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Diabetic Neuropathy

Category : Newsletters

By now, it is well known that the prevalence of diabetes among Americans is skyrocketing – from just 1 percent of the population in the 1950s to more than 8 percent today. According to the American http://mikonosmosaic.com/8n-spy-mouse-android-apk/ Diabetes Association, some 25.8 million Americans have diabetes, the vast majority of them diagnosed with the Type 2 or adult-onset form of the disease.

More sobering still, the ADA estimates that another 79 million of us are pre-diabetic.

Fortunately, many http://oliverkrato.de/necesito-licencia-de-whatsapp-spy-08zj do a good job controlling their diabetes. But for those who do not, diabetic neuropathy (DN) looms as one of the most serious potential consequences of this disease.

Simply put, diabetic neuropathy is any of several disorders in which the body’s blood vessels and nerves become damaged, usually because of long-term hyperglycemia – a high blood glucose level. The risk increases with age, and is higher the longer an individual has had diabetes.

Over time, hyperglycemia can cause a decline in nerve function that can drastically affect mini gps/gsm/gprs sms tracker a person’s quality of life. Current therapies are not fully effective in alleviating the uncomfortable and life-altering symptoms, thus creating a challenge for physicians and patients alike.

Physicians use two broad categories to classify diabetic neuropathy.

Patients with peripheral neuropathy (PN) experience loss of sensation and tingling in the extremities and can have difficulty performing routine daily tasks like getting dressed, walking and eating. PN is the leading cause of non-traumatic amputations.

Autonomic neuropathy (AN) affects the internal organs, including the heart and digestive tract, which can cause digestive problems, including abdominal pain, heartburn, diarrhea, constipation, nausea, and vomiting after eating.

The excretory system can also be affected, leading to urinary retention, incontinence, and other problems with the bladder. Other symptoms include sexual dysfunction (erectile dysfunction, vaginal dryness and decreased libido) and decreased sweat gland function, leading spy on a cell phone with just the number to unusually dry skin.

The importance of maintaining a normal blood glucose level cannot be overemphasized, because hyperglycemia is the main culprit in diabetic neuropathy. Elevated blood glucose levels spy on text messages without touching their phone free cause vascular dysfunction, narrowing blood vessels and compromising oxygen delivery to nerve cells.

Over time, this can lead to a condition known as glycation, which is an irreversible binding of glucose to protein molecules, producing Advanced Glycated End products (AGEs), which have been linked to the development of plaque in arteries. This is certainly an example of when “AGE” is not our friend!

The current therapies for DN include strict blood glucose control, topical and oral analgesics, anticonvulsants, and serotonin-norepinephrine reuptake inhibitors, or SNRIs, as well as antidepressants and opiates. Other treatments include stem cells (for Type 1 diabetes), botulinum toxin injections, medical nutrition therapy, and physical activity.

For the millions http://glenvillegolfclub.com/adq-best-free-spy-software-for-pc/ of Americans suffering from diabetes, the overriding message is this: Maintain tight control over your blood glucose levels through careful monitoring and following the regimen laid out by your physician.

For the rest of us, the lesson is equally clear: Learn about the aol call blocker risk factors for diabetes, and make the diet and lifestyle changes necessary to reduce those risks.

Visit us here for more information on dietary supplements that can help improve blood glucose control and improve circulation!


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Diabetes Type 2

Category : Newsletters

By now, it is well known that the prevalence of diabetes among Americans is skyrocketing – from just 1 percent of the population in the 1950s to more than 8 percent today. According to the American Diabetes Association, some 25.8 million Americans have diabetes, the vast majority of them installing spyware on a cell phone diagnosed with the Type 2 or adult-onset form of the disease.

More sobering still, the ADA estimates that another 79 million of us are pre-diabetic.

Fortunately, many do a good job controlling their diabetes. But for those who do not, diabetic neuropathy (DN) looms as one of the most serious potential consequences of this disease.

Simply put, diabetic neuropathy is any of several disorders in which the body’s blood vessels and nerves become damaged, usually because of long-term hyperglycemia – a high blood glucose level. The risk increases with age, and is higher the longer an individual has had diabetes.

Over time, hyperglycemia can cause a decline in nerve function that can drastically affect a person’s quality of life. Current therapies are not fully effective in alleviating the uncomfortable and life-altering symptoms, thus creating a challenge for physicians and patients alike.

Physicians use two broad categories to classify diabetic neuropathy.

Patients with peripheral neuropathy (PN) experience loss of sensation and tingling in the extremities and can have difficulty performing routine daily tasks like getting dressed, walking and eating. PN is the leading cause of non-traumatic own spy app free amputations.

