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No, hypertension does not increase the susceptibility to Covid-19 disease.  Does it lead to an increased mortality rate?

In the early days of the pandemic, many doctors claimed a link between Covid-19 and hypertension. Could this be the most common disease in the world (in people over the age of 65) increasing the likelihood of contracting the coronavirus? Or perhaps hypertension leads to a higher risk of death? At this point, it’s impossible to definitively answer all of these questions. But given the first few months of the epidemic, some conclusions can already be drawn.

NO, BLOOD PRESSURE MEDICATIONS DON’T INCREASE THE RISK OF COVID-19 INFECTION

A study published by scientists from the University of Basel at the beginning of the pandemic suggested that some antihypertensive drugs, particularly converting enzyme inhibitors (based on perindopril) and angiotensin 2 inhibitors (Candesartan, Eprosartan, Irbesartan, losartan, Olmesartan, Telmisartan, Valsrtan), two types of drugs commonly used by patients with high blood pressure, contribute to the infection by Covid-19. By affecting a protein that plays a key role in blood pressure regulation, it has been hypothesized that they may have facilitated the virus’s campaign to infect the body.

However, 3 studies published in May in the New England Journal of Medicine put patients at ease. Based on results from thousands of coronavirus patients, the researchers found no relationship between taking antihypertensive drugs and the virus. In addition to ACE inhibitors, the researchers found no risk from other commonly used classes of blood pressure drugs: beta-blockers, calcium channel blockers and thiazide diuretics.

Later, a team coordinated by the Department of Cardiology at Wuhan University in China presented data that may also reduce concerns about the topic.  The researchers studied 1,128 hospitalized patients with hypertension who tested positive for Coronavirus. Of these, 188 were taking blood pressure medication, and 940 were not. The mortality rate in the first group was 3.7%, compared with 9.8% in the second.

THE RISK IS ONLY IN THE CASE OF COMPLICATED HYPERTENSION

Hypertension affects a huge number of people worldwide. Patients with complicated hypertension are considered at risk for severe coronavirus. Complicated hypertension can lead to heart failure, heart attack, stroke, atrial fibrillation. The development of these conditions in turn can also be provoked by coronavirus, as well as aggravate the course of pneumonia as a complication of COVID-19 virus disease.

DO NOT STOP TAKING MEDICATION FOR HIGH BLOOD PRESSURE

As mentioned above, high blood pressure is not a predisposing factor for Covid-19.”  Although people with this pathology have a higher mortality rate, this is more due to the “age of these patients.” In any case, patients taking hypotensive medications should not discontinue treatment unless recommended by a physician.

At our Health and Prevention Center, you can have a Hypertension screening, after which treatment will be recommended if necessary.

MENOPAUSE is the complete stop of the menstrual cycle due to the end of active ovarian activity. Eggs stop ovulating and follicles no longer mature. On average, this occurs at the age of about 50 years.  If a year has passed since the last cycle, a woman is considered to have gone through menopause.

The symptoms of the transition to menopause are very different, and there are various ways to cope with them. To live this stage most peacefully, it is helpful to know the following information.

  1. Menstruation does not stop suddenly

Menopause is a process, not a single moment in time. Symptoms of menopause can appear slowly, peak, and then slowly diminish. The earliest stage of menopause is called perimenopause. During this period, menstruation is irregular and the possibility of getting pregnant decreases. When menstruation stops for a year, a woman goes from perimenopause to menopause. The adrenal glands continue to produce estrogen and progesterone, but their overall levels decrease.

 

  1. Is it possible to predict when a woman will go into menopause?

Despite all medical advances, scientists cannot accurately predict when a woman will end her childbearing years because of individual differences. However, there are factors that can help determine when a woman will probably enter menopause. This information will be helpful to women who are most likely to enter early menopause and therefore at increased risk of health problems such as cardiovascular disease, depression, and osteoporosis.

