How Much Calcium Do You Need for Strong Bones?

paleo diet, Steve Parker MD,calcium, osteoporosis

Milk is a common source of calcium

I don’t know, and I’m not sure anybody else does.

The biggest concern about inadequate calcium consumption is that your bones will be weak and brittle, leading to fractures.

Dr Harriet Hall at Science Based Medicine reviewed a NEJM article written by Drs Willets and Ludwig on the health effects of milk.

From Dr Hall:

I was surprised to learn that the US recommendations for milk consumption were based on small, flawed studies of calcium balance. Other countries recommend lower levels of calcium intake. The US recommends 1000-1200 mg for adults, the UK 700 mg, and the World Health Organization, 500 mg. Counterintuitively, countries with high milk and calcium intake actually have the highest rates of hip fracture. Clinical trials of calcium for fracture prevention are complicated, because of confounding factors like vitamin D, phosphorous, and adult height. High calcium intake during childhood and adolescence was thought to serve as a way to “bank” calcium, but studies have not supported that hypothesis. In fact, men’s risk of hip fracture increased by 9% for every additional glass of milk consumed during adolescence.

Source: Milk and Health: The Evidence – Science-Based Medicine

Steve Parker, M.D.

Steve Parker MD, Advanced Mediterranean Diet

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Improve Weight Loss on a Mediterranean Diet By Restricting Breakfast Carbohydrates

Steve Parker MD, Advanced Mediterranean DIet

Naturally low-carb Caprese salad: mozzarella cheese, tomatoes, basil, extra virgin olive oil

Reducing carbohydrate content of breakfast improved weight loss on a calorie-restricted Mediterranean diet. Both diets in the study at hand were calorie restricted Mediterranean diets but only one of them restricted carbs at breakfast. Unfortunately the abstract does not mention the degree of calorie restriction nor the the AM carb restriction.

From the abstract of the study at hand:

Methods

Seventy overweight/obese individuals were randomized to two hypocaloric dietary regimens: one Mediterranean diet (Med-D) and one morning carbohydrate-restriction diet (MCR-D). Participants assigned to the MCR-D were permitted to consume a breakfast low in carbohydrate content, whereas typical Mediterranean morning meals were allowed in the Med-D group. Both diets were identical from midday on. Participants were followed over a period of 2 mo.

Results

Individuals in both groups achieved significant reductions in body weight, body mass index, waist circumference, and body fat mass. These reductions were more pronounced in the MCR-D than in the Med-D group (all P < 0.001). More participants in the MCR-D group achieved loss of 5% to 10% of body weight by the end of the first month, as well as 5% to 10% and >10% of body weight by the end of the second month (all P < 0.001). All participants achieved loss of ≥5% baseline body weight by the end of the intervention. Both groups achieved similar reductions in fasting serum glucose, glycated hemoglobin, and serum triacylglycerols as well as improvement in insulin sensitivity. Individuals in the Med-D group showed reductions in total and low-density lipoprotein cholesterol, whereas no such effect was observed in the MCR-D group.

Conclusions

Integration of morning carbohydrate restriction into a Mediterranean-type hypocaloric diet resulted in greater weight loss while retaining metabolic benefits in glycemia-related parameters.

Source: Carbohydrate restriction in the morning increases weight loss effect of a hypocaloric Mediterranean type diet: a randomized, parallel group dietary intervention in overweight and obese subjects – ScienceDirect

Steve Parker, M.D.

Steve Parker MD, Advanced Mediterranean Diet

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Green Tea Reduces Total and LDL Cholesterol Levels

Most to the green teas I’ve purchased are brown

Green tea consumption  is linked to reduce incidence of cardiovascular disease. The meta-analysis at hand suggests that the benefits are related to reduced total and LDL cholesterol. I suspect it’s more complicated than that.

Collectively, consumption of green tea lowers LDL cholesterol and TC, but not HDL cholesterol or triglycerides in both normal weight subjects and those who were overweight/obese; however, additional well-designed studies that include more diverse populations and longer duration are warranted.

Source: Effect of green tea consumption on blood lipids: a systematic review and meta-analysis of randomized controlled trials | Nutrition Journal | Full Text

Steve Parker, M.D.

Steve Parker MD, Advanced Mediterranean Diet

Click the pic to purchase at Amazon.com. E-book versions also available at Smashwords. com.

QOTD: Schlichter on #Coronavirus, Police Lawlessness, Rioting, and Self-Defense

No rule of law here. It’s the law of the jungle.

The Chinese coronavirus fiasco, the shocking killing of George Floyd, and the riots resulting from Democrat failure have taught the American people several things. One is that a surprising and sad number of law enforcement officers are willing to follow cheesy, stupid, and unconstitutional orders. A quick tour of social media will horrify you with the damage done to that support by video of stupid cops hassling civilians for going outside or trying to attend church. The people who long backed the blue feel stabbed in the back, and LEOs are going to have to work to earn back the support they lost because a lot of their comrades sided with Democrat bullies against the people.

Similarly, we have learned that the police are not necessarily going to be there for us. From that gooey tub of cowardice in Florida who let kids be murdered while he stood with a weapon outside the school – I can’t even type those words without sputtering in rage – to the MPD [Minneapolis Police Department] running away and letting criminals burn their building, do you feel comfortable putting your lives in the hands of such government employees? The one inspirational sight during the riots was a bunch of black Americans with modern rifles defending their businesses.

Four in Ten of All U.S. #COVID19 Deaths Were in Elder Care Facilities #Coronavirus

Are you tired of this pic yet?

I’ve reported here before that shockingly high rates of COVID-19 deaths in elder care facilities in a few individual states. Avik Roy looked at data from multiple states:

Roy writes in Forbes:

According to an analysis that Gregg Girvan and I conducted for the Foundation for Research on Equal Opportunity, as of May 22, in the 43 states that currently report such figures, an astounding 42% of all COVID-19 deaths have taken place in nursing homes and assisted living facilities.

