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Research Shows That Genes Are Most Important For Extreme Longevity

People with exceptional longevity have the same bad lifestyle habits as the rest of us, suggesting that their genes may interact with environmental factors differently than others. There’s not much you can do if you’re not one of the lucky ones born with superior genes. For the rest of us, a healthy lifestyle is still the best option to live longer.

To assess lifestyle factors including physical activity, smoking, alcohol consumption, and diet in men and women with exceptional longevity, researchers conducted a retrospective cohort study of community dwelling Ashkenazi Jews with exceptional longevity defined living independently at age 95 and older. The Ashkenazi population descended from tens of thousands of Jews originating in the 15th Century who eventually moved to or were born in the U.S. before World War II.

The researchers compared Read more »

*This blog post was originally published at ACP Internist*

Help! My Diet Is So Gross. Do I Have To Do It This Way? Insights Welcome!

I’m feeling rather nauseated today. This is my fifth day of a high-protein, low-fat, low-carb diet, and I have already developed a deep-seated hatred of egg whites. My regimen includes uncomfortable quantities of grilled chicken breast, fat-free cottage cheese, Greek yogurt, and egg protein, occasionally garnished with a lettuce leaf or perhaps a blueberry. Just yesterday I had to drink a plastic test tube of liquid protein to meet my goals (see offending product image to the left). It looked like a blood-tinged albumin sample, and tasted like orange flavor crystals with a splash of soy sauce.

I know that the scientific literature (if we distill it and perhaps oversimplify it a bit) seems to suggest that there may be a short-term advantage to high-protein diets in terms of weight loss, but that this advantage fades after a year. Yet almost every trainer and athlete I’ve encountered keeps telling me that the only way to get “really lean” is to eat unimaginable amounts of protein, avoid refined carbs, dramatically limit the complex carbs, and dial down the fat intake. Essentially, I must be reduced to swilling test tubes of orange-soy “albumin.”

When I strenuously protested the diet plan presented to me by my trainer, she simply said, “If you care what food tastes like then you’re not serious about losing fat.”

“Well how long do I need to consume 50% of my calories as protein?” I asked meekly, assuming that there would be an end point in sight. Read more »

Tips To Beat The Heat

Dehydrated, cramped, limping? on a bike. Road nationals 2010.

People who exercise outdoors face a new threat.

It’s unrelenting.

Consistent.

Inescapable.

Perhaps, even more dangerous than distracted or mean motorists.

It’s the heat. Gosh, is it hot. If only I had a dollar for every time I heard someone say, “Doctor M, you aren’t riding in this heat; are you?”

Well…Other than the fortunate souls smart (or lucky) enough to live in cooler climates, most of us are facing an extreme wave of hotness. As a Kentuckian, I live in the epicenter of this summer’s cauldron. Louisville sits in a wind-protected valley alongside the heat sink that is the Ohio River. Think hot and steamy.

The excessive heat smacked me hard last evening. Normally, my highly-veined skin and northern European heritage serves me well in the heat. But last night, while riding in sight of our city’s skyline, it started: My mouth grew dry and my breathing labored. And why was that helmet feeling so tight? Next came the sensation of tingles—not the pleasant kind of tingles, like when your teenager hugs you. And then came the deal-breaker: chills. I stopped, swallowed my pride and called for a ride home. (Here’s an always for you all: When it’s ninety degrees out and you feel cold–stop exercising, immediately.)

After last night’s brush with heat exhaustion, I thought it reasonable to ramble on about the dangers of exercising in the heat. And of course, I will offer some nuggets of wisdom for beating the heat. Read more »

*This blog post was originally published at Dr John M*

Tummy Tucks Aren’t Just For Lazy People

Recently at the gym (I workout three to five days a week mostly swimming laps in a pool,) I got into a conversation with a mom about tummy tuck surgery. This happens occasionally when you wear your CosmeticSurgeryTruth.com t shirt to the gym. :)

“I would never get a Tummy Tuck. I would just workout more.”

People do not see outside of their own experience very often. This pretty young mom would not benefit much by a Tummy Tuck as she had no “hanging apron” or much lose skin. Many gastric bypass patients or other women not as fortunate after pregnancy to have their bellies “snap back” have changes. And some of them workout several days a week too. Tummy Tuck surgery is not Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

Affordable Prenatal Fitness For Pregnant Women

Low cost, prenatal fitness classes. What a progressive thought. The New York City Prenatal Fitness Initiative is a community model that should be replicated on a national scale. A nurse midwife, Marilinda Pascoe and Andrea Bachrach Mata, an aquatic fitness instructor founded a program that offers prenatal water exercise and yoga to low-income pregnant women in North Manhattan and the Bronx at an affordable cost. For 7 weeks, pregnant women will be able to do light aerobics, swim, dance, gentle stretching and exercise for a total cost of $60.00 in a community pool. Not only will these women have fun by releasing endorphins (substances released by the brain that make you feel happy) but they will also be reducing their risks of developing gestational diabetes, obesity and other potential complications. Three weeks ago the program sponsored a community walk and invited pregnant women to participate. Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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