http://drsardone.com Do It Right Health and Fitness, founded by Dr. Michael Sardone, author of The Naked Truth: Overweight, Overwhelmed and Confused. Practice dedicated to health and fitness specializing in personalized diet, supplement and fitness programs. Mon, 23 Nov 2009 09:39:00 +0000 http://snappages.com en http://drsardone.com/blog/2009/11/23/there-are-no-magic-pills http://drsardone.com/blog/2009/11/23/there-are-no-magic-pills Mon, 23 Nov 2009 09:39:00 +0000 Dr. S http://drsardone.com/blog/2009/11/23/there-are-no-magic-pills
In 1997, two very popular weight-loss drugs; fenfluramine (the fen in fen-phen) and dexfenfluramine (Redux), were recalled [...]]]>
In 1997, two very popular weight-loss drugs; fenfluramine (the fen in fen-phen) and dexfenfluramine (Redux), were recalled due to increased risk for fatal heart value abnormalities. No sooner were these two drugs recalled that another drug was introduced to take their place - sibutramine (Meridia) hit the market in November of1997 for the treatment of overweight and obesity.

Meridia is an antidepressant drug classified as an MAO (monoamine oxidase) inhibitor. It works by inhibiting the reabsorption of serotonin, a neurotransmitter that among other actions, regulates appetite. Unfortunately, Meridia has its own set of problems.

A recent (11/23/09) medical news alert reported that Meridia increases the risk of cardiovascular events including myocardial infarction (heart attack) and cardiac death, and stroke especially in high-risk patients. These findings were obtained from a placebo-controlled study (SCOUT Trial) of 10,000 overweight and obese patients, 55-years or older with a history of heart disease or type 2 diabetes plus one additional risk factor.

The FDA was informed of these findings in mid-November, but as of now, no recommendations have been made other than to advise avoiding its use in higher-risk patients or those with a history of coronary heart disease, congestive heart failure, arrhythmias, or stroke.

Appetite suppressants are not only dangerous, but their usage will eventually sabotage your weight-loss efforts by causing increased breakdown of muscle tissue resulting in metabolism slow down.

My thoughts can best be described from an excerpt of my book, “The regulation of appetite is highly complex with numerous interactions and interconnections between endocrine, adipose, gastrointestinal, and neurological pathways. These redundant hormonal and neurochemical pathways, which regulate appetite and energy homeostasis, are crucial and deeply entwined within our circuitry, and serve as a self-preservation mechanism. Overcoming these pathways through anti-obesity pharmacological intervention, although arduous, has researchers adamantly pushing forward as if searching for the Holy Grail. Moreover, although a noble and necessary remedy for the morbidly obese and those afflicted with uncontrollable hyperphagia, it is not the entire solution and should be looked at with consternation. The concern is not so much for the critically obese individual, but rather for the overweight person who might supplant good nutrition and exercise with appetite suppressing medications. In a society that is greatly pill reliant and overly medicated, these drugs will only serve to dissuade many from pursuing the very knowledge that might enlighten them to a healthy lifestyle which can be passed on to their children. “

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/22/is-it-really-organic http://drsardone.com/blog/2009/11/22/is-it-really-organic Sun, 22 Nov 2009 11:55:00 +0000 Dr. S http://drsardone.com/blog/2009/11/22/is-it-really-organic
Unfortunately, most organic farms are located within collateral damage distance from genetically modified crop farmers. Pollen from genetically modified crops is contaminating organic crops via wind, rain, birds, bees and insect pollinators, and there is very little that organic farmers can do about it, except move their farms where birds and bees will not find them - really?

Genetic pollution has become such an inevitable problem, that the environmental protection regulators are considering setting an "allowable limit" for genetic contamination of non-GE or organic foods. In other words, since genetic pollution is so widespread and uncontrollable, the feds are going to come up with an acceptable or safe level for this type of collateral damage. Organic advocates and farmers are not very happy.

Organic soybean farmers are also unhappy about soy processing manufactures throwing them under the bus by buying "organic soybeans" from China. Organic soybeans from China, who are they kidding? Okay, no offense intended to my Chinese friends, but their tract record is not very good, especially when supplying Americans with imported goods. They do not have to follow USDA guidelines for organic farming or any other guideline for that matter.

So, even though the bag reads organic, does not necessarily mean it is, and this is food for thought, pun intended.

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/carbohydrates-feel-good-foods-why http://drsardone.com/blog/2009/11/15/carbohydrates-feel-good-foods-why Sun, 15 Nov 2009 07:10:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/carbohydrates-feel-good-foods-why
One of the [...]]]>
One of the main reasons behind these cravings and mood altering effects is increased serotonin synthesis. Serotonin is a neurotransmitter found predominantly in the brain, but is also found in other tissues; intestinal wall, blood vessels, and lung tissue. Its functions are diverse including appetite regulation, sleep/wake cycles, memory/learning, sexual behavior, temperature and pain regulation, muscle contraction, hormone regulation, cardiovascular function, and depression and mood.

Tryptophan, an essential amino acid (protein) found in foods like turkey, eggs and dairy, is the precursor to serotonin synthesis. Tryptophan crosses the blood-brain barrier entering into the brain where it is converted into 5-hydroxytryptophan (5-HTP) with the aid of an enzyme and vitamin B3 (niacin). 5-HTP is then converted into serotonin with the assistance of another enzyme and vitamin B6.

However, in order for tryptophan to cross the highly selective and protective blood-brain barrier, its blood concentration must be higher than other similar amino acids (tyrosine, phenylalanine, leucine, isoleucine, valine and methionine), and this is where carbohydrates come into play. Consuming high-glycemic carbohydrates results in high blood sugar and this stimulates the release of insulin from the pancreas gland. Insulin not only clears the blood of extra sugar, but it regulates the amino acid tissue uptake too – resulting in a higher tryptophan blood concentrations.