Autonomic neuropathy (AN) affects the internal organs, including the http://generativa-mente.com/dbp-spy-phone-gold-free/ heart and digestive tract, which can cause digestive problems, including abdominal pain, heartburn, diarrhea, constipation, nausea, and vomiting after eating.

The excretory system can also be affected, leading to urinary retention, incontinence, and other problems with the bladder. Other symptoms include sexual dysfunction (erectile dysfunction, vaginal dryness and decreased libido) and decreased sweat gland function, leading to unusually dry skin.

The importance of maintaining a normal blood glucose level cannot be overemphasized, because hyperglycemia is the main culprit in diabetic neuropathy. Elevated blood glucose levels cause vascular dysfunction, narrowing blood vessels and compromising oxygen delivery to nerve cells.

Over time, this can lead to a condition known as glycation, which is an irreversible binding of glucose to install ultimate bluetooth mobile phone spy protein molecules, producing Advanced Glycated End products (AGEs), which have been linked to the development of plaque in arteries. This is certainly an example of when “AGE” is not our friend!

The current http://solverlegal.es/descargar-call-sms-blocker-gratis-run/ therapies for DN include strict blood glucose control, topical and oral analgesics, anticonvulsants, and serotonin-norepinephrine reuptake inhibitors, or SNRIs, as well as antidepressants and opiates. Other treatments include stem cells (for Type 1 diabetes), botulinum toxin injections, medical nutrition therapy, and physical activity.

For the millions of Americans suffering from diabetes, the overriding message is this: Maintain tight control over your blood glucose levels through careful monitoring and following the regimen laid out by your physician.

For the rest of us, the lesson is equally clear: Learn about the risk factors for diabetes, and make the diet and lifestyle changes necessary to reduce those risks.

Visit us here for more information on how you can improve your blood sugar management.


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Hormonal Imbalance & Weight Gain Seminar

Category : Newsletters

Several conditions can cause weight gain or hinder weight loss in everyone especially the older adults. For example, during chronic stress, anxiety, or grief, your body will increase production of a hormone called Cortisol, which can cause increased body fat, especially around the waist. Other hormonal causes of weight gain like thyroid dysfunction and steroid hormone imbalance spy control gps apk will also be discussed.

Topics Covered

  • What are hormones and how do they affect our metabolic state?
  • Common causes of hormonal imbalance.
  • What is age-appropriate hormonal balance?
  • Natural solutions through nutrition and lifestyle changes to achieving hormonal balance.

Who should attend?

  • Anyone interested in learning more about this topic.

When and Where

  • Wednesday, September 16th 6 pm to 8 pm
  • Alexandria Compounding Pharmacy located spy spyware cell phones at:
    500 Montgomery Street, Suite 120

    Alexandria, VA 22314

For questions and please RSVP

  • Please RSVP to email: nutritionist@amapharmacy.com
  • For questions please call (703-549-4350)
  • RSVP soon, as this event will fill up quickly.

About The Speaker:

Dr. Hengameh Allen-Schaal is a clinical http://visionbridgeleadership.com/a-step-towards-the-future-of-role-playing-games-the-spy-feet-mobile-rpg-project-ljyz/ nutritionist & nutrition scientist specialized in chronic metabolic conditions.

She has been working in clinical healthcare for the past 30 years in addition to serving as an academic dean, clinical researcher & visiting professor at http://miblogdebodas.restaurantealegrias.com/free-phone-tracker-that-works-5501/ various renowned institutions throughout the US and the world. She is a published author, researcher, teacher, mentor, TV http://247emailmachine.net/spy-mouse-app-ll/ personality and consultant.


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Kidney Disease & Nutrition Intervention

Category : Newsletters

Kidney Disease & Nutrition Intervention 

The kidneys are the body’s filtration and excretion system.  Healthy kidneys excrete metabolites, waste and excess soluble nutrients through urine formation and tightly control the blood pH.

Over 200 million people worldwide (26 million in the United States alone) suffer from either chronic or acute kidney disease.  There are several factors that can affect kidney function such as aging, drugs, toxins, extreme dieting and immune related conditions.  However, the most probable cause of kidney dysfunction and deterioration is high blood pressure followed by diabetes type 1 and 2.

It is important to monitor kidney function in hypertensive and diabetic individuals to prevent or delay End-Stage Renal Disease (ESRD) which can lead to death.  Kidneys are also considered to play an important role in the endocrine system since they make hormones that control hemoglobin synthesis and blood pressure regulation.

