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Sled dogs lead the way in quest to slow aging – Cornell Chronicle

Posted: November 8, 2019 at 1:49 pm

Dashing through the snow at 25 miles an hour,Heather Huson97 got her first thrill as a musher at age 7. From then on, she was hooked on dog sledding, and raced competitively for almost 30 years throughout North America.

By the end of her racing days, she had competed twice in sled dog racings equivalent to the Olympics the International Federation of Sleddog Sports World Championships. And she ended her racing career with a bang, winning an extremely competitive six-dog class race at the 2004 Tok Race of Champions in Tok, Alaska.

Heather Huson shares time with a sled dog at the Baker Institute.

Now an assistant professor of animal science, Huson is co-leader of a $4.2 million project studying close to 100 Alaskan sled dogs between the ages of 8 and 13, former athletes past their glory days. The study, which began in 2018, is a quest for one of the holy grails of medicine: how to slow aging.

This project allows me to work with sled dogs again, but now Im studying their aging and health, said Huson, a molecular geneticist in the College of Agriculture and Life Sciences.

Huson and co-leaderDr. John Loftus, assistant professor of small animal medicine in the College of Veterinary Medicine, are trying todetermine whether a drug that inhibits an enzyme called reverse transcriptase can mitigate aging and extend life in older dogs. Private donations fund the project through the Vaika Foundation, a nonprofit group of scientists and veterinarianson a mission to extend the health and life span of domestic animals.

The project will serve as a proof of principle for whether reverse transcriptase inhibitors could be an elixir. If confirmed, new finely tuned drugs could be developed for both dogs and humans.

While we love dogs, and we care about extending the life span of dogs for its own right, this is also a really good model for people, hopefully, in the future, Loftus said.

Genetics of aging

Other researchers, including project collaborators at the Roswell Park Comprehensive Cancer Center in Buffalo, New York, have found evidence in mice that reverse transcriptase inhibitors suppress tumors and extend life span.

The next step was to go to a model organism thats more closely related to humans in similar environments, and more similar to the types of diseases that people get, Huson said.

While we love dogs, and we care about extending the life span of dogs for its own right, this is also a really good model for people, hopefully, in the future.

John Loftus

In mammals, viruses that infected distant ancestors left behind some of their DNA, which are called genetic elements.

As we age, were finding these normally dormant DNA elements get turned on and then behave like viruses in the body, said Loftus, a veterinarian and researcherwho leads the immune system analysis on this project.When DNA elements get turned on, they can encode [for] a number of proteins, and reverse transcriptase is one of them.

In turn, reverse transcriptase plays a role in duplicating more of these genetic elements, which become randomly inserted in the genome and can lead to mutations and cancer.

And since these elements act like viruses in cells, they also trigger an immune response, which creates inflammation.

The federally approved drug being tested in the sled dog project is commonly prescribed to people for viral infections.

Our approach is going to be to give the dogs a reverse transcriptase inhibitor to turn the transcriptase off, Loftus said, and hopefully reduce inflammation, reduce the incidence of cancer and other diseases related to mutations and DNA damage, and ideally increase life span.

Heather Huson watches as a sled dog runs during play time in a fenced field at the Baker Institute for Animal Research at Cornell.

Why Alaskan sled dogs?

Dogs offer many advantages over mice as research subjects. They share with humans similar lifestyles and aging-related diseases like cancer and cognitive dysfunction, and serve as a model for studying Alzheimers disease.

Originally, the researchers proposed to study pet dogs. But maintaining a uniform diet for all participants and trusting owners to administer the drug consistently proved too unreliable.

We had the idea instead to create a colony of dogs we had control over, Huson said. They realized athletic dogs were housed in groups, in kennels, and as they age, owners kept their best dogs and often sold the rest to hobbyists or as pets.

So that gave us an avenue for how we could get these dogs, Huson said.

For her doctorate, Huson studied the genetics and selective breeding in Alaskan sled dogs at the University of Alaska, Fairbanks. She discovered that sled dogs are a genetically distinct breed. They have undergone intense selection for such traits as athleticism, but at the same time are subject to an open breeding scheme,with a diverse gene pool that makes for fewer genetic issues and diseases than pure breeds.

John Loftus greets a sled dog at the Baker Institute for Animal Research.

Yet they create a unique population that is still homogenous that we can study and say, this response to the drug is potentially related to the drug and not because its a poodle versus a beagle, Huson said.

In late May 2018, Huson and Loftus began acquiring dogs, which they kenneled at the Baker Institute for Animal Research at Cornell. Huson traveled twice to Alaska, and she and others, including students, picked up dogs from Canada, Michigan, Minnesota, Oregon, Washington and other states.

Locating dogs and bringing them to the Baker Institute required countless cross-country trips on planes and by vehicle. By September 2018, they had 102 dogs for the study. In March 2019, the researchers collected the firstbaseline data.

