles in the face, may help lower cholesterol, helps prevent sunburn to the skin and improves muscle endurance and muscle recovery in athletes. Studies also indicate astaxanthin may improve circulation and reduce inflammation in the eye. Fortifeye FOCUS is an exciting new nutritional approach to aid the millions of people suffering from eye fatigue while working with tasks at near focus. Fortifeye FOCUS can be used alone or in combination with any of the Fortifeye Vitamins.†

FortifeyeFOCUS

TIRED EYE RELIEF- rejuvenate, refresh and revive your eyes with AstaREAL® astaxanthin.†


Right Ingredients

    Fortifeye FOCUS is a combination of three carotenoids – astaxanthin, lutein and zeaxanthin.

    Astaxanthin – A relatively new nutrient used in supplements that comes from microalga Haematococcus pluvialis, astaxanthin is proving to have multiple health benefits. The carotenoid astaxanthin is the reason lobsters, shrimp and some crabs turn red when cooked. While it constitutes a tiny portion of farm-raised salmon feed (50 to 100 parts per million), astaxanthin represents up to 20 percent of the cost. Astaxanthin is an extremely potent antioxidant and anti-inflammatory. Clinical studies have now proven that 6mg of astaxanthin can improve the blood flow to the eye and actually aid in accommodation (focusing) and in reducing eye fatigue. It also helps to eliminate fine lines and wrinkles in the face, may help lower cholesterol, helps prevent sunburn to the skin and improves muscle endurance and muscle recovery in athletes. Astaxanthin reduces inflammatory markers such as nitric oxide synthase (NOS), prostaglandin E2 (PGE2) and tumor necrosis factor (TNF). Astaxanthin is documented with high potencies for neutralizing oxygen radicals. For example, it is 550 times more powerful than vitamin E or 40 times more powerful than beta-carotene against singlet oxygen radicals. These remarkable aspects of astaxanthin are why Fortifeye Vitamins has incorporated it into their new eye vitamin formulas.†

    Lutein – A carotenoid found naturally in dark green leafy vegetables (spinach and kale) and other natural sources, this potent antioxidant is sorely lacking in the typical American diet. Lutein and zeaxanthin are the only carotenoids found in the retina of the eye. Lutein supplementation has been shown in landmark clinical studies to increase macular pigment density which may promote macular health. Scientists believe lutein helps filter out dangerous ‘blue’ light, helping to maintain the photoreceptor and retinal health. Lutein is now believed to have a protective effect on the retina and may help to slow down age related macular degeneration. Lutein may have some protective effects against cataract formation.†

    Zeaxanthin – Zeaxanthin is one of the two carotenoids contained within the retina of the eye. Zeaxanthin and lutein have an almost identical chemical structure and have similar properties. Zeaxanthin, like lutein, increases macular pigment density and also helps to filter out the harmful blue light from the sun. Gogi berries have one of the highest sources of zeaxanthin and orange bell peppers are relatively high in zeaxanthin and more readily available. Zeaxanthin may also have some protective effects on cataract formation. Zeaxanthin may inhibit VEGF and prove useful for diabetic retinopathy and wet macular degeneration. Zeaxanthin and its related compound lutein are highly concentrated in the macula, providing a yellow color known as the macular pigment (MP). The macular pigment acts like a built in sun screen and protects the macula from the damaging photo-oxidative effects of blue light.†

    Dr. Lange has chosen AstaREAL® astaxanthin – The Astaxanthin of Choice. AstaREAL® astaxanthin is manufactured by Fuji Chemical Industry from Haematococcus pluvialis microalgae and is cultivated in ultra-clean BioDome™ systems in pristine Maui, Hawaii, and in state-of-the-art photobioreactors in environmentally friendly Gustavsberg, Sweden. AstaREAL® astaxanthin products are guaranteed for high potency, quality and stability. Fuji’s enclosed mass-culture systems generate the highest quality, purity and consistency of astaxanthin in the world.

    Fortifeye FOCUS can be used alone or in combination with any of the Fortifeye Vitamins.

 

In these videos Dr. Lange explains the many benefits of astaxanthin.

