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Can Medication Make Skin More Sensitive to the Sun?

From barbeques and picnics to water sports and hiking, we are all enjoying more outdoor activities on these long summer days. However, all this time in the summer sun can cause some problems for our skin. Sometimes it seems that no matter how careful we may be, we still end up with a dreaded sunburn. Did you know that taking some medications can make your skin more sensitive to the sun?

 

How do drugs make your skin more likely to sunburn?

Drug induced photosensitivity is an adverse reaction caused by exposure to the sun while taking some medications. The most common type of this reaction occurs when drug present in the body encounters ultraviolet (UV) rays absorbed by the skin. This causes in a chemical reaction that results in cellular damage. While severity varies from person to person, the symptoms are generally a rash like sunburn with burning, stinging, or itching on parts of the body exposed to sunlight. The primary focus when managing these reactions is prevention by educating patients about their medications and sun safety. However, if you believe you may be experiencing one of these reactions, you should speak with a healthcare provider about the appropriate course of treatment.

 

Medications that may cause sun sensitivity

The first step to preventing these drug reactions is to see if any of the medications you are taking may cause your skin to be more sensitive to the sun. Speak with your doctor or pharmacist about all the prescription and over the counter medications you are currently using. They will be able to help you identify any drugs that may cause issues with exposure to sunlight. Here are 3 common types of medications with reports of sun sensitivity reactions:

  • Antibiotics—Some types of antibiotics used to treat infection may make your skin more sensitive to the sun. Examples include ciprofloxacin, doxycycline, and sulfamethoxazole
  • Anti-Inflammatory medications—Nonsteroidal anti-inflammatory drugs available both over the counter and by prescription for the treatment of mild pain could result in sun sensitivity reactions. Examples include naproxen and piroxicam
  • Diuretics—Medications used commonly in the treatment of high blood pressure or to prevent fluid retention have been linked with reactions to sunlight. Examples include furosemide and hydrochlorothiazide

 

Sun protection tips

Anyone planning on spending time out in the sun should practice sun safety, but especially when trying to avoid sun sensitivity reactions with medications. Here are a few ways to help protect your skin:

  • Limit sun exposure –Seek shade when it is available to limit time in direct sunlight. Also, try to avoid outdoor activity during peak sunlight hours of 10AM to 4PM if possible.
  • Wear protective clothing—Covering your skin with clothing like long sleeved shirts, wide brimmed hats, and sunglasses may help protect your skin and eyes from the harmful effects of UV rays. Some fabrics and lenses are even designed with UV protection.
  • Apply and reapply sunscreen—When choosing a sunscreen, be sure to read the labels. Look for a broad-spectrum sunscreen with a sun protection factor (SPF) of at least 30. Also, remember to reapply frequently. Even sunscreens that claim to be resistant to water suggest reapplication every 40 to 80 minutes. The appropriate application information should be available on the products labeling.

The American Cancer Society suggests combining as many of these strategies as possible when out in the sunlight. Using the appropriate defenses ensures everyone is safe and has still has fun in the sun.

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Supporting Immunity During a Pandemic

During my university coursework in epidemiology and emergency management for viral outbreaks, I never thought I would actually live to see a pandemic. With modern medicine and technology advancement, many of us feel that living through a pandemic today would be similar to seeing a horse and carriage on the freeway between cars, but the spread of COVID-19 changed that. However, one of the world’s largest pandemics was only 100 years ago. In 1918 the Spanish Flu (more accurately the 1918 H1N1 flu) killed around 50 million people and lowered the average life expectancy just in the United States alone by at least 12 years.1

Thankfully, the coronavirus has been nowhere near as deadly as the Spanish Flu, but that doesn’t mean you shouldn’t take a pandemic seriously.2 It’s important to remember that any virus has the potential to be dangerous and unlike bacterial infections, treating a virus is tricky and often impossible even with advanced medicine. Viruses invade healthy cells and have the ability to take control of the cell’s function, using them to multiply their viral agenda.3 After a virus invades a cell, it’s up to your immune system to take control and initiate an internal battle.

The human immune system is complicated, but incredible. Comprised of multiple types of unique cells like B cells, T cells, and natural killer cells, the immune system includes the skin, bone marrow, bloodstream, lymphatic system, thymus, spleen, and mucosal tissue.4 While scientists work restlessly to continue to decode the immune system, there are practical ways you can support your immune health on your own.

It is important to remember that the immune system is, well, a system. It’s easy to get caught up in the “boost your immune system” hype, but much like a car with hundreds of parts, it’s difficult to simply “improve your car function” without taking the small details into consideration. Not one single action is going to gift you with a stellar immune system, but focusing on healthy habits can give your immune system the basics it needs to operate correctly.5

 

Follow sleep guidelines

According to the Centers for Disease Control and Prevention (CDC) there is now scientific evidence that sleep plays a role in immune function.6 Research shows that limited sleep (sleeping only 4 hours per night) can reduce natural killer cell activity when compared to individuals who sleep more. In one study, restricted sleep supported the creation of inflammatory proteins. Most interestingly, the CDC states, “Sleep loss is also related to a higher risk for infection. Restricting sleep to 4 hours per night for 6 days, followed by sleep for 12 hours per night for 7 days, resulted in a greater than 50% decrease in production of antibodies to influenza vaccination, in comparison with subjects who had regular sleep hours…”.6 How many hours of sleep should you get per night? Aim for at least 7 hours.7

