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AGE MANAGEMENT & WELLNESS PROTOCOL By Dr. Tachmes
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ISSUE #40 | 10/04/12
BY ANTHONY JAPOUR, MD
O UIF ZFBS MJGF FYQFDUBODZ XBT POMZ UP ZFBST 5PEBZ UIF MJGF FYQFD tancy is 100 years or more! Along with the trend toward increasing longevity PWFS UIF MBTU POF IVOESFE ZFBST UIF HMPCBM QPQVMBUJPO IBT JODSFBTFE GSPN POF CJMMJPO BU UIF EBXO PG UIF UXFOUJFUI DFOUVSZ UP OFBSMZ TFWFO CJMMJPO QFPQMF MJWJOH PO earth today. So how does a modern Health and Wellness Program look today?
Image Credit: Copyright Alex Zhernosek FFMSTUDIO.COM - Shutterstock.com
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Anthony Japour, MD is a post-graduate trained and former HIV/ AIDS Researcher and Assistant Professor at Harvard Medical School. Presently Dr. Japour is a Health & Wellness Physician at Elite Medical Group at the Mt. Sinai Medical Center campus. You can schedule an appointment to see Dr. Japour at aj@elitehealth.com 10 | wire magazine | issue #40, 2012 | www.wireweekly.com | facebook | twitter
"T XF NBZ MFBE NPSF BDUJWF BOE QSPEVDUJWF MJWFT PWFS UIF DPVSTF PG UJNF QSFQBSJOH for good health begins today. Moreover, as we see limits of medical technology in TVTUBJOJOH PG HPPE IFBMUI QFPQMF NVTU EFDJEF GPS UIFNTFMWFT XIBU EFåOFT IFBMUI BOE XFMMOFTT 8JUI UIBU JO NJOE FBDI QFSTPO JT UIFSFGPSF SFTQPOTJCMF GPS NBLJOH choices about their health and well being according to goals. 5IF 8FMMOFTT *OWFOUPSZ 'JHVSF XXX XFMMQFPQMF DPN XBT DSFBUFE CZ XFMMOFTT QJPOFFS +PIO 8 5SBWJT .% .1) XIP PQFOFE UIF åSTU XFMMOFTT DFOUFS JO UIF 6 4 JO BGUFS DPNQMFUJOH IJT QSFWFOUJWF NFEJDJOF SFTJEFODZ BU +PIOT )PQLJOT 5XFMWF EJNFOTJPOT PG IFBMUI QSPWJEF UIF GPVOEBUJPO PG UIF 8FMMOFTT *OWFOUPSZ " 8IPMF 1FSTPO "TTFTTNFOU JODMVEFT B TFSJFT PG XFMMOFTT TUBUFNFOUT TVDI BT i* QSP tect myself from safety hazards by wearing seatbelts, using smoke detectors in my IPNF OPU SJEJOH JO B WFIJDMF XJUI B ESVOL ESJWFS FUD w 5IFTF BSF GPMMPXFE CZ IPX USVF UIF TUBUFNFOU JT BOE IPX TBUJTåFE ZPV BSF XJUI BOTXFST ZPV QSPWJEF HJWJOH a sense of your motivation to change. The Program offers guidance and tools to transform your new awareness into lifestyle change and a renewed sense of health and wellbeing. *O (FOF 4UPOFhT JOUFSOBUJPOBM CFTU TFMMFS Secrets of People Who Don't Get Sick 8PSLNBO 4UPOF QSPåMFE QFPQMF BOE UIFJS iTFDSFUTw UP OPU HFUUJOH TJDL
HEALTH & WELLNESS
THE WELLNESS INVENTORY
