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Natural Health September 2017

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E: info@acepremier.com www.AcePremier.com<br />

Publisher<br />

John Lim<br />

Editor<br />

Thiagarajan<br />

Editorial Team<br />

John Lim<br />

Thiagarajan<br />

Marketing & Sales<br />

Fiona Lim<br />

Adeline Chin<br />

Creative Team<br />

Nasyiha Badela<br />

Advisory Panel<br />

Dr Abdul Jamal B. Mohd Thalha<br />

Orthopaedic Surgeon<br />

Sentosa Medical Centre<br />

Dr Koh Chuan Keng<br />

Consultant Dermatologist<br />

President<br />

Dermalogical Society of Malaysia<br />

Good Fats vs Bad Fats<br />

When you hear the word ‘fat’, you probably would think ‘bad’. That's because for<br />

years we've heard that fat causes heart attacks, high cholesterol, weight gain,<br />

and even afternoon slumps. Now we know better. Science has shown that not<br />

all fats are created equal. We are starting to realise that not all ‘fat’ is necessarily<br />

bad, and that certain fats can actually be beneficial to our health. For example,<br />

polyunsaturated and monounsaturated fatty acids from foods like salmon, olive<br />

oil and peanut butter are attributed to prevention of heart disease, Alzheimer's,<br />

depression, and various forms of cancer.<br />

We must be careful not to associate the ‘good’ fat with the ‘bad’. While<br />

polyunsaturated and monounsaturated fats are beneficial to a healthy balance,<br />

other fats are making the headlines because of their role in causing disease.<br />

The saturated fats we find in meats and dairy foods can raise blood cholesterol<br />

levels, increasing the risk for heart disease. Beware of the worst fat of all – trans<br />

fats – to be avoided entirely if possible.<br />

If all this seems complicated, you're not alone. Many are still finding it a bit<br />

difficult to differentiate the ‘fatty details’. You’ll find inside some simple terms to<br />

keep your food tasty and heart healthy under the World Heart Day section.<br />

To your great health.<br />

John Lim<br />

Thiagarajan<br />

Join our Facebook Fan page<br />

www.facebook.com/naturalhealthmedia<br />

Dr. Rajbans Singh<br />

Consultant Physician and Geriatrician<br />

<strong>Health</strong>y Ageing Specialist<br />

Pantai Medical Centre and<br />

President, Malaysian Wellness Society<br />

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Disclaimer<br />

Editorial material herein is provided for information only. Reader<br />

are cautioned not to use this information as a substitute for<br />

regular professional health care and consultation. Although<br />

great care has been taken in compiling and checking the<br />

information given in this publication, the publisher, authors,<br />

advisors and agents shall not be responsible or in any way<br />

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arising from negligence or otherwise howsoever, or for any<br />

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Advertisements are subject to editorial acceptance and<br />

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Available at


Advertorial<br />

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Antioxidants come up frequently in discussions about good<br />

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Oxygen damage (oxidation) occurs when our body's cells use<br />

oxygen and produce toxic molecules called free radicals which<br />

damage the cells.<br />

Our body's natural defence systems usually repair the damage<br />

caused by oxidation. However if oxygen damage overpowers<br />

our body's natural defences, the reactions can accumulate.<br />

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How Can Antioxidant Help?<br />

Antioxidants prevent and repair the damage caused by free<br />

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anti-inflammatory and antioxidant benefits from the flavonoid<br />

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Gouch All <strong>Natural</strong> Antioxidant<br />

Gouch is formulated from an all-natural blend of tart cherry<br />

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phytonutrients. By combining both these super fruits Gouch<br />

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NATURAL & Beauty<br />

Facial Rejuvenation<br />

Facial rejuvenation<br />

includes varieties<br />

of major permanent<br />

and long-term plastic<br />

surgery, less invasive<br />

mid-range surgical<br />

procedures, and noninvasive<br />

temporary<br />

skin treatments.<br />

It's Time for You to Look Younger<br />

4 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


NATURAL & Beauty<br />

What You Need to Know About Facial<br />

Rejuvenation<br />

Signs of ageing may be more visible on<br />

the face than any other area of the body.<br />

Facial rejuvenation is a strategy using a<br />

variety of treatments to combat a variety<br />

of forces at work in an ageing face.<br />

Here are some of the factors that may<br />

accelerate facial ageing:<br />

•Exposure to sun, wind, excessive heat<br />

and cold.<br />

•Chemical and biological pollution.<br />

•Hormonal changes, depleted collagen<br />

production, thinning of the skin due<br />

to free radical damage, facial bone<br />

changes, and slacked facial ligaments.<br />

•Improper daily habits in terms of<br />

skincare, diet, exercise, and<br />

cigarette smoking.<br />

•Medical conditions including skin<br />

disorders, acne, and chicken pox,<br />

which may produce scarring.<br />

•Miscellaneous physiological<br />

functions can produce freckling<br />

pigmentation spots (lentigos), dry spots<br />

(keratoses), broken capillaries, and<br />

hyperpigmentation from hormonal<br />

changes (which may be induced by<br />

pregnancy or birth control medications).<br />

•Genetics.<br />

Facial rejuvenation can mean different<br />

things to different people. There are noninvasive<br />

and minimally invasive treatments<br />

and procedures used to improve slight<br />

facial imperfections, including stem<br />

cell face lift. There are plastic surgery<br />

procedures that can dramatically improve<br />

the appearance of the face. All of these<br />

are forms of facial rejuvenation. The<br />

most successful approach may be a<br />

combination of procedures and treatments<br />

for a comprehensive facial<br />

rejuvenation strategy.<br />

Facial Bones Change With Age<br />

A recent ASPS study helped us better<br />

understand how ageing affects facial<br />

bones. New information about shifting<br />

bone structure and bone loss has an<br />

impact on how plastic surgeons treat<br />

patients seeking cosmetic procedures.<br />

Anti-Ageing Skincare<br />

Today, medical skincare programmes are<br />

available to address the specific needs<br />

of ageing people. Advances have also<br />

been made in the area of exfoliation and<br />

moisturising to maintain skin tone and<br />

appearance. There are also nonsurgical<br />

facelift treatments available to improve skin<br />

texture, elasticity, and pigmentation. Other<br />

common treatments include antioxidant<br />

therapy, vitamin c, and retin-a.<br />

More effective treatments are becoming<br />

available for skin disorders and adult<br />

acne. Facial exercise has been used<br />

to prepare the skin for certain skin<br />

resurfacing treatments. Laser hair removal<br />

helps eliminate facial hair that comes<br />

with age. Micropigmentation has arrived<br />

on the consumer market to assist with<br />

hyperpigmentation (skin discolouration<br />

spots), thinned lips, and fine hair follicles.<br />

Menopause is better understood, making<br />

it easier for both patient and doctor to<br />

combat ageing appearances associated<br />

with menopause. Vitamin supplements<br />

and natural healing have become popular<br />

as well.<br />

Skin Resurfacing Treatments<br />

Microdermabrasion, vibraderm, chemical<br />

peel, and laser skin resurfacing improve<br />

skin texture, the appearance of fine lines,<br />

hyperpigmentation, freckling, dry spots,<br />

and pore size. Some skin resurfacing<br />

procedures offer supplementary benefits<br />

such as reducing the appearance of<br />

broken capillaries and improving collagen<br />

production. Laser scar removal can assist<br />

with ageing scars.<br />

Facial Fillers and Injectables<br />

Facial fillers such as Restylane,Sculptra,<br />

fat transfers, collagen, Radiesse and Laviv<br />

injections work to fill in furrows, wrinkles,<br />

and folds in many of the lower facial areas.<br />

Some of these fillers increase volume in<br />

hollowed or sunken facial areas. Botox<br />

and Dysport release the contraction of the<br />

muscle in order to reduce muscle-causing<br />

wrinkles in the upper facial area. Some<br />

facial injectables and fillers may provide<br />

additional anti-ageing benefits as well. You<br />

can begin with this injectable<br />

fillers overview.<br />

Plastic Surgery Procedures<br />

Mini and micro procedures such as<br />

a feather or thread lift or other facelift<br />

variations may improve the appearance<br />

of a specific facial feature for five or more<br />

years. A facelift can dramatically improve<br />

the appearance of certain facial areas for<br />

ten to 15 years. The brow lift can reduce<br />

severe wrinkles in the forehead and brow<br />

area. Blepharoplasty can remarkably<br />

improve excess fat above the eyes and<br />

certain wrinkles in the eye area. If you are<br />

interested in a facelift, it is important to<br />

discuss the facelift cost with your surgeon<br />

so you have a better understanding of<br />

the associated fees of the procedure. It is<br />

also important to ask him or her to view<br />

a portfolio of facelift before and after<br />

photos to see how the surgery could help<br />

you. Facial implants, including cheek,<br />

chin, or jaw implants, can improve the<br />

appearance of reduced bone structure in an<br />

ageing face. The neck lift is another facial<br />

rejuvenation procedure, giving your neck a<br />

more youthful appearance. Rhinoplasty is a<br />

facial-rejuvenation component to correct or<br />

improve the appearance of your nose.<br />

Consult Qualified Treatment Providers<br />

There are so many facial-rejuvenation<br />

options available today, with so many<br />

different areas of focus, a combination<br />

treatment plan may be the best way to<br />

achieve your rejuvenation goals. You will<br />

need to consult a board-certified plastic<br />

surgeon, a dermatologist, and other<br />

skincare professionals to discuss your<br />

condition, your goals, and to create a<br />

customised treatment strategy.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

5


NATURAL & Beauty<br />

ELECTROLYSIS<br />

How It Works: Electrolysis uses a<br />

fine, needle-shaped electrode to<br />

apply an electrical current to the<br />

hair follicle.<br />

LASER HAIR REMOVAL<br />

How It Works: Laser penetrates the skin<br />

to target the hair shaft and inhibit hair<br />

growth. It essentially destroys the follicle,<br />

meaning it can achieve permanent<br />

removal. Typically, the hair in treated<br />

areas falls out within 2-3 weeks.<br />

Best For: People with hair darker than<br />

their skin. The laser needs to be able to<br />

lock on to the dark pigment in order to<br />

differentiate the dark hair from the skin.<br />

Pros: Great for long-term hair removal<br />

in all areas. It causes no damage to the<br />

dermis, so even the most sensitive skin<br />

can be treated.<br />

Cons: Laser hair removal can be painful,<br />

with most people describing it as a<br />

“snapping” sensation against the skin,<br />

as well as a sensation of heat from the<br />

laser. Also, it requires numerous visits to<br />

a dermatologist for best results.<br />

Average Cost: To have it professionally<br />

done, laser hair removal costs, on<br />

average, from RM200 to above<br />

RM1,000 depending on the size<br />

of the area being treated. While it<br />

may seem expensive, in the long run,<br />

many consider laser removal to be an<br />

investment that can pay off.<br />

How long does it last? If the optimal<br />

number of initial sessions are completed,<br />

you might want to have touchups every<br />

six to 12 months.<br />

Best For: Small areas such as<br />

the eyebrows, upper lip, and<br />

underarms, as it treats each hair<br />

and follicle individually, which<br />

is time-consuming and can get<br />

expensive.<br />

Pros: Can permanently remove<br />

hair and is suitable for very fine<br />

and light-coloured hair, unlike<br />

laser, which works best on darker<br />

hair.<br />

Cons: When improperly done,<br />

electrolysis can lead to scarring<br />

or skin discolouration. Treatments<br />

can be uncomfortable and<br />

cause a “stinging” or “pricking”<br />

sensation, and as with laser<br />

hair removal, permanent results<br />

require multiple sessions.<br />

However, because this type of<br />

removal deals with only one<br />

hair at a time, it can take much<br />

longer to complete (15 to 30<br />

sessions). You will see results<br />

faster with smaller areas like<br />

the face or bikini line than with<br />

larger areas like arms or legs.<br />

There is a stinging sensation for<br />

each follicle that may or may not<br />

be painful, again depending on<br />

your threshold.<br />

Average Cost: Around RM200<br />

to above thousands for a<br />

30-minute session.<br />

How long does it last? If you<br />

follow through with all of the<br />

sessions required, results can be<br />

permanent. However, it is not<br />

always 100 percent permanent<br />

for everyone.<br />

SUGARING<br />

How It Works: Sugaring is similar to<br />

waxing. As the name implies, it involves<br />

a sugar-containing paste or gel to<br />

remove hair.<br />

Pros: It works by applying the paste or<br />

gel and, depending on the type, either<br />

removing it with or against hair growth<br />

to pull the hair out by the root. And<br />

because the medium is all-natural, you<br />

can even make it at home.<br />

Cons: Like waxing, the hair is still being<br />

pulled out, so there will be some pain.<br />

However, because the paste doesn't stick<br />

as much to the skin itself, it is reportedly<br />

less painful than waxing.<br />

Average Cost: To have it professionally<br />

done, sugaring can cost anywhere from<br />

RM40 to RM200 depending on the<br />

area. Sugaring kits can be purchased for<br />

at-home ranging from RM35 to RM50,<br />

but you can also make your own at<br />

home for just a few ringgit.<br />

How long does it last? Just like waxing,<br />

it usually takes three to six weeks for hair<br />

to grow back.<br />

References:<br />

www.bustle.com<br />

stylecaster.com<br />

www.instyle.com<br />

6 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


Advertorial<br />

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better than other oils, and it smells amazing. But did you know that coconut oil is a great emollient for skin<br />

too? That’s right. You can reap coconut oil’s benefits from the outside-in.<br />

Gets Deeper Into the Skin<br />

Why does coconut oil for skin work so<br />

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the fat preventing moisture loss through<br />

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Palmer’s Coconut Oil<br />

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Coconut Oil Body Scrub<br />

This luxurious, decadently scented body<br />

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for smooth, soft skin. It sloughs away dry,<br />

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Coconut Oil to hydrate and nourish the<br />

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Tahitian Monoi!<br />

Indulgent Coconut Body Wash<br />

Indulge your skin and senses with<br />

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you're pampering your skin from the<br />

moment you hit the shower.<br />

Coconut Oil Body Oil<br />

A light, quickly absorbed oil that<br />

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Nourishes deeply yet absorbs quickly,<br />

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Tahitian Monoi Oil, infused with Tiare<br />

flower petals. Coconut oil deeply<br />

moisturises and softens. Monoi oil<br />

hydrates and pampers. Sweet almond<br />

oil soothes and comforts skin.<br />

Palmer's is against animal testing.<br />

Made in USA<br />

Imported & Distributed by:<br />

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Available in Clinics & Leading Pharmacies


WHAT’S New<br />

Sweet <strong>September</strong><br />

Increase Your Fibre and Protein<br />

Intake with Ayam Brand Baked<br />

Beans<br />

There are three variants to suit differing tastes and diet<br />

requirements, namely the original Ayam Brand Baked<br />

Beans, Ayam Brand Baked Beans Cheese, and Ayam<br />

Brand Baked Beans Light that contains 3.9g to 4.51g of<br />

dietary fibre per 100g. Ayam Brand selects the best, big<br />

northern haricot beans, imported directly from the United<br />

States of America for the assurance of consistent quality<br />

and taste. The beans are then stewed to perfection so that<br />

they maintain their shape, and yet are tender, direct from<br />

the can.<br />

Ayam Brand Baked Beans come in two sizes – the<br />

425g (RM3.29) family size, and the 230g (RM2.12) size.<br />

Choose from baked beans in tomato sauce, or tomato<br />

sauce with real parmesan cheese for a creamier taste, or<br />

Ayam Brand Baked Beans in Light Tomato Sauce that has<br />

the same great taste but is formulated with 54% reduced<br />

sugar and 28% lower salt.<br />

For these recipes and more, please visit us at http://www.<br />

ayambrand.com.my/recipe and or find us on Facebook at https://<br />

www.facebook.com/AyamBrand.<br />

Royal Expert Smooth &<br />

Clear Cream<br />

Skin Lightening Cream<br />

Royal Expert Smooth & Clear not only helps to brighten<br />

skin, but also reduces the appearance of wrinkles and acne<br />

with a 3B Action: Balancing, Brightening and Boosting. It's<br />

an essential protein for the health and appearance of your<br />

skin that reduces the typical signs of ageing. It works as<br />

an important building block for elasticity and reduces the<br />

appearance of fine lines and wrinkles. This cream is packed<br />

with beneficial ingredients such as Aloe Vera, Vitamin C,<br />

Glutathione and Grape Seed Oil that will reveal a brighter,<br />

supple and restore a youthful complexion. Chamomile<br />

extract hydrates and soothes the skin, while Niacinamide<br />

helps to even out skin tone. It contains around 28 types of<br />

ingredients. This significant formula functions to lighten and<br />

enhance the metabolic functions of your skin, reduces the<br />

depth of wrinkles and protects against skin ageing, increases<br />

the density and tightens your skin and keeps your skin<br />

youthful. Suitable for all skin types too.<br />

Murad Malaysia Introduces Latest Skin Care<br />

Product To Complement Today’s Harsh<br />

Environmental Changes<br />

Understanding the desires and needs of women today, Murad launched its new skin<br />

care products; City Skin Duo to protect against all five environmental aggressors,<br />

including digital devices, infrared radiation, UVA and UVB Rays, and pollution.<br />

Aside from protections, Murad’s City Skin Duo also detoxifies your skin from past<br />

damages. The City Skin Duo consists of; City Skin Age Defense SPF50 and City<br />

Skin Overnight Detox Moisturizer.<br />

City Skin Age Defense SPF50++++ is an ultra-lightweight, 100% mineral sunscreen that utilizes environmental protection<br />

technology. Murad has combined a physical SPF50 barrier with the antioxidant lutein, which forms an additional<br />

protective layer to counteract not only IRA damage, but also pollution, levels of which are at an all-time high.<br />

