Author: HealthToday Admin

Things You Should Know About Whiteheads & Blackheads – Beneath the Skin With Dr Benji

FEATURED EXPERT
DR BENJI TEOH TZE YUEN
Consultant Dermatologist
Central Dermatology Specialist Clinic

For most skin conditions, there is always a treatment. Hence, there is no need to suffer in silence because you have a skin condition that makes you feel self conscious about your appearance. I have encountered patients that are distressed about whiteheads, blackheads, and melasma. If you have any of these skin conditions, please join me as I share with you some useful information about these conditions and available treatments.

WHITEHEADS & BLACKHEADS

Acne is a common skin disease that affects about 85% of adolescents at some time of their lives. The most common type of acne is acne vulgaris, which makes up 99% of acne cases and affects about 95% of boys and 83% of girls by the time they are 16.^1,2

Blackheads and whiteheads are common characteristics of acne vulgaris.¹

They are the result of the pores or hair follicles of the skin being blocked by dead skin and sebum (the oil produced by the skin).^1,2

The primary lesion of acne is called a comedo.³ The plural form of comedo is comedones.
Whiteheads form when the comedones are closed and follicles are completely blocked.

Blackheads form when the comedones are open and the surface is dark black in colour due to oxidation of the lipid and melanin contents of the comedones.^2,3

Acne vulgaris on its own is not associated with any mortality, but it can cause scars to form.³ These scars can cause psychosocial challenges such as depression, anxiety, and more.³

Common causes of acne vulgaris. Click on the image for a larger, clearer version.

HOW IS ACNE VULGARIS TREATED?

Be wary of treatment or management given by non-medical doctors when it comes to treating acne—there is a risk that these procedures may worsen the acne or cause scarring. Always consult a general practitioner or dermatologist first, so that you will receive evidence-based treatments and advice in line with the Malaysian clinical practice guidelines.

The following are the recommended treatment options for acne
vulgaris.

First line treatment
The first line treatment is the first recommended treatment for a certain disease.

When it comes to acne vulgaris, the first line treatment is pharmacological treatment, usually in the form of topical creams, gels, lotions, solutions, and other forms that can be applied onto the affected area of the skin.⁴

Medical topical treatments. These contain active ingredients such as benzoyl peroxide, retinoids, antibiotics, and others.4 They may be used on their own or, for moderate cases, in combination with other creams.⁴

Systemic treatments
Medications such as oral antibiotics as well as combined oral contraceptives may be prescribed by the doctor depending on the severity of the acne and other factors.⁵

Supplementary treatments
Physical treatments. Corticosteroid injection into the affected area of the skin may be helpful, either to complement existing therapy or to improve the appearance of skin after treatment.⁶

Chemical peels—in particular salicylic acid and glycolic acid peels—may be beneficial. However, they need to be carried out with care under the supervision of an experienced dermatologist.⁶

Energy-based devices. Laser treatment on the affected skin area may be beneficial when applied alongside other treatments.⁶

RETINOIDS ARE USEFUL IN TREATING ACNE VULGARIS.

‘Retinoid’ is an umbrella term for a family of chemical compounds that share structural and functional similarities with vitamin A.

They normalize shedding of the skin (desquamation) by reducing the proliferation of a common type of skin cells called keratinocytes as well as promoting the differentiation of these cells.^4,6

Topical retinoids also block several important inflammatory pathways that are activated in acne: toll-like receptor, leukocyte migration, and AP-1 pathways. Blocking these pathways can reduce the release of inflammatory cytokines and nitric oxide as well as inhibit cellular inflammation.⁷

ADAPALENE IS A RETINOID APPROVED BY THE US FOOD AND DRUG ADMINISTRATION (FDA) FOR USE IN TREATING MILD TO MODERATE ACNE.

Adapalene is a third-generation retinoid. Compared to earlier generation retinoids, it interacts with the retinoid receptors of the skin in a different manner, so it causes less irritation compared to earlier generation retinoids while remaining just as effective.⁸

How effective is adapalene?

