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Wow! 2016 About Over!

December 15, 2016

This is a fun informational blast before we get too serious in this New Year. This article Why You Should Go Crazy For Cacao was actually sent to me by a patient and I find it very comprehensive and helpful. We’ve all heard of the health benefits of chocolate, and especially dark chocolate. The Darth Vader aspect is the sugar and other components added to make most of the chocolate we buy more appealing. The bottom line here concerns processing. Processed cacao becomes cocoa and chocolate. However, the heat in the processing degrades the bioflavonoids (the healthy components) found in cacao. Next, look at the aspect of nitric oxide activation which serves as a protective agent as far as blood vessel health. It also dilates blood vessels which can increase blood flow. This is the most important aspect as far as I am concerned— but then I am an old cardiovascular guy. This vascular benefit may also be why it helps preserve cognitive function. One aspect to look at is utilizing cacao powder in a daily smoothie. This is one ingredient that can be added along with other components for a healthful nutritional drink. As a final thought, I present Enjoy the Holidays Without Gaining Weight

December 10, 2016

  Obesity rates are increasing. Statistics show that this is more so in the 45 to 64-year-old age group than in others. This is the time of life where you want to watch out. But it is Holiday Season…! If you follow certain basics in your daily lifestyle, you do not have to worry about “cheating” during the holidays. I hope the information presented will help make you more aware of aspects of your diet. Some of these things go against conventional medical wisdom. My medical school curriculum did not include any significant training in nutrition in the early 1970s. I have a daughter who is in her third year of family practice training and she has shared her similar experience with me. Most doctors do not know anything about nutrition and that can include basics. What you hear and read in the news and on the net needs to be carefully digested. Let us start with a few basics: Help, I’m Gaining Weight! This Could be Why. I have always preached against processed foods. Many of the chemicals and preservatives added adversely affect our normal metabolism. Wheat of any kind is a killer. There is no such thing as whole wheat. The gluten plays havoc with our insulin levels—and remember insulin has a chemical structure similar to growth hormone that can interfere

Posted in Blog by jbosiljevac
November 29, 2016

If you have lingering doubts regarding the safety of testosterone therapy in light of recent media hype, lawyer’s ads and even the FDA statement released on March 3rd, read what the medical experts at Harvard and The Mayo Clinic have to say. A 2015 review in the Mayo Clinic Proceedings, titled Testosterone Therapy and Cardiovascular Risk: Advances and Controversies, concluded: “In summary, there is no convincing evidence of increased CV (cardiovascular) risks with T (testosterone) therapy. On the contrary, there appears to be a strong beneficial relationship between normal T and CV health that has not yet been widely appreciated.” You also might want to read the article in Science Daily featuring Harvard urologist, Dr. Abraham Morgentaler: Analysis rejects linkage between testosterone therapy, cardiovascular risk. It is difficult to understand what prompted the latest FDA statement when trusted medical experts at the Mayo Clinic and Harvard indicate otherwise. As your physician I try to provide you with the information needed

Posted in Blog by jbosiljevac
November 8, 2016

Even though I have lived the last six years in New York City, I really cannot come up with any good material to share with you on either Hillary or Donald, but the Zika virus is still in the news. What We Don’t Know About Zika, Naled And Science It seems unfathomable to wipe out a large number of mosquitoes in a given area without some getting away and without introducing toxins. The mosquitoes are killed by direct contact from the spraying, but then as they decompose it goes into the groundwater. Maybe mosquitoes sprayed in the past with these toxins altered a carrier virus that was just going along for the ride and not causing any problems. Now the virus has been implicated in genetic aberrations causing microcephaly or tiny head in newborns. We call it Zika. Just remember, first came HIV, then others like CMV and Epstein-Barr became recognized for their involvement with chronic disease patterns. Now comes Zika. What virus will be the next major crisis? Microcephaly is a terrible condition. The knee

Posted in Blog by jbosiljevac
October 4, 2016

I have made a total of 10 medical missions over the years. I am fluent in Spanish so Latin countries were preferred. Each trip was for one to two weeks duration and I traveled to Honduras, the Dominican Republic, Colombia, Bolivia, and Mexico. Journals were kept. It was necessary for me to bring a full set of surgical instruments and initially these were transported as my carry-on for the airplane. My trade tools were borrowed from the hospital operating room. Packing space was a premium. I tried to think of the most useful instruments and would also bring medications since these were always in short supply. With increased security concerns on later trips (after 9/11) the surgical equipment was handled with the general luggage. That always made me wonder if I could do my work once we arrived if the instruments did not. And then to have to face the operating room supervisor about lost instruments– well, we are talking in the range of about $50,000 or more. Traveling by bus we arrive to an area, usually a rural part of the country, and set up. Sometimes this is an existing medical facility or perhaps an empty building. Local lay help is part of the team as well as medical personnel such as nurses. Our group also has its own lay help and paramedical personnel including a pharmacist. Sometimes there is a dentist. Other physicians from various specialties make up the remainder of t

