Health Meditations

Feast and Stay Fit

I originally published this posting on March 20, 2007.

The Thanksgiving and Christmas holidays are approaching.  Your calendar might be filled with parties and other opportunities to overeat.  It's possible to enjoy a busy holiday season and control your appetite.  Here are 15 suggestions to help you successfully navigate through tempting high-calorie treats:

1. Have breakfast.
   Eating breakfast will influence your appetite for the rest of the day.  Have plenty of whole grains and protein in the morning.  If you eat a good breakfast, you will eat less at lunch and less at dinner.

2. Eat a snack before you go to a party.
   If you get to the party with an empty stomach, you will overeat.  Having a light snack before the party will take the edge off your hunger.

3. At buffets, use a small plate.
   If your plate is smaller, you will take less food.

4. Don't have a second helping.
   Using a small plate will not help if you refill it two or three times.  Fill it once and leave it at that.  If your host insists that you have more, ask to take home a doggy bag.

5. Control your serving size.
   The rule of thumb is the palm of your hand or the size of your fist.  One serving of meat, fish or poultry should be no bigger than the palm of your hand (without the fingers.)  One serving of starch or vegetable should fit in the palm of hand or should be no bigger than the size of your fist.

6. Choose vegetables over starches.
   Put a variety of brightly colored vegetables on your plate.  Go easy on the starches.

7. Skimp on the sauces.
   Take very small portions of any food swimming in sauce or drowning in cheese.  When possible, have the sauce on the side and use it sparingly.

8. Have dessert, but do so in moderation.
   Don’t deny yourself dessert.  You’ll feel like you are on punishment if everyone except you is feasting on sweets.  Have dessert, but use restraint.  Offer to share a dessert with someone.

9. Savor each flavor.
   Eat slowly.  Enjoy the flavor and texture of each mouthful.  Eating slowly will give your brain time to tell your stomach that you're full.  A special part of your brain, the satiety center, tells your stomach that you've had enough.  It takes 15 to 20 minutes for your satiety center to kick in.  Eating slowly will give your brain plenty of time to send your stomach the signal.

10. Push away from the table.
    When you push away from the table, it says that you are finished eating.  If others are still eating, ask for a glass of water with lemon and sip it slowly while they finish.

11. Drink plenty of water.
    Drink a glass of water before you eat.  Sip water with your meal.  Have a glass of water after you eat.  You'll stay well-hydrated and you will feel full.

12. Avoid mindless munching.
    Nibbling on chips, dips and nuts is one way to keep busy when you're uncomfortable or bored in a social situation.  These salty, fat laden calories add up.  Find someone else who looks bored or uncomfortable.  (They will be nibbling too.)  Introduce yourself and start a conversation.  It's not polite to talk with munchies in your mouth.  If you are busy talking, you will eat less.

13. Enjoy a calorie-free cocktail.
    Sip on sparkling water or club soda with a twist of lemon or lime.  It will fill you up and eliminate the empty calories found in soft drinks and alcohol.

14. Maintain your exercise routine.
    Make and take time to exercise.  If possible, schedule a workout before the party.  (Make sure you have plenty of time to shower and dress for the party.)  Exercise is an excellent stress reliever.  Exercise increases the endorphins in your brain.  Endorphins are chemicals that make you feel good and suppress your appetite.

15. Take time to renew your body, mind and spirit.
    Life can be stressful.  Spending time with God is the ultimate refreshment.  Make and take time to rest, meditate on the word and pray.  Thank God everyday, for giving you a reason to celebrate. Psalm 118:24 This is the day the Lord has made; We will rejoice and be glad in it.

Share the health.

Deborah White, MD, MBA

Intercession: Ready to Pray

If you are ready to intercede, you think about praying for others before you pray for yourself.  My question is:

Are you ready?

If you are ready to intercede, you are prepared to speak the word of God to God on behalf of someone encountering challenges.  When you speak His word, it works.

Isaiah 55:11
So shall My word be that goes forth from My mouth;
It shall not return to Me void,
But it shall accomplish what I please,
And it shall prosper in the thing for which I sent it.

God's word is the weapon of choice to fight any challenge.  In addition to being a weapon, God's word is the ultimate warrior, because God's word is Jesus. 

