84 year old anti-aging patient recommends the concierge program and expl...

Happy New Year!!

A cure for Alzheimer's seriously? How come no one knows? Learn how to re...

In this podcast I talk to Dr. Dale Bredesen who is a neurologist who has been working on Alzheimer's for years. Author of the New York Times best seller: "The End of Alzheimer's the first program to reverse and prevent cognitive decline". In his book he details his program and now has thousands of patients that he has helped. If you fear Alzheimer's disease or know someone who was diagnosed with it you should listen to this podcast, hopefully in time to help someone else. There is a documentary streaming now on Amazon Prime and Apple play. Here is a link: https://www.amazon.com/Memories-Life-Alzheimers-Michael-Bublé/dp/B0CKPJ97WL/ref=sr_1_1?crid=23XCHGFSHTK3J&keywords=memories+for+life+reversing+alzheimer%27s&qid=1700928499&s=instant-video&sprefix=memories+for+life%2Cinstant-video%2C86&sr=1-1 PLEASE LET ME KNOW WHAT YOU THINK ABOUT THIS EXCITING TOPIC

Mature talk: pelvic floor conditions, incontinence, prolapse, G spot, va...

7 time NY Times #1 Best selling Author Dr. Joel Fuhrman talks about how ...

That's Menopause too .................Yes, really

How to make your eyes sparkle! What NOT to put around your eyes

Breast Cancer awareness, increased exercise decreases cancer incidence, free albuterol inhalers

 

THIS MONTH'S NEWS: I have albuterol inhalers that will expire in 2024 (kindly donated by one of my concierge patients) and I am giving them free to anyone who needs one. Please call the office if you are interested. October is more than just pumpkin spice lattes and cozy sweaters. It's Breast Cancer Awareness Month, a time to come together and fight for a cause that affects so many lives. Join us this month as we raise awareness, support survivors, and spread hope. Together, we can make a difference in the lives of those impacted by breast cancer. Whether it's sharing your own story, educating others about early detection, or participating in local events, every action counts. Help us create a world where breast cancer is no longer feared How exercise boosts the body’s ability to prevent cancer Forty-five minutes of intense exercise three times a week may reduce cancer risk in patients with Lynch syndrome, a genetic condition that can lead to cancer at a young age. This was the conclusion of a small study (just 21 people), but it builds on a vast body of evidence linking regular exercise to a decreased risk of cancer, particularly colorectal cancer. But these researchers went a step further, investigating exactly how exercise might lower cancer risk. All 21 people in the study had Lynch syndrome, and they were divided into two groups. One was given a 12-month exercise program; the other was not. The scientists checked their cardio and respiratory fitness and tracked immune cells – natural killer cells and CD8+ T cells – in the blood and colon tissues. People in the exercise group saw a drop in levels of the inflammatory marker prostaglandin E2 (PGE2). The drop was closely linked to the increase in immune cells. Both changes suggest a stronger immune response. The researchers believe the changes relate to a boost in the body’s “immune surveillance” system for hunting down and clearing out cells that would otherwise become cancerous. UPDATE ON COVID AND FLU SHOTS: Covid boosters are not available in the office. but if you are unsure whether to get one and where I would be happy to speak with you about them. We do, however, have flu shots for all ages over 6 months.   I will be out of the office from October 9 - 21. Please note we are no longer taking new Cigna or United patients (until further notice). Watch an episode of the Wellness and Wisdom Podcast now! Find it on your favorite podcast platform or Youtube. Dame Elizabeth Anionwu talks about her new book and her rise from living in a children's home to becoming one of the most important people in the UK. Carrying the Sovereign's orb at King Charles' coronation earlier this year. Youtube Channel Spotify Link Part 2 with Dame Elizabeth Anionwu, she gives more insights into her 'turbulent' childhood and efforts to raise awareness of Sickle Cell Anemia screening and management in the UK Youtube Channel Spotify Link

Second part of a Wellness and Wisdom podcast with Dame Anionwu and Dr. N...

