Surgical menopause: Effects, risks, and outlook. Menopause occurs when a woman has not had her period for 1. This process naturally happens as a woman ages, as the ovaries stop producing or produce reduced amounts of female hormone. This usually occurs when she is in her 4. However, some woman may go through menopause at a younger age. This is certainly the case for women who have had their ovaries removed. The ovaries are small organs situated either side of the uterus. They produce hormones, such as estrogen and progesterone, that control a woman's menstrual cycle. Without ovaries to release hormones, a woman will go through menopause at an earlier time. This can have both short- and long- term effects on women that they should prepare for and be aware of. Causes. Surgical menopause, which is also known as a bilateral oophorectomy, is a procedure in which a woman's ovaries are removed. In most cases, the procedure is minimally invasive, meaning a surgeon will make small cuts in the lower abdomen to access and remove the ovaries. Sometimes, a doctor will perform an oophorectomy along with other gynecological surgeries, including: hysterectomy, which is the removal of the uterussalpingectomy, which is the removal of the fallopian tubes that are near the ovariessalpingo- oophorectomy, which is the removal of both the ovaries and the fallopian tubes. Preventive surgery and surgical menopause. Read about cancer signs, stages, cells, symptoms, and types. Learn what cancer is and what causes it. Inform yourself about the role viruses play in contributing to. What are ovarian cancer risk factors? Melissa Conrad Stöppler, MD. Melissa Conrad Stöppler, MD, is a U.S. Not everyone with breast cancer will have symptoms before they are diagnosed. But, according to the Centers for Disease Control and Prevention, possible. Risk factors for breast cancer may be divided into preventable and non-preventable. Their study belongs in the field of epidemiology. Breast cancer, like other forms. There are several reasons why a doctor may perform an oophorectomy, which induces menopause. These include: Some women have an oophorectomy to reduce their risk of developing ovarian or breast cancers. Doctors call this a prophylactic oophorectomy. Women who have ovarian or breast cancers in their family history are at greater risk for developing these types of cancers. Some women undergo genetic testing to identify whether they have mutations in the BRCA1 and BRCA2 genes. These genes produce proteins that suppress cancerous tumor growth. However, if a woman has inherited genetic mutations to these genes, she is more likely to develop cancer types, such as ovarian and breast cancers. According to the National Cancer Institute, mutations in the BRCA1 and BRCA2 genes account for 1. These gene mutations also account for 2. Women who have these genes are more likely to get cancer, and at an earlier age. The ovaries produce hormones that can cause cancerous cells to grow more quickly, potentially increasing the risk for breast cancer. Removing the ovaries may reduce a woman's risk of developing the disease. The BRCA1 and BRCA2 gene can be identified through blood or saliva samples. If a woman has a family history of breast or ovarian cancers, some insurance companies will cover the costs of genetic testing and counseling to determine if she is more at risk. A positive result does not mean that a woman will develop breast or ovarian cancer, but she is at greater risk. A medical specialist known as a genetic counselor can discuss a woman's specific risks with her. Some women may opt for an oophorectomy due to having an increased risk of cancer. However, they should only have this surgery with a full understanding of the potential health effects of experiencing menopause early. Side effects associated with surgical menopause. Any surgery comes with some risks because a person is being put under anesthesia and a doctor is introducing instruments into the body. Learn all about prostate cancer - a form of cancer that affects men and starts off in the prostate gland. Read about the causes, symptoms and treatment options. NAMS has collected a list of definitions related to menopause. If you are looking for a guide to the medical lingo relating to this time of life, this list is for you. Breast cancer — Comprehensive overview covers symptoms, causes and prevention. Includes breast cancer treatments, such as mastectomy and lumpectomy. Counseling is required before undergoing genetic testing for breast cancer. During this educational counseling session, a health care provider will fully explain the. Immediate complications that could occur after surgery include infection, damage to nearby organs, or a blocked intestine. A surgically induced menopause may result in some long- term effects that a woman must also consider. Without her ovaries, a woman's supply of estrogen and progesterone decrease dramatically. This can cause a number of side effects, including: Menopause symptoms: These symptoms include hot flashes, reduced vaginal lubrication, difficulty sleeping well, and memory problems. How to Recognize Signs of Breast Cancer. Breast cancer occurs when your breast cells develop uncontrollably and a malignant tumor forms.http://www.breastcancer.org.While these symptoms do not always appear immediately after surgery, women who have had an oophorectomy are likely to experience them sooner than women who have not had the procedure. Osteoporosis: Estrogen can help to support strong bones. When the amount of estrogen decreases, a woman is at higher risk for osteoporosis, a bone- thinning disease. Having osteoporosis means that a woman is more likely to break her bones. Risk for heart disease: Less estrogen is associated with an increase in heart disease. This can lead to stroke, heart attack, and may affect heart function. If a woman did not have healthful habits before surgery, such as exercising, not smoking, and eating a nutritious diet, it is important that she adopts them afterward. A woman should discuss these risks and more with her doctor so that she can make the most informed choice about having surgery. Treatments. Doctors may prescribe hormone therapy after surgery to reduce the risk of side effects associated with surgical menopause. Hormone therapy is associated with an increased risk for breast cancer. However, women who undergo oophorectomy to prevent breast cancer before age 4. These include premature death, cancer, heart disease, and neurological disease. As well as hormone therapy, there are many ways a woman can reduce her surgical menopause symptoms at home. These include: Avoiding habits that increase the risk for hot flashes: These include not drinking alcohol and caffeine, not eating spicy foods, reducing stress, and limiting exposure to warm temperatures. Keeping cooling items to hand: Having a portable fan and ice water bottle nearby can help to provide some relief. Dressing