Spring Newsletter
May 23, 2025

Topics:

About us

At Serefin Health, our primary focus is the well-being of our clients, and we are committed to going above and beyond to ensure the quality of your care and your satisfaction.

Our knowledgeable team of healthcare professionals is at the core of our service. With their unwavering dedication and expertise, they work collaboratively to provide compassionate and empathetic care that addresses your unique needs.

We take great pride in advocating on your behalf and strive to empower you to take an active role in your health and well-being, providing you with the knowledge and resources necessary to make informed decisions about your health. We are here to support and guide you every step of the way.

We foster a culture centered around teamwork and a shared commitment to finding innovative solutions to complex problems. By promoting continuous learning and improvement, we stay at the forefront of advancements in the field, enabling us to provide you with the highest quality of care.

May MS Awareness Month: Understanding, Supporting, and Connecting

May is Multiple Sclerosis (MS) Awareness Month in Canada, a time to learn, share, and stand together in support of the over 90,000 Canadians living with MS. This month, we spotlight the challenges of MS, the resilience of those affected, and the vital role of caregivers and communities in fostering hope and connection.

What Is MS?

MS is a chronic autoimmune disease that affects the central nervous system, including the brain, spinal cord, and optic nerves. It disrupts the protective sheath (myelin) around nerve fibers, causing inflammation and often leading to permanent damage or deterioration of the nerves themselves.

MS is unpredictable and can progress in different ways, making each person’s experience unique. In Canada, women are three times more likely to be diagnosed than men, and the average age of diagnosis is 43.  

Symptoms and Impact

The symptoms of MS are often unpredictable and can affect physical, emotional, and cognitive functioning. Some of the most common symptoms include:

• Fatigue (experienced by about 80% of people with MS)
• Numbness or tingling, especially in the limbs
• Muscle weakness or spasms
• Difficulty with balance and coordination
• Blurred or double vision
• Memory and concentration challenges (sometimes referred to as "cog fog")

In some cases, MS can be mild and manageable; in others, it can lead to significant disability over time. The course of the disease also varies, and some people experience periods of relapse and remission, while others have a more progressive form of MS.

Diagnosis and Treatment

Diagnosing MS can be complex, and it involves a combination of neurological exams, MRI scans, and sometimes spinal fluid analysis. There is currently no cure for MS, but there are numerous disease-modifying therapies (DMTs) available in Canada that can help reduce the frequency and severity of attacks and slow disease progression.

New treatments and approaches are emerging all the time, thanks in large part to research supported by organizations like the MS Society of Canada. These therapies, along with lifestyle changes, physical rehabilitation, and mental health support, can make a big difference in quality of life.

Support for Caregivers

Caregiving is a cornerstone of MS care, yet it often goes unrecognized. Whether you are a spouse, parent, child, or friend, your role is vital and challenging. Caregivers often juggle tasks like managing appointments, providing transportation, assisting with daily activities, and offering emotional support.

The MS Society of Canada offers several resources to support caregivers:

• 1:1 Peer Support Program: Connect with trained volunteers who have lived experience with MS caregiving.
• Virtual Caregiver Peer Support Group: Join a nationwide group every second Sunday at 3:00 PM ET to share experiences and strategies.
• Caregiver Podcast: Listen to real stories about the emotional and practical aspects of caregiving.
• We Talk MS: Mentoring program that provides education, resources, and community connections for people living with multiple sclerosis and their families.

Some Interesting Facts About MS in Canada

• Canada has one of the highest rates of MS in the world
• On average, 12 Canadians are diagnosed with MS every day
• MS is the most common neurological disease affecting young adults in Canada  
• Over 75% of people living with MS in Canada are women

How You Can Get Involved

• Educate Yourself: Visit MS Canada to learn more about MS, its symptoms, and the latest research.
  
• Advocate: Join the #TakeActionForMS campaign by sending a letter to your Member of Parliament, urging them to prioritize MS research funding.
  
