Posted by & filed under Muscle/Joint Pain.

Joint replacement surgery of the hip and knee is performed on nearly one million people in the United States every year. The number rises as the population ages. Many individuals have had more than one joint replaced, and I have seen patients who have had three or four joint replacement procedures.

Surgery replaces the joint, but does not correct degenerative changes involving the tendons and ligaments that support the joint, or the imbalance of muscles and postural abnormalities that are the major cause of joint degeneration. Read more »

Posted by & filed under Mental Health.

Time magazine, in its August 7, 2017 issue, promotes ketamine as a “Surprising new drug (that) may change (depression).” Noting that 16 million Americans have clinical depression, and 30% of people don’t respond to current therapies, the article offers ketamine as a potential panacea. According to one psychiatric researcher, “I still think it’s the most exciting treatment to come in mood disorders, probably of the last 50 years.”

Ketamine is not a new drug, just newly adopted for the treatment of psychiatric disorders. Actually it is an anesthetic agent, used to put people under for surgery. Ketamine is also addicting and causes cognitive impairment with reductions in verbal abilities, short-term memory, and executive function. Read more »

Posted by & filed under Alzheimers, Hormones.

While death rates from cancer, heart disease and stroke continue to decrease, deaths related to Alzheimer’s Disease increased 38% from 2000-2010. This is an alarming statistic.

Alzheimer’s also adversely affects more women than men, with 68% of people with Alzheimer’s being women. However, there is hope. Recent research has demonstrated that estradiol can decrease a woman’s risk for developing Alzheimer’s and other forms of dementia. Read more »

Posted by & filed under Drug Reduction.

MedicationAmericans take so many drugs that 100,000 of us die every year because of those drugs. It is not illness that causes those 100,000 deaths, but the damaging effects of drugs taken for illness. Beyond these deaths there are millions of adverse drug reactions every year, resulting in hospitalizations, lost days from work, lost income, and sometimes, chronic disability.

What kinds of drugs are these? What kinds of illness?
Why does this happen?

It is important to remember that any drug can cause side effects, or an allergic reaction, and that the reaction may be severe. Higher doses of drugs, and combinations of drugs, increase the risks. People who are sicker are more often prescribed multiple medications, yet these are the people most likely to be more sensitive to adverse effects. It is common for patients who enter my office to be taking five or six medications at once. I have seen patients taking fifteen medications at the same time! It is virtually certain that their complaints will be related to these drugs. Read more »

Posted by & filed under Mental Health.

Hemoglobin A1C is easily measured by a simple in-office test and is an effective indicator of long-term average blood sugar levels in pre-diabetic or diabetic patients.

A recent study shows that uncontrolled blood glucose levels over time, measured by Hemoglobin A1C, is associated with an increased incidence of depressive symptoms. The study conducted at Sheba Medical Center in Tel Hashomer, Israel included 837 participants and examined the relationship of characteristics of long-term type 2 diabetes with cognitive decline. The average age of patients was 72.74 years.

The study showed that variability in blood sugar control as measured by Hemoglobin A1C was associated with more depressive symptoms among elderly patients with type 2 diabetes. The researchers commented that good and steady glycemic control may be associated with prevention of depressive symptoms in elderly people with type 2 diabetes.

According to the researchers, depression and diabetes are both highly prevalent in the elderly and the risk for depression is doubled in the presence of diabetes. The variability or fluctuation, but not the average, of HbA1c measurements was significantly associated with the number of depressive symptoms reported. This shows that it is changing and uncontrolled blood sugar levels, and not the average level, low or high, that was associated with depression.

Finally, the more Hemoglobin A1C levels were found to fluctuate in these patients, the more depressive symptoms were reported. The statistics from this study also showed that it was that lack of blood sugar control that lead to the depressive symptoms, and not depression leading to the lack of blood sugar control.

If you are uncertain about how well your body controls blood sugar levels, or if you are pre-diabetic, your doctor may want to test your Hemoglobin A1C levels. For more information or to make an appointment, please call our office at 949-600-5100.

Allan Sosin, M.D.

Posted by & filed under Therapies.

Ozone is a gas produced from oxygen by applying an electrical charge. Ozone has powerful effects in calming inflammation and suppressing infections caused by viruses, bacteria and fungi. Drawn into a syringe, it can be passed through the nostrils into the sinuses to heal infection and reduce allergic symptoms. We have treated patients with chronic sinus congestion and drainage, who have failed treatment with multiple antibiotics, and improved with ozone nasal therapy. Lung infections are often brought on or aggravated by drainage from the upper airway, and ozone can keep these complications from occurring.

Nasal ozone is a simple treatment that can be given in minutes. There is often profuse nasal drainage that begins right after treatment, and indicates clearing of sinus congestion. Patients can be treated daily, weekly or intermittently as needed.

Allan Sosin MD

Posted by & filed under Gastrointestinal.

