Feb 2008 Inside Outside Wellness Center & Medical Spa Newsletter

in this issue

This Month's SuperSlow® Star: Jack Laurence

This months SuperSlow® Star is Jack Laurence

Jack Laurence bought Allied Sheet-metal and Air Conditioning, a company founded in 1956, in 1962.  There were 7 employees.  In 1968 the company was incorporated as Jack Laurence Corporation.  Over the years they have fabricated metal products such as monkey feeders and cages for Southwest Foundation, floats for radio stations and duct work for our and other companies use.  Air conditioning was installed in houses, churches and retail outlets.  In 1981 Lynn Laurence joined the operation after graduating from Texas A & M.  In 1984 plumbing was added to the mix with larger projects being completed along the way.  Today they have 100 employees air conditioning, plumbing and fabricating metal for all over South Texas.  They have participated in the building of power plants, hospitals, hotels, meat plants, milk plants, grocery stores, theaters, jails, office buildings, schools, churches even buildings in the Kwajalein atoll.   In addition, service for A/C and plumbing is provided for both commercial and residential customers.  Jack's son Lynn is a SuperSlow Member.  Lynn's wife, Caroline is an Operating Room Nurse in the Methodist Hospital and is also a SuperSlow member.  Contact Jack Laurence Corporation at 210-696-0273 for your Plumbing and Air Conditioning Needs!!.

 

In Jack's own words:

 "I was introduced to the SuperSlow Strength Training Program when Lynn arranged to have Dr. Christian come and speak to the San Antonio Breakfast Club in Oct 2007.  When he said about loss of muscle and strength as you age made a lot of sense to me and at 81 years I was starting to realize I was losing both muscle and strength.  I decided to start the program with some skepticism as to whether I could, at my age, actually build muscle and feel younger. Dr. Christian performed my followup scan and I had gained 3lbs of muscle and lost 10lbs of fat!! I recently realized how much the program had helped me when I slipped on a curb and was able to keep myself from having a bad fall.  Without SuperSlow I would surely have broken something.  SuperSlow is something I can see myself doing indefinitely.  Why would anyone ever stop?"

 

Here are some graphs which demonstrate his progress in body composition and gaining strength! 

 

 

 

 

 

 

 

Jack has gained 3 lbs of Muscle and lost 10 lbs of fat and his body fat has dropped 4.5%!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Jack has demonstrated significant strength changes since starting his SuperSlow Program.

 

 

 

 

 

 

 

 

 

 

 

 

running

 

Jack we are proud of you!!

 

Congratulations on being selected our SuperSlow® Star of the Month and earning 4 more SuperSlow® Sessions!

 

 

Back to the Basics: Vitamins  Part 9 The B Vitamins, Vitamin B12.

We are continuing a series talking about those nutrients which are Essential to Life. A “Back to the Basics Series”. Basic questions we need to answer are: Why is this molecule or element Essential, What Purpose does it Serve, In What Form is it Best Consumed and How Much do we need.

 

Vitamins  A vitamin is an organic molecule required by a living organism in minute amounts for proper health. An organism deprived of all sources of a particular vitamin will eventually suffer from disease symptoms specific to that vitamin.

 Vitamins can be classified as either water soluble, which means they dissolve easily in water, or fat soluble, which means they are absorbed through the intestinal tract with the help of lipids.

In general, an organism must obtain vitamins or their metabolic precursors from outside the body, most often from the organism's diet. Examples of vitamins that the human body can derive from precursors include vitamin A, which can be produced from beta carotene; niacin from the amino acid tryptophan; and vitamin D through exposure of skin to ultraviolet light.

The term vitamin does not encompass other essential nutrients such as dietary minerals, essential fatty acids, or essential amino acids, nor is it used for the large number of other nutrients that merely promote health, but are not strictly essential.

 

 

 

From Wikipedia, the free encyclopedia

 

Vitamin B12

 

 

 

 Essential  Pronunciation: ĕs`sĕn´sjal  or i-primarystresssen-chschwal a :basic and fundamental  a: being a substance that is required for normal functioning but cannot be synthesized by the body and therefore must be included in the diet  s :absolutely required and not to be used up or sacrificed  s :of the greatest importance  s :absolutely necessary; vitally necessary   n :anything indispensable ie don't leave home without it....More important than Gummi Bears...

