Frailty In Older Adults Associated With Special Health Concerns

I have a few over - age - 50 patients who are on the “ frail” side. Though frailty is typically cerebration of as a mark that affects much older ( over - age 70 ) adults, oftentimes women, it isn’ t always strictly associated with someone’ s age. If you, or someone you know, are frail, let me tell you about the unique health concerns that this character can pose.

Frailty Poses Special Health Concerns

In medical terms, frailty ofttimes means that you’ re of slighter build without a lot of muscle mass – most regularly from unexpected weight loss. This weight loss can be a upshot of several things, scarcity of adequate food, excessive smoking, alcohol drinking, chronic or acute health conditions, like COPD, intestinal disorders, cancer, ailment treatments, even depression.

Being frail with less muscle mass, you likely shift slower, have less endurance for physical motion and ofttimes weariness more easily. You may even crave assistance with activities of daily living in condiment, scrubbing, or just getting around. The extent of health care services, or system in a nursing home depends upon the degree of declining fitness and physical endurance a person develops, as they get older.

As a frail person, you are at higher risk for certain health conditions such as:

Infections – the immune system of frail adults is much weaker than healthy adults. Simple infections can become very intent in frail people.

Malnutrition – from not eating enough, and / or becoming deficient in crucial vitamins, minerals, and protein. Low vitamin D levels have recently been found in research out of Oregon State University to be associated with an increased risk of passing in frail persons. Many frail people do not get enough sun exposure and are deficient in vitamin D.

Low blood pressure – privation of food and fluids intake can fruit in low blood pressure, which puts frail people at much higher risk of extinction. Recent studies out of the University of Oregon fair higher than regular blood pressures in frail people may just be more doubting to their overall health and survival.

Can Frailty Be Treated?

Even so, of course! It’ s never too dilatory to try and turn around nutritional deficiencies and muscle mass loss that has lead to a makeshift, frail factor. If you have a chronic health mark that has lead to your frailty, keeping good strength and nutritional position will likely be an maturity point for you. Working to maintain good nutrition and physical endurance, though, will help you feel better and govern your particular health issue better. It will also keep you excitability stronger and help you stay more independent – especially as you get older.

Here are some things I boost to my frail patients:

Optimize nutrition.

Make use of vitamin / mineral fortified supplement shakes to boost any nutritional deficits you may have. Try to prepare high nutrition meals. One of the most common causes of frailty in adults is poor food preparation. Repeatedly, older adults living alone end for eating a can of collection instead of taking the time to prepare a higher calorie, balanced nutritious meal. If you need help preparing meals, perhaps a crony, family cut, or even a neighbor can help you with this. There are also nationality outreach programs that cooperation with meal preparation and / or mutter of specious meals.

Aerobic Exercise.

Though you may not feel strong enough to exercise, next to building your nutrition, it is one of the most important things you can do to shortcoming frailty. It not only helps your muscles get stronger, it helps your breathing capacity, blood flow throughout your body, and brightens your mood. Start by ambulatory 10 minutes a day; get a cousin or family side to go with you if necessary. Live on the length of your legwork every date to build up your endurance. If you have passage to a bodies pool, moving in the shallow pole, or paddling on a board, can also help build strength and endurance.

Resistance Exercise.

You don’ t have to go to a gym to do resistance exercise. Fill a few pliable milk jugs partly with water at first. Standing or sitting, practice lifting them off the ground to shoulder height. Then extend them slowly over your head. As you get stronger, fill the jugs a little fuller. Vary with squatting to pick up the jugs, straightening to a standing position several times a day. When you get stronger, doing resistance exercise with gym machines can help build muscle and strength even faster.

Stop smoking, excessive alcohol drinking.

Heavy smokers and / or alcohol drinkers are frequently malnourished and / or frail. They also have lower lung capacities and impaired blood / oxygen flow throughout their body. Ask your doctor about the many programs available to help you discontinue smoking and / or drinking.

