Health

#Budget 2018: World’s Largest Health Care Programme #NationalHealthProtectionScheme

By Dr.Amrita Basu(MBBS,MS) on February 1, 2018 14

#Budget2018: World’s largest health care programme?

Yes, it has humane provisions.But is this enough?Why will it never be enough if we miss this crucial discussion?

Scroll down and read the post.Don’t forget to let me know your thoughts in the comments below.

Finance Minister Arun Jaitley announced two new initiatives under the Ayushman Bharat Program in the Union Budget 2018.

Under the programme, the new Flagship National Health Protection Scheme will provide health insurance cover of ₹5 lakh per family per year. The Scheme will cover 10 crore, vulnerable families,.
Total 50 core beneficiaries.
Not sure about the criteria for choosing beneficiaries nor about the method this money will be made available,
but it sounds promising.
Mr. Jaitley announced the creation of 1.5 lakh Health and Wellness centers, which will “bring healthcare closer to home”. These will provide free essential drugs and diagnostic services.This sounds good too.But with very big but.Rs. 1200 crores have been allocated for this.
Plus 24 new Government Medical Colleges to increase the number of doctors.

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Union government’s spending on health and family welfare amounted to merely 0.3% of GDP, budget data shows.
The National Health Policy, 2017 had declared increasing public health spending from 1.15% of GDP to 2.5% of the GDP by 2025.

India is a developing economy.Until we can control population there will not be enough fiscal space to increase spending on critical social infrastructure like education and health in India.”

There are many reasons for the failure of population control in India

Inadequate budget allocations for family planning.
Not spending the budget appropriately.
Lack of proactive awareness campaign to make people pro-family planning.We have to keep in mind the diverse social fabric of India and the lack of penetration of health awareness.
The abysmal state of coordination between the center and states for planning, implementation and setting benchmarks.
Total lack of transparency in the progress made in this sector,
No proper target setting and ignoring the root cause of bursting population. With poor health, the unskilled and uneducated population this increased health allocation is still insufficient.Making the growing population a growing problem for the nation
Population control must be made an urgent and essential part of healthcare reforms.

[bctt tweet=”Even 5 lakhs will be insufficient funds for the healthcare of a family of 10. #Budget2018 Lets talk Family planning effectively !” username=”misra_amrita”]

Family planning must be incentivized(hoping it will work then ) but voluntary, following informed choice(difficult if the target population is uneducated) and consent of citizens.

Financial Management Report (FMR) data analysis shows: The Financial year 2016-17, 60.7% of the funds available for family planning were spent. The question is why??

Further investigation reveals:

Severely skewed allocations for FP even though there were policy decisions to promote spacing methods and improve the quality of care.
This is evident from the fact that 64% of the 2016-17 FP budget was allocated to terminal and limiting methods of contraception, while just 3.7% was allocated for spacing.
40% of the budget for spacing methods were unutilized in 2016-17.

Now the question arises?
Why can’t we make population control one of the main objectives? That makes providing healthcare easier, safer and more beneficial for everyone.
Why will no government talk about this aggressively?
Why is there no help for the middle class?

Why is there no help for tax paying citizens who need healthcare help too?

Why is there no provision for doctors who provide public service?Will killing the goose give you more Golden Eggs?

Do you have answers ?
What is your opinion about the Budget 2018 Health?

Comment below to let me know.

References and further reading
http://www.livemint.com/Politics/drnszDrkbt418WpuQEHfZI/Budget-2018-Indias-health-sector-needs-more-funds-and-bett.html
Healthcare Policy India
National Medical CouncilBill: Secrets no one tells you

Cancer prevention:Living life meaningfully

By Dr.Amrita Basu(MBBS,MS) on January 28, 2018 50

I visited Kashmir in June 2014, before all hell broke loose. Once again paradise was bloodstained. Blames and counter blame. You really can’t imagine India without its beautiful soul. That’s Kashmir.

