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#78 From: <grehert@...>
Date: Wed Jul 9, 2003 1:50 pm
Subject: Two stories in the news today: Ovulation and Red Clover. 		grehert
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I thought this was interesting . . . though I'm not yet ready to believe that 21% of women ovulate twice a month.  Dr. Rehert

Women May Ovulate More Than Once a Month, Study Says
Tue Jul 8, 5:48 PM ET 
 
By Maggie Fox
WASHINGTON (Reuters) - Scientists in Canada said on Tuesday they had found women sometimes ovulate several times in a single month. Their finding, if verified, would overturn the traditional wisdom that women produce an egg cell once a month. It would also help explain why "natural" methods of birth control, based on the idea that ovulation can be predicted, often fail.
 
"We are literally going to have to re-write medical textbooks," said Dr. Roger Pierson.  "We weren't expecting this. We really weren't," Pierson said in a telephone interview.
 
In the study, Pierson did daily, high-resolution ultrasound scans on 63 women for a month, which allowed them to see the follicles very clearly. "We had 63 women with normal menstrual cycles. Of those 63, only 50 had normal ovarian cycles," Pierson said. Thirteen of the women ovulated multiple times, in various different ways.
  
The findings, which were first seen in cattle and horses, help explain some things that have puzzled obstetricians, Pierson said.  "It really explains how we get fraternal twins with different conception days," Pierson said. "Clinically, we see this all the time. We see women come in with twins and when we do an ultrasound we see one is at 10 weeks development and another at seven." 
 

Click Here For Complete Story
The second story, below, repeats what has been reported in the past. 
 
It seems that soy products most consistently relieve menopausal symptoms.  As far as Black Cohosh, some studies show an effect, some studies don't. 
Red Clover Supplements May Not Work
Tue Jul 8, 4:01 PM ET
 
By LINDSEY TANNER, AP Medical Writer
CHICAGO - Red clover supplements marketed as a way to relieve menopausal symptoms work no better than dummy pills at easing hot flashes, a study found — disappointing news for women seeking alternatives to hormone treatment.
 
In the red clover study, 252 women ages 45 to 60 took either dummy pills, Promensil pills or Rimostil pills for 12 weeks. Promensil and Rimostil are dietary supplements made from red clover, which contains estrogen-like compounds called isoflavones.
 
Women in all three groups reported a modest reduction in hot flashes, from about eight a day to five. There were no significant side effects from the red clover pills. The study appears in Wednesday's Journal of the American Medical Association.
 
"It's disappointing," said lead researcher Dr. Jeffrey Tice of the University of California at San Francisco. Hormones can reduce hot flashes by up to 90 percent, compared with about 40 percent in the red clover-placebo study, Tice said. The red clover results might be partly explained by the "placebo effect" — the way some people feel better simply because they believe they have been treated.
 
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
If you know anyone who would like to receive "DrRehertsAlerts," send their Email address to grehert@...
 
Best wishes.  Dr. Rehert
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#76 From: <grehert@...>
Date: Sat Jun 28, 2003 3:03 pm
Subject: Hormone Therapy Update 		grehert
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You've probably all read about the latest two articles that came out this week critical of  "Combined Hormone Therapy" (CHT)  i.e. when you take 'two' hormones - an estrogen and a progestin. 
 
The first article was a further analysis of the same patients from last years Woman's Health Initiative (WHI) and had some new findings.  First it suggested that the increase in breast cancer showed up after 3 years rather than the previously suggested 4 years.  Also hormone therapy caused more abnormal mamograms after one year.   Now noone ever died of an abnormal mamogram but it does lead to unnecessary anxiety and stress.  Also the tumors in the Prempro group were larger and a little more advanced when they were diagnosed.  The relative risk was the same as before, 1.24, and this new analysis did not apply to woman who used only an estrogen or who used a hormone patch.  No mention was made of mortality rates.
 
The second article was a "population-based, case-control study."   In the past these types of studies have been criticized for being biased regarding who chose to take hormones.  Anyway it found that women over age 65 who take combined hormone therapy had a 2.0 relative risk of getting breast cancer.  Interestingly, it also found that Women who used only estrogen (as opposed to estrogen plus progestin) for 25 years or longer had no significant increase in risk of breast cancer.
 
As I see it, these two articles do not change things very much.  I do believe that hormone therapy does increase the incidence of breast cancer.  That, I feel, is the main reason why there are 100 cases of breast cancer in women to every 1 case in men. 
 
Accepting the WHI numbers, 8 more woman per 10,000 get breast cancer if they take PremPro for one year.  That's 0.08% per year.  If a woman takes PremPro continuously from age 50 to age 65 (15 years), she increases her chance of getting breast cancer about 1%. 
 
Another way to look at it is  --  if a women does not take combination hormone therapy for those 15 years, her chance of getting breast cancer is about 4.5%.  If she takes combination hormone therapy, it's  about 5.5%.  That's the price women pay for being the dominant sex.  If you object to that 1% increased breast cancer risk over 15 years, you should not take hormones. 
 
The question of straight estrogen versus combination estrogen-progestin remains a big unknown; but maybe in a few years we'll find out that the progestin is the primary culprit.  It's looking more and more like that's the case.
 
For those of you who would like more details on this subject, you may click on the 4 links below:
 
That's all for now.  The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc.   If you know anyone who would like to receive "DrRehertsAlerts," send their Email address to grehert@...
 
Best wishes.  Dr. Rehert
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
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If you respond to this Email list, DO NOT include any personal information . 
Though the list is configured so that all Email responses only go to the
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transmitting personal information would be a violation of The U. S. Government
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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

Reply | Forward | Messages in this Topic (1)
#75 From: <grehert@...>
Date: Sat Jun 21, 2003 1:39 pm
Subject: Two psychological conditions. 		grehert
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First, here's a story that gives the latest evidence that shyness is inherited.
Kids May Inherit Shyness, Study Suggests
Thu Jun 19, 5:20 PM ET,  By PAUL RECER, AP Science Writer
 
WASHINGTON - Shyness may be inherited, a study suggests.
 
A shy child can learn to be more outgoing with age, but a physical reaction in the brain linked to a person's temperament does not change, the study indicates. The study conducted brain scans on 22-year-olds and found that those who had been classified 20 years before as inhibited or shy children had a distinctive reaction in their brains when confronted with novel images. People who had been judged as toddlers to be inhibited showed in the scans that the amygdala structure in their brains responded much more actively to unexpected sights than did those who had been judged as children to be more outgoing, said Jerome Kagan, a researcher at Harvard University.

"This is support for the notion that the reason they were shy, timid and reserved when they were 2 years old is because they had an excitable amygdala," said Kagan. This suggests that shyness can be inherited, but the researcher said this temperament does not necessarily determine one's eventual personality. "They are now 22 years old," Kagan said and "a lot of the ones who were fearful aren't fearful anymore. They have overcome it. But the question is, did they still have a very active amygdala." Based on the brain scans, Kagan said, the answer is clearly yes.
 
And now here is a story about a condition you may have never heard of, "Sleep Eating."
June 16, 2003
Sleep Eating
 
It’s one thing to be shoving fistfuls of food in your mouth and eating uncontrollably. It’s another thing to be doing it in your sleep. Millions of Americans do it. It’s called sleep eating. Many are ashamed to tell anyone or get treatment, but there is help for those with the disorder.
 
As a teenager, Susan Smith started eating in her sleep. “Ice cream, bread, you know, cake. You know, you don’t get up and eat apples.” At times, she had eight episodes in one night -- episodes she never remembers.
 
Lea Montgomery, R.N., M.S., recently wrote an article on sleep eating. The response she received from people with the disorder was overwhelming.  “I’m not talking about making a plate, sitting at the table, having a nice meal in your sleep. I’m talking about frenzied, chaotic, disorganized and primitive eating,” says Montgomery, of Texas Christian University in Fort Worth, Texas.
 
As many as 4 million Americans are sleep eaters. Exercise, avoiding caffeine and having a bedtime routine can help. Medication may be needed. Smith tried several drugs but the side effects were too severe. She finally found relief with Wellbutrin, an anti-depressant.
 
Other drugs that have proven effective in the treatment of sleep eating include anti-seizure medications and more recently, drugs that affect dopamine in the brain. Experts also say sedatives and alcohol can make sleep eating worse for a patient.
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
If you know anyone who would like to receive these "DrRehertsAlerts," send their Email address to grehert@...
 
Best wishes.  Dr. Rehert
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also you can read all the earlier Emails by clicking
on http://groups.yahoo.com/group/DrRehertsAlerts/messages

If you respond to this Email list, DO NOT include any personal information . 
Though the list is configured so that all Email responses only go to the
original sender, your Email may inadvertently be sent to the list.  Also,
transmitting personal information would be a violation of The U. S. Government
Health Insurance Portability and Accountability Act (HIPAA).

Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#74 From: <grehert@...>
Date: Thu Jun 12, 2003 12:25 pm
Subject: Two stories about your eyes - more good news for HRT. 		grehert
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First here's a just released story that reports that cataracts are reduced 50% in woman on hormone replacement therapy.
Hormone Replacement Therapy Reduces Risk of Cataracts in Post-Menopausal Women
By Cameron Johnston
 
MADRID, SPAIN -- June 11, 2003 -- Women who do not use hormone replacement therapy are twice as likely to develop lens opacities, and cataracts compared with women who do use HRT/oestrogen, say researchers.  According to investigators at the Pomeranian Medical University, in Szczecin, Poland, the differences can be seen after as little as 1 year of HRT use, and in women as young as 50 years of age.
 
