Tag Archives: Conditions and Diseases

4 Unconventional Things You Didn’t Know Were Making You Fat

The human body is a strange and wondrous place. There are many reasons why a person might gain weight. Eating the wrong kind of food, the wrong amount of food, or not enough exercise are well established reasons. However, there are some no-so-common reasons that might play a role as well.

Road Traffic Noise

Exposure to a combination of road traffic, rail, and aircraft noise may pose the greatest risk of acquiring a spare tire — otherwise known as central obesity, and thought to be one of the most harmful types of fat deposition around the body. In a recent study researchers assessed how much road traffic, rail, and aircraft noise 5075 people living in five suburban and rural areas around Stockholm, Sweden, had been exposed to since 1999. The analysis indicated no link between road traffic noise and BMI. But there was an association between road traffic noise and waist size, with a 0.21 cm increase for every additional 5 dB increase in exposure, although this was only significant among women. Similarly, there was a link to waist:hip ratio, with a change of 0.16 for every 5 dB increase in noise exposure to road traffic; this association was stronger in men.

What gives? Noise exposure may be an important physiological stressor and bump up the production of the hormone cortisol, high levels of which are thought to have a role in fat deposition around the middle of the body, researchers suggest. Additionally, noise exposure might disrupt sleep, another known factor to contribute to weight gain.

Too Many Food Choices

A new study in mice by researchers in the Virginia Tech College of Agriculture and Life Sciences and the Edward Via College of Osteopathic Medicine has shown that the environment in which a child lives may be an equal if not stronger force in determining obesity than their mother’s diet. Researchers found that having too many food choices increases the obesity problem. In fact, researchers found that having a choice of a high-fat and low-fat diet does not help — offspring in this situation tended to eat even more. Their findings were recently released in the journal Endocrinology. “We like variety,” said Deborah Good, an author of the paper and an associate professor of human nutrition, foods, and exercise at Virginia Tech. “But when there is a choice, we eat more than when there is not any variety.” Moral of the story? Simple is better for our waistlines.

The Inability To Stay Warm

A new study suggests that a biological inability to create sufficient core body heat could be linked to the obesity epidemic. The study found that obesity is associated with a significant reduction of body core temperature during daytime hours. Journal Editor Francesco Portaluppi explains that the reduced ability of obese people to spend energy as heat compared to lean individuals could result in long term weight gain (about 2 kg (4.5 lb.)) per year, depending on the lifestyle. “Since body core temperature represents a marker of energy expenditure, results from this study suggest that a diurnal thermogenic handicap can play a crucial role in favoring weight gain in obese subjects,” said article co-author Pietro Cortelli, MD, Ph.D. The fix? Generate more body heat. And how does one do that? Exercise of course!

Environmental Pollution

A team of Spanish scientists, which includes several researchers from the University of Granada, has confirmed that there is a relation between the levels of certain environmental pollutants that a person accumulates in his or her body and their level of obesity. Subjects with more pollutants in their bodies tend to have higher levels of cholesterol and triglycerides, which are important risk factors for cardiovascular disease. The research has analyzed the levels of pollutants accumulated in adipose tissue (fat) in nearly 300 men and women, who were attended in the surgery services of two hospitals in the province of Granada (Spain). The substances analyzed, known as persistent organic pollutants (POPs), can remain in the environment for years, even decades, without degrading.

“Humans are exposed to POPs mainly through diet. Besides, POPs accumulate gradually in body fat, and this is the reason why the median levels in our study give us an idea of an individual’s accumulated exposition over a number of years,” says Juan Pedro Arrebola, the main author of the article. There is evidence that human exposure to certain chemical substances called “obesogenic” could favor the growth and proliferation of adipocytes (fat cells), and provoke therefore an increase in body fat.

Do your best to avoid exposing yourself unnecessarily to chemicals that might be problematic. Perhaps the most powerful way to do this is avoid processed food which is loaded with these chemicals from their own packaging.

