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Women's Health Newsletter | Premier Acupuncture


 
Women's Health & 
                         Pain Treatment Newsletter 

11/23/2005

Welcome & Happy Thanksgiving!

pssst...
Know of any friends or colleagues who would enjoy this newsletter? Don't forget to forward them a copy of this issue.

Welcome to the November edition of our newsletter.  Be sure to take a moment this Thanksgiving and reflect on your health and the actions you can take to improve or maintain it.  We often times do not take the time to reflect on our health and the habits which may improve or undermine our health.  Health is relatively easy to maintain, but can be most difficult to regain.

Our Breast Cancer Awareness Thermography special was a huge success.  Many of you took advantage of the special.  Congratulations to all who took the extra step to safeguard their health!

Newsletter Format.  I would appreciate any comments you have on the format of this newsletter.  I want it to be easy and quick to read and offer information which you can use to improve your health and keep you informed.  What I think is an effective format may not be meeting your needs.  Please take a moment and let me know if you have any thoughts or suggestions to make this newsletter more beneficial to you.  We all benefit.

Please send in your questions and comments to pacmnewsletter@yahoo.com

 

 

Michael Wedge
L.Ac., M.Ac.O.M.,DCH
 


       Information You Can Use To Improve Your Health Today

Caffeine and High Blood Pressure

Habitual consumption of sugar and diet colas, but not of coffee, is linked to increased risk for hypertension in women, according to the results of a prospective cohort study reported in the Nov. 9 issue of JAMA.  In these studies, 155,594 U.S. women free from physician-diagnosed hypertension were followed up with questionnaires during a 12-year period, from 1990-1991 to 2002-2003. The primary outcome was incident physician-diagnosed hypertension.   When studying individual classes of caffeinated beverages, habitual coffee consumption was not associated with increased risk for hypertension, but consumption of cola beverages was associated with increased risk, regardless of whether it was sugared or diet cola.

Cabbage and Breast Cancer

Cabbage may be at the heart of why the breast cancer risk of Polish women triples after they immigrate to the United States, rising to match the rate of U.S.-born women, investigators reported today.

Young women who eat four or more servings per week of raw or lightly cooked cabbage -- such as coleslaw or steamed sauerkraut -- may significantly reduce their risk of breast cancer later in life, according to results of a study led by Dorothy R. Pathak, Ph.D., of the University of New Mexico. That's the way they do it in Poland.
 
Compared with women who ate 1.5 servings or less of cabbage per week during adolescence, those who ate four or more servings were 72% less likely to develop breast cancer as adults, Dr. Pathak and colleagues reported here today at the American Association for Cancer Research's annual cancer prevention meeting. Cabbage contains anti-carcinogenic glucosinolates and myrosinase enzymes.

PACM Comments: The supplement Indole 3-Carbinol contains the apparent active ingredients in cabbage and other vegetables that appear responsible for the reduction in breast cancer.  Although I am not aware of any studies using Indole 3-Carbinol as a treatment for breast cancer, the theoretical benefit makes it a potentially useful supplement in breast cancer treatment and in other breast pathology.



Cancer Risk Reduction

More Than One Third of Cancer Deaths May Be Attributable to Nine Modifiable Risk Factors 

News Author: Laurie Barclay, MD
CME Author: Désirée Lie, MD, MSEd

Following is an excerpt from the above mentioned continuing education article.

"With respect to reducing mortality, advances in cancer treatment have not been as effective as those for other chronic diseases; effective screening methods are available for only a few cancers," write Goodarz Danaei, MD, and the Comparative Risk Assessment collaborating group (Cancers) from the Harvard School of Public Health in Boston, Massachusetts, and the Initiative for Global Health at Harvard University in Cambridge. "Primary prevention through lifestyle and environmental interventions remains the main way to reduce the burden of cancers. In this report, we estimate mortality from 12 types of cancer attributable to nine risk factors in seven World Bank regions for 2001."

To evaluate exposure to risk factors and relative risk by age, sex, and region, the investigators analyzed data from the Comparative Risk Assessment project and from new sources, and they applied population-attributable fractions (PAFs) for individual and multiple risk factors to site-specific cancer mortality provided by the World Health Organization.

Of the seven million deaths from cancer worldwide in 2001, approximately 2.43 million (35%) were attributable to nine potentially modifiable risk factors. Of these deaths, 0.76 million were in high-income and 1.67 million in low- and middle-income nations; 1.6 million were in men and 0.83 million deaths were in women.

