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About Tadeusz

INTRODUCTION Welcome to My Website – a place where I use my medical knowledge to help you achieve dynamic health and wellness. MY STORY After graduating from high school I decided to study Medicine at Jagiellonian University Medical College in Krakow, Poland. My passion was […]

Food and drug interactions and their impact on your health

I am going to write about food and drug interactions and their impact on your health. What are food-drug interactions The presence, constitution, and scheduling of food may influence the absorption of multiple of the immunosuppressive medications. Since the avoidance of food consumption at the […]

Unhealthy Food and Exercise

Have you ever wondered what kind of effect, positive or negative, does consumption of unhealthy food and lack of exercise exert on your body? You probably know that eating unhealthy food with lack of exercise is bad for you. Is it possible to exercise daily, avoid eating unhealthy and stay healthy? In one word, yes. What effect does consumption of unhealthy food and exercise have on your body?  The answer to this question you will find in reading this article.  The Centers for Disease Control and Prevention (CDC) and the American College of Sports Medicine (ACSM) recommend that people should engage in thirty minutes or more of moderate-intensity physical exercise on a daily basis.

How to stop eating unhealthy food

Young woman under stress
Young woman under stress

Studies show that when you are under stress you tend to choose unhealthy foods (high in fat and sugar) more than healthy low-fat foods (berries).

What is stress? Stress is a psychological and physiological strain and pressure in the head that disturbs our personal equilibrium. Examples include but are not limited to very tiring work schedule, insomnia, erectile dysfunction, deconditioning, anxiety, depression, anger, divorce, the death of a loved one, financial problems, preparation for an examination, taking care of an elderly family member, emotional distance in a relationship, etc. As you notice, stress is a major reason why you eat unhealthily and therefore, it’s of utmost importance to resolve stressful issues through cognitive behavioral therapy, meditation, psychological therapy, psychiatric evaluation and/or medications in order to remain in personal balance (calm).

Studies advocate that laypeople’s comprehension of healthy eating does typically conform with dietary guidelines, and therefore, health advocacy priorities should focus on psychological and physical restrictions, rather than seeking to augment public’s understanding as a whole.

Recent research has shown that children’s eating habits are strongly affected by properties of both social and physical environment. This means that your children are more likely to eat foods that are easily accessible, easily available, without time restrictions, influenced by ethnic background and parental education. You as a parent are engaged in your children’s eating habits through their conduct, views, and feeding styles. Adolescent eating behavior can be influenced by peer effect, nutrition knowledge, parental dietary patterns and mass media.

Fat baby
Fat baby

Scientific research shows that the inclination in the adolescent population around the world is to augment those dietary factors (low meal frequency, no breakfast, high ingestion of sugar-sweetened drinks) directly related to obesity development. Public health accomplishments, educational intervention guides for parents and regular family meals can serve as excellent examples of healthy eating behaviors.

Why unhealthy food is bad for you

Cheeseburger, French Fries and Coke
Cheeseburger, French Fries and Coke

Eating unhealthy food can cause injury to your liver (fatty liver), diabetes (excess sugar), heart disease (arteriosclerosis of the coronary arteries), peripheral vascular disease (arteriosclerosis of peripheral arteries), obesity (increased risk for heart valve damage, osteoporosis, acne, eczema, fungal infections of the skin, asthma, shortness of breath, decrease in muscle mass, association with polycystic ovary syndrome a common cause of infertility, increased risk of arthritis in weight bearing joints such as hips, knees, ankles and feet, increased risk for falls), hypercholesterolemia (high blood cholesterol), hypertriglyceridemia (high blood triglycerides), heart attack (occlusion of coronary artery or arteries), hypertension (stroke, kidney failure, heart failure), colon cancer (consumption of processed meats), hypothyroidism (if untreated can lead to infertility, heart disease, muscle weakness and osteoporosis), depression (obesity, low self-esteem),

