Category Archives: Nutrition

Probiotics and Weight Loss

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Probiotics and Weight Loss: How Digestive Baceria Can Actually Help People Lose Weight
By: Pamela Egan, NP-C, CDE, ABAAHP

When supplement marketers attempt to explain to the public the value of probiotics, the discussion typically centers around the fact that probiotics can help to establish a regular pattern of bowel movements, helping to relieve diarrhea, curb constipation and establish a happy medium that constitutes something of a middle-ground – that point when bowel movements occur neither too frequently nor too infrequently, with the consistency being neither too hard nor too soft, minimizing the amount of discomfort one experiences in using the facilities.

Another benefit of probiotics, the good bacterial flora long associated with natural, unprocessed yogurt, with which the public is well familiar is the strengthened immune system that typically accompanies a healthy gut. However, a less noted side-effect of one’s digestive system functioning at peak performance is that a healthy gut can actually help one lose weight and keep off the pounds.

Antibiotics wipe out the good bacterial flora in the gut (intestinal tract) which slows down the metabolism, resulting in fewer calories burned relative to the amount of calories ingested. This results in unnatural weight gain.

In addition, the animals are fed estrogen supplements, which causes them to develop a condition known as estrogen dominance, which also brings about a hefty degree of unnatural weight gain. Hence, hormone balance is essential for weight loss, as is metabolic efficiency.

With regard to the latter, there is actually a quite simple solution for humans who have either been on antibiotics, ingested them indirectly via other food sources (such as beef) or for whatever other reason have an imbalance of intestinal flora inside the digestive tract. High-quality probiotics can actually help to restore the balance of what are often referred to as “good bacteria”. This helps aide digestion, which when combined with routine exercise and at least a somewhat healthy diet results in an enhanced rate-of-metabolism.

This enhanced metabolism typically helps bring about weight loss in overweight individuals provided the average amount of caloric intake were to remain constant from the time period prior to the balancing of intestinal flora to the point at which optimal bacterial flora levels are reached.

The math is really pretty simple: Calories, excess amounts of which are stored as fat, are ingested as food and calorie-containing beverages. Calories also power the human body (as well as all other animal life). The amount of calories stored as fat depends upon a couple of factors: 1) The amount of calories ingested; 2) The rate at which the calories are being burned as fuel; and 3) The amount of time unburned calories remain inside the body prior to being expelled in the form of waste (feces). By reducing the amount of time calories remain in the body from the time they are consumed to the time they are expelled, there is less time for them to be absorbed and stored in the form of fat.

The bottom line is that while probiotics are far from a miracle dietary supplement that will make you lose weight just by taking a little capsule, in conjunction with exercise, diet and hormonal balance, these healthy, all-natural bacteria can indeed help accelerate weight loss by regularing the digestive system, preventing constipation and helping one expel waste in a timely manner relative to the time-of-consumption.

The result is this: probiotics are not magic weight loss solution, but when implemented as part of a complete weight loss regimen that addresses all aspects of the metabolic cycle (caloric intake, rate-of-metabolism, hormonal balance and proper digestive function), can indeed help an overweight individual with poor digestive health lose weight and keep it off.

Related: Health Benefits of Probiotics

Research Shows Those Who Take Vitamin, Nutritional Supplements Are Healthier

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Vitamin, Mineral and Nutritional Supplements May Boost Health, According to Study

By: Pamela Egan, NP, ABAAHP Diplomat, CDE

Research indicates that taking a single, daily multivitamin is not adequate to ensure optimal health. What’s more, not taking taking nutritional supplements at all may actually be harmful to your health. This according to a new study consisting of hundreds of individuals that was conducted by a team of scientists from the University of California, Berkley, Out Lady of Mercy Medical Center in New York and the Shaklee Corporation of California.

The results showed that the more vitamins and nutritional supplements individual participants took, the healthier they were. Those who took the most nutritional supplements had better concentration of homocysteine, C-Reactive protein, high density lipoprotein cholesterol, and triglycerides, as well as lower risk of prevalent elevated blood pressure and diabetes. Supplement use showed that when a cell is nourished nutritionally by adequate levels in the blood serum, the optimal concentration reduced chronic disease that results from starvation of the cell.

It is significant to note that the supplement takers took more than just a daily multi-vitamin. They consumed a lot of tablets every day. More than half of them took, a B-Complex, vitamin C, carotenoids, vitamin E, calcium with vitamin D, omega-3 fatty acids, flavonoids, lecithin, alfalfa, co-enzyme Q10, reservatrol, glucosamine, and an herbal immune supplement. A majority of women consumed gamma linolenic acid, a probiotic, whereas men consumed additional saw palmetto, soy protein and zinc supplements.

