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The Mission of PLMC is:
To provide quality care to our members in a safe, personalized, healing environment with an emphasis on prevention and treatments tailored to the needs of each patient, to deliver a dignified and comfortable patient experience.

12/12/2024

Understanding Insulin Resistance: The Silent Metabolic Disruptor

Insulin resistance is a condition that affects millions worldwide, often lurking unnoticed until it progresses into more serious health issues like type 2 diabetes, heart disease, or metabolic syndrome. But what exactly is insulin resistance, and why should you care?

At its core, insulin resistance occurs when the body's cells become less responsive to insulin, a hormone produced by the pancreas. Insulin’s primary role is to help glucose (sugar) enter cells for energy or storage. When cells resist insulin’s signal, glucose builds up in the bloodstream, prompting the pancreas to produce more insulin. Over time, this overproduction strains the pancreas and leads to elevated blood sugar levels.

Common causes of insulin resistance include a sedentary lifestyle, a diet high in refined carbohydrates and sugar, chronic stress, and insufficient sleep. Genetic factors can also play a role, making some individuals more susceptible.

Early signs of insulin resistance can be subtle, such as increased hunger, fatigue after meals, difficulty losing weight, or darkened patches of skin, especially around the neck or armpits. Left unchecked, it can progress to prediabetes or type 2 diabetes.

The good news? Insulin resistance is controllable. Adopting a healthier lifestyle can significantly improve your body’s sensitivity to insulin. Regular physical activity, a diet rich in whole foods (think vegetables, lean proteins, and healthy fats), stress management, and quality sleep are powerful tools to combat this condition.

If you suspect you might have insulin resistance, consult with a healthcare professional. Early detection and proactive steps can protect you from its long-term effects, setting you on a path to better health and vitality.
Here are some tools and tests commonly used to assess insulin resistance:

Fasting Insulin Levels
A fasting insulin test measures the amount of insulin in your blood after an overnight fast. Elevated fasting insulin levels may indicate that your body is producing extra insulin to compensate for resistance.

Fasting Blood Glucose
This test measures your blood sugar levels after fasting. While a normal fasting glucose level might not always reveal insulin resistance, elevated levels (but below the diabetes threshold) can be a red flag.

HOMA-IR (Homeostatic Model Assessment of Insulin Resistance)
This calculation uses fasting insulin and glucose levels to estimate insulin resistance. A higher HOMA-IR score suggests greater resistance.

Continuous Glucose Monitoring (CGM)
Wearing a CGM device can provide a detailed picture of how your blood sugar responds to meals, stress, and other factors. Frequent blood sugar spikes or elevated levels, even if fasting glucose is normal, can signal early insulin resistance.

HbA1c (Hemoglobin A1c)
This test provides an average of your blood sugar levels over the past 2–3 months. While it’s primarily used to diagnose diabetes, mildly elevated levels may indicate early insulin resistance.

Triglyceride-to-HDL Ratio
This is a simple blood lipid test. A higher ratio of triglycerides to HDL cholesterol is often associated with insulin resistance.

By combining these tests, healthcare providers can assess your risk of insulin resistance and recommend lifestyle changes or interventions if needed. If you’re concerned about insulin resistance, talk to your doctor about these tests—they’re straightforward but invaluable tools in catching this condition early.

Take control today—your body will thank you tomorrow!

26/08/2024
My Handsome Valentine ❤️❤️
16/02/2024

My Handsome Valentine ❤️❤️

08/08/2023
Elizabeth Khan, MDUnraveling the Magnificent Seven: A Guide to the Different Types of MagnesiumIntroductionMagnesium, an...
08/08/2023

