Readers Digest USA （读者文摘） ᠰᠡᠳᠬᠦᠯ ᠤᠨ 2019 .6 ᠰᠠᠷ᠎ᠠ ᠶᠢᠨ ᠬᠤᠭᠤᠴᠠᠭ᠎ᠠ᠂ ᠠᠮᠧᠷᠢᠺᠠ ᠶᠢᠨ ᠬᠡᠪ （ᠠᠩᠭ᠍ᠯᠢ ᠬᠡᠪᠯᠡᠯ） .pdf

yo u d o n ’t e x p e c t yo u r co tta g e c h e e se to h av e lo a d s o f in g re d ie n ts. © 2 0 19 D a isy B ra n d , L LC . N E IT H E R D O W E . M o s t o th e r c o tta g e c h e e s e b ra n d s c a n h av e u p to 10 in g re d ie n ts . D a isy is m a d e w ith s im p le , w h o le s o m e in g re d ie n ts : c u ltu re d s k im m ilk , c re a m a n d s a lt. JU N E 2 0 1 9 S ib lin g P r a n k s B y R D R E A D E R S A M ir a c le B a b y B y S A R A H M O U R A C A D E V e t e r a n s H E A R T S F r o m W A S H IN G T O N IA N A lw a y s D is c re e t. In c re d ib ly s tro n g p ro te c tio n . L e ss b u lk y to o .* * v s . P o is e O rig in a l 4 ,5 a n d 6 d ro p p a d s . P o is e is a tra d e m a rk o f K im b e rly - C la rk W o rld w id e . © 2 019 P 7 1 (2 ):e1 2 9 2 4 . 2 . M artínez-G arcía M A , de la Rosa C arrillo D, Soler-C ataluña JJ, et al. Prognostic value of bronchiectasis in patients w ith m oderate -to -severchronic obstructive pulm onary disease. A m J Respir C rit C are M ed. 2 0 1 3 ;1 8 7 :8 2 3 –8 3 1 . Tre a tin g yo u r C O P D a n d still stru g g lin g ? C h ro n ic p ro d u ctive co u g h ? Re p e a te d a n tib io tic u se fo r ch e st in fe ctio n s? Th ese m a y b e in d ica to rs o f b ro n ch iecta sis— a co m m o n b u t freq u en tly u n d ia g n o sed co n d itio n ca u sed b y ch ro n ic in fla m m a tio n o f th e a irw a ys. 1 H a lf o f p eo p le w ith serio u s C O PD m a y h a ve b ro n ch iecta sis. 2 in C o u ra g e ® A irw a y C lea ra n ce Th era p y is a d ru g-free w a y to clea r excess m u cu s fro m th e lu n g s. A sk yo u r d o cto r if th e in C o u ra g e System m a y b e rig h t fo r yo u . Fo r a b ro n ch iecta sis in fo rm a tio n kit, ca ll 8 3 3 .2 0 8 .5 3 2 4 o r visit w w w.resp irtech .co m /b e. W e ch a n g e live s. W e h e lp p e o p le b re a th e b e tte r. U s e S u p p le m e n t s L ik e a D o c to r D o e s B y D a w n Ya n e k W h ic h v ita m in s , m in e r a ls , a n d o v e r- th e - c o u n te r tr e a tm e n ts d o m e d ic a l p r o fe s s io n a ls r e ly o n fo r th e m s e lv e s? 1 6 ju n e 2 0 1 9 P h o t o g r a P h s b y M a tth e w C o h e n H O W TO T h e r e ’s h e a r t b u r n , a n d th e n th e re ’s h e a r tb u r n . T h re e y e a r s a g o , E lro y V o jd a n i, M D , e x p e - r ie n c e d a d e b ilita tin g a n d c h ro n ic v e rs io n o f it. “ It w a s a te n -o u t-o f-te n p a in , a n d I w o u ld lite ra lly k e e l o v e r a t m y d e s k , n o t a b le to d o a n y th in g e ls e ,” s a y s D r. V o jd a n i, th e fo u n d e r o f R e - g e n e ra M e d ic a l in L o s A n g e le s. “ T h is w o u ld h a p p e n e v e r y d a y fo r a w e e k , e v e r y o n e to tw o m o n th s.” S e r io u s p ro b le m s s u c h a s g a s tr ic u l- c e rs a n d p a n c re a titis h a d b e e n r u le d o u t, s o h is d