Ceramah rdo part 1 from Ibn Abdullah

Ceramah rdo part 2 from Ibn Abdullah

Ceramah rdo part 3 from Ibn Abdullah

Ceramah Rawat Diabetis & Obesiti dengan Diet!

PURE Study - Time To Change The Guideline to Low Carb Diet!

↑ Lecture by Prof Salim Yusuf, world renowned cardiologist at a recent cardiology meeting.

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32252-3/abstract

The Prospective Urban Rural Epidemiology (PURE) study is a large, epidemiological cohort study of individuals aged 35–70 years (enrolled between Jan 1, 2003, and March 31, 2013) in 18 countries with a median follow-up of 7·4 years (IQR 5·3–9·3). Dietary intake of 135 335 individuals was recorded using validated food frequency questionnaires. The primary outcomes were total mortality and major cardiovascular events (fatal cardiovascular disease, non-fatal myocardial infarction, stroke, and heart failure). Secondary outcomes were all myocardial infarctions, stroke, cardiovascular disease mortality, and non-cardiovascular disease mortality. Participants were categorised into quintiles of nutrient intake (carbohydrate, fats, and protein) based on percentage of energy provided by nutrients. We assessed the associations between consumption of carbohydrate, total fat, and each type of fat with cardiovascular disease and total mortality. We calculated hazard ratios (HRs) using a multivariable Cox frailty model with random intercepts to account for centre clustering

Carbohydrates, Fats, and CVD in the PURE Study

Carbohydrate intake was divided into quintiles. Those in Q5 consumed most, and those in Q1 consumed least. As can be seen from the slide below, presented by Dr. Yusuf, using the lowest carbohydrate intake (Q1) as a reference, there is an increased risk of CVD with increasing carbohydrate consumption.

Dr. Yusuf pointed out that earlier dietary guidelines “said reduce fats and compensate for it by carbohydrates. So essentially we’ve increased carbohydrate intake in most Western countries, and this is likely damaging.”

Furthermore, Yusuf said: “We were in for a big surprise. We actually found that increasing fats was protective. Now, these are all fats. So this very first slide challenges the WHO and the AHA guidelines on diet.”

With regards to carbohydrates as a percentage of daily energy consumption, he also said: “once you get past about 40% or about 55% of carbohydrate intake as percent energy, there is a steep increase in the risk of CVD. The WHO guidelines say that up to about 75% of carbohydrates is ok. But that is wrong.”

Then he adds:

“Again, total fats, if anything, is protective. And the reasons for this are twofold. Too low fat is inadequate, too high fat is probably bad. And the original studies from Finland was at extremely high fat levels, not the usual fat levels that populations consume.

Does the Type of Fat Matter?

Current dietary guidelines recommend that we limit the intake of saturated fats and replace them by mono- and polyunsaturated fats. Low-fat dairy products are recommended for the purpose of avoiding saturated fats. Vegetable oils should be used instead of butter.

As Dr. Yusuf points out, these recommendations are not supported by data from the PURE study:

“Then if you look at the types of fats, saturated fats, you will see there is not really a clear pattern of anything. Within the normal range, saturated fats are not harmful. May even be slightly beneficial. But there is no harm.

With monounsaturated fatty acids which are in olive oil, canola oil, and are part of the key to the Mediterranean diet, you get a clear benefit. Polyunsaturated fatty acids which are largely from vegetable oils, and remember that is processed oil, is largely neutral.

So, fundamentally, our fat story is: some fats are good, some fats may be neutral but it is carbohydrates that are the worst thing.”

“The other thing is; in the US there is this big swing to reduce milk consumption, and even if you consume milk, they want you to consume 2% or 1% of fat. What is the evidence? A big zero. Absolutely no evidence that low-fat milk is better for you. If anything, if you look at dairy sources of saturated fats, it is protective.

If you look at meat sources of fat, saturated fats, it’s neutral. And if you look at white meat such as chicken and fish, there is a trend towards benefit. So, red meat in moderate quantities is not bad and white meat may be moderately beneficial. But dairy fats such as cheese are probably good for you, and milk, there is really no data at all to reduce the fat content of milk.”

Saturated Fats, LDL-Cholesterol, and CVD

Dr. Yusuf says:

“Now, why did we go wrong. We went wrong because of surrogate end-points.

The story on saturated fats vs. LDL is consistent. Our data shows that as you increase the amount of saturated fats, your LDL goes up. But first, look at how much LDL goes up. This is a 150 thousand people in the analysis – from about 2.85 (108 mg/dL) to just under 3 (116 mg/dL). About 0.1 mmol/L (3.9 mg/dL) increase over a huge range of percentage of saturated fat (consumption).

