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Cholesterol, MD says normal

Dear John,
I just receive my cholesterol panel and vitamin D results from my MD, he says my test is normal. Total cholesterol 132. HDL 45, LDL 71, triglycerides at 78. Vitamin D is 84. My understanding was that the blood calcium level was going to be checked.  With a Vitamin D level of 84, is there a risk that I am taking too much calcium?  My MD seemed to think that I would have to have major health issues before calcium deposits would form.  Do I need to have this done?
– Over 40 Mom

Dear Over 40 Mom,

I think that your total cholesterol and HDL are too low.  Cholesterol is the precursor for most of your hormones.  Low levels (which you have) are associated with higher rates of many illnesses and many psychological issues.  The best way to increase cholesterol levels is through increased moderate stress exercise and increasing fish or krill oil intake.  For women I like to see HDL levels over 70.

High cholesterol in women is almost (the exception being in some diabetic women and familial high cholesterol in the 700-800 range) a non factor for heart disease and stroke.  Low cholesterol is the problem for women.  I have two meta analysis with a total of 44 cholesterol studies looked at that show this.

With you vitamin D level I would personally recommend against added calcium supplementation.  There are conflicting studies in this area of calcium supplementation. There are good studies showing problems with calcium supplementation along with normal to high Vitamin D levels.  Eat a good diet and you should be getting enough calcium.

– Dr. John Nieters, L.Ac. DAOM, FABORM

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May 2011 Acupuncture for Women’s Health

In This Issue (Get QiMail delivered to your inbox )
– Women’s Health Concerns and How Acupuncture Can Help
– Heart Healthy Foods
– News and Events

Women’s Health Concerns and How Acupuncture Can Help
The biggest threats to women’s health are often preventable. Oriental medicine has always addressed the special needs of women throughout their lives and many health issues women face respond extremely well to acupuncture treatments. Taking small steps to improve your health can make a difference.

The top health concerns affecting women and how acupuncture can help are:

Cardiovascular Disease
As the number one threat to women’s health, cardiovascular disease is not just a man’s disease. In women, the condition is responsible for about 29% of deaths, reports the CDC. Although more men die of heart disease than women, females tend to be under diagnosed, often to the point that it’s too late to help them once the condition is discovered. By integrating acupuncture and Oriental medicine into your heart healthy lifestyle, you can reduce your risk of cardiovascular disease by as much as eighty percent.

Steps to prevention include managing high blood pressure and cholesterol, quitting smoking, eating healthy, maintaining a healthy weight, physical activity, reducing stress and improved sleep – all of which can be helped with acupuncture and Oriental medicine. Acupuncture has been found to be particularly helpful in lowering blood pressure. By applying acupuncture needles at specific sites along the wrist, inside the forearm or in the leg, researchers have been able to stimulate the release of opiods, which decreases the heart’s activity and its need for oxygen. This, in turn, lowers blood pressure. 

Cancer
There have been many advances in the early detection and treatment of cancer. While the standard medical care for cancer is effective, the treatments are aggressive and cause numerous unwanted side effects as well as a lowered immune system. The three most common cancers among women are breast, lung and colorectal cancer. While breast cancer is the most common cancer in women it is second in the leading cause of cancer death. Early detection screenings and recommended self examinations should be taken seriously. 

Acupuncture has received much attention as an adjunctive therapy in cancer treatments for its use in pain relief, reducing side effects, accelerating recovery and improving overall quality of life. 

>From a preventive approach Oriental medicine works to restore imbalances in the system with a variety of treatment modalities including acupuncture, herbal therapy, tui na, qi gong in addition to food, exercise and lifestyle suggestions. Seasonal acupuncture treatments just four times a year serve to tonify the inner organ systems and correct minor annoyances before they become serious problems.

Osteoporosis
Characterized by a decrease in bone mass and an increased likelihood of fractures osteoporosis is not simply a calcium deficiency. As a complex living tissue, bone is made of many different components and is influenced by many variables including the body’s use of calcium from the bone to balance pH levels in the blood. Osteoporosis threatens 44 million Americans, of which 68% are women, reports the National Osteoporosis Foundation. 

