Soft drinks & gout

MEN who drink five or six sweetened soft drinks a week have a 29% higher chance of developing gout (a form of arthritis), when compared with men who have less than one soft drink a month. If a daily soft drink is on the menu then the risk increases to 45%, and thirsty chaps who have two or more a day have a staggering 85% higher risk of developing gout. The study was reported in the British Medical Journal and pointed out that gout particularly tends to affect men over the age of 39 – so if you are past that birthday it might be time to switch drinks, and don’t switch to low calorie drinks as they use artificial sweeteners which are known to aggravate gout.

Adult snorers – It starts in childhood

If you have ever dug your partner in the ribs, or tried every brand of ear plugs on the market, it may help to know that really they can’t prevent it. Actually, it may not help at all, but a new study has shown that adult snoring may be rooted in early snorers .

This is based on a study of more than 15,000 adults ages 25 to 54 in Northern Europe, specifically in Sweden, Norway, Iceland, Denmark, and Estonia. They were asked questions about their early life environment, childhood history and adult medical problems. The result was that they concluded that there are several factors in early childhood that are associated with adult snoring.

So what are the risk factors so you can identify if your child is going to disturb someone’s sleep in later life? First clue was that adult snorers were more likely to have been hospitalized for a respiratory infection before they were two, had recurrent ear infections such as glue ear or inflammation or have large tonsils that can compromise the upper airways. On the environment front, the child was more likely to have grown up in a large family, or to have been brought up as a baby in a household with a dog.

Karl Franklin, M.D., Ph.D., who carried out the research, speculated that these factors may enhance inflammatory processes and thereby alter upper airway anatomy early in life, causing an increased susceptibility for adult snoring.

Typically the habitual snorers in the study (defined as more than 3 times a week) were more likely to be male, overweight and had a higher prevalence of asthma and chronic bronchitis and were smokers. You may not be able to do anything about their childhood, but those other factors also contribute so tackling the weight, smoking and asthma certainly couldn’t hurt and might help to reduce the frequency and volume. Sadly there is no real cure for snoring, but a good website for general information on what causes it, and what can help, can be found at www.britishsnoring.co.uk

Soy reduces sperm count

With the increased interest in vegetarian and vegan diets a number of young men are turning to alternative foods such as soy, but if you are planning a family it might not be such a good idea. According to a new report in the Journal of Human Reproduction, consumption of even small amounts of soy products can lower a man’s sperm concentration.

Harvard School of Public Health conducted a study and found that the men who ate the most soy had sperm counts far lower than those who reported eating no soy at all. On average, the soy eaters had 41 million fewer sperm per milliliter. The study found that the soy eaters consumed a relatively low amount of 15 soy-based foods including tofu, soy burgers, soy ice cream, soy energy bars, and miso soup — with an average of just one serving of every other day. Now, this may not be significant enough to cause fertility problems, but if you are planning a family then it seems sensible to take every precaution. The study’s lead researcher Jorge Chavarro feels that the evidence is not strong enough one way or the other to deter men from eating soy, but it is known that the isoflavones in soy have long been tied to infertility in animal studies and it seems reasonable to infer they could also affect humans.

The fertile gender difference

When it comes to planning a family, looking at the couple’s diet is often a first step but this usually comes down to having a balanced, healthy diet of lots of fruit and vegetables and with minimum potential risks such as additives, fats, alcohol and smoking. However, some preliminary research from Australia seems to indicate that there may be a different factor to consider when looking at fertility and reproductive success.

This research is based on long-term studies on Australian black field crickets, so no tests on humans yet, but its finding could be highly relevant. Lead researcher Rob Brooks and his team have discovered that the lifespan of both male and female crickets is maximized on high-carbohydrate, low-protein diets, and reported this finding in the latest issue of Current Biology. But the interesting fact to emerge is that reproductive success differs dramatically between the sexes when the carbohydrate-protein balance is changed. Males have the greatest reproductive success with a diet that favours carbohydrates to protein by eight-to-one. Females have greatest success when the protein/carbohydrate ratio is just one-to-one.

More research is clearly needed, but to maximise fertility in the meantime, the best course is to follow the anti-inflammatory or wellness diet. This is based on principles that have been shown to promote longevity and reproductive health in both men and women throughout their lives, and if you would like a copy of it please contact us.

Zap that verruca

In and out of swimming pools or public showers? An unfortunateside effect can be the development of a verruca, and if you don’t want to wear jelly shoes – or it’s too late – then you might be interested in a new product to treat the problem.

The ingredient most favoured for treating a verruca is salicylic acid, but so far this is not been available in an over the counter product that you can pop into the chemist and buy for yourself. The next most favoured method is to freeze it, also used for warts, and one enterprising company has introduced a product called Bazuka Sub-Zero which allows the user to see when the foam applicator is frozen and direct the treatment quickly and accurately on to the wart or verruca.

