Friday, May 20, 2016

Fitness Friday: Coolsculpting Helps Dieters Retain Weight Loss Eliminating Fat Helps Eliminate the Factors That Keep You Fat

CoolSculpting will help dieters loose weight, as well as retain weight loss by eliminating fat cells which contain hormones that make us stay overweight and obese., The science of obesity has gradually brought to focus that there are hormonal ways that medicines and chemicals in our environment that disrupt our health in ways that make us fat. In the early 1990s we first discovered the regulator hormone of our fat, leptin, and at the same time we first developed the term 'endocrine disruptor." In the case of molecules, often exposed to from our environment, these disruptors can alter our fat cells,and the hormone control of fat cells, chemically drive us to increase fat retention, and even change how hungry we feel and what foods we eat. Those who are obese do have more fat cells, and it will always be a challenge for them to lose weight and keep weight off. The fat cells, obviously, store fat. The more cells you have, the more you store fat. If you have gained significant weight, you have increased your fat cells, and before the recent research development we have never had a way to actually destroy fat cells. Thus destroying fat cells will decrease your ability to ever store fat, and decrease the metabolic drive to retain fat. Basic dieting causes weight to regain because fat cells are shrunk, never destroyed. Coolsculpting will destroy fat cells, and contributes to helping you maintain weight loss.

Wednesday, May 18, 2016

Women's Health News: B12 Balance is Important, The Facts About Abnormal Levels of B12

B12 is an important vitamin. Women who have diets that include meat and dairy typically will have abundant B12, however vegetarians, especially vegans may have to take synthetic Vitamin B12 to get enough. the B12 that our body receives and stores comes from food processing in the stomach and small intestine, through a fairly complex set of physiologic steps. Since this begins in the stomach, many gastric conditions can lead to problems with B12 absorption. Once B12 is, however, actually absorbed past one's daily needs, the liver is where B12 is stored long term and the liver stores B12 so effectively, it may actually take years before you are actually deficient if you were eating meat and dairy and then stop. However, many common health practices and treatments can risk abnormally low levels of B12. Medications such as PPIs for GERD, and metformin, a commonly prescribed diabetes medicine, can reduce B12 blood levels. As many as 1/3 of metformin users can develop deficiencies. Anemia is produced by B12 deficiency, and many of the symptoms are then the consequences of anemia, which would include fatique, some neurologic symptoms such as memory issues, being irritable and in severe enough cases that are long term, more severe brain nerve degeneration can occur. Lab testing is more than just getting a B12 test, your complete blood count can show abnormalities, the liver may show abnormalities, and circulating levels of iron can be off as well as other abnormalities. So at your yearly visit, discuss your diet and if you may be at risk for this condition. 

Tuesday, May 17, 2016

Top Form Tuesday: How To Determine If You Are at Risk For a Hereditary Cancer Syndrome: You Must Talk To Your Family!

Genetic testing and then applying health care strategies to then reduce that risk is going to help women avoid common female cancers, according to Susan C Modesitt from the University of Virginia. Women are now calculated to have about a 1/3 or ¼ risk of ovarian cancer, but if you also have the BRCA1 or BRCA2 gene that risk can multiply by 35 times! although complicated blood tests of genes are available, and ultimately have to be done to confirm hereditary cancer syndromes in patients, first you should speak to your family to see if there are reasons to suspect you have this. Warning signs that you are at risk for a hereditary cancer include: a family member who got a very early cancer, family members who have related cancer types, two or more family members with related cancers from one side who have a related cancer, families with rare cancers, or families with multiple rare cancers. Related cancers include ovarian and breast cancer, or uterine, colon, or ovarian cancers, or breast uterine and thyroid.  There are many other groups of related cancers and your gyno or a genetic counselor can help you figure out if they see a pattern. The reason is these cancers come from the same gene mutations as their underlying cause.

