Health Meditations

Surrounded by Miracles

You are surrounded by miracles every day.  You probably take those miracles for granted, so you miss the opportunity to marvel over them.  More importantly, you miss the opportunity to thank God for them.  My question is:

How many miracles did you overlook today?

Here are a few miracles that you might want to consider:

• A breathtaking dawn
• The warm sun on your face
• The cool breeze on your cheek
• The sound of birds singing
• A passing summer shower
• The sweet fragrance of a garden
• The welcome shade of a tree
• The crisp blue of the sky on a clear day 
• A glorious sunset
• The moon and the stars on a clear night

Each time you recognize one of God's many miracles, acknowledge the wonder of His creation. 

John 1:3
All things were made through Him, and without Him nothing was made that was made.

Revere God for every precious part of nature that He created to reveal Himself and to enrich your life.

Psalm 46:10
Be still, and know that I am God;
I will be exalted among the nations,
I will be exalted in the earth!

Share the health.

Deborah White, MD, MBA

That Full Feeling: Pride

Pride is a spectrum of feelings.  It can start with self-respect and extend to arrogance and conceit.  My question is:

Where are you on the pride spectrum?

It’s fine to take pride in your work and find satisfaction in your personal achievements.  Just remember that God gave you the gifts, talents and abilities that allow you to achieve great things.  When you achieve something good or great, honor God.

It's fine to feel content when you do something right.  Just make sure that whatever you do, you do to the glory of God. (1 Corinthians 10:31)

When your self-esteem becomes unreasonable and inordinate, your pride slides into arrogance and conceit.  You become haughty. 

Proverbs 16:18
Pride goes before destruction,
And a haughty spirit before a fall.

Haughty people are so full of themselves that there isn't any room left for God.

James 4:6
But He gives more grace. Therefore He says:
“God resists the proud,
But gives grace to the humble."

Proverbs 29:23
A man’s pride will bring him low,
But the humble in spirit will retain honor.

So temper your pride with humility, and always acknowledge God.

Share the health.

Deborah White, MD, MBA

Herb Garden: Calendula

Calendula, also known as marigold, has been widely used on the skin to treat minor wounds, skin infections, burns, bee stings, sunburn, warts, and cancer. Most scientific evidence regarding its effectiveness as a wound-healing agent is based on animal and laboratory study, while human research is virtually lacking.

One study in breast cancer patients receiving radiation therapy suggests that calendula ointment may be helpful in preventing skin dermatitis (irritation, redness, and pain).

Synonyms

Allo-ocimene, Asteraceae (family), bride of the sun, bull flower, butterwort, Calendula arvensis L., Calendula micrantha, Calendula officinalis, calendula flower, calendula herb, calendulae flos, calendulae herba, Caltha officinalis, calypso orange florensis, cis-tagetone, claveton (Spanish), Compositae (family), cowbloom, death-flower, dihydro tagetone, drunkard gold, Fiesta Gitana Gelb, fior d'ogni (Italian), flaminquillo (Spanish), fleurs de tous les mois (French), gauche-fer (French), gold bloom, goldblume (German), golden flower of Mary, goulans, gouls, holligold, holygold, husband's dial, kingscup, Laser Activated Calendula Extract (LACE), limonene, lutein, maravilla, marybud, marigold, marigold dye, marigold flowers, may orange florensis, marygold, mejorana (Spanish), methyl chavicol, patuletin, patulitrin, piperitenone, piperitone, poet's marigold, pot marigold, publican and sinner, Ringelblume (German), ruddles, Scotch marigold, shining herb, solsequia, souci (French), souci des champs (French), souci des jardins (French), summer's bride, sun's bride, T. florida Sweet, Tagetes lucida (Asteraceae), Tagetes maxima, Tagetes patula (Asteraceae), T. schiedeana, water dragon, yolk of egg.

Note: Calendula or marigold should not be confused with the common garden or French marigold (Tagetes), African marigold (T. erecta), or Inca marigold (T. minuta).