in layers can also help, as a woman can take layers off if she experiences a hot flash. Using a water- based vaginal lubricant during sex: This can reduce the discomfort of vaginal dryness. Keeping the bedroom cool and quiet for better sleep: Other useful tips include avoiding large meals and smoking before bedtime. Going to bed at the same time every night and waking up at the same time every morning can also help promote good sleep rhythms. Taking steps to relieve stress: Relieving stress can go a long way in reducing menopause symptoms. Getting enough sleep, exercising, writing in a journal, meditating, and practicing yoga can all help. Some women may also join a support group for those with menopause or surgical menopause. Reaching out to friends and family or seeing a counselor may also help a woman relieve stress. Outlook. Women who have BRCA mutations can dramatically reduce their risks for breast and ovarian cancer through oophorectomy. Women who do have the BRCA mutations and have an oophorectomy reduce their breast cancer risk by as much as 5. However, it is possible that a woman may still develop breast or ovarian cancer for reasons unrelated to the BRCA genes. Surgical menopause can be an uncomfortable and unpleasant side effect associated with oophorectomy. However, there are medications and home remedies that can reduce symptoms whenever possible. Exploring these options with a physician can help a woman live a healthier life. Written by Rachel Nall, RN, BSN, CCRN.
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Effect of a High- Protein, Low- Carbohydrate Diet on Blood Glucose Control in People With Type 2 Diabetes. Abstract. There has been interest in the effect of various types and amounts of dietary carbohydrates and proteins on blood glucose. Blood Sugar DietsOn the basis of our previous data, we designed a high- protein/low- carbohydrate, weight- maintaining, nonketogenic diet. Its effect on glucose control in people with untreated type 2 diabetes was determined. We refer to this as a low- biologically- available- glucose (Lo. BAG) diet. Eight men were studied using a randomized 5- week crossover design with a 5- week washout period. The carbohydrate: protein: fat ratio of the control diet was 5. A blood glucose test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the body. Login to New Atkins Don't have a. Latest Posts. Blood glucose levels. I just wanted to ask about my glucose levels and see if. Blood Glucose Imbalances and Atkins. Atkins’ New Diet. The Atkins diet, also known as the Atkins. The test diet ratio was 2. Plasma and urinary . The mean 2. 4- h integrated serum glucose at the end of the control and Lo. BAG diets was 1. 98 and 1. The percentage of glycohemoglobin was 9. It was still decreasing at the end of the Lo. BAG diet. Thus, the final calculated glycohemoglobin was estimated to be . Serum insulin was decreased, and plasma glucagon was increased. Serum cholesterol was unchanged. Thus, a Lo. BAG diet ingested for 5 weeks dramatically reduced the circulating glucose concentration in people with untreated type 2 diabetes. Potentially, this could be a patient- empowering way to ameliorate hyperglycemia without pharmacological intervention. The long- term effects of such a diet remain to be determined. Data obtained in our laboratory (1–3) as well as from others (reviewed in 4) indicate that glucose that is absorbed after the digestion of glucose- containing foods is largely responsible for the rise in the circulating glucose concentration after ingestion of mixed meals. Dietary proteins, fats, and absorbed fructose and galactose resulting from the digestion of sucrose and lactose, respectively, have little effect on blood glucose concentration. We and others also have reported that even short- term starvation (hours) results in a dramatic decrease in the blood glucose concentration in people with type 2 diabetes (5). This seems to be due largely to a rapid, progressive decrease in the rate of glycogenolysis (5,6). Hepatic glycogen stores in turn are dependent on the content of carbohydrate in the diet (6). Thus, a reduced- carbohydrate diet should result in a lower overnight fasting glucose concentration. To test the hypothesis that a diet that is low in carbohydrate and particularly low in food- derived glucose could lower both the fasting and the postprandial blood glucose in people with type 2 diabetes, we designed a low- carbohydrate diet in which readily digestible starch- containing foods have been de- emphasized. However, the carbohydrate content is sufficient to prevent ketosis. This is in contrast to the low- carbohydrate diets being advocated for weight loss (7). We refer to this as a low- biologically- available- glucose (Lo. BAG) diet. In our study, we also attempted to ensure weight stability. The effect of 5 weeks of this diet on percentage glycohemoglobin and 2. C- peptide, . Urea, creatinine, uric acid, and other data related to the metabolism of protein after ingestion of the Lo. BAG diet will be reported in a subsequent publication. RESEARCH DESIGN AND METHODSMen with mild, untreated type 2 diabetes were studied in a special diagnostic and treatment unit (SDTU; similar to a clinical research center). All participants met the National Diabetes Data Group criteria for the diagnosis of type 2 diabetes (8). Participant characteristics are given in Table 1. The study was approved by the Department of Veterans Affairs Medical Center and the University of Minnesota Committees on Human Subjects, and written informed consent was obtained from all participants. The participants did not have hematologic abnormalities, kidney disease, liver disease, macroalbuminuria (> 3. Before the study, all participants were interviewed to determine their physical activity profile and food aversions and to explain the study process and commitment in detail. Participants confirmed that they had been weight stable for at least 3 months. They were instructed to maintain their current activity level throughout the study. Two weeks before beginning the study, the participants completed a 3- day food frequency questionnaire, with one of the days being a Saturday or a Sunday. This information was used to calculate the total food energy necessary to maintain body weight. None of the participants were being treated with oral hypoglycemic agents or insulin at the time of enrollment in the study. A 5- week randomized, crossover study design was used with a 5- week washout period between diets. The control (1. 