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Showing posts with label Arterial Plague. Show all posts
Showing posts with label Arterial Plague. Show all posts

Monday, 4 November 2019

A startup that makes a new iPhone ultrasound device ...

A startup that makes a new iPhone ultrasound device, whose chief medical officer used it to diagnose his own cancer, just raised $250 million






Picture a bulky, wired-up ultrasound machine, condensed to the size of an electric razor that can plug in to your phone, and fit into your pocket.

And better yet, it costs only $2,000.

The ultrasound-on-chip is the invention of Butterfly Network, founded by Jonathan Rothberg, who also had a hand in creating Next Generation DNA-sequencing, which made the then-exclusive DNA sequencing technology a standard part of most medical practices and clinics.

The new device, named Butterfly iQ, was inspired by Rothberg’s own personal experiences. His daughter was born with a disease called tubular sclerosis, which creates tiny tumors all over the body. The treatment procedure for this requires the use of a high-frequency ultrasound and MRI-imaging.

Through this ordeal, Rothberg became frustrated with the limited amount of ultrasound machines available in a hospital and the hassle of waiting for hours for a machine to become available. Rothberg wanted to democratize the access to these machines, which can cost up to $70,000 on average. By sizing the machine down and making it more versatile, Butterfly Network hopes to enable a wider range of doctors and healthcare workers to make more precise diagnoses out in the field, at in-office checkups, and in emergency rooms and ambulances.

On Thursday, the company announced that it has raised $250 million in a series D fundraising round and is expecting to ship out starting this week, with investments from Fidelity, Fosun Pharma, and the Bill and Melinda Gates Foundation.

It was only a year ago that the Butterfly device was first unveiled at an American College of Emergency Physicians conference. Now, it’s gearing up to ship out its product to key industry leaders, institutions, and private healthcare providers.

Globally there are currently 40 million healthcare practitioners who Butterfly is trying to serve.


Ultrasound is the safest and most widely used medical imaging equipment. It is used for medical imaging inside the body and can detect the presence of anything from blood flow, to tumors, to unborn babies.

Charlotte Hu / Business Insider
“In almost every single disease state, there’s a role for ultrasound. It has incredible versatility,” chief medical officer Dr. John Martin told Business Insider. It’s been in use since the 1950s, but cost has made the equipment extremely prohibitive.

Initially, these machines ran up to a price tag of over $100,000. Now, the average ultrasound costs about $60,000-$80,000. Add that to the fact that you needed medical specialists with the expertise to capture and interpret the image.

“We wanted to make it cheaper, easier to capture the image, easier to interpret the image so it can become available, not only to every healthcare provider in this country, but to address the issue that two-thirds of the world right now has no access to medical imaging,” Martin said.

The only way to make the ultrasound cater to their needs was to in a sense, reinvent the wheel. Traditional ultrasound uses something called piezoelectric crystals (there’s 128 crystals in a standard device), which emit different frequencies that translate to ultrasound when an electric charge is applied. There are three different probes for low, middle and high frequency ranges, and these can have different configurations.

Butterfly iQ translates that technology onto a tiny silicone chip, which contains 9,000 tiny drum-like mechanisms that can receive and emit sound.


“Getting an ultrasound done used to be a destination,” Martin said. There was a lot of waiting around for results, for technology, for the technicians and doctors to come proctor and administer these tests.

Charlotte Hu / Business Insider
“It’s time for the physical examination to change,” Martin said.

Increasingly, medical schools and graduate medical education programs are incorporating ultrasound interpretation and proctoring into their curriculum. 

More healthcare providers are learning how to administer an ultrasound. These include nurses, nurse practitioners, EMTs, and other healthcare providers. Making a critical diagnosis out in the field or at remote locations ahead of entering the hospital can help providers on the ground anticipate what resources are needed for the patient ahead of time. 

The device has 13+ settings that can look at musculoskeletal, abdominal, aorta, bladder, cardiac, and pediatric abdomen. These indications are all FDA approved.

This device is not meant to completely phase out existing ultrasound machines, at least not as of now.

Charlotte Hu / Business Insider
Martin said that they’re to give healthcare providers a quick look at the significant issues such as general heart function or presence of a blood clot, so it can screen out people who don’t need more complex tests.

“This is incredibly good for yes-no answers. Do you have an aneurysm or not?” Martin said. It’s perfect as a bedside tool and as a portable device in developing countries with limited resources he added.

In fact, last year, Martin used the device to diagnose his own cancer.

As far as image resolutions go, the team said that in side-by-side comparisons with $60,000-$80,000 machines in the market right now, the difference is indiscernible.


Darius Shahida, chief of staff at Butterfly, demonstrates the function of the cardiac setting of the ultrasound by imaging his own heart in real-time.

Charlotte Hu / Business Insider
“You can see the valves and the contractility of the heart, so if someone comes in to the emergency room and I’m worried if their heart is functioning well or not,” Martin said. “I can very quickly, with a very simple scan, within seconds, answer that question.”

In conditions like pericardial effusion, where fluid gathers around the heart, a quick diagnosis can mean the difference between life or death. And sometimes there’s not enough time to send for a technician, lug the heavy machinery to where the patient is. These are instances where a quick diagnosis and discharge for surgery can really make a medical difference.

The app also has advanced functionality like viewing the ultrasound with color doppler, which can visualize blood flow.


Shahida then showed us the ultrasound on the setting for viewing the carotid artery. Viewing the carotid artery is important, especially since plaque buildup in this area of the body is one of the most common causes of strokes.

Charlotte Hu / Business Insider
The ultrasound can also help guide the insertion of an IV in the central vein, which is often done blindly or with the help of a cardiac visualization technician. “We used to joke that when you were putting a central line in someone, the thing that took the longest was finding the ultrasound machine. Now it’s in my pocket,” said Martin.

In addition to viewing the ultrasound, the app also lets you annotate and record your scan. You can then save that or send it to a doctor for interpretation.

The data is stored in the cloud after it becomes de-identified. The app is HIPAA compliant, and you can share your data across the globe or across different medical and academic institutions.

Looking forward, the company is working to incorporate parts of the app with electronic medical records, and maybe even bring in artificial intelligence to analyze the ultrasound and tele-diagnose patients for simple maladies.

Wednesday, 30 August 2017

Diabetes, the killer of hearts

When it comes to diabetes, they also risk developing complications such as heart and kidney diseases.
Again, a well-known fact that has been trumpeted over and over again.

