Tag Archives: Calcium


Vitamin D deficiency and calcium

Vitamin D deficiency

Vitamin D deficiency and calcium problem must be fixed to help in the maintenance of good health of the bones

Vitamin D deficiency and calcium: Why it is good for your health?

The importance of vitamin D and calcium is an open secret to everybody. These are powerful food nutrient that impacts positively on bone health. Several research findings have supported this. Besides that, the food industry has heavily invested in marketing the benefits of products fortified with Vitamin D and calcium. And to us as AWAREmed Health and Wellness Resource Center under the leadership of doctor Dalal Akoury MD we want to help you further appreciate the benefit of these nutrients. If you’re unaware of the many health issues are affected by a vitamin D deficiency? You’re just in time to have your health rejuvenated. I know that many people don’t check their nutrients level regularly but for this one, you should because Vitamin D deficiency has been linked with many conditions, like obesity, bone health, immune dysfunction, cancer, heart disease, depression, stress, and fatigue.

In one of the studies, it was established that low Vitamin D levels were associated with a higher ROMA score, which can indicate risk in obese women for developing ovarian cancer. Recently a randomized controlled trial established that supplementing with Vitamin D and calcium can reduce the risk of all cancers in postmenopausal women. Meaning that with sufficient vitamin D and calcium, you can protect yourself from common illnesses like colds and flu and also have reduced risk of acute respiratory infection.

Vitamin D deficiency and calcium: Improving on the level of vitamin D

With the numerous evidence of the benefits of Vitamin D, it is only necessary that you get your levels tested. It may interest you to note that in 2009 a study found that nearly ¾ of Americans had insufficient Vitamin D levels. This can be corrected easily by:

Get Tested. This will help you understand whether or not you have a problem. You won’t know if you need more Vitamin D if your levels aren’t tested regularly. It is ideal that testing of Vitamin D levels is done twice annually.

Enjoy the Sunshine. This may contradict your advice on skincare about the melanoma, nonetheless, just 5 to 20 minutes of natural sunlight can produce the Vitamin D your body needs. This should be done during friendly sunshine hours preferably during early morning or late afternoon.

Don’t underestimate your need. The recommended daily intake (DRI) of Vitamin D is generally far lower than what people actually need. If your levels are low, discuss the appropriate dosage with your health care practitioner to get you back where you need to be.

Consider supplementing. Daily sunlight is a great way to boost your Vitamin D, but it just might not be enough. Researchers suggest that supplementing with 2000 IU of D3 daily is a great way to protect your health.

Eat a balanced diet, rich in whole foods. It can be difficult to get sufficient Vitamin D from food, but a well-balanced diet is always important. Fatty fish – salmon, mackerel, and sardines – is the best natural food source of vitamin D. You can get some from egg yolks, organ meats, and fortified organic milk and dairy products, but it’s unlikely that those foods will be enough on their own. All these are essential in keeping your health and must be embraced. You can always seek for more information by scheduling an appointment with doctor Akoury for professional input.

Vitamin D deficiency and calcium: Why it is good for your health?



Fighting addiction begins in the brain effectively

Fighting addiction begins in the brain effectively: To fight addiction, feed your brain

Fighting addiction begins in the brain effectively

Fighting addiction begins in the brain effectively and this must be done with utmost care owing to the sensitivity of the brain. Essential nutrients must never be in luck

As the nerve center of human life, the brain is very essential in very many ways. Nothing will happen in the body without it being registered in and from the brain. The brain therefore plays an integral function in keeping the body communications to various parts of the body. Having known the importance of the brain, we now want to narrow our discussion to some of the specific role the brain play in fighting addiction. Therefore the focus of our discussion is going to be on the topic “fighting addiction begins in the brain effectively.” That topic begs to ask how is this possible and what do we know about the brain, addiction and effects of addiction to the brain? These are very fundamental questions of concern which we want to address progressively as we settle into the discussion. To help us in this, we are going to seek the professional opinion of experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury (MD) and founder of the same. To start us off, doctor Akoury shares with us her personal experience with her clients over the years as follows.

