Issue 40

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Addiction and Acupuncture

PROCEDURE PERFORMED AT MEDICAL WELLNESS ASSOCIATES BY EMMA McGOWAN, M.D. AND MARTIN GALLAGHER, M.D.

Acupuncture on the external parts of the ear may help drug and alcohol dependency problems. Five needles to certain points on the outside of the ear for 45 minutes helps alcohol, cigarette, and crack addicts reduce their craving and eases drug or alcohol withdrawal symptoms, according to anecdotal reports of a licensed acupuncturist. The re-arrest rate among Miami drug users dropped from 63% to 3% within the first year of initiating a drug-treatment program using this type of acupuncture (auricular acupuncture). Auricular acupuncture stimulates the release of endorphins, which are natural pain-relieving substances. This procedure, known as Acudetox, can be taught to nurses, psychologists, social workers, and drug counselors if they complete a training program sponsored by the National Acupuncture Detoxification Association.

"Acupuncture Called Effective Treatment for Addictions," Mann, Denise, Medical Tribune, November 27, 1997;33.

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Have High Blood Pressure?

HTN-180PX

HTN 180 Px Extra strength, available from Medical Wellness Associates, is designed to optimize cardiovascular function by supporting blood vessel relaxation and coronary flow.

HTN 180 Px Extra Strength is designed to optimize cardiovascular function by supporting blood vessel relaxation and coronary blood flow. This formula provides powerful alkaloids such as ajmaline and sparteine that have been investigated for their ability to invoke parasympathetic activity in the brain, potentially helping to calm the mind and body.

African Snake Root was also chosen for this formula due to general calming effects. The Mistletoe leaf is included to supply vasoactive amines for encouraging vascular tone. Likewise, Hawthorn berry was added to bolster support of the vascular system. This combination of herbs works via a number of distinct mechanisms that ultimately preserve healthy blood pressure.

May help maintain healthy blood pressure already within normal range and reinforce healthy blood vessel integrity. Helps to support immune function. Contains 8 times the dosage of African Snake root as is HTN 180-Px Original.

  • Cardiocascular Support
  • Preserves Healthy Blood Pressure
  • 
Healthy Parasympathetic Activity
  • Optimal Vascular Tone
  • Blood Vessel Relaxation Support


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Shingles

Shingles is caused by the chickenpox (herpes zoster) virus. If you've had chicken pox as a child, then you're still carrying the herpes zoster virus in your body, which can become reactivated after many years causing a very painful, burning rash known as shingles. The virus lives in the nerve cells and produces a rash along the nerve pathways, most often on one side or the other of the trunk of the body. But they may appear anywhere. Having had chicken pox does not create immunity to shingles; as a matter of fact, just the opposite is true, because the virus enters the body with the chicken pox.

Prescription Antivirals help relieve the symptoms of shingles and may reduce the risk of postherpetic neuralgia (PHN). PHN is a complication of shingles, which affects nerve fibers and skin, causing burning pain that lasts long after the rash and blisters of shingles disappear.

Complimentary therapies can be effective to reduce the duration of shingles, decrease the pain of shingles, and help to prevent scarring that can occur.
Vitamin C is anti-inflammatory and should be considered in both intravenous and oral forms. Acupuncture can decrease pain and inflammation.

Protocol often recommended in our office may include:
Vitamin C (anti-viral properties)
Super Lysine (counteracts the virus by blocking arginine, an amino acid the virus needs in order to replicate)
Co-Enzyme B-Complex (helps with nerve pain)
Mega Probiotic (helps re-establish friendly flora)
Engystol (homeopathic remedy that boosts the immune system that is added to IVC)

Reboost (homeopathic remedy boosts immune system)

Defense Factors (formula features plant based anti-oxidants and other immune boosters)
Beta 1,3 Glucan
Zinc Plus (activates infection-fighting cells, heals)
ACS Silver Spray (anti-viral, spray in mouth & topically)

Vitamin E Ointment (repairs injured skin)
Intravenous Vitamin C (beneficial effects associated with pain, lesions and accompanying complaints)
Apple Cider Vinegar (topically to dry up, do not use if skin is broken)
Rhus tox is one of the more common remedies employed for the treatment of shingles. It relieves the fearsome itching and pains accompanying this condition. The rash consists of small, red fluid-filled vesicles or blisters that break when scratched, spreading the infection.
Arsenicum album is indicated when the patient experiences terrible burning pains along the nerve pathway. Pains are often made better with the application of warm compresses.
Apis mellifica is indicated for treatment of shingles when the rash is bright pink, swollen, itchy and produces stinging pains made better by cool compresses and aggravated by warmth.

 


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Anorexia Nervosa

This is a case report of a 19-year-old female with anorexia nervosa who had extensive weight loss over 1 year associated with vegetarianism and excessive exercise. She had severe muscle wasting and muscle weakness in the legs and bilateral weakness of eye closure. There was purpuric rash which developed due to the vitamin C deficiency. The author notes that the myopathic and scorbutic features may have a common cause. It is noted that the eye signs have not been demonstrated previously in anorexia nervosa and they could be explained by a myopathy, a bilateral VII nerve palsy, myasthenia gravis, or Guillain-Barre Syndrome. Vitamin C deficiency may link the purpurae and myopathy and the muscle weakness can be caused by vitamin C deficiency which can be mediated by carnitine. Carnitine is required to move fatty acids into the mitochondria for energy production. Measuring plasma carnitine levels in future cases of myopathy associated with anorexia nervosa may prove valuable.