Dr Michael Lange discusses the benefits of astaxanthin, its sources, and the lack of astaxanthin in the diet. Benefits of astaxanthin in Fortifeye FOCUS, improve focusing ability, tired eye, reduce inflammation Dry eye syndrome, benefits of astaxanthin, omega-3 fish oil & gamma linolenic acid (GLA)


Right Science

    Clinical studies indicate that 6mg of astaxanthin reduces eye fatigue symptomology and actually improves amplitude of accommodation, the eye’s ability to focus clearly on objects at near distances.†

    Many symptoms associated with eye fatigue including tired eyes, sore eyes and dry eyes were dramatically reduced in less than four weeks in clinical studies using 6mg of astaxanthin a day.†

    Studies also indicate astaxanthin may improve circulation and reduce inflammation in the eye.†

View Astaxanthin Studies


Right For You

    Fortifeye FOCUS was developed for reviving, rejuvenating and refreshing tired eyes. It is used to help reduce eye fatigue and strain from prolonged near-work and computer work.†

    This new formulation was developed to help reduce accommodative stress due to prolonged working at a near focal length.†

    Fortifeye FOCUS is recommended for individuals who experience eye fatigue with near point tasks or after prolonged work on a computer.†

    Fortifeye FOCUS provides astaxanthin which in addition to benefiting the eyes helps to eliminate fine lines and wrinkles in the face, may help lower cholesterol, helps prevent sunburn to the skin and improves muscle endurance and muscle recovery in athletes.†

    Fortifeye FOCUS is an exciting new nutritional approach to aid the millions of people suffering from eye fatigue while working with tasks at near focus.†


†These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Fortifeye FOCUS

Fortifeye FOCUS table of ingredients 

 

Lange Eye Care Locations

Gainesville Office
Lange Eye Care and Associates
3968 SW Archer Road W101
Gainesville, Florida 32608
Phone: 352-376-6622

Ocala Office
Lange Eye Care and Associates
3101 SW College Road
Ocala, Florida 34474
Phone: 352-237-3768

Triple Crown Plaza Office
Lange Eye Care and Associates
11100 SW 93rd Court Road
Suite 15
Ocala, Florida 34481
Phone: 352-291-2000

Summerfield Office
Lange Eye Care Vision Outlet Center
Unit #604 Highway 441S
Summerfield, Florida
Phone: 352-307-3273

Inverness Office
Lange Eye Care and Associates
3808 E. Gulf to Lake Highway
Inverness, FL 34453
Phone: 352-344-5110

Clearwater Offices
Lange Eye Care Optical Gallery & LASIK Center
23666 U. S. Highway 19 North
Clearwater, FL 33765
Phone: 727-791-1214

Lange Sun and Nutrition Center
2551 Drew Street
Suite 302
Clearwater, FL 33765
Phone: 727-216-6275

Williston Office
Lange Eye Care And Associates
129 S. W. 7th Street
Williston, FL 32696
Phone: 352-528-0433

The Villages Office
Lange Eye Institute
466 and CR101
The Villages, Florida
Phone: 352-753-4014

 

 

 

 

Map and Directions


View Larger Map

 

More information: Dr. Michael P. Lange is a Board Certified Optometric Physician and a Certified Nutrition Specialist who started Lange Eye Care and Associates in Ocala, Florida, in March 1993. Lange Eye Care has grown to nine locations throughout the state of Florida with three Lasik centers. The Lange Eye Institute at The Villages in central Florida is home base for many of the nutritional studies that Fortifeye is involved in. Dr. Lange is one of the first doctors in the industry to utilize intracellular blood tests and blood absorption studies to improve the Fortifeye vitamin line. Dr. Lange travels the world for nutritional research gathering valuable information to continuously improve Fortifeye vitamin formulations. Dr. Lange is still involved in the clinical practice of eyecare. He is a guest lecturer, contributing author to many eyecare magazines, and a daily syndicated talk show host of ‘Ask The Doctor’ which broadcasts every weekday at 9am and Saturdays at 2pm from Tampa Bay on radio stations throughout the country and video streaming all over the world via the Internet.

 

 

 

 

Order Fortifeye™ vitamins by clicking below:

 

Fortifeye Complete Plus | Click To Order
Fortifeye Complete Plus | Click To Order
Fortifeye™ Complete Plus

Fortifeye™ Complete Plus is an advanced formulation based on the latest clinical studies. It is a combination of synergistically blended whole foods, phytonutients, vitamins, minerals, enzymes and essential fatty acids. When combined with proper diet, exercise and a healthy life style Fortifeye™ Complete Plus lays the foundation for good eye and total body health.