The investigators, from the university's department of ophthalmology looked at 300 women, 150 of whom were on HRT and 150 who were not.  At baseline, the women were all evaluated for visual acuity and underwent a slit-lamp biomicroscopy. They were also given a full ophthalmic examination with dilated pupils.  They were evaluated for 8 different levels or grades of cataract or lens opacity.
 
The differences in the prevalence of cataract and lens opacities was striking for most measures. Cataract of any type was seen in 48.7% of the women not using HRT compared with 20.7% of those on HRT. Subcapcular cataracts were seen in 8.3% of those not using HRT, but not in any women using HRT.
 
Lens opacities of any type were seen in 39.8% of the non-HRT group and in 15% of the HRT group.  These figures were all statistically significant.
And now here is an article on a more serious, less treatable, cause of blindness in the elderly, macular degeneration.  
HRT May Reduce Progression of Age-Related Maculopathy Degeneration
Laurie Barclay, MD
 
Dec. 13, 2002 — Postmenopausal hormone replacement therapy (HRT) may reduce progression of age-related maculopathy (ARM), according to the results of a cross-sectional study reported in the December issue of the American Journal of Ophthalmology.
 
Logistic regression analysis revealed that women with ARM who had used postmenopausal HRT in the past had half the risk of advanced ARM than did those who had never used HRT, after controlling for other known and potential risk factors.
 
Am J Ophthalmol. 2002;134:842-848
 
Pass these articles on to your eye doctor.
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc.  If you know anyone who would like to receive these "DrRehertsAlerts," send their Email address to grehert@...
 
Best wishes.  Dr. Rehert
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also you can read all the earlier Emails by clicking
on http://groups.yahoo.com/group/DrRehertsAlerts/messages

If you respond to this Email list, DO NOT include any personal information . 
Though the list is configured so that all Email responses only go to the
original sender, your Email may inadvertently be sent to the list.  Also,
transmitting personal information would be a violation of The U. S. Government
Health Insurance Portability and Accountability Act (HIPAA).

Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

Reply | Forward | Messages in this Topic (1)
#73 From: <grehert@...>
Date: Wed Jun 4, 2003 12:52 pm
Subject: Less painful biopsy, and another reason for menopause weight gain. 		grehert
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First, here's an article about giving a nerve block for a cervical biopsy with colposcopy.  I've been doing this for 5 or 6 years now and I feel it prevents 50 - 90% of the pain . . . varying from patient to patient.  This nerve block technique is effective, simple and quick.  Now read another doctor's opinion:
June 1, 2003   
 
Injection of Local Anesthetic Reduces Pain of Cervical Biopsy
 
NEW YORK (Reuters Health) May 21 - Cervical biopsies are usually performed without any anesthesia, which can result in severe discomfort. Now, new study findings indicate that injection of a local anesthetic prior to the procedure can dramatically reduce the pain that occurs.  In previous studies, a variety of analgesic strategies, such as treatment with oral ibuprofen or topical benzocaine gel, have been tested in an attempt to limit the pain of cervical biopsy. However, none of these approaches produced a significant reduction in pain.
 
Compared with no treatment, pretreatment with lidocaine was associated with a significant reduction in pain scores for cervical biopsies, endocervical curettage, and the overall procedure, the authors note.  The reduction in pain seen in the treatment group was "quite pronounced," suggesting that injection of local anesthetic could be a useful analgesic option, the investigators note.
 
Am J Obstet Gynecol 2003;188:1164-1165.

Second, here's a new excuse for weight gain after menopause.  But this one you can fight . . stay away from sugar!  Do as I do; drink Diet Coke. 
After Menopause, Sugar Doesn't Taste as Sweet
Thu Apr 17,

LONDON (Reuters Health) - It's another bitter consequence of aging. Turkish researchers have found that some postmenopausal women lose their ability to taste sweet foods. Hormonal changes during menopause seem to lower the ability of the palate to sense sugar, prompting some women to change their eating habits in favor of sweeter food.
 
Dr. Cagri Delilbasi conducted taste tests on 20 postmenopausal women at Ankara University and compared the results to 20 men of similar age. They report that the women had a significantly lower sensitivity to sucrose (sugar) on their palate. There was no difference between the groups for salt, sour or bitter tastes, and no changes in taste sensations on the tongue.
 
The researchers also asked the women if they'd noticed a change in their overall taste perception after menopause. Only 35 percent of the women reported that they had noticed a change, but 45 percent said their diets had changed, including a preference for sweeter food.
 
"The crucial issue to be aware of is that the possible changes due to menopause can lead to more serious health problems.  Women who cannot taste sweet things might sweeten their foods, with potentially serious consequences for diseases like obesity, heart disease and diabetes they say.
 
SOURCE: British Dental Journal 2003;194:447-449.
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert

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#72 From: <grehert@...>
Date: Thu May 29, 2003 11:06 am
Subject: The latest on hormone therapy and Alzheimer's Disease 		grehert
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Today, many of you read about an article in the Journal of the American Medical Association (JAMA) which reported that PremPro (Premarin plus Provera) doubled the risk of Alzheimer's Disease.  This was in contrast to numerous other studies which showed that estrogen 'protects' women from getting Alzheimer's Disease.  Estrogen's benefit has been demonstrated in previous research from Johns Hopkins University (http://www.smh.com.au/articles/2002/11/06/1036308371485.html), Columbia-Presbyterian Medical Center (http://cgi.cnn.com/HEALTH/9608/15/nfm/alz.estrogen/), and research from the National Institute of Health (NIH) (http://www.nih.gov/news/pr/jun97/nia-18.htm) . . .  just to list a few (click the web addresses to read those articles).
 
Today's article differs from previous studies in that the women studied were all 65 years of age or older "at the start."  This is very different from the usual patient when they begin their hormones.  Earlier research was on more typical patients who started hormone therapy at the onset of menopause - usually around age 50.  Also in some previous research it was stated that, "current use did not appear to affect risk (beneficially) unless the use exceeded 10 years," which was not the case for any of today's patients.  In addition questions regarding the negative effect of the second (progestin) hormone, given along with estrogen, remain unanswered. 
 
Because of this and other research, I would hesitate to 'start' any patients on hormone therapy who are 65 years of age or older.  However I still believe the majority of the research demonstrates a benefit if you take your estrogen "continuously" from the onset of menopause.  (There is evidence that this "take it continuously without an extensive break" logic also applys to the women who get heart disease, and to a lesser degree, stroke.)  It may be that if your body is deficient in estrogen for 2 to 6 years or more, and then you restore higher estrogen levels, this may be what causes the harm.  No one knows for sure.  Research continues on this theory.
 
Also getting estrogen through the skin or vagina (the estrogen patch or ring) is definitely a more natural way to get estrogen into your blood, and may avoid or reduce some of these long term risks.  Again, no one knows for sure.
 
Below is a summary of the latest article:
Hormone Use Found to Raise Dementia Risk
Wed May 28, 9:00 AM ET  Add Top Stories - The New York Times to My Yahoo!
By DENISE GRADY The New York Times
 
Hormone therapy doubled the risk of Alzheimer's disease and other types of dementia in women who began the treatment at age 65 or older, a large study has found. The latest finding is based on a four-year experiment involving 4,532 women at 39 medical centers. Half took placebos, and half took Prempro, a combination of estrogen and progestin, the most widely prescribed type of hormone therapy.
 
In four years, there were 40 cases of dementia in the hormone group, and 21 in the placebo group. Translated to an annual rate for a larger population, the results mean that for every 10,000 women 65 and older who take hormones, there will be 45 cases of dementia a year, with 23 of them attributable to the hormones. Researchers said the risk to individual women was slight, and that even though the numbers worked out to a doubling of the risk, 23 cases for every 10,000 women should not be cause for alarm.
 
"A small number doubled is still a small number," said Dr. Samuel E. Gandy, vice chairman of the medical and scientific advisory council of the Alzheimer's Association, and director of the Farber Institute of Neurosciences at Thomas Jefferson University in Philadelphia. Still, Dr. Shumaker said, women 65 and older who are taking Prempro or other hormone combinations should discuss why they are taking the drugs with their doctors and decide whether to quit.
 
Because the women in the study were 65 or older, it is not known whether the findings apply to younger postmenopausal women. It is not known, either, whether the results apply to women who take other hormone combinations or estrogen alone. Women who take estrogen alone are being studied separately. The new study suggests that what goes on in the body is much more complicated than what happens in laboratory rats and test tubes. Even if hormones have some good effects on brain cells, Dr. Shumaker said, those benefits may be offset by harmful effects.
 
She said that it was not known how the combination therapy might increase the risk of dementia, but one possibility was that it increased the risk of blood clots and clogged tiny blood vessels in the brain, which might injure brain cells and contribute to Alzheimer's disease and a condition called vascular dementia.
 
Some researchers have suggested that hormone therapy may help protect the brain if women take it around the time of menopause, when natural hormone levels plummet, instead of waiting until age 65. They think there may be a "critical period" in which hormone therapy can protect brain cells from the sudden withdrawal of hormones and that once the period is over the damage is done and it is too late. 
 
Dr. Gandy said that some of the most promising earlier results on hormone therapy and the brain came from studies of estrogen alone, and that the progestin in the combination pills might cancel out estrogen's good effects. He said that another part of the Women's Health Initiative, still in progress, was studying women who take estrogen alone. That study is scheduled to be completed in 2005.
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also you can read all the earlier Emails by clicking
on http://groups.yahoo.com/group/DrRehertsAlerts/messages.