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New Guidelines on Cardiovascular Disease Miss Mark

Well, they’re at it again. New guidelines on reducing cardiovascular disease risk have been released. They’ve called these “much anticipated,” however, I call them “inconsistent with research” and “likely to cause more harm than good.” The guidelines, appearing in Circulation, are likely to change clinical practice, unfortunately. They are the result of collaborations among the American Heart Association, the American College of Cardiology, and other organizations.

Essentially, it makes it far easier for physicians to prescribe statins (cholesterol lowering medication). It will likely result in tens of millions more Americans begin put on these medications.

Let’s start with the things that I do agree with in the new recommendations.

Obesity

There’s no single, ideal diet for weight loss. Intensive, supervised lifestyle changes for at least 6 months received strong endorsement. This is important. We offer professionally supervised weight loss programs at our office for the simple reason that it reduces the risk of many diseases and it can be very difficult to manage alone.

That’s it. That’s all I agree with. The rest of the recommendations fail to actually focus on the problem: INFLAMMATION! They focus far too much on treating cholesterol without any actual targets in mind to treat.

Inflammation

“The traditional view of atherosclerosis [hardening of the arteries] as a lipid storage disease [cholesterol accumulation] crumbles in the face of extensive and growing evidence that inflammation participates centrally in all stages of this disease, from the initial lesion to the end-stage thrombotic [clot forming] complications.” This quote is from a great study that reviews the mechanism behind cardiovascular disease. I added the information in the brackets to make it easier to understand.

The pharmaceutically-driven marketing and media would have you believe that high cholesterol alone will cause it simply to accumulate in your vessels eventually narrowing them so much they can no longer deliver enough blood to your brain or heart. Or alternatively, the narrowing causes a clot to form only to be dislodged and sent “downstream” where it gets caught in smaller arteries causing a heart attack or stroke.  This just isn’t true! Want to know what actually happens!!!?

How you actually get atherosclerosis:

Inflammation is central to this process. It begins with inflammatory changes in the cells that line your blood vessels. These cells are collectively called the endothelium. The cells begin to express adhesion molecules. These molecules do what they sound like – they make things stick! However, they don’t make cholesterol stick, they attract monocytes (a type of white cell), which then travel through the walls of our arteries (BAD) under the influence of various proinflammatory molecules designed to attract more white cells. Once within the arterial wall, the monocytes continue to undergo inflammatory changes, transform into another type of white cell called a macrophage, swallow up cholesterol, and they become what is called a foam cell. T lymphocytes (another type of white cell) also migrate into the arterial wall, where they release proinflammatory cytokines (messengers) that amplify the inflammatory activity. Through these inflammatory processes, the initial lesion of atherosclerosis, called the fatty streak, is formed. This continues to evolve to cause the dangerous atherosclerotic plaque, but every step along the way involves inflammation!

There you go – as you can see, it is not caused simply by the accumulation of “too much” cholesterol as it floats through your blood stream. It all starts because of inflammation. Without the inflammatory process the white cells of our body cannot penetrate the walls of our vessels. If they cannot get into the walls of our vessels, they cannot swallow up cholesterol and begin to build plaque. It really is that simple.

So what causes inflammation?

That’s a great question and very easy to answer. Poor diet and low levels of exercise cause inflammation to build leading to atherosclerosis. A diet that is high in refined sugar increases inflammation. A diet that is low in antioxidants (brightly colored fruits and vegetables) increases inflammation. And exercise is inherently anti-inflammatory; therefore, low levels of exercise drive up inflammation. Here are the basic diet and exercise recommendations everyone should follow:

Diet

Every time you eat, have a source of healthy protein (chicken, fish, grass-fed beef, bison, etc.) and a fruit or a vegetable. Make the emphasis on vegetables. Keep grain (yes, even whole grains) to a small portion of your diet (no more than once per day).

Exercise

Combine resistance training with cardiovascular training. Get at least 45 minutes of moderate activity 3 times per week. High intensity interval training is very beneficial.

