Atherosclerosis

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Dr. Steenblock specializes in treating patients with Atherosclerosis and other similar conditions using Stem Cell Treatments. He uses bone marrow stem cells, adipose (fat) stem cells and umbilical cord stem cells. For more information call his office Today! 1-800-300-1063. Websites:
www.stemcellmd.org
www.strokedoctor.com
www.stemcelltherapies.org
www.cerebralpalsycure.com
www.davidsteenblock.com
www.davidsteenblock.net

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Atherosclerosis

  1. 1. You are Only As Oldas Your Arteries!ByDavid A Steenblock, DO26381 Crown Valley ParkwayMission Viejo, CA 92691800-300-1063www.stemcell.md<br />
  2. 2. In tribute to Sir William Osler, M.D., First Director of Medicine, Johns Hopkins Hospital“A man is only as old as his arteries.”<br />
  3. 3. Arteriosclerosis“Hardening of the Arteries”<br /><ul><li>Is the leading cause of death
  4. 4. Creates ischemic conditions for the heart, brain, legs, kidneys and other organs, resulting in disease and degeneration.
  5. 5. Athero from the Greek word “gruel”</li></ul> (cholesterol/fat deposits)<br /> Sclerosis from Greek for “hardness”<br /> (collagen calcification, usually 70% of plaque)<br />
  6. 6. Major Risk Factors for Arteriosclerosis<br /><ul><li>Hypertension (high blood pressure)
  7. 7. Smoking
  8. 8. Serum total cholesterol
  9. 9. Diabetes
  10. 10. Obesity
  11. 11. Sedentary Lifestyle
  12. 12. Menopause in women
  13. 13. “sticky platelets”
  14. 14. Dietary deficiencies</li></li></ul><li>The Artery<br />
  15. 15. Red Blood cells(erythrocytes) transport oxygen to the cells and carry carbon dioxide (cellular waste) back to the lungs to be exhaled.<br />
  16. 16. Arteries are large blood vessels that carry oxygenated blood from the heart to the brain, limbs and organs.<br />
  17. 17. Veins are large blood vessels that carry de-oxygenated blood back to the heart.<br />
  18. 18. Capillaries are microscopic blood vessels having only one layer of endothelial cells as a wall so that oxygen and nutrients can move into the cells and carbon dioxide can move into capillaries and be carried away.<br />
  19. 19. The Artery Wall should expand and contract with the heartbeat.<br />Adventitia – outer wall (connective tissue)<br />Media – elastic middle layer (smooth muscle cells)<br />Intima – endothelial layer (inflammation creates intimal thickening)<br />Lumen – opening where blood flows<br />
  20. 20. Endothelial Cells(cells of the blood vessel walls)<br /><ul><li>Form a barrier to prevent harmful substances from entering the arterial wall.
  21. 21. Sense the blood pressure and flow rate and release nitric oxide to relax the vessel walls to allow more blood to flow through.
  22. 22. Sense vascular injury and stimulates growth factors to migrate to the area of injury.
  23. 23. Signal blood cells to stick to the endothelial cells (platelet aggregation/clotting) to prevent the loss of blood.</li></li></ul><li>Endothelial Cell Lining<br />
  24. 24. Major Causes of Endothelial Injury<br /><ul><li>Shear stress
  25. 25. Hypertension</li></ul> -Sympathetic neurotransmitters<br /> - Stress induced hormones<br /><ul><li> Diabetes (glycosylated proteins, insulin resistance)
  26. 26. Chemical toxins (pesticides, etc)
  27. 27. Heavy metals (mercury, lead, cadmium)
  28. 28. Tobacco
  29. 29. Cholesterol, especially oxidized LDL and VLDL
  30. 30. Free Radicals – unpaired electrons</li></li></ul><li>Endothelial Injury (continued)<br /><ul><li>Infectious agents</li></ul> - Chlamydia pneumoniae<br /> - Helicobater pylori (analogy to peptic ulcer lesions)<br /> - Herpesvirus<br /> - Cytomegalovirus<br /><ul><li> Inflammation/Allergies
  31. 31. Homocysteine
  32. 32. Low dietary calcium - Hyperparathyroidism</li></li></ul><li>How Arteriosclerotic Plaque is formed<br /><ul><li>Injury to the endothelial cells stimulates white blood cells to stick to the blood vessel wall
  33. 33. The injury damages the endothelial cells allowing free radicals, lipids, calcium and cholesterol to penetrate into the inner muscular (middle) layer
  34. 34. The free radicals oxidize LDL and VLDL cholesterol, creating a chain reaction of cellular damage.
