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GROSSMAN, Terry Cal Restriction Iron Mar 31 2012

<p class="MsoNormal" >GROSSMAN, Terry&nbsp; Cal Restriction Iron Mar 31 2012</p>

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1)&nbsp; CAL RESTRICTION

photo of Dali Lama..</p>

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(terry&nbsp; was a small town doc&nbsp; before&nbsp; starting his current clinic...

sounds like decr collab with Ray;&nbsp; still has small biz with Ray&nbsp; selling vist;

takes&nbsp; Lipitor 10 mg)</p>

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obesity decr longevity</p>

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study of 900,000 M and W&nbsp; bi of 23-24&nbsp; assoc with greatest longev.</p>

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bmi 23-24, if 5'7"&nbsp; then 146 to 154...(i didn't get it off slide)</p>

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he likes Caloried Restriciton with the restriction...</p>

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he likes Metformin...</p>

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thanks to Jeremy Stone and Mark McCarty...</p>

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the Hellers wrote a book...</p>

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the carbohydrate concentration CC diet...

just eat all carbs at one time during the day...</p>

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thot abt&nbsp; Ramadan&nbsp; Diet...&nbsp; (just once during day)</p>

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Many benefits of CR are due to low insuline levels...</p>

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(bill andrews told me... cannot make payroll in 2 weeks...

burned thru 32M in capital... VCs are not interested, unles in&nbsp; human trials...

he said geron focuse don cancer and not regen med;

bill was there in early 90s...)</p>

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insulihmsg "store fat and do not burn fat"</p>

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CC diet ;</p>

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eat&nbsp; all your carbs in one 90 minute&nbsp; meal... say at supper

(fruit,&nbsp; rice,&nbsp; wine)</p>

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and then no carbs&nbsp; at bkfst and lunch...</p>

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salad&nbsp; tuna,&nbsp; chicken avocado&nbsp; at other times...</p>

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get low insulin levels most of the time&nbsp; ...</p>

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look at</p>

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<a href="www.catalyticlongevity.org">www.catalyticlongevity.org</a>&nbsp;&nbsp;&nbsp; his friend...put up that site...</p>

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he rally likes metformin...</p>

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most common drug for&nbsp; type 2 diabetes...</p>

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rarely causes low blood sugar...</p>

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people die from other drgs&nbsp; cuz of hypglycemia...</p>

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metformin... decr&nbsp; gluc&nbsp; abs from gi tract

inhibits gluc formation in liver

incr sensit and number of insulin receptors... incr periph glucose uptake

incr util of fatty acids

(actions of metformin)</p>

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type II DM</p>

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2012&nbsp; estim 300M

estim to be&nbsp; 30M in 1985&nbsp; !!!

26M american in the USA in 2012</p>

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age 65&nbsp; 27% have it</p>

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prediabetes:&nbsp; 79M Americans...</p>

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born in USA in 2000:&nbsp; 33% of men and almost 40% of women&nbsp; will devel&nbsp; DM2...

or was it&nbsp; pre-dm</p>

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sl:&nbsp; fasting blood sug&nbsp; > 85&nbsp; incr&nbsp;&nbsp; cardiovas reisk by 40%&nbsp; !!!</p>

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his criteria</p>

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fbs> 125 = DM

fbs 100=124&nbsp; prediab&nbsp; 3X&nbsp; cv&nbsp; risk

fbs 86-99&nbsp; high normal&nbsp; 39%&nbsp; added cv risk

only 1 in 7people&nbsp; have bs < 85...</p>

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hispts&nbsp; GROSSMAN Wellness Center... His longevity patients</p>

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Antiaging potential of Metformin</p>

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Dr Vladimir Dilman&nbsp; in early 1970s...</p>

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spinder, SR&nbsp; see his paper on&nbsp; metformin... turns on genes..</p>

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metformin&nbsp; incr&nbsp; lifespan of mice...</p>

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metformin&nbsp; =>&nbsp; diarrhea...</p>

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benefits are theoreteical&nbsp; (he takes it; but NOT&nbsp; demonstrated)</p>

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he says, begin with 1/2 of&nbsp; 500 mg tab once a day with meals,&nbsp; then bid

if tol, maintain&nbsp; 250 to 500 mg 2x/day</p>

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side effects are lessiwth time-release formulation...</p>

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metformin XR...</p>

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he says&nbsp; 39% of us iwth high blood sugar...&nbsp; shoudl take metformin!!</p>

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EXERCISE (new topic)</p>

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(Bill Andrews is an ultramarathon runner... has run a lot )</p>

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he is age 65 years...

can expect to live 12.7 years</p>

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if exercise&nbsp; thenexpect added 18.4&nbsp; years extra...</p>

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london bus&nbsp; drivers&nbsp; vs ticket takers...

drivers&nbsp; much worsehealth than ticket takers...

