Reduced testosterone in old men?

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Dr. Merey’s Medical Bariatric & Rejuvenation Center
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THE BENEFITS OF MINDFUL EATING Recent studies indicate that meal timing and frequency may impact cardiovascular health, and disease risks. While eating patterns vary from person to person, research indicates that effective management of cardiometabolic health should focus on ‘intentional eating’–paying attention to standardize eating times, meal sizes, and food content. Data shows that distributing calories over a defined period of the day, coupled with maintaining a consistent overnight fast period, could ultimately yield positive benefits surrounding cardiometabolic health–in addition to eating a larger portion of one’s daily caloric intake earlier in the day. Skipping meals and snacking, which have become increasingly prevalent, have various effects on cardiometabolic health markers: namely obesity, lipid profile, insulin resistance, and blood pressure. Because irregular eating patterns do not lead to a healthy cardiometabolic profile, intentional eating–with mindful attention to the timing and frequency of eating occasions–will lead to a healthier lifestyle. Most importantly, planning each meal with a variety of healthy foods, and timing meals, can help manage hunger, achieve desired portion control, and improve nutrition quality.
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Dr. Merey’s Medical Bariatric & Rejuvenation Center
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Healthy cells are more than just a matter of luck or chance. A recent study on healthycell® published in the prestigious Journal of Clinical and Translational Research, on new research done at the University of Miami MiIler School of Medicine, showed that healthycell® improved the inflammatory profiles of, and decreased DNA damage in cells. Healthycell® was found to be more effective on aging adults, where the processes that cause or are associated with cell senescence are more predominant. The study went on to say that “healthycell® may offer a tool to counteract the negative effects of inflammation and oxidative stress that lead to late-stage diseases; with pronounced effects in individuals aged 35 and older.” I recommend the product to my patients and have been taking the product for almost 3 years. Call the office if you want to be part of the many people taking Healthycell!
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What supplements in weight loss? There are very few supplements that mimic the actions of successful drugs used for weight loss. Meal replacements bars and shakes are the only supplements that may actually work. It’s important to note that supplements alone are NOT a weight loss program, whereas diet and exercise can be. The goal of incorporating a dietary supplement (or drug) into a weight loss program is to assist the user in complying with the daily routine that leads to weight loss. And, as with all human studies on meal replacements, the supplement ingredients must have safely demonstrated the potential to act in one or more of the following ways: 1. Help create and maintain a calorie deficit by increasing daily calorie expenditure when compared to not taking supplements 2. Raise energy levels that may make one more active throughout the day 3. Reduce the drive to eat 4. Decrease calorie absorption Meal replacements and weight loss: In all studies, meal replacements (MRs) bars and shakes used for 1 or 2 meals per day were shown to be an extremely effective aid to weight reduction. In almost all cases, MR were more effective than conventional dieting. MRs have also been shown to be just as effective as dietary restriction combined with weight loss drug therapy. Most importantly, continuous use of MRs may be the most effective means of all treatments when it comes to maintaining weight loss.
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Daisy Home 4 Friend Requests 16 Messages 93 Notifications Account Settings Daisy Merey News Feed Messenger SHORTCUTS 2 Dr. Merey’s Medical Bariatric & Rejuvenation Center EXPLORE Events Pages 4 Groups Friend Lists Fundraisers 2 On This Day See More… CREATE Ad · Page · Group · Event · Fundraiser Your Pages Dr. Merey’s Medical Bariatric & Rejuvenation Center Messages1 Notifications1 compose Publish camera Photo Live Video icon Live megaphone Promote LikesViewsPosts 82 0 new likes this week Reach More People Nearby With an Ongoing Promotion Facebook will optimize your ads for the best results so you can reach more people in your local community. Monthly plans start at $35. Get Started Recent Posts Dr. Merey’s Medical Bariatric & Rejuvenation Center on Mon We are not closed! We are open Monday through Thursday Boost Post Dr. Merey’s Medical Bariatric & Rejuvenation Center on Sun Coconut oil friend or foe? Patients have been extolling the virtues of coconut oil. I have been quite skeptical about coconut oil. However I was vindicated by a new article that proved that coconut oil and dairy fats pose similar cardiovascular risk. Coconut oil and butter in particular were singled out as high in LDL cholesterol and saturated fats. Despite the belief among 72% of Americans that coconut oil is a healthy food, the popular oil actually contains 82% saturated fat and should not be a preferred oil for food preparation, cautioned Frank M. Sacks, MD, professor of cardiovascular disease prevention at Harvard University, Boston, and his fellow researchers. Patients who replaced coconut oil or other saturated fat sources with safflower or soybean oil in the core trials saw improvements in cardiovascular risk, according to the results of the meta-analysis. On the other hand, replacing saturated fats with carbohydrates did not improve patients’ risk of CVD, according to the investigators, although further research into the effects of different types of carbohydrates is needed. “Because coconut oil increases LDL cholesterol, a cause of CVD, and has no known offsetting favorable effects, we advise against the use of coconut oil” and other oils high in saturated fats, the researchers wrote. Boost Post Dr. Merey’s Medical Bariatric & Rejuvenation Center on Sun Increasing Longevity: There are several medications and supplements that can increase your lifespan. Diabetic pill Metformin was shown to increase the lifespan of diabetics by 15% as compared with those who did not take the medication and even those who were not diabetic. Metformin is given now to people who are not diabetic as it was shown that the drug makes the mitochondria run more efficiently and increases energy. Blood sugar lowering seems to be very healthy. It is a quite safe drug. Rapamycin also