 
Smoking, alcohol use, and low consumption of fruits and vegetables were the leading risk factors for death from cancer worldwide and in low- and middle-income countries. In low- and middle-income regions, Europe and Central Asia had the highest proportion (39%) of deaths from cancer attributable to the nine risk factors studied.

 
Cancers with the largest proportions (more than 60%) attributable to these risk factors were cervix uteri cancer, lung cancer, and esophagus cancer.
* The main risk factors for these cancers included sexual transmission of HPV, persistent infection with oncogenic viruses, smoking, alcohol use, and low fruit and vegetable intake.
* More than 37% of all risk-factor-attributable deaths were from lung cancer, 12% from liver cancer, and 11% from esophageal cancer.
* High-income countries accounted for 29% of the 7 million deaths from cancer worldwide, and 31% of the 2.43 million that was attributable to the selected risks.
* Except for cervix uteri cancers, joint PAFs were greater in high-income than low- to middle-income countries for all cancer sites.
* This is due to higher and longer population exposure to smoking and alcohol use and is particularly evident for lung, mouth, and oropharynx and esophageal cancers, especially in men.
* Lung, liver, and esophageal cancers had the largest number of attributable deaths in low- and middle-income countries.
* In high-income countries, lung cancer accounted for 52% of all risk-factor-attributable deaths from cancer and other cancers contributed to less than 7%.
* Smoking was responsible for a higher fraction of deaths from cancer in high-income countries (29%) than in low-income countries (19%).
* Smoking alone caused at least 21% of deaths from cancer worldwide.
* Alcohol use and low fruit and vegetable intake caused 5% each.
* Liver and esophageal cancers had the largest number of deaths attributable to alcohol use.
* The risk factors studied caused twice as many deaths in men as women (1.6 vs 0.83 million) in all regions.
*  The fraction of deaths from cancer attributable to these risks was 41% for men and 27% for women.
*  The largest male-female difference in PAFs was for mouth or oropharynx cancer, both strongly affected by alcohol use and smoking (66% for men and 23% for women).
*  Mouth and oropharynx cancer had the largest sex difference in low- to middle-income countries (63% for men and 17% for women).
* In high-income countries, liver cancer had the highest sex difference (59% for men and 37% for women).
* HPV was the leading risk factor for cervical cancer women in low- and middle-income countries.
* In the youngest age group (younger than 30 years), leukemia claimed the largest total number of deaths.
 

PACM Comments
You probably all know multiple people dealing with cancer.  In the past cancer was primarily seen in older people, but we are now seeing it in much younger people.  Cancer impacts all of us in profound, life changing ways.  As prevalent as cancer is, as difficult as it is to diagnosis and treat, I don't understand why people are not taking the steps to try to protect themselves.  It is certainly possible to do everything right - exercise, reduce stress, healthy low fat diet, proper supplement intake, not smoking, etc., and still be diagnosed with cancer. But why not control what you have the ability to control?  Take the time to learn the early warning signs of cancer.  Become familiar with your body.  I am astounded at how many do not realize that rectal bleeding is a potential sign of colorectal cancer.  Sure, rectal bleeding may simply be hemorrhoids, but it may be cancer.  I have heard from many women that they do not practice breast self exam, obtain mammograms or breast thermograms because they are afraid something might be found and they don't want to deal with it.  Of course we all see the flawed reasoning here, but fear is a powerful enemy in this case.   

I have chosen to work in the area of attempting to reduce breast cancer rates by improving breast health and in improving diagnostic accuracy through the use of breast thermography.  Although thermography has attracted considerable attention, both from the medical community and the public, many women do not make use of this technology.  Ignoring a problem or potential problem will not make it go away.  The problem only gets worse.  I realize you know this, but I wanted to bring it to your attention again. 

Your health is the most valuable gift you have.  It can be taken from you at any time.  Take a moment this Thanksgiving and reflect on your health.  Commit to taking the necessary steps to reduce your chance of a life threatening illness.  You are important to many people - your parents, spouse, children, grandchildren, bothers and sisters, friends and others.  You are important to me.  Take the time keep yourself healthy.  I too am guilty of occasional poor dietary habits and lack of exercise.  I know I will be evaluating my health promoting and disease promoting habits this Thanksgiving, I again invite you to do the same.


Women's Health

Evening Primrose Oil (EPO)

EPO has a long history of use in the treatment of breast pain, fibrocystic breast changes and other breast problems.  The Gamma Linolenic Acid (GLA) is the component of EPO apparently responsible for its benefits.

