NOV 2010 ezyhealth & beauty singapore’s premier health & beauty magazine
S i n g a p o r e ’ s p r e m i e r h e a lt h & b e a u t y m a g a z i n e
NOV 2010
Love our L u ngs 2 A publi c forum in conju with W n
Slimming Special
Get your IDEAL figure
immediately! With the help of Slimming Centres, supplements, TCM, fitness trainers and a whole lot more
pg.14
Chubby Kids
May Be At Risk! Obesity in Adolescents & Teenagers
Cellulite Acupuncture! pg.64
Be The
Biggest Loser Dave Nuku with
orld C ction 13 Nov OPD Day 201 0 2010 @ SMU Registe
Details r today! on pg. 5 1
Get Perfect Eyesight
WITHOUT
Lasik Heard Of These
Health Foods? Bitter Buckwheat, Red Yeast Rice, Cordyceps
Of
Bananas & Cucumbers Does your guy have the perfect erection?
MICA (P) 062/05/2010
Constance Song stress-free Yoga keeps me
contents NOV 2010
14 58
IN EVERY ISSUE 5 Around Town 7 What’s New 78 Medical Services Guide
20 64 24
COVER STORY 12 Constance Song “Yoga keeps me stress-free!”
12
SPECIAL Slimming Special 14 Slimming Special Losing 18 20
24 28 30 32
weight the easier way: slimming centres Fat, Fat Go Away! Losing weight can be a piece of cake Chubby Kids May Be At Risk! An Endocrinologist talks to us about obesity in adolescents and teenagers Are You The Biggest Loser? Dave Nuku, fitness trainer for the Blue Team tells you how you can be the Biggest Loser Fighting Weight-gain with Proper Nutrition Tips from world-renown expert in nutrition, Dr David Heber 6 Myths about Traditional Chinese Medicine (TCM) Tips on how TCM can help you Lifestyle Change – It IS Possible! How a lazy teenager became a yoga champion in 3 years
20
32
44
42 74
Personality: Constance Song art Direction: Amy Ong image editing: Amy Ong Hairstyling: Desmond from Passion Makeup: Kai, Make Up For Ever Academy
Watching a Silent Killer What you need to know about High Blood Pressure
MEDICAL EXPRESS 48 Showing Some Love for Our Lungs Dr Tan Tze Lee 52 Health Radar Know the latest medical news 54 Minis To Your Rescue Avoiding the embarrassment of 56 58 64 66 68 72
missing teeth! Head & Neck Cancer A patient’s survival story What’s the Next Big Thing in LASIK? An Introduction to Advanced Surface Ablation Cellulite Acupuncture Your Secret To Proper Digestion Overcoming indigestion with enzyme intake Colorectal Health for Women Colorectal cancer Screening Achieving The Perfect Asian Look How medical aesthetics can help us
LIVING 74 Good, Better, Best! Optimal erections are the goal 77 Redefining Tongkat Ali for Men Ancient herbal remedies work wonders through modern scientific formulations
PROMOTIONS 57 AVALON® American Ginseng Slice with Honey Win! 30 boxes of AVALON® American Ginseng Slice with Honey
HEALTH 36 “Say That Again?” Dealing with age-related hearing loss
38 40 42
Ask Your Pharmacist How do I manage Irritable Bowel Syndrome? Ancient Herbs with Modern Benefits Understanding the benefits of Red Yeast Rice & Cordyceps Getting a Taste of Bitter Buckwheat The natural healthy supplement for diabetic complications
28
editor’s note
Anger Management Yesterday I got offended. For those who know me well, I am no easy person to aggravate. In fact, when push comes to shove, I normally end up getting shoved. But I digress. My wife bought a new-fangled weighing machine that was supposed to tell me more than just the threedigit figure that I call my weight. It had readings for body fat, BMI, a place to enter your height, your age and a host of other critical information that were supposed to lead me to the same conclusion – that I was overweight. The fact that I am overweight is no shocking revelation to me. I’m used to blaming my heavy bones, water retention, last night’s beer, et cetera. So when a red light started flashing two seconds after I got onto the scale for the first time, I thought it would be the same revelation told to me in a more dramatic way. I was wrong. This time, the flashing words on the tiny digital scale screamed “OVERFAT!!” O V E R – F A T. Can you believe it? What was that supposed to mean anyway? Seriously, I never considered myself thin, but calling me OVER fat
was pushing the limits! As I flipped over the scale, a quick look at the country of manufacture quickly showed me where the problem really was – the translator of course. This issue, we look at the wide range of medical and health services that are available for persons like me. Factoring out those who are born with supermodel-thin genes, shedding some weight would most probably have been on all our agendas at some point. Today, spas and therapy centres offer much more than just a relaxing massage, slimming has become the cornerstone of many therapies. Find out more about them on page 18. My ‘extensive’ research into weight-loss, however, also tells me that there is no quick and easy way to a desirable waistline. Dave Nuku, celebrity trainer from The Biggest Loser Asia, shares with us all about the ‘hard’ way to reach the same desired outcome (pg. 28). Whether you decide to choose the ‘hard’ way or the ‘easy’ way, we hope that you will gain some insights into ensuring that it is the healthy way to achieve weight-loss.
Editor Jason Lim jasonlim@ezyhealth.com Writer Cheryl Koh cherylkoh@ezyhealth.com Contributors Dr Warren Lee, Dr David Heber, Dr Tan Tze Lee, Dr Tony Ho, Dr Gan Tek Kah, Dr Peter Yan, Dr Jennifer Liauw, Dr Ivan Tan, Dr Ivan Puah, Dr Oliver Hennedige, Susan Bowerman, Yang Jingxian, Martin Kwan, Wu Xue Rong, Alvin Ong Art Director Becky Ng Graphic Designer Amy Ong Assistant Graphic Designer Elmer Gono Production & Circulation Manager Pauline Sim paulinesim@ezyhealth.com Sales & Management Advertising Hotline: 6395 9401 Division Manager Amber Chong amberchong@ezyhealth.com Consumer Senior Account Manager Heng Pin Pin pinpin@ezyhealth.com Senior Account Manager Marcus Toh marcustoh@ezyhealth.com Account Manager Jessyca Tan jessycatan@ezyhealth.com Medical Business Manager Seow Yu Chang ycseow@ezyhealth.com Publisher Janice Yeo Ezyhealth Singapore Pte Ltd 53A Science Park Drive The Faraday, Singapore Science Park 1 Singapore 118234 Tel: 6395 9393 Fax: 6395 9394 www.ezyhealth.com Advisory Board Dermatology Dr Chan Yuin Chew General Surgery Dr Teoh Tiong Ann Obstetrics & Gynaecology Dr Christopher Ng Oncology Dr Ang Peng Thiam Ophthamology Dr Au Eong Kah Guan Pain Management & Anesthesiology Dr Yeo Sow Nam Plastic Surgery Dr Harry Fok Psychiatry Dr Samuel Cheng Ear, Nose & Throat Dr Lau Chee Chong Sports/Orthopaedic Surgery Dr Kevin M H Yip Printed by Times Printers Pte Ltd
Jason Lim Editor
“The older you get, the tougher it is to lose weight because by then, your body and your fat are really good friends” – Anonymous
Every care is taken in the production of this magazine but the publisher, editor and its employees assume no responsibility for any errors, inaccuracies or omissions arising thereof. Opinions expressed by contributors and advertisers are not necessary those of the publisher and editor. The information provided in this publication is for reference only. You should seek the advice of your physician or healthcare professional if you have any questions about your health or medical condition. The material in this publication cannot be reproduced, whether in part or in whole, without the permission of the publisher. All rights reserved. © 2010 Ezyhealth Singapore Pte Ltd MICA (P) 062/05/2010
2 ezyhealth&beauty . nov 2010
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10 Anson Road, #02-86, International Plaza (Tanjong Pagar MRT Station) Singapore 079908
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readers’ letters
Write to us and win! Question of the Month:
“Share with us where you get your daily dose of fiber” Answer our monthly question and the 3 best answers will receive a set of Metamucil 100% Natural Psyllium Fiber Supplement (consisting of Metamucil’s Orange flavour, Wild Berry flavour and Fibersure) worth a total of $70.50.
Be sure of your Fibre!
Metamucil is packed to the brim with fiber that offers many important health benefits. In addition to assisting the regularity of the digestive system, fiber can help lower cholesterol when combined with a healthy diet and exercise. It can also help modulate blood sugar levels after meals. Get your daily fiber fix from Metamucil’s 2 delicious flavours. Fibersure reduces constipation associated with irritable bowel syndrome, hemorrhoids and diverticulosis. Inulin, the fiber found in Fibersure, is a clearmixing, flavourfree, natural fiber that you can cook and bake with. Taste-free and texture-free, Fibersure can be added to your drinks and meals.
Write: Email:
The Editor Ezyhealth & Beauty 53A Science Park Drive The Faraday, Singapore Science Park I Singapore 118234 editor@ezyhealth.com
Winning letters will be published in the following month. All letters to reach us by 30 Nov 2010. Please include your full name, IC number, contact number and address. Letters may be edited for length and clarity.
4 ezyhealth&beauty . nov 2010
Letters of the Month “Share with us your healthiest, personal local food recipe. Desserts and snacks after dinner can be unhealthy and fattening. In order to keep my children healthy and happy, I came up with a healthy yet tasty snack. All you need is a small tub of plain yoghurt, honey (amount depends on how sweet you want it to be), diced fruits (kiwi, strawberries etc) and a handful of chocolate sprinkles. Mix them altogether and viola! You get your tasty and healthy snack.
Stefi
I am diabetic. Therefore it is twice as important that I abstain from anything sweet and sugary. However, I refuse to believe that sugar-less food are bland and boring- so I came up with my own recipes. I love the coconut fruit and when I read that coconuts are highly nutritious, rich in fiber, minerals and vitamins, I decided to create my own simple coconut rice recipe. Extremely rich in flavour and aroma, all I have to do is combine my rice, coconut milk and salt in a large saucepan over high heat and boil. Try it, you’ll like it!
Lum Yeow
October’s winners will receive a copy of D.I.Y by Y.E.S 93.3FM’s DJs and DJ Super SunBlock Liquid SPF 50+ by CUSkin Corporation worth a total at $62.90. Bouquets Kudos to your magazine for featuring Lin Peifen! I believe many Ezyhealth readers can identify with Peifen- she bakes, has a job she enjoys and takes good care of her health. She stands out and isn’t just like any other super slim celebrity gracing a magazine’s cover. Peifen is inspiring and wholesome, and that is the best recipe for good health!
Liz Yeo
S I N G A P O R E ’ S P R E M I E R H E A LT H & B E A U T Y M A G A Z I N E
LOVE OUR LUNGS 2
SPECIAL
Family Health
5
allergy-causing foods your child should AVOID!
What you do not know CAN kill you
OCT 2010
I’ve got a stranger
in my Bedroom pg. 70
Rare heart conditions you should be aware of
Health benefits of
STOP
Purple Wheat
your elderly loved one from Falling
ZAP pain
PERFECT abs in 3 simple steps! pg. 32
Lin Peifen Making health and
away with Electrotherapy
beauty look easy
The Great Supplement Giveaway by Vitahealth, AVALON, OceanHealth pg. 67 & 80
around town
Making the news Happenings across the island
Home Nursing Foundation Enjoy a refreshing stroll with your elderly loved ones or friends whilst doing your part in giving back to society. At a nominal cost, you may now take part in the 4km non-competitive HNF Walkathon 2010 that will be lined up with celebrity appearances, free health screenings, attractive goodie bags, a lucky draw, fun filled activities and performances with Minister of Health Mr Khaw Boon Wan gracing the event. Should you not be able to attend the walk but wish to donate, simply log on to the online donations portal to make a donation. Venue: East Coast Park, Angsana Green (Near E2 Car park) Date: Saturday, 27 November 2010 Time: 8am - 12noon Registration fees: $10/pax (12 years old and above) To register for the walk or make an online donation, please log on to www.give.sg/org/hnf/walkathon2010 and follow the instructions provided.
The Nicorette Quitters Run The world’s first and only run to promote smoking cessation, The Nicorette Quitters Run held on the 18th of September saw 863 participants. Held at the East Coast Park, the non-competitive 7.5 km run was open to the general public. Registration fees of $10 per participant were donated to the Singapore Cancer Society. All participants received an official Nicorette Quitters Run Pack.
Official Opening Ceremony of TTSH Sports Medicine & Surgery Clinic Calling out to those who exercise in search of better health and wish to achieve healthy sports performance and overall wellness! With health problems, diseases and illnesses on the rise in today’s society, the need to keep a healthy lifestyle has become more and more important. In a bid to support healthy living, Tan Tock Seng Hospital will be opening its first Sports Medicine and Surgery Clinic, “Your Partner in Sports and Exercise”. The newly-opened clinic will also be an avenue to assist patients who suffer from sports and muscular skeletal injuries, require surgical treatment of sports injuries, sports physiotherapy, pre-sports participation screening, exercise prescription training, just to list a few. To celebrate the clinic’s opening, a two-day public event, the Sports & Wellness Carnival will be held at Tan Tock Seng’s Atrium (level 1). Gracing the event will be Guest-Of-Honour, Chief Executive Officer of Singapore Sports Council, Mr Oon Jin Teik. The carnival will encompass health screenings, heart checks, demonstrations and assessments. The Sports & Wellness Carnival will be held from Thursday, 25 November till Friday, 26 November 2010 at 10am to 4pm. For more details, please call 6357 7714 or email kelvinder_kaur@ttsh.com.sg
nov 2010 . ezyhealth&beauty 5
around town
World Diabetes Day Exhibition Our lives can be so hectic that we tend to neglect one of the most important things: our health. When was the last time you did a health screening? If you find yourself trying to recall (in vain) the last time you had a health screening, you might like to consider taking part in ‘Manage Well, Live Well’, a health exhibition event that will feature a Health Screening programme encompassing blood pressure, height/weight, glucose and cholesterol screening. Goodie bags will be given to the first 500 participants who sign up for Health Screening. All proceeds will go to the Diabetes Care Programme under the TTSH Community Charity Fund. World Diabetes Day Exhibition will be held on Tuesday, 9 November 2010 at Tan Tock Seng Hospital from 9.30am to 4pm. A nominal fee of $4 to $10 will be charged for health screenings. No registration is required.
Your Quick Beauty Fix In Absolute Luxury With refreshments of teas, coffees and premium deserts, like Royce chocolates, champagne and a music library that boasts a vast selection of more than 200 CDs, Atlas Medical undoubtedly raises the bar for aesthetic clinics. With its lavish, gold-glided settings and impeccable customer service, Atlas Medical is your new go-to clinic for pigmentation. Promising safety, speed and effectiveness, the clinic has imported the latest generation of Q-switched lasers to banish all manner of spots in significantly reduced discomfort. This new breed of machines include the Visia, an advanced skin analysis machine that not only measures spots, wrinkles, texture, pores and photodamage, but also projects what each individual’s skin will look like in 7 years. Atlas Medical Laser & Aesthetics by Dr SM Yuen is located at Ngee Ann Tower B, #13-10/10A. For appointments, call 6556 0829.
6 ezyhealth&beauty . nov 2010
Pilates For The Expecting Mother Pre-natal Pilates is well known amongst medical practitioners as an intelligent form of movement which allows expecting mothers to stay fit, happy and agile during pregnancy. According to the popular info-portal, pregnancy.lovetoknow.com, learning the principles of centering, concentration, control, precision, breath, and flow will help moms-tobe during the pregnancy and child birth. At Focus Pilates, pre-natal classes are conducted by experienced professional physiotherapists and Polestar trained/certified Pilates Instructors. Each highly-supervised 60-min session is designed to suit the expecting mother’s body conditions and needs. Through regular practice of Pilates, they will gradually strengthen their abdominals, backs, and pelvic muscles to assure that their pregnancies and labours are more comfortable. New mothers will also be able to get back into shape faster after delivery if they stay in shape during pregnancy with pre-natal Pilates. For more details, call 6733 8785 (Orchard) or 6235 3938 (Raffles).
what’s new
S OR’ T I ED
Fab finds This month’s must-try discoveries Well-Being From Plants If you find yourself tossing and turning in bed before falling into a restless sleep every other night, Activa’s Well-Being Sleep might just be the thing you need. Birthed from a natural blend of Hawthorn, Chamomille, Verbena, Sweet Violet and Lime, this dietary supplement will help lull you into a calm and relaxed sleep. ACTIVA Well-Being is available at Guardian outlets. For more information, visit www.activa.com.sg or call 6222 1176.
Just Pure Organic Goodness Grown and processed without pesticides, chemical fertilizers or genetically modified organisms, Ban Choon Marketing’s new organic product range is packed to the brim with vitamins and minerals. To make the deal sweeter, Ban Choon’s organic foods come in value packs that can be delivered right up to your doorstep! Ban Choon’s organic foods are available in all Four Seasons Organic Market (City Square Mall, Great World City, Parkway Parade and Suntec City Mall). For details, call 6509 6683 or 6836 1855.
Your Antioxidants In A Bottle Juiced and bottled in the heart of California, POM ® Wonderful 100% Pomegranate Juice is now available in Singapore. All-natural POM Wonderful 100% Pomegranate Juice is an excellent addition to a healthy lifestyle because it is made exclusively from pomegranate, known for its sweet tart juice and superior levels of antioxidants. Polyphenol antioxidants help neutralize, unstable molecules produced both inside and outside the body that may damage cells known as free radicals. POM Wonderful 100% Pomegranate Juice is available at selected Cold Storage outlets, Market Place by Jasons, MEIDIYA, Isetan, Giant Hypermarket stores and niche gourmet outlets nationwide at $3.95 for 236ml and $6.95 for 473ml.
Your Child’s Growing Up Formula If your child has not outgrown his cow milk allergies, or if he suffers ® from lactose intolerance, Isomil 3 Soy Growing-up formula will be perfect for your child. An excellent and deliciously nutritious alternative, this formula is packed with the necessary vitamins and minerals to support the development of a healthy digestive system. ® Isomil 3 Soy Growing-up formula (900g) is available in supermarkets, hypermarkets and selected retail pharmacies at S$39.05.
The Natural Choice! Yeo’s is here to celebrate a most joyous occasion – the birth of 2 new beanies to its Soy family! – namely SoyRefresh (YEO’s Bandung Soy Drink), a lightly scented concoction of original wholesome soy milk infused with the delightful rose flavour, and SoyFit (Yeo’s Soy Bean Drink with Calcium), the authentic traditional soy milk that we all love, enriched with calcium. Nutritious yet delicious, YEO’s is your Natural Choice! Yeo’s Bandung Soy Drink and Soy Bean Drink with Calcium can be found at all major supermarkets, retail chains and convenience stores at $2.80 to $3.00 per (continued on pg 10) 6-pack. nov 2010 . ezyhealth&beauty 7
what’s new (continued from pg 7) Conscious of your Cosmetics? With at least 70% organic content in each product, leading natural brand Avalon Organics from the USA brings you its new improved Signature Green Bottle Line which includes shampoo, conditioner, bath & shower gel, hand & body lotion, and hand soap. Based on the philosophy, ‘Consciousness in Cosmetics’, the brand has been designed for the environmentally conscious and for individuals with sensitive skin. Avalon Organics bagged the ‘Best of Natural Beauty Award’ by America’s Natural Health magazine in 2009. Avalon Organics Signature Green Bottle Line can be found exclusively at selected Watsons Personal Care Stores at $10.90 to $13.90.