Diabetes, the killer of hearts
Those with diabetes have a two to four times higher risk of suffering from heart diseases such as heart failure, heart attack or peripheral vascular disease. Photo: 123rf.com

But to the frustration of doctors such as National Heart Institute (better known by its Malay acronym IJN) chief clinical officer and senior consultant cardiologist Datuk Dr Aizai Azan Abdul Rahim, Malaysians are still slow to waking up to the ugly truth of such diseases and taking charge of their health.
Ideally, he says, prevention is better than cure.
“But people still don’t care. At IJN, we see the aftermath of diabetes.
“About 60% of diabetics will die from cardiovascular diseases (CVDs), while about 40% die from end stage kidney disease,” he says.
He adds that diabetics have a two to four times higher risk of suffering from heart diseases such as heart failure, heart attack or peripheral vascular disease, compared to a non-diabetic, while the risk of suffering a stroke is twice as much.
“If possible, we don’t want to see all of this developing.
“All the risk factors are going up, so CVD is still the number one cause of death in Malaysia. The cause of death of one in four Malaysians is CVD (including stroke).”
According to Dr Aizai, about 60 of diabetics will die from CVDs while about 40 die from end stage kidney disease. Photo: Handout

The National Health and Morbidity Survey 2015 painted a bleak picture of the health of Malaysians, with 3.5 million having diabetes.
Of concern is that 53% of diabetics above the age of 18 did not even know they had the disease.
It also revealed that 9.6 million people aged above 18 had high cholesterol levels, with two out of five of them not aware of their condition.
When it came to obesity, 3.3 million Malaysians were obese and 5.6 million were overweight.
It was the same when it came to children, where an estimated one million of those aged below 18 were obese.
There was a slight improvement in hypertension numbers, where 30.3% or 6.1 million people aged 18 and above had the medical condition, compared to 32.7% in 2011.
Again, 17.2% with hypertension were not aware of their condition.
Clinical practice guidelines set in 2015 had further tightened the targets for the control of type 2 diabetes, including bringing HBA1c to less or equivalent to 6.5%, triglycerides to less or equal to 1.7mmol/L, and LDL cholesterol to less or equal to 2.6mmol/L.
However, if the diabetic patient has overt cardiovascular disease, their target for LDL cholesterol is less or equal to 1.8 mmol/L.
One’s blood pressure was recommended to be 135/75mmHg, while exercise of moderate intensity was recommended to be 150 minutes weekly.
Dr Aizai says because of the lower HBA1c criteria, about 80% of Malaysian diabetics do not have their blood glucose levels under control.
For IJN patients who have diabetes, he says they are more compliant when it comes to taking their medication.
It is, however, a challenge to get them to comply to lifestyle changes such as regular exercise and a healthy diet.
“Less than half are fully compliant,” he says.
“They don’t want to stop smoking. They still don’t want to exercise and still want to eat at the mamak. It is difficult to achieve compliance because you have to put in your own effort.”
He adds that IJN also has visiting endocrinologists from Hospital Universiti Kebangsaan Malaysia.
Diabetic patients who do not have their own endocrinologists and have poor control over their disease can be referred to them.
Dieticians are also on hand to provide the necessary advice.
Dr Aizai says that the best is for a patient to be given holistic treatment, where the doctor looks at other possible side effects of diabetes including eye disease, kidney problems and peripheral artery disease (PAD), aside from treating the heart problem.
PAD is a disease where plaque builds up in the arteries.
This plaque can harden and narrow arteries over time, limiting the flow of oxygen-rich blood to your organs and other parts of your body.
It normally affects the arteries in the legs.
Dr Aizai adds that a test can be done to see if blood pressure is equal in one’s arms and legs. The test is called Ankle Brachial Index (ABI).
A difference in pressure indicates that there is possibility of a narrowing or blockage.
“The next step is to take an ultrasound of the lower limbs or go for a CT angiogram to determine the location and severity of the blockage,” he says.
“If the blockage is significant, then we can do balloon angioplasty, stenting or leg bypass surgery. It is part of treatment.”
Referrals are given when it comes to kidney and eye diseases as IJN does not have specialists on hand to treat these complications.
“Diabetes is a metabolic condition. It affects multiple organs. Normally, a problem in one organ, like the heart, is just the tip of the iceberg,” he adds.
“It’s the terrible twins. The ones which are closely linked to diabetes are hypertension and high cholesterol.”
Dealing with complications
Dr Aizai says that diabetics tend to develop coronary artery disease at a younger age.
They also tend to have diffuse narrowing or blockages in more than one artery, resulting in multiple stents having to be placed.
“Most people with diabetes who get a heart attack also don’t exhibit the normal clinical symptoms,” he says, adding that this is because diabetics have already experienced nerve damage, “numbing” them to the pain.
“They will probably say they feel extremely tired or experience shortness of breath.
“As a result, many present themselves late as they don’t realise they have a heart problem.
“I always tell patients to check their blood sugar because they may think feeling weak is a sign of hyper- or hypoglycaemia. So, if your levels are normal, then there is another reason.”
Although treatment for diabetics with a heart condition is the same as non-diabetics, he says that diabetic patients are at risk of developing complications, leading to a longer stay at the hospital.
Because they also tend to stay longer in order to normalise their blood glucose levels, which will usually spike due to the stress of surgery, they will also have an increased risk of contracting hospital-based infections.
“They are also more prone to developing a second heart attack,” he says.
Diabetes, Dr Aizai says, promotes atherosclerosis, which is the build-up of plaque in the arteries.
Other conditions that work against a diabetic include being more prone to developing blood clots, the inability to produce enough nitric oxide to dilate and expand blood vessels for more oxygen supply, and inflammation that damages the blood vessels.
He adds that the danger of diabetes is that the disease has probably manifested itself in a person for some time before a diagnosis.
“It is never a ‘fresh’ case. It is probably five to 10 years before it is clinically detectable,” he says, adding that early screening is important.
“Once you are diabetic, you are already considered to have a coronary artery disease risk.
“The survival curve is equivalent to someone who does not have diabetes, but already has experienced a heart attack.”

Datuk Dr Aizai Azan Abdul Rahim is IJN Chief Clinical Officer and Senior Consultant Cardiologist. This article is brought to you by IJN.
http://www.star2.com/health/wellness/2017/08/27/diabetes-the-killer-of-hearts/

Wednesday, 27 April 2016

A fat lot of good – Part 1

Fat lies, thin lies ... the truth about fat lies in this four-part saga on everything you ever wanted to know about fats, and maybe more.


