If words can control you

If words can control you

气定神闲， 心定生慧

气定神闲
心定生慧

Superfoods vs multivitamins

A superfood is rich in one or a few micronutrients. And only multivitamins and other non herbal vitamins and minerals can provide a person with sufficient daily micronutrients. Take a certain supplement for specific purposes. Example: Biotin is good for skin and hair and finger nails.

My Weight 2018-12-28 at 0650 HR 62.5 kg BMI 22.681

My Weight
2018-12-28
0650 hr
62.5 kg
BMI 22.681

Catheter-associated urinary tract infection (CAUTI)

Catheter-associated urinary tract infection (CAUTI)

A CAUTI, or a UTI associated with a catheter, is common if you have an indwelling catheter inside your urethra.

Symptoms are similar to a general UTI and include:

bloody or cloudy urine
gritty particles or mucus in your urine
urine with a strong odor
pain in your lower back
chills and fever
There are multiple ways bacteria or fungi can get into your urinary tract and cause a CAUTI:

via your catheter
upon insertion
if your drainage bag isn’t emptied properly
if your catheter isn’t cleaned often or correctly
if bacteria from feces gets on your catheter
https://www.healthline.com/health/sediment-in-urine

Catheter :HOW TO CARE FOR A CATHETER

HOW TO CARE FOR A CATHETER

To care for an indwelling catheter, clean the area where the catheter exits your body and the catheter itself with soap and water every day. Also clean the area after every bowel movement to prevent infection.

If you have a suprapubic catheter, clean the opening in your belly and the tube with soap and water every day. Then cover it with dry gauze.

Drink plenty of fluids to help prevent infections. Ask your provider how much you should drink.

Wash your hands before and after handling the drainage device. DO NOT allow the outlet valve to touch anything. If the outlet gets dirty, clean it with soap and water.

Sometimes urine can leak around the catheter. This may be caused by:

Catheter that is blocked or that has a kink in it
Catheter that is too small
Bladder spasms
Constipation
The wrong balloon size
Urinary tract infections
POSSIBLE COMPLICATIONS

Complications of catheter use include:

Allergy or sensitivity to latex
Bladder stones
Blood infections (septicemia)
Blood in the urine (hematuria)
Kidney damage (usually only with long-term, indwelling catheter use)
Urethral injury
Urinary tract or kidney infections
Bladder cancer (only after long-term indwelling catheter)
Call your provider if you have:

Bladder spasms that do not go away
Bleeding into or around the catheter
Fever or chills
Large amounts of urine leaking around the catheter
Skin sores around a suprapubic catheter
Stones or sediment in the urinary catheter or drainage bag
Swelling of the urethra around the catheter
Urine with a strong smell, or that is thick or cloudy
Very little or no urine draining from the catheter and you are drinking enough fluids
If the catheter becomes clogged, painful, or infected, it will need to be replaced right away.

Source:
http://pennstatehershey.adam.com/content.aspx?productId=117&pid=1&gid=003981

What causes urine color to change

https://www.healthline.com/health/bright-yellow-urine

What causes urine color to change?

As mentioned above, the color of your urine is primarily determined by how much water you’ve had to drink. When you drink lots of water, your urine can become so light that it appears to be almost clear. The less water you drink, the darker your urine will become.

Diet, vitamins, and minerals

Diet can also be a factor. The color of all-natural foods (such as berries and beets) can interact with pigment to create a different color. Heavily processed foods can contain high amounts of food dye. This dye will interact with the pigment as well.

B vitamins, such as riboflavin (B-2) and cobalamin (B-12), are also known for causing fluorescent yellow-green urine. If you take supplements or multivitamins, they may be the source of your brightly colored urine.

How long does it take for a meal to empty from the stomach?

How long does it take for a meal to empty from the stomach?

It generally takes 4 to 5 hours for the stomach to empty after a full meal and a bit less after a snack or liquid, though it varies depending on how much and what kind of food you ate. If you can, it's easiest to take "empty stomach" medications in the morning, after you've fasted overnight.

Source : Google dated Oct 22, 2009

20 mg bisacodyl for complete bowel evacuation

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862903/
20 mg bisacodyl

Doses of 10 to 20 mg are given by mouth for complete bowel evacuation, followed by 10 mg as a suppository the next morning.

After both oral and rectal administration in humans, bisacodyl is hydrolyzed by intestinal and bacterial enzymes to a deacetylated active metabolite which is responsible for the laxative action.

Don't let the behavior of others destroy your inner peace.

Don't let the behavior of others destroy your inner peace.

My Weight 2018-11-28

My Weight
2018-11-28
1000 hr
61.5 kg
BMI 22.318

D-Mannose and UTI ( Urinary Tract infection)

https://m.scmp.com/lifestyle/health/article/1727680/cranberry-juice-little-use-curing-urinary-tract-infections?amp=1

Antibiotics can help clear UTIs, but what if you don't want to take them? Smith
says there is a "very effective" supplement called D-Mannose.

(Note: Sheena Smith, a naturopath and clinical nutritionist from the Integrated Medicine Institute.)

"This is the actual active, therapeutic ingredient taken from cranberries. The good news is that it is safe to consume, and can be used by children and pregnant women, and also on an ongoing basis for those suffering from chronic UTI," she says.

Maintaining the
healthy growth of good bacteria in your gut, and your bowel motions are also crucial, Smith says.

"Often, with the chronic use of antibiotics, stress and some vaginal washes and spermicides, the natural growth of good bacteria is compromised, allowing opportunistic bacteria to move into the urethra and cause issues," she says.

"There are specific probiotics available, like L. rhamnosus, L. reuteri, B. bifidus and B. lactis, for example, that are designed to survive the gastrointestinal tract and colonise the colon and vagina.