A meta-analysis of 5 large studies with 900 patients for over 12 weeks demonstrated that gel containing 0.1% adapalene is as effective as gel containing 0.025% tretinoin, another retinoid commonly used to treat acne (Cunliffe et al, 1998). After 12 weeks, both agents were equally effective but adapalene had a faster onset of action and less irritation.⁸

Another study (Cunliffe et al, 1997) compared 0.1% adapalene and 0.025% tretinoin on 323 patients for 3 months. They found that adapalene caused more decrease in total and noninflammatory lesions than tretinoin. However, there was no significant difference in terms of inflammatory lesions.⁹

Also, there is a study (Korkut and Piskin, 2005) that demonstrated how adapalane is more effective in treating non-inflammatory lesions compared to inflammatory lesions. The use of adapalene gel may yield results in as early as two weeks, but overall, it will take some time to see significant results.¹⁰

General adverse reactions

These include dryness, redness, irritation, and burning or stinging. These symptoms usually peak at the 2nd- to 4th-week mark before subsiding.¹¹

Click on the image for a larger, clearer version.

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Things You Should Know About Melasma – Beneath the Skin With Dr Benji

FEATURED EXPERT
DR BENJI TEOH TZE YUEN
Consultant Dermatologist
Central Dermatology Specialist Clinic

MELASMA

Melasma is a common skin condition that causes brown patches and spots, usually on the face, which are darker than your natural skin tone.^12,13

Melasma is not associated with any mortality but has significant psychosocial morbidity.^12,14 It is shown in a systemic review and metaanalysis that prevalence of depression was as high 48.5% in Asia!¹⁴

WHAT HAPPENS TO YOUR SKIN WHEN YOU HAVE MELASMA?

Melasma is linked to an increase in the production of melanin, a skin pigment that gives the skin a darker tone.¹⁵

This increased production of melanin is linked the presence of ultraviolet (UV) light.¹⁵

However, the exact mechanism of how increased melanin production can lead to the development of melasma is still being researched upon.¹⁵

Common causes of melasma. Click on the image for a larger, clearer version.

SUN PROTECTION

Increased production of melanin is linked to the presence of UV light and UV light is a component of sunlight. Therefore, it is essential to reduce your skin exposure to sunlight.

Use a broad-spectrum sunscreen when you spend time under the sun. One study found that SPF 60 sunscreen is found to offer greater improvements than SPF 30 ones.¹⁶

THE US FOOD AND DRUG ADMINISTRATION (FDA) HAS APPROVED THE USE OF A TOPICAL TREATMENT FOR DARK SPOTS ASSOCIATED WITH MODERATE TO SEVERE MELASMA.

Such a topical cream includes the active ingredients fluocinolone acetonide, hydroquinone, and tretinoin.¹⁷

The cream works to disrupt pigment production in the skin and lighten the existing dark spots on the skin.¹⁸

It is considered a prescription medicine, available only with a doctor’s prescription, so you should consult a doctor to discuss whether this cream would be suitable to treat your melasma.

What’s in the cream?

Hydroquinone is considered the primary and most effective topical agent for blocking the enzyme tyrosinase, which is a very important enzyme in the pathway of melanin production.¹⁸

On top of that, it also is known to play a role in the degradation of melanin-producing cells (melanocytes) and melanin-storing cell structures called melanosomes.¹⁸

Tretinoin, a retinoid, works by motivating epidermal and dermal turnover, which may cause rapid loss of cell pigment. In addition, it inhibits tyrosinase, facilitates the penetration of hydroquinone, and neutralizes the stratum corneum thinning effects of corticosteroids.¹⁸

Fluocinolone acetonide is a moderate potent topical steroid used to reduce the irritation caused by both hydroquinone and tretinoin.

General adverse reactions

Some people may develop allergic reaction to one or more of the active ingredients. Both tretinoin and hydroquinone have been known to be cause irritation in some people. Some people may experience adverse reactions related to the general use of retinoids, which include redness, peeling, burning, dryness, or itching.

OTHER COMMON OPTIONS

Available over-the-counter creams to manage melasma commonly contain ingredients such as vitamin C, azelaic acid, kojic acid, salicylic acid, cysteamine, niacinamide, ascorbic acid, tranexamic acid, glutathione, and soybean extract.¹⁸

These ingredients help to reduce pigmentation by disrupting the pigment production process in the skin.¹⁸

These products, however, are categorised as cosmeceuticals and they may not work as well or as fast as a medical-grade treatment. The effectiveness of their use is still being researched upon, and they may also cause irritation to the skin of some people.

