Alternative Medication (Dietary Supplements) … What You Need to Know (10-2018)

you're watching Medfield TV community shows welcome you to this presentation my name is needed but we our territory encompasses all the towns between data and Edom all the way to Worcester so we are office cover 60 times so we have on any given day about 200 caregivers and 200 clients and are you basic familiar with what Home Instead does yeah you provide private services in your home so wherever your home in is whether it's in your physical home or assisted living or a nursing home we can send caregivers there to provide additional assistance so with that database all received about a packet that you can follow along with the answer presentations you guys have questions about what we do as a company all right and on the end Isola one of the nurses at Home Instead and also the nurse health educator my background is in nursing obviously and I went from being a neonatal nurse now I'm dealing with the geriatric set and I like to tell people I'm a geriatric nurse in both sense of the word in the meantime I've also taught at the college level at Atlantic Union College in South Lancaster I taught at Salter college for a while and I'm very happy with the types of information that I get to share with you folks because it's my passion helping people to understand how their bodies work and how we can help them to age gracefully so that we can all lead healthier happier longer lives so that being said I have a presentation today we call it dietary supplements but it's actually on alternative medications what the industry calls Kam's complimentary alternative medications and I get asked an awful lot about these types of medications when I'm out seeing our clients so forth and so on what I want you to know about them is this there's a lot of potential in them but they haven't been very widely studied yet so therefore there's a lot of information that's still missing that we're still trying to find out about so I want you to keep an open mind as these types of alternative medications come onto the market but to be a little skeptical about it too and don't believe everything that you hear so we're going to go through and talk about some of the more popular medications some that you should avoid at all costs and then what do we need to know to use them safely because if you take home only one message about today's presentation please know this and this is coming from a form of Pharmacology instructor there is no such thing as a totally safe medication and when I say medication I'm talking about our herbal remedies our multivitamins over-the-counter medications anything that is purported to help you with any type of a physical issue so with that let's get going I'll try to keep this – about an hour presentation if you have any questions we can just go through them at the end but again if there's something pertinent that comes up during the presentation please feel free to raise your hand as you can tell we're pretty casual and like to have you folks all involved and get your answer your questions answered so what are dietary supplements well first of all they're the things that we tend to think about and I'm going to move this chair because it just happens to be right where I want to stand there we go so vitamins for example minerals herbs is a huge herbal market out there botannical is people say we're eating flowers oh heck yes passion flower is something that we use to help us stay calm there's a lot of different botanicals and flowers out there also there's amino acids these are things known as Sami have you ever seen that s am me and it's supposedly going to help with depression it can help as anti-inflammatory drugs so though our amino acids are key as well as our fatty acids our omega-3s our omega sixes I assure you heard that these things would be very hard protective if they use properly and then of course there's steroids that we would use for bodybuilding which of course banned by the Olympics and all those things and then some of the weight loss supplements that we have on the market as well all of these things are considered dietary supplements but what they are in fact chemically are drugs so what do you need to know about these drugs they not regulated by the FDA back in 1994 President Clinton signed something called the dietary supplement health and education Act and basically what that said was we think the American public they're pretty smart they're able to do their own research they're able to tell what's going to be harmful and what's going to be helpful so we're therefore are gonna wash our hands of these dietary supplements and let the market regulate itself well that didn't work out so well and then so in 1999 we had the supplement facts amendment to disha put on and basically what that says is looks that there has to be a label on your supplement that says these claims have not been proven by the FDA and this product is not intended to treat or to diagnose any illness you're kind of like well then why would you take it and if it does have a claim on it like it will help you lose weight or it will help you fall asleep these claims have to be substantiated they can't just be slapped on a label without any type of proof what else do you need to know about the dietary supplement Act well once the supplement is on the market it needs to be proven unsafe before the FDA will take it off so that means there could be a whole bunch of things out there that unless the FDA knows that this is an unsafe product will continue to be sold one of them is ephedra this was marketed to be something to help with weight loss and it really does work and the way that it works is by amping up your cardiovascular system you've all heard of epinephrine right which is a drug that can actually start your heart if your heart has stopped they share chemical attributes and what we were finding is people were taking this drug called epic called ephedra mile long it had all different types of names for and people were having heart attacks because of it so as a result the FDA took it off of the market in 2004 what happened after that is people