According to the conclusion of the abstract:

This group of long-term multiple dietary supplement users consumed a broad array of vitamin/mineral,
herbal, and condition-specific dietary supplements on a daily basis. They were more likely to have optimal concentrations
of chronic disease-related biomarkers, and less likely to have suboptimal blood nutrient concentrations, elevated blood
pressure, and diabetes compared to non-users and multivitamin/mineral users.

The study was published in Nutrition Journal. The full text may be freely accessed at http://www.nutritionj.com/content/pdf/1475-2891-6-30.pdf.

How to Indentify Quality Vitamin and Nutritional Supplements

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Not All Supplements Are Created Equal

By: Pamela Egan, MN, NP, CDE, ABAAHP Diplomat

With regard to vitamins and the many various other nutirtional supplements, expert nutritionists have long stressed the importance of supplement quality in terms of both ingredients used to manufacture a given supplement as well as the manufacturing process used to make the supplement. While many health-conscious individuals by now have hear or read that ‘not all supplements are created equal’, for many such a statement is too vague to have any real meaning in terms of understanding which supplements are worth the investment, which are not and how to discern the difference between high-quality and low-quality nutritional supplements.

How is one supposed to know a “trash” vitamin from a “whole food nutrient?” Most of the nutritional supplements that are readily available to the average consumer both in America and abroad are low-grade chemicals stuffed with fillers that contain little-to-no nutritional value to humans when ingested orally (the standard method of ingestion). While the consumer may never know the difference, the overwhelming majority of the so-called “affordable” supplements found in drugstores and major retail chains (or most anywhere else typical health-conscious consumers shop for vitamins and supplements) are not adequete to ensure proper nutrition and avoid or reverse nutritional deficiencies.

“The word is out (that) it pays to take your vitamins”, said Lyle McWilliams, author of the highly esteemed Comparative Guide to Nutritional Supplements. McWilliams is an author, educator, and biochemist. In his Comparative Guide to Nutritional Supplements, McWilliams graded 1500 nutrients on absorption, bio-availability, lack of chemicals, dyes, fillers, and if the product is anti-allergenic.

The bottom-line according to McWilliams is that nutritional supplements should be manufactured to pharmaceutical-model GMP, rather than to the food-model GMP that most U.S. supplement manufacturers use. Compliance with pharmaceutical-model GMP gives consumers assurance that the supplements they consume meet stringent pharmaceutical standards for content, potency, and dissolution, and do not contain unwanted impurities.

Amazingly, the nutrients that most Americans have access to have virtually no nutritional value. Some of these include: Centrum, One-a-Day, Equate, Kroger, Members Mark, Nature Made, Puritan’s Pride, Rexall, Rite Aid, Walgreens.

The top-rated products offering the most nutritional value are medical grade and mainly found in clinicians’ offices. Unfortunately, most Americans don’t have access to these without a doctor’s referral. The top-rated supplement brands include Creating Wellness Alliance, Douglas Laboratives, Egan Wellness Clinic, TrueStar Health and USANA. Sadly, the overwhelming majority of people who actually do take supplements on a regular if not daily basis as a means of promoting good health have never even heard of any of the aforementioned brands which actually DO offer high-quality, readily absorbable and bioavailable nutrients.

The good news is that high-quality, pharmaceutical-grade nutritional products are becoming easier to obtain, and no longer require a doctor’s visit and subsequent referral just to get access to them. One place everyday health/nutrition-conscious consumers can find high-quality nutrients is the vitamins and nutritional supplements shop at the Egan Wellness Clinic. Egan carries only those brands considered to be of an elite level of quality as determined by the objective criteria set forth in McWilliams’ supplement guide.

When considering the countless numbers of people who waste big money on our hair and nails, justifying doing so by attempting to make up the difference by saving a few pennies buying cheap supplements from major retailers and even brand-name nutrition shops (where cheaply-made supplements cost a fortune but are substantively no better than the grocery store brands). From a wellness or preventative medicine standpoint, the notion that a person would think nothing of blowing a small fortune on vanity items and/or services while skimping on the quality of nutrients that person ultimately puts into his or her body as a means of promoting good health is beyond rational explanation and defies logic — at least when it involves a person who claims to care about his or her own health.

If your cells are starving to death nutritionally, they will age prematurely, hence disease sets in. When that happens, there will be little to show for all the money spent on looking good while feeling less-than-ideal.

To learn more about the Comparative Guide to Nutritional Supplements and/or how to learn what to look for in discerning effective supplements versus those that are a waste of money, check out the official website of the Comparative Guide: http://www.comparativeguide.com/.