works on making mitochondria work more efficiently by over 30%. However this medication has a lot of side effects and there is research now to produce an equivalent with less side effects. Resveratrol has been studied in worms and fish and has been shown to extend their lifespan. However as of this time no life extension was confirmed in humans. More research is needed. Ta65 is a natural product that was shown to elongate the telomeres in the chromosomes of humans. Telomere lengthening helps with rejuvenation and increased lifespan. Hormones are also studied for their potential life extending ability. Boost Post Dr. Merey’s Medical Bariatric & Rejuvenation Center on Sun Is there a difference among the peppers whether they are green, yellow or red? Color depends on ripeness; green peppers are picked early before they are ripe. They are less sweet and contain less vitamins like A, C and B6. Orange and yellow peppers are in the middle while red peppers are the sweetest and contain the most vitamins. Bon appetit Boost Post Dr. Merey’s Medical Bariatric & Rejuvenation Center last Sat Yes or no cereal? Generally cereal is not a good food. It is full of carbs, sugar and it is consumed in the morning which prevents the burning of fat for the whole day. However some people can’t think of breakfast without cereal! Shopping for healthy cereal can be tricky. There are a lot of factors to consider, not the least of which is taste. First, some good news: Consumers are getting smarter about their cereal selections and driving up demand for healthy, low-sugar options. Companies are noticing and responding to this change in consumer demand. Several cereal manufacturers have added more whole grains across their product lines and trimmed significant amounts of sugar. But there’s still room for improvement. Manufacturers are still playing fast and loose with packaging claims, which can mislead you into thinking cereals are more virtuous than they actually are. Follow this guide to avoid the most common health traps in the cereal aisle: Whole grain claims Be wary of vague label claims like “made with whole grains” or “now with more whole grains.” The products do contain some whole grain, but the companies aren’t telling you how much. These claims don’t ensure that a product contains a meaningful amount of whole grain; in fact, they often indicate that a product is made primarily with refined grains like enriched white flour, rice flour, or corn flour — with just a few dashes of whole wheat in the mix. Bypass the front-of-package claims and zero in on the ingredients list instead. The first ingredient listed should contain the word “whole,” such as “whole wheat,” “whole brown rice,” or “whole corn.” If the first ingredient is “whole,” you know the product is primarily whole grain. If a product states “100% whole grain,” even better — that’s a guarantee that the product contains no refined grains at all. Added sugar Unless a cereal contains dried fruit, it’s likely that all of the sugar it contains is added sugar, which provides empty calories and no nutritional benefits. Look for cereals that have no more than 8 grams of sugar per serving — the less, the better. If a cereal does contain dried fruit (like Raisin Bran), the sugar content will likely be much higher since you’re also getting natural sugar from the fruit. Since the label only lists the TOTAL grams of sugar, there’s no way of telling how much sugar is from the fruit and how much is added. If you’d rather be in control of the sugar content, consider buying a plain, whole-grain cereal (like bran flakes) and adding a sprinkling of raisins or your favorite dried fruit. A dash of cinnamon is an added plus. High fiber claims Just because a cereal is high in fiber doesn’t mean it’s whole grain…and it also doesn’t mean it’s an overall healthy choice. Often, the fiber is coming from concentrated added fibers that jack up the fiber numbers but don’t provide all the same benefits as intact fiber from whole grains. Don’t judge a cereal by fiber alone. Even if the fiber content is impressive, you still want to make sure that the first ingredient is a whole grain and the cereal is low in sugar. A sugary cereal with lots of added fiber is still a sugary cereal! Added nutrients Cereal companies often add extra vitamins (vitamin D is especially popular right now) to give their products more health appeal. But, as with added fiber, these “extras” are only valuable if the base product is healthy. Make sure the first ingredient is a whole grain and the product is low in sugar first, before considering any other perks. Among mainstream brands, I recommend Cheerios (regular and multi grain) and Grape-Nuts Flakes. In the office we sell a type of Cheerios with minimal amount of sugar and 15 grams of protein/portion. I like hot cereal and I consume an oatmeal which is also available in our office with almost no sugar and 15 grams of protein/portion. Protein helps keep us full and burn fat as well. Boost Post Dr. Merey’s Medical Bariatric & Rejuvenation Center 2 wks The American Academy of Pediatrics (AAP) has developed a policy statement which contains recommendations on the use of fruit juice in infants, children, and adolescents. The statement offers specific recommendations that support its conclusion that although fruit juice consumption has some benefits, it also has potential detrimental effects, such as high sugar content and lack of fiber and protein which can predispose to inappropriate weight gain. Fruit juice offers no nutritional benefits over whole fruit for infants and children and has no essential role in healthy, balanced diets of children. Excessive juice consumption is associated with diarrhea, flatulence, abdominal distention, and tooth decay. Juice should not be introduced into the diet of infants before 12 months of age unless clinically indicated. Toddlers should not be given juice from bottles or easily transportable covered cups that allow them to consume juice easily throughout the day. Toddlers should not be given juice at bedtime. Children should be encouraged to eat whole fruit to meet their recommended daily fruit intake. Many people still consider fruit juice to be a healthy option for both children and adults. This recommendation confirms that it is not. Juice typically has little fiber compared to whole fruit and is not nutritionally equivalent to whole fruit. While, fruit is a recommended as a component of a healthy diet, fruit juice is not because it is a ready source of excess calories and is typically not as satiating as whole foods. This guideline clarifies that fruit juice has no place in the diet of infants below 12 months of age, and has only a limited place in the diets of older children and adolescents. Boost Post Ticker