Testing aging over time

To test the drugs effectiveness, Huson and Loftus have been quantifying aging in the dogs every six months through three avenues immune function, behavior and physical condition. All the tests are noninvasive or minimally invasive.

They are testing two types of immune responses: adaptive responses that react quickly to infections; and innate responses where the immune system recognizes and delivers specific antibodies to fight a pathogen that previously entered the body. They are also checking blood for increases in markers for inflammation.

Four cognitive dysfunction behavioral tests involve an empty behavioral testing room with a video camera to record lone dogs as they encounter such things as a stranger sitting still in a chair, a familiar or novel toy, or a mirror.

Heather Huson racing in an Alaska Dog Mushers Association Challenge Series race in 2005 at the Jeff Studdard Sled Dog Race Track in Fairbanks, Alaska.

For physical tests, dogs are fitted with a racing harness and are trained to run on a treadmill with heart rate and electrocardiogram monitors. The treadmill has special sensors under the belt to record the pressure of each footfall, to detect limping that could come with arthritis. Another test times dogs as they pull one-and-a-half times their weight a distance of 40 yards using a pull harness.

It will take years to gather enough data for the researchers to make a definitive statement about the drugs effects. But funds have already been allotted to provide the dogs with a high quality of life until they die of natural causes.

Twice a day the dogs go outside for play time. As soon as the kennel doors open, the dogs, tongues flapping, scurry excitedly down a long hallway toward the light of an open door that leads to three separate fenced fields where they play, run, sniff the grass and greet the student volunteers outside.

It reminds Huson of her childhood, when her family owned as many as 50 sled dogs.

I used to train dogs to run all the time, Huson said. Now were training them to run in a slightly different scenario. Its fun and rewarding. And, its therapy for us.

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Peripartum Cardiomyopathy Recovery in Blacks Better in Canada? – Medscape

Posted: November 8, 2019 at 1:49 pm

MONTREAL A "surprising" and "provocative" study of two cohorts of women who developed peripartum cardiomyopathy (PPCM) in Canada and in the United States suggests that socioeconomic factors differences in the healthcare systems rather than genetics may explain racial disparities in outcomes.

The findings should be viewed as only hypothesis-generating, the authors caution.

Maxime Tremblay-Gravel, MD, from Universit de Montral, Canada, who is now a heart failure fellow at Stanford University, Palo Alto, California, presented findings from a study that involved 114 women in Canada and the United States (including 24 African Americans) who developed PPCM. The study was presented here at the Canadian Cardiovascular Congress 2019.

"It's been pretty accepted in the literature...that African American women who have PPCM have a worse prognosis," Tremblay-Gravel told theheart.org | Medscape Cardiology.

But contrary to previous research, their study showed that in Canada, recovery of left ventricular ejection fraction (LVEF) among black women after PPCM was similar to that among women of other ethnicities.

On the other hand, LVEF recovery among the African American women in the American cohort was dampened, consistent with prior findings.

"I don't think African American women are different between the United States and Canada," said Tremblay-Gravel. He noted that it's probably the healthcare delivery that's different.

This is "clearly only a hypothesis," he continued, but many socioeconomic factors may explain why African American women with PPCM in the United States fared worse than their counterparts in Canada.

In the United States, women who developed PPCM may have had "less insurance, less education, [and] less trust in the medical care system...whereas here, we have a universal healthcare system."

This is very topical, he noted, as candidates for the Democratic Party leadership are proposing that the United States adopt Medicare for all, "which is basically a system that would be a little bit more similar to Canada."

"This small study is interesting and provocative in suggesting both that the differences in outcomes between African American vs nonAfrican American women relates to socioeconomic status rather than race and that healthcare in Canada addresses these issues better than in the US," Zolt Arany, MD, PhD, Perelman School of Medicine, University of Pennsylvania, Philadelphia, told theheart.org | Medscape Cardiology in an email.

Arany, who was senior author of a previously reported US study involving 121 African American and 99 nonAfrican American women with PPCM, cautioned that "the numbers are very small, however, making a false positive conclusion not unlikely, and larger studies are needed."

The findings "indicate that the differences in genetic background are not the main reasons for differences observed in LV recovery," Johann Bauersachs, MD, professor and director of the Department of Cardiology and Angiology, Hannover Medical School, Germany, told theheart.org | Medscape Cardiology in an email

Bauersachs, who wrote a commentary that accompanied the article by Arany and colleagues, agreed that the cohorts in the current study were small.

However, PPCM is rare, and "even the US, 'big' Investigations of Pregnancy-Associated Cardiomyopathy (IPAC Study)," he noted, "report on only a few more than 100 patients.

"I suspect," he suggested, that black women "have better access to healthcare services in Canada than African Americans in the US."

According to Bauersachs, the results "clearly indicate that all efforts should be made to guarantee the same optimal care for African American as for nonAfrican Americans with PPCM, both in the acute and the chronic phases."

He is lead author of a recently published position statement from the Heart Failure Association of the European Society of Cardiology that summarizes diagnosis and optimal care for patients with suspected PPCM.

