Type 2 Diabetes Epidemic

Type 2 Diabetes Epidemic

According the American Diabetes Association (ADA), there are 15.7 million Americans who have diabetes. This disease is the main cause of blindness in people between the ages of twenty and seventy and is the sixth leading cause of death in the U.S.

If this disease is not properly managed, diabetes can cause kidney disease, hypertension, heart disease, edema, neuropathy, and infections of the mouth, feet, skin, lungs and genitalia. The skin infections do not heal properly and can even lead to amputation of extremities.

Type 2 diabetes has become the most common form of disease affecting 90-95 percent of the people who have diabetes. For people who have type II diabetes, not enough insulin is manufactured by the pancreas. Another problem is that the cells can become insulin resistant. When this happens, glucose accumulates in the blood instead of entering the cells.

Type 2 diabetes usually develops later in life; however, the disease is now becoming more common in people in their thirties and even late twenties.
The most common risk factors among those who develop this condition include diet, weight, race, age, lack of exercise and genetics. The most common ethnic groups to have type 2 diabetes are Latinos, American Indians, African-Americans, and American Asians.

The real danger of diabetes is the complications associated from inconsistent insulin levels and elevated blood glucose. One dangerous complication is diabetic ketoacidosis (DKA), or another dangerous condition known as hyperosmolar syndrome. DKA happens when insulin levels are so low that the body starts metabolizing stored fat to use as fuel. When the fat breaks down, a byproduct is released that is known as ketones which cause the body to become too acidic.

Ketoacidosis is typically seen in those with type 1 diabetes, but can happen to those with type 2 as well. The symptoms can include nausea, sweet breath, having a hard time breathing and confusion which can lead to a coma.

Hyperosmolar syndrome is a result of elevated blood sugars accompanied with dehydration. This condition is more common in those with type 2 diabetes who also take steroid medications. Hyperosmolar syndrome can also be a result of a stress from another illness. Symptoms can include confusion, tiredness, and in the most severe cases, coma. Often, in older adults, type 2 diabetes is not discovered until the symptoms of hypersmolar syndrome are reported to a doctor.

If you have recently been diagnosed with diabetes, you probably have a lot of questions and may even have a hard time grasping the severity and the responsibilities that come with this condition. It must now become a priority to take care of your body. If you are overweight, it is time to drop those extra pounds. You will also need to cut back on sugars, eat more fiber, and limit fours and white rice and to start a regular exercise regime.

You will also want to make an appointment with an optometrist make sure that your eyes are in good shape. Other important things that you can do are monitor the health of your feet for sores and losing feeling in the toes.

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To learn more about what you can do to improve your health if you have type 2 diabetes, visit Type 2 Diabetes Resource

What Are The Symptoms of Bipolar Disorder?

What Are The Symptoms of Bipolar Disorder?

Mood swings are an every day occurrence for many of us but when these mood swings become more extreme then it is possible that it could be down to more than just your mood. One possible answer to severe and intense mood swings could be bipolar disorder, a form of manic depression, where the sufferer can display behaviours ranging from deep depression to extreme elation or 'highs' on a frequent basis.

The Symptoms of Bipolar Disorder

It is important to distinguish between the main three elements of bipolar disorder which are: depressive symptoms, manic symptoms, and mood cycles.

Depressive Symptoms

As with many health issues, there are many symptoms to depression, and a person does not have to suffer from all of them to be depressed. Generally a depressed person will be quite miserable and pessimistic as well as:

- Variation of mood during the day. It's often worse in the morning, improving as the day goes on -but the pattern can be the other way around.
- Disturbed sleep, usually waking early and being unable to get back to sleep
- A general slowing down of thought, speech and movement
- Feelings of anxiety
- Tearfulness for no reason
- Short temper
- Lack of energy and constant exhaustion
- Inability to enjoy things
- Lack of concentration
- Difficulty making decisions
- Feeling that you're forgetful
- Negative thoughts about the future
- Feelings of guilt
- Loss of identity
- Blaming self and low self-esteem
- Feelings of hopelessness and despair
- Unrealistic sense of failure
- Loneliness, even when around others
- Becoming preoccupied with illness
- Loss of appetite and resulting loss of weight
- Reduced desire for sex

Symptoms of Mania

The symptoms of mania can include:

- elation
- short temper
- changing from short temper to elation and back again very quickly
- over activity
- being easily distracted
- not sleeping
- overeating
- increase in sexual desire
- moving very quickly from topic to topic in conversation, making it very difficult for others to keep up
- speaking so quickly that it's difficult to understand all the words being said
- having very grandiose ideas

Then there's the cycle in which these sets of symptoms can occur. This can come in several varieties:

Mixed: it's entirely possible for a person to have many of the symptoms of mania and yet also suffer from severely depressive thoughts. This is especially the case if the person experiencing mania has insight into what's happening to them. Although the symptoms of mania can sound quite pleasant, for the person experiencing them it can feel as if their life is dangerously out of control.

Cycles: symptoms of mania can be followed by symptoms of depression in an almost regular pattern. These swings in mood can occur over a period of anything from days to months. Less commonly, some people may experience only depression or mania, but within a regular recurring pattern.

How Common is Bipolar Disorder?

Bipolar disorder effect between 1-2% of the UK population. If you have a relative with bipolar disorder then you have a higher chance of having it compared to someone who doesn't.

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Bi-polar-Disorder.net explores the issue of bipolar disorder. It identifies the signs and symptoms of bipolar disorder, along with the latest news and advances in research. For more information please visit http://www.bi-polar-disorder.net

The Various Symptoms Of Depression

The Various Symptoms Of Depression

There are certain times in life when we all go through ups and downs in our mood due to some or the other reason. One of the usual phases brings on sadness which is a normal reaction to struggles, setbacks, and disappointments that one experiences. There are times when we may feel down in the dumps for a period of time, but gradually the period is often short and the painful feelings dissipate as we move on with our lives.



However, sometime these feelings of sadness or feeling low don't go away or if they are so intense that they get in the way with your ability to work, study, eat, sleep, and enjoy life. This is a time when you can conclude that you may be suffering from depression.



Depression is state, which is sometimes very confusing. Many of us even do not realize they have a problem. It is the stage when one is not aware that there is something wrong with the way that they think and see things. It can be a very dangerous situation to be a part of. If you let the symptoms go unnoticed and do naught about them, you risk the result of something worse happening in your life.



With so much risk involved in letting go the symptoms of depressions unnoticed you will certainly want to be on your guard and think about what could happen if you miss the signs that are so important in depression. Usually, the symptoms might vary from person to person. The approach towards it is beneficial when you are aware of anything that is not normal.



Consider how you habitually act or if it is in someone else, think about the things that they usually do. If something is not adding together, you should ask questions and think about what may be going on.



The most common sign is related to the way a person eats. If you or some other person is not eating like they usually do, this may be a sign. A person with this problem can succumb to over or under eating and it can lead to major eating disorders. Another common sign is sleeping disorders. If a person is not getting sleep or sleeping too much, this can lead to this problem and hence is considered as a major sign of this.



Mood swings are certainly the most important symptoms to look out for if you are concerned about this problem. If you or a person concerned is acting differently or having trouble with mood swings, this can be considered as a stage of depression. If a change is evident in the usual behavior this can also be a sign.



It is important to figure out what is going on and figure out a reason that this type of mood is going on. There might be some reason why a person is having trouble with the way that they are acting. This may be the cause of the depression that is going on.



Another symptom that leads us to depression is having consistent aches and pains. In certain cases, one may have aches in body that are causing major problems with the way that one acts and do things in life. This means, if you have inexplicable pains in your body, you may have a problem with depression. This is a symptom that you need to be aware of so that you know if you are dealing with depression or not.

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Worried if you have diabetes, cancer or an STD? Learn the disease early symptoms and when to see a doctor at Earlysymptoms.net.

Blepharoplasty: Surgery Information

Eyelid Lid (Blepharoplasty) Surgery Information

Our eyes are our most important attribute. After all, we rely on them to obtain information from the world around us. From the Internet to video telecommunication, the technological world strives to accommodate a visually oriented society.



We also communicate with our eyes. Eye contact reinforces communication in business and personal relationships, which is why it is important that your eyes appear open and ready to interact. Nonetheless, genetics and time change the shape of the eyes. Drooping upper eyelids and lower eyelid puffiness (bags) make people look tired and old. In some cases, they may even obstruct vision. Blepharoplasty (eyelid surgery) can restore open and alert eyes by reshaping the upper and lower eyelids.