Dosage: 2 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 2 tablets and 1 softgel
Best price on the Internet! $50.00
Fortifeye Complete Plus | Click To Order

Fortifeye Super Omega-3 Fish Oil | Click To Order
Fortifeye Super Omega-3 Fish Oil
Fortifeye™ Super Omega 3 Fish Oil

Fortifeye™ Super Omega-3 Fish Oil is the newest, most concentrated and purified Omega Three Fish Oil by Fortifeye™
Features: Natural Triglyceride Form • Molecularly Distilled for Maximum Purity • High Potency/Triple Strength • Natural Orange/ Lemon Flavor • Pharmaceutical Grade • Superior taste • No unpleasant odor • Unsurpassed purity (Triple Molecular distillation) • Produced in Norway in the world’s only NSF, GMP certified Omega 3 production facility
Promotes: Heart Health • Brain Health • Eye Health • Joint Health • Circulation • Good Blood Pressure • Healthy Cholesterol • Improved Triglycerides • Skin, Hair & Nail Health • Mental & Cognitive Health

Take Fortifeye™ Super Omega-3 in conjunction with Fortifeye™ Complete Plus for more intensive nutritional therapy.

Dosage: 2 softgels/day
60 softgels/bottle
Best price on the Internet! $25.00
Fortifeye Super Omega-3 Fish Oil | Click To Order

Fortifeye FOCUS | Click To Order
Fortifeye FOCUS | Click To Order
Fortifeye™ FOCUS

Fortifeye™ FOCUS is a combination of three carotenoids—astaxanthin, lutein and zeaxanthin. Clinical studies indicate that 6mg of astaxanthin reduces eye fatigue symptomology and actually improves amplitude of accommodation, the eye’s ability to focus clearly on objects at near distances. This new formulation was developed to help reduce accommodative stress due to prolonged working at a near focal length. Fortifeye FOCUS is recommended for individuals who experience eye fatigue with near point tasks or after prolonged work on a computer. Fortifeye FOCUS can be used alone or in combination with any of the Fortifeye™ Vitamins.

Dosage: 1 softgel per day
30 softgels per bottle.
Best price on the Internet! $25.00
Fortifeye FOCUS | Click To Order

Fortifeye Complete One-A-Day | Click To Order
Fortifeye Complete One-A-Day | Click To Order
Fortifeye™ Complete
One-A-Day Multivitamin

Fortifeye™ Complete One-A-Day is a powerhouse combination of 50 total body and vision specific nutrients all combined into one USP certified tablet. Fortifeye™ Complete One-A-Day multivitamin has been created by doctors who understand that quality counts. Fortifeye™ Complete One-A-Day can be used alone or in combination with Fortifeye™ Super Omega 3 Fish Oil or Fortifeye™ Dry Eye Therapy Extreme to combat against free radical damage in the eyes and body.

Dosage: 1 tablet per day
30 tablets per bottle.
Best price on the Internet! $25.00
Fortifeye Complete One-A-Day | Click To Order

Fortifeye Complete Macular Defense | Click To Order
Fortifeye Macular Defense
Fortifeye™ Complete Macular Defense

Fortifeye™ Complete Macular Defense vitamins are the newest, most advanced nutraceuticals for your eyes and body, which provide purified Natural Triglyceride omega three fish oil, along with lutein and zeaxanthin for vision support. This formula provides the equivalent in antioxidant power to 15-17 servings of fruits and vegetables a day, 30 mg of lutein and 4.75 mg of zeaxanthin.

Dosage: 3 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 3 tablets and 1 softgel
Best price on the Internet! $70.00
Fortifeye Complete Macular Defense | Click To Order

 

 

All Fortifeye products are produced in a GMP, FDA and NNFA inspected facility that supplies products to the nutraceutical industry. Fortifeye is also approved by the Therapeutics Goods Association, the leading regulatory authority for nutraceuticals world wide and by NSF.

 

 

A New Generation One-A-Day Multivitamin Supplement

An incredible new one-a-day multivitamin supplement for eyes and body, Fortifeye vitamins offers the best vitamin supplements for free radical damage, macular degeneration and proper nutrition. Get a good multivitamin supplement with grape seed extract, lutein, zeaxanthin, vitamins and minerals. Fortifeye One A Day Multivitamin health supplements contain no vitamin A or beta carotene.