So, the intake of carbohydrates and especially sweets and simple sugars, increases insulin levels, which allows more tryptophan to enter into the brain where it can be used to make serotonin – the effects of which are mood altering. But, over consumption of high glycemic carbohydrates has negative consequences like reactive hypoglycemia, sugar cravings, increased body fatness (weight gain), insulin resistance, metabolic syndrome, diabetes, heart disease, and various cancers. So, how do you remedy this paradox?

To unravel this quagmire, I tell my patients to follow a well-balanced (not high carb and low-fat) diet consisting of low-glycemic carbohydrates, quality proteins and fats spread out throughout the day consisting of three main meals and two to three snacks – all balanced and based on their particular needs. Doing so will keep blood sugar and insulin levels within normal, and provide greater amounts of tryptophan available for serotonin synthesis, without the negative effects of consuming too many carbohydrates or high glycemic carbohydrates.

• On a side note, taking 5-HTP can circumvent tryptophan and insulin, and allow for greater production of serotonin, because 5-HTP does not require carbohydrate consumption. However, this natural supplement cannot be taken by those on antidepressant or selective serotonin uptake or MAO inhibitors. Check with your doctor before taking this supplement.

Of course, following a lifestyle program consisting of solid nutrition, supplementation and exercise is optimum for achieving overall good health and a much better outlook on life – good mood included.

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/melatonin-antiaging-antioxidant-and-anticancer-properties http://drsardone.com/blog/2009/11/15/melatonin-antiaging-antioxidant-and-anticancer-properties Sun, 15 Nov 2009 07:09:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/melatonin-antiaging-antioxidant-and-anticancer-properties
Researchers believe that it’s both the natural age-related decline and inhibition of melatonin synthesis by nighttime exposure to artificial light, that predisposes individuals to increased disease risk and accelerated aging. Conditions associated with melatonin deficiency are:

* Accelerated Aging
* Brain Degenerative Diseases (Alzheimer’s, Parkinson’s and Huntington’s)
* Depression/Mood Disorders
* Increased Cancer Risk (Breast and Colorectal)
* Increased Cardiovascular and Stroke Disease Risk
* Insomnia

Although melatonin is commonly known for its sleep-inducing properties, many individuals are unaware of its other very important physiological functions including anti-aging, antioxidant and anti-cancer properties. Unlike other antioxidants like vitamin E (lipid only) and vitamin C (aqueous only), melatonin works in both lipid (fat) and aqueous (watery) parts of the cell neutralizing the damaging effects of free-radicals, highly disruptive chemicals that damage mitochondrial DNA, lipids and proteins through oxidative stress. It’s melatonin’s ability to work in both mediums, which makes it such a potent antioxidant.

Because melatonin declines throughout life, reaching very low levels in the elderly, many researchers believe that this decline contributes to aging and its related neurodegenerative conditions like Alzheimer’s disease (Elderly Alzheimer patients have half the amount of melatonin as elderly individuals not afflicted with this dreadful disease). Researchers believe that oxidation and amyloid plaque buildup are contributory factors in the development of Alzheimer’s, and that melatonin’s effectiveness is secondary to its free-radical scavenging properties and ability to inhibit amyloid plaque formation. Although melatonin supplementation has not proven beneficial in reversing advanced Alzheimer’s disease, it has preventative properties as an antioxidant and antiamyloidogenic that warrant its appropriate usage.

Melatonin’s anti-cancer properties are attributed to its antiproliferative, antioxidative and immunostimulatory effects. It is well known that breast cancer tissue contains higher levels of aromatase activity than normal breast tissue – aromatase is an enzyme responsible for converting testosterone into estradiol, a potent estrogen and breast cancer cell stimulator. There is evidence that melatonin protects against breast cancer by inhibiting aromatase expression. Studies show that women, who worked night-shifts resulting in less melatonin synthesis, had higher incidences of both breast and colorectal cancers.

Levels of melatonin can be assessed either through blood or saliva samples; however, collecting your saliva during the nighttime peak hours (2-4 AM) of synthesis is more practical. Knowing your level is important especially when considering supplementing this hormone, and supplementing with melatonin rather than its precursors is more practical and reliable, and should always be done under a qualified healthcare provider’s supervision. The dosage will vary based on particular needs and desired effects. Typically, taking 0.5 to 1mg at bedtime (time-released capsule) is sufficient for sleep inducement and for its other noted benefits.

Appendix D of my book discusses the importance of melatonin and other hormones, and offers a checklist of symptoms associated with their deficiencies or overproduction. A list of diagnostic labs offering both blood and saliva testing is also provided.

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/milk-allergy-or-lactose-intolerance-or http://drsardone.com/blog/2009/11/15/milk-allergy-or-lactose-intolerance-or Sun, 15 Nov 2009 07:08:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/milk-allergy-or-lactose-intolerance-or
A true milk allergy might cause immediate symptoms after consumption such [...]]]>
A true milk allergy might cause immediate symptoms after consumption such as:

1. Hives
2. Wheezing
3. Vomiting
4. Anaphylaxis, although rare, this reaction is serious (airway constriction, severe drop in blood pressure, flushing of the skin) and requires immediate medical attention.

Delayed milk allergy symptoms might include the following:

1. Runny and itchy nose
2. Watery and itchy eyes
3. Coughing
3. Skin flushing
4. Abdominal cramps
5. Diarrhea (colic in babies)

On the other hand, lactose intolerance causes irritable bowel syndrome (IBS), producing digestive symptoms shortly after consumption such as:

1. Bloating
2. Gas
3. Abdominal cramps
4. Diarrhea

As you can see, these digestive symptoms are similar to delayed milk allergy symptoms and this can cause some confusion. However, lactose intolerance only produces irritable bowel symptoms as described.