Why is this a breakthrough?
Because some freezing treatment formats are hard to target directly at the verruca and wart and can cause damage to the surrounding nerve endings as the freezing treatment hits other skin areas. This is backed up by research taken from the data of doctors and chiropodists, who expressed this concern and said they had seen patients where damage, especially to nerve endings, had occurred.

It’s just one application, and it freezes the wart or verruca to the core. After 10 days or so, the treated wart or verruca will fall off revealing new skin that has formed. Apparently it is easy to use, allowing the user to actually see when the applicator is clearly frozen and ready to apply.

If you want to find it, apparently it is available from pharmacies, Superdrug and Morrisons supermarkets and costs £12.95.

Progesterone’s role in mental health

Last week I talked about testosterone and this week there is more news on the hormone front – but this time about progesterone. This is one of the key reproductive hormones in women, but it also has a host of other functions; one of the most important being it’s effect on brain chemistry and function. Dr. John Lee, the American pioneer of natural progesterone usage for osteoporosis, once was quoted as saying famously said that if anyone in his family had a brain injury, he would slather them with progesterone cream. He said that over ten years ago, and as ever he was ahead of his time, as new research has vindicated what must have seemed a completely lunatic idea.

Sadly Dr Lee was not given the respect of his peers, but I was privileged to host several seminars for him in London and he was certainly one of the most generous and compassionate of men, as the many thousands of women who benefited from his research have proved. He has been vindicated on the brain chemistry front by a fellow doctor working in an ER department and who saw a lot of saw a lot of head injuries. He was curious about why brain injuries were worse in men than in women, and got approval to do a study in which brain injury patients were given injections of progesterone when they arrived in the ER. His research showed that those who received the progesterone did significantly better than those who didn’t and later studies have also shown the same result.

Around the same time, researchers discovered that progesterone was a key component of the myelin sheath that protects or insulates the nerves-so important in fact that progesterone is made in the myelin sheath. Other research showed that progesterone stimulates the brain’s GABA receptors, those feel-good, calming neurotransmitters. Now we know, according to this review paper, that “…progesterone has multiple non- reproductive functions in the central nervous system to regulate cognition, mood, inflammation, mitochondrial function, neurogenesis and regeneration, myelination and recovery from traumatic brain injury.” Furthermore, progesterone is everywhere in the brain: “Remarkably, PRs [progesterone receptors] are broadly expressed throughout the brain and can be detected in every neural cell type.”

Those who have experienced the mental fog of hormone imbalances – otherwise known as the ‘what did I come into this room for ‘syndrome – can now point to their brain and say, “It’s not me that’s confused, it’s my brain!”

How natural is your shampoo?

Over the last few years shampoos have strived to impress us with the naturalness of their ingredients. If you believe the ads they are all hand-harvested in the Amazonian rainforests and you are getting an amazing variety of herbs, flowers and probably a pounding waterfall or at least a fast flowing river to go along with it. What they don’t tell you is that you are also getting in there an amazing cocktail of chemicals – the word ‘natural’ is one of the most misleading in advertising.

It is estimated by the consumer watchdog group Proof that around 93 per cent of all shampoos currently on the market contain chemicals that are linked to cancer or other health problems. So just becasue your favourite brand contains herbs or is organic doesn’t necessarily mean it is innocent of chemicals. As ever, read the label and try to avoid the following ingredients:

- lauryl sulphates: are the most potentially carcinogenic compounds found in many personal care products

- PEG (polyethylene glycol): this is what gives you that nice foam that makes you think your shampoo is doing a good job. These ‘foaming agents’ often contain the carcinogens dioxane and ethylene oxide, which have been linked to leukaemia, and brain, uterine and breast cancers

- Propylene glycol: you find this chemical in your anti-freeze and in a shampoo it rapidly penetrates the skin. It’s been associated with liver and kidney damage, and central nervous system problems.

It is especially important to be vigilant when buying products for babies and children as a high concentration of lauryl sulphates has been found in a shampoo that’s specially marketed to children, and labelled as being ‘extra gentle’.

Simply Nature have a good PEG-free shampoo you can find on their website at www.simply-nature.co.uk or get your reading glasses out for that very small print on the bottles in the supermarket or your local chemist!

Testosterone – yes or no?

Just as oestrogen production declines in women as they reach menopause, so does testosterone production slows down in men as they too approach middle age. Women have physical symptoms to show them that their oestrogen levels are declining, but men generally do not have such markers.

The idea of a ‘male menopause’ is a popular one – the clinical term is “andropause – but there’s little evidence to back it up. However, the makers of popular ‘libido’ supplements have not let that get in the way of a potential market and there are a number of herbal products on sale that are aimed at men. It is true that some men do report sexual dysfunction or lack of desire, fatigue and weakness as they age, but most of these physical complaints are more often the influence of lifestyle factors such as diet, stress and inactivity.