 

Increase your fruit and vegetable intake

A healthy diet is one of the best ways you can support your overall health, including immune function. According to Harvard Health, “Each stage of the body’s immune response relies on the presence of many micronutrients. Examples of nutrients that have been identified as critical for the growth and function of immune cells include vitamin C, vitamin D, zinc, selenium, iron, and protein (including the amino acid glutamine).”8

When we consume highly processed foods and fail to meet our daily fruit and vegetable intake, we rob our body of a variety of vitamins, minerals, and antioxidants. In addition, diets high in refined sugar, red meat, and low in fruits and vegetables may disrupt a healthy gut environment and could potentially decrease proper immune function.8 Focus on supporting your gut health by consuming high-fiber foods with a wide variety of plants such as fresh fruits, vegetables, and whole grains. Don’t forget to include live bacteria foods such as yogurt, kefir, and fermented vegetables. If you aren’t meeting basic vitamin and mineral needs, you can also take a high quality and bioavailable multivitamin to fill nutrient gaps.5

 

Reduce stress triggers

Stress can be healthy in small doses. Stress is a good response to a dire situation such as the need to run from an immediate threat. However, chronic stress to daily triggers over long periods of time can wreak havoc on the body, even for your immune system. Immunologist Dr. Leonard Calabrese points out that long bouts of increased cortisol from stress can “open the door” for inflammation and even decrease fighting lymphocytes that are vital to battling viruses.9 If you find yourself feeling tired or easily overwhelmed, it may be time to consider how you can remove stressful triggers from your life or find new ways to cope, such as practicing meditation, exercising, or getting a little extra sleep. Stress can be especially high during times of uncertainty, a feeling many of us are experiencing currently. Don’t forget to focus on your mental health; your immune system can’t operate at full capacity with a bogged down system.

American virologist Jonas Salk once said, “The mind, in addition to medicine, has powers to turn the immune system around.” While we rely on modern medicine to treat us when we do get sick, it is equally important to remember that your lifestyle choices and habits do make a difference. Keep your mind and body healthy to give your immune system the space it needs to operate at full capacity.

References:

  1. Jordan D, Tumpey T, Jester, B. The Deadliest Flu: The Complete Story of the Discovery and Reconstruction of the 1918 Pandemic Virus. Centers for Disease Control and Prevention. https://www.cdc.gov/flu/pandemic-resources/reconstruction-1918-virus.html. Reviewed December 17, 2019. Accessed July 21, 2020.
  2. WHO Coronavirus Disease (COVID-19) Dashboard. World Health Organization. https://covid19.who.int/?gclid=Cj0KCQjwpNr4BRDYARIsAADIx9y67jtAdueqMi9By5iPN7XPCKEeFbm1EFz7pmIigKdAmYQ7ARYqsjsaAhUnEALw_wcB. Updated July 21, 2020. Accessed July 21, 2020.
  3. Viral Infections. National Institutes of Health. https://medlineplus.gov/viralinfections.html. Accessed July 21, 2020.
  4. Overview of the Immune System. National Institutes of Health. https://www.niaid.nih.gov/research/immune-system-overview. Reviewed December 30, 2013. Accessed July 21, 2020.
  5. How to boost your immune system. Harvard Health. https://www.health.harvard.edu/staying-healthy/how-to-boost-your-immune-system. Published September 2014. Accessed July 21, 2020.
  6. Sleep and the Immune System. Centers for Disease Control and Prevention. https://www.cdc.gov/niosh/work-hour-training-for-nurses/longhours/mod2/05.html. Reviewed March 31, 2020. Accessed July 21, 2020.
  7. Do You Get Enough Sleep? Centers for Disease Control and Prevention. https://www.cdc.gov/chronicdisease/resources/infographic/sleep.htm. Reviewed February 26, 2020. Accessed July 21, 2020.
  8. What Happens When Your Immune System Gets Stressed Out? Cleveland Clinic. https://health.clevelandclinic.org/what-happens-when-your-immune-system-gets-stressed-out/. Published March 1, 2017. Accessed July 21, 2020.
  9. Nutrition and Immunity. Harvard T.H. Chan School of Public Health. https://www.hsph.harvard.edu/nutritionsource/nutrition-and-immunity/#:~:text=A%20high%2Dfiber%20plant%2Drich,to%20stimulate%20immune%20cell%20activity. Accessed July 21, 2020.
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Playing sports and exercising in a new world

Whether you’re returning to the gym or the playing field, you need to continue to be cautious while exercising in a new world of social distancing and sanitization. As the head physician for two professional sports teams, the notion of “playing it safe” is taking on an entirely different meaning this year and there are several ways to practice, play, and compete while protecting your immune system.

 

The return to sports timeline will vary from state to state and county to county, but as you and your family contemplate returning to sports or organized exercise programs, keep these tips in mind.

 

  1. Sharing isn’t caring

This may be the only time you tell your family that sharing isn’t caring when it comes to sharing equipment like helmets, face masks, lacrosse or hockey sticks, or other equipment that can be passed from one athlete to another. This is especially true for water bottles.

 

  1. Clean, clean, clean yourself and the equipment

The Centers for Disease Control and Prevention (CDC) recommendations for keeping yourself germ free during this time—like washing your hands and taking your temperature before going to work—translate to the gym and field too. If you have a temperature over 99.5 don’t go to practice or the gym. Be sure to wipe down equipment before and after use with an alcohol-based cleanser. Masks are recommended indoors and should be considered outdoors, especially for higher risk athletes with asthma, diabetes, or other health conditions.

