Monday, July 29, 2013

The Best Defense Is a Good Offense

The Best Defense Is a Good Offense

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Chiropractic Care Helps Us Help Ourselves
When we eat, we launch a complex series of digestive, endocrine, and metabolic physiologic processes. Numerous cells, tissues, organs, and systems are involved in turning our carrots, apples, grains, and proteins into energy that helps us live good lives. These complex processes don't happen on their own, though. They require timely instructions and guidance from the nerve system to work effectively and produce a coordinated result.
Chiropractic care helps the nerve system do its job as the body's master system. Chiropractic care removes nerve interference that can cause important signals to be distorted or delayed. By helping ensure that the nerve system is free of interference, chiropractic care assists us in achieving peak physiologic performance, promoting long-term health and well-being.
Whether you live in the United States, Canada, or Western Europe, your health care decision-making is impacted by the type of health insurance available. In the United States, a fee-for-service system implies that you will be paying for some or all of the costs of every service used on your behalf. In Canada patients receive health care through a publicly funded system. Costs are funded via income taxes, so Canadian patients pay indirectly for their care. The majority of Western European countries have national health care systems in place. In France, for example, the national insurance program pays 70% of costs and much of the remaining 30% is paid by supplemental private insurance (most of this is paid by the patient's employer). Regardless, for any given person, more health problems mean more costs. Thus, preventing health problems in the first place is a strategy that will save families stress, anxiety, and financial resources in the long run. In health care it can be said that the best defense is a good offense.

What constitutes a "good offense" in health care? Being proactive in terms of lifestyle choices helps you put together a health care program that works. Your health care "offense" includes a healthful diet supported by sound nutritional principles, regular vigorous exercise, getting sufficient rest, and regular chiropractic care. All these elements are needed to enjoy long-term health and well-being. Each element provides critical value and helps support the benefits you get from the others. Good food helps you build strong muscle in response to regular vigorous exercise. Doing regular exercise helps you sleep better at night. More sleep helps you have more energy, so you have more strength and endurance when you're exercising. Regular chiropractic care helps your nerve system function at peak level, helping all your body systems work well together.

Such a lifestyle program goes very far toward restoring good health and reducing the costs of using the health care system. For example, regular vigorous exercise is an important part of all lifestyle programs aimed at lowering blood pressure and reducing the risk of cardiovascular disease and stroke.1 A healthful diet and regular exercise help lower the incidence of type 2 diabetes and assist overweight and obese individuals, children as well as adults, in returning to more optimal levels of health.2,3

Many self-help books, DVDs, and television infomercials target those who wish to improve their overall health status. These materials and programs may have some use, but professional advice and guidance is the key to developing long-term, successful health strategies. Your chiropractor is experienced in nutrition, exercise, and health maintenance and can help you design a "good offense" for health care that works for you and your family.

1Williams PT, Thompson PD: Walking versus running for hypertension, cholesterol, and diabetes mellitus risk reduction. Arterioscler Thromb Vasc Biol 33(5):1085-1091, 2013
2Clark JE: An overview of the contribution of fatness and fitness factors, and the role of exercise, in the formation of health status for individuals who are overweight. J Diabetes Metab Disord 11(1):19, 2012
3Wilson V: Type 2 diabetes: an epidemic in children. Nurs Child Young People 25(2):14-17, 2013

Taking Care of Older Joints (and Younger Joints, Too)

Taking Care of Older Joints (and Younger Joints, Too)