said gee maybe they ought to put a list together of some of these herbal supplements and complementary medications that might be problematic so Consumer Reports put together what they call the Dirty Dozen of supplements things that you should avoid and we've included it in your packet it says the Dirty Dozen supplements on the handout and basically what you need to know is it's entirely possible that what these drugs claim to do khaila we're known as kava kava in some of our Pacific Rim nations absolutely will help with anxiety it's certainly well but native folks used to use it ceremonially kind of like we used to talk about the peace pipe right with Native Americans but of course being crazy Americans rather than thinking a little bit goes a long way we started taking a lot of these medications and in the case of kava it causes liver damage and it's substantial enough for example that it's been pulled off the markets in Europe and in other countries so I'm not going to go through everything on this list but if you were thinking of taking some of these medications look them over and see well one of the possible side effects toxicity heart rhythm disorders fainting kidney failure cancer and again that doesn't mean by taking these things I will definitely happen to you but it is something you need to be aware of and not just think that you can take these medications adlib yes oh you can look on the internet and get a list of medications that are considered problematic no medication again is ever going to be completely safe even the list of supplements that are commonly used in the United States that I've included in this presentation can have side effects I'm going to point out a few of those to you but they are still available on you know in this country so are these these Dirty Dozen they are available you just need to do your due diligence to decide if it's worth the risk in taking these things okay so your list looks pretty much like this and it's in your packet so knowing that there are some out there that are on the face of it problematic and others that may be of benefit to you what do you need to know to keep yourself safe well first of all you need to watch out for fraudulent products I love this old ad that I found we used to talk about oh that's just snake oils to liniment that they used to sell in the wild wild west well that's kind of what the supplements market has become since tisha a little bit of the wild wild west as well so the the actual good news is the medication that you take may not work the bad news is it may actually cause harm and you can actually find some red flags the way these medications are promoted that should get you to think twice about whether this is a good medication for you to take any time you see them advertised is breakthrough magical miracle cure new discovery you want to make sure that you avoid these products because usually these are things that are being promoted that have no basis in fact if they happen to have a product claim that says it's backed by scientific study but they don't give any references that's going to be a problem for you as well you'll find that they use pseudo medical jargon they will cite small little studies and you don't want to fall for that you want to ask wait a minute let me think like a research scientist here is this a study that is large and randomized who paid for it if it was the manufacturer you may want to think twice is it repeatable did a number of researchers come up with the same information or was this a one-off situation and was it peer-reviewed where was it published and also how recent is it this could have been something that the study was published a long time ago and has since been found that this information doesn't isn't valid anymore basic general rule of thumb if the information about any product is more than five years old you may want to find some more recent information on that so that's what you're going to be looking for how do you protect yourself well one of the major things you need to do once you've determined yes this is a viable product is research to back up these findings if this looks like something that I may want to try make sure that on the label it says USP or there is some other certifying agency USP stands for the United States pharmacopoeia and this is the agency that is going to certify that the drugs that the FDA does manage are indeed valid and what you see on the label is actually in the bottle in the dosage that it state that it states on the bottle and will actually dissolve in your stomach and not pass through like a blob of clay so the FDA Hat uses the USP and there are a number of those certifying agencies out there as well please remember that natural does not mean safe I know that mushrooms are natural but I'm not going to go out into the woods and pick myself a slew of mushrooms and eat them because they can indeed be poisonous there are a number of plants that have been used for years to be formulated into some of the most powerful drugs that we have particularly heart medications so again they are natural but they're not necessarily safe and what you also want to do is consider the source you want to know who is manufacturing these believe it or not bigger manufacturers like the people at Walgreens and CVS who have their own brands of some of the items usually are a good source because they've got good manufacturing processes already in place and then you also again want to do your homework is this something again that has been studied is this something that other folks have taken and have got good results from that's verifiable do know this the majority of manufacturers out there really are trying to do a good job and give you a quality product but again because it isn't regulated you can't always take it at face value and you always want to do your homework also be wary of very much cheaper items of the same product and a lot of times in order to get those price breaks they will skimp on some of those manufacturing and safety and purity issues and you may not end up with the type of product that you think you are actually getting you have a question if the brand