Probiotics can make a difference in elderly patients with irregularity, concluded a systematic review published in April 2017. Approximately half of all elderly patients living in nursing homes suffer from chronic constipation and 56%-75% of institutionalized elderly patients regularly take laxatives or stool softeners.

In this specific review, scientists looked at data from 4 randomized, placebo-controlled trials and 5 observational reports including a total of 778 participants, 60 years of age or older. Six of the studies used multispecies probiotics containing Lactobacillus reuteri, L. rhamnosus, Bifidobacterium longum, L. plantarum, L. acidophilus, and other microorganisms.

The results from these randomized, placebo-controlled trials determined that supplementation with probiotics results in a significant 10% to 40% improvement in constipation compared to control treatment. Two of the observational studies also showed significant benefits for probiotics in constipated persons. The reviewers concluded, “Our systematic analysis suggests that probiotics display some beneficial effect as an additional therapeutic tool to treat chronic constipation in older individuals but further trials are still required.”

Intestinal irregularity and constipation don’t only affect elderly patients, but others as well. Eating a diet high in fiber and including lots of unprocessed foods such as fruits and vegetables can make a big difference. Adding a high quality probiotic supplement can keep your gut healthy. improved digestion, reduced inflammation, bolstered immune function are just some of the benefits.

Reference: Martínez-Martínez, et al. Arch Gerontol Geriatr. 2017;71:142-9.

CLICK HERE for high-grade probiotic supplements.

Posted by & filed under Testimonials.

“I have been a patient of Dr. Sosin since 5 years ago. I drive over an hour from Pasadena to see him. After visiting my doctor in Pasadena, I always felt hopeless and defeated, but after visiting Dr. Sosin I always feel very good about my health. Today I told him about my upcoming knee surgery, and he immediately told me about what I can expect, advised me as to what to tell my surgeon, and recommended tests and natural preventative strategies which will help me to avoid negative outcomes and recover quickly. I had an immune IV and my fatigue has disappeared.

“Dr. Sosin is so caring and knowledgeable! An amazing combination! The best doctor I have ever had!”

-S.S.

Posted by & filed under Food, General, Nutrition.

Many people reach for a commercial energy drink daily or even several times a day to help avoid an afternoon slump. However, a 16 oz. can of Red Bull contains 52 grams of sugar, about the same amount as 11 Oreo cookies, and more than a 12 oz can of Coca-cola which has 39 grams.

Although energy drinks claim to provide a boost for mental and physical stimulation, the effects are often short lived. They often contain artificial colors, preservatives and low quality supplements or herbal additives. Excessive doses of caffeine and other stimulants will also increase your heart rate and blood pressure and can lead to irritability, anxiety and an inability to sleep. If you have an energy drink in the late afternoon, the effects of these stimulants can stay in your system well past 10pm at night.

Here are some healthier alternatives to an afternoon energy drink:

Green Juices and Smoothies
The dark green vegetables such as spinach, parsley and kale used in green drinks are a great source of B vitamins which our body requires for metabolism to run at its peak. Since the best sources of energy are whole foods, high metabolism combined with a diet full of vitamins and nutrients will have you feeling fueled all day long. Consider adding lemon juice or ginger to taste and flax or chia seeds for a boost of omega-3s

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Organic Green Tea
Green tea contains less caffeine than an equivalent volume of coffee while providing many health benefits including decreased risk of heart disease and cancer. This makes it a great energy drink alternative. There’s also evidence that green tea helps improve mental clarity and performance. Organic teas will have much reduced levels of pesticides and may taste better.

Protein Shakes
Lack of protein is a common cause of fatigue. A high quality protein shake can help your body reach its nutrient requirement. Protein requires carbohydrates to turn into an energy we can use. Add fruit, wheat germ or quinoa to your shake with 10 grams of protein from a powder, yogurt, milk or soy milk for a more sustainable energy boost.

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Water
All of the metabolic reactions that happen in the human body happen in water. When we’re dehydrated all those metabolic reactions start to slow down and you start to feel tired and slow. Dehydration is one of the main reasons we experience a drop in energy. If you think drinking water is boring add some flavor with fruit slices, blueberries or strawberries. The fruit provides some carbohydrates and B vitamins for an extra nutritional punch. You can also use fresh mint, ginger or cucumber for flavor.

Replace Lost Electrolytes
A good quality electrolyte powder can help you replace salts and minerals lost during physical activity, working long hours in air-conditioning or in the hot sun. This can be added to a liter of water and sipped throughout the day.

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Posted by & filed under Cancer, Cancer|Hormones|Women's Health, Hormones.

Do Hormones Cause

This is a question we regularly hear from patients when we discuss their symptoms and hormone replacement options. Often people are led to believe hormone replacement of any kind will increase their chances of developing cancer later. We have seen that this simply isn’t the case with patients treated using bio-identical hormones.

A large study of 20,000 men showed no increase in prostate cancer in those men treated with testosterone. But testosterone supports the growth of prostate cancer, and a main treatment of prostate cancer is to give agents that block testosterone production and activity- Lupron, Proscar, Casodex, Xgeva. Read more »