Premature Heart Contractions
PACs and PVCs are common yet nonetheless concerning to the person experiencing these noticeable events. Literature in this area can be confusing and contradictory. Physicians often brush them off but patients still are concerned. What is the significance of PVCs and PACs in terms of heart health? Should these be addressed or viewed as benign and therefore ignored? How can PVCs or PACs be minimized via lifestyle interventions or possibly treated more invasively?
Age and HRT/MRT and osteoporosis
Thanks for all the osteoporosis/bone health discussions of late. Questions: Do you know where the promoted numbers of administering MHT (i.e. menopausal hormone treatment) up to the age of 60 or up to 10 years post-menopause originated? I've seen primary literature, e.g. Belinda Beck's studies, where cohorts of osteoporotic women were between the ages of 63-late 70's. Do you know of studies comparing BMD heavy lifting/resistance training, with and without drug therapies, in a similar cohort of women? Last, is there an agreed upon T-score, and Z-score, value where drug therapies are recommended? I'm asking because there is also literature, and metaanalyses, suggesting that when MHT or anabolics/anti-bone resorptive medications are stopped, BMD returns to the levels prior to any treatment. The anabolics and anti-resorptives are not without their own slew of side-effects. Information on the above questions would be very helpful in making decisions about treatment, knowing that strength training is non-negotiable. :) Thanks!
Possible guest
Hello Dr Attia, I am a big fan of your show and loved your book. I would love to hear you interview Nina Teicholz. Do you know her? She’s an investigative science journalist and leader in nutrition reporting who is challenging the conventional wisdom on dietary fat–particularly, whether saturated fat causes heart disease and whether fat really makes you fat. She wrote the NYT bestseller ”The Big Fat Surprise”, and serves as Executive Director of The Nutrition Coalition, an independent non-profit group that promotes evidence-based nutrition policy. She is one of a new generation of researchers arguing that diets lower in carbohydrates are a scientifically sound approach for reversing nutrition-related diseases. I’d love to hear a conversation between the two of you, and am particularly interested in hearing you discuss your differing (I think) opinions on the safety, efficacy, utility, etc. of statins. Thanks!
Should we be doing static stretching? If so, when?
When, if ever, is it appropriate to do long static stretching, as is often done in yoga classes? (e.g. working towards touching the ground with relatively straight knees, back arches like wheel pose, pigeon pose, etc.). What outcomes are improved or hindered with these practices? Should they be done at all, as part of rehabilitation for injury, after workouts, etc.?
Please discuss Vitamin K2 for bone health and cardiovascular health
Thank you for your excellent interview (#322) of Belinda Beck on bone health. There is, however, an additional aspect that apparently can improve bone health, and that is Vitamin K2 taken with Vitamin D3. VD Myneni and E. Mezey at NIH have a medical review on the subject (Oral Diseases (2017) 23, 1021-1028 doi:10.1111/odi.12624, Regulation of bone remodeling by vitamin K2). In addition, Katarzyna Maresz (Integrative Medicine, Vol 20, August 2021, No. 4, 34-38, Growing Evidence of a Proven Mechanism Shows Vitamin K2 can impact Health Conditions Beyond and Cardiovascular) reviews data indicating that Vitamin K2 in the isoform MK7 has a positive effect on arterial health and may have other positive effects. How about interviewing these authors to add another dimension to our bone care and discuss the effect of Vitamin K2 on cardiovascular health. I would like clarification on the current thinking regarding MK4 vs MK7, the need for taking Vitamin D3 in conjunction with Vitamin K2, and the doses they recommend.