John 1: 1-5, 14
1 In the beginning was the Word, and the Word was with God, and the Word was God. 2 He was in the beginning with God. 3 All things were made through Him, and without Him nothing was made that was made. 4 In Him was life, and the life was the light of men. 5 And the light shines in the darkness, and the darkness did not comprehend it…14 And the Word became flesh and dwelt among us, and we beheld His glory, the glory as of the only begotten of the Father, full of grace and truth.

Jesus stands in the gap for us all.

Share the health.

Deborah White, MD, MBA

More About Abstention

Abstention is the act or habit of deliberate self-denial.  It is curbing and controlling your own desires and impulses.  Abstention is synonymous with self-discipline.  My question is:

Does your life exemplify self-discipline?

If you are self-disciplined, you correct, govern, train and control your conduct for the sake of personal improvement.  If you are self-disciplined, your impulses, desires and appetites do not rule your mind or your flesh.  If you are self-disciplined, these adjectives describe you:

• Punctual
• Consistent
• Dependable
• Reliable
• Healthy

If you are not self-disciplined, one or more areas your life is out of control.  The lack of control may manifest physically, mentally, spiritually and/or financially.  A life out of control is not sustainable.  So, take inventory.  Identify the area(s) in your life that lack self-discipline.  Envision how that part of your life would be if you made the necessary corrections.  Make those corrections one decision at a time and one day at a time.  Then enjoy the consequences.

Share the health.

Deborah White, MD, MBA

Herb Garden: Psyllium

Psyllium, also referred to as ispaghula (or isphagula), is derived from the husks of the seeds of  Plantago ovata. Psyllium contains a high level of soluble dietary fiber, and is the chief ingredient in many commonly used bulk laxatives, including products such as Metamucil® and Serutan®.

Psyllium has been studied as a "non-systemic" cholesterol-lowering agent, with generally modest effects seen on total cholesterol and low-density lipoprotein levels. Several psyllium-containing cereals such as Heartwise® and Bran Buds® have appeared in the U.S. marketplace during the last 15 years and have been touted for their potential lipid-lowering and "heart health promoting" effects.

Allergic reactions, including anaphylaxis, have been reported, particularly in healthcare workers with previous experience preparing psyllium-containing bulk laxatives. Obstruction of the gastrointestinal tract by such laxatives has also been reported, particularly in patients with prior bowel surgeries or anatomic abnormalities, or when mixed with inadequate amounts of water.

Synonyms

Bran Buds® cereal, Effersyllium®, Fiberall®, flea seed, Fybogel®, Heartwise® cereal, Hydrocil®, I-so-gel®, ispaghula, ispaghula husk, ispaghula seed, isphagula, Konsyl®, Lunelax®, Metamucil®, Minolest®, natural vegetable laxative, Perdiem®,  Plantago arenaria ,  Plantago psyllium , Prodiem Plain®, psyllion, psyllios, psyllium husk, psyllium seed, Regulan®, Serutan®, Vi-Siblin®, Yerba Prima® psyllium husk powder.

Uses based on tradition or theory

The below uses 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.

Abrasions, abscesses, atherosclerosis (hardening of the arteries), bladder disorders (cystitis), bleeding, blisters, boils, bronchitis, burns, cancer, cough, demulcent, diverticular disease, duodenal ulcer, dysentery, excessive menstrual bleeding, eyewash, fecal (stool) incontinence, gallbladder disease, gallstones, gout, hearing damage, heavy menstrual bleeding, high blood pressure, incontinence, insect bites and stings, intestinal ulcers, liver disorders, nose and throat irritation, parasites, poison ivy rash, psoriasis, radiation-induced colitis/diarrhea, skin soothing, sprains, stomach ulcer, urethritis, wound healing (used on the skin).

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.

High cholesterol
Psyllium is well studied as a lipid-lowering agent with generally modest reductions seen in blood levels of total cholesterol and low-density lipoprotein ("bad cholesterol"). Effects have been observed following eight weeks of regular use. Psyllium does not appear to have significant effects on high-density lipoprotein ("good cholesterol") or triglyceride levels. Because only small reductions have been observed, people with high cholesterol should discuss the use of more potent agents with their healthcare provider. Effects have been observed in adults and children, although long-term safety in children is not established.

Constipation
Psyllium has long been used as a chief ingredient in "bulk laxatives." Generally, an increase in stool weight, an increase in bowel movements per day, and a decrease in total gut transit time has been observed in most studies.

