Sugar a controlled substance?

February 3rd, 2012

Sugar should be “controlled substance”, say experts.

The Independent 2 February 2012.

According to a team of leading public health expert’s, sugar is so harmful it should be controlled in the same way as tobacco and alcohol and they believe that sugar is more than just empty calories that make people fat. They argue that high calorie sweetened food is indirectly responsible for 35 million annual deaths worldwide due to conditions such as heart disease, diabetes and cancer. Worldwide consumption of sugar has tripled in the last 50 years fuelling a global obesity epidemic. The main culprit is aid to be fructose, a sugar molecule commonly added to processed food in sweetening agents such as high fructose corn syrup. There is increasing evidence that excess fructose has harmful effects on the body. The levels consumed in the west are said to alter metabolism raise your blood pressure, disrupt hormone signalling and cause significant damage to the liver. These hazards are similar to that of drinking too much alcohol.

Speaking about their article in the journal Nature, Professor Lustig said,” as long as the public thinks that sugar is just empty calories; we have no chance in solving this. There are good calories and bad calories, just as there are good fats and bad fats….But sugar is toxic beyond its calories.” The experts propose adding taxes to processed foods that contain any form of added sugar. These would include carbonated drinks, sugar sweetened beverages such as juice and chocolate milk, sugared cereals.

Other strategies included controlling access with measures such as age limits for the purchase of sugary drinks, and tightening controls on vending machines and snack bars in schools and workplaces.

However scientists stressed that to achieve a social shift away from high sugar consumption, the public had to be better informed about the science behind sugar.

Gerry Gajadharsingh writes:

Remember sugar does not just mean the white or the brown stuff. All carbohydrates, fruit, vegetables and starches (rice, potato, bread, pasta etc) are broken down in the body into the simple carbohydrate glucose. Therefore we suggest low gylcaemic load carbohydrates to reduce the sugar load in your body and decrease the insulin response (the hormone whose job it is to move glucose out of the blood stream where it can be destructive in high amounts and into the cells). The principals of Metabolic Balance are a great way of doing this.

PPI Medication affecting bone density

February 3rd, 2012

Wednesday 1st February 2012 The Daily Telegraph

Heartburn Drugs Raise Women’s Risk of Hip Fracture by Third Over the counter indigestion drugs taken by millions of people to treat heartburn, acid reflux, or peptic ulcers may increase the risk of a hip fracture by a third. Research has shown that post menopausal women who take proton pump inhibitors such as Omeprazole and Lansoprazole are 35% more likely to suffer a broken hip. The risk rose according to how long the women had been taking the drugs; with those who had been taking them for six to eight years were found to be 50% more likely to suffer the fracture. US researchers have evidence of a significant association between PPI’s and hip fractures and that careful consideration should be given to prescribing the drugs for long time use as they are thought to interfere with the body’s absorption of calcium, weakening bones. The study published in the British Medical Journal of 80,000 nurses found that for every 2,000 post-menopausal women taking the drugs for a year, there would be more than four fractures, compared to three in the 2,000 not taking them. The risk of hip fracture among women who were regularly using PPI’s for at least two years was 35% higher. This held true even when factors such as exercise and calcium intake were considered. The risk returned to a normal level two years after the women stopped taking the PPI’s. Hamed Khalili the lead author at Massachusetts General Hospital wrote: “Our data suggests the importance of carefully evaluating the need for long term continuous use of PPI’s particularly in individuals with a history of smoking”. Last year there were almost 40 million prescriptions dispensed in England for PPI’s.

Gerry Gajadharsingh writes: We have suspected that for some time PPI’s may be causing some adverse problems and either affecting micronutrient absorption or utilisation, this study is, I am sure, the start of more research into this area. Whilst PPI’s are great drugs short term for conditions such as GORD (gastro-oesophygeal reflux disease, gastric ulcers etc), surely it makes sense that clinicians help patients understand the lifestyle factors that contribute to these conditions, therefore reducing the need for PPI’s in the first place.