Sunday, May 15, 2016

Scholarly Sunday: Prevention of Breast Cancer

Only 4% of women who could benefit from medication to prevent breast cancer are taking this medication. It is time to think about whether you are one of those women. There are many strategies to reduce breast cancer risk, and for women who are high risk there is a way to use medication to lower your breast cancer risk. The American Society of Clinical Oncology (ASCO) has changed the tenor of its recommendations in its clinical practice guideline on the use of 'chemoprevention' or taking medication, to prevent breast cancer, and they now are including the medications of raloxifene, and exemestane in the medications not just tamoxifen, and the organization is wanting more people to seriously consider these medication. Their point is that they are not seeing more people use these very effective therapies, and so awareness is not increasing, and more women and their gynos need to take note. Here is what you need to know
  • Breast cancers,  that is due to cancers that have estrogen receptors, rate can be reduced by half by medicine use
  • Every woman should know whether they are at increased risk by getting Gail Model Score or National Cancer Institute's Breast Cancer Risk Assessment Tool, a modified version of the well-established Gail model
  • You can be evaluated for these medications as young as age 35
  • The medications used are not all the same, and have some risks, which includes the risks of blood clots, and benefits beyond breast cancer prevention, which may include osteoporosis prevention in the case of raloxifene
  • Mammogram findings do not directly impact the decision to take these medications, but Halo breast pap tests can influence decision
  • For more information go to ASCO’s  Web site. Their 2013 updated breast cancer guidelines can be found here.
 It is the best step to first figure out your risk, in a new study presented by Dr. Jonathan Herman at a presscast in advance of the 2013 Breast Cancer Symposium, which will be held in San Francisco. The presscast was organized by the American Society of Clinical Oncology (ASCO), he noted less than 1/10 women accurately know their breast cancer risk.

Friday, May 13, 2016

Fitness Friday: Soy Foods Protect The Heart and Prevent Hot Flashes

Diets high in soy protein are very heart healthy. Women have been wondering, how do we eat to control hot flashes, and soy may be the answer as well, particularly early in the menopausal transition when women are just having a few hot flashes. Soy protein heart protection is not really through much change in actual cholesterol levels. Women who have soy protein diets will not build up plaque blockage in their arteries if that diet is consumed when plaque build up is small.. Diet, the composition of that diet, your overall nutritional health, and your hormonal state all factor into whether you are going to have moderate or severe hot flashes, and whether you will have mild or severe plaque build up. For some women this is merely adjusting her diet to be a bit less bothered; for other women eating right to control hot flashes can be a matter of significant health consequences. The Newest data released in October of 2012 from the Women's Health Initiative gives clues as to how diet affects your hot flashes. The diet can affect how you work with a hot flash that is occurring now, as well as the overall numbers of hot flashes you will have in the future. Gyno's have always recommended cooling water, and generally to be well hydrated when you are having hot flashes. Water to your diet is always good, and that is one way we should feed our hot flashes. Other gynos have recommended adding soy to the diet, but high soy intake has not consistently proven successful as a preventative hot flash treatment. Dr. Thurston and her colleagues have reported in another analysis of their NIH study of menopausal women, the SWAN study, that women with hot flashes have more heart disease. In fact this new study says that the more you flash the worse your blood lipids like cholesterol are. In fact women with hot flashes have worse triglycerides, and worse bad cholesterol (LDL cholesterol) as well as other markers of heart disease. In the new information of October 2012 the WHI tried to control the hot flashes of over 17,000 post menopausal women, not on hormones. The WHI researchers looked at whether a diet that was high in good nutrients like fruit, vegetables, and fiber would reduce hot flashes alone. What they found in their study, was that weight loss was more effective, regardless of the specifics of the diet. Heavier weight has always been linked to worse hot flashes. I like to liken it to wearing a (fake) fur coat all the time. We are literally insulated if we have excess fat, and that will make heat regulation falter. So a new piece of nutrition advice for those with hot flashes is to watch your fat intake and try to actually lose weight! What I found interesting is that how many hot flashes predicted these cholesterol tests better than knowing a woman's estrogen level! Why this could be is puzzling the researchers. We need to take the next step forward and understand that lots of hot flashes are tied in with why having plaque build up in our hearts is not physiologically beneficial to us, and we have to take steps to make sure they are properly under control. While controlling our hot flashes we can be pro
tecting the heart.

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