Archive | Dr. Roizen RSS feed for this section

A Multi For Preventing Cancer.

9 Jan

Dr. Michael F. Roizen

Co-Author of 4 #1 NY Times Bestsellers including: YOU Staying Young.

The Owner’s Manual For Extending Your Warranty (Free Press)

Our basic premise is that your body is amazing.  You get a do over. It doesn’t take that long, and it isn’t that hard if you know what to do.  In these notes, we give you a short course in what to do so it becomes easy for you, and for you to teach others. We want you to know how much control you have over your quality and length of life.

In these articles, we’ve repeatedly recommended a multivitamin (“multi”) as an insurance policy against deficiency from an imperfect diet.  Now, there is an even more important reason.  But first, let’s deal with our premise that a multi is an insurance policy against an imperfect diet. Since only 190,000 of the over 26 million people who have taken the full nutrition program at RealAge (it’s free at RealAge.com) get the right amount of vitamins and minerals from diet alone, we believe that taking half a multi twice a day is exactly that, an insurance policy against a less than perfect diet.

But, it is more than that.  A headline randomized controlled study (the gold standard of studies) from this October’s Journal of the American Medical Association indicates a daily multi prevents cancer.  That’s big! A daily multi (actually half a multi twice a day) decreased non-prostate cancer by 12%. Prostate cancer was equal in the placebo and multi group. (The data came from the Physicians’ Health Study-II, a long-term study of the health of male Physicians over the age of 50.)

50 to 87% of Americans are short of vitamin D in published studies and you need it to help fight cancer (see below), to keep arteries young, and to aid brain function. So, make sure you get it measured and take what is needed to keep its level normal. Also, vitamin D3 is essential for calcium absorption and incorporation into bone.  Why ½ of a multivitamin in the morning and half in the evening?  You pee out the water soluble vitamins in 8 to 16 hours so you need it twice a day.

When you think about it, much of what we do and use for our health really boils down to protection. For example, we wear helmets to protect us from an accidental brain smoosh and running shoes to protect us from shards of glass. Perhaps the greatest protector of all is the one that you can’t buy in any store or order from any online discount warehouse (though there’s an idea). It’s the p53 tumor suppressor gene, which has the job of recognizing when your cells are at risk of developing into cancer and doing what it can to put a stop to it. Its job (that of biological guard dog and computer spell-checker rolled into one mean gene) is to protect your body. Do you know what is essential to turn on your p 53 gene? It seems it is something in that multi.  In that randomized study of a multi or placebo, the individuals less likely than usual to get cancer were those physicians with 1/5th the smoking rate of the general population, exercised more than usual, took a daily aspirin more than the population as a whole, and were thinner.  Thus, a 12% reduction in all non-prostate cancers (what the multi had) was a very big deal.  A big enough deal for me to take the multi for that reason alone.  Even though I eat 9 servings of fruits and veggies a day on average, I also need a multi as an insurance policy against an imperfect diet.

Thanks for reading.

Young Dr Mike

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.

 

 

You’re Not Dead Yet!!

4 Jan

Dr. Michael F. Roizen

Co-Author of 4 #1 NY Times Bestsellers including: YOU Staying Young.

The Owner’s Manual For Extending Your Warranty (Free Press)

Our basic premise is that your body is amazing:  You get a do over: it doesn’t take that long, and isn’t that hard if you know what to do.  In these notes, we give you a short course in what to do so it becomes easy for you and then to teach others. We want you to know how much control you have over your quality and length of life.

This month, one of our readers, John (not his real name, he asked that not be printed) wrote in with: “I recently had a heart attack while having sex… [I] want to know when I can start enjoying sex again… and how will I know if I am in trouble short of serious chest pain…that was the first sign last time. My doctor doesn’t seem to want to address those questions with me.”

I’ll start my answer by referencing a favorite PBS show, Monty Python’s Holy Grail (look it up on YOUTube).  In one memorable (for me at least) scene, John Cleese carries out John Young (a dead body), when John Young utters the immortal words, “I’m not dead.”