Peripartum cardiomyopathy is "a potentially life-threatening condition typically presenting as heart failure with reduced ejection fraction (HFrEF) in the last month of pregnancy or in the months following delivery in women without another known cause of heart failure.

"It is a very rare disease, affecting 1 in 4000 young women who are pregnant," Tremblay-Gravel noted.

"Most women recover, but some don't," he said, "and it's a very underrecognized disease.

"As shortness of breath, fatigue, and leg [edema] are common in the peripartum period, a high index of suspicion is required to not miss the diagnosis," the authors of the European position paper advise.

"We were interested in knowing whether being an African American portends a worse prognosis because of socioeconomic factors or because the disease itself is worse in African Americans," Tremblay-Gravel said.

The Canadian cohort comprised 62 women, including 16 African American women (35%), who were treated for PPCM in hospitals in the province of Quebec during 19942015.

The American cohort consisted of 52 women with PPCM, including eight African American women (15%), who were seen at Stanford Hospital during 19912017.

The mean ages of the women in each of the cohorts were similar, at around 32 years.

In the Canadian cohort, improvements in LVEF were similar among African American and nonAfrican American women, from 30% to 55% and from 28% to 52%, respectively (P = .27).

In the American cohort, improvement in LVEF among the nonAfrican American women was similar to that of the Canadian women (going from around 30% to 50%), although for African American women, recovery of LVEF function was less (from around 25% to 38%; P = .02).

The next steps in their ongoing research, Tremblay-Gravel said, is to see whether insurance coverage and social status (estimated from ZIP codes) play a role in prognosis. They are also performing whole-exome sequencing for more than 100 women with PPCM to see whether African American women have a different genotype.

Canadian Cardiovascular Congress 2019: Abstract 060, presented October 24, 2019.

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Olaparib breast/ovarian cancer treatment found to be effective against prostate cancer – Excalibur Online

Posted: November 8, 2019 at 1:49 pm

Dylan Stoll |Health Editor

Featured Image:Olaparib discovered to have stopped the spread of prostate cancer in patients than standard treatments. |Courtesy of Pixabay

With the recent start to the Movember month of prostate cancer awareness, it is fit to recognize the newfound use for olaparib a precision drug used to treat prostate cancer and the incredible results it has shown in its third phase of randomized clinical trials.

The trial involved 400 men split into two groupings based on their genetic mutations. The first group had mutations in the genes referred to as BRCA1, BRCA2, and ATM, while the second group had mutations in select genes involved in DNA repair.

The aim of the trial was to compare how effective olaparib was at fighting prostate cancer compared to the standard treatments used today. Overall, it was found that olaparib halted the cancers spread in more patients than standard treatments by approximately 8.5 per cent.

However, the difference was found to be significantly larger in the group that had BRCA1, BRCA2, and ATM genetic mutations: a difference of 18.6 per cent.

Interestingly, olaparib was originally developed as a treatment for breast and ovarian cancer. Olaparib, and similar drugs, seem to respond most effectively to BRCA genetic mutations, or what are often referred to as breast cancer genes. Though these genes are well known to be associated with breast cancer, they are also seen as a high risk factor in developing prostate cancer for men.

The reason that this drug is capable of treating two seemingly very different and very gender-oriented cancers is because in both cases, olaparib is focused on blocking the PARP enzyme an enzyme involved in repairing faulty DNA. Though it seems counter-intuitive, their aim is to stop DNA repair so cancer cells can be pushed into apoptosis, or cellular suicide.

Maha Hussain, an oncologist at Northwestern University Feinberg School of Medicine, showcased these discoveries at an oncology meeting.

Essentially, its going after the same target: PARP, Hussain said.

The FDA has approved olaparib for breast and ovarian cancers, but has yet to approve for prostate cancer. If they do, it will be a first in the use of precision medicine; in other words, it will be a first in producing a medicine based on an individuals genetic make-up.

Prostate cancer therapy has been, generally, a one-size-fits-all approach, Hussain said. With regard to precision medicine, I think that weve opened up the door.

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Free Integrative Health Expo Focuses on Holistic Wellness – Tamarac Talk

Posted: November 8, 2019 at 1:46 pm

By: Jill Fox

After desk jobs continuously left him with back and neck issues, Dr. Jonathan Fields, an acupuncture physician and doctor of oriental medicine in Coral Springs, changed careers 15 years ago.

Fields spent too much time sitting at the computer, working on digital media, web design, and social media marketing, leading him to the field.

Now, in practice at Integrative Medicine US, his goal is to help others suffering from health issues like he experienced, achieve a new way of life through Chinese medicine.

I knew I needed to make a lifestyle change, said Fields, who has made it a family affair. His wife, Lauren, is an acupuncturist, and they are expecting their first child in December.

At Integrative Medicine US, the staff considers everything about an individuals physical, mental, and emotional health when making a holistic plan. Now, they are holding a free community-wide event to educate the public on alternative ways to get active and be healthy.