But CVD shows exactly the opposite end-point.

Macronutrients and the ApoA/ApoB Ratio

Dr. Yusuf also addresses the effects of carbohydrate intake on more advanced lipoprotein measurements:

“Now, what about carbohydrate intake? If you look at LDL, there will be an inverse relationship. But if you look at ApoB/ApoA ratio, which today we know is the most sensitive marker for risk prediction there is a steep increase – from about 0.72 to nearly 0.85 with increasing carbohydrate intake. But with saturated fats, if anything, it is neutral or tending to go down.”

Final Remarks

Dr. Yusuf’s final remarks include these words:

“Contrary to common beliefs, the current recommendations to reduce saturated fats have no scientific basis. I’m not the only one saying this. You must have heard of the book called ‘The Big Fat Surprise’ by Nina Teicholz. She shook up the nutrition world, but she got it right.

Did you know that the seven countries studies that actually had a straight line between fat intake and CVD is fudged. I’m using the word fudged because 23 countries participated in that study and they took the seven best that fitted that line, and that’s what’s there. If you go through the literature, you will find that they chose the seven that fitted the line. The nutrition field has been distorted.”

So, is there a time for a reappraisal of public recommendations regarding the relationship between diet and heart disease following the presentation of the PURE date on macronutrients. 

Obviously, this is a rhetorical question. Let’s get to work.

Time to change. period

Panduan Puasa Berkala dan Cara Pemakanan untuk Pesakit Diabetis/Obesiti

Assalamualaikum,

Hand out di bawah ini saya berikan kepada pesakit-pesakit yang mempunyai diabetis atau yang ingin mengurangkan berat badan..alhamdulillah ramai yang telah berjaya menurunkan paras gula, menurunkan berat badan serta tekanan darah..

____________________________________________________________________

Panduan untuk pesakit diabetis/obesiti

(Dengan pengawasan doktor bertauliah, terutama jika anda sedang mengambil ubat/insulin untuk diabetis)

1   1)      Puasa berkala (intermittent fasting)

a)      Formula 16:8 iaitu puasa selama 16 jam dan sela masa makan selama 8 jam

Cth: last makan malam pukul 8.00 malam dan keesokan harinya anda ‘skip’ breakfast dan makan tengahari pukul 12.00 tengahari.

Maksudnya ‘puasa separuh hari’ dan anda hanya makan 2 kali sehari (lunch, dinner)

Dibolehkan minum air kosong @ kopi @ the tanpa gula(blh dicampur stevia jika perlu) semasa tempoh puasa. Tidak digalakkan ‘snacking’

b)      Puasa penuh 2x seminggu (cth isnin & khamis)

c)      Puasa penuh selang sehari

Nota: Tujuan puasa adalah supaya tubuh membakar simpanan gula (glikogen) dan seterusnya lemak  yang  tersimpan dalam tubuh akan dibakar sebagai sumber tenaga . Proses ini akan berterusan selagi anda tidak mengambil minuman @ makanan manis/berkarbohidrat tinggi

2    2)      Diet  Rendah Karbo &  Lemak Sihat (RKLS)

Apa  yang  boleh dimakan?

Contoh diet RKLS

Contoh diet RKLS

Asasnya makanan yang mengandungi karbo rendah, kandungan protein sederhana tinggi serta lemak yang sihat.Ambillah makanan yang semulajadi, segar dan bukan yang diproses @ makanan segera. Elakkan MSG (terutama makan di luar) kerana MSG boleh meningkatkan paras insulin

·         Karbo: < 50 gm sehari. Kurangkan pengambilan karbo berkanji (ingat: ianya hanya rantaian gula!) seperti nasi, roti dan pasta. Gula makan- elakkan sama sekali!

Biskut dan kek-adalah kombinasi gula dan karbo yang perlu dielakkan sama sekali kerana ia menyebabkan anda lebih ketagih kepada gula dan menyebabkan anda lebih cepat lapar!

Contoh karbo 50 gm

Semua sayuran hijau/salad adalah ok. Makan seberapa banyak yang anda mahu.Biar anda kenyang dengan sayur/ulam dan lauk.Jika ingin juga mengambil nasi, pastikan sangat minimum (kira-kira ¼ pinggan). Digalakkan mencuba beras perang atau barli menggantikan beras putih biasa. Tip: Bagi yang bekerja, boleh mencuba sup yang dimasak di rumah dan dibawa ke tempat kerja. Lebihkan cendawan, tomato dan bawang di dalam sup.

Buah-buahan?