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Chiropractic Care and Musculoskeletal Joint Flexibility
Chiropractic care is designed to, among other benefits, improve flexibility of spinal joints. Loss of spinal vertebral motion leads to spinal muscle tightness and pain, which in turn may result in numerous other physical problems. For example, headaches, lack of restful sleep, and increased irritability may all have a common cause in loss of spinal flexibility.
By helping increase mobility in your neck, mid back, and lower back, chiropractic care improves your body's overall functioning, including balance and coordination. By helping remove ongoing sources of musculoskeletal irritation, chiropractic care reduces internal physiologic stress. The many benefits may include improved peace of mind, enhanced interpersonal communication, and a better ability to respond effectively to your home and work environment.
Many people experience increasing musculoskeletal joint stiffness as they get older. Shoulders, knees, and ankles don't seem to be as flexible as they once were. It seems more difficult to bend over and pick up a dropped object. It may be uncomfortable to turn your head around to see the car in the next lane that's right in the center of your driver's blind spot. The bad news is that, left unattended, your joints do get stiffer as you get older. Left on their own, your joints will likely lose full mobility. The good news is there's plenty you can do about it. You can regain and retain much of your youthful flexibility if you are willing to be proactive.
First, some basic physiology. Joints such as the shoulder, knee, and ankle are lubricated by synovial fluid. Synovial fluid keeps joints moist, provides oxygen and nutrition, and washes away toxic end-products of normal metabolic processes. The joints in your spine are also lubricated and maintained in this way. But aging reduces the amount of available synovial fluid. Also, normal aging processes increase the viscosity of the remaining synovial fluid. You have less available lubricant and the lubricant that you do have is thicker. The result is stiffer joints, pretty much from top to bottom.
The specific countermeasure to such physiologic aging is to keep active. This is a pretty challenging prescription in a world in which most of our time is spent seated. Our bodies were designed for hard, physical work. But as we've transformed from an agrarian to an industrial society, and more recently from an industrial to a service-based society, the nature of our work has changed dramatically. The vast majority of our work is now done seated at a desk. When we're not typing on a computer keyboard or reading a spreadsheet, we're at home watching TV, playing games on our computing devices, or very rarely, reading. None of these activities involves active motion. If we want to take care of our bodies, we're going to have to be proactive about creating the time to do so.
We're going to be creating time for exercise. Almost any type of exercise causes synovial fluid to be more available, pumping synovial fluid into joint spaces and helping to lubricate joints.1,2 Exercise increases your internal core temperature, which in turn decreases the viscosity of synovial fluid. The overall result is increased joint flexibility. This benefit is often experienced immediately. The benefit will be long-lasting provided that you continue to exercise regularly.
Thirty minutes of exercise per day, 5 days per week, will assist most of us in maintaining as much joint flexibility as possible. Alternating a cardiovascular exercise day with a strength training day is an optimal program.3 Yoga provides a total body workout which incorporates cardiovascular exercise, strength training, and flexibility. Ultimately, the types of exercise you do are less important than the long-term consistency. Regular, vigorous exercise, done over months and years, will provide great benefit, not only in terms of improved joint flexibility, but also in terms of overall health and well-being.
1Seco J, et al: A long-term physical activity training program increases strength and flexibility, and improves balance in older adults. Rehabil Nurs 38(1):37-47, 2013
2Garber CE, et al: American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43(7):1334-1359, 2011
3Micheo W, et al: Basic principles regarding strength, flexibility, and stability exercises. PM R 4(11):805-811, 2012

The Problem of Radiating Pain

The Problem of Radiating Pain

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Chiropractic Care and Radiating Pain
Although a few problems involving radiating pain require further investigation, the large majority of cases involving neck pain with arm/hand pain or low back pain with leg/foot pain can be addressed by your chiropractor. Your chiropractor will take a thorough history, do a detailed examination, and order tests if needed, with the overall goal of designing the most effective care plan to help solve your specific problem.
Chiropractic adjustments may be part of the care plan. Chiropractic care may also include a rehabilitative stretching and exercise program, as well as recommendations for improved posture, safer lifting habits, and ergonomic enhancement. Your personalized comprehensive chiropractic care plan will help you return to improved health as quickly as possible.
Many people experience radiating pain as a component of neck pain or low back pain. A person with neck pain might have pain that radiates down her arm, possibly into the hand.1 A person with low back pain might have accompanying leg pain, possibly traveling into the foot. Such arm/hand pain or leg/foot pain can represent a serious underlying health problem. However, not all types of radiating pain are of equal importance. The key is to be able to identify which patterns require prompt attention and which merely appear to be significant but are not.
Authentic radiating pain is most often caused by pressure and/or irritation of a spinal nerve root.2 The spinal nerve becomes inflamed and sends pain signals to the brain that are interpreted as pain in the region of the body supplied by that nerve. Inflammation of a certain spinal nerve in the neck region will result in the experience of pain down the outside of the arm and forearm and into the thumb and possibly index finger. Inflammation of a certain spinal nerve in the low back causes the person to feel pain traveling along the back of the thigh and calf and into the fifth toe.
Specific patterns of radiating pain are associated with inflammation of specific spinal nerves. Such inflammation may be typically caused by pressure from a herniated intervertebral disc. Other disorders which may create local space-occupying pressure need to be considered as well. A thorough history and physical examination will help to identify the cause of the problem. X-ray studies may be needed, as well as an MRI scan. The underlying problem, including the pattern of pain radiation, may be termed a radiculopathy or radiculitis.
But most cases of what appears to be radiating pain are not, in fact, related to pressure on a spinal nerve. Most patterns of radiating pain are not associated with a radiculopathy or radiculitis. Rather, the large majority of pain patterns involving the arm/hand or leg/foot are caused by normal, everyday aches and pains. Our run-of-the-mill physical problems involve relatively large muscles such as the trapezius (overlying the upper back, shoulder, and mid back) and relatively small muscles such as those that overlay the spinal bones themselves and help move the spinal column. Ligaments that hold bones together and tendons that attach muscles to bones may also be involved in these everyday ailments.
Irritation and inflammation of muscles, ligaments, and tendons may cause more difficulty than mere soreness and tightness. Such inflammation may also cause radiating pain, but in broader, more diffuse patterns than those caused by inflammation of a nerve root. A person might experience neck pain with arm and hand pain, or back pain with leg and foot pain, but in a broad pattern not associated with a spinal nerve. This is actually good news for the patient, as such forms of radiating pain (known as scleratogenous patterns), are usually more easily treated than those associated with a radiculopathy or radiculitis.
The bottom line is that your chiropractor is experienced in the diagnosis and care of such problems. Your chiropractor will be able to determine if your radiating pain is associated with muscles, ligaments, and tendons or if it is related to pressure on a spinal nerve.3 Your chiropractor will make specific recommendations for care of your specific health problem and help guide you in the process of returning to good health.
1Caridi JM, et al: Cervical radiculopathy: a review. HSS J 7(3):265-272, 2011
2Magrinelli F, et al: Neuropathic pain: diagnosis and treatment. Pract Neurol 2013 Apr 16 [Epub ahead of print]
3Mena J, Sherman AL: Imaging in radiculopathy. Phys Med Rehabil Clin North Am 22(1):42-57, 2011

