September 2009 eNewsletter  Armity A. Simon, M.D. 



15 Tips For Lowering Your Cholesterol Naturally

Many factors contribute to the development of heart disease or stroke. Genes and gender play a role, but for most of us, what we eat is an important factor as well. The good news is that a few small changes to your diet can help lower your cholesterol, which in turn will lower your risk for heart disease and stroke.

1. Eat meat sparingly. Relegate meat to a minor part of your diet instead of making it the centerpiece of most meals. Trim off fat and skin from meats and poultry. Avoid fatty cuts of beef, pork, and lamb; instead choose lean meats, or substitute fish or skinless white-meat poultry. When dining out, choose a smaller portion of meat, or meatless pasta or fish dishes.
 
2. Opt for low-fat dairy products. Avoid dairy foods that contain whole milk or cream; instead, use low-fat or nonfat versions.
 
3. Watch the snacks. Choose low-fat snacks (homemade popcorn, carrots, dried fruits, or fresh fruits) instead of high-fat ones (potato chips and candy bars).
 
4. Cut down on saturated fat in cooking. Use liquid cooking oils rather than butter or margarine. Use nonstick pans. Instead of frying your food, bake, broil, roast, steam, or stew. Discard drippings, and baste with wine or broth.
 
5. Avoid palm and coconut oils. Most vegetable oils are unsaturated, but these two contain mostly saturated fat. Choose canola, sunflower, safflower, corn, soybean, olive, and peanut oils.
 
6. Reduce dietary cholesterol. Strive to eat less than 200 mg of dietary cholesterol a day. Limit eggs to no more than four egg yolks per week; two egg whites can replace a whole egg in most recipes. Limit lean meat, fish, and poultry to no more than 6 ounces per day. Stay away from cholesterol-rich organ meats, such as liver, brains, and kidneys.
 
7.  Increase complex carbohydrates and fiber. Emphasize foods with complex carbohydrates--such as fruits and vegetables, whole-grain products, and legumes (dried beans and peas)--that are low in calories and high in fiber. Eat more water-soluble fiber, such as that found in oat bran and fruits. This type of fiber can significantly lower your blood cholesterol level.
 
8. Eat fruits and vegetables. To protect your heart, eat plenty of fruits and vegetables.
 
9. Go for nuts. Nuts are associated with a lower risk of heart disease. They're a healthful and filling source of protein, but go easy on them; they have lots of calories.
 
10. Add fish to your diet. Like nuts, oily fish contain the essential fatty acids known as omega-3s and omega-6s. Since our bodies can't make these, we have to eat foods that contain them to gain their benefits, which include improved cholesterol levels.
 
11. Reduce salt intake. High blood pressure is a major risk factor for cardiovascular disease. Diets high in salt increase risk of hypertension.
 
12. Avoid trans fats. According to the Institute of Medicine's Food and Nutrition Board, there are no redeeming qualities to trans fats, and no safe levels. They raise LDL cholesterol and lower HDL cholesterol. The National Cholesterol Education Program urges people to eat as little as possible. Avoid or eat only very small quantities of foods that list hydrogenated oil or partially hydrogenated oil among their first ingredients. These products cont ain a lot of trans fat.
 
13. Drink alcohol only in moderation. Regular, moderate drinking can reduce the risk of cardiovascular disease, but heavy drinking negates the benefits. Moreover, the advantages aren't strong enough to recommend alcohol for anyone who doesn't already drink. For those who do, the Dietary Guidelines for Americans recommend no more than one drink a day for women, and one or two drinks a day for men.
 
14. Read labels carefully. Avoid prepared foods that list any of the following among the first few ingredients: meat fat, coconut or palm oil, cream, butter, egg or yolk solids, whole milk solids, lard, cocoa butter, chocolate or imitation chocolate, or hydrogenated or partially hydrogenated fat or oil. Watch out for fast foods and other unlabeled products; when you don't know what you're getting, eat sparingly.
 

15. Change strategies. If three months of healthy eating doesn't bring your total and LDL cholesterol levels into the desired range, consult your physician and a dietitian. If the numbers still don't budge after six months, it may be time to consider medication.

 
 


What do you know about HPV and Gardasil?


Gardasil has been well advertised in the media and HPV has become a common topic for women.  However, many women still have questions regarding the vaccine.  Here is a quick Q & A regarding the vaccine:

 

What is Gardasil?

It is a vaccine to help prevent certain types of cervical cancer and genital warts?

 

How does Gardasil work?

It provides protection against 4 types of Human Papillomavirus (HPV).  Types 16 and 18 cause about 70% of cervical cancer.  Types 6 and 11 cause 90% of genital warts.

 

What is HPV?

HPV is a virus that is sexually transmitted.  It is the most common sexually transmitted infection in the United States.  Hence, 80% of sexually active women will have HPV by the age of 50.

 

How does a person get HPV?

Any contact type of sexual or genital contact can pass HPV.  You do not have to have intercourse to get the virus.

 

How can I tell if my partner has HPV?

Unfortunately, you can not always see HPV.  If the HPV is one of the types that cause genital warts, you may see growths on your partner's genitals.  However, if your partner has one of the types that cause cervical cancer, they will not have any visible symptoms. 

 

How is the Gardasil vaccine given?

It is given as a series of 3 shots, usually in your arm.  The 2nd and 3rd shots are 2 and 6 months after the 1st.  It is important to complete the series of shots at the correct intervals. 

 

Can I get HPV from the vaccine?

No, Gardasil does not contain a live virus.  It helps your body recognize proteins on the virus if it is present.

 

What are the side effects of the vaccine?

Just like any shot, you may have pain, redness, itching, swelling or bruising where the injection is given.  Headache, fever, nausea, dizziness and vomiting have also occurred.  Fainting has happened after the injection.  This is more common in teens.  Allergic reactions, joint pain, muscle aches, and general tiredness have also been reported.

 

Who should get the Gardasil vaccine?

Gardasil is for females between the ages of 9 and 26.  You do not have to be sexually active to receive the vaccine.  In fact, Gardasil works best if given before a girl becomes sexually active.  This is when she can definitely receive the benefit of protection from all 4 types of HPV in the vaccine. 

 

Who should not get the Gardasil vaccine?

Anyone who is severely allergic to yeast or any other ingredients in the vaccine.  Women who are pregnant or planning to become pregnant should not receive the vaccine.  Women who have had severe reactions to prior Gardasil vaccination.

 

If I already have HPV, why should I get the vaccine?

Because we do not know what type of HPV you may already have.  There are over 100 types of HPV.  Even if you have one of the types of HPV in Gardasil, you would still receive protection for the other three.  Additionally, some studies have shown that Gardasil can boost your own immune system in fighting HPV that is already present.

 

Does Gardasil treat HPV if you already have it?

Although some studies show the vaccine may help boost your own ability to fight HPV, Gardasil is not a treatment for HPV. 

 

Do I still need to have a pap smear every year if I get the vaccine?

Yes.  It is still important to check for changes in the cervical cells. 

 

My pap result says I have HPV, is there anyway to tell when or who I got it from?

Since HPV is a virus that can stay dormant (or asleep) in your body, there is no way to tell when you were first infected.  It is possible to become infected during your first sexual experience.  Likewise, your sexual partner may have contracted HPV during their 1st sexual experience.  There is no way to date how long HPV has been present.

 

Why is it important to protect against HPV? 

11,000 new cases of cervical cancer and 1 million new cases of genital warts occur each year in the United States.  More than 25% of genital warts reoccur after treatment.

 

It is important to discuss this vaccine with your healthcare provider to make a consult appointment for more information, please call our office                   480-860-2322.


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