Servane Collette from The American Academy of Anti-Ageing MedicineA4M Dubai sheds light on innovations and controversies explained by US experts to enhance healthy longevity, along with cardio-metabolic prevention.

Physicians today acknowledge that the study of nutrition is a topic that barely occupied ten hours of their years of hard-core study at Medical School. So how equipped is today’s doctor to focus on prevention that starts with healthy nutrition? Not enough by a long shot.

With the incidence of non-communicable lifestyle diseases such as diabetes, cancer, heart disease and Alzheimer’s reaching epidemic levels, doctors now also understand that it’s high time to redress this imbalance. How? By participating in a conference that discusses the latest protocols in healthcare with the scientific study of nutrition high on its agenda.

When talking about prevention, the need of the hour is cardio-metabolic care. Heart disease continues to be the leading cause of death among both men and women worldwide. In the Middle East, cardiovascular disease is occurring a good ten years earlier and is rapidly becoming a paediatric disease seen in children as young at twelve.Thomas Edison

The doctor of the future will offer no medicine, but will interest her or his patient in the care of the human frame, in a proper diet and become the chief cause for the prevention of disease.
Thomas Alva Edison

What’s A4M Dubai Up To?

The cardiovascular health challenge is so serious that we have cherry-picked a panel of eminent physicians to share their expertise and demonstrate the link between cardiovascular health, ageing, and metabolic functions such as hormones, diet, exercise, the gut microbiome, and more.

When it comes to health care, change is not only underway; it’s on the verge of an epic paradigm shift. The inevitable resistance to progress is understandable but it’s not sustainable; no matter how much the conventional healthcare machine would want it so.

The medical specialty of anti-ageing otherwise known as ‘optimal ageing’ is a combo of metabolic, preventive and Integrative Medicine. However, being an educational leader in anti-ageing medicine goes beyond the remit of presenting new protocols to physicians. The new science, protocols and approaches that A4M has taught physicians has done more than foster their professional transformation. It’s the passion for this new education that is transferred to patients, giving the community new solutions to live healthier, for longer.

The countless discussions I have had with physicians of all specialties from all over the world have all confirmed one flaw in today’s healthcare system. Namely, doctors need more consultation time to fully address the root cause of the symptoms and walk away from this habit of ‘one pill for every ill’. Pharmaceutical drugs are too often the first response instead of considering a tailored mix of natural, nutritional, lifestyle and integrative measures to achieve optimal wellbeing not just ‘average’ health.

It’s time to ask if your physician is A4M trained

  • We train practitioners that become equally competent in disease prevention as well as health and wellness promotion. All A4M anti-ageing physicians operate meticulous, advanced and preventive models based on:
  • Seeking safe, individualised treatments for patients based upon the latest major scientific breakthroughs
  • Understanding the deep interconnectedness of a person’s metabolic networks and how they relate to environmental and outside factors
  • Embracing technology and wearable devices in service of improving health as well as wellness
  • Understanding the requirements for a successful practice of the new medicine
  • Becoming the standard for the wellness-oriented provider connected to the individuality and uniqueness of the patient.

Dr. Mark HoustonMark Houston

Selected as one of the top physicians for Hypertension in the US in 2008 and in 2014, and by USA Today as one of the Most Influential Doctors in the US in both Hypertension and Hyperlipidemia it is no wonder Dr. Houston has been selected as the keynote guest who has developed key preventive and treatment protocols around nutritional and lifestyle management programs.