o c to r s ju s t k e p t re c o m - m e n d in g h ig h e r d o s e s o f th e s a m e d r u g s. B u t D r. V o jd a n i w o r r ie d a b o u t ta k in g P r ilo s e c b e c a u s e lo n g -te r m u s e h a s b e e n lin k e d to o s te o p o ro s is a n d p o s s ib ly ir r ita b le b o w e l s y n d ro m e . T u m s a n d Z a n ta c h e lp e d b u t d id n ’t fix th e u n d e rly in g is s u e . H e n e e d e d a b e tte r s o lu tio n , b u t h e w a s s tu m p e d . T h a t’s w h e n D r. V o jd a n i tu r n e d to s u p p le m e n ts , ta k in g c u e s fro m h is s tu d y o f fu n c tio n a l m e d ic in e , w h ic h lo o k s to a d d re s s th e ro o t o f a p ro b le m a n d tre a t e a c h p a tie n t w ith a p e rs o n - a liz e d m ix o f in te r v e n tio n s. A fte r h e id e n tifie d a n d e lim in a te d h is tr ig g e r fo o d s — in c lu d in g h is b e lo v e d “ b u lle t- p ro o f c o ffe e ,” a h o m e m a d e b le n d o f b la c k c o ffe e , c o c o n u t m ilk , a n d m e d iu m -c h a in tr ig ly c e r id e ( M C T ) o il— h e d e c id e d to tr y s o m e o f th e a lte rn a - tiv e re m e d ie s h e ’d b e e n le a rn in g a b o u t. T h e n e x t tim e h is h e a r tb u r n h it, h e to o k a s to m a c h -s o o th in g b le n d o f m a r s h m a llo w ro o t, lic o r ic e , a n d a lo e e x tra c ts (y o u c a n fin d it o n lin e a n d in h e a lth fo o d s to re s ) . H e a ls o to o k p r o b io tic s , th e a m in o a c id L -g lu ta m in e , a n d a lo w d o s e o f m e la - to n in , w h ic h h e ’d re a d c o u ld re d u c e h e a r tb u r n b y tig h te n in g th e lo w e r e s o p h a g e a l s p h in c te r a n d p re v e n tin g a c id re flu x . “ W ith in a d a y , m y s y m p - to m s s u b s id e d ,” h e s a y s . “ I d id n ’t n e e d to u s e [m e d ic a tio n ] a t a ll d u r- in g th is e p is o d e , w h ic h h a d n e v e r h a p p e n e d b e fo re .” A fte r tw o w e e k s, h e s lo w ly b e g a n to re in tro d u c e h is tr ig g e r fo o d s, a n d a fte r tw o m o n th s, h e s to p p e d th e s u p p le m e n ts a lto - g e th e r a n d to d a y u s e s th e m o n ly if h e o v e r in d u lg e s. “ I’m n o w tw o y e a rs o u t,” h e a d d s, “a n d I h a v e n ’t n e e d e d Z a n ta c o r P r ilo s e c o n c e .” T h e s e d a y s, D r. V o jd a n i fo llo w s th a t s a m e p ro to c o l w ith p a tie n ts lo o k in g to g e t th e ir h e a r tb u rn u n d e r c o n tro l. H e is o n e o f m a n y d o c to r s w h o h a v e e x p e r ie n c e d th e b e n e fits o f s u p p le - m e n ts fir s th a n d fo r c o n d itio n s th a t in c lu d e v a s c u la r is s u e s, p re d ia b e te s, b ra in h e a lth , a n d m o o d d is o rd e r s . R e s e a rc h e rs a g re e th a t it is b e s t to g e t y o u r n u tr itio n fro m fo o d . B u t th e re is a g ro w in g b o d y o f s c ie n tific lite ra tu re th a t s h o w s th a t th e s e c o m p le m e n ts to c o n v e n tio n a