The Second Annual Integrative Health Expo, open to all ages, and residents in Tamarac. It will take place at the Coral Springs Gymnasium on Saturday, November 16, and Sunday, November 17, from 9 a.m. to 5 p.m. and it is FREE to the public.

The mission of the expo is to use an integrative health approach as a method of engaging the community and promoting a combination of preventative, holistic, and conventional medicine as a way to achieve optimal health.

People have their medications and their doctors, but when thats not working, we want to give them options to try different things, said Fields.

Once held in Coconut Creek, the event was changed to Coral Springs to make it entirely free for everyone.

At the expo, various fitness classes will be taking place for people to try and to get exposed to a variety of things that could be beneficial.

The Health Expo in Coral Springs will include free health screenings, blood pressure check-ups, and vendor booths with local health providers of all different specialties. Participants will be able to learn about and try acupuncture, massage, chiropractic reflexology, cupping, herbal teas, qi gong, tai chi, yoga classes, boot camp fitness, nutritional counseling, CBD, and healthy food and drinks.

The goal is to promote general health, wellness, and preventative medicine through lifestyle changes, including fitness, diet, nutrition, and social habits.

Not everybody wants to do yoga or CrossFit, but maybe taking a walk every day is good for them, said Fields.

Attendees can also observe the Legacy Kung Fu Tournament, an international kung fu exhibition featuring hundreds of competitors from all over the country.

Fields said a big part of Chinese medicine comes from kung fu. One of his kung fu teachers, also an acupuncturist, introduced him to Chinese medicine, which is thought to be holistic mind, body, and spirit, with the first part being diet and exercise.

There is no separation between the Chinese martial arts and Chinese medicine, said Fields. It was something he wanted to incorporate, and he wanted it to provide some entertainment for the people coming to the expo.

In addition to kung fu, attendees can learn about tai chi and qi gong, gentle movements that anyone at any age can do with benefits they wont get from other exercises. And, they can be done at home, with no need to join a gym or buy a special outfit.

Fields said this is what has kept some civilizations living long, healthy ages with a good quality of life, without medicines or being overweight.

By making the expo free and open to everyone, he hopes people will come out and look to see if there is something that possibly could benefit them.

There will also be onsite entertainment for children and families, like lion dance, drumming, calligraphy, art, games and stationary surfboards.

We see anxiety in younger kids, with some being put on medications. But if theyre taught how to breathe, meditate, and do some of these mindfulness practices from a young age, I think well have a little less of that, said Fields.

What hes most looking forward to is being able to educate people on what Integrative Medicine US does and why its is so beneficial.

The best part for me is to be able to help people who are having trouble and not getting the results they need with traditional, conventional medicine, he said.

The Coral Springs Gymnasium is located at 2501 Coral Springs Drive.

For more information and to view the schedule of events, go to integrativemedicine.us/health-expo. For more information about the kung fu tournament, visit lostlegacysystems.com/kung-fu-tournament.

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RUMC expands its gambling treatment center to new Bloomfield headquarters – SILive.com

Posted: November 8, 2019 at 1:46 pm

STATEN ISLAND -- With as many as 5,000 problem gamblers around the Island, the Gamblers Treatment Program at Richmond University Medical Center officially expanded to a new headquarters Friday.

Local elected officials, doctors from RUMC and representatives from the state and city cut the ribbon at the programs new headquarters at RUMCs Center for Integrative Behavioral Medicine at 1130 South Ave. in Bloomfield.

One of our main purposes was to bring this program and this type of program closer to the community and take it out from behind the black wall, from behind closed doors and make sure that those folks who are suffering from this addiction and other addictions and other behavioral health disorders do not feel embarrassed, said Rosemarie Stazzone, RUMCs chief operating officer and chief nursing officer.

RUMCs problem gamblers program launched in 1982 as one of three outpatient gambling programs in the state and currently serves as one of the only programs of its kind in New York City.

As gambling becomes more accessible over the Internet and on cell phones, officials said gambling is targeting the Islands youth in particular.

The accessibility to all forms of gambling has increased with the Internet, with legislative changes, with casinos, and gambling and the close proximity to Atlantic City, its certainly a great temptation for problem gamblers to continue their addiction or regress from breaking away from their addiction," said Dr. Daniel Messina, RUMCs president and CEO.

Messina said of the 5,000 gamblers around the Island, many of them are not enrolled in any kind of treatment program.

Dr. Joel Idowu, who chairs RUMCs Department of Psychiatry and Behavioral Health, said gambling is an up and coming epidemic in the field of psychiatry and mental health and affects more men than women.

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Unplugged fundraiser benefits The Cottage – Bluffton Today

Posted: November 8, 2019 at 1:46 pm

The Cottage Sexual Assault Center & Children's Advocacy Center is hosting today its sixth annual Unplugged for the Cottage fundraiser.

The Cottage educates to prevent sexual violence and child sexual abuse and provides in-house therapy to those who have survived it. They help survivors pay for referrals to other therapeutic resources when it is necessary.