”Osteoporosis is largely preventable,” says Mark. “The behaviors that women develop in their childhood, in their adolescence, and in their early adult years really play a significant role in the development of the disease.” That’s because bodies build up most of bone mass until age 30. Then new bone stops forming and the focus switches to the maintenance of old bone.

Acupuncture and Oriental medicine coupled with a healthy lifestyle and regular exercise, have much to offer in improving the quality of life for those who suffer from bone and joint problems.

Depression
Depressive disorders affect 10%-25% of women at some point in their lives. The body’s immune system is compromised and symptoms reduce functioning, impair work performance and social relationships. Common symptoms of depressive disorders include: a decreased interest in most activities, insomnia, fatigue, and feeling empty and worthless. At its worst, hopelessness sets in and suicide becomes a desperate option for approximately 15% of people who suffer from severe depressive disorders.

Oriental medicine does not view people as a collection of segmented parts to be treated independently but rather addresses the link between the body, spirit and mind. The goal of Oriental medicine is to bring all the human systems into a healthy balance, insuring that both the mind and body feel well and when used in conjunction with psychotherapy acupuncture has a positive and holistic effect on depressed patients. If you suffer from depression, consider acupuncture therapy in conjunction with your treatment plan to regain peace of mind, regulate your immune system and stay healthy. 

Autoimmune Diseases
Autoimmune diseases are a group of disorders in which the immune system attacks the body and destroys or alters tissues. There are more than 80 serious chronic illnesses in this category, including lupus, multiple sclerosis, and type 1 diabetes.

According to the American Autoimmune Related Diseases Association (AARDA), about 75% of autoimmune diseases occur in women. Individually, each disease appears uncommon with the exception of diabetes, thyroid disease, and lupus however as a group, the disorders make up the fourth-largest cause of disability among American women.

Due to the complexity of treating autoimmune disorders, integrative medicine solutions have received much attention as successful therapies in their treatment. Acupuncture and Oriental medicine are specifically noted for use in pain relief, regulating the immune system, managing symptoms and improving overall quality of life.

Menopause and Gynecological Health
Gynecological conditions including Premenstrual Syndrome (PMS), fibroids, endometriosis, and infertility along with menopause are some of the most successfully treated problems by acupuncture and Oriental medicine. Oriental medicine has long recognized that health and vitality can be sustained over a woman’s lifetime by restoring balance within the body and supporting the natural production of essential hormones. 

Menopause is a transitional period marking the cessation of ovulation in a woman’s body. Symptoms vary from mild to severe, and are brought on as our bodies try to adapt to decreasing amounts of estrogen. Symptoms can include hot flashes, night sweats, insomnia, fatigue, mood swings, memory loss, dryness, headaches, joint pain, and weight gain. Menopause patients are encouraged to maintain a healthy weight, stabilize blood sugar, and eliminate stress, tension and anxiety or learn new techniques to cope with them to diminish the effects they have.

Oriental medicine does not recognize menopause as one particular syndrome and aims to treat the specific symptoms that are unique to each individual using a variety of techniques such as acupuncture, herbs, bodywork, lifestyle/dietary recommendations and energetic exercises to restore imbalances found in the body. Therefore, if 10 women are treated each will receive a unique, customized treatment with different acupuncture points, different herbs and different lifestyle and diet recommendations. 

With support from Acupuncture and Oriental Medicine along with small changes in lifestyle and diet, menopause can be a time of a revival of vital energy and an opportunity for personal growth

To learn more about how acupuncture and Oriental medicine can improve your health and well being call for a consultation today!

Heart Healthy Foods
Cruciferous Vegetables
Cruciferous vegetables such as kale, Brussels sprouts, broccoli, and cabbage are a gold mine of antioxidants and other heart-saving phytochemicals.

Fish
Fatty fish such as salmon and anchovies are loaded with omega-3 fatty acids that will help your heart maintain a steady rhythm. Having even one fish serving a week could reduce your risk of death from a heart attack by fifty two percent.

Flaxseed
Flaxseed is one of the most potent sources of heart health-promoting omega-3 fats. Studies indicate that adding flaxseed to your diet can reduce the development of heart disease by forty six percent while helping keep red blood cells from clumping together and forming clots that can block arteries. Sprinkle 2 Tbsp flaxseed a day on your cereal or salad.

