How can women optimize their health through proactive communication with their doctor. What key topics should be addressed during a primary care visit. Why is it crucial for women to advocate for their well-being in medical settings.

The Importance of Open Dialogue with Your Primary Care Physician

Establishing a strong rapport with your primary care physician is crucial for maintaining optimal health. By engaging in open and honest communication, women can ensure they receive comprehensive care tailored to their specific needs. This article explores five essential questions that every woman should consider asking her primary care physician to promote better health outcomes and foster a more collaborative doctor-patient relationship.

Addressing Preventive Care and Screening Recommendations

Preventive care plays a vital role in maintaining overall health and detecting potential issues early. Women should inquire about recommended screenings based on their age, family history, and individual risk factors.

Key Preventive Screenings for Women

• Mammograms for breast cancer detection
• Pap smears and HPV tests for cervical cancer screening
• Colonoscopies for colorectal cancer prevention
• Bone density scans for osteoporosis assessment
• Cholesterol and blood pressure checks for cardiovascular health

How often should these screenings be performed? The frequency of preventive screenings can vary based on individual factors. Your primary care physician can provide personalized recommendations tailored to your specific health profile and risk factors.

Discussing Mental Health and Emotional Well-being

Mental health is an integral component of overall wellness, yet it is often overlooked during routine medical visits. Women should feel empowered to discuss their emotional well-being with their primary care physician.

Common Mental Health Concerns for Women

• Anxiety and depression
• Stress management
• Sleep disorders
• Postpartum depression
• Perimenopause and menopause-related mood changes

How can primary care physicians support women’s mental health? Primary care doctors can provide initial assessments, offer referrals to mental health specialists when necessary, and discuss potential treatment options, including therapy and medication management.

Addressing Reproductive Health and Family Planning

Reproductive health is a crucial aspect of women’s overall well-being. Open discussions about contraception, fertility, and sexual health are essential for making informed decisions and maintaining optimal reproductive health.

Key Topics in Reproductive Health

1. Contraceptive options and effectiveness
2. Fertility awareness and family planning
3. Sexually transmitted infection (STI) prevention and testing
4. Menstrual health and irregularities
5. Preconception care and pregnancy planning

How can women optimize their reproductive health? By discussing these topics with their primary care physician, women can receive guidance on choosing appropriate contraceptive methods, understanding their fertility cycles, and addressing any concerns related to sexual and reproductive health.

Managing Chronic Conditions and Lifestyle Modifications

For women living with chronic conditions such as diabetes, hypertension, or autoimmune disorders, regular communication with their primary care physician is crucial for effective management and prevention of complications.

Essential Questions for Chronic Condition Management

• What lifestyle modifications can help manage my condition?
• Are there any new treatment options available?
• How often should I monitor my condition at home?
• What are the potential long-term complications of my condition?
• How can I prevent or minimize these complications?

Why is ongoing communication important for chronic condition management? Regular check-ins with your primary care physician allow for timely adjustments to treatment plans, monitoring of medication effectiveness, and addressing any new symptoms or concerns that may arise.

Exploring Nutrition and Weight Management Strategies

Proper nutrition and maintaining a healthy weight are fundamental to overall health and disease prevention. Women should feel comfortable discussing their dietary habits and weight concerns with their primary care physician.

Key Nutritional Considerations for Women

• Calcium and vitamin D intake for bone health
• Iron requirements, especially for menstruating women
• Folic acid supplementation for women of childbearing age
• Omega-3 fatty acids for heart and brain health
• Protein needs for muscle maintenance and overall health

How can women develop personalized nutrition plans? Primary care physicians can provide guidance on creating balanced meal plans, recommend appropriate supplements if needed, and offer referrals to registered dietitians for more specialized nutrition counseling.

Addressing Age-Specific Health Concerns

As women progress through different life stages, their health needs and concerns evolve. It’s important to discuss age-specific health issues with your primary care physician to ensure comprehensive care at every stage of life.

Health Concerns Across the Lifespan

1. Adolescence and young adulthood: Menstrual health, sexual education, and HPV vaccination
2. Reproductive years: Pregnancy planning, prenatal care, and postpartum health
3. Perimenopause and menopause: Hormone changes, symptom management, and bone health
4. Older adulthood: Fall prevention, cognitive health, and management of age-related conditions

How can women stay proactive about their health as they age? By discussing age-specific concerns with their primary care physician, women can receive tailored advice on preventive measures, lifestyle modifications, and appropriate screenings to maintain optimal health throughout their lives.

Navigating the Healthcare System and Understanding Your Rights

Understanding how to navigate the healthcare system effectively is crucial for receiving optimal care. Women should feel empowered to ask their primary care physician about their rights as patients and how to advocate for themselves within the healthcare system.

Important Topics to Discuss

• Understanding medical bills and insurance coverage
• Accessing medical records and test results
• Seeking second opinions when necessary
• Understanding patient privacy rights (HIPAA)
• Navigating referrals to specialists

How can women become more informed healthcare consumers? By engaging in open discussions with their primary care physician about these topics, women can gain valuable insights into navigating the complexities of the healthcare system and ensuring they receive the best possible care.

In conclusion, fostering open communication with your primary care physician is essential for maintaining optimal health and well-being. By addressing these five key areas – preventive care, mental health, reproductive health, chronic condition management, and nutrition – women can take a proactive approach to their healthcare. Remember, your primary care physician is your partner in health, and no question is too small or insignificant when it comes to your well-being. By staying informed, engaged, and advocating for your health needs, you can work together with your doctor to achieve the best possible health outcomes throughout your life.

As healthcare continues to evolve, it’s important to stay informed about new developments and options available to you. Your primary care physician can serve as a valuable resource in helping you navigate these changes and make informed decisions about your health. Don’t hesitate to ask questions, seek clarification, and voice any concerns you may have during your appointments. By taking an active role in your healthcare journey, you can ensure that you receive personalized, comprehensive care that addresses your unique needs and goals.

