Most physicians, myself included, jot a personal comment on a patient’s lab tests. My favorite is “Everything’s excellent!” which can be typed quickly and concentrates good news into two words that I hope trigger a smile. According to this New York Times article, doctors are writing the sentence “Your tests show you’re now in the […]
Category: Cardiovascular Health
Reversing Mental Decline Part 4: Nine Immediate Steps to Prevent Dementia
We’ve covered a lot of scientific territory in this series, from the basics of Alzheimer’s to the tests used to evaluate risk. This final installment is something you can follow up on right now, regardless of where you fall on the risk spectrum. Concerning your brain, let’s say you’re in one of these four situations: […]
Reversing Mental Decline Part 3: Tests For Alzheimer’s Prevention
Dale Bredesen, MD, author of The End of Alzheimer’s: The First Program To Prevent and Reverse Cognitive Decline, refers to the tests you should undergo if you’re concerned about brain health as a “cognoscopy,” sort of a colonoscopy for your brain. Perhaps thinking back on your own colonoscopy, it’s reasonable to ask, “Do I really […]
Reversing Mental Decline Part 3: Tests For Alzheimer’s Prevention
Dale Bredesen, MD, author of The End of Alzheimer’s: The First Program To Prevent and Reverse Cognitive Decline, refers to the tests you should undergo if you’re concerned about brain health as a “cognoscopy,” sort of a colonoscopy for your brain. Perhaps thinking back on your own colonoscopy, it’s reasonable to ask, “Do I really […]
130/80: What The New High Blood Pressure Guidelines Mean For You
You might not have known it, but last Monday, November 13, 2017, you may have awakened with high blood pressure (hypertension). Don’t feel alone. A massive increase in the number of people with hypertension occurred overnight when the definition of high blood pressure was officially changed from 140/90 (and higher) to 130/80 (and higher). I’m […]
Functional Medicine 101 + Introducing Dr. Alaina Gemelas
Functional Medicine is without a doubt the fastest growing medical specialty of the 21st century. Public interest in it and public acceptance of it continues to please me. Every day I hear the sentence, “I made this appointment because I wanted a functional approach.” When I ask patients how they learned about it, the answer […]
Moving and Eating To Protect Your Heart
One of the great pleasures of Chicago is summer. We’re outdoors and moving around, whether jogging, swimming, biking, walking the dog, slamming a volleyball, or tossing a Frisbee. And because we’re all wearing fewer clothes, we can tell in a single furtive glance if we’re happy with our weight. “Oh, well,” you think, “I might […]
Making It Easier To Say No To Statins
Patients and doctors alike are understandably nervous about taking/prescribing any of the cholesterol-lowering drugs known as statins. You as a patient especially don’t want to hear “You’ll be on this pill for the rest of your life.” And if you’ve followed some of the recent articles on statins, you’ve likely felt annoyance at the mixed […]
Six Commonly Missed Diagnoses: Vitamin D Deficiency
Much of medical care is hampered by the black-and-white thinking of doctors. You either have a condition (symptoms confirmed by positive tests) or you don’t (symptoms, but no useful test results, and therefore “nothing’s wrong with you”). Doctors are uncomfortable with grey zones, like when test results seem normal but on closer inspection are normal […]
Disappointments With Testosterone
For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are […]
When Your Thyroid Medication Isn’t Working
Let’s start with two thyroid facts: The diagnosis of hypothyroidism (low levels of thyroid hormone) is missed by most physicians. Patients arrive with obvious symptoms of hypothyroidism every doctor learned in medical school, among them sensitivity to cold, weight gain, dry skin, fatigue, and constipation. The doctor listens, sometimes attentively, and then orders a TSH […]
Making It Easier To Say No To Statins
Patients and doctors alike are understandably nervous about taking/prescribing any of the cholesterol-lowering drugs known as statins. You as a patient especially don’t want to hear “You’ll be on this pill for the rest of your life.” And if you’ve followed some of the recent articles on statins, you’ve likely felt annoyance at the mixed […]
Seriously Spooky Sugar
When you walk into a Walgreens (“at the corner of happy and healthy”) and make your way past the cigarette section, you’ll soon hit the candy aisle. Halloween’s coming up and there are, without exaggeration, at least a thousand big bags of candy for you to pass out to unsuspecting children. This year, don’t do […]
Red Rice Yeast
Red yeast rice, an Asian dietary staple made by fermenting red yeast (Monascus purpureus) on rice, is rapidly gaining recognition as a cholesterol-lowering agent in the United States. Supplements are now available here that contain an extract imported from China, where a particular strain of M. purpureus is grown on rice under careful fermentation conditions. This yields specific amounts of statins–the compounds largely held responsible for reducing cholesterol levels. In contrast, the red yeast rice long used in Asia to flavor, preserve, and color food, and to make rice wine, contains negligible amounts of statins.
Niacin
Also known as vitamin B3, niacin has earned a reputation (in supplement form) as a natural cholesterol-lowering agent that often rivals prescription drugs in mild to moderate cases. It may also help to prevent or treat a number of other disorders, from arthritis and depression to diabetes. Three forms of niacin supplements–each with a specific therapeutic role–are commercially available: nicotinic acid (also called nicotinate), niacinamide and inositol hexaniacinate, a compound of niacin and inositol (another B-family vitamin).
Coenzyme Q10 (CoQ10)
One of the world’s most popular supplements, the chemical coenzyme Q10 has generated great excitement as a heart disease remedy and a cure for countless other conditions. The body naturally produces this compound, which has been dubbed “vitamin Q” because of its essential role in keeping all systems running smoothly. In fact, the scientists who identified coenzyme Q10 in 1957 initially honored its ubiquitous presence–it’s found in every human cell and in all living organisms–by naming it “ubiquinone.” Small amounts are also present in most foods.
Allium Compounds
Allium compounds are derived from Allium sativum, or garlic, which is one of the most widely studied medicinal plants. The fresh garlic bulb is usually dried, crushed into a powder, and then compressed to produce a tablet. The tablet form is the most commonly used commercial preparation of garlic. Raw whole cloves have similar effects.
High Cholesterol
Some cardiologists have philosophized about Western civilization’s love-hate relationship with cholesterol. For what’s basically a form of grease, it’s certainly more valuable than gold. After all, to surgically by-pass a pea-sized morsel of cholesterol will set your insurance company back about $50K. In fact, this tiny amount of cholesterol lodged in just the right place can kill you with a heart attack or paralyze you with a stroke. So on one hand, here’s the food industry developing more imaginative ways to feed us salted fat, and on the other, the pharmaceutical industry creating cholesterol-lowering medications we’re supposed to gobble up like M and M’s.
Arrhythmias
The steady lup-dup, lub-dup regularity of our heart’s pumping beat is reassuring, and we don’t mind it speeding up for exercise or slowing down for sleep, as long as its rhythm remains steady. Any glitch in that rhythmic throb, whether too slow or too fast, is called an arrhythmia.
Angina
An attack of angina, especially the first one, is a terrifying and life-changing experience. You’ve raced up the stairs or you’ve run to catch a train; suddenly an elephant is standing on your chest or a huge hand is squeezing your heart. Then you’re sweaty, lightheaded, and nauseated. You stop in your tracks; you wait; you pray you’re not having a heart attack. At last the elephant lifts his foot or the fist opens, the world slowly brightens, and slowly, carefully, you go home. (You really SHOULD go to an emergency room.)