Frailty is a nature I upgrade my patients avoid at any age – especially as they get older. It can be one of the most important reasons for your loss of independence. If you have specific medical conditions that have lead to your frailty, work with your doctor to create a limitless plan to help your frail character return to strength and health.

Stay well,

Mark Rosenberg, M. D.

Natural Health Data - http: / / www. healthyanswers. com

Testosterone Deficiency: Causes, Symptoms, Prevention and Treatment

Testosterone is a male hormone. Besides promoting libido it has other important functions such as maintaining muscle mass and forming bone, and regulating heart muscle and cholesterol. It also helps to improve the oxygen levels throughout the body as well as controlling blood glucose and strengthening the immune system. As men age, the pituitary gland produces less free testosterone while more free testosterone is being converted to estrogen which results in many health problems. In this article, we will confabulate the causes, symptoms, prevention and treatment of testosterone deficiency.

I. Causes

1. Aging

As we mentioned in the previous articles, human aging is the biological and pathological processes that vary from person to person and that are controllable to some degree. Archetypal at age 40 levels of testosterone start to diminish. The levels of the by - product prolactin of testosterone of men increases, stimulating the production of the enzyme 5 - alpha reductase that causes the conversion of testosterone to gihydro - testosterones DHT ergo triggering low levels of testosterone.

2. DHEA deficiency

DHEA ( dehydroepiandrosterone ) is a substance made by the adrenal gland. It is the number one of the sex steroids estrogen and testosterone. DHEA has some male hormone effects and deficiency of DHEA contributes to fatigue, poor concentration and diminished overall body functions.

3. Zinc

Zinc is a natural aromatase enzyme inhibitor. It helps to block the conversion of testosterone into causeless estrogen. Inadequate zinc levels block the pituitary gland from releasing lutein and follicle stimulation of hormone which stimulates the production of testosterone.

4. Aromatase

Aromatase is an enzyme of the cytochrome P450 superfamily, whose function is to aromatize androgen and produce estrogen. As men age they produce greater amounts of aromatase enzymes that cause the conversion of testosterone into estrogen resulting in male hormone deficiency.

5. Liver disease

Damage to liver causes extra estrogen and sex - hormone binding globulin resulting in lower levels of testosterone.

6. Frequent sexual life

Natural sexual labor helps to improve the yang qi in the kidney according to Chinese herbalists ( that is the cause why most kings in Chinese history have some sources of sexual dysfunction ). Frequent sexual bustle ( more than once a day and every day ) will cause the insufficiency of yang qi resulting in low levels of testosterone, sexual dysfunction and libido in the forthcoming days.

II. Symptoms

1. Decreased sexual function

As we mentioned in the last article, elementary at age 40 levels of testosterone start to diminish. The levels of the by - product prolactin of testosterone of men increases, stimulating the production of the enzyme 5 - alpha reductase that causes the conversion of testosterone to gihydro - testosterones DHT thereupon triggering low levels of testosterone resulting in sexual dysfunction.

2. Loss of bone density

The brain and bone are the important tissues that have the primary sequence of testosterone is by way of aromatization to 17² estradiol in the bones. 17² - estradiol accelerates maturation of cartilage into bone, leading to closure of the epiphyses ( a rounded end of a long bone ) and conclusion of growth.

3. Loss of muscle mass

As men start aging or damage of pituitary gland, extra estrogen builds up in the body causing low levels of testosterone being produced resulting in loss of muscle mass. Testosterone effects can be classified as anabolic effects that embody growth of muscle mass and strength, increased bone density and strength, and stimulation of height growth and bone maturation. Testosterone effects can also be classified by the age of usual episode.

4. Memory loss

Low levels of testosterone allows beta - amyloid, a toxic peptide to accumulate in certain regions of the brain causing memory loss.

5. Abdominal fat

Fat cells create aromatase enzymes that contribute to fat build up and low levels of testosterone which allows the forming of abdominal fat that produce more aromatase enzymes resulting in more formation of estrogen. It also causes insulin resistance by increasing fat around the stomach / waist area and fat mass.

There are more symptoms of low levels of testosterone such as awe, touch of weakness, and passive standpoint.

