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Very low carb diets - good or bad?

Posted on 6 December, 2019 at 17:20

According to a leading Australian food and nutrition scientist, very low carbohydrate diets should be avoided because there is convincing evidence for a detrimental effect on health.

Citing results from a large meta-analysis published in European Heart, Dr Emma Beckett says the data show that people who consume a low carbohydrate diet and reduce their intake of fibre are at greater risk of premature death. They are also at increased risk for individual causes of death including coronary heart disease, stroke and cancer. The study sheds new light on the dangers of long-term low carbohydrate diets, says Dr Beckett, a molecular nutritionist at the University of Newcastle. Specifically, it found that the overall risk of death from any cause was 15% higher in people who consumed the least amount of carbohydrates, the risk of cardiovascular death was 13% higher and that of dying of cancer was 8% higher. The reduced intake of fibre and fruits and increased intake of animal protein and saturated fat with these diets may play a role, according to the study. Similar results from a series of systematic reviews and meta-analyses reported in The Lancet suggest a 15-30% decrease in all-cause and cardiovascular related mortality when comparing people who eat the highest amount of fibre to those who eat the least. Eating fibre-rich foods also reduced incidence of coronary heart disease, stroke, type 2 diabetes and colorectal cancer by 16-24%. Dr Beckett says the evidence is already reflected in the latest Australian dietary guidelines but “the real problem is that most people don’t follow them”. “The guidelines are already specifically worded for recommending high quality carbohydrate sources from grain cereals – mostly wholegrains – along with fruit, pulses and vegetables, and reducing low-quality carbohydrates from discretionary foods,” she says. “The biggest problem is that we are not doing well at communicating this. About 50% percent of our energy needs should come from high-quality carbohydrates, 30% from fats and 20% from protein but most Australians think they need to eat more protein.” While the evidence shows that a low-carb diet can aid in weight loss, Dr Beckett warns of the “short term win of losing weight with the long-term consequences of missing out on important nutrients”. She says there is strong evidence that grain fibre in particular has a profound effect on health due to its effects on gut microbiota. A recent systematic review of 42 studies found 39 demonstrated an increase in microbiota diversity and abundance following consumption of wheat and other grain fibres as prebiotics. Potential health benefits include improved immunity and gut function, reduced inflammation, reduced risk of obesity and type 2 diabetes and potential protection from bowel cancer. There is also evidence of improved cognition and mood, according to the study. “If we are going to recommend people change their carb intake, we have to talk to them about the importance of fibre in foods because there is no evidence for fibre supplements,” Dr Beckett says. “Just your normal fruits and veg and your standard high fibre breakfast cereals and wholegrain bread are fine. You don’t need to eat mangosteen and quinoa to be healthy.”

AusDoc 22nd October 2019

There's an App for That

Posted on 6 December, 2019 at 15:10

Natural Cycles is the first app of its kind to be FDA-approved in the United States. The "fertility awareness" app charts a woman's fertility so she can better predict on which days she is most fertile. The app requires women to track their menstrual cycles and enter their body temperature into the app every morning upon waking.  On the basis of a study involving 22,785 women using the Natural Cycles app, the rate of pregnancies from cycles where the application erroneously flagged a fertile day as infertile was 0.5 per 100 woman-years. So for the purpose of avoiding pregnancy, overall the app showed 93% efficacy with "typical use" and 99% with "perfect use" (never having unprotected sex on fertile days). That's actually better than comparable rates for the oral contraceptive pill, which is around 91% effective.

News, Aug 10, 2018

Clinical Hypnotherapy

Posted on 8 October, 2019 at 20:00

There has been a growing number of patients presenting for consideration for clinical hypnotherapy so I thought it might be a good idea to oultine here a little information.   Typically these self-presenting or referred patients are wanting to overcome one or more specific challenges in their lives and are curious about how one's own mind power can be utlised to achieve their goal(s).   They may have tried other treatments with limited success or experienced treatment side effects.   They may come to me with some reservations but mostly they come with an open mind to explore their options.   Very few people these days would be so sceptical as to deny the mind-body connection.

The first thing to make clear is that hypnotisability is not a stigma of weak will or low intelligence.   Rather it is a sign of an alert, active and creative mind.   The more cooperative and imaginative you are, the better you will submit to hypnosis and the more profound the results.   Almost everyone (over 80 percent of people) can be hypnotised to some degree with 10 percent of people in the high range of hypnotisability and 10 percent in the low range.   Suggestibility testing can be done to determine where you align in this spectrum of responsiveness.

