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Questions and Answers Segment

Your questions answered every 2 weeks. If you have a question for Dr Elstein, click here.


QUESTION 1: I suffered from idiopathic thrombocytopenic purpura (ITP) in 1999 during pregnancy.  My platelets went down to 5000. Then I used deltacortrol, danazol, steroids and also platelet transfusions.  Now I have Hepatitis-C along with this disorder.  My platelets improve with steroids but decreased to 5000 again after steroids stoppage.  . Please advice me the proper treatment of both diseases by any treatment type.

Answer:  The treatment you are receiving for ITP sounds totally correct and appropriate and I don’t think that I would be able to improve on this. There are a few studies which link ITP with coeliac disease, a disorder characterised by an allergy to gluten found in wheat, rye, oats and barley, which is diagnosed by means of blood tests and a bowel biopsy.  This disease is actually referred to in the ‘What’s New’ section of this update.  However there is no good evidence that avoiding gluten improves ITP status.  As for managing Hepatitis C aside from the conventional treatment suggested by your doctor a review in the Journal of Hepatology March 2004 indicated that significant improvements in virological and/or biochemical response were seen in trials of vitamin E, thymic extract, zinc, traditional Chinese medicine, Glycyrrhiza glabra which is a liquorice extract and oxymatrine.  Natural remedies such as alpha-lipoic acid, lactoferrin and the herb st mary’s thistle might also be helpful.  The website www.vrp.com also has useful information if you go to the library section and insert Hepatitis C into the search facility.  Stay tuned to this site as I’m currently writing a book, which will include management strategies for dealing with Hepatitis C.


QUESTION 2:  Given the anti-testosterone effect of the herb Tribulus terrestris in women, could this be used for PCOS? Or would the increased FSH just cause more follicles to be produced?

Answer:  You’re right it might just lead to stimulation of follicle growth and is certainly not a documented treatment for polycystic ovarian syndrome.  A better option would be to address insulin resistance, which in some women is the underlying cause of this problem.  Insulin resistance can be identified by means of blood tests, which point to an elevated insulin level in which case exercise, dietary strategies and natural remedies that improve insulin function such as chromium and vanadium or alternately medications like Metformin might lead to tangible improvements


QUESTION 3: I just found out I’m pregnant and want to take supplements to improve my child’s brain development like choline.  I want a smart child.  What should I take?

Answer:  There isn’t a lot of scientific data which indicate that nutrient supplementation during pregnancy improves the development of your child.  However there are some good books on this topic including one by American expert Leo Galland entitled ‘Superimmunity for kids’ ISBN: 0-440-50679-4 who suggests that fish oil, magnesium, folic acid and a number of other nutrients would be beneficial.  This book is highly recommended.


QUESTION 4: I am a 23 year-old living in Texas. I have a very dry skin, which is aggravated by the dry weather condition here.  I am using L’Oreal Dermo Expertise anti wrinkle cream with spf 15 in the daytime.  Is it safe for me to use this anti wrinkle cream at such a young age?

Answer: I’m not familiar with this product but it doesn’t sound like it would be a problem.  Adequate hydration and the consumption of lots of fruit, vegetables and essential fatty acids found in small fish such as sardines and flaxseed oil would also improve the status of your skin.  Exposing your face to the sun would be the biggest inducer of wrinkles and I’m not sure that any cream is a substitute for covering up.


QUESTION 5: I came across this product thru the net "Maximum Result a HGH complex" is a natural product, high pharmaceutical grade and also has a liver extract for a healthy liver function.  Are you familiar with the product and do you recommend it?  The web site is: www.hgh-info-buyer-guide.net

Answer: I’m very wary of these products and I’m not convinced they do much good.  You have to consume substantial quantities of amino acids to boost growth hormone production and while this is not impossible a lot of these products simply don’t contain sufficient protein to generate any significant benefits. I’m not familiar with this specific product but I would suggest that you proceed with caution.


 

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