Zinc Supplements Help Curb Infant Diarrhea in Developing Countries

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Mothers in Developing Nations Should Take Zinc Supplements Throughout Pregnancy

By: Pamela Egan, NP-C, CDE, ABAAHP
July 17, 2011

In the developing world, childhood diarrhea is a serious problem with often fatal consequences. Many throughout the western world would be surprised to learn that in 2009, the World Health Organization estimated that childhood and infant diarrhea kills over 1.5 infants and toddlers each year worldwide.

The good news is that there is hope on the horizon. A recent study has shown that of all things the mineral zinc can help to reduce and prevent instances of infant diarrhea in the developing world. The occurrence of diarrhea in newborn babies and infants may be dramatically reduced when mothers take zinc supplements throughout the course of their pregnancy, according to a new study spearheaded by Dr. Laura E. Caulfield, of the Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health in Baltimore.

The study took place in Lima, Peru, and involved 421 pregnant women, 214 of whom took sinc supplements during pregnancy and 207 of whom took a placebo. The former group took supplements consisting of 15 mg of zinc, as well as folic acid and iron supplements. The 207 women in the control group took only folic acid and iron supplents, to go along with a similar-looking placebo in place of the zinc supplement.

Infant and childhood diarrhea is a severe and often fatal problem throughout much of the developing world, including countries such as Peru, which is where the study’s efforts were concentrated. A lack of readily available clean water is often a leading cause of the bacterial infections that cause severe diarrhea.

Zinc Deficiency Rampant Throughout the Developing World

Zinc deficiency is also a common health problem throughout the developing world. This often compounds the problem as it related to childhood and infant diarrhea.

The mineral zinc is widely renowned for bolstering human immunodefence systems, and consequently helping to stave off disease and illness. Zinc deficiency dramatically increases the risk of death from diarrhea-related illnesses, as well as a number of other health maladies plaguing the developing world, including pneumonia, malaria and a myriad of other diseases of various natures.

The World Health Organization has now issued a doctrine recommending zinc supplementation in conjunction with rehydration therapy as a means of treating acute diarrhea, as past studies have indicated that zinc therapy can help one get over severe bouts of acute diarrhea more quickly when supplementing with zinc.

It is recommended by this author that those taking zinc supplements do so after eating, as taking zinc on an empty stomach can quickly lead to an upset stomach and ptentially even vomiting.

The study was initially published in the The Journal of Pediatrics in March of 2010.

Hip Fractures in the Elderly Can Be Prevented

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By: Pamela Egan, NP

A broken hip or a hip fracture is a very common injury, especially in older adults and in the elderly. Broken hips are the most common bone fracture that requires hospitalization. Hospitalizations for broken hips are rising each year to the tune of about 300,000.

Falls are the most common cause of hip fractures in the elderly. High-force injuries such as motor vehicle accidents are the most common cause of hip fractures in younger patients who typically have stronger bones. Pathologic fractures such as weakened bones from infection or cancer can also be a cause of hip fractures.

Usually, osteoporosis is the cause of hip fractures in the elderly. Osteoporosis is a condition that causes loss of bone mass. The bones are thinner and weaker than normal. Adults with osteoporosis are at much higher risk of developing a hip fracture than someone without osteoporosis. The risk of osteoporosis is on the rise possibly due to an overall decrease in hormone replacement therapy and low vitamin D levels. Other risk factors associated with hip fracture are females, Caucasians, and sedentary lifestyle.

There are two types of hip fractures. A femoral neck fracture occurs when the ball of the ball-and-socket hip joint is fractured off the femur. Treatment of a femoral neck fracture depends on the age of the patient and the amount of displacement of the fracture.

Interotrochanteric hip fracture occurs just below the femoral neck. These fractures are easier to repair more often than femoral neck fractures. The usual surgical treatment involves placement of a plate and screws to stabilize the fracture.

Treatment of a hip fracture almost always requires surgery. Some surgeons are using a newer implant that uses a rod inserted down the center of the bone rather than a plate along the outside of the bone. Both types of fracture fixation (the plate and the rod) have shown good healing and have had excellent results.

Physical therapy is usually started immediately and patients can usually walk with their full weight on the implant. Patients are usually encouraged to begin walking immediately following surgery. Most commonly, patients will get up with the physical therapist the next day following surgery. It usually takes a year for full recovery.