The Incredible New One-A-Day Multivitamin Supplement by Fortifeye Vitamins

Total Body Health and Vision Support in One Tablet a Day

 

Are vitamin supplements as beneficial as claimed in some of today’s advertising? Can a one-a-day multivitamin really contain the vitamins and minerals necessary to promote wellness?

Nutrition supplements have become the latest rage in America due to the positive spin the health and wellness experts have promoted thru the media. Health supplements and diet supplements are being marketed on infomercials all over television, radio and the Internet with incredible deals to promote the sale of these vitamin supplements. Everyone is claiming to have the best vitamin or best supplement, so who should you believe?

Half face imageWe all want to live a long, healthy and prosperous life, however many of us fall short of reaching our lifetime goals because of poor health. Proper nutrition is one of the most important single factors in maintaining our health. Most people in today’s society are not getting the required vitamins and minerals from the foods they are eating. We have become a society living ‘life on the go’ that is fueled by fast food and junk food. Our typical diet is caloric dense and nutrient deficient. Americans consume a diet that is unbalanced—with too many omega-6 fatty acids and not enough omega-3 fatty acids—leading to increased inflammation and disease in the body. Our foods are processed, sugar- and salt-laden, filled with trans fats, hydrogenated oils, high fructose corn syrup, synthetic dyes and artificial sweeteners. These poor nutritional habits combined with a sedimentary lifestyle are why the health of the American people is becoming compromised. America is home to the most obese people in the world. According to the CDC (Center for Disease Control and Prevention) obesity in adults has increased by 60% within the past twenty years and obesity in children has tripled in the past thirty years. A staggering 70% of American adults are overweight or obese and obesity related deaths have accelerated to more than 300,000 a year, second only to tobacco related deaths.

How high an ORAC (oxygen radical absorbency capacity) is your multivitamin?

Antioxidants fruits and vegetablesMost nutritional experts recommend 6-13 servings of fruits and vegetables a day. Americans are falling short of this amount and are becoming more and more nutritionally compromised. 80% of American children and almost 70% of adults are not even consuming five portions of fruits and vegetables a day. The population that consumes the least amount of vegetables and fruits are more predisposed in developing disease and illness. These large and growing groups of people are nutritionally compromised and more prone to develop free radical damage in their bodies and eyes. Can a one-a-day multivitamin really help with these nutrition deficiencies? Many people are misled into believing they can go to the local drug store or warehouse club and purchase a multivitamin supplement that will counteract the poor diets they are on. Many of the health supplements and multivitamins that are sold at the local drug store or commercial warehouse clubs are filled with red, yellow and blue dyes, synthetic nutrients and trans fats—all of the things that are bad for you!

Many of the multivitamins and health supplements have only ‘window dressing’ amounts of specific nutrients, not enough to even register in your blood. These supplements oftentimes have minimal antioxidant power and yet they ‘sell like hot cakes’ due to aggressive advertising and promotions. Many of these vitamins are not USP certified and may not have any absorption value at all! Studies done at Jean Mayer USDA Human Research Center on Aging at Tufts University suggest that consuming fruits and vegetables with a high ORAC (oxygen radical absorbency capacity) value may help slow down the aging process in the body and brain. Studies have also indicated that taking a vitamin supplement with a high ORAC value may also improve antioxidant status in the human body. However, most of the typical one-a-day multivitamin supplements you purchase over the counter have an ORAC value of less than 100. These types of multivitamins are not very useful at combating against free radical damage. Remember—“you get what you pay for”.

Best vitamin supplements to combat free radical damage

Right Ingredients, Right Science, Right For You.Fortifeye Vitamins is embracing the latest science on free radical damage, antioxidant therapy and ORAC research in the continuous development of their vitamin supplements. Fortifeye is using this science combined with intracellular blood tests to maximize cellular absorption of each Fortifeye product. After six years of research and development Fortifeye has released their newest multivitamin supplement called Fortifeye Complete One-A-Day Multivitamin. This is a nutraceutical (vitamin and mineral) formula taken once a day that has an ORAC value of approximately 4250 per serving in each tablet. This is equivalent in antioxidant power to approximately five or six servings of fruits and vegetables a day. Fortifeye’s goal was to develop a multivitamin that was made to support total body and vision health that was convenient, affordable and based on the latest research. Fortifeye Complete One-A-Day Multivitamin is all natural without any synthetic nutrients, dyes, trans fats or artificial sweeteners. Fortifeye Complete One-A-Day Multivitamin is great for anyone that wants to insure that they are getting enough antioxidants during the day to combat against free radical damage and aid in the total health of their body and eyes.

