Vitamins, minerals & supplements Archive

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Ask the doctor

Q Everything I read in Harvard Men's Health Watch about nutrition says to minimize the amount of red meat in my diet. Would it be best if I just gave it up completely? Or is there a safe amount to eat?

A Numerous studies have observed that consuming red meat is associated with diseases such as heart disease or colon cancer. In fact, the World Health Organization recently classified processed and red meats as cancer-causing substances. In most studies, it does appear that the lower your consumption of red meat, the better your health.

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In the Journals

Adding muscle relaxers or narcotic pain relievers to the nonsteroidal anti-inflammatory drug (NSAID) naproxen (Aleve) did not improve pain or function for people who went to emergency rooms seeking help for severe low back pain, according to a study in The Journal of the American Medical Association.

The study followed a group of 320 people who visited the same emergency room in the Bronx, N.Y. None had symptoms that would suggest disk-related back pain, like shooting pain down the back of the legs (sciatica). They were all advised to take naproxen for 10 days and were chosen at random to add one of three additional pills: the muscle relaxer cyclobenzaprine (Flexeril); ox-ycodone (Percocet), a narcotic pain reliever; or a placebo.

In the Journals

Alpha blockers, a type of medication that many men take for urinary difficulties caused by an overgrown prostate, are associated with a dangerous but very small risk of falling, according to a recent study in BMJ. This should reassure men who have heard that the drugs could cause dizziness from a sudden drop in blood pressure.

The Canadian study identified more than 147,000 men in Ontario prescribed one of three drugs: alfuzosin (Uroxatral), silodosin (Rapaflo), and tamsulosin (Flomax). Most of the men (84%) took Flomax, although all three drugs work the same way.

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Several medications can maintain or increase bone density. You can choose one based on your health and preferences.

Most of what we read about hip fracture isn't good. It is a major cause of disability, nursing home admissions, and death in older women. But there is a promising trend: hip fractures in the United States have been on the decline since 1996. Although better nutrition, increased physical activity, and education on fall prevention may have played a role, the drop in fractures has also coincided with the widespread availability of bisphosphonates—a class of drugs first approved in 1995 to increase bone density.

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Ask the doctor

Q. My doctor says the Mediterranean diet is not only good for my health in general, but that it is particularly good for my brain. That got my attention. Anything to it?

A. I think there is. The Mediterranean diet is rich in whole-grain bread, root vegetables, green vegetables, fish, poultry, fruit, and olive oil. It includes relatively little red meat, butter, and other foods rich in saturated fats and trans fats. As is often the case with research into a medical question, not all studies come to the same conclusion. But many studies have found that people who regularly adhere to the Mediterranean diet are less likely to develop Alzheimer's disease. And many studies also find that people with diets rich in saturated fats (including from red meat and processed meat) and trans fats are more likely to develop dementia of some type, along with other brain disease, particularly strokes.

Yes, you can find convenient fast-cook meals, but you'll have to do your homework.

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Ever notice how nutrition takes a back seat when you're hungry? Packaged and prepared foods somehow don't seem unhealthy when you need a meal in a hurry. But is there such a thing as a nutritious convenience food? "Yes, there are some healthy options out there, but you really have to look for them," says registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital.

Typical convenience foods

Packaged, prepared foods come in several forms: boxed, dry goods such as quick-cook pasta and rice mixes; canned foods, such as soup or ravioli; or frozen foods, such as a single frozen dinner or a "family-sized" lasagna.

Flu season still has a few months left, and it is not too late to get a flu shot if you have not done so already. 
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They may help reduce symptoms of the flu, but they're not for everyone.

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News briefs

Here's another reason to take sweetened drinks out of your diet: a study published online Nov. 2, 2015, by the journal Heart suggests that drinking sweetened beverages each day is linked to an increased risk for heart failure in men. Heart failure is a gradual decline in the heart's ability to pump enough blood to meet the body's needs. Researchers tracked the dietary information of 42,000 middle-aged or older men in Sweden from 1998 to 2010. They made no distinction between types of drinks or how they were sweetened, whether it was with sugar, fructose, or artificial sweetener. However, coffee, tea, and fruit juice were not included in the study. After excluding potentially influential factors, researchers noted that men who drank at least two daily servings of sweetened drinks had a 23% heightened risk of developing heart failure compared with men who didn't drink sweetened beverages. The study didn't prove that sweetened drinks caused heart failure. In fact, the researchers pointed out that drinking a lot of sweetened beverages is usually an indication of a poor diet, which is a risk factor for heart failure in itself. But they also noted that sweetened drinks are associated with obesity and type 2 diabetes, which are risk factors for heart failure, too. Best advice: avoid sweetened beverages or at least limit them to occasional consumption.

Ask the doctor

Q. I take my blood pressure medication twice a day. Or at least I am supposed to, but I sometimes forget the second dose because my evenings tend to be really busy. What can I do?

A. One idea is to leave a sticky note on your bathroom mirror or near your bed as a reminder. Or try using an alarm (either a traditional alarm clock or one on a smartphone) that rings close to the time when you normally go to bed. You might also consider taking the second dose with dinner, assuming your doctor or pharmacist says it is okay to take your particular medicine with food.

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With a focus on whole grains, berries, and fish, Northern European cuisine has some heart-friendly features.

If you've never heard of the Nordic diet, you might imagine a plate of those Swedish meatballs sold at Ikea. In fact, this eating style focuses on healthier fare, including an abundance of the plant-based foods nutritionists always encourage us to eat. And while the data are limited so far, some studies suggest that following a Nordic eating pattern may foster weight loss and lower blood pressure—both of which are good for the heart.