Diarrhea
Psyllium has been studied for the treatment of diarrhea, particularly in patients undergoing tube feeding. It has also been studied in addition to orlistat therapy in hopes of decreasing gastrointestinal effects (diarrhea and oily discharge) of this weight loss agent. An effective stool bulking effect has generally been found in scientific studies.

Anal fissures (tears or cracks in the anus)
Psyllium may help to prevent or relieve anal fissures, which can result from constipation, diarrhea, inflammatory bowel disease, or irritable bowel syndrome. However, further research is necessary before psyllium can be recommended.

Colon cancer
According to early research, diets that include psyllium may reduce the risk for colon cancer. More studies are needed to determine whether psyllium can help prevent colon cancer.

Colonoscopy preparation
Patients with new onset constipation or presumed hemorrhoid bleeding frequently require the use of both fiber supplements and diagnostic colonoscopy. Researchers have concluded that in non-constipated patients, psyllium-based fiber supplementation should not be initiated in the few days prior to endoscopy using a polyethylene glycol preparation. Instructions given by the appropriate healthcare professional and pharmacist should be followed when preparing for colonoscopy.

Fat excretion in stool
Early research shows that dietary psyllium and chitosan supplementation may help to increase the excretion of fat in the stool.

Gas (flatulence)
Early research suggests that diets high in fiber (such as psyllium) will increase gas production, yet promote gas retention. The effect of psyllium on gas needs to be explored further.

Hemorrhoids
Psyllium may reduce the symptoms of hemorrhoids, which can result from constipation. Further research is needed to determine whether psyllium can help relieve or prevent the symptoms of hemorrhoids.

Hyperglycemia (high blood sugar levels)
Several studies have examined the administration of psyllium with meals or just prior to meals in order to measure effects on blood sugar levels. Better evidence is necessary before a firm conclusion can be drawn.

Induction of labor/abortion (cervical dilator)
An early study examined whether a preparation made from psyllium could help dilate the cervix when labor or abortion is induced. Further research is needed to determine whether psyllium can help to open the cervix.

Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
There is limited and unclear evidence regarding the use of psyllium in patients with inflammatory bowel disease.

Irritable bowel syndrome
Psyllium preparations have been studied for more than 20 years in the treatment of irritable bowel syndrome symptoms. Results of these trials have been conflicting. In some cases, insoluble fiber may worsen the clinical outcome.

Obesity
The reviewed evidence seems to show that psyllium may improve blood sugar and lipid levels, which can be related to obesity in some children. However, further studies are needed to clarify its effects and the mechanisms involved. Body weight reduction has not been proven to be associated with psyllium use in adults.

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.

Psyllium-containing laxatives, cereals, and other products are generally believed to be safe. Important exceptions include those with repeated psyllium exposure (such as healthcare workers frequently handling bulk laxatives who are at risk for hypersensitivity reactions) and patients with significant pre-existing bowel abnormalities (such as gastrointestinal strictures or impaired motility) or prior bowel surgery.

Obstruction of the gastrointestinal tract has been noted in numerous case reports of patients taking psyllium-containing laxatives, particularly in individuals with previous bowel surgery or problems and/or when the laxatives are mixed with inadequate amounts of water. Psyllium should be avoided by people who have throat problems or difficulty swallowing.

Gastrointestinal side effects are generally mild and have not prompted discontinuation of psyllium in most clinical trials. Esophageal obstruction has been reported in a patient with Parkinson's disease.

Due to potential reductions in blood sugar levels caused by psyllium, blood glucose levels in diabetic patients should be closely monitored.

Immediate medical attention should be sought if any of these symptoms appear after taking psyllium: chest pain, vomiting, or difficulty swallowing or breathing.

Allergies
Serious allergic reactions including anaphylaxis, difficulty breathing/wheezing, skin rash, and hives have been reported after ingestion of psyllium products. Less severe hypersensitivity reactions have also been noted. Cross-sensitivity may occur in people with allergy to English plantain pollen ( Plantago lanceolata ), grass pollen, or melon.

Pregnancy and Breastfeeding
Psyllium-containing laxatives are considered class C-2 drugs in pregnancy, meaning that they appear to be safe in all three trimesters, although studies in pregnant humans and animals have not been done. Psyllium-containing products are considered class 1 (apparently safe) during 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
Psyllium-containing products may delay gastric emptying time and reduce the absorption of some drugs. It is advised that drugs be taken at separate administration times from psyllium to minimize potential interactions (for example, one hour before or a few hours after taking psyllium).