Saturday, July 27, 2013

The Cholesterol Farce: A Must Read!








The Cholesterol Farce
Guy Schenker D.C. and Ronald Grisanti D.C.

Are you interested in knowing the truth behind cholesterol?

CHOLESTEROL IS NOT A PRIMARY RISK FACTOR FOR CARDIOVASCULAR DISEASE.

  • Elevated serum cholesterol is not a cause of heart attacks and strokes.
  • Eating foods high in cholesterol is not a cause of elevated serum cholesterol.
  • Eating high cholesterol foods is not a cause of heart attacks and strokes, and in fact …

    It is the foods high in cholesterol and saturated fat (such as eggs, meat, fish, and poultry) that will actually keep serum cholesterol down to normal levels.

    What!?" you ask. "Half the people in the world have been marching with the cholesterol crusade for decades.

    Virtually all us have been victimized by the anti-cholesterol propaganda campaign. The idea that …

    CHOLESTEROL IS AN ESSENTIAL SUBSTANCE … and not at all the deadly demon of popular mythology, will come as a shock to you, but it is my obligation to help you know the truth.

    Do understand, however, that I am not saying high serum cholesterol is good, or even that it is clinically unimportant. Quite the contrary, high serum cholesterol definitely indicates the presence of a metabolic imbalance. It is just that the high cholesterol has no specific relation to the risk of cardiovascular disease (CVD).

    If the presence of cholesterol in the serum has absolutely nothing to do with the risk for heart attacks and strokes, just what is the pathological process involved in cardiovascular disease? This will be presented in Part 2.

    Cholesterol and Greed

    Unfortunately for many, money makes the world go around. Truth, safety and efficacy certainly take second fiddle to the almighty dollar.

    My goal is to present the black and white facts on the topic of cholesterol.

    If truth is high on your list, then plan to be well informed.

    The Estrogen Cow

    Understanding the essence of the medical-pharmaceutical establishment, I was taken by surprise at how swiftly and how easily the establishment turned on one of its own sacred cows --- estrogen.

    You know the story of estrogen: for years it was touted as a protector of women against cancer, against aging, against cardiovascular disease, and against osteoporosis. The drug companies have been fighting tooth and nail for decades to refute and suppress all the research that proves that estrogen actually causes the very conditions it is supposed to prevent.

    Now, so very suddenly, the establishment freely admits the harmful effects of estrogen. Just last July, no less than the Journal of the American Association announced the discontinuation of a long term research study on estrogen when it became undeniable that the women in this study developed an increased risk for heart disease, stroke and cancer.

    It's not surprising that they discontinued the study when the results were opposite the researcher's intended findings, but what is noteworthy is that instead of hushing it up, they actually published it for all the world to see. Now, as an extension of that admission of estrogen danger, the Food and Drug Administration is actually requiring labels on all hormone replacement therapy products warning of the risk for heart disease, stroke and cancer.

    What is going on here?

    What is going on here? I had always assumed that the pharmaceutical industry would fight to the death to protect its estrogen-related profits. What I think is happening is that the drug companies have decided to burn this candle from both ends. The estrogen bandwagon has so much momentum, (with so many doctors conditioned to prescribe estrogen to every woman who experiences her first hot flash or who has any concerns about osteoporosis) that nothing will push this gravy train off course for years and years to come.

