Monday, February 29, 2016

Maintain Your Brain: Tips to Retain Concentration and Memory

by, Jesse A. Stoff, MD, MDH, FAAFP (Posted on southampton.patch.com on March 12, 2011)

This question is from E.T. in Bridgehampton: Last week you wrote about depression and you mentioned trouble with concentration, my dad has trouble with his memory and concentration but I don’t think that he’s depressed. Any ideas?Many of us, in the “49 and holding” crowd joke about “senior moments.”But when they starthappening to you more often, they’re not funny at all. Instead, they’re frustrating, embarrassing and perhaps even worrisome especially to your kids who immediately have visions of nursing homes and diapers. Have you ever walked into a room —and forget what you went in to get? Run into someone you haven’t seen lately —and can’t recall their name? (I can never remember names.) Misplaced your glasses, your house keys or your car? It’s ironic. Just when you’ve got life almost figured out with all of this wisdom and experience under your belt, your brain is no longer “old reliable.” You never know when it’s going to trip you up, frustrate you, embarrass you, or make you wonder if you’re starting to lose your marbles.So what’s a dad to do?

Researchers at Harvard have been doing extensive studies in this area, lest they suffer the same fate as us mortals, and have dutifully been reporting their findings. Aside from stress and the myriad distractions of daily life, they have concluded that there are both structural and functional reasons for our brain faux pas.Once we become an (AARP) card carrying member of the “49 and holding” crowd, structural changes become evident in our brain. Oxidative damage and the accumulation of toxins cause damage to the protective myelin sheath which makes our nerves short circuit a bit thus causing “data loss.”Furthermore, as we age our levels of neurotransmitters and brain hormones, decrease causing a functional slowing of the transmission of information.

The pharmaceutical industry has responded with drugs like Provigil, Aricept and Namenda to name but a few. These drugs try to close the gate after the chickens already flew the coop by manipulating neurotransmitter levels.From a more pro-active perspective there are some natural supplements that have proven themselves to be helpful. Phosphatidylserine restores the brain's supply and output of acetylcholine, the neurotransmitter so important to memory, and so may turn back the clock in an aging brain. Alpha-glycerylphosphorylcholine, or Alpha-GPC is a cholinergic brain supplement that increases the synthesis and secretion of the neurotransmitter acetylcholine, which is the brain's messenger responsible for sending signals across the brain and to the muscles of the body. And Acetyl L-Carnitine (ALC) is basically a fat soluble amino acid that has the ability to cross the blood-brain barrier and get to the brain blood circulation, where it acts as a powerful antioxidant, which helps in prevention of the brain cells' deterioration.

Its supplementation has been shown to be neuroprotective in instances of cerebral ischemia and may be useful in treating peripheral nerve injury. There are numerous supportive supplements ranging from blueberriesto ginko and vinpocetine, to name but a couple.Back to our friends at Harvard who put together 10 research-proven tips for a better memory:


1. Believe in yourself. Middle-aged and older learners do worse on memory tasks when exposed to negative stereotypes about aging and memory, and better if exposed to messages about memory preservation into old age.

2. Economize your brain use. Take advantage of calendars and planners, maps, shopping lists, file folders and address books to keep routine information accessible. Designate a place at home for your glasses, keys, and other items you use frequently.

3. Organize your thoughts. New information that’s broken into smaller chunks, such as the hyphenated sections of a phone or social security number, is easier to remember than a single long list.

4. Use all your senses. The more senses you use when you learn something, the more of your brain will be involved in retaining the memory.

5. Expand your brain. Widen the brain regions involved in learning by reading aloud, drawing a picture or writing down the information you want to learn (even if you never look back at your notes).

6. Repeat after me. When you want to remember something you have just heard or thought about, repeat it out loud. For example, if you’ve justbeen told someone’s name, use it when you speak with him or her: “So John, where did you meet Camille?”

7. Space it out. Instead of repeating something many times in a short period, as if you were cramming for an exam, re-study the essentials after increasingly longer periods of time —once an hour, then every few hours, then every day.

8. Make a mnemonic. Mnemonic devices are creative ways to remember lists. They can take the form of acronyms —such as the classic “Every good boy does fine,” to remember the musical notes E, G, B, D and F on the lines of the treble clef.

9. Challenge yourself. Engaging in activities that require you to concentrate and tax your memory will help you maintain skills as you age. Discuss books, do crossword puzzles, try new recipes, travel and undertake projects or hobbies that require skills you aren’t familiar or comfortable with.

10. Take a course. Memory-improvement courses are becoming more common. Choose one run by health professionals or experts in psychology or cognitive rehabilitation. Stay away from courses that center on computer or concentration games, which generally won’t help you with real-life memory problems. Select a course that focuses on practical ways to manage everyday challenges.Send in your questions and be well.
..........................................................................................................................................................
..........................................................................................................................................................
DR. JESSE A. STOFF is an internationally renowned physician with extensive credentials in clinical immunology and holistic medicine. A graduate of New York Medical College, he pursued extensive post-doctoral training including a fellow- ship at the Royal London Homeopathic Hospital in LondonEngland. He has authored/co-authored countless articles and 8 books including co-authoring the bestseller "Chronic Fatigue Syndrome: The Hidden Epidemic" and The Prostate Miracle.

