Vegan Diet VERY Good for You

Many Choices

Many Choices

You know when the next president of the American College of Cardiology (ACC) becomes a vegan after seeing dramatic improvement in his patients it is time to take note!

His patients’ improvements (symptoms and blood tests) after starting and following Dean Ornish, MD’s program for “Reversing Heart Diseasewere dramatic,

Have a look it includes exercise, and meditation and a plant-based diet. No surprise we all know exercise and down time through meditation are healthy habits. So many diets but this one is to literally ‘reverse’. Data includes angiograms at 1 year and 5 year, yes findings were measurable!

Think you already eat healthy? Only eating chicken great and fish? FYI: chicken has more cholesterol than pork!

Yes we need protein but it does not have to be from animals!  There are many plant-based meat substitutes on the market today many make from non-GMO soy, as well as other soy less plant sources.

Vegan diets are also great for those with Diabetes, hypertension, high cholesterol and any heart disease. 

The American Heart Associations (AHA) or the ACC does not recommend a vegan diet. Why? Perhaps more healthy people will result in less business for doctors. That should be our objective!

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Dark Chocolate Is Good For You

40 grams of >85%

40 grams of >85%

At times I believe if you want to find an association between 2 things you will find a medical study for that relationship! Maybe study results are not always a simple cause and effect relation but often there is some kernel of worthwhile and applicable merit. This blog follows my reading studies supporting eating dark (NOT milk) chocolate and improved artery blood flow. It was  a large one out of Melbourne in 2012 is especially meritorious. So are there other benefits from dark chocolate?

You may have already heard about a study from Rome published in Journal of the American Heart Association (even Fox news reported this). A small study (20 people, in late 60s) showed that dark chocolate consumption might improve peripheral artery disease (PAD). They did have a control group eating milk chocolate – no benefits for their PAD was found. Common signs/symptoms include leg pain with exercise, cold feet, and poor healing of skin, and discoloration at end of toes with progression up. Read more info on PAD visit the AHA.

Do not forget calories from consuming the chocolate! Walking is key for those with PAD to improve flow. Buy 40 grams of dark chocolate (>85% cocoa), my favorite is “Green & Black’s Organic“. A bar is 100 grams so just less than half of one. Talk w your Doc, find some dark chocolate and enjoy your walk!

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New Risk for Premature Death – Watching TV!

Do you think that watching TV places you at greater risk for premature death? Is computer use or time spent driving associated with this risk?

Alas a practical study, university graduates, average age 37 were followed for 8 years. Corrections were made for age, sex, smoking and energy intake Mediterranean diet adherence and BMI. They also adjusted for drinking sugar sweetened drinks and snacks while watching TV.

Sitting behavior (sedentary lifestyle) has long been associated with an increase likelihood of premature death but no study had looked at exactly what one was doing while ‘sitting around’.

JAMA published this study out of Spain showing what you are doing sitting DOES matters. Study findings reveal:

  • - 3 hours or more of TV daily increases premature death risk 2 fold over next 8 years vs. those watching no more than 1 hour/day.
  • - time using computer or driving was not associated with a significant increase risk!

FYI: Americans spent more than half of their waking hours sitting (2008 study).

Noteworthy –  Is it the emotional,  modularizing by hormones, social isolation or that you are in control with computer use and driving? Are you surprised by these findings? Am sure you will have some thoughts comments are always welcome.

 

 

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Medical Test Over Ordering

Do you believe the more tests a doctor orders the better the Doc? Does ordering many tests mean insecurity? Perhaps ordering a test equals less time and questions ask that could make a diagnosis or arrive at the best treatment?

We are taught in medical school that 80% of the diagnosis is in the history and physical exam. Both require time! A detailed physical exam, hands on, using a stethoscope in at least 18 places – that is a careful thoughtful evaluation. Don’t forget the exam is clothes off and no noise nor interruptions.

Medical tests are not absolutely safe. Over ordering of imaging studies (scans) can result in exposure to radiation especially in the case of CTs. Never mind the many incidental findings – findings that do not explain your condition. Simply put an abnormal finding with no known medical significance. This reality occurs in more cases than you can imagine where upon a dilemma arises. Then a decision: order more tests, ignore or let the patient decide. Below are some results for specific conditions and tests.

