DECEMBER 17, 2018 PRE DIABETES AND MALE INFERTILITY

We always turn female issue when a couple is having trouble with fertility. We hardly discuss causes of male infertility. A new study in the Fall 2018 revealed that pre diabetes among men might be related to infertility.

Hormone levels as FSH, E2 and testosterone were studied in men with pre diabetes versus normal subjects. Those with pre diabetes had decreased levels of certain hormones.

After reading this study I believe like the authors that more studies need to be done. Pre diabetes in males can be a cause of male infertility when the female has no other problems to cause infertility

Until tomorrow…

DECEMBER 14, 2018 COFFEE

Coffee is a popular drink throughout the world. I feel after reading, “ The Devil’s Cup” that coffee preparations vary from culture to culture. About 3/4 of all adults in the United States drink coffee. More than half of this number drink it every day. I drink coffee every day

I feel more research and studies need to be published about coffee. The studies that already have been done need to be read by the population at large. Here are some facts:

1. The risk of death decreases as coffee consumption increases among Japanese Americans , Latinos , African Americans and Caucasians

   2. Coffee contains multiple anti oxidants and ligans which are healthy for the body

   3. Coffee consumption decreases the risk of dying from liver cancer and related liver disease in Europeans

   4. Coffee consumption decreases the risk of Alzheimer’s Disease

   Give me a reason not to drink coffee ?

   Until tomorrow…

DECEMBER 13, 2018 ASPIRIN USE

Aspirin has been studied in many trials. Doctors encourage their patients to take an aspirin a day to prevent heart attacks and strokes. Aspirin at a daily dose of 100 mg was NOT seen to reduce the long term risk for cardiovascular or cerebrovascular events in a trial. There were 12000 non diabetics in this trial with numerous cardiovascular and cerebrovascular risks

Aspirin seems to be old hat. There are new studies to recommend other agents and a aspirin a day is not usually recommended all the time.

I often wonder once the patient has his high blood pressure and lipids controlled by conventional and integrative treatments— what is there left for aspirin to do?

Is there a role for aspirin today ? The ARRIVE trial was done more than 10 years ago. This trial advocated the use of aspirin.

Until tomorrow…

DECEMBER 12, 2018 DOWAGER'S HUMP

I haven’t seen the word dowager used in a long time. I remember it being used when referring to Helen Hayes in the movie Anastasia with Ingrid Bergman and Yul Brynner.

A recent study published in Menopause revealed that hormonal therapy in menopausal women can reduce the risk of the hyperhyphosis.

The results were convincing. I think less and less women should have reservations ( when appropriately discussed) the benefits of NHRT

Until tomorrow

DECEMBER 11, 2018 HEART AND LUNG

A recent study has revealed that a rapids decline in lung function is associated with a higher incidence of cardiovascular disease. The type of heart disease that is increased is heart failure

A rapid decline in forced expiratory volume is associated with a diagnosis of heart failure.

If you are or were a smoker have a pulmonary function test to determine your lung capacity. It is a non invasive test which can give your health care practitioner information about your lung status.

Until tomorrow…

This was observed over a three year period

DECEMBER 10, 2018 AUTONOMIC NERVOUS SYSTEM

It is helpful to think of neurotransmitters through the autonomic nervous system. You can test the autonomic nervous system by doing a non invasive test called ANSAR. It is easily done in offices with a computer program, blood pressure cuff and a pulse oximetry. Different measurements are taken in various positions and various maneuvers or exercises.

You can measure neurotransmitters by saliva and/or urine testing,. New York State DOES NOT allow such testing. I don’t understand why when these laboratories are certified in other states

When stressed, the sympathetic nervous system kicks in causing an increased heart rate, irritability and sweating along with decreased digestive function, lack of focus nd impaired short term memory. When in a parasympathetic mode , patients have fewer cravings, better metabolism, a happier mood, healthy bowel functions , improved focus and better sleep. Let’s all be in a parasympathetic mode

All practitioners should test the autonomic nervous system using ANSAR before prescribing NT’s as GABA, tyrosine, 5 HTP, phosphatidylserine, and even rhodiola.

Until tomorrow…

DECEMBER 8-9, 2018 AROMOTASE INHIBITORS AND PAIN

A class of drugs called aromatase inhibitors are at the cornerstone of breast cancer treatments. This class of drugs blocks the conversion of testosterone to estrogen. The problem with this class is the side effect of arthritis. These drugs are prescribed for 5 to 10 years- examples are letrozole, anastrozole, tamoxifen and exemestane. I have many patients who abandon this treatment due to the arthritis.

A recent study looked at using acupuncture to alleviate the pain. This is a wonderful way to allow you to continue the breast cancer treatment if the patient wants. Many of those women taking these drugs complain of feeling old and stiff after taking aromatase inhibitors. Acupuncture was an effective treatment option in this group of patients

There are supplements and herbs that act like aromatase inhibitors. These are chrysin, pomegranate seeds and even Red Clover

Until tomorrow…

DECEMBER 7, 2018 COPD

There are many causes of developing chronic obstructive lung disease. Smoking is the greatest risk factor.

The use of bleach can risk your developing a deadly lung disease by almost a third

I can remember the childhood days when my mother and grandmother used bleach on a regular basis. The National Institute of Health recently stated that individuals who regularly inhaled strong cleaning products were 32 % more likely to develop chronic obstructive pulmonary disease ( COPD)

Until tomorrow…