Posted in Blog by jbosiljevac
October 1, 2016

Genomics Did you ever think about your genetic tendency to develop cancer or a chronic degenerative condition? In the case of Angela Jolie, the NY Times Angelina Jolie Pitt: Diary of a Surgery and a Forbes blogpost Angelina Jolie’s Round Two With Mutated BRCA1: Solid Science Sprinkled With Nonsense reported that Jolie was positive for the BRCA–1 gene, which predisposed her to breast and ovarian cancer. She chose the course of action she thought was best for herself and shared her choice, publicly sparking a widespread conversation about breast treatment options. Statistics indicate that only 70% to 80%of women with the BRCA–1 gene will develop breast cancer during their lifetime. But why not the other 20% to 30%? Although BRCA-1 is a highly penetrant gene, our environment affects our health as well by activating or deactivating genes. These triggers in our daily lives can include lifestyle habits, exposure to toxins, and chemical/hormone imbalances causing these genetic mutations to become active and cause cancer. This environmental risk, termed “epigenomics” from the

Posted in Blog by jbosiljevac
September 11, 2016

This is an example of a very good health practice (lemon and himalayan salt.docx). Makes sense and seems easy to do, right? Let me make a point. First of all this is just one item. Adding it to what you are doing may or may not be what you need. You may or may not notice any difference. The key is to obtain an overall roadmap. A recipe, so to speak, can then be set up as far as nutrition and supplements. I have always emphasized the importance of a complete and comprehensive exam at the age of 50 that gathers data to establish a roadmap. This is not the annual physical in conventional medicine. Think of this scenario: A middle-age man (50) comes in with a little bit of a paunch and is asked about his medical health. He states it is pretty good. He goes to the gym. He tries to eat right. As far as medication, he takes something for cholesterol, another for blood pressure, a heart pill, and something for sugar. Oh, a Viagra certainly helps. His doctor told him that all his numbers were under control (whatever that means). I ask you— is this truly healthy? Do you have balance (chemical and hormonal) for the “human machine” to function optimally? The next level in prolonging health and longevity adds physiologic and other data to actually look at the level of function as part of the roadmap. A complete blood

Posted in Blog by jbosiljevac
September 6, 2016

I am including three articles, which I feel are pertinent to my patients. The first article relates to the long-term safety of growth hormone in testosterone. Of course, I preface this with the comment that hormone optimization with these hormones needs to be used with the appropriate medical indications and monitored at intervals for safety. Alzheimer’s is something that scares everyone—see article two. I have not only seen improvement of mood and the ability to discontinue antidepressant medications in patients, but now we see a recent study based on a population of non-Hispanic Caucasians related to dementia. The third article has to do with the use of statins for cholesterol. Remember, cholesterol is a precursor used to make vitamin D and testosterone. If levels of these are suboptimal, then cholesterol levels go up as the body tries to compensate. I have seen this time and time again. Optimize the hormones and cholesterol levels come down without medication. Although hormone optimization was not addres

Posted in Blog by jbosiljevac
September 5, 2016

If you have lingering doubts regarding the safety of testosterone therapy in light of recent media hype, lawyer’s ads and even the FDA statement released on March 3rd, read what the medical experts at Harvard and The Mayo Clinic have to say.   A 2015 review in the Mayo Clinic Proceedings, titled Testosterone Therapy and Cardiovascular Risk: Advances and Controversies, concluded: “In summary, there is no convincing evidence of increased CV (cardiovascular) risks with T (testosterone) therapy. On the contrary, there appears to be a strong beneficial relationship between normal T and CV health that has not yet been widely appreciated.”   You also might want to read the article in Science Daily featuring Harvard urologist, Dr. Abraham Morgentaler: Analysis rejects linkage between testosterone therapy, cardiovascular risk.   It is difficult to understand what prompted the latest FDA statement when trusted medical experts at the Mayo Clinic and Harvard indicate otherwise.

Posted in Blog by jbosiljevac
September 1, 2016

  At Cenegenics we use a low x-ray exposure dexa scan. This gives us bone density and body composition (dexa). Conventional medicine and insurance companies are stuck on the BMI. So, first of all, look at the article http://www.dailymail.co.uk/sciencetech/article-3152862/The-graphic-reveals-BMI-useless-Scientists-reveal-radically-different-body-shapes-readings.html   pertinentto this discussion. Inaccurate measurement of true body composition can hinder decisions in how exercise and nutrition may be used to change body composition. Dexa can actually quantify in pounds the amount of lean muscle and fat. This can be followed as a trend rather than relying on changes in the number of pounds “ overweight” as far as being healthy. Another piece of information is distribution of the fat. The so-called android distribution—visceral— internal organ fat—- is what will kill you. The goal should be an android distribution of less than 25%. Difficulty getting rid of fat in this location is usually due to an imbalance of cortisol. Gynoid fat on the other hand is around the hips and I always look at some sort of estrogen effect when this persists in men or estrogen dominance in women.. How about the

Posted in Blog by jbosiljevac