"They crowd out the other pathological organisms. If the E. coli form of bacterium is not present near the urethra, urinary tract infections are less likely.

"Supporting healthy gut flora might also help in aiding regular, well-formed bowel motions. Many infections are caused by stray bacteria - like E. coli - from the rectum moving to the urethra. This most commonly occurs when one is suffering from constipation or diarrhoea," Smith says.

Good daily habits are also necessary. For example, always wipe from front to back to minimise the transfer of bacteria from the rectum to the urethra.

To keep your immune system strong so that it can fight off the infection, it's important to eat well, exercise regularly and get enough sleep.

How to use D-mannose

https://www.healthline.com/health/d-mannose-for-uti#dosage

NEWSLETTER

Can D-Mannose Treat or Prevent UTIs?
Medically reviewed by Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHT on April 19, 2018 — Written by Philip Gregory, PharmD
Research
Dosage
Side effects
Conclusion
What is D-mannose?
D-mannose is a type of sugar that’s related to the better-known glucose. These sugars are both simple sugars —that is, they consist of just one molecule of sugar. As well, both occur naturally in your body and are also found in some plants in the form of starch.

Several fruits and vegetables contain D-mannose, including:

cranberries (and cranberry juice)
apples
oranges
peaches
broccoli
green beans
This sugar is also found in certain nutritional supplements, available as capsules or powders. Some contain D-mannose by itself, while others include additional ingredients, such as:

cranberry
dandelion extract
hibiscus
rose hips
probiotics
Many people take D-mannose for treating and preventing urinary tract infections (UTIs). D-mannose is thought to block certain bacteria from growing in the urinary tract. But does it work?

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What the science says
E. coli bacteria cause 90 percent of UTIs. Once these bacteria enter the urinary tract, they latch on to cells, grow, and cause infection. Researchers think that D-mannose works for a UTI by preventing these bacteria from latching on.

After you consume foods or supplements containing D-mannose, your body eventually eliminates it through the kidneys and into the urinary tract. While in the urinary tract, it can attach to the E. coli bacteria that may be there. As a result, the bacteria can no longer attach to cells and cause infection.

There isn’t much research on the effects of D-mannose when taken by people who have UTIs, but a few early studies show that it might help.

A 2013 study evaluated D-mannose in 308 women who had frequent UTIs. D-mannose worked about as well as the antibiotic nitrofurantoin for preventing UTIs over a 6-month period.

In a 2014 study, D-mannose was compared to the antibiotic trimethoprim/sulfamethoxazole for treatment and prevention of frequent UTIs in 60 women. D-mannose reduced UTI symptoms in women with an active infection. It was also more effective than the antibiotic for preventing additional infections.

A 2016 study tested the effects of D-mannose in 43 women with an active UTI. At the end of the study, most women had improved symptoms.

How to use D-mannose

A lot of different D-mannose products are available. When deciding on which to use, you should consider three things:

whether you’re trying to prevent an infection or treat an active infection
the dose you’ll need to take
the type of product you want to take
D-mannose is typically used for preventing a UTI in people who have frequent UTIs or for treating an active UTI. It’s important to know which of these you are using it for because the dosage will differ.

The best dose to use isn’t entirely clear, however. For now, the doses that have been used in research are recommended:

For preventing frequent UTIs: 2 grams once daily, or 1 gram twice daily.

For treating an active UTI: 1.5 grams twice daily for 3 days, and then once daily for 10 days; or 1 gram three times daily for 14 days.
D-mannose comes in capsules and powders. The form you choose mainly depends on your preference. You might prefer a powder if you don’t like to take bulky capsules or want to avoid the fillers included in some manufacturers’ capsules.

Keep in mind that many products provide 500-milligram capsules. This means that you may need to take two to four capsules to get the desired dose.

To use D-mannose powder, dissolve it in a glass of water, and then drink the mixture. The powder dissolves easily, and the water will have a sweet taste.

D-mannose: a promising support for acute urinary tract infections in women. A pilot study.

D-mannose: a promising support for acute urinary tract infections in women. A pilot study.
.======
Domenici L, et al. Eur Rev Med Pharmacol Sci. 2016.
Show full citation
Abstract
OBJECTIVE: Urinary tract infections still represent a significant bother for women and result in high costs to the health system. D-mannose is a simple sugar; it seems able to hinder bacteria adhesion to the urothelium. The present study aimed to determine whether D-mannose alone is effective in treating acute urinary tract infections in women and its possible utility in the management of recurrences.

PATIENTS AND METHODS: This is a pilot study, performed between April 2014 and July 2015 at Department of Gynaecological Obstetrics and Urologic Sciences of "Sapienza" University of Rome. A D-mannose compound was administered twice daily for 3 days and then once a day for 10 days. Changes in patients' symptoms, the therapeutic effects and changes in quality of life (QoL) were evaluated clinically and using a specifically validated questionnaire (UTISA). After described treatment, patients were randomized in receiving or not prophylaxis in the next 6 months.

RESULTS: Mean UTISA scores recorded after completing the treatment, compared with baseline scores, showed a significant improvement of the majority of symptoms (p < 0.05). D-mannose seemed to have had a significant positive effect on UTIs' resolution and QoL improvement (p = 0.0001). As prophylactic agent administered for 6 months, it showed promising results (4.5% vs. 33.3% recurrences in treated and untreated patients respectively).

CONCLUSIONS: The results of this study suggest that D-mannose can be an effective aid in acute cystitis management and also a successful prophylactic agent in a selected population; however, more studies will certainly be needed to confirm the results of our pilot study.