• Participate: Engage in local events or virtual gatherings to raise awareness and support the MS community.
  

You Are Not Alone

Whether you are living with MS or supporting someone who is, remember that help is available. The MS Canada offers a range of services, including information, support, and educational events, to assist individuals and families affected by MS.

If you or someone you know is living with MS and would like to learn more, or simply talk about your experience, please do not hesitate to reach out to the Serefin Clinic Team. We are here to provide support, guidance, and information to help you navigate your health journey.  

Summer Depression: The Hidden Struggles of the Sunny Season

While most associate depression with cold, dark winters, summer can also trigger a lesser-known form of Seasonal Affective Disorder (SAD). For some, longer days, heat, and heightened activity levels can bring on feelings of fatigue, anxiety, and disconnection.

What Causes Summer Depression?

Triggers vary, but common culprits include:

• Heat & Humidity: that can be physically and emotionally draining.
• Disrupted Routines: vacations and schedule changes can increase stress.
• Sleep Issues: long daylight hours interfere with natural sleep cycles.
• Overstimulation: social demands and travel may cause burnout.
• Hormonal Changes: fluctuations in serotonin levels may impact mood.

How to Cope?

• Therapy: Cognitive Behavioral Therapy (CBT) can help shift negative thought patterns.
• Vitamin D: get safe sun exposure early or late in the day - supplements may help.
• Stay Cool: hydrate, use fans or AC, and try cool baths to manage heat.
• Mindfulness: practice yoga, meditation, or deep breathing to calm anxiety.
• Routine: keep consistent sleep and meal times to reduce stress.
• Limite Alcohol: alcohol can worsen symptoms and disrupt sleep.
• Medication: SSRIs may be indicated. Consult a doctor if symptoms persist.

When to Seek Help

If symptoms interfere with daily life or you experience thoughts of self-harm, reach out to a mental health professional immediately. You're not alone, and help is available.

Take Back Your Summer

Summer depression is real, but manageable. With the right tools and support, you can restore balance and find peace - even on the sunniest of days.

Sodium: Salt Intake and How It Affects You

Table salt (sodium chloride) is a fundamental part of our diet, playing a key role in fluid balance, nerve function, and muscle contractions. However, excessive sodium intake is a leading contributor to high blood pressure, heart disease, and other serious health concerns.  

So how much salt is too much? And what steps can we take to maintain a healthy balance? Let’s break it down.

The Role of Sodium in the Body

Sodium is an essential mineral that helps regulate:

• Fluid Balance – It controls how much water the body retains or excretes.
• Nerve Function – It ensures that nerve signals are transmitted correctly.
• Muscle Contraction – It helps muscles (including the heart) contract properly.

But while we need sodium to survive, most people consume far more than their bodies require.

The Recommended Daily Intake vs. Reality

Health Canada recommends no more than 2,300 mg of sodium per day (about one teaspoon of salt), with an ideal limit of 1,500 mg per day. However, the average person consumes over 3,400 mg daily—far exceeding the recommended levels.

This excess sodium can contribute to:

• Hypertension (High Blood Pressure): Increased sodium causes the body to retain water, leading to higher blood volume and pressure on arteries. Over time, this increases the risk of heart disease and stroke.
  
• Kidney Strain: The kidneys must work harder to filter out excess sodium, which can lead to kidney disease or kidney stones.
  
• Fluid Retention and Swelling: High sodium intake can cause bloating and swelling in the hands, feet, and face.

Where Is All This Extra Salt Coming From?

It’s easy to assume that cutting back on table salt is enough, but over 70% of the sodium in our diets comes from processed and restaurant foods—not from the salt shaker. Common high-sodium culprits include:

• Processed meats (bacon, ham, deli meats)
• Canned soups and broths
• Packaged snacks (chips, pretzels, crackers)
• Frozen meals and fast food
• Condiments and sauces (soy sauce, ketchup, salad dressings)
• Even foods that don’t taste salty—like bread, cheese, and breakfast cereals—can contain significant amounts of hidden sodium.