name is well known graduate of Johnson & Johnson that is usually yes at least as far as the manufacturing practices are concerned you should still look for that USP or other certifying thing but in general the larger groups like you just mentioned will indeed have good manufacturing processes in place that some of the smaller manufacturers won't have and that can introduce anything from contaminants to whatever into the final product so good question so what else do you want to do oh for goodness sakes read the product label it is going to give you a whole lot of information about how to use the product safely you need to follow all of the directions do you take it with food do you take it without food are there certain medications or foods that will interact with it and you shouldn't take it that will be right on the label or it should be if they are producing a quality product and please pay attention to those warnings there are certain cold medications out there that says do not take if you have asthma or if you have heart disease right because it can interact with the meds or it can exacerbate a condition it's the same thing with these herbal remedies and with these alternative medications and please report any serious effects or illnesses believed to be part of the medication how do you know this if you weren't prone to headache and you start taking a medication and that is the only thing different that you've been doing and every day at five o'clock you have a headache with a little bit of nausea you stopped taking the medication and it goes away that could be anything from a mild side effect to a potentially serious side effect so there's a number you can call its the FDA MedWatch if you want to write this down it's one 800 ft a one zero eight eight now that's Meg watch and yes obviously if you've had an issue with some of our alternative medications you want to call them but if you have a problem with any medication over-the-counter or a prescription drug as well again the only way the FDA can keep on top of trying to keep our drug supply safe is by having people report if there are adverse of adverse results so please don't be afraid to do that so you also want to watch out for interactions and this is huge again because these products are marketed as natural and safe we tend to think that they're not going to necessarily have any interactions with what we eat with the meds that we are currently taking so look out for things again with food there are many things where you can't take likes for example if you're taking an iron supplement did you know you're not supposed to take that with milk it's not going to kill you but it's also not going to allow your body to absorb as much of that iron as it would have if you took it would say orange juice for example and there are any interactions with the medications you're taking both prescription medication and over-the-counter medications and then we need to know that there are special considerations for us seniors here in the group please know that we do not process medications as easily as we did when we were younger they can actually build up in our systems and stay there a lot longer so that of course can lead to an overdose if we take more than the recommended amount if you are taking cardiac drugs anticoagulants blood thinning medications diabetics all of these types of things can have special risks with some of these complementary medications so again I'm not saying don't take them I'm saying do your homework and make sure they're safe for you so one of the things that you can do to make sure that there are no interactions and I recommend this highly is there's a website called anybody ever hear of it drugs calm I love this website what you can do is click on interactions and you'll have a disclaimer saying you know check with your doctor your pharmacist of course of course they're gonna want you to do that before giving you any information you click like yes and then what you can do is type in every medication you're taking over-the-counter herbal prescription and put them all in that list it'll save that list for you so you can print it out and you know every time you go to the doctor's I said you have a current list of medications it'll have a current list of medications for you and then you hit you click on interaction it'll let you know if there are interactions between any of the medications that you have listed between any foods and the medications you are taking and alcohol and the medications you are taking and because you can save this list if any of your medications change you add or subtract some of them you just update that list and it'll go through the whole process again so it's a real good way of keeping track of things that have potential serious side effects and you'll also rank them this is a mild interaction this one has a moderate interaction oh that's one you really want to talk to your doctor about before taking these medications together okay so drugs calm absolutely wonderful resource and by the way so is your pharmacist even though the majority of the drugs that we get prescription drugs come from our physicians and our physicians know these drugs very well physicians tend to specialize don't they and they tend to give out and prescribe the same types of drugs where pharmacists have a broader knowledge base so I always tell people it's a good idea to keep all of your medications with one pharmacy and that way if something gets prescribed especially considering a lot of us might have different type different doctors you got your PCP your cardiologist various different doctors that pharmacology that pharmacists can tell you if something being prescribed to you is going to have an interaction with something you're currently taking so check for those interactions so now let's talk about the nitty-gritty okay what are some of the vitamins and minerals and herbal supplements that we may be tempted to take there out there being marketed to us all the time are there any downsides and you're thinking with vitamins and minerals oh you gotta be kidding everybody takes vitamins and minerals and yeah I'm Daly Moulton but