PMID 27424995 [Indexed for MEDLINE]
Full text
Full text at journal site
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D-mannose powder for prophylaxis of recurrent urinary tract infections in women: a randomized clinical trial.
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Kranjčec B, et al. World J Urol. 2014.
Effectiveness of an association of a cranberry dry extract, D-mannose, and the two microorganisms Lactobacillus plantarum LP01 and Lactobacillus paracasei LPC09 in women affected by cystitis: a pilot study.
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Full website NIH NLM NCBI Help

https://www.ncbi.nlm.nih.gov/m/pubmed/27424995/

Cystitis

Cystitis is an inflammation of the bladder. Inflammation is where part of your body becomes irritated, red, or swollen. In most cases, the cause of cystitis is a urinary tract infection (UTI). A UTI happens when bacteria enter the bladder or urethra and begin to multiply.

D-Mannose at doses of 8 to 20 grams per day has been shown to purge E. Coli bacteria from the urinary tract.

Invasion of the urinary tract (UT) by E. Coli bacteria causes most infections. 

D-Mannose at doses of 8 to 20 grams per day has been shown to purge E. Coli bacteria from the urinary tract. 

Source: https://sg.iherb.com/pr/Vibrant-Health-U-T-Vibrance-Version-1-1-50-Vegipure-Tablets/10117

健康

司马懿最厉害不是才华，而是身体好。
曹操死了，他没死。
曹操的儿子死了，他没死。
曹操的孙子死了，他还是没死。
打不过诸葛亮，但把诸葛亮熬死了，最后三国归晋完成一统中国的梦想。
🍂 所以一个人要想成功，身体真的很重要，别光有目标、有理想、有能力、有人脉、有金钱，结果没有健康一切都白忙！
🍂 得健康者得天下！
🍂人生四句话：活着就是胜利，挣钱只是游戏，健康才是目的，幸福才是真谛，
🦀愿大家都有好的身体！

Source : Whatsapp

My Weight 2018-10-28 0750 hr 61.3 kg BMI 22.24 👆My monthly weight watch on the 28th of each month since 2007-05-28. Almost all BMI values have been less than 23.

My Weight
2018-10-28
0750 hr
61.3 kg
BMI 22.24

👆My monthly weight watch on the 28th of each month since 2007-05-28.

Almost all BMI values have been less than 23.

No one has the right to judge you

No one has the right to judge you

Catheter is a common cause of healthcare associated infection

The study findings were published in Clinical Infectious Diseases, a leading journal on infectious diseases, last year.

The article noted that HAIs increase the cost of healthcare. In the United States, the estimated annual cost of treating just five major HAIs was close to US$10 billion (S$13.7 billion) in 2012. There are no figures for Singapore.

Some of the bugs causing the infections here could have been brought in by the patient but had lain dormant until the person's immune system was breached.

Prof Hsu said a common reason for a breach is the use of catheters, since these allow the bug to bypass the body's usual protections.

The study found that half of urinary tract infections, a quarter of hospital-acquired pneumonia and a fifth of bloodstream infections were linked to the use of devices.

It noted: "This represents a key target intervention area for reducing the HAI (Healthcare  associated infection) prevalence in Singapore, as device-associated HAIs are considered to be largely preventable."

https://www.straitstimes.com/singapore/hospital-patients-at-risk-of-catching-an-infection?xtor=CS3-17

Catheter is a common cause of healthcare associated infection

The study findings were published in Clinical Infectious Diseases, a leading journal on infectious diseases, last year.

The article noted that HAIs increase the cost of healthcare. In the United States, the estimated annual cost of treating just five major HAIs was close to US$10 billion (S$13.7 billion) in 2012. There are no figures for Singapore.

Some of the bugs causing the infections here could have been brought in by the patient but had lain dormant until the person's immune system was breached.

Prof Hsu said a common reason for a breach is the use of catheters, since these allow the bug to bypass the body's usual protections.

The study found that half of urinary tract infections, a quarter of hospital-acquired pneumonia and a fifth of bloodstream infections were linked to the use of devices.

It noted: "This represents a key target intervention area for reducing the HAI (Healthcare  associated infection) prevalence in Singapore, as device-associated HAIs are considered to be largely preventable."

https://www.straitstimes.com/singapore/hospital-patients-at-risk-of-catching-an-infection?xtor=CS3-17

My Weight 2018-09-28 0805 hr 62.1 kg BMI 22.535

My Weight
2018-09-28
0805  hr
62.1 kg
BMI 22.535

My Weight 2018-08-28

My Weight
2018-08-28
0720 hr
61.4 kg
BMI 22.281

Sarcopenia

Sarcopenia is the degenerative loss of skeletal muscle mass (0.5–1% loss per year after the age of 50), quality, and strength associated with aging.

Sarcopenia is a component of the frailty syndrome. It is often a component of cachexia.

Information source:
https://en.m.wikipedia.org/wiki/Sarcopenia

Sarcopenia

Sarcopenia is the degenerative loss of skeletal muscle mass (0.5–1% loss per year after the age of 50), quality, and strength associated with aging.

Sarcopenia is a component of the frailty syndrome. It is often a component of cachexia.

Information source:

Sarcopenia and treatment

One of the best ways to treat (and indeed prevent) sarcopenia is exercise. Resistance training or strength training – using exercises that increase muscle strength and endurance with weights or resistance bands – has been shown to have a positive effect on our neuromuscular system, hormone concentrations and protein synthesis.

Good nutrition also plays a role. Aim to have a varied diet, rich in fruit and vegetables and good quality protein.

According to the National Dairy Council, not all proteins are the same: “Proteins are made up of building blocks called amino acids, with an amino acid called leucine being one of the most effective at stimulating muscle growth.

