"Health is not only the absence of disease; it is about vitality, well-being, finding joy and achieving your full potential." — Dr. Brad Jacobs
New Research Challenges Old Recommendations
Doctors and prestigious national organizations routinely recommend taking calcium supplements to support good bone health. In fact, the Centers for Disease Control reports that 60% of American women over age 60 take them. But based on recent research, experts now question whether these recommendations are a good idea. Confirming two meta-analyses published in 2010 and 2011, Dr. Kuanrong Li and colleagues recently reported an association between calcium supplementation and heart attacks. After following 24,000 Germans for 11 years, researchers found heart attacks increased by 86% among people taking supplements including calcium, and increased by 200% among people who used calcium as their only dietary supplement.
Admittedly, there were several problems with this study:
Despite this study's limitations, the totality of research published suggests similar findings. Therefore, I have changed my perspective: I now recommend people obtain their recommended daily calcium intake from dietary sources and take supplements only on days when diet does not achieve these goals.
How much calcium is enough to prevent fractures?
The National Osteoporosis Foundation and National Academy of Science recommend:
However, other research has found that 700 mg of calcium may be sufficient, and higher doses do not necessarily provide additional bone health benefits. Remember, calcium must be consumed with adequate Vitamin D in order to confer bone health protection.
What are calcium-rich foods?
Most individuals can obtain a significant portion of their daily calcium needs from calcium-rich foods like low-fat and fat-free dairy products, green vegetables such as collard greens and broccoli, and calcium-fortified foods.
How do I choose the right calcium supplement formulation?
If you do not get enough calcium from your diet, discuss with your physician whether taking calcium supplementation is right for you. Note also:
Q. "I have a very hectic schedule. What's the best way to unplug?"
Here are a few tips on creating a weekend that will leave you feeling refreshed:
For those of you who feel anxious at the thought of 'unplugging' for the weekend I recommend setting aside just one hour on Sunday, preferably in the early evening, to scan your email. Do your best to limit your responses to only the most critical messages. By setting aside time to check-in but not fully engage, you'll feel less anxious about Monday. You can then fall asleep Sunday evening feeling refreshed and prepared for the week ahead. For the rest of you, give yourself one hour first thing Monday morning to review emails before you get to work so you have time to prepare. Remember, three nights living 'unplugged' can make a world of difference!
Depending on age and gender, 30 to 70 percent of Americans are deficient in vitamin D. While most people don't have any symptoms, some experience muscle pain or general muscle weakness.
Vitamin D improves muscle strength, bone health, immune function, and reduces inflammation. Scientists are just beginning to appreciate the importance of adequate levels of vitamin D. Current recommendations of 200 to 600 international units (IU) are woefully inadequate. A growing community of scientists is recommending 1,000 to 2,000 IU as a safe and necessary amount to ensure adequate blood levels for good health.
What can you do to get more vitamin D?
Sunshine is the best natural solution. In addition, supplements and dietary forms of vitamin D can help you maintain adequate levels. Fatty fish, such as salmon, mackerel, and tuna are great sources; as is cod liver oil. For example, 1 tablespoon of cod liver oil provides 1360 IU Vitamin D and 3 ounces of Salmon (cooked) provides 447 IU Vitamin D. Foods which are fortified with vitamin D have lower quantities; for example, 8 ounces of milk and 8 ounces of orange juice provide 120 IU and 137 IU of Vitamin D, respectively.
Typically, I grimace when hearing about 'cure-alls'. While not yet conclusive, vitamin D may confer health benefits for a broad range of conditions, including cancer, heart disease, depression, falls, chronic pain. Vitamin D affects immunity, inflammation, cell growth and cell death – each are critical functions across the human system. As such, it comes as no surprise that some research has shown that Vitamin D decreases cancer cell growth and promotes cell death of cancer cells. Some studies have shown vitamin D reduces breast and colon cancer risk in humans.
Given the range of health issues vitamin D may affect, I recommend the following:
1. Obtain routine annual laboratory testing to ensure serum levels of vitamin D3 are adequate (30 ng/mL minimum, and ideally > 50 ng/mL).