multiple vitamin can indeed fill in nutritional gaps I like to tell people none of us need a hundred percent perfectly a hundred percent of the time but if we're on the ninety ten percent rule you may have a few little nutritional gaps and a dietary aid such as a multivitamin can fill in those gaps however they may also be used to treat medical conditions the dosage however if that's the case should be determined by your physician not by you oh gosh I'm anemic I should take iron don't go out there and decide what that dosage should be you should work with your physician on that and you absolutely want to avoid self medication with large doses as I said we're crazy Americans if one is good two must be better so try to avoid that because we tend to think well these are just vitamins they're safe and as you're gonna find out in the next couple of slides there can indeed be side effects even with vitamins and minerals and overdoses of course but as with any drug can indeed be dangerous so what do we need to know about our fat soluble vitamins these are our vitamins a d e K these are stored in our tissues we can keep them for long periods of time so maybe you will be taking these because they're part of a multivitamin and some of the multivitamins that we take for seniors for example may have higher levels and recommended a general rule of thumb unless your physician has told you that you need a certain prescription strength of a vitamin please buy the only 100% of your recommended daily allowance over doses can actually occur in these things and when we're talking about a de and what are we talking about well the vitamin a it can give you a headache it can turn you jaundice give you diarrhea your hair and your skin can become dry vitamin D we know we need back to absorb calcium right we're not getting a whole lot of vitamin D today comes from the Sun but if you start taking too much of it orally it can give you kidney stones it can further damage your kidney vitamin E is what helps our blood to bleed so if you're trying if you've got a condition that causes you to bleed and you take too much vitamin E you can prolong your bleeding time and if you're going in for a surgical procedure you want to want to stop this beforehand you may not think oh I know I have to start aspirin I know I have to stop my blood thinning medication but you may not think maybe there are some vitamins I need to stop as well vitamin K as we know is our blood clotting vitamin and anybody who's ever taken coumadin Walker it or some of those blood thinners no you got to watch your diet right you don't eat a lot of dark green leafy vegetables I have a lot of vitamin K in them because that can cause your blood to clot so watch out for those watch out for your water soluble vitamins which means we don't tend to store these in our bodies so you think oh what the heck I'll just pee them all out by drink enough water well to some extent that can happen however some of them when you get too high of a doses like vitamin B for example that cannot actually cause seizures it can cause flushing in your face it can cause your blood glucose levels to rise vitamin C we think o'the winter's coming right we want to take a lot of vitamin C we don't want to get those pills Coles well if you have a tendency to have high uric acid you can actually increase your risk for gout because it helps maintain your uric acid levels so there's lots of different things that can happen with these vitamins and as for our minerals well we know that calcium is good for bones right but it can also cause kidney stones and we also know that Tass iam that's a wonderful medication a lot of folks will take it because they might get muscle cramps but it also regulates another really important muscle called your heart so therefore you don't want to be getting too much of that because it can damage that muscle certainly sodium who we know can raise your blood pressure and if you have a tendency towards certain types of coronary artery disease or certain types of arterial sclerosis so bottom line there's no such thing as a totally safe vitamin or mineral I want to spend a little time talking about antioxidants all you have to do is listen to late-night TV and they talk about antioxidants they are really wonderfully our anti-aging they're gonna stop the aging process don't we wish well what they really do is and have inhibit for your cells to break down so yes in that sense they can keep cells from aging to a degree and keep those cells around longer it counteracts what we call the free radicals which are things that cause ourselves to age and die where do we find them we find them in vitamin C E and beta keratin and we find them in the minerals copper manganese selenium and zinc but here's what you need to know about your antioxidants they work better in food you're like well why is sex I've had people ask me in the past you know if I take trying to calcium in food and I take calcium in a pill what's the difference well there is no difference calcium is a chemical any calcium is calcium is calcium but here's why they work differently when you take it in a pill you may be taking a multivitamin and if you're taking calcium and that pill also contains iron they're gonna fight for absorption into your system but have you ever noticed that certain foods taste good together and they don't tend to have the types of minerals and vitamins that are going to fight each other you are out grilling a few months ago when the weather wasn't like today and you've got a wonderful hamburger on the grill like YUM we know that if you do eat that red meat is very high in iron what do you like to put for a condiment on your hamburger ketchup what is ketchup made from tomatoes and what – tomatoes have a high concentration of vitamin C vitamin C helps your body to absorb iron so foods tend to work better in delivering these vitamins and minerals including our antioxidants than it does when you take them separately only in America I have to say did you guy dressed for a moment cuz I thought this was the funniest story we drink cranberry juice right and we know that it can help with our bladder and