Sacral Musings Podcast – Interview with Gerry Gajadharsingh DO

January 20th, 2012

Interview with Gerry Gajadharsingh DO. Discussing an integrated approach to healthcare using osteopathy and cutting edge diagnostic methds to enhance the long term health of patients.

Podcast is live on http://www.sacralmusings.com/podcasts/podcast-interview-with-gerry-gajadharsingh-do

It’s all down to drugs, at least I remember taking them and not a lot else…

January 6th, 2012

Snow Patrol – How To Be Dead

Painkillers have become an unavoidable part of life for many people around us. For some, the day begins with taking a couple of painkillers in order to avoid getting a headache later on. For others, they wait until the warning signs of illness or until they feel taking them is the last resort. What most of these people will have in common is a hectic and/or unhealthy lifestyle resulting in them becoming almost reliant on these drugs. When the drugs do not have the desired effect, stronger medications are often turned to unnecessarily, and one reason is that people do not understand the effect food and drink has on the interaction with their drugs.

A food-drug interaction can prevent a medication from working how it should, cause a side effect from the medicine to get better/worse and can even cause other side effects. Medicine can also change the way the body uses a food, and this can be dangerous.

Full or empty stomach… does this have an effect? Yes, with some medicines. Some medicines will work faster, slower, better or worse if taken on a full or empty stomach. Some medicines can upset the stomach, and having food in your stomach can help reduce the upset. It is important to read the labels on these medicines, but a general guideline for taking medication on an empty stomach would be either 1 hour before eating, or 2 hours after eating. If you are required to take medication on a full stomach, then it is generally taken with your food or straight after a meal.

Alcohol… does this have an effect? Again, yes. The way your medicine works can change if swallowed with alcohol or if you drink alcohol before or after taking your medicine. Alcohol can also add to any side effects a medication may have. Caffeine can also affect medication in similar ways.

Below is a brief list of medication types, and whether they are affected by food, alcohol or caffeine. The list is not exhaustive and should not replace advice given to you by your doctor or pharmacist. Remember, if you are unsure, always consult with a healthcare professional.

ALLERGIES: antihistamines – alcohol (can add to the drowsiness)
ARTHRITIS, PAIN, FEVER: analgesics – alcohol (can cause liver damage if drunk in excess), non-steroidal anti-inflammatory drugs/NSAIDs – food (take medication with food or milk if they upset your stomach), alcohol (can cause stomach bleeding if drunk in excess)
ASTHMA: bronchodilators – alcohol (can increase the chance of side effects such as headaches, nausea, vomiting and irritability), caffeine (can increase the chance of side effects such as excitability, nervousness and rapid heart beat)
CARDIOVASCULAR DISEASE: ACE inhibitors – food (avoid foods with large amounts of potassium as this can cause an irregular heart beat or palpitations), beta-blockers – food (take with food to avoid medication reducing blood pressure too much)
HYPOTHYROIDISM: thyroid medicine – food (take medication at least half an hour before food)
PSYCHIATRIC DISORDERS: anti-anxiety and panic disorder medicines – alcohol (can add to the drowsiness), antidepressants – alcohol (can add to the drowsiness)
OSTEOPOROSIS: bisphosphonates – food (medicine only works when taken on an empty stomach)

It isn’t just food, alcohol and caffeine that can alter the effect of a drug; age, weight, sex, dosage and interaction with other drugs are some of the other factors that also have an effect. It is always important to read the label before taking a drug, and if unsure, to consult with your doctor or pharmacist. Though it isn’t just the lay person who has trouble dealing with drugs… The greatest doctor in the world is a drug addict…

House MD

Hashim Saifuddin MOst DO ND

Osteopath at The Health Equation

I was thinking it over by the snack machine, I thought about you and a candy bar…

November 4th, 2011

Factory – Band Of Horses

Feeling slightly hypocritical writing this at the moment, having just come off a massive chocolate-fuelled month of revision (for a disastrous exam had yesterday)… But it’s back to the gym and back to football as of tomorrow, so happier and healthier times are ahead… Having a grandfather who is diabetic, and a father who is borderline diabetic, chocolate binging is probably not wise for me!

