Mediterranean diet tied to lower risk of gallbladder surgery

“About 700,000 cholecystectomies are performed every year in the United States, according to the American College of Surgeons. Most are the result of blockage due to gallstones. “Gallstones are very common, but most of them are asymptomatic, meaning people have no symptoms. If you don’t have any symptoms from your gallstones, there’s no reason to have your gallbladder removed,” said Dr. James Lewis, a gastroenterologist at the University of Pennsylvania in Philadelphia who was not part of the study.

The vast majority of people with gallstones never have problems from them, Lewis said in a phone interview.”When they do cause problems, then having your gallbladder removed is completely appropriate,” he said.

64,000 women surveyedThe new study, led by Dr. Amelie Barre at the University of Paris Sud in Orsay, used information on nearly 64,000 women who were born between 1925 and 1950 and covered by a national insurance plan. Every two years, they answered questions about their health status, medical history, and lifestyle.

Over the course of 18 years, 2,778 of the women had their gallbladder removed.Women who ate the most legumes, fruits, vegetable oil, and whole grain bread were anywhere from 13 to 27 per cent less likely to have gallbladder surgery than were women who ate the least of those foods.”

Source: Mediterranean diet tied to lower risk of gallbladder surgery: study – Health – CBC News

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The Telegraph Asks: What’s so healthy about a Mediterranean diet?

Click the link at bottom for details about the healthy Mediterranean diet. You’ll see a reference to a low-carb Mediterranean diet that helps newly diagnosed type 2 diabetics avoid drug therapy. Click here my free low-carb Mediterranean diet.

Some quotes:

“A diet with a name that conjures up memories of suppers in the sunshine, the Mediterranean diet plan celebrates the fresh, colourful produce of a region that boasts an enviable life expectancy. Hence why it has been heralded as one of the world’s best diets – but what makes Med cuisine so healthy?

What is a Mediterranean diet? The diet plan consists mostly of fruit, vegetables, whole grains, pasta, rice and olive oil, with a moderate amount of cheese, wine, yogurt, nuts, fish, eggs, poultry and pulses, and meat thrown in.

Unlike our diet in the UK, which tends to be very high in saturated fats (pies, pastries, meats, pizza and take away foods like kebabs and burgers), the Mediterranean diet includes more monounsaturated fats, such as plant oils, nuts, seeds and oily fish.”

Source: What’s so healthy about a Mediterranean diet?

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Improve or Prevent Knee Arthritis With Quad Strength

Osteoarthritis, aka degenerative joint disease, is quite common in folks over 45 and eventually may require knee replacement surgery. Recovery from that surgery is slow and painful; best to avoid it if you can.

Having good strength in the muscle that extends the knee helps to preserve the knee joint. That muscle is the quadriceps.

Click below for the evidence:

“Although limited, the reviewed studies suggest that participation in a resistance training program can potentially counteract the functional limitations seen in knee osteoarthritis; positive associations were found between increased muscle strength and walking self-efficacy, reduced pain, improved function, and total WOMAC score. Notably, improvements were greater in maximal versus submaximal effort testing, possibly due to a ceiling effect.”

Source: Strength training for treatment of osteoarthritis of the knee: A systematic review – Lange – 2008 – Arthritis Care & Research – Wiley Online Library

To get started on strengthening the quadriceps muscle, consider the following four-minute video that is two minutes too long:
Note her mention of ankle weights.

Steve Parker, M.D.

PS: If you’re overweight or obese, you lower limb joints will last longer if you lose the fat by following one of my books.

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Cancel Alcohol’s Carcinogenic Effect With Exercise

Jamesons Irish Whiskey Photo copyright: Steve Parker MD

Jamesons Irish Whiskey
Photo copyright: Steve Parker MD

It was just a few months ago we learned that you’ll die of cancer if you tipple. Well, a new study says you can counteract the carcinogenic alcohol with adequate physical activity.