The latest on the Covid Booster Fall 2023

FINALLY clarification from the Maryland Department of Health 

Here are their recommendations: September 18, 2023 Maryland Department of Health Updated COVID-19 Vaccine Clinical Considerations _______________________________________________________________________ CDC has updated its guidance for COVID-19 vaccination, including: Recommendations for use of the 2023–­2024 formulations of Moderna COVID-19 Vaccine and Pfizer-BioNTech COVID-19 Vaccine: Everyone ages 5 years and older is recommended to receive 1 dose of updated (2023–­2024 Formula) mRNA COVID-19 vaccine Children ages 6 months–4 years Initial vaccination: should receive either 2 doses of updated (2023­–2024 Formula) Moderna or 3 doses of updated (2023–­2024 Formula) Pfizer-BioNTech COVID-19 vaccine. Received previous mRNA doses: need 1 or 2 doses of updated (2023–­2024 Formula) Moderna or updated (2023­–­2024 Formula) Pfizer-BioNTech COVID-19 vaccine, depending on the number of prior doses. People who are moderately or severely immunocompromised Initial vaccination: should receive a 3-dose series of updated (2023–­2024 Formula) Moderna or updated (2023–­2024 Formula) Pfizer-BioNTech COVID-19 vaccine. Received previous mRNA doses: need 1 or 2 doses of updated (2023­–2024 Formula) Moderna or updated (2023–­2024 Formula) Pfizer-BioNTech COVID-19 vaccine, depending on the number of prior doses. May receive 1 or more additional updated (2023–­­2024 Formula) mRNA COVID-19 vaccine doses. Bivalent mRNA COVID-19 vaccines are no longer recommended in the United States. Additional updates also include: Guidance for COVID-19 vaccination and myocarditis or pericarditis; and, Guidance for COVID-19 vaccination and Multisystem Inflammatory Syndrome (MIS) in children (MIS-C) and in adults (MIS-A).  Lastly, CDC has reorganized and consolidated sections on contraindications and precautions, including allergic reactions to COVID-19 vaccines. To view all updates, please visit CDC’s Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States. Thank you! The current cost of these new booster vaccines on the open market is prohibitive so unfortunately I will NOT be giving them in my office. You should find a pharmacy you can trust or better yet get it at an Urgent Care center from a medical provider. 

 I will keep you updated. 

 IN OTHER NEWS: End of Summer sale: Buy one get one half off on all AALI face and body products, while supplies last. 20% off sunblock 10% on all supplements 10% off Stop Aging Skin Therapy! 10% off Concierge Program 10% off Weight loss program Until September 28th. I am closely monitoring the Covid situation in Maryland. 

Currently masks are still optional in our office but that is subject to change as needed. 

 Remember to take vitamin C, D and zinc plus echinacea or elderberry once the season gets underway

 and call early if you get a positive Covid test so we can work on keeping you OUT of the hospital. 

This week's news, Flu shots and Covid Boosters

THIS WEEK'S NEWS: Dr Tuakli will be in the Laurel office this Saturday September 2nd for urgent health issues. We will start giving out the flu shots next week and if you want to combine it with a covid booster, plan on coming in on a Tuesday otherwise any day is fine. Please extend a warm welcome to our new office manager Joy Amigo when you meet her in the office. Fatalities From Breast Cancer Have Dropped Dramatically Women diagnosed with early-stage breast cancer are more likely to become long-term survivors of the disease now than they were 20 years ago, a new study found. Researchers at the University of Oxford conducted an observational study that examined case fatality rates for women with breast cancer and found that the prognosis for women has "improved substantially" over the past few decades. For women diagnosed with early invasive breast cancer during the 1990s, the risk of death within 5 years of diagnosis was just over 14% on average. For women diagnosed during the 2010s, it was nearly 5% on average. And it is even lower now. Read the article here DID YOU KNOW? There are studies linking hair straightening chemicals to Gyn and breast cancer in women? Watch an episode of the Wellness and Wisdom Podcast now! Here's one: The real deal with Long Covid, Autism and Lyme disease, Eczema and Asthma. Find it on your favorite podcast platform or Youtube. A conversation with the President of the Connecticut Naturopathic Association Lindsey Wells ND. The gut is responsible for the majority of your immune system and as such is a very important organ. Some would argue the most important organ. When you have strange symptoms that you can't put your finger on make sure you have maximized your microbiome. Listen to this episode to find out about helminth (worm) treatment from beetles via rat feces! Doesnt sound very palatable but according to Dr. Wells, it is a 'game changer". In this episode we explore alternative therapies for very common conditions including autoimmune conditions like asthma, eczema and psoriasis. Youtube Channel Spotify Link    

From an orphanage to King Charles' coronation in UK with Dame Elizabeth ...