Fighting addiction begins in the brain effectively: Denial and denying the brain essential fats

As we have said time and again that denial is the biggest problem we all face when dealing with addiction, that fact is very evident in most clients that I have been privileged to help get through their addictive situations. At one point I was attending to a client who for purposes of confidentiality I will refer to as Miss XYZ. Ideally if you met Miss XYZ, you might presume she had everything to live for. And just to share briefly about her in her early thirties she was doing well as a junior executive who was married with two young children. Yet when XYZ opened up as she sat on my couch during a session, she narrated to me how her troubles at home and work had brought her, more than once, to put a killer knife at her wrist and imagine ending her emotional pain forever.

For over a decade Miss XYZ disorderly drank bottles of wine every night and regularly smoked marijuana alongside taking pain killers. Even though she knew her actions she denied it first to herself, her family and to me (her doctor) that substance abuse was a part of her problem. “I’m not an alcoholic,” she said with a lot of confidence. Because she was such a long way from even addressing her (conventional) addictions, I inquired about what else she was ingesting and so I ask “What did you eat for breakfast?” That question revealed to me that she wasn’t just intoxicating her brain but she was also starving it of the essential nutrients. It was almost a routine for her skipping breakfast most days and when she took it will be only a cup of coffee or glass of juice once in a while. According to her, she put soy milk in her coffee because she thought that all dairy and meat products were unhealthy. She also avoided fat in all her foods because she believed fat would make her fat (are you like her?). What she didn’t know is that the brains rely on healthy fats for their functioning and for that reason two fats, EPA and DHA, are particularly known for their mood-boosting qualities. By avoiding any fats she was literally avoiding foods that would provide her brain with these naturally essential and therapeutic molecules.

Doctor Akoury continues that realizing all these she asked her to go to a local lab for some blood test. We talked about her making some dietary changes, especially the merits of nutrient-rich brain foods, such as eggs and fish. She admitted in a guilty whisper, “I’ve been craving a hamburger” and you will agree with me that wasn’t really surprising. Like a good number of other women of reproductive age, her there was great deficiency of iron in her blood further explaining what was lucking in her body to function well. With this deficiency she actually felt listless; she lacked the energy to cope with her demanding job and a family as well.

Fighting addiction begins in the brain effectively: Certifying the brains nutrient needs

With so many challenges standing in the way of recovering from addiction, the simplest first step is to stop depriving your brain of good and necessary food and nutrients. Experts from AWAREmed Health and Wellness Resource Center are very categorical that recovery will partly depend on developing new chemical pathways by which the brain overcomes habitual behaviors. This we want to emphasis that you owe it to your recovery as it will nourish the brain to poise it for better learning, stable moods and less intrusive cravings. Even though there are so many bad things Miss XYZ did, the good news is that eating to support recovery need not be a deprivation: It can be delicious and remember that when you feed your brain with essential nutrients from their natural sources, you are taking better care of yourself, which is a fundamental step in rebuilding your brain and your self-esteem. A diet geared to stabilize mood and minimize cravings will be high in omega-3 fats from fatty fish, folates from leafy greens, vitamin B12 from eggs and meat, and the many brain-healthy nutrients amply found in colorful fruits and vegetables. Instead of the sugar (dopamine) rushes from eating simple carbohydrates, the sustained feeling of fullness from healthy foods can fortify you in your recovery.

Finally when Miss XYZ changed her diet, her moods stabilized and her suicidal thoughts dissipated. The killer knife was now used properly for cutting meat, fish, and vegetables. The conclusion of my therapy with her was that a better-nourished brain and taking control of her eating habits were very instrumental steps in addressing her alcohol and drug problem. At this point she could now listen to the concerns of family members about her addiction. She became more responsible and registered with a support group. She stuck with her diet and got in the habit of regular exercise instead of daily sugar or alcohol. Miss XYZ is now celebrating many years of sobriety a recovery journey that began when she took her first bite of real food for breakfast. You can also benefit from the same by scheduling for an appointment with doctor Dalal Akoury today for the commencement of your recovery program.