Chemical peel and laser treatments may also be useful for superficial melasma.¹²

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Dr Benji Galderma Melasma

Human Clinical Trial Shows That Tocotrienol-Incorporated Oats Can Benefit People With Metabolic Syndrome (Mets)

This pioneering clinical trial, led by Dr Lee Lai Kuan from Universiti Sains Malaysia, involved 81 MetS patients that consumed two sachets (equivalent of 60 g) of Bioley Toco Oats daily for up to 12 weeks.

RESULTS
Improved Key MetS Parameters
√ 5.5% reduction in fasting blood sugar.
√ 4.3% reduction in diastolic blood pressure.
√ 23% increase in HDL (good) cholesterol.
√ 11.8% reduction in blood triglycerides.

Enhanced Antioxidant Levels
√ Significantly elevated total antioxidant capacity (TAC) and superoxide dismutase (SOD) levels.
√ Reduced protein carbonyl concentration, a marker of oxidative stress.

Anti-Inflammatory Effects
Lowered concentrations of multiple inflammatory biomarkers such as tumour necrosis factor-α (TNF-α), histidine-sensitive C-reactive protein (hs-CRP), interleukin-6 (IL-6), and matrix metalloproteinase-3 (MMP-3). Tolerance Participants did not show any gastrointestinal side effects after prolonged consumption of Bioley Toco Oats.

Tolerance
Participants did not show any gastrointestinal side effects after prolonged consumption of Bioley Toco Oats.

CONCLUSION
The clinical trial findings demonstrate the potential of Bioley Toco Oats in improving metabolic parameters, enhancing antioxidant capacity, and reducing inflammation in individuals with metabolic syndrome.

IMPORTANT NOTE
This product is not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary. A balanced diet and regular exercise are essential for good health. This product should not replace conventional treatments or consultations with qualified healthcare professionals for any medical condition.
Always seek proper medical advice for diagnosis and treatment.

This is an educational article brought to you by

References:

1.    Tan, D. T., Khor, H. T., Low, W. H., Ali, A., & Gapor, A. (1991). Effect of a palm-oil-vitamin E concentrate on the serum and lipoprotein lipids in humans. The American journal of clinical nutrition, 53(4 Suppl), 1027S–1030S.
https://doi.org/10.1093/ajcn/53.4.1027S
2.    Ajuluchukwu, J. N., Okubadejo, N. U., Mabayoje, M., Ojini, F. I., Okwudiafor, R. N., Mbakwem, A. C., Fasanmade, O. A., & Oke, D. A. (2007). Comparative study of the effect of tocotrienols and -tocopherol on fasting serum lipid profiles in patients with mild hypercholesterolaemia: a preliminary report. The Nigerian postgraduate medical journal, 14(1), 30–33.
https://pubmed.ncbi.nlm.nih.gov/17356586/
3.    Mottram, P., Shige, H., & Nestel, P. (1999). Vitamin E improves arterial compliance in middle-aged men and women. Atherosclerosis, 145(2), 399–404. https://doi.org/10.1016/s0021-9150(99)00073-8
4.    Khanna, S., Roy, S., Parinandi, N. L., Maurer, M., & Sen, C. K. (2006). Characterization of the potent neuroprotective properties of the natural vitamin E alpha-tocotrienol. Journal of neurochemistry, 98(5), 1474–1486.
https://doi.org/10.1111/j.1471-4159.2006.04000.x
5.    Mangialasche, F., Kivipelto, M., Mecocci, P., Rizzuto, D., Palmer, K., Winblad, B., & Fratiglioni, L. (2010). High plasma levels of vitamin E forms and reduced Alzheimer’s disease risk in advanced age. Journal of Alzheimer’s disease : JAD, 20(4), 1029–1037.
https://doi.org/10.3233/JAD-2010-091450

Bioley Bioley Toco Oats health and wellness healthy diet

Healthcare Experts Unite to Combat Antimicrobial Resistance At Landmark Symposium

Left to right: Dr Mark Miller (Chief Medical Officer of bioMérieux), His Excellency Axel Cruau (Ambassador of France to Malaysia), YB Dato’ Lukanisman bin Awang Sauni (Deputy Minister of Health Malaysia) and En Mohd Hareeff Muhammed (CEO of Premier Integrated Labs and Chairman of Organising Committee of Center of Excellence) officiating the event.