 B12

 Function

Vitamin B12 has the largest and most complex chemical structure of all the vitamins. It is unique among vitamins in that it contains a metal ion, cobalt. Vitamin B12 is utilized by the body in many ways involving the production of red blood cells and in the function of the the nervous system. Vitamin B12 is found only in animal products and is also available as supplements.   A vegan diet which contains no animal products (including milk products or eggs) does not supply any vitamin B12. Patients following such a diet, should be advised to take oral vitamin B12 regularly. The need for vitamin B12 is increased by pregnancy and lactation. Deficiency has been recognized in infants of vegan mothers who were breast fed, even though the mothers had no symptoms of deficiency at the time.  Vegetarians who consume eggs and milk products will get some Vitamin B12 but still are at risk. 

Our body has developed a very sophisticated system to absorb B12. This involves the production of acid and intrinsic factor in the stomach which attaches to B12 and allows it to be absorbed in the end of the small intestine.

As we age many will develop degrees of Atrophic Gastritis, a chronic inflammation of the lining of the stomach (often associated with H. Pylori Infection), and this affects the acid production in the stomach making it very hard to absorb Vitamin B12 from food.  It is even thought that drugs such as Prilosec which decreases acid production leads to poor absorption from food.  An imbalance of bacteria in the small intestine can also produce impaired absorption, as would removal of a portion of the small intestine (commonly done in Crohn's Disease). Passive absorption of Vitamin B12 from Supplements is not very efficient with only 1% of a Supplement actually being absorbed.  A 1000mcg oral dose would only allow for about 10mcg to be absorbed.

 Deficiency

Various studies have shown that about 40% of the US Population is mildly deficient in Vitamin B12 with levels in the low normal range and close to 10% are very deficient. The deficiency can be from inadequate intake or malabsorbtion.

 Vitamin B-12 deficiency can be difficult to diagnose clinically, as its symptoms are often nonspecific including:

  • Fatigue
  • Lassitude
  • Malaise
  • Vertigo
  • Cognitive impairment that could be attributed to old age

Moreover, symptoms vary and often don’t include the classic signals of severe deficiency

  • macrocytic anemia
  • peripheral neuropathy
  • subacute combined degeneration of the spinal cord

It is well established that the clinical manifestations of overt, severe vitamin B12 deficiency include both hematologic (macrocytic or megaloblastic anemia, Pernicious Anemia) and neurologic (subacute combined degeneration of the spinal cord, peripheral neuropathy, cognitive impairment) sequelae. The neurologic consequences are of particular concern, because they can occur in the absence of hematologic symptoms  and can become permanent if vitamin B12 replacement therapy is not initiated within a year of the onset of symptoms.  It therefore is incumbent on clinicians to recognize vitamin B12 deficiency at an early stage, before the neurologic health of a person is irreversibly affected.

 

Deficiency of Vitamin B12 also leads to elevations of Homocysteine which has been shown to be an independent risk factor for Atherosclerosis.

 

Several references

Plasma vitamin B-12 concentrations relate to intake source in the Framingham Offspring study.

Click here to read

Am J Clin Nutr. 2000 Feb;71(2):514-22.

Tucker KL

 

Assessing the association between vitamin B12 status and cognitive function in older adults

Am. J. Clinical Nutrition, December 1, 2006; 84(6): 1259 - 1260.

J. W Miller
 

B Vitamins, Cognition, and Aging: A Review
J. Gerontol. B. Psychol. Sci. Soc. Sci., November 1, 2001; 56(6): P327 - 339.

E. Calvaresi and J. Bryan
 

 Impaired vitamin B12 metabolic status in healthcare workers occupationally exposed to nitrous oxide.

 Br J Anaesth. 2007 Dec;99(6):812-8. Epub 2007 Oct 20.

Krajewski W

 

 Gastric status and vitamin B12 levels in cardiovascular patients.