Your Answer to Glowing Complexion & Glowing Eyes Our eyes are the first to show signs of fatigue and ageing. Yet, they are usually the most neglected as we tend to place more emphasis on our complexions. As such, Clinelle has developed a comprehensive four-step eye care regime which includes the Clinelle Eye and Lip Makeup Remover, SnoWhite Mask, Soothing Skin Toner and Eye Bright that will be your answer to glowing complexion and glowing eyes. All Clinelle products are available at selected Guardian and Watsons outlets, departmental stores and independent pharmacies at $10.95 to $39.95.
Mother Nature On Your Skin Made from a blend of natural sea salts and organic plants, Finale Bath Salt Body Wash promises to exfoliate effectively, removing dead skin cells whilst keeping your skin moist and smooth. Calming and refreshing, Finale Bath Salts come in 4 delectable aromatic scents, Rose, Peach, Milk and Lemon with Vitamin C. Each scrub is formulated to suit different needs. Finale Bath Salts is available at SASA at $10.90. 10 ezyhealth&beauty . nov 2010
Do Not Disturb or Irritate Your Skin Welcome home, to a place where you are free from skin irritation, soreness and discomfort. Where you can wear whatever you want, period or no period. With an ultra absorption of 90%, high breathability and minimal rubbing, Laurier F now comes in 34cm with Safety Gathers to prevent side leakage effectively, whether it’s during your light flow days or heavy flow days. The New Laurier F with Safety Gathers (10 pieces) is available at all major supermarkets, pharmacies and personal care stores at $4.95.
Keeping Comfort Fresh Developed specially by women and leading gynaecologists, the Vagisil brand consists of products that screen and treat certain feminine health conditions. First in its category, the Vagisil Screening Kit for Vaginal Infections is an in-house results kit, created with the healthconscious woman in mind. The test kit is meant for women suffering from vaginal symptoms such as itching, burning, unpleasant odour and unusual discharge. Vagisil products are available at all Guardian pharmacies at $19.95 for a pack of two kits.
Have The Best of Both Worlds Aside from providing resistance to diseases, bird’s nest is believed to help maintain a youthful, radiant image. Gold, an equally precious commodity, is said to be enriched with anti-oxidants, anti-free radical elements and age-defying properties. Combining the best of both worlds, Bio-Essence brings you the Bio-Essence 24K BioGold With Bird’s Nest Essence skincare range. You may now look forward to experiencing the most luxurious and powerful anti-ageing treatment in the comfort of your own home! Bio-Essence 24K Bio-Gold With Bird’s Nest Essence skincare range is available at all Guardian and Watsons outlets. For details, visit www.bioessence.com.sg or call 6283 3822.
For The Men Only For all the men who wish to maintain healthy body functions and a strong immune system, Vitroman X-Power is just the thing for you. Lightly scented and non-reactive for all men, this oral supplement taken on a regular basis supports and keeps the body active. This product is especially suitable for men who have little rest and are constantly on the move. Vitroman X-Power is available at Watsons, Unity Pharmacies, Mustafa, Yue Hwa and local medical halls at $60. To buy online, please log on to www.yumtrade.com (free delivery).
Cardiovascular Disease: Capture It When It Happens! Concerned about palpitations, pain or shortness of breath felt by family members or even yourself? You can now monitor the condition of your heart without any hassle. With the assistance of the pocket-sized Medico EF1800, one can now detect and record the abnormality of his heart. This portable device can display the ECG (Electro Cardio Graph) Waveform, Heart Rates and Diagnosis for your heart. The Medico EF1800 is available at $427. For more information, visit www.htmmedico.com.sg.
Nail-Licking Good! How about nail colours so luscious you would want to lick your fingers? Introducing 5 new yummy colours from Sally Hansen: Snappy Sorbet, Grape Going, Instant Iris, Lively Lilac and Mint Sprint! Don’t let these syrupy sweet names fool you ladies, they are not edible! Let your mind go wild with these fun and flirty hues, only from Sally Hansen! Sally Hansen nail colours are available at Watsons, Guardian, BHG, FairPrice Finest/Xtra, Robinsons, John Little and other major departmental stores.
Goodness In A Carton What is uniquely refreshing, delicious and leaves you longing for more? Made from real pink grapefruit concentrate with 0% fat or cholesterol, the Marigold Pink Grapefruit 0% Fat Yoghurt Drink is an ideal choice for a healthier lifestyle. Brimming with tasty goodness, this tasty drink boasts no preservatives or artificial colouring. Available in 4 delicious flavours. Marigold Pink Grapefruit 0% Fat Yoghurt Drink is available at all leading supermarkets, minimarts, convenience stores, petrol kiosks and provision stores at $2.80 for 1 litre and $1.00 for 250ml.
Your Diabetes Fighter If you have a sweet tooth and are worried about getting diabetes, you might like to try IngreLife’s Cell Cleanser. Specially created to help diabetic conditions, the Cell Cleanser uses buckwheat that helps soften blood vessels, improve microcirculation, detoxify, stabilize sugar and blood lipid levels. Boasting more than just one benefit, the cell cleanser also works as an excellent skincare product that prevents freckles and age spots. IngreLife’s Cell Cleanser is available at $90 per box. For more details, call 6744 2651.
nov 2010 . ezyhealth&beauty 11
cover story
“Yoga keeps me stress-free!” Constance Song tells us how she looks within herself for inspiration and why everyone should take up yoga too By Jason Lim
c
onstance Song is not the kind of girl that you would walk up and introduce yourself to in a social setting. If you are a guy, you would definitely love to. But then again, you probably wouldn’t. She carries all the trademarks of a successful, self-assured lady who relies on nothing and no one save her own talent and beauty. Such is her confidence and bearing that it is possible that many would-be suitors have seen their macho bravado wilt at the very thought of introducing themselves uninvited. Definitely no stranger to the flashbulbs and torrents of instructions from the cameraman, the svelte actress showed no hesitation as she morphed into a series of poses for our cover shoot. Perhaps her hours spent pouting to the lens of the camera in her early days in showbiz might have contributed to her persona somewhat; it seems to have left her with a look that is permanently camera-ready. When the work was over, we sat down to get to know the real Contance Song. As the award-winning Mediacorp actress starts to share with me her passion and dedication as an artiste, a very genuine, simple, and sincere side of her comes across clearly. Here was a woman, who harbours a simple goal and purpose – to do better in every subsequent role she receives. We also find out about the secret that enables her to keep in such great shape all the time! 12 ezyhealth&beauty . nov 2010
EHB: Tell us a bit about your career as an actress? What prompted you to go into acting and when did you start? Constance: It was pure curiosity. I was studying back then and doing modeling parttime. Acting was a natural progression for me after modeling. It’s been a great 12 years in the showbiz industry for me! EHB: Congratulations on your big win earlier this year at the Star Awards. Was this win especially sweet because you waited quite awhile for it? Constance: Thanks! It’s really good to win! In fact, maybe having to wait awhile for the award was really good! It made me want to try harder and harder each year to be better in my roles and I’m very happy that my effort has paid off. EHB: Tell us about your role in Ultimatum that enabled you to win this award. Constance: Initially when I was given this role, I was very pressurized by it. The pressure came from a feeling of inadequacy. I constantly asked myself, “How am I going to deliver this role properly?” The role required me to be a lady who is in her mid40s. This character was to be very powerful and confident; she had to be very smart, very cunning, very selfish and power-hungry. Furthermore, she had a son who was about 20 years old. The tough part about this character was that she was very bad in a very subtle way. Not outright evil, but very subtle and with a lot of hidden motives. I found that this was a very challenging role as I have never acted in this way before. The stress from playing this character even caused me to have insomnia! However, looking on the bright side of things, I found that this stress was really instrumental in pushing me to the next level and I didn’t expect that I accomplished this role successfully and even win an award for it. EHB: When you were nominated, did you guess or expect to win? Constance: In previous years, I had been
nominated to win before, however I didn’t win. So this year, I did not dare to presume. Especially since this time I was also under such immense pressure for this role, I honestly thought that my chances of winning were not really high. But it was a very happy surprise! EHB: What type of roles do you fit best into? Constance: I like to play my own age! I’ve been always acting quite matured roles till now, for example, as an elderly widow. It’s a really big challenge for me and I think I have already conquered that. So now I would like to do something nearer to my age. That would be nice. EHB: I see, and what exactly would that age be? Constance: …. EHB: Never mind, we know that acting is a very stressful and tiring job. How do you maintain your health and release stress? Constance: I do a lot of yoga! I go for yoga practically every day if I’m not filming. When I am filming I try to go in the mornings before the filming starts. Now I am doing yoga consistently almost 4-5 times a week. EHB: What types of yoga do you do? Constance: I do hatha, vinyasa, hot yoga, ashtanga, basically all types of yoga. That’s how I relax. I’ve been practicing for almost a year at the Omshiva at Turf City and Absolute Yoga. EHB: Who introduced you to yoga? Why did you pick it up? Constance: I picked up because I wanted to lose weight! [laughs] When I first started with Hot Yoga, I would sweat so much during each session and I began to lose weight. Also, I used to have bad knee-cap problems and my joints were giving me problems as well. The orthopaedic and
sports doctor that I consulted told me that my joint problems were due to my muscles not being strong enough. This was the reason why I was experiencing so much pain at my joint area. The doctor advised me to build up my leg muscles. In the past, I could not even stand on one leg for long because it would cause me a lot of pain. As my muscles started to strengthen through yoga, my joints are no longer painful and I feel much stronger. Flexibility is also another area that I wanted to build up. I am such an inflexible person! When my yoga teacher first saw me, she said that in yoga terminology, my body was considered like “fire”- meaning that it is very inflexible! That means I have to work extra hard compared to other people. Yoga is very motivating, if you notice, those people who practice yoga for a long time they all look very young! That has become my main motivation! [laughs] EHB: How difficult was it for you to start learning yoga? Constance: People see yoga as being so easy, but let me tell you, it is actually so difficult! I even see all the men in class struggling! The first time I tried yoga many years back, I did not know how to breathe and I just did it without following the proper steps. At the end of the class, I was lying straight on the floor feeling very giddy. I started throwing up and was covered with cold sweat. Ever since I was so scared of yoga and I stopped for a long period. Then a few years back, I did a health program with Channel U and I was reintroduced back to yoga. That was when I picked up again. I really encourage people to try and do yoga. I find that yoga is easier to start compared to running or going to the gym. There is yoga for beginners and it is easier for someone to go and start. You will feel so calm, so relaxed, as you listen to music and believe me, you will feel so good after that. EHB: Any beauty or fitness tips to share with our readers? Constance: Don’t worry too much! nov 2010 . ezyhealth&beauty 13
special - slimming Slimming Centre:
ONLYaesthetics Star treatment:
Arasys Inch Loss Treatment
Losing It The Easier Way
W
Slimming centres
hat do our Asian screen favourites Christy Chung, Zoe Tay and Ivy Lee have in common, aside from being hot mums and having their pretty faces plastered all over magazine stands? The answer is pretty obvious: they have fronted well-known slimming centres at some point or another, and detecting a single ounce of fat on them can be likened to searching for a pin in a haystack. Despite becoming mothers not too long ago (Ivy is a mother of 4!), these ladies look too good to be true – looking at them just make us want to wring our hands in bitter despair. Well, since we can’t beat them, I say we join them! With numerous slimming centres sprouting up all over our sunny island, attaining Christy Chung’s figure is merely a bus stop away. And if busting your budget is what you are worried about, you may now place your unfounded worries aside. Offering only the latest and most advanced weightloss packages, slimming centres of today sweeten the deal with the most competitive pricings and freebies. But before you pick up your bag and march into the nearest slimming centre, you might like to take a peek on what we have in store for you.
14 ezyhealth&beauty . nov 2010
By Cheryl Koh
How it works:
Arasys utilizes “waveform technology” that is often used on pacemakers to smoothly pulse the body muscles.
Unlike machines of the past which claim to help you lose weight through muscle stimulation, the Arasys does not use electrical currents which twitch or jerk muscles. The waveform technology used smoothly flexes the heart muscles and gets the heart to work the way it normally works during physical exercise. Only 17 minutes are required to see results. Expect remarkable inch-loss and muscle building.
You might want to know:
Aside from the Arasys Inch Loss Treatment, ONLYaesthetics also offer the ONLY Wrap which is used by celebrities such as Tyra Banks, Ellen DeGeneres, Minnie Driver to get ready for their appearance at the Academy Awards. To fix an appointment:
Call 6314 4434 (Holland Village) or 6338 4434 (Singapore Shopping Centre).
Slimming Centre:
Slimming Centre:
Wyann International
Spa Infinity
Star treatment:
Tibetan Meridian Fire Thermotherapy
E-Intense Full Body Treatment
Star treatment:
How it works: How it works:
E-Intense is the latest technology that helps improve lymphatic drainage and flush out toxins and waste. The technology, which includes machine treatments, body wraps and an infra-red heat blanket, goes on to relax the membranes of fat cells for toxins to dislodge in preparation for the slimming process. Once the body has been detoxified, E-Intense mobilizes the uneven fat cells and increases the metabolism rate. In just 20 minutes, E-Intense can eliminate body fats and burn off at least 600 - 1200 calories, in comparison to an hour of intensive exercise that burns 300 - 500 calories. Finally, E-Intense revitalizes the body by stabilizing fat cells, soothing and relieving tension. The treatment results in a better toned, refined and slender body. You might want to know:
Unlike slimming centres which price their packages in accordance to the number of sessions done, Bizzy Body aims to deliver 100% guaranteed slimming results by pricing their programmes according to its customers’ weight loss. Bizzy Body guarantees a minimum of 2 to 3 kg weight loss for an 8-day programme and at least 5 to 8 kg weight loss for a 16-day programme.
TCM Zangfu Meridian Slimming Treatment combines various modalities of ancient Chinese healing techniques, bringing you the best results in slimming, detoxification, health, energy improvement and the curing of diseases. Infinity’s approach is built upon the concept of balancing Yin Yang, Zang Xiang and the Five Elements. Zang refers to the interior location of the Zang-fu organs; while Xiang refers to their external symptoms. Zang-fu covers the five Zang organs (the liver, kidneys, spleen, lungs and heart) and six Fu organs (the stomach, gall bladder, large intestines, small intestines, bladder and triple energy). This treatment focuses on promoting a good flow of Blood and Qi, and a healthy functioning of internal organs to improve general wellness. Combined with specially blended herbs, the Tibetan Meridian Fire Thermotherapy works its way to the internal organs, resulting in a detoxifying and revitalizing effect. The liver is cleared of accumulated toxins through an unhealthy diet, alimentary excesses, or prolonged administration of various diseases. Once the liver is cleansed of toxins, the hepatic functions are restored and this results in higher energy levels, a more radiant complexion and weight loss. You might want to know: It is said that 65 million years ago, a huge meteorite hit East China and exploded. This caused limestone to be exposed into the air. The limestone and interstellar material infiltrated under high temperature and pressure, forming the precious stone used in this treatment.
To fix an appointment:
Call toll-free hotline 1800 888 3300 or log on to www.bizzybody2u.com.sg for more details.
To fix an appointment:
Call 6738 0069 or log on to www.spainfinity.com.sg for more details.
nov 2010 . ezyhealth&beauty 15
special - slimming Slimming Centre:
London Weight Management Star treatment:
Lavender Lipo Therapy – The Fat Killer How it works:
The Lavender Lipo Therapy kicks start with the use of the aromatherapy steam bath that opens up pores and enables our bodies to better absorb subsequent products. Following that, the Beautifying Sea Salt Body Scrub will be used to help remove dead skin, followed by the use of a hot blanket that will cause the body to sweat. This boosts the metabolic rate and detoxifies the body. The use of the London’s natural ampoule with
the hot blanket will stimulate blood circulation, break down fat cells and burn excess fats (the use of different ampoules will have different effects). The Lavender Therapy is said to enable a loss of 8 to 16 cm, and a loss of up to 1 kg per session. You might want to know:
Its Lavender Lipo Therapy is the first treatment of its kind in Singapore. To fix an appointment:
Call 6222 1234 or log on to www.londonweight.com for more details.
Slimming Centre:
Suddenly Slender Star treatment:
Suddenly Slender Body Lift Mineral Wrap How it works:
The Mineral Wrap eliminates toxins and impurities in our bodies and replenishes them with 175 minerals and vitamins that includes a combination of minerals such as oxygen, potassium, magnesium, calcium, iron, zinc and more. Designed to sculpt and contour the body into its ideal shape, the minerals infused in the wraps tighten skin, reduce fat cells and the appearance of cellulite, and gives the entire body an uplifting effect. The treatment includes an infra-red sauna and a light body workout session that facilitates fat-burning and detoxification. Customers do not have to follow a strict diet or change their lifestyle after the mineral body wraps. This wrap guarantees 6-20 inches of weight loss after the first session.
16 ezyhealth&beauty . nov 2010
You might want to know:
Suddenly Slender’s Body Lift Mineral Wrap is specially formulated with over 175 different 100% all-natural minerals infused in its wraps to draw out harmful toxins and impurities. A one-time full body fat-burning mineral wrap is equivalent to 10 sessions of machine treatment. An avid user of the body wrap, founder Dr Victoria Morton who’s already in her 70s, has yet to experience any menopause. To fix an appointment:
Call 6884 8111 (Somerset) or 6345 8111 (Marine Parade Central).
Slimming Centre:
Revive Wellness
Slimming Centre:
Bella Luna
Star treatment:
Signature MLD (Manual Lymphatic Drainage) Body Sculpting
Star treatment:
Revitalizing Rolling Therapy
How it works:
How it works:
Our lymphatic system is made up of a network of small vessels that transports lymphatic fluid a clear fluid called lymph, which carries away our toxins and waste. However, lymphatic congestion can occur when the lymphatic system is clogged with excess fluid and debris. The lack of exercise, obesity, injuries, unhealthy diets and many other factors can cause a clogging of the lymphatic system as well. Revive Wellness’ MLD works towards stimulating our lymphatic systems, draining our lymph fluids towards the lymphatic nodes throughout the body, enhancing the immune system, and reduces pain and swelling. At the same time, the MLD Body Sculpting is a unique re-sculpting technique that helps mould the body contours creating a slimmer you. You can also opt for the MLD Pre and Post Surgery session, Face Sculpting, Bust Sculpting or Legs Sculpting. You might want to know:
Revive Wellness’ MLD treatments is said to generate antibodies, distribute fluids and nutrients, reduces swelling and water retention, and alleviate cellulite. To fix an appointment:
Call 6222 0061 or log on to www.revivewellness.com.sg for more details.