    Another good example to illustrate how people fall for propaganda, and how drug companies change their tune for profit, is the cholesterol farce.

    The History of Cholesterol Demon

    Back in the 1960's when only a few mavericks in the medical profession and some people in the fledgling natural health foods movement were claiming that cholesterol was a problem.

    The average medical doctor totally ignored cholesterolemia unless it exceeded 300. Before long, the anti-cholesterol uproar became impossible to ignore, and so the establishment condescended to acknowledge the problem of high cholesterol. Now, anything above 250 was considered a problem, and it was generally recommended that people should avoid eating too many eggs or too much meat because of the risk of heart disease from cholesterol intake.

    Interestingly, it wasn't the medical profession that was spearheading this anti-cholesterol movement; it was the processed food industry, lead in particular by the seed oil industry.

    Archer Daniels Midland wanted to sell an ocean of soybean oil, and thus lead the charge against cholesterol in particular and saturated fat in general. Coconut and palm oils were banned from importation, and everyone "knew" that margerine was going to save our nation from what was sure to have been an epidemic of cardiovascular disease from eating dreaded saturated fat.

    The billions of dollars worth of propaganda from the processed food industry was enough to sway the minds and change the lifestyles of millions of Americans, but the medical-pharmaceutical establishment continued to largely ignore theperceived cholesterol threat.

    Then what happened? The Statin drugs were invented, (predictably) accompanied by a paradigm shift in the establishment. Now, cholesterol was the demon of the century, and our doctors and pharmacists were going to exorcise the evil that lurked within us all from our ill-advised intake of meat and eggs.

    The all-out war against cholesterol has been waged for over 25 years. The intensity of that war has not waned in the least despite the fact that for at least 5 years now it has been known that cholesterol is not (never has been, and never will be) a primary risk factor for cardiovascular disease.

    That brings me to a critical point of information.

    The Dangers of Statins

    There are two critical reasons why these drugs are unacceptably dangerous.

  • The first danger is liver damage. Statin drugs work by blocking the enzyme HMG CoA reductase so that the liver can no longer synthesize its own cholesterol. Sounds quite simple and perfectly harmless until you realize that the drug does not act locally on one single enzyme in one particular metabolic pathway. Rather, the drug puts a tremendous load on overall liver function. That is why it is generally recommended that once beginning Statin drugs, the patient should have his liver enzymes checked every six months.

    This idea of the liver producing a "deadly demon" like cholesterol may come as a shock to you. The truth is, your liver produces 2000 milligrams of cholesterol every day.

    Is your liver trying to destroy you with cardiovascular disease? Of course not, cholesterol (contrary to the case fabricated against it, first by Archer Daniels Midland, then by the pharmaceutical industry) is an absolutely essential substance, with many critical functions in the body.

    So --- the Statin drugs interfere with normal liver metabolism, inhibit the liver's production of many substances essential for health, and damage the liver in the process.

    Liver damage is quite a high price to pay for the illusion of exorcising a mythological demon. And though the cholesterolemia to cardiovascular disease connection is a myth, high serum cholesterol does indicate a metabolic problem --- yet the cause of that problem is never addressed by the Statin drug.

  • The second danger from taking Statin drugs is musculoskeletal pain that can be severe, and is very frequently misdiagnosed. Since most doctors are not aware that myalgia is a common side effect of the Statins, people that suffer this side effect are often given diagnoses of tendinitis, tendinosis, tenosynovitis, tendinopothy, bursitis, rotator cuff syndrome, and so forth. There are many cases reported in the literature of patients undergoing surgery for musculoskeletal pathologies that did not really exist.

    The myopathy caused by Statin drugs involves elevated serum creatinine-phosphokinase (CPK), indicative of muscle breakdown. In severe cases, muscular necrosis will occur, which can overload the kidney with CPK, and with myoglobin (with its associated toxic iron) and other products of necrosis, leading to kidney failure and even death. A number of these patients have experienced kidney failure and even death; others have had such severe muscular pain and weakness that they are eventually unable to stand or breath on their own.

    In my chiropractic practice I have seen many patients whose musculoskeletal pain was completely unresponsive to chiropractic correction, yet cleared when the patient was taken off Statin drugs. Unfortunately, for those that have been on these drugs for a long time the myalgia can persist for two months following discontinuation of the drug.

    Are You Still Convinced that Cholesterol is Bad?

    If you are convinced that high serum cholesterol is bad and low serum cholesterol is somehow healthy, I want to enlighten you with the fact that …

    PEOPLE WITH LOW SERUM CHOLESTEROL (LESS THAN 180) HAVE THREE TIMES THE INCIDENCE OF STROKES AS THE GENEREAL POPULATION.