Although no effect on warfarin (Coumadin®) levels with co-administration of psyllium was reported in one study, administration of these agents should be separated until better research is available.

Due to potential reductions in blood sugar levels caused by psyllium, requirements for insulin or other diabetes drugs in diabetic patients may be reduced. Blood glucose levels should be closely monitored, and dosing adjustments may be necessary.

Other drugs may be affected by psyllium, including anticoagulants, antidepressants, anti-gout agents, anti-inflammatory agents, diuretics, salicylates, tetracyclines, nitrofurantoin, insulin, lithium (Lithobid®, Eskalith®), and digoxin (Lanoxin®). People should speak with their healthcare providers before taking psyllium. Dosing adjustments may be necessary.

Interactions with Herbs and Dietary Supplements
Psyllium-containing products may delay gastric emptying time and reduce the absorption of some herbs, supplements, vitamins, or minerals. Absorption of calcium, iron, zinc, and vitamin B12 may also be affected. Other agents should be taken one hour before or a few hours after psyllium to avoid potential interactions.

Psyllium should be used cautiously with other laxatives, such as senna, because effects may be increased.

Psyllium and chitosan together may increase fat excretion in the stool.

Theoretically, psyllium may reduce the absorption of anticoagulant herbs and supplements. However, no effect on warfarin levels by co-administered psyllium was found in one study.

Taking psyllium with herbs and supplements that alter blood sugar may increase the risk of hypoglycemia (lowered blood sugar). People using other herbs or supplements that may alter blood sugar levels, such as bitter melon ( Momordica charantia ), should be monitored closely by their healthcare provider while using psyllium. Dosing adjustments may be necessary.

Psyllium may interact with herbs and supplements with antidepressant, anti-gout, anti-inflammatory, and diuretic activities.

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

Intercession

When you intercede, you pray on behalf of another person.  You fill the gap between God and a person who cannot pray for themselves.  They are unable to pray for themselves because they are physically, mentally or spiritually incapacitated.  (A spiritually incapacitated person does not have a relationship with God.)  My question is:

Have you considered standing in the gap for another?

To stand in the gap for another, you must:

• Be ready to pray
• Be willing to pray
• Be able to pray
• Recognize and take the opportunity to pray

While you consider standing in the gap for another, remember that Jesus is standing in the gap for you.

Romans 8:34
Who is he who condemns? It is Christ who died, and furthermore is also risen, who is even at the right hand of God, who also makes intercession for us.

Hebrews 7:25
Therefore He is also able to save to the uttermost those who come to God through Him, since He always lives to make intercession for them.

In future postings, I will share some thoughts about readiness, willingness, ability and opportunities to intercede.

Share the health.

Deborah White, MD, MBA

Abstention

Abstention is the withholding of your vote.  My question is:

Will you withhold your vote in the upcoming election?

When you withhold your vote, you withhold your opinion.  You fail to commit.  You devalue your rights, responsibilities and privileges as a citizen of the United States of America.

On November 4, 2008, don't abstain!  Vote!

Share the health.

Deborah White, MD, MBA

Herb Garden: Propolis

Bees create propolis, a natural resin, to build their hives. Propolis is made from the buds of conifer and poplar trees, beeswax, and other bee secretions. Historically, propolis was used in Greece to treat abscesses. The Assyrians also used propolis to heal wounds and tumors, while the Egyptians used it for mummification. Today, propolis is commonly found in chewing gum, cosmetics, creams, lozenges, and skin creams. It is frequently used in foods and beverages with the claim that it can maintain or improve health.

Propolis has shown promise in dentistry for dental caries and as a natural sealant and enamel hardener. The effectiveness of propolis against herpes simplex virus types 1 and 2 and parasitic infections has been demonstrated in early studies. However, well-designed studies are lacking, and further evidence is warranted in order to determine if propolis is effective for any health condition.

Numerous case reports have demonstrated propolis to be a potent allergen and sensitizing agent. Therefore, it should be used cautiously in allergic people. Toxicity with propolis is rare, although there are multiple case reports of skin irritation and itching, as well as blood vessel inflammation.

Synonyms

 Apis mellifera  L., bee glue, bee propolis, bee putty, Bienenharz (German), Brazilian green propolis, Brazilian propolis, Bulgarian propolis, caffeic acid phenethyl ester (CAPE), cera alba, chizukit, cinnamic acid, flavonoids, galangin, Greek propolis, hive dross, Propolin H, propolis balsam, propolis resin, propolis wax, propolisina (Spanish), Russian penicillin, Taiwanese propolis, terpenes, WSDP.