Blepharoplasty best aids those with excess or loose skin that hides the natural fold of the upper eyelids, excess skin and fine wrinkles of the lower eyelids, or puffiness in the upper and lower eyelids. The procedure is commonly done on patients as early as their mid-thirties and can be performed on all four eyelids or just the upper or lower eyelids alone. After carefully discussing your goals and expectations, your surgeon can recommend the appropriate course of action for you.



The procedure is performed in our office, usually on an outpatient basis. Blepharoplasty can be performed under local or general anesthesia. With local anesthesia you'll be awake during the procedure but anesthetized and relaxed. The surgery takes from 1 to 3 hours, depending on the extent of the procedure.



Preparation

Eat a balanced, nutrient-rich diet before surgery. A healthy diet will help speed recovery. Plan ahead and prepare nutritious meals that are easy to warm up so that you won't need to spend too much time in the kitchen during your recovery.



If you smoke, abstain from smoking for at least six weeks before and after surgery. This reduces the risk of infection and encourages faster healing.

Do not take any medicines containing aspirin or ibuprofen during the two weeks preceding surgery.

Do not eat or drink after midnight the night before surgery.

Be certain you do not have a cold or sunburn the day of surgery.

Do not wear make-up or contact lenses to surgery.

Arrange to have someone take you home after surgery and, if possible, help you around the house for a few days while you recover.



Eyelid Surgery Procedure

Incisions are made along the natural lines of the eyelids. For the lower eyelid, the most common approach used is the transconjuctival technique in which the incision is placed inside the eyelid, invisible from the outside.



Through these incisions the surgeon separates the skin from the underlying fatty tissue and muscle, removing excess fat, muscle, or sagging skin. In a transconjuctival procedure, excess skin is not removed.



The incisions are then closed with very fine sutures.

After the surgery, the eyes are lubricated with an ointment and bandaged.



What to Expect

After the procedure is over, patients may experience some numbness and mild swelling and/or discomfort at the incision site. This is normal and will pass with time. Incision site pain is usually minimal and can be controlled with medication, if necessary. Swelling can be treated with cold compresses. If you experience severe pain, contact our office immediately.



You'll be instructed on how to clean and care for your eyes. They may feel goopy from the ointment used to lubricate your eyes. Swelling and bruising may last anywhere from two weeks to a month. To reduce swelling and bruising, you'll want to keep your head elevated and apply a cold compress.



Risks

As with any surgery, there is the risk of complication. Possible complications include temporary swelling at the corner of the eyelids, blurred vision, difficulty closing eyes, and slight asymmetry in healing--all of which pass within a few days. In rare cases patients' difficulty to close their eyes completely when they sleep has become permanent. Also, an extremely rare complication, ectropion (a pulling down of the lower lids), may require corrective surgery.



If you have thyroid problems such as hypothyroidism; circulatory disorders such as high blood pressure; cardiac disease; diabetes; or eye conditions such as glaucoma, a detached retina, or dry eye, you may not be a good candidate for blepharoplasty. Please discuss any of these concerns during your consultation. You can reduce your risk of complication by carefully following your surgeon's instructions before and after surgery.

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Dave Stringham is the President of LookingYourBest.com an online resource for plastic surgery procedures. Learn more about eyelid surgery and other plastic surgery procedures.

Erase Those Embarrassing Tats

Erase Those Embarrassing Tats

Tired of wearing those long-sleeved shirts, even on the hottest days of summer? If you think you'll have to hide that tattoo for the rest of your life, think again. Get rid of that tattoo you got a while ago with laser tattoo removal.

In the past, people had to get rid of their unwanted tattoos by modifying them to look like something else or even surgically removing the skin on which they were printed on. But today, laser tattoo removal with the MedLite® C6 laser offers an incredibly effective new alternative in the field of cosmetic surgery. With laser tattoo removal, it's just like "zapping" your unwanted tattoos away.

Eliminating tattoos with the MedLite® C6 laser is typically a gradual process. The targeted tattoo will eventually fade over a series of sessions. The number of sessions depends on several factors, such as the dye of the tattoo, the method by which it was done, and the depth.

So, how's it work?