If you respond to this Email list, DO NOT include any personal information . 
Though the list is configured so that all Email responses only go to the
original sender, your Email may inadvertently be sent to the list.  Also,
transmitting personal information would be a violation of The U. S. Government
Health Insurance Portability and Accountability Act (HIPAA).

Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

Reply | Forward | Messages in this Topic (1)
#71 From: <grehert@...>
Date: Thu May 22, 2003 10:07 am
Subject: Two recent stories: Atkins is safe, and Motrin prevents cancer...read on. 		grehert
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Here are two interesting stories.  The first article praises the Atkins' Diet (low carbs).  It says those on the Atkins' diet lost more weight, plus they had better blood lipids.  And the second article says that Motrin reduces breast cancer . . . significantly. 
 
First "Atkins'":
Two New Studies Support Radical Low-Carb Diets Like Atkins'
 
By Delthia Ricks  Staff Writer,  May 22, 2003

For years many doctors have derided low-carbohydrate diets as dangerous, telling patients the best way to lose weight is to restrict fats.  But two studies in today's New England Journal of Medicine have found that fat restriction may not be best for severely overweight people who are trying to shed pounds.  In the largest of the two studies, which examined the fates of 132 severely overweight volunteers, those on the low-carbohydrate diet lost three times the weight of counterparts who restricted fats. Carbohydrates include foods like potatoes and bread.
 
"The remarkable thing here is not the weight loss but the reduction in cardiovascular risk factors. That's what is most important," said Dr. Gary Foster of the University of Pennsylvania and the lead investigator of the smaller of the two studies.  "We found a 28 percent decrease in triglyceride levels in people on the Atkins diet compared to only a 1 percent decrease for those on the low-fat diet." Triglycerides are a form of fat in the blood.
 
He and his team also found that low-carb dieters bolstered levels of high-density lipoprotein -- HDL -- in their blood, the so-called good form of cholesterol. For them, the diet produced an 18 percent increase in HDL compared with only a 3 percent increase for those following a low-fat plan.
 
So keep avoiding bread, pasta, potatoes and sweets, and keep drinking your Diet Coke. 
 
Next, here's the article that says taking Motrin does more for you than just block pain.  It prevents breast cancer:
April 17, 2003   
Strong Inverse Link Between Breast Cancer and NSAID Use
 
By Megan Rauscher
 
NEW YORK (Reuters Health) Apr 08 - There is "compelling evidence" that regular use of nonsteroidal anti-inflammatory drugs (NSAIDs) inhibits the formation and growth of breast tumors, Dr. Randall E. Harris of Ohio State University told Reuters Health.  The latest evidence comes from the Women's Health Initiative (WHI), a large prospective study of more than 80,000 postmenopausal women.
 
During an average follow-up of 4 years, 1392 developed breast cancer. In analyses researchers noted a statistically significant inverse linear trend between breast cancer and the duration of NSAID use (p < 0.01).  Taking two or more NSAID tablets per week (aspirin, ibuprofen, or related compounds) for 5 to 9 years reduced the risk of breast cancer by 21%. Extending NSAID use to 10 years or more led to an even greater risk reduction of 28%.  Specifically, "aspirin had about a 22% risk reduction effect and ibuprofen had a 49% risk reduction effect," Dr. Harris said.  The result with ibuprofen is "striking," he told Reuters Health.
 
"Interestingly, we did not see an effect for acetaminophen (Tylenol)," Dr. Harris told Reuters Health.
 
Reuters Health Information 2003. © 2003 Reuters Ltd.
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also you can read all the earlier Emails by clicking
on http://groups.yahoo.com/group/DrRehertsAlerts/messages.

If you respond to this Email list, DO NOT include any personal information . 
Though the list is configured so that all Email responses only go to the
original sender, your Email may inadvertently be sent to the list.  Also,
transmitting personal information would be a violation of The U. S. Government
Health Insurance Portability and Accountability Act (HIPAA).

Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#70 From: <grehert@...>
Date: Thu May 15, 2003 10:53 am
Subject: Two articles about your heart and your blood pressure. 		grehert
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They've redefined "normal" blood pressure.  They've raised the bar.  It used to be anything under 140 / 90.  Now you have to be below 120 / 80 to be "normal."  Here are the new definitions -- including one we've never had before, "Prehypertension":
Blood pressure classification
 
That was the bad news.  But we can offset that with the following:
A Drink a Day Improves Overall Heart Health
Wed May 14, 5:22 PM ET  Add Health - Reuters to My Yahoo!

NEW YORK (Reuters Health) - People who drink one drink a day -- wine, beer or hard liquor -- show significantly better elasticity of their body's arteries, an important measure of cardiovascular health, results of a new study suggest.   "We thought only red wine helps, but we found if people drink one beer or one unit of hard liquor a day, they also have improved arterial elasticity, better than nondrinkers," said Dr. Reuven Zimlichman of Wolfson Medical Center.

In comparing wine drinkers with drinkers who favor other alcoholic beverages, the researchers observed that beer and hard liquor drinkers had slightly higher blood pressure than wine drinkers. But all drinkers had blood pressure within normal ranges, Zimlichman said.
 
Asked if this study means nondrinkers should start drinking, Zimlichman pointed out that heavy drinking itself can cause high blood pressure.

"Whenever you recommend drinking, you have to consider the possibility that somebody will like it too much and over-drink and cause damage to his health," he said. "But if someone has a high risk of cardiovascular disease, I recommend to my patients that they drink one glass of red wine a day."
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#69 From: <grehert@...>
Date: Sun May 4, 2003 9:15 pm
Subject: Two articles about breast cancer. 		grehert
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Here are two recent articles about breast cancer.  First a study that tells why a women over 40 should get a mammogram every 12 to 18 months . . . so don't put it off.
 Studies Reaffirm Benefits Of Mammography
Breast Cancer Deaths Declined Steadily After Screening Introduced
April 30, 2003 06:13:20 AM PST, ACS News Today
 
Two new European studies provide more evidence that mammography can save lives. The studies, from Sweden and the Netherlands, show that death rates from breast cancer declined after screening mammography programs were introduced. In the past few years, though, some researchers have questioned the value of mammograms for preventing deaths from breast cancer, particularly among women in their 40s. The new studies re-enforce the prevailing expert opinion that screening has significant lifesaving value.
 
In the Swedish study, researchers from Central Hospital in Falun, Sweden, compared the breast cancer death rates in two counties for the 20 years before routine screening was introduced (in 1978) and the 20 years after screening was in place. Data from 210,000 women aged 20-69 were analyzed.
 
In the period after mammography was introduced, breast cancer deaths dropped 44% among women aged 40-69 who got mammograms, but decreased just 16% among those in that age group who were not screened.
 
Among women aged 40-49, for whom screening has been controversial, deaths from breast cancer dropped 48% in the group who got mammograms, compared to a 19% decline for those who did not.
 
The Dutch researchers attributed the declines in breast cancer mortality primarily to screening, rather than to improvements in treatment.  Smith said mammography saves lives by detecting tumors earlier than they would otherwise be found.  "Treatments have an opportunity to be most effective when a patient has a very small, early-stage tumor," he said.  That's especially true for women in their 40's, he said, who tend to develop faster-growing tumors.
And second, very controversial article.  It says that woman who have had breast cancer (especially certain types of breast cancer) can safely take hormones.  Now I'm not recommending this, but if misery accompanies your hot flashes, you do have this alternative.
 Estrogen replacement does not cause recurrent breast cancer
 
Women who have had treated localized breast cancer can benefit from estrogen replacement without worrying about cancer recurrence.

In theory, estrogen can activate breast cancer cells, so physicians have rightly been cautious over prescribing hormone replacement to women who've had cancer. But the estrogen in hormone replacement can help those women who've had ovarian failure as a result of chemotherapy for breast cancer. There are also potential benefits for cardiovascular and bone health from taking estrogen.
 
In one of the longest follow-up trials to date, US researchers have looked at the impact of estrogen on women who have been treated for localized breast cancer. They found no significant difference in survival at five years between women on estrogen and those on placebo. Taking estrogen did not increase the risk of new cancers or a recurrence of the cancer. However, this trial did not include women who had had estrogen-receptor positive cancers, which are known to grow in response to estrogen. The study suggests that women who have had localized breast cancer may well benefit from estrogen, without worrying about recurrence.
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

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Either send your Email address to grehert@... (recommended)  OR  you may
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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#68 From: "Dr.Rehert" <grehert@...>
Date: Fri Apr 25, 2003 7:59 pm
Subject: Two interesting Viagra stories. 		grehert
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Here's two related stories on Viagra - and it's road to treating women for "FSD."   You mean you've never heard of "FSD?" . . . read on.
Sex drugs may be unnecessary
 
Drug companies are coming under attack for creating a new medical disorder known as "female sexual dysfunction" (FSD) in order to build markets for drugs among women, according to an article in the British Medical Journal.   The author of the article, Ray Moynihan, says that over the past six years, researchers with close ties to the pharmaceutical industry have been developing and defining the new disorder at company- sponsored meetings.
 
He cites as a "milestone" in FSD, the publication of an article in February 1999, which suggested that 43 per cent of women aged 18 to 59 had the condition, although leading researchers have since raised serious concerns about this figure, describing it as misleading and potentially dangerous.  The figure originates in a 1992 survey of 1500 women asked about anxiety or lack of desire during sex.
 