Diabetes is divided into two types, type I and type II. Type I diabetes develops when the insulin producing cells in the body are destroyed and the body is unable to produce any insulin. Insulin allows glucose to enter the cells in the body where it is used as fuel for energy. With type I diabetes, insulin can no longer be produced, so glucose builds up in the blood. The reason for the destruction of these insulin producing cells is not fully understood, but thought to be triggered by a virus or infection. This type of diabetes can develop at any age, but usually under the age of 40, and predominantly in children. It accounts for 5 – 15% of diabetes sufferers, and is treated with daily insulin injections, a healthy diet and regular physical activity.

Type II diabetes develops when the body can make some insulin, but not enough, and the insulin that is produced does not function correctly – insulin resistance. With insulin not functioning correctly, glucose cannot enter the cells, and again, builds up in the blood. This type of diabetes usually occurs over the age of 40, though can appear earlier in South Asian and black people, at the age of 25. A more worrying factor is that this type of diabetes is becoming more common in young children, adolescents and young people of all ethnicities, highlighting the need for dietary changes and physical activity in children. It accounts for 85 – 95% of diabetes sufferers, and is treated with a healthy diet and regular physical activity. In addition, medication/insulin is often necessary.

Children and young people especially, with this increase in childhood onset diabetes, should partake in at least an hour of moderate physical activity per day. Activities such as brisk walking, dance, active play and sports are all included. Physical activity will help to improve blood glucose, improve fitness, prevent excess weight gain, lower blood pressure and keep the heart healthy. In addition, a good diet is also extremely important.

Hashim Saifuddin MOst DO ND

Osteopath at The Health Equation

“Why seeing the doctor is putting recovery at risk”

September 29th, 2011

The Times, Thursday,
29 September, 2011

On average, American employers pays $10,944 towards annual private medical insurance premiums with workers chipping in $4,129 according to the Kaiser family foundation 2011 employer health benefits survey. Since 2001 premiums have risen 113% compared with 34% for workers’ wages and 27% for inflation.

A separate survey published this week by the journal archives of internal medicine may have found another reason: insured Americans are getting too much healthcare. 42% of doctors in the nationwide survey said that the patients in their practices were over treated and 28% said they ordered more tests and were making more referral to specialists and they would ideally like to. Three quarters of doctors said that the fear of malpractice lawsuits prompted them to practice more aggressive medicine they could not be sued for failing to order a test that was suggested. 40% said they ordered tests and consultations because they did not spend sufficient time with their patients. Interestingly 40% of doctors also said they suspected other primary physicians ordered extra tests to boost their own income.

Gerry Gajadharsingh
comments:

Although I work primarily in the UK, I have worked in the US and teach internationally and I’m not surprised by these figures. Cultural differences in both patient expectations and the impact of fear in the medical profession from lawsuits, particularly in the US, leads to quite different practices of medicine. In my experience, it is probably correct, that an average US patients will expect a spectrum of blood tests and imaging before I am even allowed to touch them (even though in my opinion some of those investigations may not be clinically warranted), compared to an average UK patient who often doesn’t see the need for additional investigation (even though I think they actually are definitely clinically warranted). As a clinician I would like to think that I request additional investigations such as blood testing and imaging, only when clinically relevant.

As for private medical insurance companies, they simply have no idea what I actually do nor do they seem to want to. I was referred a very interesting complex patient recently from another medically recognised specialist, because neither they, nor their GP knew what was wrong with them and so asked my opinion. I see all new patients from minimum of 60 minutes and on the invoice its written “Diagnostics 60 minutes”. When the patient presented this invoice to her private medical insurance company they would not accept it, saying that osteopath don’t diagnose, they just treat!

