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Swine flu-
  Sent by Ashok Kumar (Chennai) , 03 November 2009
  I lost my wife to a poor diaognosis of swine flu. She went into the hospital for an attack of Asthma, was diaognised for swine flu and died on 29th September'09, despite the swab results showing negative. She died of pulmonary embolism, a result of being bedridden on a ventilator for 9 days.
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Cambridge Diet for weight Loss
  Sent by Rupal (Mumbai) , 27 October 2009
  Recently came across an old friend of mine. Never seen her beautiful and thinner. I remember she used to not fit in the college bench, we all used to tease her for her weight. It was like a miracle. She must hv been 113 kgs but now she is just 74 kgs. She looks fitter, smarter and confident. I asked her, what happened ??? She said she was on Cambridge Diet, which is a 25 yrs old company from UK, dealing with morbid obese people. Helping them out to lose weight and make them self confident for themselves. Asking about where do we get cambridge Diet in India. She said it is available at Andheri west, Mumbai. If anyone wants help to reduce weight please contact them. I have seen the miracle happening myself.
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How to improve
  Sent by sweety (mumbai) , 26 October 2009
  How to improve the breast size...what kind of excercise will be helpful
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Weight
  Sent by Do not Wish to mention (Chennai) , 07 October 2009
  Hi,
Recently I met with an accident and was in bed rest for more than a month now im getting married in 4months. Had a minor fracture near my toe and now im able to walk and have no troubles with my wound. I know i have put weights not over weight Im normal but my butt and thighs have become big. My would be is so cautious on my shape and wants me to reduce my weight. If i reduce my overall weight I ll look very bonny and ugly.. I tried Aerobics but its of no use. Can you pls suggest how to reduce my thighs and butt alone..Will Yoga work out or should i continue with Aerobics or go for GYM..
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Vitamin D for protection from H1N1
  Sent by Dr Ashok Kapse (Surat) , 06 October 2009
  Dear sir
I want to communicate very vital information about H1N1 flu.
According to recent medical research low levels of Vitamin-D are found to be responsible for increased susceptibility against swine flu; at the same it also increases chances of Cytokine storm causing pneumonia and death.
Sun ultra violet rays are the principal source of Vitamin_D. despite adequate sunshine Vitamin_D deficiency is rampant across India because of changed life style and tendency to avoid sun.
Vitamin D deficiency further deteriorates in winter because of poor sunshine and resultant lack of ultra violet rays.
Regular Vitamin D supplementation and Sun Bath would effectively decrease spread of swine flu and could avert fatalities.
I request you to propagate this message across the country to save it from impending winter flu epidemic
With regards
Dr Ashok Kpase MD (pediatrics)
National Chairperson Infectious disease chapter of Indian Academy of Pediatrics 2005-2006


Vitamin D for Swine flu protection

1. Flu occurs in winters in western countries & in monsoon in tropical countries.
2. Sun ultraviolet rays reach in insufficient quantity during winters & monsoon season. Excessive cloudy atmosphere fog and smoke (pollution) prevents ultraviolet rays reaching to earth.
3. Sun ultraviolet rays are the principal source of Vit-D for human beings & other primates.
4. Vit D is scarcely available from dietary sources except certain fish oil.
Vit D almost does not exist in Vegetarian food.
5. Vit D regulates immunity in human body. Vit D increases innate immunity as soon as virus invades human body and thereby prevents flu infection.
It also down regulates certain arm of acquired immunity which produces intense inflammation (cytokine storm) which inturn causes sever pneumonia and multi organ failure.
6. There is a fear that flu pandemic will become more intense during winter season.
7. Flu viruses assume increased pathogenecity during dry and cold season and human being develop lowest Vit D levels during winter season. Both of these factor increase flu transmission and severity during winter season.
8. Surveys done across the country demonstrate rampant Vit D deficiency among Indian population.
9. It’s extremely essential to increase Vit D status in Indian population to combat swine flu.
10. Suggestions for increasing Vit D status.
a) Take sun bath for 20 min every day. Expose face, arms, legs, and back.
b) Consume fortified milk and milk products.
c) Consume Egg and fish.
d) Supplement 1.2 lac units of Vit D once every month for winter 4 months (Oct to Jan ).
References:
(1) On the epidemiology of influenza
John J Cannell*1, Michael Zasloff2, Cedric F Garland3, Robert Scragg4 and Edward Giovannucci5
Virology Journal 2008, 5:29

(2) Archives of Internal Medicine
2009, Volume 169, Issue 4, Pages 384-390
“Association Between Serum 25-Hydroxyvitamin D Level and Upper Respiratory Tract Infection in the Third National Health and Nutrition Examination

(3) Vitamin D Status in India – Its Implications and Remedial Measures
CV Harinarayan*, Shashank R Joshi**
*Professor and Head, Department of Endocrinology and Metabolism, Sri Venkateswara Institute of Medical Sciences, Tirupati – 517 507, Andhra Pradesh, India. **Consultant Endocrinologist, Lilavati Hospital, Bhatia Hospital and Joshi Clinic, Mumbai.
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To improve breast size
  Sent by sweety (mumbai) , 30 September 2009
  Hi,pls help me am 23 years,my breast size is very smaller , pls suggest some ways of improving the size by diet excercise
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Hair Transplant
  Sent by Sooraj (chennai) , 25 September 2009
  Hi All,

Does any one have idea of hair transplant in chennai? I am a 23 years old. I am experiencing Baldness very rapidly for the past one month. Almost half my head has gone bald in the last one month. I am very worried about this. A year before I consulted a dermatologist and he prescribed Mintop, which i have been using till date. After using Mintop, the hair fall reduced a lot and I felt happy. But since last month using Mintop also does not give any result. Can any one help me on this.