birthday Eva Benatar’s birthday is today Trending National Rifle Association NRA defends ‘closed fist of truth’ ad ‑ thehill.com Taiwan US approves first arms sale to Taiwan under Trump ‑ cnn.com Mika Brzezinski ‘Morning Joe’ host responds to Trump attack with ‘little hands’ tweet ‑ thehill.com See More? Sponsored Create Ad HOT SALE ★★★★★ stylewe.com Over 2500 Styles【10%-70% OFF】 10% OFF your first order on website Original fashion design… Simon Cuts Off Teen Singer Mid-Performance, Then Challenges Her To Sing A Much Different Song littlethings.com 16-year-old Hope was stunned when Simon interrupted her performance. Without warning, he p… English (US) · Español · Português (Brasil) · Français (France) · Deutsch Privacy · Terms · Advertising · Ad Choices · Cookies · More Facebook © 2017 Create a PostPhoto AlbumChoose a file to upload Photo/Video Feeling/Activity News Feed Add a Donate Button You can add a donate button to your post to raise money for a nonprofit on Facebook. Add Button Daisy Merey 1 min · CANCER IMMUNE SYSTEM VITAMINS Researchers have shown that a combination of antibiotics and Vitamin C can destroy cancer stem cells before they promote the growth of fatal tumors. Researchers in the United Kingdom may have found a way to destroy cancer cells with a combination of vitamin C and antibiotics. The antibiotic used in the research is Doxycycline. The application of vitamin C, following the application of Doxycyline, unexpectedly proved quite effective in destroying cancer stem cells in lab conditions The study was designed by Michael Lisanti, a professor at the University of Salford. The research team’s use of the new combination approach stops cancer cells from altering their diet and basically starves them. These cells are prevented from using any other types of bio-fuels that might be available. Metabolic inflexibility was induced by adding Doxycycline in incrementally higher doses across a period of three months. The result left the cancer cells alive yet they were in a depleted state of existence, making them that much more susceptible to a lack of sustenance through a follow-up metabolic “punch” of sorts. The team then removed the glucose and starved the cancer cells until they perished. The Future of Cancer Combat? The research showed that vitamin C is upwards of 10 times more effective at halting cancer cell growth than other pharmaceutical treatments . The research team reports that the combination of vitamin C with an antibiotic proves about 100 times more effective at combating cancer The beauty of this treatment approach partially lies in the fact that vitamin C and Doxycycline are both non-toxic so there will be minimal, if any, side effects. The research team also pinpointed eight additional drugs that can be used as a follow-up attack after the application of the antibiotic. These drugs include berberine, a completely natural product, along with an array of low-cost drugs that are non-toxic and FDA-approved. Professor Lisanti believes the results of his team’s work prove quite promising for clinical trials. This one-two combination will also likely be used as an add-on to traditional therapies in order to stop the recurrence of tumors, the progressions of the disease and the onset of secondary malignant growths.
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We are not closed! We are open Monday through Thursday
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Coconut oil friend or foe? Patients have been extolling the virtues of coconut oil. I have been quite skeptical about coconut oil. However I was vindicated by a new article that proved that coconut oil and dairy fats pose similar cardiovascular risk. Coconut oil and butter in particular were singled out as high in LDL cholesterol and saturated fats. Despite the belief among 72% of Americans that coconut oil is a healthy food, the popular oil actually contains 82% saturated fat and should not be a preferred oil for food preparation, cautioned Frank M. Sacks, MD, professor of cardiovascular disease prevention at Harvard University, Boston, and his fellow researchers. Patients who replaced coconut oil or other saturated fat sources with safflower or soybean oil in the core trials saw improvements in cardiovascular risk, according to the results of the meta-analysis. On the other hand, replacing saturated fats with carbohydrates did not improve patients’ risk of CVD, according to the investigators, although further research into the effects of different types of carbohydrates is needed. “Because coconut oil increases LDL cholesterol, a cause of CVD, and has no known offsetting favorable effects, we advise against the use of coconut oil” and other oils high in saturated fats, the researchers wrote.
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The clinical importance of declining testosterone levels in older men is unclear.
In older men, persistent, unequivocally low testosterone levels accompanied by signs and symptoms suggestive of androgen deficiency can be considered late-onset hypogonadism.
Serum testosterone levels gradually decline as men age, but the degree to which this happens, as well as the extent of associated clinical changes, is variable. The clinical importance of this decline is controversial, however. Recognizing this variability and understanding what may be considered changes in body function due to “normal aging” versus potentially treatable age-related testosterone (or androgen) deficiency is crucial in the care of older men.
Free testosterone is considered the biologically active form of the hormone. When it comes to low testosterone, what is normal senescence? What is illness?
Symptoms and signs suggestive of androgen deficiency in older men include reduced libido, low bone mineral density and height loss, and, less specifically, decreased energy, anemia, depressed mood, reduced muscle strength and bulk, and increased body fat. When these signs and symptoms accompany significantly lower levels of both types of testosterone, the patient may be diagnosed with late-onset hypogonadism. Cutoffs for the definition of low testosterone vary, although generally accepted values are ≤200 or ≤300 ng/dL of total testosterone.
The Endocrine Society updated its clinical guidelines on androgen deficiency evaluation and treatment in 2010. It proposed a practical approach to evaluating testosterone deficiency in older men who present with low libido, decreased energy, depressed mood, osteoporosis, or recent fracture. If a clinician suspects testosterone deficiency, the first step should include an early morning total testosterone measurement. If the level is <300 ng/dL, the patient should be evaluated for pituitary or testicular disease and androgen treatment may be considered.

