
WORKSHOP: Using the Wisdom of the East to Keep Your Family Healthy Through the Flu Season
Posted Monday, September 28th, 2009To D or not to D: New Guidelines for Vitamin D Supplementation
Posted Wednesday, September 23rd, 2009The American Academy of Pediatrics (AAP) has recently issued updated guidelines for vitamin D intake for infants, children, and teens to prevent vitamin D deficiency and Rickets. The AAP now recommends that all children, including newborns, receive 400 IU of Vitamin D daily.
Despite the fact that vitamin D dietary sources are rare (it is nearly impossible to get adequate vitamin D from diet alone), vitamin D is actually produced in the skin in response to ultraviolet sunlight. Should be easy to get then, right? Wrong. Not even here in So Cal where it hasn’t rained since my 8 month-old was born (or so it seems.) Why is it so hard to get?
For one thing, the amount of sunlight exposure needed to synthesize adequate vitamin D is nearly impossible to determine, as there are countless variables. Secondly, most of us, even in So Cal, don’t even come close to getting enough exposure. Since the risk of skin cancer increases with sun exposure, many folks either avoid the sun altogether, or cover up with extra clothes or a sunscreen, which, even in a relatively weak SPF 8 lotion, can decrease your body’s ability to synthesize vitamin D by 95%. Infants are especially are at risk, as it is not recommended that they go out in the sun for long periods. According to the AAP, “Indirect epidemiologic evidence now suggests the age at which direct sunlight exposure is initiated is even more important than the total sunlight exposure over a lifetime in determining the risk of skin cancer.” Dark skinned folks are also at greater risk for vitamin D deficiency as they have increased difficulties synthesizing vitamin D from sunlight. Also, the farther away from the equator you are, the longer you need in the sun to get adequate vitamin D. And, FYI, you can not absorb the type of sunlight that is required for vitamin D synthesis through glass. So, despite the fact that you can get fried on your annoying commute, you cannot enjoy the benefits of vitamin D supplementation. Drag.
Vitamin D is essential for the proper absorption of calcium and phosphorus and promotes the development of teeth and bones. Deficiency of Vitamin D leads to bone decalcification and weakening, as well as the terrible disease rickets, which can lead to skeletal deformities. Vitamin D deficiency has recently been linked to diabetes and certain forms of cancer. According to Medscape, “New data suggest that vitamin D has a potential role in maintaining innate immunity and in reducing the risk for certain chronic diseases including diabetes and cancer. This new evidence may eventually change the definition of vitamin D sufficiency or deficiency. Currently, vitamin D insufficiency in adults is defined as a level of 25-hydroxyvitamin D of 50 to 80 nmol/L and vitamin D deficiency as a level less than 50 nmol/L.”
Although Rickets has been relatively rare in Westernized countries, it is still seen, especially in breast-fed children and children with dark pigmentation. For this reason, it is now recommended that breast-fed infants begin vitamin D supplementation within the first few days of life, as human milk has less than .06 percent of the vitamin D your baby needs. Infants who are fed at least 500 ml of formula a day, are likely getting the vitamin D they need, as long as the formula was made in the US. The AAP, however, does continue to recommend exclusive breast-feeding for at least the first 6 months of life when possible. So, it is not recommended that you switch your baby to formula just to get the vitamin D benefit. Instead, talk to your doctor about supplementation.
Unless you are a beach bum or supplement daily, there is a good chance you are vitamin D deficient. A free test: Push hard on your sternum. Or give someone else the thrill. Don’t be a sissy, really press down there. Does it hurt? Then you may have vitamin D deficiency.
As always, the aforementioned information is just that, information, and is not intended to diagnose you, cure you, or turn you into a doctor. All of your decisions regarding your health should be made with your personal heath care provider, as he/she is the only one that knows all of the particulars of your state of health.
With that in mind, go forth in health.