Going under hypnosis is a ‘willing’ art of achieving tremendous inner awareness, selective thinking and sensory dissociation. The best way to do this is not to do anything. Just relax your mind and body in stillness and listen to my voice guiding you.   

Please wear comfortable clothing to your hypnotherapy session. You will be reclining in an easy chair in a darkened room for approximately 30 minutes.   I am with you at all times.

To do the therapeutic work I use my voice to direct your body and mind into hypnotic trance.   Hypnotic trance is an altered state of consciousness which is natural and normal and in fact experienced by everyone everyday e.g. we are actually in a hypnotic trance when we are mentally engrossed in an activity such as watching a movie or reading a good book; e.g. when we daydream; e.g. when we "tune out" or "zone out" or when  we experience "time flies".  

When you are in hypnotic trance:

1. You are fully aware of your surroundings.

2. You are in control of your faculties.

3. You are not unconscious or asleep.

4. You don’t divulge any secrets, unless agreed to beforehand for purposes of hypno-analysis.

5. Your past is not probed, unless agreed to beforehand for purposes of hypno-analysis.

6. Your will not accept any suggestions contrary to your moral and ethical codes.

7. You are not made to do anything silly or unacceptable.

8. You are in a very comfortable state of tranquillity of mind and relaxation of body, accepting the suggestions that are beneficial to you, allowing them to sink into your subconscious mind.

9. If you consider your subconscious mind as a computer, in hypnosis it is ‘clear’ and ready to accept new and beneficial programming.

10. The programming can be done by you (as in self-hypnosis) or by the therapist with your consent.

Good to know things about after your hypnosis session:

Some people get the full benefit of hypnosis in the first few minutes of therapy while others require several sessions before they reap the benefits.

Even after the first session, you will find that the suggestions (both direct and in-direct) given under hypnosis will be unobtrusively influencing your feelings, thoughts and behaviours in a beneficial way.

You can expect to be pleasantly surprised by gentle positive changes. My suggestion is don’t challenge or rationalise, rather enjoy it and ‘go with the flow’.

I recommend to most patients that they have a trial of six sessions of half hour therapy, booked once a fortnight.   After this you should have a medical review appointment scheduled to discuss your progress and decide where to from here.

Please keep in mind if the therapeutic results are not as predicted, it suggests your subconscious mind is not ready to accept suggestions. This could be due to emotional ‘blocks’ or scars from the past, both of which may need to be explored and analysed in counselling therapy.

written by Dr Ison


Next available appointments are January 2020

Posted on 8 October, 2019 at 19:40

All appointments for the remainder of 2019 are now fully booked and we invite all our existing patients and newly enquiring patients to make appointments now for the New Year.   Just a reminder that one hour appointments are required for new patients having their Initial Health Assessment and for existing patients having their Annual Health Assssment.   The Wellness Clinic will be closed for Christmas after Friday 20th December 2019 (last working day) and will re-open in the New Year on Monday 13th January 2020.   Thank you.

Dr Ison on annual leave

Posted on 14 July, 2019 at 20:10

Dr Ison will be away overseas from July 16 - July 31, 2019.   She will be back to work on Thursday 1st August 2019.  The month of August is now fully booked.  Appointments are available from September.  For any acute care medical needs, please attend your local GP Medical Centre or Emergency Department.  Thank you. 

Welcome back in 2019!

Posted on 20 January, 2019 at 18:30

"Business as usual" commenced last week on Monday 14th January 2019.   Dr Ison's sessional hours are the same as in 2018 (Remember she doesn't work "Ws", that is not on Wednesdays or weekends).  Tanya is secretary on Mondays, Tuesdays and Thursdays and Kerri is secretary on Wednesdays and Fridays.  We hope all our patients enjoyed a lovely relaxing Christmas holiday break with their families and friends.   We look forward to attending with excellence to all your preventive health care needs this new year and beyond.

Festive season holiday closure

Posted on 4 December, 2018 at 6:10

Please be advised that Dr Ison will soon be on holiday leave from 12th December, 2018 for one month.   Secretarial staff will remain on duty, for administration only, until close of business on 22nd December, 2018.   The Wellness Clinic will then be closed, as is customary, for Christmas and New Year holidays.  We hope you enjoy a happy and peaceful Christmas holiday break in the company of family and friends!   The Wellness Clinic will resume business as usual on Monday 14th January, 2019.  Should you require medical attention whilst Dr Ison is away on leave, please attend either your local medical centre or hospital emergency department.