What is healthier a bear claw or a cookie or a soda?

Sugary beverages are among the top sources of calories and added sugar in the American diet.
A 20-ounce serving of Dr Pepper contains 64 grams of added sugar — or 14 grams more than the maximum amount recommended for daily consumption under the United States Dietary Guidelines for 2015-20.
Thus you get less added sugar eating one chocolate chip cookie, one bear claw or blueberry muffin than drinking a 20-ounce serving of Pepsi.
Under regulations established by the Food and Drug Administration during the Obama administration, makers of packaged foods like cereal, cookies and spaghetti sauce will have to add a line to the nutrition panels on their products disclosing the amount of added sugar. Companies have until mid-2018 to comply; it is unknown whether the Trump administration will alter the initiative.
Moreover, it doesn’t apply to restaurants.
Panera a health caring restaurant has also reformulated two of its proprietary drinks, Passion Papaya Green Tea and Agave Lemonade, reducing their sugar content by roughly 40 percent. Passion Papaya now contains 30 grams of added sugar in a 20-ounce serving without ice, while the same size serving of Agave Lemonade contains 34 grams of added sugar.
Those drinks, together with Blood Orange Lemonade, will be labeled “medium sweetened” with the amount of added sugar in them noted.
Panera is also offering three drinks with no added sugar — Iced Black Tea, Plum Ginger Hibiscus Tea and Prickly Pear Hibiscus Agua Fresca. The first two will be labeled “unsweetened,” while the third, which contains naturally occurring sugar, will be labeled “lightly sweetened.”You have a great choice!

Metformin for multiple conditions

Metformin, the most commonly prescribed drug for treatment of type 2 diabetes, has recently shown to be beneficial in various other treatments.
Most prescription medications also carry risks from negative side effects, but Metformin appears to have quite a few positive side effects. This drug has been used for more than 60 years to treat Type II diabetics. Some of the most promising additional uses for Metformin are listed below:

Anti-aging – health care professionals have noted that those patients who have been taking Metformin over a considerable length of time seem to develop fewer age-related diseases than those Type II diabetics not using the drug.

Cancer – is one of the most feared diseases that threatens people of every age, but the incidence increases as people age. Metformin  could also be an effective tool in the prevention and treatment of cancer. While the process that allows normal cells to become cancerous is complicated, scientists have found that Metformin is able to suppress the growth of cancerous cells. This has resulted in a reduction between 14 to 40 percent of breast, pancreatic, lung, colon and liver cancer. Additionally, it has proven to be effective in combating leukemia.
Brain cell regeneration – children with cerebral palsy have traditionally been treated through rehabilitation which was limited at best. Metformin research showed that brain neuron cells were stimulated to multiply in mice, offering hope to children born with cerebral palsy.Medalloblastoma is a type of brain cancer affecting children which can be successfully treated with surgery, chemotherapy and radiation. Unfortunately, the treatment often results in cognitive and/or motor impairment. Scientists hope Metformin could help these young patients through the regeneration of damaged brain cells.
Proven health benefits – lowering of LDL cholesterol and fat in the blood as well as minimizing weight gain. Metformin has been effective in preventing or delaying the development of Type II diabetes in overweight patients diagnosed with prediabetes.
Nearly any effective prescription medication will have some negative side effects, but Metformin is a drug with only minimal side effects; the most common being diarrhea or nausea. Often these relatively mild problems can be reduced or eliminated through reducing the dosage or changing to an extended-release form of the drug. Metformin is one of several prescription drugs that is being studied to discover which other diseases it could be used to treat. Its use has already demonstrated some important benefits outside of a treatment for Type II diabetes.

Germy Places

Talking Dirty: 6 Surprisingly Germy Places

Pull out the sanitizer for these everyday objects.

Should you touch the toilet seat? Eww, no! It’s full of germs. But did you know there are everyday items with just as many — if not more — bacteria than the toilet seat? As University of Arizona microbiologist and germ guru Charles Gerba puts it, “People are overly concerned with diseases from a toilet seat. There are none!” In fact, nearly half of American women either wipe a toilet seat before use or put toilet paper or a paper liner on it, which keeps it pretty clean, he said. What they really should be worried about are their handbags. Or the Uber vehicle in which they just rode. Or the sick person at home who’s spreading germs on everything he touches

While most germs are nothing to worry about for the average healthy person, people older than 50 need to be a little more germ wary, Gerba says. That’s because our immune systems get weaker as we age, and germ-related illness can be more severe.

Here are six everyday germ offenders you may not have thought about:

Your toothbrush holder is the third most germ-infested household item. — Jozef Culák

Toothbrush holder
It is time to clean it because your toothbrush holder is the third most germ-infested household item. Want to keep it clean? First, close the lid on the toilet when you flush. That is because germs that rise in the air when you flush can land on your toothbrush holder, not to mention the many germs that are already on your toothbrush — 10 million, to be exact.Also you need to throw it in a dishwasher on the sanitizing cycle once or twice a week  to kill any germs.

Tip: The best ways to avoid germs on your toothbrush and toothbrush holder are to keep them far away from the toilet, clean them weekly and replace your toothbrush every three to four months.