III. Prevention and Treatment

a ) With Foods

1. Oyster and crustaceans

Oyster and crustaceans contain high levels of magnesium and zinc that is a natural aromatase inhibitor playing a key role in regulating testosterone levels as well as improving circulation of blood to the penis vessels.

2. Capital

Coin contains vitaimn C, iron, calcium, and potassium. It not only helps in exhibiting the estradiol - restricting properties as other cruciferous vegetables, but its fiber also helps to charge weight gain resulting in a decreased risk of estrogen binding.

3. Drab youthful leaf

Opaque unfledged leaf juice contains high amount of vitamin C and E, besides division to reduce levels of cholesterol, high blood pressure and regulate blood glucose resulting in higher quality blood circulation to vital organs in our body. It also helps to fight the forming of free radicals and rejuvenates our cell and cleans up the clogged up receptor sites that helps to raise levels of testosterone.

4. Goat Meat

Goat meat contains high amounts of protein, iron, magnesium, and zinc. Iron specifically offers the aggrandized benefit of raising levels of oxygen in the blood that is essential for providing nutrition to cell needs. High protein and zinc are two nutrients that help to optimize free testosterone levels and muscle - building.

5. Egg

Egg contains zinc, iron, vitamin A, antioxidants, protein and testosterone. The antioxidants and testosterone present in egg have an spin-off in testosterone - boosting ratio of saturated fat to polyunsaturated. The high amounts of vitamins B5 and B6 in egg also helps to balance the hormone levels in our body and fight stress. Overloading with eggs may increase levels of cholesterol but eating one egg a day is ideal for intense and regenerative effects in resulting more production of testosterone.

7. Blueberries, blackberries, raspberries, and strawberries

Blueberries, blackberries, raspberries, and strawberries contain vitamin P ( bioflavonoid ) that helps to promote health by strengthening capillaries, protecting blood vessels from clogging up, other connective tissues and muscle building in the body resulting in higher quality blood circulation and immune system in fighting the forming of free radicals.

8. Cold water fish

Besides plenty of omega 3, cold water fish is an excellent source of vitamin A and zinc that help the binding of sex hormones, specifically testosterone and estradiol.

b ) With herbs

1. Sting nettle roots

Sting nettle root binds to sex hormone binding globulin ( SHBG ) in place of testosterone resulting in a reduction of SHBG binding of free testosterone, then atom increase the levels of free testosterone. It also promotes healthy prostate gland that helps to stimulate the sexual long.

2. Muira Pauma

Muira pauma is stems and roots of a ptychopetalum plant in South America. It has been used as an aphrodisiac, tonic and cure for muscle paralysis and strengthening the liver function that helps to cure the hormone imbalance in aging men. Study shows that muira pauma is a libido enhancer.

3. Yohimbe

Yohimbe contains the compound yohimbine that has been used as a major ingredient in several prescription drugs for impotence. Yohimbine helps impotence caused by poor circulation and emotional problems resulting in raising your testosterone levels and your libido.

4. Milk thistle

Milk thistle helps restore the liver function that helps to eliminate the random of estrogen and sex hormone binding globulin that let on the increasing of levels of free testosterone.

5. Epigram palmetto

Adage palmetto help to promote prostate health and increase sexual stimulation. It also helps estrogen and estrogen receptor movement resulting in a healthy hormone balance, therefrom increasing sexual crave in men.

6. Maca

Maca is a vegetable root or tuber that grows in the high Andean plateaus of Peru at high altitudes. It helps our body to subsidize the pituitary gland that help to increase the production of our own human hormones such as testosterone.

7. Tongkat ali

Tongkat ali has been shown to raise testosterone by stimulating the leydig cells of the testicles to produce more testosterone. Tangkat ali also helps in supporting erectile function and ejaculatory function as a direct consequence of increasing the size of male penis and sexual wanting.

c ) With Chinese herbs

1. Gou Zhen ( Chinese wish for pollen )

Gou zhen contains high amounts of amino acids, vitamins, portray - elements, enzymes, flavonoids, nucleic acid and unsaturated fatty acids that help to stimulate the liveliness of liver cells and regulate bile sap and endocrine resulting in increased production of free testosterone that in turn promots men ' s libido.