An acupressure point muscle relaxing massage for face or body, with toning treatments for various skin type using natural quartz crystal and healing stone. These are shaped into a ball like structure to enable smooth rolling techniques, performed only by professionally trained therapists. When combined with recommended face or body products, it’ll result in recovery with a vibrant and refreshing skin condition, rejuvenation for the individual and restoration of mind and body. This therapy also increases blood circulation, which is essential in maintaining and exercising revitalization in body wellness. You might want to know:
Slimming Centre:
DermaSolutions Star treatment:
LPG Endermologie® How it works:
The patented LPG Endermologie® unit draws up a skin fold between two motorized rollers into a fold or pleat. This fold is then kneaded and rolled by the two rollers attached to the treatment head, painlessly and deeply manipulating the underlying tissues to break up pockets of cellulite and stimulate circulation through all the skin layers. The increased blood and lymph flows brings fresh oxygen and nutrients to all the layers of the skin and even to the tissues below the skin. This improved circulation then flushes away the excess water, fats and cell wastes freed up by the massage. The patient wears a body stocking. The motorised rollers are gently run over the full
length of the body and then concentrated on the problem areas. The controlled suction gently lifts and rolls your skin, to deeply massage the affected areas. A session lasts for 35 minutes. The main focus of the treatment is directed to the problem areas, but the entire body must be treated in order to stimulate general circulation and elimination of broken up toxic matters.
Bella Luna is said to be the first in Singapore with their signature Revitalizing Rolling Therapy; this is a re-birth of an ancient form of healing into our modern era. To fix an appointment:
Call 6275 3818 (Harbourfront)/ 6733 3818 (Cuppage Plaza) or log on to www.mybellaluna.com for more details.
You might want to know:
DermaSolutions uses the latest generation of Endermologie treatments dedicated to treating localized fat, cellulite and contours. To fix an appointment:
Call 9018 8415 or log on to www.dermasolutions.sg for more details. nov 2010 . ezyhealth&beauty 17
product spotlight
Fat, Fat
Go Away!
Losing weight might be a piece of cake
I
t was your new year’s resolution 10 years ago and it still is this year. Yes, you want (or need!) to shed those pounds and get rid of those lumpy rolls of fat hanging off your mid-section, the section which you happen to call your waist. Problem is, no matter how hard you try, you can’t seem to get off that couch and get moving. The thought of you sweating it out on the treadmill sends chills down your spine. Yes, we all know your mind is willing but your flesh is weak.
Kilo Off
Fat Filter: This 4-in-1 slimming tea that boasts vitamins B, C and E uses green tea, guarana, mate and coffee extracts that eliminates fats by promoting their combustion. It also fights retention, drains water and toxins with natural ingredients such as cherry stalk, meadowsweet, grape marc and orange peel extracts. Aside from being a mere weight-reducing tea, Kilo Off works towards reducing hunger pangs and maintain a flat stomach by stimulating digestion via pineapple and papaya extracts. Availability: Guardian outlets Price: $39.90 for 10 sachets
Kinohimitsu J’pan Bodyslen Block & Burn
Now here’s good news for all couch potatoes out there: not all is lost! With today’s numerous weight-loss alternatives flooding the market, you can heave a big sigh of relief and continue sitting on your couch whilst losing those unwanted pounds. Here is a little guide to 5 different healthy weight-loss products that will help get you started without requiring you to sweat it out on that dreaded treadmill.
Glabrinex Fat Filter: This formula is a patent-pending concentrate of the flavonoid glabridin that helps reduce abdominal fat. It has been shown in clinical trials to reduce body weight, waist circumference and abdominal fat, and help control blood glucose. Glabrinex is also able to down-regulate the body’s fat-forming processes and up-regulate the activity of fat burning enzymes. Availability: Call 6569 3008 or log on to www.pluslife.com.sg Price: $109.00
Fat Filter: The Kinohimitsu J’pan Bodyslen Block & Burn is the first and only natural drink that contains 7 worldwide patented ingredients which have been clinically proven to aid weight loss. Just like its name, Block & Burn, this drink uses extracts such as potato protein that helps reduce at least 10% to 25% of calories consumed and ‘block’ fats from being absorbed by the body. With the use of tea blossom extract and fiber, the drink turns stored fats into energy and speeds up the metabolic rate, even during sleep and burns fats and expels wastes. This enables the body to stay trim and fit. Availabilty: Guardian and Watsons outlets Price: Unavailable 18 ezyhealth&beauty . nov 2010
Metamucil and Fibresure
Fat Filter: Unbeknownst to many, fiber stays in our stomach for a longer time than other types of food. It slows down our rate of digestion and keeps us feeling full for longer periods of time. As such, losing weight becomes easier and more effective. On top of assisting its consumer in losing weight, fiber also offers a wide range of health benefits such as lowering cholesterol, modulating blood sugar levels and regulating bowel movement. Such benefits of fiber can be found in a bottle of Metamucil and Fibresure. Available in flavours such as Orange and Wild Berry (Metamucil) and flavour-free Fibresure, you may look forward to maintaining that trim figure in a delicious and healthy manner! Availability: Metamucil and Fibresure are available at Guardian, Watsons and selected independent pharmacies Price: Metamucil, $24 (283g) and Fibresure, $22.50 (197g)
special - slimming be a fat child and fat teenager, there is a positive correlation between weight in early childhood and weight as a teen and adult .
Understanding the Issue
Chubby Kids may be at
Greater Risk! An Endocrinologist talks to us about obesity in adolescents and teenagers By Dr Warren Lee
o
besity is a growing problem in South East Asia, and Singapore is no exception. How then, do we deal with the obese teen? Why is obesity an issue? How do we prevent it? And how to we address the obesity itself in a rational way?
Adorably Chubby
child’s concern about obesity could trigger an eating disorder. We tend to forget that teenage obesity often has its roots in early childhood and even in infancy. Obesity can be inherited through the genes, but eating patterns and exercise patterns are also learnt behaviours. Some obese children start off by being overfed from an early age. They then get used to large meals
Somehow people like to see chubby children,
and snacking behaviours, which will then
but when a child reaches adolescence,
be difficult to unlearn later. The majority
then overweight and obesity tends to be
of obese children often have at least one
seen as a problem both by the child and
overweight parent, and 40% will have two
the people around. In some cases, the
obese parents. While not every fat baby will
20 ezyhealth&beauty . nov 2010
Teen obesity is not a simple issue. Obese children are three times more likely than their peers to develop hypertension, and they are at risk of cardiovascular disease (e.g. atherosclerosis or the blocking of blood vessels), high cholesterol levels and impaired glucose tolerance and diabetes. Obese children are also more at risk for worsening of asthma and obstructive sleep apnoea (having a double or triple chin makes it more likely that your air passages are blocked when you are fast asleep). The severely obese also develop bone and joint problems due to their excessive weight. Obese children also tend to develop puberty early – hence they may end up shorter in adulthood than their normal weight peers. Obese teens also tend to have a self image problem and may have issues with self-esteem. Overeating may also result when an already overweight child is feeling bad about not being able to excel in sports and then drowns his or her sorrows by avoiding sport, watching TV or playing computer games, and indulging in eating as a displacement activity.
Acknowledgement is the First Step The first thing to do is to acknowledge the issue. Many a time, a child is seen to be ‘just plump’ or he or she has ‘puppy fat’. Many doctors do not want to deal with obesity because it is a difficult subject, and they quite rightly surmise that parents may be sensitive about the doctor bringing up what is not seen as a problem. If you notice your child is getting bigger, there are objective ways to tell if he or she is fat. There are height and weight for age charts, Body Mass Index (BMI) for age charts, and Ideal Body Weight for Height charts available on the internet (www.hpb.gov.sg, www.cdc.gov). The Health Promotion Board has recently published BMI for age charts for Singapore children. Do remember that the ideal BMI
changes with age in children (the shape of the curve is like a gentle Nike swoosh), so it is not possible to use adult BMI charts for young people below the age of 18 yrs.
Prescribing Help to the Child In Singapore, children get measured for height and weight at various stages of their schooling. Once a child is identified as being overweight or obese, action is taken to counsel the child and the family, and the child is asked to exercise more and control aspects of his or her food intake. At this time, it would be necessary to take a step back to also analyse the pattern of obesity – some of the questions include: • Is this a question of excessive intake or insufficient calorie expenditure? • Are there aggravating factors? i.e. who else in the family is obese? • What does the child eat, when does the child eat and who decides what is on the menu? • How about exercise? Is there any? • Is there a heavy schedule of school, tuition and non-sporting CCA activities? • Is there lack of sleep? (lack of sleep is also associated with obesity) Subsequently, a dietitian may need to be consulted for an assessment about the diet, but often it is obvious even to the lay person that the child is eating too much. A doctor may need to be consulted to look for and treat complications such as hypertension, hyperlipidemia (high cholesterol) and perhaps even prediabetes or diabetes, or even obstructive sleep apnoea.
Causes of Obesity Causes of obesity include: • Poor eating habits • Overeating on a regular basis or binging (eating a lot on certain occasions) • Lack of exercise • Family history of obesity (partly because of genetic reasons and also because eating and activity patterns are learnt) • Medical illnesses (endocrine, neurological problems) • Medications
(steroids, some psychiatric medications) • Stressful life events or changes (separations, divorce, moves, deaths, abuse) • Family and peer problems • Low self-esteem • Depression or other emotional problems
Instituting a Plan Working with a Team A plan for weight loss interventions should be instituted immediately. This may include judicious changes in food intake and increase in activities which promote caloric expenditure and muscle building. Barriers to change should be identified. For example, if the person in charge of feeding the child is not convinced that there is a problem, or the parents have no time to bring the child for an exercise programme, then it is unlikely that weight loss will be achieved. The key is to institute sustainable lifestyle change and not expect quick fixes. You may need to have your child work with a team of professionals including a paediatric endocrinologist, an adolescent physician, a dietitian and an exercise physiologist or a physical trainer. Other doctors such as the respiratory paediatrician, ENT specialist or psychiatrist may need to be involved too. Making Wise Food Choices Sometimes the interventions are quite obvious in terms of food choices e.g. each can of soft drink not consumed means a saving of 120-130 kilocalories. However it must be remembered that gradual, consistent changes are more effective than suddenly deciding to avoid all fried food, all ice creams etc – because behavior changes must be sustainable to be effective. Portion control and meal planning are important. It is possible to eat healthily in a hawker centre if you make the right food choices. Encouraging an Active Lifestyle Developing an active lifestyle requires a little push from family and friends , but the change can be as simple as remembering to take a walk everyday between coming home from school and dinner time, or after dinner and before starting the evening’s study. It may also be necessary for parents to reconsider their priorities. It may be necessary to kick start the weight loss by having a formal activity like swimming lessons or taking up a sport or some sessions with a physical trainer so that the teen can then be motivated to go on with further lifestyle changes. Lifestyle change is not easy, but it can be done. Remember that often what happens is that people may lose some weight and then regain lost weight because they slack off on exercising and go back to unhealthy eating habits. And if there is already a medical problem as a result of overweight, it may be necessary to address it specifically, and not just rely on lifestyle change to get the job done.
Dr Warren Lee is a Paediatric Endocrinologist in private practice. His multi-disciplinary approach to treating and dealing with paediatric disorders has accorded him much critical acclaim internationally. He holds dual appointments as a senior consultant paediatrician at KKH while simultaneously running his own clinic at Camden Medical Centre. For more information, visit www.drwarrenlee.sg.
nov 2010 . ezyhealth&beauty 21
Overcoming the effects of Travel Sickness
M
otion sickness hits us when we least expect it! One moment, you are sitting there on the boat chatting with friends and sipping your soft drink, next thing you know, your stomach is heaving and your head is spinning faster than a top! Many of us have experienced these horrifically uncomfortable effects of travel sickness – some more than others. What causes this drastic change in our bodies and why are some people more prone to it than others? What Causes Travel Sickness When we move intentionally (e.g. walking), our brain tells our bodies to expect travel in a specific direction and our bodies accept the motion naturally. When there is unintentional motion (e.g. a rocking boat or a bumpy car ride), our brain tells us that we are sitting at a resting position, but our ears are struggling to balance us due to the actual motion that we are experiencing. This clash of signals to the brain is hypothesized as the reason for travel sickness. That is why reading in a moving car often exacerbates travel sickness as our eyes are focused on a still object, thus confusing the brain even further as the ears continue to struggle to maintain balance.
Dealing with Travel Sickness If you know that you are prone to travel sickness, take steps to prevent it early. Here are some tips you can consider: Choosing a seat – Place yourself in a direction where your eyes will see the same motion that is being felt by the body and inner ears. • Cars – The best place to sit is in the front seat so that you can look out at the distant road. • Boats – The deck allows for cool sea breeze and an unlimited view of the horizon, both of which are good preventions of travel sickness. • Aircraft – Window seats help. Focus on what is going on outside the window. Also try to choose a seat near to the wings of the plane; travel is minimized closer to the wings
Reading is a big NO for people who are prone to travel
sickness. Keep your attention on what is going on outside. Do not sit in a seat that is facing backward from the direction that you are travelling.
Food makes a difference too! Avoid spicy or greasy foods that may cause indigestion or tummy upsets (immediately before and during your travel).
There are travel sickness medicines that can be
gotten before your journey begins. Consider using Novomin to brace yourself against an onslaught of the debilitating travel sickness.
Solutions outlined above are mostly preventive and not 100 per cent fool-proof; except for Novomin. This pharmaceutical grade travel sickness pills and syrup helps to avert nausea, vomiting, and dizziness caused by travel sickness and calms the inner ear. Novomin Syrup is effective for children as young as 2 years of age to pre-teens up to 12 years old. It is well-flavoured in orange, and children will find it easy and tasty to consume. Don’t let another family holiday be destroyed by suffering, visit a pharmacy today and get your box or bottle of Novomin handy for the next road trip!
special - slimming
Are You The Biggest Loser? Dave Nuku, fitness trainer for the Blue Team tells you how you can be the Biggest Loser By Cheryl Koh
L
osing weight is merely a matter of losing more calories than you consume, right? Wrong. If losing weight were really that simple, none of us would still be struggling to fit into those size 6 jeans! For many, shedding unwanted weight has been an endless struggle, like a dark tunnel with no light. Yes, losing weight has always been big on the books for many of us. To lose those pounds, we have relied on drastic measures in hopes of seeing equally drastic results - we have fallen prey to crazy diets and harmful weight-loss pills; we have laid our hands on anything that promise weight-loss and literally starved ourselves to death. Yet much to our dismay, such weight-loss methods are mostly temporary and end up failing us time and again. Just when you think you are about to throw in the towel and settle with being chubby/overweight/obese/unable to fit into your size 6 jeans for the rest of your life, Dave Nuku, the celebrity fitness trainer for The Biggest Loser Asia has a word of encouragement for all of us: “Never give up. Everyone has fit and unfit days. Don’t beat yourself up if
24 ezyhealth&beauty . nov 2010
photo by: Diva Channel Dave Nuku trains a contestant in The Biggest Loser Asia.
you fall off the wagon. Get back up, dust yourself off and keep moving forward.” Besides being the personal trainer for the cast and crew of the Lord of The Rings Trilogy, Dave Nuku carries a Bachelors Degree in Sports Science and is also the author of a series of books called BodyFirst, that has sold over 100,000 copies worldwide. This avid sportsman and sports enthusiast is also the regional fitness manager of Fitness First Asia. Ezyhealth talks to him to find out more
about his secrets to staying healthy and in shape. Ezyhealth & Beauty: For the sake of the few who have not watched an episode of The Biggest Loser Asia, please tell us what your involvement in this show is. Dave Nuku: I am the Blue Team trainer for The Biggest Loser Asia and I play an active role in the auditions and selection of candidates.
EHB: Tell us what made you decide to become a fitness trainer. Was there anything that inspired you to do so? Dave: My passion for sports began when I was in school during one PE (Physical Education) class. I decided to pursue it and I graduated in 1997 with a bachelor’s degree in Sports Science in Victoria, New Zealand. At the age of 20, I went on to train clients and I really liked it. That was when I decided to continue with fitness training. EHB: What is it that you enjoy about your job? Dave: My job brings a new challenge every day. Fitness is personal and I enjoy streamlining the personal method that people adopt for themselves to achieve best results. At The Biggest Loser Asia, I enjoy getting to meet different people. More than anything else, I get to share the satisfaction and success with my participants whenever they conquer their weight issues – it is a joy to watch them overcome their obstacles and transform as they beat their weight problems. EHB: Tell us a little about your strategy in helping the Blue Team in Asia’s Biggest Loser. Dave: I operate with two sets of rules: First, never feel sorry for yourself and never give excuses. Second, be humble even when you succeed, never get complacent. Most of the participants I’ve met are people who have been hampered by their weight issues for a long time. As a result, they carry the mindset of a victim. The key is to try and change that negative mindset into a victorious one, one which sees the attractive, healthy body as a possibility. It is important to make the change a gradual one because most of the participants are used to lifestyles which do not include exercising. For the new season, I will be concentrating on more intense programmes which will include a few new techniques and equipment. I also believe in taking a step at a time. I believe in the power of one – losing 1 kilo at a time, taking 1 step at
a time, 1 mile at a time. It is advisable not to focus on moving a mountain, for instance, losing 40 kg at a go or running 10 km for a start. Focus on the losing the first kilo, or walking the first kilometer.
“Never give up. Everyone has fit and unfit days. Don’t beat yourself up if you fall off the wagon. Get back up, dust yourself off and keep moving forward.”
EHB: In general, do you think Singaporeans are a fit bunch? Dave: Singaporeans are generally quite conscious of their health. On top of that, the Health Promotion Board and Singapore Sports Council have played a big part in promoting healthy lifestyles. However, it varies from person to person. Some work out regularly whilst others don’t. EHB: What are some of the different problems your clients go to you with? Dave: There are a lot of reasons that may motivate people to seek out a fitness trainer. Some of the most common reasons are obesity, whereas some just want to attain a more toned body or improve their stamina and sports performance. Aside from that, health reasons are also a few of the reasons why people seek a fitness trainer’s advice. For many, we create a fitness programme that lasts for a period of time.