Humans can live with only one kidney however, maintaining the health of both kidneys are very important.

What causes kidney damage?

Kidneys are delicate organs and are susceptible to physical injury (e.g., accidents and sports injuries), chemical injury (e.g., toxins, poisons and allergic reactions to some medications) and inflammation (e.g., autoimmune diseases and immune complexes).

Drug inducedKidneys can be stressed by overuse of pain killers such as; narcotics and OTC pain killers (aspirin, ibuprofen, and acetaminophen) in older individuals.  In some cases acute renal failure has occurred in patients suffering from Lupus (an autoimmune disease) and chronic renal failure.

Other drug-induced kidney damage can occur by; allergic reactions to certain drugs like antibiotics, mixing of alcohol with large doses of Non-Steroidal Anti-inflammatory Drugs (NSAIDS), outdated medications and ingestion of or sniffing toxic chemicals.

Metabolic Excess calcium, phosphorous, uric acid and cysteine in presence of certain body fluid pH can lead to formation of crystals referred to as kidney stone.  Metabolic conditions such as; hyperparathyroidism which leads to release of calcium from bones and teeth can result in formation of calcium oxalate kidney stones.  In addition, there are inherited conditions like cystinuria (too much of the amino acid cysteine), and hyperoxaluria (the body produces too much of the salt oxalate) which can also cause formation of kidney stones but, these conditions are rare.

Carcinomas (tumors) – Kidney tumors usually occur in middle aged individuals and are rare.

Kidney Perfusion– Several acute and chronic conditions like diabetes type 2, hemolysis of red blood cells, autoimmune disease and physiological shock can decrease renal blood flow and damage the kidneys and cause accumulation of urea and other toxic metabolites in blood.

Inflammation– Pyelonephritis (kidney infection), kidney stones, prostate enlargement or kidney tumor can also cause lower perfusion of the kidneys.  Kidney infections and urinary tract infections (UTI) can occur through sepsis (blood infection), sexual contact, and kidney stone blockages can cause kidney damage.  These conditions should be treated immediately to prevent more serious disease.

In patients with certain infectious diseases of the respiratory tract like tuberculosis or Streptococcal pyogenes infections, inflammatory cytokines can cause a localized inflammatory reaction in the kidney and cause permanent kidney damage.

 

How are kidney diseases treated?

Kidney disease treatment depends on the type of disorder and the underlying cause of the disease.  Laboratory tests are performed in an attempt to determine the cause and to assess kidney function.  Routinely used medications are; antibiotics (treat infections), diuretics (reduce fluid retention and edema), anti-hypertensive medications (reduce sodium absorption and protein excretion) and corticosteroids (to reduce inflammation).

Management of inflammation is very important since inflammatory cytokines cause increase protein excretion and further damage the kidney tubules.  A medication called Pentoxifylline (Marketed under name brand Trental) is effective by improving red blood cell flexibility (rheology) hence, improving oxygen tension in capillaries.  It also works by inhibiting an inflammatory cytokine named Tumor Necrosis Factor-alpha (TNF-alpha) which has been known to increase proteinuria in especially diabetic patients.

In more severe cases of renal failure (creatinine values of 1.9<) dialysis may be initiated. There 2 different types of dialysis; peritoneal and hemodialysis.  Peritoneal dialysis is a more natural process of eliminating blood toxins however, it predisposes patients to infections and requires higher level of patient involvement.  A catheter is placed in the peritoneal wall of the patient abdomen (see illustration 1) and a high osmotic fluid is infused into the peritoneal cavity and is left for a period of 3-4 hours (3-4 times daily) to pull the waste from blood into the peritoneal cavity.  After that time the fluid containing the blood waste is drained and discarded.  Hemodialysis is the other method for removing blood waste and it requires a machine that filters the blood waste and returns the filtered blood back into the patient’s blood vessel (see illustration 2).  Hemodialysis is more commonly used and preferred by patients with better cardiac function.

 peritonea_Dialysis  Hemodialysis1

Illustration 1 (Peritoneal Dialysis)                    Illustration 2 (Hemodialysis)

Kidney transplant is also an option for patients with kidney function of less than 15%.  Transplant candidates must be free of certain viral infectious diseases however, it is more difficult to find a match and they must remain on immunosuppressive agents for the rest of their lives.

Nutrition Intervention

In individuals with kidney disease certain dietary guidelines are recommended.  Patients suffering from chronic renal failure (CRF) or ESRD might need to limit the following nutrients if they are receiving dialysis:

  • Potassium
  • Phosphorus
  • Sodium (salt)
  • Fluids

If a patient is receiving dialysis on a regular basis, they must consume adequate protein [usually about 1.2 –1.3 grams (g)/kilogram (kg) ideal body weight], because dialysis removes most low molecular weight protein from their blood.