Kuala Lumpur, 23 November 2023 – Healthcare leaders and experts from public, private and global healthcare organisations came together yesterday for the landmark Antimicrobial Stewardship (AMS) Center of Excellence (COE) Day Symposium, jointly organised by bioMérieux, IHH Healthcare Malaysia, and Premier Integrated Labs. The symposium facilitated knowledge exchange and interconnectivity between AMS teams from different specialities, to address the threats of Antimicrobial Resistance (AMR). AMR is a major global health concern that hampers our ability to treat common infectious diseases, resulting in prolonged illness, higher healthcare costs, and increased mortality.

They shared insights into the challenges posed by AMR and the role of AMS as a solution. The symposium also highlighted the importance of diagnostics in AMR control, the link between antimicrobial resistance and judicious use of antibiotics, and initiatives in the public and private healthcare sector for controlling AMR.

Dr Mark Miller, Chief Medical Officer at bioMérieux and an expert on AMR and AMS, addressed how latest diagnostic tests can help physicians in adopting AMS principles while providing appropriate treatment for infectious diseases. Meanwhile, the National Institute of Health (NIH) presented their insights on national antimicrobial resistance data, which is integral in directing national efforts against this public health threat.

The symposium marked the first anniversary of the establishment of the AMS Center of Excellence (COE) partnership between bioMérieux, IHH Healthcare Malaysia and Premier Integrated Labs. The latter two healthcare providers join healthcare institutions in China and India to be designated as AMS COEs in Asia Pacific. Since its establishment, the Malaysia COE has marked several milestones in the fight against AMR. Notably, they have established an antibiotic resistance reporting framework, and organised nine AMS education programmes for front line healthcare professionals to advance their skills in AMS.

The presence of Deputy Minister of Health, YB Dato’ Lukanisman bin Awang Sauni, underscored the national importance of the symposium. YB Dato’ Lukanisman, in his speech said, “I am extremely pleased to see a partnership with the private sector committed to combating AMR. The effort to overcome this global threat requires collaboration from multiple different sectors. I would also like to congratulate bioMérieux, IHH Healthcare Malaysia and Premier Integrated Labs for being the first AMS COE in the region, and for organising a successful event today.”

Left to right: Dr. Rahela Ambaras Khan, Head of Pharmacotherapy Services, Pharmacy Department, Hospital Kuala Lumpur; Mr Tan Yew Aik, Head of Pharmacy Services IHH Healthcare Malaysia; En Mohd Hareeff Muhammed, CEO of Premier Integrated Labs and Chairman of Organising Committee of Center of Excellence; YB Dato’ Lukanisman bin Awang Sauni, Deputy Minister of Health Malaysia; His Excellency Axel Cruau, Ambassador of France to Malaysia; and Jacob Morton, AMS Global Programme Director bioMérieux at the symposium.

Mr Jean-François Naa, CEO of IHH Healthcare Malaysia, added, “At IHH Healthcare Malaysia, we are fully committed to combating AMR. It is integrated into our global sustainability goals, and we have set up an active AMS committee in Malaysia to strategically spearhead initiatives. In this battle against AMR, knowledge remains our strongest ally. The exchange of insights and experiences between global experts, local healthcare leaders and private healthcare providers is crucial, as we navigate these uncharted waters. Moving forward, it is crucial that we work together strategically to combat resistance, instead of in silos.”

The symposium was a significant step towards addressing the global health concern of AMR. It not only facilitated knowledge exchange and collaboration but also highlighted the importance of strategic partnerships in combating AMR

ABOUT ANTIMICROBIAL RESISTANCE

Antimicrobial resistance (AMR) is a global health crisis caused by the natural mutation of bacteria, fungi, viruses, and parasites, leading to their resistance to antimicrobials. This means that standard antimicrobial treatments become ineffective, and infections persist, increasing the risk of severe consequences to the patient. AMR is directly responsible for 1.27 million deaths annually and is associated with 4.95 million deaths worldwide due to drug-resistant infections.

Combating AMR is critical to safeguard the efficacy of antibiotics for future generations. The appropriate use of diagnostics can guide responsible antimicrobial use, preserving their lifesaving potential.

ABOUT THE CENTER OF EXCELLENCE PARTNERSHIP

bioMérieux adopts a proactive, partnership-driven approach to combat AMR. Through diagnostic and data-driven solutions, bioMérieux strives to enhance AMS efforts. The AMS Centers of Excellence (COE) designation is awarded to leading hospitals globally that commit to best AMS practices. Currently, bioMérieux is partnered with thirteen sites across multiple continents. IHH Healthcare Malaysia and Premier Integrated Labs have achieved the distinction of becoming the first healthcare providers in ASEAN to be awarded the COE.

