How Dangerous is Aluminium?
The Normal human Body Requirements of Aluminium is 5-20 mg /day. But Most of the Antacids Containing Aluminium Hydroxide provide more than 80 mg of Aluminium. Routine Usage of such Antacids Causes Anaemia, Aphthous ulcers, Osteoporosis , Pathological Fractures, Endogenous Depression, Loss of Memory and Urinary Incontinence, and Chronic Renal Failure.These are the Signs of Aluminium Toxicity. Sodium Meta Silicate, an Isomer of Silicic Acid is Known to Reduce the Aluminium Load on the body by Enhancing it's Renal Excretion.
Is vinegar good for the arteries?
A. There is no evidence to this. However some studies in humans suggest hat daily doses of apple cider vinegar may help people with type 2 diabetes control their blood sugar.
Acetic acid gives vinegar its distinctive smell and sour taste. A synthetic cousin of acetic acid, EDTA is a chelating agent and is used in cases of lead, mercury, or iron poisoning. A dubious practice, chelation therapy, involves repeated administration of EDTA to clean out the arteries by dissolving cholesterol-filled plaque. This is based on wishful thinking, not science.
Apple cider vinegar is an ingredient in foods, sauces, and dressings. Taking too much can lower blood potassium levels. Straight apple cider vinegar can erode the enamel on your teeth. (Source Harvard Heart Letter)
According to a study in the journal Spine (Sept. 1, 2009), yoga therapy can reduce pain and improve function in people with chronic low back pain (pain that lasts more than three months). The Spine study is the second of two randomized trials to test a specific form of yoga called Iyengar yoga.
Most yoga taught and practiced is hatha yoga, which combines: classic poses (asanas), controlled breathing, and deep relaxation or meditation. Iyengar is a type of hatha yoga that uses props such as blankets, blocks, benches, and belts to help people perform the poses to the fullest extent possible even if they lack experience or have physical limitations.
Breast cancer update
1. A form of trastuzumab (Herceptin) with a chemotherapy like conjugate attached mprove outcomes in heavily pretreated metastatic breast cancer. Median progression free survival was 7.3 months with single agent trastuzumab-DM1 (T-DM1) in a Phase II study reported at the San Antonio Breast Cancer Symposium.
2. Postmenopausal breast cancer patients face an uncertain risk from use of vaginal estrogen preparations that raise systemic estradiol levels. [Wills S, et al: SABCS 2009; Abstract 806.]
3.In a new application of an old procedure, stellate ganglion block significantly relieved intractable hot flashes, night sweats, and sleep disturbances in postmenopausal breast cancer patients. [Haest K, et al: SABCS 2009; Abstract 809.]
4.High-dose vitamin D significantly reduced muscle and joint pain in breast cancer patients treated with the aromatase inhibitor anastrozole (Arimidex). [Rastelli A, et al, SABCS 2009; Abstract 803.]
Take home messages from the Medicine Update 2009, MAMC
Diabetes Mellitus and Metabolic Syndrome:
1. Metabolic syndrome is much more common in Indians than Caucasians, since for the same BMI Indians have more body fat and less muscle mass than their Caucasian counterparts.
2. Many young Indians with normal BMI suffer from CAD.
3. Framingham scoring underestimates cardiovascular risk in Indians.
4. Lower cut off of BMI and waist circumference is appropriate for Indians.
5. Lifestyle modification is the one measure that scores in all sectors of diabetes and cardiovascular risk prevention in metabolic syndrome.
6. As opposed to the 30 minutes a day exercise recommendation adopted in the west, Indians must be subjected to a 60 minutes-a-day exercise program. This includes 40 minutes of aerobic exercises and 10-20 minutes of resistance training for important muscle groups (gradually increase resistance to 5 kg). Such weight training can be done at any age.
7. To prevent diabetes and metabolic syndrome from developing healthy lifestyle measures may be started as early as at 10 years of age.
8. Combination of metformin with lifestyle modification has till date failed to show additional benefit over lifestyle modification alone in preventing DM in pre-diabetics. However larger trials are needed.
9. Sibutramine and Orlistat are approved weight reducing agents for treating obese Indians not responding to treatment. Overweight women with PCOS may benefit from Metformin.
10. Incretin therapy is a promising addition. Newer congeners of Exenatide may find use in pre diabetics who are overweight.