Transvaginal Mesh and Women’s Health

Please go to our new page for Transvaginal Mesh and More Updates

Rank 30 Jan, 2012 = 4/158,000

5 January, 2012  -  NEW ARTICLE

Our series on transvaginal mesh is now in PDF format, 26 pages.

If you are experiencing problems because of mesh please consider
looking  to our colleague, Linda Kilpatrick, for more information and support, 

19 December: High Costs Associated with Urogenital Surgery

Cost of surgery for certain urogenital conditions can range from $4000 to $6000 for your doctor with additional costs related to hospital care.

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C.R. Bard (NYSE:BCR) may have beaten The Street with its third-quarter results, but Wall Street investors are beating it back today, sending shares down nearly 4 percent.
The medical device maker reported its Q3 earnings and its $250 million acquisition of Medivance after the market closed yesterday. Bard posted profits of $130.1 million, or $1.46 per diluted share, on sales of $719.2 million for the three months ended Sept. 30.
That's 2.0 percent more profit and 6.0 percent more revenues than during the same period last year, when Murray Hill, N.J.-based Bard reported profits of $127.5 million, or $1.34 diluted EPS, on sales of $678.4 million.  October 26, 2011 by MassDevice


FDA Safety Communication: UPDATE on Serious Complications Associated with


 Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse



Boston Scientific and other transvaginal mesh makers defend their devices amid FDA probe

Boston Scientific urges the FDA to maintain a class II device status on transvaginal mesh amid calls from public advocates for product recalls and FDA warnings that the devices may do more harm than good.

Johnson & Johnson vaginal mesh lawsuits another blow to the FDA's device review process

October 20, 2011 by Arezu Sarvestani

With high profile recalls in hip implants and defibrillators in the recent past, the FDA's medical device review process takes another hit it doesn't need as health care giant Johnson & Johnson weathers a storm of transvaginal mesh complaints.
 FDA's medical device review process is again under scrutiny as lawsuits pile up against health care leviathan Johnson & Johnson (NYSE:JNJ) for transvaginal mesh devices that may do more harm than good.

Lawsuits claiming negligence against mesh-makers have also implicated the FDA's review system for continuing to clear new mesh products under the 510(k) system, despite the predicate device being pulled from U.S. shelves.


Boston Scientific Corp.'s (NYSE:BSX) ProteGen mesh, cleared in 1996 and pulled from the shelves a year later, was used as a predicate device for clearing subsequent mesh products, despite more than 120 adverse event reports on the original design at the time, Bloomberg reported.

from Bloomberg By Alex Nussbaum and David Voreacos - Oct 20, 2011 J&J Vaginal Mesh Approved by FDA Based on Similar Device Recalled in 1999


More from the FDA

September 29, 2011
I am excited to report that I will be doing some follow up stories for an old friend, Eric Chaffin, of Chaffin Luhana LLP about prolapse and vaginal mesh complications. Eric is the one who originally approached me about doing the below vaginal mesh series a couple of years ago when he was with his old law firm. Eric and his now law partner, Roopal Luhana, have their own firm in NYC, Chaffin Luhana LLP. Eric and Roopal were some of the first attorneys in the country to represent women in the Bard Avaulta mesh litigation and in Gynecare mesh lawsuits. They continue to represent women in these medical device cases, as well as in other vaginal mesh litigations, including representing women in cases against Boston Scientific and American Medical Systems regarding allegedly defective vaginal mesh. You can learn more about the vaginal mesh cases Chaffin Luhana is handling through the vaginal mesh information website that Chaffin Luhana sponsors. I also hope that you will visit us soon here at Natural Health News to read the first of what I anticipate will be a multiple part follow up series regarding vaginal mesh.
Original and complete article from 2009 about TV Mesh Has Moved in order to bring you more updates on this important health issue.


UPDATE: 19 June, 2011


Several years ago I was commissioned by a consumer injury law firm to write a series of articles. One of those articles, http://naturalhealthnews.blogspot.com/2009/03/transvaginal-mesh-and-womens-health.html addressed issues with the transvaginal mesh device.  This article is also found on our other websites, simply4health.org and leaflady.org.


In the past several months I have noticed an increasing number of TV ads for this device from consumer injury law firms.  I have also noticed a viral spread of this article which has booted the reader ship of my blog, Natural Health News, by thousands of readers daily. 