High bioavailability and packed with powerful antioxidants

Fortifeye Complete One-A-Day box imageFortifeye has taken a powerhouse combination of 50 total body and vision specific nutrients and combined them all into one USP certified tablet. Fortifeye Complete One-A-Day Multivitamin has been created by doctors who understand that quality counts. Each nutrient was chosen based on the highest manufacturing standards and metabolic uptake ability by the body (called bioavailability). This formula was created to minimize nutritional deficiencies and maximize the total antioxidant function at a cellular level. Some newly researched nutrients like resveratrol, green tea, soy isoflavones, curcumin, rutin, zeaxanthin, tocotrienols, vitamin B and vitamin D along with the ‘super berries’ have been added to this formula to gain some of the exciting health benefits. These nutrients are powerful antioxidants that may also help inhibit the formation of “bad” blood vessels (anti-VEGF, which means anti-vascular endothelial growth factor) and are considered natural anti-inflammatory agents. These specific nutrients are being studied for their potential benefits in cancer, arthritis, diabetes, cholesterol, heart disease, eye diseases and as neuroprotectants. Many studies now suggest that increasing intake of dark green leafy vegetables and darkly pigmented berries may also benefit macular degeneration and overall health. Kale, spinach and blueberries along with bilberries and grape seed extract have been included in the Fortifeye Complete One-A-Day Multivitamin formula. In addition, 10 mg of lutein and 1.575 mg of zeaxanthin have been added to help replenish the macula pigment density, filter out the dangerous blue light and also act as a powerful antioxidant to neutralize free radicals in the eye and body.

Macular degeneration and proper nutrition

Current science indicates that macula density in the retina progressively decreases as macular degeneration progresses. Lutein and zeaxanthin are proving to be beneficial for both macular degeneration and cataracts. The total antioxidant value (ORAC value) of Fortifeye Complete One-A-Day Multivitamin is one of the highest available in the industry for one tablet at 4,250. This is equivalent to approximately 6 servings of fruits and vegetables a day. Super foods like gogi, acai, mangosteen, blueberry, grape seed extract, pomegranate, cinnamon and cocoa were blended to increase the ORAC to these levels. Acetyl-L-carnitine, alpha lipoic acid and CoQ-10 were introduced to support mitochondria health and aid in neuroprotection. All eight forms of vitamin E (four tocopherols and four tocotrienols) are utilized in this formula to maximize free radical quenching. The most absorbable form of zinc called Opti Zinc is used to increase bioavailability. Vitamin A deficiencies are very rare in developed countries—and too much does pose some serious health risks—so no vitamin A is found in the Fortifeye Complete One-A-Day Multivitamin formula. Beta carotene has been linked to lung cancer in smokers and studies now indicate that beta carotene may block the absorption of lutein, so no beta carotene is found any of the Fortifeye products. Many other nutrients are used in this comprehensive one-a-day formula in precise ratios to aid in maximum cellular absorption.

Fortifeye Complete One-A-Day Multivitamin can be used alone or in combination with Fortifeye Super Omega or Fortifeye Dry Eye Therapy Extreme to combat against free radical damage in the eyes and body.

Take advantage of the latest research

Choose the best multivitamin supplement for your eyes and whole body

When Fortifeye vitamins are combined with lifestyle changes and dietary modifications significant improvements in the health of the eyes and body can be achieved. Fortifeye Complete One-A-Day Multivitamin is recommended to anyone wanting to become proactive in their future health. If you are like most Americans you are not getting the required amounts of proper nutrition through your current diet. It is time that you become proactive in your health and consider taking a good multivitamin supplement. Do your own research and compare what Fortifeye Complete One-A-day has to offer as compared to what is available at the stores. See the Supplement Facts at the bottom of this page. If you are looking for a great multivitamin that is truly based on legitimate science and is actively being studied and constantly being enhanced, then Fortifeye Complete One-A-Day multivitamin may be for you.

Fortifeye Super Omega-3 Fish Oil box imageFor best results, also take a triglyceride based omega three fish oil

Go to www.fortifeye.com and see the many benefits Fortifeye vitamins have to offer. I do highly recommend everyone who takes a good multivitamin to also take a good triglyceride based omega three fish oil supplement. Fortifeye Super Omega, pictured to the right, is one of the most concentrated and purest omega three fish oils available. The combination of Fortifeye Complete One-A-Day and Fortifeye Super Omega may help improve your quality of life through proper nutrition.