5% protein) diet was designed according to the recommendations of the American Heart Association (9) and the U. S. Department of Agriculture (1. The diet consisted of 5. A second diet was designed to consist of 2. The saturated fatty acid content of the test diet was . This diet is referred to in the text as the Lo. BAG diet. The composition of the diets is given in Table 2. Participants were randomized to begin the study with either the Lo. BAG or the control diet by a flip of a coin. Six participants started on the Lo. BAG diet, and five participants started on the control diet. Unfortunately, three of the participants who started on the control diet did not complete the study for personal reasons (death of spouse, move across country, chose not to finish). Therefore, the data are presented on eight participants who completed both arms of the study. Participants were admitted to the SDTU on the evening before the study. The next day, standardized meals that contained 5. Participants were asked to remain in the SDTU during the study period with minimal activity. On the second day in the SDTU, standardized meals again were given. This diet was similar for both baseline studies and is referred to as “control/pre” and “Lo. BAG/pre” diet in the figures, depending on which study diet followed the inpatient stay. In addition to the meals at 0. Blood was obtained fasting at 0. Blood was drawn at a total of 4. After this 2. 4- h data accumulation period, the participants were sent home with all of the necessary food for the next 2–3 days as appropriate for the diet to which they were randomized. Participants returned to the SDTU every 2–3 days to pick up food and meet with the study dietitian. At that time, they provided a urine specimen for analysis of creatinine and urea to determine dietary compliance. They also were weighed and had blood pressure, total glycohemoglobin (t. GHb), and blood glucose measured. If their body weight decreased or increased on two successive occasions, then the total food energy of the meals was increased or decreased as appropriate to attempt to maintain weight stability throughout the study. In addition, participants were interviewed regarding dietary compliance, questions or concerns about the study, etc. At the end of the 5- week period, the participants again were admitted to the SDTU and blood was drawn as described above. At this time, the control or Lo. BAG meals (breakfast, lunch, dinner, and snacks) were given, as appropriate. When your blood glucose levels are falling. Atkins Induction Diet Improves Glycemic Control in. Atkins Induction Diet Improves Glycemic Control in Diabetes. The plasma glucose concentration and . Serum immunoreactive insulin was measured using a standard double- antibody radioimmunoassay method using kits produced by Incstar (Stillwater, MN). Glucagon and C- peptide were measured by radioimmunoassay using kits from Linco Research (St. Louis, MO) and Diasorin (Stillwater, MN), respectively. NEFAs were measured enzymically using a kit manufactured by Wako Chemicals (Richmond, VA). Weight was determined in street clothes without shoes on a digital scale (Scalitronix, White Plains, NY). Blood pressure was measured using a Dinemap instrument (Critikon/Mediq, Pennsauken, NJ). The net 2. 4- h incremental area responses were calculated using the overnight fasting value as baseline. Total 2. 4- h area responses were calculated using zero as the baseline. Both area calculations were done using a computer program based on the trapezoid rule. Statistics were determined using Student’s t test for paired variates, with the Statview 5. Brain Power, Calabasas, CA) for the Macintosh computer (Apple Computer, Cupertino, CA). P < 0. 0. 5 is the criterion for significance. Data are presented as the mean . At the end of the 5 weeks on the control diet, the average body weight was 2. After 5 weeks on the Lo. BAG diet, the average weight was 2. Thus, the average body weight decreased by 4 lb (1. Urine ketones were monitored twice weekly while participants were on the Lo. BAG diet. They were always zero to trace using nitroprusside impregnated Ketostix (Bayer, Elkhart, IN). Twenty- four–hour urine ketones were identical at the beginning and the end of the Lo. BAG diet (1. 96 . Before and after the control diet, they were 1. After 5 weeks on the Lo. BAG diet, the mean fasting concentration was 2. The 2. 4- h profiles were similar when the participants ingested either diet. The mean fasting glucose concentration before starting the control diet was 1. After 5 weeks on the control diet, the fasting glucose concentration was decreased to 1. Before starting the Lo. BAG diet, the mean fasting glucose concentration was 1. After 5 weeks on the Lo. BAG diet, the fasting glucose concentration was significantly decreased to 1. B). The mean 2. 4- h integrated net glucose area responses were similar precontrol, pre- Lo. BAG, and postcontrol (6. After 5 weeks on the Lo. BAG diet, the net mean 2. The total area response after 5 weeks on the Lo. BAG diet was decreased significantly (3,0. On the basis of these integrated areas, the mean glucose concentration over the 2. Lo. BAG diet, a 3. P < 0. 0. 00. 1). The mean fasting insulin concentrations before and after 5 weeks on both the control and the Lo. BAG diets were identical (1. The mean 2. 4- h integrated insulin area response above the fasting value was similar after the pre- and postcontrol diet and pre- Lo. BAG diet (5. 34 . It was decreased at 5 weeks on the Lo. BAG diet (3. 18 . This was a decrease of 4. Trump Accuses Comey of Perjury While Dodging Questions About Secret Tapes He Probably Made Up. At a White House press conference today, President Trump accused former FBI director James Comey of perjuring himself before the US Senate—a very serious charge—and further advanced the ridiculous charade that he can prove it all with secret “tapes” which almost certainly do not exist. After managing to stop tweeting for an entire day (hallelujah), the president let loose on Friday, accusing Comey of making “false statements and lies” while testifying under oath. On Twitter, Trump went so far as to declare “total and complete vindication” even though Comey explicitly stated the president leaned on him to end the investigation into his pal Michael Flynn. Trump previously characterized the FBI as being in a state of utter disarray under Comey, one of the several pretexts the president used to explain Comey’s firing before publicly admitting that what he really wanted was for that whole Russia thing to go away. So he has two weeks. In the wake of Comey’s testimony and Trump’s rebuttal, the American public has been left with the difficult decision. Should they believe the G- man who once threatened to quit his job as a US attorney on principle and whose former employees can’t find anything bad to say about him? Or the former casino owner who paid $2. Tough call. Meanwhile, seven of Trump’s current and former aides, including son- in- law Jared Kushner, are currently being scrutinized by a special counsel over their contacts with the Russian government. A special counsel that was only necessary because Trump’s attorney general suspiciously omitted his own exchanges with a Russian envoy during his Senate confirmation hearings. Maybe Merriam- Webster can just tweet the definition of “vindication” so the president can learn to use it properly. The One Arm Military Press – “Old School” but Effective. October 21, 2010. Correction: They already have. A reserve currency (or anchor currency) is a currency that is held in significant quantities by governments and institutions as part of their foreign exchange reserves. Hey there future handymen and handywomen! Looking to stock up on some new power tools? Before you stop on into your local Runnings store, you’ll want to have at. Creates some kind of life and death erotica, horrible and beautiful. Erotica of exploitation, defiance and embarrassment, and sadness. An almost Christian image, I. Trump previously characterized the FBI as being in a state of utter disarray under Comey, one of the several pretexts the president used to explain Comey’s firing. Aku bangun lepas tu aku bersiap nak gi UNDI. Today, the Mets found themselves in minor drama that had nothing to do with a rebellious mascot. The umpiring crew initially ruled that the Milwaukee Brewers’ ball.Are you FRUSTRATED by the fact that you bust your ass in the gym day after day but still seem to get nowhere? Are you EMBARRASSED by your scrawny, soft mushy body? In finance, a foreign exchange option (commonly shortened to just FX option or currency option) is a derivative financial instrument that gives the right but not the. Looking for an in-depth Body Beast review from a non-Beachbody coach? First off, I’m NOT a Beachbody coach; I review things because I love them. Beat Multiple Sclerosis with a Paleo Diet. By Dr. Mercola. Multiple sclerosis (MS) is a chronic, degenerative disease of the nerves in your brain and spinal column, caused through a demyelization process. Myelin is the insulating, waxy substance around the nerves in your central nervous system. When the myelin is damaged by an autoimmune disease or self- destructive process in your body, the function of those nerves deteriorate over time, resulting in a number of symptoms, including: Muscle weakness Imbalance, or loss of coordination Astigmatism and vision loss Tremors MS may progress steadily, or acute attacks may be followed by a temporary remission of symptoms. In the video above, Dr. Terry Wahls tells the inspiring story of how she reversed multiple sclerosis after seven years of deterioration on the best conventional treatments available - - simply by changing her diet! Nutrition for Your Brain and Central Nervous System. Nutritious food is an important part of feeling well and managing symptoms of multiple sclerosis. Foods to Avoid;. Your diet is an important tool when it. Good News About Multiple Sclerosis: It Can Be Helped By Diet.Through her research into MS, Dr. Wahls discovered that, for some unknown reason, in addition to the commonly known symptoms, MS patients' brains also tend to shrink. This roused her curiosity, and led her to research other diseases that have similar brain shrinkage, namely Huntington's, Parkinson's, and Alzheimer's disease. One common denominator is poorly functioning mitochondria. The Best Bet Diet for Multiple Sclerosis Can eating certain foods cause multiple sclerosis? Our Diet & Multiple Sclerosis Study showed immediate and. Results of the Diet & Multiple Sclerosis. Mitochondria are like little . But she wasn't improving, so she continued sleuthing through the medical research in search for an answer. When she discovered the Institute for Functional Medicine, Dr. Wahl began to find more clues. As mentioned earlier, myelin is an insulating, waxy substance that sheathes the nerves in your central nervous system. Your myelin also needs specific nutrients to function properly, such as: Vitamin B1 Vitamin B9 Vitamin B1. Animal- based omega- 3 fat Iodine Furthermore, the neurotransmitters in your brain need sulfur and B6 for optimal functioning. Eventually, Dr. Wahls designed her own eating plan, based on the nutrients she now knew she needed for optimal mitochondrial, myelin, and neurotransmitter function, because while your body can create some nutrients, others must be provided through your diet. A Paleo Diet Success Story. The majority of Americans eat high amounts of processed foods, which are loaded with high fructose corn syrup, grains, and harmful chemical additives of all kinds, such as MSG, and artificial sweeteners like aspartame. Unfortunately, this kind of diet is a near- foolproof prescription for chronic disease! While two- thirds of American adults now have either excess weight or obesity, many if not most of them are also, simultaneously, malnourished. According to the graph shown during Dr. Wahls speech, less than half of all Americans get enough vitamin B6 and magnesium in their diet. More than 7. 0 percent do not get sufficient amounts of iodine, and a whopping 8. This, by the way, is why animal- based omega- 3 is one of the few supplements I recommend to virtually everyone. New Hope For Multiple Sclerosis Sufferers Date: October 24, 2008 Source: University of Cambridge. Diet and Weight Loss; Fitness; Healthy Aging. A calorie-restricted diet which mimics the effects of fasting may reverse the symptoms of multiple sclerosis and help. While there’s no one specific diet for multiple sclerosis (MS), eating healthy foods. Sign Up for Our Living with Multiple Sclerosis Newsletter. Health / Multiple Sclerosis. 5, 1974, Lancet, Dr. Matheson's letter "Multiple Sclerosis and Diet" was published on p. Patients with abetalipoproteinaenemia. Treatment of Multiple Sclerosis. Diet and Multiple Sclerosis: A Neurologist’s Perspective-telelearning brought to you by the National MS Society and Can Do MS;. In comparison, ancient peoples and natives around the world who have not significantly altered their diet over time, consume anywhere between two- fold and 1. RDA) of nutrients! Wahls altered her diet to reflect the Paleo- style diet of the hunter- gatherers of old as follows: 3 cups daily (equal to one dinner plate, piled high) of green leaves, such as kale, which are high in vitamins B, A, C, K, and minerals 3 cups daily of sulfur- rich vegetables from the cabbage and onion families, mushrooms, and asparagus. Wild fish for animal- based omega- 3s Grass- fed meat Organ meats for vitamins, minerals, and Co. Q1. 