Uses Based on Tradition or Theory

The uses listed below are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Abscesses, acne, anemia, anti-inflammatory, antioxidant, antiviral, anxiety, appetite stimulant, atherosclerosis (clogged arteries), athlete's foot, bacterial infections, benign prostatic hypertrophy, bladder irritation, blood purification, blood vessel clots, bowel irritation, bruises, cancer, cholera, circulation problems, conjunctivitis, constipation, contact dermatitis, cosmetic, cough, cramps, detoxification (purging agent), diabetes, diaper rash, diaphoresis (sweating), diarrhea, dizziness, diuretic, dystrophic nervous disturbances, eczema, edema, epididymitis, eye inflammation, fatigue, fever, frostbite, fungal infections, gastrointestinal inflammation, gastrointestinal tract disorders, gingivitis, gout, gum disease prevention, headache, heart disease, hemorrhoids, herpes keratitis, herpes simplex virus infections, high cholesterol, HIV, immune system stimulant, immunomodulation, indigestion, influenza, insomnia, jaundice, kidney or bladder stones, liver cancer, liver dysfunction, liver-gallbladder function stimulator, menstrual period abnormalities, metabolic disorders, migraine, mouth and throat infections, mosquito repellant, muscle spasms, muscle wasting, nausea, nervous system disorders, nosebleed, oral hygiene, pain, parasite infection, prostatitis, ringing in the ears, skin cancer, skin irritation, sore throat, spleen disorders, syphilis, toothache, tuberculosis, ulcerative colitis, peptic ulcer disease, urinary retention, uterine problems, varicose veins, varicose ulcers, venous disorders (phlebitis, thrombophlebitis), vitamin deficiencies (lutein or beta-carotene), warts, yeast infections.

What the Science Says

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Radiation skin protection
A study in women receiving radiation therapy to the breast for breast cancer reports that calendula ointment applied to the skin at least twice daily during treatment reduces severe dermatitis (skin irritation, redness, pain). However, this study cannot be considered conclusive due to limitations of its design. Based on this evidence, this approach may be considered in patients who experience radiation dermatitis that cannot be controlled with other therapies.

Ear infection
Calendula has been studied for reducing pain caused by ear infections. Some human studies suggest that calendula may possess mild anesthetic (pain-relieving) properties equal to those of similar non-herbal eardrop preparations. Further studies are needed before a recommendation can be made in this area.

Skin inflammation
Limited animal research suggests that calendula extracts may reduce inflammation when applied to the skin. Human studies are lacking in this area.

Wound and burn healing
Calendula is commonly used on the skin to treat minor skin wounds. Reliable human research is necessary before a firm conclusion can be drawn.

Side Effects and Warnings

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Aside from allergic reactions, few severe reactions have been found in published reports. In one small animal study, calendula was associated with a fatal reduction in blood glucose, accompanied by decreased serum lipids and protein. Skin (atopic dermatitis) and eye irritation have been reported.

Allergies
People with allergies to plants in the Aster/Compositae family, such as ragweed, chrysanthemums, marigolds, and daisies, are more likely to have an allergic reaction to calendula. There is one case of a severe allergic reaction (anaphylactic shock) after gargling with a calendula preparation.

Pregnancy & Breastfeeding
It is not clear if calendula is safe for use during pregnancy or breastfeeding. In animal studies, calendula has had effects on the uterus, and calendula has traditionally been thought to have harmful effects on sperm and to cause abortions. However, it is not clear if these effects occur with use of calendula on the skin.

Interactions

Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy.

Interactions with Drugs
In early animal studies, high doses of calendula were reported to cause drowsiness. It is not clear if the use of calendula on the skin of humans has this effect. In theory, the use of calendula in combination with sedative drugs may lead to increased drowsiness. Examples include benzodiazepines such as lorazepam or diazepam, barbiturates such as phenobarbital, narcotics such as codeine, some antidepressants, and alcohol. Caution is advised while driving or operating machinery.

In early animal studies, high doses of calendula preparations were reported to lower blood pressure. It is not clear if the use of calendula on the skin of humans has this effect. In theory, the use of calendula in combination with drugs that lower blood pressure may lead to increased effects.

Calendula may also increase the effects of antispasmodics, which are drugs that help stop muscle spasms.

Use cautiously if taking drugs that can damage the liver or kidneys because calendula may increase the risk of organ damage.

Other possible interactions include increases in the activity of hypoglycemic (diabetic) medications or insulin, antifungal medications, or agents that decrease lipids and triglycerides (cholesterol-lowering drugs.)

Interactions with Herbs and Dietary Supplements
In early animal studies, high doses of calendula were reported to cause drowsiness. It is not clear if the use of calendula on the skin of humans has this effect. Use of calendula in combination with herbs or supplements that have possible sedative effects may lead to increased drowsiness. Caution is advised while driving or operating machinery.

In early animal studies, high doses of calendula preparations were reported to lower blood pressure. It is not clear if the use of calendula on the skin of humans has this effect. In theory, the use of calendula in combination with herbs that may lower blood pressure may lead to increased effects.