 

  1. Alter your schedule

Consider going to the gym or hitting the court at non-peak hours. Another tip I’m sharing with my athletes is to shower at home as much as possible to avoid shared locker rooms and restrooms.

 

  1. Eat nutritiously 

    Continue to eat fresh fruits and vegetables daily as they are packed with essential vitamins and are a good sources of hydration. Vitamin D is important, especially if you are training indoors, as well as other immune-supporting nutrients like zinc, vitamin C, garlic (yes, garlic!), curcumin and selenium. Read more about nutrition for immunity in Persona’s Medical Advisory Board Immunity Guide.

 

  1. Hydrate

Hydration is key especially during warm weather and mask wearing as many people may forego drinking while wearing a mask. Heat exhaustion is going to be more prevalent in athletes wearing masks, so be cognizant to stay on top of hydration.

 

You don’t need to forego exercising or playing a sport you love—you need to be smarter about it now. In fact, research shows that you can support your immunity by finding just the right balance of exercise—the key is not to overdo it as over-exercise can make you more vulnerable to most viral illnesses (1). Play it safe by protecting yourself and your teammates or gym mates in this new world.

References:

  1. Martin SA, Pence BD, Woods JA. Exercise and respiratory tract viral infections. Exerc Sport Sci Rev. 2009 Oct;37(4):157-64.
  2. https://www.acc.org/latest-in-cardiology/articles/2020/05/13/12/53/exercise-and-athletics-in-the-covid-19-pandemic-era
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Carbohydrates: Are they the enemy?

“I can’t eat carbs at night”, “Fruit has too many carbs”, “Carbs make you gain weight” these are just a few of the many myths associated with carbohydrates. The negative perception of carbohydrates is abundant, but the truth is carbohydrates are the main source of fuel for the human body.

 

What exactly are carbohydrates?

Carbohydrates are the naturally occurring sugar, starches, and fiber found in grains, fruits, vegetables, and dairy. Once consumed, carbohydrates are digested and broken down into glucose to supply energy to all cells in the body. When the body has enough energy from glucose to function, it is stored as glycogen in the muscle or liver for energy during periods when you are not eating.

 

Carbohydrates are essential components of the diet because some cells like red blood cells only produce energy from glucose.1 Additionally, the brain relies on glucose to produce energy and function.1 Without carbohydrates, the cells of the body may not get the energy it needs to perform to the best of its ability!

 

Are all carbohydrates created equal?

Carbohydrates are classified as simple and complex. Simple carbohydrates are broken down quickly by the body, hence the name “simple”. Simple carbohydrates are found in refined sugars such as white or table sugar.2 Complex carbohydrates are digested more slowly sending a steady stream of glucose into the body rather than a rush of glucose like simple carbohydrates.2 Complex carbohydrates are found in starchy vegetables and whole grains like bread, cereals, rice, and pasta.

 

Does this mean you should avoid simple carbohydrates? Does it mean they bad for you? No. And no. There is no such thing as “good” or “bad” food. Certain foods do contain more nutrients than others thus making them a more nutritious food source. However, this doesn’t mean you should automatically demonize the less nutritious food source.

 

All carbohydrates can fit into a well-balanced diet. For instance, fruit is technically classified as a simple carbohydrate, yet it is one of the most nutritious food sources. Fruits are rich in essential vitamins, minerals, and antioxidants which help protect our cells from damage.3 Dairy is another nutritious yet simple carbohydrate. Dairy is rich in calcium and vitamin D which is important in building and maintaining our bones.4

 

Complex carbohydrates like whole grains are rich in fiber which is important for bowel function and may help to lower the risk of heart disease.5 Fiber also helps to keep you full longer which may help with weight management.5 Whole grains are also rich in B vitamins which play a role in the release of energy from protein, fat, and carbohydrates.5

 

The takeaway 

Carbohydrates are essential nutrients that provide you with the energy needed to perform your daily functions. Roughly half of your daily caloric can and should be met with carbohydrates. While there is no such thing as bad or good foods there are more nutrient-dense options. Aim to consume more whole grains, fresh and vegetables throughout the day. This will help to provide your body with the energy it needs to thrive!

References:

  1. Mahan, L. K., Escott-Stump, S. L., Raymond, J. K., & Mendelson, M. undefined. (2012). Krauses food & the nutrition care process (13th ed.). St. Louis, MO: Elsevier.
  2. Carbohydrates. www.heart.org. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/carbohydrates. Accessed July 14, 2020.
  3. Baby B, Antony P, Vijayan R. Antioxidant and anticancer properties of berries. Crit Rev Food Sci Nutr. 2018;58(15):2491-2507. doi:10.1080/10408398.2017.1329198
  4. Nutrients and health benefits. ChooseMyPlate. https://www.choosemyplate.gov/eathealthy/grains/grains-nutrients-health. Accessed July 14, 2020.
  5. Nutrients and health benefits. ChooseMyPlate. https://www.choosemyplate.gov/eathealthy/dairy/dairy-nutrients-health. Accessed July 14, 2020.
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Skin Probiotic: Beauty From Beneath

They say beauty starts from the inside. With our new skin probiotic, it just became a little bit easier. Skin is our biggest organ and does the most work for our body. It creates a protective barrier from environmental factors, regulates temperature and electrolytes, alerts us to pain and pressure, and even assists in some vitamin production.