Complications often occur in patients who suffer broken hips. By getting patient up and out of bed as soon as possible, the risk of complications is reduced. Mortality rates in the first year following a broken hip are around 25%, and the rates are highest in older populations. The cause of death following a hip fracture is often due to blood clots, pneumonia, or infection. Furthermore, only about 25% of patients who sustain a broken hip return to their pre-injury level of activity. About one year after a patient sustains a broken hip, mortality rates return to normal, but a patient who previously sustained a hip fracture is at higher risk of breaking their hip again.

Treatments for osteoporosis are available, and will help elderly individuals avoid serious complications of this disease such as a broken hip.

An assortment of products are available through medical equipment stores that can help to reduce the risk of the slips and falls that lead to hip fractures. Mobility devices such as medical walkers, rollators, canes and power scooters can help to provide ambulatory assistance to elderly individuals, as well as to those with limited strength or mobility.

Bathroom safety devices can also help to reduce the risk of injury in one of the most dangerous areas of the home for susceptible individuals. Among the most effective of these items are grab bars. Grab bars (also known as safety rails) can be mounted against a wall, inside the shower and on the wall of the bathtub. They provide a gripping surface to help individuals maintain balance and avoid falling down (and ostensibly breaking a hip). Shower chairs provide a seating surface for inside the tub, thereby eliminating the need to stand. This in turn dramatically reduces the risk of slipping while in the shower. Raised toilet seats reduce the amount of bending over necessary for one to assume a seat on the toilet. Finally, non-slip bath mats add traction to the floor of the tub or shower, making it less slippery and subsequently less dangerous.

Lastly, nutrition plays an important role in preventing both osteoporosis and hip fractures. By making a point of getting good nutrition, the risk of osteoporosis and weak bones in general is reduced significantly. The elderly should almost without exception see to it that they are ingesting sufficient amounts of calcium, magnesium and vitamin D3, either through diet or supplements. Since estimating the amount of these nutrients in one’s diet can be so difficult, I receommed going the supplement route just to be sure.

It is important when buying supplements to insist on vitamin D3 (cholecalciferol) as opposed to supplements containing ergocalciferol (vitamin D2). D3 is more readily absorbed by the body, and is a far more effective form of the nutrient in terms of boosting the immune system, preventing disease and improving bone density.

Does Vitamin D Help Prevent MS?

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With the release this month of a new study out of Australia (first appearing in Neurology), the evidence continues to mount in support of a potential (and at this point probable) link between high levels of vitamin D3 (cholecalciferol – the “sunshine vitamin”) in the blood and a reduced risk of developing multiple sclerosis (MS).

While the scientists responsible for the study were careful to point out that the research involving 611 people who had not been diagnosed with MS at the time of the study established a link only between increased sun exposure and a corresponding decrease in the probability of developing MS. The study did not definitively establish that increased levels of vitamin D in the blood were the cause of the reduction in MS risk, or for that matter whether that was merely a byproduct of sun exposure with no direct bearing on the prevention of multiple sclerosis.

In recent years it has been learned by way of scientific research that more than 20 different diseases, illnesses and adverse conditions are brought about (at least in part) by vitamin D deficiency. Granted, even if a conclusive link is determined to exist, more research would be needed to determine if high levels of the nutrient were the preventative mechanism or if the disease was brought on by vitamin D deficiency and/or the compromised immune system resulting from the nutritional shortcoming.

That said, back in 2006 a study by the Harvard School of Public Health was published in the Journal of the American Medical Association linking Vitamin D to a lowered risk of MS.

In 2009, it was established by a team of Canadian and British researchers that vitamin D deficiency by a mother during pregnancy and an increased risk of developing multiple sclerosis in people with a genetic predisposition for the disease.

A study published in January of 2010 by researchers at the University of California found that insufficient vitamin D levels may be associated with a higher risk of relapse attacks in patients who developed multiple sclerosis during childhood.

Now in 2011 we have a study by Australian scientists confirming a link between sun exposure and a lower risk of developing MS. That means that almost every year for the past five years, studies either confirming or implying a link between the nutrient and the disease have been published for all to see.

In light of the many different studies by scientists from all around the world all arriving at the same or similar conclusions, it begs the quesiton of why are scientists from this most recent study so cautious about declaring vitamin D as a mechanism that can aide in the prevention of multiple sclerosis? Is the issue that these scientists fear ridicule from their peers if they were to tout a vitamin as a means of preventing an illness? Is the problem that the scientific community is not much of a community at all, with little-to-no communication between rival groups of researchers leading to a mass-ignorance within the community regarding research already completed by other scientists?

For those of you who don’t know, vitamin D3 (cholecalciferol) is the form of vitamin D made within the body and is the product of direct exposure to sunlight. In the Australian study, the researchers determined that those who spent the most time in the sun had the lowest risk of developing MS or MS-related symptoms. They also found that those subjects displaying no signs of MS had substantially higher vitamin D levels than their less fortunate counterparts.