The procedure involves the application of a numbing cream to eliminate discomfort. Once the numbing cream takes effect, the targeted tattoo is exposed to short bursts of laser light from the MedLite® C6 at 1064nm. Eye protection is worn because of the intensity of the laser. The laser helps to break up the pigment of the tattoo, which is then absorbed by the body and eliminated in a natural process. That's why eliminating the tattoo happens over a period of time, rather than just immediately. You will notice a gradual fading of the tattoo in the days and weeks following each session.

Faster results are generally achieved from the treatment of darker colours, like black and dark blue. Lighter colours, such as yellow or orange, may require more sessions.

Take advantage of this amazing technology in cosmetic surgery. It's time to stop regretting the past and move on with your life with Laser Tattoo Removal.

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This article was brought to you by Laser Tattoo Removal in Toronto.

How Can I Increase My Breast Size Through Exercise?

How Can I Increase My Breast Size Through Exercise?

I was asked a great question recently that went something like this... "I have two kids, what can I do to perk up my breasts?"



Not only is this a great question from a workout point of view but I also work for a breast center so I can get a bit into this one.



Breast tissue is primary composed of two things: fat and glandular tissue. As we get older, unfortunately, the breast begins a downward cycle of moving from glandular to a more fatty makeup. In fact, did you know that your breast do not even mature until after your first child? This means that post birth the cycle is starting. Which is good for you.



To get the breasts you had in your early twenties is going to be challenging. There is nothing that will change your breast in a reverse cycle but there are quite a few tricks you can do to get them to appear as if they are.



1. Since the breast is fat if you lose weight then you are going to lose breast weight as well. For some women (including myself) this is the first place I notice weight change. Now the bad part is you can not target weight loss areas, so if you do not want to lose body weight in other places as well then you may be out of luck. But with a healthy diet, increased cardio, and more weight training the weight will come off. My thing is if the girls get smaller then there is less to be "saggy".



2. Train the pectoralis muscles. These are the muscles that find a safe haven behind the breasts. When you look at a guy with nice pecks, try to think how that might help your chest look if they were behind your breasts. You have two pectoralis groups: the minor and major. Both need to be worked to get the greatest benefits. How do you do that? Use heavy weights to help gain mass. 3 set minimum of 3 reps is best. So think 95% or more of you 1 rep max.



Here are some recommended exercise moves:



Incline chest press



Standard barbell chest press



Rows



Pullup



Punching a punching bag



and the ALMIGHTLY PUSHUP



are all great workouts. For pushups and pullups just do as many as you can till failure.



Think, if you are losing breast fat but gaining chest muscle your breast will still be very much there, just perhaps may remind you of your youth!



TIP: If you ever think of getting implants please consider only having them placed in the position surgeons call "behind the muscle" . The implant is placed behind the peck muscle. This is better because when the time comes for mammograms, which should first be done between ages 35-40 then every year after 40, it allows the breast tissue to still be observed and if for some reason additional procedures need to be done (biopsies, ultrasound, treament) your radiologist will thank you. That is my soap box speech.

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Taylor Ryan is a personal trainer dedicated to educating women to get the best body they can get. Her company TotalTonedWomensClub stresses the importance of weight training as a method to get the toned and strong body they want. Check out http://www.totaltonedwomensclub.com for more.

Get Out Of The Squat Rack

If you’re not gonna squat, get out of the squat rack!

If you want to know how to build 15 pounds of muscle and turn your body into a fat burning machine, then the Musclehead is the guy you want to get to know.


Has this ever happened to you? You hit the gym early in the morning, all pumped up for a great session. It’s leg day and you know what that means, so you put your serious face on and trudge into the gym. Only to find that some 16 year old pipsqueak is standing in the squat rack doing bicep curls!


I’ve got nothing against 16 year old kids in the gym, trying to improve their bodies. I used to be one of them myself, once upon a time. What I do hate is when those kids spend their time in the squat racks, doing bicep curls. They’re called squat racks for a reason people.


And it’s not just the young guys, oh no, this is a far bigger problem. People of all ages think it’s fantastic to use the squat rack to do bicep curls. Is it because you can leave the barbell on the supports so you don’t have to actually bend down to pick the bar up? Probably.


If you’re one of these people, stop doing it. This is what you need to be doing instead. Head into the squat rack and load up a bar with a good weight for you. Get under the bar and then start squatting. I guarantee if you only made this change to your workouts, you would see startling results.