Through research and peer-reviewed studies, we have a formulated nutrient-packed probiotic to keep you looking and feeling healthy.

Let’s break down this amazing formula by the powerful ingredients packed inside and how each will help you to glow from the inside out.

 

Vitamin A

Is essential for skin, eyes, and reproductive health but you may not always get enough from the foods you eat. It encourages healthy skin cell growth potential, protects against UV damage, and can even help fight some kinds of acne. When you do not have enough vitamin A in your system there would be visible tells with wrinkles, damage, and acne (7,9).

 

Astaxanthin

Is an amazing antioxidant which means that it can lower oxidative stress from environmental factors. It has also been linked with increased blood flow to help keep skin hydrated, happy, and plump. If you are a smoker or live with one, work or often play out of doors, or have a little extra weight, antioxidants are essential for healthy glowing skin (5, 8, 10).

 

Lycopene

Is a fantastic inflammation-fighting carotenoid. This helps with skins defense to environmental stressors. Normal aging processes like oxidative stress can really show by prematurely aging your skin. Natural occurring lycopene levels in your body’s tissue have been shown to replenish quickly with supplementation. Not just skin benefits but also a boost to brain, vision, relieve inflammatory-related pain, and even supports bones (5, 11, 12).

Lactobacillus johnsonii (La-1) & Lactobacillus paracasei (St-11)

These strains have research showing impact on moisture retention on a cellular level. They also have an essential role in skin and scalp homeostasis by maintaining skin barriers, reducing flaky skin appearance via hydration, decrease skin sensitivity, and reactivity. They are the little helper that keeps the good in and deflect what isn’t maintaining healthy hydrated skin from the inside out (1, 2, 3, 4, 5, 6).

 

With sunny days coming and exposure to the sun, environment, and even internal stressors you can help to protect your skin. With skin antioxidants you can keep your largest organ, skin, looking youthful and healthy for year-round. With our Skin Probiotic, your skin will stay hydrated and protected with the wonderful blend of antioxidants, vitamins, nutrients, and specific probiotics. So put up the barrier for your skin from the inside out, and add the skin probiotic to your packs or ask for more information from our Persona nutritionists today.

References:

  1. Gueniche A, Philippe D, Bastien P, et al. Randomised double-blind placebo-controlled study of the effect of Lactobacillus paracasei NCC 2461 on skin reactivity. Benef Microbes. 2014;5(2):137-45.
  2. Reygagne P, Bastien P, Couavoux MP, et al. The positive benefit of Lactobacillus paracasei NCC2461 ST11 in healthy volunteers with moderate to severe dandruff. Benef Microbes. 2017;8(5):671-680.
  3. Guéniche A, Philippe D, Bastien P, Blum S, Buyukpamukcu E, Castiel-higounenc I. Probiotics for photoprotection. Dermatoendocrinol. 2009;1(5):275-9.
  4. Benyacoub J, Bosco N, Blanchard C, et al. Immune modulation property of Lactobacillus paracasei NCC2461 (ST11) strain and impact on skin defences. Benef Microbes. 2014;5(2):129-36.
  5. Bouilly-gauthier D, Jeannes C, Maubert Y, et al. Clinical evidence of benefits of a dietary supplement containing probiotic and carotenoids on ultraviolet-induced skin damage. Br J Dermatol. 2010;163(3):536-43.
  6. Peguet-navarro J, Dezutter-dambuyant C, Buetler T, et al. Supplementation with oral probiotic bacteria protects human cutaneous immune homeostasis after UV exposure-double blind, randomized, placebo controlled clinical trial. Eur J Dermatol. 2008;18(5):504-11.
  7. Fukunaga A, Khaskhely NM, Ma Y, et al. Langerhans cells serve as immunoregulatory cells by activating NKT cells. J Immunol. 2010;185(8):4633-40.
  8. Fiedor J, Burda K. Potential role of carotenoids as antioxidants in human health and disease. Nutrients. 2014;6(2):466-88.
  9. Fuller CJ, Faulkner H, Bendich A, Parker RS, Roe DA. Effect of beta-carotene supplementation on photosuppression of delayed-type hypersensitivity in normal young men. Am J Clin Nutr. 1992;56(4):684-90.
  10. Davinelli S, Nielsen ME, Scapagnini G. Astaxanthin in Skin Health, Repair, and Disease: A Comprehensive Review. Nutrients. 2018;10(4)
  11. Grether-beck S, Marini A, Jaenicke T, Stahl W, Krutmann J. Molecular evidence that oral supplementation with lycopene or lutein protects human skin against ultraviolet radiation: results from a double-blinded, placebo-controlled, crossover study. Br J Dermatol. 2017;176(5):1231-1240.
  12. Petyaev IM, Pristensky DV, Morgunova EY, et al. Lycopene presence in facial skin corneocytes and sebum and its association with circulating lycopene isomer profile: Effects of age and dietary supplementation. Food Sci Nutr. 2019;7(4):1157-1165.
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Eat the rainbow: health benefits of phytonutrients

Eating a plateful of different-colored foods is appetizing visually, but also provides numerous health benefits as well. Consuming a variety of fruits and vegetables in different colors ensures that you are obtaining a full spectrum of health benefits found in phytonutrients.