Fighting addiction begins in the brain effectively: To fight addiction, feed your brain




The Right medications for Osteoporosis

The Right medications for Osteoporosis: What to go for Healthy bones

The Right medications for Osteoporosis

The Right medications for Osteoporosis are many and can be confusing, however you must have the picture of how the osteoporosis affected bone will look like.

In the most immediate article where we were looking at identifying the right osteoporosis medication, we dealt with one type of medication and now we want to further the discussion into other types of medications available. The right medication for osteoporosis besides what we have already discussed may include the following:

  • Evista
  • Forteo
  • Denosumab
  • Calcitonin
  • Estrogen Hormone

Doctor Dalal Akoury who is an expert in various medical disciplines founded a health facility known as AWAREmed Health and Wellness Resource Center whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. I believe that you are that individual and we want to be of help to you to prevent or treat osteoporosis professionally. Actually Dr. Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. This is the kind of professional you need for problems of this magnitude. You can therefore schedule for an appointment with her today and the health of your bones will never be the same again. If you are already struggling with osteoporosis then doctor Akoury suggest the usage of the following medications:

The Right medications for Osteoporosis: Evista

This is ideally best for breast Cancer and Osteoporosis prevention. Remember that prevention is the best approach, better than offering treatment. For women with osteopenia which is the low bone density but not yet osteoporosis, or who have difficult GI problems taking bisphosphonates this (Evista) has become an option. Evista is a selective estrogen receptor modulator, or SERM, used to treat breast cancer. It is also approved by the FDA to prevent and treat osteoporosis.

The drug binds with estrogen receptors throughout the body to produce some estrogen-like effects including prevention of bone loss. In this case Evista helps prevent spine fracture and not hip fracture. Evista is not as potent as estrogen therapy or bisphosphonates on bone. Nonetheless the FDA has approved it for osteoporosis, and to reduce risk of breast cancer. Women can get those extra benefits from Evista.

The Right medications for Osteoporosis: Forteo

When we talk of forteo, what comes into your mind is its ability to build the strong bones. For those struggling with severe osteoporosis, forteo would offer the solution. This is a parathyroid hormone which increases the bone density and bone strength to prevent fractures. Forteo stimulates bone-forming cells called osteoblasts to build bone. This osteoporosis medicine has a dramatic effect on bone density in the spine and reduces fracture by up to 90%.

Forteo is a daily injectable medication administered particularly to those patients who have severe osteoporosis or those who have had more than two fractures. The good news about this medication is that you can inject it yourself on you or request someone to do it for you. Whereas other drugs may be effective in breaking of bones, forteo does the exact opposite that is to say, it build up the bones. It is therefore recommended for women who have severe osteoporosis because it is much stronger than the other family of drugs for the bone health. And just like in all drugs osteoporosis also has some side effects including feeling light headed, fast heartbeats, vomiting, nausea, weakness of the muscles and constipation.

The Right medications for Osteoporosis: Denosumab

Like Forteo, this osteoporosis treatment also builds bone. Phase 3 trials showed a decreased rate of vertebral and hip fractures. The drug activates bone-building osteoblasts by a different mechanism than Forteo does. This new osteoporosis drug is injected, but women may need injections just a few times a year. It will interest you to note that the preliminary information on denosumab looks good and that can only mean that patients who may have not tolerated or benefited from other drugs may find it useful.

The Right medications for Osteoporosis: Calcitonin

Calcitonin is one of the oldest drugs for treating osteoporosis with is approval coming in 1984 this drug is still being used periodically. It is a hormone made from salmon calcitonin, and helps to slow bone loss, increases bone density, and may relieve bone pain. It works by binding with damaging cells called osteoclasts, preventing bone loss. Calcitonin’s key benefit is reducing risk of spinal fractures. Calcitonin is often used as an additional osteoporosis medicine or when someone cannot tolerate a bisphosphonate. It may be given as an injection. Its side effects include loss of appetite, diarrhea, increased urination and flushing of face or hands.