deficiency in nutrients (processed foods are deprived of nutrients), hypernatremia (high blood sodium level), blindness (ophthalmic and retinal artery occlusion), peripheral neuropathy (arteriosclerosis and occlusion of peripheral arteries), memory loss and cognitive dysfunction (arteriosclerosis of cerebral arteries), water retention (consumption of excess sodium), dental caries (tooth decay and cavities from acid in soft drinks), anxiety (fluctuations in blood sugar levels), sodium nitrate and sodium nitrite are added to meats to preserve their color and suppress bacterial proliferation, both of these chemicals can break down to nitrosamines with the potential to cause malignant tumors, polyfluoralkyl phosphate esters are found in fast food packaging to make it grease and waterproof; these chemicals leak to the food while being in contact with the packaging and eventually become absorbed into your circulation; these chemicals have been linked to infertility, thyroid disease and cancers of the liver, pancreas, testicles and mammary glands in rats.

Why energy drinks are bad for you

The most physiologically active component in energy drinks is caffeine. Guarana (contains caffeine, theobromine, theophylline, and tannins) if combined with caffeine can cause caffeine toxicity. These drinks are becoming more and more popular among young adults because of being used in combination (Coffee plus Guarana) with alcohol and therefore, they present significant health risks.

Energy drink
Energy drink

In addition, most energy drinks contain sugar exceeding the maximum recommended daily amount. Additional health issues related to ingestion of energy drinks include medical case reports of seizure activity and cardiac arrest following energy drink ingestion ( usually a combination of coffee, guarana, and alcohol) and dental enamel attrition occurring as the consequence from the acidity of energy drinks.

Can exercise reverse diabetes

Research shows that physical activity may be a promising method to the primary prevention of type 2 diabetes mellitus; risk diminution of type 2 diabetes was apparent among both nonobese and obese women and exercise was associated with decreased risk of cardiovascular disease, cardiac death, and total mortality in men with type 2 diabetes.

There is unquestionable evidence of the efficacy of regular physical exercise in the prevention of heart disease, diabetes, hypertension, cancer, depression, obesity, osteoporosis and premature death. Aerobic physical exercise without remarkable weight loss improves metabolic profile (blood sugar, electrolytes, kidney and liver function tests) and exerts anti-inflammatory effects in individuals with type 2 diabetes.

Can exercise reverse heart disease

Comprehensive lifestyle modification including low-fat vegetarian diet, cessation of smoking, stress reduction training and moderate physical exercise may be able to bring about the regression of severe clogging of coronary arteries after only one year, without the use of hypolipidemic drugs such as Atorvastatin, Simvastatin or Rosuvastatin.

Research shows that aerobic physical exercise training can reverse age-related peripheral arterial vascular changes in older healthy men and improves endothelial function in individuals with coronary artery arteriosclerosis by augmenting phosphorylation of endothelial nitric oxide synthase (an enzyme that produces nitric oxide).

Summary

To stay healthy you need to do the following:

Physical exercise
Physical exercise
  • Thirty minutes or more of daily moderate physical exercise.
  • Resolution of stressful situations.
  • Avoidance of consumption of unhealthy food.
  • Complete lifestyle modification.
  • Cessation of smoking.
  • Treatment of hypertension, diabetes, hypothyroidism, etc.
  • Do not consume energy drinks with coffee and/or alcohol.
  • No illicit drug use.
  • Adequate hydration and rest.
  • Alcohol consumption to the minimum.
  • If you are overweight/obese, gradual weight reduction.

Please leave your comment(s) below, do not hesitate to ask questions and let me know what topics you would like me to write about.

 

 

 

 

 

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Overview of erectile dysfunction

I am going to write about an overview of erectile dysfunction.

Male erectile dysfunction

ED is described as the recurrent or consistent inability to obtain or sustain an erection of sufficient stiffness and duration for sexual intercourse. The occurrence of sexual activity declines with age in both men and women. Sexual issues become more frequent with aging. In men, the most frequent sexual difficulty is ED.

Research suggests a high prevalence of ED in the general population. The overall prevalence of ED was 16% in men with ages ranging from 20 to 75 years. It was 8% in men 20 to 30 years of age and 37% in men 70 to 75 years of age.

