Posts Tagged ‘weight loss’

Boosting T Levels Without Medication

February 3, 2017

Testosterone is the male hormone produced in the testicles that is responsible for sex drive, energy, muscle and bone mass.  Testosterone decreases slowly in the late 20s and becomes symptomatic in men around middle age.  This blog will discuss natural ways of preserving and increasing your testosterone levels.

Get Moving: Drop 10, 15, or more pounds

Overweight men are likely to have less testosterone, which means less energy and increased susceptibility to depression.  If you shed pounds, you can cause your T levels to surge.

No Zinc In the Sink

Research has shown that supplementing your diet with zinc can improve testosterone levels. According to the National Institutes of Health, 45 per cent of us aren’t getting enough of the stuff.  Protein-rich foods like meat and fish are packed full of zinc, along with raw cheese, beans and natural yoghurt.

Sweet Nothings

In addition to causing you to pile on the pounds, sugar can also wreak havoc on testosterone production. Regular intake of the sweet stuff can cause insulin to spike, which is a factor leading to low levels of testosterone.

To counteract the effect, simply limit your sugar intake – the overall health benefits far outweigh a quick dopamine hit from a soft drink.

Take D and See

Vitamin D is a steroid hormone, which means it boosts your sperm count, , libido and  testosterone.  You can increase your vitamin D by being exposed to sunshine.  Since I don’t condone exposure to sun as it causes skin cancers, then vitamin D supplementation is in order, 1000 IU\day.  This is available in most nutrition and drug stores.

Stress Less

Kicking back is easier said than done, but a reduction in stress will work wonders for your testosterone production. Cortisol (the stuff your body makes when you get hot under the collar) actually blocks testosterone. Chronic stress has actually been shown to stop testosterone production, which translates to bad moods, fatigue and decreased libido.

Exercise and weight loss are beneficial in reducing stress levels so this is another reason to getting moving!

Fat and Fit

Eat ‘good’ fats of the monounsaturated variety. You can find a high dose of these fats in foods like olive oil, almonds, avocados and grass-fed meats.

Going From ZZZZZ to T

Men who got a full eight hours sleep had 60 per cent more testosterone than their sleep-deprived counterparts.  I recommend stop looking at screens, i.e., computer and TV screens at least an hour before bedtime as screen watching affects melatonin which if decreased can make it difficult to have a good nights sleep.

It’s Quicker Without Liquor

We all know that alcohol consumption is bad for us – but it’s bad for your Johnson. Not only does too much booze lower growth hormone levels and increase cortisol, it will reduce your testosterone levels for up to 24-hours.  I recommend 1-2 glasses of alcohol a day and definitely avoid binging.

Bottom Line:  Testosterone is a necessary ingredient for your sex drive, your energy level, and overall body metabolism.  The hormone also affects our moods and psychological well-being.  I have provided you some suggestions for boosting this very important hormone.

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January 21, 2017

Non-Medical Solutions to Raising Your T Level

I am often asked what can a man do to raise his testosterone level without taking testosterone replacement therapy.  Here are a few suggestions that may be helpful.

  1. Exercise and lift weights

If you want to increase your testosterone levels, you will need to increase your exercise frequency. Regular exercise will not only help you by preventing different lifestyle related health problems, but it will also help you by boosting your testosterone levels. Men who regularly exercise have a higher testosterone levels. Even elderly men will also have higher testosterone levels if they regularly exercise.

  1. Reduce stress and cortisol levels

If you are suffering from long-term stress, it can increase the levels of cortisol hormone. If your cortisol levels are high, testosterone levels will decrease.

That’s why, you need to reduce stress as much as possible and which will also decrease the cortisol levels in your body. Regular exercise, whole foods, good sleep, balanced lifestyle and laughter can help you to reduce stress and also improve your overall health.

  1. Get more Vitamin D

Vitamin D offers several health benefits and it boosts testosterone naturally. If you consume just 3,000 IU of vitamin D3 per day, it can increase testosterone levels in the body by 25%.

You can get more vitamin D by increasing your exposure to sunlight regularly. You can also take a daily supplement of 3,000 IU of a vitamin D3 supplement.