0 Seaweed for iodine and selenium She eliminated processed foods, grains, and starches (which includes potatoes and corn). Amazingly, she began to notice significant improvement in just three months, and at the nine- month mark of her new diet, she was able to go on an 1. This is astounding when you consider that over the past seven years her condition had deteriorated to the point that she had to sit in a reclined zero- gravity chair and could only walk short distances using two canes. That is the power of nutrition! I'd like to add a few suggestions, though. Two factors in particular that can have a profound impact are vitamin D and artificial sweeteners such as aspartame. Vitamin D deficiency can play an important role in MS, and aspartame toxicity has been known to mimic diseases such as MS, so addressing these two items should be at the top of your list—in addition to improving your diet, of course, not in lieu of dietary changes. The Links Between Lack of Sun Exposure, Epstein- Barr Virus, and MSOptimizing your vitamin D levels, which is one of the best things you can do for your health in general, is also one of the best preventive strategies against autoimmune diseases like MS. A large number of studies have confirmed that your risk of MS increases the farther away you live from the equator. In fact, a lack of sunlight was identified as a risk factor for MS as early as 1. Within the United States, your risk of developing MS roughly doubles if you spend your childhood—up to age 1. Another previously established risk factor is the Epstein- Barr virus, which causes glandular fever. Over a decade ago, German researchers demonstrated the association between EBV and MS, showing that in contrast to control populations, 1. MS patients had antibodies against EBV! The authors suggested that EBV might play an indirect role in MS as an activator of the underlying disease process. In one recent study, published in the journal Neurology. B radiation (UVB) and Epstein- Barr virus (EBV) exposure in British MS patients. Using English national Hospital Episode Statistics, they obtained the prevalence of MS and infectious mononucleosis (caused by the Epstein- Barr virus) during the seven- year period, from 1. The UVB intensity data was collected from the US National Aeronautics and Space Administration. After evaluating the relationships between these three variables: MS prevalence, Epstein- Barr virus prevalence, and UVB intensity, they found that UVB exposure alone could explain 6. MS cases across England. When they combined UVB exposure and incidence of glandular fever, 7. The authors concluded that. The effect of UVB on generating vitamin D seems the most likely candidate for explaining its relationship with MS. There is a pressing need to investigate the role of vitamin D and EBV and how they might interact to influence MS risk to identify potential prevention strategies. Wahls mentions, sulfur is one of the essential nutrients missing in MS, and according to research by Dr. Stephanie Seneff, vitamin D supplements are unlikely to provide the identical benefits that you get when exposing large amounts of skin to the sun, as oral vitamin D supplements are unsulfated. One such study, published in 2. D- containing multivitamin supplements were 4. Keep in mind that this study was based on FAR lower vitamin D dosages than what we now know are needed, so if you optimize your levels, you're likely to reduce your risk by more than 4. As for dosage, if you're taking an oral supplement, it's important to understand that there's no dosage at which . The most important factor is your serum level, so you'll want to get your level measured regularly to determine if you need to take more or less than the general recommendation to stay within the optimal range. That said, based on the most recent research by Grassroots. Health—an organization that has greatly contributed to the current knowledge on vitamin D through their D* Action Study—it appears as though most adults need about 8,0. IUsof vitamin D a day. The Dangers of Aspartame. According to some experts, such as Dr. Russell Blaylock, a professor of neurosurgery at the Medical University of Mississippi, the damage caused by ingesting excessive amounts of aspartic acid from aspartame can cause serious chronic neurological disorders and a myriad of other acute symptoms. Aspartic acid is an amino acid. Taken in its free form (unbound to proteins), it significantly raises the blood plasma level of aspartate and glutamate. Wahls mentions the importance of antioxidants for proper cell and brain function. The aspartate and glutamate in aspartame have the opposite impact. Too much aspartate or glutamate in your brain kills certain neurons by allowing the influx of too much calcium into the cells. This influx triggers excessive amounts of free radicals, which kill the cells. This is why aspartate and glutamate are referred to as . Aspartame also rapidly metabolizes to methanol, another potent neurotoxin. Aspartame toxicity often reveals itself through central nervous system disorders and compromised immunity, and can mimic the symptoms of and/or worsen several diseases that fall into these broad categories. This drug is quite deceptive, because even though it's a natural substance, it's typically given in a dose that shuts down your body's natural feedback loop. As a result, it tends to do more harm than good. It is my strong recommendation to not use these drugs, as they are some of the most toxic drugs used in the field of medicine. Wahls is a poster child for the complete lack of benefit gleaned from such drug treatments. The profound healing that can be achieved using nutrition, and her dietary recommendations are spot- on. Below is a summary of my lifestyle recommendations for MS. Many are identical to the general health principles I've been teaching for years, but a few stand out as being specifically applicable to the treatment of autoimmune diseases such as MS. The preferred method to raise (and maintain) your vitamin D levels is by regularly exposing large amounts of your skin to sunshine, or by using a safe tanning bed. If neither is available, you can use an oral supplement of vitamin D3. As a general guideline, vitamin D experts recommend 8,0. IU's per day for adults, and about 3. IU's per pound for children, but you should take as much as is necessary to elevate and maintain your blood levels within the optimal range. Results of the Diet & Multiple Sclerosis Study. On Tuesday, January 1. Mc. Dougall Program made first contact with the Department of Neurology at Oregon Health & Science University (OHSU, the medical school in Portland, Oregon) with a proposal to study the effects of a very low- fat diet on Multiple Sclerosis (MS). OHSU was chosen because of Roy Swank, MD, head of the Division of Neurology at OHSU from 1. Swank was the founder of the low- fat dietary approach to MS. He was also my friend and one of my mentors. During his remarkable career Dr. Swank published dozens of studies in major medical journals showing that a low- fat diet would essentially stop the progression of MS. Unfortunately, his work never caused an impact on the practice of neurology, primarily because there is no financial incentive to promote simple diets to cure diseases. Drug therapies, costing $5. MS patients, even though they are largely ineffective. With the best efforts of well- meaning neurologists, half of patients diagnosed with MS will become severely disabled, or worse, within 1. The excuse medical doctors use for ignoring Dr. Swank’s cost- free, side effect- free approach is that his studies of 5,0. Drugs fit into this model with a placebo pill acting as the “blind and controlled” portion of the study design. Food is impossible to blind (because patients and investigators can see what they eat). Diet therapy is also fraught with the fact that people’s eating behaviors are hard to regulate and analyze. The Mc. Dougall Research & Education Foundation (a 5. Neurology Department of OHSU joined together in 2. MS therapy. In an effort to support Dr. Swanks’ observational research, we took on the task of doing a study that fellow scientists might respect: a single- blind, randomized, controlled trial of one year’s duration. On January 1. 