Hello! Welcome February. We just got through one of the coldest Januaries I can remember. I hope that you are keeping warm and safe. Extreme cold weather can result in bronchospasm in some individuals; it is best to have your rescue inhaler or nebulizer available when needed.                                     Groundhog Day is tomorrow- let’s see what Punxsutawney Phil predicts tomorrow. There are 46 days until spring, on March 20th. Yippee!!! Spring is my favorite time of the year since I love being outdoors, and it is neither too cold nor too hot.                Throughout the month, we will focus on the following topics: heart and physical health, exercise, nutrition, the Gut Microbiome, GI testing- EGD/Endoscopy, Manometry, and Colonoscopy. Lastly, we will review Acid Reflux and other comorbidities, such as the assessment and follow-up on a hiatal hernia diagnosis.