An exercise was associated with lower risk of ED, while smoking, obesity, watching TV and alcohol consumption were associated with a higher risk. The main causes of ED, such as diabetes mellitus and hypertension, a number of common lifestyle factors that include obesity, lack of physical exercise and lower urinary tract symptoms have been associated with the development of ED.

ED is a strong predictor of coronary atherosclerosis, and cardiovascular evaluation of a non-cardiac individual presenting with ED is now recommended. The lowest prevalence was observed in men without chronic medical conditions and those who engaged in healthy behaviors. Obese men with ED who engaged in an increased physical activity and weight loss experienced an improvement in ED in about 33% of patients.

The frequency of sexual activity appears to have a direct relation with the occurrence of ED. Men who disclosed sexual intercourse less than once per week developed ED at twice as much as men who disclosed sexual intercourse once per week after adjusting for comorbid conditions and other key risk factors.

Male erectile dysfunction and diabetes

The occurrence of ED in men with diabetes mellitus augments with age. In one study the prevalence augmented from 6% in men 20 to 24 years of age to 52% in those 55 to 59 years of age. Furthermore, the key factors associated with ED, in addition to increasing age, were poor sugar control, long period of diabetes, retinopathy (disease of the retina) and peripheral or autonomic neuropathy.

In an identical study, the severity of male impotence severity was directly correlated with the duration of diabetes, poor sugar control, treatment with diuretics, and presence of small vessel disease or heart disease.

Observational studies advocate that the presence of ED is a predictor of cardiovascular incidents in men with diabetes mellitus, as it is in men without diabetes.

Men with diabetes mellitus who acquire ED experience a notable decrease in quality of life assessments as well as an increment in depressive symptoms. Depression is a well-known contributor to male impotence. A large epidemiological survey disclosed that most men with diabetes mellitus and ED had never been questioned by their doctors about their sexual activity and, therefore, did not receive any treatment.

Male erectile dysfunction and heart disease

Many of the same risk factors are shared between ED and cardiovascular disease. Their pathophysiology is brought about by endothelial dysfunction. Atherosclerosis of the coronary arteries is more significant in individuals with vascular ED. ED predicts the existence and degree of subclinical atherosclerosis not influenced by conventional risk factors for cardiovascular disease and, therefore, ED may be regarded as an extra forewarning sign of coronary atherosclerosis.

Chest pain

Men with ED without an apparent cause, such as injury to the pelvis, and who have no symptoms of coronary artery disease or other microvascular disease should be examined for cardiovascular disease and associated risk factors prior to commencement of therapy for their sexual impotence, since there are possible cardiac risks linked with sexual intercourse in individuals with heart disease.

Other causes of male erectile dysfunction

  • Antidepressant drugs such as SSRIs (selective serotonin reuptake inhibitors)
  • Thiazide diuretics
  • Spironolactone
  • Clonidine, methyldopa or guanethidine
  • Ketoconazole
  • Cimetidine
  • Psychosocial factors such as stress and depression
  • Bicycling (diminution in oxygen pressure in the pudendal arteries)
  • Testosterone deficiency, hyperprolactinemia, hyperthyroidism, hypothyroidism
  • Stroke, multiple sclerosis, pelvic injury, prostate surgery

Male erectile dysfunction and treatment

Oral phosphodiesterase type 5 inhibitors such as Sildenafil, Tadalafil, Vardenafil, and Avanafil are the preferred drugs of use because of their efficacy and tolerable side effects. The reasoning for the use of these drugs is associated with vasodilation, induced by nitrous oxide, which is brought about by GMP (cyclic guanosine monophosphate) in commencing and sustaining an erection. Detumescence is linked with the breakdown of cyclic GMP by the phosphodiesterase type 5 enzyme (PDE5).

