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I Am Social

Successful I AM SOCIAL workshop. It all started with Facebook: new accounts will be opened, new family members will re-connect, and current users will feel more secure about using Facebook after this workshop. To learn about our upcoming I AM SOCIAL series visit www.mymaxdoc.com/events

Weightloss Fact & Fiction

Our Doctor Tells All was a success. New facts about weight loss were shared and misconceptions about weight loss were discussed. Did you know that there’s no difference between 3 to 6 meals a day? That weight loss is about calorie count?! This and more was shared on Our Doctor Tells All. Stay tuned for upcoming events.


Pampering Day

MAXhealth held their first Pampering Day on October 19th, 2015. Dr. Anamandala met with patients and Steffanie Joanides, from Reflections MedSpa presented tips on skin care and gave attendees a free skin care product. Free on-site chair massages were also provided by Kaizen Total Wellness. Find out about more Pampering Days on www.mymaxdoc.com/events

DOES ANTIBIOTIC USE INCREASE THE RISK OF GETTING DIABETES?

J Clin Endocrinol Metab

A study from Copenhagen has shown a 53% increased risk of getting diabetes and taking antibiotics. For years, antibiotics have been over prescribed and we are not only seeing resistance to current antibiotics but there are not a lot of new antibiotics in the pipeline.. Most outpatient infections that we see in the office are caused by viruses which will resolve on their own. Even some common bacterial infections, like sinusitis and ear infections do not require antibiotics. Antibiotics do have side effects and can adversely affect the bacteria microbiome in the intestines.

“Martin J Blaser, MD, the Muriel and George Singer Professor of Medicine, professor of microbiology, and director of the Human Microbiome Program at New York University Langone Medical Center, New York, called this an “important paper” and a “very well-conducted large-scale study” that provides further evidence of the importance of gut microbiota in human health and disease”

When you come in to see us (or any doctor, for that matter) try not to get upset when we do not prescribe antibiotics for your cold.

 

SATURATED FATS VERSUS TRANS FATS

British Medical Journal

Researchers at McMaster University have shown that saturated fats do not appear to be linked to a greater risk of heart disease. Saturated fats are in products like butter, milk, meat, salmon, eggs and chocolate.  On the other hand, it has been known for years that trans fats are associated with a greater risk of death and heart disease, Trans fats are found in hydrogenated oils, margarine and many snack foods and packaged baked goods.

Even though saturated fats may not be as unhealthy as we once thought, gram for gram fats still contain over twice as many calories as carbs and proteins and their use should still be limited.

As I’ve written about in the past, you can’t go wrong with a diet consisting of whole grains, fruits, nuts, beans and vegetables. Just try to limit animal sources of protein, especially beef.

 

MORE INFORMATION ABOUT THE MICROBIOME (GUT BACTERIA)

Abnormalities in the bacteria in the gut has now been linked to obesity, high triglycerides and low HDL (good cholesterol). Since lipid lowering medications and antibiotics can affect the  gut microbiome, patients on these types of medications were excluded from this study. Using new sequencing technology, the researchers found that healthy lipid levels were associated with increased microbial diversity, and 34 microbial taxonomies associated with BMI and blood lipids were identified. Since the microbiome is affected by diet and drugs,  an individual’s microbiome may modulate diet and drug pharmacokinetics and as such is considered a key element in designing personalized medicine and precision medicine.

More research needs to be done, but it is clear to me, from reading multiple articles from varied sources that this will play an important role in our health in the future.

I am recommending probiotics for everyone but we should be aware that not all probiotics are equal and there are no standard formulations.

LIVE LONGER WITH FRUITS AND VEGETBLES

Studies were recently done to see if eating fruits and vegetables really prolonged life. Included in these categories were also nuts and beans. According to the American Journal of Nutrition, people who ate 5 servings/day actually increased their lifespan by 3 years. Extending their research, they showed that, over time, those who ate 4 servings daily lost 1 month, 3 servings lost 3 months, 2 servings lost 7 month,  those who only ate their fruits and veggies lost 1 ½ years and those who did not eat any servings lost 2 years off their lifespan.

Most of the subjects were in their 50’s and 60’s. However, there was a group of women in their 70’s who added 5 years just by eating 5 servings daily (compared to the cohorts who did not eat healthy).

INCREASE IN BICYCLING INJURIES

Sanford T, et al. JAMA. 2015;doi:10.1001/jama.2015.8295

Lakewood Ranch is a very active community whose citizens are very health conscious. More and more people are remaining active well past retirement age. Biking is one activity that is healthy and easy on the body but studies have shown that there has been a substantial increase in injuries (even requiring hospitalization)over the past 15 years. An astounding 81% increase in injuries were seen in people older than 45.

Try to keep your bike tuned up and check your tires and brakes regularly. We are also lucky in that we have wide sidewalks so we don’t have to ride in the streets. When riding, it is always a good idea to wear a helmet. And finally, never assume that a motorist will yield the right of way to you, or even see you. The car will always win the battle!

 

 

MORE MIND BODY CONNECTION

Mannion AF, et al. Paper #2. Presented at: EuroSpine Annual Meeting; Sept. 2-4, 2015; Copenhagen, Denmark

I have been recommending books by John Sarno, MD for the last 20 years. The improvement in patient pain is truly astounding considering the only treatment is reading a book!

Now, a study from Denmark looked at the relationship between chronic pain and pessimistic people. 2,500 patients filled out a questionnaire about “back beliefs” and those who were pessimistic and inactive were more likely to suffer from back and neck pain when compared to those who were more optimistic and exercised regularly.

These findings correlate very nicely with Dr. Sarno’s beliefs dating back from the 1970’s!

GENETIC TESTING AND DRUG RESPOSE TO DEPRESSION AND ANXIETY

28th European College of Neuropsychopharmacology (ECNP) Congress. Abstract S.02.03

Pharmacogenomics testing that measures DNA variation in drug metabolism has been shown to improve outcomes in depressed and anxious patients. For years, it was basically either trial and error or prescribing a drug depending on what side effects we might or might not expect to see. Now, we have a better idea why some medications work for some patients and not for others.

Most drugs are metabolized by 6 pathways in the liver (cytochrome P450) and is easily tested in our office. In one study 23% of patients improved by trial and error versus 40% who underwent genetic testing.

We not only use DNA testing for psychotropic medications but for many other types of drugs, too.

Most Medicare and Medicare Advantage programs cover the costs. Unfortunately, only a few commercial insurance companies will pay for it.

 

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