urinary tract infections it can help prevent them and if you have a high enough concentration of these things it can be very good for your urinary health do we as Americans go oh that's wonderful I'll have some cranberry juice no we don't we say why is cranberry juice good for us we break it down into chemicals and we find what particular chemical is gonna help you near an airy tract so we put it into a pill and then rather than drink the cranberry juice we take a pill we are the only nation on earth that does that so when you have the choice remember my words if you can get these things in your food chances are it's gonna be better – bio biologically for you and your body's going to be able to use it more easily than if you have it in just a pill formula so what else do we need to know about antioxidants it's not for somebody who's being treated for cancer what if the goal of chemotherapy is to keep those cells alive or to kill them it's to kill those cells right so the last thing you want to be doing is taking some sort of a substance that can keep cells alive longer when the goal of chemotherapy of course is to get rid of those cells so common dietary supplements there uses side effects and cautions you guys look in the back of your folders that Jen gave you you'll see that you've got these things there's a couple of them but I want to point out to you and their warnings again these are it's two pages and these are things that are most commonly as of right now that people are taking is dietary supplements one of the things that's very common is black cohosh and these are for folks who are in their 40s and 50s women who are going through menopause don't want to take any of the medications that are currently out there and they take this to deal with these symptoms it can also cause bradycardia which is a slowed heart rate and again with that cancer caution that I mentioned you do not take it if the person is taking estrogen or has a history of breast cancer flaxseed oil this is used a lot for constipation and to give a met omega-3 fatty acids that we know are so good for heart health however it's used as an anti-inflammatory but it may interact with those anticoagulants that you may be taking and cause bleeding so it's going to enhance the effects of those anticoagulants you may be taking even the things of garlic in order for garlic to be taken at such an amount to lower your blood pressure and it will I don't think you're gonna be eating bulbs of garlic most people nor be in the room with you if you did but most people will take the garlic in a supplement in a pill be aware that again it can increase your risk for bleeding if you're taking an anti not if you're taking anticoagulants and you can also have some stomach effects giving you nausea vomiting diarrhea and heartburn yuck gingko is a really popular medication as well a lot of people say I'm a little bit stressed out I've had some depression I don't want to take medications for depressions let me try something natural in ginkgo has been promoted to do that however as you can see in a 2008 study it was proven in effective for some of these things particularly and when it was touted to help prevent Alzheimer's disease this also interacts with anticoagulants can cause bleeding and stroke mm-hmm why do they carry them because they're legal and until they are not FDA approved that's the whole thing the FDA does not want to have anything to do with the regulation of these hmm because it's legal to do so it cannot be taken off the market unless it is proven that this is a dangerous drug so again if the majority of people take these things and have no problem with them be aware that maybe that's okay for some folks but if you're taking anticoagulants you don't want to be taking certain of these drugs it's like any druggist out there aspirin right it's a legal drug but if you take too much aspirin or if you have certain conditions you shouldn't be taking aspirin at all it's still legal to take it so what I'm saying is these medications the reason I like to tell people about them is because the FDA isn't involved in approving them for use you need to look at these the same way you would look at a prescription drug or over-the-counter medication it may be effective but is it right for me yes the FDA approved tylenol that is a medication these are considered – these complementary medications are considered herbals that what tylenol had can have some serious serious effects on your liver and unfortunately because I don't want to digress too much but unfortunately the name of the generic name for tylenol is a cinnamon ofin but everyone thinks just tylenol and why do I point this out because many of the prescription drugs that people get to manage pain have a cinnamon 'm acetaminophen tylenol already in it they don't realize that then they take additional pills of Tylenol and then they can go over that limit it's the same thing with ibuprofen advil where Tylenol can have serious effects on your liver advil can have serious effects on your kidneys so you're just proving my point that I said at the beginning there is no such thing as a safe drug you know you have to be your own best advocate and do the research ask the questions and make sure that that drug is appropriate for you now one of the things I don't want you folks to think is that that means you should never take any drug anytime the heck with it if you're diabetic you need your insulin if you have a certain condition where your heart rate has to be set by a medication that you take known as a beta blocker you want to take these medications I'm just telling you be a smart consumer and again the open-minded but look at these things skeptically like a research scientist would yes absolutely well I'm not so sure that's true I know some people yeah well they definitely want to make some money ad absolutely but I will say the vast majority of people as I said earlier who manufactured these products are doing so because they do believe that it does have a benefit and again in some cases some of these things do the side effects can be brutal if you're not paying attention absolutely there are always