the smoothie diet

An Aspirin a Day ... or Not?

Many know that aspirin reduces the risk of heart attacks and spills, increasing their chances of surviving them. But now this domestic drug can also protect you from other ways.

Newest evidence indicates that aspirin can also reduce the risk of cancer cancer, esophagus, stomach, straight and prostate. And more recently, humble aspirin offered the possibility of tempting that can help protect against Alzheimer's disease. With all these potential benefits, why are not we pouring aspirin in the water as we do with fluorine?

"aspirin is the only drug I would take to a desert island with me," says Mark Fendrick, MD, associate professor of internal medicine at the University of Michigan Medical School in Ann Arbor. "It costs two cents a day and their benefits are incredible. And if it had no side effects, we could give everyone." But Dr. Fendrik worries that the growing list of diseases and disorders that aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) seem to combat drownings about the risks of this "marvel" drug.

How Many Steps A Day For Fat Loss - An Aspirin a Day ... or Not?

How Many Steps A Day For Fat Loss
"When you take aspirin, the stomach protection level is decreased and it is more likely that you bleed. So, people who take aspirin regularly - even in a buffer or coated form - they will have approximately the Double the likelihood of having a perforated ulcer or bleeding in the GI tract, "explains Fendrick. "Relatively little attention is given to this problem that kills more people in the US every year than asthma cancer or cervix. What we need to do is concentrate less attention in finding more things that make aspirin look good, and we have A lot, and think more about how to focus on how to minimize risk. "

So how do you decide whether a regular and eve preventive aspirin dose is right for you? And if it is, how do you decrease the risk of side effects? There is no simple formula, unfortunately. "When you are deciding whether someone should take blood pressure medication or diabetes medication, there are clear cutting points. In the case of aspirin, the decision is multifactorial and requires a lot of thought," says Fendrick.


An Aspirin A Day ... Or Not?

Patients who most require daily aspirin therapy are easy to identify. If you have a personal or family history documented from heart disease - including heart attacks, stokes or angina; If you have diabetes; Or if you have several risks for the development of heart disease, such as high blood pressure, high cholesterol or a smoker, you will probably take a daily dose of aspirin (but always consult your doctor first). Although the ideal dose of aspirin in the prevention of future cardiac diseases is not yet clear, doses of 75 milligrams, 100 milligrams, or 325 milligrams were equally effective.

studies reviewed by the task force of US preventive services showed that daily aspirin therapy or each day reduced the risk of coronary disease by 28% in people who never had Heart attack or stroke, but which were considered high risk individuals. / p> It is also very easy to identify individuals who, with all probability, do not need to take aspirin daily, says Fendrik. Healthy people in their 20 and 30 years, for example, without cardiac risk factors and no great risk of risk for the development of the other disease aspirin can prevent, as certain types of cancer, should consider the risks of aspirin therapy to overcome the benefits.

but there is a large group of people who fall into the middle category - the group "is probably due." For these people, individuals with a strong family history of colon cancer, for example, or dementia, balancing the potential benefits of aspirin against their well-documented risks can be a very complicated equation. "The benefits of aspirin to prevent colon cancer, dementia and heart attacks need to be carefully heaved by a medical professional against the potential for serious complications," says Dr. Fendrik.

The FDA also provides a sheet in fact to decide whether the daily aspirin therapy is certain or not for you (is specific for heart disease) on your site.

More is not always better If you and your doctor decide, you must be taking aspirin daily, the next question is: "How much?" In the land of the super-size, it is any wonder that we think that if a pill is good, two should be better, and if 100 milligrams can help prevent cancer, 200 or 300 milligrams should have two or three times more cancer -busting power ? Stop right there. Medications do not work in this way, and especially in the case of aspirin and other NSAIDs, a little runs a long way.

"Low dose aspirin, a dose of" baby aspirin "of 81 milligrams, is safer and as effective as standard adult dose of 325 milligrams," says Dr. Fendrick. "When a drug has severe side effects, such as aspirin, you want to give the lowest effective dose. We now know that you do not need 325 milligrams in a vast majority of circumstances."

a patient who is having a heart attack now, for example, should receive a total dose of 325 milligrams of aspirin, but the person at high risk to a heart attack, which is taking the Aspirin daily as a preventive measure, should be dose less than 81 milligrams.

Taking low dose aspirin is not the only way to maximize the benefits of the medicine while minimizing your dangers. For people at greater risk of gastrointestinal complications, Fendrick recommends combining any aspirin therapy with a prescribed proton pump inhibitor (PPI), such as foreccient, Prilosec or Nexium.

In a study of people with prior gastrointestinal bleeding, whose doctors felt that their chance to have a heart attack was high enough to justify aspirin therapy, despite their gastrointestinal risks, A standard dose of Prevacid reduced its risk of additional bleeding in about eighth. Aspirin with enteric coating or buffered aspirin do not seem to have a reduced risk of bleeding or other adverse events in the stomach.

Unfortunately, unlike aspirin, these gastrotral drugs cost a little more than a few cents a day. "If there was no additional cost to take a PPI with a daily aspirin, every aspirin user could benefit from an additional level of GI protection," says Fendrick. "But given the current cost of these agents, I am currently recommending gastroprotective therapy for aspirin users who are increasing the risk of GI complications."

which includes people who have had gastrointestinal complications in the past, people who are using high dose Aines or combine aspirin with other NSAIDs and people who are taking anticoagulant drugs, among others. "Many elderly people take aspirin for the heart and then another Aines for their arthritis," says Fendrick. "This is one of those cases in which two rights make an error; aspirin is good, the AINE is good, but together they can be dangerous."

- How Many Steps A Day For Fat Loss

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