Other possible interactions include increases in the activity of hypoglycemic (diabetic) medications or insulin, antifungals, or agents that decrease lipids and triglycerides (cholesterol-lowering agents).

Calendula may also increase the effects of herbs or supplements that help stop muscle spasms (antispasmodics).

Use cautiously if taking herbs or supplements that can damage the liver or kidneys because calendula may increase the risk of organ damage.

Since the stem and leaves of calendula contain lutein and beta-carotene, a possible supplement interaction exists with products that contain these ingredients.

The FDA does not have the authority to test or approve the safety of herbal products before they are available for your consumption.  Since the FDA does not regulate herbal products, there is no guarantee of the strength, purity or safety of herbal products; so effects may vary. 

Just because an herbal product is labeled "natural" does not mean it is safe.  Herbal supplements and remedies may have harmful effects and can interact with prescription and over-the-counter medications to cause severe side effects and complications. 

Read product labels.  Speak with your doctor before using any herbal remedy or supplement.  Tell your doctor about any herbal remedies you already use and about any complementary and alternative practices you use.  Give him/her a full picture of what you do to manage your health.  This will help ensure coordinated and safe care.  Call your doctor if you experience side effects.

The content of this posting comes from the National Institutes of Health.

Share the health.

Deborah White, MD, MBA

Surrounded by Water

Water can sustain or destroy.  It sustains by quenching your thirst, providing life and healing.  It destroys by drowning you.  My question is:

If you are surrounded by water, is it quenching you, healing you or drowning you?

Your answer will depend on your relationship with God.

If the water surrounding you is drowning you, it's not from God.  God promised never to flood the earth again. 

Genesis 9:14-16
14 It shall be, when I bring a cloud over the earth, that the rainbow shall be seen in the cloud; 15 and I will remember My covenant which is between Me and you and every living creature of all flesh; the waters shall never again become a flood to destroy all flesh. 16 The rainbow shall be in the cloud, and I will look on it to remember the everlasting covenant between God and every living creature of all flesh that is on the earth.”

If you do find yourself in a flood, know that God is with you.

Isaiah 43:2
When you pass through the waters, I will be with you;
And through the rivers, they shall not overflow you.
When you walk through the fire, you shall not be burned,
Nor shall the flame scorch you.

Since God is omnipresent, the water He provides is omnipresent too.  It will quench your thirst eternally.

John 4:11-14
11 The woman said to Him, “Sir, You have nothing to draw with, and the well is deep. Where then do You get that living water? 12 Are You greater than our father Jacob, who gave us the well, and drank from it himself, as well as his sons and his livestock?”
13 Jesus answered and said to her, “Whoever drinks of this water will thirst again, 14 but whoever drinks of the water that I shall give him will never thirst. But the water that I shall give him will become in him a fountain of water springing up into everlasting life.”

Revelation 21:6-7
6 And He said to me, “It is done! I am the Alpha and the Omega, the Beginning and the End. I will give of the fountain of the water of life freely to him who thirsts. 7 He who overcomes shall inherit all things, and I will be his God and he shall be My son.

God's water provides life and healing.

Ezekiel 47:9
And it shall be that every living thing that moves, wherever the rivers go, will live. There will be a very great multitude of fish, because these waters go there; for they will be healed, and everything will live wherever the river goes.

Psalm 36:7-9
7 How precious is Your lovingkindness, O God!
Therefore the children of men put their trust under the shadow of Your wings.
8 They are abundantly satisfied with the fullness of Your house,
And You give them drink from the river of Your pleasures.
9 For with You is the fountain of life;
In Your light we see light.

God is a fountain of living waters.  If you are His child, in addition to having His water all around you, you have living waters within you.

John 7:38
He who believes in Me, as the Scripture has said, out of his heart will flow rivers of living water.

Share the health.

Deborah White, MD, MBA

That Full Feeling: Pity

It's good to feel sympathy and sorrow for the misfortune of others, especially if your compassion moves you to alleviate that suffering.  My question is:

Are you too busying hosting your own pity party to consider the needs of others?

It you spend much of your time inviting others to your black tie pity party, you are wrapped up in yourself.  If you are wrapped up in yourself, you are a very small package.  This is one instance in which good things do not come in small packages.

A good way to remedy your "small package" mentality is to reach out to others who are experiencing the same misfortune and suffering you have endured.  Better yet, reach out to those with worse misfortunes.  It's very difficult to focus on yourself when you are helping others.

So whenever you realize that you are filled with self-pity, empty is out as compassion for others.

Share the health.