MAINTAINING OPTIMAL HORMONE LEVELS NATURALLY 5FTUPTUFSPOF SFQMBDFNFOU JT B IPU UPQJD PO MPDBM UBML TIPXT NFO T NBHB[JOFT BOE B QPQVMBS TVCKFDU BSPVOE UIF XBUFS DPPMFS XJUI NFO *O SFDFOU ZFBST JU IBT CFDPNF NFEJDBMMZ BDDFQUFE UP HJWF NBMFT UFTUPTUFSPOF SFQMBDFNFOU UP CPPTU UIFJS vitality and overall health. Studies show that low testosterone causes a variety of lifestyle diseases including heart disease and diabetes. So the question is, does IPSNPOF SFQMBDFNFOU QSFWFOU EJTFBTF BOE BDU BT UIF GPVOUBJO PG ZPVUI
Figure 1 5IFTF JODMVEF TVDI UIJOHT BT HPPE HFOFT DIJDLFO TPVQ 7JUBNJO $ ZPHB TQJSJUVBMJ UZ MJGUJOH XFJHIUT BOE XIBU * EFTDSJCFE BT UIF IFBMUI CFOFÃ¥UT PG QSPCJPUJDT 8IFSFBT BOUJCJPUJDT BSF VTFE UP LJMM CBDUFSJB QSPCJPUJDT CSJOH HPPE CBDUFSJB JO UIF CPEZ BOE IFMQ TUJNVMBUF BOE TVQQPSU UIF CPEZhT JNNVOF TZTUFN 0OF VOJGZJOH PCTFSWBUJPO Stone made is that whatever it is that they did about it they made a daily commit ment. 1IBSNBDFVUJDBMT QMBZ BO JNQPSUBOU DPNQPOFOU GPS TFSJPVT JMMOFTTFT TVDI BT )*7 )FQBUJUJT $ BOE DBODFS BNPOH PUIFST )PXFWFS * BN B TUSPOH CFMJFWFS JO QSFWFO UJWF BQQSPBDIFT UP NBJOUBJO PQUJNBM IFBMUI UISPVHI CFIBWJPSBM NPEJÃ¥FST FYFSDJTF OVUSJUJPO MJGF DPBDIJOH SFTU MJGF MPOH MFBSOJOH BOE TPDJBM DPOOFDUFEOFTT 1SFWFOUJPO IBT MPOH CFFO QSPWFO UP CF JNQPSUBOU JO IFBMUI BOE XFMMOFTT " HPPE FYBNQMF JT IBWJOH ZPVS UFFUI DMFBOFE BU MFBTU FWFSZ TJY NPOUIT UP QSFWFOU HVN EJT FBTF BOE DBWJUJFT 4FWFSBM TQFDJFT PG CBDUFSJB UIBU DBVTF HVN EJTFBTF IBWF CFFO GPVOE JO QMBRVF JO UIF BSUFSJFT PG UIF IFBSU 8IJMF B EJSFDU DPSSFMBUJPO CFUXFFO HVN disease and heart disease is still being studied, regular dental care may benefit your heart as well.
8FMM JUT OPU UIBU TJNQMF #JMM $PSUSJHIU UIF $00 BOE 8FMMOFTT %JSFDUPS PG &MJUF #JP'JU BU &MJUF )FBMUI IBT XPSLFE TJEF CZ TJEF XJUI EPDUPST GPS UIF MBTU ZFBST BENJOJTUSBUJOH IPSNPOF SFQMBDFNFOU UIFSBQZ BOE DSFBUJOH IPSNPOF SFQMBDFNFOU QSPUPDPMT $PSUSJHIU JT UIF BVUIPS PG 5IF 4USFTT 3FTQPOTF %JFU B CPPL UIBU UFBDIFT B IPSNPOF CBMBODJOH EJFU BOE UIF NFEJDJOBM QVSQPTF PG GPPE XF DPOTVNF )F FYQMBJOT i8IFO B QBUJFOU BU &MJUF )FBMUI IBT B MPX UFTUPTUFSPOF UFTU * XPSL IBOE JO IBOE XJUI UIF NFEJDBM EPDUPST JO PSEFS UP USVMZ BOBMZTJT UIF QBUJFOUT SFTVMUT .PTU EPDUPST XJMM MPPL BU UIF UPUBM UFTUPTUFSPOF BOE EFQFOEJOH PO UIF MFWFM XJMM make the decision to treat. At Elite Health we do things a little differently. We OFWFS USFBU QBUJFOUT XJUI POF MPX UFTU SFTVMU 8F XBOU UP TFF 8): UIF