Michael P. Lange, O.D.
Dr. Michael P. Lange
Board Certified Optometric Physician and Board Certified Nutritional Specialist

 

 

Dr. Michael P. Lange
Board Certified Optometric Physician
Certified Nutrition Specialist
Syndicated Daily Talk Show Host (Ask the Doctor)
www.langeeyecare.com
www.fortifeye.com
May 2, 2010

 

Author: Dr. Michael P. Lange is a Board Certified Optometric Physician and a Certified Nutrition Specialist who started Lange Eye Care and Associates in Ocala, Florida, in March 1993. Lange Eye Care has grown to nine locations throughout the state of Florida with three Lasik centers. The Lange Eye Institute at The Villages in central Florida is home base for many of the nutritional studies that inspired the Fortifeye Brand of vitamin supplements. Dr. Lange is one of the first doctors in the industry to utilize intracellular blood tests and blood absorption studies to improve the Fortifeye vitamin line. Dr. Lange travels the world for nutritional research gathering valuable information to continuously improve Fortifeye vitamin formulations. Dr. Lange is still involved in the clinical practice of eyecare. He is a guest lecturer, contributing author to many eyecare magazines, and a daily syndicated talk show host of ‘Ask The Doctor’ which broadcasts every weekday at 9 a.m. and Saturdays at 2 p.m. from Tampa Bay on radio stations throughout the country and video streaming all over the world via the Internet. Detailed information on the nutritional research Dr. Lange has been involved in, and the eye vitamins and whole body formulas he has formulated, are at www.Fortifeye.com. If you are looking for a great group of eye doctors in Florida go to www.LangeEyeCare.com. For more, read this article about Dr. Michael Lange, Ocala optometrist involved in research on nutrition and UV protection, or read this biography of Dr. Michael Lange, Ocala eye doctor (optometrist).

One-A-Day Supplement Facts

Lange Eye Care Locations

Gainesville Office
Lange Eye Care and Associates
3968 SW Archer Road W101
Gainesville, Florida 32608
Phone: 352-376-6622

Ocala Office
Lange Eye Care and Associates
3101 SW College Road
Ocala, Florida 34474
Phone: 352-237-3768

Triple Crown Plaza Office
Lange Eye Care and Associates
11100 SW 93rd Court Road
Suite 15
Ocala, Florida 34481
Phone: 352-291-2000

Summerfield Office
Lange Eye Care Vision Outlet Center
Unit #604 Highway 441S
Summerfield, Florida
Phone: 352-307-3273

Inverness Office
Lange Eye Care and Associates
3808 E. Gulf to Lake Highway
Inverness, FL 34453
Phone: 352-344-5110

Clearwater Offices
Lange Eye Care Optical Gallery & LASIK Center
23666 U. S. Highway 19 North
Clearwater, FL 33765
Phone: 727-791-1214

Lange Sun and Nutrition Center
2551 Drew Street
Suite 302
Clearwater, FL 33765
Phone: 727-216-6275

Williston Office
Lange Eye Care And Associates
129 S. W. 7th Street
Williston, FL 32696
Phone: 352-528-0433

The Villages Office
Lange Eye Institute
466 and CR101
The Villages, Florida
Phone: 352-753-4014

 

 

 

 

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More information: Dr. Michael P. Lange is a Board Certified Optometric Physician and a Certified Nutrition Specialist who started Lange Eye Care and Associates in Ocala, Florida, in March 1993. Lange Eye Care has grown to nine locations throughout the state of Florida with three Lasik centers. The Lange Eye Institute at The Villages in central Florida is home base for many of the nutritional studies that Fortifeye is involved in. Dr. Lange is one of the first doctors in the industry to utilize intracellular blood tests and blood absorption studies to improve the Fortifeye vitamin line. Dr. Lange travels the world for nutritional research gathering valuable information to continuously improve Fortifeye vitamin formulations. Dr. Lange is still involved in the clinical practice of eyecare. He is a guest lecturer, contributing author to many eyecare magazines, and a daily syndicated talk show host of ‘Ask The Doctor’ which broadcasts every weekday at 9am and Saturdays at 2pm from Tampa Bay on radio stations throughout the country and video streaming all over the world via the Internet.