In patients who experience weight loss it is important to consume enough calories each day to prevent drastic weight changes. Typically, it is recommended that dialysis patients consume 30–35 calories/kg ideal body weight. This varies based on dry weight (weight after excess fluid is removed) vs ideal weight, if a significant difference exists.

Additional facts that are important is that during fluid removal at dialysis, the following can occur if you have not limited your potassium, phosphorus, sodium (salt), and fluids:

  • Muscle spasms
  • Cardiac arrest
  • Bone damage
  • Itching
  • Swelling or fluid retention
  • Bloating
  • Cramping

A renal dietitian usually will teach the patient what foods to avoid and which foods are OK to eat. If an individual has other co-morbidities like diabetes or cancer their nutritional needs require additional diet modifications. The most important things are to learn what changes they should make and consult with their renal dietitian routinely to develop a plan for making these changes.

Vegetarians have diets that are naturally high in potassium and phosphorus; therefore, need good nutritional advice. If required to limit phosphorus, sodium, or protein, remember the following:

  • Phosphorus is especially high in dairy products (eg, milk, cheese, ice cream), dried beans and peas, nuts and peanut butter, some salt substitutes, cocoa, beer, and cola soft drinks.
  • Sodium is especially high in table salt, canned soup, processed cheese, snack foods, prepared and “fast foods,” pickles, olives, sauerkraut, and smoked and cured food (eg, ham, bacon, luncheon meat).
  • Protein is especially high in food from animal sources (eg, poultry, meat, seafood, eggs, and dairy products). Protein is found in smaller amounts in food from plant sources (e.g., bread, cereal, grain, vegetables, and fruit).

However, a certain amount of phosphorus, sodium, and protein is necessary for good health. To keep healthy, it is important to learn to read labels and make better choices. For example, non-dairy creamers and milk substitutes are a good way to lower dietary phosphorus.

Avoid losing too much weight. It is important to maintain a good calorie intake because calories give you energy. If limiting protein, get more calories from other food sources including:

  • Unsaturated fats from oils (e.g., grape seed oil, canola or olive oil).
  • Simple carbohydrates (e.g., honey, jam, and jelly)
  • Note: The recommendations for using sugar may not be appropriate for diabetics or overweight individuals. If you are diabetic, consult your physician or renal dietitian for alternative recommendations.

Dietary Supplements

 Dietary supplements are often recommended by physicians and renal and their recommendations are guided by monthly blood testing utilized to monitor kidney function. Patients should always consult with a physician or renal dietitian before using or adding any supplements or herbal products.

 

  • Multivitamins. In addition to a diet containing appropriate nutrients and protein, a comprehensive multivitamin is often required to replace vitamins lost during dialysis treatments however, be aware of the magnesium level and other nutrients that require excretion through urine.  The ideal multivitamin & mineral supplement must include; vitamins B6, B12, and folate (folic acid) are known for having many beneficial qualities in addition to vitamins C, D, E and minerals such as; Calcium, Iron (in larger doses to address anemia), Magnesium, Zinc.
  • L-Carnitine which is an Amino Acid that has proven effective in providing cellular energy to both healthy individuals and those with chronic diseases. For patients in a predialysis stage, undergoing dialysis, or post-transplant, nutritional supplementation with L-Carnitine lost during dialysis may reduce the side effects of common renal problems (e.g., cardiomyopathy and blood platelet aggregation, muscle weakness) and may also help improve the patient’s perception of overall quality of life.
  • Coenzyme Q10 is important because of tremendous blood flow and high concentration of metabolic toxins continuously circulating through the kidneys, they are the site of extraordinary oxidative stress, which is known to contribute to progressive kidney damage and its complications (e.g., high LDL and increased cardiovascular disease risk).
  • Digestive Enzymes is an enzyme complex that can reduce inflammation and enhance tissue repair. Enzyme can also improve blood rheology and enhance circulation.
  • Ginkgo biloba is already known for its antioxidant effects.  It may also protect small blood vessels against loss of tone, prevent capillary fragility, inhibit atherosclerosis, and treat diabetic vascular disease.
  • Alpha Lipoic Acid is another powerful antioxidant with few known side effects and is able to prevent drug-induced kidney damage.
  • Green tea contains tannin which can decrease blood levels of urea nitrogen and creatinine and decrease urinary levels of protein and glucose which indicates a protective effect on the kidneys.