If the oil used for frying food is rancid or overused, the food cooked in such oils is potentially toxic.
The idea for this article started when an oversized lady bumped into me in the supermarket while desperately reaching for the last pot of low-fat cottage cheese on sale.
Startled by the unexpected rudeness (wholly un-intentioned, I’m sure), the incident started a long chain of thought about fats on the slow walk home – and the result is this somewhat intricate discourse into the curious world of fat, its consumption and the consequences.
It is hoped you will find it at least a little informative – and perhaps it might even change some long-standing perceptions.

A world of manufactured lies and half truths

For a long time, it bemused me that people wanting to eat healthy food choose some low-fat or fat-free product to consume over a food option made with natural ingredients.
What do they think they are getting with a “low-fat” or “fat-free” alternative? The not too palatable answer is they are probably ingesting some heavily processed concoction made from a cocktail of chemicals – and with indeterminate side effects on health.
So perhaps “low-fat” is not exactly wholesome – but if enough people (and marketing departments) say it is healthy, sooner or later public opinion will change and then suddenly these chemical concoctions get perceived as “healthy”.
For anyone who believes in good statistics and facts, public opinion can often be an intellectual and illogical nightmare. But the public is not to blame for its opinions – in modern times, it seems that around 85% of what we see, hear or read about scientific food or health research is directly or indirectly sponsored.
This is compared to much less than 20% a hundred years ago – and to be fair, there were proportionately a lot more investigative journalists then and access to news was seldom free and rather limited.

Some really disturbing trends

There are now millions of people in the media business busily creating “content” rather than doing proper science journalism or fact reporting – and why bother with hard investigative work when it’s easier to pick up and re-write newsflashes from drug companies about new “weight loss” pills, or another “cure for cancer” or whatever item the marketing departments want to push that day.
Evidence of this is the propagation of the same story (perhaps written only as the viewpoint of one researcher or editor) on hundreds of internet news sites – often blindly boosted by social media.
Such rampant repetition of any narrative would tend to confer some sort of undeserved credibility to the premise behind any story, especially in the eyes of the uninquisitive public.
So quite often, whole sections of public opinion today are based on sketchy or even incorrect information.
Facts and logic are, to some extent, almost becoming irrelevant – note the current blight of religious militancy globally and the backlash against intellectual thinking in the Donald Trump 2016 campaign for the US Presidency.
It might seem that millions of people are actually proud of being irrational and ignorant – and this is something you should find really disturbing.
In general, people also have a habit of disliking facts when facts are disagreeable to their lifestyles, though their reaction is often not as extreme as others. For example, corrupt politicians in power really don’t like awkward facts about their crimes to be publicised, to the extent that they even try to influence public opinion by lying, issuing fake or distracting propaganda, banning the free press, blocking access to the internet and usurping the legal system, a common tactic used by tin pot dictators such as in North Korea or some African countries.
In short, public opinion matters – and to people with vested interests, it really matters a lot.

Fat – a subject close to the heart, literally

On a more mundane level, my own family didn’t believe me when I protested for many years that eating low-cholesterol and low-fat foods doesn’t make sense. Their objections are very well-intentioned as the accepted public opinion is that it is really necessary to cut down our consumption of fats (and especially cholesterol) – and this has been drummed into us for decades.
Fat deposits causing a clog in blood vessels.
Fat deposits causing a clog in blood vessels.
The uncomplicated rationale is that cholesterol is known to be one of the main components of the plaque (known as atheroma) which plugs up the arteries – over time, this becomes a disease called arteriosclerosis which leads on to coronary heart disease (CHD) and heart attacks. The other components of atheroma are calcium, fibrin (a blood clotting agent), various fatty substances and other white blood cell-related detritus. Incidentally, CHD is the number one killer in the USA and has the same unenviable standing in pretty much the rest of the developed world.
The problem with this advice is that the human body itself produces every day far more cholesterol than we can obtain from food. Cholesterol is a vital compound needed for the proper functioning of the body – without it we would die immensely faster than from CHD.
For a start, the mobility of the blood cells in our body wouldn’t be possible without cholesterol – and we wouldn’t be able to digest fats or vitamin D either, among other things. So in my mind, eating food with cholesterol really should not be the cause of any significant health problems.
It turns out that the actual underlying cause of arteriosclerosis is arterial damage – and it is a bit of a tangled story. Cholesterol forms the bulk of the components which attend damaged arteries – and there is some debate over whether it is present there by design or by coincidence.
Regardless, if the causes of the arterial wall damage are not removed, then the persistent build-up of cholesterol (and other atheroma compounds) will cause arteriosclerosis.
Patching up damaged arteries with cholesterol is known as atherogenesis and might have been an evolutionary development – this is deduced from the fact that arteries can detect the formation of atheroma and widen themselves to some degree.
However, this offers only a temporary and limited degree of protection if the underlying causes of arterial damage are not removed as the atheroma compounds will then keep building up and eventually result in arteriosclerosis.

Cholesterol – the bad and the good

So is cholesterol bad or good? The answer is both. We need cholesterol to survive and our own bodies produce it in greater quantities than we can normally get from food.
However, the profound role of cholesterol in atheroma and arteriosclerosis means that some people desperately need to reduce the amount of cholesterol (held inside the atheroma) in their arteries. What they need even more is to reduce the amount of damage to their arteries so that the atheroma has a chance to dissipate.
Blaming cholesterol solely for the cause of arteriosclerosis is simply not correct – although once someone has arteriosclerosis, it is really sensible to take medication to reduce the cholesterol in the arteries – please do take medical advice on this if it affects you.

