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Archive for April, 2008

Morbidly Obese and Suffering Pregnancy Complications Consider Gastric Bypass

Obese and morbidly obese women are more likely to have pregnancy complications and caesarean sections than women of average weight, according to a study published in the April 2004 American Journal of Obstetrics and Gynecology. The controlled study is one of the largest ever to look at obesity in pregnancy, following more than 16,000 pregnant women at 14 medical centers across the country.

Compared with women of normal weight, obese and morbidly obese pregnant women were at greater risk for gestational hypertension, preeclampsia, gestational diabetes, fetal birth weight greater than 4,000 grams, and fetal birth weight greater than 4,500 grams, the study finds.

Morbidly obese women who undergo gastric bypass weight loss surgery and lose weight report a higher rate of normal births and healthy deliveries if they lose weight prior to becoming pregnant.

In a study by Dr. Alan C. Wittgrove, past president of the American Society of Bariatric Surgery and pioneer of the laparoscopic technique, post-gastric bypass pregnancy indicates fewer risks than commonly reported by women who are obese during pregnancy. His study was conducted with nurse-practitioner Leslie Jester who had a low-risk pregnancy and delivered a healthy baby after gastric bypass surgery.

The Wittgrove Center has an active patient list of over 2000 people. The patients are informed to contact the Center when they become pregnant. In the study 41 women in the patient population became pregnant. Using personal interview, questionnaire, and review of perinatal records, pregnancy-related risks and complications were studied.

The study found less risk of gestational diabetes, macrosomia, and cesarean section than associated with obesity. There were no patients with clinically significant anemia.

Kaye Bailey © 2005 - All Rights Reserved

An award winning journalist and former newspaper editor Kaye Bailey brings expertise in writing and personal experience with gastric bypass surgery to EzineArticles.com. Having spent most of her life overweight Ms. Bailey is strongly empathetic toward the obese, particularly overweight children. This compassion compelled her to found the website http://www.livingafterwls.com, a fast-growing resource of information, understanding and support for the weight loss surgery community.

The LivingAfterWLS.com site is complimented with daily blog. The blog, http://livingafterwls.blogspot.com offers readers the chance to comment or leave feedback about fresh content added daily. This site contains success stories and recipes, general information and WLS inspired topics. Complementing the site is a monthly newsletter titled “You Have Arrived” available exclusively to people who subscribe through the website or the blog.

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Male Infertility and Glutathione

Are You Half The Man Your Father Was?

It is a well-known fact that sperm counts have dropped by half in the last 50 years, and that modern men have 20 percent less semen volume than their fathers (BMJ, 1992, volume 305).

A recent report from researchers in Aberdeen presented preliminary data that suggests the sperm concentration of the men seen in their clinic had declined by 29% over the past 14 years. (British Fertility Society; 5 January 2004)

Persistent organic pollutants (POPs) and endocrine-disrupting chemicals from normal, everyday plastics are known to cause reproductive damage, as documented in Theo Colborn’s book “Our Stolen Future.”

Damage to sperm caused by exposure to common chemicals like alcohol, pesticides in food, has been linked to lowered intelligence and behavioral disorders in children.

Lifestyle risk factors known to decrease sperm quality include

> Cigarette smoking

> Alcohol consumption

> Chronic stress

> Nutritional deficiencies.

Other reasons for infertility include congenital factors, and health conditions like prostatitis and diabetes that can affect sperm production.

Pollution is stealing our future, and there’s little anyone can do to avoid it. There may not be a lot you can do to reduce your exposure to persistent environmental toxins.

But there are definite measures you can take to reduce the impact of the environmental pollutants and toxins on your body.

You can prevent and, to a certain extent, repair the damage they cause to your body, through a better lifestyle and nutrition.

Some nutritional therapies and antioxidants that have proven beneficial in treating male infertility and improving sperm counts, sperm morphology and motility include:

> Carnitine

> Arginine

> Zinc

> Selenium

> Vitamin B-12

> Vitamin C

> Vitamin E

> Glutathione

> Coenzyme Q10

Studies show that anti-oxidant supplementation - glutathione in particular - can improve sperm quality, and possibly increase your chances of conceiving.

If you smoke, drink, are exposed to stress, chemicals, radiation, pesticides or take medication or drugs (like sulfasalazine, ketoconazole, azulfidine, anabolic steroids, marijuana) that affect fertility, you should consider taking an antioxidant supplement to reverse some of the damage.

Why are Antioxidants Important for Sperm Quality?

Mammalian spermatozoa are coated by a membrane rich in polyunsaturated fatty acids. These fatty acids are extremely susceptible to oxidative damage by free radicals or Reactive Oxygen Species (ROS) by a process called lipid peroxidation (LPO).

Lipid peroxidation damages the sperm cell membrane. It is considered to be the key mechanism of ROS-induced sperm damage and leads to

> Loss of sperm motility

> Abnormal sperm morphology

> Reduced capacity for oocyte penetration

> Infertility

To protect sperm from damage, the body depends on powerful antioxidant enzymes in the body such as superoxide dismutase (SOD), catalase, and glutathione peroxidase/reductase (GPX/GRD).

Seminal plasma and spermatozoa have several antioxidant enzymes - glutathione peroxidase, glutathione reductase, superoxide dismutase.

Some amount of all the antioxidant enzymes, which may protect spermatozoa from oxidative attack, are also made by the epididymis during storage.

The glutathione peroxidase/reductase enzymes play a central role in the defense against oxidative damage in human sperm.

