Archive for 2007

Happy Holidays!
A study of over 25,000 Dutch adolescents concluded that skipping breakfast is a significant risk factor for developing obesity. Also shown as risk factors were alcohol consumption and lack of exercise. Let’s just start with breakfast….in Chinese Medicine it is said that one should “eat breakfast like a king, lunch like a prince and dinner like a pauper”. The idea being that we should have our largest meal early in the day and closer to bed should be our smallest meal. This makes sense from an energy standpoint as we need the calories to keep our energy up through the day. I often get the “…I don’t feel hungry in the morning…” argument from patients. Read the rest of this entry

Acupressure for Chemotherapy Side Effects

Acupressure is a treatment modality using finger, hand, or elbow pressure on acupuncture points. One major acupuncture point known as “Inner Gate” is on the anterior forearm between the 2 tendons (palmaris longus and flexor carpi radialis) 3 finger widths from the wrist crease. You find it by having your palm point upwards, then have the index, middle and ring finger of the opposite hand touch each other so they are sitting flat. Place the ring finger on the wrist crease of the hand pointing upwards. “Inner Gate” (or Pericardium 6, PC6) is where the middle knuckle of the index finger meets the forearm and between the two tendons so it is approximately in the middle of the forearm. (Is that confusing enough? The study has a picture that shows exactly where the acupuncture point is located). Read the rest of this entry

Reduce Risk of Death by over 50%

Wow! Amazing. There was an article published in the Journal of the American Medical Association (JAMA) in 2005 that demonstrated how you can reduce your chance of death by 50%! Why haven’t the pharmaceutical companies caught wind of this major breakthrough yet??? Knowing how to cut your chance of death in half cannot be held as a secret for long, can it??

However it isn’t any pill. It isn’t any magic potion. It is simple smart nutrition and lifestyle. Imagine that – smart nutrition can cut your risk of death in half! This study looked at all inclusive mortality of a 10 year period of people aged 70-90 years old in several European countries. What it found was that those who didn’t smoke, moderately exercised and ate a Mediterranean diet had less than 50% chance of dying over the 10 year period of the study.

What is the Mediterranean diet? Many healthy vegetables – cruciferous vegetables (broccoli, cauliflower, cabbage, kale), onions, garlic, lean meats, small amounts of cheese, whole grains, beans, and small amounts of alcohol. It doesn’t contain the copious amounts of fried fatty foods, baked sugary foods or refined carbohydrates in the American diet. It also doesn’t contain high amount of the unstable polyunsaturated oils. The Mediterranean Diet use mostly olive oil which is a monounsaturated fat and contains a tremendous amount of beneficial phytochemicals.

OK that was a European study you say….so what about the American melting pot? How would we fare with the Mediterranean fare? A study just released answered that question. Similarly it was a 10 year study with over 214,000 mean and 166,000 women looking at all cause mortality and the Mediterranean diet. A decrease of 20% all-cause mortality was observed when subject ate a diet of vegetables, legumes, nuts, whole grains, fish, meats, and moderate alcohol.
It seems to be a no brainer to eat this way unless you are not genetically programmed to eat this way. For example and an Inuit that that lives on whale blubber and meat would not be healthy on a Mediterranean diet. However for the majority of us of European decent and most likely Asian and African it would behoove us to eat a Mediterranean diet. Not only will we feel better on it, but there is at least a 20% chance of living longer. You can read the entire article here:All Cause Mortality in US Population on Mediterranean Diet

In Health,
George Mandler

Acupuncture, Nutrition & Herbal Medicine

Eat Eggs for better health and cholesterol

I just had another patient this week telling me that they avoid eggs because their cholesterol is high. I hear it so often that I find myself explaining over and over that eggs are an incredibly nutritious food and that they have little effect on increasing small particle LDL. There are a plethora of research articles referenced below showing that eggs increase important antioxidants – lutein and zexanthine and do not cause an increase in small particle LDL. Why does it matter small or large particle LDL? Read the rest of this entry

Research Proves…Eat Well and Live Longer!

In 2004 there was a JAMA article concluding that the Mediterranean diet and moderate exercise can reduce your chance of death by 50%. An article just released in the Archives of Internal Medicine did a similar study with a U.S. population and found a reduction by at least 20% with a Mediterranean diet alone. You can find a link to my article and both of these studies by clicking here.

In Health,
George Mandler
Licensed Acupuncturist
Licensed Dietitian / Nutritionist
Certified Nutrition Specialist
Acupuncture Nutrition com

Arch Intern Med. 2003 Feb 10;163(3):286-92.

Source

Center for Celiac Research, University of Maryland School of Medicine, 22 S Greene St, N5W70, PO Box 140, Baltimore, MD 21201-1595, USA. afasano@umaryland.edu

Abstract

BACKGROUND:

Celiac disease (CD) is an immune-mediated enteropathic condition triggered in genetically susceptible individuals by the ingestion of gluten. Although common in Europe, CD is thought to be rare in the United States, where there are no large epidemiologic studies of its prevalence. The aim of this study was to determine the prevalence of CD in at-risk and not-at-risk groups in the United States.