Causes of arterial wall damage

And what causes arterial wall damage? This is where more unpalatable facts come in, for they are mostly comments on modern lifestyles. It has been proven conclusively that the following items are significant causes of arterial wall damage:
Smoking – there is overwhelming evidence that the toxins in cigarette smoke cause cell damage not only in the lungs but also in arteries and other organs. It also decreases haemoglobin’s ability to transport oxygen in the blood, leading to the heart pumping harder – and you would doubtless already know that smoking is the leading cause of cancer in most countries
High blood pressure – this is obviously a leading cause as high blood pressure simply means more strain on the arterial walls, especially as you grow older. There are several causes of high blood pressure, such as obesity, stress, smoking, inactivity, too much dietary salt, alcohol, etc.
Sadly, it seems that there is a 90% chance of modern humans getting prehypertension at some point in life – this is a condition where blood pressure is higher than normal but not to the point of hypertension.
Glucose and diabetes – a surplus of glucose in the blood is actually toxic and eventually an excess of this monosaccharide will damage the cells in arterial walls. Too much blood glucose occur when you overeat certain carbohydrates (such as jasmine rice, potatoes, white bread, etc) and sugary foods – and problems occur if the excess blood sugar isn’t removed by insulin directing it away into skeletal muscle tissues. Insulin is produced by the pancreas to regulate blood glucose, but chronic exposure to high levels of insulin causes tolerance and eventually a form of Type 2 diabetes.
Obesity – there are pretty definite correlations between obesity and high blood pressure and also diabetes, so arterial wall damage is a highly probable consequence of obesity.
Genetics – some people are simply more prone to getting arterial wall damage and there isn’t much they can do, except perhaps take medication once the condition has been detected
Inflammation response – there is a lot to say about this subject – and I mean, a LOT. Please read on for more on this subject.
AGEs – Advanced Glycation End-products (AGEs, also sometimes known as glycotoxins) are produced when food is cooked with dry heat (ie. baked, fried, roasted, grilled, etc). They are usually the result of monosaccharides (simple sugars) combining with amino acids (components making up proteins) when food is cooked in dry heat at temperatures of over 135°C – it is a process known as the Maillard Reaction.
AGEs are created via heat-induced, somewhat random chemical interactions and can end up as simple molecules or more usually, longer or highly complex chained compounds (or polymers).
Some AGEs are rabidly toxic to the body because they are so reactive – and it is critical to note that the human body is unable to easily remove AGEs once ingested. One common AGE known as glucosepane can never be removed from the human body.

AGE, RAGE and frying oil

I want to expand a little about AGEs as their role in arterial wall damage is often overlooked.
AGEs are known to cause damage to the protein structures in cells (including arterial walls) and also induce inflammation in various parts of the body – one major reason is an odd gene in the human body known as the Receptor for AGE (or RAGE).
When a RAGE binds with an AGE, it triggers an inflammatory reaction in tissues – and oddly, that is about all it does. Normally, inflammation is a protective mechanism and is part of the body’s response to pathogens, cell damage or irritants – but with AGEs, the body often cannot clear them and the affected cells eventually get damaged due to the persistent RAGE-induced inflammation.
The problem is that most of us seriously enjoy eating food loaded with AGEs – for these are the aromatic compounds that give that special delicious flavour to grilled, fried or roasted meats and baked goods. Photo: The Star
The problem is that most of us seriously enjoy eating food loaded with AGEs – for these are the aromatic compounds that give that special delicious flavour to grilled, fried or roasted meats and baked goods. Photo: The Star
Chronic inflammation in the cells lining the arterial walls due to RAGEs will eventually damage them.
The problem is that most of us seriously enjoy eating food loaded with AGEs – for these are the aromatic compounds that give that special delicious flavour to grilled, fried or roasted meats and baked goods.
Why most humans love AGEs may have an evolutionary basis – the smells and aromas of AGEs confirm that the food has been cooked with fire (or dry heat) and therefore unlikely to harbour dangerous bacteria or parasites, like those found in uncooked food.
As a little aside, there is some odd research evidence that milk from the Ethawah goat can reduce the inflammation caused by RAGEs – and I would bet that you didn’t know this before.
And before you ask, the answer is No, I don’t know about the effect of milk from other goats – but for a fee, I can find out for you.
So although life would probably be not worth living without AGEs to flavour our food, especially for gourmets, there are some ways we might be consuming excessive, dangerous amounts of these compounds and other related toxins which lead directly or indirectly to arteriosclerosis – and one major culprit appears to be the utilisation of unsuitable, rancid or overused cooking oils.
The oils used for commercial baking and cooking are very often plant-based – usually that’s because they are the cheapest oils available. All oils decompose when heated – this decomposition can be most clearly observed by the smoking effect once the oil exceeds a certain temperature (known as the smoking point).
The smoking point and rate of decomposition is different for the various kinds of cooking oils. The lower the smoking point, the less suitable the oil is for frying, although this is by no means the only criteria of unsuitability.
And if the oil is rancid or overused, then food cooked in such oils is actually potentially toxic. You are much more likely to encounter problems with oils when eating out as your home will very probably maintain cooking products in good storage conditions.
But actually that is also not the full story – else it would be easy to attain great cardiovascular health by just avoiding food cooked in a few oils, and that is simply not true.
In fact, as you will see, the story is not straightforward at all and the story of fats and health has been riddled with misunderstandings for years.
It sometimes reminds me of a lady visiting the Far East who asked, “I’ve had fish balls now for three days in a row – do Asians eat any other part of the fish?”
Next: A slippery, oily look into the role of hydrogen in fats

Wednesday, 23 March 2016

Vitamin K: A Crash Course on This “Hidden Vitamin”

If you want to improve your health, then vitamins must be a crucial weapon in your arsenal. Numerous studies over the years have highlighted the various benefits that can be obtained from vitamins. Recent studies have shed new light on the relatively obscure and extremely underrated vitamin K. Now let us examine the many health benefits that can be derived from this vitamin.

Vitamin K: Natto

Know Your Vitamin K

If you want to improve your health, then vitamins must be a crucial weapon in your arsenal. Numerous studies over the years have highlighted the various benefits that can be obtained from vitamins. Recent studies have shed new light on the relatively obscure and extremely underrated vitamin K. Now let us examine the many health benefits that can be derived from this vitamin.

Know Your Vitamin K

There are actually two types of vitamin K: K1 and K2. All K vitamins have identical functions that are tied to the naphthoquinone ring structure. What distinguish the two forms of vitamin K are their unique side chains.

Dr. Leon Schurgers is one of the world’s leading researchers on vitamin K. During the Rotterdam Study, which examined the differences between vitamins K1 and K2, Schurgers observed that  two major difference between vitamin k1 and k2 are the food items in which they’re found and the amount of the vitamin that’s absorbed by the body.

He argued that, vitamin K1 is “highly bioavailable” in leafy green vegetables like spinach, kale, broccoli, and cabbage, but the body is capable of absorbing only 10 percent of the total. On the other hand, vitamin K2  is the product of bacterial fermentation and the human body is capable of absorbing almost the full amount of vitamin k2 from the fermented foods in which it is found.

Counting Vitamin K’s Benefits

Both vitamins K1 and K2 are known to help in blood clotting by activating certain coagulation factors. In the past, this has raised concerns from those who are taking oral anticoagulants (which prevent blood clots). Yet surprisingly, high vitamin K levels do not cause your coagulation factors to shift into overdrive. Schurgers explains:
“If you take oral anticoagulants … you have to be careful with K1 AND K2. However, the advice in the United States is to skip everything that contains vitamin K, and that is something I argue against. 
Because if you take away all the K1 and K2 from the diet, every little interference — if you take a little bit of vitamin K — [it] will have a dramatic effect on the anticoagulant level. 
However, if you have a steady intake level of vitamin K1 or K2, or both, a little bit of interference is not that bad anymore.”
Vitamin K is also vital in activating and promoting the biological function of the proteins osteocalcin (found in the bone) and matrix Gla protein or MGP (found in the vascular system).. It’s also known to strongly inhibit calcifications.