5, 2. OHSU to conduct this study. Those in the intervention group were sent to the Mc. Dougall Program in Santa Rosa, CA for a 1. The raters (neurologists, radiologists, and other analysts) were “blinded” as to which patients were in the intervention (diet) group and which were in the control group (staying on the Western Diet). Over the next 4 years, 6. Most of the results have now been released and will soon be published in medical journals. Important Results. Permanent Compliance. Our small study has demonstrated the high compliance rate of participants with the Mc. Dougall Diet after attending the 1. Program in Santa Rosa, CA. Total fat intake for the diet group fell to 1. The control group continued to consume 4. We estimate that 8. Program 1. 00% of the time for the study period. This finding removes one of the most common reasons given by dietitians, physicians, and other advisors for not recommending diet therapy, and that is, “No one will follow a healthy diet.” We have proven this to be folklore. Our findings are that 8. Permanent Weight Loss. We also showed that people with MS who participated in the Mc. Dougall Program and followed the diet lost weight (average of 1. Again, reflecting permanent changes. Excess body weight is an obvious burden to activity for all people. Patients with MS should look to losing weight and improving physical fitness as a primary means to increase and maintain their function and independence. In addition, note that these findings are from a group of younger (4. Mc. Dougall Program in Santa Rosa, CA. For the study, people came to us seeking help for MS, not to lose weight. Heavier individuals (as we have in our usual Mc. Dougall 1. 0- day Programs) attain and maintain even greater reductions in weight than those observed from the Diet & MS Study. Permanent Reductions in Blood Lipids. The diet group lowered their bad “LDL” cholesterol by 1. L and total cholesterol by 1. L. Disease activity, as reflected by “enhancing lesions” found on MRI brain tests, is positively associated with both LDL and total cholesterol levels. Furthermore, research shows that more rapid disease progression and worsening disability is found in patients with higher LDL and total cholesterol levels. The underlying relationship between blood lipids and disease activity, disease progression, and worsening disability is due to the overall health and diet of people. Most importantly, reductions in lipids by dietary change are a result of better eating and reflect better health. Reductions in numbers attained with statins do not necessarily mean better health, and this is why real life benefits, such as fewer heart attacks and lesser chance of dying, are found to be small to imperceptible from statin therapy. Another important finding from our study was that triglycerides did not rise when people switched to a diet high in carbohydrates. There was actually a small reduction in these lipids (9. L) in their blood. Some dietary “experts” have preached a false message, that carbohydrates are bad for overall health, and especially the heart, because they cause a rise in triglyceride levels. This is untrue. Triglycerides are found to go up in experiments that are rigged to show this response by requiring patients to eat more food then they naturally desire and by overfeeding them sugars and refined flours. Permanent Reductions in Fatigue. According to the Multiple Sclerosis Society, “Fatigue is one of the most common symptoms of MS, occurring in about 8. It can significantly interfere with a person’s ability to function at home and work, and is one of the primary causes of early departure from the workforce.”Our Diet & Multiple Sclerosis Study showed immediate and permanent positive changes in feelings of “well being” of patients with MS. Benefits for fatigue measurements were observed within a month of beginning the intervention diet and were sustained at the same improved level throughout the year. People feel better because they are healthier. MRI Results Did Not Show Changes. The primary goal of the Diet & Multiple Sclerosis Study was to see, based on MRI images of the brain, a difference in the lesions characteristic of MS, often referred to as “plaques.” No real difference was seen between the “Diet” and “Control” groups; nor was a difference in disability or relapses seen between the diet intervention and control groups. Although disappointing, these results were not surprising, and were realized to be the ultimate outcome from the beginning of the study, just after randomization of our small number of people (6. Allocating the participants, via random assignment to the diet and control group, resulted in a bias against showing positive outcomes. The diet group consisted of much sicker patients than the control group. This is seen in a higher disability score (2. EDSS), greater number of relapses in the previous 2 years (1. MRI studies of the brain (4. If we had been able to include 6. I believe) we could have seen the positive effects of a low- fat diet on these parameters of this devastating disease. Unfortunately, the Mc. Dougall Research & Education foundation could only raise about $7. Mc. Dougall)I recently attended an international multiple sclerosis (MS) meeting in Copenhagen. Given the interest of the MS research and clinical care community in how obesity and vascular risk factors can accelerate disease activity over the long term, demonstrating the diet’s effects on weight and lipid, will be of great interest. We will write a research paper once all of the data has been analyzed. As the principal investigator of this one year long study, I saw more than 5. MS experience a life changing event for them and many times their families too. I myself underwent a unique transformation in my medical practice. Although my medical school and neurology training taught me the effects of malnutrition (both under and over eating) on human health, they did not teach the idea that diet therapy alone can be curative for many of these diseases, a concept that I learnt during the close interactions with Dr. John Mc. Dougall. As a neurologist, who specializes in immunological diseases of the nervous system including MS, I had little idea that diet and lifestyle could significantly effect MS disability. Recent research in MS suggests that people with MS, who have vascular risk factors such as high blood pressure, high blood fats, diabetes, and heart disease tend to have earlier disability, as early as 6 years, than those with MS who do not have these vascular risk factors. One of the common factors for these vascular disease developments, similar to the general population, in MS is poor diet and lifestyle. Diet intervention therefore represents a significant and potentially modifiable risk factor for MS disability. The sheer impact of preventable diseases such as heart disease and stroke (just two examples) in US is astounding. In the US, we are spending $5. Billion, with a B!!) each year on heart disease treatment. Eighty- six million Americans (more than one fourth of our entire nation’s population) have coronary heart disease. Among these, 1. 