4. Get Enough Sleep.

A lack of sleep affects a variety of hormones and chemicals in your body. This, in turn, can have a harmful impact on your testosterone.

The time honored goal is try for 7 to 8 hours per night.

5. Keep a Healthy Weight.

Obesity can have a deleterious effect on your testosterone levels.  Exercise and diet can improve your testosterone and also is good for your heart to avoid obesity. 

6. Review Your Medications.

Some medicines can cause a drop in your testosterone level. These include: pain medications, steroids (prednisone), anabolic steroids such as those used by athletes and body builders, and anti-depressants. 

7. Deep 6 the Supplements.

You may be bombarded with unsolicited snail mail and E –mail offering testosterone boosting supplements such as DHEA.  Let the truth be told, you are wasting your money as these supplements will not boost your testosterone.   

Bottom Line: Although these suggestions may be helpful, they are just a step in the right direction.  For more information about testosterone replacement therapy, speak to your physician.

 

 

Diet and Exercise May Reduce Risk of Cancer

January 21, 2017

There isn’t a day that goes by that the Internet or the print media isn’t bombarding readers with a new diet that prevents cancer.

Every day, there are headlines that bombard readers with various diets that purportedly prevent cancer: “The Diet That Stops Cancer” and “Eating Your Way Out of Cancer.” But what do the hard data really say about lifestyle choices preventing cancer?  Studies have shown that the combination of healthy eating, not smoking, and regular exercise can reduce the risk of heart disease by 80 percent and of stroke and some cancers by 70 percent.

Although no diet has received conclusive evidence of presenting cancer, there are lifestyle choices such as exercise that support conclusions that they can serve as deterrent of cancer.  Even the American Cancer society recommends avoid being overweight and includes being physically active for at least 30 minutes every day.  They also suggest eating a mostly plant-based diet; limiting red meats and avoiding processed meats; limiting alcoholic drinks (two glasses of wine a day for men and one glass for women); and to protect against cancer (Table 1). Other recommendations include avoid sugary drinks, limit consumption of processed foods and eat more vegetables, whole grains, and legumes such as beans.  Limit salt intake to 1.5 grams per day and limit consumption of salty foods, chips, pretzles, smoked or cured meats like salami, baloney, and beef jerky.

Other Cancer Prevention Recommendations

To prevent breast cancer, the ACS recommends at least 150 minutes of moderate-intensity physical activity per week, alcohol intake of one or fewer drinks per day, and maintaining a body mass index (BMI) less than 25 kg/m2. In a study of 2905 women at high-risk for breast cancer, adherence to these three recommendations reduced the risk for breast cancer by 44%.

Perhaps this shouldn’t be all that surprising, given that BMI itself is a risk factor for cancer. Too much body fat triggers insulin resistance, raising levels of insulin and growth factors that promote cancer. Fat also increases estrogen production, which can fuel some cancers, and fat secretes enzymes that promote inflammation.

Numerous medical studies have concluded that avoiding adult weight gain confers protection against certain types of cancer, particularly among nonusers of hormone replacement therapy (HRT). The study found that for each 5-kg increase in adult weight gain, the relative risk was increased 11% for postmenopausal breast cancer among no or low HRT users; 39% and 9% for postmenopausal endometrial cancer among HRT nonusers and users, respectively; and 13% for postmenopausal ovarian cancer among no or low HRT users. For each 5-kg increase in men, the risk for colon cancer increased by 9%. The relative risk for kidney cancer comparing highest and lowest level of adult weight gain was 1.42.

In addition to lowering the risk of cancer, eating a diet that is high in fruits and vegetables is associated with a lower risk for all-causes of death and lower risk of dying of cardiovascular causes such as heart disease or stroke.

Bottom line on diet and exercise and cancer prevention:  Weight gain, lack of exercise, and high alcohol intake are the key factors for leading a healthy lifestyle and decreasing the risk of cancer.