Never mind the fact that my regulator, the General Osteopathic Council, stipulates a requirement for an osteopath to make a diagnosis of that particular patients problem, present a treatment plan to the patient to gain consent and then to follow that treatment plan. The vast majority of my patients have been misdiagnosed, or have never fully understood what is wrong with them before. Making an accurate diagnosis is time consuming and often needs a clinician to think laterally, I must admit patients sometimes do not help themsleves, they say “well I tried this and I tried that” and only seem to take their problem serviously when they are not getting better, c’est la vie!

I’m grateful that over 70% of my patients choose to pay my fees out of their own income and do not rely on the vagaries of private medical insurance to determine what I can and cannot do for them!

September 21st, 2011

Dieting with group meetings works better than advice from a doctor, claims study.

The Times 09.11

The Lancet claims that people who enrol in weight watchers are more likely to lose twice as much as those who take advice from their doctors. Overweight people that spent a year regularly attending these weight watcher meetings where they were weighed and shared diet tips lost an average of 11.1lbs. Those who received weight loss advice from their doctor’s surgery lost an average of 4.9lbs. Weightwatcher dieters also had lower cholesterol and smaller waist measurements making them at lower risk of developing diabetes or heart disease.

A study carried out by Dr Susan Jebb at the UK Medical research council  took 770 overweight and obese patients in Germany, Austria and Britain and gave half of them access to weight watchers programmes while the others received the standard care from their GP. After 12 months those on the commercial scheme were twice as likely to have lost more than the 5% of their initial body fat than those who were given the GP advice. In addition their insulin, cholesterol and waist circumference had also dropped considerably more than the GP group. Both groups had lower blood pressure as a result.

The commercial programme could be more successful as it offers more frequent weighing and peer support. It could also provide to be cheaper because it involves large groups of people. Previous research has discovered has suggested that schemes to bribe the obese into losing weight, currently on trial in the NHS are just as effective as weightwatchers.

Gerry Gajadharsingh writes, a recent audit at The Health Equation of patients prescribed the Metabolic Balance Nutritional program, showed that the average weight loss in 3 months was 7.55kg (16lbs), almost 9% of total body weight loss after 3 months on the program. Interestingly 67% of patients who were taking medication at the start of their program were able to stop or reduce their medication ( for other medical complaints), in conjunction with their GP’s after their 3 month program. Optimising metabolism is the aim of Metabolic Balance, weight loss for those over weight is a desirable side effect, moderate exercise is encouraged after 2 weeks on the program but is not neccessary for weight reduction, contry to popular belief!!

 

 

 

 

Diabetes Epidemic blamed on spread of western ways. The Times 09.11

September 21st, 2011

Diabetes Epidemic blamed on spread of western ways. 

The Times 09.11

The impact on the developing world of high fat, processed diet and a more sedentary lifestyle is contributing to a rise in the number of people worldwide suffering from diabetes. A report from the International diabetes foundation states that an estimated 366 million people have the illness due to diet and lack of exercise. A second report from the World health organisation warns of the burden caused by alarming rates of physical inactivity, obesity and raised blood pressure, cholesterol and blood glucose. The international diabetes foundation reveals that a person dies of diabetes every 7 seconds worldwide. This has called for concrete measures to stop the epidemic from growing and analysts believe diabetes care should be integrated into local health clinics.

The reports come just before the United Nations hold a health summit discussing strategies for tackling non communicable diseases which are the leading cause of deaths worldwideThese reports show the impact on developing countries under the developing influence of western culture, its diet and its lifestyle. Nine million out of the thirty six million NCD related deaths occurred in people under sixty. 90% of these premature deaths occurred in low/middle income countries.

I’m out of my mind, think you can wait… I’m way off the line, think you can wait…

September 14th, 2011

The National – Think You Can Wait

Depression is a serious illness, or mental disorder, characterised by an all-encompassing low mood, accompanied by low self-esteem and loss of interest or pleasure in normally enjoyable activities. It is wholly different to the common experience of feeling miserable, unhappy or fed up for a short period of time. When a person is depressed, they may feel periods of extreme sadness, that can affect daily living, lasting for weeks or even months.