l m e d ic a tio n c a n h e lp “ W IT H IN A D AY O F A D D IN G S U P P L E M E N T S , M Y H E A R T B U R N S U B S ID E D .” r d .c o m 1 7 R e a d e r ’ s D ig e s t im p ro v e a v a r ie ty o f h e a lth p ro b le m s. T h e s e d o c to rs h a v e fo u n d th a t o u t fo r th e m s e lv e s , a n d th e y a re h a p p y to s h a re th e ir d is c o v e r ie s : C u rc u m in “ I h a v e a h is to r y o f p re tty s e v e r e d e p r e s s io n th a t w a s n ’t d ia g n o s e d u n til m e d ic a l s c h o o l. A t th a t p o in t, I s ta r te d ta k in g P ro z a c ; m o re re - c e n tly , I a d d e d a s e c o n d d r u g c a lle d A b ilify . B u t I s till fe lt lik e I w a n te d to s le e p a ll th e tim e , a n d th e re ’s lit- e ra tu re th a t s a y s c u rc u m in h a s a n ti- d e p re s s a n t q u a litie s. It c a n a ls o h e lp w ith in fla m m a tio n a n d p a in . I w a s a c tu a lly re c o m m e n d in g it to p e o p le b e fo re I tr ie d it, a n d I w a s lik e , W h y a m I n o t u s in g it? I fe e l lik e I h a v e m o re e n e r g y w h e n I ta k e th is s tu ff. P lu s, it h e lp s w ith w e ig h t- lo s s g o a ls. W h e n I fe e l b e tte r, I’m m o re lik e ly to tra c k m y fo o d , n o t tu rn to fo o d to g e t e n e rg y o r c o m fo r t.” — C h a r l ie S e l t z e r , M D , a P h ila d e lp h ia -b a se d p h y sic ia n sp e c ia liz in g in w e ig h t lo ss V ita m in D “ I w a s fe e lin g fa tig u e d — e v e n w h e n I’d s le p t fo r s e v e n , e ig h t h o u rs — b u t I a ttr ib u te d th is to w o rk in g lo n g h o u rs o n m y fe e t. I d e c id e d it w a s im p o r ta n t to p ra c tic e w h a t I p re a c h , s o I w e n t to m y d o c to r fo r a p h y s ic a l. M y v ita m in D le v e l w a s lo w . I s ta r te d ta k in g s u p p le - m e n ts, a n d in a c o u p le o f w e e k s, I s ta r te d to b e c o m e m o re e n e rg e tic , fe e l m o re fo c u s e d , a n d s le e p b e tte r. [If m y le v e ls a re n o r m a l a t m y re te s t,] I’ll b e m o re c o n s c ie n tio u s o f w h a t I’m e a tin g a n d g e t a little m o re s u n lig h t— a n d m a y b e ta k e s o m e m o re tro p ic a l-b e a c h v a c a tio n s.” — Ja n e t t e N e s h e iw a t, M D , a N e w Yo rk C ity – b a se d fa m ily a n d e m e rg e n c y d o c to r O m e g a -3 s “ I h a v e b e e n a v e g e ta r ia n fo r m a n y y e a r s, a n d a lth o u g h I s ta r te d e a tin g fis h a g a in , it is s p o ra d ic . O m e g a - 3 s m a y h e lp o u r b o d ie s in m a n y w a y s, fro m b ra in c o g n itio n to c a rd ia c h e a lth . A s a c a rd io lo g is t a n d a m o m , I n e e d m y b ra in , s o I p u t m y s e lf o n a re g im e n . W e k n o w th a t fo o d is th e b e s t m e d ic a - tio n , b u t I’m n o t a lw a y s g iv in g m y s e lf th e b e s t th ro u g h m y fo o d , s o I fe lt ta k- in g a s u p p le m e n t w a s a g o o d o p tio n fo r m e .” — S u z a n n e S t e in b