03/26/04 NEWSLETTER carlstonmd.com
Hello Patients HOME

I usually tell friends and family living elsewhere that late February through March is the most beautiful time of year here but it somehow surprises me every year.  What gorgeous weather we've had this .. winter(?).  Enjoy it

Best, Michael Carlston, M.D.
www.carlstonmd.com

In This Issue: INDEX
  • HEMA-PLEX IS NOT HEMAPLEX
  • HOME BLOOD PRESSURE IS MOST MEANINGFUL
  • DEPRESSION AND GENDER DIFFERENCES
  • ANGER AND HEART DISEASE
  • STATINS AND HEART DISEASE
  • ECHINACEA COMBINATION PREVENTS DISEASE IN CHILDREN
  • PROTEIN AND CHILDREN
  • HEMA-PLEX IS NOT HEMAPLEX TOP

    Many years ago I learned of an iron supplement called Hema-Plex from an enthusiastic patient.  As people tolerate this product much better than other iron supplements, I usually recommend it to those who need iron supplementation.  A few days ago I discovered that there is another product named Hemaplex (no hyphen and in a bottle not a yellow and green box).  This other product terrifies me.  It provides iron by using very high risk bovine organ tissues (raw liver, stomach, small intestine and bone marrow).  Small intestine carries nearly as much prion material (i.e. Mad Cow) as brain tissue.

    Hema-Plex on the other hand is vegetarian.

    Please do not confuse these two entirely different products.

    HOME BLOOD PRESSURE IS MOST MEANINGFUL TOP
    Elevated blood pressure increases the risk of a number of diseases, particularly stroke and heart disease. Blood pressure changes moment to moment in response to the bodies need for the nutrients it carries.   If it does not rise during exercise or fall too rapidly, you will faint because the brain, starved of oxygen, will make you stop IMMEDIATELY.

    Going to the doctor's office is a stressful (i.e. blood pressure raising) experience for many people.  A significant number of people are falsely diagnosed with high blood pressure based upon measurements in their doctors' offices.  A recent study published in the Journal of the American Medicial Association (JAMA) showed that home blood pressure readings predicted the risk of stroke and heart disease but office blood pressure readings did not.

    DEPRESSION AND GENDER DIFFERENCES TOP

    Women are significantly more likely to become depressed than men.  This is true worldwide.  In addition to the more obvious explanations related to the status of women culturally (i.e., physical and sexual abuse, social bias etc) there appears to be other factors.  A genetic component exists (maybe 50% of the risk) but I always look for risks we can change.  That changeable risk has to do, in part, with habits of thought.  Research shows that women tend to obsess about problems and emotional injuries more than men.  This tendency to dwell on unpleasantness creates an ongoing mental/emotional habit that reinforces feelings of sadness.

    This research is a reminder of the importance of working to keep things in perspective.  At the same time, I can also see the positive aspects of this pattern of thought.  People who tend to mull things over can be better prepared to manage future stresses, in part through becoming more sensitive to the quality of interpersonal interactions.  The problem seems to be a matter of degree.  A certain level of awareness can be enlightening and liberating but dwelling on problems and past grievances inevitably increases your pain.

    ANGER AND HEART DISEASE TOP
    Continuing on the theme of emotion and health, research indicates that men who are angry and hostile are much more likely to suffer one form of irregular heart rhythm (atrial fibrillation) and much more likely to die soon.  As with other studies dealing with emotion and heart disease, other components of the "Type A behavior" (time urgency and competitiveness) were not linked to increased health problems.

    This may or may not be true for women.  The same study did not find a correlation in women however that negative finding could be a consequence of the higher rate of heart disease in younger males.

    It is reasonable to speculate though that volatility is not good for any of us.

    STATINS AND HEART DISEASE TOP
    Many of you, I am certain heard of the recent study finding that aggressive lowering of cholesterol, much lower than levels we have generally accepted as healthy, reduced the risk of cardiovascular disease.  I urge you not to rush to the conclusion that this means almost everyone ought to be taking statin drugs.  In reality, statin drugs can be beneficial but they can also harm many people.  They are associated with increased risk of cancer, liver problems and a potentially life threatening muscle disorder.

    In fact, the consumer group Public Citizen, has asked the US government to ban one statin following a death resulting from kidney damage cause by muscle tissue destruction from the statin Crestor (rosuvastatin).  One year after the drugs release for general use there have been an unusually large number of reports of patients hospitalized with life-threatening muscle damage.  Three years ago, another product in this class (Baycol) was banned due to this problem.

    ECHINACEA COMBINATION PREVENTS DISEASE IN CHILDREN TOP
    An herbal combination containing Echinacea, propolis and vitamin C was the subject of a double blinded randomized trial of upper respiratory illness prevention in children.  The product (Chizukit) was administered to children age 1-5.  The results were positive across the board with marked reductions in number of illnesses, sick days, days with fever and duration of illness.
    PROTEIN AND CHILDREN TOP
    Long term dietary studies are difficult to conduct.  Recently a study was published by Danish researchers looking at long term effects of a high protein diet - on 9 month old infants!  They found that 9 month olds who received 3 times the protein of the controls turned out to be bigger but not fatter at 10 years of age.
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