How to Reduce Your Sodium Intake Without Losing Flavor

Lowering sodium doesn’t mean sacrificing taste. Here are some evidence-based strategies to cut back while still enjoying flavorful meals:

• Choose Fresh, Whole Foods – Opt for fresh fruits, vegetables, lean proteins, and whole grains instead of processed options.
• Read Nutrition Labels – Look for "low-sodium" or "no added salt" options, and compare brands to find those with less sodium. Even aiming for foods with less than 15% of your daily sodium intake per serving is a good place to start.
• Use Herbs & Spices – Replace salt with flavorful alternatives like garlic, lemon, vinegar, or fresh herbs such as basil, thyme, and rosemary.
• Rinse Canned Foods – Draining and rinsing canned beans and vegetables can reduce sodium by up to 40%!
• Cook at Home More Often – Preparing meals from scratch allows full control over sodium levels.

Final Takeaways

Salt is necessary for health, but moderation is key. By being mindful of hidden sodium sources and making small dietary changes, we can protect our hearts, kidneys, and overall well-being. A heart-healthy diet isn’t about restriction - it’s about making informed choices that benefit both immediate and long-term health.

If you have high blood pressure or other health concerns related to sodium intake, talk to your healthcare provider about personalized dietary recommendations.

Your health is in your hands - one mindful bite at a time.

Glycemic Index & Glycemic Load: What They Are and Why They Matter for Your Health

When it comes to eating well and feeling your best - whether you are managing diabetes, trying to lose weight, or just looking to stay energized carbohydrates play a big role. But not all carbs are created equal. Some carbohydrates can cause your blood sugar to spike high, while others give you steady, lasting energy.

This is where two important terms come in: Glycemic Index (GI) and Glycemic Load (GL). Understanding them can help you make smarter food choices without giving up your favorite meals.

First, What’s the Glycemic Index?

The Glycemic Index (or GI for short) is a way to rank how quickly carbohydrate-containing foods raise your blood sugar. It is a scale from 0 to 100, and the higher the number, the faster your blood sugar goes up after eating that food. For example, pure glucose - aka sugar has a GI of 100.

Here is the basic breakdown:

• Low GI (55 or less) = slower rise in blood sugar
  
• Medium GI (56–69) = moderate rise
  
• High GI (70 or more) = quick spike

Foods that are more processed tend to have a higher GI, while those with more fiber, fat, or protein usually land on the lower end.

But here is the catch: GI does not tell the whole story.

Why Glycemic Index Alone Is Not Enough

Just because a food has a low GI does not automatically mean it is healthy. And just because something has a high GI does not mean you should never eat it.

GI does not account for:

• Portion size – How much are you actually eating?
  
• Other foods on your plate – Do you have protein, fat, or fiber with it?
  
• How the food is cooked or processed – Cooking can change a food’s GI!
  
• How The type or ripeness of the food – A ripe banana has a higher GI than a green one. food is cooked or processed – Cooking can change a food’s GI!
  

And remember, GI only applies to foods with carbs. That means no GI score for foods like eggs, chicken, or olive oil. This is where Glycemic Load comes into play.

A Surprising Example: Watermelon vs. Doughnut

Let’s look at watermelon. It has a high GI of 76, which sounds bad but a typical serving only has 11g of carbs. So, its GL is low - meaning it will not spike your blood sugar as much as you might think.

Now compare that to a doughnut. Also, GI 76, but with 23g of carbs in a serving. That is a much higher GL, and a much bigger blood sugar spike.

Moral of the story? GI alone does not tell you how a food behaves in the real world. That is why GL is such a helpful tool.

So, What Should You Eat?

Here are some foods that are generally low in GL and great for keeping blood sugar stable and some high GL foods you should try to limit.

And here is a smart trick: Pair carbs with protein or healthy fat (like nut butter, avocado, or eggs). This helps slow digestion and keeps blood sugar steadier.