The next step up from the freely available sexual dysfunction  is to take additional testosterone which may promise more energy, strength and virility – but rarely deliver. In fact, it can positively be dangerous. Although most healthy middle-aged men taking this hormone may experience a placebo effect at best, they do run an increased risk of prostate problems at worst.

Taking additional testosterone should only be undertaken if you have thoroughly discussed it with your doctor and they feel it would be appropriate for you.

By the way – it’s not just men who take testosterone, women also produce it in smaller amounts in their bodies and at menopause some women take it to increase libido and energy. However, my friend and colleague, Dr Bond and I used to run menopause seminars together and while we were watching the women seating themselves, we would look round the room and could easily identify the women who were on testosterone. They did not look ‘sexier’, but were instantly recognizable to those who knew what the signs were and it was not a particularly attractive look. Women too should only take it on their Doctor’s recommendation and always at the stated dose.

8 ways to prevent heartburn

Heartburn can be mildly unpleasant to really distressing, and although most people experience it occasionally it is when it is more frequent that you need to take action. If you are always carrying a packet of Rennies in your pocket, or some other over- the-counter medicine, then it is time start tackling the probable cause. Symptoms of heartburn include:

- Chest pain, especially while lying down at night
- Sour taste in the mouth
- Coughing, wheezing, hoarseness
- Aggravation of asthma
- Sore throat
- Regurgitation of food or liquid

If you suffer from it frequently – twice a week or more – then first visit your doctor to rule out any other issues, such as angina, which has similar symptoms. What you may be suffering from is gastroesophageal reflux disease, or GERD. This condition occurs in people whose lower oesophageal sphincter doesn’t close properly, and that means that the acid from your stomach is able to flow back into the oesophagus, which can irritate its delicate lining, and that is what causes the pain.

The condition can also be triggered, or made worse, by a number of factors, perhaps something in your diet, stress, smoking, some medications and pregnancy can all trigger or worsen symptoms.

An alternative approach is to take some responsibility for the condition yourself and try the following approaches:

1 Keep a food and beverage journal. It can help you track and avoid triggers.

2 Eat small, frequent meals, not one huge one

3 Wear loose clothing and maintain a healthy weight to prevent stomach constriction and help reduce GERD

4 Avoiding lying down after eating, a gentle stroll or doing the washing up is a much better idea

5 Practice relaxation techniques such as breathing exercises or meditation

6 Sip chamomile tea as it can help soothe inflamed tissue in the oesophagus – adding some honey could improve the taste and give you extra immune support

7 If you usually sleep on your back, or on your right, try switching to sleeping on your left side. This may help move acid away from the entrance of the oesophagus and be enough to prevent it backing up

8 Experiment with DGL (deglycyrrhizinated liquorice), this is a supplement proven to be effective against GERD – but not if you have high blood pressure as liquorice can raise it

Tips for prostate health

June 9-16 2008 is Men’s Health Week, and you may never think about your prostate until it forces itself on your attention by frequent trips to the loo. Being a great believer in prevention, pass on these tips to help yourself, and others. There are 7 in total, one for every day of Men’s Health Week.

The condition known as BPH (Benign prostatic hyperplasia) is a non-cancerous enlargement of the prostate gland, common in men in the Western world aged 50 and over. While the actual cause is not completely understood, experts believe it is closely linked to hormone levels and they of course are influenced by diet and lifestyle. To reduce the risk of BPH, try these:

1 Eat a diet low in saturated and trans-fats, focusing instead on the much healthier monounsaturated and omega-3 fats

2 Japanese women suffer few menopause symptoms, believed to be due to their diet being high in soy products. Now it seems that Asian men have a lower risk of BPH which some researchers believe is related to their high intake of soy foods – so add in some soy milk or yoghurt to your diet

3 Avoid symptom triggers such as caffeine and alcohol, because they increase your need to urinate and can also irritate the bladder.

4 The pressure from constipation may make the symptoms of BPH worse so avoid constipation by increasing the amount of fibre in your diet.

5 Have regular health and prostate check-ups from your late forties onwards

6 Try saw palmetto (Serenoa repens) or male supplements for prostate which contain it. Often recommended for men who have prostate problems, saw palmetto does not shrink the size of the prostate, but it often helps promote healthy function and decreases symptoms. The best form to use is an extract standardized to 85-95% total fatty acids. Use 160 mg twice daily

7 Make herbs and nutrients such as green tea extract, stinging nettle root, ginger, rosemary, zinc, lycopene, and selenium part of your regular diet as they have all have been shown to help maintain and promote normal prostate health

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