Our patients and blog readers know about my negative views on vitamins (barring a proven vitamin deficiency). I’ve decided to reprint this article from “The Prescriber’s Letter” to put things in perspective since it’s hard to fight TV commercials produced by the multibillion dollar vitamin industry.
“ The relationship between multivitamins and cancer is complex. In some studies they help…in others they harm…in yet others they don’t change outcomes.
Over 33% of Americans currently take a multivitamin.
Television ads point to evidence from a single study that shows Centrum Silver reduces the overall risk of cancer by 8%. This translates to 83 patients needing to take a daily multivitamin for 11 years for one patient to avoid cancer.
But encourage patients to keep things in perspective.
Explain that this was not a study of all comers. It was a study of health-conscious male doctors over 50. Patients with a different lifestyle may not get the same results.
Also explain that other studies disagree with the results of this study.
Take the opportunity to talk about cancer screening and lifestyle modification. Explain that the questionable benefit of taking a multivitamin isn’t going to make up for the well-documented harms of smoking, too much sun exposure, poor diet, sedentary lifestyle, etc. And there’s no evidence that a multivitamin extends life.
Reinforce the importance of a well-balanced diet.
If patients want to take a multivitamin, suggest one that doesn’t contain more than 100% of the RDA for most nutrients.
Tell them they don’t need to seek out Centrum Silver…the product that’s available now isn’t the same formulation that was used in the study anyway.
Warn patients that more isn’t better when it comes to vitamins. Taking high doses of vitamins A, E, or K can lead to toxicity…and other harms. For example, vitamin E 400 units/day MIGHT increase mortality or the risk of prostate cancer…and 200 units or more per day MIGHT increase the risk of hemorrhagic stroke.”
Non drug options should always be tried first: vaporizer, fluids and nasal saline for congestion.When these don’t work, there are some safe options: (please check with your pediatrician to verify)Nasal steroids like Rhinocort or Beconase are safe (but be careful if breastfeeding.
Antihistamines like chlorpeniramine are ok (but are sedating). Claritin and Zyrtec may be used in the second or third trimester. Once again use caution if breastfeeding and consult your pediatrician.
Decongestants should be avoided in the first trimester, but OK for breastfeeding.Cough syrups are safe but try to avoid those with alcohol. CODEINE should never be used-too dangerous for the baby.
The backscatter models use low levels of ionizing radiation to create images. The newer millimeter wave models use radio waves instead, so there is no ionizing radiation (And no R rated images either). But even radiation exposure from the backscatter units is low intensity. Most exposure is to the skin and most of the rays are reflected back by the skin. Some radiation is absorbed by internal organs, but not that much.
The amount of radiation exposure from one backscatter x-ray security scan is very small: less than a tenth of a microsievert, which is less radiation exposure than you get from eating a banana. The radiation you get from a regular chest x-ray is 20 microsieverts. A mammogram is 400 microsieverts. A chest CT is 7000 microsieverts. The reality is that all of us are exposed to background radiation from the atmosphere. High altitudes from air travel increase radiation exposure due to cosmic rays. You get 700 times more radiation exposure from a transatlantic flight, 70 microsieverts, than you do from 1 backscatter scan.
Have you ever noticed how confusing food labels are?
The cafeteria at the Massachusetts General Hospital has adopted a traffic light labeling systems to help simplify nutritional information to patients and staff. As a result, MGH’s Nutrition and Food Service devised a color-coded system in which the color green was used to label the cafeteria’s healthiest options; yellow was used for less healthy items, and red for those with little or no nutritional value. Signs were also posted within the cafeteria to encourage people to purchase mostly green-labeled items, and fewer yellow or red-labeled items. While only 46 percent of people said they considered nutrition an important factor in their cafeteria choices before the project began, 64 percent of cafeteria customers said they took the nutritional value of their food into consideration after the labeling system was launched. “Although we haven’t directly compared these “traffic light” labels to other systems, we can say that these labels appear to be more effective than the standard nutritional labeling available on packaged products, said study author Lillian Sonnenberg, a registered dietician at MGH’s Nutrition and Food Service. “The strategy is simpler for customers to understand at the point of purchase and, once the appropriate labels for each item are determined, is relatively easy to implement.”
5 Exercises to Prevent Ankle Injury
- Calf Stretches: avoid Achilles tendon rupture
- Towel Crunches: Improve plantar and arch muscles by squeezing towel with toes
- Ankle Alphabet: Improve ankle range of motion (ROM) by drawing letters with your toes
- This exercise teaches your ankles to have control when your body shifts weight. Stand with your feet about hip-width apart, shift weight onto your toes, and slowly lift your heels off the ground. Keep your ankles in a neutral position to prevent them from rolling out.
