Robert Belihar, MS, MD, MPH

Brigadier General, USAF(Ret.)

06 June………………….Intelligent Design / Stewardship

13 June ………………………………………………Water

20 June…….…………………...............................Nutrition

27 June...…………………………………………..Exercise

04 July………………………………………….HOLIDAY

11 July………………………………………Detoxification

18 July.…………………………..........................The Mind

25 July………………………………...Coping with Stress

Schedule

Topics of Interest• Journey to Joppa

• Hike of the Week

• Supplement Survey

• Fasting Update

• Heart Disease

• Acronym

• Detoxification

Journey to Joppa

Acts 10:1-48

Reference:

Journey to Joppa

• TAKE the CHALLENGE!

• Walk to Joppa from Caesarea and back again.

– 60 Miles Roundtrip

– Biblical ‘A Day’s Journey’•20-25 Miles

Journey to Joppa Progress

Caesarea Joppa

Stipulations• Dedicated, accompanied walk• At least 30 miles to be walked with a ‘new

acquaintance’• Walk with someone who is:

–older, younger, different race, other religion, opposite gender, veteran, foreigner, different political affiliation (count only one category per fellow walker)

• Keep a log!

Categories Older Younger Race Religion Gender Veteran Nationality Political Party

Hike of the Week

Supplements

Supplement SurveyIf you were given coupons for free supplements at your local health food store. Which

three would you choose? In which order, and for what reason?

#1.___________________________________

Reason:______________________________

#2.___________________________________ Reason:_____________________________

#3.___________________________________ Reason:______________________________

Survey Results

• Omega-3 Fish Oil (45)

• Multivitamins (38)

• Vitamin D (36)

• Calcium (28)• Other: Glucosamine, Protein, B-Complex,

Vitamin B-12, Vision Formula, Probiotics

Why People Take Supplements

• Fear of Illness & Death• Malnutrition (‘insurance’)• Laziness• Unreasonable Expectations• Gullibility• Advice of friends, etc.• Soil Depletion• Immature Produce

Weak Supplements

Powerful Drugs

A Continuum

Supplements •Herbs•Spices•Vitamins•Minerals•Other

Etymology of Herb

c.1290, erbe, from O.Fr. erbe, from L. herba "grass, herb." Refashioned after L. since 15c., but the h- was mute until 19c. Herbaceous is from 1646.

Herbs to Drugs• Opium

– Morphine

• Fever Bark Tree– Quinine

• Fox Glove Plant– Digitalis

• Willow Bark– Aspirin

History of Medicine

• 2000 B.C. “Here, eat this root”

• 1000 B.C. “That root is heathen, say this prayer”.

• 1850 A.D. “That prayer is superstition, drink this potion.”

• 1940 A.D. “That potion is snake oil, swallow this pill.”

• 1985 A.D. “That pill is ineffective, take this antibiotic.”

• 2012 A.D. “That antibiotic is artificial. Here, eat this root.”

Etymology of Spice

c.1225, from O.Fr. espice, from L.L. species (pl.) "spices, goods, wares," from L. "kind, sort". Early druggists recognized four "types" of spices: saffron, clove, cinnamon, nutmeg. Sharp taste. Aromatic.

Etymology of Vitamin 1920, originally vitamine (1912) coined by Pol.

biochemist Casimir Funk (1884-1967), from L. vita "life" + amine, because they were thought to contain amino acids. The terminal -e formally was stripped off when scientists learned the true nature of the substance; -in was acceptable because it was used for neutral substances of undefined composition. The lettering system of nomenclature (Vitamin A, B, C, etc.) was introduced at the same time.

Vitamins • Vitamin A• Vitamin B Complex• Vitamin C• Vitamin D• Vitamin E

Mineral Etymology

1390, "substance obtained by mining," from M.L. minerale "something mined," from neut. of mineralis "pertaining to mines," from minera "mine." Meaning "material substance that is neither animal nor vegetable" is first recorded 1602. Modern scientific sense is from 1813. Mineral water is from 1562, originally water found in nature with some mineral substance dissolved in it.