Portraying sexual difficulties as a dysfunction could encourage doctors to prescribe drugs that change sexual function, when attention should be paid to other aspects of the woman's life, he says.  Another concern is the ever-narrowing definitions of "normal" which help turn the complaints of the healthy into the conditions of the sick.
 
US psychiatrist Sandra Leiblum rejected the 43 per cent figure. "I think this is dissatisfaction and perhaps disinterest among a lot of women, but that doesn't mean they have a disease," she said.
And now the other side of the story.
Drugmakers Deny Inventing a Disorder
 
Reuters
Saturday, January 4, 2003
 
Pharmaceutical companies yesterday rejected a published account claiming they had invented a new disorder known as female sexual dysfunction to build a market for Viagra and similar drugs among women.  An article in the British Medical Journal said researchers with close ties to the industry had defined the new disorder at company-sponsored meetings over the past six years to encourage use of the same medicines that have helped men with impotence.
 
The author of the article, Ray Moynihan, said widely reported statistics that 43 percent of women older than 18 had female sexual dysfunction were misleading.  He traced the origin of the definition of the condition to a May 1997 meeting of researchers and drug company representatives at a Cape Cod hotel. 
 
The figure comes from a reanalysis of a 1992 survey of 1,500 women, who were asked whether they had experienced any of seven sexual difficulties for more than two months during the previous year. The sexual difficulties included a lack of desire for sex, anxiety about sexual performance and difficulties with lubrication.
 
A Pfizer spokeswoman denied the allegations that the company invented female sexual dysfunction.
 
Pfizer made $1.5 billion from Viagra in 2001.
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#67 From: <grehert@...>
Date: Sat Apr 19, 2003 1:55 pm
Subject: Estrogen: Oral or Transdermal 		grehert
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As many of you know, I am a believer in getting your estrogen therapy across the skin (transdermal - i.e., the estrogen patch); or across the vagina (transvaginal - i.e., the estrogen ring) -- as opposed to taking it in pill form.  To me, getting estrogen across the skin or vagina is almost exactly like you get it from your ovary . . . a very steady dose 24/7 . . . what could be more "natural?"
 
On the other hand, when you get your hormones by swallowing a pill every 24 hours, there are two unnatural effects.  First, when you swallow the pill, the hormone goes directly to your liver at an unnaturally high concentration.  And second, the blood hormone level cycles up and down every 24 hours. 
 
It has been theorized that the unnaturally elevated "first pass through the liver" might cause the liver to produce more blood clotting factors and might be the reason that the infamous WHI study, last July, found an increased risk of heart attacks, strokes and blood clots in their patients.  It's also well known that this "first pass through the liver" increases blood triglyceride levels which also may increase heart disease.
 
This is only theoretical and a lot of research is on-going to prove whether trans-dermal / trans-vaginal estrogen is safer than oral estrogen.  Much more will be known in the next few years.
 
Below is a very new article which found that oral estrogen increased CRP (C-reactive protein) as well as suppressed a molecule called IGF-1 . . . possibly two more reasons for the increased safety of transdermal / transvaginal estrogens. 

Study: Estrogen Patch May Be Easier on Heart 
 By Kathleen Doheny
HealthScoutNews Reporter
 
WEDNESDAY, April 16, 2003 (HealthScoutNews) -- Estrogen delivered to postmenopausal women in patch rather than pill form doesn't raise blood levels of a protein associated with higher heart disease risk, a research team has found in a small study.
 
The study included only 21 women and looked simply at a marker of heart disease.  In the new study, Vongpatanasin and her colleagues took baseline levels of the participants' C-reactive protein, a marker of inflammation that predicts heart attack and heart disease.  Then, the women were rotated among three treatments -- the patch, oral estrogen and placebo, taking each for eight weeks and having their C-reactive protein measured before and after.
 
"The pills raised the C-reactive protein by more than twofold, whereas when the women were on the patch or on placebo, there was no change," Vongpatanasin says. But the blood levels of estrogen were similar with pill and patch.
 
In a recent study evaluating more than 27,000 women, reported in The New England Journal of Medicine, high levels of C-reactive protein were found to be a more accurate predictor of heart disease than high levels of so-called "bad" cholesterol, LDL.  Exactly why oral estrogen drives up C-reactive protein is not known, Vongpatanasin says. While oral estrogen is processed through the liver before circulating to other areas in the body, estrogen delivered by patch enters the bloodstream directly.
 
When delivered by patch, the amount of estrogen is less than in pill form, Vongpatanasin says. In the study, the patch delivered a maximum of 100 micrograms of estrogen a day, while the pill delivered 625 micrograms.
 
In her study, Vongpatanasin also found that oral estrogen, but not the patch form or the placebo treatment, suppressed the women's blood levels of insulin-like growth factor, IGF-1, a substance that fights inflammation.
 
Another expert, Dr. Ravi Dave, a cardiologist at the Santa Monica-UCLA Medical Center in California, says that while the study is small, "the concept and hypothesis they used are very sound."   He adds more study is needed, but that "estrogen might not be as bad as it was thought to be in terms of cardiovascular risk." 
 
Earlier research by the same doctor concluded that transdermal / transvaginal estrogen lowered blood pressure a small amount as compared to the estrogen pill.
Two points:  I am not saying that no one should take estrogens by mouth.  The increased risks are very slight.  However, if you have a personal history or a strong family history of heart disease, high triglycerides or excessive intravascular clotting (blood clots in legs or lung), then you might want to consider the transdermal / transvaginal route. 
 
The second point I want to make is that birth control pills parallel menopausal hormone therapy.  Birth control is now available in a patch and in a vaginal ring.  If you are on birth control pills and have a bad personal or family medical history as described above, it might be theoretically a little safer if you switch to these newer birth control methods.  Stay tuned -- more research to follow.
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#66 From: <grehert@...>
Date: Mon Mar 31, 2003 12:54 am
Subject: Some Good news and some Bad news. 		grehert
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Two stories: 
One good news and the other, bad news and getting badder.  First the good news - about your risk of getting HIV or hepatitis from a blood transfusion . . .The risk keeps getting smaller.
Blood Transfusions Safer Than Ever
Chance Of Developing Hepatitis Or HIV Dropping
March 28, 2003 10:37:11 AM PST, ACS News Today
 
The risk of contracting a serious infection through a blood transfusion has been dropping every year for several decades, and the blood supply is the safest it has ever been, according to a report published in the Journal of the American Medical Association (Vol. 289, No. 8: 959-962). That means fewer Americans are likely to contract HIV or hepatitis as a result of blood transfusions.
 
According to Michael Busch MD, PhD, the lead author of the report, a person receiving a blood transfusion in 2003 has only a one in 1,800,000 chance of developing an infection with HIV, the virus that causes AIDS. The risk for developing hepatitis C, one of the two major blood borne hepatitis viruses, is one in 1,600,000. The chance of getting hepatitis B is one in 220,000.
 
The numbers for HIV and hepatitis C have been dropping steadily since the development of new tests that can detect these viruses in donated blood earlier than was possible before.
 
Newer tests were introduced in 1998. These tests, called nucleic acid technology screening or NAT, can actually measure the virus levels in the blood. Virus levels rise much earlier than the antibody response and shorten the window period.
 
Under the old screening method, for instance, HIV was detectable in the blood about 22 days after infection. With the new methods, HIV can be found in the blood 11 days after infection, decreasing the likelihood of contaminated blood entering the blood supply. 
 
And now the bad news about the new disease called SARS.  This could be big.  Stay tuned.
Mystery Illness Continues to Spread
1 hour, 20 minutes ago  Add Health - AP to My Yahoo!
 
By TOM COHEN, Associated Press Writer
 
TORONTO - A mystery illness with no known treatment continued to spread through Asia and Canada on Sunday, killing three more people and infecting many others as officials warned it may be more contagious than originally thought.
 
Hong Kong health officials said 60 more people had fallen ill with a deadly flu-like disease, more than half of them in one apartment complex, pushing the number of infections worldwide past 1,600. Singapore's health minister, Lim Hng Kiang, said the disease may spread more easily than first believed.
 
The World Health Organization said severe acute respiratory syndrome, or SARS, has killed at least 54 people worldwide, with the majority of cases in Hong Kong and China.
 
Authorities have declared a health emergency in Toronto, located 50 miles from the U.S. border. U.S. health officials have reported 62 cases in the United States. So far, four people have died from the illness in Toronto, the latest was reported Sunday. In addition, about 100 probable or suspect cases have been reported. Officials have closed two hospitals to new patients, and hundreds of people have been quarantined in their homes.
 
The United States and Canada have advised people to avoid travel to afflicted areas in Asia, and the World Health Organization recommended that international travelers from Toronto and several Asian cities get screened for symptoms.
 
Most of the new cases reported Sunday came from Hong Kong's Amoy Gardens apartment complex, where a victim recently spread the disease, according to a Health Department statement. Some frightened residents have moved out and medical teams have gone through the apartments to check for SARS — while some minibus drivers won't even stop there anymore. 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 
 
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
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transmitting personal information would be a violation of The U. S. Government
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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#65 From: <grehert@...>
Date: Tue Mar 25, 2003 3:33 am
Subject: Two articles about agressive behavior - thought you might be interested. 		grehert
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 Here are some recent articles about aggressive behavior.  One links aggressive behavior to genetics and, the other, to Viagra.  Dr. Rehert
Gene for Aggressive Behavior Found in Mice
 
NEW YORK (Reuters Health) - Scientists have discovered a gene in mice that appears to play an important role in anxious and aggressive behavior, according to a study released Thursday. Since humans have a similar gene, the researchers hope that their discovery may aid in the study of human anxiety and aggression disorders.
 