A story at CNN tells us how much exercise it takes :

“Specifically, they looked at the impact of the recommended amount of weekly exercise for adults, which is 150 minutes of moderate aerobic activity. That includes brisk walking, swimming and mowing the lawn, according to the US Department of Health and Human Services. HHS also advises strength training for all major muscle groups at least twice a week.”

Source: Exercise can cancel out the booze, says study – CNN.com

The rule of thumb on how much alcohol is relatively safe to drink is 7 typical drinks a week for women, and 14 for men.

Also remember that even one or two drinks under the right circumstances can have devastating consequences.

Steve Parker, M.D.

PS: All of my books have extensive recommendations on getting started with exercise, even if you’re a 300-lb couch potato.

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Julianne Figured Out Why the French Aren’t Fat

Julianne Taylor has a fascinating blog post based on a trip to France and Great Britain. Julianne is a dietitian living in New Zealand.  Please read the entire article.

Her conclusions:

“What can we learn from the French way of eating?

Don’t snack. At all. Eat 3 balanced meals, and snack only if needed.

Planned snacks are fine, children always have an after school snack, or small meal in France. Treat the snack with the same respect as you would a meal.

Don’t eat anywhere other than at a table. Don’t eat walking around, at your desk, in front of the TV, or snack out of the fridge. Prepare, then eat a meal at a table, preferably with company and actually experience the process of savoring your food. Eat slowly.

Choose food freshly prepared from whole ingredients like protein, fruit and vegetables.

Model eating like this to your children, and don’t push them into our bad habits. Enjoy family meals together at the table without any screens or phones.

Treat food is fine, savor a small portion as part of a meal if you wish.

Water should be the main drink, wine in moderation can be enjoyed with meals if desired,”

Source: Eating habits in France, what we should copy | Julianne’s Paleo & Zone Nutrition

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Vegetarian Diet Improves Diabetic Neuropathy Pain

http://www.nature.com/nutd/journal/v5/n5/full/nutd20158a.html

plus major weight loss

h/t bix (fanatic cook)

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Forty Years of Dietary Advice Down the Drain – Buh-Bye!

Dr. Axel Sigurdsson is a cardiologist who focuses his blogging on cardiovascular disease and lipid disorders. I bet he agrees with me that dietary saturated fat is not the malevolent force we were taught in medical school.

From his blog:

“The [PURE study] suggests that placing carbohydrates at the bottom of the food pyramid based on their effect on blood cholesterol was a mistake. In fact, the data show that replacing dietary carbohydrates with different types of fat may improve lipid profile.

In an interview on Medscape, Dr. Mahshid Dehghan, the principal author of the abstract said: “To summarize our findings, the most adverse effect on blood lipids is from carbohydrates; the most benefit is from consumption of monounsaturated fatty acids; and the effect of saturated and polyunsaturated fatty acids are mixed. I believe this is a big message that we can give because we are confusing people with a low-fat diet and all the complications of total fat consumption, and WHO and AHA all suggest 55% to 60% of energy from carbohydrates.”

Today, most experts agree that diets high in saturated fatty acids or refined carbohydrates are not be recommended for the prevention of heart disease. However, it appears that carbohydrates are likely to cause a greater metabolic damage than saturated fatty acids in the rapidly growing population of people with metabolic abnormalities associated with obesity and insulin resistance.”

Source: High Carbohydrate Intake Worse than High Fat for Blood Lipids

PS: A diet naturally high in monounsaturated fat is one you may have heard of: the Mediterranean diet. A low-carb Mediterranean diet is the cornerstone of Conquer Diabetes and Prediabetes.

High MUFA, Low CARB

High MUFA, Low CARB

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From P.D. Mangan: How Much Alcohol Is Too Much?

“Is the room spinning, or is it just me?”

He reviewed the recent scientific literature and concludes:

“Heavy drinking has well-defined adverse effects, but we’re told that moderate drinking of a couple drinks daily may be protective when it comes to heart disease.Moderate drinking may be protective, or there may just be an association among intelligence, health, and drinking. And the protective effect of alcohol with regard to heart disease is typically seen in older populations and/or those who have a high background risk of heart disease.If you’re in-shape and/or less than old, alcohol probably won’t decrease your risk of heart disease.