At my local gym, I love it that no one squats. Apart from those idiots who do their bicep curls in it, I pretty much have it all to myself. But when I’m trying to be nice (And that’s not very often) and actually help people out, I tell people squatting is a must. It’s such a powerful exercise; you would literally be a moron to not do it.


The thing that holds people back is pain. I won’t sugar coat it. The squat, when done correctly, takes a lot of effort and a fair bit of discomfort. But it’s this pain and discomfort that forces your body to grow, so unless you can get out of your comfort zone and push through the pain barrier, you’re going to be in trouble.


So I hope you now realize what you need to be doing. If you are one of those pesky guys doing bicep curls in the squat rack, stop immediately. Quite simply, if you don’t squat, you’re really holding yourself back. So go and do it!

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The Musclehead is a natural bodybuilder and the author of the brutally honest and revealing book "The Muscleheads Guide to a Godlike Physique". For more hard hitting information on how to get the body of your dreams, visit TheMusclehead.com

What is Brachytherapy?

What is Brachytherapy?

There are several ways of giving radiation dosage to a cancerous tumor. The most common method is to deliver the required dosage from an external beam of radiation produced outside the body. In this case the source of radiation beam is located 80-100 cm from the body of the person receiving radiation. Sometimes placing the source of radiation within the tumor might have advantages over delivering radiation from an external source. This method of delivering required radiation from an internal source embedded within the tumor is called brachytherapy.

If you are aware of the inverse square law in physics you would know the dosage of radiation therapy delivery changes by a great proportion depending upon the distance of the radiation source to the intended target. In brachytherapy the source of radiation is within the tumor volume and the proper placement of these sources of radiation within the tumor is of crucial importance.

There are several radioactive isotopes used in the brachytherapy. These include radium-226, cesium-137, cobalt-60, iridium192, iodine-125, gold-198 and palladium-103. Radium has a longer half-life compared to some of the other radioactive isotopes. In the past radium was the primary isotope used in brachytherapy, but recently radium has been largely replaced by cesium, gold and iridium, which have relatively shorter half-life and lower energies and because of this the radiation from these isotopes can be easily shielded.

Brachytherapy can be delivered with devices known as implants. These devices may be in the form of needles or seeds or ribbons. Brachytherapy can be delivered with permanent or temporary implants. These implants might be temporary or permanent. Temporary implants usually have a longer half-life and higher energies compared to the permanent implants. All temporary implants are inserted into the tumor during surgery. The duration of treatment for the temporary implant is usually 1-3 days.

Interstitial low-dose rate (LDR) brachytherapy is usually used for cancers involving the mouth and oral cavity, pharynx. This mode of treatment is often used in the treatment of sarcomas. Prostate cancer treatment is the most common form of LDR brachytherapy using seeds. Uterine cancer is the most common application of intracavitary LDR treatment. These patients are often isolated to prevent radiation exposure to nursing and other supportive staff during the care of the person.

The most common uses of high-dose rate (HDR) brachytherapy includes treatment of esophageal cancer, lung cancer and recently breast cancer and prostate cancer. Most HDR treatments are done as outpatient procedures allowing the patients to return to home the same day as treatment. Patients who are receiving treatment for prostate cancer is an exception who may remain in the hospital for 2-3 days during the treatment.

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Author of this article is a freelance health information writer. Author contributes articles to various websites including Medicineworld. You may read more about prostate Prostate cancer at this webpage.

Tips To Prevent Cancer

Several Effective Tips To Prevent Cancer

There are many dangerous disease appear and survive in your life . It affect to your activities and life so much . Then some tips to prevent cancer with proper diet and supplements.

GENERAL DIET ADVICES

A diet with the aim of preventing cancer is generally the same as a diet to prevent heart disease and other diseases. Here are the general diet advices

- Avoid or reduce the amount of food that are industrially processed, artificially made or heavily fried.

- Eat fish at least every second day. Also eat seafood and fouls.

- Do not eat very much red meat.

- Eat 5 fruits or vegetables each day. Each piece should be of the size of an apple or carrot. They should be raw or carefully boiled so that the nutrients are not washed out.

- Eat full corn bread, full corn cereals, peas, beans and potatoes.

- Eat just a moderate amount of fat.

- Ideally most fat you eat, should be of the type mono-unsaturated. You also need some poly-unsaturated fat of the types omega-3, and omega 6, but not too much of omega-6. The consumption of saturated fat should be moderate.