Thanks,
Sooraj
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About Kidney
  Sent by Seema Sharma (Kanpur) , 18 September 2009
  Hi, i am Abhishek seema`s huband recently i the docs at SGPGI lko diagonosed CRF by nephro till today her Sr Cr. has gone to 3.65 max. i just wanted to know whether this is a curable disease and what diet restrictions should be there.

What about Stem Cell therepy? Is this an alternative available to me
Please guide if anybody reads this.
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Menopause
  Sent by Dolly (London) , 10 September 2009
  MENOPAUSE

Menopause is a period which comes in every woman’s life. Menopause is normal part of aging, simply means end of menses.

What is menopause?
Menopause happens because the woman's ovary stops producing the hormones estrogen and progesterone. A woman has reached menopause when she has not had a period for one year. It occurs anywhere from 40 – 65 years of age, but generally around 50.
Woman’s risk increases to certain health problems i.e. heart disease & osteoporosis after menopause.

Changes & symptoms of menopause start years earlier which includes:
Each woman experience menopause differently. Some women have slight discomfort or worse or no trouble at all.
• Irregular Menses
• Hot flashes and/or night sweats
• Trouble sleeping
• Vaginal dryness
• Mood swings (Irritability)
• Trouble focusing
• Hair on face, hoarse voice
• Changes in texture of hair & skin
• Menopausal weight gain

Menopause & Hormone Replacement Therapy (HRT)
- HRT is used to supplement the body with hormones either estrogen alone or estrogen & progesterone in combination during or after menopause.
- HRT is given to supplement body with adequate amount hormones and maintain hormonal balance.
- HRT has side effect includes tender breast, heavier periods, weight gain, irritability and increases risk to breast & endometrial cancer.

Do’s and Don’ts in Menopause
1. Drink at least 8 – 10 glasses of water. Make sure you are hydrated.
2. Increase intake of calcium rich foods like sesame seeds, cheese, milk, curd, yoghurt, tofu, soy, leafy vegetables, brewers yeast, whole pulses like rajmah, channa and whole grains like wheat, jowar, bajra, millet.
3. Consume food high in magnesium such as raw nuts (almonds, walnut), dairy products, bananas, grains, fresh veggies as magnesium helps protect against heart disease, regulation of heart and blood flow.
4. Eat fresh fruits & vegetables like apples, pears, plums, strawberries, grapes, raspberries, beet, asparagus, broccoli stems, carrots, cabbage, cauliflower, lettuce as they rich in boron, which increases body’s ability to hold onto estrogen & keeps bones strong by decreasing the amount of calcium excreted.
5. Must consume foods high in vitamin D: Vitamin D is known to facilitate calcium absorption. The best form of Vitamin D is some daily sunshine. Foods like milk, salmon or tuna fish, eggs, cheeses, fortified milk & cereals are also good sources of Vit D.
6. Phyoestrogen (estrogen like substance found in plant foods) found in cereals, legumes (beans), soy, flaxseed which helps in relieving symptoms of menopause. Integrate some soy, be it tofu, soy milk or soybeans (not fried, sugared or artificially flavored). Soy is high in isoflavones and believed to have positive effects in reliving hot flashes and dryness in some women.
7. Avoid Citrus foods such as tomatoes, vinegar, sour curd, pickles, sauces, salad dressings, papad and salted snacks as it triggers hot flashes.
8. Avoid high salt foods like hamburgers, hot dogs, french fries, pizzas, tacos, olives, ketchup & salad dressings as higher salt intake leads to higher urinary Ca excretion.
9. Pay special attention to avoid- spicy foods (onions, garlic, chilies, black & red pepper, ginger, cumin), coffee & alcohol if you have trouble sleeping, hot flashes & night sweats. Instead switch to green tea, lemon tea, ice tea, fresh lime when you feel like having tea /coffee.
10. Avoid High fat & high sugar foods: As high fat and sugar foods don’t offer a bounty of nutrients but just add up to extra calories. Stay away from sweetened juice drinks, soda, especially diet soft drinks, processed foods, chips, junk foods.
11. Regular exercise is a must to prevent bone related diseases such as arthritis, osteoporosis and also keeps the heart healthy. Practicing some simple meditation exercises at least for 20 minutes every day is shown to be beneficial.
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skin pigmentation
  Sent by ramesh (Kathmandu) , 03 September 2009
  i have sun burn like spotes near my both eyes since 10 years. i think its skin pigmentation problem. skin experts suggest me some sort of medecine but my problem is intact. i regularly using sunblock creams and taking other precutions. my skin is fair.
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