Psychological Stress, Exercise, and Telomere Length

Researchers continue to dig into the connection between psychological stress and telomere length: “Exercise can buffer the effects of stress-induced cell aging, according to new research … A growing body of research suggests that short telomeres are linked to a range of health problems, including coronary heart disease and diabetes, as well as early death. … Telomere length is increasingly considered a biological marker of the accumulated wear and tear of living, integrating genetic influences, lifestyle behaviors, and stress. … Results support [the] discovery six years earlier in premenopausal women that psychological stress has a detrimental effect on immune cell longevity, as it relates to shorter telomeres. The new study showed, however, that when participants were divided into groups – an inactive group, and an active [group] – only the inactive high stress group had shorter telomeres. The active high stress group did not have shorter telomeres. In other words, stress predicted shorter telomeres in the sedentary group, but not in the active group.”

View the Article Under Discussion: http://www.eurekalert.org/pub_releases/2010-05/uoc–ber052510.php

Read More Longevity Meme Commentary: http://www.longevitymeme.org/news/

Air Pollution May Spark Adult-Onset Diabetes

Lifelong exposure to air pollution can increase a person's risk for type 2 diabetes.

In a new study that will appear in the journal Environment Health Perspectives, air pollution was linked to increased incidence of diabetes 2 or adult-onset diabetes.  The study involved respondents in Germany who lived in heavily polluted industrial areas.

The study was first initiated in the eighties.  After sixteen years, researchers made a follow-up study and found out that many of their original respondents (many aged fifty and up) now have type-2 diabetes.  Out of 1,775 of the total number of respondents in the long-term study, it was found that 187 of the respondents (all women) developed the degenerative condition by late 2006.

How did it happen?  Researchers are still non-conclusive, but there are many solid theories surrounding the phenomena.  Many doctors agree that lifelong exposure to pollutants can set off a biological chain reaction in the body, which produces chronic inflammation that affects many of the body’s organs and functions.

Many doctors agree that inflammation is a significant contributing factor to the development of type 2 diabetes.  According to Rashmi Gulati MD of New York City, breathing in polluted air does not help prevent type 2 diabetes.  Couple this with the Couch Potato syndrome and unhealthy eating patterns and a person is at higher risk for many health conditions, not just diabetes 2.

Type 2 diabetes

What is type 2 diabetes? Type 2 diabetes occurs when one or both of these happen: the body does not produce enough insulin to break down the blood sugar or the body’s cells are no longer sensitive to the natural insulin produced by the body.

When either of these happen, the sugar in the body accumulates, leading to damage to many of the body’s organs over the long term.  Diabetics are at higher risk for heart diseases and stroke, as well.  Slow wound healing and gangrene are also potential risks that face the type 2 diabetic.  Type 2 diabetes is not limited to adults.  Increasingly, this disease has manifested in overweight children.

The most common treatment for type 2 diabetes is insulin shots and medication like metformin, which is used to control blood sugar levels and bring down blood sugar levels to normal.  If left untreated, diabetics can suffer from neuropathies and even vision loss as well.

Protect yourself from air pollution

There are several steps to avoid the hazards of air pollution:

  1. Air pollution can adversely affect your respiratory tract.  If you live in a heavily polluted area, make sure that you get more than enough water everyday.  Water helps carry away toxins and also keeps your respiratory system working efficiently.
  2. Avoid areas that have declared high ozone levels.
  3. If you have to go out near heavily polluted areas, wait until sunset before going out.  The higher the sun is up in the sky, the higher the ozone content of the air.
  4. If there is a wildfire near your neighborhood, close your doors and windows and seal any cracks or openings with tape.  This will create a limited ‘clean zone’ that prevents most of the smoke from outside from entering your home.
  5. Invest in vitamin supplements – especially those that are high in easily-absorbed vitamin C.  Vitamin C strengthens the lungs and protects you from the harsh effects of air pollution.
  6. Exercise regularly so your body can naturally detoxify. Many toxins are stored in the body’s tissues.  When you exercise, these toxins are transported outside of the body.  With regular exercise, you will feel lighter and more energized because you have less toxin load in your body.
  7. If you live in a highly polluted area and you need to use your bike or motorcycle, do wear a dust mask.

Sources:
aolhealth.com
sixwise.com
fitness.ygoy.com
iqair.com

Discuss this post in Frank Mangano’s forum!

An Hour’s Worth of Benefits with 10 Minutes of Exercise

Ten minutes of exercise produces benefits that can last for up to one hour. Exercise also has endless benefits that makes it the most natural anti-aging activity around.

In a recent study performed by researchers from the Massachusetts General Hospital, it was found that ten minutes worth of real exercise (jogging, walking, etc.) produced positive changes in a person’s metabolism that last for at least one hour.

This means that the more you exercise, literally, the more calories and fat your process and burn.  So in a way, exercise can create that very healthy addiction: the more you exercise, the more benefits you get on an exponential rate.  It’s a healthy cycle that everyone should adapt for a healthier, more vibrant life.

The study involved 70 participants who engaged in exercise and were measured based on their speed, oxygen intake and general fitness profile.  It was found that thinner people were generally more able to handle the exercise and produce more metabolites associated with calorie and fat-burning.  Inversely, heftier individuals showed signs of possible heart problems such as shortness of breath – a dire reminder what excess weight could do to the heart.

Why exercise is good for you

We all know that exercise is good for us, and here’s why:

1.  Exercising lifts depressive moods and improves your mental outlook, instantly. - exercise activates the production of chemicals in the brain that allows you to feel better.  It’s the body’s natural means of rewarding the body for a hard day’s work.

In addition to this, exercise reduces the total fat percentage in the body, which makes you look more fit and healthy – this always gives people reasons to smile and feel good about themselves.

Think of exercise as a cost-effective way of gaining more self confidence and becoming healthier over the long term.  This type of investment requires nothing but your willpower and time.

2.  Exercise keeps your heart healthy - regular exercise (at least 30 minutes everyday) lowers your blood pressure, burns excess fat, improves your circulation, lower bad cholesterol and makes you look younger, too!

3.  Exercise – the only weight loss tool you will ever need –forget all those fad diets. Exercise is the real deal. Exercise directly burns fat, controls your appetite and increases your metabolism naturally – no pills, fad diets or special supplements needed.