Why is Glutathione important for Sperm Quality and Fertility?

A decrease in levels of reduced glutathione (GSH) during sperm production is known to disrupt the membrane integrity of spermatozoa due to increased oxidative stress.

Intracellular glutathione levels of spermatozoa are known to be decreased in certain populations of infertile men. Compared with a control group, the infertile men in all groups had significantly higher levels of ROS and lower levels of total antioxidants.

There is strong clinical evidence to show that men diagnosed with infertility have high levels of oxidative stress that may impair the quality of their sperm.

In some groups, higher levels of ROS were associated with lower sperm counts and defective sperm structure, while lower antioxidant levels correlated with reduced sperm movement.

Previous evidence has also shown that oxidative stress can decrease a sperm’s life span, its motility, and its ability to penetrate the oocyst, or egg cell.

Up to 40% of men with unexplained male infertility have higher levels of free radical activity in their bodies.

Because men with high levels of ROS have a seven-fold lower likelihood of inducing a pregnancy than men with lower levels, researchers recommend that treatment for infertile men should include strategies to reduce oxidative stress and improve sperm quality.

How can Glutathione help in the Treatment of Infertility?

Glutathione is not only vital to sperm antioxidant defenses, but selenium and glutathione are essential to the formation of “phospholipid hydroperoxide glutathione peroxidase” - an enzyme present in spermatids - which becomes a structural protein in the mid-piece of mature spermatozoa.

When either substance is deficient, it can lead to instability of the mid-piece of the spermatozoa, resulting in defective motility.

Free radical scavengers - such as glutathione - that restore the structure and function of poly-unsaturated fatty acids (PUFA) in the cell membrane, can be used to treat these cases.

In a double-blind cross-over study of twenty infertile men, treatment with glutathione led to a statistically significant improvement of the sperm quality.

The study concerned men in whom the sperm quality was poor due to unilateral varicocele or germ-free genital tract inflammation - two conditions in which ROS or other toxic compounds are indicated as causative factors.

Treatment with glutathione was also found to have a statistically significantly positive effect on sperm motility (in particular forward motility) and on sperm morphology.

The findings of these studies indicate that glutathione therapy could represent a possible therapeutical tool in cases where ROS or exposure to toxins is the probable cause of infertility.

Read the complete report with references on Male Infertility and Glutathione

Copyright © 2004 Priya Shah

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About the author:
Priya Shah is the Editor of The Glutathione Report, a newsletter featuring regular updates on the health benefits of glutathione. Get a Free report on Glutathione in Health and Disease

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Lunesta - Can I Take Lunesta For Better Sleep During Pregnancy

Lunesta and Pregnancy

Lunesta is a hypnotic group medicine. It provides you relief from problems like sleeplessness. Generally Lunesta is used to treat ailments like insomnia. Constituents of this medicine acts by relaxing your brain muscles and inducing sleep. Though Lunesta do not possess any proven dependency symptoms, it is advisable that you use Lunesta only on prescription by a qualified medical practitioner. Misadministration of the medicine may have certain adverse side effects.

Though Lunesta is considered to be safer for use, as compared to other sleeping medicines, possibility of side effects can not be ignored. It is always better to consult your doctor before you start using Lunesta.

There are certain circumstances under which it is advisable that you should avoid use of Lunesta. Your doctor may adjust your Lunesta dose or prescribe you other sleeping aid if he feels Lunesta is likely to give side effects in your case.
You may not be able to use Lunesta, if you are taking other sedative drugs or sleeping medicines. Combination of such medicines with Lunesta may have adverse effects.

When you should not use Lunesta

Liver disorders

Respiratory diseases, like asthma, emphysema or bronchitis

Symptoms of depression

If you do not take adequate precautions while using Lunesta, you may experience following side effects.

You may experience allergic reactions like - Swollen lips, hives, face or tongue - Breathing problems - Choking of throat - Clumsiness, dizziness or drowsiness during day time - Abnormal behavior- such as more aggressiveness - Confused or strange behavior - Loss of memory - Depression

Special attention during pregnancy

Usually, it is recommended that pregnant women should not use any medicine before consulting the physician. Same is applicable in the case of Lunesta also. It is true that certain medicines have adverse effect on unborn baby. If you are pregnant do not use any over-the-counter medicine, not at least sedative medicines. These sedatives medicines may have sedation and other effects on the unborn baby. The possibility is more when you use such medicines during final weeks of pregnancy. Never conceal your pregnancy from the doctor. Disclosure of pregnancy will help your physician to prescribe right medicine and avoid possible complications at later stage.

If you are using Lunesta and become pregnant, let know your doctor immediately. He will either stop usage of Lunesta or make dose adjustments. There are proven results to confirm that some quantity of Lunesta passes in breast milk. However, the exact effects of Lunesta, passed through breast milk, on new born baby are not known. To avoid further complication arising by use of Lunesta in breast feeding babies, it is advisable that you either avoid using Lunesta or consult your doctor before using Lunesta, if you breast feed the baby.

Important Note

Above information is based on available sources on the subject. These are only for educational information. Lunesta being sleeping medicine may have adverse side effects on your body. Always consult your doctor before you start using Lunesta. Your doctor will decide dosage and duration for which you should take Lunesta.

Learn more about how you can finally get the perfect night’s sleep and relax your mind and body for once. We recommend LunestaForum.com as one of the top resources we’ve found for Lunesta and insomnia information.
They offer a discussion forum too so you can see what other people have to say about Lunesta and decide for yourself.

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