 

  1. Length of transition to menopause

Transition is a  period of alternating short and long cycles and the appearance of the first hot flashes and night sweats. The length of the transition to menopause differs from woman to woman. Elevations in estradiol and follicle-stimulating hormone levels, irregular menstrual cycles and early menopausal symptoms mean that a woman is approaching menopause The periods gradually become irregular, they may last much less or, on the contrary, much longer than usual. But these biological factors are not the only ones to consider.

 

  1. Factors approaching menopause

Recent studies have shown that lifestyle and sociodemographic factors are important: alcohol and tobacco use, relationship status, physical activity, and use of hormonal contraception.

 

  1. External changes

During perimenopause, a woman may notice changes in her skin and hair. Changes can go from skin turgor decreasing, mood swings  that are frequent, vaginal mucosa that becomes drier, frequent urge to urinate, and bones that become more brittle. Whatever the cause, these changes can be unpleasant. If they are sudden or too intense, don’t hesitate to see your doctor to find solutions that will ease your condition.

 

  1. The symptoms of menopause are varied: hot flashes, sleeping problems…

Most women experience many symptoms during perimenopause. The most common are hot flashes, sleep disturbances, vaginal dryness, bladder weakness when exercising or sneezing, mood swings, loss of muscle mass and weight gain, and osteoporosis.

 

  1. Sleep disturbances may contribute to weight gain during menopause

Weight gain is thought to be related to estrogen deficiency because menopause is a time of life when the ovaries decrease production of this sex hormone. But it is unlikely that estrogen is the only factor, since all women stop producing estrogen during menopause, and only half of them gain weight.

This finding led endocrinology researchers to wonder whether sleep disturbances during menopause, a symptom that affects about half of all women, might also be a significant contributor to weight gain. The results of their study, published in March 2021, support this hypothesis. The researchers found a significant decrease in the rate of fat metabolism by the participants’ bodies after three nights of disturbed sleep.

 

  1. Solutions to better manage hormonal changes

Hormone treatments have been widely used for decades. But recent studies have noted significant side effects. Hormone medications are good for mood swings, dry vaginal mucosa, hot flashes, etc. However, hormone therapy increases the risk of cancer and cardiovascular disease, so physicians recommend that you use it very carefully. It is recommended to take time to discuss with the doctor to choose the best medications and their dosage. Hormone therapy at menopause is not necessary for everyone. Psychological support, regular exercise, a balanced diet, use of lubricant and a fixed sleep schedule can also reduce discomfort.

 

  1. The risk of pregnancy exists during perimenopause

Just as menstruation does not end immediately, neither does fertility end. It doesn’t end until after menopause. Therefore, a woman can still ovulate, and the eggs may be healthy enough to cause a pregnancy. Contraceptives are recommended for one year after menstruation ends. Consult your doctor to find the best option.

 

  1. Menopause and libido

The libido during perimenopause and the onset of menopause itself may behave differently: for some women it will fade, while for others, on the contrary, it will vividly and violently awaken, and for some it will not change at all. Often women say that after they let go of the fear of unwanted pregnancy, they began to have much more pleasure in sex, and their desire for intimacy has increased significantly.

For some women, the difficulty is accepting the changes associated with aging. As with any situation, the way a person reacts to the change will affect their body and emotions. If you are experiencing psychological difficulties during this transition period, a therapist can help you find inner balance. Menopause is not a “disease” that requires treatment. It is a normal, natural and physiological process for women.

At our Health and Prevention Center you can be examined for menopause. After the examination our doctor will give you all the necessary recommendations for the most harmonious passing of this stage of life.

Take care of your health!

Focal One® is a computer-controlled medical device for the treatment of localised prostate cancer by focused ultrasound (HIFU = High Intensity Focused Ultrasound). The energy is delivered via an endorectal probe. The ultrasound waves travel through the rectal wall and are focused on a part of the prostate. This focusing produces intense heat, resulting in tissue destruction within the target area. The treatment lasts between 30 minutes and 2 hours and can be performed under loco-regional anaesthesia.