This partnership aims to promote data-driven best practices as well as to advance medical education in the field of AMS. It also focuses on generating real-world medical and economic data, emphasising the value of combining diagnostics, medical education, lab consultancy services, and information technology solutions. This partnership symbolises a significant step toward a world free from the threat of AMR.

By inspiring other health institutions, the COE can contribute to increasing the quality of care and improving the level of healthcare systems in Malaysia.

This article is brought to you by

AMR antimicrobial resistance bioMérieux Dr Mark Miller IHH Healthcare Malaysia Premier Integrated Labs YB Dato’ Lukanisman bin Awang Sauni

Here’s What You Should Know About Osteoporosis & Ageing

ASSOCIATE PROFESSOR (C) DR G RUSLAN NAZARUDDIN SIMANJUNTAK
Consultant Orthopaedic,
Arthritis & Sports Surgeon
ALTY Orthopaedic Hospital

Osteoporosis is a disease that weakens your bones, making them more prone to fractures.

Often, there are no symptoms. Many people only learn that they have osteoporosis after they experience a fracture and see a doctor.

Because fractures are potentially life-threatening when they occur to older persons, it is good to take steps to prevent this disease from quietly ‘sneaking up’ on you.

YOU CAN GET SCREENED TO FIND OUT HOW HEALTHY YOUR BONES ARE

If you are 65 or older, you should consult your doctor on getting screened for osteoporosis.

Tests such as bone mineral density (BMD) test will provide useful information about your bone health.

Blood profile tests help to detect presence of health conditions that can weaken the bones and increase your risk of osteoporosis.

WHEN SHOULD YOU SEE A DOCTOR AFTER A FALL?

When you experience severe pain that don’t improve after taking over-the-counter painkillers
When you are unable to move after your fall

After you are admitted, you will be given an imaging test—typically X-ray and, if necessary, magnetic resonance imaging (MRI)—to determine the location and extent of the fracture.

HIP FRACTURES CAN BE COMMON AMONG OLDER PERSONS

Hip fractures usually occur on the long bone of the thigh, called the femur (see image).

A surgery, called hip replacement, helps to address this problem.

A total hip replacement replaces the socket (acetabulum, see image) and the head of the femur.

A partial hip replacement replaces only the femoral head (see image). This is usually an option for older persons with more limited mobility.

The surgery takes place within 2 hours, and you’ll stay in the hospital for around 3 more days. During this period, a physiotherapist will guide you on the exercises that you can do to restore the range of motion of as well as to strengthen your hip.

WORK WITH YOUR HEALTHCARE TEAM TO REMAIN INDEPENDENT & MOBILE

For example, you may use a walker or wheelchair to remain mobile, and you may need to master new techniques (such as for using the toilet, bathing, dressing, etc) that take into account your condition.

If you have problems traveling to see your physiotherapist, consult your healthcare team on the possibility of having the physiotherapist visit your home instead.

This article is brought to you by ALTY Orthopaedic Hospital.

advertorial Ageing ALTY Orthopaedic Hospital hip fractures Osteoporosis

4 Things Everyone Should Know About ACL Injuries

DATO’ DR BADRUL SHAH BADARUDDIN
Consultant Orthopaedic,
Arthritis & Sports Surgeon
ALTY Orthopaedic Hospital

The anterior cruciate ligament (ACL) helps hold the bones called femur and tibia together at the knee joint.

ACL INJURIES ARE ONE OF THE MOST COMMON TYPES OF KNEE INJURIES

They are common among people that perform activities involving regular heavy use of the knees, such as avid football, futsal, and badminton players.

When the ACL is said to be ‘injured’, what really happens is that there is a tear in the ACL. This tear cannot be repaired in the conventional sense—the doctor cannot ‘sew’ or ‘glue’ back the torn ACL.

Instead, a surgery called ACL reconstruction will be necessary.

SOME COMMON SIGNS THAT YOU MAY HAVE AN ACL INJURY

Your ACL may be torn when there is a ‘pop’ sound as your knee is injured. Pain and swelling will occur at the affected knee but may resolve within one or two weeks.