Protein sources that are rich in leucine include lean meat, eggs and dairy. Dairy products such as milk, yogurt and cheese are not only good sources of protein but also contain a matrix of other vital nutrients including calcium, riboflavin, vitamin B12, iodine, potassium and phosphorus,” it says.

Finally, although drugs such as testosterone and HRT may have benefits, drug therapy is not recommended for sarcopenia.

Information source:
https://www.irishtimes.com/life-and-style/health-family/medical-matters-sarcopenia-what-is-it-and-how-can-we-prevent-it-1.2634853?mode=amp

What is your *digestive system* trying to tell you? http://nfdd.sg/

What is your *digestive system* trying to tell you?
http://nfdd.sg/

免疫營養的重要性

廖志穎醫師:CanRec癌康網
首頁免疫營養的重要性
免疫營養的重要性
by - 穀雨CanRec on - 29.5.18

免疫營養的重要性

台中醫院放腫/整合醫學主任
美國MD ANDERSON整合醫學進修
中國醫藥大學中西醫碩士
廖志穎醫師

免疫治療，2016年上市以來，已經取得13種癌症的適應症，讓癌症治療出現曙光，而免疫療法的成效，仰賴我們體內的免疫細胞大軍，足夠營養才有足夠的免疫細胞士兵，才能讓免疫療法(PD1/PDL1)發揮訓練成特種部隊的作用。

飲食的內容品質和免疫系統息息相關，優質的營養能讓身體的免疫大軍養足戰力，捍衛身體健康。而最佳的提升免疫力的方法其實全在身邊，輕易可得。
以下幾個簡單的飲食核心策略，幫助你在這場人與癌症的戰爭中，提升作戰力。

策略一：攝取優質的蛋白質

蛋白質是構成身體細胞的主要成分，我們的免疫系統當然也需要它才能正常運作。一般人一天需要吃3～5份蛋白質，癌症治療中更需要高到 9-13 份蛋白質，治療中從動物及植物性兩種來源攝取，治療完可以植物性為主。

優質的動物性蛋白質有瘦肉、雞肉、魚肉（特別是含omega-3脂肪酸的深海魚，如鮭魚、鮪魚、鯖魚、秋刀魚等）、海鮮(蚌殼)、低脂奶類、雞蛋等；植物性蛋白質可以吃豆類、豆腐及豆製品、堅果類等，但是治療中的營養蛋白質計算已【豆魚蛋肉】分量計算為主。

豆類及堅果類裡還含有豐富的維生素E。研究發現維生素E也有助於製造抗體，增加T細胞的活性，對於免疫功能低下的老年人特別重要。

海鮮裡(蛤仔、牡蠣)含大量的鋅、鐵，也是維持免疫力的重要營養素。醫學上發現，身體裡缺乏鋅的人很難抵擋細菌、病毒的侵襲。

策略二：每天吃1碗五榖雜糧飯

每天至少吃1碗五榖雜糧飯，或是雜糧麵包、全麥製品。

這些粗糙、未精製的食物裡有豐富的維生素B群和各種礦物質，而精製過的白飯、白麵條、白吐司裡則幾乎沒有這些營養素。

人體需要大量的維生素B群，供應細胞進行增殖、氧化和還原作用，尤其是B2、B5（又稱泛酸）、B6及葉酸和維持細胞黏膜健康及製造抗體等免疫功能有關。

策略三：吃各種顏色的蔬果

一天要吃3種蔬菜、2種水果，種類愈多愈好，簡單的方法是以顏色分辨。

▓蔬菜選一綠、一紅、一黑

每天至少吃1～2碗深綠色葉菜。它們的營養成分多又豐富，有維生素A、B群、C、E及各種礦物質，提供免疫系統 T 細胞正常運作的必要養分。

每天吃1份紅、橘或黃色蔬菜。例如胡蘿蔔、甜椒、南瓜、地瓜、金針、黃秋葵等。

這一類蔬菜裡含有大量的β胡蘿蔔素（水果中的番茄、芒果、紅肉葡萄柚、木瓜、柿子、西瓜、哈密瓜裡也有），進入人體後會轉換成對提升免疫力很重要的維生素A。

另外，適量攝取黑色的香菇及其他菇類。

菇類裡的多醣體（polysaccharide）成分被研究證實具調節、提升免疫功能的作用，因此被視做抗癌的明日之星。它會提高人體巨噬細胞吞噬細菌等入侵者的戰鬥力，而且研究也發現多醣體可以增加自然殺手細胞的數目和活性。

不過香菇的普林含量偏高，患痛風的人應該限量攝取。

▓每天1種高維生素C水果

一天要吃2種水果，其中一種選擇維生素C含量多的。維生素C會刺激身體製造干擾素（一種與免疫功能有關的物質）來提升免疫系統功能。

維生素C含量稱冠的水果是台灣土芭樂，其他高C水果還有泰國芭樂、奇異果、甜柿、木瓜、聖女番茄、草莓、柑橘類水果等，可以每天替換吃。

策略四：喝優酪乳或益生菌

每天喝1～2瓶200～300毫升的優酪乳（或小盒優格）有助維持良好的免疫力。優酪乳主要的功能是調整、改善胃腸道健康。長期、規律地吃優格可以抑制腸道內的有害菌孳生，進一步降低壞菌分泌出致癌物質，減少罹病機會。