    Even William Castelli, M.D., a former director of the Framingham Heart Study (the one that originally supposedly implicated cholesterol as a problem in cardiovascular disease (CVD)) notes that …

    PEOPLE WITH LOW CHOLESTEROL (LOWER THAN 200) SUFFER NEARLY 40% OF ALL HEART ATTACKS.

    start quotePeople with low cholesterol (lower than 200) suffer nearly 40% of all heart attacksend quote
    --William Castelli, M.D., a former director of the Framingham Heart Study

    Think of those two facts --- low serum cholesterol means that you have three times the chance of having a stroke, and, high cholesterol has been shown not to be significantly correlated with heart attacks since 40% of the people who have heart attacks have cholesterol that is lower than average.

    The evidence against any relation of cholesterol to CVD has been pouring out from everywhere over the last 7 or 8 years. A study done by Gilman, et al and published in the December 24, 1997 Journal of the American Medical Association found that …

    THE MORE SATURATED FAT YOU EAT, THE LESS LIKELY YOU ARE TO SUFFER A STROKE.

    This study found that polyunsaturated fats (the ones that the propagandists will have us believe are good for us) have no protective effect. Best of all, this study actually was able to quantify the protective effect of saturated fats:

    YOUR RISK OF STROKE DECREASES BY 15% FOR EVERY 3% INCREASE IN YOUR SATURATED FAT INTAKE.

    Here is another interesting study done by Leddy, et al and published in 1997 in Medicine and Science in Sports and Exercise, Volume 29. The subjects of this study were elite male and female endurance athletes, who were placed alternately on a high fat diet and then a low fat diet. On a high saturated fat diet the patients maintained low body fat, normal weight, normal blood pressure, normal resting heart rate, normal triglycerides and normal serum cholesterol levels. All their fitness and training parameters were maintained at the elite level. When put on the low fat (high complex carbohydrate) diet, however, it was found that the low fat diet negated many of the beneficial effects that exercise is expected to produce. The athletes experienced a measurable decline in athletic performance. Most interesting, however, was the fact that the subjects on the low fat diet actually suffered a significant drop in HDL cholesterol (the "good" cholesterol), along with higher triglycerides (both of which are significant CVD risk factors. ---

    In fact, the ratio of triglycerides to HDL cholesterol is probably the number one risk factor for CVD.

    In other words, you want high cholesterol of the HDL type, and low triglycerides.)

    I realize this information may hard to accept.

    Remember, you have been exposed to millions of dollars worth of anti-fat, anti-cholesterol propaganda over a period of decades. So --- you see how difficult sharing the truth.

    start quoteResearch shows that there is absolutely no connection between eating eggs and the risk of heart disease or stroke in either men or womenend quote
    --American Medical Association, 1999; 281(15):1387-94

    Here is another study: Research published in no less than the Journal of the American Medical Association, 1999; 281(15):1387-94) showed that there was absolutely no connection between eating eggs and the risk of heart disease or stroke in either men or women.

    The Lies of the Seed Oil Industry

    Margarine, mayonnaise, cooking oil, salad dressings, and anything made with corn oil, soy oil, safflower oil, canola oil, peanut oil, or any of the rest of the vegetable oils (except olive, coconut oil, or palm oil) will accelerate the aging process in general, create catabolic damage throughout the body, and will specifically cause the oxidative damage in the blood vessel walls and in the heart that precipitates a cardiovascular crisis.

    A study in The Journal of Lipid Research, 2000;41(5):834-39), showed that eating vegetable oils in the form of either soy bean oil or margarine raised LDL (bad cholesterol) and lowered HDL (good cholesterol). Meanwhile, eating butter (one of those "forbidden foods" saturated with cholesterol) actually lowered LDL cholesterol and raised HDL cholesterol.

    You've been victimized by the same propaganda campaign that has mislead thousands of other people. You have been convinced that cholesterol is a vicious killer that must be conquered at all costs. It may surprise you to learn that cholesterol is not a terrible demon at all. In fact, cholesterol is an absolutely vital substance; you would become very weak and die without cholesterol, it is that important.

    DID YOU KNOW THAT...

  • Your brain is made of cholesterol; 5% of the dry weight of your brain is made of cholesterol.

  • Your nerves are made of cholesterol.

  • Your body uses cholesterol to make all your important sex hormones and adrenal hormones.

  • Without cholesterol to help your digestion, you couldn't absorb any of your fat soluble vitamins like vitamin A and vitamin E?

  • Every single cell in your body is surrounded by a membrane containing cholesterol, and that without that cholesterol membrane no cell in your body could function?