The average purse is three times dirtier than an office toilet seat. — alexalenin

Handbag
Ladies, you and your handbag are just about joined at the hip — and that’s the problem. You take it everywhere, even to the bathroom, and that’s probably why it has so many germs. A British study, in which researchers took bacteria samples from office workers’ handbags, found that the average purse is three times dirtier than an office toilet seat and that 1 in 5 handbag handles contain enough germs to pose a significant risk of cross-contamination from the handle to your hand. Handbags carry so many germs because we touch them all the time and put them on the floor, and they’re also packed with other germ-infested items such as hand creams and cosmetics. In fact, the dirtiest handbag items in the study turned out to be face or hand cream, with more bacteria on it than the average toilet seat, closely followed by lipstick and mascara.

Tip: Avoid placing your purse on the floor. Nonleather bags can be wiped down with an antibacterial wipe. For leather bags, wipe with a soft cloth and warm soapy water.

Seat belts and window buttons have the most germs in vehicles. — Gudella

Car: Ride shares, rentals and taxis
If you rely on cabs, rental cars or even popular ride-sharing services to get around, chances are you’re probably sharing those rides with microscopic critters. A new study conducted by NetQuote, an insurance comparison site, swabbed nine vehicles in South Florida and found a whopping amount of germs everywhere, with seat belts and window buttons the worst. Surprisingly, taxis had the lowest amount of germs, followed by rental cars and ride-share cars. In your own car, the dashboard is a big germ repository because it doesn’t get enough direct airflow from vents to help disperse bacteria, according to microbiologist Gerba.

Tip: Sanitize your hands after riding in the car and avoid eating in vehicles, whether they are private or public. Eating can pass on germs from surfaces to our mouths.

Gas pump handles carry potentially illness-causing bacteria. —

Gas pump handle
While you are filling up your car with gas, you are also filling up your hands with germs from the gas pump handle, according to a study by Kimberly-Clark Professional, a division of the Kimberly-Clark Corp. Researchers took more than 350 swab tests for bacteria across six major cities — Atlanta, Los Angeles, Chicago, Dallas, Miami and Philadelphia — and found that 71 percent of gas pump handles were highly contaminated with potentially illness-causing bacteria. Escalator rails and ATM buttons also triggered high counts.

Tip: Keep disposable vinyl gloves in your car and use them for pumping gas. It may look silly, but wearing them can cut your risk of colds and flu.

Use an antibacterial wipe on your office equipment daily to avoid spreading germs. — Sam Diephuis

Your office desk

Your office space is a prime breeding ground for germs, and we are not talking about computer viruses.  Same thing with the office phone. According to a British cleaning company CSG, the most germ-ridden place in an office is the telephone, with 25,127 microbes per square inch, followed by the keyboard, with 3,295 microbes, and the computer mouse, with 1,676 microbes. A toilet seat, by comparison, had 49 microbes per square inch. Considering that a typical office worker comes in contact with 10 million germs each day, just one person carrying a virus can infect up to 50 percent of all employees and equipment in their vicinity in just four hours.

Tip: Use an antibacterial wipe on your office equipment daily, and regularly wash or sanitize your hands throughout the day.

Fitness equipment such as free weights and treadmills can harbor potentially dangerous bacteria, including the type that could lead to pneumonia. — RyanJLane

Gym equipment
Add this to your list of reasons for skipping the gym: Free weights have 362 times more bacteria than a toilet seat. FitRated, a company that reviews gym equipment, gathered bacteria samples from 27 different pieces of equipment across three gyms and found potentially dangerous bacteria, including the type that could lead to pneumonia, as well as antibiotic-resistant bacteria. Treadmills and exercise bikes were a little better, but not by much. Still more than 70 percent of the bacteria found were potentially harmful to humans. Gym etiquette says users should wipe down equipment with sanitizer after they’re done, but obviously many of us have skipped this rule.

Tip: Always clean the equipment before and after you use it, and place a towel over any surfaces you plan to sit on. Don’t forget to wash the towel afterward!

The takeaway: Most germs are nothing to worry about for an average healthy person, but people older than 55 need to be a little more wise about germs  As we get older, our immune system gets weaker and germ-related illness will usually be more severe.

New Year New YOU

No more excuses. Holidays are over and we are starting a new year 2017. Let us make 2017 a healthy and beautiful new year.

We are here to help you with your weight loss needs, totally individualized to your problems. We offer not only a weight loss program but also a weight maintenance solution. Only weight loss that is maintained is successful! We can determine your program through genetic testing. As you lose the weight, many of your illnesses will be improved and even disappear.

As you lose weight, you will be able to look younger with many modalities that we offer like Dysport, fillers and now the new PDO threads that lift the face and body. They are called “the face lift without surgery”.

Like Helena Rubinstein said: “There are no ugly women,only lazy ones”. Care about yourself. Nobody else will.

Sleep Time

Do we need to sleep 8 hours a day? Even though 8 hours of shut eye is optimal, people do not sleep as much in general. Some may get away with 4 to 5 hours without repercussions. Because we have so little time to accomplish everything, we shortchange sleep.
Others worry that they have difficulty falling asleep or that they wake up early and do not have a satisfying sleep.
Insomnia affects 10 to 30%of the population with a cost of over 10 billion annually.
Insomnia is more common in women than in men, especially following the menopause, late pregnancy and if subjected to pain. Older people are more often subject to poor and short sleep. Medication history and substance abuse should be considered. Antidepressants and stimulants should not be given in the evening. Movement disorders like restless leg syndrome, limb movement disorder or breathing disorders like sleep apnea should also be considered. Chronic insomnia is associated with anxiety, depression, poor work performance, increased risk of cardiovascular disease and all cause mortality.
Chronic insomnia can be treated with nonpharmacological and pharmacological therapies. Many medications are available to help with sleep. Nonpharmacological therapies include sleep hygiene, relaxation technique and sleep clinic.
Sleep hygiene includes not exercising within 4 hours of bedtime, avoiding large meals, limiting caffeine, tobacco and alcohol intake 4 to 6 hours before bedtime. It is best to use bedroom just for sleep and sex. Limit napping also. Cool temperature and no lights are recommended. If we cannot fall asleep after 20 minutes, we are advised to leave the bed and return only if ready. Cognitive therapy is very useful.
Some nutritional supplements are also helpful.
Cut back on junk food. People with a diet high in fiber and low in saturated fat found it easier to fall asleep and stay asleep.
They also spent more time in the restorative stage known as deep sleep or “slow stage” sleep. Thus decrease fat and increase fiber
for a good night sleep.