Here is something else to consider, irritable bowel syndrome or IBS is not the same as inflammatory bowel disease or IBD. Confused? The latter in this case, is an inflammatory condition of the colon (ulcerative colitis) or of the small intestine and colon referred to as Crohn's disease. Differentiated by location, both are considered autoimmune conditions with various dietary triggers, and cause similar symptoms such as bloating, gas, abdominal cramps and diarrhea (severe) leading to malabsorption and malnutrition. Although IBD does cause other symptoms, it does have similar digestive symptoms as milk allergies and IBS.

Then you have celiac disease, an autoimmune reaction to gliadin, a protein found in gluten (wheat, barley and rye). And you guessed it, celiac disease also causes similar digestive symptoms as well as other systemic symptoms.

Finally, soy proteins also cause allergic reactions very similar to milk proteins, and in fact, is more common than milk allergies. It is very important to understand the difference between milk and soy proteins, and how they effect us, including infants and children. This is a topic that I devote great time to in my book and is worth learning about.

So, the key is how to differentiate and then how to treat? Of course treatment will vary based on the condition and is too involved to discuss in this post. However, aside from allergy blood tests, there is another test that I use in my practice to help differentiate gastrointestinal conditions: the Comprehensive Digestive Stool Analysis (CDSA 2.0) by Genova Diagnostics. This is an easy test to perform at home over a three day period.

For more information about this test, please email me via my contact page.

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/fighting-allergies-and-asthma-naturally http://drsardone.com/blog/2009/11/15/fighting-allergies-and-asthma-naturally Sun, 15 Nov 2009 07:07:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/fighting-allergies-and-asthma-naturally
A poor diet and lack of exercise promotes weight gain and increased body fat storage, especially around the midsection. Central (intra-abdominal) fat cells produce chemicals (cytokines) that promote systemic inflammation similar to omega-6/omega-3 imbalances. Together, these factors induce a systemic environment prone to inflammation and disease including heart disease, diabetes and various cancers in conjunction with other conditions like allergies and asthma - those suffering from seasonal allergies and chronic asthma are predisposed to inflammatory reactions producing symptoms such as runny noise, watery eyes, sneezing, post-nasal drip, bronchial congestion, coughing, wheezing and difficulty breathing.

Here are some tips that you might want to consider and speak to your healthcare provider about. It is important to speak to a qualified healthcare provider regarding dietary, exercise and supplementation before commencing. Various supplements can interfere with prescription or over-the-counter medications, as well as various medical conditions.

Some basic tips to help fight allergies and asthma

1. Lose the midsection - Generally, a waist circumference measured at the belly button, more than half your height in inches is a red flag. Example: a 64 inch (5'4") tall person should have a waist measurement less than 32 inches.
2. Eat Right - eliminate processed foods including fast foods and beverages (sodas sweetened fruit juices). Eliminate high-glycemic sugars and white flour, and stay away from high-fructose corn syrup and trans fats (partially hydrogenated oils). Eat a well-balanced diet including whole foods, grains, nuts, plenty of fruits (especially berries) and vegetables, and quality proteins and fats.
3. Stay away from wheat, barley and rye, if allergic to gluten.
4. Drink green, white and black teas.
5. Exercise: incorporate an aerobic and weight training exercise plan based on your particular ability and medical situation.
6. Use a natural nasal spray that contains saline and xylitol (see below).
7. Take a broad-spectrum multiple vitamin and mineral supplement.
8. The following supplements may prove beneficial in reducing inflammation and relieving various allergy and asthmatic symptoms: If you are taking medications, check with your doctor or pharmacist for possible interactions before taking any supplement.

* Vitamin C and bioflavinoids (500-1000 mg - 2 X day)
* Quercitin (250-500 mg - 3 X day)
* Boswellia or boswellic acid (300 mg - 3 X day)
* Fish oils (EPA/DHA) - (1000 mg - 3 X day)
* Flaxseed oil (cold pressed) - (1 tbsp - 1 X day)
* N-acetylcyteine or NAC (500 mg - 3 X day)
* Butterbur - make sure that this product is UPA-free (unsaturated pyrrolizidine alkaloid) - (50-75 mg - 2 X day)

Nasal Spray: I recommend using Activated Nasal Mist by Now Foods to help reduce nasal and sinus irritation.

Of course, seeking the help and guidance of a qualified healthcare provider who specializes in functional medicine, is always recommended because one size does not fit all; however, the above suggestions may prove beneficial. For more information or if you have any questions you can send me an email via my contact page.

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/acai-berry-juice-vs-powder http://drsardone.com/blog/2009/11/15/acai-berry-juice-vs-powder Sun, 15 Nov 2009 07:04:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/acai-berry-juice-vs-powder
The antioxidant value or potency of acai berry and other foods is determined by assessing their Oxygen Radical Absorbance Capacity known as ORAC value (higher ORAC values have greater antioxidant potency). Various spices, fruits/berries, chocolate (cocoa), herbs, grains/nuts, beans and vegetables have the highest ORAC values testes. The following is a condensed list noting ORAC values per 100 gram servings of each food. A more complete list can be found in my book or the USDA website.

1. Cloves, ground - 314,446 ORAC value
2. Cinnamon, ground - 267,536 ORAC value
3. Oregano, dried - 200,129 ORAC value
4. Turmeric, ground 159,277 ORAC value
5. Acai berry powder (freeze-dried) - 102,700 ORAC value
6. Cocoa, powder (unsweetened) - 80,933 ORAC value
7. Curry, powder - 48,504 ORAC value
8. Sage, fresh - 32,004 ORAC value
9. Yellow Mustard, seed 29,257 ORAC value
10. Ginger, ground 28,811 ORAC value

Acai berry juice (liquid) does not offer as much antioxidant protection as the freeze-dried acai powder. Researchers tested various berry and fruit juices as reported in the Journal of Agriculture and Food Chemistry (2008). They noted that (highest to lowest) pomegranate juice > red wine > Concord grape juice > blueberry juice > black cherry juice = acai juice = cranberry juice > orange juice = green tea = white tea = apple juice. They concluded that when in liquid form, acai berry lost some of its antioxidant capacity as compared to other juices with pomegranate having 20% more antioxidant potency. However, in freeze-dried powder form, acai berry had the highest ORAC value of any other fruit or berry per 100 gram serving size as follows.