In the study, which is published in the January 23rd issue of the journal Neuron, the investigators created mice that lacked the Pet-1 gene. As adults, the Pet-1 deficient mice were more aggressive than normal mice and were more likely to avoid open, unprotected spaces in their cages--a sign of increased anxiety.
 
"This is the first gene shown to impact adult emotional behavior through specific control of fetal serotonin neuron development," said senior investigator Dr. Evan S. Deneris.
 
SOURCE: Neuron 2003;37:1-20.
And here's article #2 about Viagra.
 Scientists Debate Possible Viagra-Aggression Link
 
By Todd Zwillich
 
WASHINGTON (Reuters Health) - A debate has begun among scientists about whether Pfizer Inc.'s impotence drug Viagra (sildenafil) can be linked to aggressive behavior and sexual violence.   One researcher has concluded that doctors should begin warning Viagra users about the possibility of psychological and emotional side effects.  But other scientists, as well as officials at Pfizer, reject the claim as unsound.
 
In July of this year, Dr. Harold A. Milman, a toxicologist based in Rockville, Maryland, published a report in the Annals of Pharmacotherapy examining more than 12,000 reports of adverse events in men who took Viagra.   The drug was listed as a suspect in 22 reports involving aggression, 13 involving rape and 6 involving murder, according to Milman's article.
 
The theory that the drug may cause aggression has formed the basis of the so-called "Viagra defense," a claim made by half a dozen defendants since 1998 that the drug caused them to commit violent crimes.
 
In interviews, other scientists rejected Milman's claims about a link to aggressive behavior. "To me, it is an extremely remote hypothesis," said Dr. Raymond C. Rosen, a professor of psychiatry and medicine at the University of Medicine and Dentistry of New Jersey.
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Until next time.  Dr. Rehert
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also you can read all the earlier Emails by clicking
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If you respond to this Email list, DO NOT include any personal information . 
Though the list is configured so that all Email responses only go to the
original sender, your Email may inadvertently be sent to the list.  Also,
transmitting personal information would be a violation of The U. S. Government
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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#58 From: <grehert@...>
Date: Sun Mar 16, 2003 3:14 pm
Subject: Something on dieting. 		grehert
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Here's an article on a growing trend in diet research.

New research on Atkins diet challenges years of criticism
 
By Daniel Q. Haney
 
Is it just possible that Dr. Robert C. Atkins was right? That his high-fat, low-carb plan, ridiculed for 30 years as dangerous nonsense, actually is a good, safe way to lose weight?
 
The dietary elite are not ready to change their collective mind, but a half-dozen or so new studies have taken an objective look at the presumed evils of Atkins, and the results have been little short of astonishing:
During a few months on the Atkins diet, people lose about twice as much as on the standard low-fat, high-carbohydrate approach recommended by most health organizations.  They do so without seeming to drive up their risk of heart disease. They appear to lose more weight even while actually consuming more calories than people on a so-called healthy diet.
 
“Some scientists are dismayed by the data and a little incredulous about it," says Gary Foster, who runs the weight-loss program at the University of Pennsylvania. “But the consistency of the results across studies is compelling in a way that makes us think we should investigate this further."
 
This Atkins study was intended to “show it doesn’t work," yet after three months, the overweight men and women had lost an average of 19 pounds, 10 more than people on the standard high-carb approach.
 
The big surprise was cholesterol. The Atkins dieters’ overall profile changed for the better. Although their bad cholesterol went up seven points, their good cholesterol rose almost 12. (Changes in the high-carb dieters were less dramatic. Their bad cholesterol went down slightly while their good cholesterol remained unchanged.)
 
The largest difference was in triglycerides. The Atkins dieters’ dropped 22 points. The low-carb dieters’ didn’t budge.          
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also you can read all the earlier Emails by clicking
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If you respond to this Email list, DO NOT include any personal information . 
Though the list is configured so that all Email responses only go to the
original sender, your Email may inadvertently be sent to the list.  Also,
transmitting personal information would be a violation of The U. S. Government
Health Insurance Portability and Accountability Act (HIPAA).

Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#56 From: <grehert@...>
Date: Thu Mar 6, 2003 3:38 am
Subject: The hormone pendulum begins to swing. 		grehert
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On July 9th, 2002, the Woman's Health Initiative study (WHI) came out and (with the help of the media) scared half the world's women on hormones into quitting them for fear of breast cancer and heart disease.  Well finally more rational heads in the Gynecology community are getting some play in the media. 
 
Here is an article which summarizes my beliefs regarding hormone therapy...  and I believe, in time, the world will realize that the 60+ articles which showed estrogen reduced heart disease were not a lot of bunk.
Health Tips ... from UPI
 
IN HORMONE THERAPY, TIMING COULD BE EVERYTHING
 
Researchers say the timing of treatment may be a key to whether hormone replacement therapy can slow heart disease in postmenopausal women. "Mounting evidence points to the conclusion that HRT can help prevent heart vessel disease -- if the therapy begins around the time that the body stops making its own estrogen," said Thomas Clarkson of Wake Forest University Baptist Medical Center. "The question may not be if estrogen helps, but when is the optimum time to begin therapy."
 
Clarkson, a professor of comparative medicine, and Dr. Richard Karas, director of the preventive cardiology center at Tufts-New England Medical Center, reviewed studies of postmenopausal women and monkeys that evaluated the cardiovascular effects of HRT. Their analysis, published in the journal Menopausal Medicine, included the Women's Health Initiative, which showed an increased risk of heart attacks in women taking HRT and led to recommendations that women not begin hormone replacement therapy for the purpose of preventing heart disease. They also reviewed trials of postmenopausal monkeys conducted at Wake Forest during the past 12 years.
 
"The literature demonstrates that HRT has beneficial effects in inhibiting the early stages of heart vessel disease, but can have deleterious effects if initiated at older ages when some women have already developed disease," Clarkson said.
 
 
 So what this is saying is that if you start your hormones at menopause (when your periods stop and when your hot flashes begin - usually around age 50) you are probably preventing heart disease, (i.e. preventing hardening of the arteries.)  On the other hand, if you begin your hormone therapy after age 60, after you've already developed hardening of the arteries, you are probably increasing your risk of heart disease (i.e. like a heart attack.) 
 
The patients in the WHI study averaged 63 years of age and many of them were more then 10 or even 20 years past menopause.  20% of them were older than 70. 
 
In these women, hormones increased heart disease somewhat.  (So I'm no longer advising any 60 or 70 year old patients to begin hormone therapy.)
 
The final answer is not yet definitely known, but when it is I'll bring it to you.
Now if anyone wants to see the very academic and very technical 12 page journal that analyzes the WHI study in great depth, click here for the entire journal Menopausal Medicine:==>  Click Here for Menopausal Medicine  
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 
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#55 From: <grehert@...>
Date: Sun Mar 2, 2003 1:02 pm
Subject: How to diagnose a stroke and the Internet can read your mind - a most amazing puzzle. 		grehert
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Did you ever wonder if you should call 911 because a relative of yours might be having a stroke?  Well here's a quick 3 step test to help you.  Practice on a healthy friend - or yourself in the mirror.
Simple test spots stroke in 60 seconds
By Peggy Peck
UPI Science News

     PHOENIX, Feb. 13 (UPI) -- By asking three simple questions, most people can diagnose stroke and act quickly to get the victim to a hospital for treatment, researchers reported Thursday. 
 
     The bystander asks the victim to "show us your teeth," which is a smile test to detect facial weakness. The victims are also asked to close their eyes and raise their arms to detect one-sided arm weakness. And finally, the bystander asks the victim to repeat a simple sentence like "The sky is blue in Cincinnati." Slurred speech and one-sided facial or arm weakness are all classic signs of stroke, said Brice.
 
     "This is so simple that even a child could use it. Look at how many children have saved their parents by doing CPR and this so much simpler," said Kenton. Although the study used a 911-dispatcher model, Kenton said he thinks the test should also be promoted for use by the general public.
 
And 
 
 
(You will need Macromedia Flash on your computer.)
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
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#54 From: "Dr.Rehert" <grehert@...>
Date: Fri Feb 21, 2003 8:05 pm
Subject: Wimp gene discovered. 		grehert
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In case you thought you were a wimp, scientists have now discovered why.
Stoics may be born that way
 
February 21, 2003
 
WASHINGTON--When it comes to pain, people can be wimps, stoics or somewhere in between. Now scientists have found one reason--a variation in a single gene that shows stoics really can tolerate more pain.
 
The new research by University of Michigan neuroscientists shows how much you suffer is due at least partly to a gene that helps regulate how many pain-killers your body produces.
 
Everyone has two copies of this gene, one inherited from each parent--but they can inherit forms that differ by one amino acid. A quarter of the U.S. population carries the ''stoic'' gene variation while another quarter has the gene variant that makes them super-sensitive to pain, researcher Dr. Jon-Kar Zubieta estimates.
 
The findings, from scans of the brain's natural painkiller system in action, include surprising data showing that women's ability to handle pain increases with their estrogen levels.
 
AP

Click Here For Complete Story
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert
 
 

 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
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#53 From: <grehert@...>
Date: Wed Feb 19, 2003 2:31 am
Subject: Avoid Ephedra 		grehert
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Avoid Ephedra!  It's in many over-the-counter diet pills.  Dr. Rehert

Weight-Loss Drug Cited in Pitcher's Death

By STEVEN WINE, AP Sports Writer

FORT LAUDERDALE, Fla. - A weight-loss drug probably contributed to the heatstroke death of Baltimore Orioles (news) pitching prospect Steve Bechler, a medical examiner said Tuesday.