Elderly people who have atrial fibrillation or venous or deep-vein thrombosis and take oral anticoagulants are advised to be cautious about their blood levels, as these drugs prevent the recycling of vitamin K (both K1 and K2). It’s advisable to get your baseline PT (prothrombin) measurements while taking the oral anticoagulant and obtaining vitamins K1 and K2 from dietary sources. This information should allow your doctor to adjust your dose based on the results.

Among people who consumed high levels of vitamin K2, research found both lowered risk and prevented deaths from cardiovascular disease and cardiovascular calcification. Vitamin K2 also hindered arterial calcification by moving calcium to the bone instead. Vitamin K2 is also crucial for vascular flow to the brain by preventing plaque deposits, which may lead to Alzheimer’s disease if not monitored properly. Schurgers noted a study that showed how vitamin K2 played a role in delivering cellular energy in Parkinson’s disease patients, and even treating the disease itself.

Take Your Vitamin K Levels Up a Notch

According to Schurgers, virtually everyone is deficient in vitamin K. If you want to know what your vitamin K levels are, consider taking the Enzyme-Linked Immunosorbent Assays (ELISA) test. This blood test calculates the active and inactive forms of MGP in your body and can accurately determine how much vitamin K you have.

Whether or not you know your results, it’s still best to include vitamin K rich foods in your diet to ensure optimal health.
  • Vitamin K1: Consume 200 grams of organic vegetables every day, particularly green leafy vegetables like kale, spinach, collard greens, broccoli, and Brussels sprouts
  • Vitamin K2: Eat at least 360 to 500 micrograms of hard and soft cheeses, raw butter, kefir, fermented foods like sauerkraut, natto, and miso, grass-fed beef and chicken liver, lamb or duck, or dark turkey meat. The bare minimum is 45 micrograms per day, according to the Rotterdam Study, but it’s best to aim for a higher amount.
You can also increase your vitamin K2 levels by taking a supplement, but only do it as a last resort.
The literature on vitamin K is fast expanding but rather limited when compared with other well-known vitamins. The information presented by Schurgers and his colleagues in the Rotterdam Study proved there are many benefits to be derived from vitamin K regardless of your age or level of well-being. 

Perhaps the most important point to remember is that there are a wide variety of vitamin K-rich foods and vegetables. These healthy and flavorful items make it easy to boost your vitamin k levels with a wholesome natural diet.


Click on Healthwise for more articles

Wednesday, 16 March 2016

Lower your heart attack risk by 35%, drink this

A study has found that tea drinkers enjoying a daily cuppa could be 35% less likely to suffer a heart attack or another major cardiovascular event over the course of their lives.

MARCH 7, 2016

Doctor Elliott Miller and his team at Johns Hopkins Hospital in Baltimore, US, have found that drinking tea could protect the heart. Just one cup of tea a day – whether green or black – could be enough to prove beneficial.
The scientists followed 600 men and women in good health and with no previous history of heart disease for 15 years. During that time, they noted which volunteers had a heart attack, a stroke, suffered chest pains or died from other types of heart disease. They also measured calcium deposits in the volunteers’ blood vessels over a five-year period, comparing them with previous levels.
More reasons to sip on a cup of tea, your chances of heart disease such as heart attack and stroke may be lowered. Photo: AFP/Shutterstock
More reasons to sip on a cup of tea, your chances of heart disease such as heart attack and stroke may be lowered. Photo: AFP/Shutterstock
The results showed that tea drinkers – consuming one to three cups per day – were 35% less likely to develop heart disease than the other volunteers. Tea drinkers also had lower levels of calcium deposits in their arteries.
While it’s too soon for the researchers to establish a direct link between the consumption of tea and the absence of heart disease, they do recognize the natural protective properties of the drink. This could be due the flavonoids found in tea, a type of antioxidant that supports heart health.
Another theory is that tea drinkers could generally have healthier lifestyles, with factors such as diet and exercise playing a positive role in keeping heart disease at bay. All in all, a cup of tea may not be enough to protect the heart from disease, but a daily brew could well be beneficial. – AFP Relaxnews
http://www.star2.com/health/wellness/2016/03/07/lower-your-heart-attack-risk-by-35-drink-this/

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Sunday, 28 February 2016

Aged garlic extract reduces arterial plaque burden


Aged garlic extract reduces arterial plaque burden
January 22 2016 
A randomized, double-blind trial reported online on January 13, 2016 in the Journal of Nutrition found a reduction in vulnerable plaque in the arteries of metabolic syndrome patients who supplemented with aged garlic extract.
Fifty-five men and women between the ages of 40 and 75 years were given 2400 milligrams aged garlic extract or a placebo orally for a year. Cardiac computed tomography angiography screening was conducted at the beginning and end of the treatment period to assess coronary plaque volume, including total plaque volume, dense calcium, noncalcified plaque, and low-attenuation plaque, which is vulnerable to rupture.
At the end of the study, participants who received aged garlic were found to have experienced slower accumulation of total plaque compared to the placebo group, in addition to regression of low-attenuation plaque. "This study is another demonstration of the benefits of this supplement in reducing the accumulation of soft plaque and preventing the formation of new plaque in the arteries, which can cause heart disease," commented lead researcher Matthew J. Budoff, MD, of the Los Angeles Biomedical Research Institute at Harbor–UCLA Medical Center in Torrance, California. "We have completed four randomized studies, and they have led us to conclude that aged garlic extract can help slow the progression of atherosclerosis and reverse the early stages of heart disease."
"This study indicates that the percent low-attenuation plaque change was significantly greater in the aged garlic extract group than in the placebo group," the authors conclude. "Further studies are needed to evaluate whether aged garlic extract has the ability to stabilize vulnerable plaque and decrease adverse cardiovascular events."

Friday, 28 August 2015

The Importance of Bone Health

The health of our bones is instrumental to our health and longevity in general. This understanding is especially important today, because there are so many toxins and contaminants in the environment and food chain. Keeping our bones and GI tract healthy is the first step to maintaining a healthy immune system, which is vital in protecting us from the epidemics and pandemics that seem to be lurking around every corner.