Cancer Prevention:Living life meaningfully

This idyllic valley is breathtaking, heartbreaking. The people are beautiful, the children are adorable.The mountains are majestic and there are flowers everywhere.

Cancer prevention:A stress free healthy life

I wrote about my magical trip to Pahalgam.But I delayed writing about Srinagar .I met the beautiful Mrs Sita Paintal and her equally charming daughter Dr.Surita Sarda Paintal … at the heritage hotel Dar-Es -Salaam.Like all friendships between travellers who meet fleetingly.This was a message from the heavens.At eighty-six,Mrs Sita is a cancer survivor .She was diagnosed with Chronic myeloid leukaemia( a form of blood cancer 11 years back.She fought for her life and was then living disease-free.

She has also been the caregiver of two of her siblings, who battled breast cancer.

But unlike many her age she was not one to talk about her many pains and aches.Instead, she talked about living live meaningfully.Of appreciating life and beauty.She talks about how she is still driving and loves the independence her driving license gives her. She was ex-president Indian Cancer Society -Cancer Sahiyog.

When one is a caregiver for a cancer patient it is draining. Cancer Sahiyog helps these people. They give strength hope and a helping hand. Their team works towards giving them life skills to cope with and survive. Live life with cancer and live after cancer with purpose.

They are doing wonderful work by tying up with several hospitals like: AIIMS Institute Rotarian Cancer hospital Medanta FortisThey provide emotional support and medical support assistance: One lakh the first year and 1lakh 2nd year.You need all your investigstions ,doctors prescription in curative cancer to apply for help.Directly money is not given.

This helps in directing proper use of resources.Attending seminars giving lectures at conferences,visiting hospitals to help those who need her,Mrs Sita Paintal is an extraordinary woman.She visits various cities in India and outside to spread the message of a healthier life. The most important lesson I learned from her is to love life .To love what you can bring to the table ,in any relationship. Travelling all over the world sometimes alone sometimes with family. Planning on doing more.

Lifestyle Tips to live without cancer( with advice from Mrs. Sita Paintal):

#Diet : Eat healthy always. Avoid fries, sugary, food. Drink plenty of water. Eat fresh fruits and veggies.High consumption of fruit and vegetables helps reduce the risk for lung cancer. have fish. Current evidence blames omega-6 fatty acids in the cancers and omega-3 polyunsaturated fatty acids and omega-9 monounsaturated fatty acids as being protective ( 1). Avoid or less red meat.Eat less salt. Low-sodium varieties.Avoid processed food.No smoking, drinking or any substance abuse

Related:

Alcohol :Effect on ear and mouth

#Exercise
Exercise lowers the risk for lung cancer .It also has a protective effect on colon cancer.

Breast cancer:Physically active women have about a 20-30% reduction in risk, compared with inactive women. 30-60 min. of moderate to vigorous-intensity physical activity is needed to decrease the risk of breast cancer.
Walk

#Have Vitamin D

I have written about the many health benefits of Vitamin D.It’s also cancer protective.But your serum level of Vitamin D should be around 30ng/ml.

#Get immunised:

HPV, Hepatitis B vaccination is a good preventive option.HPV causes cervical cancer and HBV is a risk factor in liver cancer.

#Avoid risky behaviours:

Practice safe sex. HIV , HPV,Hepatitis B, C are all STD. HIV or AIDS have a higher risk of cancer of the anus, liver HPV most often associated with cervical cancer.

Don’t share needles. Sharing needles with an infected person:risk of HIV,HBV,HCV.

(If you have any drug abuse history talk to your doctor)

#Regular checkups

Breast self-examination can detect early lumps .Early detection goes a long way on improving chances of cure..Diagnostic screenings for various cancers — such as cancer of the skin, colon, cervix and breast if needed.

#Other lifestyle measures:

Meditate
Sleep
Pray
Be grateful
Have faith

Don’t forget to live and love life.
Mrs Sita Paintal taught me that.