1. Acai berry powder (freeze-dried) - 102,700 ORAC value
2. Elderberries, raw - 14,697 ORAC value
3. Cranberries, raw - 9584 ORAC value
4. Black plums, with skin - 7581 ORAC value
5. Blueberries, raw - 6552 ORAC value
6. Red plums, with skin - 6259 ORAC value
7. Blackberries, raw - 5347 ORAC value
8. Raspberries, raw - 4882 ORAC value
9. Red apples, with skin - 4275 ORAC value
10. Strawberries, raw - 3577

When considering supplementing with acai berry, choose freeze-dried powder over juice formulations, and incorporate it as part of an overall well-balanced diet including organic whole-foods - and avoid processed foods and beverages. Moreover, remember that there is no magic pill or food, and losing body fat is best achieved when good lifestyle behaviors are followed - change your focus from losing weight to becoming healthy and fit, and body fat will come off as a consequence.

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/swine-flu-hospitalizations-new-risk-findings http://drsardone.com/blog/2009/11/15/swine-flu-hospitalizations-new-risk-findings Sun, 15 Nov 2009 07:01:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/swine-flu-hospitalizations-new-risk-findings
Among 500 hospitalized children suffering from swine flu complications, the most common underlying conditions included asthma, chronic lung disease, neurologic and neuromuscular disorders, and sickle-cell anemia and other blood disorders.

Of the 1400 adults hospitalized, Dr. Schuchat noted that asthma, diabetes, chronic lung disease, chronic heart disease, and immunosuppression were the most common exacerbating conditions.

Dr. Schuchat also noted that 6.1% of hospitalized adults were pregnant. She cited the main reason for this finding to be the mother's natural immune system suppression as protection against her body reacting negatively to the fetus. Also, during pregnancy many women suffer from airway compression and this could decrease the mother's ability to fight off the infection as well.

Underlying medical conditions and pregnancy, as well as central obesity as previously discussed, are risk factors which increase hospitalization and mortality associated with swine flu infection. Individuals at risk should speak to their doctor regarding these risks, and the pros and cons of immunization. Also, those considering vaccination should request preservative (Thimerosol) free vaccines, especially pregnant women and infants under 6-months of age.

Yours for better health

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/breast-cancer-prevention http://drsardone.com/blog/2009/11/15/breast-cancer-prevention Sun, 15 Nov 2009 07:01:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/breast-cancer-prevention
1. BRCA1 and BRCA2 genetic mutations via blood testing: BRCA1 and BRCA2 are human genes known as tumor suppressors, and mutations of these genes has been linked to hereditary breast and ovarian cancer.
2. Estradiol and progesterone imbalances in both blood and saliva: Either high levels of estradiol or low levels of progesterone results in "estrogen dominance." Too much estrogen (estradiol) exposure over time, without the counterbalancing effects of progesterone, predisposes one to potential estrogen positive cancers of the breast and uterus.
3. Estrogen metabolite levels and ratios in either blood or urine: How estrogen is being processed in the body can be assessed via serum or urine metabolite assessment - 16 alpha-hydroxyestrone and 2-hydroxyestrone are the two metabolites measured. The ratio of these metabolites can determine one's risk for breast cancer as well as other diseases including osteoporosis.
4. Body mass index (BMI), body fat percentage and waist circumference measurements: A BMI higher than 25, body fat percentage more than 25% (females) and/or a waist measurement (belly button) more than half your height in inches are all red flags and increase your risk for breast and other cancers, heart disease, and diabetes. Your waist measurement should be less than half your height in inches. Example: a 5'4" (64") female's waist measurement should be less than 32 inches, more than that would be considered abdominal (central-visceral) obesity. Excessive visceral fat cells produce various chemicals that cause systemic inflammation, and these same fat cells produce estrogen via testosterone conversion.
5. Periodic self-examination of breasts for lumps
6. Periodic checkups by your doctor

Prevention Tips

1. Lose body fat (weight): Strive for optimum BMI, body fat percentage and waist circumference
2. Exercise daily: Cross-train (aerobic and resistance training)
3. Eliminate processed and fast-foods including sweetened beverages from your diet - eliminate foods that contain high fructose corn syrup, sucrose and partially hydrogenated oils (soy, canola or vegetable)
4. Reduce or eliminate alcohol consumption
5. Stop smoking
6. Stop using synthetic hormone replacement (synthetic estradiol and progestin)
7. Counterbalance elevated estradiol levels with natural-bioidentical progesterone
8. Counterbalance elevated estradiol and 16 alpha-hydroxyestrone levels with flaxseed meal and flaxseed oil, fish oils (EPA/DHA), calcium-d-glucorate, cruciferous vegetables (Brussels spouts, broccoli, cauliflower, cabbage, etc) or their derivatives indole-3-carbinol (I3C) and diindolylmethaine (DIM)
9. Consume organic whole foods and foods rich in photochemicals and high ORAC (antioxdiant) value: spices, cocoa, colorful fruits and vegetables
10. Replace plastic food and beverage containers with glass or stainless steel. Avoid buying cans made with epoxy liners that leach bisphenol-A - buy BPA-free cans and bottles.
11. Take control of your health by changing your lifestyle, focus on becoming healthy and fit - Follow the principles taught in The Naked Truth: Overweight, Overhwelmed and Confused

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/high-fructose-corn-syrup-bad-news http://drsardone.com/blog/2009/11/15/high-fructose-corn-syrup-bad-news Sun, 15 Nov 2009 07:00:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/high-fructose-corn-syrup-bad-news
Sucrose (table sugar) also contains fructose as part of its molecular makeup, and the combination of HFCS and sucrose consumption in America has sky rocketed. In 2005, the average American was consuming 122 pounds of this combination per year, and it keeps increasing.