City Skin Overnight Detox Moisturizer is a night-time moisturizer which detoxifies the skin overnight from the pollutants<br />

and toxins that have accumulated throughout the day. Its super-charged antioxidants from marrubium plant stem-cells<br />

neutralize pollutants and strengthen the skin’s barrier while you sleep and vitamin C immediately brightens and evens<br />

skin tone.<br />

The City Skin Duo is now available at Murad counters nationwide orwww.murad.com.my. Enjoy 10% discount on City Skin Duo<br />

products when you purchase online with CITYSKIN code atwww.murad.com.my valid until 31st October <strong>2017</strong>.<br />

8 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


WHAT’S New<br />

GOUCH All <strong>Natural</strong><br />

Antioxidant<br />

Antioxidants prevent and repair the<br />

damage caused by free radicals. Research<br />

has shown that antioxidants help to<br />

increase our energy. Tart cherries get their<br />

rich red colour and many of their powerful<br />

anti-inflammatory and antioxidant benefits<br />

from the flavonoid anthocyanin.<br />

Gouch is formulated from an all-natural blend<br />

of tart cherry extract and pineapple bromelain.<br />

Gouch is 100% natural with significant level<br />

of strong antioxidants (anthocyanins) and<br />

phytonutrients. By combining both these super<br />

fruits Gouch may help promote the body’s<br />

ability to fight illnesses and support health.<br />

This is a supplement product advertisement.<br />

MAL16075047NC<br />

MAL16075037NC<br />

KKLIU 1732/<strong>2017</strong><br />

Linola, Good News For Rough,<br />

Dry, Cracked And Sensitive Skin<br />

Malaysians will meet a brand new super hero that will be<br />

rescuing troubled skins nationwide. Linola is a well-loved<br />

pharmaceutical skincare range developed by Dr. August<br />

Wolff in Germany since 1957 and has continually gone<br />

through countless research and development exercises<br />

over the decades. Today, it is the No.1 preferred medical<br />

skin care by paediatricians in Germany.<br />

Named after its key ingredient, Linoleic acid, which boosts<br />

amazing protective, regenerative and anti-inflammatory<br />

properties, Linola is not just another run-of-the-mill range<br />

of products made for dry skin. Wholly formulated and<br />

produced in Germany.<br />

Linola is heaven-sent for chronic and acute atopic eczema<br />

sufferers, as it not only helps with the healing but also with<br />

soothing the itchiness and inflammation that comes with<br />

the condition.<br />

It contains linoleic acid rich vegetable oil and is free<br />

from harmful mineral oils and silicones. This Lotion is most<br />

suitable for very dry skin as well as eczema sufferers.<br />

Reduce Cold & Flu with<br />

Clinically Proven Wellmune ®<br />

Yeast Beta-glucan!<br />

KidsBiomune, The Clear Winner!<br />

Protect your child from catching the common cold and flu:<br />

Opt for KidsBiomune.<br />

KidsBiomune contains Wellmune ® , a patented beta<br />

1,3/1,6 glucan derived from the cell wall of yeast<br />

(Saccharomyces cerevisiae). Wellmune ® is clinically<br />

proven to enhance your child’s body immunity naturally by<br />

enhancing the body immune system, protecting your child<br />

against common cold and flu. KidsBiomune is in palatable<br />

mango flavour and recommended for children who are able<br />

to chew properly. It is available in most leading pharmacies<br />

and in the pack size of 10 x 5’s per box and 60’s per<br />

bottle. You just need 1-2 gummies a day for a strong and<br />

healthy kid.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

9


HEALTH & Wellness<br />

How Fibre and<br />

Probiotics Shore Up<br />

Your Gut <strong>Health</strong><br />

Your digestive system breaks down the foods you eat into<br />

the nutrients your body needs. If you neglect your digestive<br />

health, your body could run into problems digesting foods and<br />

absorbing those nutrients. For some of us, digestive discomfort<br />

has become a fact of life. We complain about everyday<br />

ailments such as occasional gas, bloating and irregularity but<br />

they don't have to be.<br />

Research has shown that our gut microbes play a significant<br />

role in regulating our health and weight. And more research<br />

has suggested a way we might mend this imbalance: by<br />

eating foods full of probiotics and loading up on prebiotics.<br />

What are probiotics and prebiotics<br />

anyway?<br />

Probiotics are “good” bacteria that help keep your digestive<br />

system healthy by controlling growth of harmful bacteria.<br />

Prebiotics are carbohydrates that cannot be digested by the<br />

human body. They are food for probiotics. The primary benefit<br />

of probiotics and prebiotics appears to be helping you maintain<br />

a healthy digestive system.<br />

If you suffer from gut trouble probiotics and fibre supplements<br />

are typically used to treat digestion and elimination problems.<br />

Probiotics can help balance your intestinal flora, the healthy<br />

10 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


HEALTH & Wellness<br />

bacteria in your intestines. Many people rely on probiotics<br />

if they take antibiotics, which can destroy gut bacteria.<br />

Fibre supplements can alleviate constipation and pass<br />

stools through your intestinal tract. They may also help with<br />

irritable bowel syndrome, haemorrhoids and even diabetes.<br />

Why Fibre Is Important To Your<br />

<strong>Health</strong><br />

Most people know that dietary fibre, sometimes referred<br />

to as roughage helps to keep you regular, but often don't<br />

know just how important fibre is to your overall health.<br />

The fact is that fibre is one of the foods necessary to keep<br />

you healthy, and without it you can suffer everything from<br />

constipation to Irritable bowel syndrome to increasing your<br />

risk for colon cancer. The problem is that most people don't<br />

get enough fibre to maintain proper health, leaving them<br />

with an unbalanced digestive system that may wreak havoc<br />

on the rest of their health.<br />

The Role of Fibre In Digestive<br />

<strong>Health</strong><br />

Fibre plays a huge role in your digestive health. There<br />

are two different kinds of dietary fibre: insoluble fibre and<br />

soluble fibre – and both are necessary for your digestive<br />

health. Insoluble fibre moves through your digestive<br />

system absorbing excess fluid and regulating the removal<br />

of waste. Soluble fibre is the prebiotic fibre that helps<br />

to strengthen the good bacteria in your digestive system<br />

and keep it strong and growing, so it can defend your<br />

digestive system from the bad bacteria that can cause<br />

infections and other health problems.<br />

In addition, both insoluble fibre and soluble fibre help<br />

your body absorb the vital nutrients it needs to keep every<br />

organ and system in the body healthy and functioning. This<br />

means that fibre plays an important and essential part in<br />

maintaining not just good digestive health but, good overall<br />

health as well.<br />

By paying attention and making a few simple changes,<br />

you can help your digestive system do the job it was<br />

made to do – absorbing nutrients and keeping things<br />

running smoothly.<br />

Available at:<br />

• Guardian • Watsons <strong>Natural</strong> • <strong>Health</strong> Caring * <strong>September</strong> • Pharmacies<br />

<strong>2017</strong> VOL 83 11<br />

ELLIS SDN. BHD.(148826-P) Tel:03-7729 9633


HEALTH & Wellness<br />

Tips for Good<br />

Digestive <strong>Health</strong><br />

Good digestive health starts with making<br />

healthy food and lifestyle choices. Here<br />

are some effective tips to improve your<br />

digestive health:<br />

• Eat a high-fibre diet: Consuming<br />

a diet that is high in fibre will keep<br />

foods moving through your digestive<br />

tract. It can also help prevent a<br />

number of common digestive issues<br />

such as constipation, IBS, and others.<br />

Fruits like passion fruit, pomegranates,<br />

pears, persimmons bananas, apples<br />

and oranges are one good way to<br />

add to the fibre. One downside to<br />

some fruits is that they contain a lot of<br />

fructose – fruit sugar – that can cause<br />

gas. One way to avoid this is to<br />

consume high-fibre, lower-sugar fruits<br />

that don't bring on the bloated tummy,<br />

like kiwi. One cup of kiwi offers 5<br />

grams of fibre, plus you'll get other<br />

good-for-you nutrients, like more than<br />

double your daily vitamin C quota.<br />

• Stay hydrated: Always drink plenty of<br />

water. Water helps your body dissolve<br />

fats and fiber and helps things move<br />

through your system more efficiently.<br />

• Add probiotics into your diet:<br />

Probiotics are healthy bacteria that<br />

exist in your digestive tract. Adding<br />

more to your diet through food and<br />

supplementation will help keep<br />

your body healthy. Low fat yogurt,<br />

sourdough bread, sour pickles and<br />

kimchi are a great source of probiotics.<br />

• Cleanse and detox: Performing a<br />

cleanse on occasion will help your<br />

body refresh and recharge, and allow<br />

your digestive system to reset.<br />

• Limit consumption of processed<br />

foods: It's always best to choose fresh,<br />

high quality food sources such as<br />

fruits, vegetables, and lean meats over<br />

processed and high fat food options.<br />

• Exercise regularly: Exercise helps<br />

keep food moving through your system<br />

as it uses the food you consume for<br />

energy. It also helps you maintain a<br />

healthy weight, something else that<br />

will improve your digestion.<br />

• Eat on a schedule: Your body loves<br />

routine. Eating frequent, smaller<br />

meals and snacks will keep your<br />

digestive system working effectively<br />

and efficiently.<br />

Getting the Fibre Your<br />

Body Needs<br />

Certain grains, raw vegetables, and<br />

fresh fruits are excellent sources of dietary<br />

fibre. Unfortunately, in most cases unless<br />

you buy organic food, not only are you<br />

getting fibre, but you are also getting a<br />

lot of chemicals from pesticides – and<br />

possibly even heavy metals from areas<br />

where there is high pollution, making the<br />

fibre you do take in less than healthy for<br />

your body and your digestive system.<br />

Good digestion is vital for good health.<br />

A stomach that has the correct level of<br />

good and bad bacteria is a healthy one.<br />

Also, the right level of fibre and water<br />

are excellent for assisting the body in<br />

eliminating waste. While getting the<br />

fibre your body needs is important for<br />

your health, it isn't as easy to get good<br />

sources of fibre as you might think.<br />

Certain grains, raw vegetables, and<br />

fresh fruits are excellent sources of dietary<br />

fibre. Unfortunately, in most cases unless<br />

you buy organic food, not only are you<br />

getting fibre, but you are also getting<br />

a lot of chemicals from pesticides - and<br />

possibly even heavy metals from areas<br />

where there is high pollution, making the<br />

fibre you do take in less than healthy for<br />

your body and your digestive system.<br />

Taking a good fibre supplement can<br />

help give you the good fibre your body<br />

needs, without the chemicals you may<br />

be getting from those ‘in<br />

store’ fresh foods.<br />

However, you do<br />

have to be careful<br />

in choosing<br />

a good fibre<br />

supplement<br />

with probiotics<br />

and look at how<br />

the supplement is<br />

manufactured before<br />

purchasing it.<br />

12 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


Advertorial<br />

(MAL16055017N)<br />

KKLIU 1818/2016<br />

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TG form (triglycerides form), Norway source,<br />

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Due to the increasing consumer<br />

awareness about the health risk<br />

associated with high-fat and cholesterol<br />

foods, as well as high-sugar and salt<br />

products, Opceden is now responding<br />

to the rapidly growing demand<br />

for pure and highly concentrated<br />

Omega-3 by providing an added<br />

nutritional formulation on healthy ageing<br />

throughout life. As a result, Opceden<br />

Omega-3 Fish Oil TG500/200 fish<br />

oils are now available.<br />

Omega-3 marine essential fatty acids<br />

have good health benefits. Marine<br />

sources of omega-3 are particularly<br />

important, because omega-3 fish oil is<br />

comprised of polyunsaturated, essential<br />

fatty acids that cannot be synthesised by<br />

the human body and must be obtained<br />

from food or supplementation.<br />

EPA (eicosapentainoic acid) and DHA<br />

(docosahexaenoic acid) are the two key<br />

essential fatty acids in Omega-3. Studies<br />

have shown that EPA and DHA are<br />

important for proper health maintanance<br />

and immune function. EPA and DHA may<br />

affect many aspects of body function.<br />

Opeceden Omega-3 Fish<br />

Oil TG 500/200 is in TG<br />

form (Triglycerides form)<br />

Most fish oil supplements in the market<br />

are generally available in Ethyl Ester<br />

form or Triglyceride form. Structurally,<br />

the major difference between the two<br />

forms is that in Ethyl Ester, the fatty acids<br />

(EPA & DHA) are esterified to an ethanol<br />

backbone, while in Triglycerides form<br />

(TG form), the fatty acids are esterified to<br />

a glycerol alcohol backbone.<br />

Typically, fats in most food sources are<br />

found in their natural triglyceride (TG)<br />

form. TGs are generally associated<br />

with standard fish body or fish liver<br />

oil. These fats are comprised of three<br />

fatty acids (such as omega-3 EPA and<br />

DHA) linked to a molecule of glycerol.<br />

Without glycerol, free fatty acids can<br />

rapidly oxidase and therefore the<br />

glycerol backbone helps to naturally<br />

stabilise the fat molecules and prevent<br />

breakdown and oxidation. To digest fatty<br />

acid in diet, we need pancreatic lipase<br />

(enzyme). The studies found that the<br />

lipase to hydrolyze TG form is 10 - 50<br />

times faster and ensures that absorption<br />

to body is optimised.


HEALTH & Wellness<br />

Beat the<br />

Beast of<br />

Obesity<br />

Understanding Obesity and Related<br />

Terms<br />

Obesity is one of the most pervasive, chronic diseases in need<br />

of new strategies for medical treatment and prevention. As<br />

a leading cause of mortality, morbidity, disability, healthcare<br />

utilisation and healthcare costs, the high prevalence of obesity<br />

continues to strain every healthcare system. It is caused as<br />

a result of deposition of excess adipose tissue, which is<br />

determined by measuring the Body Mass Index. Significantly,<br />

excess adiposity or obesity causes increased levels of<br />

circulating fatty acids and inflammation, leading to insulin<br />

resistance, resulting in type 2 diabetes. Obesity has been linked<br />

heavily to food and lifestyle habits. The biology of food intake<br />

is very complex, involving smell, taste, texture, temperature,<br />

emotional and metabolic responses, which signal the brain to<br />

initiate or cease eating.<br />

Obesity is a disease that affects a majority of the world<br />

population and the numbers of people with obesity have been<br />

increasing significantly, a trend that shows no sign of reversing.<br />

Obesity puts individuals at risk for more than 30 chronic health<br />

conditions, to name a few of the deadliest and most common,<br />

type 2 diabetes, high cholesterol, hypertension, gallstones,<br />

heart disease, fatty liver disease, sleep apnea, GERD, stress<br />

incontinence, heart failure, degenerative joint disease, birth<br />

defects, miscarriages, asthma and other respiratory conditions,<br />

and numerous cancers.<br />

What Is BMI?<br />

Body Mass Index (BMI) is a mathematical calculation involving<br />

height and weight, irrespective of family history, gender, age or<br />

race. BMI is calculated by dividing a person's body weight in<br />

kilograms by their height in meters squared<br />

BMI = Weight (kg) ÷ Height2 (m2)<br />

Classification<br />

Underweight<br />

Normal range<br />

Overweight<br />

Pre-Obese<br />

Obese I<br />

Obese II<br />

Obese III<br />

BMI<br />

< 18.5<br />

18.5 – 22.9<br />

≥ 23<br />

23.0 – 27.4<br />

27.5 – 34.9<br />

35.0 – 39.0<br />

≥ 40.0<br />

Associated <strong>Health</strong> Risks<br />

Low (risks of deficiencyrelated<br />

health problems)<br />

Acceptable risk levels<br />

Moderate risks<br />

Increased risks<br />

High risks<br />

Very high risks<br />

Extremely high risks<br />

This information can be misleading, however, for very muscular<br />

people, or for pregnant or lactating women. BMI is frequently<br />

used in population studies because of its ease of determination<br />

and well-supported association with mortality and health effects.<br />

However, other measures of excess adipose tissue, such as<br />

waist circumference, waist-to-hip ratio and others are also used.<br />

14 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


HEALTH & Wellness<br />

Abraham Mathew Saji<br />

Pharmacist<br />

Individuals may need to use additional factors to assess their<br />

individual risk including family history, level of physical activity,<br />

smoking and dietary habits.<br />

Waist Circumference<br />

Waist circumference is another widely used measurement to<br />

determine abdominal fat content. An excess of abdominal<br />

fat, when out of proportion to total body fat, is considered a<br />

predictor of risk factors related to obesity. Men with a waist<br />

measurement exceeding 40 inches are considered at risk.<br />

Women are at risk with a waist measurement of 35 inches<br />

or greater.<br />

Waist to Hip Ratio<br />

Waist-to-hip ratio (WHR) is a measurement that measures the<br />

ratio of waist circumference to that of the hip. It determines how<br />

much fat is stored on your waist, hips, and buttocks. Not all<br />

excess weight is the same when it comes to your health risks.<br />

People who carry more weight around their midsection (an<br />

apple-shaped body) are at higher risk for obesity related health<br />

risks than those who carry more of their weight in their hips and<br />

thighs (a pear-shaped body). According to the World <strong>Health</strong><br />

Organization (WHO), a healthy WHR is 0.9 or less in men<br />

and 0.85 or less for women.<br />

Cause of Obesity<br />

There could be many causes for the development of obesity. But<br />

the main fundamental cause is an energy imbalance between<br />

calories consumed and spent. Globally, there has been an<br />

increased intake of energy-dense foods that are high in fat,<br />

and an increase in physical inactivity due to the increasingly<br />

sedentary nature of many forms of work, changing modes<br />

of transportation, and increasing urbanization. Changes in<br />

dietary and physical activity patterns are often the result of<br />

environmental and societal changes.<br />

Waist-to-hip ratio chart<br />

<strong>Health</strong> risk Women<br />

Low<br />

0.80 or lower<br />

Moderate 0.81–0.85<br />

High<br />

0.86 or higher<br />

Men<br />

0.95 or lower<br />

0.96–1.0<br />

1.0 or higher<br />

Statistics<br />

Overweight and obesity are the fifth leading risk for global<br />

deaths. At least 2.8 million adults die each year as a result<br />

of being overweight or obese. In addition, 44% of the<br />

diabetes burden, 23% of the ischaemic heart disease burden<br />

and between 7% and 41% of certain cancer burdens are<br />

attributable to overweight and obesity. Some WHO global<br />

estimates from 2008 indicate that:<br />

• More than 1.4 billion adults, 20 and older, were overweight.<br />

• Of these overweight adults, over 200 million men and<br />

nearly 300 million women were obese.<br />

• Overall, more than 10% of the world’s adult population<br />

was obese.<br />

Once considered a high-income country problem, overweight<br />

and obesity are now on the rise in low- and middle-income<br />

countries, particularly in urban settings. Overweight and obesity<br />

are linked to more deaths worldwide than underweight. For<br />

example, 65% of the world’s population lives in countries where<br />

overweight and obesity kill more people than underweight (this<br />

includes all high-income and most middle-income countries).<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