Recent research has indicated that GLA can inhibit the Her2 breast cancer gene.  GLA also has the benefit of increasing the effectiveness of Herceptin.  Herceptin is a drug used in certain types of breast cancer.

Her-2 stands for Human epidermal growth factor receptor. 

PACM comments:  There is a considerable amount of information available and therapies for breast disease, inclusive of breast cancer.  Many of these treatments have been available for many years to those utilizing natural medicine, but have been unavailable to most utilizing only conventional allopathic medicine.  Allopathic medicine is the type of medicine your family physician practices.  As allopathic medicine "discovers" these treatments, more and more are able to benefit form what natural medicine has been utilizing for decades or in many cases, much longer.

 



In The News
  1. NEW YORK (Reuters Health) Nov 16 - Occupational and recreational physical activity may reduce the
    risk of ovarian cancer, results of a study published in the November issue of the International Journal of Cancer suggest.
     
  2. NEW YORK (Reuters Health) Nov 08 - Drinking alcoholic beverages, especially by women who use postmenopausal hormone replacement therapy (HRT), raises the risk of estrogen-receptor (ER)-positive breast cancer, according to data from the population-based Swedish Mammography Cohort.
     
  3. NEW YORK (Reuters Health) Nov 09 - For maintaining calcium metabolism, intake of calcium levels above 800 mg/d is probably unnecessary provided that vitamin D status is adequate, according to a report in the Journal of the American Medical Association for November 9th.

    The report also indicates that vitamin D supplements are needed to achieve an adequate status for people living in northern climates.

    PACM Comments:  Those of you that have been a patient at our clinic or read this newsletter have heard me talking about the need for supplemental vitamin D intake.  I have discussed in greater detail in previous editions of the newsletter why this is necessary.  Bone health, depression, breast cancer, neuromuscular disease, colorectal cancer and other problems are associated with D deficiency.  I continue to believe 1000 - 11250mg of calcium is necessary in addition to extra vitamin D.  How much calcium is in part dependent on the type of calcium.  You would require higher doses of calcium carbonate over calcium citrate.  Vitamin D3 is the most active form.  Consider using this type when supplementing.

    The American Women's Medical Association is recommending 800 - 1000 IU over vitamin D for those over 50 years old.  I have been recommending 600 to 1000 IU for all adults as a starting point.  Health history, use of sun screens, time spent outdoors and time of the year impact dose recommendations.  During the winter we Alaskans do not obtain enough UV light from the sun to produce vitamin D.  Vitamin D, as you may know is produced in our skin when exposed to UV light.

    Note:  As I was finishing up this newsletter I received an article by Michael Holick, MD, PhD. on the topic of vitamin D.  He recommends a dose of at least 1000 IU per day.  Much higher doses for those that are deficient.  He concludes his article with the following:

    "Vitamin D deficiency is common in all age groups. Even young children and young and middle-aged adults are at significantly increased risk of vitamin D deficiency.[28,31-36] This is in part due to the fact that there is very little vitamin D in the diet, and increased use of sunscreens and diminished outdoor activity also contribute to this problem. More than 90% of the human vitamin D requirement comes from casual exposure to sunlight.[1] Wearing a sunscreen with an SPF of 8 reduces the ability of the skin to produce vitamin D by 95%.[37] Thus, judicious exposure to sunlight typically no more than 5 to 15 minutes per day (depending on latitude, time of day and degree of skin pigmentation) of arms and legs or hands, face, and arms two to three times per week during the spring, summer, and fall in latitudes above 37º and throughout the year below 37º is all that is required to satisfy the body's requirement.[38] A yearly measurement of 25(OH)D during the annual physical examination is prudent not only to maximize bone health but also to prevent many chronic diseases that are linked with vitamin D deficiency". 

    PACM Comments continued
    Winter in Alaska is a real detriment to obtaining adequate vitamin D.  Add D3 to your supplement intake and keep yourself healthy.  Remember its not only bone health that is connected to vitamin D levels, but also breast and colon cancer, neuromuscular disease, depression and more.  By the way, the measurement of your vitamin D level, 25(OH)D is an excellent test but what is considered normal is debated.  Most likely twice the current minimum acceptable level is where the line for diagnosing deficiency should be.

    4.  Postmenopausal Hormone Therapy Linked to Urinary Incontinence

Within a few months of starting estrogen plus progestin therapy, there is an elevated risk of urge and stress incontinence in postmenopausal women, according to a report in the November issue of Obstetrics & Gynecology.  Treatment with HRT (hormone replacement therapy) increased the risk of urge and stress incontinence by 50% and 70%, respectively.