Focal One® is a non-invasive treatment option that allows for a precise, local treatment in one session, that can be repeated if necessary, with a short hospital stay and few side effects. In the event of incomplete results, the choice of therapeutic options is wide and includes retreatment with Focal One®.

Focal One® may be indicated as:

  • a first line option for patients with localised cancer, stage T1-T2 (Gleason 6 or 7, PSA less than 15), according to their age and general condition.
  • a salvage therapy option for patients with local recurrence of prostate cancer initially treated by radiotherapy.

HIFU for prostate cancer

HIFU uses a high intensity convergent ultrasound beam generated by piezoelectric transducers. This focusing of ultrasound waves into one point greatly increases the temperature around the focal point, thus resulting in tumour destruction i.e. pathological biological tissue.

The application of HIFU for prostate cancer treatment involves focusing high intensity focused ultrasound to destroy, by heat, prostatic tissue affected by cancer, without damaging surrounding tissue. This technique is non-invasive because it avoids incision, allows loco-regional anaesthesia and limits the characteristic complications of prostate cancer treatment (incontinence or impotence).

Clinical results

In 2013 and 2014, two prospective cohort studies demonstrated the long-term (10 years) results of whole gland HIFU as a first-line option and have validated its effectiveness: according to the cancer risk, the specific survival rate at 10 years is between 92 and 99%; survival rate without metastases at 10 years is between 86% and 100%. These results, which are completely comparable to the best radical surgery results, demonstrate that HIFU is an effective first-line treatment option for localised prostate cancer.

From today we offer in our center:

  • The flu vaccine: with 4 different strains of virus
  • The pneumoccocal vaccine: that will protect against streptococcus pneumoniae

These vaccines can be done in our center or in your home.

They can be provided together or separatly.

Do not hesitate to contact us for an appointment.

This problem that can affect fertility, concerns between 10 and 15% of women between the ages of 25 and 40. But it remains difficult to diagnose.

Every month, because of hormones, the internal lining of the uterus, the endometrium, is transformed to accommodate an embryo. If there is no pregnancy, the endometrial tissue is eliminated: it is the menstrual bleeding. In endometriosis, this tissue is disseminated outside the uterus. It sets itself on other organs: the peritoneum, the intestine, the bladder, ovaries, between the vagina and the rectum, the lining of the abdomen, certain ligaments or on the lungs. These remaining tissues are subjected to the hormonal cycle, and undergo inflammation and bleeding during menstruation, what causes a pain often misunderstood.

Thus, the various locations of endometriosis causes different symptoms. It also explains why, when they occur during the menstrual cycle, the connection is not made. For example,  when located in the bladder, it can be confused with recurrent cystitis. Especially when antibiotic treatment appears to succeed. But it’s actually the end of the menstruation bleeding that put an end to the pain.

The causes are still not certain

For most women, during menstruation, a little blood containing endometrial cells pass into the abdominal cavity. For some, these cells survive and settle in the peritoneum. But this only explanation is not enough. There must also be a dissemination through the blood and the lymphatic system so that these cells can develop outside of the abdomen. Another hypothesis points to environmental factors. Thus, exposure to dioxins (POPs) seems to favor endometriosis.

It is important that the disease is diagnosed as early as possible. The more advanced is the disease, more the surgical procedures are long and difficult, because the organs are more damaged. The risk of recurrence is also higher. Furthermore, in 30 to 40% of cases of female infertility, endometriosis is discovered. If the disease is discovered too late, the ovary can be destroyed. But the time between the first symptoms and diagnosis is on average of six to seven years, according to a study published in 2013.

How is this possible? The first two or three years of delay in the diagnosis are mainly because of the patient and his family. “One says to the girl that it is normal to have pain during menstruation. The patient herself may be ashamed. If there is pain during sex, for example, often the patient doesn’t dare to talk”, says a specialist. In the following years, it is rather the medical profession that is responsible. This period goes by with consultations without that the diagnosis is made. One must say that thorough examinations, such as CT scan or magnetic resonance imaging, do not allow to detect endometriosis systematically. The definitive diagnosis can only be done during an exploratory laparoscopy, to see what is happening inside the abdominal cavity. Ideally, the treatment is carried out during this procedure.

