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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How to Exercise When Your Routine Is Being Snowed On

HowExSnow57039413 2If you are on a regular walking program as part of your exercise plan, the recent snowstorms may hold you back for a while.  It may be time to revisit your stairs at home or at work to continue staying in shape.

Try to vary your ascent by speed and the number of steps taken.  Before you begin each climb at home, you may want to add stretching and doing a plank or push-ups.  Before your descent, consider 10 jumping jacks.  Also, always remember to speak to your health care provider before beginning any exercise program!

-Dr. P

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A Simple Exercise That Burns More Calories Than Walking

Young women in the officeI have always advised my patients that walking is a great exercise.  A pair of sneakers and comfortable clothes is all you need to get started.  Taking the stairs instead of the elevator has been another of my common suggestions, and as the colder weather quickly approaches, maybe we should consider starting a stair climbing program.

Most of us have access to stairs, either at home, work, or the mall.  A great way to begin is climbing the stairs one at a time at your own pace, either holding on to the rail or keeping your hands free.  You are using more muscles and burning more calories than walking.  It is a vertical exercise, so it is good for muscle strengthening, cardiovascular work, and weight loss.  Once you are up the stairs, you must come back down since the descent also has great benefits.

As always, do not start an exercise program unless you have discussed it with your health care provider.  Stair climbing can be an easy addition to your exercise program and who knows where it will take you!

-Dr. P

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The Vegetable from the Fountain of Youth

“If you’re looking for the Fountain of Youth, kale may just be it!” Tom Gatto, a registered dietician, updates us on the nutritional powerhouse called kale. His discussion includes nutrient density, how to prepare it, and which vitamins, minerals, and antioxidants it contains and how they enhance our health.

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A Way to Help Determine the Status of Your Weight

Weight control is a major concern for most of us.  As menopause approaches, many women experience an increase in their weight, with about 70% being overweight.  Body mass index (BMI) is a commonly used calculation that quantifies where our weight is, and when using this classification, about 50% of perimenopausal and menopausal women are considered obese.

Using a person’s height and weight, body mass index can be calculated, giving us a guide to where we stand with regards to our weight.  A BMI of 24 to 29 is considered overweight, and over 30 is obese.  Let us look at where some weights fall:

  • At 5 ft. 1 in. a BMI of 24 to 29 corresponds to a weight of 130 to 150 lbs.
  • At 5 ft. 1 in. a BMI of 30 corresponds to a weight of 160 lbs.
  • At 5 ft. 6 in. a BMI of 24 to 29 corresponds to 155 to 180 lbs.
  • At 5 ft. 6 in. a BMI of 30 corresponds to a weight of 185 lbs.

Remember that this BMI number is not an exact measurement of body fat but it alerts us to where our weight status lies and gives us an indication of our risks for developing the complications of obesity.  These include diabetes, hypertension, heart disease, and many other medical conditions.

BMI Chart Larger

-Dr. P

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Add Vitamin D to Your New Year’s Resolutions

…..The new year comes with all the resolutions we promise to keep.  Weight loss is
always the one we want to accomplish.  I wish to remind you again to continue your vitamin D supplements if you were found to be needing them.  Every day I read about theNew Year importance of this vitamin and appreciate its newer roles we have discovered.  Remember that it has an important place with our immune system, cancers, diabetes, and heart health; so speak to your family doctor or me at your next visit.

-Dr. P

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