Bechler had been taking Xenadrine, an over-the-counter drug containing ephedra, which has been linked to heatstroke and heart trouble, Dr. Joshua Perper said.

Ephedra has been banned by the NCAA (news - web sites), the NFL and the International Olympic Committee (news - web sites), but not by major league baseball. Perper urged baseball to ban the drug.

Click Here For Complete Story

The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert

 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
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Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#52 From: Jerry Rehert <grehert@...>
Date: Thu Feb 13, 2003 1:53 pm
Subject: Red Cross Identifys Clumps in Blood Supply 		grehert
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In case you were wondering about our nation's blood supply.  I was.

Red Cross Identifys Clumps in Blood Supply
Wed Feb 12,10:39 AM ET 

By DANIEL YEE, Associated Press Writer

ATLANTA - The mysterious white globules found in bags of donated blood in the South were identified by the American Red Cross on Tuesday as clumps of normal blood components. But why the clumps are forming in such large quantities is still a mystery.

The globules were identified as platelets, white blood cells and fibrin strands. All three components are normally present in donated blood, and some clumping is normal, authorities said. But the sheer number of clumps is unusual.

The Red Cross findings are similar to test results from blood bag maker Baxter International Inc., which said the particles are natural components of blood and are not caused by the plastic bags.

"Clumping of blood components is not an unusual observation in collected blood," said Deborah Spak, Baxter spokeswoman. "We're looking at all aspects of the manufacturing process. Nothing is being ruled out."

Blood expert Dr. Christopher Hillyer of Emory University's transfusion program said: "I think there's an inciting factor that could be a physical or chemical event, the way the bags are stored or synthetic medication or part of the bag manufacturing process."

For Complete Story

Now you know.  Best wishes,  Dr. Rehert

 


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#51 From: <grehert@...>
Date: Sun Feb 9, 2003 2:49 pm
Subject: Warning! Your environment may be hazardous to your health. 		grehert
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You'd be surprised what may be hazardous to your health.   Here are two interesting articles that suggest how some illnesses may be from exposure to measles, other viruses, vaccinations, allergies, etc.     Dr. Rehert

Diabetes Cases Go Up After Measles Outbreak: Report
Thu Nov 28, 5:55 PM ET  Add Health - Reuters to My Yahoo!
 
NEW YORK (Reuters Health) - The city of Philadelphia experienced a jump in type 1 diabetes in children in 1993, roughly 2 years after a measles epidemic hit the area, according to a new report.
 
The link between measles and type 1 diabetes is not proven, although the researchers suggest that some children may have developed diabetes after coming down with the measles.
 
In an interview with Reuters Health, Dr. Terri H. Lipman, of the University of Pennsylvania in Philadelphia, said that it is "very important" to note that the study does not prove that the measles cases were to blame for the jump in diabetes cases. In some studies, measles have been shown to trigger an autoimmune reaction similar to what occurs in type 1 diabetes, but other studies have not shown this effect.
 
Lipman and her colleagues point out that several factors have been associated with changes in the rate of new cases of type 1 diabetes, including viruses, vaccinations and infants' diets. But the authors note that determining exact causes is difficult.
 
SOURCE: Diabetes Care 2002;25:1969-1975.                   Click here for Article in Full
And the second article:
Increase in Autism Baffles Scientists
By SANDRA BLAKESLEE
 
Trying to account for a drastic rise in childhood autism in recent years, a California study has found that it cannot be explained away by statistical anomalies or by a growing public awareness that might have led more parents to report the disorder.
 
But the study's authors, who reported their findings yesterday to the California Legislature, said they were at a loss to explain the reasons for what they called an epidemic of autism, the mysterious brain disorder that affects a person's ability to form relationships and to behave normally in everyday life.  "Autism is on the rise in the state, and we still do not know why," said the lead author, Dr. Robert S. Byrd, an epidemiologist and pediatrician at the University of California.
 
The California study was prompted by a 1999 report from the state's Department of Developmental Services, which reported that the number of children with "full spectrum," or profound, autism had increased by 273 percent, to 10,360 in 1998 from 2,778 in 1987.
 
The numbers were surprising, Dr. Byrd said. After the period studied, the number of autistic children continued to rise, to 18,460 cases as of July 2002, according to the California Department of Developmental Services.
 
About a third of parents in both groups reported that their children began to regress around the age of 18 months, Dr. Byrd said. They suddenly lost the ability to say words and stopped making eye contact. Many parents blame vaccinations that are given around 18 months.  The study found no evidence that the vaccine was the culprit, Dr. Byrd said.
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to RehertHRT@... (recommended)  OR  you may
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285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#50 From: <grehert@...>
Date: Fri Feb 7, 2003 11:40 am
Subject: Two articles on testosterone. 		grehert
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Here are two articles on testosterone, the hormone of aggression and violence.  Typically known as "the male hormone," it's effect on women is considerable.  
Testosterone loss decreases women's quality of life
Tuesday, February 04, 2003   By Rallie McAllister, MD
 
When you hear the word testosterone, you probably think of manly men with deep voices, bulging biceps and hairy chests. It's true that testosterone is the essence of masculinity, but it's also a woman's hormone.   Like estrogen, the production of testosterone in women drops off significantly after menopause. Although the adrenal glands continue to manufacture small amounts of the hormone, the ovaries stop making it altogether, and testosterone levels begin to fall.
 
While the effects of estrogen deficiency that occur with menopause are well understood, far less is known about the impact of low testosterone levels in postmenopausal women. A recent study published in the Journal of the American Medical Association found that women with low testosterone levels were more prone to suffer from fatigue, depression and loss of libido than women with higher levels.
 
Although doctors have been prescribing testosterone replacement therapy for men since the 1930s, it wasn't until recently that the treatment was considered acceptable for women. In spite of its many proven benefits, the treatment is still quite controversial. The potential for unwelcome side effects keeps most women from trying it and prevents many physicians from recommending it.
 
On the plus side, the addition of testosterone to traditional hormone replacement therapy has been shown to improve energy levels, enhance feelings of well being, and bolster libido. For menopausal women who continue to experience hot flashes and night sweats even after taking estrogen, supplemental testosterone often provides relief.   
 
The goal of testosterone replacement therapy for women is not to transform them into masculine creatures with bulging biceps and hairy chests, but rather to replicate pre-menopausal levels. For some women, a touch of testosterone may be all it takes to dramatically improve the quality of life.
 --------------------------------------------------------------------------------
Copyright 2002 Kingsport Times-News. All rights reserved. This material must be credited to the Times-News when redistributed or broadcast.
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And now something about testosterone in men.  It's also the preferred hormone for body builders -- both men and women  -- and considered dangerous to your health in high doses.
Testosterone in Blood Linked to Better Memory
 
November 04, 2002 10:21 AM ET    By Alison McCook
 
NEW YORK (Reuters Health) - Older men with relatively high levels of testosterone in their blood tend to outperform others in tests of memory and other aspects of mental functioning, according to new study findings.
 
Lead author Dr. Susan Resnick of the National Institute on Aging in Baltimore, Maryland, told Reuters Health that she is not sure whether testosterone itself helps men retain some of their mental abilities into old age, or if the hormone becomes converted into estrogen in the brain, and it is the female hormone that boosts the organ's function.
 
This is not the first study to report a link between blood levels of free-floating testosterone and memory in older men. One study demonstrated that men who received a weekly injection of the male sex hormone seemed to experience improvements in their spatial abilities and verbal memory. 
 
Just how hormones influence memory remains unclear, she noted, but previous studies have shown that hormones can affect how much blood circulates to the brain, as well as the activity of nerve cells.   With so much still unclear, Resnick emphasized that people should not turn to testosterone to avert mental declines in old age. "We don't recommend that people go out and buy that," she said.
 
SOURCE: Journal of Clinical Endocrinology & Metabolism 2002;87:5001-5007.

Click Here For Complete Story

Two important things to keep in mind when considering testosterone.  Too much testosterone in women will cause side effects, usually starting with increased facial hair . . . and too much in men stimulates prostate gland growth, possibly leading to prostate cancer. 

The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc.   Best wishes.  Dr. Rehert

 

 
 
 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also, as a member, you can read all the earlier
Emails by clicking on http://groups.yahoo.com/group/DrRehertsAlerts/messages.

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Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#49 From: <grehert@...>
Date: Mon Jan 27, 2003 3:48 am
Subject: ajc.com Opinion Look at facts reveals estrogen is getting a bad rap.htm 		grehert
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[ The Atlanta Journal-Constitution: 01/27/03]

Look at facts reveals estrogen is getting a bad rap

By GERALD M. REHERT

rehert
Dr. Gerald M. Rehert is an Atlanta gynecologist.

Forum: Is taking estrogen safe for women?

The attacks on estrogen continue unabated.

On Dec. 12, the National Institute of Environmental Health Sciences, an agency of the U.S. government, declared that all estrogens are "human carcinogens" (cancer causing substances). In other words, they are warning us that within every woman's body are two organs (the ovaries) producing cancer-causing substances (estrogens). Soon I expect these same scientists will be advising all women to have their ovaries removed as soon as they finish childbearing -- if not sooner. And hot flashes will be a badge of courage.

This is all ridiculous.