Buah-buahan hanya dimakan secara‘raw’ dan tidak dibuat jus.Buah-buahan yang boleh dimakan adalah seperti strawberi, epal dan pear tetapi buah-buahan tempatan seperti pisang, tembikai, mangga dan nenas TIDAK digalakkan kerana mengandungi gula yang tinggi

·         Protein – contoh ikan, ayam, daging dan telur perlu diambil dengan agak banyak. Panduan: sekitar 4 saiz tapak tangan sehari( wanitasekitar 80 gm, lelaki sekitar 120  gm sehari). Daging yang diproses seperti dalam burger, nuggets atau sosej adalah tidak berapa menyihatkan dan perlu diambil sekali sekala sahaja

·         Lemak (Jangan takut kepada lemak!) perlu diambil dalam kuantiti yang sederhana (dilebihkan). Lemak yang baik adalah seperti yang terdapat dalam minyak kelapa, minyak sawit atau minyak zaitun. Minyak kelapa adalah yang terbaik untuk menggoreng kerana ia paling stabil. Gantikan marjerin dengan mentega yang lebih menyihatkan. Juga boleh mengambil yoghurt tinggi lemak. Vitamin A, D, E dan K hanya boleh didapati dalam makanan  berlemak dan berminyak. Elakkan marjerin, minyak jagung dan minyak sayuran.

      Hati-hati makanan ‘rendah lemak’ kerana biasanya ia mengandungi gula yang tinggi atau pemanis tiruan!

#SukuSukuSeparuh . (Jika anda rasa diet di atas sangat extreme)

Ini portion mudah untuk diikuti seperti yang disarankan Kementerian Kesihatan Malaysia:
-Suku pinggan: lauk (protein, lemak)
-Suku pinggan : karbo (nasi)
-Separuh pinggan : sayur-sayuran/ulam

MAKAN BANYAK SAYURAN DENGAN PROTEIN DAN LEMAK YANG BAIK MENYEBABKAN ANDA LAMBAT LAPAR DAN INI MENSTABILKAN PARAS GULA DAN ANDA AKAN MEMBAKAR LEBIH BANYAK LEMAK

Disediakan oleh:

~Dr Hapizi

WA: 0179351516

Email : dr_hapizi@yahoo.com

 p/s: Selepas mencuba, sila hantar feedback anda kepada saya ya! (Melalui whatsap atau email)

-artikel ini dibenarkan utk dikongsi, tanpa kebenaran saya.

Sembuh dari Diabetis/Obesiti!

Panduan pesakit diabetis ppt from drhapizi

https://www.slideshare.net/drhapizi/panduan-pesakit-diabetis-ppt

Utk sebarang pertanyaan/appointment, sila whatsapp 0179351516 @ email : dr_hapizi@yahoo.com

How to Protect and Unblock Your Arteries With a Simple Fruit

Heart disease is the leading cause of death around the world, especially in the West. It affects people of all ages and backgrounds. It is often related to a process called atherosclerosis – thickening of arterial walls due to plaque buildup.

People usually try to combat cardiovascular problems with different pharmaceutical substances. But there is actually a completely natural substance that can be more helpful for the prevention of heart disease and cardiac mortality. It is found in the form of a pomegranate fruit.

Interestingly, pomegranate somewhat resembles a multi-chambered heart and its juice looks like blood. When studied rigorously, pomegranate’s potential was also confirmed in a scientific way.

Scientific studies about pomegranate

Back in 2000, a study published in the American Journal of Clinical Nutrition, provided evidence that pomegranate’s juice has potent antiatherogenic effects. In other words, pomegranate juice can protect against the formation of fatty deposits within the walls of arteries. This was connected to the fruit’s antioxidative properties. Pomegranate is rich in polyphenols and other antioxidants. These play an important role in the prevention of atherosclerotic lesions and decrease oxidation of LDL (low-density lipoprotein) cholesterol.

In 2004, a group of Israeli scientists examined the effect of pomegranate juice on a group of patients with an already existing carotid artery stenosis (narrowing of the arteries that supply the head and neck with blood). Ten patients were given pomegranate juice for one year and five of them continued for up to three years. The results showed a reversal in carotid artery stenosis by up to 30%. Patients’ blood pressure decreased as well. People in the control group, who did not consume pomegranate juice, had their arterial blockages increased by 9%, which gave further support to pomegranate’s heart-protecting potential.

In 2013, the journal Atherosclerosis published a pomegranate-related study. Mice with a genetic susceptibility towards spontaneous coronary artery blockages were given pomegranate extract. After two weeks, it was observed that the atherosclerotic features reduced. This study, too, confirmed that pomegranate reduces oxidative stress and inflammation in the vessel walls, which protects the vessels against the formation of ominous plaque.