UFTUPTUFSPOF JT MPX 8F BMTP XBOU UP LOPX 8): UIF QBUJFOU JT TZNQUPNBUJD 8IFO MPPLJOH GPS that WHY factor we will look at the following. t .BOZ QBUJFOUT DBO CF TZNQUPNBUJD PG MPX UFTUPTUFSPOF XJUI B OPSNBM 5PUBM 5FTUPTUFSPOF MFWFM 5IJT IBQQFOT XIFO UIF UFTUPTUFSPOF HFUT CPVOE BOE UIF CPEZ DBOOPU VTF JU 4JNQMF CMPPE UFTU NFBTVSJOH TFY IPSNPOF CJOEJOH HMPCVMJO BOE B UFTUPTUFSPOF DBMDVMBUPS XJMM HJWF VT B DMFBS QJDUVSF .BOZ UJNFT UIJT DBO CF åYFE UISPVHI QSPQFS EJFU t .BLJOH TVSF UIBU UIF QBUJFOU JT HFUUJOH RVBMJUZ TMFFQ FBDI OJHIU 4MFFQ "QOFB JT B NBKPS DBVTF PG MPX UFTUPTUFSPOF "U &MJUF XF IBWF IPNF TMFFQ TUVEJFT UP SVMF UIJT PVU 8F NFBTVSF IPX UIF CPEZ JT IBOEMJOH TUSFTT BOE SFDVQFSBUJOH t 8F SFWJFX UIF QBUJFOU T DVSSFOU EJFU *U T WJUBM UP IBWF B EJFU UIBU LFFQT UIF CPEZ JO B QPTJUJWF OJUSPHFO CBMBODF TP XF DBO SFDVQFSBUF PO B EBJMZ CBTJT This is a key for healthy testosterone levels. t 8F SVO TFWFSBM UFTUT PO UIF QBUJFOU UP TFF IPX UIFJS CPEZ IBOEMFT TUSFTT CPUI BU SFTU BOE EVSJOH BDUJPO 5IJT BMMPXT VT UP CVJME BO FYFSDJTF QSPHSBN UP IFMQ UIF QBUJFOU T CPEZ UP CFDPNF BOBCPMJD OBUVSBMMZ JODSFBTJOH UIF UFTUPTUFSPOF levels. t 8F XJMM FWBMVBUF JG XF DBO BEE TPNF TJNQMF TVQQMFNFOUT UIBU XJMM OBUVSBMMZ JNQSPWF UIF QBUJFOU T CJP BWBJMBCMF UFTUPTUFSPOF
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11 | wire magazine | issue #40, 2012 | www.wireweekly.com | facebook | twitter
#JMM BMTP NBLFT JU DMFBS XIFO EPJOH )35 UIFSF JT OP POF NFUIPE UIBU JT SJHIU *U T JNQPSUBOU UP UFTU UIF QBUJFOU FWFSZ XFFLT UP NBLF TVSF UIF USFBUNFOU JT HJWJOH UIF QBUJFOU PQUJNBM IPSNPOF MFWFMT -JGFTUZMF GBDUPST TVDI BT UIF QSPQFS EJFU BOE FYFSDJTF QMBZ BO BMM JNQPSUBOU SPMF JO IPX UIF )35 XJMM XPSL )FBMUIZ IPSNPOFT are the key element for longevity and a lower biological age. As Bill Cortright TBZT i*U EPFTO U NBUUFS IPX PME ZPV BSF JU POMZ NBUUFST IPX XFMM ZPVS CPEZ QSP EVDFT FOFSHZ *O PUIFS XPSET ZPV DBO CF ZFBST PME BOE JG ZPV BSF QSPEVDJOH FOFSHZ MJLF B ZFBS PME XIP DBSFT w
HEALTH & WELLNESS
BY ANTHONY JAPOUR, MD Image Credit: Copyright Dash - Shutterstock.com
SUNSHINE STATE, SUNSHINE VITAMIN 4VSQSJTJOHMZ FWFO UIPVHI XF MJWF JO UIF 4VOTIJOF 4UBUF XJUI MPUT PG TVO FYQPTVSF NBOZ PG VT BSF FJUIFS 7JUBNJO % JOTVGåDJFOU PS XPSTF 7JUBNJO % EFåDJFOU 5IBOLGVMMZ B TJNQMF CMPPE UFTU DBO EJBHOPTF UIF QSPCMFN BOE * IJHIMZ SFDPNNFOE ZPV HFU B 7JUBNJO % MFWFM DIFDLFE PO ZPVS BOOVBM QIZTJDBM FYBN " OPSNBM MFWFM PG WJUBNJO % JT defined as a 25OHD concentration greater than 30 ng/mL, however a value closer to 50 ng/mL may be better. 