Final Thoughts: Keep It Simple, Keep It Balanced

Do not stress about memorizing numbers or cutting out your favorite foods. GI and GL are just tools not rules to help guide your food choices. Focus on balance, variety, and how your body feels after eating.

If any of the information above feels overwhelming or unclear, remember that support is within reach. Our Serefin Clinic Team is here to guide you. Do not hesitate to reach out - we are here to support you every step of the way.

What Is New at the Clinic:
Meet Serefin Care Coordinators

We are pleased to announce the integration of Care Coordinators into our Serefin Clinic Team. As part of our commitment to delivering compassionate, patient-centered care, these team members are here to support patients in navigating their healthcare journey. Our Care Coordinators help ensure that each patient receives seamless and personalized support. We are excited to have them on board and look forward to the positive impact they will bring to your care experience.

Meet Serefin Care Coordinators:  

Katie Vandenborre RN, Care Coordinator

Victor Karpov RN, Care Coordinator

Dragana Milivojevic RPN, Care Coordinator

Christine Turiano RN, Care Coordinator

With our patients always at the heart of what we do, we continually strive to enhance your experience and ensure you receive the highest quality of care. We are committed to supporting your health and well-being every step of the way.  

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Resources

May is MS Awareness Month: Understanding, Supporting, and Connecting

Picture sources:

Summer Depression: The Hidden Struggles of the Sunny Season

Picture resources:  

Sodium: Salt intake and how it affects you

Glycemic Index & Glycemic Load: What They Are and Why They Matter for Your Health

Special Edition Newsletter
October 16, 2025

Special Edition Newsletter – Finding Clarity: How Care Coordination Supports Better Health Decisions

Health advice is everywhere. Open your phone and you’ll see it: miracle diets, new supplements, scary headlines, and celebrities swearing by their “secret” routines. With so much noise, it’s easy to feel lost. The question is: how do you figure out what’s real and what’s credible guidance?

When Every Headline Shouts

We live in an age where everyone has a platform. Some share what worked for them, others push products, and plenty just want clicks. Even famous voices can be misleading. What worked for one person may not apply to you.

And sometimes, even everyday medicines or products end up in the spotlight because of lawsuits or a single study. The headlines are loud, but they don’t always reflect the full science. That’s why it’s important to pause and look deeper before making health decisions.

Where the Ground Feels Steady

The most dependable guidance comes from experts and institutions that base advice on years of research, not trends or AI-generated advice, which can lack accuracy, context, and clinical validation.

When it comes to research, it’s important to remember that not all studies carry the same weight. Different types of research vary in both design and quality, and these differences directly impact how much confidence we can place in their findings.

Simply put, the existence of a study does not automatically mean its conclusions are strong enough to guide evidence-based practice. Some studies provide robust, reliable insights, while others require a more cautious interpretation.

That’s where understanding the levels of evidence becomes so valuable. Your care coordinator can help you recognize which types of studies are more likely to produce dependable results and together, you can better identify the research that truly supports evidence-based decisions and when caution is needed.

Personal stories can still inspire. Hearing how someone tackled stress or built healthier habits can give you ideas, but those are examples, not blueprints.

Quick Filters for Health Info

• Check the messenger. Is it a health professional or just a personality?
• Look for proof. Studies, guidelines, and data matter more than opinions.
• Watch for extremes. Big promises usually equal big letdowns.
• Think personal. Good advice should fit your life and health.
• Ask a pro. When in doubt, check with a licensed provider or your dedicated Care Coordinator.

Your Path, Your Confidence

Health isn’t about chasing the latest trend. It’s about making informed choices that actually work for you. Confidence comes from knowing you’ve filtered out the noise and leaned on credible, balanced guidance.

The noise will always be there. But with the right mindset, you’ll rise above it clear, steady, and confident on your own health journey.

When faced with medical decisions—whether it’s for yourself or a loved one—it's easy to feel uncertain. The healthcare system is complex, filled with treatment options, medications, and information that can be difficult to sort through. Care coordination delivers personalized support to guide you with confidence and clarity. This approach helps individuals feel informed, supported, and empowered in making decisions.

