Stephen Holt MD-Public Health Initiatives and Their Nutritional Management

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    PUBLIC HEALTH INITIATIVES

    AND THEIR NUTRITIONAL

    MANAGEMENT

    An evidence-based approach

    Stephen Holt, M.D.

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    Module 1

    DSHEA Overview

    Module 2Concepts of a Line

    Module 3Condition-Specific Product Review

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    Module 1: DSHEA

    - DSHEA 1994

    - Defines Supplement

    - Limited Claims

    - Good Scientific Agreement

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    Module 1: Claims

    - Limited to body structure and function

    - No Treatment or prevention claims

    - What is a disease

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    Module 1: Product Information

    Third party literature

    Geographic separation

    Truthful

    Scientific literature

    Resources

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    Module 2: Condition Specific

    Not A Disease

    A Condition

    Consumer Thoughts of Health

    Initiatives

    Focus On Target Audience

    Spotting Targets

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    Module 2: Physician Endorsed

    Safety

    Scientific Platform

    Efficacy

    Evidence-based

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    Module 2: Synergy

    Definition: Interaction of agents suchthat the total effect is greater than the

    sum of the individual effects

    Single Agents: Pass

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    Module 2: Cascade of Events

    Waterfall Concept

    Sleep

    Immunity

    Inflammation

    Single Agent Cannot Work

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    Module 2: Synergistic Supplements

    1 + 2 + 3 + 4

    Compatible Mix

    Different Areas Of The Cascade OfEvents

    e.g. Immunity, Sleep, etc.

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    THE PRODUCTS AND CONDITIONS

    Cardiovascular Health

    Brain Function

    Digestive Health Sleep Function

    Multiple Benefits

    Skin Health

    Menopause PMS

    Bone and Joint

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    CARDIOVASCULAR HEALTH

    Cardiovascular Disease:

    Number 1 cause of death

    Major economic category e.g. Lipitor,

    11 Billion dollars

    Stalin drugs OTC?

    Safety, Efficacy?

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    An Overview Of Blood Fats And Cholesterol

    LDL, VLDL, TG, HDL

    Many agents lower LDL or

    TG, some increase HDL

    Lower LDL, VLDL, TG

    Increase HDL

    Oxidized cholesterol: Danger

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    POPULAR CVS INGREDIENTS

    Policosanol: plant waxes,breakdown LDL,antioxidants, inhibit clotting, clinical outcome

    Oat Beta Glucan: approved CVS risk reductionclaim

    Phytosterols: inhibition cholesterol absorption

    Red Yeast Rice: mevinolin blocks HMG CoAreductase

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    Blood Homocysteine Elevation

    Independent risk factor CVS disease

    Lower by B6, B12, Folate

    Association other diseases

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    BRAIN FUNCTION

    Poor cognitive function

    Risks: diet, CVS, stress

    Lifestyle and Nutrition

    Sleep, exercise, mental gymnastics

    Psychonutrition

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    PSYCHONUTRITION

    Calorie intake

    Omega-3 fatty acids (EPA, DHA)

    Antioxidants

    Specific nutrients

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    CNS SUPPORTING SUBSTANCES

    Brain specific nutrients

    Phospholipids

    Acetyl L Carnitine

    Vinpocetine

    L Alphaglycerylphosphorylcholine

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    The Power Of Phospholipids

    Phospatidylserine: clinical trials, memoryimprovement, cognitive skills

    Phosphatidylcholine: movement disorders,decreased agitation, memory

    Phosphatidylinositol: anxiolytic, antidepressant

    Phosphatidylthemolamine: similar benefit

    SUPPORTS CELL MEMBRANE STRUCTURE

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    Acetyl-L-Carnitine

    Energy conversion enhance

    Mitochondrial effect

    Neurotransmitter synthesis

    Antiaging, enhances blood flow,

    neuropathy

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    Vinopocetine

    Preiwinkle Plants (Vinca)

    Drug in Europe and Japan

    Increases blood flow

    Antioxidant

    Blood vessel dialator

    CVS-based dementia improved

    Motion sickness, sight, hearing

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    Alpha-GPC

    Lecithin dreived L-alpha-glycerylphosph-

    orylcholine

    Increase acetylcholine

    Growth hormone enhancer

    Benefit in cognitive decline

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    ENZYME NUTRITION

    Many plant-based enzymes

    Amylase, protease, lipase, cellulase,lactase, hemicellulase, chlorophyll,barley grass, etc.

    Natural vegetarian help?

    Enhanced nutrition through absorption

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    NUTRITIONAL SUPPORT FOR SLEEP

    THE SLEEP NA

    TURALLY PLAN

    Cascade effect

    Herbal blend, valerian, hops, chammomille,lemon balm

    Melatonin, small dosage

    5-HTP

    B Vitamins

    Magnesium pulse

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    SKIN SUPPORT

    HEALTH AND BEAUTY FROM WITHIN!

    COSMECEUTICALS

    Largest organ

    Antioxidants: alpha lipoic acid,vitamins C,E, grape seed extract,omega-3 fatty acids

    Silicon, calcium

    Hyaluronic acid

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    THE METABOLIC SYNDROME X

    The metabolic syndrome

    Variable combination of obesity, BP,cholesterol, linked by insulin resistance

    70 million Americans

    80% supplement purchases

    The future of the industry

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