How can you prevent cancer?

It is apparently simple and complex at the same time.

A natural food based healthy diet,exercise,avoidance of alcohol smoking drugs,controlling weight,decreasing stress all are possible.But it’s a choice.

The choice is yours.If awareness can help.Then maybe someone somewhere can help.Research shows any social movement is most successful when women are involved.That’s why I try to help women.Because I know you will spread the word.

 Update

Mrs.Sita Paintal passed away peacefully in her sleep.
She had a family history of breast cancer which she was very aware of. But she herself had leukemia. She had always lived healthy.

So why ?
Unfortunately, cancer can be caused by hereditary genetic factors as well as sudden mutations.

Sientifically all cancer cannot be prevented 100%.
But living healthy, you can prevent those which are lifestyle-related like lung cancer, liver cancer, laryngeal cancer.

Mrs. Paintal is now amongst the angels. But her story lives on. That’s what I have learned.I am a doctor.I believe in scientific evidence. But I also believe in the power of the” mind”.

I believe miracles do happen. Because we see them every day. Believing you can live health is an inner battle.

Death is inevitable. But a life well-lived is an example.

What’s your experience with a healthy lifestyle?

Comment and let me know.

This post is a part of #Daily chatter day 13 at The Blogchatter.It’s also linked up at the Blogger’s pit stop.

Alcohol and pregnancy:What you need to know

By Dr.Amrita Basu(MBBS,MS) on January 28, 2018 6

Alcohol and pregnancy is a dangerous combination.

If you have any amount of alcohol during pregnancy,let your doctor know.

Alcohol and pregnancy:Why it is dangerous

Many online advice veers towards controversial in this regard.Alcohol is treated as a teratogen by both pediatrician and obstetrician .This information was largely unavailable or ignored for the most of last century.This had a lot to do with government regulation changes and the confusion created by people who promoted moderate alcohol drinking.

Just think would you give your newborn a glass of beer or any other alcoholic beverage?Your answer would be a shocked no.

Your answer would be a shocked no.

But if you are drinking when planning a baby ,or when you are already pregnant.That’s what you are doing.

What happens when you drink ?

When you drink,the alcohol absorbed from your stomach crosses the blood brain barrier.It will then reach your unborn baby.

That’s the main problem.Your baby will taste everything you have.

It will affect the heart ,the brain,the baby muscles,cartilages,everything.

Fetal alcohol syndrome :

It is a collection of problems that your baby can have if you drink during your pregnancy.

Problems range from:

Developmental,
learning
behaviour and social

Is there a safe amount to drink ?

Not really.

The data for this is vague.What’s definite is the more you drink ,the worse is the damage.

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This study about moderate drinking in pregnancy found increased risk for children’s early-onset-persistent conduct problem

Babies born to mothers who drink have certain developmental issues:

Growth problems: be smaller than other newborns
Abnormal facial features:small eyes, flat upper lip
Neurological problems:microcephaly
Cardiac septal defects
Minor joint ,limb problems

Problems in Toddlers whose mother drank during pregnancy:

Hyperactive
May have difficulty following simple instructions
Delayed developmental milestones
Unusually stranger friendly

School going children may show the following problems:

Reading and learning challenges
Difficulty with being attentive
Behavioural issues

Teenagers and adults with FAS:

Mental health challenges:Anxiety, depression
Difficulty with authority ,at school and law
Chance of substance abuse increases :Increased risk of alcoholism,drug abuse,smoking

Do FAS effects go away?

Unfortunately no.It just changes how it presents.Every time you don’t drink during pregnancy you are giving your unborn child a gift.

So if you suspect FAS, how can you help?

Monitoring and early intervention can help your child.The earlier your doctor knows the more help baby will get.This can prevent adult problems.

Try to provide support at school.The child may need special education aides.

Social support is also very important .This can go a long way in preventing depression and mental health issues.