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punch it really hard and then rest!!! that's what works</p>

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look at kids,&nbsp; look at animals</p>

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runa round then rest...

get in greathape with 18 mins d day...</p>

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2 min of exertion then 1 min rest...

then 1:45&nbsp; exertion&nbsp; (more exertion)&nbsp; 1:15 rest</p>

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gradual increase&nbsp; the exertion til&nbsp; the last time&nbsp; your&nbsp; really maxing out</p>

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whole thing is&nbsp; 18 minutes long</p>

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OR&nbsp; just do</p>

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30 seconds of max exercise&nbsp; the 90 secs of rest... and perform&nbsp; 6-9&nbsp; cycles

MAXIMUM&nbsp; workout...</p>

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want to do str training also!!!</p>

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Sgtr Taining reverses hormone&nbsp; decline..</p>

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also do 18 min of str training...

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An aspirin a day...</p>

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ROTHWELL&nbsp; Lancet&nbsp; 21 March 2012</p>

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69,000 pts&nbsp; 34 trials</p>

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ASA&nbsp; reduced&nbsp; CV&nbsp; deaths by 37%&nbsp; !!

and reduced&nbsp; cancer by 15%</p>

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take a baby aspirin per day...</p>

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Univ of Oxford... same finding...&nbsp; big decrin cancer&nbsp;</p>

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but does incr bleed risk...</p>

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Seshasi&nbsp; Arch Int Med&nbsp;&nbsp; 2012...&nbsp; reduces ht attack , stroke..</p>

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Men&nbsp; age 45 to 80</p>

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not recom for anyone over 80...</p>

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take 81 per day day...

every other day is NOT effective...

nees to be done for 3-5 years...</p>

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*

IRON RX:</p>

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many os us have TOO MUCH IRON...</p>

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IRON&nbsp; uses in apoptosis...&nbsp; contribs to free radical formation..

and copper is bad also!!

do NOT take iron or copper under any circum...</p>

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FORTIFIED FOODS are bad.. inst oatmeal, cereals..</p>

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IRON v toxic...&nbsp; Ferritin to Fe3 to Fe 2...</p>

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free rads are corr&nbsp; r=0.76 with&nbsp; Ferritin...</p>

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only way to get rid of iron...</p>

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young women...&nbsp; bleed... huge health benefit..

he identifies it as cause of&nbsp; incr lifespan ..</p>

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TOM LEVY, MD&nbsp; iron excess ay be most overlooked major factor&nbsp; in chronic&nbsp; disease...</p>

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most labs say nromal range is&nbsp; 20 to 400 ng/ml&nbsp; (just means 2 sd&nbsp; are&nbsp; in that range)</p>

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IRON incr heart attack reisk in men</p>

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men with ferritin > 200 mics&nbsp; 2 fold risk of MI...</p>

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same with&nbsp; cartoid&nbsp; disease...</p>

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Toumainen&nbsp; 1997 study.. doante blood!&nbsp; big drop in dis risk.</p>

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also lower&nbsp; cancer risk...</p>

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Zacharski&nbsp; J NCI&nbsp; 2008&nbsp; less cancer!!!&nbsp; double blind study...</p>

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hemochromatosis&nbsp; assoc with incr Alzheimers&nbsp; disease...</p>

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he says&nbsp; optimalrange is 12 tgo 25&nbsp; (NOT&nbsp; 20 to 400)</p>

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if ferritin > 50&nbsp; give blood.</p>

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he&nbsp; says&nbsp; its why&nbsp; women livelogner than men!!</p>

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mesnstruating women&nbsp; 25 to 35</p>

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menopasu&nbsp; age 50 to 59&nbsp; ferr level 60

women > age 60&nbsp; level&nbsp; 90 to100

Men avg&nbsp; 150&nbsp; !!!!</p>

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NHANES III data</p>

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every&nbsp; pint of blood will drop ferr by 50...</p>

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shortcuts:&nbsp; CC diet; metformin&nbsp; exercise;&nbsp; ASA 81; donate blood</p>

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brad cottel:&nbsp; fructose?&nbsp; A&nbsp; HFCS&nbsp; is bad...</p>

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high intensity&nbsp; training&nbsp; does it cuz&nbsp; incr&nbsp; cortisol?</p>

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type DM2&nbsp; =&nbsp; incr</p>

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he really likes&nbsp; testost. supplementation...&nbsp; most ocmmonly low in his pt..

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