Ozempic and other semaglutides, the latest weight loss fad or something ...

PCOS or PMS, overweight, hairy, irregular periods, infertility? fix them...

REST IN PEACE TINA TURNER THE ULTIMATE DIVA

I heard sad and disappointing news, especially for me a life long fan, Tina Turner died today. May her spirit rest in peace. It is always personal and painful for me when someone dies of preventable causes. Tina Turner was my icon of anti-aging. I went to her farewell tour that she did at 64 years of age, she was magnificent! She was ahead of her time and used so many anti-aging modalities, she used to go to fancy 'forever young' Swiss clinics for stem cells, she was in great shape but........she had hypertension, yep! basic high blood pressure. How do you have that much money and you can't 'buy' a doctor who will tell you the cold facts, it is beyond me. High blood pressure will kill you but people only pay attention if they have an exotic problem, I guess. Hypertension caused Ms. Turner to have a stroke and later on her kidneys failed as a result of the hypertension. Totally preventable especially since she knew both her aunt and mother had had the same problem. She had to have a kidney transplant because of this. After this she was found to have 'intestinal cancer' I'm not sure what is meant by that but yes, that too could have been prevented. It was probably found after she was checked out for her stroke. She should have been more of a Diva like: "I'm sorry I am a big star, I want my anti-aging doctor to screen me down to the minutia on the regular!" I'm sure she didn't have Medicare! Please remember this: things can be picked up early before they become deadly. Yes, even if visiting the doctor is inconvenient. One patient I saw went home and told his wife who had insisted he come and see me that I was too blunt. He told her "I need more hand holding than that!" At least I can say that the hand would stay warm on my watch. I am sad that such a bright star no longer shines. RIP Tina, love you. Yes, you really were "Simply the Best"! I can only hope that others will learn from your passing.

Where to get my new book: https://www.xlibris.com/en/bookstore/bookdetails/852549-sex-sanity-and-sleep

In Spanish: https://www.xlibris.com/en/bookstore/bookdetails/852550-sexo-sensatez-y-sueno

Also available on Amazon and Barnes and Nobles etc

I just launched my very own podcast series called “Wellness and Wisdom with Dr. Nadu Tuakli” An empowering podcast for women over 40 on all the issues that are important to them, from Perimenopause and menopause to retirement and beyond. Common sense solutions to guide you in achieving your peak performance. Let's talk about it! Tune in now, be inspired, and take action - first episode comes out on Monday! (May 15, 2023) A conversation with Dr. Barbie Taylor about hormone balancing, self empowerment, reinvention and zest for life. Plus the three deadly diseases of estrogen deficiency: heart disease, osteoporosis and dementia.  Moderated by Dr. Nadu Tuakli a family doctor and preventive medicine specialist. Author, mother, teacher and expert in anti-aging and longevity who is passionate about adding life to your years. Featuring a range of experts these conversations will offer common sense solutions that guide women to achieve their peak performance at any age. Click the button below for my Podcast trailer! Podcast Trailer

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The 8 determinants of life expectancy and health span

 There is a recent report on the American Heart Association (AHA) Life's Essential 8 metric and its association with both life expectancy and health span or life expectancy free of chronic diseases such as cardiovascular disease (CVD), cancer, diabetes, and dementia.

A new Harvard study leveraged the UK Biobank and included more than 135,000 UK adults with a mean age of 55. The AHA metric was defined as including the following lifestyle behavioral factors:

• Not smoking;
• Regular physical activity;
• Healthy weight;
• Healthy diet;
• Healthy sleep (defined as an average of 7-9 hours nightly);
• Blood pressure in a healthy range:
• Blood glucose in a healthy range; and
• Non-HDL cholesterol in a healthy range.

This study was just published in JAMA Internal Medicine.