15


HEALTH & Wellness<br />

Malaysia is not far away from these numbers. A national<br />

health and morbidity survey shows that obesity is prevalent<br />

among Malaysians above 18, with the numbers drastically<br />

rising. The number of obesity cases in 1996 was 4.4% (of the<br />

population), rising to 14% in 2006. "This rose to 15.1% in<br />

2011 and 17.7% in 2016. About 30.3% of adults suffered<br />

weight problems. As a whole, one in two Malaysian adults is<br />

overweight or one in five is obese.<br />

Individual responsibility can only have its full effect where<br />

people have access to a healthy lifestyle.<br />

Therefore, at the societal level it is important to:<br />

• support individuals in following the recommendations above,<br />

through sustained societal commitment,<br />

• the collaboration of many public and private stakeholders,<br />

• make regular physical activity and healthier dietary<br />

choices available, affordable and easily accessible to all –<br />

especially the poorest individuals.<br />

The food industry can play a significant role in promoting<br />

healthy diets by:<br />

• reducing the fat, sugar and salt content of processed foods,<br />

• ensuring that healthy and nutritious choices are available<br />

and affordable to all consumers,<br />

• practicing responsible marketing especially those aimed at<br />

children and teenagers,<br />

• ensuring the availability of healthy food choices and<br />

supporting regular physical activity practice in the<br />

workplace.<br />

Prevention and Future Outlook for<br />

Obesity<br />

Overweight and obesity, as well as their related noncommunicable<br />

diseases, are largely preventable. Supportive<br />

environments and communities are fundamental in shaping<br />

people’s choices, making the healthier choice of food and<br />

regular physical activity the most affordable and viable choice<br />

for preventing obesity.<br />

References:<br />

1) Eric A.F et. al.; Annual Medical Spending Attributable to Obesity –<br />

Payer and Service Specific Estimates; <strong>Health</strong> Affairs 28, No. 5; 2009:<br />

822 – 831; accessed Aug. <strong>2017</strong>.<br />

2) Obesity Facts and Figures; European Association for the Study of<br />

Obesity; accessed Aug. <strong>2017</strong>.<br />

3) Malaysia Clinical Practice Guidelines on Management of Obesity;<br />

2004; accessed Aug. <strong>2017</strong>.<br />

At the individual level, people can:<br />

• limit energy intake from total fats and sugars,<br />

• increase consumption of fruit and vegetables, as well as<br />

legumes, whole grains and nuts,<br />

• engage in regular physical activity (60 minutes a day for<br />

children and 150 minutes per week for adults).<br />

Abraham Mathew Saji is a pharmacist by qualification, engaged<br />

in research and development of medicines and their implications on<br />

the human body. He is an avid reader in pursuit of knowledge and<br />

understanding of technological advancements in the medical and<br />

pharmaceutical world. He is even more passionate about sharing his<br />

acquired knowledge, which he does by speaking at conferences,<br />

lectures and writing. He can be contacted at maz31abr@gmail.com for<br />

any clarification.<br />

16 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


HEALTH & Wellness<br />

Are You Using<br />

Your Cooking<br />

Oil Right?<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

17


HEALTH & Wellness<br />

Some time ago, "cooking oil" in the<br />

ears of the average American chef<br />

meant vegetable oil. Or just a clot of<br />

melted lard to keep the undertakers and<br />

cardiologists in caviar or just some olive<br />

oil of undefined quality used for the<br />

preparation of salad dressing.<br />

Later on, say a few decades later the<br />

variety available at our regular grocery<br />

store became somewhat intimidating<br />

if not engaging and that's minus the<br />

stock pile of cooking oils we can see<br />

in most grocery stores. Nowadays,<br />

we have a whole lot of choices and<br />

recommendations from coconut oil to<br />

avocado oil, etc. Each one of these<br />

oils also has their unique features and<br />

characteristics, and these characteristics<br />

at times match what you have heard<br />

about them from top chefs or experienced<br />

people like my mum.<br />

Coconut Oil<br />

Perfect for:<br />

• Baking<br />

• Sautéing<br />

• Low heat roasting<br />

• Smoke Point: 359°F<br />

Coconut oil has of late gathered some<br />

reputation as a result of some hipster<br />

approval and dubious health claims. And<br />

sincerely speaking it deserves some of it.<br />

When coagulated at room temperature<br />

it serves as a perfect substitute for butter<br />

in some cakes, cookies and other baking<br />

recipes either for the creation of nondiary<br />

option or only just because it tastes<br />

great with banana, chocolate, and other<br />

tropical flavours. When it comes to low<br />

heat recipes, you want to use it with<br />

sautéing vegetables or chicken.<br />

Fun Facts:<br />

Coconut oil is also excellent and<br />

positively effective for your skin and hair,<br />

any beauty product that has coconut oil<br />

as one of their ingredients can be trusted<br />

to do an excellent job. Coconut oil could<br />

save the day if you eventually run out of<br />

massage oil on a date.<br />

Peanut Oil<br />

Perfect For:<br />

• Dishes that have a lot of nuts in them,<br />

especially with intense heat like in a<br />

stir fry<br />

• Smoke point: 440°F<br />

The advantage and also disadvantage<br />

of the peanut oil is that it tastes exactly<br />

like peanuts. Well, it's entirely idle if<br />

you are coating your wok for... say Thai<br />

cooking, but it isn't that great for coating<br />

your skillet to boil a steak. Its smoke point<br />

is exceptionally high, which makes it<br />

ideal for deep frying as well as regular<br />

frying. Utilise it for dishes that already<br />

are amenable to peanut taste for instance<br />

moles, fried chicken and South East<br />

Asian dishes.<br />

Fun Facts:<br />

Peanut oil goes foul quickly and even<br />

faster than other oils. Purchase little<br />

quantity and store in places with low<br />

temperatures like a dark cabinet far off<br />

from the cooking stove.<br />

EVOO aka Extra virgin<br />

olive oil<br />

Perfect For:<br />

• Sprinkling over delicious dishes, dips,<br />

salad dressing, etc. (in that other)<br />

• Smoke Point: 320°F (do not use EVOO<br />

for high-temperature cooking as it<br />

destroys its excellent flavor and quality.<br />

Cold pressing prepares EVOO, thus<br />

means that it have at a temperature<br />

not higher than 80.5°. More extreme<br />

temperatures will produce some more<br />

oil effortlessly, and this is what makes<br />

this oil more expensive. This retains<br />

more antioxidants, flavours, and<br />

monounsaturated fats and offers a far<br />

more complex and robust flavour profile.<br />

Dependant on the region, flavours<br />

could be buttery, grassy, fruity, or bitter.<br />

Utilising it for those flavours ain't a bad<br />

idea, but not as a lubrication or texture<br />

agent... and obviously not as a means<br />

of deep frying.<br />

Fun Facts<br />

EVOO is most times counterfeited,<br />

buying from a trusted supplier is a way to<br />

confirm authenticity, and you could also<br />

research on that effect.<br />

Sesame Oil<br />

Perfect For:<br />

• Frying and Sautéing<br />

• Smoke Point: 410°F<br />

Though it most times has a nutty aroma,<br />

the sesame oil still has a neutral flavour.<br />

It also has a mid high smoke point; this<br />

makes it a fantastic choice for coating<br />

your wok or fry pan before plunking down<br />

veggies or meat. It incorporates a lot of<br />

minerals, fatty acids, and vitamins before<br />

cooking so that it will work perfectly for<br />

salad dressing, mostly with an Asian<br />

flavour like orange or ginger. The heat<br />

releases more of the Sesame so smoked<br />

sesame oils might taste very nutty. Utilise it<br />

for recipes where you require the sesame<br />

flavour to carry through.<br />

Fun Fact:<br />

There's a saying that originated from<br />

Urdu that goes "there isn't any oil left<br />

in this Sesame" this means a person is<br />

very cranky.<br />

18 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


HEALTH & Wellness<br />

Olive Oil<br />

Perfect For:<br />

• Sautéing, frying, and, deep frying,<br />

you can make this your default oil for<br />

anything.<br />

• Smoke Point: 465°F<br />

The Olive Oil is sure to be in the pans of<br />

the commercial kitchens if they are not<br />

using any vegetable oil. the regular olive<br />

oil usually has an unremarkable ooze,<br />

great working texture which makes it<br />

among the most versatile among cooking<br />

oils, and a high smoke point. Because<br />

it has a palate and a neutral nose, it's<br />

perfect for incorporating pepper, garlic,<br />

and other flavours.<br />

Fun fact:<br />

Some of the popular olive oils are<br />

washed with solvents at an intense<br />

temperature to neutralise or normalise<br />

its flavour. Go with EVOO for taste. But<br />

remember, do not heat it!<br />

Corn/Vegetable/<br />

Canola Oil<br />

Perfect For:<br />

• Deep frying and frying<br />

• Smoke Points: 450°F<br />

This oil comes with a small price tag<br />

with a high smoke point, thus making<br />

this kind of oil the standard issue for most<br />

professional kitchens. It doesn't have a<br />

flavour so whatever you cook in it tastes<br />

like itself and not like the oil. You could<br />

make this your default oil, just like basic<br />

refined salt. Just like salt, it isn't the best<br />

oil for your health; this is why people<br />

are opting for the fancier and more<br />

expensive options. Be sure to use it in<br />

most recipes, and especially for fried<br />

chicken, recipes that involve throwing<br />

stuff in boiling oil and stir-frying.<br />

Fun Fact:<br />

The small price tag is as a result of using<br />

subsidised crops as the primary raw<br />

material for the making of the oil.<br />

Grapeseed Oil<br />

Perfect For:<br />

• Low temperature sautéing and<br />

emulsified recipes.<br />

• Smoke Point: 420°F<br />

Grapeseed oil has been thrown in the<br />

trash bag for a long time now and<br />

referred to as an undesirable byproduct<br />

of wine production. But some fresh<br />

research on how it affects our body<br />

system has made it a cosmetic item in the<br />

present times.<br />

Proof from trusted sources say it curbs<br />

hunger chemically when you consume<br />

even a little. It's an excellent choice, and<br />

it will not separate at lower temperatures.<br />

So it's perfect for making dressings,<br />

sauces, and mayonnaise.<br />

Fun Fact:<br />

This great oil has been used for decades<br />

if not centuries as a skin moisturiser in dry<br />

climates, and it's also awesome with hair.<br />

Avocado Oil<br />

Perfect For:<br />

• Grilling<br />

• Smoke point: 510°F<br />

Avocado oil is known to have one of<br />

the highest smoke points of all other oils.<br />

Which makes it ideal for high-temperature<br />

cooking: stir-frying and fried eggs for<br />

example. It has butter like texture and<br />

flavour as well as a high content of<br />

monounsaturated fat (the good part). Even<br />

with its extreme temperature tolerance, it's<br />

still as versatile as the olive oil. It makes<br />

for great sprinkle or garnishes, especially<br />

when mixed into a vinaigrette.<br />

Fun Fact:<br />

Discovery has been achieved via<br />

reliable research that the lutein in the<br />

avocado oil does a fantastic job with<br />

improving eyesight.<br />

Safflower/Sunflower Oil<br />

Perfect For:<br />

• Substituting vegetable oil.<br />

• Smoke point: 440°F<br />

Produced from pressed seeds of<br />

sunflower and it younger sibling the<br />

safflower, it has the same smoke point,<br />

texture, and flavor as vegetable, canola<br />

and corn oil. It's far better for health, has<br />

less bad fat and much more healthy fat<br />

than the cheaper veggie oils.<br />

You have to keep in mind that it<br />

goes wrong in a short period, so it is<br />

advisable to buy in small bottles. Utilise<br />

in similar baking, frying, and roasting<br />

applications you would with veggie oil.<br />

Fun Fact:<br />

Sunflowers are freaking gigantic. The tallest<br />

species grow as long as thirty feet. That's a<br />

whole lot of seeds and a ton or great oil.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

19


COVER Story<br />

Davina<br />

Goh<br />

The<br />

Vegan<br />

Warrior<br />

Davina is a quirky yet ballsy woman with years of<br />

experience in the performing arts, emceeing and<br />

modelling. She is also an athlete enthusiast, conservationist<br />

and a passionate vegan who is garnering thousands of<br />

views for her self-made cooking videos under Davina Da<br />

Vegan. A dynamic personality, Davina would go above<br />

and beyond for a physical challenge, even if it means<br />

spending 8 months in a Shaolin kung fu school in China.<br />

Last year, she swam and kayaked 18km as part of the<br />

Raleigh Round Island Challenge at Perhentian Island and<br />

took another challenge – a half marathon at the Men’s<br />

<strong>Health</strong> Women’s <strong>Health</strong> (#MHWHNightRun) Night Run, the<br />

largest night run in Malaysia held in partnership with AIA<br />

Vitality (#AIAVitalityMY) on 22 July at MAEPS, Serdang.<br />

Davina’s interests include animal welfare, voluntary<br />

simplicity, fitness, vegan cooking and travel.<br />

20 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


COVER Story<br />

Full name: Davina Goh<br />

Age: 34<br />

Weight: 52kg<br />

Height: 5’5”<br />

Likes: Clouds and coconuts<br />

Dislikes: Disrespect<br />

Favourite food: All things vegan!<br />

Favourite colour: Blue<br />

Favourite music:<br />

70s Funk and Disco<br />

Favourite place:<br />

Myanmar and Nepal<br />

Favourite pastime: Being outside<br />

What I’m reading now:<br />

The Book: On the Taboo Against<br />

Knowing Who You Are by Alan Watts<br />

My inspiration: My mother and my husband<br />

My motto: Have good intentions and the rest will follow<br />

What gets me going? Laughing children<br />

Something about me that you don’t know: I can wiggle my scalp<br />

How will you best describe yourself?<br />

Not your average person!<br />

Tell us your typical day<br />

Meditating, experimenting in the kitchen, exercise, work and meetings, playing with<br />

my cat, spending time with loved ones, watching a documentary if there’stime.<br />

Three things you’d never leave<br />

home without?<br />

My phone, a notebook and lozenges.<br />

What’s your most memorable moment in life?<br />

Being invited to dance on stage with Jamiroquai in Singapore. Their music helped<br />

me get through a lot of rough times in my youth, and it was the first time travelling by<br />

myself to do something crazy like that, so that moment was a triumph of self-discovery.<br />

How do you pamper yourself in your free time?<br />

I brew a cup of herbal tea, light up some incense, make a turmeric facial mask and<br />