Seven Habits That You Don’t Want to Break

November 1, 2016

Nearly all men and women in their 20’s and 30’s have a sense of invulnerability and immortality.  I know when I was that age someone who was 50 was considered old. Today I consider a 50-year old as youthful.  So what advice do I have for millennials?  In order to enjoy good health as a septuagenarian or octogenarian, you have good health habits during your younger years.  Here are 7 tips that I have taken from an article in a recent New York Times about developing good health habits.  They are easy to do and will make all the difference in the world on how you feel today and how healthy you will be tomorrow.

#1. Make the bathroom scale your new best friend. Nothing is more deleterious to your long-term health than being obese or overweight.  Give yourself an acceptable range and when you approach the higher end of that range, cut your calories or increase your exercise.

#2 become your own chef.  Your focus should be on ways to add variety to your diet and to boost the intake of vegetables and fruits. Cut down on unhealthy fats, sugar and excessive salt, i.e., no more than 1200 mg\day.

#3 Sugars, like those found in candy bars, sweetened cereals, and sugared soft drinks.  Excessive sugar has been shown to be one of the main culprits obesity and diabetes.  Excessive sugar represents empty calories with no important nutrients needed in a balanced diet.  Giving sugar to children can make them addicted to sugar which can be more addictive than heroin or cocaine!  Instead consume more fruits and vegetables.

#4 Get off the couch and get moving.  Excessive sitting is the new smoking.  Even if you can’t find time to have an exercise program you can still walk the stairs several times a day.  BTW going up is good exercise, going down is exercise but harder on your hips and knees.  You can also park your car a few blocks away from the office or on the top floor of the parking lot and then walk to work.  Ideally, you should find a way to get 20-30 minutes of activity that increase your heart rate every day.  This includes biking, brisk walking or swimming.

#5 Pay the piper if you play.  If you engage in having a good time with drinking and snacking, then promise yourself additional exercise before or after your party.

#6 Cut the portions or let the palm of your hand be your guide.  An ample serving of fish or chicken should fit into the palm of your hand.  If you find that you are gaining weight or a few more pounds than you would like, cut the portions and cut the alcohol and you can lose 3-5 pounds in just a few days.

#7 Drink plenty of water.  There are so many advantages of drinking lots of water which include:

A perfect thirst quencher  There is no better liquid to quench your thirst than water.  Many people are incorrectly informed that you only need to drink water in hot weather.  The truth is large volumes water are lost through your breath in cold, dry weather.  Although you can substitute other beverages such as colas, coffee and electrolyte drinks, there is no other drink that contains fewer calories and more nutrients than water.  In fact, affricated beverages can act as diuretics and cause the body to excrete water and important chemicals like potassium.

Water aids digestion. Water dilutes the acidity in the stomach and causes the release of enzymes necessary for digestion. Water is also a natural laxative and relieves constipation.

Water cools the body during exercise. As the body heats up during exercise, the internal thermostat promotes perspiration. Internal body temperature can be decreased with the consumption of cold water.  Cold water is best because it is absorbed into t he circulation more quickly than warm water.

Water promotes waste excretion. The kidneys are the paired organs used to remove metabolic bodily water material.  Water is essential for these incredible filters to do their work an flush out the body’s waste products.

Water carries nutrients to the cells. All of the body’[s cells are bathed in a saltwater solution. Blood moves nutrients to the cells and removes the waste products to the kidneys and liver.  Water is necessary to maintain the blood volume to carry out these vital functions.

Water reduces kidney stones. If too much calcium, oxalate or uric acid is excreted in the urine, crystals will form and start the growth of kidney stones. The best treatment to reduce kidney stones is to drink enough water to keep the particles from hitting one another and staring the crystallization process.

Water lubricates the joints. The bones glide against one another with minimal friction because of a lubricant called synovial fluid. Drinking plenty of water incases the synovial fluid and reduces e4h wear and tar on the joints.

Water promotes good skin tone. Skin elasticity is maintained when the body is well hydrated. Chronic fluid loss lead to dry, wrinkled skin.

