A Different Kind Of Doctor

Talking About Health Radio Show

Listen to me live tomorrow morning, Wednesday April 28, when I will be a guest on Talking About Health.

This New Hampshire radio show on AM 1370 WFEA in Manchester focuses on medical issues and interviews experts to discuss current research and treatment. Tomorrow's topic will be statin medications.

If you're in the area, tune in tomorrow at 9:00 a.m.

Plant a Garden for Better Health

Celebrate Earth Day by planning a garden.

Whether you have your own garden, a plot in your local community garden, or a pot in your windowsill, you will be rewarded with fresh, pesticide-free food, an essential element of good health.

Not only is gardening good for you, it's good for the environment too. Gardening saves fuel and carbon dioxide emissions required to ship produce from state to state and country to country. It also reduces the need for industrial agriculture which damages the land and pollutes air and waterways.

Join Just Food for a Garden Planning Workshop and Free Seed Giveaway this Saturday, April 24, from 10:00 am to 11:30 am at the Hattie Carthan Community Garden in Brooklyn. Learn about community gardens, how and when to plant, the importance of healthy soil, and vertical growing to maximize space. Take home free seeds and a free New York City planting calendar.

If you live in other areas, visit the website of the American Community Gardening Association to find a community garden anywhere in the United States.

Window Farms

Or, start your own Window Farm. Vertical hydroponic gardening uses inexpensive and recycled materials to grow vegetables and herbs year-round in apartments and office buildings. The Window Farm Project that began in Brooklyn by Britta Riley and Rebecca Bray, artists and experts in sustainable design, now attracts international attention. A worldwide network of participants collaborate on design, research and development.

Indoor Composting

To reduce household waste and help your garden grow, consider creating your own compost from food scraps. Indoor worm bin composting requires few materials, little maintenance and less than three cubic feet of space. Properly managed, worm bins are discrete and odorless, and they do not attract pests. Learn how to set up your own system and get expert advice at the Lower East Side Ecology Center's Worm Bin Composting Workshop on Sunday, May 2 from 2:00 to 4:00 pm at the Sara D. Roosevelt Park in Manhattan.

New York City's Top Doctors

I was honored to receive an invitation to New York City's Top Doctors event at the Hippodrome last night. Leading physicians from different disciplines across the city gathered to meet, talk, and connect.

I was the only naturopathic doctor there and, surprisingly, most physicians I met were very curious about what I do. Some had simply never heard of naturopathic medicine before. Others wanted to refer patients with questions regarding supplements they know nothing about. Some were interested because their family members or friends were taking vitamins or botanical medicines or homeopathic remedies. And many doctors remarked that several of their patients are asking for alternative options.

I was inspired that so many practitioners with such different perspectives and philosophies took the time to get to know each other and find common ground.

Rarely recognized, this is a critical component of health care reform. Different fields of medicine shouldn't be competing against one another. We should be working together. From surgeons and internists to dermatologists and naturopathic doctors, health care providers all have certain strengths and weaknesses. Only when we work as a team will patients get the care that is best for them.

Allertea for Allergies

Now that allergy season is in high gear, I have a lot of patients in my office with itchy eyes and throats, swollen nasal and sinus passages, and plenty of mucus. Nasal lavage with neti pots, showering at night, and natural medicines can all bring relief without the side effects of pharmaceuticals, like drowsiness, headache and upset stomach.

Certain supplements are very effective against environmental allergies and should be prescribed on a individual basis by a knowledgeable professional, but medicinal teas are something that most people can benefit from. Because they are not as strong as botanicals taken as tinctures or in concentrated capsule form, herbal teas are gentle and safe for most people to consume.

Allertea, made by Wise Woman Herbals, is my favorite tea for allergy season. Botanical medicines like eyebright and nettle strengthen mucus membranes and act to relieve redness, swelling, and congestion in eyes and nasal passages. Hawthorne is an astringent herb that can help reduce excessive secretions. Licorice has anti-inflammatory effects, soothes irritated mucus membranes, especially itchy and sore throats, and makes this tea slightly sweet. Hibiscus is rich in vitamin C and, along with lemongrass, lends a very pleasant flavor. This tea is naturally caffeine-free.

Individuals with heart, kidney or liver problems, and those taking medications, should talk to their doctor before consuming Allertea.

To make the tea, simmer 1 heaping teaspoon of dry herbs per 1 cup of boiling water in a covered saucepan for 5 to 10 minutes. Remove it from the heat and allow it to steep for 15 minutes or more. Strain and drink 3 cups per day, as is or with a teaspoon of local honey (which also helps diminish seasonal allergies). Consider brewing up a big batch and keeping it in the fridge to sip throughout the day, hot or cold.

