Monthly Archives: March 2017

Alzheimer’s & Glucose: Reducing Sugar Intake

While scientists have long known that excess glucose—or sugar—and its breakdown products have the potential to damage proteins and cells through a reaction called ‘glycation,’ the specific molecular link between sugar and Alzheimer’s disease was neither confirmed nor fully understood.

Yet scientists have recently confirmed a ‘tipping point’ molecular link between the blood sugar glucose and Alzheimer’s disease, as a study published in the journal Scientific Reports has demonstrated that excess glucose irreparably damages a critical enzyme is involved with inflammation response to the early stages ofAlzheimer’s.

Unusually high blood sugar levels, also called hyperglycemia, is a familiar characteristic of diabetes and obesity; indeed, patients with diabetes have been shown to have an increased risk of developing Alzheimer’s disease compared to healthy individuals. In the early stages of the disease, abnormal proteins aggregate to form ‘plaques and tangles’ in the brain, which progressively lead to severe cognitive decline.

By utilizing a sensitive technique to detect glycation through brain samples of people both with and without Alzheimer’s, a team of scientists discovered that—in the early stages of Alzheimer’s—glycation damages an enzyme called MIF (macropage migration inhibitory factor), which ultimately plays a role in immune response and insulin regulation. This enzyme is involved in the response of brain cells to the build-up of abnormal proteins in the brain during Alzheimer’s, and researchers believe that inhibition and reduction of MIF activity—caused by glycation—could be the proverbial ‘tipping point’ in disease progression. As Alzheimer’s disease progresses, so too does glycation of these enzymes increase.

Researchers articulate that this knowledge will be vital in developing a chronological trajectory of the progression of Alzheimer’s, and will assist in identifying those at risk, in addition to new preventive techniques and treatments. Moreover, this potential link with Alzheimer’s serves as another reason to curb and lower sugar intake.

Mark Rosenberg, MD, FMNM, a physician who has extensively studied the mechanisms of cancer treatment failure, and developed new preventive therapies, states: “Glucose or sugar, is a source of fuel for normal cells and malignant cells. The more resistant and aggressive cancer cells tend to rely on the metabolism of glucose through a process called glycolysis. These cells over-express GLUT-1 transporters, as well as insulin, to pull in as much sugar, as quickly as they can, so they can meet their energy requirements. There are multiple studies correlating elevated blood sugar, insulin resistance, and diabetes with the risk, as well as survival, for many cancers. Bottom line, from a cancer perspective: minimize sugar intake.”

Around 50 million people across the globe have been diagnosed with Alzheimer’s disease, a statistical figure predicted to rise to more than 125 million by2050. Researchers believe that the global cost of the disease will likely escalate into the hundreds of billions of dollars, as medical patients require further social and palliative care, due to the debilitating cognitive effects of the disease.

Human Gene Editing

The National Academy of Sciences, in collaboration with the National Academy of Medicine, has lent their support to a “once-unthinkable” proposition: modifying human embryos, in order to create genetic traits that can be transferred to future generations.

Notwithstanding the medical and scientific complications, human gene editing has historically posed an ethical dilemma, as scientists fear that techniques used to prevent hereditary and genetic disease might also be used to create specific physical traits, or enhance intelligence.

A special science advisory group has solely endorsed alternations that are designed to prevent babies from acquiring genes known to cause “serious diseases and disability,” and only when there is no “reasonable alternative.” This engineering might allow people to have children without fearing that they have passed on genetic traits for diseases and disabilities like Huntington’s and Tay-Sachs.

The advent of a specific gene-editing tool called Crispr-Cas9 has allowed researchers to alter, insert, and delete genetic material with rapidly increasing precision, and has spurred plans for experimental treatments of adult patients with conditions like cancer and blindness.

Yet opponents of this new technology argue that human gene line editing will lead to the engineering of traits like beauty, strength, intelligence—ultimately leading to the possibility of a disproportionate divide between those who can afford enhancements, and those who cannot.

There are also questions of safety and autonomy, in addition to social justice and moral concerns. Despite the precision of Crispr, its ‘off-target’ effects include cutting DNA at places it is not meant to—leading to the inadvertent creation of new complications. Furthermore, while the published report prohibited any alternations that resembled ‘enhancement,’ it is not clear where the line is drawn.

Nevertheless, it will likely be years before gene-editing techniques tested in animals can simultaneously work in humans. The Food and Drug Administration currently prohibits the allotment of any federal money to support research that results in genetically modified offspring. This groundbreaking step will likely only be considered and implemented after more research and studies, and only conducted under extremely tight restrictions.

Physician of the Month: Nancy Vance, MD, FAARFM, ABAARM

A4M valued member Nancy Vance, MD, FAARFM, ABAARM shares insight from her professional experience in this Physician of the Month feature.

Dr. Vance entered into medicine as a nontraditional student at the age of 34 from a non-medical background. Her career shift to the medical field was spurred by a desire to learn and to then apply that knowledge in a meaningful way. Several years into her medical education, Dr. Vance began to realize that traditional medicine was not what she had anticipated it to be. Although she was enthusiastically engaged in the scientific method applied to medicine, she found the application of that method to disease-based medicine lacking. For 15 years, Dr. Vance practiced emergency medicine where she believes traditional medicine is at its best, but was well aware of the limitations during that time. As a favor for a friend, she began her own research into bioidentical hormone therapy, and that path eventually led her to A4M. During the coursework to gain board certification and an advanced fellowship from A4M, Dr. Vance was very pleased to return to a base of physiology, biology, chemistry, and genetics, and to not only understand the causes of disease but also how to prevent them.

Q: Before joining A4M, what was your medical background?

I held a contract with an independent hospital to provide 24-hour emergency physician coverage for 10 of my 15 years as an emergency physician.

Q: What anti-aging techniques have you incorporated into your practice? How did you so?

IV therapy, hyperbaric oxygen therapy and HRT are a few of the techniques implemented at Insight to Health & Wellness.

Q: What are the benefits of practicing anti-aging medicine–as a professional, and for your practice?

Since learning the new model of medicine through A4M, I have realized wonderful benefits:

  • A one-on-one relationship with my patients allows me to study each patient and offer personalized medical advice based on research.
  • Since I operate with an independence from insurance regulations, I can actually treat the causes of disease rather than mask the symptoms with medications.

My patients finally feel in control of their health care; are able to receive education from a reliable source; and are enjoying an overall improved quality of life in their later years.

Q: What are the changes you see in your patients?

The major changes for patients when my methods are implemented are the need for less medication and improved quality of life.

Q: Why would you recommend Anti-Aging Medicine to your peers?

The opportunity to be trained by innovators, regain autonomy, be surrounded by people motivated to take care of patients and be on the cutting edge of medicine not only places anti-aging medicine at the forefront of medicine but also at the forefront of the medical business model.

Q: Where do you see the future of Anti-Aging medicine 20 years from now?

The inevitable fundamental shift away from disease based to preventive medicine spurred by the search for knowledge by more sophisticated and aware patients will make anti-aging medicine commonplace in the future.