Water is a diet aid. Drinking a glass of water before each meal leads to a sensation of fullness before you sit down to the table, thus acting as a natural appetite suppressant. Water helps the body metabolize stored fat.  If there is not adequate water to rid the body of waste through the kidneys, then the liver must be called in to do the kidney’s work.  If the liver is doing the kidney’s work, it cannot metabolize body fat and weight loss is slowed or stopped.

Water is a natural relaxer. Water is an excellent way to wash away tension. Swimming induces a feeling of calmness and exhilarates the body, similar to a jogger’s high.

How much water is enough?  The time-honored advice of drinking eight to ten glasses of water a day still holds true.  However, the more you exercise, the more you need to drink, especially if you live in New Orleans in July, August, or September.  A good rule of thumb is to drink approximately one quart of water for each hour of exercise.

Water remains one of life’s greatest medicinal drinks.  It really does keep you healthy and fit and it is good for most of life’s ailments.  Drink up!

Although these 7 suggestions may not guarantee good health, it will certainly lead to an improved lifestyle.  And as my wonderful Jewish mother might say, “It may not help, but it voidn’t hoit!”

Clinical Management of Urinary Incontinence in Women

March 30, 2015

Incontinence is a devastating condition affecting millions of American women. It is a source of embarrassment that results in women becoming reclusive and deciding not to engage in socialization. Urinary incontinence, defined as the involuntary leakage of urine, affects 20 million persons nationwide Help is available. You don’t have to depend on Depends! This blog will discuss the problem and the treatment options for urinary incontinence.
Most cases of urinary incontinence in women fall under one of three major subtypes: urge, stress, or mixed. I believe in going from tshe least invasive (behavioral modification) to more invasive (surgery) interventions is the best approach. Bladder retraining and pelvic floor muscle exercises are first-line treatments who present with urge incontinence or “I gotta go right now”! Medication with anticholinergic medications is another option for treating urge incontinence if behavioral therapy is unsuccessful; however, because of adverse effects such as constipation and blurred vision and confusion, these agents are not recommended in older adults.

Pelvic floor muscle exercises or Kegel exercises are considered first-line treatment for stress incontinence or loss of urine with coughing, laughing or sneezing. Alternatives for treating stress incontinence include vaginal pessaries. At this time no medications are approved by the U.S. Food and Drug Administration for treating stress incontinence. Minimally invasive procedures injection of periurethral bulking agents, can be used if stress incontinence does not respond to less invasive treatments.

Third line treatment consists of surgical interventions, such as sling and urethropexy procedures, should be reserved for stress incontinence that has not responded to other treatments.

Bottom Line: Women suffering from urinary incontinence do not have to suffer and should speak to their doctor about treatment options. Usually some of the options are helpful and can make women comfortable and able to engage in most activities without the embarrassment of the loss of urine.

Non-Medical Treatments of Urinary Incontinence

Incontinence is a devastating condition affecting millions of American women. It is a source of embarrassment that results in women becoming reclusive and deciding not to engage in socialization. Urinary incontinence, defined as the involuntary leakage of urine, affects 20 million persons nationwide Help is available. You don’t have to depend on Depends! This blog will discuss the problem and the non-medical treatment options for urinary incontinence.

WEIGHT LOSS
Women who are overweight or obese and who experience stress incontinence should be encouraged to lose weight, which has been shown to reduce the frequency of incontinence symptoms.32

BEHAVIORAL TREATMENTS
Pelvic floor muscle exercises are the mainstay of behavioral therapy for stress incontinence. Up to 38 percent of patients with stress incontinence alone who follow a pelvic floor muscle exercise regimen for at least three months experience a cure. Increased effectiveness is demonstrated in women undergoing longer training and in those following comprehensive clinic-based training rather than self-help booklets.
Manual feedback (palpating the pelvic muscles during the exercises) and biofeedback (using a vaginal or anal device that provides visual or audio feedback about pelvic muscle contraction) have been used to teach patients the correct technique. Weighted intravaginal cones have also been used for improving technique when women have difficulty identifying their pelvic floor muscles. Although these strategies may improve technique and, consequently, symptoms in the short term, there is no evidence that they result in higher rates of long-term improvement or cure than the exercises alone.