This post is on Healthwise


Life Extension Magazine December 2010

BOOK-EXCERPT
By Nicholas Perricone, MD
The Importance of Bone Health
The health of our bones is instrumental to our health and longevity in general. This understanding is especially important today, because there are so many toxins and contaminants in the environment and food chain. Keeping our bones and GI tract healthy is the first step to maintaining a healthy immune system, which is vital in protecting us from the epidemics and pandemics that seem to be lurking around every corner.
Red and white blood cell production alone makes maintaining optimal bone health an important requirement for optimal overall health, especially as we age. It is no coincidence that with aging, diminishing bone health is also accompanied by reduced energy, increased fatigue, an increase in digestive problems, and an increase in maladies associated with a weakening immune system. These maladies include such disorders as rheumatoid arthritis, osteoarthritis, irritable and inflammatory bowel disorders, and a host of other chronic inflammatory and degenerative problems—another excellent reason to make sure your diet is rich in high-quality probiotics and foods that are not pro-inflammatory, since pro-inflammatory foods will compound these problems.
Bone cells and immune stem cells have a common origin and a functional relationship, just like the skin-and-brain connection known as the osteoimmune relationship. That functional relationship is the basis for the growing field of osteoimmunology. Consider this alarming fact: it is now known that chronic immune system overexertion leads to bone loss and can also promote muscle wasting and increased fat storage.
This unfortunate triumvirate does not have to be inevitable. Muscle wasting/loss of muscle mass in older people is called sarcopenia. I had long suspected that there was a strong link between inflammation and sarcopenia and used it as a model to measure and compare the loss of muscle mass seen in those who diet. I was not surprised to discover that patients who suffered from sarcopenia had higher circulating levels of inflammatory markers than those who experienced less loss of muscle mass, while other parameters had insignificant differences. Those other parameters, including levels of growth hormones and sex hormones, were fairly close to the same level in both groups.
In simple terms, the subjects with the greatest loss of muscle mass were in an inflammatory state. Inflammatory markers, such as C-reactive protein and cytokines such as interleukin-6, are elevated in the people who suffer the most loss of muscle mass, or severe sarcopenia.
Vitamin K1 : Healthy Bones, Healthy Heart
This loss of both bone and muscle mass, in conjunction with increased fat storage, has very special disease implications that reach far beyond the obvious aesthetics. According to Navinchandra Dadhaniya, M.D., a specialist in geriatric medicine at Illini Hospital in Pittsfield, Illinois, a healthy young person’s body composition includes 30 percent muscle, 20 percent fat, and 10 percent bone. A person age 75 or over may have 15 percent muscle, 40 percent fat, and 8 percent bone. Reduced bone density, loss of bone health, osteopenia, and osteoporosis portend much greater risks to the body than the broken hip so common in the elderly. These conditions have a systemic impact, predisposing the body to other potentially very serious disorders as well.
Bone formation—the acquisition of bone mineral density (BMD)—peaks between the ages of 20 and 30.After the age of 35, both men and women begin to lose bone mass unless they take action to prevent it. By the time we begin to think about our bones, we may have already suffered serious damage.
It seems hard to believe that this can happen so early in our lives. You need to protect your bones from an early age. If you are in your twenties or thirties, you can take active steps to prevent future problems. If you are older, there are exciting new strategies that can make a significant difference now.
As you will discover, specially targeted nutrients can not only slow bone loss, they can actually encourage new bone growth. While there is an extensive and compelling body of research supporting the positive effects of calcium and vitamin D3 on bone health, a review of forty-eight studies on the effects of calcium on bone health concluded that other micronutrients are needed to optimize bone health, including vitamin K2, magnesium, and trace minerals.

Vitamin K1 : Healthy Bones, Healthy Heart

Many of us are familiar with vitamin K (phylloquinone, also known as phytonadione), commonly referred to as vitamin K1, which is a fat soluble vitamin found in foods such as cabbage, broccoli, cauliflower, spinach, kale, turnip greens, and other dark leafy greens, cereals, and other vegetables. Vitamin K1 makes up about 90 percent of the vitamin K in a typical Western diet and plays an important role in blood clotting. Because this is a fat-soluble vitamin, it is important to eat these foods dressed with a little extra-virgin olive oil to ensure absorption of the nutrient. Some studies indicate that only 10 percent of the vitamin K1 in foods is absorbed by your body.
Today, emerging evidence in human intervention studies indicate that vitamin K1 at a much lower dose may also benefit bone health, in particular when coadministered with vitamin D. Several mechanisms are suggested by which vitamin K can modulate bone metabolism. There is increasing evidence that vitamin K positively affects calcium balance, a key mineral in bone metabolism. The Institute of Medicine has recently increased the dietary reference intakes of vitamin K to 90 micrograms per day for women and 120 micrograms per day for men, which is an increase of approximately 50 percent from previous recommendations.
Current recommendations are based on levels to ensure adequate blood coagulation, but failing to ensure long-term optimal levels of the vitamin may accelerate bone fragility, arterial and kidney calcification, cardiovascular disease, and possibly even cancer.
Vitamin K2: Don’t Leave Home Without It!

Vitamin K2: Don’t Leave Home Without It!

Though this is good news, the news about vitamin K2 is even better when it comes to both bone and arterial health. Vitamin K2, also known as menaquinones, stays in the body for a significantly longer time than K1. It makes up about 10 percent of a typical Western diet’s vitamin K and can be synthesized in the gut by microflora.
Menaquinones (MK-n) can also be found in the diet: MK-4 can be found in meat; MK-7, MK-8, and MK-9 are found in fermented food products like cheese, and an especially rich source of MK-7 is natto, a popular, centuries-old breakfast dish in Japan made from steamed fermented soybeans.

