The Visalia Health & Fitness Xtra is in the Fresno - Visalia, CA DMA. The Visalia Health & Fitness Xtra is a "healthy" feature section published in the Visalia Times-Delta and Tulare Advance-Register. It contains articles written by local doctors and specialists as well as all the latest health and wellness news. Echo Media has direct relationships with over 7,500 newspapers providing tremendous local coverage.