Minerals • Calcium• Magnesium• Iron• Selenium• Zinc

Nutritional Deficiencies

• Beriberi - Vitamin B-1 (Thiamine)• Scurvy - Vitamin C• Pellagra - Vitamin B-3 (Niacin)• Osteoporosis - Calcium• Anemia - Iron• Goiter - Iodine• Rickets - Vitamin D• Nyctalopia (Night Blindness) - Vitamin A

Doughnuts

Doughnut Etymology

–1809, Amer.Eng., from dough + nut. First recorded by Washington Irving, who described them as "balls of sweetened dough, fried in hog's fat, and called doughnuts, or olykoeks."

The nutritionalvalue of a donut =

Glazed Donut (Dunkin’)

• 220 Calories – 80 Calories Fat

• 9 Grams Fat – 4 Grams Sat

• 31 Grams Carbs – 12 Grams Sugar

• 3 Grams Protein• Glycemic Load 24.3• Glycemic Index 76

As a Christian, you won’t go to Hell for eating doughnuts. But………

You might get to Heaven a little sooner than expected!

MSM Info.

WHOLE FOODS

Market

Green Hills and Franklin

Exercise Summary

Keep Movin’!!

or else you’ll be like the ……

Fasting Update

Did You Join Me in a Fast?

• Water only

• 40 Hours• Began after Lunch Wed. (27 June)

• Ended Friday with Breakfast

• Comments? / Issues?

Heart

Disease

• Age – Male 45 – Female 55

• Family History• Dyslipidemia• Hypertension• Smoking• Diabetes

• Emerging Factors– Homocysteine

– C-Reactive Protein

• Weight/BMI

• Dys = abnormal• Lipos = fat, grease• Ide = chemical suffix • Emia = blood Abnormal Fats in the Blood

• Total Cholesterol (TC) < 200

• LDL-Cholesterol (Bad) < 100 (Varies)

• HDL Cholesterol (Good) > 40

• TC:HDL Ratio < 5

• Triglycerides (TG) < 150• TG:HDL Ratio < 4 (Surrogate for Insulin)

• Other…………

• Age – Male 45 – Female 55

• Family History• Dyslipidemia• Hypertension• Smoking• Diabetes

• Emerging Factors– Homocysteine

– C-Reactive Protein

• Weight/BMI

• Varies Widely– Look for Trend– Buy a BP Cuff

• Goal <135/85 • ‘Cuff Reactor’• ‘White Coat Syndrome’• Lifestyle Measures 1st

• Lifestyle Measures 1st

Acronym

Spirit (attitude)

Activity (exercise)

Genetics (heredity)

Eating (nutrition) 

Detoxification

TOXIC

Etymology - Toxic

1664, from Fr. toxique, from L.L. toxicus “poisoned,” from L. toxicum “poison,” from Gk. toxikon (pharmakon) “(poison)”

How Do We Get Toxic?• Toxins Present

• Exposure Occurs

– Breathed

– Swallowed

– Skin Contact

– Other

• Adverse Response

Alphabet Soup

PCB DDTPVC

EDTA

TCE

Hg

EPAPb OSHAATSDR

THC COHAZMAT

FDA

MSG BPA

Toxic Effects• Chronic Fatigue• Heart Disease• Memory Loss• Premature Aging• Skin Disorders• Arthritis• Anxiety• Headaches• Cancers• Autoimmune Diseases

Ways to Avoid Toxins• Eat Good Food• Drink Lots of Water• Breathe Clean Air• Wear Rubber Gloves• Minimize Medication• Moderate Exercise• Sun Protection

Common Toxins

•Tobacco

•Alcohol

•Medication

Tobacco

Main Health Risks of Tobacco• Cardiovascular System

–ASHD–Stroke

• Respiratory Tract–Chronic Obstructive Pulmonary Disease

(COPD) –Cancer

• Lung• Larynx • Tongue

Alcohol

The Beverages That Jesus Drank

- Wine -

Wine in Biblical Times• Regular part of almost everyone’s

diet, just as bread and water were consumed routinely.

• Mainly made from grapes, but also figs, dates and pomegranates.

• Fermented and Unfermented.

Wine in Biblical Times-2

• The common Hebrew word for wine is yayin , From a root meaning "to boil up," "to be in a ferment." Others derive it from a root meaning "to tread out," and hence the juice of the grape trodden out. The Greek word for wine is oinos, and the Latin vinun .

Etymology of Ferment

(1398) from L. fermentare "to leaven, ferment," from fermentum "substance causing fermentation, leaven," from root of fervere "to boil, seethe".