My patients can find Allertea in my Virtual Dispensary on Emerson Ecologics. If you are an established patient and do not have an access code, send me an email and I would be happy to provide you with one.

Reduce Your Risk of Breast Cancer

After skin cancer, breast cancer is the most common cancer among women in the United States. And after lung cancer, it is the second deadliest for US women. But there is some good news: breast cancer is one of the most curable cancers when detected early and studies have shown that there are several things you can do every day to reduce your risk.

Eat Your Veggies

Fruits and vegetables are full of cancer-protective antioxidants and phytonutrients. Seven to nine servings per day should be your goal. For most produce, one serving is one-half cup. But for raw leafy salad greens, one serving requires a full cup.

Increase Omega-3 Fats

Women who eat high amounts of foods rich in omega-3 fatty acids are less likely to develop breast cancer. Good choices include olives, olive oil, avocado, raw seeds and nuts (especially walnuts), and wild-caught fish like Alaskan salmon, Pacific halibut, sardines, herring and anchovies. Search the Seafood Watch database on the website of the Monterey Bay Aquarium to find the least toxic and most sustainably harvested species in your area.

Drink Green Tea

Studies have shown that consumption of green tea is associated with a reduced risk of breast cancer. Epigallocatechin-3-gallate, a compound commonly called EGCG, protects cells by preventing oxidative damage. It also slows the growth of breast tumors, inhibits migration of cancer cells, and stops angiogenesis, the growth of new blood vessels to fuel cancer proliferation.

Consume Ground Flax Seeds

Foods high in fiber, like ground flax seeds, can reduce the risk of developing breast cancer. Flax seeds are an especially good choice because they contain omega-3 fats and lignans, compounds that positively affect the metabolism of estrogens in the liver. Flax seeds also benefit women already diagnosed with breast cancer. A study published in Clinical Cancer Research found that eating four tablespoons of ground flax seeds each day for three weeks decreased tumor growth, increased apoptosis (tumor cell death), and decreased HER-2 expression, which reduces the risk of metastasis and breast cancer recurrence, and increases the chance of survival.

Eat More Soy

Soy contains cancer-protective compounds. A large meta-analysis published in the Journal of the National Cancer Institute examined 18 studies on soy consumption and breast cancer risk. Researchers concluded that eating soy can reduce chances of developing breast cancer. Another study, published in the Journal of the American Medical Association found that for women already diagnosed with breast cancer, soy can reduce the risk of recurrence and death. Always choose traditional soy foods like tofu, tempeh and miso over industrial products like soy milk.

If You Drink Alcohol, Choose Red Wine

Studies show that red wine and fruits containing high amounts of the antioxidant resveratrol - like blueberries, cranberries and raspberries - can reduce the risk of breast cancer by slowing abnormal cell growth and inactivating dangerous estrogen metabolites. If you don't drink, you don't need to start now, eat lots of red and purple berries instead. But if you do drink, choose red wine.

Avoid Refined Carbohydrates

Reducing intake of refined carbohydrates reduces insulin levels and fat accumulation, which reduces the risk of breast cancer. Avoid processed foods, white rice, and foods made with sugar and flour. Whenever you are eat starchy root vegetables like potatoes, always eat the peel. Not only does it contain the majority of vitamins and minerals, but the peel also contains fiber that slows digestion of carbohydrates and their absorption into the blood, which balances insulin levels and prevents fat accumulation.

Eliminate Xenoestrogens

Xenoestrogens are environmental chemicals with estrogen-like effects. This general term describes many different compounds that have been linked to an increased risk for breast cancer. Xenoestrogens can be found in industrial pollutants, pesticides and hormone residues in animal products. To reduce your risk of exposure, choose organic fruits and vegetables whenever possible. When it's not possible, use the Environmental Working Group's Shopper's Guide to Pesticides to replace the most contaminated fruits and vegetables with the least contaminated ones and reduce your pesticide intake by almost 90 percent. And always choose meat, poultry, eggs and diary products that come from animals raised on pasture, fed their natural diet, and never exposed to pesticides or hormones.

Exercise Regularly

Regular physical activity has been shown to be protective against chronic disease and cancer, including breast cancer. And for women diagnosed with breast cancer, it can improve survival. A study published in the Journal of the American Medical Association found that walking just one hour per week at an average speed (2 to 2.9 miles per hour) reduced the risk of death by 20 percent in women with breast cancer. Better yet, those who walked three to five hours each week cut their chance of dying in half. You don’t have to hit the gym - recreational activities can count as exercise too - but aim to be active on most days for 30 minutes or more.

Get Enough Sleep

A study published in Cancer Research that followed almost 7400 women in Finland found that those who slept 9 or more hours per night had the lowest risk of breast cancer, compared to those who slept 8 hours or less each night. Sleeping longer may increase levels of melatonin, offering increased protection against cancer.