Uses Based on Tradition or Theory

The uses 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.

Academic performance, acne, anticoagulant, anti-inflammatory, anti-oxidant, anti-spasm, blood clots, bowel diseases, cancer, colorectal cancer, corneal regeneration, Crohn's disease, dermatitis, dilation of veins (vasorelaxant), diverticulitis, duodenal ulcers, eczema, HIV, hyperglycemia (high blood sugar levels), immune stimulation, immunomodulatory, laryngitis, leukemia, liver protection, low blood pressure, nasopharyngeal carcinoma, osteoporosis, prostate carcinoma, pruritus (itching), psoriasis, rheumatoid arthritis, skin rejuvenator, thyroid disease, tissue healing after surgery (tissue regeneration), tuberculosis, ulcerative colitis, UV-induced erythema prevention/sunburn, 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.

Acute cervicitis
Several studies suggest that using propolis as a cream or ointment may help heal an inflamed cervix, the narrow passage at the lower end of the uterus. These studies, however, have been small, low quality, and not fully convincing. Better studies are needed.

Burns
Propolis may have a beneficial effect on the healing of minor burns. More studies are needed before propolis can be recommended as a burn treatment.

Canker sores (aphthous ulcers)
There is some evidence that propolis taken by mouth may help reduce outbreaks of canker sores. Further research is needed to confirm this.

Colds (prevention and treatment)
There is some evidence that propolis may help prevent infections with the virus that causes the common cold. Propolis nasal sprays have been suggested as a treatment for runny nose, congestion, and fever in children with nose or throat infections. However, there is not enough clinical evidence to support this use of propolis.

Cornea complications from zoster
Laboratory studies suggest that propolis has anti-viral and anti-inflammatory effects. There is limited research of propolis for the treatment of eye complications of  Varicella zoster , the virus that causes chicken pox or shingles. Some evidence suggests that propolis may speed up healing and improve sight. However, human research is needed before a recommendation can be made.

Dental pain
There is early evidence suggesting that propolis (e.g., propolis gel) may reduce dental pain. Additional research is needed before a clear recommendation can be made.

Dental plaque and gingivitis (mouthwash)
Early studies suggest that using a propolis mouthwash may reduce plaque formation, reduce bacteria in the mouth, relieve dental pain and gum inflammation (periodontitis), be useful as a sealant after root canal surgery, and help heal dental wounds. Early study using a gel prepared with propolis and caffeic acid phenethyl ester (CAPE) applied to the gums found that the gel provided comfort and was accepted by the volunteers. Although there has been promising research, particularly in the area of plaque reduction, most studies have been small, low quality, and not fully convincing. Better studies are needed before a recommendation can be made.

Dental wound healing
In animals, propolis helped the mouth heal after teeth were removed. Human research is needed before a recommendation can be made.

Fungal infections (of the mouth)
A Brazilian commercial ethanol propolis extract, formulated to ensure physical and chemical stability, was found to inhibit oral candidiasis, a fungal infection of the mouth. More studies are needed to determine if propolis is safe and effective for treating oral candidiasis.

Genital herpes simplex virus (HSV) infection
Laboratory studies report that propolis may have action against viruses, including herpes simplex virus types 1 and 2. Early results from poorly designed human studies suggest that propolis used on the skin may improve lesions from genital herpes virus infections. However, without better human research, including comparisons to prescription drugs, firm conclusions cannot be drawn.

Infections
Animal and laboratory studies suggest that propolis may help treat various types of infections. Initial human research reports possible benefits against bacteria in the mouth, genital herpes, urine bacteria, intestinal giardia infections, or  H .  pylori . Additional research is needed before a recommendation can be made.

Legg-Calve-Perthes disease/avascular hip necrosis
These diseases are characterized by the death of bone at the hip joint (called the femoral head). Limited human research has tested propolis injections into the joint after hip replacement surgery for these conditions. However, without additional human study of safety and effectiveness, no clear conclusions can be drawn.

Rheumatic diseases
Based on anti-inflammatory effects observed in laboratory research, propolis has been proposed as a possible treatment for rheumatic and other inflammatory diseases. However, there is currently not enough scientific human study to make a clear recommendation.