The Right medications for Osteoporosis: Estrogen Hormone Therapy

Remember what doctor Akoury stated in the introduction about prevention. Actually estrogen hormone therapy is a powerful tool of prevention of hot flashes and osteoporosis. Most ideal for women who want to get rid of hot flashes and prevent osteoporosis hormone replacement therapy (HRT) is an option. However, it is important to note that when using this tool of treatment, it comes with certain risks of heart disease, stroke, and blood clots in the lungs. Besides that there is also an increased risk of breast cancer and possibly other cancers. Such risk will eventually cease the moment women also cease from taking HRT this is according to the new research findings. And even though this is so, doctors can still prescribe the lowest possible dose of HRT for the shortest amount of time for women who have bothersome hot flashes. The bone-building benefits of HRT are a plus as it is known to preserve bone and prevent fractures.

Finally the good health of the bone is very paramount for everyone. Remember that it is the bone that carries the weight of the body and also gives the body the frame work through which we are able to see and admire a given physical appearance of the body. I may not know what you are going through in relation to the health of your bones. But everyone is at risk because we are all growing old and are bound to face this complication someday. However doctor Akoury says that you can change this by seeking professional guidance from your healthcare giver. You can also opt for an appointment with doctor Akoury today by scheduling for an appointment with her and your story will change for the good.

The Right medications for Osteoporosis: What to go for Healthy bones



Identifying the Right Osteoporosis Medication

Identifying the Right Osteoporosis Medication: The best medicine for Osteoporosis to consider

Identifying the Right Osteoporosis Medication

Identifying the Right Osteoporosis Medication and taking then appropriately

A lot of discoveries have been done over the past few decades in making effort to finding lasting solutions for osteoporosis complications. These have led to the market being rich in several of options for medications which can be confusing sometimes. It is because of these that we want to discourse the best modalities of identifying the right osteoporosis medications for patients. Even as you consider settling for certain medications, doctor Akoury advices that in that medication, you must ensure that you are getting enough supply of calcium and vitamin D. Remember that vitamin D is now officially being reorganize as key player in  osteoporosis. It must be appreciated that the supply of these two elements must not be compromised and that would mean that for guaranteed sufficiency a prescription for vitamin D may become necessary. These supplements must be taken continually even when you are on osteoporosis medicines. Like for instance a postmenopausal woman will require 1,500 milligrams calcium daily, plus 1,000 units of vitamin D. Some need prescription-strength vitamin D (Calcitriol). This deficiency is a serious problem.

Besides that weight bearing exercise would be very important with total elimination of smoking and alcohol nevertheless, if you have to drink, then it must be moderate. Doctor Akoury further advices that you must be in constant consultation with your doctor about getting a bone re-sorption marker test that is either blood or urine test. This will actually help you identify whether your osteoporosis medicine is having an effect on bone loss or not. The first test should target your baseline and it should be done before you start the medication. Then get it checked after you’ve taken the drug for a few months to see the change. There are about six main types of osteoporosis medicine which we want to discuss their merits and in the merits. However for the purpose of this article, we are going to discuss only one (bisphosphonates) and the remaining in the next article. We want to therefore invite you to keep on the link for more information about osteoporosis medications.

Identifying the Right Osteoporosis Medication: Bisphosphonates, Fosamax, Actonel, Boniva, Zoledronic Acid (Reclast or Zometa)

Bisphosphonates are the backbones family of osteoporosis medicines today. They’re the workhorses of osteoporosis treatment. They are often the favorite because they offer a number of options for patients under treatment. However Fosamax was the first FDA-approved osteoporosis medicine just a decade ago and consequently the approval of followed by Actonel three years later. Boniva and Reclast are the most recent FDA approvals.

Identifying the Right Osteoporosis Medication: What They Do

All these drugs have been shown to increase bone density and Fosamax and Actonel lower the risk of spine and hips fractures. Actonel has been shown to work quickly, reducing fracture risk within the first six months. Boniva has not yet been shown to reduce hip fractures, and that’s a concern. On the other hand, Reclast or Zometa increases bone mineral density. Besides this its effectiveness in reducing spine and hip fractures with the reduced spine fracture risk sustained over three years has been confirmed. According to the manufacturer, Reclast also reduces fractures of the wrist, arm, leg, and rib. Reclast has been shown to reduce mortality in people who have already had hip fractures.

