Sleep Apnea And Obesity Statistics

How to Treat Sleep Apnea Naturally

Hi, my name is Troy Giles. I am a of Chiropractic and a Natural Internist. Today I wanted to talk to you a little about apnea,and sleep apnea. This is a major issue in the world. People are having trouble sleepingand there are many reasons for apnea. One is neurologic, where the nerves, the brain,the connection to the lung is not working correctly. Also, thyroid we find, thyroiddysfunction, where low thyroid. Thyroid is what helps you control your breathing patternswhile you are asleep. If you have low thyroid, the thyroid affects the heart and the rhythmof breathing. So low thyroid can affect it as well. But, apnea is when you can't breathwell. Your sleeping and you just stop breathing.

There can be constrictive apnea as well, whereyou have enlarged tonsils, or your throat is closed down. I had a patient that had,this has been probably ten years ago, had a roto rooter, if you will, where they went in down on thetrachea, the throat, removed the tonsils and literally removed and widened the trachea,all the way down through his neck, through his throat. Extremely painful, literally hewished he could have died. That ultimately, still didn't help any. He can get better air,bit still he is on a CPAP machine. The treatment for it, medically, is to use a CPAP or a ByPAPmachine, which helps to force air into you and helps you to breathe during the evening.Another issue is that many times its body

habitus, enlarged gut. If you are laying onyour side and you have a larger tummy, you have to push your tummy up while you are breathing,sleeping at nighttime. Literally, you are having to lift up your tummy all night long.After a couple of hours or so, you become fatigued. The diaphragm becomes fatigued oflifting, pushing. So you just stop breathing for a minute. You can go 30 seconds, a minute,2 minutes. Finally, you gasp for air. This happens over and over and over. The CPAP helpsto force the air in you are just basically breathing easier. The sense of breathing isthere, but you are now lifting with forced air, in the abdomen, and in to your lungs.So to treat this, naturally, we want to look

at supporting the lung tissue. We want tosupport anything that is going to help you to get rid of inflammation through the throat.We want to treat the thyroid and the adrenal glands to have them up and running the waythey should so they are giving good information to the heart and to your breathing pattern.We would do this through supplementation. The supplementation we would want to looktowards would be the adrenal glands first, Adrenex. We would support the adrenals withAdrenex. Thyroiden to support the thyroid tissue. Thyroid again, we want to get itsmetabolism and its function the way that it should. Permalung helps to bring clarity,helps to remove sluggishness of the lungs,

bronchial congestion, mucus. A lot of timesthere is a mucus build up throughout the lung. Even with that we would want to look towardsleaky gut syndrome because when you have leaky gut, you are actually leaking toxins throughthe gut and they overwhelm the liver and its ability to detoxify. So a lot of the overalltoxins will come up and out through the lung. So you will have a lot of increased amountof toxin and production of mucus, so you will tighten up as well. So, asthma and apnea alsowork together. So, you want to see if you can't get rid of some of that tightness andcongestion that you feel. I would work with the diet, just helping, just eating more greenleafy vegetables. It is so vital to eat green

leafy vegetables every meal. So how do eatgreen leafy vegetables for breakfasté I would encourage you to get a significant blender,Vitamix is a good one, Blendtec is another one, Montel Williams I think has one thatis a good like two horsepower motor, that you can put in all the kinds of fruits thatyou want, green leafy vegetables, like kale, baby spinach, literally any vegetable thatyou want can go in there as well. If you make it correctly, it tastes very good. You haveall your fruits. You can get some of the big box stores have frozen fruit. You can putthat with a banana, maybe a protein powder of some type. The one we carry here is calledLepterra. That helps make it smoother and

2015 Atrial Fibrillation Patient Conference Managing AF Risk Factors Panel

Wilber: Well thank you. This is really,I think, a topic that I look forward to talking to people about and I think more and moreit's assuming increasing importance in how we take care of patients. We're going to tryto do a broad overview. We're going to focus specifically on diabetes, sleep apnea andexercise as 00:00:30 potential risk factors and how they can be modified in our care ofpatients with atrial fibrillation, but we'll try to give your broad overview of some ofthe other topics as well. So although I'm going to mostly talk about obesity today andatrial fibrillation, we'll talk about a couple of other things as well.

There are a variety of risk factors for atrialfibrillation and this was initially, I think, mostly of interest to epidemiologists, peoplewho study how disease, what the prevalence of it is, and how it comes to pass. I thinknow we've really begun to understand that central role, not only in sort of understandingthe disease but really in treating it, and if we don't consider these as we treat patientsthen I think our outcomes are not nearly as good as they might be otherwise. This is the traditional list and I think thereare probably even a few more. I've starred a few of them where I think that the evidencenow is becoming very clear that these are

potentially modifiable and that's really whatI want you to take home today. These aren't static risk factors that cause something andthen there's nothing you can do about it but treat the consequences, but in fact by intervening,both early and late, you have a chance to modify the disease and improve outcomes. What that means for you as patients is thatyou have to participate in your care and that's really something I want to emphasize; andif you're not invited to do so, then you must insist on doing it. Because I think your outcomesfor atrial fibrillation really depend on how you address each of these risk factors asthey apply to you individually.

Just to briefly talk about hypertension; wewon't spend a lot of time. It's certainly important; it's one of the most common riskfactors associated with atrial fibrillation. Somewhere between 60% and 80% of patientswho have atrial fibrillation in large populations studies have at least hypertension as a riskfactor, and by itself may account for the 20% to 25% of the overall risk of new onsetatrial fibrillation. There's some evidence that systolic bloodpressure probably plays a more important role than diastolic blood pressure, but there'sno clear threshold value. When you look in large population studies, each increment insystolic blood pressure is associated with

the increasing risk of atrial fibrillation.There's no sort of magic number necessarily that if you get below, your risk of atrialfibrillation goes away. It's probably reasonable and what I like to use as a therapeutic targetis somewhere around below 13080. What that means is that that's even below the sort oftraditional guidelines for treatment of hypertension, but it's very clear that even mild elevationsof blood pressure within the range of what we would call normal can still confer afibrisk. There's no clear superiority of one drug overanother although the control of atrial fibrillation certainly can improve the symptoms and thefrequency with which you have atrial fibrillation.

It's not clear that any single drug is absolutelybetter. There's some evidence that ACE inhibitors and ARBs, which are drugs that many of youmay be on to treat your hypertension, may be particularly beneficial, particularly whenyou have relatively advanced hypertension with end organ involvement like thickeningof the heart muscle, the left ventricular hypertrophy, as we call it. But there's also evidence that uncontrolledhypertension as you start antiarrhythmic drug treatment and after catheter ablation, ifyou enter into that with poorly controlled blood pressure, in fact, you have much pooreroutcomes than if your blood pressure is controlled.

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