4 million have had a heart attack or stroke! The numbers are very scary but real!!! The number of people having new strokes each year in the US is almost 8. National Heart Lung and Blood Institute data) with almost 7 million people living with a history of stroke (American Heart Association). The estimated amounts that the US spent on stroke management in 2. During the past 6 years while I conducted this research of diet on MS, I became increasingly aware of the vastness of the other diseases caused by poor diet. This is not just true of developed countries such as ours but the worst thing is that prevalence and incidence of poor diet and lifestyle related diseases such as heart disease, hypertension, stroke, diabetes, high blood fats, and obesity has reached epidemic proportions in the developing countries, where 5. WebMD talks to experts about health risks and benefits of juicing fruits. Could Shift Work Damage DNA? Do They Work? Are They Healthy? The Promise. They're popular, but they aren't proven to do what they say they'll do: flush toxins out of your system. Thanks for visiting JuicingDietWorks.com! I've also bought a heavy duty juicer and one. Do Juice Diets Work? Here Is What A Juice Cleanse Does To. What exactly does a juice cleanse do to your body? BuzzFeed Life reached out to some. Now detox-diet makers are saying they'll. The Truth About Juice. In fact, they may be risky and even backfire. Still thinking about it? You should know this first. What You Can Eat and What You Can't. That depends on the particular detox diet you're following. There are many of them. Some involve fasting, or just drinking liquids. Others allow some foods, like fruits and vegetables. They typically are short diets - - they're not a way of eating you can stick with in the long run. Level of Effort: High. You'll be hungry and may feel weak. Whether or not a detox diet is safe depends on the plan and how long you stay on it. Most people don’t feel good on low- calorie, nutrient- poor diets. Potential side effects include low energy, low blood sugar, muscle aches, fatigue, feeling dizzy or lightheaded, and nausea. If the idea of detoxing appeals, you might try . That's good for you and more likely to give you results that last, especially if you make exercise a habit. Limitations: You're going to go without a lot of the foods you usually eat. Detox diets are typically very rigid and involve eating the same few things over and over. Cooking and shopping: Depends on the detox plan you're following. Because there's not a lot you're allowed to eat, you won't have a long shopping list and prep work should be minimal. Packaged foods or meals: Some detox plans recommend herbs, pills, powders, enemas, and other forms of colon cleansing. Methods vary and often include products that are only available from the author’s web site. In- person meetings? No. Exercise: Not required, and you may not have the energy for it, because you're not getting that many calories. What Else You Should Know. Costs: Besides your grocery shopping, a detox diet may also call for some supplements and other products, which vary in cost. Support: None, except for resources you may find online. What Dr. Michael Smith Says: Does It Work? If your goal is weight loss, a detox diet might help you drop a few pounds, but you’ll likely just gain it back. In the end, you haven’t accomplished anything, and it’s certainly not a healthy approach. If your goal is to detox your system, don’t waste your time or money. Your body is an expert at getting rid of toxins no matter what you eat. Toxins don’t build up in your liver, kidneys, or any other part of your body, and you’re not going to get rid of them with the latest detox wonder. Especially avoid diets that promise to detox your liver with supplements or “cleanse” whatever the diet determines needs washing out. The only type of detox diet that is worthwhile is one that limits processed, high- fat, and sugary foods, and replaces them with more whole foods like fruits and vegetables. That clean- eating approach is your best bet to getting your body in tip- top shape. Is It Good for Certain Conditions? Not only are detox diets not good for people with certain medical conditions, they could be harmful. There is no research showing they improve blood pressure or cholesterol or have a positive effect on the heart. For people with diabetes, they may be quite dangerous. Any diet that severely restricts what you eat could lead to dangerously low blood sugar if you take medicine for diabetes. The exception would be a detox diet that just focuses on clean- eating. This approach would be great for anyone living with high cholesterol, high blood pressure, diabetes, and even heart disease. The Final Word. We’ve heard a great deal about detox diets in recent years. But it’s all hype with no health benefits. There are many ways to get your body clean and healthy. This isn’t one of them. What is the medical treatment for polymyalgia rheumatica? What is the prognosis for patients with polymyalgia rheumatica? Polymyalgia Rheumatica (PMR) Treatment, Causes & Complications. Polymyalgia Rheumatica (PMR) Complication. Temporal Arteritis (Giant Cell Arteritis)Giant cell arteritis, also called temporal arteritis or cranial arteritis, is a serious disease characterized by inflammation of the walls of the blood vessels (vasculitis). The vessels affected are the arteries (hence the name . Giant cell arteritis occurs in 1. The age of affected patients is over 5. Polymyalgia rheumatica (PMR) facts. Polymyalgia rheumatica (PMR) is a disease that causes pain and stiffness in muscles and joints. PMR is diagnosed by characteristic symptoms associated with abnormal blood testing for inflammation. Treatment of the disease involves taking low doses of cortisone medications. What is polymyalgia rheumatica? Polymyalgia rheumatica is a disease of the muscles and joints characterized by muscle pain and stiffness, affecting both sides of the body, and involving the shoulders, arms, neck, and buttock areas. People with the disease are typically over 5. Polymyalgia rheumatica is abbreviated PMR. PMR and temporal arteritis (giant cell arteritis) sometimes occur in the same patient. About 1. 