Headache sufferers all too often have a brain imaging study ordered with less than 1% revealing the cause. In 20% of those brain CT scans (radiation exposure equal to 8 months of natural radiation) there are ‘incidental’ finding. If instead a brain MRI (no radiation) was ordered – 10 -12% have incidental findings.

If your work-up includes an abdominal CT scan (equivalent to 3 years of natural background radiation) while it may help with a diagnosis, 50% of these scans are read by radiologists to have ‘incidental findings’ which may leads to more tests and apprehension.

Remember medical radiation is cumulative in out bodies! Read my earlier blog on this.

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ADHD Medication and Cardiac Risk

If you read my blogs I try to impress on readers that medication even OTC are not totally safe. A recent study in children found those taking attention deficit-hyperactivity disorder (ADHD) medication had a double risk of cardiac problems versus those ADHD children not on meds. Overall this was a small number, but noted along with an inverse dose relationship. Implications that stopping medication or lowering may trigger a cardiac event. Prescribing info for methylphenidate (Ritalin) and similar drugs DO lists cardiovascular events under “Side Effects”.

Danish children diagnosis of ADHD were followed for 9 years: 8,300, 5,482 received stimulant drugs and the remainder did not. Two groups were compared to arrive at above finding, please note that  other factors (family history, smoking during pregnancy, exposure) were not considered. These would be termed ‘confounders‘ in medical research.

My recent blog (7/27/14) on food dyes use and behavior problems in children hints to perhaps the increase in the US of diagnosis of ADHD. At best the diagnosis of ADHD is an educated guess, be sure before putting any ‘chemical’ into your body and especially allowing a child to be given one.

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Safer, Better Foods Overseas

Why does the rest of the world eats safer than us? What quickly come to my mind is our abundance of GMO products. There must be a reason so much of the world bans GMO products? Read my earlier blog on this matter.

The latest ‘insult’, as I see it, is that in the EU a warning label (since July 2010) is placed on products that contain artificial dyes. A landmark UK study (University Southampton, 2007) found association between food dyes and behavioral problems in children. “We found mixtures of certain artificial colors together with sodium benzoate preservative in the diet increased the average level of hyperactivity in 3 and 8/9-year-old children in the general population,” Dr. Jim Stevenson, lead author of the study. More ADHD diagnosed children.

Why does Kraft®’s macaroni and cheese in the EU have no artificial dyes BUT do in the USA? US consumers get “Yellow No. 5 and Yellow No.6! Why not use paprika and other natural dyes as they use for UK children? In the UK, McDonald®’s strawberry sundae uses real strawberries while in US, Red dye No.40 is used!

You might wonder where is the FDA? Well they approved 9 petroleum-based color dyes! Horrible!

The way US FDA thinks is ‘innocent till proven guilty’ whilst in other countries ‘possible harm’ – even when evidence is ‘inconclusive’ –  prevails in making the judgement.

The FDA uses the ‘precautionary’ principle for new drugs (years of testing) YET allows non-evaluated food dye chemicals. In 2011 the FDA determined that in ‘some children dyes’ do have ‘an effect’.

Dyes are only used for cosmetic purpose so why not focus on use of healthy foodstuff? Other than marketing there is no benefit from use of dye chemicals in foods.

Weigh very carefully what your children eat!photo

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Drug Information Needed

MH900215352‘Knowledge is power’ (attributed to Francis Bacon) however it can also be life saving. Often by personal desire or medical prescription we put chemicals into out system believing they are safe and that all will be better. Naive? Yes!

Your body, your job to find out all you can about a drug you are taking or will take. Where can you learn about the medication? Yes a doctor should explain about what chemical(s) you are given BUT they do not explain beyond you need “this should help”. Yes perhaps it will help but at what cost, what should you watch for, side effects, interactions contraindications to name a few.

Yes the pharmacist asks if this is the ‘first time’ you are taking this medication and hands you a few printed pages (very small font) info with your ‘order’. You do read these?

Resources beyond your doctor and pharmacist are definitely needed – greater insight is needed beyond what is written for the general population.

A few recommendations:

- Consumer Reports now has a dedicated section on ‘drugs’ that includes ‘off label’ uses and safety issues. Learn about splitting pills (some you can not), about generics and plenty more.