side effects oh yes good questions well I will tell you I do wish they'd say what percentage because when you listen to them go through all those side effects you're thinking oh my goodness I'm gonna die well it could be point zero point two percent or some very small number but they list them all as the same so that way when we get further into this when we talk about what you should be doing to make sure you're safe I'll bring that up again okay so the other things that I want you to be aware of I've listed them all in red type ginseng not for long-term use this is something that's used as an anti stress medication even glucosamine which by the way works quite well as an anti-inflammatory it can over time under certain conditions raise cholesterol and raise your insulin resistance we've already talked about kava it's um it's actually illegal in certain countries it is still legal here so be aware so all of these things if you're going to look into using them to treat any of the conditions that are listed in this handout just make sure you check those warnings check to make sure there are no interactions and be a smart consumer so I want to finish up before I take general questions about some tips to play it safe before you take any of these complimentary alternative medications consult with a professional and I'm gonna say how you do better talking with your pharmacist certainly you can talk to your your a physician but you can also talk to registered dieticians you can talk to nurse health educators you can talk to anybody who's got a knowledge of how these things are going to interact there are also registered herbalists and these folks go through very rigorous training just like pharmacists do only of course what they're dealing with are a little bit different in the Worcester area I know for example there is a drug store that has registered pharmacists who are also registered herbalist so that's a good combination of a specialty to ask questions about as well make sure you keep a list of all the products you are using herbals even tease and tinctures a lot of teas are used to promote sleep or are used to settle your stomach whether or not you're ingesting them in tea or in pill form they are still a medication so list them down of course the vitamins and minerals we talked about that prescription and over-the-counter medications again you can write these down or you can use drugs calm or some other kind of computer aid that will keep a list for you so every time you go to the doctor you can keep these things updated as you may be aware a lot of medical records now are on computer and it can be really scary when you go into your doctor's office and they hand you a list of medications they these are yours right and you look at me a lot oh my lord I've never taken that that has happened to me on a number of occasions so make sure your doctor has the most updated list because if something should happen to you and you can't tell someone what you're taking you want to make sure that you are protected do not take more than the recommended dosage we talked about that doses at larger they may be harmful at larger doses and again because we're older they're going to stay in our system longer and that can lead to an overdose situation over time all products should carry the lot number so if there's a recall not just on lettuce like I know we've had over the summer but on medications or whatever you will know oh my goodness this particular medication manufactured by this person this is the lot number it should have an expiration date for the most part a lot of these expiration dates are set to 1 to 2 years after manufacturing and some of these meds may last a lot longer than that but I'm going to tell you – unless your pharmacist tells you differently err on the side of caution some of these medications even unopened in a bottle will get weaker over time but some of them will get stronger so you'll actually be taking more of that medication than you think you're taking it should also have the manufacturer's name address and phone number so should you need to report it to MedWatch you'll have all that information available for you you want to avoid products that claim to be able to cure a disease or condition remember in 1999 the amendment to disha said that they cannot put that on a label unless indeed they have scientific studies to back that up store products away from young children some of these things look like candy and even if they are quote all-natural like we said natural doesn't mean safe and speaking of children they like us older folks do not process meds the way that an adult does do not give any herbal remedies or complimentary medications to a child without checking with the pediatrician do not take products with alcohol without first checking for interactions a lot of medications that work on your central nervous system which is what alcohol works on when you have one in one it doesn't equal to it equals three so especially if you're going to be operating a motor vehicle or heavy equipment or whatever make sure you know what the ramifications are with alcohol again drugs calm will tell you that as well and this I can't stress enough these products should not be used as a substitute for proper rest nutrition and I'm going to add exercise for whatever reason and I'll never forget I was sitting with a client in a doctor's office and he came out with the with the client with his patient in breaking all of the HIPAA rules he handed her a prescription for a cholesterol-lowering drug and he said to her now listen Mary I need you to fill this prescription and take it and I'll know by what your levels are the next time you come in because if you don't do this I'm gonna have to send you to a dietician and you don't want that well my first thought was oh my goodness isn't that the first thing you should do before prescribing medications but we live in a society where we want to quick-fix right so rather than exercising rather than eating well rather than getting proper rest we pop a pill so keep that in mind if you can do something really more natural through these things then that's always