chill out for a bit.<br />

What’s your indulgence?<br />

Vegan ice-cream!<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

21


COVER Story<br />

What’s your secret to looking<br />

so fabulous?<br />

Vegan ice-cream! Haha. A vegan diet is a big aspect, as well<br />

as a young, positive attitude.<br />

What’s your diet like to look<br />

slim and sexy?<br />

I don’t monitor what I eat but I make sure that I always eat<br />

real food – food that are fresh, unprocessed and homemade<br />

whenever possible. I keep myself hydrated and eat a lot of<br />

fresh vegetables and fruits, whole grains, beans and legumes.<br />

For desserts, I also bake my own cakes and cookies. I regularly<br />

post up pictures and recipes of the food and drinks I make on<br />

my Instagram, @imdavinagoh. If you’re curious to check out<br />

#whatveganseat and maybe try it out for yourself!<br />

What’s your philosophy in life?<br />

Great things come out of gratitude.<br />

What’s your ultimate goal<br />

in life?<br />

As a plant-based lifestyle advocate, my ultimate goal is to<br />

encourage and inspire others to lead happier, healthier lives<br />

by adjusting attitudes towards what we put into our bodies.<br />

Malaysia is one of the most obese countries in Southeast<br />

Asia and I am working towards changing that. I have been<br />

receiving messages from people who have been eating less<br />

meat because of knowing who I am and what I do. I hope that<br />

together, we can all take part in this cultural shift towards more<br />

mindful eating.<br />

If you’re to choose only one<br />

among all the roles you play<br />

– teaching, playwriting, spoken<br />

word and dance – which one<br />

would it be and why?<br />

I would certainly pick acting. It has been my first love and still<br />

is, my number one love. As a teenager, I used it to escape<br />

from my insecurities. As the years went by, I started using it to<br />

hone my empathy. It has helped me discover the person who I<br />

am today.<br />

What does fitness mean to you?<br />

Fitness gives me life! It gives me so much energy. It allows me<br />

to appreciate my body for its capabilities; I learn humility from<br />

my injuries and it instils discipline when I need to work hard to<br />

stay strong or be stronger in the face of physical shortcomings.<br />

How do you keep yourself fit?<br />

I just keep moving! I love hiking, swimming, running – anything<br />

that keeps me outdoors. I met my husband at a kungfu school<br />

and we do fitness dates! He’s a great motivator in my life. I<br />

also have regular sessions with a Master Trainer called Jeck<br />

Beng at Fitness First Malaysia. Jeck has been instrumental in<br />

building up my overall strength over the past year.<br />

You’re a vegan and showcase<br />

vegan cooking. Can you tell us<br />

why being a vegan is important<br />

to you? How difficult is it to be<br />

a vegan in Malaysia?<br />

Being a vegan is important to me because it’s the greatest<br />

investment I’ve ever made for my health. And, for that reason, I<br />

believe that a plant-based diet should be important for everyone<br />

else. A majority of us eat several times a day every single day,<br />

so changing what we eat is the easiest and most effective way<br />

to improve our wellbeing. Malaysia is blessed with a huge<br />

variety of tropical fruit and vegetables and beans, tofu and<br />

tempeh are cheap and easily available. I have also observed<br />

that there are now more vegetarian/vegan F&B establishments<br />

in the Klang Valley than there has ever been in the last five<br />

years. It’s a lot easier to maintain a balanced vegan diet here<br />

than many may think!<br />

Can you tell us about your stint<br />

as a student at Maling Shaolin<br />

Kung Fu Academy in Jiangsu<br />

Province, China?<br />

I’m not sure where to start with this because lessons were<br />

learned on so many levels. It was challenging every single<br />

day, not just physically but also dealing with never feeling<br />

good enough. Injuries were frequent which hampered training.<br />

During my time there, China was experiencing one of its hottest<br />

summers and it was also the first time ever that I'd experienced<br />

snow and winter with no central heating at the school. In eight<br />

months my body transformed in strength, endurance, speed and<br />

flexibility. I overcame a lot of fears and made a lot of peace<br />

with myself. I bonded with students from all over the world who<br />

had their own extraordinary stories about how they turned up at<br />

the school. No one was spared from showing their ugly sides<br />

and we relied on each other for encouragement and support.<br />

I still consider them some of my closest friends. It was the<br />

experience of a lifetime and I’d do it all over again, if I was a<br />

bit younger!<br />

22 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


COVER Story<br />

Can you tell us about the<br />

Raleigh Round Island Challenge<br />

at Perhentian Island last year?<br />

Shortly after my return from China, I was approached by a<br />

swimming academy called Advanced Aquatics to be a part of<br />

their endurance swimming programme called Zen Swim. My<br />

coaches suggested that I find a good challenge to apply what I<br />

had learned from them and the Raleigh Round Island Challenge<br />

at the time was the last open-water swimming event of the year.<br />

It involved being in a team of four to swim and kayak 18km<br />

around Perhentian Island. I thought the attempt would also be<br />

a great way to spread awareness about marine conservation.<br />

I trained in Zen Swim for nine months, whilst running a<br />

crowdfunding campaign to support two NGOs, MareCet and<br />

Reef Check Malaysia. I strained my back a week before the<br />

event, so I was nervous I couldn’t do it. But I had a fantastic<br />

team who literally had my back. We managed to complete the<br />

challenge without further injury on top of being in the ocean for<br />

12 hours. My campaign also raised over RM23,000. It was an<br />

event that showed me that we are all capable being a change<br />

in the world if we really want to.<br />

Tell us about your preparation<br />

for Men’s <strong>Health</strong> Women’s<br />

<strong>Health</strong> Night Run, the largest<br />

night run in Malaysia held in<br />

partnership with AIA Vitality<br />

Jeck has been giving me a lot of tough love! He has been<br />

helping to build up my lower body strength, especially in my<br />

glutes – they are my weakness. I’ve done enough squats and<br />

lunges to last a lifetime! I’ve been supplementing my diet with<br />

plant-based protein powders including Soluxe Pea Protein. I’ve<br />

been going for yoga classes to stretch out tired muscles and<br />

maintain my mobility. And I sleep at least seven hours a night.<br />

Sleep is so important for performance!<br />

How would you like to inspire<br />

others to make a change in the<br />

world?<br />

This was not my intention but I suppose that I’ve been living<br />

by example – staying true to myself and my values. I think we<br />

need to revisit our values and principles. A lot of principles get<br />

pushed aside these days as a survival tactic, without thinking on<br />

a deeper level about repercussions. I would like to inspire by<br />

encouraging others to stay genuine. When we are comfortable<br />

with the quirks that make each of us unique and remember the<br />

things that are really important in life, then we can focus better<br />

on the issues that call for our care and concern.<br />

What projects are you<br />

currently working on and<br />

what’s in the pipeline?<br />

I’ve had my first Malay-speaking role in a local film called<br />

‘Safari Mall.’ My appearance is very brief but it was one<br />

of the most immersive experiences I’ve had as an actor.<br />

The film will be out in cinemas soon. Apart from that, I’ll be<br />

participating in the Kuala Lumpur Eco Film Festival in October<br />

at Publika. I’ll be speaking at a Sustainable Farming forum,<br />

besides having a booth of my own to sell my vegan food! I’m<br />

very excited about that.<br />

Where do you see yourself 10<br />

years from now?<br />

I don’t make such long-term goals because it spoils the fun of<br />

finding life out as it happens. I do see myself being very happy.<br />

Maybe I’ll be lounging on a beach somewhere wondering what<br />

I was doing ten years ago!<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

23


Interview<br />

Understand Your Genetic Code,<br />

Realise Your True Potential<br />

Wouldn't it be great if you can empower yourself to look, feel and live your<br />

best with customised wellness and lifestyle solutions tailored to your unique<br />

genetic traits? Well, now it's possible with Imagene Labs – positioned to<br />

be Asia’s most trusted personal genomics service. <strong>Natural</strong> <strong>Health</strong> speaks<br />

to Har Jia Yi, General Manager of Imagene Labs to understand how our<br />

unique genetic profiles can help us realise our full potentials.<br />

Har Jia Yi<br />

What are Imagene Labs tests for?<br />

Simply put. Imagene Labs seeks to empower individuals by<br />

unlocking their genetic code and optimise lives with customised<br />

wellness and lifestyle solutions tailored to each person’s unique<br />

genetic traits.<br />

Imagene lab creates a personalised wellness solutions for<br />

consumers based on their DNA, as you know there is no one<br />

size that fits all. We provide solutions to health, especially in<br />

fitness, nutrition and skincare. For instance, if you ask someone<br />

to lose weight, you can’t just give a general solution like just eat<br />

less and exercise more. It doesn’t just work like that. If it works,<br />

then there would not be fat people in the world. The idea is that<br />

we see a big gap in the market in customised wellness. That<br />

is why we came out with a solution with skincare and nutrition<br />

products based on an individual’s DNA profile.<br />

Customisation is an increasing trend in wellness. So currently<br />

your health profile is now known based on questionnaire or<br />

scanners; both health scanners and skin scanners. Some of<br />

these methods would not meet the objective. Because if you<br />

ask someone “Do you have dry skin?” the answer is based<br />

on what the person feels. So it can be subjective. However,<br />

if it’s based on DNA, it’s more scientific and also objective.<br />

The tests can tell you your risk profile that you may not know<br />

of at the moment; things that may have not happened yet − it’s<br />

preemptive. So, it’s also takes into consideration your future.<br />

We call it preventive and precision wellness. At the moment,<br />

we’ve started with fitness, skincare and nutrition.<br />

Can you tell us briefly the background<br />

of the company?<br />

Imagene Labs is Asia’s leading genetics-driven wellness<br />

company. Imagene Labs was incorporated in Singapore in<br />

<strong>September</strong> 2016 with a growing footprint in South East Asia.<br />

We’re now in Malaysia, Thailand and Hong Kong. We<br />

plan to go into other markets like Indonesia, Vietnam and the<br />

Philippines soon.<br />

Who are your main clients?<br />

We have both B2B and B2C channels. Right now most of<br />

our clients come from B2B because as you can imagine<br />

fitness is very relevant to the gym industry because the way<br />

we test for fitness; we look at endurance, power, injuries,<br />

so on and so forth. The gym trainers use an individual’s<br />

information to create a personalised training programme,<br />

which can add onto their current offering and make the<br />

training programme shorter and cut off all trials and errors.<br />

Some of our corporate clients even provide the test package<br />

as part of their employee benefits.<br />

24 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


Interview<br />

How different is one test from the other?<br />

For fitness we test for 15 traits and cover almost over 110<br />

genes and we are able to tell what they’re good at. For<br />

example, athletic performance, aerobic, how much oxygen<br />

one can pump out, power of endurance, muscle soreness,<br />

injury risk, gaining lean body mass and whether they’re good<br />

at power or endurance sports. So using the information, the<br />

gym trainer can personalise the training programme and help<br />

to reach their goals much faster, for instance, their weight<br />

management goals.<br />

There are also traits for exercise aversion – people will higher<br />

aversion should find an exercise that’s fun. They are not that<br />

motivated on their own and they need to find someone to<br />

exercise with them. We also have ‘obesity potential’ and also<br />

‘difficulty in losing weight’ traits that we can test for. If you know<br />

someone who has a high difficulty is losing weight then maybe<br />

the trainer would want to add on high metabolic activities. As<br />

for skin, we work closely with aesthetic doctors and beauty<br />

spas where we can look at 10 traits covering ageing related<br />

areas like collagen breakdown and skin sensitivity.<br />

Nutrition covers 30 traits. This is very interesting as it tells you<br />

about nutrition deficiencies as well as diet compatibilities.<br />

People go on diet but they don’t know what to follow; low<br />

fat, low carb, and Mediterranean diet plan. Our test will<br />

tell them which will work better for them. We actually have<br />

testimonials of people who have followed such type of diets<br />

and successfully lost weight and maintained because they’re no<br />

more starving themselves but changing the kind of food they’re<br />

eating. We also look at food sensitivity like gluten, beans and<br />

so on.<br />

For skin we look at skin and sensitivity. Let’s take collagen<br />

breakdown. Somebody who is young may not have shown<br />

signs of collagen breakdown but if the report says the person<br />

has a high risk of collagen breakdown, then they need to<br />

take precaution. And the report doesn’t just tell the consumer<br />

the results. We also provide recommendations based on<br />

diet, lifestyle, exercise changes and skincare, what kind of<br />

ingredients they should look for when they’re buying their<br />

products. We close the loop by providing them customised<br />

product using the latest German technology which we’re<br />

working with our partners to provide.<br />

For each person, we’ve a different plans based on their results<br />

– what they actually need and we’ve doctors who treat the ratio<br />

and it would be mixed according to the person’s needs. Some<br />

people may need two, three or four scoops depending on what<br />

formulation is recommended.<br />

How does the genetic testing work and<br />

what at what age can one take it?<br />

Your DNA does not change – it’s a one-time test telling you<br />

what your body – your natural traits are and how to combat<br />

it if there is something negative. If there is something positive<br />

for instance, somebody has good endurance, the person can<br />

technically train for a marathon. So it actually tells people<br />

what their potentials are. It’s an easy test too. And it needs just<br />

your saliva. The DNA result will be delivered in two weeks<br />

and another week to deliver your product. Based on market<br />

standards, a child as young as two years can take the test.<br />

Anyone younger than that may not have the cheek cells for the<br />

DNA test. The oldest can be of any age.<br />

Can one choose the type of DNA to<br />

be tested?<br />

You can choose the type of test and the product that you want<br />

to consume. Our most popular one is the all 3-in-1 plus two<br />

products because we bundle in such a way that it’s more<br />

value-added.<br />

Can you share how any of your clients<br />

has benefitted from the DNA results?<br />

One very good example is a client of ours in Singapore, in<br />

her 30s, who was trying to lose weight. She had tried many<br />

different types of diets but failed. So, based on our test we<br />

found that she responds better to low fat diet. She changed her<br />

diet accordingly to our test recommendations. She followed<br />

a low fat meal plan, doesn’t starve herself. All she did was<br />

reduce her fat intake and to just enjoy her food, and she was<br />

soon able to reduce around 5kg within two months. It was<br />

gradual and not drastic like in extreme diet.<br />

For more information on a tailored DNA test visit<br />

www.imagenelabs.com or email hello@imagenelabs.com<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

25


SPECIAL<br />

World Heart Day<br />

<strong>September</strong> 28<br />

Krill Oil vs Fish Oil<br />

Which One Is For You?<br />

Which omega-3 supplement should we be reaching for? Let’s<br />

look up the health benefits of fish oil and krill oil.<br />

More people are turning to krill oil for omega 3 nutrition<br />

because of its significant advantages over other marine oils. Like<br />

fish oils, krill oil is naturally loaded with heart-healthy omega 3<br />

essential fatty acids EPA and DHA. Essential fatty acids support<br />

cardiovascular health, healthy cognitive function, joint health<br />

and more.<br />

Although research continues to clarify the roles of DHA and EPA,<br />

some evidence suggests that DHA may be more important in<br />

certain situations, while EPA may be more important in others.<br />

Keep in mind, however, that participants in most studies were<br />

not eating diets rich in DHA or EPA (i.e., not eating fish at least<br />

twice a week) according to ConsumerLab.com.<br />

It’s not clear that any type of fish oil supplement will provide<br />

value if you are already getting substantial amounts of EPA<br />

and DHA naturally from foods. In fact, in terms of general<br />

cardiovascular benefit, it’s pretty clear that you are better off<br />

eating fish (not fried!) than taking a supplement. But if you won’t<br />

eat fish or other foods rich in EPA and DHA, consider taking a<br />

supplement.<br />

26 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


SPECIAL<br />

Here are some of the benefits which have been seen with EPA and DHA supplementation:<br />

DHA<br />

Pregnancy – DHA is important during pregnancy for<br />

normal development of the infant and may decrease<br />

premature births. Pregnant women should get at least<br />

200 mg of DHA per day from a supplement or lowmercury<br />

fish.<br />

Depression – Large<br />

amounts of EPA relative<br />

to DHA may help relieve<br />

depression in cases<br />

of moderate to severe<br />

depression (not mild<br />

depression).<br />

EPA<br />

Periodontitis – High-dose DHA has helped improve<br />

periodontitis (inflammation around the teeth<br />

causing pocketing), although this was not seen<br />

with high-dose EPA.<br />

Anxiety – A supplement<br />

high in EPA helped reduce<br />

anxiety in students.<br />

Chemotherapy – A<br />

supplement providing<br />

a large amount of EPA<br />

has helped prevent<br />

weight loss during<br />

cancer chemotherapy.<br />

Age-related Cognitive Decline – Studies have shown<br />

a modest benefit with a supplement high in DHA. A<br />

supplement high in EPA did not have this benefit.<br />

Alzheimer's disease – A<br />

supplement containing more<br />

EPA than DHA helped slow<br />

cognitive decline in patients<br />

with Alzheimer's disease.<br />

This has not been seen with<br />

supplements higher in DHA.<br />

However, no omega-3<br />

supplement can reverse<br />

Alzheimer's disease.<br />

EPA and DHA<br />

Acne – A high-dose combination of EPA and DHA helped reduced the number and severity of acne in men and women.<br />

Strength training – More equal combinations of EPA and DHA have helped improve strength during strength training<br />

in a study of older women.<br />

High triglycerides – Very high doses of EPA and DHA from concentrated fish oil can lower triglyceride levels.<br />

Heart health<br />

Omega-3s from fish-oil pills and fatty fish can reduce the risk of heart attacks and strokes, research has found.<br />

Both fish-oil pills and krill-oil supplements supply the healthful omega-3 fatty acids DHA and EPA.<br />

With all the marketing material out there, it can be hard to know which omega-3 supplement you should be taking.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