近幾年的研究還發現優格中的乳酸菌可以增加由T細胞釋出的γ干擾素（gamma interfer），進一步增加抗體生成；同時，乳酸菌也會加強自然殺手細胞的活動力。

國外研究指出，腸道菌叢的生態，影響免疫治療的成效，佈滿神經淋巴的腸道，健康的菌叢，可以刺激免疫系統，增加PD1/PDL1免疫藥物的反應。

營養專家建議，早上空腹喝1瓶優酪乳，有助刺激腸子蠕動，使排便順暢；另外可以用優格搭配水果，當做下午茶吃。

化療中若怕腹瀉，益生菌(比菲德氏菌-如 洛克飛)是可以減少化療腹瀉的，

策略五：不要吃過量脂肪(含紅肉)

吃太多脂肪會抑制免疫系統功能，身體只需要適量脂肪，就能健康運作。美國麻州大學的一項研究發現，每天的脂肪攝取量從32％降低到23％，可以讓自然殺手細胞的活性增加48％。

一天攝取2000卡的輕度活動量、成年男性，每天可以吃55～66公克脂肪，女性則可以吃45～55公克，不宜超過此量。

同時要注意脂肪的種類，有些脂肪容易抑制淋巴球，減弱免疫系統的作用，例如omega-6脂肪酸含量比例較高的蔬菜油，像玉米油、黃豆油、葵花油等。另外，這一類油脂的性質不穩定，容易在高溫烹調時氧化，產生攻擊免疫細胞的自由基。營養專家建議選擇單元不飽和脂肪酸較多的油比較好，如橄欖油、芥子油等，或者多種油交換使用。

策略六：少吃甜食與糖

單醣類（如葡萄糖、果糖）和甜食會影響人體製造白血球，也影響它的活動力，降低身體抵抗疾病的能力。國外研究報告指出，當人們吃下18～20茶匙（約100公克）的糖，白血球抵抗疾病的能力就會減少50％以上。

建議從少喝含糖飲料著手，改喝不加糖的綠茶、花草茶、水果茶，當然喝白開水也很好，另外，吃甜食也須限量。

策略七：適度補充品、維他命(選擇性)

工作時間長、壓力大又經常外食的人，容易飲食不均衡，補充維他命是必要的。去年美國哈佛大學發表在《美國醫學會期刊》（JAMA）的一篇報告，呼籲每天補充綜合維他命來預防慢性疾病及促進成人健康，營養專家不建議吃單劑的維他命，吃綜合維他命比較好，劑量不需要太高，各種維生素、礦物質不要超過RDA（每日建議攝取量）的100～150％。

均衡飲食下，或有使用腫瘤配方或均衡配方營養品(飲沛、倍速、安素)的人，不需額外再吃綜合維他命，可考慮加強維他命D3，抗發炎薑黃素，菇類多醣體，來增加免疫系統的活性(NK，樹突，T細胞)。

抗發炎可幫助解除被掐住的免疫細胞
如下圖，薑黃素的抗發炎作用，可幫助增加毒殺型T細胞、增加好的免疫激素路徑【Th1】的表現，減少壞免疫【Treg】細胞的表現，進而幫助活化免疫系統。

薑黃素提升免疫機轉

策略八：腫瘤配方營養品/麩醯胺酸--免疫營養的角色

均衡飲食外，癌症治療中，我們更需精準的免疫營養配方策略，給身體【魚油、精氨酸、和苷酸、麩醯胺酸】四大免疫細胞所需的營養素，來減少壞發炎，提高免疫細胞的活性，尤其在手術前後、化放療期間或治療完長達6-9個月，會有免疫低下的情況，也是腫瘤細胞有機會逃脫的時間點，加強免疫是非常重要的關鍵。

腫瘤配方營養在手術期間改善

策略九：中強度的運動

運動，可以減少慢性發炎，增加好免疫(TH1) 自然殺手細胞的活性，是最便宜的自我免疫治療，減少賀爾蒙、壓力激素、發炎激素，與健康飲食搭配，研究中有發揮一加一大於二的功效.

飲食搭配運動才有提升免疫功效

衛福部台中醫院廖志穎主任

台中醫院網路掛號

  歡迎線上癌症諮詢與營養品指導

加入好友

精選營養與正確使用

穀雨CanRec張貼者： 穀雨CANREC
穀雨是春天播種後天降甘霖的節氣，希望提供遠離癌症知識，滋潤每一個生命。
垃圾食物、缺運動、壓力、肥胖才是癌症的主要原因，穀雨健康為以健康教育為核心精神的社會企業，提供最新科學的整合醫學知識平台，分享美國癌症醫學會、世界衛生組織建議或研究，以植物飲食、運動、減重、舒壓、社會支持五個面向，教大家如何預防癌症（或再復發）與慢性疾病，澄清不正確的健康訊息、偏方、謠言，照顧自己和家人的健康。
你可能會喜歡這些文章
關於我們 廖志穎醫師10多年腫瘤治療經驗，有感於醫院與健保制度的癌症照顧不足，以公益角度創立以教育、營養、運動、輔助醫學為主的癌症康復資訊網，與營養師協助的營養精選補給，指導癌友最正確的使用相關營養品，搭配天然食物，澄清直銷偏方，改善癌友生活品質與治療成效。

歡迎使用Line追蹤最新文章與線上諮詢

Email:cancernewlife99@gmail.com

顧問:
廖志穎醫師
衛福部台中醫院放射腫瘤科主任
美國MD ANDERSON整合醫學進修
中國醫藥大學中西結合研究所碩士

專長:
放射治療/免疫/營養/高劑量C/D3/整合輔助醫學

台中醫院網路掛號

精選營養與正確使用
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https://cancernewlife.blogspot.com/2018/05/immuonutrition.html?m=1

看Whatsapp/Line/WeChat(微信)是需要智慧的，很多都是狐狸寫的，

*＊玩了幾年的 Whatsapp/Line/WeChat(微信)，感慨萬端，特歸納如下：*

*1，拜讀了太多人生警句。* 
   *（突然不知道該怎麼做人？)*
*2，瞭解太多養生之道。*
     *(突然不知道該怎麼吃？)*
*3，充斥太多流言蜚語。*
     *(突然不知道該相信誰？)*

*朋友！*
*按自己的意思過活，只要覺得愉快！*

*＊有一隻狐狸在懸崖上寫了一塊牌子→*
「如果你不勇敢的跳下去，你怎麼會知道自己不是一隻老鷹呢？」
*接下來的日子，狐狸每天跑到懸崖下，等著吃跳下來摔死的雞。* 

*這個故事告訴我們，*
*看 Whatsapp/Line/WeChat(微信)是需要智慧的，很多都是狐狸寫的， 我們一定要會分辨。*
🤔

My first home cooked century egg porridge with minced pork and cut carrot on 2018-08-19, Sunday.

