John Miller MD MA Integrative Well Being caring compassion community commitment continuity Why the Concerns 2013 Women 52000 died of breast cancer gt289000 died of Coronary Heart Disease ID: 915137
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Slide1
Take Your Heart Up The River
John Miller MD MAIntegrative Well Being
caring | compassion | community | commitment | continuity
Slide2Why the Concerns
2013Women 52,000 died of breast cancer
>289,000 died of Coronary Heart Disease
caring | compassion | community | commitment | continuity
Slide3Preventive Vs Early Detection
Mammogram, Colonoscopy, Bone DensityMax Pulse
Physical ActivityNutritionSupplements/HerbsMental Well-Being
caring | compassion | community | commitment | continuity
Slide4Effects of Physical Activity or Lack There Of
BMJ 2016Reduced PA
increases Breast and Colon CancerIncreases
Ischemic Disease by 25%Walking 2 hours per week
reduces cardiovascular mortality by 34%JAMA 2 months agoBottom 20% PA equal risk as Smoking
caring | compassion | community | commitment | continuity
Slide5Food as Medicine
Ayurvedic
ProverbWhen diet is wrong, medicine is of no useWhen diet is correct, medicine is of no need
Mediterranean Diet27 month study 70% relative risk reductionSMASH
caring | compassion | community | commitment | continuity
Slide6Food(continued)
Coconut oil high in saturated fats1 handful nuts(not peanuts nor cashews)
reduce CV mortality by 23%
Extra virgin olive oil (2TBS/day) 48% risk reduction in CV death
caring | compassion | community | commitment | continuity
Slide7Herbs/Supplements
Dark Chocolate daily 45-77% ASCVD reduction
Bergamot Oil Reduces
TC, LDL, APO B and Triglyceride And increases HDL
and APO A1Tumeric increases HDL
reduces
triglycerides
Green Tea
Reduces
Cholesterol absorption
Reduces
LDL and triglycerides
Inhibits
HMG
Coreduction
caring | compassion | community | commitment | continuity
Slide8Vitamins/Mineral
Vitamin B5 –Pantethine
Reduces TG, LDL, APO B, TGIncreases
HDL, APO A1Berberine
Reduces TC via PCSK9Reduces glucose
Antiinflamatory
Magnesium 200-400
CoQ10 100-200 if statin or beta blocker
caring | compassion | community | commitment | continuity
Slide9Vitamin/Minerals(cont
)Chromium 1000mg if insulin resistant
ALA 600 if diabetic with peripheral neuropathySelenium 200mcg (1 brazil nut/day)Vitamin C 500-1000
Zinc 15-20REMEMBER diuretics reduce
potassium, magnesium, folate, B6, B12, thiamine, iodine, seleniumREMEMBER statins may deplete tocopherols, Omega 3, K2, A, Creatine
, selenium, carnitine, copper, Zinc and
increase
Diabetic risk
caring | compassion | community | commitment | continuity
Slide10Mental Well-Being
Stress: mismatch between perceived demands and/or perceived ability to cope75-90 % of all office visits related to stress
Anger increases MI risk by 230%MESA trial(ethnically diverse 11 year study)
Optimists better TC, sugar, and BMIMore physically active 2X’s likely ideal CV healthy
4-7-8 Breathing
caring | compassion | community | commitment | continuity