2. Get 15 minutes of sunshine each day and, if necessary, use food sources or dietary supplements to reach adequate blood levels.
An essential aspect of good health is understanding what's in the food you eat. Excellent ways to do this are to carefully read labels of the food you buy at the grocery store and to go to restaurants that list nutritional facts and ingredients.
Top 8 Things to Look for on a Food Label:
Whether it's listed as "High Fructose Corn Syrup," "Concentrated Sugar," or any ingredient that ends in "-ose," there's sugar in what you're eating. Try to find products with less sugar or lower it yourself.
Most people get their sodium from processed foods, not from a salt shaker. Read the food label. You should aim for less than 2,500 milligrams of sodium per day, which breaks down to less than 600 milligrams for main dishes. As a general rule, avoid foods where the number of milligrams of sodium is higher than the number of calories. Read "Hold the Salt" on pilladvised.com
3. "GOOD" FATS
Polyunsaturated and monounsaturated are healthy forms of fat. Cooking with olive oil instead of butter or eating a handful of nuts are great ways to get these 'good fats'. Omega-3 fatty acids are a particularly healthy type of these 'good fats' which you can get from walnuts, soy, flax, fatty fish like salmon, as well as health bars and drinks. Try to get 1/2 gram of omega-3 fatty acids each day – and if you have heart problems, double up to 1 gram. Learn more: Read "Supplement Your Knowledge of Omega Fats" on pilladvised.com
4. "BAD" FATS
Look for products that have fiber, in general more is better. Aim to get at least 20 grams of fiber a day. Read "A Tale of Two Fibers" on pilladvised.com
Products list wheat products in many ways (enriched, unbleached, wheat, etc.). However, unless it says "whole wheat", the grain in the product is a white grain and is not as good for you as whole grain.
7. SERVING SIZE
Often your idea of a serving size isn't the same as the manufacturer's. For example, if you drink 12 ounces of juice every morning, but the serving size is 8 ounces, then every number on the label needs to be adjusted accordingly –thus, multiplied by 1.5.
Depending on whether you are trying to maintain your weight, lose or gain weight, keep an eye on the number of calories you eat – and keep a running tally on the calories you consume in a day. Your daily calorie needs should dictate how many calories you take in over the course of a day.
As we age, many people have indigestion or feel bloated after meals. Thankfully most traditional cultures offer effective remedies. You may recall your grandparents bitter-tasting appetizers or drinks 20-30 minutes before their meal. These "bitters" prime the gastrointestinal tract for the upcoming meal by stimulating gastric acids and pancreatic enzymes that digest food and aid digestion. Examples of bitters include dandelion, gentian, yarrow, artichoke, and orange peel. A wonderful and effective herbal bitter formula that helps with digestion before meals is Flora Gallexier Herbal Bitters.
Other remedies to consider are carminatives, which include culinary spices like cinnamon, caraway, peppermint, fennel, and dill. These herbal spices relax smooth muscles, thereby reducing bloating, cramping, and gas pain that people may experience after eating large meals. In many cultures, carminatives are often ingested as an 'after-dinner drink' in the form of 'digestifs'. Examples include crème de menthe and Campari, which contains 50-80 undisclosed ingredients. For those who prefer a less intense, non-alcoholic beverage after dinner, you might consider peppermint or mint tea, or the East Indian tradition of chewing on fennel seeds (with or without candy coating).
Finally, there are many dietary supplement formulations designed to reduce indigestion and bloating. I have had great success recommending enteric-coated preparations that contain peppermint oil combined with caraway seed oil.
At the 6th Annual International Conference on Frontiers in Cancer Prevention Research, Rutgers investigators announced that rats fed a diet equivalent to 4–6 cups of Green Tea, in humans, were 55% less likely to develop colon cancer and among those that did, the tumors were 45% smaller compared to the control group. Researchers have published conflicting research on the specific health benefits of green tea; however, the number of studies showing promise is impressive across a number of conditions, including:
The exact mechanism of potential benefit remains unclear. Given that green tea is safe and likely has a range of health benefits, the next time you are considering grabbing something to drink... consider green tea!