4.  Who needs energy bars when you’ve got exercise? - people experience low energy levels even if they eats lots of calories. So forget about energy bars and sugar & sodium-packed energy drinks. Instead of buying another energy bar, start walking daily for extra energy throughout the day.

5.  Quality sleep – if you schedule your exercise in such a way that you have cooled down sufficiently at bedtime, you will get better sleep.

6.  More loving with exercise – having problems with lovemaking? Exercise may be the key. Exercise naturally energizes you, even after a hard day’s work. A run on the treadmill just might be the key for better lovemaking.

7.  Exercise is fun! - why do people run or walk everyday? Well they are doing it not just for the benefits. They do it because it is fun! Try to find an exercise or sport that fits your needs. Find something that entertains you as well. Dancing, stretching and even Olympic wrestling can make you very fit.

8.  Exercise calms you down – when you exercise, the body’s core temperature is increased. When you cool down, the natural cooling process relaxes the whole body and allows your body to de-stress at its own pace.

9.  Better immune system – exercise increases your body’s natural defense system. Even cancer survivors will attest to the vibrancy they felt after engaging in a specially-tailored exercise regimen, which helps them cope with the side effects of cancer treatment.

Sources:
news.yahoo.com
mayoclinic.com
mayoclinic.com
mayoclinic.com

Discuss this post in Frank Mangano’s forum!

Resveratrol: Nature’a Anti-Aging Molecule

Resveratrol, a naturally-occuring compound in wine, may help reduce cardiovascular disease and prolong life, new human study states.

Resveratrol is a naturally-occurring compound found in wines fermented from grapes.   This compound is a polyphenol and has been studied for many decades primarily because of the French Paradox: there is a low incidence of heart disease in France even though the French generally indulge in high-fat diets.

The French also smoke and drink a lot of wine throughout their lives.  One would expect that cardiovascular problems would be common, given the circumstances; however, something is keeping the French heart strong and healthy.  And according to Dr. Renaud, a French doctor from Bordeaux University, it was resveratrol that was to be given the credit.

Blood flow boost

In the United Kingdom, a human study (note – they used live human subjects for the test and not animals) researchers found out that 250 milligrams of resveratrol can help increase the blood flow to the brain, without producing any negative effects to a person’s cognitive capacity.  This fact alone, according to Dr. David Kennedy, signals a renewed interest in resveratrol and how it can affect vascular activity in the brain.

Another study from Harvard University showed that resveratrol was able to prolong the life of yeast cultures.  This study was done back in 2003, which actually helped increase resveratrol’s popularity with the media as a potential “eternal youth” pill.

Other studies showed that this polyphenolic compound was also capable of prolonging the life of other species such as mice and even nematodes.  What’s amazing about this compound is that it produces so many benefits and yet it’s just one type of molecule. It is as if Mother Nature designed resveratrol as a ‘heal-all’ for all living beings.

How much can you safely take?

It’s good to be always cautious and careful with anything that we ingest or consume.  Regular doses of resveratrol should not be given to children (that usually means kids below the age of 12) and pregnant or lactating women.  This is a general caution because there are still no conclusive studies done on the potential effects of this compound.

However, many researchers disagree with the warning about the dose.  According to James Betz, MD, tests show that at 1,000 mg of reseveratrol the polyphenolic compound failed to produce any significant negative effects to the test subjects.  Could it be possible that nature’s heal-all also doesn’t produce any side effects?

We leave this question open for the time being – it is up to medical researchers to prove or disprove.  But what we know now is this: resveratrol has a very big potential in prolonging the life of humans by protecting people’s hearts.  That is the main benefit and it is still the most interesting advantage to people who ingest resveratrol supplements.

Other benefits of resveratrol

This tough molecule does more than just protect the heart:

  1. Resveratrol reduces inflammation in the body, which might benefit a lot of people in the long term because many medical conditions produce inflammation in the skin, joints, muscles and other body tissues.
  2. Resveratrol reduces the incidence of blood clots, which may cause heart attacks, stroke, thrombosis, embolisms, etc.
  3. Resvertarol is a natural anti-oxidant that can rid the body of harmful free radicals.
  4. Resveratrol may also help in controlling cholesterol levels in the body (LDL cholesterol or bad cholesterol is its main target).

Having a hard time with high blood pressure? This polyphenol has been associated with lower blood pressure, too!

Sources:
nutraingredients-usa.com
mayoclinic.com
mayoclinic.com

Discuss this post in Frank Mangano’s forum!

Compound in Broccoli a Potential Weapon Against Breast Cancer

Sulforaphane, an active compound extracted from broccoli, offers hope to breast cancer sufferers as it is capable of killing off cancer stem cells.

According to new research from the US, a compound found in the popular vegetable broccoli is capable of targeting and killing off cancer stem cells.  According to the research, which was published recently in the journal Clinical Cancer Research, the compound sulforaphane was capable of killing off cancer stem cells and prevented new cancerous growths from emerging.

Broccoli vs. cancerous tumors

Collating their data with other earlier studies on the subject, the US researchers noted that sulforaphane was able to reduce the resistance of cancerous tumors to conventional treatment.  Since the compound reduces tumor resistance, a second theory arose: the compound may be the key to solving the problem with relapses, or recurring cancer.

The researchers further noted that people who consumed more broccoli tend to have less risk of breast cancer.  Since the compound is derived naturally from the vegetable, it has very low toxicity and can be utilized by the body easily (high bioavailability).

Bioavailability is an important concept in medical treatments because if a drug has low bioavailability, it becomes less effective and the patient would eventually need to take higher doses of the drug to get the desired results.  To date, sulforaphane has already been marketed as a food supplement.  However, the amount of sulforaphane in supplements is not being regulated.

Broccoli vs. diabetes

It seems that like a few other organic compounds like resveratrol, sulforaphane is enjoying widespread popularity because it provides so many benefits.  In another study published in the medical journal Diabetes, it was found that the same compound may be helpful in reducing the vascular damage associated with long-term diabetes.

As you may know, diabetes causes a lot of problems to diabetics, including damage to blood vessels.  This damage to blood vessels may even cause blindness if the diabetes is not treated and monitored correctly.

Sulforaphane, according to the study in Diabetes, was capable of reducing the damage to body’s blood vessels by activating enzyme production.  The enzyme produced protects the blood vessels from the ravages of diabetes.