Remember that building a strong relationship with your primary care physician takes time and open communication. It’s okay to prepare a list of questions or concerns before your appointment to ensure you cover all the important topics during your visit. Additionally, consider keeping a health journal to track any symptoms, changes in your health, or questions that arise between appointments. This can help you provide more accurate information to your doctor and facilitate more productive discussions during your visits.

Lastly, it’s important to recognize that your health needs may change over time. Regular check-ups with your primary care physician provide an opportunity to reassess your health status, update your medical history, and adjust your care plan as needed. By maintaining an ongoing dialogue with your doctor and staying proactive about your health, you can work together to achieve and maintain optimal well-being throughout all stages of your life.

Reduce your A1C levels: Lifestyle, diet, and nutrition

An A1C blood test measures average blood sugar levels over the past 2–3 months. Tips for lowering A1C levels include dietary choices and exercise, as well as monitoring blood glucose regularly and following the treatment plan agreed with a doctor.

The A1C test, which some people may also call the hemoglobin A1C, HbA1C, glycated hemoglobin, or glycohemoglobin test, measures the amount of sugar attached to hemoglobin in the blood. A doctor can use it to monitor diabetes and as a diagnostic tool for the condition.

If a person’s A1C levels are too high, it suggests their blood sugar levels are too high. When blood sugar levels are too high for a long period of time, this can result in health complications.

By incorporating lifestyle behaviors, such as regular exercise, a varied eating plan, and following their diabetes treatment plan, a person may lower their blood sugar. This will lower their A1C percentage and reduce the likelihood of potential health problems.

In this article, we will discuss why it is important to maintain healthy A1C levels.

The A1C test refers to a blood test that measures a person’s average blood glucose levels over the past 3 months. It shows the average percentage of sugar-bound hemoglobin in a blood sample.

A doctor can use the A1C test to not only help diagnose diabetes but also to determine how well a person with diabetes is managing the condition.

When glucose enters the blood, it binds to a red blood cell (RBC) protein called hemoglobin. This protein is responsible for carrying oxygen throughout the body. The resulting compound is known as glycosylated hemoglobin.

Doctors call the test an A1C test because roughly 95–98% of the hemoglobin present in the body is type A1. Type A1 hemoglobin has subtypes, such as A1C. As this is the most abundant subtype, a doctor can use it as a good marker for glucose control.

How does a doctor calculate A1C?

The A1C test estimates the average blood glucose level over the past 3 months. The test can measure this by identifying the percentage of glycosylated hemoglobin in the blood. The test measures this period because RBCs typically live for about 3 months.

As such, this timeframe can reflect how much sugar the RBCs had exposure to during that period.

If more glucose is present in the blood, that means more is available to attach to hemoglobin. A high percentage of glycosylated hemoglobin indicates a person had high blood sugar during the past 3 months. This can suggest that the individual is not effectively managing their blood sugar.

Many studies have shown that lowering A1C levels can help slow the progression of diabetes and reduce the risk of complications — such as nerve damage and cardiovascular disease — in both type 1 and type 2 diabetes.

When it comes to an A1C target range, there is no one-size-fits-all solution. Many factors, including the type of diabetes and general health, can impact an A1C goal. A person can discuss a suitable target with their diabetes healthcare team.

The American Diabetes Association (ADA) notes that the goal for most adults living with diabetes is an A1C of less than 7%. Many strategies, such as physical activity, diet, and medication, can help manage blood glucose levels and, therefore, also A1C levels.

Exercise and lifestyle tips to help lower A1C levels include:

• Physical activity: Current guidelines recommend that adults perform a minimum of 150 minutes of moderate physical exercise each week. People who use insulin or have special considerations should contact their doctor about a suitable exercise plan.
• Routine activities: Housework, gardening, and other routine activities can all help keep a person moving.
• Monitoring blood glucose: This is crucial to ensure a person meets their targets and makes any necessary changes.
• Following the treatment plan: This includes the use of medications and lifestyle therapies.
• Weight management: The person may consider working with a healthcare professional to set realistic and achievable weight loss goals.
• Tracking progress: This is useful for self-motivation, monitoring changes, and identifying which strategies work for a person.
• Getting others involved: Lifestyle changes are often easier to adopt if other people can encourage and monitor progress.

Everyone, especially people with diabetes, can benefit from a healthful diet that includes plenty of fresh fruit and vegetables and whole foods and is low in sugar, salt, and fat.

Monitoring carbohydrate intake can help a person manage their glucose levels.

General diet tips to lower A1C levels include:

• being mindful of portion sizes
• eating regularly, every 3–5 hours
• eating similar-sized portions at meals and snacks
• planning meals ahead of time
• keeping a journal of food, medication, and exercise
• spreading out carbohydrate-rich foods throughout the day
• choosing less-processed or whole foods such as whole grains, fruits, vegetables, legumes, and nuts
• eating a balanced diet complete with healthy proteins, fats, and carbohydrates
• seeking out the help of a registered dietitian

A healthcare professional will advise each person on their dietary needs, including the number of carbs they should consume. This will depend on individual factors, including the person’s exercise levels and treatment plan.

Nutrition plays an essential role in managing blood sugar levels. Following a suitable eating plan can help a person keep their blood sugar and A1C levels in a healthy range.

Creating a meal plan can be a useful tool to help a person manage their blood sugar. A dietitian can also help with recommending an eating plan. Additionally, people can try following the ADA’s Diabetes Plate Method.

For people living with diabetes, some important trends to incorporate into an eating plan include:

• eating sufficient fruits and vegetables
• eating lean protein
• choosing foods with less added sugar
• limiting trans fats
• eating fewer processed foods

Learn more about food to help lower and control blood sugar here.

A1C test results appear as a percentage. A higher A1C level means a greater risk of diabetes and its complications.