"Neuromyopathic Complications in a Patient With Anorexia Nervosa and Vitamin C Deficiency", Woodruff, Peter W.R., et al, International Journal of Eating Disorders, 1994;16(2):205-209.


Bone Loss & Hormone Replacement Therapy, Iron, Menopause

In a study of 112 women not on hormone replacement therapy (mean age 56.6 years, mean time past menopause 6.6 years) compared with 116 women (mean age 54.6 years, mean time past menopause 4.9 years) who were on hormone replacement therapy, subjects were examined over 1 year, in which all women received 800 mg/day of supplemental elemental calcium. Iron was associated with greater positive bone mineral density change at the trochanter and Ward's triangle in women using hormone replacement therapy. Calcium was associated with bone mineral density change at the trochanter and femur neck for women not using hormone replacement therapy. In women using hormone replacement therapy in the lowest tertile of calcium intake, change in femur neck bone mineral density increased linearly as iron intake was increased. In women not on hormone replacement therapy, bone mineral density increased in women in the highest tertile of calcium intake. This longitudinal analysis indicates a positive association of iron intake with bone mineral density in a cross-sectional study and demonstrates an influence of hormone replacement therapy on iron and calcium and bone mineral density relations. The major finding of this study was the positive association in cross- sectional analyses for iron intake and bone mineral density at the femur trochanter and Ward's triangle, with the association remaining significant only for women using hormone replacement therapy. Calcium was associated with positive changes in femoral neck and trochanter bone mineral density only in women not using hormone replacement therapy.

"Dietary Iron Positively Influences Bone Mineral Density in Postmenopausal Women on Hormone Replacement Therapy," Maurer J, Harris MM, et al, J Nutr, 2005;135:863-869. (Address: Jaclyn Maurer, E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.)


Bone Loss

Osteopenia, Boron Deficiency and Parenteral Nutrition

Boron deprivation has been shown to affect calcium metabolism and bone formation in 2 human trials. Children receiving long term total parenteral nutrition (TPN) suffered from metabolic bone disease of unknown etiology. Serum boron was evaluated in 28 subjects, mean age of 10 years, receiving total parenteral nutrition for approximately 9 years. Mean serum boron was significantly higher in controls and correlated well with the duration of total parenteral nutrition. There was contamination of boron in individual glucose amino acid solutions and fat emulsion. The authors found that there was enough boron contamination in total parenteral nutrition solutions to maintain serum boron at above normal levels. Boron deficiency is not characteristic of osteopenia seen in children receiving long term parenteral nutrition.

"Is Boron Deficiency An Etiological Factor in Osteopenia of Parenteral Nutrition in Bone Disease of Children?", Moukarzel, A.A., et al, Journal of the American College of Nutrition, October 1992;11(5):601/Abstract 14.



NAC Supplementation May Improve Physical Performance in Patients with COPD

CHRONIC OBSTRUCTIVE DISEASE, COPD, EXERCISE & N-ACETYLCYSTEINE, NAC

In a randomized, double-blind, placebo-controlled, crossover study involving 24 patients over 40 years of age with COPD (chronic obstructive pulmonary disease), results indicate that supplementation with NAC (N-acetylcysteine) may exert a beneficial effect on physical performance. The patients were randomized to NAC (1200 mg/d) or placebo for 6 weeks, after which the interventions were crossed over for another 6 weeks. At intervention end, inspiratory capacity (IC) and FVC were higher after exercise in the NAC-supplemented group, compared with the placebo group. Additionally, greater reduction in residual volume to total lung capacity was observed in the NAC group. Lastly, exercise endurance time was greater in the NAC group. Thus, the authors of this study conclude, "NAC treatment of stable, moderate and severe COPD patients has a beneficial effect on physical performance, probably due to a reduction in air trapping."

"Total Antioxidant "Effect of N-Acetylcysteine on Airtrapping in COPD: A Randomized Placebo-Controlled Study," Stav D, Raz M, Chest. 2009 May 15; [Epub ahead of print]. (Address: Pulmonary Institute (Dr. Stav), Assaf Harofeh Medical Center, Zerifin, Israel).


DID YOU KNOW...

Fennel

  • Fennel contains the antioxidant flavonoid quercetin 

  • This herb is anti-carcinogenic and can be useful for cancer patients 
undergoing chemotherapy or radiation
  • Fennel can be useful for indigestion and spasms of the digestive tract 

  • It also helps expel phlegm from the lungs

Drinking Milk Associated with Fractures and Death

High cow’s milk intake is associated with increased risk for bone fractures and death, according to a new study in the British Medical Journal. Researchers followed 61,433 women and 45,339 men for more than 20 years and 11 years, respectively.

Among women, those who consumed three or more glasses of milk per day had a 60 percent increased risk for developing a hip fracture and a 16 percent increased risk for developing any bone fracture. These results are similar to previous studies showing no protective effect of increased milk consumption on fracture risk.

Additionally among women, for each glass of milk consumed, risk of dying from all causes increased by 15 percent, from heart disease by 15 percent, and from cancer by 7 percent. For the women who consumed three or more glasses of milk per day, compared with less than one glass, risk of dying increased by 93 percent. Men had a 10 percent increased risk of dying when consuming three or more glasses of milk per day, compared with less than one glass.

Michaëlsson K, Wolk A, Langenskiöld S, et al. Milk intake and risk of mortality and fractures in women and men: cohort studies. BMJ. 2014;349:g6015.
Feskanich D, Willett WC, Colditz GA. Calcium, vitamin D, milk consumption, and hip fractures: A prospective study among postmenopausal women. Am J Clin Nutr. 2003;77:504-511

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