Fructose is metabolized in the liver where it is converted and stored as glycogen (storage form of glucose - blood sugar) or synthesized into triglycerides (fats). Habitual over consumption of fructose can overwhelm glycogen storage causing excessive triglyceride production resulting in fatty liver disease and high triglyceride (hypertriglyceridemia) blood levels. This can lead to insulin resistance, arterial (coronary) plaques and subsequent heart disease.

This sweetener has effects on insulin, leptin and ghrelin, hormones that regulate appetite and hunger among other things. HFCS inhibits insulin and leptin secretion and stimulates ghrelin production - the net result is increased hunger and appetite that leads to overeating and weight gain. In other words, the more HFCS you consume, the greater your hunger and the more you eat, especially carbohydrates.

The only way to avoid high fructose corn syrup, sucrose and other unhealthy food additives, is to avoid processed foods and beverages.

The Naked Truth!

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/low-thyroid-function http://drsardone.com/blog/2009/11/15/low-thyroid-function Sun, 15 Nov 2009 06:58:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/low-thyroid-function
Many individuals, especially females between the ages of 30 and 50, begin to [...]]]>
Many individuals, especially females between the ages of 30 and 50, begin to experience symptoms associated with low thyroid function. Symptoms frequently experienced are: depression, fatigue, mental fogginess, insomnia, cold intolerance, dry coarse skin, weight gain, PMS, headaches, low libido, hair loss, muscle and joint achiness, brittle nails, infertility, increased LDL-cholesterol, B12 deficiency (anemia), chest pain, constipation, and low basal (arm pit) temperature.

Of course, many of the symptoms noted can be related to other conditions, however, checking thyroid function should not be overlooked. A simple home method of assessing thyroid function is to perform the Barnes Basal Temperature Test. This test requires a basal thermometer and three consecutive mornings. Place the thermometer next to the bed the night before testing. First thing upon awakening, place the thermometer under your armpit and lie still for 10-minutes, then record your temperature. Do this for three mornings. Normal temperature readings are between 97.8 and 98.2 degrees F. Three consecutive days of below normal readings indicates a low functioning thyroid, which requires further evaluation via blood testing.

A complete thyroid assessment should include the following blood tests: Thyroid-stimulating hormone (TSH), free T4, free T3, anti-TG antibody titer and anti-TPO antibody titer. Often, the antibody tests are not done and this omission could very well lead to inaccurate assessment and wrong diagnosis. For instance, early Hashimoto's disease (autoimmune thyroiditis) presents with normal TSH, T4 and T3 levels, but will produce anti-TPO antibodies. Considering that many hypothyroid females have autoimmune thyroid dysfunction, not including antibody testing will miss this diagnosis which can potentially cause damage to the thyroid gland that otherwise could have been prevented.

Females suffering from low thyroid function should also consider having their sex hormones (estradiol and progesterone) checked via saliva testing. Elevated estradiol and/or low progesterone levels can negatively influence thyroid hormone uptake (usage) at the cellular level, thereby producing hypothyroid symptoms.

Autoimmune thyroid dysfunction is a common problem and an often-missed diagnosis as already noted. Underlying potential causes are viruses, food borne bacteria, antigens (leaky gut), diet (soy), toxins (pesticides, fertilizers, dioxin, plastics, mercury and fluoride), celiac (gluten intolerance) disease and genetic susceptibility.

Finding the underlying cause of low thyroid function requires a thorough evaluation. Seeking the help of a practitioner who specializes in functional and preventative medicine is beneficial not only in proper work up and diagnosis, but in treatment and management protocols including alternative methods.

Yours for better health,

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/abdominal-obesity-and-swine-flu-complications http://drsardone.com/blog/2009/11/15/abdominal-obesity-and-swine-flu-complications Sun, 15 Nov 2009 06:58:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/abdominal-obesity-and-swine-flu-complications
A CDC report dated July 17, 2009, noted that of ten intensive care patients hospitalized (University of Michigan Health Center) for H1N1 influenza, nine were obese including seven who were severely obese (BMI 40 or higher). Three of these patients died due to complications. The report noted that "Clinicians should be aware of the potential for severe complications of novel influenza A (H1N1) virus infection, particularly in extremely obese patients."

Also, a study conducted by Beck out of the University of North Carolina Chapel Hill noted that obese mice had a 40% mortality when exposed to H1N1 influenza as opposed to 4% mortality in non-obese mice.

Individuals who fall within the above noted criteria should continue their quest to lose body fat, especially around the midsection, through healthy lifestyle efforts and speak to their doctors about safeguard measures prior to the upcoming flu season.

Yours for better health

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/soy-strikes-out-again http://drsardone.com/blog/2009/11/15/soy-strikes-out-again Sun, 15 Nov 2009 06:56:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/soy-strikes-out-again
Some people consume it on purpose, thinking that it will prevent weight gain, aging, Alzheimer's disease, cancer, heart disease, hot flashes and bone loss better known as osteoporosis. FYI - soy is not a miracle food, never was and never will be. There is research evidence that women who consume daily amounts of soy isoflavones of 150 mg had increased thickening of the uterus known as endometrial hyperplasia - a precursor to uterine cancer(1). Getting 150 mg of isoflavones per day is not that difficult - one cup of roasted soybeans yields 221 mg, one cup raw/boiled soybeans yields 94 mg and 1 cup Silk® soymilk yields 24 mg of isoflavones.

Consuming soy on purpose as noted above is one way of intentionally overdosing, but some individuals are eating soy without even knowing it. Soy is hidden in processed foods by way of flour, protein isolate and TVP (textured vegetable protein). The next time you bite into a fast food burger, which I do not recommend, approximately 50% is most likely made with soy (TVP) meat.