Physicians may also refer to average glucose, or eAG, when they talk about A1C levels. The eAG corresponds to A1C, but it appears as milligrams per deciliter (mg/dl), like blood sugar.

Both A1C results and eAG refer to a person’s average 3-month blood glucose levels. People can use a simple calculator to help them convert their results from one measurement to the other.

A person with prediabetes has a good chance of reversing their high blood sugar levels and preventing diabetes from developing.

Read about more tips and strategies for managing prediabetes here.

A1C level recommendations vary between individuals. People with more advanced diabetes will have higher A1C targets than healthy adults without diabetes. Factors such as life expectancy, treatment response, and medical history also have an impact.

A1C levels are a measure of blood glucose over 3 months. A doctor can use this measurement to monitor and diagnose diabetes.

An A1C level of 6.5% or more indicates that a person may have diabetes.

Keeping the A1C level within a healthy range can help to reduce the likelihood of complications.

Strategies to manage blood sugar and A1C can include a varied eating plan, regular exercise, and following a diabetes treatment plan.

Reduce your A1C levels: Lifestyle, diet, and nutrition

An A1C blood test measures average blood sugar levels over the past 2–3 months. Tips for lowering A1C levels include dietary choices and exercise, as well as monitoring blood glucose regularly and following the treatment plan agreed with a doctor.

The A1C test, which some people may also call the hemoglobin A1C, HbA1C, glycated hemoglobin, or glycohemoglobin test, measures the amount of sugar attached to hemoglobin in the blood. A doctor can use it to monitor diabetes and as a diagnostic tool for the condition.

If a person’s A1C levels are too high, it suggests their blood sugar levels are too high. When blood sugar levels are too high for a long period of time, this can result in health complications.

By incorporating lifestyle behaviors, such as regular exercise, a varied eating plan, and following their diabetes treatment plan, a person may lower their blood sugar. This will lower their A1C percentage and reduce the likelihood of potential health problems.

In this article, we will discuss why it is important to maintain healthy A1C levels.

The A1C test refers to a blood test that measures a person’s average blood glucose levels over the past 3 months. It shows the average percentage of sugar-bound hemoglobin in a blood sample.

A doctor can use the A1C test to not only help diagnose diabetes but also to determine how well a person with diabetes is managing the condition.

When glucose enters the blood, it binds to a red blood cell (RBC) protein called hemoglobin. This protein is responsible for carrying oxygen throughout the body. The resulting compound is known as glycosylated hemoglobin.

Doctors call the test an A1C test because roughly 95–98% of the hemoglobin present in the body is type A1. Type A1 hemoglobin has subtypes, such as A1C. As this is the most abundant subtype, a doctor can use it as a good marker for glucose control.

How does a doctor calculate A1C?

The A1C test estimates the average blood glucose level over the past 3 months. The test can measure this by identifying the percentage of glycosylated hemoglobin in the blood. The test measures this period because RBCs typically live for about 3 months.

As such, this timeframe can reflect how much sugar the RBCs had exposure to during that period.

If more glucose is present in the blood, that means more is available to attach to hemoglobin. A high percentage of glycosylated hemoglobin indicates a person had high blood sugar during the past 3 months. This can suggest that the individual is not effectively managing their blood sugar.

Many studies have shown that lowering A1C levels can help slow the progression of diabetes and reduce the risk of complications — such as nerve damage and cardiovascular disease — in both type 1 and type 2 diabetes.

When it comes to an A1C target range, there is no one-size-fits-all solution. Many factors, including the type of diabetes and general health, can impact an A1C goal. A person can discuss a suitable target with their diabetes healthcare team.

The American Diabetes Association (ADA) notes that the goal for most adults living with diabetes is an A1C of less than 7%. Many strategies, such as physical activity, diet, and medication, can help manage blood glucose levels and, therefore, also A1C levels.

Exercise and lifestyle tips to help lower A1C levels include:

• Physical activity: Current guidelines recommend that adults perform a minimum of 150 minutes of moderate physical exercise each week. People who use insulin or have special considerations should contact their doctor about a suitable exercise plan.
• Routine activities: Housework, gardening, and other routine activities can all help keep a person moving.
• Monitoring blood glucose: This is crucial to ensure a person meets their targets and makes any necessary changes.
• Following the treatment plan: This includes the use of medications and lifestyle therapies.
• Weight management: The person may consider working with a healthcare professional to set realistic and achievable weight loss goals.
• Tracking progress: This is useful for self-motivation, monitoring changes, and identifying which strategies work for a person.
• Getting others involved: Lifestyle changes are often easier to adopt if other people can encourage and monitor progress.

Everyone, especially people with diabetes, can benefit from a healthful diet that includes plenty of fresh fruit and vegetables and whole foods and is low in sugar, salt, and fat.

Monitoring carbohydrate intake can help a person manage their glucose levels.

General diet tips to lower A1C levels include:

• being mindful of portion sizes
• eating regularly, every 3–5 hours
• eating similar-sized portions at meals and snacks
• planning meals ahead of time
• keeping a journal of food, medication, and exercise
• spreading out carbohydrate-rich foods throughout the day
• choosing less-processed or whole foods such as whole grains, fruits, vegetables, legumes, and nuts
• eating a balanced diet complete with healthy proteins, fats, and carbohydrates
• seeking out the help of a registered dietitian

A healthcare professional will advise each person on their dietary needs, including the number of carbs they should consume. This will depend on individual factors, including the person’s exercise levels and treatment plan.

Nutrition plays an essential role in managing blood sugar levels. Following a suitable eating plan can help a person keep their blood sugar and A1C levels in a healthy range.

Creating a meal plan can be a useful tool to help a person manage their blood sugar. A dietitian can also help with recommending an eating plan. Additionally, people can try following the ADA’s Diabetes Plate Method.