I want to be very clear about this, John: If you’ve had a heart attack and you’re reading this, you’re not either! That means you can live life passionately.

Yes, check in with your doctor, but if it’s been 10 days since you were released from the hospital and you’re healthy enough to walk at a nice pace for a mile or so, and climb two flights of stairs (a la Jack Nicholson in “As Good As It Gets”), then you’re likely to be cleared for sex.

Your doc is unfortunately typical. Most docs don’t talk about post-heart-attack sex with their patients. Only half of male and a third of female patients are ever told when to restart their love machine. Without that info, many patients are too timid to test the waters. So, I am glad you asked the question. Two long flights easily we say, and then get cleared by the doc.  I’ve been very disappointed that 87% or so of patients after heart attacks (both nationwide and in Cleveland and surroundings) do not avail themselves of either the usual cardiac rehab or any of the three Intensive Cardiac Rehab programs we offer [the ICR of Dean Ornish –paid for by Medicare, The Granddaddy of all programs–the Esselstyn Program (developed in Cleveland)—or the Lifestyle180 program].

You should take one of these programs (many are offered in other parts of the country) if you are at high risk of a heart attack, so you don’t have another one.

By the way, beta blocking drugs like metoprolol were commonly prescribed after heart attacks until two months ago for rhythm control if you had abnormal heart beats after your attack.  But, they caused patients to eat more, have insulin resistance and even have problems achieving an orgasm. New data supports rhythm control with rhythm specific drugs, which means you won’t need those beta blockers and can probably perform better (better orgasms for both males and females). If you are at high risk (50% of men over 65 are), and don’t go for Intensive Cardiac Rehab, and do have a heart attack, you’ll probably feel like a dolt – and you should. You can prevent all that pain, and suffering for you and your loved ones, and not have that heart attack in the first place. (The Essy program is only one day!)

Worse, worrying about sex after a heart attack can be harder on the heart than having sex. Sex reduces stress, and reducing stress and having a great partner with whom you enjoy life helps reduce heart-stopping belly fat. That’s one reason why sex twice a week cuts your risk of heart attack in half.

By the way, why would Medicare pay for it? Probably because it just might save your life, allow you much more fun (I’m not sure Medicare cares about your fun), and reduces your lifetime Medicare costs (Intensive Cardiac Rehab does in randomized controlled trials). So, don’t be an 87 percenter and remember, if you are reading this, you aren’t dead yet.   So John, and all you John wannabees, after that two flights of stairs test and after Intensive Cardiac Rehab has started, snuggle up with your honey and remember: you’re doing this for your health!

Thanks for reading.

Young Dr Mike

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 TeensIt makes a great (even late) graduation gift.  Thanks for reading.

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.

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.

 

Getting The Most From A Doc Visit, and Bacteria For Avoiding Colds…

2 Jan

Dr. Michael F. Roizen

Co-Author of 4 #1 NY Times Bestsellers including: YOU Staying Young.

The Owner’s Manual For Extending Your Warranty (Free Press)

Our basic premise is that your body is amazing.  You get a do over. It doesn’t take that long, and it isn’t that hard if you know what to do.  In these notes, we give you a short course in what to do so it becomes easy for you, and for you to teach others. We want you to know how much control you have over both the  quality and length of your life.

5 Steps to Turn a “Dud” Check-Up Into a Get-Younger Plan:

Just showing up isn’t what makes a doctor visit valuable. The value is in actually getting a plan to stay healthy, and then following it to live a longer and happier life. You can transform that all-too-often rushed doctor’s appointment to make sure you’re not in the 50% of patients who walk out not knowing what to do next. We believe in a plan.

Step one:  Partner up with your doc. We docs love it when you become the world’s leading expert on you, your body, and your health. Knowing as much as possible about any health conditions you have, and about treatment options, helps you make smarter decisions.