 

Phytonutrients are natural compounds found in plant-based foods that give these plants their vibrant colors while protecting them from harsh environments, pollution, UV-rays, predators, and pests. And when we consume these plants (fruits and vegetables), we obtain these benefits. Ever wonder why kale is considered a superfood compared to iceberg lettuce? It is because of its deep, vibrant color. It contains more phytonutrients, and each color provides an abundance of specific nutrients. Phytonutrients have antioxidant and anti-inflammatory properties that may help protect us from certain chronic illnesses.

Here is a summary of the phytonutrients and benefits found in fruit and vegetables sorted by color.

 

Red foods

Found in cranberries, strawberries, pomegranates, tomatoes, beets, red peppers, raspberries, etc. Red foods contain lycopene, the carotenoid that has antioxidant properties that help combat free-radicals that may protect against heart disease, lung disease, and prostate cancer.

 

Orange and yellow foods

Found in carrots, bananas, sweet potatoes, oranges, pumpkins, mangoes, pineapple, etc. Orange and yellow foods are rich in alpha and beta carotene, which converts to an active form of vitamin A, and acts as an antioxidant to support the immune system, eye health, and may help prevent heart disease.

 

Green foods

Found in kale, avocados, spinach, cabbage, kiwi, green tea, green herbs, broccoli, etc. These foods are high sources of sulforaphane and glucosinolate, which may help protect against harmful carcinogens and protect blood vessels.

 

Blue and purple foods

Found in blackberries, blueberries, elderberries, grapes, plums, purple cabbage, etc. Blue and purple foods are potent in anthocyanins, a powerful antioxidant that may help protect cells from damage and reduce the risk of heart disease, improve blood pressure, and increase physical performance.

 

Eating the rainbow helps support a diverse diet, helps provide the body with a balanced gut microbiome that helps support gut health and prevent constipation and bloating, and can even impact mood.

References:

  1. Available at: http://www.health.harvard.edu/blog/phytonutrients-paint-your-plate-with-the-colors-of-the-rainbow-2019042516501. Accessed May 27, 2020.
  2. Correction to Lancet Infect Dis 2020; published online March 27. https://doi.org/10.1016/S1473-3099(20)30200-0. Lancet Infect Dis. 2020;20(6):e116.
  3. Available at: http://www.betterhealth.vic.gov/blog/blogcollectionpage/eat-a-rainbow. Accessed May 27, 2020.
  4. Correction to Lancet Infect Dis 2020; published online March 27. https://doi.org/10.1016/S1473-3099(20)30200-0. Lancet Infect Dis. 2020;20(6):e116.
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Prostate health and erectile dysfunction

The prostate is a walnut-shaped gland in men that controls the speed, strength, and frequency of urination and ejaculation. You could say it’s part of the life blood of the crown jewels. It may seem like a bigger prostate means a stronger one, but the opposite is true. Doctors do rectal exams to feel if the prostate has grown. A swollen prostate cuts off urine flow, increases the need to urinate, and often makes urination painful. On top of all of this, sexual performance can even be limited.

 

Why blood flow is important

During arousal in men, signals from the brain trigger a reaction that causes blood to rush into the penis like a firehose. When stimulated, the muscles around the penis arteries relax so blood can be let in and absorbed by a spongy structure on the top side of the penis. Veins are squeezed to a small size when the blood rushes in. Without proper blood flow—when the arteries do not dilate appropriately because they are inflamed or clogged—men can’t get an erection. They can’t get blood in or keep it there. (1)

This is the basis of arterial health in a man and it’s extremely important for health in the nether regions.

 

Impotence (erectile dysfunction)

Virility is a sign of youthful manhood, so losing the ability to perform is something that makes men feel most acutely that their bodies are failing and they are getting old. Erectile dysfunction affects 5% of men in their 40s and up to 25% of men by the age of 65. One of the keys to staving off erectile dysfunction is optimum arterial health. (1)

While good arterial health increases erectile health, the chemical reactions in your brain that come in the form of anxiety, stress and depression as well as prostate issues can also be related to erectile dysfunction.

More than 60% of men in their 70s report that they’re swinging the clubs just fine. (1)  There’s no reason not to have the same pleasure.

 

How to feed your prostate

You can—and should—use food to support the health of your prostate as much as you can. I always recommend at least four servings of vegetables a day and maintain regular physical exercise. The following nutrients have been studied for prostate health:

 

  • Selenium: may be beneficial for men with lower urinary tract symptoms. Selenium increases both the activity and/or concentration of glutathione peroxidase and the concentration of selenoprotein. These antioxidants neutralize reactive oxygen species. This may inhibit the transformation of normal prostate epithelium into neoplasm.
  • Lycopene: a carotenoid found especially in cooked tomatoes, but also in red bell peppers, papaya, watermelon and guava. A 1997 reanalysis of the data gathered in the EURAMIC Study (an international study on antioxidants) found that men and women with the highest levels of lycopene in their bodies had the lowest risk of arterial aging. . Additional data on the benefits of lycopene for prostate health have accumulated, including from a recent study: https://www.pcrm.org/news/health-nutrition/canned-and-cooked-tomatoes-protect-against-prostate-cancer.
  • Cranberry extract: may ameliorate LUTS in males with benign prostatic hyperplasia. Cranberry has anti-inflammatory action through reduced cyclo-oxygenase-2 expression, suppression of IkBa degradation in human colon cancer cells and inhibits the growth and proliferation of several types of tumor cells including prostate.