My first home cooked century egg porridge with minced pork and cut carrot on 2018-08-19, Sunday.

I used the following ingredients

(A) 2 century eggs (S$1.00).

(B) 300 grams of minced pork (S$3.60)

(C) 2 pieces of Maggi brand chicken flavored stock cubes (S$0.60)

(D) 1 "condensed milk can" of white rice

(E)  Plain water

No. of serves: 4 to 6.

我老了

*分享 "我老了"*

我老了
這段文字寫得好，值得大家讀一讀！

我老了，我感到幸運 。
有的人少年夭折，
有的人壯年早逝，
有的人倒在老年的門檻上，
沒能活到退休。
能夠進入老年，
走過完整的人生路，
享受上蒼賜予的天壽，
經寒暑曆春秋，
這是幸運眷顧了我。
我感恩，我知足。

我老了，我感到自由。
不再求升遷，
不再需職稱。
拋棄了奢望，
減少了欲求。
告別職場，
卸下了工作。
一切行動自作主，
擁有了支配自己時間的自由。
來來去去無約束，
灑灑脫脫為自己活。

我老了，我感到快樂。
沒有了少年成長的煩惱，
沒有了青年求學的艱辛，
沒有了壯年工作的壓力，
沒有了繁雜人事關係的紛擾。
可以去高山看日出，
可以去海岸觀波濤，
可以去遊名山訪大川，
可以去跳舞去K歌。
會友聚餐續舊誼，
輕輕鬆鬆逍遙樂。

我老了，我感到明白。
再無少年的懵懂，
再無年青的氣盛，
閱盡世上多少事，
體察人間多少情。
是非曲直心有悟，
不再盲從與迷信。
往事如煙隨風去
滄桑變換不覺驚。
氣定神怡觀世象，
心如止水不興波。

我老了，我感到坦然。
人生是個自然過程，
生自然，老自然，死亦自然。
自然過程隨自然，
心無悲涼坦坦然。
今天我老了，
但今天仍是我往後人生中最年輕的一天。
抓住今天，活好當下，
活得健康，活得快樂，
活出品質，活出精彩！
優雅地慢慢地老去，
直至不期的某一天，
與死神相遇。
回歸自然，
融進泥土，
匯入大氣，
所以要讓你明白，
生活就要簡單，
想誰~~就打電話，
想見誰～～約，
喜歡什麼～～買，
睏乏了～～～睡！
想去哪玩～～，去
不用活在別人嘴裡~~~累！
有些時候，真的沒有來日方長！
只把記憶和懷念美好留在親朋好友的心間。

什么是文化? 友人传来下则讯息, 觉得很有意思, 与大家分享!

什么是文化? 友人传来下则讯息, 觉得很有意思, 与大家分享!

Health supplements taken by HL123 on 2018-08-07, Tuesday.

Health supplements taken by HL123 on 2018-08-07, Tuesday.

My positive experiences with health supplements

My experiences with health supplements

*I don't have teeth and gum problems and mouth ulcers, hand eczema anymore* after I re -started to take the following regularly every day before 2359 hours 2 years ago:

1. Multivitamins,
2. Vitamin C 1000mg
3. B Complex 100,

Now I also take
4. OMEGA 3 fish oil
5. Biotin 10000mcg (for hair and skin, finger nails. Very good)
6. zinc 15mg
7. Other less important health supplements.

*My overall immune system is much better too. All thanks to the health supplements I take.*

Sometimes I feel getting sick,  just take Panadol, take a good sleep and get well again.

My Weight 2018-07-28 0600 hr 62.2 kg BMI 22.572

My Weight
2018-07-28
0600 hr
62.2 kg
BMI 22.572

2018-07-24 Health supplements taken by me today. Quantity: 17 pieces.

2018-07-24.
Health supplements
taken by me today.
Quantity: 17 pieces.

Multivitamins are a medical insurance

Multivitamins supplements are not medicine. They are just an insurance to make sure you have sufficient micronutrients daily.

*We are not aware our micronutrients have been insufficient for years until serious medical conditions surface.*

Start to take at least multivitamins everyday now!

Wealth -There is no greater wealth in this world than *peace of mind*.

There is no greater wealth in this world  than *peace of mind*.

Circulating Vitamin D and Colorectal Cancer Risk: An International Pooling Project of 17 Cohorts

Send to

J Natl Cancer Inst. 2018 Jun 14. doi: 10.1093/jnci/djy087. [Epub ahead of print]

Circulating Vitamin D and Colorectal Cancer Risk: An International Pooling Project of 17 Cohorts

CONCLUSIONS:

Higher circulating 25(OH)D was related to a statistically significant, substantially lower colorectal cancer risk in women and non-statistically significant lower risk in men. Optimal 25(OH)D concentrations for colorectal cancer risk reduction, 75-100 nmol/L, appear higher than current IOM recommendations.

