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Struggling with erectile dysfunction? It could be more than just stress. Two key tests you should consider are HbA1c to check for diabetes and Testosterone levels to assess for hormonal imbalance. Early testing can help identify the root cause and guide proper treatment. Don’t ignore the signs—your health matters! 💪🍆

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Fenugreek has had a lot of claims made about it from Testosterone boosts in men to increasing milk production in woman, and even fighting hair loss. What does the research say? What are the benefits to eating fenugreek herbs and seeds? In this video highlight some interesting studies which have been conducted on Fenugreek. *This is not medical advice, always consult a physician before taking any new herb or supplement* Fenugreek is a herb that appearance wise, is similar to clover and native to the Mediterranean region, southern Europe, and western Asia. The herb is used as a spice in various traditional foods, and also in traditional medicine. Many choose to make their own teas from the seeds, while some companies sell the herb in pill form as a dietary supplement. When people talk about the plant its important to note that there are different parts of the plant which are studied. There are many different chemical compounds in both the fenugreek herb, the fenugreek seed and also there are different extracts, some that contain the seed husk and others that take the husk out before extraction Tea made from the seeds of the herb has consistently proven to increase milk volume in breast-feeding women. A study published in the JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE had one group of new mothers ingesting tea brewed with fenugreek seeds at three cups per day, on the third day they measured mean breast milk volume, the women drinking the tea produced a mean 73ml vs the control group which produced just 31 ml, they also found the babies of the fenugreek tea mothers got back up to their birth weight faster, for the guys watching this, apparently after babies are born they actually lose weight before they gain it, don’t worry I didn’t know that either. Here’s where things get confusing though, in recent years manufacturers have been selling Fenugreek as a testosterone booster… Now I’m going to get this out of the way, based on the evidence it doesn’t look like pure unaltered fenugreek alone, in any way increases muscle and strength, studies have however shown increases in Libedo in men but testing for a rise in testosterone has been unreliable. When talking about Testosterone it’s also important to mention another even more potent hormone, Dihydrotestosterone, or DHT. This hormone is similar to testosterone but is far more potent in activating androgen receptors (the receptors that cause men to display manly features) In our body circulating testosterone is acted on by an enzyme which turns it into this DHT. DHT is also one of the active hormones responsible for male and female pattern hair loss. DHT is anywhere between 2.5 to 10 times more potent than testosterone at activating androgen receptors in your body. And while studies on fenugreek have occasionally shown a mild increase in testosterone, these usually go hand in hand with a mild decrease in DHT. In one study DHT levels in men dropped by 9%. It is thought that this occurs because something in Fenugreek is inhibiting the alpha reductase enzyme, leading to a backlog of testosterone which isn’t converted to DHT. Which in theory could mean a slight benefit if you are suffering from male or female pattern hair loss, but this is also the only thing fenugreek does which can be clearly explained by measurable hormone changes. Just using a tiny testosterone increase doesn’t explain why people report for their libedo increasing. First of all, the testosterone changes which have been detected are only minor, and secondly, the brain’s androgen receptors primarily only respond to DHT and not testosterone, so if fenugreek means less DHT, if anything shouldn’t libedo drop. Well it turns out as I said things are just more complex It has been found that ingesting between 2-5 grams of fenugreek seeds can help lower blood glucose levels, and improve glucose tolerance, something helpful for diabetics and pre diabetics. This could be in part due to the soluble fibre in the seeds slowing down digestion and absorption of carbohydrates, that’s the explanation given by www.diabeties.co.uk