  35. 35. Macrophages invade the area to digest the rancid lipids, becoming “foam cells.”</li></li></ul><li>Foam Cells- “Fatty Streaks”<br />
  36. 36. Foam Cells<br /><ul><li>Form “fatty streaks”
  37. 37. Earliest lesion in arterioslcerosis
  38. 38. Mostly lipid engulfed macrophages with occasional lipid filled smooth muscle cells
  39. 39. Seen very early – age 3 and above</li></li></ul><li>Plaque development(continued)<br /><ul><li>The collagen calcifies and becomes hard and brittle, like bone – reducing the elasticity of the blood vessel wall.
  40. 40. This combination of foam cells, calcification, and lipids is called “atherosclerotic plaque.”
  41. 41. If the plaque material ruptures, platelets accumulate and create blood clots on the inner surface of the blood vessel wall.</li></li></ul><li> Artery with advanced lesions and plaque<br />
  42. 42. An Aneurysm of the Abdominal Aorta<br />
  43. 43. As the arteries become clogged- blood, oxygen and nutrients are unable to reach the heart, brain, kidneys and other organs.<br />A heart attack or <br />stroke is the result <br />of these blockages!<br />
  44. 44. Arteriosclerosis and Systemic Disease<br />
  45. 45. Ischemia – lack of blood flowHypoxia – lack of oxygen<br />Most diseases can be attributed directly or indirectly to ischemia, a lack of <br /> blood flow to the cell.<br />Reducing the risk factors for cardiovascular disease reduces other atherosclerotic disease outcomes as well.<br />
  46. 46. Ischemia and the Heart<br />Since oxygen is the fuel needed for muscles to contract, a reduction in blood flow and oxygen to the heart interferes with its contractions. A heart muscle starved of oxygen produces pain (angina) and is less able to pump blood efficiently to the body, especially during exercise (shortness of breath, dizziness, headache, pain in the leg muscles).<br />
  47. 47. Arteriosclerosis and Heart Disease<br /><ul><li> Left Ventricular Dysfunction
  48. 48. Arrythmia (irregularities such as PVC’s, atrial fibrillation, skips, flutters, etc)
  49. 49. Angina (chest and/or left arm pain, etc)
  50. 50. Shortness of breath
  51. 51. Blockage of the left main coronary artery is the worst and often kills.</li></ul>(American Journal of Medicine, 1996, 101 (Suppl 4A): 17S-24S).<br />
  52. 52. Arteriosclerosis and the Brain<br /> 1) Causes transient ischemic attacks<br /> 2) Causes the majority of all strokes<br /> 3) Stroke is the third leading cause of death in USA<br /> 4) Lack of oxygen is a cause of memory loss, loss of clear thinking, brain fog, poor mental functioning, confusion, forgetfulness and difficulty concentrating (cognitive dysfunction).<br /> 5) Causes vascular dementia while most cases of Alzheimer’s are partially due to oxygen deficiency.<br /> 6) Lack of oxygen occurs at night in a very great number of people who don’t realize they have the problem. All of the problems listed under number 4 can occur. Insist that your doctor order a Nocturnal oximetry test! It is free and could save your life!!!!!!!!<br />
  53. 53. Alzheimer’s Disease<br /> Chronic cerebrovascular ischemia <br />(chronic lack of oxygen to the brain) produces an increased risk for the development of Alzheimer’s Disease, <br />with observed deficits in spatial memory (CA1 and posterior parietal cortex), visually guided movements (superior colliculus and secondary visual cortex), motor coordination (red nucleus), and escape behavior (central gray).<br /> (Neurobiology of Aging 21: 225-233, 2000)<br />
