Posted by & filed under General.

Dr. WittenbergDr. Wittenberg received her B.A. in Biology from Lehigh University in Pennsylvania and attended Drexel University in Philadelphia for her Master’s Degree in Public Health and her Medical Degree. She and her husband, an Emergency Medicine doctor, then migrated to the warmth of Southern California for residency training. She is a graduate of the Long Beach Memorial Family Medicine Program, and is Board-certified in Family Medicine. Read more »

Posted by & filed under General.

Nature-ThroidIf you are taking Armour Thyroid® or another natural thyroid preparation, take a look at Nature-Throid!

  • Nature-Throid was released in the 1930s, making it one of the first available medications for hypothyroidism.
  • Nature-Throid has never been FDA recalled for inconsistent T4 or T3 hormones.
  • Formulated using hypoallergenic inactive ingredients and does not contain any artificial colors or flavors, corn, peanut, rice, gluten, soy, yeast, egg, fish or shellfish.
  • Patients often report better results than Armour Thyroid® at a fraction of the cost.
  • We now carry multiple strengths of Nature-Throid.

We now offer Nature-Throid in our supplement store at very competitive prices for patients with a prescription from one of our doctors.

Call us at 949-600-5100 for more information or to make an appointment!

Posted by & filed under General.

Coffee

Around half of Americans suffer from acid reflux and many take regular medication for the symptoms. However, by treating the symptoms, you are not getting to the root of the problem. Millions of dollars are spent on medication for acid reflux but what if there was a way to prevent it without resorting to conventional treatments? Here are some of the common triggers of acid reflux to help you start treating the cause. Read more »

Posted by & filed under Cardiovascular.

Five year study reveals that combining selenium with CoQ10 has been found to dramatically slash the risk of death from cardiovascular disease

Cardiovascular disease is the leading cause of death in the developed world, killing more than 17 million per year, which is more lives than cancer claims. This is due to arterial plaque caused by poor diets, lack of exercise, obesity, and smoking. A remarkable study to come out of Sweden shows that taking two supplements (CoQ10 and selenium) in combination may slash mortality risks by almost 50%. Researchers found that these nutrients may have many benefits including:

  • overall improved heart function
  • reduction of hospital stays due to surgeries
  • protection lasts years after stopping supplements

Swedish researchers published the study in the International Journal of Cardiology that revealed the health benefits of CoQ10 and selenium. Current studies already show these nutrients have the ability to protect damaged tissue from oxidative stress. Read more »

Posted by & filed under Mental Health.

Several studies show an association between schizophrenia and low levels of vitamin D. To date, there are only few studies about the prevalence of vitamin D deficiency in patients with bipolar disorder. The scientists responsible for this study conducted in the Netherlands aimed to show that vitamin D deficiency is more prevalent among patients with schizophrenia, schizoaffective disorder, or bipolar disorders than among the general Dutch population. Most studies have been conducted with hospitalized patients but this study only included outpatients.

The results of this study showed that vitamin D deficiency was 4.7 times more common among those with bipolar disorder, schizophrenia, or schizoaffective disorder than among the Dutch general population. Given the high prevalence of vitamin D deficiency, the researchers believe that outpatients with bipolar disorder, schizophrenia, or schizoaffective disorder should be considered at risk of having low levels of vitamin D. Annual measurement of vitamin D levels in psychiatric outpatients with these disorders seems to be justified to maintain bone health, muscle strength, and to prevent osteoporosis.

Source: J Clin Psychopharmacol. 2016 Dec;36(6):588-592.

Posted by & filed under Cardiovascular.

FishA new analysis of prior studies strongly supports the use of omega 3 fatty acids for prevention of heart disease. (Mayo Clinic proceedings, January 2017, pp 15-29). Coronary events included fatal and non-fatal heart attacks, sudden cardiac death, and angina pectoris (chest pain). Omega 3 fatty acids are EPA and DHA, derived from foods or supplements.

The greatest response was seen in individuals with elevated triglycerides and high LDL cholesterol. Those with the highest intake of omega 3 fatty acids benefitted the most. An intake of 3 to 4 grams of EPA and DHA daily lowers triglycerides by 20-50%. The average American diet provides less than one gram of EPA and DHA daily. Unless you eat fish every day, I recommend taking 3 grams of EPA/ DHA daily, especially if you have a prior history of heart disease, or high triglycerides or LDL cholesterol. Read more »

Posted by & filed under Hormones, Mental Health.