The compound also helped the body by helping produce enzymes that disabled free radicals in the body.  In yet another study, the compound offered hope to family lines with histories of cancer.

It appears that the compound was also capable of preventing cells from passing on damaged or corrupted genetic information to the next generation of cells.  In another study (this is the fourth!) sulforaphane was also linked to reducing the chances of aggressive prostate cancer in men by more than forty-five percent.

Sources:
mayoclinic.com
nutraingredients.com

Discuss this post in Frank Mangano’s forum!

The Aging of Arteries

A general interest article on the aging of blood vessels from the Wall Street Journal: “Over time, however, the effects of high blood pressure, cholesterol, blood sugar and tobacco smoke provide a toxic milieu that injures the endothelium. That causes an inflammatory response intended to heal the artery wall, but that in the face of continuous injury only makes things worse. The progressive result is an accumulation of fatty deposits called plaque that can rupture or have their caps shear off, causing clots that lead to heart attacks. In addition, artery walls can stiffen, transforming compliant arteries into conduits like ‘Styrofoam tubes’ [that] increase both blood pressure and the workload on the heart. … Both high body mass, particularly belly fat that accounts for a person’s bulging waist line, and diabetes have a pernicious effect on the health of adult blood vessels. … Even if your weight is under control, high cholesterol, high blood pressure, smoking, sedentary living and stress all are culprits that can accelerate vascular age.”

View the Article Under Discussion: http://online.wsj.com/article/SB10001424052748703406604575278713597433300.html

Read More Longevity Meme Commentary: http://www.longevitymeme.org/news/

Love Pistachios? Your Heart Does, Too!

Pistachios are a great way to start the day – because it protects the heart and lowers bad cholesterol.

Pistachios are well-loved nuts, not just in the United States but around the globe. We have even more reasons to love this health nut: researchers from Pennsylvania State University  concluded that pistachios are ideal for controlling cholesterol levels because it’s natural packed with nutrients and good fats which helps the cardiovascular system work more efficiently.

The study involved 28 respondents (adult males and females) who were given pistachios during the research period. The nuts had a marked effect on the LDL or bad cholesterol level of the test respondents.

Other benefits of pistachios

Pistachios are packed with lutein and other organic compounds that serve as anti-oxidants. Anti-oxidants reduce cell damage and further protects cells from the ravages of free radicals.

Coupled with the right diet and exercise, a heart-healthy meal plan consisting of pistachios, vegetables and lean meat can significantly contribute to decreasing cardiovascular problems and even cancer. It’s all about synergy – the components of a fitness plan must be synergistic with each other to work well.

In addition to being loaded with anti-oxidants, pistachio nuts are also great sources of vitamins and minerals. Minerals like iron, which are present in pistachios, are heart protectors. In the long term, eating foods similar to pistachios will enhance the protective effect of a heart-healthy diet.

Tips for lowering LDL cholesterol

1. As much as possible, stick to lean, white meats and avoid red meats. Red meats are packed with bad cholesterol (LDL) and only make things worse.

2. Moderate consumption of red wine (and other wines with resveratrol) may reduce LDL and protect your heart, too. Note that a small quantity of wine, drank regularly every week is sufficient. Do not overdo alcohol consumption.

3. Eat foods high in fiber like fruits, vegetables, grains and legumes

4.Cold water fishes packed with omega-3 fatty acids are also ideal in combating high cholesterol levels.

5. 42.5 grams of healthy nuts like pistachios and even walnuts can help lower your cholesterol over the long term.

Summary: Pistachios are a great way to start the day – because it protects the heart and lowers bad cholesterol.

Sources:
webmd.com
mayoclinic.com
cholesterol.about.com

Cut Back on Sodas for a Healthier Heart

Cutting back on soda directly improves a person's blood pressure. Over time, the benefits of this practice will also continue to increase.

Today, the average American consumes 28 fl. oz. of sodas and other sugary drinks everyday – an alarming fact considering that new research has discovered the vital link between these sugary drinks and blood pressure.

According to research done by Dr. Liwei Chen from the Louisiana State University, cutting back on your consumption of sugary beverages has a direct impact on your blood pressure.

The 3-point difference

In the randomized study involving 810 adult Americans (aged twenty five to seventy nine), Dr. Chen observed that halving the usual consumption of sodas produced a 3-point reduction in blood pressure. What does this mean?  Well, a 3-point reduction in blood pressure also reduced the incidence of a heart attack by a hefty eight percent.

Mortality associated with cardiovascular incidents was also reduced by five percent.  During the study, the 810 respondents were given beverages that had been sweetened with corn syrup – the most common sweetener used in the beverage and food industries today.

According to Dr. Chen, if a person were to gradually reduce his or her soda consumption over a long period of time, then the benefits to a person’s heart is also for the long term.  And that’s not all, a person who reduces his consumption of soda also protects himself more efficiently from stroke – one the greatest silent killers in medical history.

Soda & blood pressure?

But many people are still wondering: what does soda consumption really have to do with blood pressure?  There are two theories supporting the move to reduce the intake of sodas and sugary drinks: the sodium theory and the uric acid theory.

You see, many commercial beverages are loaded with sodium, the same stuff that we use to season food. Sodium has the capacity to directly raise a person’s blood pressure.

Also, the sweetener used for these beverages also contributes to the increase of a person’s uric acid, which is also directly associated with high blood pressure.  In addition to high blood pressure, increased uric acid can also contribute to a higher probability of developing gouty arthritis – a very painful form of arthritis.

Tips for lowering your blood pressure

1. Avoid eating too much fast food and processed food – foodstuffs developed by most food sectors are loaded with at least 40% more sodium than what is considered safe by the US FDA.

2.If you can, use spice substitutes when cooking. Avoid using too much salt when cooking.  Your blood pressure can progressively increase through time.

3. You don’t have to spend a cent to exercise – start getting fit today.  Five minutes of brisk walking, done everyday, can do wonders for your blood pressure.

4. Cut down on smoking – cigarettes and cigars have been shown to raise blood pressure.  If you stop smoking for just 1 to 2 hours, your blood pressure begins to go down.