  54. 54. Alzheimer’s Disease(continued)<br />Vascular risk factors linked to cerebrovascular disease and stroke in the elderly significantly increase the risk of developing Alzheimer’s Disease. These include atherosclerosis, atrial fibrillation, coronary artery disease, hypertension, and diabetes mellitus. The authors report that 60-90% of AD autopsy cases exhibit cerebrovascular pathology. <br /> (Neurobiology of Aging, 21: 321-330, 2000)<br />
  55. 55. Ischemia and Parkinsons’ Disease<br />A transient reduction in cerebral blood flow in rats produces long-lasting degeneration and dysfunction in the dopamine system and eventually the partial loss of striatal D1RmRNA. <br /> (Brain Research, 851, 235-246, 1999)<br />
  56. 56. Ischemia andMacular Degeneration<br />Macular degeneration is the leading cause of irreversible visual loss in the United States. The authors used Doppler Imaging to show reduced blood flow in the central retinal artery.<br /> (American Journal of Ophthalmology, 128: 75-80, 1999)<br />
  57. 57. Macular degeneration<br />Improved greatly with hyperbaric oxygen, external counterpulsation, periodic acceleration therapy, chelation therapy, night time oxygen, eradication of chronic sinusitis, bone marrow and or fat stem cells. All of these work by increasing the oxygen to the macula!<br />
  58. 58. Ischemia and Sexual Performance<br />Atherosclerosis is a risk factor for erectile dysfunction (ED). Future therapeutic targets to treat or prevent ED may include the reduction of the atherosclerotic plaque size and progression. Stem cells now are being used successfully to treat erectile dysfunction!<br />
  59. 59. Ischemia andArthritis<br />Jonsson and coworkers found an increased prevalence of atherosclerosis in patients with medium term rheumatoid arthritis.<br />(J Rheumatol, 28(12): 2597-602, 2001)<br />
  60. 60. Kidney Failure<br />Homma and coworkers showed marked atherosclerosis associated with end-stage renal disease.<br />(American Journal of Nephrology, 21(5): 415-9, 2001).<br />
  61. 61. Renal Arteries andCoronary Arteries<br />Shen and coworkers found a prevalence of renal artery stenosis in patients with coronary artery disease.<br />(Zhonghua Nei Ke Za Hi, 40(8): 521-4, 2001 – Chinese)<br />
  62. 62. Our Program includes:<br /><ul><li>Bone Marrow and Fat Stem Cell Therapies
  63. 63. Hyperbaric Oxygen Therapy
  64. 64. Pulsed Electromagnetic Therapy
  65. 65. External Counterpulsation
  66. 66. High Altitude Cardiovascular Training
  67. 67. Periodic Acceleration Therapy
  68. 68. Chelation Therapy
  69. 69. Biofeedback/Neuro-biofeedback
  70. 70. Nutritional and Hormonal Therapies
  71. 71. Stimulation of Endogenous Stem Cells</li></li></ul><li>Hyperbaric Oxygen<br />Mobilizes stem cells from your bones<br />
  72. 72. Benefits<br />The combination of breathing oxygen through the mask and the chamber pressure causes two to three times the oxygen to be delivered to the blood vessel walls and organ tissues compared to breathing oxygen by the mask alone.<br />
  73. 73. Benefits (continued)<br />The results include:<br /><ul><li> More oxygen to injured tissue
  74. 74. Releases Stem Cells from bones
  75. 75. New blood vessel formation
  76. 76. Improved infection control
  77. 77. Renewal of injured cells and organs
  78. 78. Elimination of toxic substances</li></li></ul><li>Benefits (continued)<br /><ul><li>Kudchodkar studied the effect of hyperbaric oxygen treatment on atherosclerotic lesions in the rabbit aorta. HBO treatment dramatically reduced the development of arterial lesions and reversed its progression and substantially reduced the accumulation of lipid oxidation products in the plasma, liver and aortic tissues.