Chairman of the Board Certified

My friend and colleague Stephen Sinatra, M.D., F.A.C.N., C.N.S., is board certified in both internal medicine and cardiology. The buildup of arterial plaque is deadly to the healthy heart, and Dr. Sinatra continually searches for effective strategies to decrease this threat. A number of studies have demonstrated the effectiveness of vitamin K2 in reversing plaque in blood vessels. Vitamin K2 appears to assist in the decalcification of hard plaque formations.
Dr. Sinatra has seen outstanding progress in his patients taking the MK-7 (menaquinone-7) type of vitamin K2, which offers the following unique benefits:
  • Provides the most active and bioavailable form of vitamin K2, MK-7
  • Helps reduce the level of calcium in the bloodstream
  • Supports cardiovascular health
  • Helps strengthen bones
  • Aids in calcium absorption by bones
  • Helps increase bone density
Bone-Building Nutrition: Calcium Is Not a Solo Act
I recently met with Dr. Sinatra to learn even more about this remarkable nutrient. The remarkable discoveries about vitamin K2 demonstrate the holistic nature of the body and how all systems are intrinsically linked—in this instance, bone health and heart health. There is tremendous overlap among bone health, digestive health, the immune system, the cardiovascular system, and so forth.
Dr. Sinatra had impressive news from Dr. Cees Vermeer, a biochemist from Maastricht University in the Netherlands and one of the top vitamin K2 researchers in the world. Two new studies (published in Blood, the journal of the American Society of Hematology) by Dr. Vermeer’s team of researchers have reported the following:
The first study showed that vitamin K2 is more absorbable by the body than vitamin K1, so K2 is able to provide more support for the enzyme process that contributes to bone health—and more protection against osteoporosis. This absorbability puts vitamin K2 at greater risk of interfering with Coumadin, which is a vitamin K antagonist. Vitamin K promotes clotting, and Coumadin is prescribed to keep the blood thin by preventing clotting. According to Dr. Sinatra, new evidence from Europe suggests that Coumadin may also interfere with a vitamin K2 protein system that keeps calcium out of the arterial walls. It now appears that on one hand, Coumadin thins the blood, but on the other, it contributes to arterial calcification. Coumadin causes a deficiency of both vitamin K1 and vitamin K2. It should come as no surprise to learn that Coumadin takers suffer more osteoporosis in conjunction with more abnormal calcium deposits in other areas, such as the heart valves—in fact, twice as much as those not taking the drug. Dr. Sinatra has become extremely cautious about prescribing Coumadin because of these risks, reserving its use for only the highest-risk patients.
To better understand the role of calcium in the body, consider this:
  • Normal deposits of calcium occur only in bone and teeth.
  • Abnormal deposition of calcium in the body occurs in three places: the intima, the innermost layer or lining of the arteries that causes atherosclerotic plaque; the heart valves; and the medial calcification, which is the muscle layer of the arteries.
Studies also show that people with coronary disease, in conjunction with reduced blood levels of vitamin K2, show more advanced atherosclerotic plaque. It also appears that calcium is an active participant in the buildup of coronary plaque—and not the innocent bystander once supposed!
In a second study, Dr. Vermeer found that a diet high in both vitamins K1 and K2 could prevent and reverse Coumadin-induced arterial calcification in rats. The rat arteries that were studied resembled human arteries affected by common diabetic and age-related sclerosis (hardening of tissues).
Traditionally, calcification has been thought to be an irreversible end-stage process in arterial disease. There is a very real possibility that a vitamin supplement could roll back the sclerosis that destroys the arteries. Imagine what this could mean to individuals with diabetes and heart disease.
Could it be that many detrimental physical processes associated with age are not part of the so-called normal aging process? More and more, the answer is yes, and many of the pillars supporting the “carved in stone” scientific beliefs are toppling. As this information demonstrates, many of these processes can actually be reversed—and, equally important, prevented altogether.
The calcium link between arteries and bone is fascinating to me. One of the biggest tragedies of aging is osteoporosis, which predisposes us to weakness, frailty, and dangerous bone fractures, greatly limiting our mobility. Unfortunately, the calcium that belongs in our bones is transferred to arterial walls, predisposing us to cardiovascular disease and more. Adequate intake of vitamin K2 can stop this from occurring. We now have what appears to be a highly effective strategy to keep bones strong and arteries free of dangerous plaque. As you can see, strategies that can keep bones healthy have significant impact on our cardiovascular systems as well—absolutely critical information for women with each passing decade.
Although it is breast cancer that puts the fear of death into women, the fact is that women have a much greater chance of dying of heart disease.
Vitamin K2 can greatly reduce your odds of developing this disease.
Dr. Sinatra recommends 150 micrograms daily of the menaquinone-7 (MK-7) form of vitamin K2. This is the most absorbable and active form of vitamin K, and it seems to also play a key role in managing calcium. He has also consulted with Dr. Leon Schurgers, another Dutch researcher who has studied vitamin K2 for more than thirty years. On the basis of animal studies, Dr. Schurgers believes that a 150-microgram dose of MK-7 is the minimum amount needed to build bone and decalcify arteries.
The research clearly points to vitamin K2’s critical role in cardiovascular health and calcium usage in your body. There is no doubt that vitamin K2 is highly effective at directing calcium into your bones, where it is needed, and away from your arteries, where it does not belong.

Calcium

Over the years, heavy emphasis has been placed on calcium and bone health, especially for women, even though men also experience bone loss, albeit at about half the rate of women.
Functional bone health encompasses much more than skeletal strength alone. A healthy skeleton does more than just lower our fracture risk. It is intimately involved with our health as an endocrine organ.
As such, it performs many important functions, including the production of red blood cells, immune cells (white blood cells), platelets, various growth factors, and cytokines, any of various protein molecules secreted by immune system cells that serve to regulate the immune system. Bone health also exerts an endocrine influence on the regulation of sugar homeostasis (the state of equilibrium or balance), fat storage, energy metabolism, and more.
If you really wish to be Forever Young, or at least as healthy and youthful as possible, we need to place agreat deal of emphasis on maintaining healthy bone mass during each decade of life.

Bone-Building Nutrition: Calcium Is Not a Solo Act

All of the research to date demonstrates that the best result achieved by any calcium supplement is to slow the rate of bone loss—not increase healthy bone density, as is the popular notion. This is a serious misconception that I am now going to remedy.
A review of the scientific literature reveals that a wide range of supplemental nutrients, in addition to calcium, can contribute to the maintenance or increasing of BMD. Nowhere is this clearer than in the recent research on the additional health benefits of calcium, vitamin D, and other bone-building nutrients. Although calcium accounts for only about 2 percent of body weight, it is essential to many life sustaining processes that go beyond the building and preservation of bone strength. It is intimately involved in the transmission of electrical impulses that control muscles and the regulation of heartbeats. Prior to the mid-thirties, the body extracts calcium from dietary sources and stores it in bones until it is released and absorbed through the gastrointestinal tract. As we age, this process appears to become less and less efficient. The body now needs more calcium than can be provided by the intake of commonly consumed foods and more than the bones can store. This results in a progressive decline in bone health with increased risk of fracture.