PACM Comments:  Since the Women's Health Initiative (WHI) study looking at Prempro for HRT, the downside to HRT is becoming increasingly evident.  Anyone for a more natural approach? 

   5.   Cervical Cancer

According to the BMJ (British Medical Journal) women who have had precancerous cells removed from the cervix have a higher average risk of developing cervical cancer over the next 20 years. 

PACM Comments:  A large percentage of cervical cancer is connect to HPV (Human Papilloma Virus) infection, which is sexually transmitted.  About 8 in 10 women will carry HPV by the time they are 50.  In addition to obtaining a PAP, there is also a test for HPV.  The test is generally utilized in women over 30.  HPV as previously mentioned is common, and does not necessarily  lead to cancer.  In fact HPV may resolve on it own.  Nutritional considerations seem to play a part in cellular changes in the cervix.  I have seen this especially in women on birth control pills (BCP).  At least part of the problem apparently stems from folic acid deficiency.  This may have been more of a problem when the dose of hormones in BCP's was higher.


Your Questions

Please note:  Your questions may be rewritten for clarity.

Q:  I have been experiencing pain which starts in my butt and travels down my leg.  I have been to my chiropractor several times and I am not feeling any better.  Can you help with this?

A:  Absolutely!  Well let me rephrase my answer.  What you are describing sounds like piriformis syndrome.  If that's the case, I can usually resolve it in 1to 3 treatments. Chiropractic does not help because this is not a chiropractic type problem.  The piriformis is a muscle in the buttock that lives in close proximity to the sciatic nerve.  When the piriformis muscle is injured it may irritate the sciatic nerve.  This is likely the cause of the pain you are experiencing.  Acupuncture is the most direct method of treating this problem.  And it is generally very effective.

Q:  This is not a question, but rather a thank you.  I recently came to see you on the recommendation of my sister who has been a patient of yours in the past.  I was suffering from chronic back pain and had tried everything I could think of. I was on muscle relaxers and pain medication for intense low back pain.  My chiropractor was unable to relieve the pain, massage helped for a few hours but the pain soon returned. I had even gone to physical therapy for over a month.  Nothing helped.  Since seeing you my pain is gone and has been gone for several months.  I am very happy with the care you provided and would recommend you to anyone in pain.  Thank you!

PACM Comments:  Thank you or the wonderful comments!  The growth of acupuncture and oriental medicine in this country has been explosive as more and more people are discovering the healing power of acupuncture. 


JUST FOR FUN
  • For your viewing enjoyment follow this link. 

http://boreme.com/boreme/funny-2005/pizza-palace-p1.php

 

  • This story has been around a while, so you may have seen it. 

A woman came out of her house and saw three old men with long white beards sitting in her front yard. She did not recognize them.

Then she said, "I don't think I know you, but you must be ungry. Please come in and have something to eat."

"Is the man of the house home?", they asked."No," she said. "He's out."  "Then we cannot come in," they replied.

In the evening when her husband came home, she told him what had happened.  So, he said, "Go tell them I'm home, and invite them in!"

The woman went out and invited the men in. "We do not go into a house together," they replied.  "Why is that?" she wanted to know.  One of the old men explained. "His name is Wealth," he said pointing to one of his friends, and pointing to another one he said, "This man is Success, and I am Love." Then he
added, "Now, go and discuss with your husband which one of us you want in your home."

The woman went in and told her husband what was said.Her husband was over-joyed. "How nice!" he said. "Since that's the case, let us invite in Wealth. Let him come in and fill our home with wealth!"

His wife disagreed. "Why don't we invite Success?"  But, their daughter was listening from the corner of the room. She jumped in with her own suggestion. "Wouldn't it be better to invite Love? Our home will then be filled with love!"

The wife agreed. "Then, let us heed our daughter's advice," said the husband to his wife. "Go out and invite Love in to be our guest."

The woman went out and asked the three old men, "Which one of you is Love? Please come in and be our guest." Love got up and started walking toward the house. Then the other two also got
up and followed him.

Surprised, the lady asked Wealth and Success, "I only invited in Love, as you directed. Why are you all coming in?" The old men replied together, "If you had invited only Wealth or Success, the other two of us would have stayed. However, since you invited Love... wherever He goes, we go with him... because wherever there is Love, there is also Wealth and Success!"

We at PACM wish you a life filled with love, health, wealth, and success.  Have a wonderful and blessed Thanksgiving.

 

Premier Acupuncture & Complementary Medicine
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Palmer AK, 99645

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