NIEHS' announcement comes on the heels of the renowned Woman's Health Initiative study that made the news last July. However, anyone familiar with that study knows it only reported a breast cancer increase in women who took estrogen plus a synthetic progestin. Patients who took estrogen alone showed no increased breast cancer risk.

Furthermore, in a separate study published in the prestigious journal of Obstetrics & Gynecology in December, the National Institute of Child Health and Human Development "did not find any additional risk of breast cancer in women who took estrogen alone."

They did, however, find an increase in breast cancer in those women who took estrogen plus a progestin on a daily basis. The obvious conclusion of this recent research, as well as other studies, is that the synthetic progestin is responsible for the increased incidence of breast cancer, and not the estrogen.

I agree with the NIEHS when it says estrogen given alone stimulates uterine cancer. However, this relationship has been known since 1975. Why did it take 27 years to consider this a cause for alarm?

And because of our undeniable knowledge of this association, the medical community has long prohibited prescribing estrogen alone to a woman who has a uterus (i.e. who has not had a hysterectomy). Instead, these women receiveestrogen in combination with a progestin, which, in fact, lowers the uterine cancer risk to less than that of women on no medication -- essentially delivering cancer protection.

The odd contradiction that synthetic progestins increase breast cancer while they reduce uterine cancer poses a dilemma. However the benefits of progestins far outweigh the risks: A daily synthetic progestin (in combination with estrogen) gives practically 100 percent protection against uterine cancer while generating only eight cases of breast cancer per 10,000 women per year. Also the natural progestin, progesterone, is available and has never been shown to cause breast cancer.

So what is this thing called cancer? Cancer is simply uncontrolled cell division, unrestrained human cellular growth, flawed and gone astray. Any substance, natural or otherwise, that promotes human growth will, on rare occasion, through some biochemical error, lead to cancer.

It is no secret that estrogen stimulates the natural growth of human tissue, particularly in the breast and uterus. But estrogen is considered a mitogen (it stimulates normal "mitosis" and cell growth) as opposed to a mutagen (which tends to induce gene mutations, leading to cancer transformation). This was confirmed in 1993, when researchers demonstrated that estrogen does not induce gene mutations. Despite this classification, as mentioned above, any natural growth stimulation, on rare occasion, may be flawed and lead to cancer.

All substances that stimulate growth would be logical suspects for inducing cancer. What about human growth hormone? It promotes growth. Its absence results in dwarfism.

A casual search of the Internet finds associations between HGH and cancer of the colon, breast, prostate and Hodgkin's disease. Yet HGH is conspicuously absent from the latest government carcinogen list, while estrogen, a perfectly natural substance that establishes a woman's femininity, is listed along with the likes of asbestos, chloroform, cigarette smoking radon and mustard gas.

Sometimes we must step back from the science and look at the bigger picture. The anti-estrogenists champion the alternatives to estrogen therapy. These alternatives were invented by pharmaceutical companies over the past 20 years.

Estrogen was created by God more than 15 million years ago and somehow women have managed to survive. I think I'll continue placing my trust in the more natural remedy until the Almighty advises me differently.

Dr. Gerald M. Rehert is an Atlanta gynecologist.






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#48 From: <grehert@...>
Date: Sun Jan 26, 2003 12:02 pm
Subject: Op-Ed Article 		grehert
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As mentioned in my last email, I have an Op-Ed article going on the Editorial page of the Atlanta Journal & Constitution tomorrow, Monday, January 27th, 2003.  (If not Monday, try Tuesday.)
 
It's a little dry and technical but the newspaper liked it.  If you'd like to see an advanced, unedited, preview of the article and the newspaper photo:
 
 
 
Dr. Rehert

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#47 From: "Dr.Rehert" <grehert@...>
Date: Fri Jan 24, 2003 9:48 pm
Subject: Two very interesting articles: one gives some new insights into birth control pills, and the other is beyond belief! 		grehert
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I thought this first article was very interesting for any woman who is on birth control pills, or whoever took them in the past.                Dr. Rehert
Monday, 20 January, 2003, 15:55 GMT
Pill changes women's taste in men
 
Taking the contraceptive pill appears to change women's taste in men.   Psychologists have found that women who are taking the pill tend to fancy macho types with strong jaw lines and prominent cheekbones.   However, women who are not taking that form of contraception seem to be more likely to go for more sensitive types without traditionally masculine features.   Strong features such as a prominent jaw line and brow are thought to be linked to macho personality traits because they indicate high levels of the male sex hormone testosterone.   Testosterone helps to build up these particular bones during puberty. 
 
Where a woman chooses her partner while she is on the pill, and then comes off it to have a child, she may find she is married to the wrong man.  The researchers believe it may even be possible that taking the pill encourages women to have relationships with inappropriate men.
 
They presented women with images of different types of men, and asked them to pick out potential long-term partners.   They found those taking the pill were more likely to choose macho men, and to rate men with more feminine, softer physical features as a turn off.   However, the researchers say it is these men who tend to be more sensitive, and more likely to making trustworthy and faithful husbands.
 
Next is a story, so far-out I hesitate to believe it ... but "I did find it on the Internet."  Let me know if you think it's for real.
Giant pandas to get Viagra
by Cindy Sui
 
Male giant pandas in a southwest China sanctuary are being fed Viagra in an attempt to get the notoriously sex-shy animals in the mood for mating, scientists said on Monday.  However initial tests proved unsuccessful on 16-year-old male panda Zhuang Zhuang - despite a name which translates as "Strong Strong," they said.
 
Zhuang Zhuang last year became the first panda given the sex-assisting drug in an attempt by researchers to boost reproductivity at China's largest panda sanctuary.  "No result on him at all," said Wang Pengyan, deputy director of the reserve, where scientists try to breed pandas by encouraging them to mate, and if that fails, by artificial insemination.
 
Getting pandas in a loving mood has become something of an obsession to Wang and his colleagues in their decades-long effort to save one of the worlds most endangered species from extinction.  Male pandas low sexual desires often mean they fail to respond to females in heat, a rare enough opportunity in itself as females are in heat only for about three days a year.
 
Researchers already routinely show the animals what has been dubbed "panda porn" - videos of pandas mating - and administer Chinese aphrodisiacs herbs as well as estrogen to female pandas.  But pandas are so reluctant to mate in captivity that these schemes have had little success, prompting the Viagra plan, an idea that had been considered before but rejected.
 
Zhuang Zhuang was given around 1.5 times the normal human dosage of the drug, used in humans to cure male erectile dysfunction, reserve staff said.  Wang said that Zhuang Zhuang had been an experiment, and that there were no immediate plans to make the drug a general policy due to worries about potential side effects.
 
"There's been a lot of research on the effects of Viagra on humans, but for pandas its a big question mark," Wang said.  But other experts said Viagra might be worth a further try, placing the blame for the initial failure mainly on Zhuang Zhuang, who is middle-aged in panda terms.
 
"You can't say Viagra has no results on pandas. We used the wrong panda. That panda basically has no capability," said Guo Feng, a researcher from the Chinese Academy of Sciences studying panda behavior in Wolong.  "In the last few years, we've given Zhuang Zhuang many chances but he simply can't do it."
 
In contrast the "panda porn" appears to be having some effect, according to Wang, saying pandas became more aroused after watching the X-rated scenes, played for them several hours a day during the spring mating season.
 
Next year, the reserve hopes to begin releasing pandas born in captivity into the wild, where there is far more chance they will mate.
 
So there you have it, believe it or not.  Be sure to watch for my Estrogen Essay (and picture) scheduled to be in the Atlanta Journal and Constitution this Monday, Jan. 27th (on the Editorial page) .  Don't miss it ! ! !
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
 
Dr. Rehert
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also, as a member, you can read all the earlier
Emails by clicking on http://groups.yahoo.com/group/DrRehertsAlerts/messages.

Be very careful if you respond to this Email list.  Though it is configured so
that all Email responses only go to the original sender, your Email may
inadvertently be sent to the list.  Be sure you do not include any personal
information that you wouldn't mind sharing with the entire group.

Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#46 From: <grehert@...>
Date: Tue Jan 21, 2003 4:27 am
Subject: Fw: Fwd: Re: A question from one of the list members - Please respond to the list (Just click REPLY) if you can help. 		grehert
Offline Offline
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try adhesive remover /in a liquid bottle .our hospital used to remove the stickness

from ecg electrodes

 


Subject: Re: [DrRehertsAlerts] A question from one of the list members - Please respond to the list (Just click REPLY) if you can help.

Goo Be Gone or Goo Gone. Takes all the sticky stuff off from labels--should
work but try on skin first to see if it irritates. I have found this at Home
Depot, Grocery stores, or Dollar Tree if you have access to that.


> Any advice out there on how to remove the glue residual left from the Vivelle
> transdermal system hormone patch? I have tried everything make-up remover (makes
> my skin red); vaseline (just greases and moves it around); loofah with liquid
> soap - nothing removes it completely except time and scratching (yuck). Let me
> hear from anybody who has solved this problem. Thanks - a patient in Atlanta


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#45 From: Jerry Rehert <grehert@...>
Date: Tue Jan 21, 2003 2:24 am
Subject: Fwd: Re: A question from one of the list members - Please respond to the list (Just click REPLY) if you can help. 		grehert
Offline Offline
Send Email Send Email
 

 


Subject: Re: [DrRehertsAlerts] A question from one of the list members - Please respond to the list (Just click REPLY) if you can help.

Goo Be Gone or Goo Gone. Takes all the sticky stuff off from labels--should
work but try on skin first to see if it irritates. I have found this at Home
Depot, Grocery stores, or Dollar Tree if you have access to that.