My strategy for my team members will be for them to train up to 6 hours a day – their workouts will include warm ups, cardio training that will be made up of exercises that work various parts of the body. I will focus more on complex stretching and not just stick to isolated exercises such as simple crunches. Burpees, boxing, and exercises that involve more than just one muscle group will be touched on. nov 2010 . ezyhealth&beauty 25
EHB: As the Regional Fitness Manager of Fitness First Asia, tell us where you think the fitness industry in Asia today is heading. Dave: I would say the fitness industry in Asia has a positive outlook as people are starting to become more and more health conscious. The fact that the Asians are becoming more and more influential enables them to invest in fitness programmes and such. The awareness of the consequences an unhealthy lifestyle can bring also plays a part in the positive outlook Asians have toward fitness. EHB: Share with us the approach you take towards training your personal clients. Dave: The belief that they are able to attain a fitter body is very important when we set out on a fitness routine. I don’t encourage clients to seek advice only when they have lost all hope. They need to realize that they play a huge part in working towards that level of fitness that they want to achieve. They need to stop making excuses for themselves each time they fall short and take responsibility for the change that they desire in life. As soon as they are able to take up that responsibility, I am able to step in and design an optimum fitness routine. I am more of an enabler and influencer rather than the engine for change. I also believe that we should not confuse results with sustainability. Some people achieve weight loss but are not able to sustain these results, they put back on the weight they’ve lost.
26 ezyhealth&beauty . nov 2010
EHB: Share with us how someone in their 30s, with no pre-existing medical conditions and who has not exercised for a long time, can achieve fitness. Dave: There are a few components of fitness, the key ones being: cardiovascular, strength and flexibility. Ensure that you get a well-balanced training plan that touches on all these aspects. It is also important that you warm up starting with a walk or slow jog for a few minutes. For cardio training, try to walk or jog slowly for about 1 km. Strength training, such as stomach crunches and push ups to build core strength play a crucial part in a person’s fitness regime. Women need not to be afraid of building body mass like body builders as they are not genetically programmed to build such muscle mass. In fact, body builders need a special diet to be able to gain that much muscle mass. Lastly, stretching and flexibility exercises like yoga help.
EHB: Any hobbies outside work? Dave: I enjoy books by James Clavell, listen to music by John Legend, Kings of Leon and Paolo Nutini, cook and spend my free time watching movies. I also enjoy running marathons, boxing and Muay Thai.
EHB: Let us in on a few easy tips to lose weight and keep fit. Dave: First, all things are difficult before they are easy, so keep at it. Healthy habits take time to sink in. Second, be realistic, transformation takes time, so don’t expect miracles overnight. Set realistic, achievable goals and celebrate the wins no matter how big or small. Last but not the least, never give up. Everyone has fit and unfit days. Don’t beat yourself up if you fall off the wagon. Get back up, dust yourself off and keep moving forward. EHB: As a fitness trainer, how do you maintain your own fitness? Dave: I run and train in the gym daily, a few hours each day. In the morning, I take a run. In the afternoon /evening, I do strength and circuit training .
Dave Nuku
There are also a bunch of people who come to me with ‘grand plans’. For example, losing 10 kg in 2 days – this is neither possible nor healthy. As such, it is our responsibility as fitness trainers to be honest. We have to let these people know that it is unhealthy and unrealistic to try to lose so much weight within a short time. In general, people these days do not suffer from the lack of knowledge. Most of them suffer from the lack of motivation.
special - slimming
Fighting Weight-Gain with Proper
Nutrition Tips from world-renown expert in nutrition, Dr David Heber By Rufus Chua
d
avid Heber, M.D., Ph.D., is a world-renowned expert in nutrition, leading the battle against the global obesity epidemic. He was in town recently and Ezyhealth managed to interview him on what he sees as an obesity epidemic and that is spreading across Asia. An accomplished professor, Dr Heber is also the founding director of the Center for Human Nutrition at UCLA. For the past 30 years, he has been one of the country’s leading anti-obesity and nutrition expert with a focus on cancer prevention. He also serves as chairman of Herbalife’s Nutrition Advisory Board made up of leading health and nutrition experts, and the company’s Scientific Advisory Board comprised of world-renowned scientists whose work furthers the field of nutrition science. As a speaker, his expertise is much sought-after by audiences around the globe and he has appeared on national television and in newspapers, including CNN, NBC, Washington Post and Los Angeles Times. Ezyhealth & Beauty: You mentioned that Asia is the focal point of the international obesity epidemic. Why is that so? Dr Heber: There is really an obesity epidemic centered here in Asia especially in China, India and the entire Southeast Asia. The major factors contributing to Asia being the focus of the obesity epidemic are the change in lifestyle and an increase in prosperity leading to more restaurants especially fast food restaurants opening in Asia. As the income of people in Asia increases, they tend to buy more food and better tasting food. This has led many fast food companies coming over to Asia from America. The consumption of fast food has exploded in recent years. No meals are planned, everything is instant gratification. Fast food tastes good and people don’t care about the nutritional content. The danger of fast food is the hidden 28 ezyhealth&beauty . nov 2010
calories in fries and hamburgers and coke. For instance, the average fast food meal of French fries, hamburger and coke contains 1300 calories which is what a normal woman needs for a whole day. So if you eat that frequently, you can just imagine the amount of fats being stored by your body.
EHB: Are there any figures to illustrate the extent of the obesity epidemic? Dr Heber: Diabetes, heart disease, asthma, joint disease, cancer are all associated with obesity. It’s forecast for a 120% increase in diabetes in the next 10 years. Even though Asians by built do not get really round and fat, they tend to store more fats in the center of the body. Right now in China, 10% of all obese people have Type 2 diabetes compared to 11% of obese people in the US suffering from the same condition. The population in Asia is so large that the numbers forecasted for the next 10 years really center in Asia, especially China, India and Southeast Asia. We are starting to see teenagers in Asia having adult-type diabetes which is a phenomenon. EHB: How does Asia’s obesity epidemic affect the rest of the world? Dr Heber: Well, the prosperity of the world depends on human capital. Asia, having the largest population centers in the world, definitely has an impact on the rest of the world. The obesity epidemic is causing people to die younger and suffer from diseases younger which costs a lot of money. The costs of healthcare would be overwhelming. And the human capital costs are staggering. If you look at it over the next few decades, that could represent trillions of dollars that could have been put to better use. To combat this, we need more education on nutrition and encouraging people to have more home-cooked meals.
EHB: What are the solutions to this epidemic with regards to integrating social, economic and nutritional biological solutions? Dr Heber: The best way to combat the obesity epidemic is prevention. The way to do it is to start with a healthy breakfast everyday. A quick and simple solution would be for a healthy and nutritious protein shake in the morning that provides the basic fiber and minerals and vitamins. The traditional Asian breakfast of noodles or rice should be substituted as it is very high in calories and carbohydrates. Also, by eating smaller portions everyday, there is more efficient absorption of nutrients. Your body will process small portions effectively. Having a huge lunch or dinner will lead to fat storage in your body. Education is needed starting from the grassroots level especially in schools. Families need to start eating together again by taking control of their diet by buying groceries from the market, cooking in a wok – basically, back to the traditional Asian diet of vegetables, rice, and fish protein. We need to get away from the westernized diet. Because western food is produced for profit with a lot of refined carbohydrates, too much fats, low protein, and practically zero vitamins and minerals.
There Are Some Things Money Can't Buy; For Everything Else, There's Wellness Constitution can be strong or weak, and has different deviation from yin and yang, qi and blood, cold and heat, and has different syndromes when illness occurs. Therefore, ways of health preservation should be in accordance with constitution diathesis.
The Third Act – Rediscover Yourself by TCM physical constitutions
EHB: What is the effect of having a proper breakfast? Dr Heber: By having a proper breakfast based on protein, you will have enough energy for the whole morning. You will feel energetic. The idea is to have a healthy breakfast that gives you energy for the whole morning rather than a carbohydrate-rich breakfast that gives you enough energy for two hours and leaves you craving for more food. A very healthy breakfast is the most important meal of the whole day. EHB: How do you propose dealing with any expected resistance? Dr Heber: There are always naysayers. The reason that there would be some resistance is because fast food is instant gratification. Like any addiction, people are now addicted to fast foods and high-sugar foods. I call these trigger foods. People always go to these foods when they are stressed out. Sleeping enough and exercising regularly would lower stress and hence the need for trigger foods. This will help you in the long run. EHB: Has the role of meal replacements and protein in the diet been overplayed? Dr Heber: Meal replacements and protein in the diet is not a fad but something that is gaining ground after people start discovering that it is a great way to start the day. There are 3 ways to successful weight loss: (1) physical monitoring of your diet, (2) adequate exercise, and (3) meal replacements that contain more protein than carbohydrates. Meal replacements are a great tool as they help to organize the diet.
Formation of poor constitution is a process, so is its improvement.
The 45 hour program is fun filled and packed with TCM Lifeskill like Cupping, Exercises, Self massage and Diet corresponding to one's constitution. The session begins with an assessment of one's body constitution based on TCM classification. The 45 hour program is made up of 3 modules: • TCM Health Preservation Lifeskills Cupping, Gua sha, Beating "Pai Da" and Self massage • Exercise - Stress Busters Provide a comprehensive system of exercises for people of all ages, toning up muscles, enhances the flexibility of the joints, fortifies the nerves, and stimulating the flow of Qi throughout the body. The exercise will not include Qigong, Meditation or strenuous exercises. • Therapeutic Food is better than medicine, prevention is better than cure – The use of food to influence body function, improve health & prevent diseases. Learn to eat healthier through understanding of your own TCM constitution. At the completion of the program, all participants will be presented with a Certificate of Achievement in Longevity.
Enrich further through these TCM courses validated by Chengdu University of TCM • Certificate in Elderly Care • Certificate in Tuina for the Elderly (Geriatric Massage) • Certificate in Therapeutic Modalities in Rehabilitation
20 NTUC voucher
Sign-up as a couple and each get $
SOHA Institute 1 Sophia Road #05-11 Peace Centre Singapore 228149 Tel: +65 6336 2868 Fax: +65 6339 6882
www.soha.com.sg
$380 (Usual Price: $600)
Terms & Conditions apply
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6
Myths about Traditional Chinese Medicine (TCM) Seeking help for weight-loss, chronic disease or weakness in the body? Read these tips carefully to have a clearer expectation of how TCM can help you. By Physician Wu Xue Rong, St Gregory
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raditional Chinese Medicine is an often misunderstood and misquoted science. It’s benefits have stood the test of time since the ancient Chinese experimented and understood the healing power of herbs and natural remedies. Today, it is still important for anyone who is seeking the healing benefits of TCM, to be able to separate the proven facts from the “old wives fables”. This issue, we look at 6 myths that need to be understood from a TCM Physician’s perspective:
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Myth #1:
Weight-loss methods of TCM are suitable for everyone Using TCM methods to lose weight has the dual benefits of promoting good health without side effects, but it is not for everyone. Weight loss using TCM is done via tui na massage and specially customised and prescribed herbs or medicine, or acupuncture. Such treatment methods are not advisable for patients with pre-existing conditions like high blood pressure, heart disease or stiffened blood vessels. On the flip side, TCM weight loss methods are particularly useful for women who suffer from hormonal imbalance and find it difficult to see results even after exercise. Acupuncture on the other hand helps by reducing fats, detoxifying and cutting one’s appetite. Do note that there is no one-size-fits-all, as TCM weight loss methods and medication are prescribed based on individuals’ body conditions. It will take three to six months to achieve desired results.
Myth #2:
TCM is unscientific The diagnostic methods of TCM mostly lack intuitive and quantitative data, and thus often give the impression of being “unscientific.” However, Chinese medicine is a medical subject that differs greatly from Western medicine; it has been misunderstood because no scientific research has been conducted on it in the past. TCM pays great attention to adaptation of people, time-frame and circumstances, as well as dialectical theory from a macro point of view, to achieve the purpose of preventing and curing diseases and sicknesses. With the progress of times, a lot of theoretical knowledge in TCM is continuously being verified by modern technology.
Myth #3:
TCM can only be applied to treat chronic disease In our daily life, people tend to see TCM as a means to treat chronic diseases or as the adjunct or secondoption treatment when Western medicine fails. What is unknown to many is that the core belief of TCM is precisely to put prevention first before treatment in medical work. The ancient books of TCM promote the idea that “the higher grade doctors focus on the prevention of diseases”, they encourage us to preserve and care for our health, as an ounce of prevention is worth a pound of cure. At the same time, the ancient books have also recorded many precedents for treatment of emergency cases. Hence it can be seen that once we have grasped the distinguishing features of Chinese medicine, it is not impossible to carry out emergency treatments, and sometimes the effect may take place faster than Western medicines.
Myth #4:
Chinese medicine has no side effects Although most Chinese medicine are made from natural herbal plants, the saying goes “as long as it is a medicine, it contains some components of poison”, which means that some seemingly natural herbs also contain harmful toxins, or non-toxic pharmacological contents that are not directly related to the treatment of the diseases - these need to be taken into consideration during prescriptions. Furthermore, Chinese medicine also includes mineral or chemical deposits, which can cause the body to react adversely when not applied appropriately.
Myth #6:
It is always right to take tonics when the body is weak It is not wrong to appropriately take tonics when one’s body is weak, but we need to take note that in the consideration of TCM, a weak body can be categorised differently such as problems in hormonal balance,
Myth #5:
Only males suffer from kidney deficiency People invariably think of men when the topic of kidney deficiency is brought up. Does it mean that women will never suffer from kidney deficiency? The answer is no. Various reasons such as excessive sexual intercourse, inherent problems and the after-effects of serious or chronic diseases will all lead to the symptoms of kidney deficiency among women. Symptoms usually include: insomnia with many dreams, memory loss, abnormal menstruation, decreased libido, frigidity and infertility.
blood circulation and so on, and that we should treat individual cases differently and never casually take tonics. Another condition is when “a weak body takes in no nutrition”, which means that a human body that is overly weak would not be able to absorb the nutrition of the tonics. In this case, tonics might instead be counterproductive. Hence, we should always assess the condition of one’s five internal organs before taking tonics gradually in the proper order.
nov 2010 . ezyhealth&beauty 31
special - slimming
Lifestyle
Change – It IS
Possible!
How a lazy teenager became a yoga champion in 3 years By Jason Lim
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eenage obesity is a health problem that exposes a child to a host of other diseases and health abnormalities from an early age. Most concerned parents are in a dilemma regarding using the right methods and incentives to help their children out of obesity. Definitely, it is a common hope that diseases can be solved through natural means rather than reverting to the first available pharmacological source. That being said, a lifestyle overhaul is never easy to achieve especially for academically-bound students in their teenage years. In a bid to source out a healthy example of a child who has effectively revamped her sedentary lifestyle into one of health and fitness, Ezyhealth came across a 13-year old award winning yogini named Madeline Lu.
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(continued on pg 34)
special - slimming (continued on pg 32)
Life before Yoga Although Madeline was never obese, her lifestyle up to the age of 9-years was simply static and sedentary. Not unlike most children that age, after school hours involved lazing around at home and chatting on the internet for hours. Being slightly overweight at that age did not really bother her, but the lifestyle contributed to her being a sickly child. Fevers, coughs, and the common flu were a part of her life; causing her to miss a lot of school days. Madeline never could reach her full potential in studies with the number of days she spent recovering from bouts of sickness. And needless to say, her annual National Physical Fitness Award (NAPFA) met with the poorest results.
A Life-Changing Lesson When she reached the age of 9, Madeline’s mother took up yoga. It was not long before Madeline was joining her mom at Bikram Yoga City Hall. “That’s because mom couldn’t leave me at home alone!” she quipped. By the end of the first few sessions, Madeline knew that this was something that would become an integral part of her life. Practicing every weekend as a pair, both mother and daughter soon came to appreciate and look forward to the bonding time shared through their love for yoga. “Yoga helps me to balance my mind and body,” said Madeline. When asked if she took a liking to yoga because she found it to be ‘easy’, she replied, “No. In fact, initially when I started, all I wanted was to be able to finish the class! It was that tough!” Madeline has come a long way from just trying to finish a yoga class. In February 2010, she swept aside an international gathering of young yogis to win the 1st place at an International Yoga Championship organised by Bikram Yoga.
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Healthy Living as a Way of Life What makes a yoga champion? Apparently, it’s “hours of hard work and training”, as Madeline put it. It took her almost 6 months just to successfully accomplish the pose known as the “Backhand”, but for this little yogini, there is no option for failure! Her next aim is to succeed in the Level 3 yoga pose known as the Full Wheel. Today, she easily gets a Gold standard for her NAPFA test and her studies have improved by leaps and bounds too. “Yoga helps me to be much more focused,” she explains. “I intend to get consistent A’s for all my exams!”
health
“Say that again?” s Dealing with age-related hearing loss
itting in the living room with his grown children and grandchildren on a relaxed weekend evening is something that Mr Ong loves to do. At the age of 58, such family times are perfect ways for him to bond with his toddling grandchildren and get updated about his children’s progress at work and school. Recently, Mr Ong began realising that as the family was enjoying the chatter or the drama unfolding on television, he found himself struggling to hear and understand the dialogues. Occasionally, a grandchild would call him from across the room, but he did not respond till someone closer to him informed him. Conversations were becoming strained as the family members found themselves having to speak louder and louder just to be heard by him. Mr Ong’s experience with hearing difficulties is not new, in fact, many ageing Singaporeans are experiencing similar problems. These hearing difficulties can be very frustrating not only for the patient themselves, but also for their family and loved ones.
Age-related Hearing Loss Presbyacusis, or age-related hearing loss, is a slow progressive decline in the ability to hear, and the rate of decline varies 36 ezyhealth&beauty . nov 2010
depending on genetics, age, and other factors. Dr Chan Kwai Onn, Consultant Ear Nose & Throat Surgeon, runs a private practice at K.O. Chan ENT Sinus & Sleep Centre in Novena Medical Centre. He tells us that for age-related hearing loss, the patients he sees are normally around 60 years of age. By then, patients would have already experienced degenerative hearing loss for several years. It commonly occurs in both ears, but the loss of hearing is so gradual that people with presbyacusis may not realize that their hearing ability is deteriorating. Sadly, even when the hearing disability is quite pronounced people may be slow to seek help. “It is the social stigma of being labeled as ‘hearing disabled’ that prevents many people from seeking help earlier,” says Mr Helder Araújo, an Audiologist who is also the Regional Manager for Bay Audio. Unfortunately for someone like Mr Ong, age-related hearing loss has no known cure, i.e., the condition progresses with age and hearing loss is permanent.