going to be your best alternative and that's that any questions yes mm-hmm prilosec beforehand yep take whatever yeah take whatever the recommended dosage is and did you want then you take the aspirin absolutely I do it about 20 if I take your prilosec about 20 minutes before and then take the aspirin that's going to give the prilosec time to get in there and that's another thing I'm glad you brought that up in many instances you take one med to treat something but then you need to take something else to treat what the medication does what she was talking about was aspirin right which you can upset your stomach so to order to avoid that you take a medication that's going to help your stomach before you even start I have a problem with my tooth I need to have a tooth extracted so I'm on antibiotics so now I'm taking probiotics right so that I can have enough bacteria in my gut so I don't end up with what we tanta biotics can give you diarrhea by killing off all the good bacteria as well as the bad bacteria right so once you start getting involved with medications it can be a slippery slope so you always want to make sure you know what it is that you're taking and what it's going to do yes hmmm probiotics they can be again there's no such thing as just flat-out good they who said back to you your doctor they can be absolutely but if you have certain types of medical conditions that affect your gut and how it functions it may not be good so you don't always want to make a blanket statement if your doctor said good she means good for you so absolutely everybody know what a probiotic is yeah there's a lot of people who take them yep absolutely maybe I will tell you that what the reason this got started is because we started using antibiotics in our hand soaps and we used it for our cleaning products right we thought killing Jen do you want to kill that bacteria right well we can't live without bacteria and here's a scary thought do you know what age do we start doing colon cancer screenings in general about 50 right you know we're starting to see more colorectal cancer in young folks in their late 20s and early 30s why is that that is because their parents my generation in the in the guise to be clean life old everything used antibiotic hand soaps and all kind of stuff in addition to killing off all the bad bacteria we killed off all the good ones so how the next-door neighbor where he comes from me and he's lived here in New England forever or and I should say in Massachusetts for a long time he still has a little trace but Maine accent and he says you know well you die y'all go to eat a peck of dirt and I used to think that was so funny but he's got a point so I'm not recommending you out there any dirt but I am recommending that a healthy diet can keep that gut going really well yeah yeah go home and eat a Pecha dirt so any other questions absolutely go to eat a Pecha dirt yep absolutely homeopathic homeopathic medications are oh I don't know how should I describe them I'd really have to look up what the term means exactly but homeopathic is using what they consider again to be more natural types of herbs and remedies and things like that they have been used in ayurvedic medicine for centuries but what a homeopathic practitioner will say is very much what i'm saying do not just say oh they're safe for everybody homeopathy s– will not say that but they may use more of these vitamins and minerals in certain combinations to treat certain illnesses can they have fewer side effects again all things being equal maybe they can but everybody is different so you don't want to just make the assumption that that's going to be a good choice for you the best thing is get as much information about all of these different modalities and then make the decisions that are right for you so one more hey just want to know what a probiotic is what a probiotic is is a type of bacterium that well actually bacteria there's a number them that are naturally found in the gut that because of the food we eat the medications we take whatever the case may be may not be as abundant as we would like them to be so these can help recolonize the gut they even have things now call prebiotics that are the precursors to the probiotic so you can make yourself crazy going over all of this stuff but the general rule is if something sounds like it's something you're interested in do your research again don't just dismiss it out of hand but do your research and be a smart savvy consumer everybody is different yes do they only use a little medicine yeah I don't yeah well they too eventually we all do but I know what you're saying yes and you know yeah absolutely there are you know different it depends on again what are they growing they're hardened or they well absolutely what they're eating is different their lifestyles are different they're probably less sedentary than we are we're not just you know our longevity isn't just a process that has to do with what we what we put into our bodies is how we move our bodies how we manage stress our family relationship it's very holistic – yeah absolutely but are there a lot of practices that have been around for a long time that help whether it's yoga nidra tai chi whatever the case may be certainly and if this is something that you find is a benefit to you and they work for you may not work for somebody else we all have to find the things that are best for us yes pushing spirulina oh yeah yeah I don't know much about it I've heard it but I'm not quite sure even what it is yeah III don't know there's so many different things out there and again you can make yourself crazy if you listen to all of the product promotion that goes on so again if something catches your ear and you think ooh that sounds interesting look it up be a smart consumer check your sources it very well may work there's a lot of things that we're finding that do but that doesn't mean it's necessarily right for you safe is always better than sorry okay kind of questions I thank you I appreciate I hope it was helpful thank you [Applause] you're watching Medfield TV community shows

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