Deborah White, MD, MBA

Herb Garden: Burdock

Burdock has historically been used to treat a wide variety of ailments, including arthritis, diabetes, and hair loss. It is a principal herbal ingredient in the popular cancer remedies Essiac® (rhubarb, sorrel, slippery elm) and Hoxsey formula (red clover, poke, prickly ash, bloodroot, barberry).

Burdock fruit has been found to lower blood sugar in animals, and early human studies have examined burdock root in diabetes. Laboratory and animal studies have explored the use of burdock for bacterial infections, cancer, HIV, and kidney stones. However, there is currently insufficient human evidence regarding the efficacy of burdock for any indication.

Synonyms

Akujitsu, anthraxivore, arctii, Arctium lappa Linne,  Arctium minus, Arctium tomentosa, Arctium tomentosum Mill., Asteraceae (family), bardana, Bardanae radix, bardane, bardane grande (French), beggar's buttons, burdock root, burr, burr seed, chin, clot-burr, clotbur, cocklebur, cockle button, cocklebuttons, Compositae (family), cuckold, daiki kishi, edible burdock, fox's clote, grass burdock, great bur, great burdock, great burdocks, gobo (Japan), Grosse klette (German), happy major, hardock, hare burr, hurrburr, Kletterwurzel (German), lampazo (Spanish), lappola, love leaves, niu bang zi, oil of lappa, personata, Philanthropium, thorny burr, turkey burrseed, woo-bang-ja, wild gobo.

Uses Based on Tradition or Theory

The uses listed are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Abscesses, acne, anorexia nervosa, aphrodisiac, arthritis, back pain, bacterial infections, bladder disorders, blood thinner, boils, burns, cancer, canker sores, catarrh, common cold, cosmetic uses, dandruff, detoxification, diuretic (increasing urine flow), eczema, fever, fungal infections, gout, hair loss, headache, hemorrhoids, HIV, hives, hormonal effects, ichthyosis (skin disorder), impotence, inflammation, kidney diseases, kidney stones, laxative, lice, liver disease, liver protection, measles, pain, pneumonia, psoriasis, respiratory infections, rheumatoid arthritis, ringworm, sciatica, scurvy, seborrhea (over-activity of sebaceous skin glands), skin disorders, skin moisturizer, sores, sterility, syphilis, tonsillitis, ulcers, urinary tract infections, venereal diseases, warts, wound healing.

What the Science Says

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Diabetes
Animal research and initial human studies suggest possible blood sugar lowering effects of burdock root or fruit. However, the available human research has not been well designed, and further study is needed before a clear recommendation can be made.

Quality of life in cancer patients (breast cancer)
Burdock is an ingredient in the popular purported cancer remedy, Essiac®. Preliminary study has shown that burdock may have anti-cancer effects and increase quality of life in cancer patients. More study is needed in this area.

Side Effects and Warnings

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Based on traditional use, burdock is generally believed to be safe when taken by mouth in recommended doses for short periods of time. Handling the plant or using preparations on the skin (such as plasters) has occasionally been reported to cause allergic skin reactions. Diuretic effects (increasing urine flow) and estrogen-like effects have been reported with oral burdock use in patients with HIV. Although reports of symptoms such as dry mouth and slow heart rate have been noted in people taking burdock products, it is believed that contamination with belladonna may be responsible for these reactions. Contamination may occur during harvesting.

In theory, tannins present in burdock may be toxic, although toxicity has not been reported in animal studies. Tannins can cause stomach upset and in high concentrations may result in kidney or liver damage. Long-term use of tannins may increase the risk of head and neck cancers, although this has not been seen in humans. Based on animal research and limited human study, burdock may cause increases or reductions in blood sugar levels. Caution is advised in patients with diabetes or hypoglycemia, and in those taking drugs, herbs, or supplements that affect blood sugar. Blood sugar levels may need monitoring by a qualified healthcare provider, and medication adjustments might be necessary. In theory, burdock may also cause electrolyte imbalances (for example, changes in potassium or sodium levels in the blood) due to diuretic effects (increased urine flow).

Several case reports of burdock root tea poisoning exist along with cases of burdock ophthalmia (eye inflammation). There have been several reports of stomatitis (mouth sores) present in dogs that have come in contact with burdock, burs, and bristles.

Allergies
Allergy to burdock may occur in individuals with allergy to members of the Asteraceae/Compositae family, including ragweed, chrysanthemums, marigolds, and daisies. Severe allergic reactions (anaphylaxis) have been associated with burdock. Allergic skin reactions have been associated with the use of burdock plasters on the skin. Caution should be used in patients with allergies or intolerance to pectin since certain parts of the burdock plant contains different levels of pectin complex.