Pomegranate’s characteristics that help prevent cardiovascular disease

Pomegranate has the following, scientifically proven, properties:

• It has an anti-inflammatory effect – inflammation often plays a major role in the development of chronic conditions, including heart disease. You can read more about inflammation and the damage it causes in my previous article.
• It lowers blood pressure. Find here more ways to reduce you blood pressure naturally.
• It has anti-bacterial and anti-viral properties – secondary viral and bacterial infections often develop due to plaque buildup, including hepatitis C and Chlamydia pneumonia.
• It is a powerful antioxidant and reduces oxidative stress in the blood.

Pomegranate both prevents and reverses atherosclerosis. It improves blood flow through the heart and promotes a healthy blood pressure, giving you an all-round protection from heart and vessel diseases. Including this fruit in your diet appears to be a good decision. Eat it fresh or get concentrated juices and extracts and enjoy its taste and health benefits. Research has shown some heart health benefits from as little as two ounces of pomegranate juice a day. Also read my article aboutmore foods to prevent clogged arteries.

Jenny Hills

Resources:
http://www.ncbi.nlm.nih.gov/pubmed/23528829
http://www.ncbi.nlm.nih.gov/pubmed/15158307
http://www.ncbi.nlm.nih.gov/pubmed/10799367
http://www.clinchem.org/content/42/4/498.full.pdf
http://www.heart.org/HEARTORG/Caregiver/Resources/WhatisCardiovascularDisease/What-is-Cardiovascular-Disease_UCM_301852_Article.jsp
http://www.greenmedinfo.com/blog/can-pomegranate-keep-you-going-under-knife
http://www.crec.ifas.ufl.edu/extension/pomegranates/health.shtml

____________________________________________________________________________

Dr. H's comments:

Pomegranate (رمان) is one of the types of plant mentioned in the Quran. In fact, it is mentioned thrice in the Quran

Pomegranate is referred to in verse (6:99) of chapter (6) sūrat l-anʿām (The Cattle):

Sahih International: And it is He who sends down rain from the sky, and We produce thereby the growth of all things. We produce from it greenery from which We produce grains arranged in layers. And from the palm trees - of its emerging fruit are clusters hanging low. And [We produce] gardens of grapevines and olives and pomegranates, similar yet varied. Look at [each of] its fruit when it yields and [at] its ripening. Indeed in that are signs for a people who believe.

Also mentioned in the same chapter (6), verse 141:

Sahih International

And He it is who causes gardens to grow, [both] trellised and untrellised, and palm trees and crops of different [kinds of] food and olives and pomegranates, similar and dissimilar. Eat of [each of] its fruit when it yields and give its due [zakah] on the day of its harvest. And be not excessive. Indeed, He does not like those who commit excess.

In the Qur'anic verse quoted aboved, pomegranates are mentioned as one of the fruits that will be found in paradise. 

No doubts it is one of the superfruits of all time..

Plants of the Qur'an (Part III): Pomegranate

Fruits, Vegetables, Trees And Plants Mentioned In The Qur'an-Harun Yahya

How to Starve Cancer Out of Your Body

Addressing your diet should be at the top of your list, and rather than adding certain foods, you'll want to eliminate the most dangerous culprits first.

1. Red meat from animals reared in confined animal feeding operations (CAFO's) is a MAJOR contributor to cancer. These animals are given antibiotics, growth hormones and other veterinary drugs that get stored in their tissues. Additionally, cooking the meat over high heat creates heterocyclic amines, which further add to its carcinogenic effect.

2. Sugar. It is a universal mechanism for chronic disease. It kicks up inflammation. It kicks up oxygen free radicals. Those are the two main processes we see that underlie any single chronic disorder, including cancers. It fuels the growth of breast cancers, because glucose is cancer's favorite food. The more you consume, the faster it grows."

3. Fats. It's important to remember that every cell membrane is made out of fat, as is your brain.Bad-fats in the diet are a major contributor to ill health and cancer. On the list of fats to eliminate are:

• Animal fats from CAFO-raised animals
• Trans fats
• Partially hydrogenated or hydrogenated fats

Healthy fats of particular importance for cancer prevention are omega-3 and omega-9. Omega-3 in particular serve to effectively slow down tumor growth in estrogen-sensitive cancers such as breast-, prostate- and colon cancers.