Fruit
Oranges contain folic acid that helps lower levels of homocysteine, a heart attack risk factor. Grapes are loaded with flavonoids and resveratrol, both potent antioxidants that may discourage red blood cells from clumping together and forming an artery-blocking clot. Pomegranate juice is chock-full of potassium and polyphenols, which promote heart health and have been shown to help lower cholesterol.

Garlic
Just one clove a day, or 300 mg three times daily, reduces the risk of heart attack at least three ways: It discourages red blood cells from sticking together and blocking your arteries, it reduces arterial damage, and it discourages cholesterol from lining the arteries and making them so narrow that blockages are likely.

Green Tea
Green tea contains several powerful antioxidants that reduce bad cholesterol and boost good cholesterol, improving an individuals overall cholesterol levels. Drinking green tea also seems to enhance cardiovascular health by improving the consistency of platelets in the blood and may even lower blood pressure.

Nuts
Studies have found that those who eat more than 5 oz of nuts a week are one-third less likely to have either heart disease or a heart attack. Just don’t overdo it as nuts can pile on the pounds.

Red Wine
Scientific studies overwhelmingly show that a daily glass of wine can reduce your risk of a heart attack. Both plant compounds called saponins and antioxidants in the ‘fruit of the vine’ work to protect arteries. Researchers have found that red is much more effective than white for improving heart health.

News and Events
Tune-in to The Medicine Men and The Balancing Point radio shows
Podcast in iTunes, or live in the Bay Area, www.medicinemenradio.com or www.thebalancingpoint.net

On September 25th, John will teach at the Colorado School of Traditional Chinese Medicine in Denver. He will teach a 1/2 day on his Integrative Diabetes Protocol and a 1/2 day on the modern clinical applications of the Pi Wei Lun classic. If you are in the Denver area, we hope to see you there. http://www.cstcm.edu/pda/all

Please join us on Facebook “Alameda Acupuncture – Dr. John Nieters, L.Ac.” Upcoming events are listed and links to information about Chinese Medicine and podcast updates.

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Elderly parent with early dementia?

Hi John,
My elderly mother is exhibiting serious forgetfulness and lack of desire to interact with others. I would like to study the details mentioned yesterday as suggestions for actions for me to take.
Thank you for your assistance,
– Carolyn

Dear Carolyn,
As I said at the Expo, I am developing few formulas to specifically address these issues. In the meantime here are my short term recommendations for supplements. If your mother has access to acupuncture, please consider trying it with someone who has studied with Dr. Jiao Shunfa.

Group #1 critical :
-Krill oil or fish oil (krill better)
-High dose beta carotene
– Vitamins B6, B12, and folate
-Huperzine A
-Vinpocetine
-Vitamin D3 – do a vitamin D test and keep levels at 55 units or more.

Group #2 Good
-Herbal formula ; this is very individualized.  A good general formula is “Flavonex- Salvia and Gingko”
– Rhodiola
– Bacopa monnieri
-Phosphatadyl choline
-Phoshatadyl serine
-Ubiquinol – high absorbency Co-Q10

Supplements, are a piece of the puzzle. Added to regular exercise, Brain Fitness program or something like it, new relationships, acupuncture treatment, nutrient dense organic food and opportunities for engagement you can start to reawaken the brain.

– Dr. John Nieters, L.Ac. DAOM, FABORM

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Joy! Gratitude! Honored!

We just received this handwritten letter and it means the world to us:

Dear Dr. Nieters,
Thank you so much for a terrific first visit. I appreciate how present you were with me, and how I felt heard. That means so much!

When I left your office, colors were more saturated, and I felt mellow and calm for several days. I felt great! The next day, at my monthly visit as UCSF, everyone commented on my affect, and my blood pressure was 98/65 (27 hours post acupuncture). My BP has been this low before, but commonly 120-130/70-80. I copied relevant papers for you. I’m very grateful to you for taking the time to look through all this and do some research. Your fresh perspective is very meaningful to me.

By the way, your staff is phenomenal! the young woman I spoke with when I came in for information left me feeling like I was making the most natural and obvious decision. Any hesitation slipped away!
Thanks,
Dr. M.

Dear Dr. M. we delighted that you had a positive experience and that you took the time to tell us. It is amazing to be able to devote our lives to work that we love.

– Dr. John Nieters, L.Ac. DAOM and Staff

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Asthma, what to do?

