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1 www.myclinicuae.com | MY CLINICDecember 2014

2 MY CLINIC | www.myclinicuae.com December 2014



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Welcome back, ladies and gentlemen.

Another year has almost passed us by and we at My Clinic are just about ready to enjoy a good old fashioned New Years Celebration before we devise some resolutions for 2015 and get back to what we love most - putting together another great issue for you.

Before I get ahead of myself, this issue is

jam packed with loads of info . With plenty more advices to stay healthy content, we also have our regular mix of features for you.

It’s hard to believe that 2014 is winding down!

Back to School will be upon us before you know it. I don’t know about you, but this month will be a crazy hectic one in our house. Goodbye lazy

days of summer and hello chaotic schedules; juggling school, carpool, sporting events, homework & all out craziness! During these busy times, it’s important to stop and breathe. Take time out of your schedule and take care of yourself. Start a new exercise program or healthy eating routine and make yourself a priority. Maintaining a healthy lifestyle is what My Clinic is all about

I will leave you in festive harmony to enjoy the

remainder of the issue, with just a gentle reminder to keep your eyes open for our new frontend features and a promise to expand and

enhance My Clinic in the upcoming New Year.


Life has a beautiful way of renewing itself...whether

through the changing of the seasons, the start of a new week, or the Grand Poobah of new beginnings: New Year’s Day.

New Year’s Day marks the first day of a fresh,

unblemished year. There are 365 days of potential awesomeness...365 days lay ahead where you will exercise, eat right, spend more time with your kids, and finally perfect that family BUDGET . Well, at least that’s how you intend on spending the next year!

Does your family make New Year’s Resolutions

together? I’d like to say that that’s one of our family traditions, but it’s not. It sure should be, though! One year we sat down with our kids and all came up with resolutions. And you know what? Those two little ones made them and kept them! It was a fantastic lesson in goal-setting...one we truly should keep up with.

Being Healthy means living your life in

balance. With that in mind, each month I encourage our readers to live healthy by providing articles that are

focused on a healthy mind, body and spirit.

So as we embark on this very special new

beginning, at My Clinic ,we wish you all the very best for 2015! Here’s to a year where goals are met, relationships nurtured and dreams come true.



CarbohydratesIncrease whole grains (brown rice, rye, oats, barley, buckwheat and quinoa) fresh fruit and vegetables.

Fats Increaseessential fatty acids from nuts, seeds (pumpkin, sunflower, sesame) cold pressed oils and oily fish (mackerel, salmon, tuna, herrings, pilchards and sardines).

ProteinEnsure sufficient high quality protein from skinless chicken and turkey, fish, pulses, legumes and lentils.

FibreInclude fibre both

soluble and insoluble to ensure effective removal of toxins and to provide a healthy gut ENVIRONMENT . This includes beans, lentils, pulses, oat bran and prunes.

FluidsDrink two litres of water daily taken away from meals and sipped slowly to avoid stress on the kidneys. For variety drink diluted fruit juices, organic vegetables juices and herbal teas.

CarbohydratesAvoid all refined carbohydrates, confectionery and sources of sugar to discourage any Candida overgrowth

FatsAvoid all sources of saturated fat, including red meat and unfermented dairy foods, as

these tend to be inflammatory.

ProteinsReduce red meat, unfermented dairy products and all sources of protein attached to saturated fats, processed meats etc.

FluidsAvoid excess alcohol, stimulating drinks such as coffee or tea, sugary soft drinks, carbonated drinks all of which are dehydrating






Research suggests that training and exercise can put a significant strain on the immune systems of athletes, with many athletes often experiencing an increased susceptibility to minor illnesses such as upper respiratory tract infections. There is a general consensus among exercise immunologists, that various immune cell functions are impaired following sessions of continuous and prolonged heavy exercise. This potentially negative effect of strenuous exercise is of obvious concern to athletes and sports enthusiasts in general, as even minor infections may result in a drop in exercise performance and an inability to train and compete.