27


SPECIAL<br />

The differences between the two<br />

Krill oil<br />

Krill oil is a nutrient-dense substance extracted from a tiny,<br />

bottom-of-the-food-chain crustacean that lives in the icy<br />

waters around the Antarctic. It is said to provide the same<br />

health benefits as fish oil because it is also a rich source of<br />

the omega-3 fatty acids eicosapentaenoic acid (EPA) and<br />

docosahexaenoic acid (DHA), which are essential to health.<br />

arthritis, for example, may need to take nine to 14 standard<br />

capsules a day, whereas, according to krill oil marketing, only<br />

one capsule is needed for the same effect.<br />

Those in the krill oil business also say it is a safer and<br />

cleaner product because it is sourced from less contaminated<br />

waters. From an eco point of view, it seems to depend on<br />

where the oil is bought from. Manufacturer of krill oil should<br />

demonstrate that the krill is sourced in an environmentally<br />

sustainable manner with minimal harm to local ecosystems<br />

and limited by-catch.<br />

Have in mind that krill oil supplements could be more<br />

expensive than fish oil because of the expensive processes<br />

undertaken to ensure quality and eco-sustainability.<br />

The main selling points for krill oil are that its omega-3s<br />

are packaged differently from fish oils, in the form of a<br />

phospholipid that is easier for the body to absorb, and that it<br />

has the added bonus of containing another essential nutrient,<br />

choline, as well as an antioxidant.<br />

The benefits that set krill oil apart<br />

Some findings show that krill oil has a few benefits that may<br />

make it a superior omega 3 source when compared to<br />

traditional fish oil supplements. Krill oil contains carotenoid<br />

antioxidant astaxanthin. Fish oil does not. Astaxanthin is a<br />

high powered antioxidant with a molecular structure that<br />

makes it very effective at neutralizing free radicals.<br />

According to manufacturers krill oil has better absorption rate<br />

– up to 60 per cent – means less capsules need to be taken<br />

to achieve the desired health benefits. People taking fish oil for<br />

Fish oil<br />

Supporters of the fish oil industry point to the large body of<br />

research conducted on the benefits of fish oil compared with<br />

the research on krill oil, which both camps say is fairly thin<br />

on the ground. For now, fish oil has the backing of many<br />

years of scientific research, which shows that it fully deserves<br />

all the hype about its health benefits. Many say that fish oil<br />

works because of the many clinical<br />

trials that show this.<br />

Fish oil and krill oil are both<br />

great sources of omega-3 and<br />

complement each other. The most<br />

important message for now is that<br />

you get your recommended daily dose of omega-3s from<br />

whatever source there is. If you are taking an omega-3<br />

supplement, check if the oil has the recommended daily dose<br />

of 500mg.<br />

Tip: whichever<br />

type you<br />

choose, look<br />

for a reputable<br />

brand that<br />

follows good<br />

manufacturing<br />

processes and<br />

uses sustainably<br />

harvested oil.<br />

Bottom line<br />

More clinical research is needed. Most people can get enough<br />

DHA and EPA by eating fatty, low-mercury fish – such as<br />

Alaskan salmon and sardines – at least twice weekly.<br />

If you take a supplement, consult a doctor because krill oil and<br />

fish oil may interact with some drugs, including blood thinners.<br />

Fishy burps?<br />

You may have heard<br />

that krill oil doesn’t<br />

cause the dreaded<br />

fishy burps that fish oil<br />

can. This is yet to be<br />

confirmed. However,<br />

you can minimise the<br />

problem by freezing<br />

pills, taking fish-oil<br />

supplements at the start<br />

of a meal, or buying<br />

an odourless brand.<br />

Sources:<br />

www.consumerreports.org<br />

www.bodyandsoul.com.au<br />

www.webmd.com<br />

28 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


SPECIAL<br />

Unclog Your Arteries <strong>Natural</strong>ly<br />

As we grow older, our blood vessels become more rigid and<br />

less elastic because we all develop a degree of atherosclerosis,<br />

a condition that occurs when a substance called plague builds<br />

up in the walls of the arteries. The plaques are made up of<br />

cholesterol, fat, cellular waste product, calcium and fibrin (a<br />

clotting material in the blood). The buildups narrow the arteries,<br />

reducing blood flow and the supply of oxygen to the cells.<br />

When a blood clot forms, it can partly or completely block the<br />

flow of the blood. Clogged arteries can lead to a heart attack<br />

or stroke.<br />

Endothelial cells coat the inner surface of blood vessels, forming<br />

a continuous lining called endothelium for the entire vascular<br />

system and play a key role in the maintaining homeostasis of<br />

circulation. Endothelial cells secrete vasoactive substances that<br />

cause relaxation(vasodilation) and contraction (vasocontriction)<br />

of the underlying smooth muscle, thus controlling blood<br />

pressure. Endothelial cells also control blood clot and platelet<br />

adhesion as well as regulate immune and inflammatory<br />

reactions. Endothelial dysfunction is an initiative step in the<br />

development of atherosclerosis and appears to result from<br />

reduced levels of nitric oxide (NO) availability. Nitric oxide<br />

(NO) released by endothelial NO synthase (eNOS) causes<br />

smooth muscle cell relaxation and stops platelet aggregation<br />

and adhesion, thus contributing maintenance of vascular<br />

integrity. This is critical in preventing blood clots in the vascular<br />

system that can lead to cardiovascular diseases.<br />

Herbal Extracts with Plaque Preventive<br />

Properties<br />

Till now there are a few natural supplements with herbal extracts<br />

that hold strong scientific evidence in preventing additional<br />

plaque from forming and improving blood circulation naturally.<br />

• Olive Extracts (Fruit & Leaf)<br />

RR<br />

Contain high levels of<br />

antioxidants, including<br />

hydroxytyrosol, oleuropein,<br />

triterpenoids and tocopherol<br />

(vitamin E)<br />

RR<br />

Protect LDL cholesterol from<br />

oxidation in the walls of blood<br />

vessels.<br />

• Pomegranate Fruit Extract<br />

RR<br />

Contains punicalagin, a unique<br />

and powerful antioxidant that<br />

contributes highly to the control of<br />

cardiovascular risk.<br />

RR<br />

Improves coronary endothelialdependent<br />

relaxation.<br />

RR<br />

Reduces blood pressure and stress<br />

hormone level.<br />

• Gingko Biloba Extract<br />

RR<br />

Inhibits platelet aggregation<br />

induced by platelet-activating<br />

factor (PAF) and lipid<br />

peroxidising agents.<br />

RR<br />

Exhibits vasodilating effect.<br />

RR<br />

Alleviates symptoms associated<br />

with cerebral blood flow.<br />

This article is brought to you by Nutriva International Sdn. Bhd.