2. Cordyceps

Cordyceps is one of the primary herbal substances used in tonic herbalism as an anti - aging ingredient and for the purposes of rejuvenation. It also helps to speed and strengthen the kidneys and lungs and tonifies qi, relieves depression of liver qi as resulting of eliminating the unrequired of estrogen and sex hormone paramount globuline.

3. Ginseng

Ginseng in Chinese medicine is used as a pituitary strengthening herb. It also contains herbs that benefit the endocrine system which results in tonifiying the outright endocrine system and division the extinction of human growth hormone ( HGH ).

4. Reishi

Reishi is a principal helper that helps to strengthen the immune system, anti - forgoing stress, improves blood, and qi circulation and memory. Reshi also helps to secure the liver from toxins and lock up the lungs from pollutants as a resulting of eliminating the superfluous of estrogen and sex hormone prime globulin and member the departure of human growth hormone ( HGH ).

5. Tribulus terrestris

Tribulus terrestris is a sexual enhancer and testosterone stimulator that benefits the sexual functions of men resulting in increased sexual stimulus in men. Studies showboat that intake of tritbulus terrestris will help to increase the amounts of free testosterone in the body systems.

6. Worked up Goat Weed

Tumultuous goat weed contains a incongruity of flavonoids such as icariin that helps to relax the blood vessels crowing to the penis, which allows them to grow resulting in stronger and harder erection. It also helps to treat low levels of testosterone and increased sexual desire at the same time.

d ) With Nutritional Supplements

1. DHEA

1. DHEA

DHEA allows our body to create other hormones such as testosterone. Study shows that DHEA is a head to sex hormones. The deficiency of DHEA causes the deficiency of other sex hormones resulting in loss of bone density, increasing of body mass, hardening of blood vessels and low sex drive.

2. Chorella

Chlorella containing beta carotene and chlorophyll is a powerful antioxidant that helps to strengthen the immune system by blocking the blueprint of free radicals, improving oxygen levels for cell needs and nitric oxygen thence gifted the enlarging of the penis through sexual wanting.

3. Garlic

Garlic is one of nature ' s superfoods that helps lower levels of cholesterol, normalizes blood perplexity and increases circulation of oxygen levels in bloodstream. Garlic is also a impulse that helps to increase men ' s libido by promoting the push of sex hormone in the pituitary gland. Please ponder with your doctor if you have any downcast problems before taking garlic supplements.

4. Vitamin K

Vitamin K is prerequisite for skin rejuvenation. The depleting of vitamin K in the skin membrane causes the skin to become inelastic and concept as a reaction of low levels of testosterone in men due to aging. Restoring the deficiency of vitamin K indirectly promotes push of levels of testosterone.

5. Omega 3 and 6 fatty acid

Again portion to lower levels of bad cholesterol ( LDL ) and triglycerides, and improving circulation of the levels of oxygen in bloodstream to cells, omega 3 and 6 fatty acid also helps to promote the restoration of any damage of heart tissues and hormone imbalance in aging men.

6. Nucleic acid

Nucleic acid besides promoting cell growth, boosting energy, smooth skin and keeping hair sleek, also helps to maintain the healthy levels of male sex hormone resulting in a normalizing long of the sex drive.

7. Zinc and iron

Deficiency of zinc and iron causes the need of oxygen levels and poor circulation of the bloodstream as indirectly resulting in erectile dysfunction. Since zinc also promotes healthy prostate glands that increase the release of prostate fluids that help to stimulate the sexual enthusiasm by increasing the production of levels of free testosterone.

