A New Supplement to Help Women with PCOS

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Polycystic ovary syndrome (PCOS) is a common condition that affects approximately 10% of women during their reproductive age.  It is often characterized by obesity, irregular menses, and impaired insulin function.  Obesity may play a role in the etiology, and with weight loss, there has been reported improvement in some of the clinical findings.

There is a recent large study that suggests a Carnitine supplement may be of benefit for these patients.  L-Carnitine is an amino acid (a building block for proteins) that is naturally produced in the liver and kidneys.  It helps the body turn fat into energy, and your body usually can make all the Carnitine it needs.  In this study, the diagnosis of PCOS was made using the Rotterdam criteria.  To make the diagnosis, two of the following findings needed to be present:

  1. Irregular menses over 35 days or less than 8 menses per year caused by a problem with ovulation
  2. Signs of hirsutism indicative of increased testosterone
  3. Polycystic ovaries with 12 or more follicular cysts in each ovary

In this study, when 250 mg of L-Carnitine was given to women with PCOS, who were also on metformin, there was a significant reduction in weight based on BMI changes.  There was also an improvement in glycemic control.  The Carnitine was given for over 12 weeks.

Remember to always speak to your health care provider before considering starting any supplement.

-Dr. P

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Why Overweight Women May Have an Increased Chance of Cancer

Why Overweight Women May Have an Increased Chance of Cancer_81946825 [Converted]Most of us are aware that being overweight has been associated with an increased risk of developing heart disease and hypertension, but it can also increase a woman’s chance of breast and uterine cancer.  By using a person’s height and weight, a BMI (body mass index) can be determined.  A measurement of 25 to 29 is considered overweight and 30 or higher is considered obese.  According to a recent study, 40% of American women meet the clinical definition of obesity.

The exact relationship between obesity and certain female cancers is not perfectly understood, but there seems to be three factors that may play a role:

  • A body being in a state of chronic inflammation is pro-carcinogenic, and obesity is considered a chronic inflammatory state.
  • There are enzymes in fat cells which increase the production of estrogen, and an elevated level of estrogen has been associated with a higher risk of breast and endometrial (uterine) cancer.
  • Fat cells produce hormones that may stimulate tumor growth.

Please speak to your health care provider to determine your BMI, and start using the walking shoes your loved ones gave you for the recent holidays!

-Dr. P

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A New Way to Decrease Alzheimer’s Disease by Larger Percentages

ink pen and watch on calendarLast week, I attended our yearly national conference on anti-aging, and as always, there was so much new and exciting information!  One of the world’s experts on brain aging gave a statistic that we should all think about carefully.

If you live to 85 in our country, there is a 50% risk of developing a mental cognitive disease, including Alzheimer’s disease.  This risk can be decreased by 5% yearly for every working year after age 65.  This may mean that if you work until 75, your chance of cognitive loss decreases to 25%.  What happens if you work to 90?  This may cause us not to accept that gold watch at 65, so starting a new business endeavor at 70 may be perfect!

-Dr. P

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Ovarian Cancer Treatment – One Essential Step You Must Take

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Last week, I attended a daylong conference at the Memorial Sloan Kettering Cancer Center in New York City.  The event was the State of the Art Ovarian Cancer Conference.  It was wonderful to hear of all the advances in the treatment and care of the women who are fighting this terrible disease.

Being associated with a special gynecologic oncologist for many years, I saw firsthand the benefits of the initial surgery for ovarian cancer and the need for an extensive surgical procedure.  At the conference, this was especially emphasized and the long-term benefits were so significant.

It is important to remember that if a loved one or you find yourself in a battle with ovarian cancer, you must find a gynecologic oncologist for your initial surgery and get the best results possible.

-Dr. P

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Pokémon Go – What Is This Game Your Children Are Obsessed with All About?

pokemon-go-what-is-this-game-your-children-are-obsessed-with-all-about-1575834_1920As you know, Pokémon Go is a hot new game being played by countless people.  There have been mixed reviews on this augmented reality game from concerns about safety to praises about increasing physical activity.  I posted this video to give you a very detailed description about what your children are involved in, and I believe it is important to have a discussion with them about the possible dangers to look out for while playing a game like this.

For even more information about this game, the article connected to the video explains why the game is appealing, how it works, some history of the game, and how it relates to the original Pokémon craze: vox.com/2016/7/11/12129162/pokemon-go-android-ios-game

-Dr. P

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Zika Update: A New Way to Test for This Infection

Blood sample positive with Zika virusThe CDC (Centers for Disease Control and Prevention) recently updated its guidelines concerning the testing of pregnant women who have a possible Zika virus infection or exposure.  It must always be noted that most people with the Zika virus infection are either asymptomatic or have mild clinical symptoms.  Mild clinical symptoms can be an acute onset of a fever, a rash, joint pain, and/or conjunctivitis.

There is new data suggesting that the virus can be detected in the blood and urine for 2 weeks after the infection begins.  This testing of the urine and blood for the virus should be performed for:

  • Symptomatic pregnant women in less than 2 weeks after the symptoms begin
  • Asymptomatic pregnant women in less than 2 weeks after a possible exposure

After this 2-week window, blood testing should begin for the Zika virus IgM antibody, which the body makes in response to a new Zika virus infection.  If this is found to be positive, there was definitely an infection and close fetal evaluation should begin.

As always, you should discuss the Zika virus problem with your health care provider so you can get the best possible care.

-Dr. P

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Is Bio-identical Hormone Replacement Therapy Right for You?

Are you approaching or in menopause and are concerned about its symptoms?  My office manager and I are here to help!  We discuss bio-identical hormone replacement therapy questions and answers.  You will hear an introduction about the therapy, and I will help you understand it with more depth.

My vimeo channel: vimeo.com/channels/drpolcino

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