Research suggests that your attitude can actually influence your health – and it's not just your emotional well-being that is at stake. A study among 3000 British adults found attitude affects stress hormones and inflammatory markers. An earlier study found pessimistic men have twice the risk of developing heart disease; another study showed pessimists recovered more slowly after heart bypass surgery than their optimistic counterparts. In a long-term study among people with HIV, people who had a more positive attitude lived longer than those who did not.
Good News: Beyond our genes, our attitude is influenced by our patterns of thinking, social relationships and life fulfillment. That is why programs like Mindfulness-Based Stress Reduction and Reflective Happiness have been so successful for participants. Not only do people begin to view the world with a "cup half-full" attitude, but research using MRI brain scans find more activity in areas of the brain associated with an optimistic worldview, thus providing objective evidence to support the survey findings.
Take Action: Enroll in one of these programs or join one of my 3-Day Health Retreats. Together we can learn to reframe our perspective, manage stress better, and focus on things that make us feel good and truly satisfied.
Is there a relationship between good oral health and good health overall? Have you heard about a lollipop and chewing gum that fight cavities?
The health of your oral cavity – mouth, teeth and gums – plays an important role in your overall health. For example, studies have shown a correlation between dental health and heart attacks. One proposed explanation is that poor dental hygiene causes chronic inflammation, which in turn has harmful effects on the entire body. In addition to brushing your teeth twice a day and regular flossing, what else can you do to maintain good dental health for your and your family? Here are two additional suggestions:
It seems like everyone I know is suffering from seasonal allergies, also called hay fever. Roughly 40 million people suffer each year from seasonal allergies – and suffer they do. Runny nose, itchy and watery eyes, sneezing, head congestion and fatigue are just a few of the seasonal allergy symptoms that people experience.
There are some great allergy survival tips worth considering. To reduce the allergen count in your home and your body, I am a big fan of keeping a clean home including a HEPA filter, and using a netti pot to wash out the nasal passages. Butterbur has been getting a lot of press lately; Dr. Guo published a review showing that the Butterbur herb was better than placebo, or as good as non-sedating antihistamines, in 6 randomized trials. You also might try a homeopathic preparation called Galphimia glauca, and keep an eye out for a new Chinese herbal formula called Biminne which looks promising.Wishing you an active and hay fever-free spring season!
Q. "What is the difference between Integrative Medicine and Alternative Medicine?"
Alternative Medicine is a term used to describe over 100 healing therapies not traditionally taught in medical school. Integrative Medicine, on the other hand, is a rapidly expanding field with the primary mission to restore the soul of medicine.
Whether you are pregnant, scheduled for heart surgery, experiencing depression, or have diabetes, Integrative Medicine couples the best of conventional scientific medicine with a broader perspective on the nature of illness, healing, and well-being.
When receiving Integrative care, you will experience a provider who is focused on healing the whole person and actively encourages you to participate in improving your health. In addition to training in conventional scientific medicine, they are open-minded and knowledgeable about:
With the holidays coming, there's one thing you can count on – eating so much festive food that your stomach aches. Did you know the average American consumes 3,000 calories during Thanksgiving dinner alone? So it's no surprise that many people experience indigestion and/or heartburn.
Make your holiday guests (and their tummies) more comfortable – plan ahead and have some simple home remedies on hand. They'll feel better and you'll get bonus points for being a terrific Thanksgiving host! Here are a few suggestions:
If anxiety is disrupting your sleep, you'd be surprised how effective relaxation techniques can be. I suggest doing one of the following techniques for 10-30 minutes daily or whenever you are feeling particularly anxious:
Bradly Jacobs, MD, MPH – Cavallo Point Healing Arts Center & Spa
601 Murray Circle | Fort Baker | Sausalito, CA 94965
Phone: 415.339.2692 | Email: email@example.com