Melissa M Monroe, PhD, L.Ac
Eastside Family Acupuncture
New Guidelines for Immunizations for Children and Adults
Posted Wednesday, September 23rd, 2009The Infectious Diseases Society of America (IDSA) has issued new guidelines to replace their last guidelines issued in 2002. The link below has all the details.
| http://www.medscape.com/viewarticle/709282?sssdmh=dm1.532440&src=nldne&uac=120802HZ |
Chinese Medicine, Flu Prevention, and Improved Immune Function
Posted Monday, September 21st, 2009Chinese Medicine has long been used for illness prevention. In fact, back in the day, the Emperor’s physician was paid when the Big Cheese was well, and not paid when he was ill. This emphasis on maintenance of health, rather than on treatment of existing illness, is, sadly, a complete reversal of our modern medicine. Today, I’d like to take us back to thinking about maintaining our health, and the health of others, with basic lifestyle recommendations, as well as Chinese medicine techniques.
Chinese medicine is best utilized as prevention, and common sense provides us with some of the best methods of illness prevention. Most of these methods were first introduced to us by our mothers, more than a couple of years ago. I realize that some of us do not currently include the following methods into our daily routine, as some sort of long-standing rebellion against our mothers. I understand, but ask you, for the time being, to place that surely-justified rebellion in another category, you know, until this whole pandemic thing blows over. In case your rebellion has been so long-standing that you need a reminder, the following are good ways to not be part of the problem:
- Cover your mouth AND nose when you cough/sneeze or otherwise emit bodily fluid from your face at a high rate of speed.
- Frequent hand-washing, up to the elbow (for at least 20 seconds, or the time it takes to sing “Happy Birthday”) is essential; yes, you REALLY have to do it that long.
- When it is impossible to wash your hands, the use of alcohol-based hand sanitizer is a viable SECOND option, but it truly is a second option.
- Keep your mitts out of your mouth, eyes, and nose. If you chew your nails, and then touch your face, you might as well lick everything you touched (as well as all of the other people that touched those items) since the last time you washed your hands for twenty seconds. Think about that for a moment. That’s right. Ewwwwwwwww.
There are common Chinese herbs, such as astragalus, that have demonstrated impressive immunopotentiating effects. There are also several Chinese patent herbal formulas which can improve immune function. Determining which formula is best for you requires a visit to your local L.Ac. because treatment strategy depends on your medical history, as well as a current assessment of your signs and symptoms. Other herbal combinations have demonstrated promise in the treatment of existing cases of H1N1. Again, exact formulations depend on the signs and symptoms of the individual patient.
Acupuncture and moxibustion have also demonstrated effectiveness in building immune function, including improved immune response in cancer patients. As with Chinese herbal therapy, number and frequency of treatments depends on the state of health of the individual patient at the time of treatment.
Moderate, regular exercise is also known to boost immune function,so, get out there and move your meat!
Certain foods are also thought to improve immune function. Colostrum, found in breastmilk, is by far the best booster of immune function, but chances are, if you reading this, you have missed that boat. In that case, the following foods have demonstrated immune-boosting properties, according to Dr. Sears:
- Foods high in Vitamin C such as
Fruit Calories Milligrams of Vitamin C 1. Guava, 1 medium 46 165 2. Papaya, 1 cup, cubed 55 87 3. Strawberries, 1 cup 45 84 4. Kiwi, 1 medium 46 74 5. Cantaloupe, 1 cup 56 68 6. Orange, 1 medium 60 75 7. Grapefruit, half 39 42 - Foods rich in Vitamin E, such as seeds and vegetable oils, or supplementation thereof.
- Foods with Carotenoids, found in orange-colored fruits and vegetables including mangoes, carrots, squash, apricots, and sweet potatoes. They can also be found in green leafy veg such as spinach, kale and collard beans.
- Foods with high levels of Bioflavenoids such as citrus fruits, berries, onions, parsley, legumes, green tea, and YEY!, red wine.
