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It’s not “fat” but what kind of fat you eat that makes your belly bigger!

17 Jun

This month, the United States Food and Drug Administration (FDA) asked all processed food manufacturers to add an “Added Sugars” category to food labels. Food manufacturers are fighting the FDA on this request. We hope (for the sake of your longevity and health) that the FDA wins because added sugars and syrups (as well as simple carbs) are three of the Five Food Felons™.

Two other members of the Five Food Felons™ are saturated and trans fats. The FDA has proposed banning trans fats (we hope the FDA wins here as well). But the big news for your health is a study published this past month showing that the type of fat you eat—saturated versus unsaturated—makes a bigger difference than we thought. Saturated fat include palm and coconut oil (despite what Dr. Oz used to say), as well as two-legged animal skin (birds) and fat from four-legged animals.

In this brilliant study conducted at Uppsala University, subjects were given 750 extra calories a day for seven weeks in muffins that were made largely with saturated fat (one group) or unsaturated fat (the other group).

While both groups ate more fat and gained weight, those who consumed saturated fat gained fat in their bellies that we know turns on genes that cause inflammation (which causes things like arthritis). The participants who ate the muffins with unsaturated fat showed an increase of fat in their muscles and they also gained muscle mass and there were no apparent signs of inflammation. The health admonition is not to “avoid fat”, but avoid these specific fats (saturated fats).

Are avoiding heart disease, wrinkles, and arthritis not enough to make you change the way you cook and how you order when you eat out? In two other recent studies, avoiding higher blood sugar levels and avoiding saturated fat was associated with much less cognitive decline in animal models and in humans (read, avoiding memory loss and dementia).

If you want to live long and healthfully, with less disability, you just can’t exercise the calories away and stay healthy. You need to choose the right foods. Avoid added sugars and syrups, and any grain that isn’t 100% whole grain, plus all trans-fat, and as much saturated fat (including coconut and palm oil) as you can.

These five food felons cause damage to your proteins or turn on genes that cause you to suffer.

Now, almost no one can totally avoid saturated fat and added sugars, but if you stay at less than 4 grams of either in any hour and less than 20 grams of either in a day, you will place yourself in among the healthiest eaters, and that will help keep you well and vigorous for longer…and YES YOU GET A DO-OVER. So, change now. In five years, it will be as though you never consumed saturated fat or added sugars. And let’s hope the FDA wins its labeling battles so it becomes easy for you to live long and with fewer disabilities along the way.

Thanks for reading. And feel free to send more questions–you can always send us questions at youdocs@gmail.com, and some of them we may know enough to answer (we’ll try to get answers for you if we do not know).

Young Dr. Mike Roizen (aka, The Enforcer)

NOTE: You should NOT take this as medical advice.
This article is of the opinion of its author.
Before you do anything, please consult with your doctor.

You can follow Dr Roizen (and get updates on the latest and most important medical stories of the week) on twitter @YoungDrMike.

Feel free to continue to send questions to youdocs@gmail.com. You can follow Dr Roizen on twitter @YoungDrMike (and get updates on the latest and most important medical stories of the week). The YOU docs have a new web site: YOUBeauty.com and its companion BeautySage.com the only site we know of where you can find skin products proven to meet the claims (opened for business on June 1st, 2012), and a new book: YOU: The Owner’s Manual for Teens.

Michael F. Roizen, M.D., is chief wellness officer and chair of the Wellness Institute at the Cleveland Clinic. His radio show streams live on http://www.healthradio.net Saturdays from 5-7 p.m . E-mail him questions at YouDocs@gmail.com. He is the co-author of 4 #1 NY Times Best Sellers including : YOU Staying Young and YOU: The Owner’s Manual. He is Chief Medical Consultant to the two year running Emmy award winning Dr Oz show– The Dr Oz show is #2 nationally in daytime TV. See what all the fun is about, and what he, The Enforcer, is up to. Check local listings or log onto DoctorOz.com for channel and time. And for more health info, log onto youbeauty.com anytime.

Carpal Tunnel Syndrome – What Is It?

16 Jun

Carpal Tunnel Syndrome (CTS) basically occurs when pressure is applied to the median nerve as it travels through the wrist on the palm side resulting in numbness, tingling, pain, and later, weakness of the grip and pinch functions. But, the median nerve can be pinched at many other locations as it courses down from the neck to the hand, which is why we examine and treat the CTS patient from the neck down! The median nerve has been described as the “eye of the hand,” as it is one of the three major nerves formed from the brachial plexus– that “highway” of nerves made up of the C5-T2 roots leaving the neck, merging together to eventually form the three main nerves of the arm. Because the median nerve function regulates pinch and grip strength, buttoning a shirt, writing a note, driving a car, and even sleeping are ALL affected by a median nerve pinch. But WHAT is CTS? Let’s take an “inside” look!