Pregnancy & Breastfeeding
Based on animal studies that show components of burdock to cause uterus stimulation, burdock is sometimes recommended to be avoided during pregnancy. Due to limited scientific study, burdock cannot be considered safe during pregnancy or breastfeeding.

Interactions

Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy.

Interactions with Drugs
Based on animal research and limited human study, burdock may either lower or raise blood sugar levels. Caution is advised when using medications that may also affect blood sugar. Patients taking drugs for diabetes by mouth or insulin should be monitored closely by a qualified healthcare provider. Medication adjustments may be necessary. Burdock has been associated with diuretic effects (increasing urine flow) in one human report and in theory may cause excess fluid loss (dehydration) or electrolyte imbalances (for example, changes in potassium or sodium levels in the blood). These effects may be increased when burdock is taken at the same time as diuretic drugs such as chlorothiazide, furosemide, hydrochlorothiazide, or spironolactone. Based on limited human evidence that is not entirely clear, burdock may have estrogen-like properties and may act to increase the effects of estrogenic agents including hormone replacement therapies or birth control pills.

Based on animal research, burdock may increase the risk of bleeding when taken with drugs that increase the risk of bleeding (although human research is lacking). Some examples include aspirin, anticoagulants ("blood thinners") such as warfarin or heparin, anti-platelet drugs such as clopidogrel, and non-steroidal anti-inflammatory drugs such as ibuprofen or naproxen. Tinctures of burdock may contain high concentrations of alcohol (ethanol) and may lead to vomiting if used with disulfiram or metronidazole.

Medications taken to treat gout, cancer, or HIV may interact with burdock. There is also a possible interaction with antibiotics.

Interactions with Herbs & Dietary Supplements
Based on animal research and limited human study, burdock may either lower or raise blood sugar levels. Caution is advised when using herbs or supplements that can also alter blood sugar. Blood glucose levels may require monitoring, and doses may need adjustment.
Burdock has been associated with diuretic effects (increasing urine flow) in one human report, and in theory, may cause excess fluid loss (dehydration) or electrolyte imbalances (for example, changes in potassium or sodium levels in the blood) when used with other diuretic herbs or supplements.

Based on animal research, burdock may increase the risk of bleeding when taken with herbs and supplements that are believed to increase the risk of bleeding. Multiple cases of bleeding have been reported with the use of Ginkgo biloba, fewer cases with garlic, and two cases with saw palmetto. Numerous other agents may theoretically increase the risk of bleeding, although this has not been proven in most cases.

Herbs or supplements taken to treat gout, cancer, or HIV may interact with burdock. There is also a possible interaction with herbs with antibacterial, antioxidant, or anti-inflammatory effects (such as ginger).

The FDA does not have the authority to test or approve the safety of herbal products before they are available for your consumption.  Since the FDA does not regulate herbal products, there is no guarantee of the strength, purity or safety of alfalfa products; so effects may vary. 

Just because an herbal product is labeled "natural" does not mean it is safe.  Herbal supplements and remedies may have harmful effects and can interact with prescription and over-the-counter medications to cause severe side effects and complications. 

Read product labels.  Speak with your doctor before using any herbal remedy or supplement.  Tell your doctor about any herbal remedies you already use and about any complementary and alternative practices you use.  Give him/her a full picture of what you do to manage your health.  This will help ensure coordinated and safe care.  Call your doctor if you experience side effects.

The content of this posting comes from the National Institutes of Health.

Share the health.

Deborah White, MD, MBA

Surrounded by Fire

Fire can destroy, sustain or refine.  It destroys by burning away refuse.  It sustains by providing heat and light.  Fire refines ore by separating the impurities to yield pure elemental metal.  My question is:

If you are surrounded by fire, is it destroying you, sustaining you, or refining you?

Your answer will depend on your relationship with God.

If the fire surrounding you is destroying you, it is not from God.  In God's eyes, you are not refuse.  You are one of His creatures.  And if you have accepted Jesus as Lord and Savior, you are one of God's children.  God does not want to destroy you.  He wants you to have eternal life with Him.

John 3:16
For God so loved the world that He gave His only begotten Son, that whoever believes in Him should not perish but have everlasting life.

John 10:10
The thief does not come except to steal, and to kill, and to destroy. I have come that they may have life, and that they may have it more abundantly.

If the fire surrounding you is sustaining you, it is from God.  God will illuminate a path through the wilderness.

Exodus 13:21
And the LORD went before them by day in a pillar of cloud to lead the way, and by night in a pillar of fire to give them light, so as to go by day and night.