Coronary heart disease is the number one killer in the US and for decades we have been told about five basic risk factors – elevated cholesterol, high blood pressure, diabetes, obesity, and smoking. But the truth is that heart disease is much more complex – with close to 400 risk factors to consider.
Dr. Mark Houston, Associate Clinical Professor of Medicine,  Vanderbilt University School of Medicine, and director of Hypertension Institute and Vascular Biology, Saint Thomas Medical Group, Saint Thomas Hospital

Dietary recommendations

  • 5 tablespoons extra virgin olive oil /day as well as CoQ10
  • Modified low-glycaemic DASH 2 for hypertension
  • 10 servings of fruits and vegetables per day (six veg/four fruits)
  • High mixed fibre (40 grams), prebiotics as well as probiotics
  • Omega 3 fatty acids
  • 2 gram sodium, 5- 10 gram potassium and 1000 mg magnesium/day
  • Avoid caffeine in CYP 1A2 SNP (IF/IF as well as IF/IA alleles)
  • Selective use of ASA, vitamin E
  • 5 methyl folate and B vitamins
  • Selenium
  • Specific anti-hypertensive drug selection based on genotypes

Aside from looking at nutrigenomics, a trending topic in healthcare studying the effects of foods and food constituents on gene expression, Dr. Houston recommends patients to try out the DASH DIET–Dietary Approaches to Stop Hypertension.

 Dr. Janethy Balakrishnan BokstromDr-Janethy

Dr. Janethy from Malaysia shares details of her clinical studies with palm kernel butter (PKB) showing positive results related to this ancient fat that has long been reviled. The verdict is out. Saturated fat and cholesterol doesn’t cause heart disease, sugar is the enemy here.

A relentless campaign based on flawed studies have convinced consumers that eating traditional, animal fats like butter and cheese is bad, while highly processed, industrial vegetable oils like corn and soybean oil that go rancid easily is healthy.
Dr. Janethy Balakrishnan BokstromPresident, Association of Integrative Medicine Malaysia

Fats formed the cornerstone of ancient diets that were crucial for our ancestor’s brain development, general growth and reproduction. Palm kernel butter is 82% saturated fat, out of which 48% to 50 % is lauric acid, which is vital for brain health.

Low-glycaemic carbohydrates, moderate proteins and high saturated fats present a well-founded formula to prevent metabolic diseases.
Dr. Janethy Balakrishnan BokstromPresident, Association of Integrative Medicine Malaysia

Insulin is the primary hormone that causes the metabolic cascade of degenerative disorders in the body. Insulin signaling, mTOR and autophagy control cellular mechanisms, as well as signaling pathways regulate ageing. Dietary fat is the only source of energy that does not trigger insulin at all, as even protein does to some degree.

Moreover, dietary fat lowers the glycaemic index of sugary and starchy foods when they’re consumed together, slowing the rate at which the carbohydrates are metabolised into blood glucose, therefore mitigating the need for high levels of insulin. Obesity is a phenomenon that correlates closely with sugar and not fat consumption, which makes perfect scientific sense.

Dr. Fred Pescatore

Dr. Pescatore, a key US key spokesperson for healthy living and a New York Times bestselling author of the The Hampton’s Diet, and The Hampton’s Diet Cookbook, emphasises a wholefoods approach to health and weight management. He speaks about Metabolic Syndrome – a group of risk factors–high blood pressure, high blood sugar, unhealthy cholesterol levels, and abdominal fat. A large waist circumference is an indicator for metabolic syndrome and is more prevalent in the Middle East than the US. This impacts the health insurance industry.

A 1% reduction in weight, blood pressure, glucose, and cholesterol risk factors would save $83 to $103 annually in medical costs per person. A 5% reduction in the prevalence of hypertension would save around $25 billion in five years.
Dr. Fred Pescatore

Despite the sheer volume of information regarding metabolic syndrome, it is growing at a staggering rate without any signs of slowing down. Inflammation is the buzzword that addresses its direct connection to metabolic syndrome and its role as the precursor to cardiovascular disease. He will cover the less common components of metabolic issues including the endocrine imbalances inherent to this condition and how to address them as well as the role that Phases I, II and III of liver detoxification play in Metabolic syndrome management.

Dr. Jennifer LandaDr. Jeniffer Landa

Dr. Landa is an authority on women’s health, hormones as well as functional and regenerative medicine and is back in Dubai to discuss oestrogen dominance. This is a hormone imbalance that affects younger and older women, alike.