- Single Leg Balance: Strengthen your ankle, leg and core muscles
This blog is provided by Kaizen Physical Therapist, Dr. Jill Rose.
She is available for appointment at Kaizen Total Wellness
An observational study published in the New England Journal of Medicine reported on an increase in cataracts using data obtained from 2003-2010 on a military healthcare database in Texas. Their results showed that the risk of getting cataracts from STATINS was 35.5% vs. 33.5% among non-STATIN users.
When STATINS first came on the market in the mid 1980’s, the FDA was also concerned about the higher incidence of cataracts in STATIN users. At one time, every patients had to have a baseline ophthalmological exam as well as liver blood tests prior to and during treatment.
Back in the 1980’s, the FDA realized that most people who took statins were over 65 and already had an increased risk of cataracts, and subsequently cancelled the eye screening. As far as the liver testing, it only took the FDA 30 years to decide that too was not useful.
Our recommendation: Everyone should see their eye doctor periodically and not to worry about STATINS causing cataracts. The cardiovascular benefits far outweigh any minimal risk of cataracts.
- Shake Weight: Money Waster- Shake weight testers who tried the 6 minute workout for 14-30 days didn’t lose inches off their arms, in fact they noticed loss if muscle tone.
- Thigh Master: Time Saver- this does target your thigh muscles but you also need to work surrounding muscles to tone your hips
- Ab Lounge: Money Waster – it doesn’t work your abs
- Electronic Abdominal Belt: Money Waster – does not work period
- Velform Sauna Belt: Money Waster – see above
- Ab Glider: Money Waster- this works but the same exercise can be performed on a stability ball
- Air Climber: Money Waster – this is a good workout for your core, arms and legs; but breaks easily
- Magnetic Bracelet: Money Waster – research has not shown the magnets can reduce pain
- Red XL Abdominal Exerciser: Money Waster – only works oblique muscles
10. Toning Shoes: Money Waster – does not work your gluts may cause foot or low back pain
Call Kaizen Total Wellness for a free demonstration of two pieces of high tech equipment that do work: Power Plate and bioDensity machine. With certified fitenss trainers. Under medical supervision.
A DNA analysis of 44 herbal products from the US and Canada showed that only 48% actually contained the herb listed on the label and that 1/3 contained contaminants or fillers (also not listed on the label). Some products contained feverfew, which can be dangerous for pregnant women.
The study, which was done by the University of Guelph (Ontario, Canada) did not disclose the names of the herbals that they tested.
So, how do you know what’s in your supplement?
Until the FDA and US government stop this nonsense of not monitoring “food supplements”, you don’t!
People who live in cities tend to eat more when their team loses a game. We can compare this to stress or comfort eating. Initially, we just feel better when we overeat. In the 30 cities that have an NFL football team, people in the losing cities ate 16% more saturated fat and 10% more calories when compared to fans living in cities without teams. Even more interesting is that if you live in a city whose team just won, you would on average consume the losing 9% less fat and 5% less calories compared to people in the cities WITHOUT teams.
Researchers recommend that disappointed fans shift their focus to more important things, like family and healthy meal planning ahead of time.
Researchers, obviously are not NFL football fans!
Now is the time to get your FLU VACCINE!
If you have certain medical conditions like diabetes or emphysema, you should also get a PNEUMONIA VACCINE. The Center for Disease Control (CDC) also recommends this as a one-time vaccine for everyone older than 65
A SHINGLES VACCINE (ZOSTAVAX) is now recommended by the CDC for everyone older than 50 years old. Unfortunately, not all insurance cover this vaccine, which is on the expensive side. This is also a one-time vaccine which might help prevent the SHINGLES. (No vaccine works 100%)
Please note that the PNEUMONIA AND SHINGLES VACCINES CANNOT BE GIVEN AT THE SAME TIME. You should not get the SHINGLES VACCINE if you are taking a medication that suppresses your immune system.
Don’t forget about your TETANUS BOOSTER. We recommend the DTaP which not only protects against tetanus and diphtheria, but also PERTUSSIS. This should be repeated every 10 years. But don’t expect your commercial or Medicare insurance to pay for it. Your best bet is to get it from the health department.
All of the others are available in our MAXHealth/Lakewood Ranch office exclusively for our patients