SPECIAL<br />

Mono<br />

& Poly<br />

Are You Getting<br />

Enough Me?<br />

World Heart Day<br />

<strong>September</strong> 28<br />

Omega-3 and Omega-6<br />

How much do you include healthier<br />

fats in your diet to help reduce the<br />

risk of heart disease? <strong>Health</strong>ier<br />

fats include monounsaturated fats<br />

and polyunsaturated fats (omega-3<br />

and omega-6). These fats help the<br />

cholesterol balance in your blood by<br />

decreasing the bad (LDL) cholesterol<br />

and increase the good (HDL)<br />

cholesterol. Replacing saturated and<br />

trans fats with healthier ones helps to<br />

lower your risk of heart disease.<br />

Make sure you have these healthier<br />

sources of fat in your healthy<br />

balanced diet.<br />

Monounsaturated fat<br />

Sources of monounsaturated fat<br />

include:<br />

• avocados<br />

• almonds, cashews and peanuts<br />

• cooking oils made from plants or<br />

seeds like canola, olive, peanut,<br />

soybean, rice bran, sesame and<br />

sunflower oils.<br />

Polyunsaturated fat<br />

Sources of polyunsaturated fat (both<br />

omega-3 and omega-6) include:<br />

• fish<br />

• tahini (sesame seed spread)<br />

• linseed (flaxseed) and chia seeds<br />

• soybean, sunflower, safflower, and<br />

canola oil, and margarine spreads<br />

made from these oils<br />

• pine nuts, walnuts and brazil nuts.<br />

Omega-3<br />

Omega-3 fats are a type of<br />

polyunsaturated fat that, like other dietary<br />

polyunsaturated fats, reduce your risk of<br />

heart disease. Omega-3s can:<br />

• lower heart rate and improve heart<br />

rhythm<br />

• decrease the risk of clotting<br />

• lower triglycerides<br />

• reduce blood pressure<br />

• improve blood vessel function and<br />

delay the build up of plaque (a fatty<br />

substance) in coronary arteries.<br />

Try to include omega-3 fats from all of<br />

these 3 sources as part of a healthy<br />

eating pattern:<br />

Marine: Omega-3 is found mainly in<br />

oily fish like tuna, salmon, sardines and<br />

blue mackerel. Other good sources are<br />

fish like barramundi and flathead, and<br />

seafood like scallops and mussels. Try<br />

to eat 2–3 serves a week.<br />

Plants: Good sources of plant-based<br />

omega-3 include walnuts, linseed<br />

(flaxseed), chia seeds and oils<br />

and spreads made from canola or<br />

soybean. Aim to include foods that<br />

provide at least 1 gram of plantsourced<br />

omega-3 every day.<br />

Animals: Omega-3 is also found in<br />

animal products like eggs, chicken<br />

and beef.<br />

For people who don’t eat fish,<br />

omega-3 capsules or liquids can also<br />

help supplement your intake.<br />

Omega-6: Omega-6 is a type<br />

of polyunsaturated fat that lowers<br />

LDL cholesterol. Eating foods with<br />

unsaturated fat, including omega-6,<br />

instead of foods high saturated and<br />

trans fats helps to get the right balance<br />

for your blood cholesterol (lower LDL<br />

and increase HDL).<br />

Easy ways to eat more<br />

healthy fats<br />

Include 2–3 serves of fish a week<br />

(100–150 g per serve).<br />

Use nuts and seeds in your breakfast.<br />

Sprinkle ground linseed on cereal or<br />

try a handful of almonds sprinkled<br />

over yoghurt.<br />

A handful (about 30 g) of unsalted<br />

nuts makes a healthy snack any time<br />

of the day.<br />

Use oils made from olive, sunflower,<br />

canola and safflower oils in cooking<br />

and try tahini, nut butters or avocado<br />

on sandwiches and toast.<br />

Choose wholegrain bread with linseeds.<br />

Add foods containing good fats to<br />

your main meals. Use avocado,<br />

pine nuts or sesame seeds in salads.<br />

Sprinkle nuts or seeds over vegetables.<br />

Add walnuts, ground or whole linseeds<br />

and chia seeds to stir fries.<br />

References:<br />

www.heartfoundation.org.au<br />

www.heart.org<br />

30 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


SPECIAL<br />

Saturated and<br />

trans fats<br />

Eat less of me<br />

Too much unhealthy saturated and trans<br />

fat increases your risk of heart disease.<br />

Limit saturated fat, and avoid trans fat.<br />

World Heart Day<br />

<strong>September</strong> 28<br />

Saturated fat<br />

Eating a lot of saturated fat<br />

increases your blood cholesterol,<br />

in particular increasing the bad<br />

(LDL) cholesterol. Choosing foods<br />

with healthier fats instead helps to<br />

balance your blood cholesterol,<br />

by increasing the good (HDL)<br />

cholesterol and lowering the bad<br />

(LDL) cholesterol, which reduces your<br />

risk of heart disease.<br />

Saturated fat mainly comes from<br />

the fat you can see on meat and<br />

chicken, from dairy products and<br />

from some plant foods like palm<br />

and coconut oil. It can be found<br />

in processed foods like biscuits,<br />

pastries and takeaway foods that<br />

have used ingredients like butter,<br />

palm oil (often simply called<br />

vegetable oil), cheese and meat.<br />

For heart health, it is recommended<br />

saturated fat be only 7% of your<br />

total energy intake. For example, for<br />

an average adult intake of 8700<br />

kilojoules, 7% is about 16 grams of<br />

saturated fat.<br />

Trans fat<br />

To reduce the risk of heart disease,<br />

limit trans fat as much as possible.<br />

Trans fat increases our risk of heart<br />

disease by increasing the bad (LDL)<br />

cholesterol and lowering the good<br />

(HDL) cholesterol in our blood.<br />

Small amounts of trans fats naturally<br />

occur in dairy products, beef, veal,<br />

lamb and mutton. The way some<br />

fats and oils are processed during<br />

manufacturing produces artificial<br />

or ‘industrially produced’ trans fats.<br />

They’re in foods that use partially<br />

hydrogenated vegetable fats, like<br />

deep-fried foods and baked foods like<br />

biscuits, cakes, pastries and buns.<br />

For heart health, it is recommended<br />

that less than 1% of total energy<br />

should come from trans fat.<br />

Trans fat on food<br />

labels<br />

In many countries manufacturers<br />

don’t have to list trans fat on the<br />

nutrition information panel. So if you<br />

want to reduce trans fat in your food<br />

supply, take a closer look at the<br />

labelling of trans fat.<br />

Tips for eating less<br />

saturated and trans<br />

fats<br />

• Choose reduced fat milk, cheese<br />

and yoghurt.<br />

• On packaged food products<br />

in the supermarket, check the<br />

ingredients list for ‘hydrogenated<br />

oils’ or ‘partially hydrogenated<br />

vegetable oils’ and avoid foods<br />

with these.<br />

• Eat less bought cakes, biscuits<br />

and pastries. Also limit takeaway<br />

food like hamburgers, pizza and<br />

hot chips. These foods should<br />

only be eaten sometimes and in<br />

small amounts.<br />

• Trim all the fat you can see off<br />

meat, and remove skin from<br />

chicken.<br />

• Avoid processed meat (e.g.<br />

sausages and salami).<br />

• Eat fish instead of meat 2–3<br />

times a week, and choose<br />

legume or bean-based meals<br />

twice a week.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

31


SPECIAL<br />

Hope in Breast Cancer<br />

Don’t Lose Hope; It Isn’t Over Till It’s Over.<br />

The big C is daunting and despairing. When a person<br />

is diagnosed with cancer, their world often seems like its<br />

collapsing around them. This is an understandable feeling,<br />

but it doesn’t have to necessarily be that way. Today’s<br />

advancement in technology has a promising outlook on the<br />

increase of cancer survivors in years to come.<br />

‘Early Detection and Early Treatment Save Lives’ has been the<br />

mantra for cancer since decades ago. Women who reached<br />

the age of 40 are encouraged to get mammograms while<br />

manual breast examination should be constantly done by<br />

younger women, especially those with a family history of the<br />

disease.<br />

Doctors today are able to detect breast cancer at a much<br />

earlier stage thanks to advanced technology in screening that<br />

could identify the cancer and being able to undergo treatment<br />

earlier before it spreads aggressively.<br />

Understanding your condition is the key. Here's a closer look<br />

at breast cancer and what happens down the line.<br />

32 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


SPECIAL<br />

Dr Ng Char Hong<br />

MBChB (UK), M Surgery (UM), AM (Mal)<br />

Consultant Breast & Breast Reconstructive Surgery<br />

What Is Breast Cancer?<br />

Breast cancer is a condition that starts<br />

from an uncontrolled growth of breast<br />

cells that develops into a malignant<br />

tumour. It is the most common type of<br />

cancer among women in Malaysia.<br />

Averages of 4,000 new cases are<br />

reported each year, where 1 in 19<br />

Malaysian women are diagnosed with<br />

breast cancer.<br />

Are You At Risk?<br />

Being a woman in itself poses a risk<br />

of developing breast cancer, although<br />

there is a very small percentage of<br />

men who are at risk as well. Certain<br />

women post a higher risk due to early<br />

menarche, late menopause, did not<br />

produce children, didn't breast feed<br />

for 6 months, and obesity. However,<br />

some inherited their condition from other<br />

female family members who had<br />

breast cancer.<br />

Warning Signs:<br />

•Swelling of all or part of the breast<br />

•Skin irritation or dimpling<br />

•Breast pain<br />

•Nipple pain or the nipple<br />

turning inward<br />

•Redness, scaliness, or thickening of the<br />

nipple or breast skin<br />

•A nipple discharge other than<br />

breast milk<br />

•A lump in the underarm area<br />

You Have Been<br />

Diagnosed; What To Do<br />

Now?<br />

<strong>Natural</strong>ly, you will go through all the<br />

motion; shock, anger, sadness and<br />

despair. First of all, try your best to<br />

calm down and not panic.What<br />

you should do:<br />

1) Get a biopsy – the doctor will<br />

remove a small piece of tissue from the<br />

lump tocheck it for cancer cells.<br />

2) The cancer cells will be graded to<br />

predict how fast the cancer is likely to<br />

grow and spread.<br />

3) Get advice from the doctor on<br />

which treatment is best for you.<br />

4) Do not give up and stay positive.<br />

Breast Cancer Surgery<br />

– Choosing Between<br />

a Lumpectomy and a<br />

Mastectomy<br />

A lumpectomy is often called breast<br />

conserving therapy because the goal<br />

is to remove the cancer and leave the<br />

healthy tissues behind. A mastectomy<br />

is the removal of all the breast gland<br />

tissue, which usually includes the nipple<br />

as well. Both have the same outcome<br />

inoverall survival rates.<br />

With a lumpectomy, the area of<br />

cancer could be removed and still<br />

maintain a natural looking breast with<br />

minimal scarring. With oncoplastic<br />

breast surgery technique, tissues are<br />

transferred to fill in the spot that was<br />

removed by loosening the surrounding<br />

tissue and surgically designing the area<br />

so that it should not look hollowed<br />

out. If you have a mastectomy, you<br />

have an option to undergo a breast<br />

reconstruction surgery to build a breast<br />

shape that looks a lot like your<br />

natural breast.<br />

Radiation Treatment<br />

Radiation therapy uses high-energy rays<br />

to kill any cancer cells that may still be<br />

left in the breast after a lumpectomy<br />

thus increasing the success rate of the<br />

procedure. It is typically not necessary<br />

for a patient who is<br />

having a mastectomy.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

33


SPECIAL<br />

There are 2 types<br />

of radiation therapy<br />

treatment for breast<br />

cancer offered in<br />

SunMed:<br />

1) Intraoperative<br />

radiotherapy (IORT)<br />

Intraoperative radiation therapy<br />

(IORT) is a procedure to treat breast<br />

cancer during surgery by delivering<br />

a concentrated dose of radiation<br />

therapy to a tumour bed, which are<br />

the tissues surrounding the cancer.<br />

It is used during a lumpectomy, a<br />

breast conservation surgery while the<br />

patient is still in the operating room<br />

and unconscious. The miniaturised<br />

radiation device is inserted in the<br />

lumpectomy cavity after the tumour<br />

has been removed.<br />

This customisable form of radiation<br />

therapy helps kill microscopic<br />

disease, reduce the amount of time<br />

of radiation treatment and provide an<br />

added radiation "boost" to generate a<br />

more positive outcome for the surgery.<br />

2) External beam<br />

radiotherapy (EBRT)<br />

External beam radiation is one of the<br />

most common types of radiation therapy<br />

used for cancer treatment. EBRT delivers<br />

high-energy rays to tumours using a<br />

special X-ray machine called a linear<br />

accelerator.<br />

The machine scans the body, and<br />

emitting high dose of radiation that could<br />

be delivered from any angle and shapes<br />

the radiation beam to the contour of the<br />

tumour.<br />

This specialised focus will do less<br />

damage to normal tissues while it<br />

destroys cancerous cells and shrinks<br />

tumours. Examples of EBRT include<br />

3D conformal radiation therapy, IMRT,<br />

IGRT, TomoTherapy and stereotactic<br />

radiosurgery.<br />

Hormone Therapy for<br />

Breast Cancer<br />

Certain types of cancer are affected by<br />

hormones in the blood. These hormones<br />

attach to special proteins called<br />

hormone receptors. These hormone<br />

receptors, estrogen receptor-positive (ERpositive)<br />

and/or progesterone receptorpositive<br />

(PR-positive) help the cancer<br />

cells grow. All tumours are checked for<br />

hormone receptors by testing the tissue<br />

that was removed during a biopsy.<br />

Hormone therapies are often used to<br />

treat hormone receptor-positive breast<br />

cancers. It slows down or stops the<br />

growth of hormone receptor-positive<br />

tumours by preventing the cancer cells<br />

from getting the hormones they need<br />

to grow. It can also be used to treat<br />

cancer that relapses after treatment<br />

or that have spread to other parts of<br />

the body. As it is a form of systemic<br />

therapy, it could reach cancer cells in<br />

any part of the body and not just in the<br />

breast.<br />

Chemotherapy for Breast<br />

Cancer<br />

Chemotherapy is a treatment that uses<br />

drugs to kill cancer cells. It may be<br />

injected into the vein or taken orally. The<br />

drug travels through the bloodstream<br />

to reach cancer cells in most parts of<br />

the body. Chemotherapy does not<br />

apply to all breast cancer cases apart<br />

from certain conditions that require this<br />

method.<br />

•Before surgery (neoadjuvant<br />

chemotherapy)<br />

Neoadjuvant chemo is given before the<br />

surgery takes place. It aims to shrink the<br />

tumour so that it can be removed with<br />

less extensive surgery.<br />

•After surgery (adjuvant chemotherapy)<br />

Adjuvant chemo is used after surgery<br />

to try to eradicate any cancer cells that<br />

may have been left behind or spread<br />

but can't be detected, even on imaging<br />

tests.<br />

•For advanced breast cancer<br />

Chemo is normally used as the main<br />

method of treatment for women whose<br />

cancer has spread outside the breast<br />

and underarm area.<br />

34 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


SPECIAL<br />

Surprising Acid<br />

Reflux Symptoms<br />

That Aren't Heartburn.<br />

An Overview on Gastroesophageal Reflux<br />

36 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


SPECIAL<br />

Dr Dennis Khoo Yeap Teng<br />

Consultant Gastroenterologist, Hepatologist & Physician<br />

MBBS (Malaya), MRCP (UK), MRCPS (Glasgow), AM (Mal),<br />

Fellowship in Gastroenterology, Hepatology & Advanced<br />

Endoscopy (MOH), MAGA (USA), MACG (USA), National<br />

Gastroenterolgy and Endoscopy Trainer (MOH)<br />

Tropicana Medical Centre<br />

Gastroesophageal reflux, also known<br />

as acid reflux, occurs when the stomach<br />

contents reflux or back up into the<br />

esophagus and/or mouth. Reflux is a<br />

normal process that occurs in healthy<br />

infants, children, and adults. Most<br />

episodes are brief and do not cause<br />

bothersome symptoms or complications.<br />

In contrast, people with<br />

gastroesophageal reflux disease (GERD)<br />

experience bothersome symptoms as a<br />

result of the reflux. Symptoms can include<br />

heartburn, regurgitation, vomiting, and<br />

difficulty or pain with swallowing. The<br />

reflux of stomach acid can adversely<br />

affect the vocal cords causing hoarseness<br />

or even be inhaled into the lungs (called<br />

aspiration).<br />

What Is<br />

Gastroesophageal<br />

Reflux?<br />

When we eat, food is carried from<br />

the mouth to the stomach through the<br />

esophagus, a tube-like structure that is<br />

approximately 26cm long and 2.5cm<br />

wide in adults. The esophagus is made<br />

of tissue and muscle layers that expand<br />

and contract to propel food to the<br />

stomach through a series of wave-like<br />

movements called peristalsis.<br />

At the lower end of the esophagus,<br />

where it joins the stomach, there is<br />

a circular ring of muscle called the<br />

lower esophageal sphincter (LES). After<br />

swallowing, the LES relaxes to allow<br />

food to enter the stomach and then<br />

contracts to prevent the back-up of food<br />

and acid into the esophagus.<br />

However, sometimes the LES is weak or<br />

becomes relaxed because the stomach is<br />

distended, allowing liquids in the stomach<br />

to wash back into the esophagus. This<br />

happens occasionally in all individuals.<br />

Most of these episodes occur shortly<br />

after meals, are brief, and do not cause<br />

symptoms. Normally, acid reflux should<br />

occur only rarely during sleep.<br />

Acid reflux — Acid reflux becomes<br />

gastroesophageal reflux disease (GERD)<br />

when it causes bothersome symptoms or<br />

injury to the esophagus. The amount of<br />

acid reflux required to cause GERD varies.<br />

In general, damage to the esophagus is<br />

more likely to occur when acid refluxes<br />

frequently, the reflux is very acidic, or<br />

the esophagus is unable to clear away<br />

the acid quickly. The most common<br />

symptoms associated with acid reflux are<br />

heartburn, regurgitation, chest pain, and<br />

trouble swallowing. The treatments of<br />

GERD are designed to prevent one or all<br />

of these symptoms from occurring.<br />

Hiatus hernia — the diaphragm is a<br />

large flat muscle at the base of the lungs<br />

that contracts and relaxes as a person<br />

breathes in and out. The esophagus<br />

passes through an opening in the<br />

diaphragm called the diaphragmatic<br />

hiatus before it joins with the stomach.<br />

Normally, the diaphragm contracts,<br />

which improve the strength of the LES,<br />

especially during bending, coughing,<br />

or straining. If there is a weakening in<br />

the diaphragm muscle at the hiatus, the<br />

stomach may be able to partially slip<br />

through the diaphragm into the chest,<br />

forming a sliding hiatus hernia.<br />

The presence of a hiatus hernia makes acid<br />

reflux more likely. A hiatus hernia is more<br />

common in people over age 50. Obesity<br />

and pregnancy are also contributing<br />

factors. The exact cause is unknown but<br />

may be related to the loosening of the<br />

tissues around the diaphragm that occurs<br />

with advancing age. There is no way to<br />

prevent a hiatus hernia.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

37


SPECIAL<br />

Acid Reflux Symptoms<br />

People who experience heartburn at<br />

least two to three times a week may<br />

have gastroesophageal reflux disease,<br />

or GERD. The most common symptom<br />

of GERD, heartburn is experienced as<br />

a burning sensation in the centre of the<br />

chest, which sometimes spreads to the<br />

throat; there also may be an acid taste<br />

in the throat. Other symptoms of reflux<br />

maybe surprising and include:<br />

• Stomach pain<br />

• Non-burning chest pain<br />

• Difficulty swallowing (called<br />

dysphagia), or food getting stuck<br />

• Painful swallowing<br />

• Persistent laryngitis/hoarseness<br />

• Persistent sore throat<br />

• Chronic cough, new onset asthma, or<br />

asthma only at night<br />

• Regurgitation of foods/fluids; taste of<br />

acid in the throat<br />

• Sense of a lump in the throat<br />

• Worsening dental disease<br />

• Recurrent lung infections (called<br />

pneumonia)<br />

• Chronic sinusitis<br />

• Waking up with a choking sensation<br />

When to seek help — the following<br />

signs and symptoms may indicate a<br />

more serious problem, and should<br />

be reported to a healthcare provider<br />

immediately:<br />

• Difficulty or pain with swallowing<br />

(feeling that food gets "stuck")<br />

• Unexplained weight loss<br />

• Chest pain<br />

• Choking<br />

• Bleeding (vomiting blood or darkcoloured<br />

stools)<br />

Acid Reflux Complications<br />

The vast majority of patients with gastroesophageal reflux disease will not develop<br />

serious complications, particularly when reflux is adequately treated. However, a<br />

number of serious complications can arise in patients with severe gastroesophageal<br />

reflux disease.<br />

Ulcers — Ulcers can form in the<br />

esophagus as a result of burning from<br />

stomach acid. In some cases, bleeding<br />

occurs. You may not be aware of<br />

bleeding.<br />

Stricture — Damage from acid<br />

can cause the esophagus to scar and<br />

narrow, causing a blockage (stricture)<br />

that can cause food or pills to get stuck<br />

in the esophagus. The narrowing is<br />

caused by scar tissue that develops as a<br />

result of ulcers that repeatedly damage<br />

and then heal in the esophagus.<br />

Lung and throat problems —<br />

Some people reflux acid into the throat,<br />

causing inflammation of the vocal cords,<br />

a sore throat, or a hoarse voice. The<br />

acid can be inhaled into the lungs and<br />

cause a type of pneumonia (aspiration<br />

pneumonia) or asthma symptoms.<br />

Chronic acid reflux into the lungs<br />

may eventually cause permanent lung<br />

damage, called pulmonary fibrosis or<br />

bronchiectasis.<br />

Barrett's esophagus — Barrett's<br />

esophagus occurs when the normal<br />

cells that line the lower esophagus<br />

(squamous cells) are replaced by a<br />

different cell type (intestinal cells). This<br />

process usually results from repeated<br />

damage to the esophageal lining, and<br />

the most common cause is longstanding<br />

gastroesophageal reflux disease. The<br />

intestinal cells have a small risk of<br />

transforming into cancer cells.<br />

Esophageal cancer — A major<br />

risk factor for adenocarcinoma of the<br />

oesophagus is Barrett's esophagus,<br />

discussed above. However, only a small<br />

percentage of people with GERD will<br />

develop Barrett's esophagus and an<br />

even smaller percentage will develop<br />

adenocarcinoma.<br />

38 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


SPECIAL<br />

Reflux Treatment<br />

Gastroesophageal reflux disease is treated according to its<br />

severity.<br />

Mild symptoms — Initial treatments for mild acid reflux<br />

include dietary changes and using non-prescription medications<br />

like antacid.<br />

Lifestyle changes — Weight loss – Losing weight may help<br />

people who are overweight to reduce acid reflux.<br />

• Raise the head of the bed six to eight inches –<br />

Although most people only have heartburn for the two- to<br />

three-hour period after meals, some wake up at night with<br />

heartburn. People with nighttime heartburn can elevate the<br />

head of their bed, which raises the head and shoulders<br />

higher than the stomach, allowing gravity to prevent acid<br />

from refluxing.<br />

Raising the head<br />

of the bed can be<br />

done with blocks<br />

of wood under<br />

the legs of the<br />

bed or a foam<br />

wedge under the<br />

mattress. Several<br />

manufacturers<br />

have developed<br />

commercial<br />

products for this purpose. However, it is not helpful to use<br />

additional pillows; this can cause an unnatural bend in the<br />

body that increases pressure on the stomach, worsening<br />

acid reflux.<br />

• Avoid acid reflux-inducing foods – Some foods<br />

also cause relaxation of the lower esophageal sphincter,<br />

promoting acid reflux. Excessive caffeine, chocolate,<br />

alcohol, peppermint, and fatty foods may cause bothersome<br />

acid reflux in some people.<br />

• Quit smoking – Saliva helps<br />

to neutralise refluxed acid, and<br />

smoking reduces the amount of<br />

saliva in the mouth and throat.<br />

Smoking also lowers the pressure<br />

in the lower esophageal sphincter<br />

and provokes coughing, causing<br />

frequent episodes of acid reflux in<br />

the esophagus. Quitting smoking<br />

can reduce or eliminate symptoms of<br />

mild reflux.<br />

• Avoid large<br />

and late meals<br />

– Lying down with<br />

a full stomach may<br />

increase the risk<br />

of acid reflux. By<br />

eating three or<br />

more hours before<br />

bedtime, reflux<br />

may be reduced.<br />

In addition, eating<br />

smaller meals may<br />

prevent the stomach<br />

from becoming<br />

overdistended,<br />

which can cause<br />

acid reflux.<br />

• Avoid tight fitting clothing – At minimum, tight-fitting<br />

clothing can increase discomfort, but it may also increase<br />

pressure in the abdomen, forcing stomach contents into the<br />

esophagus.<br />

Antacids — Antacids are commonly used for short-term relief<br />

of acid reflux. However, the stomach acid is only neutralised<br />

very briefly after each dose, so they are not very effective.<br />

Histamine antagonists — the histamine antagonists<br />

reduce production of acid in the stomach. However, they are<br />

somewhat less effective than proton pump inhibitors (PPIs).<br />

Example of histamine antagonists available is ranitidine (Zantac),<br />

Moderate to severe symptoms — Patients with<br />

moderate to severe symptoms of acid reflux, complications of<br />

gastroesophageal reflux disease, or mild acid reflux symptoms<br />

that have not responded to the lifestyle modifications and the<br />

medications described above usually require treatment with<br />

prescription medications. Most patients are treated with a<br />

proton pump inhibitor.<br />

Proton pump inhibitors — PPIs include omeprazole<br />

(omesec, losec), esomeprazole (Nexium), lansoprazole<br />

(Prevacid), dexlansoprazole (dexilant), pantoprazole (controloc),<br />

and rabeprazole (pariet), which are stronger and more effective<br />

than the H2 antagonists.<br />

Once the optimal dose and type of PPI is found, you will<br />

probably be kept on the PPI for approximately eight weeks.<br />

Depending upon your symptoms after eight weeks, the<br />

medication dose may be decreased or discontinued. If<br />

symptoms return within three months, long-term treatment is<br />

usually recommended. If symptoms do not return within three<br />

months, treatment may be needed only intermittently. The goal<br />

of treatment for GERD is to take the lowest possible dose of<br />

medication that controls symptoms and prevents complications.<br />

Proton pump inhibitors are safe, although they may be<br />

expensive, especially if taken for a long period of time. Longterm<br />

risks of PPIs may include an increased risk of gut infections,<br />

or reducedabsorption of minerals and nutrients. In general,<br />

these risks are small. However, even a small risk emphasizes<br />

the need to take the lowest possible dose for the shortest<br />

possible time.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

39


Recipes of the Month<br />

Everything<br />

Eggs<br />

EVERYTHING EGGS offers a fresh,<br />

unique and modern take on the<br />

humblest of foods. Eggs, without<br />

question, remain one of the most<br />

inexpensive, healthful and readily<br />

available food items. Eggs are an<br />

extremely useful ingredient and so<br />

fundamental to cooking that every<br />

culture has its own egg-based<br />

recipes for any meal at any time<br />

of the day. Here are four recipes<br />

you can try out today.<br />

The author, Azian Hasan blogs<br />

about food at azianhasan.<br />

com and is the author of five<br />

cookbooks. She also shares<br />

her recipes on TV9’s morning<br />

talk show, Nasi Lemak Kopi<br />

O. A mother of three, she<br />

loves cooking for her family<br />

and has a culinary certificate<br />

from Seri Ain Culinary School.<br />

Learn more about Azian<br />

Hasan: azianhasan.com<br />

40 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


Recipes of the Month<br />

Egg Pops<br />

Makes 8-10 pops<br />

Ingredients<br />

• 2 large eggs<br />

• 1 cup evaporated milk<br />

• 1 cup self-raising flour<br />

• ½ tsp vanilla essence<br />

• 1 tbsp butter<br />

• Jam<br />

• ¼ tsp salt<br />

Method<br />

1. Blend the milk, eggs, selfraising<br />

flour, vanilla essence<br />

and salt in an electric mixer<br />

until completely combined.<br />

2. Preheat the oven to 180°C.<br />

Let the batter rest while the<br />

oven heats.<br />

3. Put the muffin mould in the<br />

oven for 2 minutes to warm.<br />

4. Remove the muffin mould from<br />

the oven and butter it.<br />

5. Pour the batter mixture into<br />

each cup three quarters full<br />

and bake for 10-15 minutes<br />

or until brown.<br />

6. Cool the egg pops, cut them<br />

into half and spread the jam<br />

inside them.<br />

Egg Crostini with<br />

Tomato and Avocado<br />

Ingredients<br />

• 4 large eggs<br />

• 8 slices of French bread<br />

• 1 avocado, mashed<br />

• ¼ cup fresh milk<br />

• 5 cherry tomatoes, diced<br />

• 3 tbsp butter<br />

• ¼ tsp ground black pepper<br />

• ¼ tsp salt<br />

Garnishings<br />

1 tsp chives, cut into 1cm lengths<br />

Method<br />

1. Preheat the oven to 180°C.<br />

2. Melt 2 tablespoons of the butter and brush it<br />

on both sides of each slice of French bread.<br />

Arrange the slices on a baking tray and bake<br />

for 5 minutes or until golden brown. Remove<br />

the bread from the oven and set it aside.<br />

3. In a bowl, whisk together the eggs, milk, salt<br />

and pepper.<br />

4. Heat a medium non-stick sauté pan over<br />

medium-low heat. Melt the remaining<br />

tablespoon of butter in the pan. Pour in the<br />

eggs and cook them, stirring as needed, until<br />

they’re scrambled to your desired consistency.<br />

5. Spread a portion of the mashed avocado on<br />

one side of each slice of toasted bread. Top the<br />

avocado with the scrambled eggs and garnish<br />

with the diced cherry tomatoes and chives.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