Young girls are entering puberty as young as age seven, young women in their twenties are experiencing perimenopause, women in their 30s and 40s are reaching menopause – all due to hormone imbalances related to unfortunate medical choices, environment and too much oestrogen.
Dr. Jennifer Landa

Scientific literature in the past two to three years is showing a new cause of oestrogen dominance – obesity, inflammation and aromatase axis. Endocrine disrupting chemicals (EDCs) are found in various materials such as pesticides, metals, additives or contaminants in food and personal care products. EDCs are associated with altered reproductive function in males and females; increased incidence of breast cancer, changes in immune function, and oestrogen dominance. Oestrogen dominance means that the hormones are out of balance and can lead to conditions such as decreased sex drive, headaches, poor sleep, and even PMS.

Dr. Todd LePine

Dr. LePine is an expert in Integrative Functional Medicine and helps patients shift their body’s biochemistry using a variety of natural approaches leveraging the body’s innate ability to heal itself. His expertise relates to how the gut microbiome affects patients with metabolic syndrome and diabetes. His talk will frame an understanding of the pathophysiology of Cardiometabolic disease through the lens of the human microbiome.

The human gastrointestinal system plays a key role in disease and in health. The microbiome is engaged in a myriad of metabolic, nutritional and immune processes and can contribute to obesity, metabolic syndrome, diabetes and cardiovascular disease.

Studies increasingly suggest that an individual’s gut microflora composition and activity influence host both resiliency and conversely disease development. The evolution of the human gut microbiome from newborn to centenarian and a variety of factors impact its activity and composition – diet, oral health, stress, age, antibiotics, medication and toxins.
Dr. Todd LePine

Dr. LePine adds that a leaky gut happens when the ‘net’ in the digestive tract gets damaged, which causes even bigger holes to develop in that net, so things that normally can’t pass through, are now able to. This includes proteins like gluten, bad bacteria and undigested foods particles.

Dr. Joseph LambJoseph_Lamb_MD

Dr. Lamb is double board certified in both Internal Medicine and Holistic Medicine. He uses functional medical approaches including lifestyle modification, herbal and nutritional therapies and cognitive therapy. Exploring his take on insulin resistance and Cardiometabolic disease, he says that “We do not wake up one morning with diabetes or coronary artery disease. It creeps up on us slowly.”

Currently, one in four people living in the Middle East already have Metabolic syndrome (and the prevalence increases with age), increasing the risk for developing heart disease, diabetes, and other chronic illnesses. Lack of symptoms may be replaced by a steady progression of increasing imbalances between our physiologies and the environment resulting in the development of risk factors for diabetes and coronary artery disease. Lumped together, these risk factors are called Metabolic syndrome. Utilising the best diagnostics of personalised medicine, and lifestyle interventions slows disease progression by addressing the causes and not just the symptoms of the condition.

Dr. Graham Simpsondr-graham-simpson

He is Chief Medical Officer and Founder of Intelligent Health in Dubai. Cardio-metabolic disease is the global epidemic of the 21st century responsible for killing 80% of us. Sugar and insulin, not cholesterol, is the real problem.

His take is a digital one, focusing on reversing the clock with apps and mobile health technology. His session at A4M will provide insights on the technologies available today, how they’re being used and how they can be applied to medical practices. With a mobile and connected lifestyle, this is where patients need to be engaged for self and managed care.

Physicians can now ‘risk stratify’ patients and deliver a comprehensive lifestyle and monitoring program. Connected health and cloud-based ecosystems provide fluid electronic data streams from the patient’s home to the doctor’s practice. A new paradigm in healthcare is being reached where the empowered patient and digital doctor can work together in a new collaborative-care relationship enabled by mobile and connected health technologies.
Dr. Graham Simpson

Read Dr. Robert Watcher’s The Digital Doctor, a book that provides a clinical viewpoint of the new digital healthcare world.The digital doctor


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