If your ACL is not functional due to a tear, you will feel an instability in your knee.

Be alert for this instability, which will be especially noticeable when pressure is exerted on the knee during activities such as moving and standing.

This instability may be present even when there is no pain, and it could be a sign of an ACL injury.

When this happens, see a doctor to have the knee examined.

ACL INJURIES NEED TO BE ADDRESSED BY AN ORTHOPAEDIC SPECIALIST

If left untreated, continuous use of a knee with a torn ACL may damage surrounding tissues such as the meniscus and cartilage.

This would not only make movement more difficult and even painful, but the treatments involved would be more complex and hence more expensive.

Furthermore, ACL injuries can lead to significant loss of cartilage tissue in the knee and increases the risk of osteoarthritis.

The current recommendation for people with ACL injuries, of any age, is to undergo ACL reconstruction as early as possible (provided they do not also have concurrent osteoarthritis of the knee), especially in active persons.

This is to restore their knee function and to avoid developing further complications in the future.

ACL RECONSTRUCTION INVOLVES THE CREATION OF A NEW ACL TO REPLACE THE TORN ONE

The new ACL can be made from tendons taken elsewhere from your own body or from another person, or from synthetic materials.

Latest advances allow the use of a thin, flexible tube with a camera at one end (called an arthroscope) to guide the surgeon in performing the reconstruction more efficiently.

For the next few months after the surgery, you will be working closely with a physiotherapist to regain full use of your knee.

How soon can you walk and exercise after an ACL reconstruction?

You may walk the next day after surgery (using with crutches), cycling within 6 weeks, and run on a treadmill within 3 months. Sports can resume after 6 months, but contact sports such as football is advisable only after 9 months or 1 year.

This article is brought to you by ALTY Orthopaedic Hospital.

ACL ACL injury advertorial ALTY Orthopaedic Hospital Dato Dr Badrul Shah Badaruddin knee injury

Introducing Spring Sheep New Zealand Gentle Sheep Step 3 Toddler Milk

Gentle Sheep Premium Sheep Milk Toddler Formula is specially formulated by experts for 1-3 year olds whose regular diet may benefit from supplementation.

Specially formulated by experts

✓Milk from New Zealand grass-fed sheep

✓Made under strictest food safety and quality protocols

✓Ethically and responsibly sourced

✓No GMOs, antibiotics, or artificial growth hormones (use of artificial growth hormones is illegal in New Zealand)

✓ No artificial colours or flavours

✓No added table sugar (sucrose)

✓BPA free packaging with hygienic scoop in lid

✓ A clean, creamy taste that kids love!

Most parents are familiar with cow’s milk and goat milk for their toddlers, but how about sheep milk? Well, sheep milk is loaded with its own unique benefits for a growing-up child’s growth and development.

SHEEP MILK IS PACKED WITH NUTRIENTS, MORE THAN COW’S MILK!

✓Up to 60% more protein and calcium than milk from goats and cows.¹

✓Higher amount of all 10 essential amino acids; essential amino acids can’t be produced by the body and must be obtained from diet.²

EASIER ON THE TUMMY

✓ There are 2 types of beta-casein proteins in milk: A1 and A2.

✓ A1, present in high amounts in milk such as cow’s milk, is linked to tummy issues in some people.³

✓Sheep milk is an A2-type milk, so it’s ideal for kids sensitive to cow’s milk.¹

SHEEP’S MILK IS GREAT, BUT WE’VE MADE IT EVEN BETTER

✓Enriched with docosahexaenoic acid (DHA) and arachidonic acid (ARA).

✓ Contains beta palmitin (OPO).

✓ With prebiotics galacto-oligosaccharides (GOS) and fructo-oligosaccharides (FOS).

Visit https://springsheepnz.com.my/ for more information on how sheep milk can be good for your kid.

This product is not for children under 1 year old. Breastfeeding is best and provides the optimal balance of nutrition and protection during growth and development. Ask your doctor for more information.

References:

1. Barłowska, J., Szwajkowska, M., Litwińczuk, Z., & Król, J. (2011). Nutritional value and technological suitability of milk from various animal species used for dairy Production. Comprehensive reviews in food science and food safety, 10(6), 291–30

2. https://doi.org/10.1111/j.1541-4337.2011.00163.x 2. Park, Y. W., Haenlein, G. F. W., & Wendorff, W. L. (2006). Sheep milk. In Handbook of milk of non-bovine mammals (pp.137-194). Wiley-Blackwell.