References:
webmd.com
disease/article32650.html
rd.com
rd.com

Longevity Meme Newsletter, May 24 2010

LONGEVITY MEME NEWSLETTER
May 24 2010

The Longevity Meme Newsletter is a weekly email containing news, opinions, and happenings for people interested in aging science and engineered longevity: making use of diet, lifestyle choices, technology, and proven medical advances to live healthy, longer lives. This newsletter is published under the Creative Commons Attribution 3.0 license. In short, this means that you are encouraged to republish and rewrite it in any way you see fit, the only requirements being that you provide attribution and a link to the Longevity Meme.

To subscribe or unsubscribe from the Longevity Meme Newsletter, please visit http://www.longevitymeme.org/newsletter/

______________________________

CONTENTS

- Is Aging a Disease?
- Applying Reliability Theory to Aging
- Sarcopenia Caused by Blood Vessel Aging?
- Discussion
- Latest Healthy Life Extension Headlines

IS AGING A DISEASE?

This is an often debated question amongst researchers and advocates, but it isn’t really about words and definitions – this has far more to do with research fundraising and the consequences of regulation:

http://www.fightaging.org/archives/2010/05/talking-point-is-aging-a-disease.php

“At the moment, drug companies and scientists keen to develop their research on aging into tangible results are hampered by regulators in the United States and Europe who will license medicines only for specific diseases, not for something as general as aging. … Because aging is not viewed as a disease, the whole process of bringing drugs to market can’t be applied to drugs that treat aging. This creates a disincentive to pharmaceutical companies to develop drugs to treat it. … Unelected officials of organizations like the FDA in the United States cause untold harm to progress in medical science by (a) placing huge and unnecessary burdens upon research and development, and (b) forbidding outright commercial application for any purpose or disease that is not in their list. It can take a decade – and millions of dollars in the formalized bribery known as lobbying – for a new discovery, new classification, or new form of therapy to be recognized by regulators. Or even longer, as is the case for aging.”

Thus many promising lines of technology are developed very slowly, or not at all. Those that do gain traction are sidelined into commercial development as treatments for specific late-stage diseases of aging – typically far from their most optimal usage. As is true of everything touched by bureaucrats, this situation is a debacle and a vast waste.

APPLYING RELIABILITY THEORY TO AGING

Reliability theory is a way of making predictions on failure modes and mean time to failure for complex systems consisting of many redundant parts. It has seen extensive use in the electronics industry, for example, though its roots are far older than that. There is a growing interest in applying reliability theory to considering aging and longevity:

http://www.fightaging.org/archives/2010/05/applying-reliability-theory-to-aging.php

“Biological organisms can be considered as reliability-engineered, robust systems and applying reliability theory to their basic non-aging components, proteins, could provide insight into the aging mechanism. Reliability theory suggests that aging is an obligatory trade-off in a fault-tolerant system such as the cell which is constructed based on redundancy design. Aging is the inevitable redundancy loss of functional system components, that is proteins, over time. In our study we investigated mouse brain development, adulthood and aging from embryonic day 10 to 100 weeks. We determined redundancy loss of different protein categories with age using reliability theory. We observed a near-linear decrease of protein redundancy during aging.”

If you visit the SENS Foundation science pages, you’ll see that many of the root causes of aging involve accumulating damage to the protein building blocks used by our cells and by the machinery within our cells:

http://www.sens.org/sens-research/research-themes

SARCOPENIA CAUSED BY BLOOD VESSEL AGING?

Sarcopenia is the characteristic loss of muscle mass and strength with advancing age, and there is a healthy debate in the gerontology community over its root causes. Here, researchers put forward a fairly convincing demonstration in support of their theory that sarcopenia results from age-related declines in blood vessel function:

http://www.fightaging.org/archives/2010/05/sarcopenia-as-a-consequence-of-failing-blood-vessel-function.php

“Normally, [the tiny blood vessels in muscle] are closed, but when a young person eats a meal and insulin is released into the bloodstream, they open wide to allow nutrients to reach muscle cells. In elderly people, however, insulin has no such ‘vasodilating’ effect. … We found that by blocking vasodilation, we reproduced in young people the entire response that we see in older persons – a blunting of muscle protein response and a lack of net muscle growth. In other words, from a muscle standpoint, we made young people look 50 years older.”

Blood vessels are an important form of biological infrastructure in our bodies: not just tubes, but in fact complex reactive machinery. They become progressively more damaged by age, unable to adjust as they should, and this causes harm to many of our bodily systems.

DISCUSSION

The highlights and headlines from the past week follow below. If you have comments for us, please do send e-mail to newsletter@longevitymeme.org

Remember – if you like this newsletter, the chances are that your friends will find it useful too. Forward it on, or post a copy to your favorite online communities. Encourage the people you know to pitch in and make a difference to the future of health and longevity!

Reason
reason@longevitymeme.org

______________________________

LATEST HEALTHY LIFE EXTENSION HEADLINES

AFFIBODIES AND AGGREGATES (May 21 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4735
From the SENS Foundation: “Aggregates of beta-amyloid (Abeta) and other malformed proteins accumulate in brain aging and neurodegenerative disease, leading progressively to neuronal dysfunction and/or loss. The regenerative engineering solution to these insults is therapeutic clearance of aggregates, extracellular (such as Abeta plaques) and intracellular (such as soluble, oligomeric Abeta). Immunotherapeutic Abeta clearance from the brain is a very active field of Alzheimer’s research, with at least seven passive, and several second-generation active, Abeta vaccines currently in human clinical trials … One challenge to optimal vaccine design is matching the specificity of antibodies the range of Abeta aggregates that form in vivo … agents that sequester one Abeta species may leave other species intact, and in some cases a shift in assembly dynamics can actually promote the formation of one species while clearing or reducing the formation of others … Although in very early in vivo testing, a new approach has emerged that may offer that promise. This is the use of an Abeta-targeting affibody, i.e., a novel non-immunoglobulin binding protein generated through combinatorial protein engineering.”

ANOTHER STUDY LINKING FAT AND DEMENTIA RISK (May 21 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4734
Via EurekAlert!: “excess abdominal fat places otherwise healthy, middle-aged people at risk for dementia later in life. … [The study] included 733 community participants who had a mean age of 60 years with roughly 70% of the study group comprised of women. Researchers examined the association between Body Mass Index (BMI), waist circumference, waist to hip ratio, CT-based measures of abdominal fat, with MRI measures of total brain volume (TCBV), temporal horn volume (THV), white matter hyperintensity volume (WMHV) and brain infarcts in the middle-aged participants. … Our results confirm the inverse association of increasing BMI with lower brain volumes in older adults and with younger, middle-aged adults and extends the findings to a much larger study sample. … Prior studies were conducted in cohorts with less than 300 participants and the current study includes over 700 individuals. … More importantly our data suggests a stronger connection between central obesity, particularly the visceral fat component of abdominal obesity, and risk of dementia and Alzheimer’s disease … the association between VAT and TCBV was most robust and was also independent of BMI and insulin resistance. Researchers did not observe a statistically significant correlation between CT-based abdominal fat measures and THV, WMHV or BI.”