a u m , D O , d ire c to r o f W o m e n’s C a rd io v a sc u la r P re v e n tio n , H e a lth , a n d W e lln e ss a t M o u n t S in a i H o sp ita l in N e w Yo rk C ity a n d c o fo u n d in g m e m b e r o f th e G lo b a l N u tr itio n a n d H e a lth A llia n c e (G N H A ) 1 8 ju n e 2 0 1 9 R e a d e r ’ s D ig e s t V ita m in C “ V ita m in C h a s b e e n s h o w n in s o m e s tu d ie s to h e lp re d u c e th e r is k o f s tro k e . A s a v a s c u la r s u r g e o n , I re c - o m m e n d a v ita m in C s u p p le m e n t to p a tie n ts a fte r a v a s c u la r p ro c e d u re fo r a fa s te r re c o v e r y , a n d I p e rs o n a lly u s e [it] o n a d a ily b a s is.” — K e r e m B o r t e c e n , M D , P h D , a n e n d o v a sc u la r a n d in te r v e n tio n a l su rg e o n a t N Y C S u rg ic a l A sso c ia te s Z in c “ Z in c is o n e o f th e m o s t im p o r ta n t m in e ra ls to s ta v e o ff in fe c tio n . I re c - o m m e n d it to m y a lle rg y p a tie n ts b e - c a u s e th e y a re g e n e ra lly m o re p ro n e to in fe c tio n . I ta k e a d a ily m u ltiv ita m in th a t c o n ta in s it.” — T a n ia E l l io t t, M D , a N e w Yo rk C ity – b a se d a lle rg ist a n d th e fo rm e r c h ie f m e d ic a l o ffic e r o f th e p re v e n tiv e h e a lth - c a re c o m p a n y E H E C h ro m iu m “ T h e re h a v e b e e n m u ltip le s tu d ie s o n th e u s e o f c h ro m iu m fo r d ia b e te s ; it is th o u g h t to im p ro v e th e re s p o n s iv e - n e s s o f th e in s u lin re c e p to r. T h o s e o n h ig h d o s e s o f in s u lin h a d th e b e s t re s p o n s e to c h ro m iu m . A s a n e n d o c r i- n o lo g is t w h o d o e s n o t h a v e d ia b e te s b u t h a s a fa m ily h is to r y o f it, I m a k e s u re th a t m y m u ltiv ita m in h a s a t le a s t 5 0 m c g o f c h ro m iu m .” — R a s h m i S . M u l l u r , M D , a n a ssista n t clin ica l p ro fe sso r a t th e D a v id G e ffe n S ch o o l o f M e d icin e a t U C L A a n d a sso cia te ch ie f o f In te g ra tiv e M e d icin e a t th e V A G re a te r L o s A n g e le s H e a lth ca re S y ste m L u te in a n d Z e a x a n th in “A la rg e s tu d y c a lle d A R E D S 2 s h o w e d th a t th e a n tio x id a n ts lu te in a n d z e a - x a n th in p ro te c te d th e re tin a fro m d e v e lo p in g a d v a n c e d a g e - re la te d m a c u la r d e g e n e ra tio n , w h ile a n o th e r s m a ll s tu d y s h o w e d th a t h ig h e r le v e ls o f p la s m a lu te in a n d z e a x a n th in w e re s ig n ific a n tly a s s o c ia te d w ith h ig h e r c o g n itiv e p e r fo r m a n c e . I ta k e th e A R E D S 2 d o s e o f 1 0 m g o f lu te in a n d 2 m g o f z e a x a n th in . A lth o u g h b o th a n tio x id a n ts a re p re s e n t in le a fy g re e n v e g e ta b le s, th e a b s o rp tio n is n o t v e r y e ffic ie n t, s o s u p p le m e n ts m a y b e u s e - fu l e v e n in p e o p le w h o h a