  79. 79. (Arterioscler Thromb Vasc Biol, 2000, 20(6): 1637-43)</li></li></ul><li>Benefits (continued)<br />Neubauer in 1983 showed that Hyperbaric oxygen therapy could significantly reverse generalized small-vessel stenosis in the brain. The patient presented with symptoms of gross mental confusion, memory loss, irrational speech and occasional violence. The initial series of HBO treatments resulted in a well-functioning patient.<br />(Minerva Med, 1983, 74(35): 2051-5)<br />
  80. 80. Hyperbaric Oxygen is effective for the following:<br /><ul><li> Decompression Sickness
  81. 81. Air embolism
  82. 82. Poisoning
  83. 83. Treatment of infections
  84. 84. Non-healing wounds in Plastic and reconstructive surgery
  85. 85. Traumatic injuries
  86. 86. Non-union of fractures
  87. 87. Severe blood loss, sickle cell crises</li></li></ul><li>HBO Therapies (continued)<br /><ul><li>Peripheral vascular disease: Shock, myocardial ischemia, aid to cardiac surgery, ischemic gangrene, ischemic leg pain
  88. 88. Neurological disorders: Stroke, multiple sclerosis, migraine, cerebral edema, multi-infarct dementia, spinal cord injury, brain abscess, peripheral neuropathy, coma
  89. 89. Ophthalmology: Macular Degeneration, retinal artery occlusion
  90. 90. Gastro-intestinal: ulcers, hepatitis, paralytic ileus</li></li></ul><li>HBO Therapies (continued)<br /><ul><li> Diabetes
  91. 91. Otorhinolaryngology: Sudden deafness, acute acoustic trauma, Meniere’s disease, malignant otitis externa (chronic infection)
  92. 92. Asphyxiation: drowning, smoke inhalation
  93. 93. Aid to rehabilitation: Spastic hemiplegia of stroke, paraplegia, chronic myocardial insufficiency, peripheral vascular disease.</li></li></ul><li>Pulsed Electromagnetic Therapy<br /><ul><li>Promotes cell to cell communication
  94. 94. Increases blood flow to injured cells
  95. 95. Stimulates the growth of neurons
  96. 96. Stimulates endogenous stem cell production
  97. 97. Speeds wound healing</li></li></ul><li>Electromagnetic therapy promotes DNA alignment<br />
  98. 98. External Counterpulsation<br />The ECP is an exciting technology that is a safe, non-invasive method of improving circulation to the heart, brain, kidneys and other organs, and its benefits can be maintained 4-7 years after the therapeutic program.<br />
  99. 99. ECP (continued)<br /><ul><li> ECP increases blood flow 22-26% to the carotid arteries to the brain, 20-42% to the coronary arteries to the heart, increases the heart’s output (stroke volume) by 12% and increases blood flow to areas in the heart not getting enough oxygen. The ECP is FDA approved for Coronary Artery Disease and is effective in the treatment of ischemic conditions, including glaucoma, angina, coronary artery disease, stroke and brain injury.</li></ul>(American Journal of Cardiology, 84: 950-952, 1999)<br />
  100. 100. ECP (continued)<br />Until recently, the predominant treatment for ischemic heart disease was open heart bypass surgery. This treatment is costly, invasive, and associated with complications that include blood clots, infection and a 4% mortality rate. In addition the health benefits of this surgical procedure are often temporary.<br />
  101. 101. ECP (continued)<br />The ECP is an outstanding alternative for the person who cannot or will not have a bypass and the device produces numerous benefits to the ischemic heart, brain, kidneys and entire system. The equipment is safe, effective, and generally well tolerated, with few side effects or discomfort to the patient.<br />
  102. 102. The Benefits of ECP include:<br /><ul><li> Increases venous blood flow returning to the heart
  103. 103. Increases the resting phase of the heart beat, which promotes greater oxygenation to the heart
  104. 104. Increased cardiac output to brain and other organs without increasing the heart rate.
  105. 105. Reduces peripheral resistance, thereby reducing the heart’s workload.