Magnesium

As the fourth most abundant mineral in the body, magnesium is essential to our good health. Approximately half of our total body magnesium is found in our bones, and the other half is distributed throughout the cells of our body tissues and organs. This essential mineral is needed for more than three hundred biochemical reactions in the body. It helps maintain normal muscle and nerve function, keeps the heart rhythm steady, supports a healthy immune system, and keeps the bones strong. Only 1 percent of magnesium is found in our blood, but the body works very hard to keep the blood levels of magnesium constant. Magnesium also helps regulate blood sugar levels, promotes normal blood pressure, and is known to be involved in energy metabolism and protein synthesis. Magnesium also plays a role in preventing and managing hypertension, cardiovascular disease, and diabetes.
THE ADVERSE EFFECTS OF DISEASE AND MEDICATIONS ON BONE HEALTH
A wide range of common diseases are known to decrease bone health, including insulin-dependent diabetes, rheumatoid arthritis, inflammatory bowel disease (IBD), celiac disease, anorexia nervosa/bulimia, COPD, endometriosis, hemophilia, hemochromatosis, stroke, multiple sclerosis, Parkinson’s disease, spinal cord injuries, long-term immobilization, renal disease, endocrine disorders (including suppressive doses of thyroid hormones), Addison’s disease, Cushing’s syndrome, sarcoidosis, organ transplants, liver disease (including hepatitis and alcoholic cirrhosis), bariatric surgery, and more. A number of these disorders are either caused or contributed to by declining bone health. So it appears that there is a vicious circle working here, and one in need of a powerful cease-and-desist order.
It is very disturbing that a number of popular medications being used to treat many of these disorders also contribute to bone loss. A significant body of research has found that a wide variety of medications are associated with reduced bone health in people of all ages. The list includes glucocorticoids and related immunosuppressants, antidiabetic drugs, lithium, Depo-Provera and other contraceptives, cyclooxygenase inhibitors, proton pump inhibitors (pharmaceutical antacids), total parenteral nutrition (this means not administered via the alimentary canal), aromatase inhibitors (letrozole, exemestane, anastrozole), gonadotropin-releasing hormone agonists (Lupron, Lupron Depot, LH‑RH agonists, leuprolide), immunosuppressants, anticonvulsants (phenobarbital, phenytoin), cytotoxic drugs, and selective serotonin reuptake inhibitors (SSRIs), which lead to the issue of stress and depression. The stress hormone cortisol inhibits the cells that form bone. Excess cortisol also causes many other negative effects, including the storage of abdominal fat.
While stress and excess stress-induced depression have been shown to cause loss of bone mass, antidepressant medications have been shown to cause even further significant bone loss. This is another issue of special importance to women going through menopause, who experience a greater rate of depression and its related disorders and who are prime candidates for such medications. This could be a situation where the “cure” is worse than the disease. Another recent study suggests that diabetics who are being treated with thiazolidinedione, an antidiabetic drug, provided “further evidence of a possible association between long-term use of thiazolidinediones and fractures, particularly of the hip and wrist, in patients with diabetes mellitus.”

Magnesium Deficiency: We Are All at Risk

If your digestive system or kidney function is compromised, it can significantly influence magnesium status because magnesium is absorbed by the intestines and then transported through the blood to cells and tissues.
The bioavailability of magnesium is reasonable, with one-third to one-half of dietary magnesium being absorbed into your body. Gastrointestinal disorders that impair absorption, like Crohn’s disease, can limit the body’s ability to absorb magnesium.
It is interesting to note that healthy kidneys limit the urinary excretion of magnesium to compensate for low dietary intake.
However, some medications cause excessive loss of magnesium in urine as a side effect. Also, poorly controlled diabetes and alcohol abuse cause the body to lose excessive amounts of magnesium.

What Is the Best Way to Get Extra Magnesium?

You can do so by eating a variety of whole grains, legumes, and vegetables (especially dark green, leafy vegetables containing chlorophyll) to increase your dietary magnesium intake. Fish such as halibut is an excellent source, as are spinach, black beans, and pumpkin and squash seeds.
A more balanced approach is to take magnesium with your calcium supplement, as the two minerals work together in several ways to maintain balance. If you have low blood levels of magnesium, it is important that you have the cause, severity, and consequences evaluated by your doctor. If you have kidney disease, you may not be able to excrete excess magnesium and should not consume magnesium supplements unless they are prescribed by a physician.
Thanks to its calming effects on the nervous system, magnesium can help ease anxiety, relax muscles, promote stress relief, decrease levels of the stress hormone cortisol, and promote a good night’s sleep.

Vitamin D

Vitamin D is a fat-soluble vitamin that functions as an important hormone. Vitamin D communicates to the intestines to increase the absorption of calcium by as much as 80 percent. Vitamin D is also well known for maintaining normal calcium levels. These are just a few of the extremely important functions of this essential nutrient.
In addition, other important minerals and nutrients that assist in building bone density are choline-stabilized orthosilicic acid, boron and the omega-3 essential fatty acids.
Studies show that choline-stabilized orthosilicic acid (ch-OSA™), improves the bone health benefits of both calcium and vitamin D. Ch-OSA helps build and maintain bone by regulating bone mineralization, helping to trigger the deposition of calcium and phosphate, reducing the number of osteoclasts (bone destroying cells) and increasing the number of osteoblasts (bone building cells).   
Scientific data on boron clearly shows its essential role in maintaining bones and joints in an optimal physiological state. The omega-3s offer many benefits including protection against bone loss.

Vitamin D Supplements

There are many health benefits of vitamin D, and a vitamin D supplement may be a strategy to ensure adequate levels. But what vitamin D supplement is best?
Since a large body of science shows that vitamin D works closely with calcium and magnesium, it is best to take vitamin D in combination with calcium and magnesium to maintain a proper balance. Recent literature shows that most calcium supplements have too little vitamin D to be effective. And some of them use synthetic vitamin D2. A much better form is natural vitamin D3, which stays in your system longer and with greater effect.
I want to drive home the message that you must do everything naturally possible to enhance bone health and make it your most important health priority, especially if you are nearing menopause. For all of you who have a decade or more to go before menopause, now is the time to ensure that your bones are receiving optimal nutrition to protect them now and in the future. If you are a mother with daughters, even better, as you can start them on the road to improved bone and immune health, which will provide them with a strong, healthy body.
Almost every system of the body benefits from improved bone health. In fact, improving bone health at any age seems to be an important factor in our ability to slow the clock of aging. It is not too far a stretch to say that healthy bones are the foundation of the fountain of youth—because you can’t have one without the other.
The cover price of Forever Young is $26. Member price $18.20. To order Forever Young (item # 33827) call 1-800-544-4440 or visit www.LifeExtension.com

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