Microbiome

MICROBIOME REFERS TO THE FULL COMPLEMENT OF MICROBIAL ORGANISMS INHABITING THE HUMAN BODY INCLUDING BACTERIA, FUNGI AND VIRUSES.

THERE ARE ABOUT 10 TIMES AS MANY MICROBIAL CELLS IN THE BODY.
MOST OF THESE ORGANISMS RESIDE IN THE GUT, PARTICULARLY THE COLON.
BENEFICIAL EFFECTS OF BACTERIA IN THE GUT INCLUDE DISPLACEMENT OF
HARMFUL BACTERIA. SYNTHESIS OF VITAMINS, DEGRADATION OF FIBROUS FOODS AND STIMULATION OF THE IMMUNE SYSTEM.
INGESTED FOOD SPENDS ONE HOUR IN THE STOMACH, WHERE ACIDIC ENVIRONMENT IS UNFAVORABLE TO MOST MICROORGANISMS. THEN FOOD SPENDS 2 TO 6 HOURS IN THE SMALL INTESTINE WHERE MOST ABSORPTION
OCCURS. THEN FOOD REMNANTS, MOSTLY FIBER, REACH THE LARGE INTESTINE WHERE THEY REMAIN FOR AN AVERAGE OF 40 HOURS SO THAT MANY BACTERIA CAN FERMENT THE FIBER THAT CANNOT BE DIGESTED IN THE SMALL INTESTINE. THE SULFUR COMPONENT OF GAS COMING FROM FERMENTATION GIVES AN UNPLEASANT ODOR. HUMAN FECES ARE MADE UP OF ¾ OF BACTERIA
99% OF THE MICROORGANISMS IN THE GUT COME FROM BACTEROIDES AND FIRMICUTES KIND OF BACTERIA. ALSO THE SKIN IS A HABITAT FOR ORGANISMS. ATOPIC DERMATITIS IS DUE TO STAPH OVERGROWTH IN THE SKIN.

LACTOBACILLUS DISPLACEMENT BY OTHER ORGANISMS PRODUCES BACTERIAL VAGINOSIS WHICH MANIFESTS ITSELF WITH VAGINAL DISCHARGE WITH A FISHY ODOR. WHAT WE EAT MAY STIMULATE CHRONIC INFLAMMATION. HIGH FAT AND HIGH CARBOHYDRATE DIET PRODUCES INFLAMMATION WHILE A MEAL RICH IN FRUIT AND FIBER DECREASE IT. METFORMIN IS ALSO ADVANTAGEOUS FOR THE GUT. OLDER AND OBESE PEOPLE HAVE MORE FIRMICUTES AND LESS BACTEROIDES. HIGH FAT AND ANTIBIOTIC USAGE DECREASES BACTEROIDES IN THE GUT. C DIFFICILE IS ANOTHER BAD BACTERIUM IN THE GUT THAT OCCURS FROM ANTIBIOTIC USE. HIGH FAT, LOW FIBER DIET MAY CAUSE COLON CANCER.

CALCIUM (IN MILK OR SUPPLEMENTS), COFFEE, BLUEBERRIES , RASPBERRIES, BEENS, LENTILS, ARTICHOKES, ASPARAGUS, GREENS, QUINOA, GREEN TEA, SALMON, NUTS, OLIVE OIL, EGGS, AND KALE ARE GOOD FOR YOUR GUT MICROBIOME. PREBIOTICS ARE IMPORTANT SUPPLEMENTS THAT PROVIDE IMPORTANT NUTRIENTS. ON THE OTHER HAND, PROBIOTICS ARE LIVE BACTERIA (MOSTLY LACTOBACILLUS AND BIFIDOBACTERIUM) THAT PROVIDE A LOT OF HEALTH BENEFITS. BOTH HELP WIYH CANCER PREVENTION AND WEIGHT LOSS. PRE AND PROBIOTICS ALSO HELP WITH ALLERGIES AND SHOULD ALWAYS BE GIVEN FOR WEIGHT LOSS AND IN CONJUNCTION WITH TAKING ANTIBIOTICS, IT IS IMPORTANT TO GET A GOOD PROBIOTIC. YOGURT, SAUERKRAUT AND MISO SOUP MAY ALSO ACT AS PROBIOTICS.

ONE CAVEAT:
SMOOTHIES WHICH BREAK DOWN THE FIBER ARE DETRIMENTAL FOR THE GUT
MICROBIOME AS ONLY INTACT FIBER WORKS. THE DAMAGED FIBER STAYS IN THE GUT AND SWELLS THE STOMACH. BON APPETIT

What is New in the field of Cardiology?