  106. 106. Promotes the development of collateral blood vessels</li></li></ul><li>ECP (continued)<br /><ul><li>Reduces the frequency and intensity of angina symptoms (chest pain)
  107. 107. Reduces ventricular fibrillation (rapid, convulsive movements of the heart muscles)
  108. 108. Improves myocardial lactate removal (reduces fatigue)
  109. 109. Increases exercise tolerance
  110. 110. Reduces the risk of heart attack
  111. 111. Reduces the need for anti-anginal medication
  112. 112. Improves the person’s sense of well-being and overall quality of life.</li></ul> (American Journal of Cardiology, 1995, 75: 840-841)<br />
  113. 113. ECP (continued)<br />In 1995, Lawson published a three year follow-up of 10 patients treated treated for chronic angina with ECP. Eight continued to demonstrate improved myocardial circulation. Lawson concluded that long term improvement in myocardial perfusion and exercise tolerance can occur several years after ECP therapy, probably due to its promotion of collateral circulation.<br />(American Journal of Cardiology, 1995, 75: 840-41)<br />
  114. 114. ECP (continued)<br />In 1997, Fricchione studied the psychological aspects of external counterpulsation and found that the treatment significantly improved depression scores. Patients often report feeling depressed after invasive procedures. Since depression is associated with poor outcome in those with cardiac disease, external counterpulsation offers clinical advantages beyond its circulatory benefits.<br />(Cardiovascular Reviews and Reports, 1997, 18: 37-41)<br />
  115. 115. ECP (continued)<br />Soran and associates found that patients who responded favorably to therapy with ECP showed a significant increase in circulating vascular endothelial growth factor (VEGF) which promotes endothelial cell migration and collateral blood vessel growth. VEGF stimulates stem cells to grow.<br /> (Clinical Cardiology, 1999, 22: 173-178)<br />
  116. 116. High Altitude Endurance Training<br />High mountain air is deficient in oxygen and causes the body to become oxygen starved similar to what happens with running a mile or two. This temporary decrease in oxygen stimulates the cells of the body to work harder and more efficiently in the utilization of oxygen. Stem cells are released from the bone marrow as a result of this therapy!<br />
  117. 117. High Altitude Training(continued)<br />Cells have small energy producing factories contained within them called “mitochondria.” Mitochondria tend to shrink in size, become damaged and inefficient in their processing of food into energy as we become older and more diseased. This loss of energy is the cause of fatigue, loss of strength, loss of heart function, brain function, etc. associated with aging.<br />
  118. 118. High Altitude Training(continued)<br />Intermittent mountain air stimulates the growth, proliferation and repair of these aging, sluggish mitochondria. The body becomes more energized and a great number of diseases and conditions are alleviated. The body “adapts” to short periods of less oxygen by becoming stronger.<br />
  119. 119. High Altitude Training(continued)<br />The following conditions have been successfully treated with intermittent mountain air:<br /><ul><li> Ischemic heart disease
  120. 120. Hypertension
  121. 121. Chronic fatigue syndrome
  122. 122. Chronic bronchitis
  123. 123. Asthma
  124. 124. Ulcerative diseases of the stomach and duodenum
  125. 125. Diseases of Locomotion
  126. 126. Gynecological conditions</li></li></ul><li>High Altitude Training(continued)<br />Intermittant mountain air has been shown to normalize arterial pressure, improve cardiac function, sensory coordination, and mental performance (Novikov, 1998)<br />Since intermittent hypoxia increases antioxidants and stem cell production as adaptive mechanisms, these effects explain, in part, the mechanism of clinical benefits of the treatment in degenerative diseases and the aging process.<br />
  127. 127. High Altitude Training(continued)<br />Intermittent mountain air works synergistically with hyperbaric oxygen therapy to:<br /><ul><li> Increase growth factors such as VEGF
  128. 128. Increase the production of new stem cells
  129. 129. Increase red blood cell production
  130. 130. Improve immune function
  131. 131. Improve endurance
  132. 132. Increase resistance to toxins, viruses, and radiation</li></li></ul><li>High Altitude Training(continued)<br /><ul><li>Promote new blood vessel growth
  133. 133. Reduce blood pressure and heart rate
  134. 134. Increase vital lung capacity
  135. 135. Protect the brain from physical and emotional stress (oxidative stress)
  136. 136. Promote serotonin and dopamine levels for psychological well-being
  137. 137. Promote ability to sleep through the night
  138. 138. Increase antioxidant production</li></li></ul><li>Chelation Therapy<br />EDTA (Ethylenediaminetetraacetic acid) is added to foods to help prevent oxidative degradation by binding to the free transition and heavy metal ions. The average intake of EDTA from our foods is 15-50 mg a day.<br />Oral EDTA is approved by the FDA for the treatment of asymptomatic lead toxicity.<br />
  139. 139. Chelation Therapy(continued)<br />EDTA is a synthetic amino acid that chelates ( Greek for “to claw” or grab) with metals and carries them safely out of the body. In binding with ionic metal catalysts, EDTA reduces the production of oxygen free radical molecules and prevents a subsequent destructive chain reaction with other molecules.<br />
  140. 140. Chelation Therapy(continued)<br />EDTA chelation is endorsed for the treatment of atherosclerotic vascular disease by the American College for Advancement in Medicine (ACAM), comprising of over 1,000 licensed physicians. It’s proponents claim that EDTA consistently improves blood flow and relieves symptoms associated with atherosclerosis in over 80% of the patients treated.<br />
  141. 141. Chelation Therapy(continued)<br />The benefits of EDTA chelation are proposed to include:<br /><ul><li> Binds with calcium ions in arterial walls and plaque. A decrease of calcium, the arterial wall becomes more compliant, less rigid and more elastic. This results in greater expansion of the blood vessels and more blood delivery to the body’s organs.</li></li></ul><li>Chelation Therapy(continued)<br /><ul><li>Binds with heavy metals such as lead, mercury, cadmium, aluminum, uranium, etc. These metals block enzyme activity and their removal helps restore enzyme functions within the arterial walls.