Elizabeth Khan, MD

Unraveling the Magnificent Seven: A Guide to the Different Types of Magnesium
Introduction
Magnesium, an essential mineral, plays a critical role in various bodily functions, ranging from supporting muscle and nerve function to promoting cardiovascular health. However, not all magnesium supplements are created equal. There are multiple types of magnesium, each with distinct properties and health benefits. In this blog, we'll explore the magnificent seven types of magnesium to help you make an informed decision when choosing the right supplement for your needs.
1. Magnesium Oxide
One of the most common forms of magnesium found in over-the-counter supplements, magnesium oxide, is known for its cost-effectiveness. However, it has a lower bioavailability compared to other types, meaning the body may absorb less of it. Consequently, magnesium oxide is commonly used to alleviate occasional heartburn or as a laxative, rather than as a primary magnesium supplement.
2. Magnesium Citrate
Magnesium citrate is highly bioavailable and easily absorbed by the body. This type of magnesium is often recommended for individuals with magnesium deficiency or those experiencing muscle cramps and spasms. Additionally, its mild laxative effect makes it useful for relieving constipation. Due to its superior absorption, magnesium citrate is a popular choice among health-conscious individuals.
3. Magnesium Glycinate
Magnesium glycinate is a chelated form of magnesium, where magnesium is bound to the amino acid glycine. This unique structure enhances absorption and reduces the likelihood of gastrointestinal discomfort that can occur with some other magnesium supplements. Magnesium glycinate is an excellent choice for promoting relaxation, managing stress, and improving sleep quality.
4. Magnesium Malate
Magnesium malate is a combination of magnesium and malic acid, a naturally occurring substance found in fruits. This type of magnesium is well-regarded for its ability to support energy production and reduce muscle pain and fatigue. Athletes and individuals dealing with fibromyalgia or chronic fatigue syndrome may find magnesium malate particularly beneficial.
5. Magnesium L-Threonate
A relatively newer addition to the magnesium supplement family, magnesium L-threonate has shown promising effects on cognitive function and brain health. Studies suggest that this type of magnesium can cross the blood-brain barrier more effectively, which may enhance memory, learning, and overall brain health. While its bioavailability is lower than some other forms, magnesium L-threonate holds unique benefits for the brain.
6. Magnesium Taurate
Magnesium taurate combines magnesium with the amino acid taurine. Taurine is known for its role in supporting cardiovascular health and regulating blood pressure. This form of magnesium is particularly recommended for individuals with heart health concerns, as it may help promote a healthy heart rhythm and reduce the risk of arrhythmias.
7. Magnesium Chloride
Magnesium chloride is often used in topical applications, such as magnesium oil or flakes, which are absorbed through the skin. This method allows for rapid absorption into the bloodstream and can be an effective way to supplement magnesium in cases where oral supplementation may be challenging. Topical magnesium is commonly used to alleviate muscle soreness, promote relaxation, and support skin health.
Conclusion
Magnesium is undoubtedly a vital mineral for maintaining overall health and well-being. The various types of magnesium supplements available offer distinct benefits and advantages, making it crucial to choose the one that aligns with your specific needs and health goals.
Before starting any magnesium supplement, it's advisable to consult with a healthcare professional to determine the appropriate dosage and ensure it doesn't interfere with any existing medications or medical conditions. With the right form and proper guidance, magnesium supplementation can be an excellent addition to your daily routine, contributing to a healthier and more vibrant life.
Health Benefits: Present images that represent the various health benefits of magnesium, such as improving sleep, reducing muscle cramps, supporting heart health, and promoting relaxation.
Magnesium Deficiency: Display images depicting symptoms of magnesium deficiency, such as muscle weakness, fatigue, headaches, and abnormal heart rhythms. This can help readers understand the importance of maintaining adequate magnesium levels.

Some additional magnesium compounds that may be available include:
1. Magnesium Orotate: Magnesium orotate is a combination of magnesium and orotic acid. It is sometimes promoted as a form of magnesium with better bioavailability and potential benefits for heart health.
2. Magnesium Carbonate: Magnesium carbonate is often used as an antacid and can be found in some magnesium supplements, but its bioavailability is relatively low.
3. Magnesium Sulfate: Commonly known as Epsom salt, magnesium sulfate is used in topical applications for baths or as a compress to help soothe sore muscles and promote relaxation.
4. Magnesium Hydroxide: This form of magnesium is commonly used as a laxative and antacid, but it may have limited absorption compared to other forms.
5. Magnesium Aspartate: Magnesium aspartate is a combination of magnesium and aspartic acid. It is sometimes used in supplements for athletes, as aspartic acid is thought to support energy metabolism.
6. Magnesium Lysinate: Magnesium lysinate is a form of magnesium bound to the amino acid lysine. It may be used in some supplements for its potential benefits on stress and anxiety.
Keep in mind that while these additional forms of magnesium exist, the research and evidence supporting their specific benefits and bioavailability may vary. As with any dietary supplement, it's essential to consult with a healthcare professional or registered dietitian before adding any new magnesium supplement to your routine, especially if you have any underlying health conditions or are taking medications. They can help you determine the most suitable type and dosage based on your individual needs and health goals.