Options for Better Hearing Presbyacusis is permanent, but thankfully, treatment is readily available. Today, Mr Ong can benefit from hearing instruments that helps individuals like
Factors that contribute to hearing loss: • Ageing • Repeated and prolonged exposure to loud noises • Sudden loud noises • Ear infections • Certain medications • Hereditary conditions • Diabetes
Symptoms of Hearing Loss
“Besides an obvious loss in hearing, some other symptoms of hearing loss also includes Tinnitus (ringing in the ears) and a loss of balance due to the degeneration of the inner ear,” Dr Chan Kwai Dr Chan Kwai Onn Onn tells us. Consultant ENT Surgeon him to remain functional and better able to enjoy a good quality of life with his family and grandchildren. Hearing Instruments Thanks to modern technology, hearing instruments today are smaller, more comfortable and nearly invisible. “The latest digital hearing instruments come with technology that helps the wearers in more specific ways,”
Dr Chan said. Hearing instruments from Siemens, for example, have improved sound localization, enabling the wearer to accurately locate the source and direction of sounds. Furthermore, these hearing instruments have intelligent technology that is able to self-adjust its settings to ensure maximum listening. They are also more discreet, comfortable and enable clearer speech understanding in noisy environments. “Hearing instruments amplify all the sounds that comes through it, including background noise,” Dr Chan explained. “This can cause a bit of discomfort to new wearers as they have been used to a very quiet environment up till that point. Instruments that reduce the background noise are especially helpful to these patients.” “When prescribing a hearing instrument, we must be careful to explain and educate the patient about its features as well as its limitations,” continued Dr Chan. “There is no ‘one-size-fits-all’
solution for hearing instruments. They must be carefully tuned to meet the needs of the individual wearer.” Since hearing loss can happen in both ears, companies manufacturing hearing instruments have created dual, or “binaural” hearing instruments to treat hearing loss. “80% of people who suffer from hearing loss actually suffer from binaural (both ears) hearing loss,” said Mr Araújo. “New technology in binaural hearing instruments feature ear-to-ear technology. This means that the instruments in each ear actually ‘talk’ to each other and give a better, all-round hearing experience for the wearer.”
Screen Your Hearing Mr Araújo further encouraged everyone to take hearing tests just as often as you would take a blood test or any other health screenings. As a general guideline, hearing tests should be done bi-annually. Tests to determine the level of hearing loss such as the Pure Tone Audiogram are available at shops and outlets such as Bay Audio. Recently, Bay Audio even launched a self-service, touchscreen hearing screening device where people can walk into their shop and do the test on their own immediately. Hearing Care consultants are on-hand to offer valuable advice and hearing instrument suggestions.
nov 2010 . ezyhealth&beauty 41
ask your pharmacist
How do I manage Irritable Bowel Syndrome?
Yang Jingxian, Pharmacist, Watsons Compass Point
I
rritable bowel syndrome (IBS) is a combination of signs and symptoms affecting the large intestine. It is a common bowel disorder characterized by abdominal discomfort, constipation and diarrhea. IBS is neither related to nor the same as inflammatory bowel disease (IBD) - whereby the intestines are inflamed.
Signs & Symptoms of IBS
Abdominal pain, cramps
Bloating, gas
Change in bowel movement: constipation, diarrhea or an alternate of both
How to manage IBS? Our Watson’s pharmacists are professionally trained to provide advice on ways to manage IBS. As IBS is not a disease, there is no treatment to cure it. However, a few approaches to manage it are:
1 Diet changes A Increase intake of fiber Fiber improves bowel function and is also useful in constipation. It works by adding bulk to the stool. B Decrease intake of foods that worsen symptoms If you are already feeling bloated, avoid foods that tend to produce gas e.g. beans, carbonated drinks. C Eat smaller meals To counter bloated-ness or indigestion, try eating several small meals a day instead.
2 Stress management Stress may trigger IBS symptoms so finding ways to reduce and manage stress are helpful. Some suggestions include exercise, relaxing activities, meditation, adequate sleep and time management.
3 Medications for symptom relief Mucus in the stool
Depending on what symptoms you are experiencing, the appropriate medications can be used to provide relief. A Abdominal cramps or pain Use antispasmodics e.g. hyoscine, mebeverine. B Bloating or flatulence (gas) Use antiflatulents e.g. simethicone*, dimethylpolysiloxane.
The feeling of incomplete bowel movement
C Constipation Use laxatives e.g. isphagula husk*, lactulose*. D Diarrhea Use antidiarrheals e.g. loperamide, diphenoxylate. Other medications are available through Watsons pharmacist.
Visit Watsons’ pharmacists for FREE consultation of Minor Ailments, Supplements / Medication Review, Allergy Management, Weight Management, Smoking Cessation, Blood Pressure / Glucose Monitoring and Chronic Disease Management. visit www.watsons.com.sg for our pharmacy store locations, or email pharmacist@watsons.com.sg.
38 ezyhealth&beauty . nov 2010
health
Ancient Herbs with Modern Benefits Understanding the benefits of Red Yeast Rice and Cordyceps By Cheryl Koh
l
ong gone are the days where one has to venture into the heart of the woods, or climb treacherous mountains to gather herbs then painstakingly grind and boil them for medicinal value. Today, brands such as Ocean Health carry these precious herbs and plants in the handy form of capsules and pills and are easily found seated on the shelves of the healthstore near you. Taking the world by storm, Traditional Chinese Medicine also known as TCM, are traditional medication and treatments that are known to come from China. From herbal medication to acupuncture and much more, TCM was once shunned as the unbelievable. Ringing a bell with almost everyone nowadays, there have been countless reports and researches proving that TCM does boast numerous health benefits. The once-controversial TCM is now viewed as complementary to western medication. Yet how many of us have heard about their much sought-after benefits and how they should be taken? Ezyhealth & Beauty talks about the two staples of TCM, Red Yeast Rice and Cordyceps.
Cordyceps
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Red Yeast Rice The result from the fermentation of rice with the use of yeast under controlled conditions, the red yeast rice is used in numerous Asian dishes and eaten as a spice for over 500 years due to its tangy flavour. • Red Yeast Rice is known to lower triglycerides (unhealthy fats), bad cholesterol levels (LDL) and increase levels of good cholesterol (HDL). • Unsaturated fatty acids in red yeast rice extract are also believed to be useful for lowering triglycerides. • Red yeast rice extract helps prevent heart disease and associated complications.
Cordyceps For thousands of years, Cordyceps, a type of fungus, has been used in Traditional Chinese Medicine. Also known as the Chinese Caterpillar fungus, Cordyceps are parasites that grows on the Tibetan caterpillar until the caterpillar dies and sprouts a mushroom. A once ‘Chinese’ herb, modern research in recent years has confirmed that Cordyceps does support heart, liver, kidney and the immune system function. • Cordyceps are known to strengthen the immune system, improve sexual function and libido by stimulating the production of sex hormones. • Cordyceps are known to be a good source of antioxidants. These antioxidants increase cellular formation, promote anti-ageing and reduce fatigue. • Cordyceps have shown to improve respiratory function, improving circulation, regulating blood pressure and strengthening heart muscle. • Cordyceps also helps to protect the liver and kidney.
health
Getting a Taste of Bitter Buckwheat The natural healthy supplement for diabetic complications
i
n Singapore, one out of 11 people aged 18 to 69 has diabetes. That’s about 10% of our population or equivalent to 300,000 people! Diabetes is the fifth most common medical condition diagnosed and one of the six top killer diseases in the country.
Diabetic Complications Diabetes is a disease of metabolic disorder characterized by high blood sugar levels, and may develop into a series of health threatening complications, such as: Cardiovascular Complication: includes coronary heart disease, stroke, diabetic cardiomyopathy; Kidney Disease: initial symptoms include protein in urine and swelling, which will develop into kidney failure in the advanced stages; Nerve Damages: includes numbness in toes and fingers, burning or cold and tingling sensation, abnormal sweating, abdominal bloating, constipation or diarrhea, drop in blood pressure when standing up, fast heart rhythm or abnormally slow heart rate, incomplete urination or urinary incontinence etc; Eye Problems: eye problems caused by diabetes mainly include retina damage and cataract; Foot Complications: the most common is diabetic foot that is manifested in the form of extreme pain in the lower limbs, ulcers, severely
1 2 3 4 5
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insufficient blood supply causing foot gangrene that leads to amputation.
Some Causes of Diabetic Complications Latest scientific findings show that one of the causes of diabetic complications are because of elevated sorbitol levels in human cells that cause cells to draw more water due to an increase in osmosis pressure. This, in turn, results in vascular endothelial thickening, increase in permeability and effusion, which then causes swelling, degeneration and other organ damages, such as the kidney, eye, nerve and others. Hence, sorbitol accumulation in cells is the main cause for diabetic complications. Therefore, the reduction of sorbitol levels effectively helps prevent diabetic complications. As shown in a scientific research done in Japan, flavonoids of the bitter buckwheat is effective in eliminating excessive sorbitol, reducing capillary fragility, improving microcirculation and stabilizing blood sugar.
The King of Cereals Bitter buckwheat is touted as the “King of Cereals” and is the only cereal that possesses the 7 major nutrients, including: Buckwheat flavonoid: helps to soften blood vessels, improve microcirculation, remove heat and toxins, detoxify and promote granulation, stabilize blood sugar, urine sugar and blood lipid levels,
replenish Qi, rejuvenate and enhance peripheral effects of insulin. Microelements and minerals: it contains a variety of beneficial minerals, like calcium, phosphorus, iron, copper, zinc and microelement selenium etc. Buckwheat starch: amylopectin contains large amount of mucus gel that becomes alkaline when heated and is able to inhibit gastric hyperacidity. Vitamins: vitamin B1 helps improve digestive function and is used for the treatment of neuritis and prevents beriberi; vitamin PP lowers blood lipid and cholesterol levels; vitamin E contains high levels of r-Tocopherol, which is effective in preventing oxidation and the treatment of infertility, it also helps to promote cell regeneration. Cellulose: also known as dietary fiber, is effective in promoting bowel movements and eliminating toxins, cleansing the digestive system. Buckwheat fatty acid: mainly comprising of oleic acid, linoleic acid and linolenic acid. These are essential fatty acids and have the ability to inhibit production of melanin in the skin. Hence, it is also an excellent skin care product that prevents freckles and age spots. Protein: contains 18 types of natural amino acids, especially lysine, arginine and histidine.
medicine cabinet
Watching a Silent Killer What you need to know about high blood pressure By Alvin Ong, Pharmacy Manager
h
ypertension, otherwise commonly known as high blood pressure, is a very common condition that affects millions of people all around the world. It is a condition where the force of blood against the artery walls is so high that until it risks causing further health complications progressively.
Defining High Blood Pressure Most people do not know they have high blood pressure because it does not exhibit much initial symptoms. Blood pressure is recorded as two numbers, for example: 120/80mm Hg. The larger number represents the systolic blood pressure, which is the pressure when the heart pumps during a heartbeat. The smaller number represents the diastolic blood pressure, which is the pressure in between heartbeats when the heart is filling with blood.
Causes and Risk Factors Causes of high blood pressure can be difficult to determine. For most people, there are no identifiable causes of high blood pressure and it develops gradually over many years. This type is called essential hypertension. However, underlying conditions such as kidney problems or certain medicines may cause a patient to develop high blood pressure too. This is known as secondary hypertension. There are several risk factors that may contribute to high blood pressure. As a person grows older, the risk of developing high blood pressure increases too. Men are more susceptible to develop high blood 44 ezyhealth&beauty . nov 2010
Guidelines recommended by the American Heart Association. Normal blood pressure is less than 120/80mm Hg Pre-hypertension 120139/80-89mm Hg Stage 1 hypertension 140-159/90-99mm Hg Stage 2 hypertension is more than 160/100mm Hg
pressure as well. This condition tends to run in the family and is linked to people with sedentary lifestyles and obesity. Diet also plays a major contributing factor, as people tend to develop high blood pressure if they are on a high sodium diet. If the high blood pressure is left untreated, it might lead to complications such as heart attack, stroke and heart failure. Conditions such as dyslipidaemia (abnormal cholesterol or triglycerides level in the blood) and diabetes may enhance the damage caused by high blood pressure and increase the chances of developing these complications.
Controlling Hypertension Effectively Blood pressure control is a lifelong challenge. Most treatments will involve lifestyle modifications first. Dietary changes, lifestyle changes and weight loss will be initiated before eventually adding medication if needed. Always target a healthy weight range for your height and body type, and try to maintain it. Lowering of blood pressure can be achieved even by
losing a little weight every month Always go for healthier food choices whenever possible. Emphasise on fruits, vegetables, whole-grains and low-fat dairy foods. Sufficient potassium intake may help control your blood pressure as well. Most importantly, avoid food containing high amounts of fat such as deep-fried ones. Get involved in frequent physical activities such as sports at least half an hour everyday. Regular daily physical activities are proven to lower your blood pressure. A person with high blood pressure should cut down on alcohol intake and drink in moderation. Avoid smoking as tobacco will worsen the condition of the arteries. Home monitoring of blood pressure is an effective way of controlling your blood pressure. It provides a more convenient way of keeping tabs on your blood pressure, and indicating if the medication taken is working.
Early Detection with Health Screenings As high blood pressure is always regarded as a silent killer, it can be difficult to identify due to the lack of initial symptoms. Hence, it is good to have regular medical checkups. Do visit your doctor upon having any elevated blood pressure readings. This article is brought to you by
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Dr Tan
Tze Lee Showing some Love for our Lungs
Head & Neck Cancer A patient’s survival story
What’s the Next Big Thing in LASIK? An introduction to Advanced Surface Ablation
Cellulite Acupuncture
Your Secret To Proper Digestion Overcoming indigestion with enzyme intake
Achieving The Perfect Asian Look How medical aesthetics can help us
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Showing some Love for our Lungs Dr Tan Tze Lee By Jason Lim
f
amily physicians often treat more than one member of a family. In fact, it is exactly because of that reason that they are known as “family” doctors. Often, we determine our family doctor simply by how much we like or “click” with the physician. Dr Tan Tze Lee is a family physician who practices at The Edinburgh Clinic in Choa Chu Kang town – and it is hard not to like him! Cheerful and approachable, he was all set to help me with my list of questions from the moment we sat down to chat. The reason we met Dr Tan that day was because he is not just a family physician but is also the Vice President of the Chronic Obstructive Pulmonary Disease Association, Singapore (COPDAS). A disease that warrants much more awareness than it currently commands, Chronic Obstructive Pulmonary Disease, or COPD in short,
48 ezyhealth&beauty . nov 2010
is a growing problem in affluent Singapore. As its name suggests, COPD is a disorder that is characterized by a gradual loss of lung function. A sufferer of COPD will feel effects such as breathlessness and chronic cough. This debilitating disease not only affects a person’s health, it is severely disabling to a person’s quality of life as well. This year, World COPD Day falls on 17 November and the COPD Association, Singapore is all set to bring more awareness and focus to this disease through a public forum. As one of the keynote speakers at the upcoming public form, Love Our Lungs, Dr Tan Tze Lee was eager and ready to tell us more about the disease as well as what we can expect from the upcoming forum.
*Regional COPD Working Group. COPD prevalence in 12 Asia-Pacific countries and regions: projections based on the COPD prevalence estimation model. Respirology 2003;8,192-198 **WC TAN, TP NG. CHEST February 2008 vol. 133 no. 2 517-527
Dr Tan: Usually for smokers, the severity of COPD has to be quite great before they notice that something is wrong. Once they are symptomatic, at least half of their lung function will have been affected already. We have to understand is that the process of smoking cessation does not consist of just telling the smoker to stop. As it is an addiction, the smoking habit is often something the smoker cannot easily quit. It is hard, though not impossible, to overcome the addiction by themselves. We as health professionals should be in a position to help support them through this difficult time as they strive to stop smoking. And we are. There are many sources of help available, like smoking cessation clinics, nicotine replacement therapies and drugs. Across the island, smoking cessation clinics are run by the Health Promotion Board (HPB), polyclinics, pharmacies, and GP clinics. In addition to these counselling supports that are available, there are also medicines that are available to help smokers overcome the need and craving for smoking, like varenicline and other nicotine replacement therapies (patches, gum etc). Smoking rates have been increasing in recent years, unfortunately, and this sobering fact should make us sit up and analyse why more people are smoking and how we can convince them that the choice they are making is bad for them. Why do people take on the risk of smoking? Sadly, it is because they “enjoy” the risk! We need to let them know that there are better ways to relieve stress and enjoy free time. Instead of just going cold turkey, once the smoker has decided “Yes! I want to quit!” there are many avenues of help available to them.
EHB: We understand that smoking is the No. 1 cause of COPD worldwide. However, it is not easy to tell a smoker to quit immediately. As a physician, what kind of advice can you give to smokers who are hoping to kick this damaging habit?
EHB: What are the most effective treatments currently in the market for treating COPD? Dr Tan: Certain medications have been shown to positively affect the long-term quality of life as well as survivability. The medications that come to mind
EHB: Approximately how often does a doctor like you in a family practice see COPD patients? Dr Tan: For COPD, there is a need to be aware that these conditions do exist out in our community. I make it a point to screen a person for COPD, based on criteria such as whether they are smokers for more than 10 years, or the presence of recurrent cough with phlegm. Even for patients who consult at my practice for any other medical problems, the chances of detecting early COPD is actually quite high. Maybe out of every two smokers, one will fulfill test criteria for COPD. The most important thing is to have public awareness so that people will not be thinking of COPD as a distant disease that is not likely to affect them. COPD is in fact a disease that is very close to heart and can indeed affect them. Smoking in Singapore is probably the biggest contributing factor for COPD, and people must realise that any exposure to smoke can put them at high risk of developing COPD. EHB: How prevalent is COPD here in Singapore and what is the mortality rate like? Dr Tan: 3.5% of Singaporeans ≥ 30 years of age are estimated to have moderate to severe disease and, as the population ages, the burden of COPD is likely to increase.* In Singapore, COPD accounts for 4.6% of overall deaths and 5.8% of those persons ≥ 55 years of age. COPD ranks sixth among the common causes of death in Singaporeans {male to female 5:1} **
would be a inhaler medication called tiotropium that has been shown to improve survival as well as quality of life. This means that people who are suffering from COPD can become more active, and go back to doing more of the things they could do before. EHB: COPD is a great burden for patients to carry. Their quality of life is evidently severely affected by the disease as well as the need to continuously take medication on a daily basis. Are there any methods of devices that are available to assist doctors in patient’s compliance? Dr Tan: People with COPD are like people with a problem that cannot be changed. Once you give them these new medications, though their lung functions may improve slightly, they can never go back to enjoying completely normal lung function. EHB: Does that mean that when you have COPD there is nothing that you can do? Dr Tan: NO! There are lots of things you can do. First and foremost is to stop smoking! That will immediately stop the deterioration in lung function. Exercise and lung rehabilitation is another. The ideal medicine is one that is easy to take and need only to be taken once a day. If you asked me to take a medication a few times a day which is also difficult to use, I might forget to take it or decide I just don't want to use it anymore. As medications become more sophisticated, easy to use and only taken once a day, we know that it will improve compliance across the board, whether it is a pill, inhaler or device. One such medication is the Respimat® Soft Mist Inhaler. EHB: We hear that there is a COPD Association in Singapore! Tell us a bit about this association and how does it hope to help the general public? Dr Tan: The COPD Association of Singapore was formed in 2004 by Dr Ong Kian Chung and some of his volunteers. It was formed with the aim to improve
nov 2010 . ezyhealth&beauty 49
medical express the awareness of the condition of COPD for patients, their caregivers and the public. The reason for raising awareness is so that the public, patient and caregivers are in the position to understand the disease better, manage it better and know how to prevent or limit its impact on the general public. As we know, smoking plays a big part in it; without better knowledge amongst smokers, many smokers will carry on in their smoking habit without knowing their risk of COPD. EHB: Tell us about the upcoming love our lungs public forum LOVE OUR LUNGS on 13 November 2010. Dr Tan: I think you will find it to be a very exciting time! We had an excellent forum last year where we presented about common lung problems and the feedback we got was encouraging. Those who attended found it most interesting and also found that their knowledge improved greatly. This year we are reprising it with this second installment of the forum. We will be talking more specifically on the common issues like asthma and COPD as well as other topics related to our lung health. If you are a smoker, I’d definitely encourage you to attend. Through this forum, smokers will be able to learn about how smoking can actually affect their lungs and quality of life. If they make the decision to quit smoking, we’ll be on hand to give them the advice and support to help them on their journey towards giving up their cigarettes.