If you incorporate these things into your life, you’ll avoid inflammation and you’ll live a long, healthy life without statins!!!

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The Miracle of Magnesium!

Magnesium

Magnesium (Photo credit: Wikipedia)

 

Magnesium is an incredible mineral. It is involved in over 300 reactions in the human body. Magnesium actually accounts for 1% of our body weight so clearly it is important. Most of the magnesium in our bodies is found in our bones and soft tissues. Only about 1% is found in the fluid compartments of the body.

 

What does it do?

 

As stated above, magnesium is critically important in many systems in the body. It is involved in regulating DNA synthesis, energy production, protein synthesis, muscle contraction, and blood sugar regulation. Additionally, it is critical for a process called vascular reactivity. Without vascular reactivity our vessels cannot adapt to changes in the internal environment and that’s the first step to the formation of plaques in the arteries. If this continues, our vessels become blocked and heart attack or stroke is the result. Similarly, magnesium inhibits the formation of clots. If you are low in magnesium, you may easily develop heart disease.

 

Are you low?

 

Symptoms of low magnesium include nausea, vomiting, headache, low appetite, muscle weakness, spasms and tremor, mental confusion or personality changes. Additionally, if severe, balance and gait problems, cardiac arrhythmias, rapid heart rate and seizures may occur.  Poor intake of magnesium has been associated with high blood pressure, diabetes and cardiovascular disease.

 

How to test your levels

 

There are several ways to test for magnesium levels. I will discuss two of them. The first is called serum magnesium. This measures the amount of magnesium in the serum (fluid) part of the blood. Remember, blood is made of two part – fluid (mostly water) and cells. This measurement is not always reflective of total magnesium stores. As a matter of fact, normal serum levels may be present despite severe cellular deficits. So what is one to do? You must check red blood cell (RBC) levels of magnesium. This is also a blood test, but it is far more reflective of your true magnesium status than serum levels are. Essentially this test measures the magnesium that your cells have, not simply what’s in the fluid part of your blood.

 

Sources

 

Magnesium is found in a variety of foods. Below is a list of magnesium-rich foods.

 

  •  Navy beans
  • Pinto beans
  • Garbanzo beans
  • Nuts
  • Spinach
  • Halibut
  • Brown rice

 

Magnesium is very important. If your intake is low, you are putting yourself at risk for heart disease. Consider adding the above foods to your diet or the possibility of a magnesium supplement.

 

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Big Bad Wheat

 

English: Bread from India

 

Gluten, one of the main proteins found in wheat, is a troublesome little guy. The human gastrointestinal tract has a very hard time completely digesting it AND our immune systems don’t like it.

 

In addition to being found in wheat, gluten can also be found in rye, oats and barley. These are best avoided if you have celiac disease.

 

Celiac disease, present in as many as 2% of us, is a disorder in which gluten causes an autoimmune reaction and atrophy of the GI system is the result.  As the condition continues, more and more cells inside our GI tract are killed with resulting malabsorption of vitamins and nutrients. In serious cases it can be deadly. For many, however, the symptoms include weight loss, diarrhea, gas, bloating and pain.

 

Celiac disease is not to be confused with gluten sensitivity. For many years doctors believed that a patient had celiac disease or nothing. They fervently denied the possibility that someone could simply be sensitive to gluten.  This has changed.

 

According to Dr. Peter Green, director of the Celiac Disease Center at Columbia University:

 

“Recent studies are showing the gluten sensitivity may be much more common than previously thought. It may, in fact, be a separate disease entity that involves different organs and different mechanisms than celiac disease. While there is no doubt that the condition exists, the lack of definite criteria for a diagnosis has resulted in a skeptical attitude on the part of many doctors.”

 

Further, according to a study in the Lancet Neurology in 2010:

 

“Gluten sensitivity is a systemic autoimmune disease with diverse manifestations. This disorder is characterised by abnormal immunological responsiveness to ingested gluten in genetically susceptible individuals. Coeliac disease, or gluten-sensitive enteropathy, is only one aspect of a range of possible manifestations of gluten sensitivity.”