Stomach ulcers caused by Helicobacter pylori bacteria
Some evidence suggests that propolis and some of its components may stop the growth of  Helicobacter pylori , the bacterium that causes stomach ulcers. Further studies are needed to determine safe and effective doses of propolis to treat stomach ulcers.

Vaginitis
Propolis may be an effective treatment for vaginal inflammation. However, more research is needed before propolis can be recommended.

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.

The safety of propolis has not been thoroughly studied. Although there are several case reports of allergic reactions to propolis, it is generally believed to be well tolerated in most adults. Allergic reactions may cause swelling, redness, eczema, or fever. Propolis may irritate the skin and may cause burning, peeling lips, irritation, lesions, itching, swelling, psoriasis, or eczema. Case reports of irritation in and around the mouth have occurred after use of propolis lozenges or extract taken by mouth.

Toxicity data for propolis are limited. Early studies have found propolis to be relatively non-toxic. There has been one report of kidney failure with the ingestion of propolis that improved upon discontinuing therapy and worsened with re-exposure.

Allergies
Patients should avoid propolis if they have had allergic/hypersensitivity reactions to propolis,  Populus nigra  L. (black poplar), poplar bud, bee stings/bee products (including honey), or Balsam of Peru. There are multiple reports of swelling, fluid collection, redness, burning, eczema, swelling, fever, and other allergic reactions (including a severe allergic reaction called anaphylaxis) with repeated use of propolis on the skin. Propolis has been linked to several cases of contact dermatitis in beekeepers. Allergic contact stomatitis has been associated with the therapeutic use of propolis.

Pregnancy and Breastfeeding
There is not enough scientific evidence to recommend the use of propolis during pregnancy or breastfeeding. Many tinctures contain high levels of alcohol and should be avoided during pregnancy.

Propolis may protect against male infertility, although this use has not been thoroughly studied.
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
Many tinctures contain high levels of alcohol and may cause nausea or vomiting when taken with metronidazole (Flagyl®) or disulfiram (Antabuse®).

Propolis may produce additive effects when taken with antimicrobial drugs.

Propolis may interact with the following: anticoagulants,  H .  pylori  agents, antibiotics, anti-cancer agents (antineoplastics), antifungals, anti-inflammatories, infertility agents, anti-HIV agents (antiretrovirals), immunosuppressants, and osteoporosis agents.

Interactions with Herbs and Dietary Supplements
Balsam of Peru and propolis are both known to cause allergic sensitization in some people and have multiple compounds in common, such as benzyl benzoate, benzyl cinnamate, benzyl alcohol, benzoic acid, cinnamic acid, caffeic acid, cinnamic alcohol, and vinallin. An increased risk of allergic sensitization may occur if both products are used together.

Propolis may interact with the following herbs and supplements: anticoagulants (such as coumarin and licorice), antibacterials, anti-cancer agents (antineoplastics), antifungals, anti-inflammatories, antioxidants, fertility agents, anti-HIV agents, immunostimulants, immunosuppressants, and osteoporosis agents.

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 is based on information from the National Institutes of Health.

Share the health.

Deborah White, MD, MBA

Give It Back

Ordinarily, it's rude to give back a gift.  My question is:

What is the one exception to that rule?

The one exception:  It is not rude to give back to God any gift He has given to you.  You give back a gift from God to God if you dedicate that gift to Him.  It honors and glorifies God.

Give back your body.
If you have accepted Jesus as your Lord and Savior, God dwells in your body.  So dedicate it to God and use it accordingly.

1 Corinthians 3:16
Do you not know that you are the temple of God and that the Spirit of God dwells in you?

1 Corinthians 6:19
Or do you not know that your body is the temple of the Holy Spirit who is in you, whom you have from God, and you are not your own?

Romans 12:1
I beseech you therefore, brethren, by the mercies of God, that you present your bodies a living sacrifice, holy, acceptable to God, which is your reasonable service.

Give back your mind.
If you have accepted Jesus as your Lord and Savior, God has given you the mind of Christ.  So dedicate it to God and use it accordingly.

1 Corinthians 2:16
For "who has known the mind of the LORD that he may instruct Him?" But we have the mind of Christ.

Philippians 4:8
Finally, brethren, whatever things are true, whatever things are noble, whatever things are just, whatever things are pure, whatever things are lovely, whatever things are of good report, if there is any virtue and if there is anything praiseworthy—meditate on these things.