This tells me that many women must be very interested in this topic, either because they have had this surgery and are facing problems, or they have been advised to have this operation.


Alternatives to the surgery are available options.  I hope to educate you about an important one that can do a great deal to prevent and correct this condition.

Should you wish a copy of this new article please email us and request it.  

Please consider a donation to help us continue this important work.

As originally written in 2009, in cooperation with Eric Chaffin, this article has created an internet storm -

Originally posted March 2009 -


Transvaginal Surgical Mesh Origins

Polypropylene was first developed in the 1950s as a thermoplastic polymer resin of propylene and is made from petroleum. Polypropylene may be molded or extruded into many forms, including fibers for suture material, specially produced mesh and nonwoven sheet applications. Nonwoven polypropylene fabric later began to be extruded from polymer melts rather than from fibers. 


New MESH page has the complete article and much more information.

Quaternary ammonium biocides are used as a disinfectant and germ killing substance because they disrupt the cell membrane and proteins. QUATS may not, however, be fully effective against Pseudomonas bacteria. Also, researchers have found in laboratory experiments that oleamide, which interacts with neurotransmitters, may leak out of polypropylene plastics.


Polypropylene Knitted Mesh (PPKM) fabrics are comprised of monofilament yarns, which are engineered for the manufacturing of textile fabrics. The polymer and manufacturing processes that are used produce fabrics with properties that are ideally suited for the manufacturing of medical device applications. Medical applications include hernia mesh patches, stress urinary incontinence (SUI) slings, and vaginal prolapse suspenders.

Nonwoven polypropylene fabric has been used for similar applications.

Problems with polypropylene fabrics have led to warnings being issued for various products made from nonwoven material and in some cases, the manufacturers have stopped marketing the products

According to adverse reports submitted to the FDA from nine different manufacturers, more than 1,000 people have suffered severe complications from surgical mesh implants. The reports include infection, pain, urinary problems and bowel, bladder or blood-vessel perforations. The repaired prolapse may have recurred or incontinence increased. Additional surgeries to remove mesh have been required because of vaginal erosion.

Transvaginal Surgical Mesh to Treat SUI

Sudden Urinary Incontinence (SUI) is estimated to affect as many as 11 million women in the United States. It is generally defined as the sudden, involuntary loss of urine when a patient is laughing, sneezing, coughing or exercising. SUI is caused by anything that may have led to serious pelvic muscle strain or weakness such as vaginal childbirth. It can be exacerbated by estrogen and other hormonal imbalance accompanying menopause.

Nearly 40% of all adult American women will experience various degrees of SUI during their lifetime. Symptoms can range from occasional leakage of a few drops of urine to complete loss of urine under certain conditions of stress. Although nonsurgical methods such as dietary changes, bladder retraining, Kegel exercises, biofeedback, pessaries, electrostimulation, and drug therapies have been used successfully to treat these women, many patients eventually require surgical repair to relieve their symptoms.

Historically, and for many decades, the Kelley plication or the Marshall-Marchetti (Krantz) procedures have been the main hospital based surgical treatments for reinforcing the bladder neck in order to prevent unintentional urine loss.

Other surgical techniques have been used to correct pelvic organ prolapse (POP), a related condition.

Transvaginal Surgical Mesh to Treat POP

The problem of incontinence for women from various causes becomes more common after pregnancy and in menopause, when surgery can be recommended after other non-intrusive treatments are not found effective.

These conditions are referred to as Pelvic Organ Prolapse(POP).

POP is the term that describes a condition when a pelvic organ drops from its normal location and pushes against the walls of the vagina. This generally occurs when muscles that hold pelvic organs in place are weakened or stretched by childbirth or surgery. POP can lead to symptoms that include pain, discomfort, loss of bladder control and constipation.

Mentor Sling

One popular product, known as the transobturator vaginal sling, was made by Mentor Corporation. This product was more commonly called “OB Tape.”

Mentor manufactured an OB Tape vaginal sling that was not recalled, but the company stopped marketing it in the spring of 2006. The product used a nonwoven material which made it different in design than most other mesh devices. The nonwoven fabric is alleged to have blocked oxygen and nutrients, substantially increasing the risk of problems such as infection. This impedance potentially can cause serious problems with the device that may not appear for months, or even years following implantation surgery.

The complication rate could very easily reach 20% of all patients who used the Mentor sling.