Dig Dis Sci. 2007 Sep;52(9):2186-9. Epub 2007 Apr 11.

van Oijen MG

 

Vitamin B12 deficiency in the aged: a population-based study.

Age Ageing. 2007 Mar;36(2):177-83. Epub 2006 Dec 21

Loikas S,

 

Food Sources

 

Food Serving Vitamin B12 (mcg)
Clams (steamed) 3 ounces 84.0
Mussels (steamed) 3 ounces 20.4
Crab (steamed) 3 ounces 8.8
Salmon (baked) 3 ounces* 2.4
Rockfish (baked) 3 ounces 1.0
Beef (cooked) 3 ounces 2.1
Chicken (roasted) 3 ounces 0.3
Turkey (roasted) 3 ounces 0.3
Egg (poached) 1 large 0.6
Milk (skim) 8 ounces 0.9
Brie (cheese) 1 ounce 0.5

 *A three-ounce serving of meat or fish is about the size of a deck of cards.

 

Requirements and RDA

The FDA has established an RDA of Vitamin B12 of 2.5 to 5mcg per day. 

 

Because of the increased risk of food-bound vitamin B12 malabsorption in older adults, the Food and Nutrition Board of the Institute of Medicine recommended that adults over 50 years of age get most of the RDA from fortified food or vitamin B12 containing supplements.  With only 1% absorption this would mean about 250 to 500mcg per day from our supplements to get the 2.5-5mcg we need on a daily basis. 

 

Supplements

Vitamin B12  is available as individual supplements and is found in Multivitamins which usually contain about 400mcg of Vitamin B-12.  Injections of 1000mcg B12 can be given on a monthly basis to supplement oral intake.

 

 

ODS LogoDietary Supplement Fact Sheet: Vitamin B12

Office of Dietary Supplements National Institutes of Health

 

 

 

 Vitamin B12 at the Linus Pauling Institute.

 

 

USDA Logo

NUTRIENT DATA LABORATORY

Search the USDA National Nutrient Database for Standard Reference

 The Institute of Medicine in their Dietary Reference Intake Book and tables

Next month, Vitamin C

  
                    From Dr. Sears' Monthly Newsletter

The OmegaZone E-Magazine

 

 

"For years the medical establishment has been telling Americans that fighting heart disease means a war against cholesterol. Slowly but surely, like the powerful Wizard of Oz façade, the cholesterol story has been slowly eroding. Now the scientific data is shifting more to inflammation as the underlying cause of heart disease. Of course, this makes common sense since the number-one drug to prevent a heart attack is an aspirin. Although aspirin has no effect on cholesterol levels, it has a dramatic effect on reducing inflammation. Recent articles in the New England Journal of Medicine have again confirmed the importance of inflammation on heart disease. A crude indictor of inflammation, C-reactive protein, appears to be more powerful than bad cholesterol levels in predicting future heart attacks.
   But what if there was an even more powerful predictor of inflammation that could predict heart attacks? As I describe in my newest book, “The Anti-Inflammation Zone,” such a blood marker exists. It is the ratio of arachidonic acid (AA) to eicosapentaenoic acid (EPA). This marker of inflammation precedes C-reactive protein by years. You could take drugs, such as statins, on a lifetime basis to reduce C-reactive protein.    Of course, there are some side effects, such as memory loss, muscle weakness, neuropathy, and liver damage. But statins don’t reduce the AA/EPA ratio – they actually increase it. On the other hand, taking high-dose fish oil reduces the AA/EPA ratio, and the only known side-effect is to make you smarter. The amount of fish oil you need to reduce inflammation depends on how well you control insulin in your diet. The more you control insulin by following the Zone Diet, the less fish oil you need. On the other hand, the less you control insulin, the more fish oil you need. The choice is yours. Whatever approach (drugs or diet) you choose, just keep in mind that controlling inflammation is a much wiser medical approach to reducing heart attacks than controlling cholesterol."

 

Let us know if you want the AA/EPA test.  The Cost is $300 and includes a consult with Dr. Christian to discuss the results.  We also talk about the AA/EPA test in detail in our Omega Zone Seminar.

 

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