Identifying the Right Osteoporosis Medication: The Dosing Options

The good thing about osteoporosis medication is that of flexibility. Upon consultation with your doctor, you can settle for taking the medication daily, weekly, monthly or get a once-a-year intravenous (IV) treatment in your doctor’s office. The choice is yours and below is a simple guideline for you:

  • Fosamax can be taken daily or weekly in pill form.
  • Liquid Fosamax can be taken weekly.
  • Actonel can be taken daily, weekly, or monthly.
  • Boniva can be taken once a day or monthly in pill form.
  • An intravenous (IV) form of Boniva can be given once yearly.
  • Reclast or Zometa is a once-yearly IV infusion treatment.

An IV infusion involves a needle in your arm and a drip bag just like you get in a hospital. While it may sound like a slightly extreme way to get a medication, it has its advantages. The IV drug goes directly to the bone, bypassing the GI tract entirely.

If you are worried of time it may take because of your busy schedule then you need not to be worried because the procedure is friendly and timely. To be precise the whole process would take about five minutes for Boniva and 15 minutes for Reclast and you’re done for the year. In a record of 15minutes you are done meaning that this is very ideal even to those people who may be concerned about time.

Identifying the Right Osteoporosis Medication: The Pill Regimen

When dealing with osteoporosis, it is not just about identifying the right osteoporosis medication but it also put the patient to task on the usage of such medications. Taking osteoporosis medicine in pill form for instance is serious business. You don’t just pop the pill and swallow. The patient must follow specific guidelines which may include:

  • Taking the drugs first thing in the morning and on an empty stomach.
  • You cannot sit or lie down after taking it.
  • You cannot eat or drink anything before or after the medication.
  • You must starve yourself for sometimes like 30 to 60 minutes to allow for the absorption of the medicine into the body.
  • When that time period is over, you can take other medications.

The longer the starvation, the better chances that the osteoporosis medicine will be absorbed. Your stomach has to be empty. You have to make sure there is no competition in the GI tract for the drug. You can take other medications later that morning but not before taking the osteoporosis medicine. This intense regimen is important because very little of the drug is actually absorbed by the body. The body absorbs only about 1% of the drug so you have to make sure you get the most from every dose.

Identifying the Right Osteoporosis Medication: Weighing the Options

When deciding about bisphosphonates, ask yourself these eight questions:

  • How frequently do you want to take an osteoporosis medicine?
  • Will you really remember to take it?
  • Will you follow the morning regimen for taking the pills?
  • Are you taking other medications regularly?
  • Do you have any GI problems?
  • Do you have difficulty swallowing?
  • Would you rather have a once-yearly treatment?

Doctor Dalal Akoury advices that pill-form bisphosphonates are not ideal for people with GI problems like gastritis or ulcers or individuals with serious esophageal problems like stricture. She emphasizes health facilities AWAREmed Health and Wellness Resource Center are in business of ensuring that patients absorb the drug. But if anyone has the conditions described above, they such may opt for an IV. Finally treatment is just the last resort. The best option would have been prevention. This is an area where doctor Akoury specializes on and you can schedule for an appointment with her for professional advice on the preventive approach today.

Identifying the Right Osteoporosis Medication: The best medicine for Osteoporosis to consider



Osteoporosis and Diet

Osteoporosis and Diet: Food elements which are not good for the bones

Osteoporosis and Diet

Osteoporosis and Diet. Not all food can cause osteoporosis, following a good diet is helpful

In our previous article we discussed osteoporosis and nutrition and we note some five food elements which are not good for the good health your bones. Salt and certain beverages were cited as foods which are injurious to the bones causing osteoporosis. We want to further the discussion by looking at three other food items which are equally not good for your bones. But before that a good diet is not bad for your health and only a few food elements may not be healthy for you. Therefore as we get into the discussion of osteoporosis and diet, it is important that we appreciate that not all food items are bad. Now having discussed salt and a sorted beverage, let us now get the professional opinion of experts from AWAREmed Health and Wellness Resource Center under the able leadership of Doctor Akoury’s care. Our focus will be on caffeine, some proteins and soy.