 

If you’re having any concerns about the health of your prostate, be sure to contact your health care practitioner to discuss your challenges.

References:

  1. Roizen, MF and Oz, MC. YOU: The Owner’s Manual: An Insider’s Guide to the Body That Will Make You Healthier and Younger.
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Not a fan of fish burps?

The benefits of fish oil continue to be studied, yet some people struggle with the fish burps associated with these capsules. There are a few simple strategies that can be used to reduce your fish oil supplements repeating on you:

  1. Take the capsules frozen. The stomach empties relatively quickly and by the time the capsules melt, much of the contents will have been emptied into the small intestine, where omega-3 fatty acids are absorbed.
  2. Take the capsules with a meal. Fish oil must be taken with food to be effective. Food triggers the release of lipases from the pancreas. These are enzymes that cut fatty acids from their points of attachment. Once the lipase cleaves the omega-3 from its backbone (usually glycerol) it can then be absorbed in the small intestine.
  3. Try a different brand. Sometimes the ingredients in one brand of omega-3s are different and may make one more tolerable. Often the less fishy brands are a bit more expensive, as more processing means greater expense.
  4. Try an “odorless” capsule. In this case, the capsule is made to avoid quickly dissolving in the stomach and this can help to avoid the fishy burps.

What are the benefits of fish oil?

First, it’s important to understand fat nomenclature. Saturated fats like coconut, butter, fat in red meat, cheese, and dairy have no double bonds. Monounsaturated fats like those in avocado, olives, olive oil, and macadamias have one double bond. Polyunsaturated fats like those found in many nuts, fish, and in many of the seed oil have more than one double bond. If the first double bond in a fat is located on the third carbon from the end, the fat is called an omega-3 polyunsaturated fat. These are anti-inflammatory fats. If the first double bond is at the sixth carbon from the end of the fat, we call it an omega-6 polyunsaturated fat. These omega-6 fats can be both good and bad.

There are two important omega-3 polyunsaturated fats: EPA and DHA. When purchasing an omega-3 supplement, look at the ingredients label and purchase the supplement that offers the most EPA combined with DHA per serving. Do not be misled by the front of the bottle, which is often deceptive about the amount of active ingredient. For instance, one brand might claim 1200mg of fish oil, but a closer examination of the active ingredients demonstrates only 400mg of EPA and DHA and the rest are other fats.

Most Americans get only 150 mg of omega-3 in their daily diet. This occurs despite an overall total fat intake of 80,000 mg daily (80 grams). In contrast, the Okinawans (longest-lived population on the planet) consume about 2000mg daily, while the Greenland Eskimos consume 6 to 7 grams daily and have very low rates of cardiovascular disease.

There is evidence showing that omega-3 supplementation with higher levels of EPA lowers cardiac risk in high-risk populations. (1) In addition, there is substantial evidence that higher omega-3 red blood cell membrane levels (called the omega-3 index and available direct to consumer) are associated with better health in general. (2)

 

Studies suggest that EPA omega-3 works by:

  1. Incorporating itself into the cell membrane, which is made of fats, and making the cell function better metabolically.
  2. Creating chemicals that reduce inflammation called resolvins.
  3. Reducing the stickiness of platelets, which can reduce clots.
  4. Perhaps helping the autonomic nervous system function better (positive impact on pulse and blood pressure).

 

DHA works similarly with some caveats:

  1. It seems to be more potent at lowering triglycerides than EPA (though both are used together to lower elevated triglycerides).
  2. It also creates anti-inflammatory compounds called “protectins.”
  3. It has a similar effect on the stickiness of platelets.

 

The brain and the retina of the eye are very rich in DHA. And, several studies suggest that DHA omega-3 is the brain-healthy omega-3.

Of interest, EPA can convert to DHA, which is a longer fat, but not the reverse. In nature, both come together, and nature usually gets the recipe correct. Unless prescribed, I suggest my patients look for a supplement that contains a mixture of both. Always remember to speak with your health care practitioner before starting any vitamin or nutritional supplement program.

As a member of Persona’s Medical Advisory Board, I provide my expert opinion on new supplement formulations. The Persona DHA w/Vitamin D has 225mg DHA and 42mg EPA, while its Omega-3 has 200mg DHA, 50mg DPA, and 275mg EPA. In addition, Persona offers a vegan source of DHA omega-3 that is derived from marine algae.

References:

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4 recipes that support eye health

Nearly three-fourths of Americans aged 55 and older start noticing changes in vision between the ages of 40 and 45-years-old. Studies show there is a lot you can do diet-wise to avoid vision loss. Here are some of my favorite recipes that support eye health.

 

Creamy Green Mashed Potatoes

Rich in vitamin C and lutein/zeaxanthin, helping filter out high-energy blue wavelengths.

 

Ingredients:

2 1 /2 pounds russet potatoes, peeled and cut into large chunks

1 bunch collard greens, washed, stemmed and cut into 1 /2″ strips (approximately 8 cups)

2 garlic cloves, minced

1 /2 cup fat-free sour cream

1 /2 cup fat-free 1 /2 & 1 /2 cream

1 tablespoon butter

salt and pepper to taste

 

Directions: 

  1. Place potatoes in large pot of cold water, bring to boil, reduce heat, and simmer until tender, approximately 20 minutes. Drain and return potatoes to pot.
  2. Place collards and garlic in a large saucepan over medium heat. Bring to simmer and steam covered for 10 minutes or until cooked through, but still bright green, stirring occasionally to prevent burning. Remove from heat.
  3. Add remaining ingredients to potatoes, along with collards. Mash or whip to desired consistency. Add more cream if too thick. Makes 8 servings (approximately 2/3 cup each).