At least 35,000 women may have been treated with the OB Tape vaginal sling between 2003 and 2006 to treat female stress urinary incontinence (SUI). The bladder sling is designed to prevent involuntary leakage that occurs when pelvic muscles supporting the bladder and urethra are stressed or weakened. A number of women have filed Mentor sling lawsuits.

A study published in the Journal of Urology in October 2006 highlighted the risk of complications associated with the OB Tape sling. More than 13% of the women who received the Mentor Sling for incontinence allegedly have suffered vaginal extrusions. Many more cases reported women who suffered chronic vaginal discharge and abscesses.

Symptoms of OB Tape Sling injury may include but are not be limited to:

· High fever

· Vaginal Pain

· Pelvic Pain

· Pain During Sex

· Chronic Infections

· Perineal Cellulitis

· Severe Pain in the Back, Hips and Legs

If you have had this surgery and are experiencing any of these or other symptoms not listed here, immediately contact your health care provider.

If you have suffered an injury or Mentor sling side effects from surgery involving the use of a Mentor sling, and would like to learn about your legal rights and pursuing a Mentor sling lawsuit, you can find information at Consumer Injury Lawyers.

Other Transvaginal Surgical Meshes

Another product, Gynecare’s Prolift Sling, created serious problems that required additional surgery that has caused permanent injury. The Avaulta Bard surgical mesh, which is used to treat POP and SUI have also been the subject of Avaulta transvaginal mesh lawsuits. It has led some consumer advocates to call for an Avaulta transvaginal mesh recall.

If you have had a prolene mesh pelvic floor repair system and have suffered complications, you may have a viable product liability claim. In October 2008 the FDA transvaginal mesh alertwas issued for at least nine manufacturers of vaginal sling products.

Overall use of these surgical mesh products has been associated with severe and debilitating injuries including vaginal extrusions, urinary tract erosions, infection and nerve pain. Other known complications include, but are not limited to, mesh erosion, mesh shrinkage, granuloma from tissue injury or dyspareunia (pain with sexual relations).

Product and procedure failure with the tape sling products have required additional surgeries to remove the mesh, along with an increased risk of more injury.

If you have suffered an injury from any surgery involving the use of the surgical meshes referred to in the above article and would like to learn about your legal rights, you can find information from Consumer Injury Lawyers, a consumer advocacy legal website that provides helpful information to consumers about various drugs and medical devices, including for example information about the recent reports of zinc poisoning caused by denture cream, including information about denture cream lawsuits such as how to file a Fixodent lawsuit orPoligrip lawsuit.

This article is part of a consumer health education series written by Gayle Eversole, DHom, PhD, MH, NP, ND, of Creating Health Institute, in collaboration with Bernstein Liebhard, LLP.

The views expressed in this article are solely those of the author, Gayle Eversole.





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Natural Lubrication for Metal Implants


"Natural" graphite lubricant reduces wear on metal-on-metal implants

January 2, 2012 by Emily Greenhalgh

A newly discovered lubricating layer of graphite could be the key to longer-lasting metal-on-metal hip implants, according to researchers.