We know that fast, repetitive motion-related jobs like meat or fish packing plants, assembly line work, sewing occupations, and the like can cause CTS over time. Look at the palm side of your wrist and wiggle your fingers. Do you see ALL THE MOVEMENT that is occurring just before the wrist in the forearm? That motion is coming from the tendons, which like shoe strings, attach the forearm muscles to the fingers. Notice ALL the movement in your forearm muscles closer to the elbow – that’s a lot of motion! There are nine tendons that are covered by a lubricating sheath that help the fast moving tendons reduce friction, thus decreasing the chances for heat build up, swelling (inflammation), and subsequent pain and loss of function. But, there is a limit or threshold that the tendons and sheaths can withstand before they just can’t keep up. These nine tendons and sheaths are quite tightly packed together as they leave the forearm and enter the carpal tunnel.

The carpal tunnel is made up of eight small wrist bones called the “carpal bones,” and ANYTHING that makes that tunnel more narrow can effectively cause CTS. If we look at what happens INSIDE the tunnel in the CTS patient, the venous blood flow and nerve flow (called “axonal transport”) is blocked when the PRESSURE inside the tunnel occurs. We all know what it feels like when a blood pressure cuff is inflated on our arm – if it’s pumped up too high or left on too long, the arm REALLY HURTS! That’s because the blood can’t get past the inflated cuff and oxygen can’t get to our muscles and tissues past the cuff and IT CAUSES PAIN!

To give you an appreciation of the pressure difference between the normal vs. CTS wrist, normally, the pressure ranges between 2 and 10 mmHg. We pump up a blood pressure cuff to about 150-200 mmHg when we take blood pressure, so this is NOT MUCH! This 2-10 mmHg pressure increases when we change the position of our fingers, wrist and forearm with wrist extension (bending the hand backwards), causing the greatest pressure increase. This is why we fit the CTS patient with a wrist “cock-up” splint to be worn at night since you can’t control your wrist position when you sleep and any bent position increases the pressure and can wake you up due to numbness, tingling, pain prompting you to shake and flick your hands and fingers until they, “…wake up.” When CTS is present, the pressure inside the tunnel goes up exponentially, meaning NOT 2 or 3 times, but 6, 12, 24 times what is normal and even higher! Now, if you add wrist bending (extension > flexion), the pressure REALLY gets high and it doesn’t take long for the nerve pinch and blood loss to wake us up. We’ve previously talked about other conditions that can make developing CTS more common or make it worse like hypothyroid, diabetes, arthritis, kidney disease, and more. AGAIN, this is because an increase is pressure results from these conditions (increased swelling = increased pressure = increased symptoms). As chiropractors, we will guide and manage your care through the healing process of CTS using a conservative, NON-SURGICAL treatment approach – TRY THIS FIRST!

We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs. If you, a friend, or family member requires care for Carpal Tunnel Syndrome, we would be honored to render our services.

The “Aging” Lower Back – Part 2.

12 Jun

Last month, we started a series on low back pain (LBP) in the geriatric population, and we discussed osteoarthritis (OA) and degenerative disk disease (DDD). As reported last month, this group of conditions often co-exist in this population, so we will continue this discussion this month…

A unique condition associated with OA and DDD is called “spinal stenosis” (SS). Stenosis means “narrowing,” and it applies to two locations in the spine: 1) The holes through which the nerves in our neck and back exit out of the sides of the spine (called “intervertebral foramen” or, IVF); and, 2) The “spinal canal” through which the spinal cord travels. When narrowing occurs on the sides of the spine where the nerves exit, it’s called, “lateral spinal stenosis.” When the spinal canal narrows, it’s called “central spinal stenosis.” Our spinal cord starts up in the neck as an extension off the brain stem and usually ends at the junction between the middle and lower back (around T12/L1) with the “cauda equina” (which literally means, “horses tail”) and extends downward. The cauda equina is made up of many nerves that travel down and exit out the sides of the lumbar spine (through the IVFs) and sacrum (tail bone) and transfer information (motor and sensory) to and from our legs and brain. When the size of the canal through which these nerves travel close down or narrow enough, sufferers will initially start feeling vague symptoms of leg heaviness or fatigue after walking for 30 or more minutes. As years pass and the IVFs or central canal become gradually more narrow, it may get to the point where a person can only walk a short distance because their legs, “…just won’t move.” A classic complaint of SS is only being able to walk for four to five minutes prior to needing to sit down for 30 seconds to a few minutes (usually five minutes at the most) after which time the leg complaints resolve and the process repeats itself. When the nerves are compressed in these tight canals and the legs become heavy and hard to move, the term, “neurogenic claudication” is used. Another “classic” finding of SS is that RELIEF occurs when the patient bends forward, such as on a grocery cart or, simply stopping and bending over can be immediately relieving in many cases.

