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Stephen Sinatra Md, Hawthorn Berries, Insulin
A Peach Of A Fruit: Benefits & Recipes
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Dr. Sinatra, thank you for taking time out of your busy schedule to share clinical pearls from your vast storehouse of functional-integrative expertise in cardiology with the naturopathic community. Most of our ND readers follow your advice and would appreciate any insight you can share about the exam room. I would like to focus our brief interview on several important clinical challenges that cardiology patients often face.
Dr. Sinatra: After graduating from Albany Medical School [Albany, New York] in 1972, I completed a 3-year medical residency followed by a 2-year fellowship in cardiovascular disease. I spent 10 years getting certified in bioenergetic psychotherapy because I needed deeper experience in studying how behavior analysis affects the mind-body interaction of illness. During this time, I realized that I needed to learn more about nutritional medicine and took the CNS [certified nutritionist] certification exam given by the American College of Nutrition. Exam preparation involves 2 years of intensive study of nutrition and metabolism in health and wellness. At that time I was certified in antiaging medicine. In 2005, I wrote the first edition
Dr. Stephen Sinatra The Past, Present Future Of Integrative Cardiology
[Laguna Beach, CA: Basic Health Publications, Inc; 2005], which examines energy substrates and the concept of the heart, as heart failure is literally a “heart without energy.” Understanding how adenosine triphosphate (ATP) is involved in metabolic pathways led me to look deeper into the concepts of energy medicine. The concept of metabolic cardiology initiated me into vibrational medicine, which is an extension of the energetic concepts of disease. Since every living thing has frequencies, vibrational medicine is truly the future of medicine and where my passion currently lies. I lecture in the US on vibrational medicine as well as metabolic cardiology and include grounding and grounding in these discussions. I discuss all of these concepts in my monthly newsletter,
[www.drsinatra.com], which I have been doing for the past 15 years. My latest website, www.heartmdinstitute.com, is an informational non-profit site dedicated to educating and empowering people to help beat cardiovascular disease.
Let’s start with the laboratory evaluation. What are the best initial screening tests to order in a new high-risk patient as part of a cardiovascular workup?
[glycated hemoglobin] and triglycerides as indicators of subsequent inflammation. In addition, I consider homocysteine, Lp(a) [lipoprotein(a)] (talk about real cholesterol), fibrinogen, ferritin, and C-reactive protein as markers of inflammation. Every time I check my cholesterol, it needs to be fractionated to assess for the presence of dysfunctional HDL [high-density lipoprotein] as well as the size and number of small-particle inflammatory LDL [low-density lipoprotein]. I used VAP [Vertical Auto Profile; Atherotech Diagnostics Lab, Birmingham, AL] or LPP [Lipoprotein Particle Profile; SpectraCell Laboratories, Houston, TX] profiles.
Dr. Jonny Bowden
What is more important to prevent heart attacks: lowering LDL cholesterol to 70 mg/dL or below or increasing omega-3 levels in heart cells by at least 8% or more? Or both? Or is there another best option?
Dr. Sinatra: To be honest, I don’t think high LDL is a significant risk factor for heart disease, because we remember that the cholesterol theory was a hypothesis to begin with. LDL cholesterol may be at the scene of the crime, but it is not the culprit of cardiovascular disease. Inflammation and blood viscosity are the real culprits behind cardiovascular disease, so I would say without a doubt that omega-3 levels are much more important in heart attack prevention because it addresses both viscosity and inflammation. Lowering LDL cholesterol to 70 or below is not, in my opinion, smart medicine because it can have serious effects on cognition and memory, and also makes us susceptible to MRSA [methicillin resistance].
New research with hypertension suggests that aggressive therapy to achieve goals below 130/80 mm Hg does not necessarily improve stroke and cardiovascular disease prevention outcomes, particularly in patients with type 2 diabetes. What are your suggestions?
Dr. Sinatra: Although blood pressure should be lowered, the inflammatory index should also be low in type 2 diabetes. Therefore, lowering blood pressure may not be the key to success. Treatment and prevention of insulin resistance and type 2 diabetes should include weight reduction, loss of excess fat, and improvement of inflammatory mediators, as well as a good walking or exercise program.
The Heart Of The Matter “cardio Gems” For Repairing And Restoring Heart Cells With Dr Stephen Sinatra, Md
Dr. Sinatra: I use natural alternatives to antihypertensive drugs in mild hypertension and in the absence of renal insufficiency or renal failure. I was prescribed a metabolic cardiology approach including CoQ10 [coenzyme Q
], broad-spectrum carnitine, magnesium and ribose as a way to improve energy substrates while also restoring cells. Most of my patients have had significant blood pressure reductions with this metabolic method. In other cases, nattokinase (50-100 mg per day), garlic (1000 mg), hawthorn [
] (1500 mg), and fish/squid oil (1-2 g per day). Adding foods to your diet such as sardine peptides, seaweed alginates, and essential fatty acids from oatmeal are also dietary considerations that can be used to lower blood pressure. Of course, weight loss and exercise are key ingredients.
Dr. Sinatra: Carbohydrate restriction and weight loss certainly work to lower triglycerides. I also add 1-3g of essential fatty acids to the mix. For HDL, short-acting niacin is essential to help raise HDL levels. Carnitine and CoQ10, as well as broad-spectrum vitamin E and tocotrienols, have also been helpful. If I’m treating LDL or LP(a) small inflammatory particles, I like a combination of niacin, fish oil or squid oil, nattokinase, and d-tocotrienol. Remember, you want to counteract the thrombotic and inflammatory effects of small-particle LDL as well as LP(a), and that’s where the “magic” of nattokinase and omega-3 essential fatty acids comes in.
Meet Dr. Sinatra, M.d., F.a.c.c., F.a.c.n., C.n.s., C.b.t.,
We are seeing a lot of patients with atrial fibrillation. It’s almost an epidemic of dysrhythmias. “What’s the best way to deal with a blowout?”
Dr. Sinatra: You’re right. Atrial fibrillation is on the rise and my instincts tell me it may be due to the toxic environment we live in. In addition to insecticides, pesticides, high mercury and other metals, wireless technologies that can disrupt heart rate variability are “everywhere.” . For these reasons, I believe that “prevention is better than cure” and if we can neutralize mitochondrial toxins or weaken the autonomic nervous system, we can reduce the likelihood of atrial fibrillation. For example, recent studies, such as yoga and many anecdotal cases of prevention of atrial fibrillation through grounding or grounding, have shown favorable results of improved sympathetic tone in the heart. So when it comes to atrial fibrillation, prevention is easier than cure. In patients prone to atrial fibrillation, it is recommended to stop or limit alcohol, sugar and caffeine. Once a patient has atrial fibrillation, a response to natural therapy is not necessarily needed. However, natural therapies (including metabolic cardiology) as well as toxin reduction (including EMF [electromagnetic field]) can help prevent atrial fibrillation once a person is in sinus rhythm.
Peripheral artery disease (PAD) is also a cardiology problem. What insight can you share about improving lower leg circulation?
Dr. Sinatra: The best explanation I can give for PAD is the use of GPLC (glycine propionyl), which not only helps remove toxic metabolites from the mitochondria, but GPLC simultaneously produces nitric oxide (NO). Such a combination offers an excellent solution to prevent spasm of small blood vessels in ischemic conditions.
Books: Albert Einstein
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