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1. Take responsibility for your health.
Cardiovascular disease is the major cause of death in america, accounting for 34 percent of deaths, many suddenly and almost all of them premature. This is down from 40 percent just four decades ago, mainly due to treatment of common risk factors. If you have diabetes, your risk increases dramatically. The best prevention against heart disease and stroke is to understand the risks and treatment options. The greatest risk is ignorance or misinformation. The first step is to take responsibility for your health.
2. Know your risks.
The most influential risk factor for cardiovascular disease is age – the older you are, the greater your risk. The second is your genetic make-up. Although everyone is excited by the scientific progress in genomics research, conclusive gene tests are still in their infancy. But, as I tell our medical students, “a good family history is a poor man’s gene test.” we have long known that if your parents, grandparents, or other relatives were afflicted with or died of heart disease, diabetes or stroke, your risk is much greater.
3. Don’t smoke or expose yourself to second-hand smoke.
The evidence is overwhelming that cigarette smoking and second-hand exposure to smoke increases the risks of heart disease, lung disease, peripheral vascular disease and stroke.
4. Maintain a healthy blood pressure.
High blood pressure, called hypertension, is known as “the silent killer” as it goes without symptoms in most individuals. High blood pressure causes wear and tear of the delicate inner lining of your blood vessels. The higher your blood pressure (bp) the greater your risk. The risk begins to increase from a pressure of 115/70 mmhg and doubles for each 10 mmhg increase in systolic (the larger number) and 5 mmhg increase in the diastolic (the smaller number). Heredity and increasing age raise the risks. Measuring blood pressures at home reflects more accurately your risk than having the blood pressure taken at a physician’s office. It is worth the investment to get a cuffmeter.
It is best not to rely only on the readings at your doctor’s office as some individuals suffer from “white coat” hypertension – their bp is up only when they are at the doctor’s office. Others have “masked” hypertension – higher when not in the doctor’s office. Prognosis is best related to home bp. But for home blood pressure readings, you should not use finger or wrist units – only regular upper arm units.
5. Monitor your cholesterol (blood lipids).
Abnormal or high blood lipids (fats) are a major contributor to cardiovascular disease. Your blood lipids include the ldl (bad cholesterol; remember as “lousy cholesterol”), hdl (good cholesterol; remember as “healthy cholesterol”) and triglycerides. The lower your ldl and the higher your hdl, the better your prognosis. The amount of cholesterol in your blood is determined mainly by three factors: the amount produced by the liver (this is largely genetic), the amount absorbed from the intestinal tract (some from what you eat, but a lot more from cholesterol produced by the liver and excreted into the digestive tract) and, finally, age – your cholesterol increases with age. If you are at risk, medication is almost always necessary to lower the ldl or to raise your hdl. The ideal ratio of total cholesterol divided by hdl cholesterol is 3.0. If higher, you might need diet as therapy. The problem with diet is that, in general, it can only decrease total blood cholesterol by about 10 percent. If you have a strong family history or elevated lp (a) (a rare abnormal cholesterol that increases the risk), drug therapy is usually needed.
6. Limit your calories.
Fad diets do not work. If any of them did, we all would be on that one, wouldn’t we? the obesity rate in americans is alarming, contributing to a near epidemic of diabetes, which is a cardiovascular disease. If you have diabetes, your risk is the same as someone who already had a heart attack. Obesity is caused by consuming more calories than your body burns. Abdominal obesity is the major risk. Portion sizes and the amount of sugars in the american diet have dramatically increased over the past few decades. At the same time, the daily amount of exercise has been decreasing. It is good advice to “drink slim” (water, tea, coffee). Use portion control before you start eating and push away from the table before you are “full.”
7. Make exercise a daily habit.
The lack of exercise is contributing to the obesity epidemic in americans. Studies indicate that walking two miles a day is optimal for overall health, and those two miles of walking do not have to be done all at once. Exercise does more than burn calories; it also activates genes that are beneficial to health in other ways. Plus, exercise is one of the best treatments for depression and anxiety. However, exercise alone cannot control or reduce your weight – you must also modify your diet.