However, the traditional gynecological examination may also very well reveal endometriosis. If the examination is painful, and it often is, the gynecologist must ask himself the question. Excessive pain (6 on a scale of 10) during menstruation should also be a hint. As well as deep pain during sexual intercourse (7 of 10). Other obvious symptoms: deep rectal pain when the patient has bowel movement and cystitis coming back every month. But there are cases where endometriosis is asymptomatic.

What to do to stop the disease? There are drug treatments: the pill or specific hormones (progestin). But it may be necessary to operate to reduce endometriosis lesions. In these cases, you really have an experienced surgeon.

In severe cases, it is necessary to completely block hormone production, which dries the endometrium and causes menopause. This can be done transiently for women who wish to have a child. They are first operated to remove a maximum of endometriosis lesions. Then, after hormonal stimulation by injection, in vitro fertilization is performed. Studies clearly show that this treatment increases the chances of pregnancy.

Focus on Mediterranean diet

Apart from drastic treatments offered to women, patients are also advised to pay attention to their lifestyle and diet. The Mediterranean diet (rich in fruits, vegetables, cereals and olive oil, low animal proteins) seems to be a good weapon in the fight against endometriosis. The literature shows that saturated fat, for example, favor endometriosis, probably because of their pro-inflammatory effect. Experts also believe that complementary medicine, such as acupuncture or Chinese medicine, can have a beneficial effect.

They can occur because of many causes.

General health questions such as:

  • Smoking
  • Caffeine
  • Unhealth nutrition
  • Alcohol
  • Heat
  • Social drugs
  • Stress
  • Aging

All these points should be first discussed with our specialist in preventive/holistic medicine

Then there are more specific questions such as:

  • Endometriosis
  • Genital infections
  • Pelvic inflammations
  • Hormonal disbalance
  • Prostatitis
  • Varicocele

That should be discussed with our gynecologist/urologist specializing in fertility questions.

Check our fertility checkup.

One patient of 52 years was complaining of increasing pain in his left knee. The patient is likes to exercise regularly. During the winter season he’s used to go skiing and this pain was starting to really be a problem for him. He did some radiographies that showed a beginning of arthrosis (stage 1). He went to see his orthopedics specialist that suggested to start with anti-inflammatory creams  and maybe not to put too much stress on the knee.  The patient didn’t want to reduce his sport activities and the cream helped a little at the beginning but then the pain came back being the same and even to worsen. The patient came back to his doctor. He was explained that the problem will get worse and that at one point in a few years he will need to think about a knee prothesis. In the mean time some hyaluronic acid infiltration to lubricate the joint or some cortisone infiltration to relieve the pain was suggested. The patient didn’t want some cortisone and started investigating some other options. He heard about our mesotherapy method and came to see our specialist Dr Jubin for some advice. He decided to try this technique that is painless, non-traumatic and leaves no traces. This was 4 years ago. Right now the patient has almost no pain anymore, the arthrosis didn’t disappear but didn’t increase and he practices sports as he likes it. He comes and does his mesotherapy once or twice a year.

Our mesotherapy uses formulas that have been created specifically for challenging, chronic and pejorative situations over time. We are not only treating pain, even if it is the first request of patients, but initiating a repair process allows a lasting relief that can be counted in months or even years.

There are many toxic metals (including lead, cadmium, arsenic, and mercury) that contribute to multiple health problems and persist almost indefinitely in the environment.

All the toxic metals contribute to a more rapid aging of tissues, and increased risk for heart disease and cancer. A common mechanism for all these toxins is depletion of antioxidant protection as they create free-radical damage. Glutathione, the key cell-membrane antioxidant, as well as other antioxidants (including vitamin E and lipoic acid) are depleted by oxidative stress from toxic metals, leaving cells more vulnerable to membrane damage and chronic disease.