A study funded by the National Institutes of Health found that lubrication in metal-on-metal hip implants has more in common with the lubrication in a combustion engine than a natural joint.
The study, conducted by U.S. and German researchers, found that a lubrication layer that forms in metal-on-metal hip replacement devices is actually graphite carbon, not proteins as researchers previously suspected.
"Graphite has been used as a lubricant for over a century," study co-author Laurence Marks told Reuters. " It is a classic lubricant, and it appears to form naturally."
When they discovered the graphite lubricant, researchers from Northwestern, Rush University Medical Center and the University of Duisburg-Essen were analyzing 7 retrieved implants to find a way to stop erosion between their metal surfaces.
"This finding opens new avenues of investigation to help scientists understand how joint implants function, and to develop strategies to make them function better," Dr. Stephen Katz, director of the National Institute of Arthritis & Musculoskeletal & Skin Diseases, said in prepared remarks. "The results of such research could have important implications for several 100 thousand Americans who undergo hip replacement each year – as well as those who could benefit from the procedure, but have been advised by their doctors to delay surgery until they are older."
Hip replacements are one of the most common orthopedic surgeries in the U.S. More than 500,000 metal-on-metal implants have been performed so far, according to the FDA.
All-metal joints were designed to be more sturdy and accommodate larger femoral heads than the metal-polyethylene implants they replaced, but several studies found that patients who received the metal-on-metal implants were more likely to need repeat surgeries.
Due to the natural friction of the hip's movement, metal particles can wear off the implants and enter patients' bloodstreams, according to the federal watchdog agency.
"Problematic devices have tended to release more metal debris through wear and corrosion than devices that have performed well," lead investigator Dr. Joshua Jacobs said in prepared remarks. "This debris can cause a local tissue response involving the bone, ligaments, tendons and muscles around the hip."
Lawsuits over the implants have skyrocketed in recent months, topping 5,000 in 2011 – more than in the past 4 years combined.
The NIH researchers seemed optimistic about the lubricant discovery.
"Nowadays we can design new alloys to go in racing cars, so we should be able to do this for implants that go into human beings," Northwestern University professor Laurence Marks said in a prepared statement.
If the research doesn't pan out, growing concern could put the devices on track to be the biggest and most expensive medical implant quagmire since Medtronic (NYSE: MDT) recalled its Sprint Fidelis lead in 2007.
And the high-profile recall of Johnson & Johnson (NYSE:JNJ) subsidiary DePuy Orthopaedics' metal-on-metal ASR implant could cost $1 billion on its own.
All-metal joint replacements haven't just been a target for the federal watchdog agency. The implant woes have garnered the attention of lawmakers as well.
Three U.S. senators are calling for increased safety measures for medical devices, spurred by the attention given to the recalls. Their proposed legislation would beef up the FDA's safety regulations, allowing the federal watchdog agency to conduct safety studies of devices after they've been approved and to grant conditional approvals contingent on further trials.

SOURCE: http://www.massdevice.com/news/natural-graphite-lubricant-reduces-wear-metal-metal-implants


From Natural Health News

Aug 23, 2011 Hip Implant Complaints Surge, Even as the Dangers Are Studied. Originally posted 2009. Total Hip Arthroplasty Every year approximately 200000 hip replacement surgeries are performed in the United States and the success ...
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Avoid Toxic Sweeteners for Weight Loss Goals

Aspartame Warning Flyer for distribution: http://www.mpwhi.com/warning_flyer_on_aspartame.htm

The Lethal Science of Splenda: http://www.wnho.net/splenda_chlorocarbon.htm

Studies have shown that sucralose can:

* Cause the thymus to shrink by as much as 40% (the thymus is your immune powerhouse - it produces T cells)
* Cause enlargement of the liver and kidneys
* Reduce growth rate as much as 20%
* Cause enlargement of the large bowel area
* Reduce the amount of good bacteria in the intestines by 50%
* Increase the pH level in the intestines (a risk factor for colon cancer)
* Contribute to weight gain
* Cause aborted pregnancy low fetal body weight
* Reduce red blood cell count

Particular warning to diabetics: Researchers found that diabetic patients using sucralose showed a statistically significant increase in glycosylated hemoglobin, a marker that is used to assess glycemic control in diabetic patients. According to the FDA, "increases in glycosolation in hemoglobin imply lessening of control of diabetes."

Here is how Splenda is made: http://www.wnho.net/chemical_processing_of_splenda.htm

Ajinomoto just announced a new name for aspartame called AminoSweet. Be warned. It goes under many names; NutraSweet, Equal, Spoonful, Naturataste, Canderel, Benevia, E951, etc. Because the patent has expired it can be used in anything. You must read labels. Many times it’s hidden in artificial and natural flavors. Remember that aspartame has a synergistic and additive effect with MSG. Stuart Pape of the National Yogurt Assn has petitioned the FDA to allow aspartame unlabeled in yogurt and dairy products.



Special warning for diabetics: Aspartame can precipitate diabetes, simulates and aggravates diabetic retinopathy and neuropathy, destroys the optic nerve, causes diabetics to go into convulsions, and even interacts with insulin. The free methyl alcohol causes diabetics to lose limbs. Jeanette Soto, Mission Possible Brookville, Fla, who wrote “Blinded Sight” when her husband lost his sight from aspartame was unable to get her father-in-law, diabetic off aspartame because of the addiction. The free methyl alcohol is classified as a narcotic. It causes chronic methanol poisoning which affects the dopamine system of the brain and causes the addiction. When Jeanette’s father-in-law, Santiago Echiverria died it had to be a closed casket, the formaldehyde from the free methyl alcohol was oozing out of his skin. The American Diabetes Assn was sued in 2004 for racketeering for pushing aspartame on diabetics, but because of their power got out of it.