8. Pick your pills wisely.
There is a great interest in alternative medicine and understandably so, because patients want to be empowered to take responsibility for their own health. However, many take alternative medicines because of the way they are marketed. The mere fact that a substance is “natural” does not prove its health benefit. After all, nobody in their right mind would take arsenic simply because it is “natural.” it is important to know that research data are often lacking for alternative medications, supplements and vitamins, none of which are regulated by the U.S. Food and drug administration (fda).
Do we ever prescribe alternative medicines? on occasion we do! the major risk with many alternative medications is that the patient thinks they are doing something to improve health, when in fact they are not. Although some vitamins have been shown to possibly help some conditions, to date none have been shown to decrease the risk of cardiovascular disease. There are some rare exceptions, such as fish oils and niacin (vitamin b). It is also important to note that high doses of some vitamins may interfere or counteract the beneficial effects of some prescription drugs.
9. Reduce stress.
Stress contributes to cardiovascular disease and, if severe, can cause a heart attack or sudden death. There are plenty of options that help reduce stress, such as regular exercise, adequate sleep, striving for a good marriage, laughing, volunteering or attending religious services. Watching tv generally does not relieve, but can aggravate stress. Also, try to avoid situations and people who make you anxious or angry.
10. Stay informed: science changes constantly.
The only constant is change. This is especially true in medicine as new techniques and new insights develop constantly. Do not believe every piece of “scientific information” you find in the media or advertisements. An overwhelming number of research studies that make it into scientific publications are poorly designed or yield data that are not representative, E.G, due to a lack of a sufficient number of participants. Keep in mind that many studies are financed or sponsored by individuals or companies with a vested interest in gaining favorable results. The situation can be especially confusing when scientific studies yield different or even contradicting results, and this happens quite often.
I am 20 years old. And am not married. Am not getting my periods regularly. At first doctor gave me medicines then after a week I got. By using the tablets only am getting periods. What is the reason?
I have been facing this sneezing problem from 3 -4years. It is very much allergic to dust, cold and severe heat, whenever there is some sort of temperature change, I always get this problem of sneezing.
My sister who is 26 years old doesn't got periods till 34 days. Now what should she do. Any precaution and medicine. She is unmarried.
My penis size is of 4.5" so my gf don't like me very much kindly help me to increase its size in very sort time period.
I masturbate 2 times a day. How can I control it? Is it done any side effects? My penis is also get curbed toward left.
I have cold from past 4 days I have tried lot of medicine for this I even have cough so please guide me to get rid of this cold.
Dear sir, I am feeling from cough and cold very strongly these days. Please tell me the way in which I can protect myself from cough and cold.
Hey doctor I am suffering from night fail from last 2 months. It happens in 3 times in week. Please suggest me something to get rid of this problem.
I suffering sleeping disorder since 3 to 4 yr & having high B P medicine. Kindly prescribe me sleeping pils which having no side effect. So please let me know.
Blemishes refer to the discolored patches on your skin left behind by skin disorders such as pimples, acne, pigmentation or due to skin pores clogged by excess oil secretion. Blemishes, pimples and acne are some of the skin problems, which keep on affecting your skin and are hard to keep at bay completely. If you are suffering from the distressing problem of blemishes and wondering whether it is possible for you to get rid of them forever, then the good news is that it is not absolutely impossible. But in order to do so, you have to persistently work hard on your skin care regime.
Following are some interesting ways to eliminate those blemishes forever:
- Skin exfoliation: Skin exfoliation is a very effective process for getting rid of blemishes permanently. Exfoliation helps to shed the upper layer of your skin or rather the affected layer of your skin. But after exfoliation, a strict skin care routine must be followed everyday, which should combine cleaning, toning and moisturizing, so that the pimples and acne do not get a chance of popping out again.
- Avoid overexposure to sun: Too much exposure to sun can worsen your blemishes and make them darker in color. It can also create difficulties to get rid of them. Sun exposure may lead to break out of more pimples and acne, which in turn will leave behind marks on your skin.
- Cut down on sugar: Research shows that consuming excess sugar can trigger the break out of acne on your skin. Therefore, cutting down on your sugar intake will prevent further acne breakouts, which, in turn, will help you to get rid of your blemishes forever.
- Apply lemon juice: Applying lemon juice to the affected areas on a regular basis is another great remedy.
- Avoid oily and fried foods: Excluding oily and fried foods from your diet can help reduce the excess oil secretion by the skin pores and also prevent clogging of the pores.