THE COST OF EXCESS FAT TISSUE (May 20 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4733
Another paper looks at some of the consequences of becoming obese. In a more fair and productive world, medical costs would be an individual responsibility rather than being socialized as they are at present: “The prevalence of adult obesity has increased in recent decades. It is important to predict the long-term effect of body weight, and changes in body weight, in middle age on longevity and Medicare costs in older ages. … We predicted longevity and lifetime Medicare costs via simulation for 45-year-old persons by body weight in 1973 and changes in body weight between 1973 and 1983. … Obese 45-year-olds had a smaller chance of surviving to age 65 and, if they did, incurred significantly higher average lifetime Medicare costs than normal-weight 45-year-olds ($163,000 compared with $117,000). Those who remained obese between ages 45 and 55 in 1973 to 1983 incurred significantly higher lifetime Medicare costs than those who maintained normal weight. … Chronic obesity in middle age increases lifetime Medicare costs relative to those who remained normal weight. As the survival of obese persons improves, it is possible that Medicare costs may rise substantially in the future to meet the health care needs of today’s obese middle-aged population.”

TRANSFORMING BRAIN CELLS (May 20 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4732
From the Technology Review: “Support cells in the brain called astroglia can be turned into functioning neurons. … Researchers found that they could transform the cells into two different classes of neurons, and that the neurons could form connections with one another in a dish. Although the research is at an early stage, the finding suggests that scientists could someday recruit existing cells in the brain to repair the brain and spinal cord after a stroke, injury, or neurodegenerative disease. … The addition of one specific gene generated excitatory neurons, which promote activity in other cells. By adding a different gene, they generated inhibitory neurons, which dampen cell activity. In principle, [you] could generate other types of neurons if you choose the appropriate factors … The study adds to growing evidence that certain cell types can be transformed directly into other cell types without first being converted into stem cells. … one of the next challenges is to determine whether these reprogrammed neurons can survive and function in a living brain. Fortunately, the brain seems to have a ready source of astroglia. When the brain is injured, these cells proliferate, similar to the way the skin repairs itself after a wound. The researchers found they could also derive neurons from injury-induced astroglia taken from the brains of adult mice.”

H+ MAGAZINE ON SWITCHING MEMORY BACK ON (May 19 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4731
From h+ Magazine: “A new study [sheds] some light on how ‘memory disturbances’ in an aging mouse brain are associated with altered ‘hippocampal chromatin plasticity’ – the combination of DNA, histones, and other proteins that make up the chromosomes associated with the hippocampus. Specifically, the study describes an acetyl genetic switch that produces memory impairment in aging 16-month-old mice. Because the acetyl wasn’t present in young 3-month-old mice, the study concludes that it acts as a switch for a cluster of learning and memory genes. … when young mice are learning, an acetyl group binds to a particular point on the histone protein. The cluster of learning and memory genes on the surrounding DNA ends up close to the acetyl group. This acetyl group was missing in the older mice that had been given the same tasks. By injecting an enzyme known to encourage acetyl groups to bind to any kind of histone molecule, [researchers] flipped the acetyl genetic switch to the ‘on’ position in the older mice and their learning and memory performance became similar to that of 3-month-old mice. … [Researchers hope] that the study of hippocampal chromatin plasticity and gene regulation in mice will help them to identify therapeutic strategies to encourage neuroplasticity (the formation of new neural networks in the brain), to improve learning behavior, and to recover seemingly lost long-term memories in human patients.”

MEMORY AND LONGEVITY TREATMENTS (May 19 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4730
Via EurekAlert!: “Two methods of extending life span have very different effects on memory performance and decline with age. … While the nematode C. elegans is already well known for its utility in longevity research, previously it was not known how the memory of C. elegans compares with that of other animals, or whether longevity treatments could improve learning and memory. To answer these questions, [researchers] designed new tests of learning and memory in C. elegans, then used these tests to identify the necessary components of learning, short-term memory, and long-term memory. They found that the molecules required for learning and memory appear to be conserved from C. elegans to mammals, suggesting that the basic mechanisms underlying learning and memory are ancient. The authors also determined how each of the behaviors declines with age, and tested the effects of two known regulators of longevity – dietary restriction and reduced Insulin/IGF-1 signaling – on these declines. Surprisingly, very different effects on memory were achieved with the two longevity treatments: dietary restriction impaired memory in early adulthood but maintained memory with age, while reduced Insulin/IGF-1 signaling improved early adult memory performance but failed to preserve it with age. These results suggest not only that longevity treatments could help preserve cognitive function with age, but also that different longevity treatments might have very different effects on such declines.”

STEM CELL INDUCED REGENERATION IN THE LUNG (May 18 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4729
Researchers here demonstrate that comparatively simple stem cell transplants may be effective in regenerating lung injuries: “Human stem cells administered intravenously can restore alveolar epithelial tissue to a normal function in a novel ex vivo perfused human lung after E. coli endotoxin-induced acute lung injury (ALI) … ALI is a common cause of respiratory failure in the intensive care units, often leading to death. It can be caused by both direct injury such as aspiration and pneumonia, and indirect injury such as sepsis and from trauma. … Yearly, ALI affects approximately 200,000 patients in the US and has a 40 percent mortality rate despite extensive investigations into its causes and pathophysiology. Innovative therapies are desperately needed. … we found that intravenous infusion of [stem cells] preferentially homed to the injured areas of the lung, which means that the cells find their way from the bloodstream to the sites in the lung of injury. … In addition to having restored function of alveolar epithelial cells, lungs treated with [stem cells] showed a reduction in inflammatory [cytokine] levels suggesting a favorable shift away from a proinflammatory environment in the injured alveolus.”