  142. 142. Binds with iron and copper ions, transition metals that promote free radical reactions. This includes reducing lipid peroxidation and oxidized cholesterol.</li></li></ul><li>Chelation Therapy(continued)<br /><ul><li> EDTA has an “anti-sticky” effect on blood platelets. Lipid peroxides and free radicals inhibit the synthesis of prostacyclin that helps balance the blood clotting effects of thromboxane. The restoration of normal levels of prostacyclin reduces the risk of blood clots forming and blocking the arteries.</li></li></ul><li>Chelation Therapy(continued)<br />Claimed and reported results include:<br /><ul><li> Improved circulation
  143. 143. Reduction of liver produced cholesterol
  144. 144. Lowered insulin requirements in diabetics
  145. 145. Reduced blood pressure
  146. 146. Normalization of cardiac arrhythmias
  147. 147. Relief from leg muscle cramps
  148. 148. Lessened varicose vein pigmentation
  149. 149. Hair loss stopped and reversed
  150. 150. Alzheimer symptoms ameliorated or reversed
  151. 151. Memory and concentration improved</li></ul>(Cranton, E.M. J Adv Med, 1989, 2: 1-416)<br />
  152. 152. Nutritional Therapies<br />Elevated total cholesterol, homocysteine, and free radical reactions (lipid peroxidation) play a role in several major disorders including hypertension, coronary heart disease, stroke, diabetes, Alzheimer’s Disease, and arthritis.<br />
  153. 153. Nutritional Therapies(continued)<br />Oxidative stress and Alzheimer’s Disease:<br />Because lipid peroxidation precedes amyloid plaque formation in mice, this suggests that brain oxidative damage contributes to AD pathogenesis before A beta accumulation in the AD brain.<br />(Journal of Neuroscience, 2001, 21(12): 4183-7)<br />
  154. 154. Nutritional Therapies(continued)<br />Dietary Guidelines:<br /><ul><li> The DASH diet, rich in fruits, vegetables, and low fat dairy foods and low in saturated fat, total fat, and cholesterol significantly and quickly lowers blood pressure, total cholesterol and homocysteine levels. The diet also includes whole grain, poultry, fish, and nuts. </li></ul>(New England Journal of Medicine, 1997, 336: 1117-18)<br />
  155. 155. Nutritional Therapies(continued)<br />Free Radical Reactions:<br />An unpaired electron can break apart the weak bonds of other electrons and create a chain reaction of broken bonds from one molecule to another. This oxidation reaction can cause mutations in the DNA and rancidity and toxicity in lipids.<br />Antioxidants such as beta carotene, vit. C, bioflavonoids, vit. E, selenium, and glutathione stop this chain reaction.<br />
  156. 156. Nutritional Therapies(continued)<br />Foods high in antioxidants (ORAC – oxygen radical absorbance capacity)<br />Prunes 5770<br />Raisins 2830<br />Blueberries 2400 <br />Blackberries 2036 <br />Strawberries 1540<br />Raspberries 1220<br />Plums 949 <br />Oranges 750 <br />Red Grapes 739<br />Cherries 670<br />Kale 1770<br />Spinach 1260<br />Brussels Sprouts 1260<br />Alfalfa Sprouts 930<br />Broccoli Florets 890<br />Red Bell Peppers 840<br />Beets 710<br />Onions 450<br />
  157. 157. Nutritional Therapies(continued)<br />Homocysteine is produced during the incomplete conversion of amino acids to other proteins. Homocysteine is very irritating to artery linings – causing endothelial injury, the oxidation of cholesterol, and the subsequent build up of blood clots and plaque. The low intake of folic acid, vitamin B6 and vitamin B12 can cause homocysteine accumulation.<br />
  158. 158. Nutritional Therapies(continued)<br />Cholesterol:<br /><ul><li> HDL (high density lipoprotein) carries LDL and VLDL away from the arteries. An HDL of 60 or higher is protective. Lower than 35 is a major risk factor for heart disease.