Chemistry of Fermentation• Alcoholic fermentation is not performed by enzymes, but rather

by yeasts. These organisms are not bacteria, but fungi and are found in nature everywhere, particularly in the autumn when fruits ripen and their spores spread in large numbers in the air. They carry out a simple chemical reaction in sugar/water solutions according to the following formula:

(Ethanol)

Heat

(Sugar)Acetic Acid

Etymology of Intoxicate

(1412) "full of poison", from M.L. intoxicatus, pp. of intoxicare "to poison," from L. in- "in" + toxicare "to poison," from toxicum "poison".

•

Did Jesus Drink Wine?• Yes! . . ., but in what form?• Some believed Jesus was a Nazirite Jew.

– Nazir - A Period of Time Dedicated to God

– Nazirite - One who makes the vow

• Numbers 6:1-4• Examples: Samson, Samuel and John the Baptist. Jesus

not mentioned. Nazarene, yes. Nazirite, No. (Matt 2:23)• A Thought - Jesus’ Mission on Earth - - A Dedication not

Unlike a Nazirite

Nazirite Vow Re:Wine

• “And the LORD spake unto Moses, saying, Speak unto the children of Israel, and say unto them, When either man or woman shall separate themselves to vow a vow of a Nazarite, to separate themselves unto the LORD: He shall separate himself from wine and strong drink, and shall drink no vinegar of wine, or vinegar of strong drink, neither shall he drink any liquor of grapes, nor eat moist grapes, or dried. All the days of his separation shall he eat nothing that is made of the vine tree, from the kernels even to the husk.”

(Numbers 6:1-4)

No Wine for Priests on Duty

“Do not drink wine nor strong drink, thou, nor thy sons with thee, when ye go into the tabernacle of the congregation, lest ye die: it shall be a statute for ever throughout your generations: And that ye may put difference between holy and unholy, and between unclean and clean; And that ye may teach the children of Israel all the statutes which the LORD hath spoken unto them by the hand of Moses.” (Lev. 10:9-11)

No Wine for Priests on Duty-2

• Jesus Called our High Priest (Heb. 7:26-8:2)

• Tribe of Judah, NOT Levi

• Became High Priest After His Death

No Wine for Kings, Princes

“It is not for kings, O Lemuel, it is not for kings to drink wine; nor for princes strong drink: Lest they drink, and forget the law, and pervert the judgment of any of the afflicted.” (Prov. 31:4-5)

Negative Consequences of Alcoholism

• Increased Mortality

• Economic Toll

• Health Effects

Red Wine Alternatives (No ETOH)

• ‘French Paradox’ or ‘red wine capsules’

• Non-Alcoholic Red Wine Products

• Natural Purple Grape Juice with NO sugar added (4 ounces daily sufficient)

Purple Cow Recipe

• 2/3 Cup Fat-Free Milk• 2 Tbsp Frozen Grape Juice

Concentrate• 2 Ice Cubes• Process in Blender Until Smooth Only 100 Calories!

Wine in the KJV - A Survey• ‘Wine’ appears 273 times throughout OT/NT

• Factor out twine, swine, winepress, winebibber, etc.

• 200 verses contain the word wine at least once

• Verses identified as Pro-wine, Neutral or Anti-wine

• Results

– Pro: 10, Neutral: 121, Anti: 69

– 7:1 Against

The Christian and Wine – Weighing the Evidence

YES

NO

Some Questions to Ponder

• Did Jesus drink fermented wine?• Was the wine at the Wedding Feast of Cana

fermented?• Can a Christian drink wine for his heart’s

sake? (Other conditions?)• Was Jesus a Nazirite Jew? • Are Deacons allowed some wine?• Can grape juice be preserved without

fermentation?