Genetic predisposition testing now available for the following health conditions :

Posted on 31 July, 2018 at 20:50

Age-related Macular Degeneration

Alzheimer’s Disease

Atrial fibrillation

Bipolar Disorder

Breast Cancer

Bowel Cancer

Coeliac Disease

Chronic Kidney Disease

Coronary Heart Disease

Crohn’s Disease

Diabetes Mellitus Type 1

Diabetes Mellitus Type 2

Gallstones

Gout

Lung Cancer

Melanoma

Multiple Sclerosis

Obesity

Oesophageal Cancer (ESCC)

Parkinson’s Disease

Primary Biliary Cirrhosis

Prostate Cancer

Psoriasis

Restless Legs Syndrome

Rheumatoid Arthritis

Scleroderma (Limited Cutaneous Type)

Stomach Cancer (Gastric Cardia Adenocarcinoma)

Systemic Lupus Erythematosus

Venous Thromboembolism.

Ref: Viamedex Genetic and Drug Testing Laboratory; www.geneticaustralia.com

53 available tests for gene carrier status

Posted on 31 July, 2018 at 20:50

ARSACS

Agenesis of the Corpus Callosum with Peripheral Neuropathy (ACCPN)

Alpha-1 Antitrypsin Deficiency

Autosomal Recessive Polycystic Kidney Disease

BRCA Cancer Mutations (Selected)

Beta Thalassemia

Bloom's Syndrome

Canavan Disease

Congenital Disorder of Glycosylation Type 1a (PMM2-CDG)

Connexin 26-Related Sensorineural Hearing Loss

Cystic Fibrosis

D-Bifunctional Protein Deficiency

DPD Deficiency

Dihydrolipoamide Dehydrogenase Deficiency

Factor XI Deficiency

Familial Dysautonomia

Familial Hypercholesterolemia Type B

Familial Hyperinsulinism (ABCC8-related)

Familial Mediterranean Fever

Fanconi Anemia (FANCC-related)

G6PD Deficiency

GRACILE Syndrome

Gaucher Disease

Glycogen Storage Disease Type 1a

Glycogen Storage Disease Type 1b

Haemochromatosis (HFE related)

Hereditary Fructose Intolerance

Hypertrophic Cardiomyopathy (MYBPC3 25bp-deletion)

LAMB3-related Junctional Epidermolysis Bullosa

Leigh Syndrome, French Canadian Type (LSFC)

Limb-girdle Muscular Dystrophy

Maple Syrup Urine Disease Type 1B

Medium-Chain Acyl-CoA Dehydrogenase (MCAD)

Mucolipidosis IV

Neuronal Ceroid Lipofuscinosis (CLN5- related)

Neuronal Ceroid Lipofuscinosis (PPT1-related)

Niemann-Pick Disease Type A

Nijmegen Breakage Syndrome

Pendred Syndrome

Phenylketonuria

Primary Hyperoxaluria Type 2 (PH2)

Rhizomelic Chondrodysplasia Punctata Type 1 (RCDP1)

Salla Disease

Sickle Cell Anemia & Malaria Resistance

Sjögren-Larsson Syndrome

TTR-Related Cardiac Amyloidosis

TTR-Related Familial Amyloid Polyneuropathy

Tay-Sachs Disease

Torsion Dystonia

Tyrosinemia Type I

Usher Syndrome Type I (PCDH15-related)

Usher Syndrome Type III

Zellweger Syndrome Spectrum.

Ref: Viamedex Genetic and Drug Testing Laboratory; www.geneticaustralia.com

What your genes can tell you about your addictive potentials

Posted on 31 July, 2018 at 20:45

Alcoholism (alcohol cravings)

Alcoholism (alcohol dependence)

Alcoholism (withdrawal seizures)

Cannabis dependence

Cocaine dependence

Cocaine-induced paranoia

Fatty food addiction

Gambling addiction

Heroin addiction

Nicotine dependence (tobacco addiction)

Salty food addiction

Sugar addiction.

For further information go to:

Ref: Viamedex Genetic and Drug Tresting Laboratory; www.geneticaustralia.com


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