Category Archives: Lifestyle Medicine

Vitamin D Screening and Supplementation in Primary Care

https://www.medscape.com/viewarticle/893083?nlid=121889_4641&src=WNL_mdplsfeat_180417_mscpedit_wir&uac=27343DV&spon=17&impID=1609946&faf=1 I hope the reader can access this article. Basically, it says that Vitamin D is overblown, massively, 100 fold over 10 years and for no good reason. It sounds like you have to be very careful at or above 4000 Iu a day, and probably scant evidence it does any good. It increases risk […]
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High Energy Breakfast Diet is an Effective Strategy for Weight Loss and Reduction of the Total Daily Insulin Dose in Type 2 Diabetes

http://www.abstractsonline.com/pp8/#!/4482/presentation/6407 Case to eat like a king in the morning and a pauper in the evening.

Alterations of serum macro-minerals and trace elements are associated with major depressive disorder: a case-control study | BMC Psychiatry | Full Text

https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1685-z Fascinating article in reputable journal arguing for mineral deficiencies as a way to understand and treat depression. Might mean reconsidering supplementation studies. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3804335/ Another article (of several) looking at psychiatric illness and micronutrients. Seems plausible, safe, and well tolerated. This study was with children. Still I need to be clear that these results SHOULD […]
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NAC for schizophrenia shows good results in a replication study; the theory and data are coming through.

Effects of 12-month, double-blind N-acetyl cysteine on symptoms, cognition and brain morphology in early phase schizophrenia spectrum disorders Schizophrenia Research — | March 28, 2018 Breier A, et al. – Given that N-Acetyl Cysteine (NAC) mitigates the deleterious effects oxidative stress, inflammation and glutamatergic excitotoxicity (the three pathological processes hypothesized to contribute to progressive brain […]
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Low-Fat vs Low-Carbohydrate Diet on Weight Loss in Overweight Adults | Lifestyle Behaviors | JAMA | The JAMA Network

The common sense results are in: Don’t stress about low fat or low carb: just go with a well balanced whole foods diet with plenty of vegetables, grains, and proteins, and skip the processed foods and added sugars. https://jamanetwork.com/journals/jama/article-abstract/2673150

Combined effects of prenatal exposure to polycyclic aromatic hydrocarbons and material hardship on child ADHD behavior problems – ScienceDirect

Air pollution and poverty largely influence ADHD rates in offspring. https://www.sciencedirect.com/science/article/pii/S0013935117312252

What Clinicians Need to Know About Vitamins and Mineral Supplements | Complementary and Alternative Medicine | JAMA | The JAMA Network

This is the latest , fairly conservative review of supplements. Note the growing acceptance of Vt D, even from within the medical establishment. https://jamanetwork.com/journals/jama/fullarticle/2672264?utm_source=silverchair&utm_campaign=jama_network&utm_content=weekly_highlights&cmp=1&utm_medium=email Vitamin and Mineral Supplements What Clinicians Need to Know What Clinicians Need to Know Dietary supplementation is approximately a $30 billion industry in the United States, with more than 90 000 products […]
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British Columbia online resource

I wanted to quickly update the readers about Bounce Back, an eight year old program put on by the Province attempting to extend mental health care in BC. They recognized the gap in services, listened to the growing evidence for effective CBT online (equal outcomes to in-person), and grew their website and phone-based delivery service. […]
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An App for Mental Health

I have been thinking about an article I read and blogged on a month ago:  21st Century Psychiatry needs to embrace technology.  Fine. I’d like to proceed. Let’s start with apps. Apps on smartphones are personal advisors; I can think of no better opportunity to embed psychotherapy into the daily lives of my clients.  Vetting apps, […]
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A Reasonable 2016 Diet Book

This year a diet book was published that finally making sense.  Dr. David Ludwig takes a middle-of-the-road, scientifically sound, nuts and bolts approach to the obesity epidemic in our world:  It’s all about the fat cell.  An endocrinologist (hormone doctor) by trade, he sees “calories in-calories out” as an outmoded 19th Century idea; he prefers […]
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