- A service of the U.S. National Library of Medicine and National Institute of Health is Medline Plus and Drug Information Portal

- Drugs. com

- WebMD

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Chronic Back Pain

IMG_2024This week’s blog aims to show that chronic back pain (CBP) is quite complex. This phrase is thrown around so frequently one might think it is one thing in everyone. I want to help you ID the difference between the major types of ‘chronic back pain’: mechanical and inflammatory. There are many causes for each type but I am not diving into that here.

Knowing the type and specific cause allows tailored care. Nearly a third of adults with CBP have an inflammatory cause. This can be a sign of serious inflammation elsewhere in the body.

Characteristics of mechanical back pain (ex. disc disease, nerve pinched) include:

  • any age although usually older
  • sudden onset
  • AM stiffness <30 minutes
  • no night pain
  • worsens with activity

Characteristics of inflammatory back pain include:

  • age younger than 40
  • slow onset
  • AM stiffness >30 minutes
  • nighttime pain
  • improves with activity

Screen Shot 2014-06-22 at 11.40.28 AMWhen you talk to your medical care provider explain your symptoms (ex. stiffness, numbness, location) and offer specific from the list above. If your back pain has lasted more than 3 months, feels stiff when you wake up and hurts the most when you rest perhaps it is caused by an inflammatory condition (ex. ankylosing spondylitis).

Again you are your best advocate!

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Labeled ‘Natural’ Means?

Must Americans (June, 2014 – Consumer Reports) equate the use of the word ‘natural’ on processed food labeling as equivalent to ‘organic’. This short blog is just a rudimentary base so please read everything on products, research on-line and if not there, call the number on the product, I have had to do so to gain needed specific information.

Americans spend over $40 billion on food a year. It would be nice if there was truth in labeling.

There is no specific or official requirement/definition that needs to be met to use ‘natural‘ nor is that product subject to examination. There is a loose concept that labeling natural implies no added artificial color but this is not verified.

To label ‘organic’ a verification of specific criteria is necessary. The process requires renewal and re-verification – not a one-time deal.

ORGANIC means NO:

 - genetically modified organism -(esp. GMO seeds)

 - sewage

 - synthetic fertilizers

 - ionizing radiation

 - antibiotic use

 - growth hormone (ex. in bovine use of r-BST)

Other common buzz phrases:

‘free-range‘ only means animals had access to open space – the option – they need never have been outside!

‘no nitrates’ can mean natural nitrates were used. When we eat foods with preservative sodium nitrate our digestive tract converts it to sodium nitrite. Celery juice is used as a ‘natural’ sodium nitrate! While there is controversy over cancers’ relationship to nitrites, realize it is over the fact that no ‘direct’ proof exists for humans. Pretty hard to ever prove ‘behind a shadow of doubt’ a ‘direct’ cause and effect given the complex human body.

What is good for humans to eat is not a straightforward issue!

Read lots and keep current by using reputable websites and sources.

 

 

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NSAID Drugs = OTC Dangers

You, I hope,quiz11-14Q3 do not equate an over the counter (OTC) medication as being totally  safe? Read this blog very carefully, especially if you take non steroidal anti-inflammatory - NSAID meds like aspirin, naproxen (Aleve), Ibuprofen (Advil, Motrin). The FDA has a ‘black box warning’ on this class of drugs. This severe warning is issued as the step before pulling the drug off the market.

Americans use over 30 billion NSAID pills each year; think everyone has a few tablets nearby, airports, Costco and even school nurse. No surprise that 16,500 die 100,000 end up in hospitals from the most common side effect bleeding. NSAIDs can erode the esophagus and stomach linings and cause bleeding. Many high-profile athletes have developed kidney disease from overuse of these OTC ‘pain killers’. Specific organ damage may or may not cause symptoms, may effect some and not others.

Another very serious side effect is the triggering of an autoimmune response in some individuals with a genetic predisposition. Let me explain ‘leaking gut syndrome’ that occurs as NSAIDs can prevent food from being fully broken down, the bowels then start to leak amino acids which the body does not recognize, hence thinking it is foreign it launches an immune response. Immune illness like Asthma, Lupus, Thyroiditis, Celiac disease, Scleroderma, or Rheumatoid Arthritis (RA) can result.

Do not forget the well-known heard effect these OTC can have – please re-read my previous blog an NSAIDs’ negative heart effects.

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