"Overall, the findings make a compelling case for the importance of lifestyle factors in extending health span and years free of chronic disease. It can be motivating to tell our patients that a healthy lifestyle not only extends life expectancy but also extends years of health free of chronic disease."

Says Dr. JoAnn Manson one of the articles authors. Really?

To be brutally honest none of this is news to anyone, but it doesn't become fact until it is published in JAMA so there you have it, breaking news!

So while we are at it the JAMA neurology journal just published an article about hormone replacement and dementia, more breaking news!

Alzheimer's disease is caused by the deposition of certain proteins in the brain known as tau and amyloid. This study which was funded by the NIH imaged the brains of women who did and did not take hormone replacement.

Early menopause and delayed initiation of hormone therapy (HT) have been linked to an increase in Alzheimer's disease (AD) pathology in women, this new imaging study shows.

Investigators found elevated levels of tau protein in the brains of women who initiated HT more than 5 years after menopause onset, while those who started the therapy earlier had normal levels.

Tau levels were also higher in women who started menopause before age 45, either naturally or following surgery, but only in those who already had high levels of beta-amyloid.

The findings were published online April 3 in JAMA Neurology.

Here is the link to an abstract of the article

https://jamanetwork.com/journals/jamaneurology/article-abstract/2802791

Most of my patients know that I believe hormone replacement to be another critical component of aging well, especially in people over 50. Make that determinant of health number 9. In women, estrogen is critical in the prevention of heart disease, osteoporosis and dementia. Hopefully Harvard and JAMA will come around to doing a study on it and when they produce an article in a decade then it will be considered fact AKA breaking news!!

April 2023 Testimonial for Anti-Aging Hair Growth Serum

A kind patient agreed to do this testimonial for me last week.

Its about the Hair Growth Serum, he is very happy with it. Click on this link which will take you to You Tube

 https://youtu.be/UCPyBdvUA90

New Covid vaccination recommendations for Spring 2023

 Here is the communique from the Maryland Department of Health.

Following the FDA April 18, 2023 announcement, CDC has taken steps to simplify COVID-19 vaccine recommendations and allow more flexibility for people at higher risk who want the option to receive an additional COVID-19 vaccine dose.

These changes include:

• CDC’s new recommendations allow an additional updated (bivalent) vaccine dose for adults ages 65 years and older and additional doses for people who are immunocompromised. This allows more flexibility for healthcare providers to administer additional doses to immunocompromised patients as needed.  
• Monovalent (original) COVID-19 mRNA COVID-19 vaccines will no longer be recommended for use in the United States. 
• CDC recommends that everyone ages 6 years and older receive an updated (bivalent) mRNA COVID-19 vaccine, regardless of whether they previously completed their (monovalent) primary series.  
• Individuals ages 6 years and older who have already received an updated mRNA vaccine do not need to take any action unless they are 65 years or older or immunocompromised. 
• For young children, multiple doses continue to be recommended and will vary by age, vaccine, and which vaccines were previously received.  

Alternatives to mRNA COVID-19 vaccines remain available for people who cannot or will not receive an mRNA vaccine. CDC’s recommendations for use of (monovalent) Novavax or Johnson & Johnson’s Janssen COVID-19 vaccines were not affected by the changes made today. 

Why should you take hormone replacement?

 A few quick words about my favorite topic: Hormone Balance.

Firstly, hormones are not just for women over 50 a lot of younger women have hormone balance issues like PMS, PMDD, depression, severe period pain, mood swings, irregular periods etc.

For post menopausal women studies have shown that it is the fear of cancer, specifically breast cancer, that prevents most women from taking HRT. This is understandable since the incidence of breast cancer is 1 in 9 (or 8 in some places), so it is very common. However, HRT does NOT cause cancer and in fact estrogen has been shown to be protective AGAINST breast cancer.

Another interesting fact: Women who develop breast cancer (it is very common after all) while on HRT have a lower risk of dying than women not taking it.

Lastly, remember that the benefits of HRT go way beyond symptom relief: it protects the cardiovascular system, reducing heart attacks, improves bone health, improves the immune system and reduces the incidence of dementia. The power of estrogen!

If you haven't read my book yet, please give it a read and evaluate your own state of balance. Feel free to contact me with any questions.