Oral phosphodiesterase type 5 inhibitors (PDE5) exert their function by augmenting intracavernosal cyclic GMP by competitively suppressing the PDE5 enzyme and, as a consequence, augment the number and duration of erections in men with ED. PDE5 inhibitors will not work without adequate ambiance and psychological signs that result in satisfactory sexual arousal and excitement to start the physiological changes in the penis.

Erectile function can be calculated objectively by using the International Index of Erectile Function (IIEF), the frequently used authenticated instrument to measure male sexual performance in clinical ED studies. A short form of the IIEF (IIEF -5) is a quick and effortlessly administered effective diagnostic tool in a clinical office setting. In the clinical testing environment, an increase of greater than or equal to 4 on the erectile function area of the IIEF is assessed as a minimally clinically important difference (MCID).

A salient characteristic in the success of PDE5 inhibitor treatment is instruction and guidance on appropriate use, including the duration of time it takes for the drug to take effect from the time of administration and taking the medication in a fasting state.

Sildenafil possesses the most lengthy safety record of the four PDE5 inhibitors. Use of nitrates is contraindicated with any of the available PDE-5 inhibitors. The duration of action of sildenafil, vardenafil, and avanafil is approximately 4 to 5 hours, whereas tadalafil is efficacious for about 36 hours after oral ingestion. Daily administration of low dose tadalafil eradicates the anxiety about onset and duration of action.

Viagra

Sildenafil and vardenafil must be administered on an empty stomach (meals high in fat and alcohol delay absorption). Tadalafil, avanafil or vardenafil can be taken with food.

In one study of sildenafil and tadalafil, 66.3% of men preferred tadalafil and 33.7% for sildenafil as a treatment for their ED.

 

Please leave your comment(s) below, do not hesitate to ask questions and let me know what topics you would like me to write about.

 

 

 

 

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Benefits of Healthy Eating and Exercise

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Why Take Calcium Supplements

I am going to write about why take calcium supplements.

What’s so special about calcium?

You know that calcium is predominantly found in your bones and teeth. During your teenage years (from the onset of puberty to the second decade of life) the demand for calcium is markedly increased because of the rapid change in growth and body composition that takes place. The deposition of the total bone mineral between the age of 8 and 18 years is about 146 grams per year, with the greatest accumulation occurring during puberty.

Appropriate calcium intake is necessary in order to maximize peak bone density and to reduce the chance of fractures in teens and the development of osteoporosis in adults.

About 50% of total body calcium is deposited in our bones during puberty in females and 50% to 66% in males. At the end of puberty, males have almost 30% more of total body calcium than females.

Adequate dietary intake of calcium and weight-bearing physical activity during teen years help to significantly augment peak bone density.

Recommended dietary allowance (RDA)

The recommended dietary allowance for calcium is 1300mg for boys and girls 9 to 18 years of age. This recommended dietary allowance was set by the Food and Nutrition Board of the National Academy of Sciences which determined that the maximum positive calcium balance is attained at intakes between 1200mg and 1500mg per day based on the results of calcium balance studies. This guideline is set to meet the requirements of 95% of healthy children.

Exceedingly low calcium intake, such as less than approximately 600mg per day, might pose more major risks of insufficient mineralization.

You need to know that it’s important to teach families to be aware that the calcium content on food labels usually is expressed as a percentage of the “Daily Value” in each serving and this daily value was set at 1000mg per day. Because and ONLY the percent daily value and NOT total calcium intake is on the food label, it’s important to teach families about the daily value and how to understand it.

Children who adhere to strict vegetarian diets frequently have very low calcium intakes if they stay away from milk and dairy products. Calcium bioavailability from vegetables is generally high. Spinach is an exception which is high in oxalate making the calcium practically non-bioavailable.

Many calcium-fortified foods are available including soy cheese, soy yogurt, soy milk, calcium-enriched tofu, calcium-enriched cereals, and juices.

Consumption of dietary calcium and risk of calcium stones

Although augmented dietary calcium consumption may raise the concern of calcium stone risk, the opposite effect is noted, as the occurrence of stone development appears to be diminished in both men and women. Binding of dietary oxalate in the gastrointestinal tract, leading to diminution of oxalate absorption and excretion, may be responsible for this event.