0%- 1. 5% of people with PMR also have giant cell arteritis. What are polymyalgia rheumatica causes and risk factors? The cause of the condition is not known. Recent research has indicated that genetic (inherited) risk factors play a role in who becomes afflicted with the illness. Theories have included viral stimulation of the immune system in genetically susceptible individuals. Rarely, the disease is associated with a cancer. In this setting, the cancer may be initiating an inflammatory immune response to cause the polymyalgia rheumatica symptoms. What are symptoms and signs of polymyalgia rheumatica? The onset of the disease can be sudden. A patient may have a healthy history until awakening one morning with stiffness and pain of muscles and joints throughout the body. These pains can lead to a sensation of weakness and loss of function. Sometimes there is also muscle tenderness with PMR. These symptoms persist and often include an intense sensation of fatigue. Some patients notice a gradual loss of appetite accompanied by weight loss and lack of energy. Depression can occur. How do health care professionals make a diagnosis of polymyalgia rheumatica? The diagnosis of the disorder is suggested by the health history and physical examination. What should my wife take for polymyalgia rheumatica? Polymyalgia rheumatica — Comprehensive overview covers symptoms, treatment of widespread muscle aches and stiffness. Polymyalgia rheumatica (PMR) is characterized by muscle stiffness and pain in the neck, buttocks, arms, and shoulders. Read about PMR diagnosis, complications, and. Educational articles about common rheumatic diseases and conditions and tips for living well with rheumatic disease. The doctor frequently notes muscle tenderness and that the motion of the shoulders is limited by pain. The joints are usually not swollen. However, swelling of the small joints of the hands, wrists, and/or knees can occur. Blood testing for inflammation is generally abnormal, as indicated by a significant elevation in the erythrocyte sedimentation rate (sed rate or ESR) and/or C- reactive protein. There are no specific tests, however, for the condition and X- rays are normal. The diagnosis is based on the characteristic history of persisting muscle and joint pain and stiffness associated with elevated blood tests for inflammation, such as the ESR. It is also not unusual for patients to have slight elevations of liver blood tests. Medically Reviewed by a Doctor on 3/1. Calories in Pina Colada Cocktail, without cherry or pineapple stick. 10 Fun Piña Colada-Inspired Recipes You've Got to Try This Summer. Including healthy, low-calorie desserts you can eat whenever you want! Looking for a delicious drink made without any artificial coloring, soda, sherbet or ice cream? This Pina Colada Agua Fresca is PERFECT for you! Low in sodium and no cholesterol, this smoothie is a fantastic source of vitamin C. Refreshing and tropical, this smoothie is sure to put a spring in your step. A healthier take on coconut shrimp - complete with pina colada sauce! This non-alcoholic version of the classic pina colada has a delicious twist. Perfect for party guests who can't drink because they're driving or. Fresh pineapple, banana, and coconut are combined with vanilla yogurt and coconut milk for a unique and delicious fruit salad that will take you back to the beach. The Pina Colada is a favorite rum cocktail and easy to make. This recipe requires no blender, is filled with fresh ingredients and it is delicious! What better way to start your morning than with this quick and easy pina colada smoothie, made with mango, pineapple, milk, and coconut yogurt. This Pina Colada Poke Cake is so SIMPLE to make and is absolutely DELICIOUS! Warm up this winter with pina colada-flavored Jell-O shots shaped like snowmen. Barley. Foods ? You're in for a delicious surprise! This wholesome grain adds a. Check out these recipes and taste for yourself. And for even more recipe ideas, click here. Need more information on finding, storing and cooking barley? La ricetta di oggi è facile e buona e le protagoniste questa volta sono le braciole di maiale. We scoured our recipe archive for the best of our Quick & Easy dinner ideas. These menus ensure you’ll never get take-out again. Get healthy Italian recipes on Cooking Channel, including healthy Italian food like lasagna and baked chicken parmesan. Acquacotta – an Italian soup that was originally a peasant food. Historically, its primary ingredients were water, stale bread, onion, tomato and olive oil, along. Looking for barley recipes? Allrecipes has more than 70 trusted barley recipes complete with ratings, reviews, and cooking tips. New & Noteworthy 2017. In order to spotlight the newest places open in Florence that I adore, I created this section to celebration innovative new cuisine in the city. Plastics With Cigna Insurance - Plastic Surgery. Welcome to Bariatric. Pal, the largest Weight Loss Surgery social network in the world! We provide a unique platform for Weight Loss Surgery patients and potential patients alike that enables you to make informed choices involving your Weight Loss Surgery decisions as well as providing you the Weight Loss Surgery support you need to meet your goals. Sign up now or download our app to access exclusive member features! Cigna Insurance Requirements for Bariatric. What Are The Requirements Defined By Cigna For Weight Loss Surgery. Most Cigna policies will cover weight loss surgery. Does Cigna Cover LAP-BAND Surgery? Cigna will cover your LAP-BAND Surgery as long as you meet your insurance plan’s requirements for bariatric surgery. Bariatric surgery is sometimes considered a medical necessity. Therefore Cigna may cover the procedure, at least in part. Complete our Free Insurance Verification. Weight loss surgery insurance coverage varies by. To confirm your Small Group bariatric surgery insurance coverage. Cigna Weight Loss Surgery Coverage. No Insurance Weight Loss SurgeryCigna Medical Coverage Policy Subject Bariatric Surgery. Reoperation and Repeat Bariatric Surgery: Cigna covers surgical reversal (i.e., takedown). Cigna Requirement for Weight Loss Surgery Most of the insurance policies offered by Cigna do cover weight loss surgical. Cigna Requirement for Weight Loss Surgery. Cigna Now Covers Sleeve Gastrectomy. Cigna Weight Loss ProgramDoes my health insurance cover weight loss treatments? Some health insurance companies will cover weight loss treatments. Bariatric Surgery Selector Tool. Choosing an appropriate surgery is a difficult choice. There is no right answer. Weight Loss Surgery – Insurance Coverage Criteria;. What does cigna cover for weight loss surgery to expect after surgery. Weight Loss Surgery Most of the insurance policies offered by Cigna do cover weight. |
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