Nehemiah 9:19
Yet in Your manifold mercies
You did not forsake them in the wilderness.
The pillar of the cloud did not depart from them by day,
To lead them on the road;
Nor the pillar of fire by night,
To show them light,
And the way they should go.

Psalm 119:105
Your word is a lamp to my feet
And a light to my path.

If the fire surrounding you is refining you, it will bring you closer to God.  Every trial God allows to occur in your life will test your heart.  In every trial, you will have a choice between obedience and disobedience.  Each time you are obedient, you choose God and the blessings He offers.

Proverbs 17:3
The refining pot is for silver and the furnace for gold,
But the LORD tests the hearts.

Deuteronomy 30:19
I call heaven and earth as witnesses today against you, that I have set before you life and death, blessing and cursing; therefore choose life, that both you and your descendants may live;

Deuteronomy 28:1-14
Blessings on Obedience
1 “Now it shall come to pass, if you diligently obey the voice of the LORD your God, to observe carefully all His commandments which I command you today, that the LORD your God will set you high above all nations of the earth. 2 And all these blessings shall come upon you and overtake you, because you obey the voice of the LORD your God:
3 “Blessed shall you be in the city, and blessed shall you be in the country.
4 “Blessed shall be the fruit of your body, the produce of your ground and the increase of your herds, the increase of your cattle and the offspring of your flocks.
5 “Blessed shall be your basket and your kneading bowl.
6 “Blessed shall you be when you come in, and blessed shall you be when you go out.
7 “The LORD will cause your enemies who rise against you to be defeated before your face; they shall come out against you one way and flee before you seven ways.
8 “The LORD will command the blessing on you in your storehouses and in all to which you set your hand, and He will bless you in the land which the LORD your God is giving you.
9 “The LORD will establish you as a holy people to Himself, just as He has sworn to you, if you keep the commandments of the LORD your God and walk in His ways. 10 Then all peoples of the earth shall see that you are called by the name of the LORD, and they shall be afraid of you. 11 And the LORD will grant you plenty of goods, in the fruit of your body, in the increase of your livestock, and in the produce of your ground, in the land of which the LORD swore to your fathers to give you. 12 The LORD will open to you His good treasure, the heavens, to give the rain to your land in its season, and to bless all the work of your hand. You shall lend to many nations, but you shall not borrow. 13 And the LORD will make you the head and not the tail; you shall be above only, and not be beneath, if you heed the commandments of the LORD your God, which I command you today, and are careful to observe them. 14 So you shall not turn aside from any of the words which I command you this day, to the right or the left, to go after other gods to serve them.

Welcome the fire that surrounds you.  Let it sustain you and refine you.  Know that God will not let it burn you.

Isaiah 43:2
When you pass through the waters, I will be with you;
And through the rivers, they shall not overflow you.
When you walk through the fire, you shall not be burned,
Nor shall the flame scorch you.

Share the health.

Deborah White, MD, MBA

That Full Feeling: Phobia

Phobia is extreme and irrational fear of something.  This implies that in some circumstances, fear is appropriate and rational.  My question is:

If fear is faith in the devil, is it ever appropriate and rational to have faith in the devil?

The obvious answer is: "No!" 

Fear and faith cannot coexist within you.  The greater your fear is, the less room you have for faith.  Since faith pleases God (Hebrews 11:6), fear displeases God, whether irrational or otherwise.  If you find yourself filled with fear of any kind, immediately think about God. 

God is perfect. 

Psalm 18:30
As for God, His way is perfect;
The word of the LORD is proven;
He is a shield to all who trust in Him.

God is love. 

1 John 4:8
He who does not love does not know God, for God is love.

1 John 4:16
And we have known and believed the love that God has for us. God is love, and he who abides in love abides in God, and God in him.

Perfect love casts out fear.

1 John 4:17-18
17 Love has been perfected among us in this: that we may have boldness in the day of judgment; because as He is, so are we in this world. 18 There is no fear in love; but perfect love casts out fear, because fear involves torment. But he who fears has not been made perfect in love.

Triumph over phobia with your faith in God.

2 Timothy 1:7
For God has not given us a spirit of fear, but of power and of love and of a sound mind.

Share the health.

Deborah White, MD, MBA

Herb Garden: Bromelain

Classified as an herb, bromelain is a sulfur-containing proteolytic digestive enzyme that is extracted from the stem and the fruit of the pineapple plant (Ananas comosus, family Bromeliaceae).

