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Table of Contents
November 2004


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.

The Lowdown on Low Carb
It's estimated that 7 to 10% of Americans are now on low-carbohydrate diets, but that in recent years more than half of those who have tried such diets have given up. Reality is setting in, perhaps. Only recently have some well-designed studies begun to show how these diets work and how they don’t. Yes, people do tend to lose more weight, and lose it faster, on low-carb diets than on conventional low-fat diets—in the short term at least. But low-carb diets don’t live up to all the hype. And their long-term safety remains the big unanswered question.  Full Story

Spice Up Your Life
What’s a spice? It’s defined as any "aromatic vegetable substance," whether tree bark (such as cinnamon), fruit (peppercorns), or seed (nutmeg), used whole, broken, or ground up to season and/or color food. Herbs are plant leaves and stems, fresh or dried; they also add flavor and color. The average American consumes 3.6 pounds of spices annually, and nearly half of that is pepper and mustard seed (in prepared mustard). Maybe we should eat more. That’s because spices and herbs may have health-giving properties and even anti-cancer effects. Though the amounts we consume at a given meal are tiny, spices and herbs add variety and complexity to our diets. Besides small amounts of vitamins, minerals, and fiber, spices and herbs contain a range of chemicals (often pigments) that may benefit human cells. Many of these are antioxidants, which neutralize cell-damaging free radicals and also promote health in other ways.

Vaccinations: Myths and Facts
Of all medical miracles, vaccination may be the greatest. At low cost and low risk of adverse effects, vaccination (also known as immunization or inoculation) has saved millions of lives and prevented untold suffering and disability. Smallpox, polio, diphtheria, and measles are only some of the killers and cripplers that can be prevented, even eradicated, by vaccination. This is even more impressive because many diseases we vaccinate against are untreatable—they have to run their course. Nevertheless, people, and especially parents, worry about vaccines—their purity, their potential side effects, the wisdom of just skipping them. Some refuse to immunize their children, others neglect to get themselves vaccinated against flu or tetanus. Failure to immunize endangers not only the individual, but others as well. This article lays some misinformation to rest, and lists the immunizations children and adults need.

Was Grandma Right About Cod Liver Oil?
Some of us are old enough to remember when children had to swallow a daily spoonful of cod liver oil (usually against their will) as a vitamin supplement. In a recent small study at Cardiff University in Wales, people with severe osteoarthritis who took cod-liver-oil capsules for 12 weeks showed dramatic reductions in enzymes in the body that cause cartilage damage and joint pain. Thus, the researchers claimed to have proven that "Grandma was right" about the oil, and hailed it as an arthritis breakthrough and a way to reduce the rising demand for joint replacement operations. Are they right?

Mite Have Beens
Dust mites inhabit more than 80% of all households, no matter how clean and neat. They are actually on the clean-up committee: they eat our discarded skin cells, as well as animal dander, pollen, fungi, bacteria, and other microscopic organic material in the domestic environment. (They are invisible cousins to the buzzards that help keep the outdoors clean.) They thrive in mattresses, pillows, carpets, and clothing. As many as 19,000 mites can live in just one gram of dust. In some people, unfortunately, dust mites can cause asthma, hay fever, or eczema. If dust mites don’t bother you, there’s no reason to bother them. They don’t carry disease and don’t bite. But if you or someone in your household has asthma or a skin condition you think might be caused by mites, here’s how to proceed.

"To Beguile You From Grief"
In 1864, in his letter of condolence to the mother of five sons, all of whom had been killed in battle, Abraham Lincoln spoke of the inadequacy of any words to "beguile you from the grief of a loss so overwhelming." And though millions of words have been written on the subject of grief since then, comfort is often hard to come by. Grief is universal, but it is also very individual and specific—which may be why psychiatrists and psychologists have had a hard time dealing effectively with it. How people express grief is influenced by culture, religion, and personality. Some mourn publicly; others withdraw. Some search for meaning—what did the life of the lost person mean, why did death come now? Others never ask these questions. Some people want to talk about how they feel, others do not. Grieving over a loss is normal and necessary, and most people do not require psychiatric help to get through it. Indeed, they may do better on their own. Here’s what you need to know about the science behind grief.

The Great Pumpkin
In the Peanuts comic strip, Linus spends part of the Halloween night watching the sky, hoping for a visit from the "Great Pumpkin." That’s not as crazy as it seems. Pumpkins, which are technically a fruit, are one of the giants of the squash family, nutritionally and by weight. They’ve been cultivated in the western hemisphere for 9,000 years or more, and have long been valued for their oil-rich seeds, as well as their flesh. Pumpkin is very rich in beta carotene, which is an important antioxidant. It also contains some vitamin C, folate (a B vitamin), a little calcium and iron, and some fiber. And it’s low in calories—80 per cup.

ASK THE EXPERTS
Our readers ask: How often do I need full-mouth X-rays from my dentist? Does drinking lots of lemonade prevent kidney stones? What causes bloodshot eyes, and should I worry about them?  Full Story

WELL & INFORMED
Tips, Short Takes, and Other News You Can Use
The pros and cons of eating liver . . . Setting the clocks back on October 31 will probably save some lives.

WELLNESS TIPS

Another reason to avoid Type 2 diabetes: it may increase the risk of developing Alzheimer’s disease by 65%, according to a recent study.

To lower your blood cholesterol, consider drinking sterol-fortified orange juice (one brand is Minute Maid’s Heart Wise OJ). This contains the same kind of plant compounds found in special cholesterol-lowering margarines, such as Benecol.

Don’t stretch before exercising simply because you think it will prevent injuries. Many athletes believe it does help, but studies have found that it does not reduce the risk.

Two of the most common types of cough syrup work no better than a placebo, according to a recent study. The ingredients are dextromethorphan (often listed as DM) and diphenhydramine (an antihistamine), both of which are supposed to suppress coughs.

Don’t expect a very overweight teenager to simply "outgrow" obesity. A new study of 9,800 American teenagers found that 11% were obese, and six years later 22% were obese. Only one out of seven of the obese teens lost enough weight to be considered merely overweight or normal weight in young adulthood.

It’s safe to eat the dark "vein" running down the back of shrimp. It is actually a tiny intestinal tube. In large shrimp, it can be a little gritty, and most cooks prefer to remove it. But if the shrimp have been cooked, eating the vein won’t harm you.

To cut down on sodium in cottage cheese, buy the low-salt variety. Cottage cheese is very salty (about 450 milligrams of sodium in half a cup), but the low-salt varieties don’t taste very good, so you might want to add a little salt. Or you can mix together equal amounts of regular and low-salt cottage cheese.

Know how to do the self-administered Heimlich maneuver, in case you start choking on food when no one is around to help. Make a fist and place the thumb side against your abdomen, slightly above the navel. With the other hand, grasp the fist and press it in and upward with quick, sharp thrusts.

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