3. Jianqin, S., Leiming, X., Lu, X., Yelland, G. W., Ni, J., & Clarke, A. J. (2016). Effects of milk containing only A2 beta casein versus milk containing both A1 and A2 beta casein proteins on gastrointestinal physiology, symptoms of discomfort, and cognitive behavior of people with self-reported intolerance to traditional cows’ milk. Nutrition journal, 15, 35. https://doi.org/10.1186/s12937-016-0147-z

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How & Why Organic Milk Can Be Good For Your Child

Your toddler’s body is in a constant state of flux, with new tissues being built and current tissues being developed and fine-tuned.

Therefore, you don’t want to just to give your toddler just any milk. Your toddler’s milk should also be free of unwanted ‘extras’ that may hinder their optimal growth and development.

Organic milk is that milk your toddler deserves.

IT’S FREE FROM TOXIC CHEMICALS

The unwelcome news:

Pesticides are 10 times more toxic to a child than an adult.¹
High-pesticide-residue foods have been linked to chronic or long-term health complications in children, such as learning disabilities and behavioural problems (attention deficit hyperactivity disorder or ADHD, etc).²
Such pesticides are commonly used in conventional farming these days, including during the production of feed that will be consumed by cows.

Now, the good news:

When it comes to organic cow’s milk, care is taken to ensure that cows are fed on organic grass and hay. Absolutely no genetically modified grain, corn, or soy will be given to these cows.

That way, you can be assured that your toddler will be getting all the nutritional goodness of milk with none of the ‘extras’ that may be harmful to their growth and development.

ORGANIC MILK GIVES YOUR TODDLER QUANTITY AS WELL AS QUALITY!

Some nutrients are present in greater quantities in organic milk, compared to non-organic counterparts.

A good example of this is omega-3 fatty acids, which can support your toddler’s mental and eye development. Organic milk contains 40-60% more of these fatty acids compared to conventional types!^3,4,5,6

ORGANIC MILK IS ETHICALLY SOURCED & PRODUCED

Organic milk producers raise dairy cows in a more natural living environment. These cows have continuous access to organically-grown grass, and their diet is free from genetically-modified grains. They are also not subjected to antibiotics and growth hormones in order to force them to produce more milk.

As a result, these cows are healthier and happier. Such ethical raising and caring of the cows also involve sustainable practices that are kinder to the environment—less soil erosion, fewer wastage, and less air pollution.

NOT ALL ORGANIC MILKS ARE EQUAL—GIVE YOUR TODDLER THE REAL DEAL

As more parents become aware of the benefits of organic milk for their toddlers, it is important to pick the crème de la crème of organic milk brands—one that is properly certified to be indeed organic like the manufacturer claims it to be.

We’re the only brand in Malaysia with double the assurances

At Bellamy’s Organic EQUISPIRE, we are pleased to share that the EQUISPIRE STEP 3 TODDLER MILK DRINK is double-certified by the Australian Certified Organic (ACO) and the National Association for Sustainable Agriculture Australia (NASAA), two leading and internationally recognized certification bodies for organic products.

√ Organic milk is produced as nature intended, so you are giving your toddler a pure start in life.

√ Less than 1% of the world’s dairy milk is certified organic, and we have two certifications! You can be assured that we are fully committed to producing authentic, genuine, and nutritious organic milk for your toddler.

√ No synthetic chemicals and processes assured.

The World Health Organisation and the Ministry of Health Malaysia recommend exclusive breastfeeding for the first year of life. After that children should receive age-appropriate complementary foods, and breastfeeding should continue up to 2 years of age. Consult your doctor if you have breastfeeding difficulties.

References:

1. National Research Council (US) Committee on Pesticides in the Diets of Infants and Children. (1993). Pesticides in the diets of infants and children (1st ed.). National Academies Press.