This article is produced and written by the writing team at IMMUNOLOGY TODAY- The Official Newsletter of Integrative Medicine of N.Y. of Westbury NY-- Edited and co-published by Dr. Jesse A. Stoff exclusively for the purposes of this blogpost (Immunology Today) and rejuvenatesoliutions.com The publisher(s) hold all rights (c) to all elements, images and content herein.  All distribution, sharing or re-posting of this article is only with the express permission from Dr. Stoff and Integrative Medicine of NY (formerly Linchitz Medical Wellness). 265 Post Ave. Suite 380 Westbury, NY 11590  |  516.759.4200  |  www.StoffImmunology.com.   Rejuvenate! is a registered trademark of Intermedia Communications Ltd. All written content in this newsletter is produced by the Stoff Institute for Medical Research (SIMR) exclusively for private distribution at the Integrative Medicine of NY ©2016- All Rights Reserved.

DISCLAIMER: Integrative Medicine of NY (formerly Linchitz Medical Wellness) and Dr. Jesse A. Stoff make no claims pertaining to any of the institutions or funding information listed, make no warranty or guarantee of funding, and bear no responsibility and disclaim any liability for the privacy of communications or the outcome of any applications for the listed resources. No further information about any of the institutions nor funding programs (other than the links and contact information listed here) is available.  Written content provided in this article/blog is for informational purposes only; consult your physician before making any changes to your treatment plan.

Does Being Cold Really Give You a Cold?

by, Jesse A. Stoff, MD, MDH, FAAFP Posted on southampton.patch.com on Feb. 5, 2011

Q.This from H.B in Hampton Bays: Does being cold give us a cold?
A. In a word ... NO. 

However, being cold is a form of thermal stress on our system. Stress is one of the five processes that lead to immune suppression and with immune suppression comes an increased risk of all sorts of illnesses. The other four processes being poor nutrition, infection, toxins and trauma. Essentially, stress occurs when we are in some way expending energy faster than we can regenerate it at that moment. Sensing this imbalance the body kicks in with a number of mechanisms to compensate and protect us, all too often robbing Peter to pay Paul.Initially, when we are under stress there is an increased amount of adrenaline that is produced and released. This gives us the capability of “fight or flight.”Historically, this gave our ancestors the protective ability to run away from the saber-toothed tiger or to stand their ground against an enemy. If the stress is more chronic then there is an increased release of another adrenal hormone called cortisol. Cortisol does many wonderful things for us such as giving us a higher stable level of energy, improved memory function and lower sensitivity to pain.


But, cortisol also has a dark side, the problem is that with long term higher levels of release it is also an immune suppressant. So as cortisol levels go up our immune function goes down. Since the final effects of the stress response have common pathways, if we generally have a stressful lifestyle with work , family and maybe the occasional bad habit or two, then being in the cold can easily be the straw that breaks the camel's back and we get sick.The bottom line is that trying to warm up with Irish coffee won’t help, it will actually make things worse as the alcohol stresses our liver. A better plan is to find peace and balance in your life, eat a good diet with as much organic food as possible, take a good broad spectrum, natural source, multivitamin and some Cyto-Ess to support the immune system and let the body do what the body does best and that is to heal.Send in your questions and be well.

..........................................................................................................................................................
DR. JESSE A. STOFF is an internationally renowned physician with extensive credentials in clinical immunology and holistic medicine. A graduate of New York Medical College, he pursued extensive post-doctoral training including a fellow- ship at the Royal London Homeopathic Hospital in LondonEngland. He has authored/co-authored countless articles and 8 books including co-authoring the bestseller "Chronic Fatigue Syndrome: The Hidden Epidemic" and The Prostate Miracle.

This article is produced and written by the writing team at IMMUNOLOGY TODAY- The Official Newsletter of Integrative Medicine of N.Y. of Westbury NY-- Edited and co-published by Dr. Jesse A. Stoff exclusively for the purposes of this blogpost (Immunology Today) and rejuvenatesoliutions.com The publisher(s) hold all rights (c) to all elements, images and content herein.  All distribution, sharing or re-posting of this article is only with the express permission from Dr. Stoff and Integrative Medicine of NY (formerly Linchitz Medical Wellness). 265 Post Ave. Suite 380 Westbury, NY 11590  |  516.759.4200  |  www.StoffImmunology.com.   Rejuvenate! is a registered trademark of Intermedia Communications Ltd. All written content in this newsletter is produced by the Stoff Institute for Medical Research (SIMR) exclusively for private distribution at the Integrative Medicine of NY ©2016- All Rights Reserved.

