Presented by Dr. Phillip Bogart to the Rotary Club of Morro Bay November 28, 2006

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Anti-Aging Medicine Presented by Dr. Phillip Bogart to the Rotary Club of Morro Bay November 28, 2006 Dr. Borgardt is setting the standard for Anti-Aging Medicine in our community. Integrated age management utilizes a comprehensive approach to age-related care. State of the art medical and aesthetic treatments are used to provide relief from the effects of aging. Anti-Aging Medicine is founded on the principles of early detection and prevention of disease, as well as treating agerelated deficits using scientifically based medicine. The goal is to keep people healthy, active, vital, and looking their best as they grow older. More information is available at: http://www.sloaging.com

Definition of Anti-Aging Medicine Anti-aging medicine is a medical specialty founded on the application of advanced scientific and medical technologies for the early detection, prevention, treatment, and reversal of age-related dysfunction, disorders, and diseases. It is a healthcare model promoting innovative science and research to prolong the healthy human lifespan. As such, anti-aging medicine is based on principles of sound and responsible medical care that are consistent with those applied in other preventive health specialties.

The Latest Preventive Medicine Optimal Aging s new protocols have taken us from reactive to proactive in the battle to prevent age related disease In depth evaluation followed by a comprehensive treatment plan Using the latest medically proven treatments

The Basics The four rules of anti-aging medicine are: Get screening tests Get active Eat right Treat medically proven deficiencies The better you care for yourself the longer you will live.

Early Detection Health care costs for age 65+ population:* Cost per day Alzheimer s Disease Stroke Parkinson s Disease Osteoporosis End stage renal disease Lung and bronchus cancers Colorectal cancer Breast cancer Prostate cancer over $100 $37 $10-$25 over $14 over $12 $10 $7 over $6 $5 Early detection offers opportunities to prevent or effectively intervene in disease: screening heart scans, bone density, colonoscopy, and mammograms metabolic profiles and cancer antigens (blood testing)

Stay Slim Obesity is the second leading cause of preventable deaths: Annually -Causes at least 300,000 excess deaths in the U.S. -Costs the country more than $100 billion Medical risks associated with obesity: Type 2 diabetes Gout Hypertension Osteoarthritis Cardiovascular disease Sleep apnea High cholesterol Cancers Gallbladder disease Impaired respiratory function In women -- increased incidence of varicose veins, asthma, and hemorrhoids

Regular Exercise: WideRanging Benefits Reduces the risk of heart disease by improving blood circulation throughout the body Keeps weight under control Improves blood cholesterol levels Prevents and manages high blood pressure Prevents bone loss Boosts energy level Helps manage stress Releases tension Improves the ability to fall asleep quickly and sleep well Improves self-image Counters anxiety and depression and increases enthusiasm and optimism Increases muscle strength Provides a way to share an activity with family and friends In older people, helps delay or prevent chronic illnesses and diseases associated with aging and maintains quality of life and independence longer

Correct Hormone Problems Human Growth Hormone Improves muscle, and decreases fat Improves stamina, libido, bone density, and thickens skin Decreases sick days, and hospitalization rate Testosterone Men with low levels die at a much higher rate Deficiency causes low libido, lethargy, obesity, osteoporosis, and decreased muscle mass Thyroid Deficiency causes lethargy, cholesterol problems, and metabolic slowing Female Hormones These are essential to maintaining woman's health as they age Horse hormones should not be used in people

Don t Smoke Tobacco use, particularly cigarette smoking is the single most preventable cause of death Cigarette smoking is The most significant cause of lung cancer and the leading cause of lung cancer death in both men and women Responsible for most cancers of the larynx, oral cavity, and esophagus Highly associated with the development of, and deaths from, bladder, kidney, pancreatic, and cervical cancers Environmental tobacco smoke Is responsible for lung cancers in several thousand nonsmokers each year [US Environmental Protection Agency] Contributes to coronary heart disease [California Environmental Protection Agency]

Be Social Columbia University College of Physicians & Surgeons study - 38% less risk of dementia in the population of study group with highest leisure activity: may reduce the risk of incident dementia, possibly by providing a reserve that delays the onset of clinical manifestations of the disease University of Florida study -- More than physical activity, social interaction leads to more satisfaction with life: Type of activity had little relation to extent of satisfaction received. Any pursuit that brought people together proved beneficial for promoting positive self-image and personal fulfillment.

