Hypertension Improved with Interval Workouts

Family Practice News reported on a presentation at the European Society of Cardiology confirming the controversial PACE program developed by Dr. Al Sears. In the study after only 12 weeks, interval training of relatively short bursts of exercise achieving 90-95% of Maximal Heart Rate over a total workout time of 12-20 minutes, 3 times a week did much better in lowering blood pressure than conventional aerobic exercise. The average reduction in BP was 154/94 to 141/87. Mean heart rate, brachial artery elasticity, and HDL cholesterol all improved more in the PACE program as well. We are now recommending the PACE program to most of our patients. Virtually all track athletes use interval training to achieve maximal fitness, and it appears that similar training is effective even into old age. Always check with your doctor before engaging in any exercise program.

See Family Practice News, (click here) subscription required -October 1, 2009, p. 13 or google PACE exercise program.

Second-Hand Smoke is Even More Dangerous than We Thought

According to two new studies reported in Family Practice News, those localities which have banned smoking in public places have seen a drop of 17% in heart attacks. Since we have about 920,000 heart attacks each year in the US, that would mean that smoking bans would prevent 156,000 heart attacks every year. One of the studies reported in Circulation, stated emphatically that such prevention begins almost immediately and just gets stronger over time. There is no longer any excuse to allow smoking in public places or the workplace.

See Family Practice News - click here (subscription required) October 1, 2009, p. 2 and Circulation click here, Sept. 21, 2009 issue.

Osteoarthritis and Neuropathic Pain

Osteoarthritis is usually caused by wear and tear on the joints, perhaps accelerated by an injury. Anti-inflammatory medicines such as ibuprofen and natural supplements like glucosamine are commonly prescribed. Dr. Jacqueline Hochman of Women’s College Hospital in Toronto reported to the World Congress on Osteoarthritis this fall that Neuropathic pain might be a significant contributor to the pain of arthritis. Numbness, burning, tingling and sensitivity to light touch are symptoms of nerve pain, not inflammation. Of course, her recommendation is to treat this type of pain with anti-seizure medications and anti-depressants. I would try alpha lioic acid and acupuncture first, because they are much less likely to cause side effects, and they can be very effective.

See Family Practice News (subscription required-click here), October 1, 2009, page 1.

Hypertension and Viruses

Dr. Robert Rowen’s newsletter, Second Opinion, in its October, 2009 issue discussed the connection between CMV viral infection, which can stay with you a lifetime, and hypertension. This was discovered by researchers at Beth Israel Deconess Medical Center. He suggests measuring CMV titres in the blood. If high, a therapeutic course of oxidative therapy might significantly lower the blood pressure, which might in turn prevent heart attacks and strokes. My favorite anti-viral supplement is Lauricidin (Monolaurin is one brand name). Olive leaf and oregano preparations and high dose vitamin D might also be effective.

See Second Opinion Newsletter.com (click here) 10/09 issue.

Weight-Loss Surgery Can Thin Your Bones

Almost 250,000 patients undergo obesity surgery in the US each year. One of the disturbing complications from resulting malnutrition is thinning of the bones (osteoporosis). Calcium supplements are not enough to avoid this complication. We believe that most patients can lose weight by reducing calories, or changing to a low carb diet, or discovering and avoiding food allergies. Sometimes, however, a patient will do all these things and still will not lose weight. The best program for those might be working with an experimental protocol coupling a very low calorie diet with HCG injections. Read the FDA warning before you consider the latter approach, because HCG is an off-label use that has not been proven effective.

See Associated Press article click here, June 16, 2009 or connect to the American Society for Metabolic and Bariatric Surgery (click here) or to the ongoing research being conducted by Dr. Shonni Joy Silverberg at Columbia University Medical School (click here)

Arsenic in Chicken Feed

Arsenic is found in roxarsone, a pesticide routinely added to chicken feed to combat parasites and increase weight gain in chickens. Arsenic dust is commonly found on farms, in the water and in the air. In 1999, the European Union outlawed the use of arsenic for this purpose, but it is still legal in the US. Chicken consumption has increased dramatically in the last 40 years, which in turn has increased the arsenic levels in our bodies. Arsenic is a Class A toxic metal that increases the risk of diabetes, heart disease and memory loss. Americans routinely get exposed to as much as 11 times the recommended upper limits of allowable exposure, according to the EPA. You can test for arsenic with an EDTA challenge. Treatment usually requires a series of IVs. But most people do not know that they have been exposed, and they mysteriously suffer in silence and ignorance. Paradoxically, this material came from an organization that works with Medical Boards which have routinely charged doctors with inferior care when they test and treat their patients for arsenic poisoning.

Based on an article in the Washington Post (click here) by Douglas Gansler, co-chair of the environmental committee of the National Association of Attorneys General.

Dangerous Anti-psychotic Drugs Approved for Use in Children

An Advisory Panel for the FDA has recently recommended that three anti-psychotic drugs be approved for doctors to prescribe for children. In adults, Seroquel, Zyprexa, and Geodon all carry mandatory black box warnings because they can cause weight gain, diabetes, hypertension and premature death. It is high risk behavior to put our kids on such potent drugs. There are safer drugs available, and a whole host of natural products that can be used to help children with psychiatric problems. Caution is particularly important when you have a whole lifetime ahead of you.

See the Health Science Institute, (click here) newsletter of 6/11/09