I write about the perils of soy in Chapter 6 of my book citing hundreds of studies that undo many of the super claims made about this bean. And today, yet two more studies have emerged shooting down the theory that soy prevents bone loss(2,3).

As reported in Medpage Today (www.medpagetoday.com), the American Society of Bone and Mineral Research reported that soy protein extracts (isoflavones) had no effect on preventing bone loss in postmenopausal women in two placebo-controlled studies. In one study, the bone loss seen in the lumbar spine and hip bones after three years of taking soy isoflavones extracts were similar to those taking a placebo.

The second study showed that bone resorption biomarkers were "virtually identical" in both the soy group and those taking a placebo after two years of testing. In other words, soy did not prevent the loss of bone any more than taking a sugar pill.

When Dr. Lee Alekel, lead researcher, was asked about these findings he stated, "I think we can close the door on this issue." Unfortunately, I do not think the door will be closed on soy as Dr. Alekel suggested. The soy industry and manufacturing mega giants have too much at stake.

For more information about soy, check out my new book; The Naked Truth: Overweight, Overwhelmed and Confused

Dr. Sardone

References Cited

1. Murray MJ et al, Menopause (2003); 10(5): 456-464

2. American Society for Bone and Mineral Research Source reference: Alekel D, et al "Soy Isoflavones for Reducing Bone Loss (SIRBL) study: randomized three year intervention in postmenopausal women" ASBMR (2009); Abstract SA0412.

3. American Society for Bone and Mineral Research Source reference: Levis S, et al "Soy isoflavones and bone resorption: results of the Soy Phytoestrogens as Replacement Estrogen (SPARE) study" ASBMR (2009); Abstract MO0374.

]]> http://drsardone.com/blog/2009/11/15/the-fat-acceptance-movement http://drsardone.com/blog/2009/11/15/the-fat-acceptance-movement Sun, 15 Nov 2009 06:55:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/the-fat-acceptance-movement
Proponents claim that overweight and obese [...]]]>
Proponents claim that overweight and obese individuals are unduly ridiculed and discriminated against by the media specifically and by society in general, and that medicine has unjustifiably blamed obesity as a gateway to disease.

Advocates note that overweight women are at greater risk for discriminatory actions harboring hate crime characteristics. They argue that overweight individuals are subjected to greater employment scrutiny, and that transportation companies are increasing ticket prices by the pound.

Of course, all of this is true, the overweight are ridiculed and discriminated against, but by whom exactly? Considering that 70% of Americans are overweight (including obese), who is doing the finger pointing? I would love to be in the boardroom of some of these companies that are making anti-fat people policies. How many of those policy makers are overweight themselves? The hypocrisy is quite heavy, pun intended.

In essence, the fat acceptance advocates want all of us to accept overweight and/or obese people as they are, and without prejudice. After all, they have the right to be as heavy or as sick as they choose to be, and no one has the right to tell them otherwise. How can you argue with that logic? We live in America, the land of the free.

Okay, I would gladly accept their reasoning, if it were not for two very important counter arguments. The first concern is how acceptance will affect the well-being of our children. You remember them, the innocent and naive bundles of joy that we bring into this world. The vulnerable little angels that we are supposed to guide, teach and protect. As parents, are we not suppose to teach our children the values of education, spirituality, generosity, humility, humanity and positive lifestyle behaviors? What? Positive lifestyle behaviors, what in the world???? Do you mean the benefits of eating right and exercise, and how doing so just might prevent disease and inevitable harrassment?

However, this means that we, as parents and mentors, have to practice what we preach. We have to stop buying and eating processed and fast foods, and get up off the couch. But doing these things requires effort, which is more difficult than accepting overweight and obesity as another misunderstood and overly criticized human faux pas.

The second argument is purely financial based on the rising costs of healthcare. Regardless of how the fat acceptance supporters try and spin the facts related to obesity related diseases, their arguments fall on deaf ears. There is overwhelming scientific evidence that aligns obesity to heart disease, diabetes, various cancers, liver disease, kidney disease, gallbladder disease, etc, etc., etc. The medical costs in treating these conditions is enormous, with estimates reaching 142 billion dollars per year. The argument - why should all Americans, but especially those not overweight, obese or suffering from an associated disease, share in these healthcare costs?

Finally, I for one have been in the trenches with my overweight and obese patients. I have seen their tears and felt their emotional pain. I understand their sense of embarrassment and their psychological struggles. I have seen the physical consequences from heart disease to osteoarthritis. However, acceptance is not going to help them overcome these issues, nor will it prevent disease or discrimination for that matter, but it might in fact, aid and abet them. Moreover, it will provide our children with the very excuse they need to follow the same unhealthy and overly ridiculed path.

The Naked Truth!

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/weight-loss-women-vs-men http://drsardone.com/blog/2009/11/15/weight-loss-women-vs-men Sun, 15 Nov 2009 06:53:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/weight-loss-women-vs-men
When it comes to losing weight, women are behind the eight ball for three main reasons: childbirth , hormones and muscle mass. It goes without saying that women are [...]]]>
When it comes to losing weight, women are behind the eight ball for three main reasons: childbirth , hormones and muscle mass. It goes without saying that women are designed differently than men, externally as well as internally. Physiologically speaking, women are designed to carry more body fat than men because women bare children and men don't. During pregnancy and lactation, women require more energy and their extra body fat is there to supply it.

Females produce more estrogen and less testosterone than men. Estrogen promotes fat storage and testosterone promotes muscle development, and when women suffer from estrogen dominance (more estrogen than progesterone) and testosterone deficiency their fat storage capacity increases and muscle mass decreases.

Muscle tissue burns more calories than any other tissue and the more you have the greater the metabolic rate. Men typically will have more muscle mass than women and their ability to develop this tissue if far greater. Therefore, their fat burning engine is much larger making it easier to burn fat and lose weight especially during and after exercise.