AN INTERVIEW WITH A TISSUE ENGINEER (May 18 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4728
From the Guardian: “The human body has tremendous capacity to repair itself after disease or injury. Skin will grow over wounds, while cells in our blood supply are constantly being manufactured in our bone marrow. But there is a limit to the body’s ability to replace lost tissue. Cartilage cells are notoriously poor at regrowing after injury, for example. As a result, accidents and illnesses – including cancers – often leave individuals with disfiguring wounds or life-threatening damage to tissue. The aim of Molly Stevens, a nanoscience researcher at Imperial College, London, and founder of the biotech firm Reprogen, is a simple but ambitious one. Working with a team of chemists, cell biologists, surgeons, material scientists and engineers, she is developing techniques that will help the body repair itself when it suffers damage. This is the science of regenerative medicine. … One approach that we have had considerable success with involves taking quite straightforward materials including simple polymers and using them to boost bone growth in a person. We made them into gels that we could inject into bones. The key to this technique lies with the fact that our bones are covered in a layer of stem cells. We inject our material under that layer and that wakes up those stem cells. They start to multiply and produce lots of new bone.”

ANOTHER STEP FORWARD FOR TOOTH REGENERATION (May 17 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4727
Researchers have regrown teeth in rats by manipulating existing stem cells: “a new technique [can] orchestrate the body’s stem cells to migrate to three-dimensional scaffold that is infused with growth factor. This can yield an anatomically correct tooth in as soon as nine weeks once implanted in the mouth. … These findings represent the first report of regeneration of anatomically shaped tooth-like structures in vivo, and by cell homing without cell delivery. … By homing stem cells to a scaffold made of natural materials and integrated in surrounding tissue, there is no need to use harvested stem cell lines, or create a an environment outside of the body (e.g., a Petri dish) where the tooth is grown and then implanted once it has matured. The tooth instead can be grown ‘orthotopically,’ or in the socket where the tooth will integrate with surrounding tissue in ways that are impossible with hard metals or other materials. … A key consideration in tooth regeneration is finding a cost-effective approach that can translate into therapies for patients who cannot afford or who aren’t good candidates for dental implants. Cell-homing-based tooth regeneration may provide a tangible pathway toward clinical translation.”

MORE DATA TO PONDER ON GENDER LONGEVITY DIFFERENCES (May 17 2010)
http://www.longevitymeme.org/news/vnl.cfm?id=4726
From the Max Planck Institute: “Marriage is more beneficial for men than for women – at least for those who want a long life. Previous studies have shown that men with younger wives live longer. While it had long been assumed that women with younger husbands also live longer, [a new study] has shown that this is not the case. Instead, the greater the age difference from the husband, the lower the wife’s life expectancy. This is the case irrespective of whether the woman is younger or older than her spouse. … The mortality risk of a husband who is seven to nine years older than his wife is reduced by eleven percent compared to couples where both partners are the same age. Conversely, a man dies earlier when he is younger than his spouse. For years, researchers have thought that this data holds true for both sexes. They assumed an effect called ‘health selection’ was in play; those who select younger partners are able to do so because they are healthier and thus already have a higher life expectancy. … These theories now have to be reconsidered. It appears that the reasons for mortality differences due to the age gap of the spouses remain unclear.”

______________________________

If you have comments for us, please do send email to newsletter@longevitymeme.org.

Alzheimer’s: Forestalling the Darkness with New Approaches (preview)

In his magical-realist masterpiece One Hundred Years of Solitude , Colombian author Gabriel García Márquez takes the reader to the mythical jungle village of Macondo, where, in one oft-recounted scene, residents suffer from a disease that causes them to lose all memory. The malady erases “the name and notion of things and finally the identity of people.” The symptoms persist until a traveling gypsy turns up with a drink “of a gentle color” that returns them to health.

In a 21st-century parallel to the townspeople of Macondo, a few hundred residents from Medellín, Colombia, and nearby coffee-growing areas may get a chance to assist in the search for something akin to a real-life version of the gypsy’s concoction. Medellín and its environs are home to the world’s largest contingent of individuals with a hereditary form of Alzheimer’s disease. Members of 25 extended families, with 5,000 members, develop early-onset Alzheimer’s, usually before the age of 50, if they harbor an aberrant version of a particular gene.

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Beating Cancer Back With Exercise

Exercise doesn't just benefit people by reducing weight and making muscles stronger – it can also help cancer patients by reducing the side effects of cancer treatment.

According to Eleanor Walker, a division director from the Henry Ford Hospital, exercise may well be the missing ingredient in cancer care for the longest time.

According to Dr. Walker, introducing exercise alongside the usual cancer care offered to patients offers both physical and psychological advantages.  It appears that exercise also reduces the side effects commonly associated with cancer treatment.

ExCITE-ing

In addition to reducing the side effects of the various treatments for cancer, exercise is also a great energizer and is also capable of combating nausea – an all too common problem for cancer patients undergoing treatment.  The testing was done using an program called ExCITE, which was designed by researchers from the Cancer Center at the Henry Ford Hospital.

The patients were given the usual tests and specific diets and exercise programs were recommended to them, based on the initial test results.  One of the respondents, a breast cancer patient, reported that the usual side effects of treatment like nausea and even vomiting were eliminated after she joined the ExCITE program.

According to the patient, Cheryl Fallen, the ExCITE program is a very holistic approach to mitigating problems associated with cancer treatment because the exercise routines are able to strengthen the immune system and also improves the blood circulation of the patients.  Fallen also views the program as a positive aid for cancer patients; and it makes her feel good, too.

…And even more reasons to exercise

1. Exercise lowers your blood sugar levels, energizes you and improves your physical and psychological condition.  It’s all a matter of investing time and energy into it; the rewards of finally becoming physically fit are endless.

2. Exercises increases the capacity of cells to utilize sugar.  During exercise, the muscles in the body are forced to pump out energy and utilize the raw substrate used for work – glucose.  If you exercise on a daily basis, the cells in the body use sugar more efficiently, effectively lowering insulin resistance.

3. Exercising is a great way to deal with stress. Stress isn’t just a frame of mind. It’s the body’s reaction to worries and anxieties. Resting is not the best solution to stress- exercise is.  The more you exercise, the more the body heals and recovers from the physical and mental burdens of stress.  With less stress, you will be able to perform better at work or school and you will instantly feel better. After a workout (like walking or running), the body releases endorphins, the body’s natural painkillers. Endorphins allow the body to cool down and relax – naturally.