However, moderate drinking can cause other illnesses, including cancer.I’m forced to conclude that the benefits of alcohol have been overblown. However, in moderate drinking, the risks may be small — nonetheless, they are there.

Don’t fool yourself that your moderate drinking is good for you. It facilitates social interaction, makes you temporarily less anxious — but good for your health? Seems doubtful.”

Source: How Much Alcohol Is Too Much? – Rogue Health and Fitness

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I Solved America’s Narcotic Use Epidemic. You’re Welcome.

Not your typical street-level drug pusher, but a great source of hydrocodone (e.g., Norco)

The mainstream news outlets in the U.S. tell us we are in the midst of a narcotic use epidemic, an “opioid crisis.” What’s worse, folks are dropping like flies from overdoses.

I’m talking about oxycodone, hydrocodone, hydromorphone (Dilaudid), morphine, fentanyl, heroin, etc. Not Xanax, Ativan, or Valium.

On average, it takes three weeks of daily narcotic use to get physically dependent on it. This means that when you stop the drug completely and suddenly, your body may crave it and you could have withdrawal symptoms. The severity of withdrawal symptoms varies from person to person. Possible symptoms include anxiety, sweating, nausea, vomiting, diarrhea, hyperactivity, restless legs, weakness, easy fatigue, shaking, suicidal thoughts, insomnia, and muscle pain or cramps.

Good and bad news, bad news first: Narcotic withdrawal can be very uncomfortable but rarely causes medically serious complications. The serious complications are usually in folks with pre-existing heart disease, high blood pressure, low blood pressure, or heart rhythm disturbances.

Here’s how you stop your chronic daily narcotic habit without suffering a withdrawal syndrome (if needed, see the postscript for an example):

  1. Total up your current total daily dose in milligrams
  2. Determine 10% of the amount by dividing the milligrams by 10
  3. Reduce your daily milligram intake by that 10% every week
  4. Nine weeks later you’ll be off narcotics

Congratulations! You’ve done your part to solve America’s opioid use epidemic. You’ve reduced your drug bill, avoided Opiate Use Disorder, and reduced your risk of narcotic overdose death by 100%. And you did it without political meddling or an expensive stay at a detox center.

Be aware that as you taper off your narcotic, you may have a flare of an underlying psychiatric condition such as depression, anxiety, PTSD, bipolar disorder, panic attacks, or psychosis. If so, see a mental health professional posthaste.

Good luck, America!

Steve Parker, M.D.

PS: As an example or narcotic tapering, let’s consider Percocet 10/325. It’s 10 mg of oxycodone and 325 mg of acetaminophen. Say you’re taking Percocet 10/325, four pills at at time, four times a day. That’s a total daily oxydocodone dose of 160 mg (16 pills x 10 mg). 160 mg divided by 10 = 16 mg. We have to round off 16 mg to 15 mg due to the availability of various strengths of Percocet. So starting today, you reduce your daily oxycontin dose by 15 g, which is one-and-a-half pills. After one week, you reduce your daily pill count by another one-and-a-half pills. Etc.

PPS: Let you’re doctor know what you’re doing beforehand. He’ll be overjoyed and ensure it’s safe for you to do this taper.

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Potatoes Don’t Cause Diabetes, Obesity, or Cardiovascular Disease

…according to researchers in Denmark who reviewed the scientific literature. But watch out for french fries.

“The identified studies do not provide convincing evidence to suggest an association between intake of potatoes and risks of obesity, T2D, or CVD. French fries may be associated with increased risks of obesity and T2D although confounding may be present. In this systematic review, only observational studies were identified. These findings underline the need for long-term randomized controlled trials.”

Source: Potatoes and risk of obesity, type 2 diabetes, and cardiovascular disease in apparently healthy adults: a systematic review of clinical intervention and observational studies

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