- In order to achieve right fat balance, much of the fat supply should come from a blending of sources like olive, olive oil, canola oil, nuts, nut oil, sunflower, sunflower oil, fish and fish oil.

- Use only a moderate amount of soy oil and corn oil in the diet. Only using such oil types will give you too muchmuch poly-unsaturated fat of the omega-6-type.

- Use just a very moderate amount of fat sources like butter, coconut oil and palm oil. A high consumption of these fat sources gives you too much saturated fat.

- Avoid altogether fat that has been chemically altered, giving so-called trans-fat. This type of fat is often found in margarine, cookies, snacks, fast food and other pre-made food.

- Consume just a very moderate amount of sugar, refined flour or refined cereals.

- Consume just a moderate consumption of tranquilizers and stimulants like alcohol and caffeine.

- Use just a moderate amount of salt in the food. However, in warm weather and by hard physical work, you will need more salt.

SPECIFIC FOODS AND DRINKS TO USE

Generally plants, fruits and spices with a strong colour or a strong taste have cancer preventing effects because of the contents of bioflavonoid and other anti-oxidants.

Broccoli, cabbage, mustard, kale, and cauliflower are vegetables with proven strong cancer preventing effects, probably due to the content of indole-3-carbinole.

Onion and garlic are also thought to help prevent cancer.

Whole grain and bread made of whole grain will help prevent colon cancer because of the fibre content and possibly also because of the vitamins and minerals contained.

Red peppers give a protecting effect against prostate cancer.

Eating fish, and especially fat fish, some times each week also have a protecting effect against prostate cancer.

Evidence points to the conclusion that green tea can help prevent cancer. However studies so far undertaken do not sort out all other variables that may give the same result.

Some studies have indicated that drinking coffee reduces the incidence of cancer, but others studies have thrown doubt upon these results.

SUPPLEMENTS OF VITAMINS AND OTHER SUBSTANCES

Her are listed the most important cancer preventing effects suggested by results from recent projects. However, research is going on, and these results are not yet complete or absolutely certain.

These substances give general cancer prevention effects: Sulforaphanes found in broccoli and other cruciferous vegetables.

Colo-rectal cancer: These substances help protect against colo-rectal cancer: Vitamin B-6 (pyridoxine), Folic acid / folate in combination with other B-vitamins, Selenium, Indol-3-carbinol from cruciferous vegetables, Genistein from soy, and possibly also vitamin D. Alfa-tocoferol (a kind of Vitamin E) may help, but project results are not conclusive jet.

Gastric cancer: Substances that may help prevent gastric cancer, and even help cure changes that can evolve into gastric cancer are: Vitamin C, Beta-carotene, (a precursor of vitamin A), Alfa-tocoferol (a kind of Vitamin E), Indol-3-carbinol from cruciferous vegetables, Genistein from soy.

Breast Cancer: The incidence of breast cancer can be lowered by: Folic acid / folate, Vitamin B-6 (pyridoxine), Selenium, and possibly vitamin D.

Prostate Cancer: These substances may help protect against Prostate cancer: Selenium and Alfa-tocoferol (a kind of Vitamin E). A long study is under way, but the results from the study are not conclusive yet.

Bladder cancer: The chance of getting bladder cancer is possibly lowered by alfa-tocoferol (a kind of Vitamin E).

Lung cancer: Substances that gives protection against Lung Cancer are: Isoflavones from soy. Indol-3-carbinol from broccoli and other crusiferous vegetables, Genistein from soy and possibly Vitamin D.

Results from research projects suggest that supplements added to the diet to prevent cancer should contain many working substances derived from natural sources, and that it is not wise to use heavy doses of just one substance.

NUTRIENTS THAT MAY HAVE THE OPPOSITE EFFECT

Beta-carotene and vitamin A supplements may increase the chance for heavy smokers of getting lung cancer and other cancers caused by smoking, according to results from epidemiologic studies.

However, these vitamins in the food doe not increase this risk. It is not clear what effect beta-carotene have on lung cancer in combination with other supplements or by non-smokers. The results from these studies are also controversial.

Vitamin E supplements seem to protect against Cancer, but heavy vitamin E amounts may in fact increase the chance of getting heart problems and stroke.

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