COPD Patient’s Story EHB:Can you tell us an example of a patient who came to see you for COPD and how her treatment helped her? Dr Tan: Madam H came to see me in Dec 2009 as she had been getting more and more breathless over the past few months. She had been smoking since her teenage years, and had recently cut down to 10 sticks a day as she was getting more breathless when walking to the market. Previously she could walk slowly the distance of 2 ½ bus-stops without stopping, but now had to stop twice to catch her breath. She had heard from her daughter about a breathing test and asked if we were able to do it for her. We obliged, and found that she had moderate stage COPD. She was advised to stop smoking and was also started on tiotropium inhaler. On the next visit in January 2010, she reported that she was feeling much better and not so breathless. Her trips to the market were much easier now although she felt she could not quite give up smoking yet. She was counselled again about quitting smoking and she said she would try to cut down further. Over the months, her condition continued to improve and her quality of life was very good when assessed after 4 months. Her smoking has reduced though not completely.
50 ezyhealth&beauty . nov 2010
Understanding Chronic Obstructive Pulmonary Disease (COPD) Chronic Obstructive Pulmonary Disease (COPD) is a fast growing national health burden worldwide and in Singapore. Dr Ling Hui, Senior Medical Affairs Manager for Boehringer Ingelheim Singapore tells us that latest WHO figures estimate that 210 million people are currently suffering from COPD and more than 3 million people died from the disease in 2005 –more than breast cancer and diabetes combined. “In Singapore,” she said, “there are an estimated 64,000 cases of moderate to severe COPD which represents 3.5% of population aged 30 years and older. As the population ages, the burden of COPD is likely to increase. COPD is the 6th leading cause of death and the 9th leading cause of hospitalization in Singapore. COPD mortality rate in Singapore is higher than countries like the United States, Canada and Australia.”
What is COPD? COPD is a term used to describe two pulmonary conditions – chronic bronchitis and emphysema. Basically, when the airways are inflamed, it becomes constricted. This causes the difficulty in inhaling and exhaling of air. Patients suffering from COPD face a persistent blockage of their airways in the lungs that interferes with normal breathing. As the disease progresses, patients find it increasingly difficult to breath. This decrease in lung function manifests in shortness of breath and difficulty breathing when a patient is carrying out normal day-to-day tasks. Walking short distances or climbing a flight of stairs becomes an increasingly difficult task for a patient as the disease progresses.
What Causes COPD? Most COPD is caused by long-term exposure to cigarette smoke. However, people can develop COPD due to breathing in second-hand smoke, fumes of certain chemicals, exposure to industrial pollution and other forms of smoke inhalation.
Dealing with COPD – Drugs and Devices Since smoking is still a leading cause of COPD, smoking cessation is still a key factor in the management of COPD. Patients usually show a positive improvement in lung function shortly after quitting smoking. However, it is a well-known fact that quitting smoking is no easy task! Dr Lim Kai Toh, Senior Product Physician from Pfizer Singapore says that data from national smoking cessation programs and clinical trials show that not many smokers are successful kicking the addictive habit. “The most effective methods of helping smokers to quit smoking are a combination of pharmacotherapy (use of medication) with advice and behavioral support, rather than depending on an individual’s will power alone,” adviced Dr Toh. One medication that can assist in this process is varenicline. “A patient will not get the same ‘kick’ out of the cigarette if they happen to smoke while they are on varenicline,” explains Dr Toh “This reduces their dependence on smoking and nicotine.” The objective of pharmacotherapy for COPD is to improve symptoms especially complaints off breathlessness. Medications called bronchodilators are the mainstay of COPD therapy. Common bronchodilator drugs include tiotropium and ipratropium bromide. Dr Hui from Boehringer Ingelheim tells us, “Tiotropium belongs to the group of long-acting broncodilators which are recommended as first-line maintenance treatment option for patients with moderate to severe COPD (GOLD stages II-IV) in international guidelines developed by Global Initiative for Obstructive Lung Disease (GOLD). Early diagnosis and treatment of COPD can positively impact its clinical course and change the way patients live with their disease. Tiotropium has demonstrated efficacy and safety in an extensive clinical development programme, which included approximately 20,000 patients.” Being such a debilitative disease, COPD patients can expect to rely on the drug for symptom alleviation on a daily basis. Having to use a drug consistently on a daily basis is never easy, and pharmaceutical companies have been innovatively helping patients in this area. “Tiotropium is widely available in the HandiHaler® device and Respimat® – a unique and technologically advanced new generation inhaler,” Dr Hui tells us. Both devices, which are available in Singapore, are designed to ease a patient’s task of transporting and using an inhaler throughout the day. Although treatment does not reverse the damage to the lungs, it can go a long way in making a patient feel better and enjoy a better quality of life.
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Health
radar
Know the latest medical news NCCS-led study helps doctors to better identify treatment for colorectal cancer patients Scientists at the National Cancer Centre Singapore found that genetic polymorphisms in the UGT1A1 gene can affect the way colorectal cancer drug Irinotecan is detoxified in the liver. Patients carrying two copies of the variant forms of the UGT1A1 gene, namely UGT1A1*6 and UGT1A1*28, have low amounts of the enzyme required to detoxify Irinotecan’s active metabolite, SN38, effectively. High levels of SN38 can lead to severe toxicity such neutropenia and severe diarrhea.
Short and Long Sleep Durations in Early Pregnancy Linked with Elevated Blood Pressure in the Third Trimester A study in the October issue of the journal Sleep found that too little or too much sleep in early pregnancy is associated with elevated blood pressure in the third trimester.
52 ezyhealth&beauty . nov 2010
While the frequency of UGT1A1*6 was similar in all three Asian ethnic groups in Singapore, the frequency of UGT1A1*28 was found to be approximately 13% in Indians compared with 2% to 4% in Chinese and Malays. These findings suggest that certain ethnic groups (eg. Indians) may be more susceptible to increased toxicity when administered Irinotecan. Information courtesy of NCCS.
After adjustments for age, race and pre-pregnancy body mass index, the mean systolic blood pressure was found to be 3.72 mm Hg higher in short sleepers and 4.21 mm Hg higher in long sleepers. Similar results also were found for diastolic blood pressure. The study also found an association between sleep duration and preeclampsia, a condition that involves pregnancy-induced hypertension along with excess protein in the urine. The risk of developing preeclampsia was almost 10 times higher in very short sleepers (<5 hours) during early pregnancy. Because blood pressure is known to dip by an average of 10 to 20 percent during sleep, the authors propose that short sleep durations
Nose drops to treat brain cancer A new form of the anticancer drug methotrexate, designed to be given as nose drops rather than injected, seems to be a more effective treatment for brain cancer. Brain cancer is difficult to treat, partly because the so-called bloodbrain barrier (a protective layer of cells surrounding the brain) prevents medication in the blood from entering the brain. But new evidence indicates that some drugs administered through the nose, either as nose drops or nasal spray, can bypass this barrier and travel directly into the brain. The scientists tested methotrexate nose drops on laboratory rats with brain cancer. Compared to cancer treated with an injectable form of the drug, the nose drop drug reduced the weight of tumors by about 30%. Information courtesy of American Chemical Society.
may raise the average 24-hour blood pressure and heart rate, leading to structural changes that gradually raise the pressure equilibrium of the entire cardiovascular system. Sleep restriction may also produce abnormal levels of the hormones endothelin and vasopressin, which play an important role in the cardiovascular system. Long sleep duration, on the other hand, may be related to elevated blood pressures due to other confounders such as obstructive sleep apnea, depression or insulin resistance. Information courtesy of the American Academy of Sleep Medicine.
Minis to your rescue –
Avoiding the Embarrassment of Missing Teeth! By Dr Oliver Hennedige
U
nderstanding the Jaw Bone
In this article, I would like to write about the bone in the human jaw and its relationship to your oral health. Bones that surround your teeth and hold them in place are called alveolar bone. This bone has the unique feature that allows your teeth to be held firmly by periodontal ligaments or tiny fibers so that your teeth can function well and look good. Neglecting your gum health by not removing plaque and debris especially around the tooth would eventually result in your teeth getting wobbly, painful and sometimes gum boils may result. If gum disease has progressed too far, these teeth would need to be extracted or they will eventually fall off. Whether you lose your teeth due to dental decay, gum disease or accidents, the alveolar bone which used to surround these teeth will simply “melt” away with time. As long as there are no teeth, this special alveolar bone will gradually disappear. You may not realize it but once a tooth is extracted, if the socket is left alone to heal up on its own, within one month it would have lost at least fifty percent of its volume. This leads to a thinning of the bony area.
T
he remedy for lost jaw bone
To avoid this, I usually place some artificial crystal (PerioGlas) into the socket to minimize the loss of bone. The body’s bone cells utilize these crystals to form new natural bone. It is a simple procedure and would cost a patient just a few dollars more, but the benefit far outweighs the cost. However, just leaving the area alone or placing a denture over it will still result in resorption or “melting” away of your bone with time as there is no direct stimulation to the bone. In full denture cases, a two-year period is all you will need to know that you have bone loss as your dentures will no longer be fitting and will start to give you mouth ulcers – the result of rubbing and pressure on the gums. Dr
54 ezyhealth&beauty . nov 2010
P
reservation of your Bones
Hence, in my view, the need to preserve what little bone you have is very important. If you decide on dental implants to have a new set of fixed teeth then you would have to consider between minis or the more painful conventional implants. Conventional implants have their drawbacks. Here are a few – being larger in diameter (3.0mm or more) before placing them in, you may have to rebuild your bone. Bone has to be harvested from other parts of your body (usually rib or hip) to increase the volume in your jaw. Some may use treated human bone from dead bodies (cadaveric bone), animal bone or crystals. In all these approaches it may take 3 or 6 months or more for healing to take place. For the upper jaw you may encounter an additional procedure. Due to low sinus you may have to do a surgical procedure known as sinus lift where bone substitute will be introduced to build bone height and volume – again it could be avoided with minis. After waiting usually 3 to 6 months or more the dentist or specialist will need to dig out bone and place the larger diameter conventional implant and again wait for 3-6 months or more for the area to heal. Only on healing he will be able to build fixed teeth. Because of the complex procedure it may be traumatic, painful and has more opportunities for failure.
F
inding help from Mini Dental Implants
Certain minis, on the other hand, have been approved by USA Food and Drug Administration (FDA) for long term use and have recorded high success rate. The FDA’s approval, in my view, is important as these implants have to undergo vigorous review of its safety and effectiveness before it can be marketed. Furthermore it takes at least 12 to 15 years to see approval – or in other words it has to stay fixed for at least that period of time. Minis with its kinder approach, no digging or complex surgical procedure will allow you to have your teeth at a much lower cost, less pain and with very little abuse to your gums and the little bone you have. In my view, the better obvious solution to your missing teeth is mini dental implants restored with fixed teeth.
Oliver Hennedige is from Oliver Dental Surgery Pte Ltd. He is the Secretary-General of the Asia Pacific Dental Federation, and the Executive Director of the International College of Continuing Dental Education.
OLIVER DENTAL SURGERY PTE LTD Minidental implants… is the Solution to your Missing Teeth Mini Dental Implants – It’s a Small Wonder Why suffer painful surgery with larger implants? Mini dental implants (MDIs) are almost painless, immediate for securing dentures, crowns and bridges. You need not wait for six months or more for your teeth! It is cost effective, most instances no major surgery and could be placed for even medically compromised patients (e.g. diabetics, heart patients etc). We use MDIs approved by the US Food and Drug Administration (FDA) for LONG TERM placement in human jaws for securing of dentures, fixing crowns and bridges. Minis should be considered your first option before deciding on any form of dental implant surgery. Even major dental companies are either acquiring successful minidental implant companies or developing their own line of minis as minis are poised to be the way most implants will be placed in the human jaw. Minis are very strong, durable and allow good aesthetics results. It is a common sense approach to dental implant treatment. These are some of the reasons why minis are the fastest growing sector in implant industry. See us for a full discussion on your requirements. Consultation is free without any obligation.
Contact Info Katong Branch: 242 Tanjong Katong Road S (437030) Tel: (65) 6345 3125 / (65) 6344 5315 Fax: (65) 6344 2116
Dr Oliver Hennedige Dr Ho King Peng Dr Tini Tjhin Dr Kausar Moochhala OLIVER DENTAL SURGERY PTE LTD Email: droliver@singnet.com.sg Website: www.droliver.com.sg www.oliverdentalsurgery.com Orchard Branch: 150 Orchard Road #06-12/13 Orchard Plaza S (238841) Tel: (65) 6734 7590 / (65) 6734 7591 Fax: 67349117
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Head and Neck
Cancer A patientâ&#x20AC;&#x2122;s survival story
t
hereâ&#x20AC;&#x2122;s probably no better opportunity to raise awareness about cancer than when a celebrity falls prey to it. When multi-awarded Hollywood producer and actor Michael Douglas announced in September that he had stage IV throat cancer, the upshot was for cancers of the head and neck to share the limelight. We asked Dr Ang Peng Tiam, Medical Director and Senior Consultant at the Parkway Cancer Centre to shed some insights on this severe form of cancer. EHB: What constitutes head and neck cancer? Dr Ang: Cancers of the head and neck comprise a very varied lot as it depends on the exact site as well as the different histologies. Most cases of head and neck cancer are referred to as the squamous cell carcinoma, which may occur in the oral cavity, the buccal mucosa, the tonsil, the oral pharynx, as well as the esophagus. Others cases would include salivary gland tumours and nasopharyngeal cancer, which of course are very different in terms of management and prognosis. EHB: What are the reasons why a lot of patients are already in an advanced stage of cancer when they first consult the doctor?
56 ezyhealth&beauty . nov 2010
Dr Ang: There are many reasons why patients present at an advanced stage of their disease. Cancer in its early stages often has no symptoms. Or the patient may note a small lump and think nothing of it. They would assume that it is an ulcer related to some trauma and not imagine that it is actually a cancer. As such, by the time they seek medical attention, the disease could have already advanced. In other cases, there is denial or superstition that prevents them from consulting a doctor. Many try alternative medicines or symptomatic treatments hoping that it will go away. Cigarette smoking is a definite cause of lung cancer as well as cancer at the neck region. We must continue to preach the message of avoiding smoking. For non-smokers, we recommend that they do not take it up and for those who are currently smoking, we encourage them to participate in smoking cessation programmes and stop smoking. EHB: How curable is this disease in its various forms? Dr Ang: I consider head and neck cancer as one of the more treatable malignancies. Unlike in the past where prognosis is poor, the current use of multi-modality treatment combines the best of surgery, chemotherapy and
radiation. A large number of these patients can have good control of the disease as well as high cure rates. EHB: What are the treatment options? How effective are they? Dr Ang: The standard treatment of squamous cell carcinoma of the head and neck has been surgery. However as this is a very visible and complex part of the body, surgery can often be associated with significant morbidity and mortality. For instance, in the cancer of the voice box, a patient would have to consider a total laryngectomy and the loss of voice. Increasingly, patients are opting to have chemotherapy and radiation instead of surgery. In my practice, many patients have been able to avoid loss of organ function through appropriate use of chemotherapy and radiation. I know of many patients who have benefitted from this approach. However, it is important to qualify this statement with the fact that not all patients undergoing chemotherapy and radiation will be able to avoid loss of organ function because of possible eventual need for surgery. In those who failed, they can take comfort in the fact that at least they have been able to preserve organ function for whatever duration of time while the disease has been kept at bay.
EHB: A recent published study showed that combining targeted therapy with radiotherapy has prolonged the long-term survival of patients (more than five years) by almost 50%. Could you please share with us your insights? Dr Ang: There is no question that the use of targeted agent has helped to enhance the response to treatment. This has been associated with improvement in survival. The addition of targeted agent like Cetuximab has helped to improve responses, improve cure rate and optimise treatment results for patients with head and neck cancer.
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A Patient’s Story For Dan Steele, perhaps one of the cruelest things about battling cancer is not just the destruction it wreaks on his body, but also its impact on the life of his loved ones. When he was told that the lump on his neck was actually stage 3 cancer, his first thought was his kids, aged 3 and 6; he resolved to beat the Big C for their sake. He went through several rounds of chemotherapy, and despite all the side-effects his body had to go through, Dan continued to be positive and proactive in his treatment. His wife, Jessica, remained stalwart through it all. She sends newsletters to friends and relatives, updating them of Dan’s progress, giving them a peek into their lives as they deal with Dan’s condition. Here’s a snippet: “These are not the happiest of times but we certainly try to laugh as much as possible. Dan is now doing chemo on Mondays and radiation every day of the week. His throat is hurting and he is already struggling to eat. He can’t taste things well and all the side effects from the previous sessions have not gone away, so it is like more and more stuff to take on. But he has been amazing through all of this. I continue to tell friends that the only possible way to be able to successfully undergo the kind of treatment he is undergoing is to start with a very fit body because his body has taken such a beating with already 13 rounds of chemo and about 15 days of radiation so far and more to come. He is still going to the office but I continue to remind him of what the doctor says about listening to his body when it is asking for rest, and I think he is already quite in tune with it. Our next immediate milestone should be Sep 17 following which the doctors will do another major scan and determine where we go from there.” Dr Ang Peng Tiam graduated from the National University of Singapore (NUS) and completed his Fellowship in Medical Oncology at MD Anderson Cancer Centre, Houston, Texas and Stanford University Medical Centre. Dr Ang was founding Head of the Department of Medical Oncology at Singapore General Hospital from 1991 to 1997. He held the concurrent post of Director of the Oncology Centre and Clinical Associate Professor at the Faculty of Medicine, NUS, and served as a president of the Singapore Society of Oncology. He is a Visiting Consultant at National Cancer Centre and is currently the Vice Chairman of Singapore Cancer Society, Chairman of the Medical Advisory Committee of Breast Cancer Foundation.
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American Ginseng Slice with Honey Promotion
Name: _________________________________________________________ I/C No: ____________________________ Age: ______ Sex: ____________ Address: _______________________________________________________ _______________________________________________________________ Contact No: ____________________________________________________ Email: _________________________________________________________ Contest Rules & Regulations 1. The contest is open to all Singaporeans and permanent residents except the staff and relatives of Ezyhealth (Singapore) Pte Ltd and participating sponsors of the contest. 2. Only one entry per participant; multiple submissions will be disqualified. Judges’ decision is final. 3. All prizes must be claimed within one month of notification and are not exchangeable for cash or transferable. 4. Ezyhealth will not be held responsible for late, damaged or lost entries. 5. winners will be notified by post.