Probiotics and Immunity: Clinical ResearchThere is strong evidence that probiotics improve immune system parameters in both adults and children. A recent Cochrane review found that compared to placebo, probiotics were better at reducing the incidence of URTI Ten relevant randomised and controlled studies were included in the review with a total of 3451 participants, including infants, children and adults.There is also research which specifically explores probiotics and immunity in athletes. One study found that supplementation with L. acidophilus LAFTI. After one month of taking the probiotics, secretion of IFNtly (P= 0.01) to levels which are normally seen in healthy athletes.

Another double-blind, placebo-controlled crossover study, revealed that prophylactic administration ofLactobacillus fermentum PCC to long distance runners was ASSOCIATED with a significant reduction in the length and severity of respiratory illness. The subjects reported less than half the number of days of respiratory symptoms during treatment with the probiotic combination (p< 0.001) and severity of illness was also lower for episodes which occurred whilst taking PCC. This strain was also given to a group of professional cyclists in a randomised, double-blind, placebo-controlled, parallel-groups study

Athletes and the Immune System

of 88 participants, and was shown to reduce the severity and duration of lower respiratory tract infections by 30% in the male participants. There was also a reduction in the severity of gastrointestinal symptoms and athletes used cold and flu medication less frequently.









What are the symptoms?

Many people have no symptoms, or only vague ones such as tiredness or general aches, therefore the problem is often missed.

Symptoms in babies and children:

Babies with severe vitamin D deficiency can get mus-cle spasms (cramps), seizures and breathing difficul-ties. These problems are related to consequent low levels of calcium.•Children with severe deficiency may have soft skull or leg bones. Their legs may look curved (bow-leg-ged), they might also complain of weakness or pain in their legs and muscles. This condition is known as rickets.•Poor growth: Height is usually affected more than weight, Delay in walking, Tooth delay, also Irritability. Children with vitamin D deficiency are more prone to infections and Respiratory problems, because of weak chest muscles and a soft ribcage.

Symptoms in adults (severe deficiency)• General vague aches and pains and a general sense of not being well are the common symptoms. In more severe deficiency (known as osteomalacia), pa-tients suffer from a severe pain and muscle weakness causing difficulty in climbing stairs, getting up from the floor or a low chair, also it can cause a “ waddling pattern” in walking.• Painful to moderate pressure bone sensation (of-ten more noticeable in the ribs or shin bones). Not uncommonly, people have a hairline fracture in the bone, causing tenderness and pain. It can also occurs in the lower back, hips, pelvis and thighs.

How is Vitamin D deficiency diagnosed? It may be suspected from your medical history, symp-toms, or lifestyle. A simple blood test for vitamin D level can make the diagnosis, Blood tests for calcium and phosphate levels and liver function may also show changes linked to a low level of vitamin D.

How vitamin D deficiency is treated?

The treatment is to take vitamin D supplements. This is a form of vitamin D called ergocalciferol or calcif-erol. Vitamin D can be given as an injection or as a medicine (liquid or tablets). Your doctor will discuss the dose and schedule, depending on your situa-tion, age, severity of the deficiency. After this, main-tenance treatment is often needed for a long-term (lower dose), to prevent further deficiency.

What is the prognosis?

The outlook is usually excellent. Both the vitamin lev-el and the symptoms generally respond well to treat-ment. However, it can take time (months) for bones to recover and symptoms such as pain to get better or improve. Caution and advice from your doctor is needed if you have any medical conditions such as kidney stones or disease, liver disease or hormonal Disease also if you are taking certain medicines such as digoxin, diuretics. Vitamin D should not be taken as well by people who have high calcium levels or certain type of cancer.

Is there any side effects from the vitamin D supple-ment?

It is very unusual to get side effects from vitamin D if taken in the prescribed dose under observation from specialized doctor. However, very high doses can raise calcium levels in the blood. This would cause symptoms such as thirst, passing a lot of urine, nau-sea or vomiting, dizziness and headaches. If you have these symptoms, talk with your care provider to have a blood test checking your calcium level.

Do I need Follow-up?

Most people who are treated for vitamin D deficiency will need to be reviewed a few weeks or months af-ter starting the treatment, depending on how severe their symptoms are. A further review after one year is advised. If you are wondering whether you are a Vit D defi-cient or not, visit our Lab in Al Sharq hospital, with a simple blood test we will give you the answer along with the adequate treatment.








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