41


Recipes of the Month<br />

Baked Cheese with<br />

Egg and Prawn<br />

Ingredients<br />

Method<br />

• 2 large eggs<br />

• 7 large prawns, shelled, with<br />

tails intact<br />

• 1 cup fresh milk<br />

• 1 tbsp butter<br />

• 2 tbsp all-purpose flour<br />

• 30g cheddar cheese, grated<br />

• ¼ tsp ground white pepper<br />

• ¼ tsp salt<br />

1. Melt the butter, then add the<br />

flour and stir well. Pour in the<br />

fresh milk, a little at a time,<br />

and continue whisking for 2-3<br />

minutes or until the mixture<br />

thickens. Set aside.<br />

2. Preheat the oven to 180°C.<br />

3. Beat the eggs, add them to<br />

the mixture and season with<br />

ground white pepper and salt.<br />

4. Mix well and transfer it into an<br />

ovenproof casserole dish. Put<br />

the shrimp on top and bake<br />

for 10-15 minutes. Serve.<br />

Spicy Tomato<br />

Baked Eggs<br />

Ingredients<br />

• 4 large eggs<br />

• 1 large yellow onion, diced<br />

• 1 can tomato purée<br />

• 1 red chilli, sliced thinly<br />

• 1 clove of garlic, pounded<br />

• 2 stalks coriander leaves,<br />

coarsely chopped<br />

• 1 tomato, diced<br />

• 1 tsp paprika<br />

• 1 tbsp cooking oil<br />

• ¼ tsp ground white pepper<br />

• 1 tsp sugar<br />

• ¼ tsp salt<br />

Method<br />

1. Heat the oil in a pan. Sauté the<br />

yellow onion and garlic until<br />

fragrant.<br />

2. Stir in the diced tomato, red<br />

chilli, paprika, tomato purée,<br />

ground white pepper, sugar<br />

and salt. Cook until the gravy<br />

thickens.<br />

3. Make 4 dips in the gravy, then<br />

crack an egg into each.<br />

4. Cover the pan and cook over<br />

low heat for 6-8 minutes or until<br />

the eggs are done to your liking.<br />

5. Sprinkle with chopped coriander<br />

leaves. Serve.<br />

42 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


FITNESS Bytes<br />

Vegetarian diets almost twice<br />

as effective in reducing body<br />

weight, study finds<br />

Dieters who go vegetarian not only lose weight more<br />

effectively than those on conventional low-calorie diets<br />

but also improve their metabolism by reducing muscle<br />

fat, a new study published in the Journal of the American<br />

College of Nutrition has found.<br />

Losing muscle fat improves glucose and lipid metabolism<br />

so this finding is particularly important for people with<br />

metabolic syndrome and type 2 diabetes, says lead<br />

author, Dr. Hana Kahleová, Director of Clinical Research<br />

at the Physicians Committee for Responsible Medicine in<br />

Washington DC.<br />

“Vegetarian diets proved to be the most effective diets<br />

for weight loss. However, we also showed that a<br />

vegetarian diet is much more effective at reducing muscle<br />

fat, thus improving metabolism. This finding is important<br />

for people who are trying to lose weight, including<br />

those suffering from metabolic syndrome and/or type 2<br />

diabetes. But it is also relevant to anyone who takes their<br />

weight management seriously and wants to stay lean and<br />

healthy,” she said.<br />

www.sciencedaily.com<br />

Can this kind of rock<br />

climbing treat depression?<br />

Bouldering, a form of rock climbing that involves climbing<br />

rocks or walls to a moderate height without ropes or a<br />

harness, could be an effect way to treat symptoms of<br />

depression. For a recent study, researchers led a team<br />

that involved more than 100 individuals in a bouldering<br />

intervention in Germany, where some hospitals have begun<br />

to use climbing as a therapeutic treatment.<br />

Team co-leader Eva-Maria Stelzer, who began researching<br />

the benefits of bouldering while completing her master’s<br />

in psychology at the University of Erlangen-Nuremberg in<br />

Germany explains that bouldering has a number of other<br />

important characteristics that make it especially beneficial<br />

for the treatment of depression, namely that it helps boost<br />

self-efficacy and social interactions—both of which hold<br />

innate benefits for dealing<br />

with depression.<br />

“You have to be mindful and focused on the moment. It<br />

does not leave much room to let your mind wonder on<br />

things that may be going on in your life—you have to focus<br />

on not falling,” Stelzer says.<br />

Teens get as much physical<br />

activity as 60-year-olds,<br />

study shows<br />

Lack of exercise is a risk factor for many serious conditions. The fact<br />

that neither adults nor teenagers get as much exercise as they should is,<br />

perhaps, not very surprising. But new research shows that the situation<br />

might be a lot more worrying than previously believed.<br />

The Centers for Disease Control and Prevention (CDC) recommend that<br />

adults engage in at least 2.5 hours of physical activity per week.<br />

The CDC also reports that only 1 in 5 adults get this much physical activity.<br />

People who do not get the exercise they need are more likely to die<br />

prematurely or develop a range of serious illnesses such as heart disease,<br />

stroke, type 2 diabetes, depression, and some forms of cancer. Not only do<br />

adults not get enough exercise, but teenagers fare even worse. Fewer than<br />

3 in 10 high school students get a minimum of 60 minutes of daily physical<br />

activity, which is the level of exercise recommended by both the CDC and<br />

the World <strong>Health</strong> Organization (WHO).<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

43


FITNESS & Weight Loss<br />

How fit<br />

are you for<br />

your age?<br />

It’s only human to work out what you’re good at –<br />

then do that on repeat.<br />

Take running 5km for example. You might be able<br />

to do it without even breaking a sweat, but ask you<br />

to hold pigeon pose for 60 seconds? Unbearable.<br />

Too many of us focus on one type of exercise, such<br />

as a weekly run or spin class, rather than having<br />

a varied exercise routine that covers strength,<br />

stamina and mobility.<br />

5 components of physical<br />

fitness<br />

There are actually five components of physical<br />

fitness: muscular strength (think power), muscular<br />

endurance (think time), cardiovascular endurance<br />

(think heart and oxygen pumping exercise over<br />

time), body fat composition (think compared to<br />

muscle) and finally flexibility (think mobility).<br />

An effective fitness program will attempt to improve<br />

all five components.<br />

Exercise is important at any age but as we get<br />

older exercise becomes even more important for<br />

our mental and physical health,” says Associate<br />

Professor Briony Dow, Director of the National<br />

Ageing Research Institute.<br />

But just how ‘fit’ should you be<br />

at your age?<br />

Sure push-ups and burpees are important, but<br />

this list proves it takes more than just cardio to<br />

be defined as ‘fit’. Here is the checklist for each<br />

generation, as shared by Virgin Active fitness<br />

expert Tim Wright with The Telegraph. How do<br />

you rate?<br />

44 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


FITNESS & Weight Loss<br />

In your 20s<br />

you should be<br />

able to...<br />

Run 5km in 30 minutes<br />

Do 20 burpees in a row<br />

Hold a full plank for<br />

one minute<br />

In your<br />

30s you should be<br />

able to...<br />

Run 2km in less than 12 minutes<br />

Hold a plank for 45 seconds<br />

Dead lift more than 50 per cent<br />

of your body weight<br />

In your 40s<br />

you should be<br />

able to...<br />

Sprint for 60 seconds<br />

without stopping<br />

Do 10 push-ups without<br />

stopping<br />

Touch your toes<br />

comfortably with<br />

straight legs<br />

In your<br />

50s you should be<br />

able to...<br />

Run at a moderate pace for 60<br />

seconds without stopping<br />

Do five burpees without stopping<br />

Lower yourself into a cross-legged<br />

position on the floor without<br />

using your hands, and then<br />

return to standing<br />

In your<br />

60s you should be<br />

able to...<br />

Regularly take more than 10,000<br />

steps in a day<br />

Do 12 body weight squats<br />

without stopping<br />

Touch your fingertips with one<br />

hand over your shoulder and<br />

the other behind your<br />

back<br />

In your<br />

70s you should be<br />

able to...<br />

Walk 1.5km in less than 15 minutes<br />

Climb a flight of stairs with 10 steps<br />

in under 30 seconds comfortably<br />

Rise to stand from a chair without<br />

using your hands or arms, and<br />

repeat at least 12 times in<br />

30 seconds.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

45


FITNESS & Weight Loss<br />

Bye-Bye<br />

Jiggly<br />

Arms!<br />

7 Exercises<br />

to Burn Arm<br />

Fat Fast<br />

Have you ever wished to have sculpted, attractive and<br />

toned arms? Having those flabby arms makes you feel<br />

self-conscious and makes you look a little out of proportion<br />

even if you have normal weight. You feel embarrassed and<br />

quit wearing sleeveless dresses and tops. But don’t worry!<br />

Now with just 7 easy moves you can get perfectly toned<br />

and slimed arms. You don’t have to invest buying costly<br />

equipments and waste time at the gym. These exercises are<br />

super easy and so effective to reduce excess arm fat.<br />

1 Arm Circles<br />

An easy and effective exercise to tone arms, underarms and improve shoulder<br />

flexibility. You can do this exercise anywhere, anytime while watching TV or<br />

listening to the radio. This exercise can be done while sitting or standing based on<br />

your comfort.<br />

Targets – Upper arms, Underarms, Biceps, Triceps and Shoulders.<br />

1. Comfortably sit on a mat and extend your arms straight out to the sides, your<br />

arms should be held parallel to the ground.<br />

2. Now rotate your arms in small, circular motion.<br />

3. Do in clockwise and anticlockwise direction.<br />

4. Repeat for 20 times each in both the direction.<br />

46 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


FITNESS & Weight Loss<br />

2 Arm Flapping<br />

This is another fun way to lose arm fat fast. All you have to do is flap your<br />

arms just like birds flap their wings. This exercise release stress and tension<br />

from your body, sculpts your arms, shoulders and hand.<br />

Targets – Upper arms, Lower arms, Underarms, Shoulder<br />

and Hand<br />

1. Comfortably sit on a mat and extend your arms straight out to the sides.<br />

2. Slightly bend your elbows and flap your arms to feel that you are flying.<br />

3. Do this arm flapping for 3 counts, followed by a hand clap<br />

over the head.<br />

4. Repeat this process for 20 times.<br />

3 Arm Pulldown Exercise<br />

This exercise tones your arm muscles and eliminates excess upper back fat.<br />

You can do this exercise without using any weights or special equipments.<br />

Targets – Arms, Shoulders, Chest and Upper Back Fat<br />

1. Raise your arms up straight over your head.<br />

2. Close your hands tightly and pull down your arms close towards the sides<br />

of your chest.<br />

3. Hold the position for 5 counts and then release.<br />

4. Repeat for 15 times.<br />

4 One Arm Side Stretch<br />

This exercise stretches your arms, chest and upper back muscles. This arm<br />

exercise is really fun to do. Just maintain the rhythm and you will feel like you<br />

are dancing.<br />

Targets – Arms, Shoulders, Triceps and Upper Back Fat<br />

1. Bend your elbows and keep your arms close to your chest.<br />

2. Stretch one arm out and to the side and then return to the original position.<br />

3. Similarly Repeat for the other arm.<br />

4. Do this exercise 25 times each with alternate arms.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

47


FITNESS & Weight Loss<br />

5 Swing Arms<br />

This exercise may look easy but it really works. If you don’t like running, then<br />

this is the best alternative for you. This exercise tones your upper body, arms,<br />

shoulders and biceps.<br />

Targets – Arms, Biceps, Shoulder and Underarms.<br />

1. Stand straight with your head up and feet a little wide apart and arms<br />

down at your sides.<br />

2. Keep your body still and just swing your arms forward and backward.<br />

3. Move your arms faster and continuously for 2 minutes to burn<br />

excess arm fat.<br />

6 Triple Raise Exercise<br />

Triple raise exercise is a great arm toning exercise. It’s super easy and can<br />

you do it almost anywhere. This exercise also tones and shape your upper<br />

body.<br />

Targets – Arms, Shoulder, Biceps, Upper body and<br />

Underarms.<br />

1. Comfortably sit on a mat and extend your arms in front at chest level.<br />

2. Your arms should be parallel to the ground.<br />

3. Raise your arms above your head and then slowly return to starting<br />

position (arms at your chest level).<br />

4. Similarly raise your arms to the left side and then return to the starting<br />

position. Repeat for right side.<br />

5. Perform for a total of 15 repetitions.<br />

7 Shoulder Rotation Exercise<br />

This is an easy, relaxing exercise that you can do after you have completed<br />

all of the above 6 exercises. This exercise strengthens your shoulder muscles,<br />

releases tension and reduces your arm fat. Make sure you do this exercise in<br />

a right way otherwise it’s not effective. Check the below steps.<br />

Targets – Shoulder, Arms and Underarms<br />

1. Place your palms on your shoulders and rotate your shoulders.<br />

2. Make sure the elbows touch each other slightly at every rotation.<br />

3. Do this 10 times each for both the direction, clockwise and anticlockwise.<br />

48 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


FITNESS & Weight Loss<br />

9 Gym<br />

Habits<br />

That Are<br />

Damaging<br />

To Your Skin<br />

We all know that exercise is good for your body. And when you’re<br />

headed to the gym, it’s likely you’re more focused on the workout than<br />

anything else. However, one aspect that you should keep in mind is your<br />

skin. You’d be surprised how a trip to the gym can have quite an impact<br />

on the health of your skin, especially if you aggravate it with less-thanhealthy<br />

skin habits. Check out these gym habits that you may be guilty of!<br />

Wearing Too Much<br />

Makeup<br />

Is this worth the clog? Your pores need<br />

to breathe, and adding sweat to makeup<br />

can cause a build-up that will block your<br />

pores, which can lead to breakouts. And<br />

you’d end up having streaky makeup<br />

anyway! Go to the gym makeup free;<br />

you’ll get a better natural glow from your<br />

workout than from any bronzer.<br />

Cleansing Your Face<br />

Keep your skin clear while you sweat!<br />

Wash your face to eliminate the oils,<br />

bacteria and sweat have accumulated<br />

on the skin. Gently cleanse your face<br />

with a mild cleanser before and after<br />

a workout to remove any dirt and<br />

impurities! And always to wash your<br />

hands before washing your face.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

49


FITNESS & Weight Loss<br />

Not Protecting Your Skin<br />

When exercising outdoors, SPF is vital. From<br />

premature ageing to melanoma, the risks of<br />

sun damage are well-known. It’s important<br />

to choose the right sunscreen formula as<br />

oily sunscreen can cause acne by clogging<br />

pores. So keep your skin protected with<br />

a lightweight or oil-free moisturiser with<br />

adequate broad spectrum protection.<br />

Showering<br />

with Hot Water<br />

It may be tempting to jump into the<br />

shower and relax with a nice long hot<br />

one after a good workout. Hot water<br />

may soothe your tired muscles, but it<br />

will strip your skin of vital oils. And that<br />

would result in your skin getting dry,<br />

itchy and unhappy. Opt for a lukewarm<br />

shower instead, or even a cold<br />

refreshing one.<br />

Keeping Your Hair Down<br />

Wear a hair or headband to keep your<br />

hair up! Hair should always be pulled<br />

back away from the face to keep sweat<br />

away from your face. Hair products such<br />

as conditioners, sprays, gels are unsuitable<br />

for the face and can alter the PH of the<br />

skin and clog pores leading to breakouts.<br />

Not Using Moisturiser<br />

When you sweat during a workout, your skin<br />

loses moisture, leaving the skin dehydrated.<br />

And dehydrated skin will result in premature<br />

ageing and the potential for pores to clog. The<br />

best time to rehydrate thirsty skin is right out of<br />

the shower. So, take a few minutes to keep<br />

your skin hydrated, and replenish by applying<br />

a lightweight moisturiser and body lotion;<br />

applying while the skin is still damp is best.<br />

Cross-Contamination<br />

Avoid touching your face and skin<br />

after using un-sanitised machines<br />

and yoga mats. These things<br />

are used by many, many people<br />

throughout the day and you can<br />

bet that bacteria and germs are<br />

pretty happy with these spots.<br />

Avoid transferring these nasties to<br />

your face and if possible, wipe<br />

down the machine or mat before<br />

you use it.<br />

This article is brought to you be<br />

PurelyB. Visit www.purelyb.com<br />

Staying In Your Gym<br />

Clothes All Day<br />

Keeping your workout clothes on after you<br />

exercise can be bad for your skin! Your damp<br />

clothing is the ideal breeding ground for<br />

bacteria and fungus. This can cause body<br />

acne, a weakened immune system, vaginal<br />

and skin yeast infection, just to name a few.<br />

You also don’t smell your best after a workout<br />

so a change of clothes is always a good idea.<br />

Being dehydrated<br />

Staying hydrated is important to have a<br />

glowing complexion! Your body loses<br />

more moisture in heated environments, so<br />

keep hydrated after, or even during your<br />

workout for your skin to recover. And yes,<br />

water is best. Carry a water bottle with you<br />

so it’ll be easy for you to stay hydrated.<br />

50 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


PROMO<br />

Nessa Presents The Future Of Hearing<br />

Care Innovation As Malaysia Gets Noisier<br />

World’s 1st Remote Technology, Made-For-TV & iPhone Hearing Aids<br />

Debut To Cater To Modern Lifestyles<br />

Nessa (Asia’s most innovative hearing care solutions) has<br />

officially launched the Nessa brand and its innovative hearing<br />

solutions to the Malaysian media. This could not have been<br />

timelier as Malaysia gets noisier, to a level that jeopardises<br />

health – young and old alike.<br />

The World <strong>Health</strong> Organisation (WHO) estimates that the<br />

prevalence of disabling hearing loss in adults (65+) is highest in<br />

South East Asia (48%) and Asia Pacific (43.5%). Globally, there<br />

are 360 million persons in the world with disabling hearing<br />

loss. In Malaysia, 30% of the 3.8 million elderlies have some<br />

degree of hearing loss.<br />

Our modern lifestyle is constantly exposing us to noise pollution,<br />

be it at work or at recreational activities – that leads to a<br />

decrease in the average age of when hearing loss occurs.In<br />

2015, WHO reported that 1.1 billion teenagers and young<br />

adults are at risk of hearing loss due to unsafe sounds levels<br />

(from prolonged exposure to personal audio devices, clubs,<br />

concerts and noisy workplaces).<br />

Occupational health doctor Dr. Abed Onn stated that hearing<br />

loss is one of the top 3 occupational diseases in Malaysia<br />

alongside lower back pain and upper limb muscular disorders.<br />

Nessa presented the future of hearing care solutions to suit<br />

modern lifestyles, which essentially addresses three key areas:<br />

“Stigma, Convenience & Cost”.<br />

Nessa is the first hearing care provider to offer testing and<br />

hearing aid fitting and adjustments remotely from the comfort and<br />

convenience of any location you may be in. Customers have<br />

unlimited support from Audiologists at the comfort of their home and<br />

dedicated call centre support by Hearing & Lifestyle Advisors. This<br />

makes it easy, enjoyable and convenient for customers.<br />

To obtain a better picture of the hearing conditions in Malaysia,<br />

Nessa released findings of a national survey conducted since<br />

January. According to the survey, 65% have not done a hearing<br />

test before. The top three hearing issues or related symptoms<br />

Malaysians experience are ringing in the ears (40%), giddiness/<br />

dizziness (25%) and difficulties in hearing (22%). More than 50%<br />

said that by hearing better, they could improve interactions with<br />

friends and families, and over 30% said they would be able to<br />

do lot of things like before and boost their confidence.<br />

According to research, 90% of Malaysians with hearing loss<br />

do not use hearing aids in spite of the potential physical and<br />

psychological consequences it may have on their lives. Most<br />

perceived hearing device is costly or wearing them means one<br />

must be ‘old’ and ‘disabled”. Some also thinks that hearing loss<br />

is part of ageing and therefore ignore the problem. Some might<br />

even have bought an amplifier which could have exacerbated<br />

hearing conditions.<br />

With world-class hearing devices made in Denmark, the hearing<br />

aids provided by Nessa are co-designed with Apple, made for<br />

TV and made-for-iPhone.<br />

Hearing devices provided by Nessa are light and comfortable,<br />

weigh 3 grams and are as small as a 10-cent coin.They are<br />

almost invisible when worn. This would address any stigma for<br />

anyone resistant to wear a hearing aid.<br />

Nessa has created a world’s first – a bundle which includes not<br />

only hearing aids, but also a combination of attractive lifestyle<br />

privileges, products and services such as a free 40" LCD TV,<br />

free shopping vouchers or instant cashback or even a free<br />

iPhone. This translates into more savings and value when you<br />

purchase one of Nessa’s hearing care packages.<br />

For more information, please logon to www.nessa.my or call 1800281180<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