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What’s the Next Big Thing in LASIK? An Introduction to Advanced Surface Ablation By Dr Tony Ho and Martin Kwan
A Brief Background of LASIK LASIK is currently one of the most commonly performed eye procedure in the world. Over 30 million people worldwide have had LASIK to date and about 700,000 LASIKs are performed annually. But even as LASIK gains wider acceptance as a means to eliminate spectacle and contact lens wear, there is a movement amongst eye surgeons and patients towards Advanced Surface Ablation, in short - ASA. ASA is essentially a more advanced, improved version of Photo-Refractive Keratectomy or PRK, which is the original laser procedure that predates LASIK. Introduced to the public in the early 90s, PRK was the first ever laser procedure to correct a person’s eye power. However, PRK has certain drawbacks. Patients suffer from uncomfortable, teary and red eyes that will last for three days while the cornea skin recovers. Complaints of blurry vision and the slow vision stabilization of between three to six months were also not uncommon. A significant number of patients develop cornea scarring, which at that time had no effective preventive treatment. Hence, PRK never really took off. Then, eye surgeons found that by cutting and lifting up a cornea flap and then using laser to reshape the cornea tissue underneath the flap, patients can expect to have comfortable eyes and clear vision as soon as the next day. Vision was also rapidly stable with LASIK and there was hardly any cornea scarring. LASIK took the world by storm, and became the procedure of choice from the mid 1990s.
Recent Advancements In recent years, eye surgeons have begun to re-look at the original surface-based flap-free PRK procedure, giving it a modern twist. Advanced Surface Ablation (ASA) is the modern term for excimer laser treatment that is performed on the surface of the cornea. Epi-LASIK is a form of Advanced Surface Ablation. Although Epi-LASIK and other ASA procedures are derived from the older PRK, they are radically different in many ways as advancements in medicine and technology has brought about newer techniques in surgery and patient management. 58 ezyhealth&beauty . nov 2010
In Epi-LASIK, surgeons use a device called ‘Epi-keratome’ that employs a blunt blade oscillating eleven thousand times a second to shake loose the cornea skin with greater precision and ease as compared to PRK. In other Advanced Surface Ablations procedures such as Advanced PRK and LASEK, eye surgeons now employ a new technique utilizing ethyl-alcohol to presoften the epithelium cells prior to removal. These less traumatic methods of cornea skin removal allows for faster recovery and reduced risk of cornea scarring. The newer generation ‘flying-spot’ excimer lasers are now used to reshape
the cornea to correct the eye power. These new lasers create a much smoother treated surface, as compared to the old ‘broad beam’ lasers. Treatments are also done faster and with less tissue removed per dioptre of power treated. This in turn leads to faster tissue healing and visual recovery. On top of that, there are sophisticated machines that are able to map out the contours of the cornea, as well as the optical imperfections of the eye prior to surgery. All these measurements, broadly termed as ‘wavefront measurements’ are used to provide enhanced precision in the cornea reshaping process. (continued on pg 60)
(continued from pg 58)
Reasons Why Advanced Surface Ablation is the Choice There are many reasons why increasing numbers of eye surgeons and patients are now turning to Epi-LASIK and other forms of Advanced Surface Ablations: Dry Eyes Almost all LASIK patients will complain of dry eyes lasting weeks to months after surgery. They will become quite dependent on artificial tears eye drops to relief their complaint. This is because by cutting the cornea flap, tips of the thousands of nerve endings are severed. These nerve endings send signals to the brain for more tears to be produced by the glands. By not cutting the cornea nerve tips, Advanced Surface Ablation procedures including Epi-LASIK do not cause or worsen dry eyes. Cornea Flap Complications The creation of the cornea tissue flap during LASIK is also fraught with risks. The fact is flap-related complications remain the most common cause of serious LASIK complications. A host of flap-related complications can occur during surgery such as a flap that is completely cut off, partially cut flap, de-centered flaps and flaps with a hole in them. After surgery, the cornea flap may not adhere itself well and the flap can be displaced by rubbing of the eyes or an accidental finger poke. Infection and inflammation of the flap can also happen, causing cornea scarring. ASA procedures including Epi-LASIK simply avoid all these cornea cut flap complications totally. Cornea Thinning Over the years, surgeons have been trying to dodge a potentially devastating cornea thinning complication called ‘Keractectasia’. This condition arises when the cornea end up so thin or weak after surgery that it begins to protrude and warp causing poor and distorted vision. The fact is that both Advanced Surface Ablation and LASIK weaken the cornea, as there is a need to reshape and thin the cornea for the correction of the eye power. But LASIK is the worse culprit as cutting a cornea flap will weaken the cornea structure more. Therefore, ASA procedures including Epi-LASIK reduce the risk of Keractectasia.
60 ezyhealth&beauty . nov 2010
Hope for “Unsuitable LASIK” candidates A significant number of people who wish to have LASIK get rejected because of inborn thin corneas or high myopia and astigmatism. As Epi-LASIK and other ASA procedures do not thin out the cornea as much, these people may now have a renewed chance of having their vision corrected. Finally, patients who participate in contact sports such as soccer, rugby, martial arts and diving, as well as military personnel who are in vocations such as navy divers, commandos and airforce pilots can now have their vision corrected with Advanced Surface Ablation without worry of cornea flap-related complications. This is because unlike LASIK, there is no risk of cornea flap dislocating in EpiLASIK and other ASA procedures. In summary, modern Advanced Surface Ablation procedures including Epi-LASIK are safe, reliable, causes less dry eyes and cornea thinning. The comfort and downtimes are also comparable to LASIK. More patients are beginning to choose Epi-LASIK and other ASA procedures when they are provided with greater knowledge of the benefits of these ‘no cornea cut’, ‘no cornea flap’, purely ‘surface based’ laser vision corrective procedures.
Dr Tony Ho is the Medical Director of Clearvision Eye Clinic & LASIK Centre. He is the author of “The Complete Eye Care Book”, which garnered the Singapore National Book Council Merit Award in 1994. His second book and third book, “18 Steps to Myopia Control” and “Childhood Myopia and Lasik Surgery” have both been critically acclaimed. Dr Ho is a strong believer in quality and safety in LASIK. Martin Kwan is the senior Optometrist at Clearvision Eye Clinic & LASIK Centre.
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Cellulite Acupuncture By Amaris B. Face, Skin & Body Clinic
a
sk any women which part of their body they are least happy with and the chances are, they will tell you they hate their wobbly thighs and butt. It is especially so when they have successfully managed to drop the excess weight but is still unable to get rid of the dimply, cottage cheese like appearance on their thighs known as CELLULITE!
exactly is cellulite? What
Cellulite is a cosmetic condition which affects primarily women. It involves a disordered array of connective tissue in the dermis (skin) and underlying tissues. Normally the fat that lies directly under the skin (subcutaneous fat) provides a smooth contour to the body, however under the influence of hormonal effects and genetic predisposition, the overlying skin becomes weaker. Fibers surrounding the subcutaneous fat forms tighter bundles that bulge, fluid builds up between fat cells and anchoring strands pull down with greater tension, causing the “dimpling” effect. Cellulite commonly appears around the hips, buttocks, and thighs. Some women would notice that it gets worse when they gain weight, others might find it more noticeable if they lose a lot of weight in a short period of time.
64 ezyhealth&beauty . nov 2010
n effective remedy– Acupuncture A Cellulite Treatment “Acupuncture cellulite treatment is an alternative medical solution to treat cellulite by targeting deficiencies in the lymphatic drainage and microvascular circulation,” says Dr Ivan Puah, medical doctor and certified practicing acupuncturist. This specially tailored acupuncture treatment carefully designed to treat cellulite is based on the principles of Traditional Chinese Medicine, which involves the insertion of very thin, sterile, disposable needles into acupuncture points located on and around the troubled area. “The treatment protocol for cellulite acupuncture is completely different from any other form of acupuncture as it specifically treats cellulite build-up and it helps to nourish connective tissues from within by treating its source, “says Dr Puah.
“Cellulite acupuncture is an effective solution to fight against cellulite as it helps to activate fluid circulation whilst preventing further accumulation of fat deposits. But it is also important to know that the results would be better if one can make a conscientious effort to exercise regularly, maintain a healthy lifestyle and a well-balanced diet,” explains Dr Puah. A typical course of treatment consists of a two to three month period. Ideally for optimal results, consecutive sessions within a week are recommended with each session lasting approximately 45 minutes. There is no downtime, so patients can resume their daily activities as per normal.
Amaris B. (Face, Skin & Body Clinic) (A subsidiary of Amaris B. Group) 140 Arab Street, Singapore 199827 Tel: 6536 4211 www.amaris-b.com
Your Secret To Proper Digestion Overcoming indigestion with enzyme intake Are You Suffering From Any Of These? • Pain in the upper part of your chest • Heartburns • Flatulence • Constant burping • Belching • Bloating • Loss of appetite
Enriched By Enzymes Enzymes exist in our bodies, and are present in various organs and tissues. Their main functions are:
Strengthening our immune systems
Enzymes aid the removal of germs and bacteria in our systems. This in turn, supports good health.
Getting rid of toxic substances in our blood
Due to unhealthy eating habits, pollution and other factors, toxic substances can be found in our bodies. Enzymes assist
If you find yourself agreeing to any of the above, you could be
our bodies in breaking down and supporting healthy blood
suffering from indigestion.
Symptoms That Increase With Age
circulation.
Supporting cell functions
Indigestion could stem from the simplest of things such as overeating,
Enzymes help with the regeneration of damaged cells and assist the proliferation of normal cells.
swallowing without chewing and even with the drinking of
Maintaining a healthy metabolic rate
carbonated drinks. As we age, the amount of acid and enzymes in our
we ingest cannot be absorbed as quickly, causing indigestion. A good
Enabling our bodies to absorb nutrients and digest foods more effectively
way to get rid of indigestion is to consume enzymes.
What Are Enzymes?
Enzymes regulate metabolism and ensure smooth excretion of waste substances from the body.
stomach, which are necessary for digestion, decline. As such, the food
Enzymes help our bodies digest food more efficiently. The intake of enzymes also helps reduce digestion-related issues
Enzymes are substances excreted from our pancreas and small
and the potential for other illnesses.
intestines. Enzymes play a key role in maintaining normal functions
Neutralizing pH properties of substances
and controlling vital activities in living things. With enzymes, all cell
Food consumed by our bodies can contain acidic properties. Therefore, enzymes in our bodies assist in converting this acid
activities and absorption of nutrients in our body would increase, and
into support for the cells.
our body would be able to carry out detoxification and excretion of toxic substances. Hence, it can be concluded that a higher the level of
Enhancing beauty
enzymes in our body, the healthier we are.
Enzymes are able to activate cells, smooth out wrinkles and prevent premature ageing. The regular intake of enzymes will
Besides just being found in our bodies, enzymes can be found in
result in a glowing and radiant complexion.
our foods. Enzymes can be found in nuts, vegetables and fruits. Raw foods offer more enzymes than cooked foods. Juices and supplement
Controlling weight
drinks such as the Maru-Man Enzyme by Ban Choon Marketing, also
give us healthy doses of enzymes in a natural, tasty way. 66 ezyhealth&beauty . nov 2010
Obesity and poor circulation are aggravated by the lack of lipase, an enzyme which digests fats.
medical express
Colorectal Health
for Women – Colorectal Cancer Screening By Dr Jennifer Liauw, Consultant Surgeon, Colorectal Surgery Associates, Gleneagles Hospital
Case 1
M
s L saw me last year; she was only 42 years old. She had been suffering from rectal bleeding for a week that was increasingly getting worse. She also complained of pain and swelling around the anus. She had seen her GP, who subsequently referred her to me for painful piles. During the consultation, I discovered that she had been having difficulty with her bowels for the preceding 2 months and she just put it down to simple constipation and ignored her symptoms. She finally decided to seek medical attention only when the pain from her “piles” became worse. When I examined her, I found that not only did Ms L have piles; she also had a low rectal cancer. This was confirmed on colonoscopy with biopsy of the tumour. She was very shocked when she learnt about her diagnosis and wished that she had seen a doctor sooner for her symptoms. The main reason for her resistance was because she was too embarrassed to discuss about her bowels and thought that her “constipation” and “piles” were not that serious.
Case 2
M
rs C, 51 year old, came for her colonoscopy just after the Colorectal Cancer Awareness Month this year. Her bowel habit was normal and she had no symptoms at all, she recently underwent general health screening and even had a negative stool test. She had read about colorectal cancer and polyps, and wanted to be sure that she
had no polyps. She was advised that colonoscopy is the best way to detect polyps and polyps could be removed at the same time during colonoscopy if they are present. Her colonoscopy showed six polyps in her colon and one of them was large (1cm). Fortunately, we were able to remove them at colonoscopy, and histology has confirmed that they
have not turned malignant. Hence, with screening colonoscopy, Mrs C has prevented her polyps from developing into colorectal cancer. She will require follow up surveillance colonoscopy to make sure she does not develop further polyps in the future.
(continued on pg 70)
68 ezyhealth&beauty . nov 2010
advertisement
Disclaimer: Opinions expressed by the author and advertiser are not necessarily those of the publisher and editor. The information provided is for reference only. You should seek the advice of your physician or healthcare professional if you have any questions about your health or medical condition.
(continued from pg 68)
The Facts Colorectal cancer is the most prevalent cancer in Singapore and the incidence is increasing with about 1500 new patients diagnosed each year. It is more common among the Chinese,with similar incidences in women and men, except for rectal cancer which is more common in men. Colorectal cancer is the 2nd most common cancer in women in Singapore after breast cancer. No one knows the exact cause for colorectal cancer. We know that family history plays a role but only 15% of cases have a strong genetic basis; the majority of patients >75% have no family history of colorectal cancer. There is some evidence that tobacco smoking, alcohol, too much animal fat and lack of fibre in diet, lack of exercise and obesity can increase the risk for developing cancer. The symptoms from colorectal cancer may be similar to the common benign conditions but women, particularly, feel too embarrassed or are afraid to seek help and advice for their symptoms. The symptoms for colorectal cancer may include: • Blood in the stools • Change in bowel habits – constipation or diarrhoea • Unexplained anaemia • Unexplained abdominal pain • Abdominal mass • Unexplained weight loss • Persons aged 50 and above are at increased risk. However, colorectal cancer may have no symptoms especially in the early stages; symptoms and pain may only develop when the cancer has developed into a late stage. Some of these cancers are slow-growing but some are very aggressive and spread quickly. Generally, younger patients tend to have more aggressive forms.
70 ezyhealth&beauty . nov 2010
The good news about Colorectal Cancer is that it can be cured if diagnosed early. The 5-year survival rates differ, depending on the stage of cancer upon presentation:
Stage
Survival Rate
Stage 1
80 - 90%
Stage 2
~ 70%
Stage 3
30 - 60%
Stage 4
<5%
In 1973, only 1 in 3 patients with early stage colorectal cancer survived after 5 years. Today, with improvements in surgery, adjuvant radiotherapy and chemotherapy, the survival rate has more than doubled. However, >60% of our colorectal cancers is still picked up too late, often already at more advanced stages, thus leading to poor survival rates.
The best news about colorectal cancer is that it is potentially preventable. This is because colorectal cancer usually takes time to develop and it usually starts from a polyp stage before developing into a cancer. Polyps are benign lumps on the inner wall of the colon and rectum. They can look like a small grape attached to the colon by a stalk. Some types of polyps (called adenomatous polyps) increases in size and with over time, they will transform into cancer. If such polyps are detected, they should be removed to prevent the development of cancer. However, polyps rarely produce any symptoms unless they become very large and most polyps are found only detected screening. Sadly, screening rates are still quite low. Among those aged 50 and 70, only 1 in 9 men and 1 in 13 women have undergone a colonoscopy at least once. Even for the less invasive stool test, only 1 in 4 has been screened. The best known way to prevent colorectal cancer at this point in
time is screening. The least invasive test is a stool test â&#x20AC;&#x201C; the faecal occult blood test (FOBT) but this is a cancer detection test not a cancer prevention test. The gold standard test for colorectal cancer screening is colonoscopy. Screening should begin around age 45 to detect polyps before the significant increase in risk of colorectal cancer at age 50.
Colorectal cancer is the most prevalent cancer in Singapore and the incidence is increasing with about 1500 new patients diagnosed each year.
Dr Jennifer Liauw graduated from The University of Manchester, UK, and completed a fellowship in Colorectal Surgery in the John Radcliffe Hospital, Oxford under Prof Neil Mortensen. Dr. Liauw is one of only a handful of female colorectal surgeons in Singapore. Currently, she is a Consultant Surgeon at the Colorectal Surgery Associates (csa.mediwebpage.com) at the Gleneagles Hospital.
nov 2010 . ezyhealth&beauty 75
Achieving the Perfect
Asian Look How medical aesthetics can help us By Dr Ivan Tan
t
he aesthetic industry is continually evolving; we are moving from treating signs of ageing (wrinkles, pigmentation and sagging skin) to preventing them by doing “prophylactic” treatments. Now we have taken a further step forward by modifying and enhancing the outward appearance of our patients. More and more young people are coming to us for minor adjustment to their otherwise normal features in order to look better. Many such procedures involves only injections without surgery, thus making them even more popular.
Slimming the jaw One of the most requested procedures is to slim the jaw. Oriental asians generally look better with a sharper jawline that gives the face an inverted egg or almondshaped look. Many people with broad or “square” jaws try to break the shape of their face with their hair and tend to take photos with their head tilted down to make their jaws look slimmer. People bear with their dissatisfaction because they believe their only discourse is to surgically shave down the jaw bone. The good news is that for the majority of people, the jaw bone is not really the problem but the muscles (masseter) on it. For these people, injecting a small amount of Botox® into each of those muscles would help the muscles shrink gradually over the next few months. The result is a significantly slimmer jawline. Sometimes we also inject a little Botox® into the chin 72 ezyhealth&beauty . nov 2010
to help the chin look sharper and more defined to give the desired face shape.
Increasing the nose bridge Another common request is to increase the bridge of the nose. Many oriental asians have relatively lower nose bridges which makes the mid-face look flat. It is common knowledge that a “sharper” nose makes the whole face look more attractive. It is now possible to get a higher nose bridge without surgery. Juvederm® Ultra Plus, a filler which lasts up to a year, can be injected into the existing nose bridge to make it higher. With an experienced doctor, the results can be almost similar to a surgical nose job. The advantage of using fillers, besides having almost zero downtime, is the ability to see the results immediately after the injection so the patient can actually decide how high the finished nose will be. We can also use the same filler to enhance the cheek and chin to achieve a more harmonious
proportion of the face and features. Though these enhancement procedures may sound simple, they should not be done frivolously. Experience on the part of the doctor is very important as this has become more of an art than science. Understanding the proportions of the face and the extent of the treatment will ensure desirable outcomes. Some common mistakes include over-slimming of the jaw, making the person look skeletal and haggard, and over-enhancing the nose bridge, making the person look like the Na’vi race in the show Avatar. Fortunately these effects are temporary.