METHODS:

Serum antigliadin antibodies and anti-endomysial antibodies (EMA) were measured. In EMA-positive subjects, human tissue transglutaminase IgA antibodies and CD-associated human leukocyte antigen DQ2/DQ8 haplotypes were determined. Intestinal biopsy was recommended and performed whenever possible for all EMA-positive subjects. A total of 13 145 subjects were screened: 4508 first-degree and 1275 second-degree relatives of patients with biopsy-proven CD, 3236 symptomatic patients (with either gastrointestinal symptoms or a disorder associated with CD), and 4126 not-at-risk individuals.

RESULTS:

In at-risk groups, the prevalence of CD was 1:22 in first-degree relatives, 1:39 in second-degree relatives, and 1:56 in symptomatic patients. The overall prevalence of CD in not-at-risk groups was 1:133. All the EMA-positive subjects who underwent intestinal biopsy had lesions consistent with CD.

CONCLUSIONS:

Our results suggest that CD occurs frequently not only in patients with gastrointestinal symptoms, but also in first- and second-degree relatives and patients with numerous common disorders even in the absence of gastrointestinal symptoms. The prevalence of CD in symptomatic patients and not-at-risk subjects was similar to that reported in Europe. Celiac disease appears to be a more common but neglected disorder than has generally been recognized in the United States.

Curr Opin Pediatr. 2004 Aug;16(4):445-9.

Catassi C, Fasano A.

Source

Center for Celiac Research, Division of Pediatric Gastroenterology and Nutrition, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.

Abstract

PURPOSE OF REVIEW:

Celiac disease is a syndrome characterized by damage of the small intestinal mucosa caused by the gluten fraction of wheat proteins and similar alcohol-soluble proteins (prolamines) of barley and rye in genetically susceptible subjects. The presence of gluten in these subjects leads to a self- perpetuating mucosal damage, and the elimination of gluten results in full mucosal recovery. The clinical manifestations of celiac disease are protean in nature and vary markedly with the age of the patient, the duration and extent of disease, and the presence of extraintestinal pathologic changes. In addition to the classic gastrointestinal form, a variety of other clinical manifestations of the disease have been described, including atypical and asymptomatic forms. Although the typical form of celiac disease, characterized by failure to thrive, is still the most frequent presentation in the pediatric age group, severe growth delay is less commonly seen in developed countries.

RECENT FINDINGS:

Recent epidemiologic studies suggest that celiac disease-associated growth retardation is becoming a tangible health problem in developing countries, where the problem has been historically overlooked. Given the protean nature of the clinical presentation of celiac disease, the diagnosis is extremely challenging and relies on a sensitive and specific algorithm that allows the identification of different manifestations of the disease. Serologic tests developed in the past decade provide a noninvasive tool for screening individuals at risk for the disease as well as the general population.

SUMMARY:

The current gold standard for the diagnosis of celiac disease remains histologic confirmation of the intestinal damage in serologically positive individuals. The keystone treatment of celiac disease patients is a lifelong elimination diet in which food products containing gluten are avoided.

Below is my powerpoint presentation I gave to the Uveitis foundation on November 29th 2007. I most definitely feel that acupuncture can be a powerful adjunct therapy to ocular inflammation. There are numerous studies that show it can help with many of the secondary diseases that occur with uveitis. References for these studies are listed on the powerpoint. I also have the full text articles for most of these studies. If you would like to receive any please email me and I’ll send you a copy. Read the rest of this entry

Here is another study showing that low vitamin D is associated with some common disease. Amazing. Soon we’ll find out that global warming is caused by low vitamin D levels.
The clinical status of patients with knee OA is primarily predicated by their level of pain and their muscle function. Recent studies have shown that vitamin D influences both musculoskeletal health and neuromuscular function. Vitamin D deficiency is common among elders and those with comorbidities. This suggests that vitamin D may especially influence the clinical status of patients with knee OA. This study examined whether serum 25-hydroxyvitamin D (25(OH)D) level was associated with pain and physical function in patients with symptomatic knee OA. Read the rest of this entry

Synthetic Folic Acid May Cause Cancer

Folic acid has been added to our white flour, wheat flour and other grain products for about 10 years to offset the poor diets of potential mothers as it was proven last decade that low folate levels at conception can cause neural tube defects (NTDs). Certainly it has been shown to be very beneficial as folate supplementation has considerably reduced the number of NTDs. However, as with just about anything in life there are always two sides to the coins. Where there is yin there is yang. And timing is everthing. It seems that taking folate early in life may prevent cancer, but taking it later in life after there has been cell damage may futher accentuate damage and cause cancer. Read the rest of this entry

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