Bernice Napach. Related: Latest Obamacare headache: Thousands may not be insured after all Companies like Dell and CBS CBS have reportedly bought massive quantities of the guide for their employees to improve employees' health and help their bottom line. On Agus' to-do list: Get an annual flu shot even if you don't tend to get the flu Eat real food on a regular schedule Take a baby aspirin daily Consider statins even if you don't have high cholesterol. He says statins can help much more than just heart disease. Follow prescribed cancer screening schedules Related: CVS to ban sales of cigarettes, tobacco products by October These recommendations are generally common practice among doctors and what patients have come to expect.
Related: How to lose 35 pounds without dieting Agus worries about the lack of data for long-term effects on body scanners: "We have no long-term outcome data Why there will be less fighting over the deficit this year Will Twitter's earnings justify its stock price?
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Recently Viewed Your list is empty. What to Read Next. ABC News. Associated Press. National Review. Yahoo Finance. Yahoo Finance Video. Who What Wear. Rather than interpret the calcium score as an absolute number, you should compare your score to other people who are your age and gender. If your score is higher than the average shown in the table below, then it is likely that your rate of plaque creation is high, and you should give a high priority lowering your risk factors for heart disease. If your score is higher than 75 percent of the people your age and gender, then you should give this an urgent priority.
Following are the major risk factors for heart disease, including the optimal range and the risk factor range for each category. Major Risk Factors: Genetics. Be aware of your genetic tendencies by reviewing the health history of your parents and get a genomics panel of cardiovascular genetic tests. Attain your optimal weight, as we discussed in chapter 8. The following represents optimal values for key lipid levels:. Recommendations to improve lipid levels: Adopt a healthy diet by following nutritional recommendations in chapters 4 through 9.
Most importantly, sharply reduce saturated fat.
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Supplement program: Round One: We recommend that you start with this first round of supplementation to improve lipid levels:. Dosages of up to 3, mg per day are often used, although we recommend starting with dosages closer to mg per day. If you take the prescription drugs nitrofurantoin or digitalis, do not take soluble fiber. Round Two: After implementing round one and testing after two months, if levels are still not optimal, we suggest you add the following and then test again after another two months:.
It is vital to take a Co Q10 supplement when taking statin drugs, because these medications deplete Co Q10 levels. Recommended dosage is 50 to mg, twice a day. It is important to note that lipid drugs have toxic effects on the liver, so your physician will want to monitor the health of your liver through blood tests that measure key liver enzymes. It also boosts HDL by 5 to 10 percent. Elevated Homocysteine Levels. We recommend keeping homocysteine levels below 7. Our program for lowering homocysteine level is in chapter We recommend achieving a hs-CRP under 1.
Our program for lowering hs-CRP is in chapter Our recommendation: have your fasting glucose and insulin levels checked and follow the guidelines in chapter 8. Optimal blood pressure is under over If your blood pressure is over this level, we recommend starting with a nutritional and supplement program and using prescription drugs only if that fails. The first step is to adopt our nutritional recommendations and attain your optimal weight.
Determine if you have metabolic syndrome or type II diabetes and follow our program in chapter 9. Supplements helpful in resolving hypertension include the following:.
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If these recommendations prove insufficient and prescription drugs are considered, angiotensin II antagonists such as Cozaar or Hyzaar appear to be safer and more effective than short-acting calcium channel-blockers. Diuretics and beta-blockers appear to increase insulin resistance, which is counter productive and increases the risk of developing metabolic syndrome and type II diabetes.
The continual self-imposed stress associated with a type A personality results in higher levels of adrenaline, which worsens inflammation. These people with short tempers, continually getting angry, is the personality type with higher risk. Our program for managing stress is described in chapter Lack of Exercise. Adequate levels of exercise contribute significantly to reducing all of the controllable risk factors, including improving insulin sensitivity, contributing to weight loss, and reducing blood pressure, stress and inflammation. Our exercise program is described in chapter Secondary risk factors include the following.
See the main text of chapter 15 for details and recommendations. If you have three or more risk factors, we recommend: A UF CT Heart scan with calcium score to measure the total amount of calcified plaque. You should ask for the amount of calcium score associated with each lesion, since the distribution of calcified plaque also indicates risk.