Step two: Come prepared. Bring along a list of the drugs, supplements and remedies you take, extra medical info (like X-rays or reports from other docs), all your health insurance information, and a note pad and pencil (maybe a tape recorder and/or a friend or relative).  Write down in advance any special questions you want answered.

Step three: Set health goals with your doctor. Do you need to quit smoking? Lose 15 pounds? Lower blood pressure or LDL cholesterol by 20 points? Spend 10 minutes a day chilling out to ease stress? Set a real target, with a “done by” date. (Need to start exercising? Not ready to walk for 30 minutes today? If you can get out the door, down to the corner and back in 15 minutes, start there and do it every day for a week. Next week, add a couple minutes. Get a walking buddy, or go to http://www.EnforcerECoaching.com—there is a charge.)

Step four: Find out what to do at home. Would a home blood pressure monitor, a new blood-sugar meter, a smart phone app that tracks your fruits and vegetables, or headphones help you reach your goals?

Step five: Schedule a follow-up visit. It’s good to see how you are doing on your plan and make midcourse corrections to your plan as indicated.  You want to get to 5 “normals” as a minimum (blood pressure, weight for height, LDL cholesterol, fasting blood sugar, and absence of tobacco use) all with or without medications,whatever it takes for you to hit your plan goals for this and each year. That’s the real value of the yearly check-up with your doc.  That check-up isn’t just to get a blessing (no cancer, whew), it is to set targets and then ensure you have enough support to hit ‘em.

Reducing Colds With Bacteria:

Lurking in the 20-plus feet of your intestines are trillions of bacteria, some good, some bad, and none good looking! In fact, they make up between 40% and 60% of what you excrete (if you’re typical) every day.

But don’t let that bug you! You have more of these friends (we hope), 10 trillion, than you have of your own cells.  These microscopic creatures make up your microbiome, the inner world of bugs (bacteria really) that swirl through your digestive system in a sometimes friendly, sometimes adversarial tango to promote immune strength, protect you from infection, help you control your weight (or send it up, up, up), and ease digestive woes. And yes, they battle the common cold too.

The one billion colds that afflict North Americans every year may have met their match in the gut-dwelling bacterial duo Lactobacillus rhamnosus (also in yogurt) and Bifidobacterium animalis ssp. B12 (in fermented milks, infant formula) and maybe in other probiotics.

When college kids (notoriously susceptible to colds because of close living quarters, lack of sleep, and high levels of stress) were given a daily supplement packing 1 billion of each of those bacteria for 12 weeks, their colds were shortened by 2 days and they felt 34% better than kids who didn’t get the gut-strengthening buggers. So, opt for probiotic supplements in hard-shelled capsules – they make it through your stomach acid and bug that cold away!

Thanks for reading.

Young Dr Mike

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.

 

Building a Bigger Brain.

31 Dec

Dr. Michael F. Roizen

Co-Author of 4 #1 NY Times Bestsellers including: YOU Staying Young.

The Owner’s Manual For Extending Your Warranty (Free Press)

Our basic premise is that your body is amazing.  You get a do over. It doesn’t take that long, and it isn’t that hard if you know what to do.  In these notes, we give you a short course in what to do so it becomes easy for you, and for you to teach others. We want you to know how much control you have over both the  quality and length of your life.

What do your favorite wool sweater, your retirement savings account, and your brain have in common? They’re all better off if they don’t shrink! But the brains of the 79 million Americans (and millions more Canadians) with slightly elevated blood sugar levels are at risk for just that!

Even a little extra blood glucose shrivels grey matter. Once you develop dementia, extra sugar may help short term memory but can still be bad for the long term. This column is not for those already with dementia. Please see a specialist very quickly as there are over 20 totally reversible causes including drugs, B12 deficiency, thyroid disease, etc. It seems the areas of the brain where memories are processed (hippocampus) and thinking takes place (the amygdala) grew smaller in women and men whose blood sugar was in the prediabetes range, about 110 mg/dL on a fasting blood sugar test. (And if you progress from prediabetes to diabetes—as most people eventually do—you’ll accelerate shrinkage even more!)