Diseases such as autoimmune conditions, kidney disease, memory defects, muscle weakness, and thyroid disorders all can have a heavy metal trigger. Much of this damage is going unnoticed by most doctors, mainly because the focus of academic medicine has been on toxic effects of acute large exposures to metals (such as industrial accidents) and not on the subtle lifelong accumulation that most people experience.

Recent studies have also shown a significant connection between toxic metals (especially lead and mercury) and Alzheimer’s disease and other forms of dementia. If there is an elevated body burden of these toxins, the brains’ response is to increase amyloid production to reduce the inflammation and damage these metals create – the consequence of more amyloid is dementia. This vicious cycle can be stopped by reducing the body burden through chelation and other means of clearing the toxins.

In addition to these deleterious effects, it is now becoming clear that several of these metals can cause epigenetic alterations. The metals most studied regarding epigenetic effects are arsenic, cadmium, and mercury.

Heavy metals analysed in our blood and urine biocheckup:

Trace of toxic elements in urine

  • Aluminium
  • Arsenic
  • Bore
  • Cadmium
  • Chrome
  • Cobalt
  • Copper
  • Lead
  • Magnesium
  • Manganese
  • Mercury
  • Molybdenum
  • Nickel
  • Palladium
  • Platinum
  • Selenium
  • Thallium
  • Tin
  • Titan
  • Uranium
  • Vanadium
  • Zinc

Trace of toxic elements in blood

  • Aluminium
  • Arsenic
  • Lead
  • Mercury

From today, we are starting the blood analysis to check whether you have developped immunity against the Covid19 virus.

Results ready in 24hrs.

Note: the formation of antibodies may be delayed (3 to 6 weeks after infection), or in benign cases, detection may be eventually stay negative. Depending on the patient’s history and result, a new analysis within 2-3 weeks may be recommended. If acute infection is suspected, the swab analysis is recommended.

Vitamin D plays a vital role for our health.

Discovered in 1922 by the American biochemist Elmer Mc Collum, vitamin D can be synthesized by the body thanks to the ultraviolet rays of the sun (UVB).

Why is vitamin D essential?

  • It is essential for fixing calcium in the body.
  • It regulates blood calcium levels by improving intestinal absorption and reducing its elimination through the urine.
  • It contributes to healthy bones (helping them to grow) and teeth.
  • It maintains the function of the immune, cardiovascular and neuronal systems.
  • It plays a role in the process of cell division.

Recommended vitamin D intake is 5 μg for both men and women.
The populations of the less sunny countries, but also certain categories of population which go out rarely (sick, elderly …) can suffer from deficiency due to a lack of exposure to the UV of the sun.
In addition, the body’s ability to absorb and synthesize vitamin D decreases with age.

According to a US study that has monitored more than 13,000 patients over ten years, a vitamin D deficiency would be associated with an excess of mortality of 26%, from all causes.

It causes muscle pain, increases the risk of fracture (osteoporosis) and is associated with a higher risk of cardiovascular disease and cancer. In general, it seems that vitamin D is correlated with many diseases even if no study can prove for the moment.

In children, vitamin D deficiency causes rickets. It is characterized by stunted growth, motor development and poor bone formation. This disease corresponds to osteomalacia in adults. It is manifested by bone demineralization leading to diarrhea and nervousness.

Where to find Vitamin D?

The body has the ability to directly synthesize vitamin D through the skin, under the effect of UV rays of the sun. It is recommended that the hands, forearms and face be exposed for at least 10 to 15 minutes a day and on average 2 to 3 times a week. A sun protection index 15 minimum is strongly recommended for prolonged exposures, beyond 15 minutes. These indications are an average and can vary from one individual to another, depending on the type of skin, the intensity of light rays.

Diet can also bring vitamin D. Cod liver oil, salmon, tuna, herring are rich in vitamin D. Egg yolk, butter and fat cheese also contain it. You also find a lot of vitamin D in fortified milk. Vitamin D can be stored in reserve fats and liver for future use by the body.

How to detect a deficiency?

A blood test will indicate the level of vitamin D. Your doctor will then tell you if it is necessary to take supplements that he will prescribe in this case.