My Weight 2018-06-28 0600 hr 61.4 kg BMI 22.281

My Weight
2018-06-28
0600 hr
61.4 kg
BMI 22.281

The role of calcium, vitamin D and phosphorus in maintaining healthy teeth

https://www.dhsv.org.au/dental-health/teeth-tips-and-facts/calcium-vitamin-d-and-phosphorus

The role of calcium, vitamin D and phosphorus in maintaining healthy teeth

Calcium, vitamin D and phosphorus all play a vital role in the formation and maintenance of healthy teeth and gums in both children and adults.

Calcium plays a role in making the jaw bones healthy and strong to hold the teeth in place. However, calcium needs phosphorus to maximise its bone strengthening benefits. Children’s teeth need adequate calcium and phosphorus to form a hard structure during growth.

Vitamin D regulates the body’s balance of calcium and phosphorus and can promote absorption. Vitamin D can also help to decrease inflammation of gums which is associated with periodontal (gum) disease*.

A healthy diet is essential for healthy teeth. The table below shows just some of the foods that contain calcium, vitamin D and phosphorus.

Calcium  
=======
Dairy foods such as cheese and yoghurt, brown rice, oranges, cabbage, beans, broccoli, salmon, peas.

Vitamin D  
========
Natural sunlight, dairy products, eggs, some cereals, oily fish (tuna, sardines etc).

Phosphorus  
==========
Cereals, wheat germ, soya beans, almonds and other nuts, meat, poultry, fish, eggs, grapes, citrus fruit, cucumbers, tomatoes.

The difference between Intelligence and Wisdom!

(Source: Whatsapp)

The difference between Intelligence and Wisdom!

1. Intelligence leads to arguments. Wisdom leads to settlements.

2. Intelligence is power of will. Wisdom is power OVER will.

3. Intelligence is heat, it burns. Wisdom is warmth, it comforts.

4. Intelligence is pursuit of knowledge, it tires the seeker. Wisdom is pursuit of truth, it inspires the seeker.

5. Intelligence is holding on. Wisdom is letting go.

6. Intelligence leads you. Wisdom guides you.

7. An intelligent man thinks he knows everything. A wise man knows that there is still something to learn.

8. An intelligent man always tries to prove his point. A wise man knows there really is no point.

抗癌不能瘦，補充營養品增肌肉

抗癌不能瘦，補充營養品增肌肉

抗癌長路漫漫，「體重」與「營養」是關鍵。安南醫院放射腫瘤科主治醫師詹凱翔提出三項重要方針：抗癌要贏、體重要行、肌肉要增！病友千萬別想餓死癌細胞，因為正常細胞搶不贏癌細胞，有可能傷敵一百、損己一千。

詹凱翔表示，12年前岳父罹患食道癌第三期，至今控制良好，關鍵在於體重與營養。癌症患者整體營養不良率高達四成，尤其是頭頸及腸胃道癌患。如何判斷患者營養是否足夠？可以從明顯體重減輕及早發現。

「癌友補充營養就像儲蓄，在進入療程前，應大量存本，努力增重（肌肉），治療後才有本錢恢復至原本體重。」詹凱翔說，均衡攝取碳水化合物、蛋白質、脂質、維生素、礦物質、水，其中以蛋白質最重要，是增加肌肉重要來源。

詹凱翔提醒，肌肉是對抗發炎的利器，治療期間患者應攝取足夠熱量，增加肌肉維持體重，累積接受治療的本錢。如果患者體重半年下降10%、一個月下降5%，可能是惡病質或惡病質前期，要特別注意。

臨床研究建議魚油攝取量為每天2克EPA。在新鮮食物中，2克EPA大概等於1.4公斤鮭魚，或96尾蝦，不容易從飲食達到足夠量，可補充癌症專用營養品，並搭配阻力有氧運動，提升患者生活品質。

高雄榮總營養師施水鳳表示，營養不良患者使用口服營養品，可提升生活品質，幫助體重維持。癌症營養攝取量可根據歐洲營養醫學會建議，患者每天應攝取25-30大卡/公斤熱量及1.2-1.5克/公斤蛋白質，例如：體重60公斤患者，每天應攝取1800大卡熱量與90克蛋白質。

施水鳳說，癌患食欲普遍不佳，特別是治療中引起的口腔潰瘍與噁心，讓癌友愈來愈不想進食，此時建議口服營養品介入，但要注意的是，過高的脂肪攝取容易產生飽足感，影響食欲，患者可能還沒補充足夠的營養素，就因飽足而無法繼續進食。

若患者能正常飲食最好，吃適量食物刺激胃口更好。建議癌友少量多餐，選擇開胃食物如山楂、陳皮、洛神茶、四神湯等，並同步補充口服營養品，爭取更好的治療品質。

https://udn.com/news/story/11318/3209425

#抗癌不能瘦 補充營養品增肌肉  #抗癌

健康60%决定于自己

人生如赛场，健康是你唯一的保障 (转发)

世界卫生组织称， 个人的健康和寿命15%决定于遗传，10%决定于社会因素，8%决定于医疗条件，7%决定于气候影响，60%决定于自己。

我们不断地通过外在的消费，为自己添置衣服、配饰、车子……来满足表面光鲜，却唯独忽视了身体内的内在力量，没给自己的健康添动力。直到身体出现了大问题，才临时求助医院。

殊不知，医院是用来救急的，诸如大出血、车祸、接骨等突发情况，而对于 癌症、心脑血管等慢性疾病，医院只能先用药物控制住病情，然后等待手术的时机。 有时候，医院也是束手无策，就算有治疗的希望，也要先看看你的存款够不够手术费。