How can you prevent FAS?

Don’t drink during pregnancy.Seriously ,prevention is best.

If you used to drink stop now.The exact spectrum of problems will be a sum of how much ,when and how long you have been drinking.If you smoke or use any other substance then the effect can be fatal.

You can join a de-addiction group.

Visit a counsellor.Ask your family/spouse to help

Practice mindfulness meditation.

Small steps can go a long way in keeping your baby healthy.What is your opinion about this.Comment below to let me know.

This post is a part of Dailychatter DAY 12 # Half marathon at The Blog chatter

Related

Planning a baby: 5 Tests you must do

Pregnancy and Zika

Effect of alcohol on ear and mouth

Disclaimer: This information should not be used as a substitute for the medical care and advice of your physician. This is meant to help and spread awareness.There may be variations in treatment that your physician may recommend based on individual facts and circumstances.

References:

1)Moderate alcohol drinking in pregnancy increases risk for children’s persistent conduct problems: causal effects in a Mendelian randomisation study.

Murray J1, Burgess S2, Zuccolo L3,4, Hickman M3, Gray R5, Lewis SJ 3 (Pubmed)

2)Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: dose-response effect.

Sood B1, Delaney-Black V, Covington C, Nordstrom-Klee B, Ager J, Templin T, Janisse J, Martier S, Sokol RJ.(Pubmed)

3)Fetal alcohol syndrome. How you can help prevent it.

Bratton RL (Pubmed)

4)Recognition and prevention of fetal alcohol syndrome.Floyd RL1, O’Connor MJ, Sokol RJ, Bertrand J, Cordero JF.(Pubmed)

5)Do attitudes and knowledge predict at-risk drinking among Russian women?Balachova T1, Bard D1, Bonner B1, Chaffin M1, Isurina G2, Tsvetkova L2, Volkova E3.(Pubmed)

6)A Review of the History of Attitudes Toward Drinking in Pregnancy.

Warren KR1.(Pubmed)

What you need to know about the Blood group diet: Truth or Myth

By Dr.Amrita Basu(MBBS,MS) on January 25, 2018 13

Blood group diet myth is a popular one.

How to lose weight throws up 5,88,00,000 Google search results.

Anybody who gives you a simplified answer .Wins .Big time.

Does it have to be the truth.Not necessarily.

That’s what happened with the book
“Eat Right for your Type”
Published in 1996 its shocking that even now popular media and celebrity dieticians recommend this.

The author was also conducting a study supporting his views.The result of which never came out.
I heard a popular anchor ,on a very popular Bengali cookery show claiming allegiance to the Blood type diet.
No wonder the effect is not showing.
Another Roadies celebrity while visiting Kolkata ,mentioned he is now eating according to his blood group.
This got me thinking.

People who have access to the best diet and nutrition advice making such claims.
Is there after all some truth to it.
Would it be fun to eat according to my blood type.

I am A negative.
The A blood type recommends plenty of fruits and vegetables. Lean fish and chicken avoid game meat and complex carbs.
That’s probably the healthiest diet possible.No harm in following this right.
That’s exactly the point.

Most research based evidence , I found said the diet is not at fault.What’s at fault is the reasoning.
There’s no easy way to break this to you.Anybody who tells you fad diets work.Believe it at your own peril.

The Truth

An evaluation of 16 studies on this topic came to one conclusion.
.

People were grouped according to their blood type and given specific dietary guide lines to follow.

Group A :Blood type diet .Blood group type X

Group B Non blood type,but healthy diet. Blood group type X

No significant health benefit was found in Group A from Group B.This claim unfortunately has no merit.
The Cochrane Library, MEDLINE, and Embase did not show any new evidence to support this

I was relieved.Otherwise I would probably have to give up dairy.(I love eggs ,milk,curd so that would be sad)

Also as I am Rh negative.Don’t know what else I would need to give up.