ELECTRICAL AND MAGNETIC STIMULATION
Electrical stimulation of the pelvic floor muscles with a vaginal or anal electrode can be used in women who cannot voluntarily contract pelvic floor muscles.13 This can be done at home and typically consists of two 15-minute sessions daily for 12 weeks. Medicare has approved its use in patients who have incontinence that does not respond to structured pelvic floor muscle exercise programs.

Extracorporeal magnetic innervation involves a series of treatments in which the patient sits, fully clothed, on a chair that generates a low-power magnetic field. Patients typically undergo two or three treatments per week for six to eight weeks. One early study showed this method to be most effective for women who have mild stress incontinence (i.e., using three sanitary pads per day or fewer). A more recent study found it to be more effective than sham treatment for women who are unable to generate adequate pelvic floor muscle contractions.

DEVICES
Vaginal inserts, including incontinence pessaries and incontinence tampons, can be used for treating stress incontinence in pregnant women, in those who are not surgical candidates, and in those whose symptoms have not responded to previous surgeries. Vaginal inserts compress the bladder neck and urethra, thus decreasing urine loss caused by stress incontinence. Although pessaries are not widely used, their associated risks and costs are low, and they achieve results quickly. There are few contraindications to pessary use (e.g., active pelvic infection, severe ulceration, allergy to product materials, noncompliance). Incontinence tampons, which also place pressure on the bladder neck, are available in Europe.
[corrected] Urethral plugs are devices that are inserted into the urethra to prevent urine loss during activities that cause stress incontinence (e.g., running). They are available in two lengths: 3.5 cm and 4.5 cm. There is limited evidence promoting or discouraging their use, and they are associated with a number of adverse effects, including urinary tract infection (occurring in up to 31 percent of women over a two-year period), hematuria or blood in the urine (3 percent), and migration into the bladder (1 percent). Despite this, multi-year studies indicate a high degree of patient satisfaction, and the likelihood of significant adverse effects diminishes with continued use.

Bottom Line: Urinary incontinence is a devastating problem affecting millions of American women. You don’t have to suffer in silence. Help is available; speak to your physician

Non Medical Ways to Boost Testosterone Levels

November 9, 2014

Testosterone is the male hormone produced in the testicles and it is responsible for man’s sex drive. Low testosterone levels can impact a man’s sexual performance. This blog will discuss life-style changes that men can make to improve their testosterone levels.

The sex hormone testosterone is often touted as helping men maintain their vitality and virility, but levels begin to dip naturally by about 1 percent a year after age 30. Signs that your testosterone may be declining more rapidly include loss of energy, decreased sex drive, irritation or anger, and trouble sleeping.
Although testosterone supplementation is effective, there are risks and side effects that make life style changes a more attractive alternative. There are many tried and true drug-free and hormone-free ways to maintain testosterone levels.

Deep Six the Sauce (Alcohol)
A glass of wine with dinner is no problem, but overdrinking is not a good idea. Moderate alcohol consumption for men is a max of two drinks a day, with one being a 5-ounce glass of wine.

Shed Some Pounds
Being overweight or obese can increase risk for heart disease and certain cancers, but extra weight also increase the risk for low testosterone levels. Research published in Diabetes Care in June 2010 showed that 40 percent of obese men had lower-than-normal testosterone readings, and this percentage increased to 50 percent among obese men with diabetes. Weight loss can be a hormone-free way to combat low T. A benefit of weight loss for obese men is that the penis will appear to be longer because of the loss of the abdominal fat. I usually tell men that every 30 pound weight loss increases the length of the penis by 1.5 inches.

Send Out a Stress SOS
A study done at the University of Texas at Austin in 2010 suggested that the stress hormone cortisol may block the beneficial testosterone. When our stress levels are up, our testosterone can go down.

Regular exercise helps reduce stress levels as well as help you maintain a normal weight, so it packs a double whammy against low testosterone levels. Other stress reduction techniques, like deep breathing, can also serve as natural testosterone support.