An Active Sex Life Results of an eighteen-year study by Scottish researcher: Men who had sex 3 or more times a week looked an average of 12 years younger than they actually were Having sex helps the body produce growth hormones that produce lean muscle tissue and decrease body fat, which can make you look younger Pfizer Global Study of Sexual Attitudes and Behaviors (Feb. 2002) -Age is no barrier to having an active sex life: worldwide, 80% of men and 60% of women ages 40 to 80 responded that sex remained an important part of their lives 70% of those surveyed who reported that their physical relationship with their partner was very or extremely pleasurable also reported being in excellent health

Mental Stimulation The brain is a muscle and must be exercised in order to stay in peak form Memorization strategies can encourage the brain to work more effectively and reduce aging-related memory loss Cognitive impairment, a risk factor for dementia, is most commonly caused by: unexplained memory loss (12.5%) medical illness (4%) stroke (3.6%) alcohol abuse (1.5%) Challenge yourself with activities such as hobbies, adult education, and volunteering

Stress Reduction Tips Reduce responsibilities Reduce expectations Meditate Visualize Take one thing at a time Exercise Hobbies Healthy lifestyle Share your feelings Avoid arguments Be flexible! Go easy with giving and receiving criticism

Restful Sleep Sleep is... Necessary for survival. Necessary for proper nervous systems function Rejuvenates brain nerve cells Promotes brain function Deep sleep Coincides with the release of growth hormone in children and young adults Promotes increased production, and reduced breakdown, of proteins in cells

Make Smart Dietary Choices Mediterranean Diet: A notably low incidence of chronic diseases and high life-expectancy rates is present in populations living along the Mediterranean Sea (particularly Greeks and southern Italians): diet features grains, fruits, vegetables, legumes, nuts, diet features good fats -- olive oil and omega-3 fatty acids (fish) diet includes red meat only sparingly Okinawan Diet: Elderly Okinawans have among the lowest mortality rates in the world from a multitude of chronic diseases of aging and as a result enjoy not only what may be the world's longest life expectancy and the world's longest health expectancy: low caloric intake high vegetables/fruits consumption higher intake of good fats -- omega-3s, monounsaturated fat high fiber in diet

Simplified Diet The Simplified Zone Type Diet 3 meals a day consisting of a piece of protein about the size of your palm, fruits and vegetables avoid melon, pineapple, potatoes, rice, corn, and pasta 3 snacks a day with apples, pears, carrots, celery, almonds, and walnuts use this as a general guide, and gradually institute these principals into your diet remember, this is a diet for a lifetime keep food fun, and you will enjoy the fresh food that your body was meant to eat

Moderate Alcohol Consumption Drinking one or two alcoholic drinks each day could help reduce the risk of developing dementia. [The Lancet 2002; 359:281-286] Light, and even fairly moderate drinking, appears to protect the elderly from developing small blockages in the blood vessels of the brain known as silent strokes, therefore lowering stroke risk. [Stroke 2001 32: 1939-1946] Dark beer contains large amounts of disease-fighting antioxidants. Beer prevents the oxidation of low-density lipoprotein (LDL) and very-low-density lipoprotein (VLDL). [University of Scranton (PA), reported by www.yahoo.com 22nd December 2000]

Combat Free Radical Damage Antioxidants (Vitamin A, C, E, and selenium) protect cells by neutralizing free radicals and beneficially altering the risk of disease: A study at UCLA School of Public Health found that men who took 300 mg of vitamin C daily had a 45% lower risk of heart attack compared with men who took less than the U.S. government Recommended Daily Allowance (RDA) In a Harvard study, vitamin E lowered heart attack risk by 41% Selenium decreases infection rates in the elderly, while vitamin E improves their immune response

Water WAYS Replenish lost fluids with an intake of 8-12 8 ounce glasses of water each day Distilled, sterile water is best: Maximum ability to eliminate toxins from your body Devoid of other substances and minerals NOTE: If you drink only sterile distilled water, add a quality daily

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