The lesson behind this is interesting

#1 If you repeat something. .a habit ,thought ,action..If often takes the form of reality.
If you can make many people say it and believe it almost becomes like a fact.
When you put something like this , to build a positive movement .great good can be done.
But when it’s done with no good in mind.Both the people spreading the myth and those accepting this as truth ,need to be careful.
Those who are the believers need to check their facts before following blindfold.Some diet fads are actually harmful.
The people who spread myths intending to deceive ,need to be careful of karma.Karma has a strange habit of biting you were it can hurt.
Eat healthy,exercise,sleep Meditate. There’s really no easy way to be healthy.Except to live healthy.
Don’t let anyone brainwash you.
Check your facts.Ask questions.Design your lifestyle.

This post is a part of#Dailychatter Day 9 at The Blogchatter

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Vitamin D supplementation : How much do you need

By Dr.Amrita Basu(MBBS,MS) on January 25, 2018 1

How much Vitamin D supplementation do you need?

This is being desperately researched.You might be confused with the wide range of options available.

When I wrote about how Vitamin D deficiency is a pandemic ,one of my readers suggested I explain a litle bit about supplements and special cases.
Vtamin D supplements can prevent and treat both skeletal and non skeletal problems .

Research links vitamin D deficiency to:

Autoimmune disease
Cancer
Cardiovascular disease,
Depression
Dementia,
Infectious diseases,
Musculoskeletal problems(muscle pain,back pain decreased mobility, risk if fall,fractures without trauma)

UV radiation is a human carcinogen .It can cause skin cancer. UV radiation is also responsible for vitamin D synthesis, by your skin.
The Ultraviolet spectra unfortunately ,is the same for Vitamin D goodness ,and the cancer scare.

Vitamin D Supplementation:How much do you need

If you have been tested ;you know that the Vitamin D, blood test is expensive.Your doctor will ask you to do it ,only when certain clinical,laboratory or X-ray red flags ,look suspicious.

Risk factors

Clinical :

Decreased Oral intake
Malnutrition
Low sun exposure
Malabsorption syndrome( pancreatitis inflammatory bowel disease,post bariatric surgery celiac sprue,amyloidosis, short bowel syndrome)

Diseases:

Liver disease
Renal insufficiency
Nephrotic syndrome

Certain antiepileptic medicines

Lab reports which indicate Vit D testing:

Elevated Parathormone
Low 24 hours urinary calcium
Elevated total /bone alkaline phosphatase
Low serum calcium

Radiologic Red flag:

Nontraumatic fracture
Decreased bone mineral density(osteoporosis /osteopenia)

Worldwide, naturally occurring dietary sources of vitamin D are limited.Food fortification is often optional, inconsistent, inadequate.

Some studies recommend doctors to routinely test for hypovitaminosis D,in patients with musculoskeletal symptoms.These include bone pain, myalgias, and generalized weakness.

What to measure ?

You should measure your total 25(OH)D ,to check body stores of Vitamin D.

What is the best Vitamin D level?

Optimal 25(OH)D : 25-80 ng/mL
Mild to moderate deficiency :10 -24ng/ml
Severe deficiency: <10ng/ml
Possible toxicity:>80ng/ml

Suggested treatment schedule (3):

Severe vitamin D deficiency (<10 ng/mL): “Loading dose” 50,000 IU of vitamin D orally once weekly for 2-3 months/ 3 times weekly for 1 month.

Maintenance :Very important otherwise recurrence of hypovitaminosis
Daily dose of 800 to 2000 IU.

Special conditions :

Tube feeding without malabsorption :Cholecalciferol (D3) powder form in satchet preferred. D2 or Ergocalciferol is oil based and can clog the feeding tube.So better avoided.

Malabsorption :
May need higher doses as per condition.

Your doctor can prescribe:

1)Vitamin D in doses of 800-5000 IU/day to improve musculoskeletal health.This will decrease fractures and falls in adults ( ≥ 65 yrs).The actual dose will depend on vitamin D levels.