Hormone pellets are tiny solid pieces of hormones, about the size of rice grains, comprised of either estrogen or testosterone. They are inserted under the skin on the side of the buttock, under local anesthesia. They reside in the layer of fat beneath the skin, from which they are slowly absorbed. They secrete constant amounts of hormones into the bloodstream, day and night, for 3-5 months, and sometimes longer.

Hormone PelletsI have been inserting hormone pellets into menopausal women, and into men with testosterone depletion, for a dozen years. Of all the methods of hormone restoration the pellets are the most potent, because blood levels do not fluctuate as they do with other formulations. Throughout their adult lives, women have experienced hormonal ups and downs related to ovulation and menstruation. Hormonal variations have incurred transient emotional changes in many women, manifested as anxiety, depression, insomnia and loss of libido. Often these emotional changes are aggravated with the onset of menopause, and relieved after bioidentical hormones are prescribed. Read more »

Posted by & filed under General.

QuestionPatients sometimes are dissatisfied with the communication offered by physicians. “He won’t answer my questions.” “He gets angry with me.” “He cuts me off.” “He won’t answer my calls.” “I can’t understand him.” “He scares me.” Sometimes they say, “You’re the only one who spends time with me.”

Our office schedule allots sufficient time for thorough explanations. In the current medical paradigm, insurance companies, including Medicare, pay physicians less and less for the work they do. Office overhead, however, only goes up. Doctors spend less time with patients because their income depends on seeing more patients. If physicians are employed by an HMO, only a limited amount of time is permitted for each office visit.

New requirements for electronic medical records (EMR) have aggravated the problem. According to reports, doctors now spend more time on the computer than they do with patients. In many offices there is a computer in the exam room, and the doctor focuses his attention on the screen, occasionally looking up to face the patient. The bureaucratic demand for endless documentation has made the situation much worse.

Yet underneath all of this is a more elemental problem. Many physicians have not learned the technology of communication. They should face the patient throughout the time of the visit. They should offer easy to comprehend explanations, then appeal to the patient’s intelligence and understanding, and not try to enforce obedience through fear. Fundamental to effective care is the nurturing of affinity between doctor and patient. The physician should be aware of the patient’s concerns, current stressors, and the family situation.

The physician should use words the patient will understand, and not be too technical. He should provide illustrations of relevant anatomy and procedures. He should define complex terms. Recommendations should be provided in writing, since patients otherwise may not remember what is said to them. Individuals who cannot understand instructions are unlikely to follow them. We should simplify our language.

It is also important to understand the patient’s point of view. A patient may have an intense fear of surgery or anesthesia, whether justified or not. Some individuals prefer to risk the consequences of their disease rather than the side effects of medications or the complications of surgery.

My purpose is to offer knowledge, experience, and judgment. It is up to the patient to decide what course he will choose. If I disagree I will say so. Throughout all discussions it is crucial to maintain affinity. Otherwise the communication line will wither.

Medicine in my lifetime has made astounding advances in knowledge and therapy. It has lost some ground in the practice of communication.

We need to rediscover the virtues of the old-time doctor-patient relationship. Have a doctor you can trust and who listens to you and talks to you.

Dr. Allan Sosin

Posted by & filed under Gastrointestinal.

ColonColonoscopy, passage of a lighted flexible scope through the large intestine, is the gold standard procedure for detecting colon cancer and the polyps that develop into it. Many individuals, however, avoid colonoscopy because of the laxatives required for preparation, the anesthesia, the small risk of bowel perforation, or the risk of contamination and infection from the procedure itself.

Cologuard is a new screening test much more accurate than the old stool test for occult blood. There is no risk. A stool specimen is mailed to the testing facility and evaluated for the presence of specific protein secreted by intestinal polyps or tumors. The patient is then informed by the doctor’s office of the result. A positive result should be followed by colonoscopy. If a polyp is found, it can be excised during the procedure. If a cancer is found, surgery is needed.

The Cologuard test has 90% sensitivity in detecting polyps or tumors. One out of 8 patients tested, however, will have a false positive result. He will then require colonoscopy, which he would otherwise have needed for screening anyway. Read more »

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

A large study published in 2013 reveals a markedly reduced incidence of breast cancer in women treated with testosterone compared to women who received no hormone replacement therapy. (Glaser et al, Maturitas 2013)

Woman in Park1268 women were enrolled in the study, with average follow-up of five years. Treatment was provided with testosterone pellets implanted under the skin of the buttock or abdomen under local anesthesia, repeated every 3-4 months. About half of the implants contained testosterone alone, while the rest included anastrozole as well. Anastrozole blocks the conversion of testosterone into estrogen, offering added safety.

The incidence of breast cancer in the testosterone-treated group was only half that of women who did not receive hormones.

Read more »