Give back your time.
Every minute of every day that you enjoy life on this planet is a gift from God.  So use your time wisely and dedicate it to Him.

Ephesians 5:15-16
15 See then that you walk circumspectly, not as fools but as wise, 16 redeeming the time, because the days are evil.

Give back your money.
If you don't give your money back to God, you are guilty of robbing Him.  So give your tithes and offerings to Him.

Malachi 3:8-12
8 "Will a man rob God?
Yet you have robbed Me!
But you say,
'In what way have we robbed You?'
In tithes and offerings.
9 You are cursed with a curse,
For you have robbed Me,
Even this whole nation.
10 Bring all the tithes into the storehouse,
That there may be food in My house,
And try Me now in this,"
Says the LORD of hosts, 
"If I will not open for you the windows of heaven
And pour out for you such blessing
That there will not be room enough to receive it.
11 "And I will rebuke the devourer for your sakes,
So that he will not destroy the fruit of your ground,
Nor shall the vine fail to bear fruit for you in the field,"
Says the LORD of hosts;
12 And all nations will call you blessed,
For you will be a delightful land,"
Says the LORD of hosts.

Give back your children.
If God has blessed you with precious children, dedicate them to the Lord and raise them right.

Psalm 127:3
Behold, children are a heritage from the LORD,
The fruit of the womb is a reward.

Matthew 19:13-14
13 Then little children were brought to Him that He might put His hands on them and pray, but the disciples rebuked them. 14 But Jesus said, "Let the little children come to Me, and do not forbid them; for of such is the kingdom of heaven."

Mark 10:13-14
13 Then they brought little children to Him, that He might touch them; but the disciples rebuked those who brought them. 14 But when Jesus saw it, He was greatly displeased and said to them, "Let the little children come to Me, and do not forbid them; for of such is the kingdom of God.

Luke 18:15-16
15 Then they also brought infants to Him that He might touch them; but when the disciples saw it, they rebuked them. 16 But Jesus called them to Him and said, "Let the little children come to Me, and do not forbid them; for of such is the kingdom of God.

Ephesians 6:4
And you, fathers, do not provoke your children to wrath, but bring them up in the training and admonition of the Lord.

Proverbs 22:6
Train up a child in the way he should go,
And when he is old he will not depart from it.

Give back to God all the gifts God has given you.  It will bless Him and He will bless you.

Share the health.

Deborah White, MD, MBA

Extension

An extension is an increase of time, length, space, influence or scope.  To extend, you must enlarge, expand or stretch.  My question is:

How far can you stretch?

Each day God gives you many opportunities:

• To stretch your mind.
• To stretch your imagination.
• To stretch your resources to accomplish your goals.
• To stretch your patience and endure a trying situation.
• To stretch your skills and abilities to fulfill your purpose and calling.
• To stretch your faith and believe that He will provide exceedingly, abundantly beyond anything you could ask or think.

Stretching feels good.  And after you stretch, you always feel better.

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Deborah White, MD, MBA

Herb Garden: Peppermint

The herb peppermint, a cross between two types of mint (water mint and spearmint), grows throughout Europe and North America. Peppermint is often used to flavor foods, and the leaves can be used fresh or dried in teas.

Common Names--peppermint oil
Latin Names--Mentha x piperita

Uses Based on Tradition or Theory

Peppermint oil has been used for a variety of health conditions, including nausea, indigestion, and cold symptoms. Peppermint oil is also used for headaches, muscle and nerve pain, and stomach and bowel conditions such as irritable bowel syndrome.

How It Is Used

Essential oil of peppermint can be taken in very small doses in capsule or liquid forms. The essential oil can also be diluted with another oil and applied to the skin.

What the Science Says

Results from several studies suggest that peppermint oil may improve symptoms of irritable bowel syndrome. A few studies have found that peppermint oil, in combination with caraway oil, may help relieve indigestion, but this evidence is preliminary.

Although there are some promising results, there is no clear-cut evidence to support the use of peppermint oil for other health conditions.

Side Effects and Warnings

Peppermint oil appears to be safe for most adults when used in small doses. Possible side effects include allergic reactions and heartburn. Capsules containing peppermint oil are often coated to reduce the likelihood of heartburn. If they are taken at the same time as medicines such as antacids, this coating can break down more quickly and increase the risk of heartburn and nausea.

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 is based on information from the National Institutes of Health.

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Deborah White, MD, MBA