Take a Big Dose of Vitamin “E”-Exercise
Exercise can help maintain your testosterone levels and avoid some of the symptoms of low T.
Research in the September 2011 issue of the Journal of Strength and Conditioning Research backs this up. The study showed that a 4-week sprint-interval training program helped boost testosterone levels in a drug-free fashion among wrestlers.

Sleep And Sex
A small study conducted at the University of Chicago School of Medicine found that men who slept less than five hours a night for one week had lower levels of testosterone than when they had a full night’s sleep.
When you are sleep deprived, it impacts levels of the stress hormone cortisol, which reduces testosterone just like stress can. A sleep-deprived state is a testosterone-deprived state. Everyone’s sleep needs are different, but it’s important that you wake up feeling refreshed.

Avoid Plastic Bottles
The controversial chemical bisphenol A (BPA) is found in many plastic water bottles as well as in the lining of food and beverage cans, and exposure to this plasticizer may result in low T. BPA can act like the female hormone estrogen in the body, which means it can lower levels of testosterone,
Don’t cook foods wrapped in plastic in the microwave, and try to drink from a glass or a steel thermos. The more flexible a plastic bottle, the more likely it is to leach BPA and affect the testosterone level

Think Zinc
If you take a multivitamin with zinc or eat oysters every day, your zinc levels are probably within the normal range. Aim for 12 to 15 milligrams a day to help stave off low T.

Some Fat Is Your Friend

Men who eat a low-fat diet have lower testosterone, because the body makes testosterone from cholesterol. But this doesn’t mean you should eat unhealthy bad fats. Instead choose healthy fats such as those found in avocado, nuts, and olive oil. These fats will boost testosterone naturally, but they won’t raise blood levels of artery-clogging cholesterol.

Skip the Sugar

Every time you eat sugar, testosterone is decreased, likely because the sugar causes a high insulin level which can decrease the testosterone level.
Bottom Line: Low testosterone levels are a treatable condition that affects millions of men. There are options that don’t require medication that also improve your overall health and wellness.

To Your Good Health. Give Me a High Fi-Ber!

September 30, 2014

We are trying to lead a healthy lifestyle. Doctors advise us to avoid processed food, take vitamins, and to exercise on a regular basis. Part of leading a healthy life style includes including plenty of fiber in our diets. Most men and women consume only 15gms of fiber a day. The daily recommendation for men is 35gms daily of fiber and for women the recommendation is 25gms. You can increase your fiber by 7gms a day by increasing vegetable and fruit consumption by two portions a day.

Good sources of fiber include what, rice, oats, barley and beans. Also fiber can be found in nuts and seeds, carrots, cauliflower, citrus fruits, strawberries and apples.

There’s no shortage of research showing how fiber may boost your health. Some of its top potential benefits include:

  • Blood sugar control: Soluble fiber may help to slow your body’s breakdown of carbohydrates and the absorption of sugar, helping with blood sugar control.
  • Heart health: An inverse association has been found between fiber intake and heart attack, and research shows that those eating a high-fiber diet have a 40 percent lower risk of heart disease.
  • Stroke: Researchers have found that for every seven-grams more fiber you consume on a daily basis, your stroke risk is decreased by 7 percent.
  • Weight loss and management: Fiber supplements have been shown to enhance weight loss among obese people,3 likely because fiber increases feelings of fullness.
  • Skin health: Fiber, particularly psyllium husk, may help move yeast and fungus out of your body, preventing them from being excreted through your skin where they could trigger acne or rashes.
  • Diverticulitis: Dietary fiber (especially insoluble) may reduce your risk of diverticulitis – an inflammation of polyps in your intestine – by 40 percent.
  • Hemorrhoids: A high-fiber diet may lower your risk of hemorrhoids.
  • Irritable bowel syndrome (IBS): Fiber may provide some relief from IBS.
  • Gallstones and kidney stones: A high-fiber diet may reduce the risk of gallstones and kidney stones, likely because of its ability to help regulate blood sugar.

Bottom Line: High-fiber foods are good for your health. But adding too much fiber too quickly can promote intestinal gas, abdominal bloating and cramping. Increase fiber in your diet gradually over a period of a few weeks. This allows the natural bacteria in your digestive system to adjust to the change. Finally, drink plenty of water. Fiber works best when it absorbs water, making your stool soft and bulky.

