• Nov23

    From Babble.com: http://www.babble.com/CS/blogs/strollerderby/archive/tags/BPA/default.aspxSoup is good food. It’s especially good for weight loss. Bob Barnett and Barbara Rolls based the best-selling Volumetrics around the idea that dishes low in calories (i.e., lots of water) and slow-to-eat (i.e., soup!) were the best for losing weight. There’s something to that.

    It’s a cruel paradox, then, that a new JAMA report on BPA shows a level 12x higher (a 1200 percent increase) in eaters 12 hours after they ate 12 ounces of any of 5 Progresso canned vegetable soups, than when they ate homemade vegetable soup.

    It is little known that the obesity epidemic coincides with a similarly linear increase in industrial chemicals–endocrine disruptors that act as estrogens in the body–over the past decades.  Coincidence? I doubt it.

    BPA may be stored in fat.  It interacts with a thyroid hormone receptor, potentially slowing metabolism.  BPA acts as a weak estrogen in the body, causing men to lose some ability to build muscle and metabolize sugar. In the lab and in animals, BPA acts as an androgen receptor antagonist. Men need testosterone to build muscle and keep weight off. In all adults, BPA is associated with heart disease and diabetes.

    Why do we have BPA? It protects plastics and prevents the inside of cans from rusting. But it may also prevent you from losing weight.

    Are there canned alternatives? Yes: you can buy BPA-free Eden beans, Crown Prince salmon and Muir Glen tomatoes; you can buy BPA-free Earth’s Best baby food and travel mugs; you can buy BPA-free espresso makers and jet soda makers.

    But there is no alternative to knowing what’s in your food, and to beginning to look at how what’s in your food changes your weight.

     
  • Sep26

    I recently agreed to be a mentor for Blueprint Health, a NYC residential program that helps very early stage health technology companies get started. With everything I have going on, why this new role?

    One, I get to hang out with the other healthcare mentors. And two, I get to teach.

    Teaching is not just a way to share what I know, but a way to learn. It helps me find out what I really think about new subjects, and make the next leaps to help my business.

    Teaching is one of the most overlooked roles at a start-up. Medicine revolves around the concept of continual investigation and teaching.

    Every day, residents and attending physicians do “rounds” on patients, which are both teaching and modeling sessions.

    Imagine if at your business, your managers at your company spent 10 minutes presenting a new concept or recent article to employees.

    In medicine, everyone is expected to teach, from medical students to attending physicians. I still look at most of my own roles that way.

    My first love in medicine is medical ethics, and my most important mentor is Mark Siegler, MD. Mark recently accepted the leadership of the newly endowed, with a $43 million gift, University of Chicago’s Bucksbaum Institute for Clinical Excellence, which focuses on the MD-Patient relationship. Mark is a superb teacher.

    Companies at the intersection of health and technology that can provide a blueprint for the next generation to do it better will be leaders.  Blueprint will provide teams with $20,000, office space and mentorship for 3 months. The program begins January 9.  Apply now.

     
  • May25

    Food with packaging…so convenient, so easy, so iffy.

    Bisphenol A (BPA) and phthalates (especially DEHP) are endocrine disruptors, especially of male hormone levels.  BPA and phtalates are found in plastics that touch your food and beverages.

    The FDA is trying to reduce consumer exposure to BPA. Canada has declared BPA toxic and outlawed its use in baby bottles; so have China and several European countries.

    30 U.S. states have legislation pending or have banned BPA use in kids foods.

    In Celiac disease, gluten is the culprit and gluten-free food.

    In BPA toxicity, canned food (linings), plastic water bottles and wrap, microwaved plastics and plastic utensils are the culprits.

    I taped a video news release about BPA, because I think it’s an important issue.

    Fresh foods, stainless steel water bottles, certain nonleaching plastics (#s 2, 4 and 5) glass containers and stainless steel, ceramic and cast iron cookware are the cure–together with home cooking.

    In a small BPA study of food packaging of 5 families, just 3 days of home cooking without plastics dropped BPA levels by 66%. Those levels bounced back up once the families went back to their ordinary eating.

    Less food packaging, less soda and fewer frozen dinners, more glass, ceramic and stainless steel, the better chance you have of maintaining a normal hormone levels, protecting your family and avoiding BPA.

     
  • May2

    I don’t take care of patients on the web, yet.

    Most of my patients are, however, e-patients. And I didn’t even know it.

    E-patients are real, not virtual. They’re networked, curious, want to be well-informed about and take better control of their health, confused about what info is accurate and in need of people and information they can trust.

    They usually know something about their condition from the web, like not being alone with their condition, and like learning from others…from how to remember pills to how much time the doctor spent with them at the last visit.

    @EpatientDave, a cancer survivor and scientist, spoke compellingly at TEDx on this and is the ambassador for e-patients. People’s Pharmacy founders the Graedons are hugely supportive in this one hour podcast, free for the next few days.  Mark Bittman recently wrote that e-patients (though he just said “we”) could save the U.S. a trillion dollars in the next 10 years.

    E-patients sometimes join communities–specific ones, like those considering bariatric surgery or just having had it, or broader ones like ShareCare, www.patientslikeme.com and www.organizedwisdom.com.  I often recommend an online community for patients with celiac disease, for example, with the new diagnoses generated by http://glutenfreequiz.com and the lab testing that a high score encourages.

    This movement has supporters in medicine, media, tech and among consumers. There’s a Journal of Participatory Medicine, an e-patients.net site, and many trends feeding it: medical errors; healthy food; tech; social media; health reform; and shifting of responsibility to individuals.

    E-patients should be a huge boon to better health. I can’t wait to see it grow.

     
  • Apr26

    The new reports on total body burden of mercury appearing to cause atopic dermatitis, or eczema, and of high mercury counts in Pacific seabirds reminds me of Matthew Davis, the previously healthy 6 year old whose daily tuna habit showed up as learning problems and disinterest in school.

    The Wall Street Journal reported it, and a whole generation of people happy to feast on yellow tail and unagi unhappy.

    Jeremy Piven’s recent mercury poisoning and exhaustion from twice daily sushi forced him to abandon “Speed-the-Plow” on Broadway.

    Last month, one of my new weight-loss program patients mentioned his fondness for sushi, not quite at Jeremy Piven levels. I suggested a blood mercury test, which identifies recent mercury intake not total body burden.

    It came back twice normal. Mercury is lipophilic, and is stored in your body fat…including your brain. And some people eliminate and detoxify it better than others.

    Now my patient is doing very well, motivated in part by the fact that he is accountable, he is working out and he is getting the right, individual foods for him, and not slowed down.  We’re off fish and will re-test in a few months.

    Fish are generally good food for people: the omega-3 story is powerful in reducing risk for heart attacks, lowering triglyceride levels, improving depression and mood and many more conditions.

    But please eat only low mercury sushi and sashimi.