 

Basically this is saying that people may have gluten sensitivity and over time this may manifest as celiac disease. However, there are many other ways that gluten sensitivity may present. Other symptoms might include:

 

  • Fatigue
  • Eczema
  • Anemia
  • Hypothyroidism
  • Osteoporosis
  • Epilepsy
  • Neuropathy
  • Cerebellar ataxia
  • Infertility
  • Fatty liver

 

This list is by no means all-inclusive either. When a patient presents with a list of symptoms that don’t seem to fit together, have not responded to traditional types of treatments and have been long standing, one of the first things I do is check for gluten sensitivity. If it’s not there we move on to the next treatment strategy. However, for many in my practice, eliminating gluten has proven to be a very effective treatment.

 

If you’ve had a chronic health condition that has not responded to various treatment types, consider being checked for gluten sensitivity through a specialist with knowledge of the most recent research in this fascinating field.  It just might be the cure you’re looking for.

 

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Natural Solutions for Migraines

Migraines can be debilitating.  For some, the occurrence of a migraine means laying down, curled up in a dark room for hours on end while their head throbs away.  While head pain is the most pronounced symptom other things like light and sound sensitivity, nausea and vomiting and general fatigue are not uncommon experiences.

Many are reluctant to take the powerful pharmaceutical agents that are often recommended to help alleviate the symptoms of a migraine. They can have unwanted side effects that can outlast the migraine itself.  There are natural options that exist.

Recently, the American Academy of Neurology and the American Headache Society reviewed the evidence that exists behind drugs and behind some natural treatments for migraines.  They found there is good evidence of effectiveness for a range of natural products to reduce the severity and occurrence of migraines.  For more information, watch below!

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The Obesity Gene

Is there really an obesity gene? I think the answer is yes and no.  First the yes.

There are likely genes that predispose someone to being overweight or obese.  It is not just one gene but perhaps 10 or 50, or maybe 1,000.  I don’t think we will ever be able to say for certain what specific genes are the “obesity genes.” Certainly it is more difficult with something like this because metabolism is so complex.

The answer to our question might also be no.  While our genes are responsible for many things, the environment plays a huge role.  Diet and exercise are potent modifiers of our genes.  Someone who is genetically predisposed to being overweight may not be overweight with proper diet and exercise.  And if that’s true then, in a sense, being overweight is not genetic.

For more information watch the video below.

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Paula Deen, Diabetes and Donuts

Recently, celebrity chef Paula Deen announced she has type II diabetes.  The news reports about it couldn’t stop focusing on the fact that her recipes are high in fat implying that eating a diet high in fat gives you diabetes.  This couldn’t be further from the truth!  A diet high in sugar and refined carbohydrates leads to diabetes!  Period.  See my video below.

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Genes, Alzheimer’s Disease and Your Choice

PET scan of a human brain with Alzheimer's disease

Image via Wikipedia

New genes have been discovered that seem to be linked to Alzheimer’s Disease (AD).  AD currently affects over 5 million Americans and that number is expected to increase substantially by the year 2029.

This year the first baby boomers will reach their 65th birthdays. By 2029, all baby boomers will be at least 65 years old.  Ninety-five percent of all AD is in people 65 and older.

The discovery of new genes linked to AD is a step in the right direction.  Every bit of information that help scientists unlock the mystery of why this occurs puts us closer to being able to effectively treat AD.

Let’s pretend that we know every gene that is involved in the production of AD.  Let’s also pretend a test that exists to specifically detect all of these genes in you.  Would you want to find out?  What would you do if you had all of the genes linked to AD?

The truth of it is, there is nothing you could do to change your genes.  Your genes are your genes.  They are there and you can’t remove them.  What you can do, however, is change how they are expressed.  Just because a person has a specific gene does not mean it has to be expressed.  The expression of many of our genes is closely related to our environment.  Diet, exercise, smoking, pollution and stress are just a few things that can negatively or positively affect the expression of our genes.