For people living with diabetes, some important trends to incorporate into an eating plan include:

• eating sufficient fruits and vegetables
• eating lean protein
• choosing foods with less added sugar
• limiting trans fats
• eating fewer processed foods

Learn more about food to help lower and control blood sugar here.

A1C test results appear as a percentage. A higher A1C level means a greater risk of diabetes and its complications.

Physicians may also refer to average glucose, or eAG, when they talk about A1C levels. The eAG corresponds to A1C, but it appears as milligrams per deciliter (mg/dl), like blood sugar.

Both A1C results and eAG refer to a person’s average 3-month blood glucose levels. People can use a simple calculator to help them convert their results from one measurement to the other.

A person with prediabetes has a good chance of reversing their high blood sugar levels and preventing diabetes from developing.

Read about more tips and strategies for managing prediabetes here.

A1C level recommendations vary between individuals. People with more advanced diabetes will have higher A1C targets than healthy adults without diabetes. Factors such as life expectancy, treatment response, and medical history also have an impact.

A1C levels are a measure of blood glucose over 3 months. A doctor can use this measurement to monitor and diagnose diabetes.

An A1C level of 6.5% or more indicates that a person may have diabetes.

Keeping the A1C level within a healthy range can help to reduce the likelihood of complications.

Strategies to manage blood sugar and A1C can include a varied eating plan, regular exercise, and following a diabetes treatment plan.

Twelve Foods and Supplements for Heart and Immune｜ iHerb Blog

The information in this blog has not been verified by your country’s public health authority and is not intended as a diagnosis, treatment, or medical advice.
Read more

Despite the fact that cholesterol has a bad reputation, it turns out to be extremely important for human health. A waxy substance found in the blood: Cholesterol performs many important functions in the body. Few people know that only 20% of the cholesterol in the body comes from food, while the remaining 80% is produced by the liver. When certain forms of cholesterol are too high, health problems can arise, and below we will discuss ways to help lower cholesterol levels naturally.

Types of cholesterol

Total cholesterol is measured by adding the three types of cholesterol present in the body:

• LDL (low density lipoprotein)
• HDL (high density lipoprotein)

9 0013 VLDL (very low density lipoproteins, assessed as triglycerides /5).

For most people, total cholesterol should be less than 200 mg/dL (5.18 mmol/L) because higher levels are an independent risk factor for heart attacks and strokes.

Cholesterol levels tend to increase with age. Foods high in saturated fat and cholesterol, especially when combined with simple carbohydrates (processed foods, bread, pasta, etc.), lead to high blood cholesterol levels. Foods containing trans fatty acids should be avoided as they increase LDL cholesterol and lower good HDL cholesterol, which is an undesirable result and can lead to poor health.

“Good” and “bad” cholesterol

LDL cholesterol is often referred to as “bad” cholesterol. To help my patients remember the difference, I remind them that “the level of bad LDL cholesterol should be lower.” Why is he so “bad”? When LDL oxidizes, it can damage the walls of arteries, increasing the risk of arterial blockage leading to a heart attack or stroke. The main role of LDL is to transport cholesterol and triglycerides from the liver to cells through the arteries. It promotes cell repair and energy metabolism. However, too much LDL is not good.

HDL, which is produced in the liver, is considered “good cholesterol”. The higher the level of healthy HDL cholesterol, the better. Why is he so “good”? HDL can transport artery-blocking cholesterol from the arteries back to the liver, where it is broken down and broken down. Those with HDL levels above 50-60 mg/dL (23-25 ​​mmol/L) have additional protection against heart disease.

Although proper nutrition is important for maintaining normal cholesterol levels, it is not the only thing to take care of. According to Dr. Andrew Wyle, other factors that can increase cholesterol levels are heredity, stress, smoking, excess caffeine, and lack or lack of exercise.

Dr. Wyle explains that eating foods labeled “no cholesterol” is misleading and should be avoided. I cannot but agree with this. These foods may not actually contain cholesterol, but the sugar and simple carbohydrates they contain stimulate the body to produce cholesterol after eating them.

Why is cholesterol important for health?

Without cholesterol, our health would be at risk. However, as in other situations in life, too much of something good can be harmful and too little can be a problem. For example, too low a level of total cholesterol in the blood increases the risk of depression.

Blood cholesterol is necessary for the production of the following important hormones and substances:

• Vitamin D
• Cortisol
• Testosterone

protects nerves

• Bile is a green substance produced liver, which helps us absorb fatty acids and some vitamins

etc. ) to those who have it elevated.

There is strong evidence that lowering total cholesterol helps people with heart disease. There is also evidence that lowering total cholesterol can help prevent heart attacks and strokes. However, some believe that this may be due less to lower cholesterol than to reduced inflammation.

How to lower cholesterol through proper nutrition?

A well-balanced diet can help a person keep their cholesterol levels in the optimal range. Plentiful servings of vegetables and preferably low-sugar fruits can help lower cholesterol levels. Foods containing trans fats should be avoided as they increase LDL cholesterol levels and decrease beneficial HDL cholesterol levels. They are often found in processed foods.

The recommended intake is 40 grams of plant fiber each day, which is twice the average intake. This type of fiber not only helps optimize gut health and microbiome diversity, but also helps reduce the absorption of excess cholesterol in the gut. White flour is not a great source of fiber, so it should be kept to a minimum. For those who find it difficult to do this, I recommend fiber supplements, such as psyllium (5 grams 2-3 times a day) or fruit pectin supplements.

Other cholesterol-lowering foods include garlic, oat bran, shiitake mushrooms, chili peppers, green tea, and dark chocolate. Nuts such as almonds, walnuts, pistachios, hazelnuts, and macadamia also lower LDL cholesterol levels. In addition, a plant-based diet, as well as regular consumption of beans and grapefruit, may be beneficial.

Regular consumption of olive oil and sesame seeds may help lower cholesterol levels and increase beneficial HDL cholesterol, according to a 2013 study. An increased intake of oily fish may also be helpful.