Sources
rd.com
exercise.about.com
sciencedaily.com

On Mitohormesis

A little stress improves our biochemistry: “Recent evidence suggests that calorie restriction and specifically reduced glucose metabolism induces mitochondrial metabolism to extend life span in various model organisms, including Saccharomyces cerevisiae, Drosophila melanogaster, Caenorhabditis elegans and possibly mice. In conflict with Harman’s free radical theory of aging (FRTA), these effects may be due to increased formation of reactive oxygen species (ROS) within the mitochondria causing an adaptive response that culminates in subsequently increased stress resistance assumed to ultimately cause a long-term reduction of oxidative stress. This type of retrograde response has been named mitochondrial hormesis or mitohormesis, and may in addition be applicable to the health-promoting effects of physical exercise in humans and, hypothetically, impaired insulin/IGF-1-signaling in model organisms. Consistently, abrogation of this mitochondrial ROS signal by antioxidants impairs the lifespan-extending and health-promoting capabilities of glucose restriction and physical exercise, respectively. In summary, the findings discussed in this review indicate that ROS are essential signaling molecules which are required to promote health and longevity. Hence, the concept of mitohormesis provides a common mechanistic denominator for the physiological effects of physical exercise, reduced calorie uptake, glucose restriction, and possibly beyond.”

View the Article Under Discussion: http://www.ncbi.nlm.nih.gov/pubmed/20350594

Read More Longevity Meme Commentary: http://www.longevitymeme.org/news/

Two recent OA articles

Two articles, with Open Access (OA) to the full text (PDF):

Putative cancer stem cells in malignant pleural mesothelioma show resistance to cisplatin and pemetrexed, Int J Oncol 2010(Aug); 37(2): 437-44. [PubMed citation].

Possible involvement of stem-like populations with elevated ALDH1 in sarcomas for chemotherapeutic drug resistance, Oncol Rep 2010(Aug); 24(2): 501-5. [PubMed citation].

Comment about these journals:

Spandidos Publications publishes six journals. Of these six, two are: International Journal of Oncology (2009 Impact Factor: 2.4) and Oncology Reports (2009 Impact Factor: 1.6). This publisher provides a hybrid open access option. The Information for Authors for all six journals includes, at the bottom of the page, this information: “Should authors prefer or require their article to be freely available as soon as it has been published, they may request open access immediately upon publication for a fee of EUR 450.”

KrioRus in the Press

Russian cryonics provider KrioRus is starting to receive the sort of mixed press attention that Alcor did five years ago or so: “‘I don’t ever want to die… It wouldn’t suit me,’ said Innokenty Osadchy. Fortunately, the 35-year-old investment banker is certain he has found a loophole out of death. Osadchy is ready to pay a small fortune to freeze his brain until future technology allows him to continue his life – after being transplanted into a new body and resuscitated. ‘Why do I have to die in a couple decades? I don’t see any logic in this. It won’t be another life, it’ll be the continuation of my life. I don’t ever want to die ever. Not in a year, not in a million years.’ Osadchy and other clients of Russian cryonics company KrioRus believe the brain operates like a computer hard-drive and its contents can be frozen and stored for the future. ‘We know that the personality is stored in the brain. So when a person’s body is old, there’s no reason to keep it,’ said Danila Medvedev, who runs KrioRus, the first cryonics outfit outside the United States. … Since its 2005 launch, KrioRus has been building new vats, in anticipation of the 30 clients, like Osadchy, with whom it already has contracts.”

View the Article Under Discussion: http://www.google.com/hostednews/afp/article/ALeqM5hcee6gk4tTAqxAfRk1MhcG5dMELw

Read More Longevity Meme Commentary: http://www.longevitymeme.org/news/

Stem Cell Induced Regeneration in the Lung

Researchers here demonstrate that comparatively simple stem cell transplants may be effective in regenerating lung injuries: “Human stem cells administered intravenously can restore alveolar epithelial tissue to a normal function in a novel ex vivo perfused human lung after E. coli endotoxin-induced acute lung injury (ALI) … ALI is a common cause of respiratory failure in the intensive care units, often leading to death. It can be caused by both direct injury such as aspiration and pneumonia, and indirect injury such as sepsis and from trauma. … Yearly, ALI affects approximately 200,000 patients in the US and has a 40 percent mortality rate despite extensive investigations into its causes and pathophysiology. Innovative therapies are desperately needed. … we found that intravenous infusion of [stem cells] preferentially homed to the injured areas of the lung, which means that the cells find their way from the bloodstream to the sites in the lung of injury. … In addition to having restored function of alveolar epithelial cells, lungs treated with [stem cells] showed a reduction in inflammatory [cytokine] levels suggesting a favorable shift away from a proinflammatory environment in the injured alveolus.”

View the Article Under Discussion: http://www.eurekalert.org/pub_releases/2010-05/ats-scr051010.php

Read More Longevity Meme Commentary: http://www.longevitymeme.org/news/

12th National Conference: Parkinson’s 2010: Recent clinical advances in the management of Parkinson’s (Jun 23, 2010, London, United Kingdom, Europe)

Cliquez pour écouter ce texte The British Journal of Hospital Medicine in conjunction with the Parkinson’s Disease Society is delighted to announce its 12th National Parkinson’s Conference. Parkinson’s 2010 is aimed at all health and social care professionals involved in the clinical management of people with Parkinson’s. It will be an educational event providing a state-of-the art update on the current clinical developments taking place in the field.
Participants will benefit from receiving:

  • A comprehensive overview of the current and future pharmacotherapies in use.
  • A greater understanding of the management of non- motor symptoms including sleep disorders, impulse control disorders, visual dysfunction and Parkinson’s dementia.
  • A raised awareness of the indications for deep brain stimulation.
  • An insight into end of life care for people with Parkinson’s.
  • Information from leading experts in the field on the optimal management strategies in use today. We would be delighted if you could join us for what promises to be an exciting and informative day.
  • Please do book early to be sure of your place.
  • Fibromyalgia is Now Linked to Weight and Obesity

    Fibromyalgia remains a health problem that is surrounded by a great deal of mystery. However, researchers have proved that those people who exercise and are at a healthy weight are less likely to develop the problem.

    A new study from Norwegian University of Science and Technology has shown that overweight and obese women are more likely to develop fibromyalgia.  This study was published in the May issue of Arthritis Care and Research.