The optimum or generally healthy body fat range for women is 18 to 25 percent and for men it's 12 to 18 percent. In other words, women and men who's body fat is within the ranges noted are less likely to suffer from conditions related to excess body fat such as heart disease, diabetes and various cancers.

So, what can women do to offset these physiological handicaps?

1. Check your estrogen (estradiol), progesterone and testosterone levels. I recommend having them checked by a qualified healthcare provider who utilizes saliva testing because doing so will reveal the active or bioavailable level of these hormones. This is important especially after the age of 35 (for most women).

2. Most women, as they age, will have more estrogen than progesterone, and this can be remedied by supplementing with natural or bioidentical progesterone. Testosterone can also be supplemented if too low.

3. Add weight training to your exercise routines. Lifting weights is necessary to develop muscle tissue, which in turn will increase your fat burning engine. Weight lifting routines should be designed based on your age, ability and health status (are there any underlying conditions like arthritis, etc.). Lifting weights will allow your muscle to become lean and tone. Don't worry, you will not get big muscles - remember, you don't have the testosterone that men have.

4. Eat a well-balanced diet including fruits and vegetables, whole grains, quality protein and fats based on your body composition and metabolic needs. Make sure that you get optimum amounts of protein based on these factors as well as your activity level. The more active you are, the greater your needs.

5. Follow the recommendations in The Naked Truth: Overweight, Ovewhelmed and Confused

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/waist-circumference-whats-the-big-deal http://drsardone.com/blog/2009/11/15/waist-circumference-whats-the-big-deal Sun, 15 Nov 2009 06:52:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/waist-circumference-whats-the-big-deal
Before the discovery of leptin in 1994, an appetite regulating hormone secreted by fat cells, most researchers believed that fat cells (adipose tissues) were just a storage depot for extra fat and other than storage, shock absorption and body heat retention, little else was known. However, since 1994 researchers have discovered that fat cells and in particular visceral fat cells, produce a number of chemicals known as cytokines.

Cytokines have been implicated in systemic inflammation leading to insulin resistance syndrome (metabolic syndrome). Those suffering from this condition are predisposed to heart disease, adult onset diabetes, various cancers, polycystic ovarian syndrome, fatty liver disease, and kidney disease. These fat cells also produce estrogen, which could be the reason why women with increased waist measurements are predisposed to estrogen dominance and its related conditions.

Waist circumference is one of five diagnostic criteria used to assess metabolic syndrome risk. The other four are increased blood sugar, reduced HDL-cholesterol, increased blood pressure, and increased triglycerides. In order to be diagnosed with this condition, one has to have at least three of these five criteria.

The critical waist circumference measurement for females is 35 inches and 40 inches for males.

Foods that produce excessive amounts of blood sugar resulting in elevated insulin levels overtime promote the storage of visceral and subcutaneous fat, and nothing packs on abdominal fat more so than high-glycemic carbohydrates and alcohol, especially beer. Ever wonder why it's called a "beer belly?"

Learn more in The Naked Truth: Overweight, Overwhelmed and Confused.

Dr. Sardone

]]> http://drsardone.com/blog/2009/11/15/red-yeast-rice-and-cholesterol-be-careful http://drsardone.com/blog/2009/11/15/red-yeast-rice-and-cholesterol-be-careful Sun, 15 Nov 2009 06:50:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/red-yeast-rice-and-cholesterol-be-careful
Red yeast rice has been around for centuries, first described in ancient Chinese writing as early as 800 AD. Red yeast rice has been used in Asian cuisine and [...]]]>
Red yeast rice has been around for centuries, first described in ancient Chinese writing as early as 800 AD. Red yeast rice has been used in Asian cuisine and medicine.

The rice is cultivated with Monacus purpureus (mold) giving it a red color. The mold produces various substances called monacolins one of which is lovastatin. Lovastatin produces cholesterol-lowering effects by inhibiting HMG CoA reductase, an enzyme necessary for cholesterol synthesis. Lovastatin is the active ingredient in Mevacor, a statin drug manufactured by Merck and Co only available through Rx.

Since it is considered a dietary supplement, it is not regulated. Therefore, the amount of lovastatin in each product will vary. Taking too little will have negligible cholesterol-lowering effects, and taking too much can cause mild side effects such as stomach upset or nausea, bloating , gas , heartburn and indigestion .

Some individuals develop muscle pain and weakness especially in the calf muscles. An unlikely, yet very serious condition called rhabdomyolysis (breakdown of skeletal muscle) has been reported. The rapid breakdown of skeletal muscle releases myoglobin (protein) into the blood, which causes kidney damage and if untreated, can lead to kidney failure. Individuals with this condition will have muscle pain and weakness, and dark colored urine.

Taking red yeast rice with niacin, or various drugs like gemifibrozol, clofibrate, erythromycin, cyclosporine, and statin drugs can exacerbate the above noted side effects as well cause liver toxicity.

Some red yeast rice products contain citrinin, a mycotoxin that can also cause kidney damage. Most pharmaceutical grade red yeast rice supplements remove this impurity.

So, how do you know if your red yeast rice is safe? Since dietary supplements are not regulated, some manufactures make false or unsubstantiated claims. Therefore, trusting label claims is risky business.

Ask your healthcare provider for his or her recommendation or the name of a pharmaceutical grade product as well as usage instructions. Have your liver enzymes and blood fats monitored while taking this supplement, and pay attention to any adverse side effects.

Bottom Line: unless you are one of those unfortunate few that genetically produces too much cholesterol, keeping your levels within optimum levels is best achieved through proper diet and exercise. Reducing high-glycemic carbohydrates and alcohol intake is also very beneficial.