The Cottage Sexual Assault Center & Children's Advocacy Center hopes that Unplugged for the Cottage will raise awareness about their cause and $10,000 to provide therapy to children and adults who have survived sexual abuse and assault.

It began as a music event for local musicians to show their support for our mission, said Sally Kimel-Sheppard, the executive director of The Cottage Sexual Assault Center & Children's Advocacy Center. We had a board member who knows a good bit of the local musicians here and she thought it would be a great idea for us to have a gathering where musicians who support the cause could come together and play acoustically.

This year, Caroline Aiken, Athens Tiny Jazz Arkestra, Betsy Franck and Diet Dangfly will perform. Kimel-Shepard says that the music is her favorite part because it is uplifting.

Mama's Boy, Ike & Jane, Sweetie Pie by Savie and several others will provide food for the event. Lori Karr will be recognized for working with The Cottage for 10 years.

There will be a silent auction, a donate-to-win and a cork pull. Most of the prizes for all of the activities are from local businesses because The Cottage wanted to make this event about the community.

Its a local event celebrating our communitys support of child abuse and sexual assault intervention that is done by the cottage, said Kimel-Sheppard.

Guests can donate for a chance to win a handmade wine rack, a Sarah Cook Painting or a pet portrait by Rebecca Pearson. The cost is $10 for one chance to win or three chances for $25.

In the silent auction, guests can bid on Art by David Hale, rounds of golf at the University of Georgia Golf Course and Athens Country Club, a basket from Thrive Integrative Medicine, a basket from Jittery Joes and more. Those who are not interested in those prizes can participate in the cork pull and try to win wine and spirits.

Winners of the silent auction and donate-to-win will be chosen the night of the event.

Unplugged for the Cottage will take place at Little Kings Shuffle Club from 6-9 p.m. Tickets are $25 and can be bought at the door or at northgeorgiacottage.org.

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Gut Microbiome Puts the Brakes on Iron Absorption – Michigan Medicine

Posted: November 8, 2019 at 1:46 pm

While most people in developed nations may not think much about dietary iron, almost a quarter of the global population lacks this essential nutrient.

Iron plays a critical role in providing oxygen to the bodys cells. Too little iron can lead to iron deficiency anemia and symptoms such as fatigue, heart palpitations and shortness of breath. Too much can lead to iron overload and a disease called hemochromatosis, which can cause heart failure.

Michigan Medicine researchers have unlocked a mechanism behind how the body decides whether or not to absorb iron from the food--one that involves the trillions of bacteria in our guts known as the gut microbiome.

If you have a low-iron diet, the body absorbs more of it in an adaptive mechanism to get enough, says Nupur Das, Ph.D., a research investigator in the Department of Molecular and Integrative Physiology. Our gut microbiomes are also dependent on iron. Different microbes have different iron needs to survive.

He along with Yatrik Shah, Ph.D., a professor in the Department of Internal Medicine and Molecular and Integrative Physiology, and their research team have shown that the bacteria in the gut actively compete with the human body for iron from the diet. They describe their work in a new paper in Cell Metabolism.

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Using mice, they found that certain bacteria in the gut produce metabolites that inhibit the transcription factor HIF-2 in the intestine. By doing so, the gut bacteria block iron absorption by the body.

During a pilot experiment, we found that germ-free mice [mice specially bred to have no bacteria anywhere in their systems] were resistant to anemia, says Shah, senior author on the paper. The easiest explanation is that youve gotten rid of a trillion bacteria and they no longer need iron. But interestingly, we saw that the iron absorptive mechanisms were all highly upregulated in the absence of microbiota.

In other words, without the gut bacteria there to dial back iron absorption, the bodys systems for taking iron in were turned all the way up. To confirm this observation, the group administered antibiotics to normal mice. They found that mice treated with antibiotics also saw an increase in iron absorption. Further, germ-free mice that had gut bacteria transplanted into their systems had reduced iron levels.

What these intriguing findings suggest is an unconventional treatment for iron-related disorders. In an anemic patient, you could help by getting rid of the gut microbiota. Conversely, reintroducing the microbial metabolites that inhibited the absorptive system would reduce iron absorption in patients that have iron overload disorders, says Shah.

Das and Shah note that the antibiotics are inexpensive, readily available and could hold promise for the more than 1.5 billion people globally with iron-deficiency anemia. In the anemic scenario, some places of the world cant afford food with enough iron. These findings suggest we can still improve anemia even when faced with a low iron diet, says Das.

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Furthermore, they note that there are gut specific antibiotics, reducing the risk of antibiotic resistance and can be administered to lower but not completely eliminate beneficial gut microbiota.

Says Shah, We feel that decreasing the microbialburden for a short time would outweigh some of the consequences as anemia, especially in developingnations, can be quite crippling for individuals.