    Fibromyalgia includes long-lasting pain in points including the neck, shoulder, back, hips, arms and legs.  People with this issue commonly have fatigue, headaches, and trouble with their moods.  Sleep can also be disrupted. The cause of this problem is unknown, though genetics are believed to be a factor.

    Some experts believe that fibromyalgia is caused from a dysfunctional nervous system.  Fibromyalgia impacts over 2% of the population of the United States.  Women are more likely than men to develop this problem. The likelihood of fibromyalgia also increases with age.

    In this Norwegian study, 16.000 people were surveyed over a period of years.  As it turned out, of the group 380 people developed fibromyalgia. The patient’s exercise habits and BMI were examined over the years.  The results showed that people who exercised and were at a healthy weight were far less likely to have fibromyalgia.

    Lead researcher Paul Mork said, “Women who reported exercising four times per week [or more] had a 29 percent lower risk of fibromyalgia compared with inactive women.”  Additionally, women who were heavier had a 60-70% higher change of getting fibromyalgia.  However, the overweight women who exercised were less likely to develop the problem.

    As fibromyalgia does seem to run in families, this news is especially relevant for those with a family history.  Those who already have the condition can reduce pain if they reduce their weight and incorporate exercise into their routine.

    Sources:
    news.health.com
    mayoclinic.com

    Discuss this post in Frank Mangano’s forum!

    Benefits of Olive Oil Include Fighting Ulcerative Colitis

    New research indicates that people who ingest more olive oil, grapeseed oil and peanut oil are less likely to get ulcerative colitis.

    A new study by researchers at the University of East Anglia has shown that consuming more olive oil can actually prevent ulcerative colitis.  The findings were presented at this year’s Digestive Disease Week conference in New Orleans.  The study centered on oleic acid, which is present in olive oil, peanut oil and grapeseed oil.  Oleic acid is a monounsaturated fatty acid.

    Over 120,000 people in the UK and 1 million in the US have ulcerative colitis.  The disease causes inflammation in the lining of the colon and bowel leading to pain and diarrhea.  Other symptoms of ulcerative colitis include fever, weight loss, and gastrointestinal bleeding.

    This new research studied over 25,000 middle-aged people in the UK who did not have ulcerative colitis.  The participants completed food diaries during the study, which were then analyzed by nutritionists.

    When researchers analyzed the results, they found that the people, who developed ulcerative colitis, had the lowest intake of oleic acid.  On the other hand, those who ate the most foods with oleic acid had a 90% less change of getting ulcerative colitis.

    Dr. Andrew Hart was the leader of the research, he stated, “We estimate that around half of the cases of ulcerative colitis could be prevented if larger amounts of oleic acid were consumed.  Two-to-three tablespoons of olive oil per day would have a protective effect.”

    Other dietary suggestions for those with ulcerative colitis include drinking lots of water, eating smaller portions, and avoiding fattening greasy foods.  Obviously, these are good suggestions for everyone, even if this digestive issue does not impact them.

    Sources:
    health.google.com
    medicalnewstoday.com

    Discuss this post in Frank Mangano’s forum!

    An Interview with a Tissue Engineer

    From the Guardian: “The human body has tremendous capacity to repair itself after disease or injury. Skin will grow over wounds, while cells in our blood supply are constantly being manufactured in our bone marrow. But there is a limit to the body’s ability to replace lost tissue. Cartilage cells are notoriously poor at regrowing after injury, for example. As a result, accidents and illnesses – including cancers – often leave individuals with disfiguring wounds or life-threatening damage to tissue. The aim of Molly Stevens, a nanoscience researcher at Imperial College, London, and founder of the biotech firm Reprogen, is a simple but ambitious one. Working with a team of chemists, cell biologists, surgeons, material scientists and engineers, she is developing techniques that will help the body repair itself when it suffers damage. This is the science of regenerative medicine. … One approach that we have had considerable success with involves taking quite straightforward materials including simple polymers and using them to boost bone growth in a person. We made them into gels that we could inject into bones. The key to this technique lies with the fact that our bones are covered in a layer of stem cells. We inject our material under that layer and that wakes up those stem cells. They start to multiply and produce lots of new bone.”

    View the Article Under Discussion: http://www.guardian.co.uk/technology/2010/may/16/bright-idea-get-body-grow-spare-parts

    Read More Longevity Meme Commentary: http://www.longevitymeme.org/news/

    Looking for a Way to Cut Your Colon Cancer Risk? Try Omega-3 Fatty Acids

    Researchers have discovered that increased omega-3 fatty acids can reduce the risk of colon cancer. This can come from food sources or fish oil supplementation.

    Do you get tons of omega-3 fatty acids in your diet?  If so, new research indicates you will reduce your risk of colon cancer.  Taking fish oil supplements can also accomplish the same goal.

    According to Dr. Sangmi Kim at the National Institute of Environmental Health Studies in Research Triangle Park, North Carolina, not only can fish oil supplementation fight inflammation, it can also reduce the risk of cancer.

    The study examined polyunsaturated fatty acid intake and bowel cancer risk in both whites and African Americans.  Approximately, half of the people in each group were colon cancer patients.  The other half served as the control group.

    The researchers found that the people in the group of whites, who consumed the top forth amount of omega-3s, had half the risk of colon cancer.  They also found that fish oil had the same effect.  Although when the black participants were analyzed separately, they didn’t see cancer rates drop as omega 3 intake increased.  However, researchers stated, “Whether the possible benefit from this dietary modification varies by race warrants further evaluation.”

    So where can you get the necessary omega-3 fatty acids? They are found in walnut oils, flaxseed oil, and leafy greets.  It is important to remember to eat more omega-3s than omega-6 fatty acids, as you want a healthy balance in your diet.  It can be unhealthy to have more omega-6 in your system. Omega-6 acids can be typically be found in oils like soybean oil and sunflower oil as well as meats.  While omega-3 oils reduce inflammation, omega-6 oils can cause inflammation.

    Frequent readers of Natural Health on the Web know that I am a big advocate of the Mediterranean diet. This diet suggests eating foods high in omega-3 fatty acids like fruits, vegetables, olive oil and fish rather than omega-6 rich meats.

    Sources:
    sciencedaily.com
    umm.edu

    Discuss this post in Frank Mangano’s forum!