Now, it’s true that the size of your brain shrinks with age if you do not do anything about it—perhaps ‘cause we humans live so long– but there’s a lot you can do to reverse prediabetes (that will protect all your organs, not just your brain), control your glucose levels so you don’t ever develop prediabetes, and keep your neurons firing at their best. Exercise is most important, followed by stress management.  For comparison, brain games increase hippocampal size less than 10% of the amount that exercise does.

1) Break Out Your Walking Shoes. Exercise stimulates the growth of new neurons and new connections between neurons by boosting levels of a protein called BDNF that acts like “Miracle-Gro” for the brain. Even a few 30-minute walks a week protect against cognitive decline as you get older, and they are even more effective than brain games or spending time with your BFFs. We recommend you aim for 10,000 steps a day; if you can do that, you will definitely be giving prediabetes the heave-ho.

2) Break Out Your Sweat Socks and Heart Rate Monitor. More vigorous physical activity at any age increases your hippocampal size, and your brain connections.  That’s why exercising your leg and core muscles may be the best games for your brain. Get your heart rate up to 85% of your age adjusted max for 20 minutes three times a week, and you’ll get maximum benefit.

3) De-stress daily and get help for depression. Chronic worry and anxiety nibbles away at brain cells and brain connections by switching on a gene that blocks the creation of new nerve connections. The same goes for depression.

4) Get B’s, C, D, E — and omega-3s. Loading up on noggin-friendly nutrients — found in produce, whole grains, fortified breakfast cereal, low-fat milk or ½ a multi twice a day (for vitamin B12), and oily fish like salmon and trout (or take 900 mg of DHA a day from an algal oil supplement) — could substantially reduce your risk for brain shrinkage. People who don’t get enough of this good stuff had 37% more brain loss in one eye-opening report.

5) Lower high blood pressure. Take your blood pressure readings seriously. Anything higher than 115/75 can cause white matter changes and damage the blood vessels that supply every brain cell with oxygen and fuel.

6) Stop Smoking and Second Hand Smoke Exposure. Puffing on tobacco products strangles the blood supply to your brain, like cutting your laptop’s power cord.  It’s also associated with inflammation in your body (including your brain).  Avoiding second hand smoke and avoiding inflammation in your brain makes you much smarter.

7) Consider Supplements That Decrease Insulin Resistance. Cinnamon (2 teaspoons a day), tumeric (17 mg as a food spice—Indian food is a great place to start), purified omega-7’s (420 mg a day), and coffee (more than 2 cups a day if your doc says that’s all right for you) all decrease insulin resistance and may all improve long-term brain function.

8) Go To Sleep. Chronic bed-time trouble is another brain minimizer. Nix afternoon caffeine, de-stress before you turn in, make sure your room is cool and dark, and that a snoring pet or human bedmate isn’t keeping you up. In the morning, snap up the shades and get some morning light. Missing out on sun exposure may also downsize your little gray cells.

We haven’t even mentioned brain games or even ping-pong, both of which improve brain function.  And all make your RealAge younger by many years. Next month, we’ll return to things to prevent breast and prostate cancer like daily cruciferous veggies, avoidance of getting too big a waist, and two baby aspirins with a half glass of water, if your doc agrees.

Thanks for reading.

Young Dr Mike

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.

 

New Research Shows How Sugary Drinks Are Probably Harming Children As Young As 2 To 5 Years Old…

24 Dec

“What we do for ourselves dies with us. What we do for others and the world remains and is immortal.”  ~ Albert Pine

Earlier this year, New York City Mayor Michael Bloomberg proposed a ban that would stop restaurants, delis, movie theaters, food carts, and stadiums from selling certain sugary drinks in containers larger than 16 ounces as a way to help combat obesity in the city. As you can imagine, there was enormous public and political backlash.

Eventually, an appeals court ruled against the proposed ban just before it could go into effect, citing that it was an overreach of executive power. While it may not be Mayor Bloomberg’s place to tell you or your children not to drink sugary drinks, research has tightly linked sugar-sweet beverage consumption to weight gain among older children.  But what about younger children?

