Deborah Wilson. M.D. Gynecology
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Nutritional Supplements

Woman Drinking Orange JuiceIn addition to a good multivitamin, we recommend an anti-oxidant combination, which should contain extra vitamin C, E, Beta-Carotene, selenium, and possibly Co-enzyme Q-10. High doses of these supplements have been shown to prevent cancer and heart disease. Specifically, Coenzyme Q-10 may prevent breast cancer.

Osteoporosis can be prevented by estrogen supplementation (or an alternative to estrogen) along with weight-bearing exercise and adequate calcium/magnesium supplementation. Calcium is bulky, so a multivitamin will only contain a small amount of it. Unless you consume enough dairy products, broccoli, and salmon (with the bones), you should take a calcium/magnesium supplement. We recommend 1000 mg of calcium and 500 to 1000 mg of magnesium per day. Calcium/magnesium combinations are available in pill form (it is necessary to take 4-6 pills per day due to the bulkiness of calcium), liquid, or powder. Many women prefer the liquid or powder in order to avoid swallowing so many pills. Make sure you are getting enough vitamin D, which helps absorb calcium.

Do not take iron supplements or iron-containing vitamins unless your doctor or practitioner tells you that you are anemic. Excess iron can accumulate in the body and predispose to cancer and heart disease. It is very difficult to obtain enough fiber in our diet unless we eat exclusively raw fruits and vegetables. A fiber supplement such as Ultra-fiber can help prevent diverticulosis, diverticulitis, and colon cancer by preventing constipation.

In addition to a healthy diet and adequate supplementation, we strongly recommend regular aerobic exercise, and yoga. Research indicates that women who exercise regularly and maintain flexibility through yoga develop less cancer, heart disease, and have fewer aches and pains.

As a woman ages, her risk of cancer, heart disease, and osteoporosis increases. There is significant evidence that a healthy diet, which is low in fat and animal protein, can lower her risk of all three diseases. Aging makes it more difficult to absorb and utilize certain nutrients, especially vitamins D, C, B6, B12, folic acid and zinc. Anyone not eating a balanced diet (at least five fruits and vegetables per day, as well as whole grains and low-fat dairy) may not be getting enough of these and other nutrients. In recent years evidence has grown about the role vitamins play in lowering homocysteine levels in the blood and thus reducing the risk of heart disease. Folic acid specifically may help prevent cervical cancer and colon cancer. We recommend a daily multivitamin containing vitamins A, B vitamins including folic acid, C, D, and E, along with a good variety of minerals.

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Body Fat Measurement

"Body fat percentage will become a new standard for health in adults."
- C. Everett Koop Former Surgeon General

Body fat measurement is now available at our office.

Measurement of body fat by DUAL ENERGY ABSORPTION is considered more accurate than body weight for assessing health. DXA is considered to be the gold standard, while the other methods of estimating body fat (Bodpod, BIA, skin pinch calipers) are becoming archaic. They depend upon making sure the exact same area of skin is measured each time, which is almost impossible since different trainers measure different areas. This contributes to the inaccuracy of those methods. The tried-and-true traditional method means a wet dunk in a tank is expensive, inconvenient, time consuming, and facilities that perform the test are hard to find.

Statistics show that over 60% of American adults are now considered overweight or obese (having excess body fat). Many of these people suffer from "creeping obesity", the slow increase of body fat along with a loss of muscle over time.

Body weight alone can be very misleading, since creeping obesity can often occurs without any actual change in weight. It's not a person's weight, but what makes up the weight figure that's really important. The scale cannot tell the difference between a pound of fat and a pound of muscle. Only by carefully and accurately measuring body composition can healthy weight loss be achieved.

Until now, methods of measuring body composition have either been invasive, inaccurate, difficult to perform, or unsuitable for certain populations. DXA has overcome all of these hurdles to offer body composition measurements that are accurate, quick, easy to obtain, and safe. The high-quality information provided by DXA allows for problem areas to be identified, and exercise and nutrition programs to be implemented for safely meeting goals.

Body composition (percent fat and lean) reflects the results of both physical activity and nutritional practices. Over time, people tend to gain fat and lose muscle without an obvious change in their weight. And, even though we need a certain amount of fat in our bodies to insure good health, excess body fat has been found to increase the risk of diseases such as cancer, diabetes, and heart disease.

On the other hand, too little body fat can also pose a number of health risks, including problems with reproduction in women. For many athletes, performance is improved with optimal body composition. (The Greenbay Packers recently obtained the new iDXA machine by GE Lunar to more accurately measure body composition of their team members.)

Only by accurately measuring body composition will you learn the amount of fat and lean tissue that makes up your weight, enabling sensible decisions regarding nutrition and exercise programs. It's the best way to get the "whole picture" of what's really going on in your body.

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