v e a h e a lth y d ie t.” — S o n a l T u l i, M D , a n o p h th a lm o lo g ist a t U n iv e rsity o f F lo r id a H e a lth D a iry-Ta il R o m a n ce T h e d a t in g -a p p c r a z e h a s o ffi c ia lly s p r e a d t o a n o t h e r s p e c ie s . T u d d e r , a n a p p r e c e n t ly la u n c h e d in t h e U n it e d K in g d o m , p la y s m a t c h m a k e r fo r c a t t le lo o k in g fo r b r e e d in g p a r t n e r s — w it h fa r m e r s m a k in g t h e a c t u a l c o n n e c t io n s . ( S w ip in g le ft w it h a h o o f is v e r y d iffi c u lt .) It ’s n o t a s u d d e r ly c r a z y a s it s o u n d s . A n im a ls fr o m a t le a s t 4 2 ,0 0 0 fa r m s h a v e T u d d e r p r o fi le s . r d .c o m 1 9 H o w To W h at is N U E D E X TA ® (d ex tro m e th o r p h a n H B r a n d q u in id in e su lfa te) 2 0 m g /10 m g c a p s u le s a p p r o v e d fo r ? • N U E D E X TA ® is a p p r o v e d fo r th e tr e a tm e n t o f P s e u d o B u lb a r A ffe c t (P B A ). P B A is a m e d ic a l co n d itio n th a t c au s e s in v o lu n ta r y, su d d e n , a n d fre q u e n t e p is o d e s o f c r y in g a n d/o r la u g h in g in p e o p le liv in g w ith c e r ta in n e u r o lo g ic c o n d itio n s o r b r a in in ju r y. P B A e p is o d e s a r e ty p ic a lly e x a g g e r a te d o r d o n’t m a tc h h o w th e p e r s o n fe e ls . P B A is d is tin c t a n d d iffe r e n t fr o m o th e r ty p e s o f e m o tio n a l c h a n g e s c a u s e d b y n e u r o lo g ic d is e a s e o r in ju r y. • N U E D E X TA is o n ly a v a ila b le b y p r e s c rip tio n . IM P O R TA N T S A F E T Y IN F O R M AT IO N B e fo r e y o u ta k e N U E D E X TA , te ll y o u r d o c to r : • If y o u a r e ta k in g m o n o a m in e o x id a s e in h ib ito r s (M A O Is), q u in id in e , o r q u in id in e -r e la te d d r u g s . T h e s e c a n in te r a c t w ith N U E D E X TA c a u sin g s e rio u s sid e e ffe c ts . M A O Is c a n n o t b e ta ke n w ith in 14 d a y s b e fo r e o r a fte r ta k in g N U E D E X TA . • If y o u h a v e p r e v io u s ly h a d a n a lle r g ic r e a c tio n to d e x tr o m e th o r p h a n , q u in id in e o r q u in id in e -like d r u g s . • A b o u t a ll m e d ic in e s , h e r b a l su p p le m e n ts , a n d v ita m in s y o u ta ke a s N U E D E X TA a n d c e r ta in o th e r m e d ic in e s c a n in te r a c t c a u sin g sid e e ffe c ts . • If y o u h a v e h a d h e a r t d is e a s e o r h a v e a fa m ily h is to r y o f h e a r t r h y th m p r o b le m s . N U E D E X TA m a y c a u s e s e rio u s sid e e ffe c ts , in c lu d in g c h a n g e s in h e a r t r h y th m . If y o u h a v e c e r ta in h e a r t p r o b le m s , N U E D E X TA m a y n o t b e rig h t fo r y o u . Yo u r d o c to r m a y te s t y o u r h e a r t r h y th m (h e a r tb e a ts) b e fo r e y o u s ta r t N U E D E X TA . • If you h ave m yasth enia g ravis. W h ile ta k in g N U E D E X TA , c