New research published in Pediatrics, the official journal of the American Academy of Pediatrics, studied 9,600 children from birth to age five.  The researchers found correlations between sugary drink consumption by children as young as two years old and weight gain in later years. The drinks examined in the study were sodas, sports drinks, and any other sugar-added beverages or juice drinks that were not 100 percent juice.

Because of the study’s size and length of follow-up, many experts believe the information to be very valuable.

According to Dr. Dyan Hes, Medical Director of Gramercy Pediatrics in Manhattan, who has been lobbying for public policies like soda taxes that would make these drinks less attractive to families, “It’s a fantastic study because we need more evidence… We know that sugar-sweetened beverages are the greatest contributor to increased obesity in young children because they’re cheap. It shows that by giving your children sugar-sweetened beverages by age two, you’ve already set up habits that are very hard to break.”

Here’s what is really important about this study: The study did not find that two year olds who drank at least one sugar-sweetened drink to be any heavier than other two year olds.  But, drinking just one sugary drink per day did set those toddlers up for weight gain in the near future.  In fact, the children who drank at least one sugary drink per day were already heavier by the age of five.

According to Scientific America: In fact, they were 1.43 times more likely to be obese than preschoolers who consumed sugary drinks less than daily, even after accounting for other factors that could influence weight gain.  Mark DeBoer, Assistant Professor of Pediatrics at the University of Virginia, says the findings support the hypothesis that regular consumption of sugar-sweetened beverages has a cumulative effect over time. “We were struck by this data that even at a very young age, the sugar-sweetened beverages contribute to weight gain… and we wanted to put this information out for pediatricians and for families to help them make healthier choices for their children.”

Why Do Sugary Drinks Cause

So Much Weight Gain?

The answer to that question is most likely two-fold.  First, is simple caloric intake.

Sugary drinks are full of “empty calories.”  In other words, they contain very little (if any) nutritional value but are high in calories.  These calories, because they are liquid, do not make you feel full. So someone drinking all these empty calories will still need to eat solid food to feel full, increasing the total amount of calories consumed in a day. The second reason is how your body chemically reacts to sugar.  These types of drinks are usually loaded with fructose. Fructose can be harmful to your body by setting up the conditions for not only obesity, but also diabetes.

This “junk sugar” unstabilizes blood sugar levels and makes your pancreas work overtime.  Your pancreas is the organ responsible for secreting the hormone insulin so the sugar in your blood stream can be absorbed by cells.  After years of sugar consumption, the pancreas may “wear out” and an individual could become a type 2 diabetic.

Many type 2 diabetics start taking insulin injections when the better solution for many may to manage their blood sugar levels may simply be proper diet and exercise.  However, the best solution is to prevent the condition altogether by limiting consumption of bad sugar, such as sugary drinks (along with a proper diet and regular, moderate exercise).

Here Is Something Disturbing…

A UCLA study published in the Journal of Physiology is the first to show how a steady diet high in fructose can damage your memory and learning.

Researchers investigated the effects of high-fructose syrup. It’s similar to high-fructose corn syrup, a cheap sweetener six times sweeter than cane sugar which is used in most soft drinks, processed foods, condiments, and even many baby foods.

They fed rats a fructose solution instead of clean drinking water for six weeks. Then, they tested their ability to remember the way out of a maze.

The results were quite shocking.  The rats fed fructose syrup struggled to negotiate the maze, demonstrating significant impairment in their cognitive abilities.  They were slower and their brains showed a decline in synaptic activity.  Their brain cells had trouble signaling each other, disrupting the rats’ ability to think clearly and recall the route they’d learned six weeks earlier.

Additionally, the fructose-fed rats showed signs of resistance to insulin, a hormone that controls your blood sugar and synaptic function in your brain.