1. National Institutes of Health (NIH) Office of Dietary Supplements - Magnesium Fact Sheet: https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/
2. Linus Pauling Institute - Micronutrient Information Center: https://lpi.oregonstate.edu/mic/minerals/magnesium
3. Examine.com - Magnesium Supplement Information: https://examine.com/supplements/magnesium/
4. The American Journal of Clinical Nutrition - Magnesium and Human Health: Perspectives and Research Directions: https://academic.oup.com/ajcn/article/91/6/1475S/4597588
5. PubMed Central - Magnesium in Prevention and Therapy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586582/
6. Journal of the American College of Nutrition - A Review on the Importance of Magnesium in Health and Disease: https://www.tandfonline.com/doi/abs/10.1080/07315724.2001.10719064

06/09/2022

INTERMITTENT FASTING MAY BE THE KEY TO LONGEVITY

USC Professor Valter Longo leads a review of research in animals and humans to identify how nutrition affects aging and a healthy lifespan. The “Longevity diet” is suggested to help people benefit from a longer healthspan and lifespan by fasting for half of the day and avoiding processed and red meats while favoring fish, plant-based proteins, and a fair amount of carbs.

Examining a range of nutrition research from studies in laboratory animals to epidemiological research in human populations provides a clearer picture of the best diet for a longer, healthier life, said USC Leonard Davis School of Gerontology Professor Valter Longo.

In an article that includes a literature review published April 28 in Cell, Longo and coauthor Rozalyn Anderson of the University of Wisconsin describe the “longevity diet,” a multi-pillar approach based on studies of various aspects of diet, from food composition and calorie intake to the length and frequency of fasting periods.

“We explored the link between nutrients, fasting, genes and longevity in short-lived species, and connected these links to clinical and epidemiological studies in primates and humans – including centenarians,” Longo said. “By adopting an approach based on over a century of research, we can begin to define a longevity diet that represents a solid foundation for nutritional recommendations and for future research.”

What—and when—to eat for longevity

Longo and Anderson reviewed hundreds of studies on nutrition, diseases and longevity in laboratory animals and humans and combined them with their own studies on nutrients and aging. The analysis included popular diets such as the restriction of total calories, the high-fat and low-carbohydrate ketogenic diet, vegetarian and vegan diets, and the Mediterranean diet.

The article also included a review of different forms of fasting, including a short-term diet that mimics the body’s fasting response, intermittent fasting (frequent and short-term) and periodic fasting (two or more days of fasting or fasting-mimicking diets more than twice a month). In addition to examining lifespan data from epidemiological studies, the team linked these studies to specific dietary factors affecting several longevity-regulating genetic pathways shared by animals and humans that also affect markers for disease risk. These include levels of insulin, C-reactive protein, insulin-like growth factor 1, and cholesterol.

The authors report that the key characteristics of the optimal diet appear to be moderate to high carbohydrate intake from non-refined sources, low but sufficient protein from largely plant-based sources, and enough plant-based fats to provide about 30 percent of energy needs. Ideally, the day’s meals would all occur within a window of 11-12 hours, allowing for a daily period of fasting. Additionally, a 5-day cycle of a fasting or fasting-mimicking diet every 3-4 months may also help reduce insulin resistance, blood pressure and other risk factors for individuals with increased disease risks.

Longo described what a longevity diet could look like in real life: “Lots of legumes, whole grains, and vegetables; some fish; no red meat or processed meat and very low white meat; low sugar and refined grains; good levels of nuts and olive oil, and some dark chocolate.”

Lowering Blood sugar spikes may be the key to living longer
06/09/2022

Lowering Blood sugar spikes may be the key to living longer

  Scientists have found that canagliflozin, an anti-diabetes drug that is known to extend lifespan in mice, alleviates an array of age-related pathologies, albeit in males only [1]. Anti-diabetes and anti-aging Canagliflozin, […]