> Any advice out there on how to remove the glue residual left from the Vivelle
> transdermal system hormone patch? I have tried everything make-up remover (makes
> my skin red); vaseline (just greases and moves it around); loofah with liquid
> soap - nothing removes it completely except time and scratching (yuck). Let me
> hear from anybody who has solved this problem. Thanks - a patient in Atlanta


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#44 From: "Dr.Rehert" <grehert@...>
Date: Mon Jan 20, 2003 9:16 pm
Subject: A question from one of the list members - Please respond to the list (Just click REPLY) if you can help. 		grehert
Offline Offline
Send Email Send Email
 
Any advice out there on how to remove the glue residual left from the Vivelle transdermal system hormone patch? I have tried everything make-up remover (makes my skin red); vaseline (just greases and moves it around); loofah with liquid soap - nothing removes it completely except time and scratching (yuck). Let me hear from anybody who has solved this problem. Thanks - a patient in Atlanta

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#43 From: <grehert@...>
Date: Mon Jan 20, 2003 3:39 am
Subject: 2 interesting stories: The first one is on "genes" - the chromisomal kind that determine your make-up; and the second one is on "jeans," - low and hip-hugging. 		grehert
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First on genetics:  One of the most homogeneous (i.e. ethnically non-diverse) civilizations on the earth is the nation of Iceland.  This homogeneity allows researchers opportunities to do some unique genetic research that can lead to some interesting discoveries.
 Icelandic Genes Offer Wealth of Disease Clues
Fri Oct 18, 5:34 PM ET
By Maggie Fox
 
WASHINGTON (Reuters) - Using a unique database of genetic information from Iceland's small and inbred population, researchers said on Friday they had discovered genetic clues about schizophrenia, asthma, and even stroke and anxiety.
 
"I believe the majority of human destinies have a genetic component," Dr. Kari Stefansson, chief executive officer of DeCODE genetics, said. His research is revealing that people have built-in tendencies even for diseases thought to be brought on by lifestyle and environment--such as anxiety and stroke.
 
"Anxiety--that was one I was a little bit skeptical of in the beginning," Stefansson said.  The researchers looked at the DNA of 26 extended families, each with at least one member diagnosed with panic disorder, and found common genetic changes on chromosome 9.
 
Stefansson's team also found a gene associated with stroke, which they have named STRK 1. It controls an enzyme found in the artery walls and may help predispose some people to the build-up of material in blood vessels that can break off and cause a stroke or heart attack.  Many teams have also found genes associated with schizophrenia.  Stefansson said his team found a gene called neuregulin 1 that was associated with schizophrenia in every Icelandic patient.
 
Several teams of researchers also told the meeting they had found genes associated with asthma and were looking at ways to find out which asthma patients will respond better to a variety of asthma drugs.
And now a newly described condition, not due to your genes ... but to your jeans.  (A subtle variation of the great "nature versus nurture" debate.)
 Thursday, 9 January, 2003, 16:31 GMT
Hip-hugging trousers 'are health risk'
 
 Young women like Britney Spears and Christina Aguilera are putting their health at risk by wearing hip-hugging jeans, doctors warn.  The tight, low-rise trousers favoured by the pop stars can squeeze a sensory nerve under the hipbone and cause a tingling sensation in the thighs called paresthesia. The feeling is not permanent, but Canadian doctors warn it may last if the jeans are worn regularly.
 
 Now that hip-huggers are back in fashion, physicians can expect to see more patients with tingly thighs.  Paresthesia has also been linked to obesity, car seat belts, sitting with crossed legs for extended periods of time and wearing tight corsets or heavy tool belts. Constantly squeezing fat wallets into trouser pockets has also led to pain for some patients.
 
Dr Malvinder Parmar, medical director at the hospital, wrote: "Now that hip-huggers are back in fashion, physicians can expect to see more patients with tingly thighs." 
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to grehert@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also, as a member, you can read all the earlier
Emails by clicking on http://groups.yahoo.com/group/DrRehertsAlerts/messages.

Be very careful if you respond to this Email list.  Though it is configured so
that all Email responses only go to the original sender, your Email may
inadvertently be sent to the list.  Be sure you do not include any personal
information that you wouldn't mind sharing with the entire group.

Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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#42 From: "linda_459 <linda_adinolfi@...>" <linda_adinolfi@...>
Date: Fri Jan 17, 2003 9:31 pm
Subject: A Great Website.... 		linda_459
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Being new to this group, I would like to thank all of you for
creating such an interesting forum.  I am interested in women's
health as it pertains to women in their 40's and 50's.  Since the
baby boomers are aging, it is of interest to me, as one of them, to
find out the most recent and innovative treatments for menopause,
osteoporosis, ect.  A website I found not too long ago has some
interesting information on it.  Check it out...
http://www.4woman.gov/owh/index.htm

Thanks again,
Linda

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#41 From: <grehert@...>
Date: Mon Jan 13, 2003 11:32 pm
Subject: You can have less menstrual periods (+ an IQ test below). 		grehert
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If you want to have less menstrual periods you can do something about it.  Start by reading this article.  If you want to have more menstrual periods, well, then I'd say you have a different kind of problem.  Dr. Rehert
University of Washington study examines putting end to periods
 
By Gina Kim
Seattle Times staff reporter
Sunday, January 12, 2003 - 12:00 a.m. Pacific
 
More than 40 years after the birth-control pill transformed the lives of women by giving them power over when and whether to have children, some doctors say women can take the revolution a step further: They can use the pill to rid themselves of the hassles of monthly menstruation.
 
Diane Royal, 49, of Seattle, has been skipping her periods for almost six years.
 
"I don't have mood swings. I don't have the mess. I don't have cramps," she said. "It's just more convenient in my life not to have a period."
 
When she reached her 40s, Royal began having painful periods that were so heavy she was hesitant to leave home. She heard about skipping periods from a friend and talked to her doctor.  "At first he was really skeptical," she recalled. "Then he started doing some research ... and said, 'Let's go ahead and try this.' "
 
For Royal, an artist and mother of three, continuous birth-control use has given her new options, even allowing her to home-school her youngest child.   "It's great," said Royal. "It doesn't change my sexuality or my womanness. I'm still as feminine as I've always been."
 
"On their own, most women won't have a 28-day cycle," said Wayne Shields, president of the Association of Reproductive Health Professionals, a nonprofit educational organization. "The whole premise of the 28-day cycle is something that was made up in the early '50s by a bunch of white guys." Most women take 21 days of pills and then stop or take sugar placebos for seven days. The drop in hormones causes the uterine lining to weaken and bleed lightly, a process called "withdrawal bleeding."   But because the uterine lining never thickens, there's no actual need for it to be shed, she said.
 
Miller herself threw out a box of tampons a few years ago because it had collected so much dust in her bathroom.   "First you skip a period because it's convenient. And then you start skipping them because you can," she said. "I experimented on myself. ... I did it and it worked and I thought, 'Oh, well, everyone should do this.' "
 
When she couldn't find any studies to support, or contradict, the practice, Miller decided to do some research.   In 2001, she published a paper on 40 women who were taking pills to skip their periods every other month. They reported less fatigue and fewer side effects of menstruation than 40 women who took the pill as usual.
 
But, Miller said, there can be drawbacks to constant pill use.   "The first six months, it's very common to have irregular bleeding," she said.   And women would need more birth-control pills. A traditional pack costs about $30.
 
Some doctors believe there may be health benefits to decreasing the number of a woman's periods.   A century ago, most women had about 50 periods during the course of their lives because they were pregnant more often, breast fed for up to two years (which stops bleeding) and died younger, Miller said.   Today, most women have more than 450.
 
"Nature did not mean for you to have that many periods," Miller said.   Studies have shown that women who have fewer pregnancies and breast feed less are at a higher risk of ovarian, uterine and breast cancers as well as endometriosis and uterine fibroid tumors, she said.
 
"This is not to say that continuous pills are going to prevent fibroids or endometriosis, but women who do use pills (the traditional way) decrease their chances of ovarian and uterine cancers," said Miller.
 
Now the "IQ" test.  It is really a hand-eye-brain coordination test that I found on the Internet.  I think you'll find it interesting and challenging.   Email me your "first score."   Dr. Rehert
(If it doesn't work, it means you don't have "Macromedia Shock Wave" on your computer.)
 
The above is not meant to be medical advice.  Please read the attached Disclaimer, Etc. 
Best wishes.  Dr. Rehert 
DISCLAIMER:  The articles discussed in "Dr. Rehert's Medical Alerts Email List”
are solely intended to entertain, inform and educate its readers.  They are not
to be considered medical advice.  You should not alter any of your lifestyle
behavior without the advice of your personal physician.

“Dr. Rehert’s Medical Alerts Email List” is open to anyone who wants to join. 
Either send your Email address to RehertHRT@... (recommended)  OR  you may
go to the website www.yahoogroups.com/group/drrehertsalerts and follow the “Join
This Group!" instructions.  Also, as a member, you can read all the earlier
Emails by clicking on http://groups.yahoo.com/group/DrRehertsAlerts/messages.

Be very careful if you respond to this Email list.  Though it is configured so
that all Email responses only go to the original sender, your Email may
inadvertently be sent to the list.  Be sure you do not include any personal
information that you wouldn't mind sharing with the entire group.

Best wishes,

Gerald M. Rehert, M.D.
285 Boulevard, NE, #520
Atlanta, GA 30312
404-688-2800

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