Today people are dying of the methanol poisoning. Dr. James Bowen explains:
"Only after longer aspartame usage does liver damage cause blood methanol levels to measurably rise because the liver mitochondria are so damaged that the liver no longer quickly processes either methyl or ethyl (drink) alcohol. Then the acute methanol poisoning is directly measurable from lab results, as the blood methanol level elevates. This entire sequence or "toxic axis" begins with your very first dose of aspartame. Both acute and chronic poisonings from this methanol toxic axis, and other additive and synergistic aspartame poisonings, steadily accumulate in the aspartame consumer.” We continue to get reports of people dying of methanol poisoning. Charles Fleming died and his wife, a Sunday School teacher, remains in a prison in Virginia. The detective on the case said, “Diane is innocent but because I was promoted I could not stop the indictment.” Be warned no diabetic should ever consume wood alcohol. The FDA did no NOAEL on methanol. Without it you cannot set an ADI, allowable daily intake. It’s 44% too high.



Just Like Sugar is a safe natural sweetener, see link in right column.
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Hormone Disruption: Fluoride and Your Wireless Device




RE - http://www.sciencedirect.com/science/article/pii/S0009912011027330

It shows that long term exposure (six years) to both cellphones and their base stations can alter human hormone profiles.

The most significant (which the authors describe as highly significant in the text) are their effects on the thyroid hormones, which show a marked reduction over this period. Although the authors do not say it (I suspect that they dare not if they want to get their work published) this would result in hypothyroidism, the most important symptoms of which are fatigue and obesity. 



WEEP reader comments:

If cellphone exposure is combined with a fluoridated water supply, the low thyroid outcome is even more likely.

See this history of the fluorine/iodine antagonism connection, and the use of fluorine-based drugs to treat overactive thyroid.

http://poisonfluoride.com/pfpc/html/thyroid_history.html

Please join the spreading campaign to remove fluoride (from toxic-waste source) out of drinking water.

http://cof-cof.ca/hydrofluorosilicic-acid-origins/

'This water-based “wet scrubber” hydrofluorosilicic acid, containing the contaminants, is then taken out of the chimneys and stored in open-air cooling lakes, further exposed to airborne contaminants. Industry produces millions of gallons of this liquid hazardous waste. It costs thousands of dollars per ton to properly neutralize and dispose of hydrofluorosilicic acid, therefore, industry would rather just sell it to you as “product”.'

http://cof-cof.ca/top-ten-arguments-against-fluoridation/

And then if you are exposed to mercury too... and then the EMF shuts down detox, well we have got to do something about the use of these toxic substances.  Martin Weatherall, WEEP.

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The New View for 2012

For about two decades I have been writing and education about thermography as a better and safer screening method for breast cancer.  


The two best reasons are that it does not expose you to unnecessary radiation and it detects 10 years earlier than x-ray.


This article may help you have a better view and also worth getting a copy to your health care provider.


Sadly I have learned that in some radiology practices they will not allow ultrasound unless you have had a prior mammogram.


Get the facts and take a stand for your best health.


Excerpt from a clinical article highlighting the facts about thermography -



  • Breast thermography has undergone extensive research since the late 1950's.


  • Over 800 peer-reviewed studies on breast thermography exist in the index-medicus literature.


  • In this database, well over 300,000 women have been included as study participants.


  • The numbers of participants in many studies are very large -- 10K, 37K, 60K, 85K …


  • Some of these studies have followed patients up to 12 years.


  • Strict standardized interpretation protocols have been established for over 20 years.


  • Breast thermography has an average sensitivity and specificity of 90%.


  • An abnormal thermogram is 10 times more significant as a future risk indicator for breast cancer than a first order family history of the disease.


  • A persistent abnormal thermogram caries with it a 22x higher risk of future breast cancer.


  • An abnormal infrared image is the single most important marker of high risk for developing breast cancer.


  • Breast thermography has the ability to detect the first signs that a cancer may be forming up to 10 years before any other procedure can detect it.


  • Research has shown that breast thermography significantly augments the long-term survival rates of its recipients by as much as 61%.