Depression significantly affects a person’s family and personal relationships, school or work life, sleeping and eating habits, and health in general. The impact it has on functional well-being has been equated to chronic medical conditions such as diabetes. Insomnia is also common among the depressed, with typical pattern being that of a person waking up very early and not being able to get back to sleep. The person may also have difficulty in getting to sleep initially. Hypersomnia, or oversleeping, affects ~15% of the depressed population too.

A depressed person may report symptoms of depression such as fatigue, headaches or digestive problems. According to the World Health Organisation (WHO), physical complaints are the most common in developing countries. Appetite also decreases, with resulting weight loss, although the opposite can occasionally occur. Others may also notice that the affected individuals behaviour is either irritable or lethargic.

Depression is fairly common, with around 1 in 10 experiencing depression at some point in life. Exact numbers are difficult to gather, as people often do not seek help or are formally diagnosed with the condition. Women are more likely to suffer depression than men, and 1 in 4 women will seek help for it, whereas only 1 in 10 men are likely to do the same. Men are far more likely to commit suicide than women, perhaps as a result of them being more reluctant than women to seek help. It could also be due to other factors, such as substance misuse, unemployment or social isolation.

Depression can affect people of any age, including children. Studies have shown that around 5% of children aged between 5-16 have suffered from depression. Those with a family history of depression are also more likely to suffer themselves. Depression is still seen as a slightly taboo subject, with many people believing that it is not a real illness, or that it is a sign of weakness or admission of failure. This is simply not true, as depression is a real illness with real effects. With the right treatment and support, most people can make a full recovery from this illness. It is important to seek help from your GP or healthcare practitioner if you think you may be depressed.

Hashim Saifuddin MOst DO ND

Osteopath at The Health Equation

Breathing Assessment

July 6th, 2011

An initial assessment, lasting up to 1 hour and including a case history breathing questionnaire, clinical examination and assessment by capnography will allow me to ascertain if you are a good breather or indeed, more likely, that you have a breathing pattern disorder.  People who don’t breathe well fall into 2 groups; the first is intermittent over breathing, which tends to be triggered in certain situations, the second is chronic over breathing, which is generally a long established poor breathing pattern and often needs intensive breathing re-training with a capnometer.

If I decide that biofeedback via the capnotrainer is necessary this usually involves at least 4, 45-minute combo-sessions, spaced weekly, which will include use of the capnotrainer and osteopathic manual treatment.

This often needs to be done in conjunction with some homework or personal capnotraining. Breathing re-education works very well with meditation, learning how to quieten the mind will often have a much faster effect.  Occasionally it may be necessary for the patient, especially if anxiety is a major part of their problem, to also be seen by Dr Brian Roet, an excellent hypnotherapist whom I have worked with for the past 23 years and who also works at The Health Equation.

Capnotraining Package prices:

Initial Breathing Behaviour Evaluation 60 minutes £210 in London and £140 in Amersham

Treatment Packages:

Level 1- £575 in London and £380 in Amersham

4 Combo-sessions @45 minutes (Capnotraining and Osteopathic manual treatment)

Level 2- £875 in London only

4 Combo-sessions @45 minutes (Capnotraining and Osteopathic manual treatment)

2 Consultations with Dr Brian Roet

Purchasing a capnotrainer POA

Leasing a capnotrainer POA

5 personal capnotrainer biofeedback sessions 25 minutes self use paid in advance £175 in London and Amersham.

Please call Kerry O’Gorman, my PA on +44 (0)20 7631 1414 or by email kerryo@thehealthequation.co.uk, to book your initial breathing assessment.

Mr. Gerry Gajadharsingh DO
Osteopath
Diagnostic Consultant-Complementary Medicine
Advanced Breath Practitioner- Lifelogix Inc.
www.thehealthequation.co.uk

 

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London W1G 8GL

+44 (0)20 7631 1414

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Amersham, Buckinghamshire HP7 0LU

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