Chiropractic adjustments and other techniques are often very helpful in these cases if it is not too far advanced. The good news is that it usually helps, so prior to considering surgery or injections for this, give chiropractic a try – it’s less invasive and safer. We can always refer you to the next step if the condition becomes too advanced and/or if the results become less satisfying.

Compression fractures are another common cause of back pain in the elderly population. They’re often caused by minor trauma in the presence of poor bone density (osteoporosis) which accounts for about 700,000 of the 1.5 million osteoporotic fractures. Interestingly, many patients do not know what they did to cause these fractures so only 25-30% actually go to doctors and have this positively diagnosed (by x-ray). Treatment varies depending on what the percentage of fracture occurred (a little vs. a lot), and in unstable cases, a procedure called kyphoplasty (where cement is injected into the collapsed vertebral body) may be appropriate. As chiropractors, we can help this population by offering nutritional counseling to improve bone density and often provide symptomatic relief with adjustments (low force types) and other modalities.

We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs. If you, a friend, or family member requires care for back pain, we would be honored to render our services.

Next Time You Drop Food on the Floor…

10 Jun

When you drop food on the floor, do you pick it up and eat it? If you do, you are not alone. According to a new study, 87% of people questioned said they would or already have eaten food that was dropped on the ground. Fifty-five percent of these people were women. Here is the most surprising statistic: 81% of the women who would eat the food follow what is known as “the five-second rule.” This “rule” states that food dropped on the floor is okay to eat as long as it is picked up within five seconds. Crazy? Perhaps, but there is also some science behind the idea. A new study recorded the transfer of certain common bacteria from the different types of floors to food over time (3-30 seconds). Both the type of floor and time had an impact on the transfer of bacteria. Bacteria was least likely to transfer to carpeted surfaces and most likely to transfer to tile or laminate surfaces. The bacteria was most likely to transfer to the dropped foods if they remained on the ground for more than five seconds. It also depends on how contaminated (clean or dirty) the floor surface is so don’t laugh the next time someone drops food on a seemingly clean floor, picks it up, and eats it claiming they’re abiding by the five-second rule!

Multiple Studies Show Breastfed Babies Have Higher IQs – But There is More to the Story…

9 Jun

There is quite a bit of proof that breastfeeding is superior to not breastfeeding. One benefit that has been shown in several studies is that breastfed babies have higher IQs and perform better in school. Well, now a new study sheds even more light on this subject. According to Sciencedaily: “A new study by sociologists at Brigham Young University pinpoints two parenting skills as the real source of this cognitive boost: Responding to children’s emotional cues and reading to children starting nine months of age. Breastfeeding mothers tend to do both of those things, said lead study author Ben Gibbs.” This study was published in the March 2014 issue of the Journal of Pediatrics. In other words, the authors do not believe the breast milk itself is the reason for the higher IQ and “smarter babies.” Instead, they believe it is the parenting that makes the difference.
Child development expert from Wayne State University, Dr. Sandra Jacobson, praised the study and said, “Children in the study who were breastfed for six months or longer performed the best on reading assessments because they also experienced the most optimal parenting practices.” It seems that parents who make the decision to breastfeed are also willing to make the decision to do other things that maximize the development of their children.

13 Facts You May Not Know About Your Own Body!

5 Jun

1. Nerve impulses in the brain travel as fast as 170 miles per hour (105.6 km/hr).
2. The brain operates on the same amount of power as a 10-watt light bulb.
3. Your brain uses 20% of the oxygen that enters your blood stream.
4. The brain is more active at night than during the day.
5. Eighty percent of the brain is water.
6. The largest internal organ is the small intestine.
7. The heart creates enough pressure to squirt blood 30 feet (~9 meters).
8. The acid in your stomach is strong enough to dissolve razorblades.
9. The surface area of a human lung is equal to a tennis court.
10. The hardest bone in the body is the jawbone.
11. The feet account for one quarter of all the human body’s bones.
12. The tooth is the only part of the body that can’t repair itself.
13. Facial hair grows faster than any other hair on the body.

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