Bone health

Studies reveal that weight-bearing physical exercise produces a remarkable benefit to skeletal growth. In one study important elements in accomplishing peak bone density were non-smoking status, maintenance of normal weight and physical exercise.

An excess of physical activity may interrupt menstruation and have a damaging effect on bone.

Consumption of carbonated beverages, especially colas, may lead to an increase in the risk of fractures among physically active children. The physiologic explanation for this is not clear although it may be more related to very low mineral content rather than an authentic effect of any colas.

Consumption of caffeine is associated with an increased renal excretion of calcium by the kidneys.

In studies of postmenopausal women, loss of bone mineral mass was associated with low calcium ingestion (<800mg per day), high caffeine intake (>300 to 450mg per day, about 2 to 3 cups of brewed coffee per day) and genetic predisposition.

Excessive weight loss and anorexia nervosa (a disorder characterized by severe caloric restriction despite extremely low body weight typically affecting young women) are associated with reduced bone density.

Calcium homeostasis

It is a role of dietary calcium intake, intestinal calcium absorption, skeletal formation and urinary excretion. During adolescence, augmented absorption and reduced excretion of calcium may partly, but not completely, compensate for low dietary consumption. The increase in calcium absorption during teenage years is thought to be caused by vitamin d3, also known as 1,25 dihydroxy vitamin D, the most active form of vitamin D. Vitamin D enrichment of calcium-containing foods stimulates intestinal absorption of calcium, whereas naturally existing oxalate and phytates (grains, beans, nuts, potatoes) diminish it.

The chief function of renal excretion of calcium is the maintenance of overall calcium balance, not serum calcium concentration, which is controlled by changes in bone resorption through the effects of parathyroid hormone and vitamin D.

Even though only a small amount of the total calcium and phosphate is located in the plasma, the serum concentrations of ionized calcium and inorganic phosphate are controlled predominantly by parathyroid hormone and vitamin D, both of which have an effect on intestinal absorption, bone formation and resorption and urinary excretion.

Summary

  • For children 9 to 18 years of age, RDA for calcium is 1300mg of calcium per day, ideally provided by calcium-rich or calcium enriched foods such as milk, Chinese cabbage flower leaves, Chinese mustard greens, yogurt, tofu with calcium, bok choy, cheddar cheese and cheese food. Care must be taken to make certain that diets with very low calcium intakes, such as less than 600mg per day are avoided.
  • Calcium supplements may be considered for children and teens who have very low intakes of dietary calcium. It is generally preferable to accomplish intake of calcium through diet, including calcium-fortified foods, because foods deliver multiple vitamins and minerals that are important for bone health including vitamin d3, magnesium, phosphorous and vitamin K2.
  • Consumption of adequate amount of vitamin D to enhance intestinal absorption of calcium is important.
  • Regular weight-bearing physical activity is recommended with the caveat that girls post-menarche (first occurrence of menstrual period) avoid excessive physical activity that may lead to amenorrhea (absence of menstrual period).
  • Avoid excessive consumption of cola drinks or non-calcium fortified sweetened drinks.
  • Don’t smoke cigarettes.

Please leave your comment(s) below, do not hesitate to ask questions and let me know what topics you would like me to write about.

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How to Lose Weight and Not Feel Hungry

  How is it possible to lose weight and not feel hungry? Adequate hydration is necessary to diminish the hungry feeling you get from eating small portions of food. Your hunger will not be suppressed but it will be within a range of tolerance. Dehydration, […]


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How is it possible to lose weight and not feel hungry?


Adequate hydration is necessary to diminish the hungry feeling you get from eating small portions of food. Your hunger will not be suppressed but it will be within a range of tolerance. Dehydration, on the other hand, stimulates your appetite more than thirst and, therefore, you are more likely to eat than drink.

If you eat foods rich in water content make certain that you always remain well hydrated.  Your feeling of hunger should be fairly well tolerated.

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