So back to my first question.  What would you do if you had all the genes linked to AD?  You can’t change your genes, but you can change your risk factors.

There are many known risk factor that increase the risk of AD, independent of your genetic potential.  The number one risk is aging.  Unfortunately, there isn’t much that can be done about that.  We are all going to get older which is not necessarily a bad thing.  It is much better than the alternative!

Known risk factors for AD that are controllable are as follows:

You will notice that these risk factors significantly overlap with one another.  You will also notice that when you control one risk factor you will impact another.  If you can control these risk factors in your life you will significantly reduce your risk of developing AD regardless of your genetic potential.
Cardiovascular health is perhaps the most important.  Cardiovascular disease causes a chronic, low grade reduction in blood delivery to the brain.  This is known as hypoperfusion.  This hypoperfusion is responsible for protein synthesis defects that later result in the classic AD neurodegenerative lesions.

To keep your cardiovascular system as healthy as possible make sure you eat an anti-inflammatory diet and exercise.  Fish oil is also something you should consider.  Fish oil, which contains omega-3 fatty acids, has been shown to reduce cardiovascular disease mortality better than any other substance known.

Reduction of high blood pressure is also very important.  When blood pressure is too high it fuels a kind of scarring linked to later development of Alzheimer’s disease and other dementias.  Controlling your blood pressure is actually very simple.  You must maintain a healthy weight first and foremost.  This, of course, means diet and exercise.  Increasing waistlines mean more tissue and blood vessels for your heart to push blood through. This puts a strain on the heart and increases the resistance the heart must push against.

Keeping a healthy cholesterol profile is essential.  However, the traditional tests from your doctor are probably not enough to tell whether you are at risk or not.  Traditional tests examine total cholesterol, HDL (“good”), LDL (“bad”) and triglycerides.  These are of some value, but they don’t tell the whole story.  What you must find out is the particle size.  In a nut shell, large and buoyant molecules of cholesterol are not as problematic as small and dense particles.  Your traditional test does not distinguish between the two.  Your traditional test might look very good, but a more advanced test may show that you are still very much at risk.  See my blog entry from last summer for more detailed information.

Diabetes is also extremely important to control.  Some references are referring to Alzheimer’s as Type III diabetes because of the biochemical similarities. Even being borderline diabetic raises the risk of developing Alzheimer’s or dementia by 70%!  Diabetes’ hallmark is high blood sugar.  This high blood sugar leads to a phenomenon called advanced glycation end products or AGEs.  AGEs adversely affect the structure and function of proteins. In combination with oxidative stress brain function is easily affected.  Advanced glycation end products have been found to be much more prevalent in the brains of Alzheimer’s patients than in healthy controls. This process begins early on in the course of Alzheimer’s and there is also evidence that AGEs assist in the formation of plaques seen in AD.  Diet and exercise are the best ways to prevent diabetes and reduce your risk of AD.

While the study for a purely genetic link to AD will continue, a cure is likely many years away if one can even be found.  What we can control, however, are our lifestyle choices that activate our genes.  If we choose poorly, we are much more likely to activate unfavorable genes that cause disease.  If we choose wisely, we are more likely to activate genes that are favorable and reduce our risk of further disease.  The choice is yours.  Make the right one.

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Fatigue? Weight Gain? Depression? Maybe it’s your thyroid.

Low thyroid function is very common.  It is especially common in women.  And your doctor may not diagnose you with it because of one simple mistake.

The thyroid controls how quickly the body uses energy, makes proteins, and controls how sensitive the body should be to other hormones.  It is exceptionally important.  Without thyroid function one cannot survive.

The thyroid is located in the neck just below the Adam’s Apple.  The average person should not be able to feel it.  It may become enlarged if you have low thyroid function.  In that case, one would be able to feel it and it may even be visible in the neck.