An exercise stress test. There is a new generation of UF CT scanners and MRI magnetic resonance imaging machines capable of imaging the subtle bulges associated with vulnerable plaque. These systems look promising for assessing the true source of heart-attack risk. In addition to the noninvasive remedial procedures involving diet and supplements described above, an ingenious method for reducing angina pain and improving overall cardiac health is enhanced external counterpulsation EECP.
Invasive Diagnosis and Treatment Invasive diagnostic and treatment procedures for heart disease are actually the ninth-ranking cause of death in the U. In addition, there are many side effects to these procedures. These include accelerating formation of both vulnerable plaque and calcified plaque. Angiography: We strongly recommend that patients avail themselves of the growing arsenal of noninvasive diagnostic procedures that can accomplish as much or more as conventional angiography. Noninvasive UF CT heart scans and MRI scans can be more informative, particularly since angiograms are unable to detect vulnerable plaque.
Bypass Surgery: We believe that the vast majority at least 90 percent of bypass surgeries are not needed and that patients would achieve more effective reversal of coronary plaque, both vulnerable and calcified, through the noninvasive means described in this book. Balloon angioplasty surgery may be effective in temporarily reducing angina pain, but studies have not reported significant reductions in subsequent heart attacks or deaths.
This invasive surgery also has a high potential to dislodge or tear calcified plaque, causing it to become unstable. This encourages inflammation and vulnerable plaque formation. It can also damage the delicate lining of coronary arteries, which also encourages the formation of soft plaque. The great advantage of noninvasive methods of stopping and reversing both vulnerable and calcified plaque is that they truly heal the source of the problem. The invasive forms of treatment tend to be crude palliatives pain suppressants with many serious complications and risks and with little if any improvement in outcomes.
With sufficient diligence and attention, almost everyone can avoid heart disease, as well as invasive treatments and the enormous suffering and death toll that this disease engenders.
Consult with your physician regarding risk-specific screening scans. Consider performing a genomics profile of your detoxification and immune systems including such markers as GSTM1. Start the day with a glass of fresh-squeezed organic vegetable juice. Make new friends and continue to maintain your longstanding interpersonal relationships. The Power of Ideas o Realize that no matter what quandaries you face — business problems, health issues, relationship difficulties, as well as the great scientific, social and cultural challenges of our time — there is an idea that can enable you to prevail.
Men should check their PSA level at the same time. Men should start with 15 - 25 mg of DHEA per day and women with mg per day and increase as needed to achieve these levels. Your physician can tell what an optimal level for you would be based on your age and sex. Ornithine and glycine can be added if needed. Melatonin Testing and Replacement No specific testing is usually done for healthy people who wish to try melatonin supplementation. For most healthy people who have no sleep problems, begin with 0.
The dose can be increased to 0. Many people find a 0. For individuals with trouble falling asleep, a fast-acting or underthe-tongue formulation is recommended. Start with a dose of three to five milligrams of a sublingual preparation and increase to 10 milligrams if needed. If you wake up frequently throughout the night, try timed-release melatonin.
Note, however, that with time-released melatonin, you may be tired in the morning. If your doctor is unfamiliar or uncomfortable with using compounded products, he or she can write a prescription for Estrace, which is bio-identical estradiol E2. Bio-identical estrogen has a short half-life, so, ideally, should be taken twice a day, about every 12 hours. Follow up by rechecking blood levels of estrogen until a proper level is achieved. For menopausal symptoms, increased consumption of soy products and cruciferous vegetables is recommended.
Black cohosh supplementation can be tried as well. Progesterone levels should be measured as part of routine hormone screening. Postmenopausal women can have their level checked at any time. Premenopausal women should be screened on days of their cycle. If levels are suboptimal, bio-identical hormone replacement with either bioidentical micronized oral progesterone or progesterone cream should be used. Levels of free and total testosterone should be measured as part of a full hormone evaluation. If levels are suboptimal, testosterone replacement therapy can be done with topical testosterone cream mg daily.
Estrogen levels should be checked and excess levels treated with aromatase inhibitors such as I3C, chrysin and Arimidex see below. Supplementation with estrogen is not recommended for men. In the rare case where estrogen levels are too low, some increase is possible with DHEA. Testosterone Before beginning testosterone replacement, hormonal evaluation which includes both free and total testosterone levels, DHT, estradiol, and a PSA test for prostate cancer. If the decision is made to implement testosterone therapy, a topical skin bioidentical testosterone formulation is recommended.
