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Table of Contents
August 2007


Each month we feature one full article from the current issue of the WELLNESS LETTER, plus our Ask the Experts column, in addition to brief summaries of the other articles, listed below.

That Old Flax Magic—Real or Imaginary?
Some people believe that eating flaxseeds protects against breast and prostate cancer. Others think it increases the risk of those cancers. Then there are those who claim that flaxseeds reduce menopausal symptoms and lower cholesterol. These are only a few of the benefits (and drawbacks) claimed for flaxseeds. Should you use flaxseed oil in place of olive, canola, and other vegetable oils? Should you make sure to eat some flaxseeds daily? There’s no denying that flaxseeds contain interesting components, and there has been a lot of promising research. But the benefits of flaxseeds and their oil remain hard to pin down.  Full Story

Cracking the D-Vitamin Code
Because of growing evidence about the benefits of vitamin D—for bone health, muscle function, and possibly even prevention of some cancers and other illnesses—many Americans are trying to consume more D and thus are turning to supplements. Recently, several readers have asked what they should look for in D supplements. Here’s what you need to know . . . On supplement bottles, look for D3 (also called cholecalciferol) on the ingredients list or in the "Supplement Facts" panel

Pap Tests: as Necessary as Ever
There’s now a vaccine, Gardasil, that can prevent cervical cancer. Still, like other major strides in medical science, this one has led to some confusion. If there’s a vaccine, can women just forget the Pap test? No. This vaccine is not going to make the Pap test obsolete—not for many decades to come, and maybe never. Many years will pass before there’s a generation of adult women who have been vaccinated. And even those who get vaccinated will still need a Pap, since the vaccine prevents only about 70% of cervical cancers. Here’s what you need to know about Pap tests.

Positively Galling
An estimated 25 million American adults have gallstones, and more than 500,000 of them will, as a result, need to have their gallbladders removed this year. People who have parents or siblings with gallstones are up to four times more likely to form them, and black Americans have a lower risk than whites. Stones are also more common in women and older people, people who are obese, and those who lose weight rapidly. Some chronic inflammatory conditions (such as Crohn’s disease), diabetes, high triglycerides, low HDL ("good") cholesterol, and a sedentary lifestyle are associated with gallstones. Diets rich in sweets and other refined carbohydrates are linked to gallstones, while fiber appears to reduce risk. We provide advice about symptoms, diagnosis, treatment, and the role of cholesterol-lowering drugs.

Appetite Adjustment
Appetite is the drive to seek and eat food. If only it were that simple. People don’t eat only when they are hungry, and they often don’t stop eating when they are full. So what drives appetite? More specifically, what contributes to overeating? A host of physiological factors are involved, including hormones. But in addition, what you eat and how you eat it can affect how much you eat. Here’s a brief look, based on recent research.

Is There a Sunscreen Pill?
It would be nice if you could take a pill that would protect your skin from sun damage, instead of having to slather lotion on your skin. Unfortunately, such a pill does not exist. But various companies claim their supplements can provide additional sun protection beyond what you get from even the best sunscreen. While most of these supplements have no scientific support, one product, Heliocare, does have some research behind it. But that does not mean you should take it.

Make Room for Mushrooms
Although mushrooms are fungi—neither plant nor animal—they are usually regarded as vegetables and count toward your nine-a-day fruit-and-vegetable goal. The most common ones are button mushrooms (Agaricus bisporus), but specialty mushrooms—chanterelles, enoki, maitake, oyster, and shiitake, for example—are increasingly available and affordable, thanks to year-round indoor cultivation. The best reason to eat mushrooms is for their flavor, which becomes especially savory when they are cooked. Called umami, and considered the "fifth taste," the flavor comes from glutamic acid, a natural version of the flavor enhancer monosodium glutamate (MSG). But mushrooms are also an overlooked source of nutrients.

Sweat Solutions
Sweating is the healthy and normal response to a rise in the ambient temperature, to exertion such as exercise or work, to fever, and to emotional stimuli. Sweating creates moisture on your skin, and as it evaporates, heat is removed so you cool off. For some people, however, sweating goes way beyond what’s needed for normal cooling. This condition, known as hyperhidrosis, may produce sweaty hands, face, feet, body, or armpits (or all of them at once) for no apparent reason. This happens to about 3% of us, and it can be distressing. Sweaty hands dampen papers, books, and computer keyboards. A sweaty handshake is unpleasant for the recipient. Your clothing, including your socks and shoes, can quickly get drenched. Here’s how to deal with the problem.

ASK THE EXPERTS
Our readers ask: What causes rusty water, and is it safe to drink? My hand shakes when I write or move it certain ways—is this an early sign of Parkinson’s? What are tocotrienols, and should smokers take supplements to protect themselves? When you write about blood cholesterol, why do you give the numbers two different ways?  Full Story

WELL & INFORMED
Tips, Short Takes, and Other News You Can Use
How fatalistic beliefs can become self-fulfilling prophecies . . . . Warning signs when buying exercise equipment.

WELLNESS TIPS

Light to moderate alcohol consumption (up to one drink a day) may help prevent, or at least delay, dementia in people with mild age-related memory problems or cognitive impairment, according to a recent Italian study. However, consuming more than one drink a day was not beneficial.

Don’t count on lycopene to help prevent prostate cancer. Though early research indicated that men who eat tomatoes, the main source of lycopene, have a lower risk of prostate cancer, some recent studies have not found this.

If you’re a man under 65 with erectile dysfunction (ED), talk to your doctor about your risk for diabetes. ED may be a marker for diabetes, a new study found. Other research has linked ED with increased risk of heart disease and stroke. ED is always a reason to seek medical advice.

There is no reason to choose the new Diet Coke Plus or any other "fortified" soft drink over regular diet soda—or water, for that matter.

Bike helmets save lives, but they shouldn’t give cyclists a false sense of security. In fact, an English study found that drivers tend to pass closer to helmeted cyclists than to those not wearing helmets.

If you’re using sunscreen and an insect repellent containing DEET, apply extra sunscreen and reapply it often. DEET can decrease the effectiveness of the sunscreen, probably because DEET is a solvent.

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