  • Cholesterol is so important that your liver produces 2000 milligrams of cholesterol every day.

  • When following a low cholesterol diet, your liver makes up the difference by producing more cholesterol just to be sure you have enough.

  • High cholesterol in the blood doesn't come from eating foods high in cholesterol; it comes from a metabolism that is not efficient at handling the cholesterol you need.

    What is one of the primary causes of heart attacks and strokes?

    It is triglycerides (the other blood fat), that is the primary risk factor increasing your chance of having a heart attack or stroke.

    Many people are surprised to learn that even though triglycerides are a fat, the unhealthy diet that raises triglycerides has nothing to do with fat intake; triglycerides (and cholesterol as well) are elevated by eating sugar. The other dietary factor that in some cases will raise cholesterol is polyunsaturated oils (the ones that the propaganda says will help prevent cardiovascular disease). Neither triglycerides nor cholesterol are elevated by eating saturated fat in general or high cholesterol foods in particular.

    Remember, while cholesterol is not a primary risk factor for CVD, triglycerides are, and are probably the most significant. A study published in Circulation (October 21, 1997, shows the result of Harvard research indicating that …

    THE 25% OF THE POPULATION WITH THE HIGHEST TRIGLYCERIDE TO HDL RATIO HAS 16 TIMES MORE HEART RELATED EVENTS THAN THE 25% WHOSE RATIOS WERE THE LOWEST.


    start quoteThe 25% of the population with the highest triglyceride to HDL ratio has 16 times more heart related events than the 25% whose ratios were the lowestend quote
    --Circulation (October 21, 1997

    And, as I have seen from countless other studies, high triglycerides come from excess starch and sugars in the diet.

    So --- if it is triglycerides, not cholesterol, that is the true boogey man, what weapons do you have to defeat this villainous foe?

  • Start with Fundamental Diet, and you will be half way there. Part 2 will review in detail the Fundamental Diet, however, here is a little preview to get you started on the right track.

  • Eliminate sweetened beverages, (including juice), along with minimizing bread, cereal, and pasta, not to mention, of course, cakes, cookies, pie, and ice cream and you will see a significant improvement with high triglycerides.

    Part 2 will reveal the 19 causes of heart attacks and strokes. In addition, you will learn the best clinical indicators to predict your cardiovascular risk level

    References:

    Gaziano JM, Hennekens CH, O'Donnell CJ, Breslow JL, Buring JE. Fasting triglycerides, high-density lipoprotein, and risk of myocardial infarction. Circulation. 1997 Oct 21;96(8):2520-5.

    Gaziano JM. Triglycerides and coronary risk. Curr Cardiol Rep. 1999 Jul;1(2):125-30.

    Jeppesen J, Hein HO, Suadicani P, Gyntelberg F.Triglyceride concentration and ischemic heart disease: an eight-year follow-up in the Copenhagen Male Study. Circulation. 1998 Mar 24;97(11):1029-36.

    Iso H, Naito Y, Sato S, Kitamura A, Okamura T, Sankai T, Shimamoto T, Iida M, Komachi Y. Serum triglycerides and risk of coronary heart disease among Japanese men and women. Am J Epidemiol. 2001 Mar 1;153(5):490-9.

    Jeppesen J, Hein HO, Suadicani P, Gyntelberg F. High triglycerides/low high-density lipoprotein cholesterol, ischemic electrocardiogram changes, and risk of ischemic heart disease. Am Heart J. 2003 Jan;145(1):103-8.

    Jeppesen J, Hein HO, Suadicani P, Gyntelberg F.Low triglycerides-high high-density lipoprotein cholesterol and risk of ischemic heart disease. Arch Intern Med. 2001 Feb 12;161(3):361-6.

    Egger M, Smith GD, Pfluger D, Altpeter E, Elwood PC.Triglyceride as a risk factor for ischaemic heart disease in British men: effect of adjusting for measurement error. Atherosclerosis. 1999 Apr;143(2):275-84.

    Hu FB, Stampfer MJ, Rimm EB, Manson JE, Ascherio A, Colditz GA, Rosner BA, Spiegelman D, Speizer FE, Sacks FM, Hennekens CH, Willett WC. A prospective study of egg consumption and risk of cardiovascular disease in men and women. JAMA. 1999 Apr 21;281(15):1387-94.

    Gillman MW, Cupples LA, Millen BE, Ellison RC, Wolf PA. Inverse association of dietary fat with development of ischemic stroke in men. JAMA. 1997 Dec 24-31;278(24):2145-50.

    Gillman MW, Cupples LA, Gagnon D, Millen BE, Ellison RC, Castelli WP.Margarine intake and subsequent coronary heart disease in men. Epidemiology. 1997 Mar;8(2):144-9.