What is Care Coordination?

Imagine a parent whose child has just received a new diagnosis. They may feel overwhelmed by medical terms, multiple appointments, and conflicting information. A care coordinator can step in to simplify the process—clarifying which tests are necessary, helping interpret medical notes, and ensuring nothing falls through the cracks.

Care coordination supports patients and families by providing access to reliable medical research, translating complex information into clear insights, and empowering informed decision-making. Care coordinators rely on trusted, up-to-date sources—such as Health Canada and the Public Health Agency of Canada—to inform patients and clients with evidence-based guidance. It offers personalized resources tailored to each individual’s needs, bridges gaps in understanding through verified knowledge, and builds confidence for self-advocacy. Beyond education and resources, care coordination also ensures continuity across treatments, clarifies medication use, and guides patients through the complexities of the healthcare system with open and ongoing communication.

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how individuals communicate, interact, and engage with the world. ASD does not stem from a single cause. Research shows it is linked to a combination of genetic, biological, and environmental factors. A diagnosis is based on specific criteria:

• Persistent deficits in social communication/interaction across multiple environments and contexts
• Restricted repetitive patterns of behaviour, interests or activities that meet certain criteria
• Symptoms/traits must be present in early development
• Symptoms/traits must cause a significant impairment
• Symptoms/traits not better explained by global developmental delay or intellectual disability

Pathways to Diagnosis

Families seeking a diagnosis often begin by speaking with their child’s doctor, pediatrician, or nurse practitioner. Ontario’s government emphasizes starting with a primary care provider, though not all physicians provide formal diagnoses. However, these professionals can provide initial evaluations or refer families to specialists such as developmental pediatricians, psychologists and neurodevelopmental clinics.

To help reduce long wait times, Ontario has established five regional ASD diagnostic hubs:

• West: McMaster Children's Hospital / Ron Joyce Children's Health Centre
• Downtown: Holland Bloorview Kids Rehabilitation Hospital
• Central: Children's Treatment Network of Simcoe York
• East: Children's Hospital of Eastern Ontario / Ottawa Children's Treatment Centre
• North: Child and Community Resources

These hubs aim to provide timely assessments for families navigating the system. They will need a referral from the child’s doctor, pediatrician, or nurse practitioner to access these resources.

Private Assessments and Early Intervention

While publicly funded assessments are available, families often face lengthy wait times. Some turn to private providers like psychologists or clinics specializing in autism for faster access, though these come with significant costs. In some regions, early intervention programs for children under six may provide funding support for assessments.

Families can access support through AccessOAP (Ontario Autism Program), an independent intake organization funded by the Ministry of Children, Community and Social Services. AccessOAP is responsible for registration, providing guidance, and managing funding for families of children and youth with an autism diagnosis up to the age of 18. As part of the AccessOAP team, Serefin Care Coordinators assist families every step of the way—helping them enroll in the Ontario Autism Program (OAP), navigate services, and set meaningful goals.

Considerations for Families

Experts recommend families confirm that diagnostic reports include essential details such as the child’s full name, date of birth, date of assessment, and a clear statement that ASD criteria are met, signed by a qualified professional. Parents are also encouraged to ask about which disciplines are involved in the evaluation, check costs for private options, and confirm eligibility for OAP recognition.

With multiple pathways to diagnosis, Ontario families are urged to advocate early, gather information, and ensure assessments are thorough. These are critical steps toward accessing the right supports for children with autism.

Growing Access to Autism Assessments in Adulthood

In recent years, autism assessments for adults have become increasingly common, thanks to expanded diagnostic criteria and greater public awareness. Many adults seek out a diagnosis or support to better navigate challenges related to social interaction or mental health.

For some, receiving a diagnosis can be a profoundly validating experience, offering clarity and helping them better understand their personal journey.

If you’d like to learn more about accessing adult autism assessments in Ontario, Autism Ontario has an excellent resource page dedicated to this topic.

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