  159. 159. LDL (low density lipoprotein) – carries cholesterol to cells. Is easily oxidized by free radicals. An LDL of less than 100 is desirable. The higher the LDL is over 100, the greater the risk of blood vessel disease. </li></li></ul><li>Nutritional Therapies(continued)<br />Total Cholesterol – less than 170 mg/dL. Levels higher than 170 increase the risk of artery damage and the development of atherosclerosis, heart disease, and stroke.<br />Triglycerides:<br /> Levels over 200 mg/dL are usually an indication of too much sugar and fat intake.<br /> High triglycerides injure the inner lining of the arteries. <br />
  160. 160. Nutritional Therapies(continued)<br />Foods that fight Cholesterol include:<br /><ul><li> Salmon, sardines, mackerel, tuna
  161. 161. Beans, lentils, chickpeas soybeans
  162. 162. Oat bran, barley, wheat germ, rice bran
  163. 163. Garlic, raw onion
  164. 164. Apples
  165. 165. Almonds and walnuts
  166. 166. Olive oil, canola oil, grape seed oil
  167. 167. Brussels sprouts, parsnips, turnips, okra, artichokes
  168. 168. Oranges, apricots, mangos, grapefruit
  169. 169. Ginger</li></li></ul><li>Nutritional Therapies(continued)<br />Sugar intake will increase the blood cholesterol by up to 25% and increase the triglycerides. If you have high triglycerides you may well have undiagnosed diabetes.<br />Thrombosis:<br /> The higher the fibrinogen levels are above 32 mg%, the greater the risk of a stroke or heart attack.<br />
  170. 170. Nutritional Therapies(continued)<br />Foods that reduce platelet aggregation and blood viscosity include:<br /><ul><li> Water – 8-10 glasses daily
  171. 171. Olive oil as the main dietary fat
  172. 172. pineapple – proteases reduce fibrinogen
  173. 173. Gingko biloba, green tea, fish oil
  174. 174. Vitamin E
  175. 175. Aloe vera, ginger, wheat germ oil</li></li></ul><li>Lifestyle Changes <br />Lifestyle changes are also important in reducing arteriosclerosis risk factors:<br /><ul><li> Reduce stress
  176. 176. Reduce or eliminate coffee, smoking, and alcohol
  177. 177. Maintain an exercise program of at least 30 minutes a day of walking, bicycling, swimming, etc.</li></li></ul><li>Exercise<br />Exercise causes a greater flow of oxygen and nutrients through the system and more waste to be carried away from the cells. It also stimulates the development of collateral blood vessels for greater oxygen supply to the heart and organs.<br />How well would you do on a Treadmill Exercise Test?<br />
  178. 178. Exercise(continued)<br />The test starts by walking on the treadmill at a low speed and elevation. Every 3 minutes, the speed and elevation are increased. The test continues until exhaustion, when you can no longer increase the amount of oxygen to the body.<br />
  179. 179. Exercise(continued)<br />Age 20-2930-3940-4950-5960-6970-79<br />Men 13 12 11 10 9 7<br />Women 11 10 9 8 7 5<br />The average man between the age of 20 and 80 years loses 50% of his exercise ability – from 13 minutes to 7 minutes, due to reduce oxygen delivery from atherosclerosis.<br />www.stemcell.md<br />
  180. 180. For more information<br />David A Steenblock, BS, MS, DO<br />26381 Crown Valley Parkway<br />Suite 130<br />Mission Viejo, CA<br />800-300-1063<br />www.stemcell.md<br />
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