Paper Cited: Yatrik M. Shah et al. "Microbial metabolite signaling is required for systemic iron homeostasis", Cell Metabolism. DOI:10.1016/j.cmet.2019.10.005

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In Good Health: How Traditional Chinese Medicine Is Evolving In Leaps And Bounds – Hong Kong Tatler

Posted: November 8, 2019 at 1:46 pm

By Oliver Giles November 08, 2019

Its been around since 3000 BC, but traditional Chinese medicine is not only survivingits thriving. Practitioners and manufacturers explain why and what the future holds

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In the future, people will send photos of their tongue via WhatsApp, says Lin Zhixiu. Hes not talking about the latest quirky internet craze or teenagers Snapchat habits. Lin is predicting how people will contact their doctors.

Lin is associate director of the school of Chinese medicine at the Chinese University of Hong Kong (CUHK), a department whose very existence may seem surprising in an era when medicine is so closely tied to technology that computers powered by artificial intelligence are diagnosing patients in Shanghai hospitals.

Everyone from toddlers to 90-year-olds comes to our clinic for traditional medicine, says Lin. I also see a growing trend of young people opting for Chinese medicine, especially when they have things like a cold, cough, flu or pain such as back or neck pain.

Hes not the only one. Rather than quietly closing shop as robots steal their jobs, traditional Chinese medicine (TCM) practitioners are arguing that there is a place for their ancient remedies in the 21st centuryand theyre generating cutting-edge research to prove it.

In 2015, chemist Tu Youyou from the China Academy of Traditional Chinese Medicine won a Nobel Prize for deriving an anti-malaria drug from sweet wormwood. Other researchers have proved traditional remedies effectiveness at tackling everything from eczema to infertility, and for the first time this year the World Health Organisation has listed TCM in its annual global compendium that instructs doctors around the world.

This scientific backing is contributing to a global boom in TCM, which as an industry is estimated to be worth about US$60 billion a year and is growing 11 per cent annually.

Theres been a big change in the image of traditional Chinese medicine, says Viola Man-Chan, an executive director of PuraPharm, a major manufacturer of traditional medicines. Were disrupting the Chinese medicine industry by changing it from a very old-fashioned industry to something that is trendy, modern and accepted by the young generations. In modern life we cant just rely on traditions; we need evidence-based science to understand how it works.

PuraPharm operates its own laboratory, which collaborates with universities around the world. Weve been working with the University of Hong Kong faculty of medicine for, I think, 10 years now and we have identified a new active ingredient in one of the herbs, Man-Chan says. Weve found that this herb has very powerful antiviral and anti inflammatory effects, which is similar or comparable to the best-selling antiviral Western medicine.

Wai Yuen Tong, a Hong Kong-based company founded in 1897 that manufactures premium Chinese medicine sought-after around Asia, is similarly investing heavily in science.

Our research and development team is not focused on creating new drug formulas, explains Vivian Tang, the companys executive director. Instead, were focusing on two aspects: how to measure and improve traditional formulas efficacy and how to translate century-old production methods and re-engineer it as modern-day mass production.

Re-engineering traditional formulas is key to the industrys newfound success with younger generations. For centuries, Chinese herbal medicine has relied on patients cooking their own medicine, normally by boiling herbs, sometimes for hours at a stretch. Many people now simply dont have the time, so manufacturers are releasing their formulas as granules that dissolve quickly in boiling water.

At the CUHK clinic, Lin estimates that half the patients opt for granules. When it comes to Wai Yuen Tongs customers, Tang believes the proportion is even higher. Ninety-nine per cent of our younger clients will never spend an hour boiling raw traditional Chinese medicine themselves, says Tang.

See also: Vivian TangFrom Wai Yuen Tong Talks Traditional Chinese Medicine

Refining recipes to pill or granule form has also made it easier for TCM to be dispensed in hospitals. The way forward for traditional Chinese medicine for me is combining it with Western medicine. This could offer the best of both systems to the patient, says Lin, who is also director of the Hong Kong Institute of Integrative Medicine.

One of the most successful examples of the disciplines being combined is in treating cancer patients.

Cancer treatmentoperations, chemotherapy and radiotherapycauses serious side effects, says Lin. Patients may lose weight, they may lose their appetite, they may feel tired all the time. In these cases, we can give them herbal medicine to try and boost their immune system. Herbal medicine can also really help digestion and improve their energy levels. This is a very common practice in Mainland China and increasingly in Hong Kong.

Despite these steps forward, the industry still commonly hits headlines not for scientific discoveries or its rapid modernisation, but for some unethical doctors continued and controversial use of animal products.

Ingredients such as rhino horn and pangolin scales have long been prized by TCM practitioners, which has decimated wild populations and driven these animals, among others, to the brink of extinction. The trade of these ingredients is now illegal in almost all countries, and academics are searching for alternatives to try to curb the black market trade.

There are almost always substitutes, and I see a big trend towards plant-based medicine, especially with millennials, who care deeply about the environment and sustainability, says Man-Chan. Feng Yibin, an associate professor at the University of Hong Kong, has found plant-based alternatives to bear bile, for example, and multiple herbal substitutes for rhino horn.