8. Potassium and magnesium

Potassium and magnesium help to inhibit the conversion of testosterone to estrogen resulting in more free testosterone that helps to normalize sexual wanting.

e ) With natural approaches

1. Cut down intake of saturated fat and trans fat

Our brain needs fat to function better, but unhealthy diet that is high in saturated fat and trans fat causes not only the build up of the abdominal area but also increases the risk of hormone imbalance by stimulating the binding of sex hormone binding globulin which clogs up testosterone receptor sites resulting in low levels of free testosterone and sexual crave. By reducing intake of over fats and replacing them by fish which contain high amounts of omega 3 and 6 will help to block the binding of SHBG, ergo increasing the amount of free testosterone as well as libido.

2. Reduce intake of alcohol

Excessive drinking impairs the function of liver resulting in hormone imbalance as well as increasing the levels of estrogen in both men and women.

3. Stop smoking

Cigarette is a passion that not only increases heart beat but also causes the distress of oxygen levels in the blood stream. It also increases binding of SHBG resulting in lowered levels of free testosterone.

4. Ensue carbonated beverages with shaded lush juice

Carbonated beverages are absorbed more willingly and it suppresses the testosterone production in men. Sunless maturing juice contains a high amount of antioxidants, zinc, iron, vitamin C, etc. that not only helps to restore the damage of cells but also prevent the formation of free radicals. Indistinct developing juice also reduces the binding of SHGB, nourishes the pituitary gland, forasmuch as increasing the production of free testosterone.

5. Moderate exercise

Animated 50 minutes a eternity will help to improve the circulation of oxygen levels in the bloodstream and increase the human growth hormone as well as atom to regulate the testosterone levels in the body.

6. Vitamins and minerals

Vitamins and minerals are equally important to our body, as well as maintaining sexual animation and vitality, and should come from whole foods and balanced diets.

7. Put on a happy face

Stress drains your body energy by causing the metabolism to stutter, then changing your body ordinary physical and response functions resulting in potpourri of testosterone production and hormone imbalance..

Drift Here to Read More

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Facts you should know – Fibromyalgia or Chronic Vitamin D Deficiency?

Today I want to explain something that is so solemn to everyone’ s health and when I say everyone, I tight Men, Women, and Children. A Health Contention that even Doctors infrequently test for. In truth it is so well undetected, that no one thinks about it.

I was recently diagnosed with this resolute health nut much to my shock and horror, but in one way was very glad, as it means a diagnosis liable some months ago, could be out.

As usual - I have put the band before the horse, let me resolve further –

About 2 second childhood ago, I liable something they call here in Australia Ross River Fever in USA they call it – Rocky Mountain Fever ( one of a bundle of viruses called arboviruses or arthropod - borne viruses ), which are spread mainly by blood - sucking insects – Mosquitoes )

I was very sick with this for about 9 months with the following symptoms –

Flu - like symptoms that inject fever, chills, headache and aches and pains in the muscles and joints plus dizziness.

Joints that become swollen with joint stiffness particularly noticeable in the morning – especially the knees.

A rash occurring on the body, arms, or legs, oftentimes disappearing after seven to 10 days mine lasted for well over 6 weeks.

A general perceiving of being ailing fed up and weak which affected my work performance in truth it was all I could do to get out of bed in the morning. – LUCKILY I work from home and am my own boss! It certainly slowed me down to less than a snails walk!

Anyway… … to cut a long story short, for 9 months I was so sick with this virus, I was practically housebound. Throughout this time I had sundry blood tests to behold how things were, in gospel this is the only way they can detect something like this.

Eventually I clawed my way back to something like semi - human. However the pains and joint stiffness and muscle weakness still persisted. After a few more tests to rule out the big nasties the Doctors diagnosed me with Fibromyalgia, as the pain, joint stiffness and muscle weakness all corresponded with 11 trigger points that people with Fibromyalgia suffer.

Caused by? Well unknown - however, they ( the Doctors ) uttered 99 % due to the Ross River.

As I am not one to sit and linger and feel sorry for myself, after I was told, I would have this for life - I decided to go to a naturopath for treatment. So I am under a naturopath but also go for regular check ups with my Doctor. They are working hand in hand to get me back to 100 %. I refuse to accept the “ Life” sentence!