2. Roberts, J. R., Karr, C. J., Paulson, J. A., Brock-Utne, A. C., Brumberg, H. L., Campbell, C. C., Lanphear, B. P., Osterhoudt, K. C., Sandel, M. T., Trasande, L., & Wright, R. O. (2012). Pesticide exposure in children. Pediatrics, 130(6), e1765–e1788. https://doi.org/10.1542/peds.2012-2758

3. Średnicka-Tober, D., Barański, M., Seal, C. J., Sanderson, R., Benbrook, C., Steinshamn, H., Gromadzka-Ostrowska, J., Rembiałkowska, E., Skwarło-Sońta, K., Eyre, M., Cozzi, G., Larsen, M. K., Jordon, T., Niggli, U., Sakowski, T., Calder, P. C., Burdge, G. C., Sotiraki, S., Stefanakis, A., Stergiadis, S., … Leifert, C. (2016). Higher PUFA and n-3 PUFA, conjugated linoleic acid, α-tocopherol and iron, but lower iodine and selenium concentrations in organic milk: a systematic literature review and meta- and redundancy analyses. The British journal of nutrition, 115(6), 1043–1060. https://doi.org/10.1017/S0007114516000349

4. Griffin, R. M. (n.d.). Omega-3 fatty acids: Fact sheet. WebMD. https://www.webmd.com/healthy-aging/omega-3-fatty-acids-fact-sheet

5. Omega-6 fatty acids. (n.d.). Mount Sinai Health System. https://www.mountsinai.org/health-library/supplement/omega-6-fatty-acids

6. Benbrook, C. M., Butler, G., Latif, M. A., Leifert, C., & Davis, D. R. (2013). Organic production enhances milk nutritional quality by shifting fatty acid composition: a United States-wide, 18-month study. PloS one, 8(12), e82429.
https://doi.org/10.1371/journal.pone.0082429

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Let Yoga Heal Your Body And Mind

June 19, 2019 Return

WORDS PANK JIT SIN

This may not be the most well-known fact, but June 21 is International Day of Yoga. The worldwide celebrative day is still fairly new as it was incepted in 2015 by the United Nations General Assembly. However, yoga is anything but young. It is believed to have originated in India around 3000 B.C. with stone carvings of persons in yoga poses being found in the Indus Valley, which is one of the main civilizations during the Bronze Age. The word ‘yoga’ is derived from Sanskrit and means to join or unite, which is a reflection of yoga’s aims of uniting the body and consciousness.

Since then, yoga has seen many changes and in more recent times, different forms or styles of yoga have been introduced, catering to different needs—physical, mental or spiritual. While it should ide- ally be practiced in totality as the benefits of the trinity are syner- gistic, yoga is fine being practiced for its physical benefits. In other words, yoga has been split into its components to cater for the needs of the modern human.

Why do yoga?

Scientifically sound studies point to yoga’s effectiveness in improving many conditions including multiple sclerosis, asthma, irritable bowel syndrome, hypertension, drug addiction, osteoarthritis and mental health issues. It doesn’t take a genius to figure out why yoga is so beneficial for health. It is a low impact exercise and the various poses and stretches performed in yoga improve fitness and blood circulation throughout the body. The end result is improved oxygen delivery to all parts of the body and improved flexibility of the body without the negative impact of injury of more physically demanding sports such as futsal or squash.

The breathing exercises performed during yoga are also good in reducing anxiety, stress and depression—a study concluded that yoga can be considered a complementary medicine as it can reduce a disease treatment costs by reducing the use of medication. It is quite obvious that the calming breathing exercises and shift in focus away from one’s illness are the key reasons for yoga’s potency. Meditation and breathing exercises can help one be ‘present,’ thus improving a person’s mental wellbeing. By being in the ‘now,’ worry about the past and anxiety about the future can be washed away, leading to a present and alert frame of mind.

Jojo Struys, the yoga instructor

Mental health and stability is an important aspect of overall health. Jojo Struys, the famous TV celebrity, yoga practitioner, and cofounder of OhanaJo Studio, says she frequently meets people who suffer from insomnia and are stressed. She can see the signs and symptoms especially in new mothers and people who work long hours. “They [the people who work long hours] come back from work and they can’t disconnect from work,” said Jojo. Similarly, when these people wake up, the first thing they do is check their emails or messages. Should a disturbing or negative message come in early in the morning, that sets the mood for the rest of the day. It destroys one’s initiative to meditate and exercise, which are essential to the mental and physical health of the person. “The world can wait another 20 to 25 minutes. It is important to look after our thoughts and ensure the first part of the day is set aside for yourself, before you interact with the world.”

In light of the mental and physical benefits we can gain from practicing yoga, let’s do some sun salutations now! HT

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