Does lifestyle affect cholesterol?

An active lifestyle that includes daily exercise is critical to a healthy metabolism. Most people who can afford it should aim to walk at least 10,000 steps a day. This can be done in the form of walking, walking, regular running or jogging. Weight training can be beneficial not only for maintaining muscle strength, but also for improving posture and bone health.

Best Supplements for Healthy Cholesterol

It should be noted that people with advanced heart disease and/or who have had a heart attack or stroke benefit most from taking cholesterol-lowering statins. If you have these conditions, you should take these drugs unless your doctor tells you otherwise.

Diabetics are also at increased risk of cardiovascular disease, and cholesterol-lowering drugs are also commonly prescribed in this population. I do not recommend that anyone stop taking their cholesterol-lowering medications without first talking to their doctor.

People with high cholesterol who are otherwise in good health may benefit from the following supplements to avoid taking medication in the first place. However, always check with your doctor if you have any questions or symptoms that concern you.

1. Berberine

Berberine is obtained from the barberry shrub (Berberis vulgaris), which contains both evergreens and leaf shedding species. Found throughout Europe, North Africa, the Middle East, and Asia, barberry berries are a rich source of vitamin C.

The active ingredient in barberry is berberine, which is consumed in food and supplement form. It is widely used in traditional Chinese medicine and Ayurveda.

One 2004 study showed that berberine can lower total cholesterol levels by a different mechanism than statins. In addition, a 2015 study published in the Journal of Ethnopharmacology found that berberine may be beneficial in lowering blood sugar as well as total cholesterol levels. Also, the results of the study showed an increase in the level of beneficial HDL cholesterol.

The usual dosage of berberine is 500 mg once or twice a day.

2. Cinnamon

Cinnamon is a common culinary spice used throughout the world and probably one of the most popular spices. Over the past decade, there has been a resurgence of interest in cinnamon and its ability to regulate blood sugar and possibly even lower cholesterol.

According to a 2013 study, “Cinnamon consumption is associated with statistically significant reductions in fasting plasma glucose, total cholesterol, LDL (bad cholesterol) and triglycerides, and an increase in HDL (good cholesterol). However, no significant effect on hemoglobin A1C was found.”

In addition, a 2019 study in patients with type 2 diabetes found that cinnamon (500 mg twice daily for three months) significantly reduced total and LDL cholesterol levels.

Those who want to improve their metabolism often think about eating cinnamon in food or supplements.

Recommended 500-1000 mg per day.

3. Coenzyme Q10

Coenzyme Q10 (CoQ10) plays an important role in the health of mitochondria, the energy centers of body cells. Because the heart is the most active of all organs, it produces and requires the most CoQ10 to meet its metabolic needs. However, people with heart disease require higher levels of CoQ10.

One 2018 study included eight trials with 267 participants taking CoQ10 and 259 participants taking placebo. All participants had signs of coronary heart disease. The results showed a reduction in total cholesterol and an increase in HDL in those who took CoQ10.

Similarly, another 2018 study found that people with familial hypercholesterolemia, a condition that results in extremely high cholesterol levels, could benefit from CoQ10 supplementation.

The usual dosage is 50–200 mg per day.

4. Elderberry

Elderberry (Sambucus sp.) is a flowering plant that has been used medicinally throughout the world for hundreds of years.

A 2015 mouse study published in Food & Function found that elderberry can help reduce aortic total cholesterol while increasing HDL cholesterol compared to placebo in mice that consumed it.

A 2014 study published in the International Journal of Food Sciences and Nutrition found similar results. The results showed a 15% reduction in total cholesterol, a 15% reduction in triglycerides, and a 25% reduction in LDL cholesterol. In addition, the results showed an increase in the level of antioxidants in the blood. It is for this reason that many consume elderberry both as a food and as a supplement to improve their overall metabolism.

It is available as syrup, capsules, gummies and lozenges.

5. Flaxseeds

Flaxseeds may play an important role in proper nutrition and help maintain low cholesterol due to their high fiber content, according to one 2016 study. A 2018 study provided evidence that flax seeds can lower cholesterol levels. The recommended dose is 2-3 tablespoons per day. For better absorption and health benefits, flax seeds should be ground first.

6. Garlic

Garlic originated in Asia and northeastern Iran. Garlic is one of the most consumed herbs in the world and has many health benefits. It is not only a natural antibiotic that lowers blood pressure, but also helps lower cholesterol levels.

Garlic can be eaten or supplemented. A 2016 study found that garlic supplements could help lower cholesterol levels in test subjects. In addition, a 2018 study found that garlic can also lower total cholesterol and HDL cholesterol, although it does not affect HDL and triglyceride levels. Feel free to add garlic in any form to your diet.

7. Green tea

Green tea is one of the world’s most popular beverages, second only to water and coffee in terms of consumption. It is believed to have anti-inflammatory effects, help with obesity, and may also be an effective cholesterol-lowering agent. The main bioactive component of green tea is catechin, also known as epigallocatechin-3-gallate (EGCG).

A 2016 study showed that green tea extract lowered total and LDL cholesterol levels compared to placebo in those who consumed it for 12 weeks.

Similarly, a 2018 double-blind, placebo-controlled study analyzed green tea intake in overweight (BMI > 25) and obese (BMI > 30) women. The results showed that green tea lowered LDL cholesterol levels in the subjects by almost 5%.

Green tea is available as a tea or supplement.

8. Krill oil

Krill is a small red lobster-like creature found in the Atlantic Ocean. Krill oil is an essential fatty acid that is extracted from crustaceans. It contains the same omega-3 fatty acids as omega-3 fish oil, and for this reason many people choose it as an alternative. The fatty acids found in krill are docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA).