7JUBNJO % JOTVGåDJFODZ JT EFåOFE BT B 0)% DPODFOUSBUJPO PG UP OH N- UP ONPM - 7JUBNJO % EFåDJFODZ JT EFåOFE BT B 0)% MFWFM MFTT UIBO OH N- ONPM - 4VO FYQPTVSF JT UIF NPTU DPNNPO TPVSDF PG 7JUBNJO % CVU TVOTDSFFO XJUI 41' PS NPSF MJNJUT 7JUBNJO % BCTPSQUJPO GSPN UIF TVO 8IZ JT 7JUBNJO % JNQPSUBOU 7JUBNJO % JT B GBU TPMVCMF WJUBNJO UIBU JT JOWPMWFE JO BMNPTU FWFSZ QSPDFTT UIBU PDDVST JO UIF CPEZ #VU UIF NPTU JNQPSUBOU KPC GPS WJUBNJO % JT UP NBJOUBJO B IFBMUIZ MFWFM PG $BMDJVN BOE 1IPTQIP SVT OBNFMZ UP GPSN TUSPOH CPOFT 5PHFUIFS XJUI $BMDJVN 7JUBNJO % BMTP QSPUFDUT VT GSPN EFWFMPQJOH 0TUFPQPSPTJT "NPOH JUT PUIFS SPMFT JO UIF CPEZ UIF WJUBNJO BJET JO QSPNPUJOH DFMM HSPXUI SFEVDJOH JOýBNNBUJPO JNQSPWJOH JNNVOF GVODUJPO BOE CSBJO IFBMUI 3FDFOU TUVEJFT TVHHFTU UIBU 7JUBNJO % NBZ BMTP IFMQ QSPUFDU ZPV GSPN IJHI CMPPE QSFTTVSF TPNF UZQFT PG DBODFS BOE TFWFSBM BVUPJNNVOF EJTFBTFT " QVCMJDBUJPO JO The Journal of Clinical Endocrinology and Metabolism GPVOE UIBU NPOUIMZ TVQQMFNFOUBUJPO XJUI *6 PG 7JUBNJO % JO )*7 QPTJUJWF ZPVUI TFFNFE BEFRVBUF UP USFBU WJUBNJO % JOTVGåDJFODZ How to get more Vitamin D? Although very few foods are naturally rich in vitamin D, it can be found in cod liver oil, fatty fish, egg yolks, cheese and fortified NJML 5IF WJUBNJO DBO BMTP CF QSPEVDFE XIFO UIF TVO T VMUSBWJPMFU SBZT LJTT UIF TLJO XIJDI USJHHFS B DBTDBEF PG FGGFDUT UIBU ZJFME WJUBNJO % *U T TBJE UIBU NJOVUFT PG TVO FYQPTVSF CFUXFFO UIF IPVST PG B N BOE Q N UXJDF B XFFL XJUIPVU TVOTDSFFO JODSFBTFT 7JUBNJO % MFWFMT If you are diagnosed with Vitamin D deficiency you might consider a EBJMZ OVUSJUJPOBM TVQQMFNFOU PG *6 QFS EBZ * SFDPNNFOE SFDIFDLJOH 7JUBNJO % MFWFMT BGUFS NPOUIT PG TVQQMFNFOUBUJPO UP TFF ZPVS QSPHSFTT
Age
Male
Female
Pregnancy
Location
0–12 months*
400 IU (10 mcg)
400 IU (10 mcg)
1–13 years
600 IU (15 mcg)
600 IU (15 mcg)
14–18 years
600 IU (15 mcg)
600 IU (15 mcg)
600 IU (15 mcg)
600 IU (15 mcg)
19–50 years
600 IU (15 mcg)
600 IU (15 mcg)
600 IU (15 mcg)
600 IU (15 mcg)
51–70 years
600 IU (15 mcg)
600 IU (15 mcg)
70 + years
800 IU (20 mcg)
800 IU (20 mcg)
3%"T GPS WJUBNJO % BSF MJTUFE JO CPUI *OUFSOBUJPOBM 6OJUT *6T BOE NJDSPHSBNT NDH *OTUJUVUF PG .FEJDJOF 'PPE BOE /VUSJUJPO #PBSE %JFUBSZ 3FGFSFODF Intakes for Calcium and Vitamin D. Washington, DC: National Academy Press, 2010. 12 | wire magazine | issue #40, 2012 | www.wireweekly.com | facebook | twitter