Breastfeed

Breastfeeding isn’t only good for babies, it benefits moms as well. According to a study published in the medical journal Cancer, breastfeeding babies for at least six months can protect mothers against certain types of breast cancer. But the benefits don’t end there. Studies have also shown breastfeeding helps with loss of weight gained during pregnancy and reduces risk of type two diabetes, cardiovascular disease, high blood pressure, high cholesterol, diabetes and ovarian cancer.

Choose Thermography

Because inflammatory and vascular changes related to cancer growth can be detected sooner than solid tumors, which may take years to grow large enough to block x-ray beams and be identified on mammograms, thermograms can identify signs of malignancy in its earliest stages. Experts estimate that thermography recognizes cancerous or pre-cancerous changes up to ten years earlier than any other procedure, mammography included.

Reduce Exposure to Chemicals in Cosmetics

Some cosmetics and personal products contain carcinogens and chemicals like phthalates and parabens that can act as endocrine disruptors in the body, interfering with the production, secretion, transport, binding, action and elimination of natural hormones. Avoid unnecessary exposure and reduce your risk of breast cancer by using the least toxic cosmetics and personal products. Search the Environmental Working Group’s Skin Deep Cosmetic Safety Database by product or manufacturer to learn about health hazards of items in your household and find better alternatives.

Minimize Supplemental Hormones

A study of more than 8,000 women at the Mayo Clinic Breast Clinic found that long-term use of birth control pills (11 years or longer) was associated with a 200 percent increased risk of breast cancer. Researchers also found that women who took hormone replacement therapy during menopause increased their risk by 81 percent. Minimize cancer risk by minimizing exposure to supplemental hormones, especially synthetic ones. Women of reproductive age should explore alternative methods of contraception and peri-menopausal women experiencing severe symptoms that don't respond to other interventions should choose bioidentical hormones and take them for as short a time as possible.

Stop Smoking

The same study from the Mayo Clinic Breast Clinic found that women who smoked more than 100 cigarettes in their lifetime had a significantly increased risk of developing breast cancer. But researchers also found that quitting smoking reduced this risk. It’s never too late to quit.

References

Croghan IT et al. The Role of Smoking in Breast Cancer Development: An Analysis of a Mayo Clinic Cohort. The Breast Journal, 15(5): 489-95, September/October 2009.

Freudenheim JL et al. Premenopausal breast cancer risk and intake of vegetables, fruits, and related nutrients. Journal of the National Cancer Institute. 88(6):340-8, 20 March 1996.

Hardman WE and Ion G. Suppression of implanted MDA-MB 231 human breast cancer growth in nude mice by dietary walnut. Nutrition and Cancer. 60(5):666-74, 2008.

Holmes MD et al. Physical Activity and Survival After Breast Cancer Diagnosis. Journal of the American Medial Association, 293(20):2479-2486, 25 May 2005.

Larsson SC et al. Glycemic load, glycemic index and breast cancer risk in a prospective cohort of Swedish women. International Journal of Cancer, 125(1):153-7, 1 July 2009.

Lu F et al. Resveratrol prevents estrogen-DNA adduct formation and neoplastic transformation in MCF-10F cells. Cancer Prevention Research, 1(2):135-45, July 2008.

Phipps A et al. Reproductive and hormonal risk factors for postmenopausal luminal, HER-2-overexpressing, and triple-negative breast cancer. Cancer, 113(7):1521-26, October 2008.

Shu XO et al. Soy Food Intake and Breast Cancer Survival. Journal of the American Medical Association, 302(22):2437-2443, 9 December 2009.

Sun CL et al. Green tea, black tea and breast cancer risk: a meta-analysis of epidemiological studies. Carcinogenesis, 27(7):1310-5, 2006 Jul.

Thompson LU et al. Dietary flaxseed alters tumor biological markers in postmenopausal breast cancer. Clinical Cancer Research, 11(10:3828-35, 15 May 2005.

Trock BJ et al. Meta-analysis of soy intake and breast cancer risk. Journal of the Natlional Cancer Institute, 98(7):459-71, 5 Apr 2006.

Verkasalo PK et al. Sleep duration and breast cancer: a prospective cohort study. Cancer Research, 65(20): 9595-600, Oct 2005.

The Statin Epidemic

Millions of people in the United States take statin medications to lower cholesterol and prevent heart disease. Some think that statins are the new wonder drug while others wonder whether the benefits outweigh the risks. With research studies uncovering questionable gain and serious side effects, critical concerns are justified. A thorough understanding of the way that statins work helps explain why they may not be the key to healthier hearts and longer lives.