Jesus Did Not Drink or Make Alcoholic Wine

• Because of his Holy Nature• Because he would not contradict scripture• Because he was a ‘priest’ of God• Because he did not come to mock or

deceive people• Because he did not come to send people to

hell

Jesus Did Not Drink or Make Alcoholic Wine - 2

• Because he was not a stumbling block

• Because the Wedding Feast did not require that it be alcoholic

• Because he would not have gotten glory from making people drunk

‘Benefits’ of Red Wine AHA

Over the past several decades, many studies have been published in science journals about how drinking alcohol may be associated with reduced mortality due to heart disease in some populations. Some researchers have suggested that the benefit may be due to wine, especially red wine. Others are examining the potential benefits of components in red wine such as resveratrol and other antioxidants in reducing heart disease risk. Some of these components may be found in other foods such as grapes or red grape juice. The linkage reported in many of these studies may be due to other lifestyle factors rather than alcohol. Such factors may include increased physical activity, and a diet high in fruits and vegetables and lower in saturated fats. No direct comparison trials have been done to determine the specific effect of wine or other alcohol on the risk of developing heart disease or stroke. Resveratrol effects touted, not proven.

Hazards of Red Wine AHA

Drinking more alcohol increases such dangers as alcoholism, high blood pressure, obesity, stroke, breast cancer, suicide and accidents. Also, it's not possible to predict in which people alcoholism will become a problem. Given these and other risks, the American Heart Association cautions people NOT to start drinking ... if they do not already drink alcohol. Consult your doctor on the benefits and risks of consuming alcohol in moderation.

Free Radicals• The term free radical describes any molecule that has a free electron,

and this property makes it react with healthy molecules in a destructive way.

• Because the free radical molecule has an extra electron it creates an extra negative charge. This unbalanced energy makes the free radical bind itself to another balanced molecule as it tries to steal electrons. In so doing, the balanced molecule becomes unbalanced and thus a free radical itself. Perhaps a bit like bumper-cars crashing into each other at the Fair?

• It is known that diet, lifestyle, drugs (e.g. tobacco and alcohol) and radiation etc., are all accelerators of free radical production within the body.

Alcohol• Depressant or Stimulant? (liquid courage)• Stress, Anxiety, Depression, Fatigue, Insomnia• Effects on Performance• Sobriety Test• Drinking History• LFTs• Calories• E.R. experience• Titan Games• Family history very relevant• Bottomline: no medical justification

Medication

Lifestyle Management Should ALWAYS Be the Preferred Option

for Disease Prevention and Treatment

Whenever Possible!

Risk vs Benefit

Drug Interaction(Epocrates)

Common Rxs• Hypertension (Diovan)• GERD (Nexium)• Depression (Prozac)• Anxiety (Xanax)• Insomnia (Ambien)• Diabetes (Metformin)• Hyperlipidemia (Lipitor)• Birth Control (Yaz)

Etymology of Xenobiotic

(1965) a chemical compound (as a drug, pesticide, or carcinogen) that is foreign to a living organism — xenobiotic adjective, noun

Eliminating Toxins

• Colon• Lungs• Skin• Urinary Tract• Lymphatics• Liver

Most important organ for detoxification!

Colon Care

• Proper Diet – Fiber– Yogurt

• Maintain Hydration

• Exercise Regularly

• Avoid Toxic Substances

• Mitigate Stress

• 1-2 BMs Daily

Internal Cleansing

• Water from circulation carries away ‘debris’ from activity at cellular level

• Enters canals (lymph ducts) and passes through filters (lymph nodes) and is deposited into the circulation where it is taken to the liver to be detoxified and excreted by the kidneys

• Facilitated by more water and exercise (‘rebounder’ or minitramp)

Lymphedema

• Lymph – ‘water’

• Edema – ‘swelling’

• Pathophysiology

• Causes

• Treatment

Importance of Water• Body 62-65% Water

• Much More Critical Than Food

• Necessary for Nearly Every Bodily Function– Cite Examples

• Adequate Amounts of Water Promotes Health at the Cellular Level

• Body is an Electrochemical Factory!! (Works best with optimum hydration and pH of 7.4)

How Much Water?

Formula:

Daily Oz. = Weight (lbs)

2

“And Jesus increased in wisdom (mental)

and stature (physical), and in favor with God (spiritual) and man (social).” (Luke

2:52)

Self Assessment - Toxins

•Mental•Physical•Spiritual•Social

Who am I and why is God mindful of me? Where am I going? What is the meaning of my life? How

do I get back on track?

Seek and Find Inner Peace

Mental

Physical

Physical

Physical

Spiritual

Social

Coping with Stress

REMEMBER!

There is an inverse relationship between stress and immunity, and your own immune system is your best weapon against disease

GOOD NIGHT