When taken with meals, bromelain is believed to assist in the digestion of proteins. When taken on an empty stomach, it is believed to act medicinally as an anti-inflammatory agent.

In 1993, the expert panel, the German Commission E, approved bromelain for the treatment of swelling/inflammation of the nose and sinuses caused by injuries and surgery.

Synonyms

Ananas comosus, Ananas sativus, Bromelain-POS, bromeline (pleural), Bromelainum, Bromeliaceae (family), Bromelin, Bromelins, Debridase, Phlogenzym (rutoside, bromelain, and trypsin), enzyme-rutosid combination, ERC (rutosid, bromelain, trypsin), plant protease concentrate, pineapple, pineapple extract, rutosid, trypsin.

Uses Based on Tradition or Theory

The uses listed below are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Acquired immune deficiency syndrome (AIDS), acute lateral ankle sprain, allergic rhinitis (hay fever), amyloidosis (deposits of amyloid proteins causing disease), angina (chest pain), antibiotic absorption problems in the gut, appetite suppressant, atherosclerosis ("hardening" of the arteries), autoimmune disorders, back pain, blood clot treatment, bronchitis, bruises, bursitis, cancer prevention, carpal tunnel syndrome, colitis, common cold, cough, diarrhea, epididymitis (painful inflammation of the epididymis), episiotomy pain, food allergies, frostbite, gout, heart disease, hemorrhoids, immune system regulation, infections, injuries, joint disease, "leaky gut" syndrome, menstrual pain, pain, parasites, Peyronie's disease, platelet inhibition (blood thinner), pneumonia, poor blood circulation in the legs, sciatica, scleroderma, shingles pain/post-herpetic neuralgia, shortening of labor, skin infections, smooth muscle relaxation, sports or other physical injuries, staphylococcal bacterial infections, stomach ulcer/stomach ulcer prevention, swelling (after surgery or injury), tendonitis, treatment of scar tissue, ulcerative colitis, upper respiratory tract infection, varicose veins, wound healing.

What the Science Says

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Inflammation
Several preliminary studies suggest that when taken by mouth, bromelain can reduce inflammation or pain caused by inflammation. Better quality studies are needed to confirm these results.

Sinusitis (sinus inflammation)
It is proposed that bromelain may be a useful addition to other therapies used for sinusitis (such as antibiotics) due to its ability to reduce inflammation/swelling. Studies report mixed results, although overall bromelain appears to be beneficial for reducing swelling and improving breathing. Better studies are needed before a strong recommendation can be made.

Burn debridement
A bromelain-derived debriding agent, Debridase, has been studied on deep second degree and third degree burns with positive results. Further results are needed to confirm these results.

Cancer
There is not enough information to recommend for or against the use of bromelain in the treatment of cancer, either alone or in addition to other therapies.

Chronic obstructive pulmonary disease (COPD)
There is not enough information to recommend for or against the use of bromelain in COPD.

Digestive enzyme/pancreatic insufficiency
Bromelain is an enzyme with the ability to digest proteins. However, there is little reliable scientific research on whether bromelain is helpful as a digestive aid. Better study is needed before a firm conclusion can be made.

Nutrition supplementation
There is not enough information to recommend for or against the use of bromelain as a nutritional supplement.

Osteoarthritis
There is conflicting evidence on the effectiveness of bromelain to treat osteoarthritis. Further well-designed clinical trials of bromelain alone are needed to confirm these results.

Rash
Bromelain may help treat skin rash. This treatment may be effective because bromelain has been shown to decrease inflammation, regulate the immune system, and have antiviral effects.

Rheumatoid arthritis
There is not enough information to recommend for or against the use of bromelain in rheumatoid arthritis.

Steatorrhea (fatty stools due to poor digestion)
There is not enough information to recommend for or against the use of bromelain in the treatment of steatorrhea.

Urinary tract infection
There is not enough information to recommend for or against the use of bromelain in urinary tract infections.

Side Effects and Warnings

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Few serious side effects have been reported with the use of bromelain. The most common side effects reported are stomach upset and diarrhea. Other reported reactions include increased heart rate, nausea, vomiting, irritation of mucus membranes, and menstrual problems.

In theory, bromelain may increase the risk of bleeding. Caution is advised in people who have bleeding disorders or who are taking drugs that increase the risk of bleeding. Dosing adjustments may be necessary. Bromelain should be used with caution in people with stomach ulcers, active bleeding, a history of bleeding, taking medications that thin the blood, or prior to some dental or surgical procedures.