Nutritional information (per serving): 176 Calories; 8 % fat (1.6 g total, <1 g saturated), 36 mg omega-3s 81 % carbohydrate (35.6 g), 11 % protein (4.8 g), 4 mg cholesterol, 3 g fiber, 27 mg vitamin C, 1 mg vitamin E, 0.5 mg zinc, 39 mg sodium.

 

Penne with Greens ‘n Gorgonzola

Penne with Greens ‘n Gorgonzola

Plenty of eye-protecting lutein, zeaxanthin, folate, and zinc, with modest amounts of vitamin C.

 

Ingredients:

10 oz. uncooked whole wheat penne pasta

Olive oil cooking spray

1 1 /2 cup yellow onion, diced (~ 1 medium onion)

3 large clove garlic, minced

1 /2 cup chicken broth

3 Roma tomatoes, chopped (~2 cups)

1 (6-ounce) bag fresh baby spinach

1/3 cup fresh basil, chopped or 1 teaspoon dried basil

salt and pepper to taste

2/3 cup crumbled gorgonzola cheese (or 1 /2 cup low-fat Parmesan cheese or 1/3 cup crumbled feta)

1/3 cup pine nuts (optional)

 

Directions: 

  1. Cook pasta according to package directions, without salting water.
  2. While pasta is cooking, spray a large, non-stick frying pan with cooking spray. Heat over medium-high heat. Add onions, then stir and cook until slightly transparent, approximately 5 minutes. Add garlic, stir and cook for another minute. Add broth and let simmer for 3 minutes. Add tomatoes, toss, and simmer for 2 minutes. Add spinach and basil, cook and stir for approximately 2 minutes, or until leaves wilt. Remove from heat and salt/pepper to taste.
  3. Drain pasta and add to spinach mixture. Thoroughly toss. Serve on a platter and top with gorgonzola and pine nuts. Makes 6 servings.

Nutritional information (per serving): 300 Calories; 25% fat (8.3 g total, 2.8 g saturated), 204 mg omega-3s, 57% carbohydrate (43 g), 18% protein (13.5 g), 8 mg cholesterol, 8.6 g fiber, 27 mg vitamin C, 1.33 mg vitamin E, 2.1 mg zinc, 271 mg sodium.

 

Roasted Butternut Squash Salad on a Bed of Baby Spinach

Roasted Butternut Squash Salad on a Bed of Baby Spinach

Packed with lutein/zeaxanthin maintaining healthy cells in the eyes, vitamin C, vitamin E, and zinc.

 

Ingredients:

cooking spray

1 large butternut squash, peeled, seeded and chopped into 1 /2″ cubes (~ 4 cups)

1 lb beets, peeled and cut into 8 to 12 cubes

salt & pepper to taste

2 slices bacon

3 tablespoons red wine vinegar

1 1 /2 teaspoon Dijon mustard

1 tablespoon olive oil

1/3 cup thinly sliced red onion

8 cups baby spinach

3 tablespoons chopped pistachio nuts

 

Directions: 

  1. Coat cookie sheet with cooking spray. Heat oven to 425 degrees F.
  2. Spread squash on half a cookie sheet, one layer thick and beets on other half. Spray with cooking spray and sprinkle with salt and pepper to taste. Bake for 20 to 25 minutes, or until cooked but firm, tossing once. (Do not let squash and beets touch, since beets will color the squash.) Remove from oven and set aside.
  3. While vegetables are roasting, cook bacon in a small, non-stick frying pan over medium-high heat until crisp. Remove, pat dry, and crumble. Retain 2 teaspoons of the drippings.
  4. In a small bowl, blend vinegar, mustard, olive oil, salt and pepper to taste, bacon crumbles and bacon drippings. Set aside.
  5. In a large bowl, toss onion, lettuce, and dressing until thoroughly coated. Arrange on 6 salad plates, place equal amounts of the roasted squash in the middle and the beets around the edges. Sprinkle with pistachios. Makes 6 servings.

Nutritional information (per serving): 175 Calories; 35% fat (6.7 g total, 1.7 g saturated), 124 mg omega-3s, 55 % carbohydrate (23.5 g), 10% protein (4.3 g), 3 mg cholesterol, 7.5 g fiber, 35 mg vitamin C, 1 mg vitamin E, 0.75 mg zinc, 115 mg sodium.

 

Spicy Grilled Salmon with Ginger

Spicy Grilled Salmon with Ginger

Full of omega-3s that can protect eyes from macular degeneration and dry eye syndrome.

 

Ingredients:

1/4 cup chopped fresh cilantro

1/3 cup hoisin sauce

2 Tbsps. minced fresh ginger

1 teaspoon brown sugar

1 Tbsp. chopped canned chipotle peppers

½ lemon

1 pound salmon fille, 1″ thick or six 5-ounce salmon steaks

Fresh spinach, washed and stemmed

 

Directions:

  1. Preheat grill or broiler.
  2. Stir together in a medium bowl the cilantro, hoisin, ginger, brown sugar, and peppers.
  3. Sprinkle lemon over salmon, then brush both sides of salmon with hoisin-glaze mixture.
  4. Grill or broil until opaque in center, basting occasionally with remaining glaze (approximately 6 minutes per side).
  5. Transfer salmon to a plate of fresh spinach. Makes 6 servings.