省吃俭用，存钱攒病，这是中国人的一大常态，等到了生命最后的一段时间里，尝遍大量有副作用的西药，花光所有积蓄抢救，然后饱受痛苦死亡，子女甚至还要偿还欠下的医疗费。

人生如赛场，健康是你唯一的保障， 别再把你的健康交给医院了，趁现在，把握自己的健康，注重内在的调养，既是养生，更是为将来的你省下一大笔疾病开销！

『跑 廁 所 比 中 風 好 』一天喝1.8公升白开水

🐼『跑 廁 所 比 中 風 好 』🐼

我是50後
退伍時身高175cm體重72kg
相當自豪體態體能的維持 ⋯

4年前的昨天
我依然騎著腳踏車運動
4年前的今天早上仍去運動
我沒有高血壓、
沒有心臟病、
沒有糖尿病  ⋯

但，4年後的今天
我中風了 ⋯
當我醒來時已在 義大加護病房
6天的加護病房 ⋯
7天的普通病房 ⋯

診斷病因⋯
高血脂、血濃稠⋯
出院後每天就是
吃不完的藥⋯
扎不完的針⋯
各種的保健食品⋯
忍著痛的推拿（民間療法）
及艱辛的復健療程 ⋯
坐著輪椅 ⋯
撐著ㄇˉ型四腳輔助架
練習站立⋯
過程比2歲小孩子
練習走路更難 ⋯
這過程不輕鬆 ⋯
當時我也思考 ⋯
*為何我會中風？*

在幸福診所的林憲章醫師的
醫護下⋯
才得知肇因是🔶
長期口渴⋯
水份補充不足 ⋯
在此呼籲各位 ⋯
記得要喝水 ⋯
隨時補充水份 ⋯
當你有口渴感覺時 ⋯
身體水份已不足 ⋯
我們每個人每天
所需的水份補充 ⋯
體重1公斤30cc ⋯
體重60公斤～
60X30=1800cc ⋯（最少）
如果可以，出外帶備一支水 ⋯

有人說多喝水會常跑廁所 ⋯
我都回應對方 ⋯
♦常跑廁所總比中風好 ⋯
千金良藥不及多喝水 ⋯

請緊記：
*運動前後一杯水*
*泡澡前後一杯水*
*飯前飯後一杯水*
*睡前ㄧ杯溫開水*
*起床一杯溫開水*

保你頭好壯壯健康到年老 ⋯
奉獻我的經歷供大家參考 ⋯

*《水份補充得夠-想中風也難》*
讀者強調，中風已不再是老年人的專利，也不只限男性，現在年輕人中風也有逐漸攀高比例，
水份基本攝取量要足夠確實是預防之道，大家不可不察！🌈

经常念错的100字正确读音

【北大校长读错字以后，全民都注意字的读音了】——经常念错的100 字 正确读音。单音字括号内为正确读音，看看你读错了多少：
      
恬(甜)静    包庇(毕)    酗(序)酒     造诣(义)   揠(亚)苗    粗犷(广)        木屑(谢)    绚(炫)丽    谄(产)媚     棘(集)手    机械(泻)    砧(真)板        谒(页)见    舐(是)犊    拯(整)救     箴(珍)言   翌(艺)日     哺(补)育      恪(客)守     赏赐(次)    书笺(肩)     贮(注)存     修葺(泣)      纨绔(裤)    阐(产)述     迁徙(喜)    瑰(归)宝     澎湃(派)     同胞(包)      簇(醋)拥   麻痹(毕)      濒(宾)临    玷(电)污     罹(梨)难      嗾(叟)使      鞭笞(吃)  饿殍(瞟)      逮捕(补)    粗糙(操)    拂(服)晓      嗔(抻)怒     炽(赤)热  歼(肩)灭      发酵(叫)    狙(拘)击    憧(充)憬      糟粕(破)     掮(前)客   干涸(河)     畸(基)形     咆(袍)哮    手帕(怕)      翩跹(仙)     蓦(漠)然  脍(快)炙      褴褛(旅)    抚恤(序)     愤懑(闷)      龋(取)齿     桎梏(固)  按捺(纳)      回溯(诉)     鞭挞(蹋)    塑(诉)料     狡黠(匣)     瞠(撑)目  媲(屁)美      讣(副)告     斡(沃)旋    联袂(妹)     赈(镇)济      汲(鸡)取  浸(进)透      刚愎(闭)     窠(科)臼     潸(山)然    妊娠(身)     阴霾(埋)  惴(坠)惴      栉(至)风    膏肓(荒)    百舸(ge上声)  淙(丛)淙   针砭(匾)   
咳嗽(sou去声)莅(粒)临   取缔(第)    证券(劝)   喟(溃)然   嫩(nen去声)叶 
混淆(xiao阳平) 谬(miu去声)论    湍(tuan阴平)急    冗(rong上声)长       
吸吮(shun上声)   高耸(song上声)怂(song上声)恿 怙(户)恶不悛(quan阴平) 
酝酿(niang去声)  铿(坑)锵(枪)   悚(song上声)然    唾(tuo去声)弃         
容易读白字的词和成语的正确读音      恫吓(贺)     要挟(邪)    呜咽(业)          拓(榻)片      禅(善)让      呆(癌)板          凹(ao阴平)陷       叨(涛)扰     提(低)防          堆(dui阴平)积      咯(卡)血     龟(君)裂          屏(丙)息      侧(摘)歪         亲(庆)家          参(cen阴平)差(ci阴平)不齐          数(朔)见不鲜      自怨自艾(义)          否(匹)极泰来      审时度(夺)势          心宽体胖(盘)       一曝(铺)十寒          一叶扁(篇)舟  大腹便便(pian pian阳平)          瓜熟蒂(第)落。