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blog : Page 9
Ditching the Disease Management Model
We don’t have a healthcare system. What we have is a disease management system, but disease management is just second rate.
We should be working to make you as healthy as possible. Failing that, our fallback should be treating disease. Unfortunately, most doctors spend virtually all of their time treating disease rather than improving health. But improving health requires active participation by Dr. and patient, while treating disease is often done with the patient in a passive role. Unfortunately, most physicians have focused on treating disease for so long they don’t even know what the optimal laboratory and physiologic ranges are anymore.
When you see your doctor don’t accept normal as the goal. Ask what the optimal range is. If your doctor doesn’t know the difference between optimal and normal, change doctors.
"Normal" is Not Acceptable
When doctors say "normal" patients hear "good". But in medicine, normal has a very specific meaning.
Normal is arbitrarily defined as encompassing 95% of the population. When your doctor says your test was normal, what he is really saying is that you are better off than at least 2.5% of the population on one end of the scale or the other. If your brain, heart, lungs, or bones are better than 3% or 97% of the people, you are equally normal. I don’t know about you, but given a choice, I will choose to be better than 97% rather than 3% every time. When your doctor says your test was normal for your age, it means at least 2% of the old fogies in your age group are worse off than you.
That is not acceptable. Tell your doctor that you won’t accept normal; you want optimal.
How to Grow Thick, Smooth, and Attractive Skin
One unpleasant aspect of normal aging is that we start developing wrinkles and creases on our faces. Botox and fillers have become the fix of choice.
While paralyzing muscles and injecting fillers under the skin covers up the problem, it’s not my favorite approach. I would rather help people grow thicker, more elastic, and more attractive skin. One of my favorite tricks is to have the compounding pharmacy make up a progesterone cream in a vanishing cream base. This can be applied lightly to the areas around the eyes, forehead, or mouth twice a day. The progesterone stimulates the skin to grow thicker and become more
Belly Fat Has Been Shown to Predict ED
By now everyone has seen those TV ads for erectile disorder drugs. And while they are useful for people who need them, an even better idea is not to need them in the first place.
What the ads don’t tell you is that the single best indicator as to whether or not you’re going to need their product is right in front of you, it’s the size of your belly. There is a direct relationship between the size of a man’s abdomen and his risk of needing erectile disorder drugs. Men with firm flat bellies rarely need these medications. Men whose bellies hide their belt buckles need help all too often.
Ladies, if you notice that the man in your life has an ever-expanding waistline, you might gently remind him of what the future may hold If things don’t change. And, give him help and encouragement in his weight loss efforts. The size of a man’s belly is the best predictor of erectile function.
Green Coffee Shown to Enhance Weight Loss
I’m often asked about the best supplements for weight loss. Most of the things I see sold have very little science to back them up. The exception to this rule seems to be green coffee extract.
Several well done peer-reviewed studies show that green coffee extract, in the range of 1100 to 1200 mg per day, does a good job of enhancing weight loss. Those who use an adequate dose of green coffee extract coupled with a reasonable diet and exercise program do a better job of losing weight than those who eat the same diet and do the same exercise without using the extract. There are also some indications that green coffee