A 2004 study in Alternative Medicine Review showed that consumption of krill oil lowered total blood cholesterol levels. In addition, a 2013 animal model study also showed a reduction in total cholesterol levels. Oddly enough, fish oil does not give similar results.

9. Niacin (Vitamin B3)

Niacin, also known as vitamin B3, is involved as a cofactor in over 400 biochemical reactions in the body, primarily aiding metabolism by converting food into energy and repairing DNA, the molecule that contains our unique genetic information.

Without enough niacin in the diet, our bodies would not be able to break down carbohydrates, proteins or fats.

The Mayo Clinic considers niacin to be a safe cholesterol-lowering and beneficial HDL-cholesterol option for those who cannot take statins such as atorvastatin (Lipitor) or simvastatin (simvastatin). However, there is not enough evidence that niacin lowers total cholesterol or LDL cholesterol.

‌‌10. Red fermented rice

Red fermented rice has been used for almost 2300 years. In China, where this rice comes from, it has been used as a food coloring and medicinal plant. Around 800 AD in China, it was taken orally to “invigorate the body, aid digestion, and revitalize the blood.”

A 2014 study analyzing results from 13 other studies with a total of 809 patients found that red fermented rice lowered total cholesterol, LDL (bad) cholesterol and triglycerides. However, eating rice did not increase HDL (good) cholesterol levels.

Similar results were obtained in a 2015 study, which led the scientists to state that “red fermented rice may be a safe and effective treatment for dyslipidemia (high cholesterol) and reduce cardiovascular risk in patients with statin intolerance. ” In other words, red fermented rice can not only lower cholesterol levels, but also reduce the risk of heart attacks in patients who cannot tolerate cholesterol-lowering statins.

11. Plant sterols

Phytosterols, also called plant sterols or stanols, are plant-made chemicals that are structurally similar to cholesterol. Oddly enough, when eaten, they help lower cholesterol levels in the body by blocking the absorption of cholesterol from food in the intestines. Phytosterols do not affect the cholesterol produced by the body.

A 2008 study showed that plant sterols can lower LDL cholesterol levels by 5-15%. Other studies have shown similar results, including Experiment 1999 who showed a 10% reduction in total cholesterol and a 13% reduction in LDL cholesterol.

12. Spirulina

Many consider spirulina to be a superfood. It is a blue-green algae that is easily absorbed by the body. It can be taken as tablets or powders. Spirulina belongs to cyanobacteria, in particular, Arthrospira platensis.

A 2014 study found that one gram of spirulina taken daily can lower total cholesterol levels by 16% when taken for 12 weeks. It also lowers triglycerides and LDL (bad) cholesterol. In addition, a 2015 study confirmed the benefits of spirulina in lowering cholesterol levels. Spirulina can be taken in addition to prescription cholesterol-lowering medications.

Sources:

1. 80% of cholesterol is made in the liver, accessed October 31st, 2017. https://www.health.harvard.edu/heart-health/how-its-made-cholesterol-production -in-your-body
2. Weil, Andrew, Natural Health, Natural Medicine.
3. Kong W, Wei J, Abidi P, Lin M, Inaba S, Li C, Wang Y, Wang Z, Si S, Pan H, Wang S, Wu J, Wang Y, Li Z, Liu J, Jiang JD. Berberine is a novel cholesterol-lowering drug working through a unique mechanism distinct from statins. Nat Med. 2004 Dec;10(12):1344-51.
4. J Ethnopharmacol. 2015 Feb 23;161:69-81. doi: 10.1016/j.jep.2014.09.049. Epub 2014 Dec 10.
5. Allen RW, Schwartzman E, Baker WL, Coleman CI, Phung OJ. Cinnamon use in type 2 diabetes: an updated systematic review and meta-analysis. Ann Fam Med. 2013;11(5):452-9.
6. Zare R, Nadjarzadeh A, Zarshenas MM, Shams M, Heydari M. Efficacy of cinnamon in patients with type II diabetes mellitus: A randomized controlled clinical trial. Clinic Nutr. 2019 Apr;38(2):549-556.
7. Jorat MV, Tabrizi R, Mirhosseini N, et al. The effects of coenzyme Q10 supplementation on lipid profiles among patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials. Lipids Health Dis. 2018;17(1):230. Published 2018 Oct 9.
8. Food Funct. 2015 Apr;6(4):1278-87.
9. Int J Food Sci Nutr. 2014 Sep;65(6):740-4. doi: 10.3109/09637486.2014.898256. Epub 2014 Mar 13.
10. Surampudi P, Enkhmaa B, Anuurad E, Berglund L. Lipid Lowering with Soluble Dietary Fiber. Curr Atheroscler Rep. 2016 Dec;18(12):75.
11. Parikh M, Netticadan T, Pierce GN. Flaxseed: its bioactive components and their cardiovascular benefits. Am J Physiol Heart Circ Physiol. 2018 Feb 1;314(2):h246-h259.
12. Ried K. Garlic Lowers Blood Pressure in Hypertensive Individuals, Regulates Serum Cholesterol, and Stimulates Immunity: An Updated Meta-analysis and Review. J Nutr. 2016 Feb;146(2):389S-396S.
13. Sun YE, Wang W, Qin J. Anti-hyperlipidemia of garlic by reducing the level of total cholesterol and low-density lipoprotein: A meta-analysis. Medicine (Baltimore). May 2018;97(18):e0255.
14. Molecules. 2016 Sep 29;21(10). pii: E1305. Green tea anti-obesity effects
15. Chen IJ, Liu CY, Chiu JP, Hsu CH. Therapeutic effect of high-dose green tea extract on weight reduction: A randomized, double-blind, placebo-controlled clinical trial. Clinic Nutr. 2016 Jun;35(3):592-9.
16. Huang LH, Liu CY, Wang LY, Huang CJ, Hsu CH. Effects of green tea extract on overweight and obese women with high levels of low density-lipoprotein-cholesterol (LDL-C): a randomised, double-blind, and cross-over placebo-controlled clinical trial. BMC Complement Altern Med. 2018 Nov 6;18(1):294.
17. Altern Med Rev 2004;9(4):420-428
18. Li, D.-M., Zhou, D.-Y., Zhu, B.-W., Chi, Y.-L. , Sun, L.-M., Dong, X.-P., Qin, L., Qiao, W.-Z. and Murata, Y. (2013), Effects of krill oil intake on plasma cholesterol and glucose levels in rats fed a high-cholesterol diet. J.Sci. Food Agric., 93: 2669–2675.
19. Accessed August 21, 2018 https://www.mayoclinic.org/drugs-supplements-niacin/art-20364984
20. https://en.wikipedia.org/wiki/Red_yeast_rice#cite_ref-4
21. PLOS One. 2014 Jun 4;9(6):e98611. doi: 10.1371/journal.pone.0098611. eCollection 2014.
22. A bumweis SS, Barake R, Jones PJ. Plant sterols/stanols as cholesterol lowering agents: A meta-analysis of randomized controlled trials. Food Nutr Res. 2008;52:10.3402
23. Moghadasian MH, Frohlich JJ. Effects of dietary phytosterols on cholesterol metabolism and atherosclerosis: clinical and experimental evidence. Am J Med. 1999 Dec;107(6):588-94.
24. J Sci Food Agric. 2014 Feb;94(3):432-7. doi: 10.1002/jsfa.6261. Epub 2013 Jul 10.
25. Biomed Res Int. 2015;2015:486120. doi: 10.1155/2015/486120. Epub 2015 Apr 22.