Can you walk and talk at the same time? Do we really care what the President's age is?

 Have you heard the old joke about being able to walk and chew gum? Well there might be some sound science behind it.

A recent study showed that 'dual task walking' can uncover early age related changes in the brain that may signify an increased risk of developing dementia later in life.

Why would that be? Well, walking requires complex actions. Brains that are not so pliable may not be able to accomplish walking at the same time as talking. For example: walking requires balance and direction and proper movement of the limbs while moving. Some may not be able to focus mentally on additional tasks such as talking! (This is adapted from an article in Medscape).

How old is the President? Is it a relevant factor in his ability to function or is it just Age-ism that it is even a topic of conversation?

After all the President gets a full Physical annually (hopefully like the rest of us :) but really isn't the issue how well he can do the job? What he defines as his priorities?

In actuality, the government is not really just one person or do we get caught up in personalities and vote for people because they have a nice smile or look strong?

President Reagan dyed his hair and had early dementia but the government still ran. There was a wheelchair bound President. Larry Hogan was diagnosed with cancer in his first term but was still able to do a good job in his second term. Is a President's age really that big a deal if his physical and mental health allow him to function?

It would appear that a lot of people just vote for a particular person based on a popularity contest versus their policies and abilities. Age-ism is yet another "ISM" that can hold us back. Consider this: Perhaps we grow in value as we age.

Which brings me to my Podcast!

I am launching a Podcast aimed at 'mature women' and the issues that affect them.

I will send an email out once it is launched and tell you how you can subscribe.

On a different note I have featured one of our products below, that will keep you looking young. Let me know if you have any questions.

Happy Spring!

Let's do this, this is YOUR year! A healthy diet can decrease dementia risk. Anti-aging videos

Welcome to 2023, this is YOUR year! Let’s do this!  You are capable of amazing things and now is the time to start taking action. The plans you make now can set you up for a fabulous and happy year. Several people are already taking advantage of this with weight loss, care to join them? No pressure, but to help out we are extending our concierge discount special to Valentine’s day. And 10% off the weight loss programs. You can watch my weight loss seminar at Drtuakli.com. Having doubts about your potential for a great year? Say to yourself: “I am enough, I have enough and there is enough for everyone, including me!” I borrowed this from my favorite Yoga instructor Kassandra. You can find her on YouTube. The incidence of Covid is still fairly high but fortunately in the vaccinated the severity is low. We have Paxlovid (free of charge) in the office but I must admit I rarely need to give it to anyone these days. I will give it to a high risk unvaccinated person or someone who could potentially get very sick or end up in the hospital like a cancer patient. I read an article today about a huge study in China which showed that the most critical thing to prevent dementia or cognitive decline, is a healthy diet. Sounds too easy doesn’t it? But it’s true, even people who have the allele APOE4 (the Alzheimer’s gene) can prevent it from manifesting with a healthy diet. That should be great news, all we have to do is do it, right? Here ie a link to an article about what a "Healthy diet” entails, from Harvard magazine. https://www.harvardmagazine.com/2023/01/best-diets-healthy-aging I have also put a couple of links below to two videos I enjoyed. You will see why. https://www.bbc.com/news/uk-england-manchester-64325636 https://youtu.be/UdXQG478g_w Lastly, I would like you to know that a lot of the over the counter medicines and supplements are much CHEAPER in my office. Things like: Tylenol, Ibuprofen 400 mg, Claritin D, Zyrtec, Benedryl, Mucinex, and nasal sprays like Flonase, Ipatropium, and Azelestine. For example: a bottle of 100 Claritin is $10 :) And while you are here remember to pick up some viral mix to keep at home so if you do get Covid you don’t have to go through changes to find an unexposed person to come by the office to pick some up. It’s never too late to step it up. I was so happy to tell one of my concierge patients on Friday that now, one month out from her 90th birthday she is in better shape than she was 4 years ago! She chuckled. See, it really does happen. So find some awesome ways to reboot your health routine. Welcome to 2023, you are not getting any younger but I am here to help, if you need me. For those of you who would like a Covid vaccine booster we are doing them on Tuesdays and Thursdays in the Columbia office. Please call for an appointment.