Nutritional information (per serving): 284 calories, 50% fat (15.9 grams), 760 milligrams omega-3 fats, 3% carbohydrate, 47% protein, 0 fiber.

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Anti-inflammatory foods and why you need them

With so many trending diets on the media it is hard to filter through them and figure out what you really need. You’ve probably heard your doctor talk about inflammation, or seen foods and supplements promoting anti-inflammatory properties in the grocery store. Is this just another trend? How do you know if you’re experiencing inflammation anyways?

 

What is inflammation?

Our immune system has various layers protecting our bodies from our environment. When we’re exposed to physical stress, trauma, infections, or chronic disease, our immune system triggers an inflammatory response. This response releases eicosanoids and cytokines which are signaling molecules, to aide in the inflammation. Inflammation may be characterized as either acute or chronic.

Acute inflammation occurs as a result of an injury or infection and is short-lived, lasting anywhere from minutes to days. During an acute inflammatory response, there may be increased blood flow and an accumulation of white blood cells. This results in a physical response including redness, heat, and pain at the site. These minor effects result from new cells synthesizing and healing the affected tissue.

A chronic response, on the other hand, is long-term inflammation which can last months to years due to a weak inflammatory response during the acute phase. Other common factors that play a role in chronic inflammation are the aging process, environmental toxins, and poor nutrition. Chronic inflammation will eventually lead to symptoms of other disease states. (1)

Chronic inflammation will affect the organs in our bodies in several different ways. Inflammation at the brain will cause symptoms such as fatigue, cognitive dysfunction, and sleepiness. At the Endocrine system, it will cause an increase in metabolic rate, leading to muscle wasting. At the muscles, it will cause insulin resistance and hyperglycemia. At the gastrointestinal tract, it will cause a decrease in motility. Inflammation may also occur at the kidneys, heart, pancreas, and reproductive system. (1,2) (Krasue 163)

 

Anti-inflammatory foods

In several studies, an anti-inflammatory lifestyle has shown to reduce inflammation. (3) Consuming more anti-inflammatory foods will have several benefits. What are anti-inflammatory foods? These are foods that are high in nutrients, phytochemicals, and antioxidants. Phytochemicals are compounds found in plants that protect the plant from predators and work in similar ways when we consume them. Antioxidants are compounds, including vitamins and minerals such as vitamin E, carotene, and selenium. They fight against free radicals; toxic chemicals in our body which are caused as a result of environmental stresses and toxins. (4, 5)

Common sources are fruits, vegetables, nuts, spices, herbs, and even teas. In several studies, specific herbs like ginger and turmeric have shown to be beneficial in promoting a healthy inflammatory response.

While increasing these foods, you want to make sure that you’re also limiting foods that can cause inflammation. Whether you’re looking to increase consumption of anti-inflammatory foods or not, it’s good to have a balance of foods. Saturated fat, cholesterol, and trans fat are nutrients that will lead to increased inflammation; foods that are highly refined and processed will contain these nutrients.

 

Anti-inflammatory supplements

No one has the perfect diet. We do what we can. But thanks to advances in science and technology, we have the option to use supplements when needed. Here at Persona, we’ve got you covered. (6,7) We’ve done extensive research on the following supplements, all of which support a healthy inflammatory response:

  • CBD Hemp Extract
  • Boswellia
  • DHA w/ Vitamin D
  • Omega-3
  • Omega-3 w/ Biocurc®
  • Pycnogenol
  • Spirulina
  • TRU NIAGEN®
  • Turmeric
  • Vegan DHA

 

Whatever dietary practices you choose to take, there’s always room for more anti-inflammatory foods. Take initiative now to be prepared if/when your body needs the support.

References:

  1. Chen L, Deng H, Cui H, et al. Inflammatory responses and inflammation-associated diseases in organs. Oncotarget. 2018;9(6):7204-7218.
  2. Mahan, L. K., Escott-Stump, S. L., Raymond, J. K., & Mendelson, M. undefined. (2012). Krauses food & the nutrition care process(13th ed.). St. Louis, MO: Elsevier.
  3. Cavicchia PP, Steck SE, Hurley TG, et al. A new dietary inflammatory index predicts interval changes in serum high-sensitivity C-reactive protein. J Nutr. 2009;139(12):2365-72
  4. Minihane AM, Vinoy S, Russell WR, et al. Low-grade inflammation, diet composition and health: current research evidence and its translation. Br J Nutr. 2015;114(7):999-1012.
  5. Zhu F, Du B, Xu B. Anti-inflammatory effects of phytochemicals from fruits, vegetables, and food legumes: A review. Crit Rev Food Sci Nutr. 2018;58(8):1260-1270.
  6. Calder PC. Omega-3 fatty acids and inflammatory processes: from molecules to man. Biochem Soc Trans. 2017;45(5):1105-1115.
  7. Kiecolt-glaser JK, Belury MA, Andridge R, Malarkey WB, Glaser R. Omega-3 supplementation lowers inflammation and anxiety in medical students: a randomized controlled trial. Brain Behav Immun. 2011;25(8):1725-34.
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