Lots of new medications are available for patients suffering from
heart disease.
Blood pressure control is advocated for the young, the middle age and
the old. If there is a family history of hypertension, even children and
teenagers need to have their blood pressure checked. As our children are
getting fatter, their risk factors increase and they need to be checked
more often.
The metabolic syndrome is common in children as well as in adults.
The key tests are high waist circumference, high blood sugar, high LDL
cholesterol, high triglycerides and low HDL cholesterol.
It is recommended now to check the blood of infants and children for
abnormalities in cholesterol if there is a strong family history of high
blood fats or heart attacks.
Dietary cholesterol contributes little to the blood cholesterol which is
mostly controlled by our genes. But cholesterol values are not the whole
picture.
More extensive blood tests are recommended especially particle size of
the LDL cholesterol as the bigger ones are less dangerous than the small
ones. Lp(a) is another important blood parameter that needs to be
‘ checked as it is associated with plaque formation and may be more
deadly than cholesterol in assessing patient’s coronary risk factors.
TMAO, a substance produced by the gut microbiome produces also heart
attacks and strokes. This can also be tested in the blood.
The most toxic product discussed was not fat but rather SUGAR. Sugar is
responsible for the obesity epidemic and for the fatty liver that obese
people manifest. In addition sugar can cause heart disease and attacks!
Glycemic load of foods rather than the glycemic index should be taken
into account. Glycemic load depends on the amount of fiber contained in
the different foods. Juices are forbidden in favor of whole fruit. Juicing is
discouraged. Red meat is also not allowed as it contains carnitine which
is harmful to the heart. Milk is allowed and egg yolks are rationed..
All vegetables and low glycemic load fruit are encouraged. Grapes are
considered little bags of sugar and not healthy. Some fish and
chicken are permissible. Nuts in moderation may be consumed. Non-
processed food is best! This is the reason why rice is better than pasta.
Whole grain foods are better than starchy foods. Complex carbohydrates
are preferred to short chained carbohydrates like glucose, fructose and
sucrose, all deadly. A revised Mediterranean diet or a Merey diet
seem to be the healthiest compared to an Atkins or a low carbohydrate
program.
Estrogen supplementation for post menopausal women is allowed
under some conditions. Testosterone supplementation in men is also
found to be heart healthy in certain conditions as well

GOOD NUTRITION AND EXERCISE NEEDED FOR WEIGHT LOSS AND MUSCLE GAIN

EXERCISE IS MEDICINE

THE BENEFITS OF EXERCISE ARE WELL KNOWN. PHYSICAL ACTIVITY IS ASSOCIATED WITH REDUCED CARDIOVASCULAR DISEASE, DIABETES, CANCER AND DEMENTIA.
LOWEST EFFECTIVE DOSE OF EXERCISE IS 15 MINUTES A DAY AT A MODERATE INTENSITY. EVEN 5 TO 10 MINUTES A DAY HAD A REDUCTION OF CARDIOVASCULAR DISEASE AND ALL CAUSES OF MORTALITY.
TOO MUCH SITTING CAN KILL YOU. SITTING TOO LONG AFFECTS ONE’S GENES.
BONES IN OUR JOINTS BECOME WEAKER WHEN THEY ARE NOT USED LEADING TO OSTEOARTHRITIS AND CERVICAL DAMAGE. THERE IS ALSO ORGAN DAMAGE WHEN YOU SIT TOO LONG AS THE ORGANS DO NOT GET ENOUGH BLOOD FLOW.
SITTING LEADS TO CHRONIC DISEASES AND DECREASED LIFE EXPECTANCY.
EVERY HOUR SPENT SITTING WATCHING TELEVISION DECREASES YOUR LIFE EXPECTANCY BY 27 MINUTES. THUS STAND AS MUCH AS POSSIBLE, WALK OR TAKE THE STAIRS WHENEVER POSSIBLE.
MORE THAN 100 MINUTES/A DAY DOES NOT SEEM BE ASSOCIATED WITH ADDITIONAL REDUCTION IN MORTALITY RATES THOUGH.
NEW STUDIES SHOW THAT IN GENERAL EVEN INTENSE EXERSISE IS NOT DANGEROUS FOR THE NORMAL HEALTHY PERSON.
HOWEVER FREQUENT EXERCISE MAY CAUSE CHANGES IN THE PHYSIOLOGY AND STRUCTURE OF THE HEART, CHANGES THAT ARE MOSTLY BENEFICIAL.
CARDIAC REMODELING DUE TO EXERCISE IS BENEFICIAL AND HEALTHY
FOR SOME HEALTHY PEOPLE THOUGH, EXERCISE MAY BE DANGEROUS.
EVEN PEOPLE WHO ARE MARATHON RUNNERS STILL PRODUCE CORONARY PLAQUES JUST LIKE THEIR SEDENTARY COUNTERPARTS. HEREDITY OR LIFESTYLE TRUMP EXERCISE. MOREOVER THE ACT OF EXERCISING MAY INCREASE THE RISK OF PLAQUE RUPTURE. MANY PEOPLE SUFFER A HEART ATTACK WHILE RUNNING OR WHILE AT A GYM INSTEAD OF SITTING AT HOME QUIETLY.
SOME PEOPLE HAVE MAY HAVE SOME INHERITED CARDIAC DISEASES THAT MAY PREDISPOSE THEM TO PREMATURE DEATH AND EXERCISE MIGHT ACCELERATE THIS. ALSO OUR OBESE POPULATION IS PUTTING MORE RISK TO THEIR HEARTS WHILE EXERCISING VIGOROUSLY. THEY SHOULD RATHER EXERCISE AT A SLOW LEVEL FIRST AND INCREASE INTENSITY GRADUALLY.
WEEK END EXERCISERS ARE ADVISED TO DO THE SAME; THEY SHOULD ALSO START SLOW AND WITH MODERATION.
TO AVOID THESE PROBLEMS ONE HAS TO KNOW ONE’S FAMILY HISTORY OF CARDIAC DISEASE AND SUDDEN DEATH. TALK TO YOUR DOCTOR ABOUT THE POSABILITY OF ATHEROSCLEROSIS OR CARDIOMYOPATHY ( HEART MUSCLE DISEASE) BEFORE UNDERTAKING STRENUOUS EXERCISE.
PAY ATTENTION TO SYMPTOMS OF UNUSUAL FATIGUE, SHORTNESS OF BREATH OR CHEST PAIN WHILE EXERCISING.
IN GENERAL THOUGH EXERCISE IS MORE LIKELY TO STRENGHTHEN OUR HEARTS THAN HARM THEM.