Hi John,
Our 13 year old son who suffers from reactive airway disease (aka asthma) and allergies (to dust mites and cats). He has suffered from these conditions for 7 years, and continues with traditional pharmaceutical medication treatment. We have made many environmental changes in our home to reduce allergens. Our son has also seen a homeopath in the past, but with little obvious effect. You come recommended to us, and we are interested in whether you can provide an alternative to steroid treatment and other medications that reduce nasal decongestion.
– Dr. P.

Dear Dr. P,
The younger the child, the easier it is to treat asthmatic conditions.  About 90% of the 4 year old and younger patients have been able to get completely off of medications.  The condition at that age is usually very simple and uncomplicated.  The older the patient the (generally) more difficult it is to get great results.

At age 13 with reactive airway, after 7 years of steroids, I would guess about 50% likelihood of success.  One of the biggest reasons for the much lower rate of success is that the steroids shut down the bodies endogenous corticosteroids so that when the patient is taken off of them, there is no systemic way for the body to put out the fire.

Chinese Medicine works by increasing the endogenous corticosteroid levels.  It takes time to reawaken this corticosteroid system after 7 years of suppression.  There is good experimental information on this issue that was reported in a study done at Mount Sinai Hospital.

Mount Sinai Research Abstract except:
1: J Allergy Clin Immunol. 2005 Sep;116(3):517-24
Efficacy and tolerability of anti-asthma herbal medicine intervention in adult patients with moderate-severe allergic asthma.
Wen MC, Wei CH, Hu ZQ, Srivastava K, Ko J, Xi ST, Mu DZ, Du JB, Li GH, Wallenstein S, Sampson H, Kattan M, Li XM. Weifang Asthma Hospital, Shandong, China

BACKGROUND: Chinese herbal medicine has a long history of human use. A novel herbal formula, anti-asthma herbal medicine intervention (ASHMI), has been shown to be an effective therapy in a murine model of allergic asthma. OBJECTIVE: This study was undertaken to compare the efficacy, safety, and immunomodulatory effects of ASHMI treatment in patients with moderate-severe, persistent asthma with prednisone therapy.

METHODS: In a double-blind trial, 91 subjects underwent randomization. Forty-five subjects received oral ASHMI capsules and prednisone placebo tablets (ASHMI group) and 46 subjects received oral prednisone tablets and ASHMI placebo capsules (prednisone group) for 4 weeks. Spirometry measurements; symptom scores; side effects; and serum cortisol, cytokine, and IgE levels were evaluated before and after treatment.

RESULTS: Posttreatment lung function was significantly improved in both groups as shown by increased FEV(1) and peak expiratory flow findings (P<.001). The improvement was slightly but significantly greater in the prednisone group (P<.05). Clinical symptom scores, use of beta(2)-bronchodilators, and serum IgE levels were reduced significantly, and to a similar degree in both groups (P<.001). T(H)2 cytokine levels were significantly reduced in both treated groups (P<.001) and were lower in the prednisone-treated group (P<.05). Serum IFN-gamma and cortisol levels were significantly decreased in the prednisone group (P<.001) but significantly increased in the ASHMI group (P<.001). No severe side effects were observed in either group.

CONCLUSION: Anti-asthma herbal medicine intervention appears to be a safe and effective alternative medicine for treating asthma. In contrast with prednisone, ASHMI had no adverse effect on adrenal function and had a beneficial effect on T(H)1 and T(H)2 balance.

There is a great deal more relevant information in the actual report than in this abstract. The really important findings, to me, of this study are the ones underlined above.  Other studies have also shown that, likely as a result of the dramatic difference in the levels of immune complement in Steroid vs. herbs, there was a near 100% relapse rate after the steroids and a low relapse rate after herbs.  The suppressed immune system on steroids virtually guarantees recurrence. There are many other studies to support this effect.

With the numerous problems with the steroids, including the significant suppression of endogenous corticosteroids, I would recommend trying Chinese Medicine for the condition.

I am known as a minimalist in the number of treatments that I do .  Typically about 1/4 of the treatments of most acupuncture practices.  I focus a great deal on diet, supplements, herbs, lifestyle, so don’t need as many acupuncture visits.

– Dr. John Nieters, L.Ac. DAOM, FABORM

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