2)Documented vitamin D deficiency:Total dose of at least 600,000 IU divided over several weeks is best to replenish significantly reduced stores.appears to be Single large doses of 300,000-500,000 IU should be avoided.
Large Vitamin D supplementation is not recommended in the absence of lab results.

3)Young, healthy adults :800 to <2000IU/day is adequate.

4)Children with Rickets:Treatment of cause + Vitamin D supplementation loading dose+Maintenance dose of Vitamin D with Calcium

Loading Dose:60,000IU/week for 10 weeks

Maintenance:800IU /day along with calcium supplementation( Calcium:75 to 100mg per Kg body weight/day)

A word of caution.Always start any supplementation, under doctors supervision. Hypervitaminosis occurs only after ingestion of more than 10000 IU/day who may be having , generous/excessive calcium at the same time.

It’s best to take Vitamin D with a little bit of fat/your meal.Since it’s a fat soluble vitamin it’s absorption is better.

Takeaway :

If you have confirmed Vitamin D deficiency take your doctors advice and start an appropriate dose.

If you don’t know ,don’t want to get tested or just confused .Take 1000 IU per day as daily allowance. This puts a stop to continued depletion of calcium stores .But dosen’t have an effect on your lowered stores.

Save some money .Get your Vitamin D blood level tested and be sure.

Have you ever tested your Vitamin D .Do you want more such research based answers ,to avoid unnecessary expenses .
Comment below to let me know.

Disclaimer:Always start any supplementation under doctors supervision.The information provided is meant to help create awareness and is not to be considered as professional medical advice.

REFERENCES :

1)Vitamin D supplementation: what’s known, what to do, and what’s needed.HainesST1, ParkSK. Pubmed

2)The vitamin D questions: how much do you need and how should you get it?Wolpowitz D1, Gilchrest BA.J Am Acad Dermatol. 2006 Feb;54(2):301-17. Epub 2006 Jan 4.Pubmed

3)Vitamin D Deficiency in Adults: When to Test and How to Treat Kurt A. Kennel, MD, Matthew T. Drake, MD, PhD, and Daniel L. Hurley, MD.Pubmed

4) Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357:266-281 [PubMed]

5) Plotnikoff GA. Weather or not: the importance of vitamin D status monitoring and supplementation. Minn Med. 2009;92(11):43-46 [PubMed]

6) Glerup H, Mikkelsen K, Poulsen L, et al. Commonly recommended daily intake of vitamin D is not sufficient if sunlight exposure is limited. J Intern Med. 2000;247:260-268 [PubMed]

Diet and Depression

By Dr.Amrita Basu(MBBS,MS) on January 25, 2018 17

Currently writing a book on the effect of nature and play on daily wellbeing

Dr.Amrita Basu(MBBS,MS)

Diet and depression share a love-hate relationship. Eating too much or too little can both be warning signs. A healthy balanced diet will help you keep your mind and body healthy. The Bengali diet is a typical fish and rice diet. When I was young I rarely appreciated my mom’s fish-rice staple menu.

Diet and Depression : What you need to know — Diet and Depression: What you need to know

Is gut health related to your mood swings? Recent research says yes.YOu will do well to listen to your gut and keep it healthy.

Typical food patterns before depression

You will have a poor appetite or overeat (emotional eating)You will want to skip meals. Your sweet tooth will take the upper hand. Also when you skip meals, especially carbs you are more likely to suffer from mood swings. This is because your brain exclusively uses glucose (the building block of carbs) as energy

Top tips from nutritional neuroscience:

