Page 3 - Boca Exposure - September '23
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Boca Exposure, Page 3
      Fish Oil Pills And Atrial Fibrillation




      By Steven E. Reznick, M.D.,                        Several  years  later,  these  researchers  modified  their   the money-making opportunity but, in short order, over-
      FACP – Boca Raton                                  view and suggested that eating two fish meals a month,   the-counter fish oils started appearing on the shelves of
         The science of fish                             of canned tuna or salmon, was adequate.           pharmacies and supermarkets. These supplements were
      oils was introduced 40                                This was the accepted standard for several years until   not FDA evaluated and, for all practical purposes, no
      years ago when researchers                         researchers began to detect heavy metals in the very   one knew or cared where these supplements obtained
      noted that individuals who                         cold-water fleshy types of fish they were encouraging   their raw materials from and whether they too were
      obtained fish oils by eating                       individuals to eat. Lead and arsenic were found in   contaminated with lead, arsenic or cadmium. I like fish
      two fleshy fish meals a                            tuna, salmon and other popular fish. The discovery was   and have believed that the concentration of heavy metals
      week seemed to lower their                         particularly distressing to women of childbearing age   in fish would not likely affect an older adult, so I chose
      elevated lipid levels and                          who were advised to avoid fish because the heavy metals   to get my fish oils from eating a fish meal each week.
      were less likely to develop                        produced fetal brain developmental damage.           When I conduct an office visit with my patients we
      cardiovascular diseases.                              I am not sure if it was the heavy metal toxicity or just   review their medications plus vitamins, supplements, herbs
                                                                                                           and minerals in detail. Fish oils are a popular and common
      Does Sun Protective (UPF)                                                                            part of many senior citizens’ daily medication routine.

                                                                                                              In the Aug. 10 edition of Medscape, cardiologist and
      Clothing Really Work?                                                                                electrophysiologist John Mandrola, M.D., advances the
                                                                                                           theory that fish oil supplements increase a patient’s risk
                                                                                                           of developing the abnormal heart rhythm known as atrial
                                                                                                           fibrillation (Afib). He evaluated several peer-reviewed
                                                         through microholes in the fabric. UPF clothing has a rating   cardiology studies and concluded that fish oil supplements
                                                         that indicates how much UV radiation the fabric blocks.   do not prevent mortality from heart disease and probably
                                                         UPF ratings typically range anywhere from 15 to 50 UPF.   increase your risk of developing atrial fibrillation. He
                                                         But what do those numbers actually mean? Well, if your new   goes on to say ”Omega-3 fatty acids reduce triglyceride
                                                         sun shirt comes with a 50 UPF rating that means your shirt   levels, but this is not enough to adopt use of these pills.”
                                                         will only allow 1/50 or 2 percent of UV rays to get through.   The lack of consistent reduction in cardiovascular events
                                                         Sounds pretty good, right?!                       and the off-target signal of (increased) Afib risk argue
                                                         Purchasing UPF Clothing                           against routine use of fish oil pills.
                                                            The biggest downside to UPF clothing is the expense.      In an editorial accompanying the article, the reviewer
      By Siperstein Dermatology Group                    The fabrics are expensive and that makes the cost to you,   calls for additional research on this subject. For the time
         If you are a Floridian, an avid beachgoer, or a person   the consumer, expensive too. There are a lot of companies   being, I will suggest to my patients that omega-3 fish oils
      who enjoys the great outdoors, you have likely complained   that claim that their clothing protects you from the sun, but   can be obtained by eating a fleshy fish meal, or canned
      about having to lather on sunscreen all the time. Let’s be   it’s important to note that the Skin Cancer Foundation only   tuna or canned salmon, a few times a week. That is what
      honest, with the recommendation to reapply every two   awards its stamp of approval to clothing with a UPF rating of   I will be doing, not because of the fish oils, but because
      hours … who can keep up? UPF clothing can be a great   30 or higher. Think of buying UPF clothing as an investment   I enjoy eating fresh fish in moderation.
      addition to your arsenal while combating sun exposure. And   in your health. Afterall, wearing UPF clothing now will      Voted  a  “Best  Doctor”  by  his  peers,  Dr.  Reznick
      while it’s recommended to use UPF clothing in addition to   certainly help keep you out of the dermatology office for   is board certified in internal medicine with added
      sunblock, wearing it will certainly help reduce the amount   skin cancer treatment in the future!    qualifications in geriatrics. He has practiced in the Boca
      of times you have to reapply!                         Remember UPF clothing alone isn’t enough to protect   Raton area since 1979. To schedule a complimentary
      What Is UPF?                                       you from the sun’s harmful rays. So when packing your   meeting with Dr. Reznick to discuss your health needs,
         UPF stands for ultraviolet protection factor. While all   beach bag be sure to pack your UPF clothing and hat,   and  learn about  his  concierge  medicine  practice,  call
      clothing provides some protection from the sun’s harmful   sunblock, and umbrella! And, regardless of how great you   (561) 368-0191.

      rays, UPF clothing is made from a special fabric with a   are with sun protection, you will still benefit from a skin
      tighter weave, which helps block UV rays from penetrating   check with your dermatologist!

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