 

 

 

Order Fortifeye™ vitamins by clicking below:

 

Fortifeye Complete Plus | Click To Order
Fortifeye Complete Plus | Click To Order
Fortifeye™ Complete Plus

Fortifeye™ Complete Plus is an advanced formulation based on the latest clinical studies. It is a combination of synergistically blended whole foods, phytonutients, vitamins, minerals, enzymes and essential fatty acids. When combined with proper diet, exercise and a healthy life style Fortifeye™ Complete Plus lays the foundation for good eye and total body health.

Dosage: 2 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 2 tablets and 1 softgel
Best price on the Internet! $50.00
Fortifeye Complete Plus | Click To Order

Fortifeye Super Omega-3 Fish Oil | Click To Order
Fortifeye Super Omega-3 Fish Oil
Fortifeye™ Super Omega 3 Fish Oil

Fortifeye™ Super Omega-3 Fish Oil is the newest, most concentrated and purified Omega Three Fish Oil by Fortifeye™
Features: Natural Triglyceride Form • Molecularly Distilled for Maximum Purity • High Potency/Triple Strength • Natural Orange/ Lemon Flavor • Pharmaceutical Grade • Superior taste • No unpleasant odor • Unsurpassed purity (Triple Molecular distillation) • Produced in Norway in the world’s only NSF, GMP certified Omega 3 production facility
Promotes: Heart Health • Brain Health • Eye Health • Joint Health • Circulation • Good Blood Pressure • Healthy Cholesterol • Improved Triglycerides • Skin, Hair & Nail Health • Mental & Cognitive Health

Take Fortifeye™ Super Omega-3 in conjunction with Fortifeye™ Complete Plus for more intensive nutritional therapy.

Dosage: 2 softgels/day
60 softgels/bottle
Best price on the Internet! $25.00
Fortifeye Super Omega-3 Fish Oil | Click To Order

Fortifeye FOCUS | Click To Order
Fortifeye FOCUS | Click To Order
Fortifeye™ FOCUS

Fortifeye™ FOCUS is a combination of three carotenoids—astaxanthin, lutein and zeaxanthin. Clinical studies indicate that 6mg of astaxanthin reduces eye fatigue symptomology and actually improves amplitude of accommodation, the eye’s ability to focus clearly on objects at near distances. This new formulation was developed to help reduce accommodative stress due to prolonged working at a near focal length. Fortifeye FOCUS is recommended for individuals who experience eye fatigue with near point tasks or after prolonged work on a computer. Fortifeye FOCUS can be used alone or in combination with any of the Fortifeye™ Vitamins.

Dosage: 1 softgel per day
30 softgels per bottle.
Best price on the Internet! $25.00
Fortifeye FOCUS | Click To Order

Fortifeye Complete One-A-Day | Click To Order
Fortifeye Complete One-A-Day | Click To Order
Fortifeye™ Complete
One-A-Day Multivitamin

Fortifeye™ Complete One-A-Day is a powerhouse combination of 50 total body and vision specific nutrients all combined into one USP certified tablet. Fortifeye™ Complete One-A-Day multivitamin has been created by doctors who understand that quality counts. Fortifeye™ Complete One-A-Day can be used alone or in combination with Fortifeye™ Super Omega 3 Fish Oil or Fortifeye™ Dry Eye Therapy Extreme to combat against free radical damage in the eyes and body.

Dosage: 1 tablet per day
30 tablets per bottle.
Best price on the Internet! $25.00
Fortifeye Complete One-A-Day | Click To Order

Fortifeye Complete Macular Defense | Click To Order
Fortifeye Macular Defense
Fortifeye™ Complete Macular Defense

Fortifeye™ Complete Macular Defense vitamins are the newest, most advanced nutraceuticals for your eyes and body, which provide purified Natural Triglyceride omega three fish oil, along with lutein and zeaxanthin for vision support. This formula provides the equivalent in antioxidant power to 15-17 servings of fruits and vegetables a day, 30 mg of lutein and 4.75 mg of zeaxanthin.

Dosage: 3 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 3 tablets and 1 softgel
Best price on the Internet! $70.00
Fortifeye Complete Macular Defense | Click To Order

 

 

All Fortifeye products are produced in a GMP, FDA and NNFA inspected facility that supplies products to the nutraceutical industry. Fortifeye is also approved by the Therapeutics Goods Association, the leading regulatory authority for nutraceuticals world wide and by NSF.