Slimming injections

Mankind has been trying to find the secret to a slim figure for thousands of years, but for many, fast weight loss is very attractive, even for those who just want to lose a few pounds. In addition to specialized diets, numerous slimming procedures, and even weight-loss surgeries, prescription options have emerged in recent decades—often with side effects that range from harmful to dangerous.

Consider fen-phen (fenfluramine-phentermine). It was a popular weight loss drug in the 80s and 90s until it was discontinued due to damaged heart valves. Orlistat, known by the brand names Xenical, has been FDA-controlled for over 20 years – and available over the counter for about a decade – and can cause uncontrolled release of fat from the intestines.
A new treatment option now makes manufacturers and patients alike feel optimistic that science has given us a safer weight loss solution, whether you’re obese or just hoping to shed a few pounds: Scheme Glutide.

Rumored to be the secret to some celebrities’ sudden weight loss, Semaglutide was approved by the FDA in December 2017 under the brand name Ozempic for the treatment of type 2 diabetes. Semaglutide, in a class of drugs called GLP-1 receptor agonists, is a once-a-week subcutaneous injection that stimulates the pancreas to produce more insulin to help control glucose levels. However, “one of the nice side effects we found with this drug was that it allowed people to lose weight,” said Dr. Steven Batash, a board-certified gastroenterologist in Rego Park, New York.

After years of being prescribed over the counter for weight loss, the Food and Drug Administration approved the same drug from the same manufacturer for weight loss under the new name Wegovy. (Note: A summer 2022-approved drug known as Munjaro, or thircepatide, works similarly to but is more effective than semaglutide. It is FDA-approved for diabetes only, but Dr. Batash expects its maker to follow in Ozempic’s footsteps and gain approval. FDA for weight loss. Tircepatide is nowhere near as readily available as semaglutide.)

How Ozempic works for weight loss.

Semaglutide promotes weight loss through two channels. The first is appetite suppression, which is achieved by reducing the rate of gastric emptying. Instead of staying in your stomach for up to an hour, food stays there for about six or seven hours when you take semaglutide. The other is the acceleration of satiety, a process controlled by the brain. “Many people say that when they eat, they reach the saturation point, when a person realizes that his stomach is full, but he is still hungry,” says Dr. Batash. “The stomach is desperately trying to send a satiety signal to the brain, but this feedback mechanism is either delayed or disrupted – and, unfortunately, it is the brain that decides when you are hungry and when you are not.”
This makes semaglutide an effective weight loss agent for almost anyone, whether they have prediabetes, diabetes, or polycystic ovary syndrome (which causes insulin resistance and often weight gain), as well as those who are obese. , overweight or even with a normal BMI and just looking to shed a few pounds. Although the drug gives more significant results when followed by a healthy diet and when taken by overweight patients, studies show that over four months, semaglutide can lead to weight loss of approximately 10% – 20%. “My patients tell me they are not hungry and focused on food all the time,” says Dr. Jesse Chung, a board certified dermatologist in Chicago who specializes in aesthetics, regenerative medicine, and hormone replacement therapy. “They are full after three or four scoops, have no cravings for unhealthy food and do not find satisfaction in eating it. It’s almost magical.”
Houston-based registered dietitian and content creator Dana Omari documents her experience with semaglutide on her platform. Although she has always followed a healthy lifestyle, but in two years of the pandemic, she gained 30 pounds. “As a nutritionist, I know the old-fashioned way to lose weight is very slow—about two to three pounds a month,” she says. Her primary care physician suggested semaglutide as a possible option, and after months of working on her weight, Omari decided to try it and wrote a prescription for Wegovy.