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Dr Marcelo Dratcu Médico formando pela Escola Paulista de Medicina, especializado em clinica médica e medicina comportamental, corpo clinico e docente do Instituto Albert Einstein Dr Edson Bor-Seng-Shu professor livre docente pelo departamento de neurologia do Hospital das Clinicas da Faculdade de Medicina da USP Dr Marcelo De Lima Oliveira doutor pelo departamento de neurologia do Hospital das Clinicas da Faculdade de Medicina da USP A medicina comportamental tem como objetivo expandir o período de tempo com qualidade de vida, diferente de longevidade total. Desta forma os últimos anos ou por vezes décadas de vida tem que ser bem vividas. A abordagem da medicina para qualidade de vida por vezes é diferente da medicina convencional o que traz o conceito de medicina comportamental. Essa medicina adequa o comportamento do paciente para melhorar a adesão dos tratamentos e promover hábitos saudáveis e dessa forma, melhorar a eficiência dos tratamentos e prolongar a vida com qualidade. Atividade física é importante para saúde, porém poucas pessoas fazem atividade física regular e movimentam-se pouco durante o dia. Ao longo dos séculos o ser humano passou a movimentar-se menos por vários motivos. A medicina comportamental procura melhorar o hábito de movimentação, hábitos alimentares, adesão aos tratamentos e melhora do sono para que sejam saudáveis. Como traçar estratégias para mudança de comportamento para melhora da adesão aos tratamentos? O ideal seria o que é considerado tratamento mais científico seja colocado para o indivíduo de maneira viável para o paciente. Por exemplo, doenças crônicas como diabetes, hipertensão são doenças crônicas que poderão ocorrer para o resto da vida e essa informação pode assustar o paciente. Durante a consulta o médico deve ter empatia com o paciente para que ele crie um vinculo com o profissional e dessa forma entenda melhora que adesão do tratamento são decisões compartilhadas para que haja melhor adesão aos tratamentos e evitar sofrimentos desnecessários. Com essas regra de compartilhamento a maioria dos pacientes vão entender a aderir aos tratamentos. Algumas outras regras na comunicação com o paciente: 1) não julgar os hábitos do paciente, 2) observação e abordagem comportamental através de perguntas de conhecimento a respeito da doença e o que pode acontecer se não tratar, 3) compartilhamento da decisão, 4) adequar comportamento para ter resultados. A reestruturação cognitiva ensina o paciente a detectar pensamentos automáticos protetores e distorcidos por erros cognitivos. A medicina comportamental ajuda a detectar esses pensamentos e analizar se eles são benéficos ou não para que ele entenda a doença e tenha adesão ao tratamento. As diretrizes e protocolos populacionais na medicina são muito importantes, porém a individualização dos tratamentos para cada paciente é muito importante. Por exemplo, a farmacogenomica pode testar a resposta individual de cada paciente para cada tipo de medicação, como estudo do metabolismo individual de pacientes para substancias especificas. Importante ressaltar que cada paciente tem um comportamento diferente e a área comportamental na medicina contempla os diferentes comportamentos e reações dos pacientes. Por exemplo: atividade física faz parte do tratamento do paciente e o paciente vai aderir esse tratamento quando ele quiser. A medicina comportamental vai conhecer o paciente e os anseios do paciente a fim de convence-lo a adesão do tratamento através da atividade física, pois esse talvez seja o mais importante dos tratamentos das doenças crônicas. O desenvolvimento da musculatura através dos exercícios e movimento é fundamental para independência nas idades mais avançadas. A relação cosa quadril é tão importante quanto ao diâmetro abdominal para prever doenças e morbidade. Portanto, a medicina comportamental é essencial para convencer o paciente na adesão da prescrição a atividade física. Uma das coisas que faz com que o ser humano nao faça ou desista de praticar exercícios é a expectativa de ser um atleta. A atividade física deve ser feita se possível de forma prazeirosa e progressiva sem necessidade de ter alto rendimento. A movimentação corporal é tão importante quanto o exercício físico, ou seja, andar. Andar evita trombose, atrofia muscular e depressão. O movimento previne depressão! Se a pessoa começa lentamente e o exercícios e tiver adesão por tres meses a chance de prolongar a pratica da atividade física será maior. A gestão do stress e ansiedade no trabalho também é muito importante na qualidade de vida. Gestores e com certos tipo de personalidade podem ter as chances aumentadas de infarto e AVCi. Existem estratégias que podem ser praticadas diariamente para melhorar a qualidade de vida pois o stress pode somatizar e causar doenças orgânicas. Além disso, as questões emocionais podem atrapalhar o cognitivo para performar no desempenho do trabalho. #healthspan #qualidadedevida

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