People who might choose to pop an aspirin before boiling a medicinal brew might find that TCM is finding its way into their lives in other ways.

Herbal, a cocktail bar in Beijings trendy Sanlitun district, serves drinks inspired by ancient remedies. Singaporean Jamie Koh, the founder of Brass Lion Distillery, the citys only gin brand, scoured local TCM shops for ingredients when she was developing her infusion. LVMH is also betting on increasing interest in Chinese healthcare with Cha Ling, a skincare brand that combines traditional medical knowledge and the anti-ageing properties of puer tea.

In Shanghai, entrepreneurs Jen Hau and Polly Zhang are building a whole lifestyle brand inspired by Chinese medicine. The pair launched Jova Health in 2013 with three different blended juices, all of which were based on traditional medical recipes.

Purify is a pear juice-based drink with rock sugar, to purify your lungs and your system; Replenish has a lot of iron and vitamins and is great for women having their period; and Nourish is a great substitute for milk drinksits almond milk and almond is a big ingredient in traditional Chinese medicine, says Hau.

Since then, theyve expanded their drinks range, released candles made using classic ingredients from TCM and launched Jova Senses, wellness classes that combine yoga, meditation and TCM.

As a millennial herself, Hau understands why TCM appeals to younger generations. It is all about implementing things into your daily life to improve your health, and its all natural, says Hau.

As opposed to, I dont feel well so Im going to take a painkiller. Or, I dont feel well so Ill drink some cough syrup, and on and on. Those are very short-term solutions, while Chinese medicine is a very long-term way of conditioning your body to put you in better health. And when you do need to see a doctor, the approach is very different. Chinese medicine always looks for the root cause, and its a lot less invasive, says Lin.

Its so non-invasive that, in five years, when you feel a cold coming on, you might not even need to see a doctor. Youll simply stick your tongue out and snap a photo from the comfort of your bed.

In Chinese medicine, we always look at the tongue. It says a lot about your health, says Lin. If the patient WhatsApps a photo of their tongue and leaves a message about symptoms, the doctor can make a diagnosis and write a prescription. I think that will become more and more popular in the future.

See also: Urban Escapes: Where To Find The Cleanest Air In Asia

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In Good Health: How Traditional Chinese Medicine Is Evolving In Leaps And Bounds - Hong Kong Tatler

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MD Sara Gottfried Talks the Differences Between Vitamins and Supplements – coveteur.com

Posted: November 8, 2019 at 1:46 pm

Its becoming pretty clear to us that the vitamin conversation is never really over. There is so much to know about the pills we pop on a daily basis, and we want to be experts on every. little. thing. While we have solved the mystery that is the multivitamin, were now asking ourselves WTF the difference is, if anything, between vitamins and supplements. Seriously, what even are ~supplements~, and why is Elle Macpherson plugging them? Were done being naive with these things, which is exactly why we consulted MD Sara Gottfried, to get some answers. You may recognize Gottfried's name from Goop Wellness as she is the one who creates one of their well known vitamin regimes (they're so good), High School Genes. When we chatted Gottfried, not only did she set a few (JK, a lot) of things straight, but she also let us know about three supplements we had no idea existed let alone should actually be taking. Prepare to be enlightened.

The actual difference between vitamins and supplements:

Supplements are any product that adds nutritional value to your diet or augments health. Vitamins are a type of supplement. Other types of supplements include minerals, herbs, or nutrients like fiber.

Is it possible to overdo it with a vitamin or supplement?

Yes. In health, theres almost always a U-shaped curve, meaning too little is bad and too much is badgetting the right dose is crucial. In addition, not everyone needs vitamins or supplements, so its important to determine whether any supplement is totally necessary. Too little vitamin A causes eye problems; too much vitamin A can cause hair loss, dizziness, nausea, headaches, coma, and even death. Too little vitamin D can cause osteoporosis, bone pain, muscle weakness, heart disease; too much can cause buildup of calcium in your blood (hypercalcemia), poor appetite, nausea, vomiting, weakness, frequent urination, and kidney problems. Consult with your doctor. In functional medicine, we track the blood levels of many supplements over time to make sure our patients are absorbing them well and getting the correct dose.

Three-lesser known supplements to get familiar with:

Chasteberry (Vitex agnus-castus)for PMS. Also known by several other terms, including chaste tree, chaste tree berry, and vitex. It is proven to reduce PMS and infertility, presumably by raising progesterone. Chasteberry, used by the ancient Greeks more than two thousand years ago, restores normal progesterone levels in the body. In Germany, where integrative medicine is practiced as the standard of care, chasteberry is approved for menstrual irregularity, PMS, and breast pain. A Stanford University School of Medicine study shows that in women with low progesterone, fertility rates are higher among those taking chasteberry.