While perhaps more research is needed to formally establish what most of us already strongly suspect is true, based on the available information it definitely appears likely that within the next couple of years science will conclude that the nutrient/hormone vitamin D3 helps prevent multiple sclerosis.

While science may be paranoid about implying a relationship between vitamin D and the prevention of multiple sclerosis, this author sees the writing on the wall and will be upping the dose on his vitamin D3 supplements.

Vitamin D3 and Probiotics Can Help Fight Acne

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Vitamin D3, Probiotics are Powerful, Natural Acne Remedies

Acne can result from such factors as hormonal disharmony, bacterial overgrowth, improper eating habits, chronic constipation, heredity and excess oil in the body. Although often overlooked, a direct link exists between Vitamin D and the skin.

Who would have ever thought that Acne was related to an imbalance of flora in the gut or a low Vitamin D level?

If you don’t know me by now, I try to find the cause of symptoms and disease rather than prescribing synthetic medications to cover up symptoms, especially complex acne medications like antibiotics, steroids, and accutane.

Accutane has been linked to Chron’s Disease. Not only does this drug dry up the face, it dries up the whole body. Many times once antibiotics are stopped, acne comes back raging. Sometimes, we just need to take a step back and look at natural remedies that worked in the past.

Vitamin D3 Helps Prevent Acne

Let’s review some simple facts regarding Acne:

Why are more and more adolescents suffering from severe acne? Is it something we’re eating, something we’re taking?

Over the years, our children have received more and more antibiotics for minor ailments. I myself am guilty of demanding antibiotics for my four children when they were younger. My youngest son lived on antibiotics prior to receiving ear tubes. Interestingly, he is the one who has suffered the most with acne.

Many adolescents are treated with antibiotics such as Doxycycline or Minocycline for their acne. The trouble with antibiotics is that while they will indeed kill off the bacteria that may be causing infection, they are non-discriminatory and so will attack the friendly flora in the digestive tract that actually work to keep us healthy. My patients act surprised when I tell them that many elements of the immune system are based the gut.

In a healthy gut, the good bifidobacteria that make up about a third of the gut flora naturally produce antimicrobial agents, which kill off or inhibit the more harmful micro-organisms. When this balance is disrupted and the harmful bacteria are allowed to thrive, they can bind to the gut wall where the damage they cause includes intestinal permeability problems. We fail to absorb the good nutrients, vitamins & minerals and allow the wrong toxins through our intestines. This can lead to nutritional deficiencies, allergies, acne, and auto-immune disease.

The over-prescribing of antibiotics is one of the most common causes of this imbalance. However, supplementing the diet with a good quality probiotic will help re-balance the intestinal system and put those good bacteria back in control. Whenever you are prescribed antibiotics you need to take a probiotic with at least nine strains to counter the negative effects on your digestive system. It is important to note that not all probiotics are created equal. I often prescribe a pharmaceutical strength probiotic with Vitamin D3 for my acne patients.Probiotics Supplements

Even if you suffer from a serious skin condition such as acne, you will likely notice a dramatic improvement to your skin if you take a probiotic supplement. This is because acne has been linked in some studies to intestinal health with researchers reporting increased blood levels of toxins absorbed from the gut in acne sufferers. These toxins come from those pathogens or bad bacteria that take over our intestinal tract. It has been shown that in about 50% of cases of acne, the natural balance of the gut bacteria has been disrupted and the bad bacteria are multiplying faster than the good bacteria. This is referred to as dysbiosis- the disturbance of the natural balance, which is an underlying cause of acne. Probiotics really can make a dramatic and positive difference on your skin.

Although a Vitamin D deficiency does not directly result in acne, obtaining sufficient Vitamin D can help resolve acne by making the skin and body healthier as a whole. Because the sun provides the most potent source of the nutrient, make sure you get enough exposure to the sun to improve your chances of having well-nourished skin. Of course, too much exposure to sun can also cause its own problems, so use your discretion. If your Vitamin D3 levels are low, synthetic forms of the nutrient used in supplements can help with the treatment of several common skin conditions, including acne.

Many clinics are now offering LED Light Therapy which also diminishes inflammation within the sebaceous gland to prevent propions-bacterium (P-acne) from reproducing.

Pamela Egan, NP, ABAAHP Diplomat, CDE is a board certified Adult & Family Nurse Practitioner, American Board of Anti-Aging Health Practitioner, Certified Diabetes Educator, Clinical Specialist in Mental Health can be reached at 985-892-3031.