The thyroid is controlled by the pituitary gland in the brain.  The pituitary secretes a hormone called thyroid stimulating hormone or TSH.  TSH tells the thyroid to secrete its hormones.  These hormones are called T3 and T4.  When these hormones are secreted they make their way back to the pituitary via the blood stream and this tells the pituitary to stop secreting TSH.  This is known as a negative feedback loop.

 

The pituitary secretes TSH which tells the thyroid to secrete its hormone. This hormone then tells the pituitary to stop secreting TSH.

An under active thyroid is known as hypothyroidism.  The symptoms are varied and include the following:

  • Poor muscle tone (muscle hypotonia)
  • Fatigue
  • Cold intolerance, increased sensitivity to cold
  • Constipation
  • Depression
  • Muscle cramps and joint pain
  • Goiter
  • Thin, brittle fingernails
  • Coarse hair
  • Paleness
  • Decreased sweating
  • Dry, itchy skin
  • Weight gain and water retention
  • Bradycardia (low heart rate – fewer than sixty beats per minute)

The most common symptoms I see in practice of low thyroid function are the inability to lose weight and fatigue.  Depression is common as well but that can have many causes.

How is the thyroid tested?

The thyroid is tested with a blood test.  TSH is generally considered the gold standard to asses thyroid function.  A high TSH indicates that the pituitary gland is working too hard to get the thyroid gland to produce its hormone.  This means one has hypothyroidism.

I’ve had my TSH tested and it’s normal but I have all the symptoms

This is very common.  Unfortunately most doctors do not assess the thyroid completely.  There are many other parameters to check besides TSH.  Remember TSH is a brain hormone and while it can be valuable it is not the whole picture on the thyroid.

Let’s start with the controversy over the reference levels that most U.S. labs (and therefore doctors) use for a normal TSH.  Generally speaking, they use a reference range of 0.5-5.0.  If your TSH falls in that range then you are considered healthy, even if you have all of the hypothyroid symptoms.  This can be frustrating for many patients.  That reference range that most doctors rely on is far too broad and outdated.  Unfortunately, medicine is very slow to adapt.  This puts the patient at the disadvantage.  A more appropriate reference range for TSH is 0.3-3.0.  This is a much smaller range and would appropriately diagnose many more people with hypothyroidism.

So, if your doctor uses the old range of 0.5-5.0 and your TSH tested at 4.0 your doctor will tell you that your thyroid is doing just fine and will not treat you.  If he were to use the most updated range set forth by the American Academy of Clinical Endocrinologist in 2003 you would be appropriately diagnosed as hypothyroid and be treated accordingly.

What else can be tested?

Remember, TSH is just one parameter to be tested.  You can also test for the actual thyroid hormones themselves.  When testing for T3 and T4 there are two things to remember.  You must test the free and total T3/T4.  What’s the difference?

Total T3 and T4 takes into account the total hormone you have.  This includes biologically active and inactive forms.  The total hormone you have might be normal, but the free hormone might be low.

The free fraction of the hormones can often be low despite a normal total hormone reading.  The free hormone is what is actually available to your body to use.  It is unbound and biologically active.  Think of it like your cash flow.  A person might be worth a lot of money with real estate holdings and investments but if they don’t have any actual cash they can’t purchase anything.  If you have a low free hormone you will have symptoms of hypothyroidism.  However, if it’s not tested it might be missed.

You should also have the anti-thyroid antibodies tested.  These are antibodies that some people make their thyroid.  The body’s immune system mistakes the thyroid for an invader and begins to attack it.  High antibodies alone are enough to cause the symptoms of low thyroid function despite all other parameters being normal.

The bottom line is if you think you might have low thyroid function, don’t rely on just the TSH to tell you.  Have the full workup done.  That includes:

TSH, free and total T3 and T4 and the anti-thyroid antibodies.

And don’t forget; don’t rely on the outdated TSH scale.  Use the smaller more appropriate scale.