51


FITNESS Bytes<br />

One minute of running per day<br />

associated with better bone<br />

health in women<br />

Scientists from the University of Exeter and the University<br />

of Leicester found those who did "brief bursts" of highintensity,<br />

weight-bearing activity equivalent to a mediumpaced<br />

run for pre-menopausal women, or a slow jog for<br />

post-menopausal women, had better bone health.<br />

"We don't yet know whether it's better to accumulate this<br />

small amount of exercise in bits throughout each day or<br />

all at once, and also whether a slightly longer bout of<br />

exercise on one or two days per week is just as good as<br />

1-2 minutes a day," said lead author Dr Victoria Stiles, of<br />

the University of Exeter. "But there's a clear link between this<br />

kind of high-intensity, weight-bearing exercise and better<br />

bone health in women.<br />

www.sciencedaily.com<br />

Flip-flops: Fun in the Sun,<br />

but Tough on Feet<br />

Flip-flops – the unstructured footwear can cause problems,<br />

one expert says.<br />

"Wearing flip-flops is better than going barefoot because<br />

they do provide some protection for the bottoms of your<br />

feet, but that's about it," she said. "Flip-flops don't offer any<br />

arch or heel support, and you have to grip them with your<br />

toes to keep them on. Wearing them for too long or for the<br />

wrong activity can cause a lot of different problems," she<br />

explained. Walking in flip-flops also can alter your natural<br />

stride, resulting in shin splints, Achilles tendon problems and<br />

lower back pain.<br />

health.usnews.com<br />

Low physical activity<br />

increases risk of bladder,<br />

kidney cancer<br />

Most of us know that physical activity is good for us. But a new study<br />

shows that a chronic lack of physical activity can drastically increase<br />

the chance of developing cancer in the bladder and kidneys, and it<br />

suggests that engaging in more physical activity may reduce this risk.<br />

Overall, the authors found "evidence of a positive association between<br />

renal and bladder cancer with lifetime recreational physical inactivity."<br />

Specifically, they found that those who were physically inactive were 77<br />

percent more likely to develop renal cancer and 73 percent more likely<br />

to develop cancer of the bladder.<br />

A similar risk was found among people with obesity and people with a<br />

normal body weight – that is, having a body mass index (BMI) of below 30.<br />

This suggests that leading a sedentary lifestyle is an independent factor that<br />

influences bladder and renal cancer risk independently of obesity.<br />

www.medicalnewstoday.com<br />

52 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


PREVENTION & Remedies<br />

World Alzheimer’s Day<br />

<strong>September</strong> 21<br />

Alzheimer's<br />

Watch Out for the<br />

Warning Signs<br />

At present, 18 million people worldwide have the disease. By 2020, there will be 34 million. In Malaysia, it<br />

is estimated that there are currently about 50,000 people with the disease. However, most of them are not<br />

diagnosed. This is because relatives think that the symptoms displayed are a normal part of growing old and<br />

thus do not seek medical advice on it.<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

53


PREVENTION & Remedies<br />

Alzheimer's Disease affects not only the<br />

patients themselves, but also profoundly<br />

changes the lives of family members<br />

and close friends. Someone they love<br />

and care for gradually disintegrates as<br />

a person. Caring for a loved one with<br />

Alzheimer's Disease is sometimes referred<br />

to as a "36-hour-a-day" task. However,<br />

proper understanding of the disease and<br />

management of the patient can reduce<br />

the burden considerably and greatly<br />

improve the quality of life for patients,<br />

their caregivers and families.<br />

Alzheimer’s: A Much<br />

Misunderstood Disease<br />

Alzheimer's Disease is the most common<br />

form of dementia. It is NOT a part of<br />

normal ageing, but a disease involving<br />

the progressive loss of brain nerve cells.<br />

Since these nerve cells are essential<br />

for normal thought, memory and other<br />

brain functions, people with Alzheimer's<br />

Disease suffer a decline of mental<br />

functions which eventually interferes with<br />

the patient's normal daily activities.<br />

Over time, Alzheimer's Disease patients<br />

lose their ability to perform even the<br />

most basic activities of daily living like<br />

brushing one's teeth, putting on clothes,<br />

bathing, etc. In the end, the ability to<br />

walk and talk may be lost as well.<br />

Known as the disease of "The Long<br />

Goodbye", the illness often stretches over<br />

10 and even 20 years. Despite intensive<br />

research in recent years, the disease is<br />

still not yet fully understood, and there is<br />

still no known cure.<br />

Who Is At Risk?<br />

Those most at risk of developing<br />

Alzheimer's Disease are the elderly, and<br />

the risk increases with age. According<br />

to statistics worldwide, one in 20<br />

of those aged 65 and above have<br />

Alzheimer's Disease. However, amongst<br />

those aged 80 and above, one in five<br />

have Alzheimer's Disease. There is also<br />

a smaller group of people who may<br />

develop what is called Early Onset<br />

Alzheimer's from as young as their 40s or<br />

even late 30s.<br />

Warning Signs of<br />

Alzheimer's Disease<br />

There are Ten Common Symptoms that<br />

can serve as a general guideline to help<br />

identify Alzheimer's Disease sufferers. If<br />

you think that these problems are affecting<br />

your daily life, or the life of someone you<br />

know, you should talk to your doctor, or<br />

encourage them to talk to theirs.<br />

Symptoms vary between Alzheimer's<br />

disease and other types of dementia, but<br />

there are broad similarities between them<br />

all. The most common signs are memory<br />

loss and the loss of practical abilities,<br />

which can lead to withdrawal from work<br />

or social activities.<br />

What to look out for...<br />

1Memory loss<br />

Declining memory, especially shortterm<br />

memory, is the most common early<br />

symptom of dementia. People with ordinary<br />

forgetfulness can still remember other<br />

facts associated with the thing they have<br />

forgotten. For example, they may briefly<br />

forget their next-door neighbour's name but<br />

they still know the person they are talking<br />

to is their next-door neighbour. A person<br />

with dementia will not only forget their<br />

neighbour's name but also the context.<br />

2Difficulty performing<br />

familiar tasks<br />

People with dementia often find it hard<br />

to complete everyday tasks that are so<br />

familiar we usually do not think about how<br />

to do them. A person with dementia may<br />

not know in what order to put clothes on<br />

or the steps for preparing a meal.<br />

3Problems with language<br />

A person with dementia often forgets<br />

simple words or substitutes unusual<br />

words, making speech or writing hard to<br />

understand.<br />

4Disorientation to time<br />

and place<br />

People with dementia can become lost<br />

in familiar places such as the road they<br />

live in, forget where they are or how they<br />

got there, and not know how to get back<br />

home. A person with dementia may also<br />

confuse night and day.<br />

5Poor or decreased judgement<br />

People with dementia may dress<br />

inappropriately, wearing several layers of<br />

clothes on a warm day or very few on a<br />

cold day.<br />

54 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


PREVENTION & Remedies<br />

6Problems with keeping track<br />

of things<br />

A person with dementia may find it difficult<br />

to follow a conversation or keep up with<br />

paying their bills.<br />

7Misplacing things<br />

A person with dementia may put things<br />

in unusual places such as an iron in the<br />

fridge or a wristwatch in the sugar bowl.<br />

7 Ways to Reduce Your Risk of Dementia<br />

Ageing is the biggest risk factor for dementia and can't be changed.<br />

There are however lots of things you can do to reduce your risk. It’s up to<br />

you. You’ll find it easier to adopt a healthier lifestyle if you can build it into<br />

your normal daily routine. Get your friends and family to support you – or<br />

better yet, join you.<br />

Based on the latest research, here are our top tips to reduce your risk of<br />

dementia. Your risk will be lowest if you can adopt several of these and<br />

not just one or two.<br />

1. Keep physically active – for at least 30 minutes, five times a week.<br />

You’ll need to be active enough to raise your heart rate and get a<br />

bit out of breath. You could walk, cycle, swim or join an exercise or<br />

dance group.<br />

2. Don’t smoke – if you already do smoke, try to stop. By smoking you<br />

are at a greater risk of developing dementia and harming your lungs,<br />

heart and circulation.<br />

8Changes in mood or behaviour<br />

A person with dementia may become<br />

unusually emotional and experience rapid<br />

mood swings for no apparent reason.<br />

Alternatively a person with dementia may<br />

show less emotion than was usual previously.<br />

9Changes in personality<br />

A person with dementia may seem<br />

different from his or her usual self in ways<br />

that are difficult to pinpoint. A person may<br />

become suspicious, irritable, depressed,<br />

apathetic or anxious and agitated especially<br />

in situations where memory problems are<br />

causing difficulties.<br />

Loss of initiative<br />

10 A person with dementia may become<br />

very passive, sitting in front of the television for<br />

hours, sleeping more than usual, or appear to<br />

lose interest in hobbies.<br />

If you are experiencing any of these<br />

symptoms or are concerned about a friend<br />

or relative, visit your doctor and discuss<br />

your concerns.<br />

3. Eat a healthy balanced diet – A healthy diet has a high proportion<br />

of oily fish, fruit, vegetables, unrefined cereals and olive oil, and low<br />

levels of red meat and sugar. Such a diet will help reduce your risk of<br />

dementia and heart disease, stroke and type 2 diabetes. Try to cut down<br />

on saturated fat (eg cakes, biscuits, most cheeses) and limit sugary treats.<br />

Keep an eye on your salt intake too, because salt raises your blood<br />

pressure and risk of stroke. Read food labels to see what’s in them and<br />

seek out healthier options.<br />

4. Keep your alcohol within recommended limits – this is the same as<br />

four or five large glasses of wine, or seven pints of beer or lager with a<br />

lower alcohol content. Regularly exceeding these weekly limits increases<br />

your dementia risk.<br />

5. Take control of your health – If you’re invited for a regular mid-life<br />

health check at the doctor’s, be sure to go. It’s like an ‘MOT’ for your<br />

body and will include a check of your blood pressure, weight and maybe<br />

cholesterol level. These are linked to dementia and conditions that are<br />

strong risk factors for dementia (heart disease, stroke and diabetes).<br />

6. Keep to a healthy weight – this will reduce your risk of type 2<br />

diabetes, stroke and heart disease – and hence probably of dementia. A<br />

good place to start is to follow the advice on exercise and diet. Keep a<br />

diary of your food intake and exercise for each day, and remember that<br />

alcohol contains hidden calories.<br />

7. Give your brain a daily workout – This could be reading, doing<br />

puzzles, word searches or crosswords, playing cards or learning<br />

something new – maybe another language. If you can keep your mind<br />

active you are likely to reduce your risk of dementia. There is a bit less<br />

evidence, but keeping socially engaged and having a good social<br />

network may also reduce your dementia risk. Visit people or have them<br />

visit you, join a club or volunteer.<br />

References:<br />

www.adfm.org.my<br />

www.alzheimers.org.uk<br />

www.alz.co.uk<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

55


NEWS & Events<br />

Nutriva Launches Oliferin ®<br />

Vascolive As It Celebrates 7th<br />

Year Anniversary<br />

16 June: Nutriva International Sdn Bhd celebrated its 7th year<br />

anniversary with the launch of a new olive-based product<br />

on the market – Oliferin® Vascolive. The product contains<br />

premium natural ingredients, including olive extract (OleaA),<br />

pomegranate fruit extract (Pomanox ®), ginkgo biloba extract<br />

(Ginkgolon-24®) and black pepper extract (Bioperine®). It<br />

is traditionally used for improving blood circulation. Nutriva<br />

presented the new innovative product that comes with an<br />

attractive packaging design. Armed with a healthy dose<br />

of insight, Nutriva will develop more health products and<br />

supplements for the community.<br />

Landmark Clinical Study Proves<br />

Efficacy of Probiotics<br />

22 May: The topline results of a landmark Clinical Study Research<br />

by PPUKM, which focused on exploring how probiotics (in the<br />

form of cultured milk drinks that containLactobacillus Acidophilus<br />

and Lactobacillus casei) affected the overall health of Malaysian<br />

research subjects against the local backdrop of Malaysian diet and<br />

lifestyle habits, has shown positive gut health benefits.<br />

The research team, led by Principle Investigator and Consultant<br />

Gastroenterologist, Assoc Professor Dr Raja Affendi Raja Ali,<br />

will continue to monitor and record the results of the study until its<br />

completion. Professor Dr Raja Affendi shares, “The results of this<br />

study clearly prove that probiotics, in the form of Lactobacillus<br />

Acidophilus and Lactobacillus casei, are clearly effective in<br />

promoting better overall digestive health. Not only did the patients<br />

in our study report improved ITT, but there was also a significant<br />

improvement in the symptoms of constipation among them. The<br />

early results also seem to indicate a positive influence in their<br />

immune status.”<br />

Visit http://digestivehealthmalaysia.org<br />

Campaign for better digestion “It’s Better<br />

with Yakult” throughout fasting month<br />

20 May: Yakult joined forces with their brand ambassadors, SchaAlyahya,<br />

AwalAshaari and their daughter Lara Alana brings festive cheer to the public<br />

at Aeon Big Wangsa Maju Shopping Centre. More than 300 people turned<br />

up at the venue. Everyone enjoyed the arranged activities which include<br />

cooking demonstration and fun quizzes. Yakult merchandise and Aeon Big<br />

pay card were given away to the lucky winners. Besides the Yakult health<br />

drinks, leaflets with tips on healthy eating during Ramadan and the Raya<br />

festive season as well as Raya packets was given out on first come first serve<br />

basis while stocks last to the shoppers.<br />

This activity was in line with Yakult’s corporate philosophy which is preventive<br />

medicine (the concept of prevention is better than cure), healthy intestines<br />

lead to long life and delivering good health to as many people as possible.<br />

56 <strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83


NEWS & Events<br />

It’s Your Life, Why Take a Chance<br />

4 July: The ‘It’s Your Life, Why Take a Chance’ campaign is calling for Malaysian women to take action<br />

by protecting themselves against cervical cancer. The campaign which is organised by the National<br />

Cancer Society Malaysia (NCSM) together with Merck Sharp & Dohme (Malaysia) Sdn Bhd (MSD) aims<br />

to equip women with knowledge on cervical cancer so that they are educated on this preventable cancer<br />

which will then allow them to take charge of their health.<br />

In Malaysia, cervical cancer is among the top threemost common cancers and the fifth cause of cancer deaths among women. About 2,145<br />

women in the country are diagnosed with cervical cancer and 621 of them die from the disease every year, based on estimates from 2012 .<br />

Two popular personalities, Marion Caunter, a TV personality, and Choo Mei Sze, PhD Developmental Psychology and Youth Ambassador<br />

for NCSM ,have also come forward as campaign ambassadors to lend their support and inspire more Malaysian women by sharing their<br />

motivations in supporting this cause through their social media platforms.<br />

Check out www.itsyourlife.net<br />

Out With The Myths, In With<br />

The Facts<br />

21 June: ‘Busting the myths’, an educational initiative<br />

by GlaxoSmithKline Consumer <strong>Health</strong>care Malaysia<br />

(GSK), brought medical experts and members of the<br />

media to an open discussion about paracetamol, in<br />

order to separate fact from fiction.<br />

“For almost 60 years, GSK has been committed to<br />

providing consumer products that help people do more,<br />

feel better and live longer. As a leading consumer<br />

healthcare company in Malaysia, it is our responsibility<br />

in addition to providing pain relief solutions to ensure<br />

that our consumers are given the right information<br />

about paracetamol ‒ information that is scientifically<br />

accurate and grounded in facts ‒ to ensure that it is used<br />

appropriately and responsibly.” said Dr Thravin Nathan,<br />

Area Medical Director – South East Asia, Japan &<br />

Korea, GSK Consumer <strong>Health</strong>care.<br />

“We are delighted to be working alongside leading<br />

experts who are united in the goal to educate and<br />

empower individuals in the way in which they manage<br />

their pain, and to promote credible medical advice<br />

to members of the public. GSK supports the efforts by<br />

groups such as MedTweetMY and Medical Mythbusters<br />

Malaysia who have taken to the various social media<br />

platforms to educate Malaysians and debunk medicalrelated<br />

myths.” adds Dr Thravin.<br />

Dettol’s new range cleanses<br />

deep into pores for skin<br />

protection<br />

12 July: As a trusted germ protection<br />

brand for families around the world,<br />

Dettol launched its latest variant to<br />

provide skin protection by cleaning<br />

deep into the pores.<br />

Available in both body wash and<br />

bar soap, the Dettol Deep Cleanse<br />

range contains 100% natural apricot<br />

micro-scrubbing beads for satisfying exfoliation of dead skin<br />

cells, leaving complexion bright and renewed. As the formula<br />

removes grime, pollutants and germs thoroughly from skin,<br />

families will also enjoy its lasting fruity fragrance.<br />

Better skin health protection is now accessible to everyone.<br />

The Dettol Deep Cleanse Body Wash is available at all major<br />

pharmacies and supermarkets. The size choices include 225ml<br />

at RM6.90and 850ml at RM20.25. The 800ml refill pack is<br />

priced at RM15.67. Alternatively, the Dettol Deep Cleanse Bar<br />

Soap retails at RM10.45 for 105g (comes in packs of 3+1).<br />

10October<br />

World Mental<br />

<strong>Health</strong> Day<br />

18October<br />

World<br />

Menopause Day<br />

25October<br />

Lung <strong>Health</strong> Day<br />

CALENDAR OF EVENTS<br />

12October<br />

World Sight Day<br />

20October<br />

World<br />

Osteoporosis Day<br />

October<br />

Breast Cancer<br />

Awareness Month<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

57


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