  • When used as part of a multimodal approach (clinical examination + mammography + thermography) 95% of early stage cancers will be detected.
If you would like a complete copy of the article please contact us.



Women


Breast Thermography


Mammography Risk

Not so pretty in pink


Selections from Natural Health News



Jun 12, 2011
Now - even though thermography has received FDA approval, it stands on its platform of mammography as the only approved screening system. And at the same time blocks any information that has been scientifically ...
May 21, 2010
A great boost for the benefits of thermography over breast-cancer-causing mammogram. It is more effective and better for women under 50. Yes! Thermography's accuracy rate is 90% versus mammogram's 50%. It is well past ...
Oct 23, 2009
Better to Screen You with Thermography, My Dear... "Rethink" of Cancer Screening Triggers Comments and Controversy By Nick Mulcahy October 23, 2009 — In a comment that has triggered widespread media coverage, the ...
Mar 02, 2009
I just know I have to drive 75 minutes to get thermography. With the 3 day Race and March coming soon (Women's Health Month) perhaps you'll like to send along your donation to get our report on mammography that we've ...
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A Most Sensible Resolution for 2012

Water!


Yes, you've heard this cry many times I am sure.  But even in today's world it is extremely important to your health.  Its also not the truth, as so many in mainstream medicine tell you, that those 8 glasses a days aren't necessary. 


Well, I certainly agree that the 8 glasses are needed, and I have my surgeon father to thank for that.  When he was in med school in the 1920s this was the rule.


The "Cool Morning Draught" was also a very popular and health promoting traditional naturopathic therapy, and my mother always started her day this way. One of her favorite songs was "Cool Water" as sung by the Sons of the Pioneers.  She was lucky enough to have come from the place that supplies artesian wells drinking water to New Orleans.


Seems too that forward thinking and health supporting doctors agree - one who I think offers trustworthy and practical advice about all aspects of healthy living.


DEHYDRATION CHECK:  If your tongue feels at all raspy 
or like sandpaper then you too aren't getting enough water.

from Dr. John Briffa -
I sat down two days ago with some ambition to write a blog post (or two). In the end I did not write a word. Why? As I explained to my girlfriend, ‘my brain wasn’t working’. Try as I might, I found the whole idea of writing anything cogent too much. I did a quick scan of things that might have caused this state. I was not short on sleep. Neither had I eaten any wheat (I’ve found from experience this tends to turn my brain off).
Then I wondered if I might be dehydrated. It was about 4.00 in the afternoon, and I could only remember passing water twice all day – not a good sign. Plus, there was no doubt in my mind that I had drunk only a small proportion of the water I would normally consume when, say, in my own home. I stepped up my water intake and felt quite quickly revived. It might have been a placebo response, but maybe not.
This morning I decided to see if there was any recent evidence on the impact of dehydration on mental functioning, and did indeed come across a relevant study [1]. In this research, 25 women were subjected to a variety of assessments of mood, mental functioning and wellbeing in a normally hydrated state, as well as a dehydrated state. On one occasion, dehydration was induced with intermittent exercise but not heat. On another occasion, dehydration was induced not just with exercise, but by administration of the diuretic drug frusemide (furosemide).
Overall, dehydration with or without frusemide led to an average of 1.36 per cent of body mass. Just to put this into perspective, for someone weighing 70 kg, this would equate to about 1 kg (or 1 litre) of dehydration. In other words, this extent of dehydration would be described as ‘mild’.
At this level of dehydration, basic cognitive (brain) function was not significantly affected. But other functions were, including the amount of perceived effort used by women to complete a task. My experience yesterday meant that I could totally relate to this.
In addition, the concentration and mood of the women were also adversely affected. The women were more fatigued too, and were more prone to headaches. All this, remember, was the result of relatively mild dehydration.
None of this actually proves my inertia yesterday was caused by something as simple and rectifiable as dehydration, but it is at least consistent with it. I’d say as far a New Year resolutions go, many of us could do a lot worse than just to ensure we’re decently hydrated. How much should we drink? I suggest enough to ensure our urine stays pale yellow in colour throughout the day.
References: 1. Armstrong LE, et al. Mild Dehydration Affects Mood in Healthy Young Women J Nutr January 1, 2012 jn.111.142000