DISCLAIMER: Integrative Medicine of NY (formerly Linchitz Medical Wellness) and Dr. Jesse A. Stoff make no claims pertaining to any of the institutions or funding information listed, make no warranty or guarantee of funding, and bear no responsibility and disclaim any liability for the privacy of communications or the outcome of any applications for the listed resources. No further information about any of the institutions nor funding programs (other than the links and contact information listed here) is available.  Written content provided in this article/blog is for informational purposes only; consult your physician before making any changes to your treatment plan.



Why Am I Tired All the Time Since My Pregnancy?

by, Jesse A. Stoff, MD, MDH, FAAFP (

Posted on southampton.patch.com on April 9, 2011

This week's question comes from M.M. in Tuckahoe: "Since I recently gave birth to my son, I have been so very fatigued, but all of my blood tests look “good.” Any thoughts? "

As with any health problem, in order to feel better you first have to know what’s wrong.Looking for a quick fix rarely gives lasting results. In fact, taking stimulants will, in the long run, usually make the problem worse, so put the coffee down and let’s sort this out. As with any problem, we start at the beginning with a differential diagnosis. Unfortunately, in the various textbooks of differential diagnosis, the list of illnesses that have fatigue as a major component of their presentation goes on for pages and pages of very small print. If the fatigue is really debilitating then that list has to be seriously looked at.

This is where experience and common sense come in handy as a way to eliminate most of the causes. For instance, since you recently gave birth to your son (congratulations, by the way) then it’s a safe bet that you don’t have prostate cancer. But, there is a variety of problems with your endocrine system (balance of hormones) that can cause severefatigue and are related to pregnancy. Some of these include thyroid or adrenal imbalances and diabetes, just to get us started. The “usual” blood tests won’t pick up an early thyroiditis, for example, as special blood tests are needed and must be specifically ordered.During pregnancy there are many changes that occur to your biochemistry. With the increased demands placed upon it, nutritional deficiencies are a real possibility. Since biochemistry underlies everything, if it gets out of balance your hormones can quickly follow suit and a so called post-partum depression may ensue, which often has fatigue as a prominent symptom.

Furthermore, many changes occur to your immune system during those blessed 40 weeks which can result in the onset of new allergies, re-activation of a dormant viral infection or the development of an autoimmune problem where, again, severe fatigue is a leading problem.It’s not good medical practice to just do an Epstein-Barr VCA IgG antibody test, have it come back positive and say that you have “chronic fatigue syndrome” (CFS). To diagnose a chronic or reactivated EBV infection requires a six-antibody blood test panel; anything less is guess work. Also, according to the CDC, before you can diagnose CFS you must eliminate that looooong list of differential diagnoses, that I mentioned, and then methodically address the problems that show up. Taking short cuts won’t work. In the mean time, attend to what you can: a good, balanced, predominantly organic food diet; going to sleep —not to bed to read or watch TV —by 10 p.m. is very important; mild, regular exercise, plenty of water and enlisting help from hubby are all very helpful steps that you can take today and are not to be underestimated. Beyond that, a thorough medical evaluation followed by well coordinated integrative care is your best bet for regaining your health.Send in your questions and be well.
..................................................................................................................................................................
..........................................................................................................................................................
DR. JESSE A. STOFF is an internationally renowned physician with extensive credentials in clinical immunology and holistic medicine. A graduate of New York Medical College, he pursued extensive post-doctoral training including a fellow- ship at the Royal London Homeopathic Hospital in LondonEngland. He has authored/co-authored countless articles and 8 books including co-authoring the bestseller "Chronic Fatigue Syndrome: The Hidden Epidemic" and The Prostate Miracle.

This article is produced and written by the writing team at IMMUNOLOGY TODAY- The Official Newsletter of Integrative Medicine of N.Y. of Westbury NY-- Edited and co-published by Dr. Jesse A. Stoff exclusively for the purposes of this blogpost (Immunology Today) and rejuvenatesoliutions.com The publisher(s) hold all rights (c) to all elements, images and content herein.  All distribution, sharing or re-posting of this article is only with the express permission from Dr. Stoff and Integrative Medicine of NY (formerly Linchitz Medical Wellness). 265 Post Ave. Suite 380 Westbury, NY 11590  |  516.759.4200  |  www.StoffImmunology.com.   Rejuvenate! is a registered trademark of Intermedia Communications Ltd. All written content in this newsletter is produced by the Stoff Institute for Medical Research (SIMR) exclusively for private distribution at the Integrative Medicine of NY ©2016- All Rights Reserved.

DISCLAIMER: Integrative Medicine of NY (formerly Linchitz Medical Wellness) and Dr. Jesse A. Stoff make no claims pertaining to any of the institutions or funding information listed, make no warranty or guarantee of funding, and bear no responsibility and disclaim any liability for the privacy of communications or the outcome of any applications for the listed resources. No further information about any of the institutions nor funding programs (other than the links and contact information listed here) is available.  Written content provided in this article/blog is for informational purposes only; consult your physician before making any changes to your treatment plan.