- Foods high in Zinc, such as oysters, crab, beef, and beans.
- Garlic. It really does keep the demons away.
- Foods high in Selenium such as tuna, red snapper, lobster, shrimp, whole grains, vegetables (depending on the selenium content of the soil they’re grown in), brown rice, egg yolks, cottage cheese, chicken (white meat), sunflower seeds, garlic, Brazil nuts, and lamb chops.
- Foods rich in Omega-3 fatty acids, such as flax oil and fatty fish, or supplementation thereof.
Obviously, if you are pregnant and/or nursing, you might need to refine some of these recommendations. And, as always, the aforementioned information is just that, information, and is not intended to diagnose you, cure you, or turn you into a doctor. All of your decisions regarding your health should be made with your personal heath care provider, as he/she is the only one that knows all of the particulars of your state of health.
With that in mind, go forth in health.
WHO recommendations for H1N1 antiviral therapy
Posted Sunday, September 20th, 2009The World Health Organization (WHO) has recently issued guidelines to primary care providers (PCPs) regarding antiviral treatment of novel influenza A (H1N1), as well as other influenza strains. This is the first flu pandemic to strike in over 41 years, and cases have been confirmed in over 100 countries.
A vaccine for H1N1 is not yet ready, but is expected to be ready by the fall. The CDC, “has recommended that certain groups of the population receive the 2009 H1N1 vaccine when it first becomes available. These target groups include pregnant women, people who live with or care for children younger than 6 months of age, healthcare and emergency medical services personnel, persons between the ages of 6 months and 24 years old, and people ages of 25 through 64 years of age who are at higher risk for 2009 H1N1 because of chronic health disorders or compromised immune systems. We do not expect that there will be a shortage of 2009 H1N1 vaccine, but availability and demand can be unpredictable. There is some possibility that initially the vaccine will be available in limited quantities. In this setting, the committee recommended that the following groups receive the vaccine before others: pregnant women, people who live with or care for children younger than 6 months of age, health care and emergency medical services personnel with direct patient contact, children 6 months through 4 years of age, and children 5 through 18 years of age who have chronic medical conditions.”
Where vaccines work to prevent infection in the first place, antivirals are drugs given to treat people who have already been infected. Once the antiviral medications for H1N1 are available, the World Health Organization (WHO) recommends that “at-risk” patients (such as pregnant women, neonates and patients less than 5 years old) with confirmed, or strongly suspected, H1N1 2009 be treated ASAP. Other “at-risk” groups include patients over the age of 65, nursing home residents, and patients who are either immunosuppressed or who have chronic illnesses. Other patients with confirmed cases of H1N1 should also be treated with antiviral therapy.
In order to stop the spread of the disease to your family, friends and community, it is recommended that everyone follow a few, simple, common sense actions:
- Cover your mouth and nose when you sneeze or cough. Then, throw the tissue you used to do that in the trash can.
- Wash your hands, often, with soap and water, but especially after you sneeze or cough. You need to wash your hands for at least 20 seconds (the ‘ol Happy Birthday song is about that long).
- Avoid touching your eyes, nose, and mouth at all costs.
- STAY HOME IF YOU GET SICK. C’mon folks.
Welcome to Allwellnews!
Posted Friday, September 18th, 2009Greetings from Allwellnews - all news to make you all well. The purpose of this blog is to aid you in creating vibrant health for you and your family by sharing the latest news and information on health, wellness, and preventative medicine (both Eastern and Western). Information regarding nutrition, exercise, and other lifestyle contributors to health will also be addressed. Have a question you would like answered? Feel free to write me at my email.
Yours, in health,
Melissa Monroe, PhD, L.Ac, RYT
Eastside Family Acupuncture
2616 Hyperion Avenue
Los Angeles, CA 90027
Phone: 213.308.3090
Fax: 213.386.7093
http://www.eastsidefamilyacupuncture.com