24/02/2022

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Published on July 10, 2017
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Elizabeth Khan, MD
Elizabeth Khan, MD
Medical Director at Personalized Longevity Medical Center a MDVIP Practice
3 articles
Elizabeth Khan
9 GMO Ingredients to Avoid
Because of the prevalence of soy and corn in processed foods, about 30,000 genetically modified food products sit on US grocery store shelves.
Here are the top 9 GM ingredients to watch for:
1. SOY
GM since: 1996
How widespread: 94 percent of the US soybean crop was genetically modified in 2011, according to the USDA.
What to watch for: Soybeans show up in many traditional (i.e. not organic) soy products, such as tofu, soy milk, soy sauce, miso, and tempeh, as well as any product containing the emulsifier lecithin (often derived from soybean oil), such as ice cream and candy.
2. COTTONSEED
GM since: 1996
How widespread: 90 percent of the US cotton crop was genetically modified in 2011, according to the USDA.
What to watch for: The cotton plant, genetically modified to be pest-resistant, produces not only fibers for fabric, but also cottonseed oil, available on US shelves as a standalone product, and also commonly used as an ingredient in margarine, in salad dressings, and as a frying oil for potato chips and other snacks.
3. CORN
GM since: 1996
How widespread: 88 percent of the US corn crop was genetically modified in 2011, according to the USDA.
What to watch for: GM corn can make its way into hundreds of products: breakfast cereals, corn-flour products (tortillas, chips, etc.), corn oil products (mayonnaise, shortening, etc.), and literally anything sweetened with high-fructose corn syrup, which covers sweetened fruit drinks, processed cookies and other snacks, yogurts, soups, condiments, and many other products.
4. CANOLA OIL
GM since: 1996
How widespread: 90 percent of the US canola crop was genetically modified in 2010, according to the New York Times
What to watch for: Any canola oil made in the USA. This popular cooking oil, originally derived from rapeseed oil by breeders in Canada (the name is a contraction for “Canadian oil, low acid”) comes from a genetically modified plant that is no longer simply cultivated, but grows wild across the Dakotas, Minnesota, and Canada.
5. U.S. PAPAYA
GM since: 1998
How widespread: 80 percent of the US papaya crop was genetically modified in 2010, according to the New York Times.
What to watch for: All papaya grown in the US. Hawaiian papaya was genetically engineered to withstand the ringspot virus in the late 1990s, with the GM version rapidly taking over the industry. In 2009, the USDA rescinded regulations prohibiting GM papaya on the US mainland; they have since been introduced to Florida plantations.
6. ALFALFA
GM since: In 2005, the USDA deregulated GM alfalfa, though cultivation was later halted in 2007, following lawsuits from the Center for Food Safety and others who demanded a full evaluation of the threats to conventional alfalfa plants, and the emergence of herbicide-resistant weeds. Following a new environmental impact study, the USDA in 2011 again deregulated GM alfalfa, which is grown primarily as feed for dairy and sometimes beef cattle.
How widespread: Data on the re-introduction of GM alfalfa in 2011 will be available from the USDA in July. At present, GM alfalfa is used primarily as hay for cattle. The Monsanto Technology Use Agreement for “Roundup Ready” GM alfalfa forbids its use for sprouts.
What to watch for: It’s difficult to tell from a meat or dairy product whether it is from cows fed GM alfalfa. Look for organic dairy products and organic or 100 percent grassfed meat. An even better option is to go vegetarian or vegan.
7. SUGAR BEETS
GM since: 2005
How widespread: 95 percent of the US sugar-beet crop was genetically modified in 2009, according to the USDA. Around half of the sugar produced in the US comes from sugar beets.
What to watch for: If a non-organic bag of sugar or a product containing conventional sugar as an ingredient does not specify “pure cane sugar,” the sugar is likely a combination of cane sugar and GM sugar beets.
8. MILK
GM since: 1994
How widespread: Recombinant bovine growth hormone (rBGH) is a GM synthetic hormone injected into dairy cows to boost milk production. 17 percent of US cows were injected with rBGH in 2007 (most recent figure). Milk from rBGH-treated cows contains elevated levels of Insulin Growth Factor-1, a hormone linked to increased risks for certain cancers.
What to watch for: No label is required for milk from rBGH-treated cows, though many brands of non-treated milk label their containers as such.
9. ASPARTAME
Genetically modified since: 1965
How widespread: Aspartame, an artificial sweetener, is derived from GM microorganisms. It is found in over 6,000 products, including diet sodas.
What to watch for: Avoid anything labeled as containing Nutrasweet, Equal, or aspartame

If you are interested in keeping bio-identical hormones around consider going to this website.
13/09/2021

If you are interested in keeping bio-identical hormones around consider going to this website.

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12/09/2021

Study from the journal Neurology revealed that nonalcoholic fatty liver disease (NAFLD) is independently associated with cognitive impairment. Nonalcoholic fatty liver disease (NAFLD) is an umbrella term ...

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