Osteoporosis and Diet: The Cost of Caffeine

Caffeine leaks out calcium from the bones thereby weakening their strength and stability of the bones. As we continue taking in caffeine it is estimated that we lose some 6 milligrams of calcium for every 100 milligrams of caffeine ingested. Even though this is not comparable to the units lost when we take salt, it is still significant. Women are more vulnerable when they take caffeine and fail to get adequate calcium periodically to replace the lost ones out of caffeine intake. However this can be corrected by limiting caffeine intake to sat 300 milligrams a day while getting adequate calcium probably offsets any losses caffeine causes.

In all these efforts of trying to prevent osteoporosis using health food elements, it is important to note that coffee which is preferred by many people is actually the major source of caffeine. For example, a 16-ounce cup of coffee can provide 320 milligrams. High-caffeine sodas can contain up to 80 milligrams per can or more. With this concentration of caffeine in some of your favorite drinks, it would be better if you reduce your consumption of such drinks if you were to keep osteoporosis away from your life. If you are ready, then the following tips will be helpful to you in reducing the intake of caffeine:

  • Wean yourself from coffee by drinking half regular and half-decaf drinks to start
  • Avoid caffeine-laden drinks
  • Reach for decaffeinated iced tea or hot tea
  • Splurge on a decaf, fat-free latte drink and get 450 milligrams of calcium in the bargain

Remember that coffee which is the main source of caffeine is very addictive and eliminating it may not be very easy. If you are meeting any obstacle in slowing down on your coffee, then you can seek for help at AWAREmed Health and Wellness Resource Center and doctor Akoury will be there to help you get over ant concerns you may be having.

Osteoporosis and Diet: Is Protein Problematic for you?

Protein is food and many people often say that animal protein is problematic for bones this is not true. Just quite the opposite because bones are about 50% protein and remember that bone repair needs a steady stream of dietary amino acids which are also the building blocks of body proteins. Note that enough calcium and vitamin D cast a protective net around bones, but protein comes in a close second. Even though many people across the globe are get plenty of protein, it is regrettable that many elderly women and particularly from America fails to get enough protein on a daily basis and this is not doing them any good to their bones. Professionals suggest that daily protein consumption should be on average 0.8 grams of protein per 202 pounds for men and women over 19 years of age. That translates to some 55 grams of protein a day for a 150-pound woman and about 64 grams a day for a 175-pound man.

Osteoporosis and Diet: There’s Something about Soy

Doctor Akoury acknowledges that while soy products like edamame, tofu, tempeh, and soy beverages may be rich in bone-building protein, they contain plant compounds that may hamper calcium absorption. Oxalates in soy can bind up calcium and make it unavailable to the body. Problems may then arise when you eat a lot of soy but don’t complement (eat) with a lot of calcium.

Even though there are mixed opinions about some research findings about whether soy can cause problems with the stability of the bones or not, the primary objective is to be safe irrespective of what the research findings denote. Therefore, it is important that you avoid any risk as possible. Instead be sure to get a lot of calcium in your diet and in particular calcium originating from dairy foods or supplements.

Soy products fortified with calcium may foster a false sense of security. When compared with calcium content and solubility of calcium-added beverages, the experts established that much of the calcium in soy and other beverages sank to the bottom of the container and could not be redistributed throughout the drink, even after vigorous shaking.

Still, fortified soy products, such as tofu processed with calcium, provide a hefty dose of bone-building nutrients and make a good addition to a balanced diet. If your diet is heavy on soy, be sure to also take in at least 1,000 milligrams of calcium every day.

Osteoporosis and Diet: Best Diet to Beat Osteoporosis

Finally diet is generally good for your health in all dimensions. There can be no perfect health with improper diet and therefore when it comes to osteoporosis diet is still good with exemption of the foods we have highlighted above. It is for this reason that such foods should be avoided for the benefit of healthy bones. Doctor Akoury concludes that eating safe is the way to go. And the safest approach is eating a diet that’s low in salt and rich in fresh and minimally processed whole grains, fruits, and vegetables. And don’t forget to include sufficient calcium and vitamin D from foods, and supplements where is necessary. In all this ensure that caffeine and carbonated drinks are limited or omitted completely from your list of choice food.

Osteoporosis and Diet: Food elements which are not good for the bones