Blood Tests Available for Cardiovascular Risk Assessment

CHOLESTEROL TESTING, EVEN LDL AND HDL LEVELS ARE NOT ENOUGH!
PARTICLE SIZE AND COUNT ARE MORE IMPORTANT!
IT IS BEST TO HAVE BIG BUOYANT LDL PARTICLES AND A SMALL NUMBER OF THEM.
NMR LIPO PROFILE WILL DETERMINE THE SIZE AND THE COUNT OF LDL PARTICLES.
LDL-P IS THE LPL PARTICLE NUMBER. IT IS BEST TO HAVE THE LEAST OF THOSE PARTICLE NUMBERS.
THE SIZE OF THE LDL PARTICLE CAN ALSO BE DETERMINED. HIGH NUMBER OF THE SMALL LDL PARTICLES CAUSE CARDIOVASCULAR DISEASE.
HDL –P IS THE COUNT OF THE GOOD HDL PARTICLES, THE BIGGER THE NUMBER THERE, THE HEALTHIER YOU ARE.
ALSO LP-IR SCORE NEEDS TO BE LOW AS POSSIBLE, AS A HIGH NUMBER IS ASSOCIATED WITH A BIGGER PROBABILITY OF INSULIN RESISTANCE.
SUMMARY: YOU WANT A LOW LDL-P, LOW SMALL LPL-P NUMBER AND LOW LP-IR SCORE COMBINED WITH A HIGH LDL-P NUMBER AND LARGE LDL –P.
ALSO ONE CAN TEST WHETHER THE LDL CHOLESTEROL IS OXIDIZED OR GLYCATED. BOTH ARE IMPORTANT AS OXIDIZED CHOLESTEROL PRODUCES INFLAMMATION AND PLAQUE BUILD UP WHICH MAY RESULY IN A HEART ATTACK. OXIDIZED LDL CAN BE TESTED WITH 2 OTHER MARKERS : F2-ISOPROSTANES AND MPO . MPO, ALSO A MARKER FOR INFLAMMATION AMPLIFIES INFLAMMATION. OXIDATION OF LDL CHOLESTEROL MAKING IT MORE PLAQUE FORMER. IT REDUCES NO . IT ALSO OXIDIZES HDL CHOLESTEROL MAKING IT NOT HELPFUL. F2 ISOPROSTANES ARE INVOLVED IN OXIDATIVE STRESS CAUSING CARDIOVASCULAR DISEASE. PEOPLE WITH ELEVATED F2-ISOPROSTANES ARE 30 TIMES MORE LIKELY TO DEVELOP HEART DISEASE. IT IS TESTED IN THE URINE GLYCATED CHOLESTEROL BECOMES OXIDIZED AND IS ALSO VERY DANGEROUS, TO TEST FOR GLYCATION, HEMOGLOBIN A1C TELLS US WHAT THE BLOOD SUGAR HAS BEEN DURING THE LAST 3 MONTHS.
ANOTHER TEST IS THE MTHFR GENE TESTING WHICH DEALS WITH METHYLATION AS MANY PEOPLE CANNOT METHYLATE AND CANNOT BENEFIT FROM FOLIC ACID SUPPLEMENTATION. THIS LEADS TO HIGH HOMOCYSTEINE LEVELS WHICH ARE DETRIMENTAL TO CARDIOVASCULAR HEALTH,
IT IS IMPORTANT TO KEEP FOLIC ACID LEVELS HIGH TO PREVENT LACK OF MEMORY AND DEPRESSION. COMT GENE CODES CAN TELL US HOW WELL WE RESPOND TO STRESS, PAIN, HORMONES, EMOTIONS AND MEMORY.
ANOTHER TEST IS THE OMEGA CHECK WHICH DETERMINES ABOUT OMEGA 3S AND 6S IN ONE’S BLOOD. A RATIO OF OMEGA 6 TO OMEGA 3 SHOULD BE IDEALLY 4. TYPICAL RATIO IS 8.1 BUT MOST AMERICANS’ RATIO IS AN UNHEALTHY 23. EVEN IF ONE TAKES FISH OILS, THE TEST SHOULD BE DONE. . IT TELLS WHETHER ONE IS ASSOCIATED WITH SUDDEN CARDIAC DEATH. THE OMEGA CHECK IS ANOTHER KEY MARKER FOR INFLAMMATION. CRP IS ANOTHER MARKER.
SLEEP APNEA PUTS ALSO AN INCREDIBLE BURDEN TO THE BODY AND TO THE CARDIOVASCULAR SYSTEM, CAUSING ACUTE MYOCARDIAL INFARCTION.