4. Xenoestrogens (chemicals that mimic estrogen). This can become a rather long list once you start including any food contaminated with such estrogen-mimicking chemicals, such as BPA, found in the linings of canned goods and in plastics. The list gets truly unwieldy when you include personal care products that contain such chemicals as well…

Eating for Cancer Prevention

Research clearly shows that the one food that is the most important for optimal health is plant foods.

"Plants are packed full of nutrients, vitamins, and minerals that are crucial for our health. They also have hundreds of phytochemicals in them. These don't have any nutritional or caloric value, but they are like natural medicines, and some of them behave exactly like chemotherapy," she says.

"Every plant has some anti-cancer properties to them. There are some that are standouts. Cruciferous vegetables are something that I really recommend. They're a family of vegetables that include broccoli, cauliflower, kale, collards, and Brussels sprouts…

All of them have several different chemicals in common. They've got indole-3-carbinol, Calcium D-glucarate, and sulforaphane. They have big anti-cancer properties to them, and they inhibit the growth of breast, prostate, colon cancer and a variety of other ones. Of all the families of vegetables to consume, [cruciferous vegetables] are the ones to be aware of, so you can make sure you're including that in your diet frequently."

Other Lifestyle Factors that Influence Your Cancer Risk

Other lifestyle factors that have been found to have an impact on chronic disease and cancer include:

• Vitamin D—There's overwhelming evidence pointing to the fact that vitamin D deficiency plays a crucial role in cancer development. As mentioned earlier, you can decrease your risk of cancer by MORE THAN HALF simply by optimizing your vitamin D levels with sun exposure. And if you are being treated for cancer it is likely that higher blood levels—probably around 80-90 ng/ml—would be beneficial. The health benefits of optimizing your levels, either by safe sun exposure (ideally), a safe tanning bed, or oral supplementation as a last resort, simply cannot be overstated. In terms of protecting against cancer, vitamin D has been found to offer protection in a number of ways, including:
  
  
  • Regulating genetic expression
  • Increasing the self-destruction of mutated cells (which, if allowed to replicate, could lead to cancer)
  • Reducing the spread and reproduction of cancer cells
  • Causing cells to become differentiated (cancer cells often lack differentiation)
  • Reducing the growth of new blood vessels from pre-existing ones, which is a step in the transition of dormant tumors turning cancerous
• Getting proper sleep: both in terms of getting enough sleep, and sleeping between certain hours. According to Ayurvedic medicine, the ideal hours for sleep are between 10 pm and 6 am. Modern research has confirmed the value of this recommendation as certain hormonal fluctuations occur throughout the day and night, and if you engage in the appropriate activities during those times, you're 'riding the wave' so to speak, and are able to get the optimal levels. Working against your biology by staying awake when you should ideally be sleeping or vice versa, interferes with these hormonal fluctuations.
  
  

  "If we, for instance, go to bed by 10, we have higher levels of our sleep hormone melatonin; there's a spike that occurs between midnight and 1am, which you don't want to miss because the consequences are absolutely spectacular. Melatonin is not only our sleep hormone, but it also is a very powerful antioxidant. It decreases the amount of estrogen our body produces. It also boosts your immune system… And it interacts with the other hormones.
  
  So, if you go to bed after 10… it significantly increases your risk of breast cancer."

• Effectively addressing your stress: The research shows that if you experience a traumatic or highly stressful event, such as a death in the family, your risk of breast cancer is 12 times higher in the ensuing five years.
• Exercise—If you are like most people, when you think of reducing your risk of cancer, exercise doesn't immediately come to mind. However, there is some fairly compelling evidence that exercise can slash your risk of cancer.
  
  One of the primary ways exercise lowers your risk for cancer is by reducing elevated insulin levels, which creates a low sugar environment that discourages the growth and spread of cancer cells. Additionally, exercise improves the circulation of immune cells in your blood. Your immune system is your first line of defense against everything from minor illnesses like a cold right up to devastating, life-threatening diseases like cancer.
  
  The trick about exercise, though, is understanding how to use it as a precise tool. This ensures you are getting enough to achieve the benefit, not too much to cause injury, and the right variety to balance your entire physical structure and maintain strength and flexibility, and aerobic and anaerobic fitness levels. This is why it is helpful to view exercise like a drug that needs to be carefully prescribed to achieve its maximum benefit. For detailed instructions, please see this previous article.
  
  Additionally it is likely that integrating exercise with intermittent fasting will greatly catalyze the potential of exercise to reduce your risk of cancer and stimulate widespread healing and rejuvenation.

Adapted from:-

http://articles.mercola.com/sites/articles/archive/2012/01/14/dr-christine-horner-interview.aspx?e_cid=20120114_DNL_art_1

6 Natural Cures for Cancer (And other problems like AIDS)