    Castelli WP. Epidemiology of triglycerides: a view from Framingham. Am J Cardiol. 1992 Dec 14;70(19):3H-9H.

    Castelli WP.Cholesterol and lipids in the risk of coronary artery disease--the Framingham Heart Study. Can J Cardiol. 1988 Jul;4 Suppl A:5A-10A.

    Nirupa R. Matthan, Lynne M. Ausman, Alice H. Lichtenstein, and Peter J. H. Jones Hydrogenated fat consumption affects cholesterol synthesis in moderately hypercholesterolemic women J. Lipid Res., May 2000; 41: 834 - 839.

    Researched and Written on March 28, 2004






Thursday, July 11, 2013

Resolution Of Breech Presentation And Successful Vaginal Birth With Chiropractic

Resolution Of Breech Presentation And Successful Vaginal Birth With Chiropractic

From the January 16, 2012, issue of the Journal of Pediatric, Maternal & Family Health is a case study that documents the successful outcome of a case of breech pregnancy with chiropractic care. Breech presentation is when the fetus in positioned for delivery feet-first, instead of the correct "vertex" head-first position.
In this case study, a 33-year-old woman was 8 months pregnant with her second child. Her first birth was normal with no problems reported. The woman had been seeing a midwife during the pregnancy who determined that the child was breech late in the woman's pregnancy. The woman was directed to see a chiropractor who works with pregnant women.
A chiropractic examination was performed with thermal scans and surface EMG scans showing asymmetry in the lower spine. It was determined that muscle spasm and subluxations were present. Chiropractic care was initiated using a specific technique known as Webster technique, along with specific adjustments to correct the subluxations present.
The results of this case documented that after the ninth adjustment the baby was in the normal vertex position. Shortly after this, the mother was able to deliver her baby normally without any complications.
This case study also reported on seven previously published cases in which there was a documented resolution of breech pregnancy using chiropractic care. Additionally, the report noted a retrospective study of 104 pregnant women all being helped under chiropractic care.
In their conclusion, the study authors summed up this case with advice by saying, "When a pregnant mother with a breeched infant is faced with a course of action that could impact her and her child’s life forever, all options must be explored. The traditional medical routes are effective, yet come along with some very serious risks that must be considered. Although more research needs to be done on the Webster Technique and chiropractic care during pregnancy, they are both extremely safe and effective ways to alter fetal position to allow for the best delivery possible."

Surgeons Make Thousands Of Errors


Surgeons Make Thousands Of Errors

The above is the headline of a December 19, 2012 article in the Wall Street Journal. The WSJ article and several others on the same subject were based upon a study published on December 8, 2012 in the journal Surgery that documents the high number of surgical errors each year.
The study shows that events known as "never events" occur as much as four thousand times per year. According to the authors, "never events" are those medical events that should never occur. Medical News Today, in an article on December 22, 2012, reported that the study notes, "They estimate that at least 39 times a week a surgeon leaves foreign objects inside their patients, which includes stuff like towels or sponges. In addition surgeons performing the wrong surgery or operating on the wrong body part occurs around 20 times a week."
Marty Makary, M.D., M.P.H., an associate professor of surgery at the Johns Hopkins University School of Medicine, and one of the study authors said, "There are mistakes in health care that are not preventable. Infection rates will likely never get down to zero even if everyone does everything right, for example. But the events we've estimated are totally preventable. This study highlights that we are nowhere near where we should be and there's a lot of work to be done."
In their own words, the authors of the study reported in their results that, "We identified a total of 9,744 paid malpractice settlement and judgments for surgical never events occurring between 1990 and 2010. Malpractice payments for surgical never events totaled $1.3 billion. Mortality occurred in 6.6% of patients, permanent injury in 32.9%, and temporary injury in 59.2%. Based on literature rates of surgical adverse events resulting in paid malpractice claims, we estimated that 4,082 surgical never event claims occur each year in the United States."
The authors offered some advice by saying, "Despite our advances in the delivery of health care, surgical never events continue to occur, with serious implications for patients, providers, and health care costs. Strategies used in other complex systems such as aviation may help provide a blueprint to examine both the individual and the institutional factors that contribute to these preventable and costly events."

Infant With Constipation Helped With Chiropractic - A Case Study

Infant With Constipation Helped With Chiropractic - A Case Study

The scientific periodical, the Journal of Pediatric, Maternal & Family Health, published a case study on
February 6, 2012, documenting the resolution under chiropractic care of a 9-month-old infant with
constipation. The child had developed constipation at nine months of age after the mother had stopped
breastfeeding.