On the first day she was terribly sick and could not eat. “I ate dinner before the shot and ended up throwing up,” she recalls. “After that, I really didn’t have any nausea, unless I ate too fast.” Omari experienced several other common side effects, including constipation early in her treatment. But many other side effects of this medicine can be caused by patients not eating enough during treatment. “You will feel the effects of low blood sugar or get really hungry without feeling hungry,” she explains. “Headache, dizziness, fatigue – what could happen if you felt like you were starving, but without that unpleasant feeling in your stomach.”
Before starting treatment with semaglutide, Omari was already changing her habits and working on weight loss; the medicine acted as an enhancer of her efforts. “I gained weight because I stopped eating and exercising the way I normally do,” she says. I have always been able to maintain my weight because I eat really healthy food.” For those who have never had ideal eating habits, it is best to work with a nutritionist to understand how to eat properly and control portion sizes. Not only will this help you lose more weight, but it will also make you less likely to feel sick due to your medication. “If you overeat semaglutide, you will feel miserable for at least three or four days because the food will just sit in your stomach,” warns Dr. Batash.
You’ll also want to make sure you’re getting all the nutrients you need, which may not be the case if you’re eating much less than you used to. “I switched to a highly digestible multivitamin, I take once a month vitamin D – 50,000 IU – and a good fish oil, and I stay hydrated with plenty of water and electrolytes,” says Omari, pointing out that dehydration slows down weight loss. “Your body needs water to help break down fat into the energy you need. Electrolytes balance hydration in and out of your cells.” To support this process, she began to inject fluid intravenously every few days.

As of early October, about two months into her semaglutide journey, Omari had lost almost 20 pounds, a rate of weight loss that most people would not be able to safely achieve in the same amount of time. (Dr. Chung notes that this is common among patients in her practice, depending on how much weight her patients have to lose.) She also saw many additional benefits: “Every single day I needed a piece of chocolate or wanted a cookie — if I I saw it, I wanted it,” says Omari. “I had my favorite cookie dough in the fridge all the time, and I only baked myself two cookies.” Her trousers fit better and she saw her stomach flatten. Although rapid weight loss can often cause problems, she has not noticed any negative effects on her skin or hair, and other than some occasional nausea, she has only noticed that she feels more tired in the evenings than before.

Possible risks and side effects.

This does not mean that there are no risks associated with taking this medicine, which may be increased in leaner or healthier patients. “I’ve found that my patients who are at risk of prediabetes don’t seem to notice as many side effects,” says Dr. Chung, and Dr. Batash shares this sentiment. Pancreatitis, although rare, is a potential side effect that will immediately stop the course of treatment. You will immediately know if you have this problem – not only will you look bad, but you will also feel severe pain in your stomach after eating, you will have a fever and vomit. Dr. Batash also notes that it should be used with caution in patients with gallstones, which can aggravate the situation.

Studies also show a link between this drug and the development of thyroid cancer. Dr. Batas was quick to point out that this only happened in laboratory tests on mice. “What I usually tell our patients is that if the patient or family has a history of medullary thyroid cancer, we would not advise taking this medication,” he says. It is currently unknown whether taking semaglutide can lead to the formation of thyroid tumors in humans. A recent clinical study on the use of GLP-1 receptor agonists (including semaglutide) and their impact on thyroid health indicates that the drugs do not increase or decrease the risk of thyroid-related disease, but more research is needed to draw a rigorous conclusion.

How much does Ozempic cost?

Despite the risk, it is difficult to deny the benefits of this remedy; in addition to its apparent weight loss goal, semaglutide may help improve patients’ cholesterol levels, says Omari. But for many, there is one serious drawback: the price. Some can get Ozempic or Wegovy health insurance (which is really only possible if you have a medical condition like diabetes or PCOS). Omari was not one of those patients. “I had no idea it would cost almost $2,000 a month out of my pocket,” she says. “I went back to my doctor and told her, ‘This is crazy, I can’t do this.’

That’s when Omari learned about the compound semaglutide. This means that instead of using branded drugs dispensed in auto-injection pens, pharmacists will mix their own solutions for patients. “They take a semaglutide molecule and combine it with something else – usually vitamin B12,” says Dr. Batash. While not all physicians prescribe combination semaglutide—Dr. Batash prefers to use the branded product out of caution—you will find that this method significantly reduces the cost of treatment. Omari pays 129dollars.

In addition to the fact that diabetic patients are not potentially deprived of needed medicines – there is currently a shortage of Ozempic and Vegovi due to increased demand and production problems, which are expected to last until the end of 2022 – the combination semaglutide has the added benefit of individual dosing. “It’s very difficult to change the dose with an auto-injection pen,” which starts at 0.5 milligrams, says Dr. Chung. “If you start with half a milligram, you are simply unhappy – we start with about a quarter of that dose. ” She then increases the patients’ dosage each week until they reach the maximum they can tolerate.

How long do you need to use Ozempic to see results?

Whether your doctor titrates your dose of semaglutide weekly or monthly, this increase is critical to success on the scale. “You should increase the dosage until you reach the maximum dose or the maximum allowable dose,” says Dr. Batash. “Just taking the smallest dose and then deciding if the drug works is not really trying.”
The main question is: should this real attempt last forever? It depends on the circumstances. When semaglutide is not given in combination with other weight loss measures such as endoscopic sleeve gastroplasty, Dr. Batas says so. “In most patients, the lost weight will be restored, while the combination of the procedure with medication for 6-12 months allows you to restore the connection between the brain and the stomach.”

However, as a provider and patient of semaglutide treatment (and someone who has had gestational diabetes and a family history of diabetes), Dr. Chung disagrees. “In my practice, we give you two months to start; I would say 75% are pretty happy after that,” she says. For patients who desire more weight loss, additional treatments are given monthly. However, some of her patients do want to stay on it long term — whether it’s to fight cravings and lose weight, or just feel better on medication. “I take a low dose very often,” adds Dr. Chung. “My blood tests are so much better – my hemoglobin A1C, my cholesterol, other things we look at to determine the level of inflammation in the body.”

Is it safe to use Ozempic for weight loss?

While each patient is different, all of our experts agree that this is a safe medication, especially when prescribed by a doctor who will monitor your progress. Semaglutide can also be life changing. “I saw one person lose over a hundred pounds of weight,” says Dr. Chung, recalling a patient who went from gastric bypass surgery to achieving a normal BMI. This weight includes not only soft subcutaneous fat, but also dangerous visceral fat around the organs, which is more difficult to lose.