Improving Male Sexuality, Fertility and Testosterone by Dan Purser MD

Author:Dan Purser MD
Language: eng
Format: epub
Tags: Testosterone, HGH Human Growth Hormone, High Blood Pressure, Hypertension, Erectile Disfunction, Depression, Testosterone Booster
Publisher: Dan Purser MD
Published: 2016-03-15T04:00:00+00:00

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Stroke Prevention

Generally, anything you can do for your patients (as detailed in the cardiovascular chapter) to lower their cardiovascular risk factors will dramatically reduce their risk of stroke. Quit smoking, lower their cholesterol, watch their diet and lose weight, lower their blood pressure to the 120/70 range, get on a statin, get on an aspirin as suggested, protect their brain from injury (studies have shown that a closed head injury can increase your risk for further head trauma by 4 fold and increase your risk of Alzheimer’s disease by 75% so protect your brain and the brains of those you love) and get on fish oil.

The rule is protect their brain by protecting their heart.

1. Aspirin for Primary Stroke Prevention

Generally at risk (but they are in the low risk strata) individuals should take 325 mgm/day of aspirin. This is especially true if they are less than 65 years of age and have atrial fibrillation with no other risk factors.

If your patient does not have atrial fibrillation and no contraindications then they should take an 81 mgm enteric coated aspirin a day. Aspirin significantly reduced the risk of major cardiovascular events, ischemic stroke, and myocardial infarction among women 65 years of age or older[161].

Remember, that in Chapter 1 we advised an aspirin protocol half way between these two positions—half an adult aspirin every day in the afternoon.

2.Exercise (Fast Walking) and Lower Stress (Remember 1-4-7 FITT®)

Exercise in the prevention of stroke is oddly debated in this field. Let’s look at some studies and known benefits of exercise.

When hypertensive subjects not suffering from obesity (Body Mass Index < 30) already under pharmacological therapy were studied, the majority (168 out of 189) performed a six-week program of mobility exercise based on fast walking (defined in studies as > 4 mph), leading to a decrease in their mean 24 h systolic blood pressures from 143.1 to 135.5 mmHg and a decrease in their mean 24 h diastolic blood pressure from 91.1 to 84.8 mmHg[162], numbers that clearly dramatically reduce their relative risk for stroke.

With that said a large review study showed that recreational and occupational physical activity were both associated with some reduction in risk of stroke[163]. So tell your patients just to get off the sofa and go out and do something, even if it is fun!

In the best retrospective review and assessment done to date of exercise and stroke risk the researchers concluded that exercise causes definite beneficial modification of major stroke risk factors such as hypertension, cardiovascular disease, insulin resistance/diabetes, obesity; and asserts favorable effects on conditions that worsen stroke risk such as atherosclerosis, endothelial dysfunction, hypercoagulability; and exercise reduces harmful biomarkers/risk factors such as platelet activity/aggregation, fibrinogen Triglycerides Inflammatory markers (WBC count, CRP) Plasma viscosity Coagulation factors (VIII, IX, vWF); and leads to an increase of beneficial factors such as t-PA activity, HDL, insulin sensitivity’ and lipoprotein lipase (decreases lipoprotein(a)). The majority of the studies they reviewed also showed decided benefits to physical activity and stroke risk reduction[164].

Remember 1-4-7 FITT® from Chapter 13 – that’s 1 hour a day, 4 mph, 7 days a week to get these results.

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