At my last talk to the Doctor, I requested in addition set of full bloods, as well as my other yearly check - ups. As she was picture the blood, I asked her to tell me out clamorous all the things she can check for in blood. As she frantic them off, one thing became very clear; I had not been checked for VITAMIN D deficiency. This I requested with the other things my Doctor wanted to test for.

Guess what it came back I had an ACUTE Vitamin D deficiency! This surprised both of us! At first I was dismayed, and then I gave thanks as this could be an answer to the many symptoms I have been suffering from.

My doctor, spent a whole mass of time with me explaining exactly what this deficiency means, how it comes about, the symptoms and problems deprivation of it can cause, who can suffer from this, plus I got an grief that she had not tested sooner!

I feel strongly that people need to learn about this deficiency, thanks to it can affect EVERYONE!

So I present to you – the Vitamin D story – as liable to me by my Doctor.

Vitamin D is perhaps the single most underrated nutrient in the world of nutrition. You can have supplements; however, it comes from sunlight your body makes it when sunlight touches your skin it cannot penetrate glass - So you don ' t generate vitamin D when sitting in your car or home.

Vitamin D prevents osteoporosis, depression, prostate cancer, breast, ovarian and colon cancer and surprisingly can even reaction diabetes and obesity ( Drug companies can ' t sell you sunlight, so there ' s no promotion of its health benefits – my addition here not my Doc’ s )

It is midpoint impossible to get adequate amounts of vitamin D from your diet and you would have to drink liters of fortified milk daily to get enough.

Useful levels of vitamin D are transcendent for calcium leisure activity in your abdomen, rendering calcium supplements fruitless unless correct levels of D are present.

Severe and chronic “ D” deficiency cannot be reversed seafaring: it takes months of vitamin D supplementation and sunlight to rebuild the body ' s bones and nervous system

Suncreens help cause this deficiency whereas they block point up to 95 % of the suns rays ( On this note, spend 20 minutes in the sun BEFORE adding sunscreen, this will give the body what it needs ) also, It is laughable to go ahead too much vitamin D in your body from sunlight pretentiousness: your body will self - tap and only trigger what it needs.

If it hurts to press firmly on your sternum, you may be resentful from chronic vitamin D deficiency right now - ( My sternum is so painful to touch, it hurts even to cuddle my 10 month old grandson – I put up with the pain though – he needs Nanna cuddles! )

Also one very important reality - People with darkened skin pigmentation may need 20 times more exposure to sunlight as unprejudiced - skinned people to generate the same amount of vitamin D.

I also wrote down a catalogue of diseases a vitamin D deficiency can cause ( thanks Dr Sue for allowing me to take notes, when you had a roomful of patients waiting to be observed )

Osteoporosis ( Gaze calcium diversion superior )

The CORRECT amount of vitamin D prevents prostate cancer, ovarian, breast and colon cancer, depression, and other related depressive diseases,

" Rickets” ( this is apparently being empirical more and more )

Vitamin D deficiency may worsen type 2 diabetes by impairing insulin production which is done by the pancreas.

Obesity impairs vitamin D utilization in the body, meaning we rotund people need twice as much vitamin D.

Vitamin D is used around the world to treat Psoriasis.

Now here is a adventure and a inducement why I got tumultuous - Chronic vitamin D deficiency is usually misdiagnosed as fibromyalgia being its symptoms are so uniform: muscle weakness, aches and pains ( memorialize I have been diagnosed as having this )

There is a lot more apparently to learn about vitamin D Deficiency - I am no medical expert, but I know one thing, this information needs to be talked about and brought to people’ s attention.

The treatment for me is this, 20 minutes per day sunlight, with as much body exposed as I can, plus I have to take a Vitamin D Gel Capsule daily recommended by my Doctor. Apparently it will take months to undo the bruised caused by this deficiency.

I wonder how many people worldwide have this deficiency and do not know it – let’ s spread the word, as one simple blood test can perhaps help one to stay healthy!

I would love to hear from you on this subject, so please comment!