Berberine. Blood sugar rises with age (starting at fifty), and berberine is one of the supplements proven to help you normalize serum glucose. Not only that, berberine will cool inflammation in your body, lower cholesterol, assist weight loss, and behaves like an antioxidant. Taking 300 to 500 milligrams once to three times per day has been shown to activate an important enzyme called adenosine monophosphate-activated protein kinase, or AMP, nicknamed metabolic master switch.

Alpha-lipoic acid (ALA). This powerful antioxidant significantly lowers blood sugar levels and reduces nerve-related symptoms from diabetes. [It] acts to prevent cell damage and restore the function of neurons in [diabetics]. Even with a whole-foods diet, its hard to get enough to keep your oxidant/antioxidant status in balance. ALA repairs damaged cells, and its one of the most critical anti-aging, anti-inflammatory, and antioxidant agents you can ingest. When applied as a serum, alpha-lipoic acid (5%) has been shown to reduce aging in the face over twelve weeks. ALA is 400 times stronger than vitamins C and E.

The most common misconception with vitamins and supplements:

That they are regulated by the government. Supplements, including herbal therapies (also known as botanicals), often lack the scientific scrutiny that the Federal Drug Administration requires prescription medications to have. Since the mandatory regulation is minimal, its a case of buyer beware. Quality of a product is left to the manufacturer, which means that you must take great care when choosing your supplements.

Pro tip:

Consider taking only one new supplement at a time so you are able to determine whether it is helping you. Give it at least 6-12 weeks, and if it isnt working after this period, move on to another choice.

[As always, we are definitely not doctors or medical know-it-alls. And everybody is different, so make sure to check with a doctor before trying anything!]

Photo: Trays,Herms; Supplements, HUM Nutrition

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Full Body Detox: Try These 2 Simple, Inexpensive And Easy Ways To Naturally Detox Your Body – NDTV News

Posted: November 8, 2019 at 1:46 pm

Detox is required in order to eliminate toxins from your body, promote weight loss and improve your health. Common ways ofbody detox include limiting alcohol, fasting, consuming simple and light foods, etc. In this article, we are going to talk about 2 simple, easy and inexpensive ways to detox, shared by lifestyle coach Luke Coutinho on a live session on Facebook. He informs that lungs, liver, kidney, bowels and skin are the five eliminatory organs of the human body. Even if one of them is jammed, you will experience more sickness, inflammation, body pain, skin problems, weight gain and hormonal imbalance.

Before knowing about the detox, Luke shares about symptoms that you need a detox:

1. When the lungs are unable to eliminate toxins (carbon dioxide from the body), you get sick, experience heart palpitations and toxicity in the body.

2. Liver functioning slows down if it is unable to deal with burden of toxins. It results in fatty liver, sluggishness, fatigue, etc.

3. If the kidneys are unable to filter toxins from the body, it will result in high uric acid in your body and increases toxicity in the body.

Also read:Delhi Pollution: 5 Simple Drinks To Detoxify Your Lungs Naturally

4. If your bowels don't function properly, it will result in constipation and increase the duration of waste in your body. This leads to gastric issues, gut issues, bacterial issues, migraine and low immunity to name a few.

5. Skin, being the largest eliminatory organ of the body, will react with acne, eczema, skin irritation, dry skin, flaky skin etc.

"The human body is meant to detoxify naturally. And this can be achieved by taking proper rest and getting adequate sleep," says Luke.

Resting and fasting can naturally detox your bodyPhoto Credit: iStock

Luke says that rest refers to fasting when it comes to body detox. Continuously eating makes your digestive system work continuously. Fasting gives your digestive system some rest. Your digestive system, gut and pancreas can only heal and repair itself when it is in a state of rest. People going through cancer treatment, chemotherapy or liver problems need a detox because of high intake of medicines.

Giving yourself breaks and rests will automatically help you with bodydetox.

Well, intermittent fasting is the perfect and most natural way to detox your body. You can fast for 12 hours starting after sunset to post-sunrise, and it will give your kidneys, lungs, liver and bowel the required time and space for a detox.

Also read:Intermittent Fasting: Know How To Practice It And The Benefits And Drawbacks That Follow

Sleep

Sleeping well is important for a healthy weight and good overall health. All the detox in your body occurs when you sleep. So, if you want a natural body detox, make amends in your lifestyle so that you are able to sleep well. Create a comfortable and cosy environment in your room, exercise regularly, quit smoking and alcohol, and do not use any gadgets at least an hour before your bed time, to get a good night's sleep.

Sleeping well can help you with a full body detoxPhoto Credit: iStock

Sleeping and resting/fasting, is the perfect way to detox your body naturally.

Also read:Top 6 Ways To Fix Your Sleep Cycle

(Luke Coutinho, Holistic Lifestyle Coach - Integrative Medicine)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

Get Breaking news, live coverage, and Latest News from India and around the world on NDTV.com. Catch all the Live TV action on NDTV 24x7 and NDTV India. Like us on Facebook or follow us on Twitter and Instagram for latest news and live news updates.

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