Advanced Care Chiropractic offers this short report -



Just because it is winter and it is cold and rainy, doesn’t mean you can’t get dehydrated!  During these months we are inside more, with heaters going, and we don’t have that natural thirst mechanism.  So most of the patients I see ARE dehydrated.
Water is your body’s principal chemical component, comprising 60-70% of your weight. Every system in your body depends on water.  Even mild dehydration can sap your energy and make you tired. 
Lack of water increases fibrosis and cross-linking in collagen, resulting in advanced wrinkling,  stiff and easily injured joints, and degeneration of joints and discs.  
It also makes chiropractic adjustments more difficult, more painful, and less effective. 
Every day you lose water through your breath, perspiration, urine and bowel movements. For your body to function properly, you must replenish its water supply by consuming beverages and foods that contain water.
1) How Much?  The US National Research Council recommends 1 mL of water for every Calorie you eat.  So if you eat 2000 Calories you should be drinking 2000 mL (2 liters or 2.1 quarts).  My guideline is ½ oz of water for every pound of weight.  So for a 150 lb man or woman, you need 75 oz of water (over 2 quarts).
You may need to modify your total fluid intake depending on how active you are, the environment or weather you are in, your health status, and if you’re pregnant or breast-feeding.
  • Exercise. The more you exercise, the more fluid you’ll need to keep your body hydrated. An extra 1 or 2 cups of water should suffice for short bouts of exercise, but intense exercise lasting more than an hour (for example, running a marathon) requires additional fluid. During long bouts of intense exercise, it’s best to use a sports drink that contains sodium and electrolytes to help replace sodium lost in sweat. Fluid also should be replaced after exercise.
  • Environment. Hot or humid weather can make you sweat and requires additional intake of fluid. Heated indoor air also can cause your skin to lose moisture during wintertime. Further, high altitudes may trigger increased urination and more rapid breathing, which use up more of your fluid reserves.
  • Illnesses or health conditions. Fever, vomiting and diarrhea cause your body to lose additional fluids. In these cases you should drink more water and may even need oral rehydration solutions, such as Gatorade.  Certain conditions such as heart failure and some types of kidney, liver and adrenal diseases may impair excretion of water and even require that you limit your fluid intake.
  • Pregnancy or breast-feeding. Women who are expecting or breast-feeding need additional fluids to stay hydrated. Large amounts of fluid are lost especially when nursing.  It is recommended that pregnant women drink 2.4 liters (about 10 cups) of fluids daily and women who breast-feed 3.0 liters (about 12.5 cups).
2) Don’t wait until you are thirsty!   It’s generally not a good idea to use thirst alone as a guide for when to drink. By the time you becomes thirsty, it is possible to be already dehydrated.  Be aware that as you get older your body is less able to sense dehydration and send your brain signals of thirst. 
3) Avoid drinking at night! Don’t try to catch up for not drinking during the day by drinking too much in the evening.  Avoid drinking 2 hours before bedtime.  Unless you LIKE waking up in the middle of the night!
4) Water filters, spring water, bottled waterIf you drink water from a bottle, thoroughly clean or replace the bottle often. Refill only bottles that are designed for reuse.  In general spring water from a tested source is best, then filtered water.  Don’t drink distilled water. 
5) Drink Warm or Room Temperature Water  You wouldn’t put ice water in a baby’s water bottle, a pet dish or a house plant would you?  Then avoid it for yourself too.  Traditional Chinese Medicine declares that cold drinks “shock” the body and blocks the normal flow of energy. 
6) Can You Drink Too Much?  Though rare, it is possible to drink too much water. When your kidneys are unable to excrete the excess water, the electrolyte content of the blood is diluted, resulting in a condition called hyponatremia.   Endurance athletes such as marathon runners who drink large amounts of water are at higher risk of hyponatremia.  In general, though, drinking too much water is rare in healthy adults who consume an average American diet. 
Water


Selections from Natural Health News



Dec 26, 2007
Lose weight with water. Water is essential for everybody - it is also the key to losing weight. If you haven't been drinking enough water, your body has developed a pattern of storing water. This water retention equals extra ...


Apr 03, 2008
The hot topic in current news seems to be water, and how much you don't need. This topic has made the news several times in the past few years, sometimes to the chagrin of health advocates who believe water is life giving. 



Aug 24, 2010
Drinking water with meals has always been a point of discussion in natural health care. We have learned, and educate others about water and how important it is for health. We also always have suggested to drink water ...
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