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Thursday, February 1, 2018

Doc,what can I take? I have the flu and can't take tamiflu

This is the flu season.
You should have had your flu shot by now.
I will outline some measures you can take to stay healthy.
1. Rest
2.Drink lot of fluids
3. I like Broncial wellness syrup ,echinacea or Blackelderberry syrups for cough.
4.Take extra Vitamin D,vitamin C
5.Viracid,a supplement is very good to aid in recovery and help immune system.
6.Wipe surfaces like counters,desks,phones.
7. Sleep atleast 8 hours.
8. Golden milk is very healing.read my previous blog for recipe.
9.Warm soups with garlic and onions help heal.
10. A vitamin C given IV in small doses or a Myers cocktail would be great addition to fast recovery.
11.Astragalus and turkey tail mushrooms are both good to improve immunity against viruses.

Wednesday, January 31, 2018

Hot chocolate

I have been craving for hot chocolate since the weather is on the cooler side right now in Texas and my nephews in New Delhi are singing glories of Ghiradeli hot chocolate sendingmephotos sipping on it in Delhi where it is even colder than Texas.
I would start with giving you different combinations of how I have used hot chocolate.
One can use nut milks like almond milks or cashew milk or any nut milk,specially if you are vegan.
If not milk plus 1 or 2 heaping tsf of hot chocolate.Be sure milk is hot.
To tthis combination add 1/2 tsf of cardamom and a pinch of cinnamon.
Another variation of this is add 1 tbsf of pumpkin purée mixed with tsf of maple syrup and add to hot chocolate and stir.
Sip and enjoy.

Saturday, January 20, 2018

Dr.Dave's recipe of GOLDEN MILK

1 cup milk
3/4 tsf turmeric powder
1/4 tsf cinnamon powder
1/4 tsf cardamom powder
1 tsf Manuka honey or 1 tsf maple syrup
1/4 tsf cayenne pepper
1 tsf chopped ginger fresh or dried powder.
1/4 tsf black pepper ground

Almond milk can be used instead of regular milk.
I like to add 1/2 tsf of ghee or butter to the milk as my mom used to do .
It reminds me of Dave Aspreys  coffee with butter.
One can use 2%,or1% milk

Sunday, December 10, 2017

Is levothyroxine enough for everybody with hypothyroidism?

About 10 to 15% pts on levothyroxine end up still with symptoms of hypothyroidism while taking the medication.
This is because of unmet biological need for T3.
Looking into history,
In 1965, 85% of thyroid prescriptions were for natural thyroid products.
Then came Johnny come lately,Levothyroxine and it was felt there was peripheral conversion of T4 to T3.
T4 replacement suppressed TSH and normalized T4 and T3 levels but at the expense of elevated T4 to T3 ratio.
Other markers for bonfire thyroxine replacement did not suggest correction of lipids,or signs of hypothyroidism.
With elevated T4 to T3 ratio impairs systemic T3 ptoduction by down regulating deiodinase pathway.
With only T4 replacement only,T3 levels do not come to hypothyroid state.
A specific gene in some hypothyroid patientsDIO2, a type 2 iodothronine deiodinase gene improves hypothyroid symptoms with replacement of T 4 And T3.
Dr Gregory W Rutecki M.D at Cleveland clinic wrote this paper.

Grapefruit juice and statins

Grapefruit contains a group of compounds called furanocoumarins.
Once we drink juice,the CYP3A4enzymes start working breaking down the chemicals.
Medications that are broken down by CYP3A4 are Simvastatin,atorvastatin,viagra,cialis,Levitras,coumadin( warfarin),codeine.
Drinking orange juice or water does not affect this enzyme.
A genetic test can be done to see if CYP3A4 is working slow or fast in you.
If the grapefruit juice and the medications listed above are taken at different times atleast 8 to 10 hours apart then it does not matter.
If there are more concerns of medication toxicity with grapefruit juice then reduce the medication dose by half or even you can skip a day of medication.

Grapefruit juice and statins

Many a times a bottle of prescription drugs state"do not eat grapefruit or drink juice when taking this medicine".
The enzyme important in breakdown of a chemical in grapefruit juice is also involved in breakdown of certain drugs.
The molecule called cyP3A4 resides in liver,colon,small intestine.
Thus if cyP3A4 enzymes are preoccupied in breakdown of grapefruit juice you just drank,there will not be enzymes available to breakdown medications.
In 1989,a group of Canadian scientists were studying interactions of ethanol on felodipine taken for high bp.The scientists used grapefruit juice to disguise taste of ethanol and observed differences 
regarding amount of drug in blood stream.It was five times mor in blood stream of people who drank medicine with grapefruit juice compared to when it was taken with water.

Sunday, November 19, 2017

Buckwheat

Really Buckwheat is not wheat.
It is the seeds of a flowering plant like quinoa.
It is gluten free.
It is gelatinous when cooked.
It is very useful in Diabetes mellitus in controlling sugars as it is a complex carbohydrate and does not release sugars right away.
The same thing happens to a cooked potato.If a potato is cooked or baked and then stored overnight in refrigerator the next morning it can be consumed by a person with diabetes as it has formed complex carbohydrates.
Toasted buckwheat is called KASHA.
Buckwheat contains Rutin that strengthens capillaries.
Buckwheat in Hindi as KUTTU
Soba noodles are made with buckwheat
Buckwheat has plant lignans which are converted by the friendly gut flora into products that protect against cancer.
Buckwheat is derived from a Dutch word bockweit meaning beechwheat.
It reflects the beech nut shape.
It has a lot of insoluble fiber so it prevents gall stones.