Oral testosterone formulations can cause liver problems. Typical doses prescribed are mg of bio-identical transdermal testosterone once or twice daily. Follow the directions for application. Saw palmetto mg twice daily will help prevent conversion of testosterone into DHT and should be taken. I3C mg twice daily and chrysin mg daily can help prevent conversion of testosterone into estrogen and should be taken as indicated. Men on androgen replacement therapy both testosterone and DHEA must undergo regular prostate cancer screening with digital rectal examination and blood tests for PSA.
Blood levels of testosterone, estradiol and hematocrit should be checked periodically to ensure adequacy of dosage and that too much testosterone is not being converted into estradiol. Reduces the risk of high blood pressure. Increases the strength of ligaments and tendons. Enhances sexual desire, performance and satisfaction. Helps in the management of stress and alleviates depression. Improves the quality of sleep. Reduces the risk of developing colon, prostate and breast cancer.
Helps alleviate low back pain. Improves physical appearance. Improves self-esteem. Decreases resting heart rate. Promotes relaxation. Helps relieve constipation. Helps to retard bone loss, reducing risk of developing osteoporosis. Allows more energy and vigor to meet the demands of daily life. The mainstay of an exercise program is regular aerobic exercise, which raises heart and breathing rates. Examples of aerobic exercise include walking, swimming, cycling, rowing, and cross-country skiing.
Benefits of aerobic exercise include: Lowering the risk of cardiovascular disease, cancer, and other diseases. Weight loss. Reduced hypertension. Improved sleep. Better mood. Reduced triglyceride levels. Boosted levels of HDL, the good cholesterol. During aerobic exercise, you should be at your training heart rate, which is between 50 and 75 percent of your maximum heart rate, which you can estimate as minus your age. The ideal aerobic exercise is walking, because you can do it anywhere. Before you start a regular exercise program, consult your health professional, who can advise you on any special considerations regarding your physical condition and health.
You may need an exercise stress test if you are over 40; have two or more coronary risk factors such as family history, cigarette smoking, hypertension, hypercholesterolemia, diabetes, or sedentary lifestyle; or have had abnormal results at a physical. A stress test is an electrocardiogram ECG administered for ten to fifteen minutes while you exercise on a treadmill or stationary bicycle. About 10 to 20 percent of stress tests give false positives and 20 percent to 40 percent yield false negatives.
Start any exercise program slowly. The objective is to exercise on a regular basis and build this activity into a predictable routine. It is important not to overdo. Get the right walking shoes. We recommend the equivalent of walking three miles per day or more, five or more days a week, although even four days per week of regular aerobic exercise is of significant benefit.
Once you are fit, expect each session to require minutes. The five phases of aerobic exercise are stretching, warm-up, exercise, cool-down, and stretching. Plan to walk in your training heart rate for 30 to 40 minutes each session. In general, you will need to walk at least four miles per hour to achieve your training heart rate. To intensify your workout, swing your arms, walk uphill, carry one- or two-pound hand weights, stair-climb, or alternate moderate pace with brisk striding. Don't use hand weights if you have heart disease, hypertension, or back problems.
Don't swing the weights. Jogging is an excellent aerobic activity, but it does place cumulative stress on the feet, ankles, lower leg, and knees. A large percentage of runners develop injuries. Swimming and water aerobics are ideal forms of exercise for everyone, especially the elderly and others who suffer from muscle or joint infirmities and injuries.
Bicycling is both aerobic and low-impact if the proper form is used. When cycling outdoors, be sure to use a safety helmet. Tedium is a major reason people fail to maintain their exercise programs. If you find the right exercise for you, it can be an enjoyable part of your routine. Walking can be a refreshing way to tour your neighborhood. Other ways to avoid. More information about this seller Contact this seller.
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In his international bestseller, The End of Illness, Dr. A Short Guide to a Long Life is divided into three sections What to Do, What to Avoid, and Doctor s Orders that provide the definitive answers to many common and not-so-common questions: Who should take a baby aspirin daily? What constitutes healthy foods? An accessible and essential handbook for preparing for visits to the doctor and maintaining control of your future, A Short Guide to a Long Life explores the simple idea that a healthy tomorrow starts with good habits today Fortune.
A Short Guide to a Long Life (Hardcover)
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