Page 17 - Boca Club News - February '23
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Boca Club News, Page 17
      Medical Matters: Medical Myths, Reviewed and Updated




      By Richard Nagler, M.D., a member                 in ample amounts in the diets of reasonably well nourished   and other osteoporosis medications. Based upon these facts,
      of Broken Sound Club and retired                  people; such as is the case with the vast majority of our citizens.   taking Vitamin D supplements is no longer recommended for
      physician. After graduating from the              As a matter of fact, in 4 % of our population there is a risk of   otherwise healthy persons. It should be noted that there is
      University of Pennsylvania and New                sudden death and an acceleration of heart disease and cancer   potential danger in taking too much of the vitamin. Nausea,
      York University’s School of Medicine,             from these pills. In addition, many of these supplements may   vomiting, polyria, polydypsia, weakness, fatigue, somnolence,
      Dr. Nagler served his internship and              interfere with prescription medications and render them less   vertigo, loss of balance and multiple calcifications, especially
      residency at Baltimore City Hospital              effective and cause undesirable side effects, which can lead   in the kidneys with kidney stones producing great pain and
      and Johns Hopkins. He followed that               to such serious consequences as reduced bone density, liver   kidney damage.
      with a Fellowship in Gastroenterology             toxicity, abnormal heart rhythms, kidney dysfunction and      Myth: Young healthy people who follow highly
      at Yale University School of Medicine, and was then Chief   kidney stones. Furthermore, there’s no guarantee of the quality,   nutritious diets supplemented with vitamins, minerals
      of Gastroenterology at Fitzimmons General Army Hospital   efficacy or safety of these FDA unregulated products. The only   and herbal supplements are relatively immune from
      in Denver. He returned to the Yale Medical School for one   possible justification for taking any of these supplements is   serious consequences of viral infections such as the Flu
      year as an Assistant Professor of Medicine before opening   limited to those who consistently maintain an unhealthy diet.  and COVID. Actually, when contracting these infections it
      his own successful private practice in Internal Medicine      Myth: Vitamin D supplements are important and   is the young who have a much a more robust natural immune
      and Gastroenterology. During that time, he also served for   necessary, especially for seniors. This is a multi-billion dollar   system that protects them, not the supplements. Nevertheless,
      ten years as Chief of Medicine at Huntington Hospital in   pharmaceutical bonanza. Although with sun exposure Vitamin   all persons with rare exceptions should be vaccinated.
      Huntington, N.Y.                                  D is produced in the skin, it is true that with the widespread      Myth: Until recently, medical experts strongly advised
         Americans are exposed to relentless advertising from the   use of sunscreens some of it is blocked. However, eating such   against eating eggs as the yolks contain large amounts of
      media with misinformation and unproven claims of benefits   fish as salmon, sword fish, sardines and tuna, as well as whole   cholesterol, which poses a significant risk for heart disease
      involving multivitamins and the individual vitamins A, B C, D,   eggs, fortified milk, dairy products and fortified orange juice,   and strokes. It was recommended that consumers limit
      E, and K, as well as minerals such as calcium, iron, magnesium,   one is provided with good sources of the vitamin more than   their consumption of eggs to egg whites and egg beaters.
      selenium, zinc, beta carotene, vitamin E and fish oils. There is no   sufficient to maintain normal levels.  That has changed, with numerous clinical studies showing that
      evidence that any of these supplements can prevent or lower the      Vitamin D supplements are not nearly as effective as   consuming 2 eggs daily doesn’t raise cholesterol levels in the
      risk of cardiovascular disease, cancer and stroke. Nevertheless,   maintaining a good nutritious diet. Until recently, alleged   blood and poses no risks. Eggs are a remarkable natural source
      millions of people continue to take them ignoring the facts or   benefits of Vitamin D have included helping fight a wide   of nutrition. Egg whites consist of 90% water and 10% protein,
      disbelieving them, often avowing “what harm can it do?” Indeed,   variety of diseases involved with ageing. However, in a recent   including all of the essential amino acids. But it is the yolk that
      there is the potential for considerable harm.     report of a 5-year double-blind study in the New England   contains the main sources of 13 essential vitamins, minerals,
         Myth: Supplements are important to maintain good   Journal of Medicine involving 25,000 men aged 50 and older   omega fatty acids, antioxidants and some protein that account
      health. In the United States, over 40% of the population   and women aged 55 and older who either took Vitamin D   for a substantial amount of our daily requirements of these
      takes multi-vitamins, individual vitamins, fish oils, minerals   supplements or a placebo, there was no evidence of any health   essential nutrients. However, it is important to recognize that
      and other herbal supplements which translate into 15 billion   benefits. Vitamin D supplements did not prevent cancer nor   adding butter, cheese, bacon and ham is to be avoided as they
      dollars in annual sales. The reason for this is mainly the result   cardiovascular disease, nor did they prevent falls, fractures,   increase cholesterol in the blood. It is much better to use olive,
      of heavy advertising, with unsubstantiated claims usually by   improve cognitive function, reduce atrial fibrillation, change   canola or vegetable oils in preparation. In addition, eggs can be
      paid actors from an unregulated industry that these ingredients   body composition, improve stroke outcomes, protect against   contaminated with a dangerous bacterium, Salmonella, so one
      are beneficial when in fact there is no scientific evidence to   macular degeneration nor reduce knee pain. Participants did   must maintain good hygiene storing eggs in the refrigerator
      support that they have any positive effect on the development   not live longer. Regarding osteoporosis and bone fractures,   and cooking them thoroughly.
      or prevention of arteriosclerosis, dementia, cancer, diabetes   almost all participants in the study had adequate levels of      Myth: Anti-virals cure the Flu and COVID. While
      and the ageing process.                           Vitamin D as measured by new standards of normal, which   effective in shortening the duration of the Flu if given early in
         Unfortunately, preconceived ideas, prejudices and   are now valued as lower than previously established.  the onset of symptoms, Tamiflu and others are not cures and
      misinformation amongst the public of the benefits of these      Taking supplements conveyed no benefits. Although   may be completely useless in some strains. The best approach
      supplements ignore evidence to the contrary. The fact is that   there is no evidence that Vitamin D supplements will   is the Flu vaccine to prevent the disease with a 30-60 percent
      the optimal source of these anti-oxidants, multi-vitamins and   prevent osteoporosis, experts advise persons with existing
      minerals which are an important part of overall health is found   osteoporosis or osteopenia to take the vitamin with calcium   Medical Matters on page 18




























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