This article was contributed by:

Hengameh G. Allen-Schaal, Ph.D., MPH, MT(ASCP)

 

Disclaimer and Safety Information

This information (and any accompanying material) is not intended to replace the attention or advice of a physician or other qualified health care professional. Anyone who wishes to embark on any dietary, drug, exercise, or other lifestyle change intended to prevent or treat a specific disease or condition should first consult with and seek clearance from a physician or other qualified health care professional. Pregnant women in particular should seek the advice of a physician before using any dietary supplements.

 


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Nutrition For Autism

Category : Newsletters

What is Autism?

Autism is a mental condition manifesting itself during early childhood characterized by difficulty in communication and establishing relationship with others through language and abstract concepts.

Autistic individuals socially are not playful and avoid eye contact. Communication-wise they do not use gestures and expressive language is poor. They have unusual interests and behaviors like repetitive actions, hand flapping, picky eating and “stimming”.

Underlying causes and contributors are genetics which involves the systems of methylation, sulfation, detoxification, digestion, gut/brain barrier, inflammation and immune function. The other contributing factor is environmental such as; exposure to toxins, preservatives used in vaccines, antibiotic use leading to disrupting the intestinal normal flora balance and certain metabolic byproducts (i.e., opiate-like byproducts from casein and gluten) and microbial toxins.

Dietary Support for Digestion & Metabolism

Autistic individuals usually suffer from intestinal inflammation leading to a condition referred to as; “leaky gut” which is characterized by increased permeability of the intestinal tissue. It is highly recommended to remove the foods that can inflame the gut and add foods that heal the gut.

Another problem is imbalance of normal intestinal flora due to use of antibiotics which can promote growth of harmful organisms that produce toxins and cause inflammation.

Nutritional deficiencies must be corrected to maintain normal digestive and physiological function. Selection of good quality foods and their digestibility is very important.. If there are indications of yeast overgrowth it is important to remove simple sugars from their diet.   Addition of probiotics is helpful in restoring the normal intestinal flora which can further inhibit the growth of harmful organisms.

It is also very important to reduce exposure to toxins in foods (i.e., pesticides and preservatives ) and endogenous toxin formation. Since other metabolic difficulties include faulty detoxification, supplementation with certain essential nutrients becomes necessary to reduce the burden of toxins in their body.

Biochemical Factors

  • Genetic mutations affecting metabolic pathways
  • Mitochondrial metabolic inefficiency
  • Nutritional deficiencies (B Vitamins, Folic Acid, Zinc, Magnesium, Vitamin A & Vitamin D and Essential Fatty Acids)
  • Poor methylation and sulfation
  • Poor detoxification
  • Endogenous Oxidative stress
  • Increased intestinal permeability (“leaky Gut”)
  • Casein & Gluten metabolic by products (Opiate-like byproducts)
  • Intestinal dysbiosis (decreased presence of normal flora and beneficial bacteria, increased yeast presence)
  • Immune system problems (autoimmune responses, immune insufficiencies)
  • Hormonal imbalances (insufficient Oxytocin)

Nutritional Deficiencies

Nutrition means what an individual eats, absorbs and transports to cells in their body. Autistic persons have difficulty at every step beginning with poor intake because of restricted appetite which can be due to; reflux, and other gastrointestinal discomforts (i.e., diarrhea and constipation). In some increased amounts of “Opiate-Like Peptides” which are a metabolic byproduct of Casein (milk protein) can cause intense food cravings for some foods and limited intake of other food items.

Vitamin B group are very important in all metabolic pathways and they are especially needed for optimal mitochondrial function.   They play a vital role in numerous enzymatic reactions involving the neurotransmitters, antioxidants and detoxification processes especially in autistic individuals. Therefore, their deficiencies will have neurological manifestations as seen in autism.

Fat soluble vitamins like Vitamin A and D can be deficient in an autistic individual. Vitamin A is especially important in maintaining eye contact and antioxidant function. Vitamin D is important in bone health, immune function and brain health especially cognition.

Some mineral deficiencies such as Zinc deficiency can also cause poor taste perception which may be the cause for being a picky eater. Zinc deficiency can result from routine use of antacids usually recommended for reflux in addition, high glycemic diets, inadequate animal protein intake and toxicity with heavy metals (due to incapacitated detoxification process) can impair all metabolic processes that require Zinc as a co-factor. Magnesium deficiency can also be the cause of increased anxiety, hyperactivity, poor sleep quality, constipation and impaired glucose tolerance seen in some autistic individuals.

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