Bromelain may increase heart rate at higher doses and should be used cautiously in people with heart disease. Some experts warn against bromelain use by people with liver or kidney disease, although there is limited scientific information in these areas. Bromelain may cause abnormal uterine bleeding or heavy/prolonged menstruation.

Allergies
There are multiple reports of allergic and asthmatic reactions to bromelain products, including throat swelling and difficulty breathing. Allergic reactions to bromelain may occur in individuals allergic to pineapples or other members of the Bromeliaceae family, and in people who are sensitive/allergic to honeybee venom, latex, birch pollen, carrot, celery, fennel, cypress pollen, grass pollen, papain, rye flour, or wheat flour.

Pregnancy and Breastfeeding
Bromelain is not recommended during pregnancy or breastfeeding, as little safety information is available. Bromelain may cause abnormal uterine bleeding.

Interactions

Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy.

Interactions with Drugs
In theory, bromelain may increase the risk of bleeding when taken with drugs that increase the risk of bleeding. Some examples include aspirin, anticoagulants ("blood thinners") such as warfarin or heparin, anti-platelet drugs such as clopidogrel, and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen. In addition, bromelain theoretically may add to the anti-inflammatory effects of NSAIDs.

Human studies suggest that bromelain may increase the absorption of some antibiotics, notably amoxicillin and tetracycline, and increase the levels of these drugs in the body. Bromelain may increase the actions of the chemotherapy (anti-cancer) drugs 5-fluorouracil and vincristine, although reliable scientific research in this area is lacking. In theory, use of bromelain with blood pressure medications in the "ACE inhibitor" class, such as captopril or lisinopril, may cause larger drops in blood pressure than expected.

Some experts suggest that bromelain may cause drowsiness or sedation and may increase the amount of drowsiness caused by some drugs. Examples include benzodiazepines such as lorazepam or diazepam, barbiturates such as phenobarbital, narcotics such as codeine, some antidepressants, and alcohol. Caution is advised while driving or operating machinery.

Bromelain may also interact with heartbeat regulating medications, magnesium, and nicotine.

Interactions with Herbs and Dietary Supplements
In theory, bromelain may increase the risk of bleeding when taken with herbs and supplements that are believed to increase the risk of bleeding. Multiple cases of bleeding have been reported with the use of Ginkgo biloba, and fewer cases with garlic and saw palmetto. Numerous other agents may theoretically increase the risk of bleeding, although this has not been proven in most cases.

Bromelain and the enzyme trypsin are suggested to have stronger anti-inflammatory effects when combined, based on preliminary animal research. It has been suggested that zinc might block the effects of bromelain in the body while magnesium may increase the effects, although scientific research in these areas is lacking.

Bromelain may also interact with herbs and supplements that effect the heart, antibacterials, soy, sedatives, and tobacco.

The FDA does not have the authority to test or approve the safety of herbal products before they are available for your consumption.  Since the FDA does not regulate herbal products, there is no guarantee of the strength, purity or safety of herbal products; so effects may vary. 

Just because an herbal product is labeled "natural" does not mean it is safe.  Herbal supplements and remedies may have harmful effects and can interact with prescription and over-the-counter medications to cause severe side effects and complications. 

Read product labels.  Speak with your doctor before using any herbal remedy or supplement.  Tell your doctor about any herbal remedies you already use and about any complementary and alternative practices you use.  Give him/her a full picture of what you do to manage your health.  This will help ensure coordinated and safe care.  Call your doctor if you experience side effects.

The content of this posting comes from the National Institutes of Health.

Share the health.

Deborah White, MD, MBA

Surrounded by Enemies

Wherever you go, you will encounter adversaries.  Some of your enemies will forthrightly declare their opposition.  Others will smile in your face while they contemplate your destruction.  My question is:

Does it really matter if you are surrounded by enemies if you are also surrounded by God?

If you let Him, God will lead the way in your life and He will bring up the rear.

Isaiah 52:12
For you shall not go out with haste,
Nor go by flight;
For the LORD will go before you,
And the God of Israel will be your rear guard.

With God leading the way and covering your back, you have nothing to fear from your enemies.

Psalm 27:1
The LORD is my light and my salvation;
Whom shall I fear?
The LORD is the strength of my life;
Of whom shall I be afraid?

Psalm 23:4
Yea, though I walk through the valley of the shadow of death,
I will fear no evil;
For You are with me;
Your rod and Your staff, they comfort me.

Not only will God guard you, He will bless you right in front of your enemies.

Psalm 23:5
You prepare a table before me in the presence of my enemies;
You anoint my head with oil;
My cup runs over.

So, no matter where you go, stay close to God.

Share the health.

Deborah White, MD, MBA