Modified from article by Dr. Maureen Hecker-Rodriguez from Touro Infirmary

Weight Loss Surgery May Help Ease Urinary Incontinence

August 6, 2014

Urinary incontinence is a condition that significantly impacts a woman’s quality of life. Many have tried medical, non-medical, and surgical solutions. However, there is one sure way to improve control of urine loss and that is weight loss. Weight-loss surgery appears to have an additional side benefit — it may improve urinary incontinence symptoms in women.

A study found that nearly half of women in a weight-loss surgery program reported having incontinence prior to the procedure. After surgery, most of those women said their urinary symptoms either improved or disappeared.

The women “lost almost 30 percent of their body weight, and about two-thirds who had incontinence at the start were cured at one year with that amount of weight loss. Among those who continued to have incontinence, their incontinence frequency improved.

The women included in the study were severely obese, with a median BMI (body mass index) of 46. (Normal BMI is 25 or less. A women who is 5 feet 4 inches tall who weighs 268 pounds has a BMI of 46.

Health experts refer to obesity and incontinence as the “twin epidemics.” 25 to 50 percent of women have urinary incontinence. Of those, 70 percent are obese or a BMI greater than 25.

There are several types of weight loss surgery — also known as bariatric surgery. Most of the women in the study had procedures known as Roux-en-Y gastric bypass or gastric banding.

The improvement in incontinence symptoms continued during the study follow-up.

Both the weight loss and the improvement in incontinence lasted through three years. At year three, [about] 60 percent had remission. Remissions were defined as less than weekly episodes of incontinence. A quarter were completely dry.

The amount of weight loss was the strongest predictor of whether incontinence would improve or go away. Losing more pounds made urinary symptom improvement more likely.

In a previous study, a six-month focused program of weight loss and diet information helped reduce incontinence in obese women better than four weekly education sessions about weight loss and physical activity.

Personally, I have patients who have lost weight and it ended their stress incontinence. Those who lost by nonsurgical means also noticed improvement.

Weight loss improves leakage, probably due to less pressure on the bladder, less weight pressing on the bladder from above and beside. So it stands to reason that bariatric surgery would also benefit the problem of incontinence.

Like all surgeries, bariatric surgeries are not without risk. The procedures are accompanied by possibility of infection, blood clots and heart attacks, among others.
Costs for the surgery range greatly, from about $12,000 to $26,000, but are sometimes covered under insurance policies.

Bottom line: Incontinence affects millions of American women. Many women who are incontinent of urine are also overweight. A weight loss program may result in improvement in urinary incontinence.

Read more at http://www.philly.com/philly/health/topics/HealthDay689981_20140723_Weight_Loss_Surgery_May_Help_Ease_Urinary_Incontinence.html#aKqadsre5sGCHck4.99

Healthy Living-Healthy Sex Life: 5 Action Steps To Improve Your Sex Life

July 7, 2014

Millions of American men after age 50 suffer from ED or erectile dysfunction. Many of these men are prescribe drugs such as Viagra, Levitra, or Cialis which are often successful. However, men can take a non-medical approach to solving ED. This article will discuss five action steps that any man with ED can take to reduce the risk and even treat his problem of ED.

There are five action stseps that can help men with ED. These are proper weight management, adequate sleep, a structured exercise program, limited alcoholic intake and a proper, balanced diet.
Sometimes men need to make changes in their lifestyles. Sexual dysfunction in men is often caused by something that is also life threatening, such as cardiovascular problems. Men who take these lifestyle action steps are often able to go off of medication including increase their sexual performance.

WEIGHT MANAGEMENT
Men who are obese have much lower testosterone levels, which plays a major part in sexual function. I suggest that overweight men lose the pounds by changing their diet and increasing physical activity, which helps in improving erectile problems.