The study authors begin by noting that constipation is the slow or difficult movement of feces through the
large intestines. They also reported that, "Chronic constipation is among the most common digestive
complaints in the United States." The highest number of these cases occurs in both pediatric and geriatric
age people. The authors also report that it is a common misconception to believe that constipation resolves itself near puberty for many children with the problem, noting that studies show more that 50 percent eventually become chronic.

In this case, a 9-month-old girl was brought to the chiropractor with the chief complaint of constipation. The mother advised the doctor that her daughter had been suffering with the problem for about 5 months since she discontinued breastfeeding. It was noted that the baby would go as long as two days without a bowel movement, and that movements involved straining, and were painful to the child.

The infant was born via forced labor, was born with a heart murmur, and had a history of repeated ear infections. A chiropractic examination was performed with the results finding subluxations in the upper neck (atlas) and at the base of the spine (sacrum). Care was initiated at the rate of one visit per week. Chiropractic care consisted of specific adjustments to the atlas and sacrum when warranted. The adjustments were age specific for the infant to correct the subluxation in her spine.

The reported results showed that after the first visit, the child's bowel movements increased in frequency. After three weeks, themother reported that her child's constipation problems were infrequent. By a five month follow-up, the constipation was resolved and the child's stools were normal

Heart Disease Is Still Number One!

Heart Disease Is Still Number One!

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Chiropractic Care and Lifestyle Disorders
A hidden element in the development of lifestyle disorders is the functioning of a person's nerve system. This master system controls the activities of the cardiovascular system, the digestive system, the immune system, and every other system that contributes to your physical health and well-being. If the nerve system is irritated, normal functioning gets disrupted. Important information gets lost, sidetracked, or corrupted. The long-term result may be poor health and disease.
Therefore, an important part of getting well and staying well is making sure that your nerve system is working properly. By removing the cause of nerve irritation, regular chiropractic care helps ensure that your body's systems are working optimally. Regular chiropractic care helps ensure that your body is working efficiently from the bottom up and helps improve overall health and well-being for years to come.
According to a recent report, cardiovascular disease claims more lives worldwide than any other disorder.1 Diseases of the heart and blood vessels, including coronary artery disease, are responsible for more than 4 million deaths in Europe each year2 and almost one-third of all deaths worldwide. In the United States, coronary artery disease is responsible for nearly 20% of all disease-related deaths. Each year approximately 1.5 million Americans suffer a heart attack. Despite decades-long public health campaigns conducted across the globe, heart disease remains a powerful, formidable foe.

A large part of this problem is related to three classical risk factors for heart disease: high blood pressure, high cholesterol levels in the blood, and diabetes. As worldwide epidemics of obesity and diabetes continue to worsen, it is easy to understand why heart disease remains a number one killer. Obesity is strongly linked to high cholesterol levels, and the combination of diabetes and overweight/obesity is strongly linked to high blood pressure. As the epidemics persist, so does the prevalence of heart disease risk factors. No public health issue exists in isolation, and this is especially true for heart disease.

However, there is good news. Heart disease, hypertension, diabetes, high serum cholesterol levels, and overweight/obesity are all lifestyle disorders. This means that we can take meaningful action on our own behalf and begin to do things that will positively impact our long-term health and well-being. Such lifestyle changes are important for everyone, as people of all ages, races, and genders may be affected by lifestyle diseases.

Lifestyle changes primarily involve modifications to diet, engaging in consistent vigorous exercise,3 and getting sufficient rest. For example, it is well-known that many people in the developed world consume more calories than they need on a daily basis. The excess calories are stored primarily as fat. Reducing daily food consumption, while adhering to the basic principle of eating from a wide variety of food groups, including fresh fruits and vegetables, will likely result in weight loss and a normalization of high cholesterol levels. Assisting in this process is the practice of engaging in regular vigorous exercise. A proven method is to exercise for 30 minutes five times per week. Such exercise can include walking, cycling, running, swimming, and strength training. The specific choice of exercise is less important than the consistency. The payoff for your commitment to a healthy diet and regular exercise is significant. Research shows that prevention strategies such as lifestyle modifications account for a 50% reduction in mortality from heart disease. This is a huge return on investment.

But in order to reap these rewards, a commitment of time and effort is required. In today's world, good health doesn't just happen. We have to work at it. It's up to us to choose whether we're worth it, whether we want to continue to enjoy a full range of relationships and activities, whether we want to be healthy and well for many years to come. If the answer to these questions is affirmative, lifestyle changes become very important.

1Carmon B: Biochemistry to behaviour. Nature 493:S2-S3, 2013
2Perk J: The power of disease prevention. Nature 493:S6, 2013
3Winter KH, et al: Hypertension Prim Care 40(1):179-194, 2013