Have fish rich in omega-3 fatty acids.
Fruits and veggies are important to give you important water-soluble vitamins like vitamins B,C, folate.
Vitamin B complex and folate are both important to prevent relapse after therapy with antidepressants.
Check Vitamin D status and adjust the daily dose.
Whole grain cereals and legumes
Nuts like walnuts,almonds which are a rich source of omega-3 fatty acid
Don’t skip carbs.
Go for the low GI carbs and avoid sugar spikes.
Proteins especially animal proteins are complete proteins and have all essential amino acids for your body to function. But skip processed meat as far as possible, because that’s where the danger of colon cancer and problems of altered gut flora lies.
Your brain chemicals or neurotransmitters are proteins. These neurotransmitters help relay info. They are also responsible for your moods. Serotonin is the mood elevating neurochemical.9-% of Serotonin is released in the digestive tract and is responsible for the communication between your gut and the brain and is a responsible member of the Enteric nervous system. Yes, your gut is your second brain, and your vagus nerve which is the tenth cranial nerve, helps your digestive system, connects it to the brain, and is possibly behind the strange feeling in the pit of your stomach when your are anxious. You need tryptophan an amino acid to make this chemical. Where will you find tryptophan? High-quality proteins contain all the essential amino acids like in eggs,chicken, meat, and dairy. But remember moderation is key. Avoid processed food.
Probiotics
Minerals which are important: Calcium Iodine Chromium Iron Selenium Lithium

Now, this may go against all fad diet recommendations. But you do need certain food to function.

Most research will tell you your total diet quality is important. Food not only nourishes your body, it also nourishes your soul. Mood disorders like depression, anxiety, OCDs are influenced by your diet. Your diet will help your medicines. It will also play a role in deciding how much you are helped.

DIET AND DEPRESSION:Fish diet improves omega 3 fatty acid

Whether you can be weaned off drugs and whether relapse is possible. Don’t ignore your food cravings and your food habits. They hold the key to your moods. Interestingly your gut microbes may be playing a role in influencing your moods. Its quite common that when your bowels are not moving, your mood is off.

There’s more to gut feeling than you previously thought. The gut has its nervous system which transmits to your brain(The brain is the big boss) Your gut microbes also may be releasing special neurotransmitters which affect how you feel. More reason to keep your gut populated by healthy probiotic organisms. This research is still in its early stages. But emerging trends make this an interesting possibility. What’s your diet tip to keep your mood up? Comment below to let me know.

Health

#Budget2018: World’s largest health care programme?

There are many reasons for the failure of population control in India

Sharing is good Karma!

Lifestyle Tips to live without cancer( with advice from Mrs. Sita Paintal):

How can you prevent cancer?

Sharing is good Karma!

Alcohol and pregnancy is a dangerous combination.

What happens when you drink ?

Problems range from:

Is there a safe amount to drink ?

Babies born to mothers who drink have certain developmental issues:

Problems in Toddlers whose mother drank during pregnancy:

School going children may show the following problems:

Teenagers and adults with FAS:

Do FAS effects go away?

So if you suspect FAS, how can you help?

How can you prevent FAS?

1)Moderate alcohol drinking in pregnancy increases risk for children’s persistent conduct problems: causal effects in a Mendelian randomisation study.

2)Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: dose-response effect.

5)Do attitudes and knowledge predict at-risk drinking among Russian women?Balachova T1, Bard D1, Bonner B1, Chaffin M1, Isurina G2, Tsvetkova L2, Volkova E3.(Pubmed)

6)A Review of the History of Attitudes Toward Drinking in Pregnancy.

Warren KR1.(Pubmed)

Sharing is good Karma!

Blood group diet myth is a popular one.

The Truth

The lesson behind this is interesting

Sharing is good Karma!

How much Vitamin D supplementation do you need?

Research links vitamin D deficiency to:

Risk factors

Diseases:

Certain antiepileptic medicines

Lab reports which indicate Vit D testing:

Radiologic Red flag:

What to measure ?

What is the best Vitamin D level?

Suggested treatment schedule (3):

Special conditions :

Your doctor can prescribe:

REFERENCES :

Sharing is good Karma!

Typical food patterns before depression

Top tips from nutritional neuroscience:

Sharing is good Karma!

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