Getting an appropriate diagnosis is important and if you use these tips there shouldn’t be any more confusion for you.

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3 Medical Myths Debunked

Health care can be a confusing field.  There is so much information out there, much of it conflicting, that leaves consumers confused about their health.  Well, today I am here to sort some of them out for you.  Below are some common medical myths that people believe but are not necessarily true.

1. High Cholesterol Means a High Heart Attack Risk

This is perhaps the biggest one I see in practice.  Everyone thinks that having high cholesterol means they are at risk for having a heart attack.  They also think that having low cholesterol is protecting them from heart disease and heart attacks.  Neither is true!  As a matter of fact, 50% of the people who have heart attacks annually have high cholesterol and 50% have low cholesterol. To most people this is an astounding stat, but it’s true.  What has been shown in the research is that your total cholesterol is not actually a predictor of heart disease.  Looking at the break down of the HDL (the good) versus LDL (the bad) cholesterol is helpful but still is not the entire story.  What you should be looking at is the size of your cholesterol.  How do you do that?  It’s simple really.  It’s just a blood test.  It is how the lab analyzes your cholesterol that’s different.  Without getting to technical, small, dense particles of LDL cholesterol are bad because they can make their way into the lining of your blood vessels most easily.  Light, fluffy, large pieces of LDL are not problematic because they cannot readily get into the walls of your vessels and cause the atherosclerotic plaques that are so dangerous.  These are tests that several of the largest laboratories are performing now and give us better information about cardiovascular health.  I have begun measuring cholesterol in this fashion on all my high risk cardiovascular patients and the results have helped us tailor nutritional programs that will be most effective for them.

2. Bed Rest of Back Pain

I recently had someone visit my office on a Monday for an acute case of back pain.  She was in quite a bit of distress and discomfort.  So much so that she had been to the emergency room over the weekend.  There she was given test and test and finally told that her back pain was not life threatening and to go home, take some pain killers and get bed rest for 5 days.  The advice of bed rest is still being given out by many physicians around the country for back pain despite the evidence that overwhelmingly concludes that this only makes back pain worse. In fact, the research shows that if you do go with bed rest you are much more likely to develop a chronic back problem.  If you have an episode of back pain do not stay in bed.  Your best bet is to stay as active as possible.  Your goal should be to continue your normal activities, within reason, but modify these activities to fit your current limitations.  Now, if your normal activities include vigorous exercise you may want to hold off on that until your back is feeling better, but you should try to walk if you can.  Rest if you need to, but keeping the joints and muscles of the back active even when they are hurt is the best way for them to heal appropriately.  You should also see a chiropractor.  Chiropractors are trained extensively on the back and know how to provide nonsurgical relief for back pain.

3. Eating Fat Makes You Fat

This is a biggie.  People come into my office for a lot of reasons.  However, regardless of their initial reason I always ask about their diet.  Inevitably someone will tell me they eat a healthy diet because they eat low fat.  People assume that low fat is the best way to keep fat from accumulating around their midsection (and everywhere else!).  This simply is not true.  It seems intuitive that eating fat would make you fat just like saving money makes you rich.  However, things in the human body are hardly ever that linear.  The way the human body stores fat is by secreting a hormone called insulin.  Insulin is secreted when a person consumes carbohydrates (bread, pasta, sugar) and to some degree protein.  Insulin signals the body’s cells to take in the energy in the blood, in the form of sugar, and store it as fat or use it.  Notice that I did not say that fat causes insulin release?  That’s because it doesn’t!  If fat does not cause the body to secrete the hormone necessary for fat storage then how can fat make you fat?  It can’t!  This myth comes from the fact that fat is higher in calorie than other foods but somewhere along the line people made the leap that eating fat caused fat to accumulate in the body.  When fat is consumed it is actually slowly converted to sugar and burned, not stored.

There are many more to choose from, but these are some of the most common that I see in my office.  If you’d like to know more, let me know in the comments section and I’ll post about your questions.

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