Dr Ivan Tan
Medical Director Nu. Reflection Medical Aesthetics MBBS (S'pore), GDFM Dermatology (S'pore) DP Dermatology (Wales)
living
Good, better,
BEST!
Optimal erections are the goal! By Dr Gan Tek Kah
m
ost make jokes about them. Many shy away from talking about it. In some parts of our region, talking about it is almost akin to committing a crime. I’m talking about the topic of sex, in particular suboptimal erections and sexual satisfaction. What in the world are suboptimal erections and why should we care about them? Before we talk about why it’s a condition men should pay attention to, let’s first understand exactly what it is.
What are suboptimal erections? It is common knowledge that the penis erects in response to sexual stimulus for the purpose of sexual intercourse. In the process of erection, the penis gets larger and hardens. A suboptimal erection describes a penis that is hard enough for penetration, but not completely hard. It is measured against the Erection Hardness Scale (EHS), and suboptimal erections fall under EHS grade 3.
74 ezyhealth&beauty . nov 2010
4
Grades of EHS (Erection Hardness Scale):
Grade 1: Severe erectile dysfunction. The penis is larger but not hard. Grade 2: Moderate erectile dysfunction. The penis is hard but not hard enough for penetration. Grade 3: Suboptimal erection. The penis is hard enough for penetration but it is not completely hard. Grade 4: Optimal erection. The penis is completely hard and rigid. As a rough guide, EHS4 is the hardness of a cucumber and EHS3 that of a banana. As can be seen from the Erection Hardness Scale, suboptimal erections are not the same as erectile dysfunction.
(continued on pg 76)
(continued from pg 74)
More common that you think Nonetheless, as the recent Asia Pacific Sexual Health and Overall Wellness (APSHOW) survey commissioned by Pfizer shows, suboptimal erections are no laughing matter. Not only are they more common than most would think, they also affect a couple’s satisfaction with sex and thus their overall wellbeing and happiness with life. According to the APSHOW survey, one in four men in Asia Pacific and almost one out of two Singaporean men suffer from suboptimal erections during sexual activity. In addition, lessthan-optimal erection hardness was found to be equally common in men below the age of 40 and older men, debunking the myth that these problems afflict only men of a certain age. It was also found that a quarter of women in Asia Pacific believe that their partners’ erections are suboptimal during sex and an overwhelming 88% of these women are less than completely satisfied with their partners’ erection hardness. In Singapore, the situation is only slightly better, with 62% saying that they are not satisfied with their partners’ erection hardness. In addition, women with partners who have suboptimal erections also feel less attracted to them, with only 25% of Singaporean women surveyed stating that they were satisfied with every aspect of their relationship. Consequently, the findings of the survey also showed that women whose partners experience suboptimal erections tend to have sex less often, and are less satisfied with their sex life, relationship and overall outlook on life. And that’s not all. The results of the study also revealed that women in the Asia Pacific are worried about erection hardness issues for a variety of reasons, with about half of those surveyed saying they are hesitant to try again because of the lack of erection hardness and almost half worrying that it’s their fault. 76 ezyhealth&beauty . nov 2010
Clearly, suboptimal erections have a significant impact on not just an individual’s happiness and wellbeing, but his partner’s too. So what can men and women who are faced with this condition do to improve it?
Causes Before we find out how suboptimal erections can be treated or managed, we should first understand how men could develop the condition. Either physical or physiological factors or both can cause suboptimal erections. Most men develop the condition as a result of both. Like many health conditions, lifestyle is a huge factor. The leading causes of Singaporean men getting suboptimal erections are typically stress, high blood pressure, diabetes, doing very little or no exercise and obesity, systemic heart disease and prostrate problems. These causes are also commonly present in men with erectile dysfunction. Men with metabolic syndrome, which is a combination of factors including being overweight or obese, diabetes, hypertension and high cholesterol, are more likely to have suboptimal erections.
Treatment options In view of this, it makes sense for a sufferer of suboptimal erections to make some lifestyle modifications. Women can also help in this regard, by encouraging their partners to stop smoking, limit alcohol consumption, exercise regularly, maintain a healthy diet, get enough sleep and manage their stress levels.
These are all steps to maintaining a healthy lifestyle, and may go a long way in improving erection hardness levels. Men who believe they are suffering from suboptimal erections should give the abovementioned lifestyle changes a try for three to six months, but if there is no or limited improvement, it may be time to consider seeking help from a doctor. In terms of medical treatment, less-than-optimal erections, which include suboptimal erections, can be managed through the use of medication known as PDE5-inhibitors, such as Viagra. Such medication will improve erection hardness from EHS3 or a suboptimal erection, where the penis is hard enough for penetration but not completely hard, to EHS4 or an optimal erection, where the penis is completely hard and fully rigid. Be it lifestyle modifications or medical treatment, the best thing that sufferers of suboptimal erections and their partners can do is to speak up, communicate with each other and take steps to resolve the problem. In Asian society, men who are afflicted typically feel too embarrassed to talk about their condition. However, being silent will have repercussions that affect not just their self-confidence, wellbeing and satisfaction with life, but their partners’ as well. Dr Gan Tek Kah is an executive member of the Society of Men’s Health Singapore. He is currently practicing at Singapore Men’s Health Clinic. To find out more or to make an appointment, please visit www.mens-health.com.sg
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medical services guide
(Face & Body Shaping Clinic) Dr Ivan Puah MBBS (S’pore), Dip. In Family Dermatology (S’pore) Graduate Dip. In Acupuncture (College of Traditional Chinese Medicine, S’pore) Services available: Face/Body Liposculpture, Non-invasive breast enlargement with fillers, Non-invasive Nose and cheek enhancement, Non-invasive lips and chin enhancement, Skin Peel / Microdermabrasion, Botox/Fillers, Eye Bags/Eye Rings Shrink-err, Permanent Hair Removal, Stretch Marks Reduction, Weight loss management, Cellulite Reduction with acupuncture, Acu-Lift/ Cosmetic Acupuncture, Acne Treatment, Mineral Make-up, Epicare facial hair removal kit available Add: 140 Arab Street, S (199827) Tel: (65) 6536 4211 Fax: (65) 6536 0797 Email: customer@amaris-b.com Website: www.amaris-b.com Opening Hours: 9.00am – 7pm (Mon to Fri) 9.30am – 1.30pm (Sat)
VASER Hi-Definition LipoSculpture (For Six-pack/ Tube-pack), Filler Injections for Nose/ Cheek/ Chin Augmentation (Redexis/ Juvederm/ Aquamid/ Revanesse/ Prevelle Silk/ Restylane), Facial Contouring/ Jaw Slimming, Non-Surgical Breast Enhancement by Filler Injection, Accent XL Radiofrequency (FDA Approved for Skin Tightening), VelaShape Body Contouring (FDA approved for Cellulite Reduction & Circumferential Reduction), Serdev Thread Lifting for Face & Body, Gold Thread Skin Rejuvenation, Pore Reduction, I2PL Permanent Hair Reduction, Laser Hair Removal, Tattoo Removal, Cosmelan Depigmentation/ Rejuvenation Mask (Melasma, Dull Skin, Acne), Acne Scar Subcision, Coolglide Laser for Broken Facial Veins, Leg Veins and Spider Veins, Hair Loss Management, Jane Iredale Mineral Make-Up, Revitalash (Lash Growth Serum), Calvin Chan Cosmeceuticals. Add: 501 Orchard Road, #05-11 Wheelock Place, S (238880) Tel: (65) 6732 4981 (2 lines) Fax: (65) 6732 4982 Email: drcalvinchan@yahoo.com.sg Website: www.drcalvinchan.com Opening Hours: 10am-9pm (Mon to Sat)
• Calvin Chan Aesthetic
• Healthsprings Laser and
AESTHETIC MEDICINE
• Amaris B.
& Laser Clinic Dr Calvin Chan MBBS (Australia), Diploma in Dermatology (S’pore) Services available: Painless Thermage CPT (3rd Generation) FDA Approved for Skin Tightening for Eyelids, Face, Hands & Body, Large Thermage Body Tip Featuring Comfort Pulse TechnologyTM, Zeltiq CoolSculpting (Painless, Non-invasive Fat Loss), Botox/ Microbotox, PCA Skin Professional Treatments, DiamondTome Skin Resurfacing, SilkPeel Dermalinfusion, Ellipse I2PL Skin Rejuvenation (Freckles, Wrinkles), Medlite C6 Laser Toning (Acne, Acne Scarring), Fraxel Laser Treatment (Acne Scars, Wrinkles and Melasma), iClear XL Phototherapy (for Acne Control/ Skin Rejuvenation), VASER LipoSelection (Body Contouring & Debulking),
78 ezyhealth&beauty . nov 2010
Aesthetic Clinic By Lady Doctors Dr Soh Lea Sar MBBS, Grad Dip Dermatology (FP) (S’pore), Grad Dip Geriatrics Medicine (S’pore) Services available: Lasers for pigmentation, acne, scars, open pores, moles & oil spots. THERMAGE, STAR treatment for face lift, eyebags & droopy eyelids. Botox, Restylane, Juvederm Fillers for wrinkles. Macrolane breast fillers for Breast Enhancement. Ultrasound Lipolysis for body slimming. Hair Removal / Hair loss management and customized skin care products/ health supplements. Add1: 541 Orchard Road #10-01A, Liat Towers, S (238881) Tel: (65) 6836 8386
Fax: (65) 6836 2619 Add2: Blk 524A Jelapang Road #02-01/02, Greenridge Shopping Centre, S (671524) Tel: (65) 6892 6681 Fax: (65) 6892 0061 Email: enquiry@healthsprings.com.sg Website: www.healthsprings.com.sg Opening hours: By appointment only 9am – 5pm (Mon – Fri) 9am – 3pm (Sat)
• Lipolisis & Mediceutical Clinic
Dr Ungku Mohd Shahrin Fellow of the American Academy Of Restoration & Aesthetic Medicine (AARAM/USA), Dip. In Aesthetic Medicine (ASAMI/ACCS), Certified Trainer in Serdev Thread Lift and Smart Lipo, Cert. Of Aesthetic Medicine (USA), Cert. Of Aesthetic Surgery (Serdev Suture/ BULGARIA), Cert. Of Competence Laserlipolisis (ITALY), Member of Malaysia Medical Assc. (MMA), Member Of American Academy Of Aesthetic Medicine (AAM), Member of Society of Aging & Aesthetic Medicine Malaysia (SAAAMM), Member Of American Academy of Restoration & Aesthetic Medicine Services available: Smartlipo/Ext UAL, Carboxy therapy, Vacuumsculpt, Microdermabrasion, Coolite PL, Electrophoresis, Chemical Peel, Botox, BTA Jaw line reduction/ slimming, Wrinkle fold filler (Fern leaf tech.-NEW), Nasal Recon Filler (NEW), Lips Curl/contouring, Serdev Thread lift (Whole face) with 1 pair thread, Serdev Thread lift (Whole face) with 2 pair thread, Serdev Thread lift (Browlift), Serdev Thread lift (Alarbase refinement), Serdev Thread lift (Chin enhancement), EMA Thermalift (Whole face), EMA Thermalift (Periorbital and Crow feet), EMA Thermalift (Cheek and jowl), EMA Thermalift (Abdomen), Minimal Incisional Double eye lid, Radio Surgery skin tag/mole removal Specialty: Minimal Invasive Liposuction, Minimal Incisional Double Eyelid Procedure, Threadlift, Nasal & Lips, Beautification/ Enhancement using fillers, Advanced Botox, Injections Techniques, Fractional C02 Laser, PRP (Platelet Rich Plasma), Stem Cells Add: Suite 23A-03, Level 23A, City Square Office Tower,
Jalan Wong Ah Fook, 80000 Johor Bahru, Johor, Malaysia Tel: (60) 07-222 9300 Fax: (60) 07-221 9300 Email: ungku@laserliposuction-jb.com Website: www.laserliposuction-jb.com Opening hours: 10am-7pm (Mon to Sat)
• NU.Reflections
Medical Aesthetics Dr Ivan Tan MBBS (S’pore), GDFM Dermatology (S’pore), DP Dermatology (Wales) Services available: We are a one-stop medical aesthetic clinic offering comprehensive face and body treatments at affordable prices. Our wide range of highly reputable equipment coupled with the vast clinical experience of our doctor enables us to cater to the specific needs of our clients. Add: 165 Tanjong Pagar Road, #04-17, The Amara, S (088539), (Amara Professional Centre) Tel: (65) 6222 4575 / (65) 6222 4552 Fax: (65) 6222 4253 Email: enquiry@nu-reflections.com / nureflect@yahoo.com.sg Website: www.nu-reflections.com Opening hours: 10am-8pm (Mon to Fri); 10am-5pm (Sat)
• Yang Ing Shyong Medical
& Aesthetic Clinic Dr John Yang I.S. MBBS (S’pore), Diploma in Dermatological Science (UK), Fellow of the American Academy of Dermatology (USA) Services available: Aesthetic Procedures: Almost painfree, Laser (Hair removal, face rejuvenation), Laser (Acne and chickenpox scars), Remove freckles with ultra sound and cream, Botox (Reduce wrinkles, face slimming), Skin fillers for deep lines (last 10 years), Hair loss treatment for men and women, Microdermabrasion for smoother skin, Face lift with radiofrequency Add: Blk 139 Tampines St 11, #01-30, S (521139) Tel: (65) 6781 9192 Fax: (65) 6788 1710 Website: www.laserbotox.com Opening hours: Mon to Thur: 8.30am - 12.30pm, 7pm – 9pm
Fri: 8.30am - 12.30pm, 2pm - 4.30pm Sat: 8.30am - 12.30pm, Sun & PH: Closed
•
Z Medical Aesthetics Dr Z Teo MB ChB (Glasgow.UK), Member of International Academy of Cosmetic Dermatology, Member of American Academy of Aesthetic Medicine, Trainer for Allergan (Makers of Botox and Juvederm fillers) Services available: IPL tx, Laser tx, Microdermabrasion, Cosmelan Depigmentation tx, Casmara Facial Rejuvenation, Tenor RF, TMT, BOTOX®, Fillers, Facial contouring with fillers (Nose/chin/cheek/lips), Pixel Laser, Chemical Peel, Acne Management, Liposculpture, Weight Loss Management, Healthy Scalp tx, Permanent Hair Removal Add1: 290 Orchard Road, #11-04/05, Paragon Medical Suites, S (238859) Add2: Jurong West Central 2, #B1A-20A, Jurong Point, Shopping Centre, S (648886) Tel: (65) 6235 2343 (Paragon), (65) 6792 2370 (Jurong Point) Fax: (65) 6235 7313 Email: info@z-aesthetics.com Website: www.z-aesthetics.com Opening hours: Monday to Friday: 10am to 9pm, Saturday: 10am to 5pm By appointments only. PAIN THERAPY
• Clinic-Master Pain
Therapy Centre Prasob Kumar BCR-Therapie Specialist (German Trained) Service available: GERMAN ACUPUNCTURE - NO NEEDLE, NO PAIN, NO DRUGS. ‘BCR-Therapie’ termed German Acupuncture is heralded as the latest technological advancement in Europe in the management of sports injury pain and physical disabilities. It is a new technology patented only a year ago in Germany, now available for the first time in Asia. It works so fast like nothing you have tried before. SPORTS PAIN, OLD-AGE PAIN, BACK PAIN, SHOULDER PAIN, NECK PAIN, KNEE PAIN, MIGRAINE, SLIPPED DISC PAIN, NERVE PAIN ETC. BCR Therapie is Safe, Natural, Non-invasive, Pain-
free, Drug-free, Surgery-free, there is No discomfort, No side effect and it’s Affordable. Add: 320 Serangoon Road #04-02 Serangoon Plaza Singapore 218108 Tel: 62947146 Email: pk@clinicmasterasia.com Website: www.ClinicMasterAsia.com Opening hours: 10am-7pm (Mon-Fri) 10am-2pm (Sat) Closed on Sundays & Public Holidays PLASTIC SURGERY
• Dr Marco Faria Correa
Plastic Surgery Pte Ltd Dr Marco Faria Correa Physician Dip (Rio Grande do Sul), Postgraduate Cert (General Surgery, Brazil), Specialist Cert (Plastic Surgery, Brazil), TMSBCP (Plastic Surgery, Brazil), Accredited Specialist Plastic Surgeon (MOH S’pore) Services available: Aesthetic & Plastic Surgery, Reconstructive & Microsurgery, Minimally Invasive Video Surgery, Endoscopy Plastic Surgery, Face and Neck Lift Surgery, Facial Rejuvenation without Surgery, Eyelids – Double Eyelids & Eyebags, Nose Implant, Chin & Cheek Implant, Body Liposculpture, Liposuction – Fat Transplant, Buttock Implant & Augmentation, Breast Augmentation, Breast Lifting/ Reduction, Tummy Tuck-Endoscopic, Tummy Tuck-Conventional Methods, Female Genital Rejuvenation, Botox – Dermal Fillers – Wrinkle Treatment, Dermabrasion – Microdermabrasion Add: Gleneagles Medical Centre #10-05 6 Napier Road Singapore 258499 Biz Reg No: 20060789C GST Reg No: 20060789C Parkway East Medical Centre #02-07 319 Joo Chiat Place Singapore 427989 Biz Reg No: 20060789C GST Reg No: 20060789C Tel: 65-6464 8075 SMS: 65-9176 1813 Fax: 65-6464 9157 Website: www.drmarco.com Opening hours: Monday to Friday: 10 am to 1pm, 2pm to 5pm Saturday: 10 am to 1 pm
ezypromo winners nov 2010 Sato Hakubi White C Promotion
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Name I/C No Name Chan Choon Chuan 5159A Tan Bee Chin Chan Kam Lin @ Teo Eng Tuan 3466B Tay Lay Kiau Chew Kooi Fong 8795A Teo Boon Ngoh Vaneza Sompolpong Chiang Lai Heng 2647F Wong Ellycia Ching Cheok Eng Ellen 5575F Wong Peter Koh Swee Lin 2291E Kong S H 5416B Yam Irene Yeo Audra Lee Siow Ping 4225Z Lim Lily 6325C Yeo Avery Yong Poh Choo Lim Mee Winnie 7428J Lum Sai Mui 1442J Ng Chu Wen Jorain 8089C Ong Swee Peng 0919I Oon Anna 1101F Oon Ike Cheng Greta 3673E Peh Ping Gee 9774J Poh Pauline 3749E Quek Kian Meng John 0191F Quek Swee Kim 4724E Seet Stella 1152B Sim Kelly 2090I Sim Regina 0518B Sng Jessie 9774Z Tan Ah Moy Joyce 4311C
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