• On a side note: cholesterol is more important than you can imagine. It has vital functions in the body such as maintaining cell membrane structure and integrity especially in brain and nervous tissue, maintains cell membrane fluidity, precursor to steroid hormones like progesterone estrogen and testosterone, precursor to vitamin D3 synthesis, and necessary for bile acid production. Therefore, lowering cholesterol in general may prove more detrimental than beneficial. Small dense LDL-cholesterol particles are prone to oxidation and these can cause coronary artery inflammation and disease.
• There's so much more about cholesterol in The Naked Truth: Overweight, Overwhelmed and Confused.
• Yours for better health
• Dr. S

]]> http://drsardone.com/blog/2009/11/15/weight-loss-mistakes-that-sabotage-success http://drsardone.com/blog/2009/11/15/weight-loss-mistakes-that-sabotage-success Sun, 15 Nov 2009 06:47:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/weight-loss-mistakes-that-sabotage-success
The overwhelming majority of people trying to lose weight focus on "quick fix" solutions, rather than changing their lifestyles. When someone obsesses [...]]]>
The overwhelming majority of people trying to lose weight focus on "quick fix" solutions, rather than changing their lifestyles. When someone obsesses about weight-loss, they are more apt to grasp for easy or simple remedies like appetite suppressants, fasting, calorie deprivation, gimmicks (fad diets, creams, patches, etc.) and hyped up supplements (too many to mention here).

Of course, you will lose weight doing any of these things, but the majority of weight-loss is typically water and muscle weight. Losing muscle will sabotage your metabolism and future efforts by reducing the very tissue that burns fat for fuel, supports your immune system, maintains bone density and stimulates your metabolic rate.

Once you stop taking the "magic pill," or stop following the "too good to be true" diet (and you will), your weight will return and typically faster than it came off. The sad part is, the weight gained will be in fat and not precious muscle mass.

Learning more about your body composition and biochemistry is necessary to develop a plan specific for your needs including a nutrition and exercise program that you can do realistically. Changing your goal from losing weight to becoming healthy and fit is the golden key, body fat comes off as a consequence.

Yours for better health

Dr. S

]]> http://drsardone.com/blog/2009/11/15/metabolism-slowing-down http://drsardone.com/blog/2009/11/15/metabolism-slowing-down Sun, 15 Nov 2009 06:46:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/metabolism-slowing-down
Things to consider and discuss with your healthcare provider:

1. Hormones: As women age their production of various hormones begin to change. Many women suffer from estrogen (estradiol) dominance or progesterone deficiency as well as testosterone deficiency. Too much estrogen and too little progesterone can influence thyroid gland function and thyroid hormone utilization. Since thyroid hormone helps regulate metabolic rate among other things, any disruption of its function or hindrance of thyroid hormone action, can produce hypothyroid symptoms.

Low testosterone levels can also mimic sluggish thyroid function or slow metabolism. Symptoms such as low energy, fatigue, lack of sexual desire, and decreased muscle mass, tone and strength are experienced by many women.

2. Decreased muscle mass, tone and strength: Decreased muscle mass due to hormone imbalance, lack of resistance training, lack of protein intake or other factors, will cause a slowing of metabolic rate secondary to inefficient utilization of fuels during exercise and at rest. This is a very important factor and should not be taken lightly. Muscle stimulates metabolism and weight training will increase muscle tone (density) and energy requirements.

In other words, you do not have to have big muscles, just ones that are tone and hungry. Proper weight training and protein intake will influence muscle integrity and subsequently metabolic rate.

On a side note: increased stress from emotional factors (job, relationships, financial, etc), illness or too much aerobic activity, can cause muscle tissue breakdown secondary to increased cortisol production. Muscle breakdown releases certain amino acids that can be converted to glucose, which is used for energy needs.

3. Poor diet: Bad eating habits including too many high-glycemic carbohydrates, processed foods, insufficient protein intake and too much alcohol, will cause an increase in weight gain and other metabolic dysfunction including insulin resistance (a topic for another post).

Suggestions:

1. Have your hormones checked by a qualified healthcare provider who utilizes saliva testing as well as blood testing. Seek out someone who uses bioidentical hormones rather than synthetic hormones, and who prescribes via compounding pharmacies.

* Appendix D of my book reviews hormone deficiency symptoms and conditions, and offers various labs that provide home saliva test kits.

2. Incorporate weight training (lifting) as part of a cross training exercise routine.

3. Eat a well-balanced diet including low-glycemic carbohydrates, quality protein and fats, based on your body composition and metabolic needs. Balance is the key.

4. Follow the guidelines and recommendations described in my new book titled; The Naked Truth: Overweight, Overwhelmed and Confused

Yours for better health.

Dr. S

]]> http://drsardone.com/blog/2009/11/15/obey-their-rule-and-lose-one-pound-a-day http://drsardone.com/blog/2009/11/15/obey-their-rule-and-lose-one-pound-a-day Sun, 15 Nov 2009 06:43:00 +0000 Dr. S http://drsardone.com/blog/2009/11/15/obey-their-rule-and-lose-one-pound-a-day
Of course, you might be [...]]]>
Of course, you might be able to drop one pound of water weight in a day doing things that I would not recommend, but soon after re-hydrating (drinking fluids)that pound magically reappears.

So, why can't the average human being lose one pound of fat per day? Because it takes the oxidation (burning) of approximately 3500 extra calories to burn that much fat. However, even if you could expend 3500 extra calories in one day, not all of the fuel being burned is fat. Glucose (sugar) and amino acids (proteins) are also oxidized.The body can breakdown muscle to liberate specific amino acids for this purpose via cortisol (adrenal hormone).

The bottom line: don't focus on how much weight you can lose in a day. Rather, focus on making smart choices and eating a well-balanced diet, and exercising on a regular basis. Focus on becoming healthy and fit, and body fat will drop as a consequence.

Follow the principles in The Naked Truth, and you will have a greater chance of reaching your goals.

Dr. S

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