Researchers concluded that a high-fructose diet negatively affects the way the brain functions. According to Dr. Fernando Gomez-Pinilla, a Professor of Neurosurgery at the David Geffen School of Medicine at UCLA and a Professor of Integrative Biology and Physiology in the UCLA College of Letters and Science, “Our findings illustrate that what you eat affects how you think… Eating a high-fructose diet over the long-term alters your brain’s ability to learn and remember information.”

Don’t forget, if you ever have any questions or concerns about your health, talk to us. Contact us with your questions. We’re here to help and don’t enjoy anything more than participating in providing you natural pain relief.

 

Building a Bigger Brain.

24 Dec

Dr. Michael F. Roizen

Co-Author of 4 #1 NY Times Bestsellers including: YOU Staying Young.

The Owner’s Manual For Extending Your Warranty (Free Press)

Our basic premise is that your body is amazing.  You get a do over. It doesn’t take that long, and it isn’t that hard if you know what to do.  In these notes, we give you a short course in what to do so it becomes easy for you, and for you to teach others. We want you to know how much control you have over both the  quality and length of your life.

What do your favorite wool sweater, your retirement savings account, and your brain have in common? They’re all better off if they don’t shrink! But the brains of the 79 million Americans (and millions more Canadians) are at risk of not only shrinking but not growing right from the start!

“All work and no play makes Jack a dull boy.” That proverb has been around since at least 1695, and it was a creepily obsessive phrase in the 1980 movie The Shining (and look what happened there!). Yet, this very simple and profound observation has somehow gotten lost in our modern scramble to make kids smarter. Recess, that time honored tradition that lets kids work off their restless energy and teaches them everything from being part of a team to negotiating conflicts with classmates, has virtually disappeared from many school districts. (In some school districts instituting recess is a challenge. In Chicago, for example, nearly 100 elementary and middle schools have no playgrounds.)

But people who make such policies are finally beginning to realize that it’s a huge mistake to eliminate  playtime. The benefits of recess include: stimulation of creativity and imagination, improved physical health and control of obesity, building friendships, and an improvement in classroom attention and learning. Kids who have an hour of play first thing in the day learn better. Social-emotional learning should be woven into academic learning because it enhances a child’s ability to learn and to thrive.

So if your child goes to an elementary school that does not have recess, or you have school administrators who do not think recess is important, then speak up and step in.  If you have no outdoor space for recess, then help school teachers find creative ways to make the gym or a classroom work. If you have to take the issue up at parent-teacher meetings or the PTA, then do it. Your child’s health, happiness, and school success depend on it.

On to another topic…

Intestinal bacteria are big news: Breast milk contains 700 varieties (that’s good because it seems to build an infant’s immune system and digestive health). We now know these bacteria break down and generate amino acids and neurotransmitters that affect mood (these are true gut reactions); and it seems disruption of a healthy balance of gut bacteria may cause (or be the result of) type 2 diabetes. But perhaps the most astounding news is that a fecal transplant (putting someone else’s, um, healthy mix of gut bacteria into the GI tract of a person suffering with Crohn’s disease or a C. difficile infection) can banish chronic diarrhea PDQ. But it sounds so… what’s the scientific word? Icky.

Well, now there’s an artificial mixture of gut bacteria that’s called, we kid you not, RePOOPulate.  In tests, people with “untreatable” C. difficile infections (that’s the bacteria that can thrive in the gut after treatment with antibiotics) saw their diarrhea clear up in three days after RePOOPulate-ing. Six months later, they were still free of the sinister bug. This not-quite-as-personal bacterial transplant successfully rebalanced their gut with a healthy bacterial mix.

If you have chronic intestinal problems, get onboard with a probiotic regimen (we recommend Culturelle and Sustinex) and make sure you eat plenty of apples. They’re loaded with pectin (it’s what’s called a prebiotic); it helps balance gut bacteria in favor of the good guys. Asparagus, chicory root, garlic, onions, and oats are other prebiotics. And if that doesn’t help, talk to your doc about repopulating your intestines with friendly bacteria.

Thanks for reading.

Young Dr Mike

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.