ADEQUATE SLEEP
Men who snore should be evaluated for sleep apnea. This is because sleep apnea will interrupt a man’s sleep cycle, affecting the normal cycles of erections that happen during the night. I also recommend that men get adequate sleep, as sleep deprivation can affect a man’s sex drive. A good sign of a good night’s sleep is a man’s early morning erecttion. If that involuntary morning erection is missing, then men are advised to improve their sleep habit.

REGULAR EXERCISE
Without question, a man in good physical health will have a much better sex life. The fitter you are, the better your sex life will be. A structured exercise program is not only a great way to lose weight and decrease obesity, but it also helps a man to feel better about himself and boost his confidence. Regular exercise also boosts his testosterone, which will rev up his desire.

BALANCED DIET
Lowering cholesterol can help increase a man’s testosterone levels, so diet is crucial when it comes to sexual function. Plus, high sugar levels in men with diabetes can affect the function of the nerves in his penis. Men are advised to change their diet to a more nutritionally balanced one, which will lead to an overall better health, aid in weight management and sugar control, which will get the nerves in the penis going again.

LIMITED ALCOHOL
Surprisingly, a little alcohol can actually help men with ED. One to two drinks a day decrease the risk of cardiovascular problems – a major cause of erectile dysfunction. But don’t go overboard, this can lead to the reverse effect. Moderation is the key here. Animal studies have shown that high volumes of alcohol cause the penis to contract, which is the opposite of what should be going on during sexual arousal.
Alcohol is a suppressant, and the suppression of the central nervous system will cause a decrease in sensitivity to sexual stimulation.

Bottom Line: ED is a common condition that can significantly impact a man’s quality of life. Although medications are helpful, men can take alternative non-medical solutions to get his ED back on track. Not only are these suggestions helpful for controlling ED, they lead to overall health improvement in so many other areas of a man’s life.

Penis Size-Facts, Fiction, and What You Can Do To Get a Bigger Penis

November 5, 2013

“It’s not the size that counts, it’s how you use it.”
– Anonymous

As a urologist I am asked every day “Is my penis normal? What can I do to make it larger?” One of the most widely searched topics on AskMen.com, penis size has remained an enduring interest to men for decades and is understandably a source of much anxiety. However, while size does matter, it really does not matter as much as most men think. The issue here is one of perception: Men perceive it as the defining element of their masculinity, while women often evaluate the whole package: looks, style, intelligence, personality, behavior, and even a man’s sense of humor.

Regardless of whose perceptions are misplaced, penis size will forever persist as a primary concern for men worldwide, which is why AM has explored the topic so deeply. Look no further, as all you need to know is here, standing at the ready.

Penis Size Fact
When surveyed, women consistently claimed that girth was more important than length. This surprising response is seemingly odd as there appears to be no physiological basis for such claims, although more girth may provide more clitoral stimulation.

In fact, plenty of well-endowed men are ashamed of their penises, while lots of men with smaller penises strut their stuff with confidence, according to a study published online Sept. 30 in the Journal of Sexual Medicine.

Men worry far more than women about penis size, according to Veale and his colleagues. One study, published in April in the journal Proceedings of the National Academy of Sciences, found that women preferred larger penises only up to a point anything bigger than a flaccid length of 2.99 inches did not additionally impress women.

So what is average? A recent Journal of Sexual Medicine study found that the average American man’s penis measures 5.6 inches long when erect.

Now let me leave you with a guaranteed method to make your penis 1-1.5 inches longer. Let me ask you if I could offer you a pill that would lower your blood pressure, decrease your risk of diabetes, lower your cholesterol level, decrease your risk of prostate cancer and colon cancer, improve your mood and libido or sex drive, help you lose weight, it’s very inexpensive and, yes, it will make your penis longer, would you take the pill? Every man answers, “Yes, of course. Where do I get those pills? I then smile at the man and say, “I’m sorry, it’s not a pill, it’s exercise!” Why is this the case? When you exercise, lose weight and lose the girth of your abdomen, your penis will appear longer. If you don’t believe me, try it. Lose 25 pounds and see for yourself. You’ll also be able to see your toes or shoes, too!

Bottom Line: It’s true, use it or lose it. It’s a good idea to have regular sex and to not be preoccupied with the length of your Johnson!