*  *  *

And 42% could be an undercount. States like New York exclude from their nursing home death tallies those who die in a hospital, even if they were originally infected in a long-term care facility. Outside of New York, more than half of all deaths from COVID-19 are of residents in long-term care facilities.

 *  *  *

Nearly one-tenth of all New Jersey long-term care residents have died from COVID-19

As I recall, the first COVID-19 outbreak in the U.S. was in a nursing home in Kirkland, Washington.

Do you ever wonder how this pandemic could have been less severe if our rulers had concentrated their public health efforts on elder care facilities and older vulnerable adults? I do.

Steve Parker, M.D.

Steve Parker MD, Advanced Mediterranean Diet

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Handy Chart of When States Went Into Panic Mode #COVID19 #Coronavirus

I’ve been an advocate of opening up the economy since April 2, 2020. So if millions more in the U.S. die from COVID-19 you’ll know who to blame, partially. Of course, if my recommendations are followed, few will perish.

Despite my following the pandemic fairly closely, I couldn’t remember exactly when the Arizona economy was strangled. The handy chart below indicates March 31, 2020. For you states that don’t return to relative freedom and  capitalism, don’t ask the rest of us for a bailout. You made your bed, now lie in it.

Steve Parker, M.D.

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Is There a Role For Zinc in Treatment or Prevention of #COVID19? #Coronavirus

Artist’s rendition of Coronavirus

Read the article in Advances in Nutrition and then let me know in the comment section:

ABSTRACT

Zinc is an essential trace element that is crucial for growth, development, and the maintenance of immune function. Its influence reaches all organs and cell types, representing an integral component of approximately 10% of the human proteome, and encompassing hundreds of key enzymes and transcription factors. Zinc deficiency is strikingly common, affecting up to a quarter of the population in developing countries, but also affecting distinct populations in the developed world as a result of lifestyle, age, and disease-mediated factors. Consequently, zinc status is a critical factor that can influence antiviral immunity, particularly as zinc-deficient populations are often most at risk of acquiring viral infections such as HIV or hepatitis C virus. This review summarizes current basic science and clinical evidence examining zinc as a direct antiviral, as well as a stimulant of antiviral immunity. An abundance of evidence has accumulated over the past 50 y to demonstrate the antiviral activity of zinc against a variety of viruses, and via numerous mechanisms. The therapeutic use of zinc for viral infections such as herpes simplex virus and the common cold has stemmed from these findings; however, there remains much to be learned regarding the antiviral mechanisms and clinical benefit of zinc supplementation as a preventative and therapeutic treatment for viral infections.

Source: Role of Zinc in Antiviral Immunity | Advances in Nutrition | Oxford Academic

#COVID19 Fallout: U.S. Unemployment Rate Up to Almost 15%

The U.S. economy

As expected, everyone ignored my April 2 advice to open up the economy and let healthy, relatively young people go back to work. Read on, and weep.

Unemployment rates were higher in April in all 50 states and the District ofColumbia, the U.S. Bureau of Labor Statistics reported today. Similarly, all 50 states and the District had jobless rate increases from a year earlier.

The national unemployment rate rose by 10.3 percentage points over the month to 14.7 percent and was 11.1 points higher than in April 2019.

*  *  *

Nevada had the highest unemployment rate in April, 28.2 percent, followed by Michigan, 22.7 percent, and Hawaii, 22.3 percent. The rates in 43 states set new series highs. (All state series begin in 1976.)

I can understand the devastating unemployment numbers for Nevada and Hawaii; they’re heavy into travel and tourism. Michigan? I don’t know.

Source: State Employment and Unemployment Summary

Steve Parker, M.D.

PS: I live in Arizona. Our unemployment rate is 12.6%.

Steve Parker MD, Advanced Mediterranean Diet

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From Ivor Goodbody: Major Risk Factors for Death From #COVID19 #Coronavirus

Probably at little risk of serious illness if she’s generally healthy

Note that a prior diagnosis of hypertension (high blood pressure) was NOT a risk factor for death from COVID-19. Most other coronavirus articles list hypertension as a risk factor for serious illness, if not death, from COVID-19. Admittedly, “serious illness” is not the same as death. I’ve never understood how chronically controlled hypertension could increase risk of serious illness or death.

I recently read someone calling coronavirus, instead, controlavirus. Referring to governments controlling our businesses, personal movements, shopping practices, access to “non-essential” services, and violating our constitutional rights to peaceably assemble and worship as we choose. Not as our rulers choose.

“Return to your home and hide under your bed!”

Steve Parker, M.D.

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Should Andrew Cuomo Be Charged With Manslaughter?

It’s looking like, nationally, 30-40% of COVID-19 deaths in the U.S. are of nursing home residents, whether they perished at the nursing home or contracted the disease there and died in the hospital. The percentage varies from state to state.

From Daily Caller:

New York nursing homes were forced to accept more than 4,500 coronavirus patients from hospitals thanks to an order from Democratic New York Gov. Andrew Cuomo, a tally by The Associated Press found.

Cuomo has come under heated criticism for his March 25 order forcing recovering COVID-19 patients into New York nursing homes — a decision blamed for the state’s high body count among the elderly. The governor waited roughly six weeks before reversing the order on May 10.

The New York State Department of Health refused to release the results of an internal survey on how many coronavirus patients were placed in nursing homes across the state, the AP reported.

The health department is knowingly under-counting the number of nursing home deaths as a result of a quiet rule change made in late April, a department spokesman previously acknowledged following a Daily Caller News Foundation investigation

Steve Parker, M.D.

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