Here’s What You Should Know About Osteoporosis & Ageing


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.

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 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 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.

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.


4 Things Everyone Should Know About ACL Injuries


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.

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.

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.

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.

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.

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.


✓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


 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


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

Contains beta palmitin (OPO).

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

Visit 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.


 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. 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.

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How & Why Organic Milk Can Be Good For Your Child

Bellamy's Organic toddler milk

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.


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.


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 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.


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.

Were 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.


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.

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.

4. Griffin, R. M. (n.d.). Omega-3 fatty acids: Fact sheet. WebMD.

5. Omega-6 fatty acids. (n.d.). Mount Sinai Health System.

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.

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Let Yoga Heal Your Body And Mind

 June 19, 2019   Return

Let Yoga Heal Your Body And Mind


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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New Referral Program


 December 16, 2020 HealthToday Promotions  Return



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How to Get Your HealthToday Bonus

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October 22, 2020   Return


Facts about Rabies

  • It can come from a bite. The rabies virus is spread through infected saliva. When an infected creature bites through your skin, the virus can enter the body through infected saliva.
  • It’s bad for the brain—really bad. Once it enters the body, the rabies virus can quickly move via the bloodstream to the brain, where it can cause swelling and inflammation. If left untreated, this can be fatal. Most deaths from rabies occur among children.

Does Your Dog Have Rabies?
In popular media, a dog with rabies is often portrayed as foaming excessively around the mouth, but things are a little more complicated in real life. It may not be easy to tell from a glance whether a dog has rabies. There is a window of time after infection when an infected creature will not show any symptoms of illness, but could still infect other mammals in the meantime.

We can get a clue that something is wrong with our canine pet, though, if it begins to behave in a strange manner. For example, they may become more timid and move more slowly. In fact, it is more common for dogs with rabies to behave this way, compared to the stereotypical aggressive, barking behaviour shown in popular media!

The rule of thumb here is to bring our pet to a veterinary physician for a check-up if we suspect that it may be infected by rabies.

Alternatively, vaccinate our pet every year with the rabies

vaccine, and we’ll have nothing to worry about!

If we spot any stray dogs behaving strangely, especially during a rabies outbreak, we should report them to the city council. In our report, we should include description (colour, species, etc) as well as location of the stray.


How to Protect Your Dog from Rabies during an Outbreak

  • Vaccinate your dog.
  • Keep your dog isolated in your house compound (no going out!), so that it will not come into contact with potentially infected dogs. Isolation is necessary even after receiving a vaccination, as a dog still needs some time after a jab to build up the necessary immunity against rabies.

What If Your Dog Has Rabies?
Unfortunately, at this time there is no effective cure or treatment for rabies. Rabies is almost always fatal; infected dogs will succumb to the disease less than a week after showing signs of infection.

Prevention is the only way to protect our dogs. The vaccine offers protection for about a year, so the rabies vaccine should be given to our dogs once every year.


What to Do If You Had Been Bitten by a Rabies-Infected Dog
Don’t panic. Health experts say that the most important

thing to do is to clean the wound with soap and running water for 10 to 15 minutes.

Then, visit the hospital right away, and inform the doctor that you have been bitten by a dog.

Children may not voluntarily inform adults that they have been bitten by a dog, so if you suspect that their injury is a dog bite, ask them for confirmation first. Wash the wound as described above and send them to the hospital immediately after.



July 01, 2020   Return

Our digestive tract contains tens of trillions of microorganisms, comprising the gut microbiota. It is well known that they play a role in our health. If the population composition favours microorganisms that play a role in supporting our digestion and protection from infectious diseases, all is well. What if we do have a direct way of influencing the composition of gut microbiota? Researchers from San Diego University, USA, believe that the answer to this is through the use of viruses that affectbacteria, or prophages. Prophages exist in an inactive state in the gut. There are many types of prophages, each type affecting only one specific type of bacteria. Therefore, what the researchers seek to learn are the triggers that would cause a certain type of prophage to become active and kill a specific type of bacteria. While research is still in its early stages, the possibilities are intriguing indeed. Just imagine: if we have too many of a harmful type of bacteria in the gut, we can consume a type of food that would trigger prophages to kill that bacteria without harming the beneficial ones in the gut. This could be a game-changer in our efforts to cultivate a thriving healthy gut microbiota.

Reference: Boling, L., et al. (2020). Dietary prophage inducers and antimicrobials: toward landscaping the human gut microbiome. Gut Microbes, doi: 10.1080/19490976.2019.1701353



June 25, 2020   Return


Kevin Kruse, business speaker and co-author of We: How to Increase Performance and Profits through Full Engagement has a few ideas on how to work under a bad boss.

  • Are you the only one with issues with the boss?
  • Do you find that all the bosses you’ve worked with are terrible?
  • If you answer yes to any of the above— or to both questions—it may be worth considering that perhaps you, not your boss, are the one with the issues here. It may be time to adjust your expectations more realistically when it comes to your boss. If you think your boss is the problem,read on!

Talk it out!
Your job as well as your boss’s are a shared accountability—it is within your right to ask for a meeting with them to discuss your performance. Bring up how well you are performing in certain areas of your job and how you believe things can be improved. Use some diplomacy and even cunning to persuade your boss that the implementation of your ideas would be beneficial for the both of you.

Think positive.
If your boss is uncooperative or too difficult to talk to, examine the positive aspects of your job. Are you learning new and marketable skills? Is the salary worth the trouble? If the good outweighs the bad boss problem, it may be worth hanging on for a little longer.

How long will the boss be around anyway?
UIf you are working in a large company that changes bosses every few years, it may be worth hanging on until a hopefully better boss steps in.

If all else fails, it’s time to look for a new job.
At the end of the day, your mental and physical health is more important! HT

Toothbrushes: Manual Or Electric?

Toothbrushes: Manual Or Electric?

March 19, 2020   Return


If you are like everyone else who practices good dental hygiene, you’ve probably brushed your teeth this morning. Which toothbrush did you use? It is safe to assume most of us use a manual toothbrush. I recently went for a regular dental checkup and was told my gums were receding. My dentist advised me to get an electric toothbrush as it would prevent my gums from receding further. Having recently seen a video of how manual toothbrushes were better at removing dirt than electric ones, I was somewhat confused. So, what does a good writer do? We do some research. Here’s what I found.


Electric may be better
According to a scientific review, which looked at 51 studies with about 4,600 participants, electric toothbrushes are capable of significantly reducing plaque over short- and long-term use.1 Similarly, electric toothbrushes reduce the risk of gingivitis more than manual toothbrushes in the short and long term.1 However, as it is a review of existing studies, the strength of the review was considered to be of moderate quality. This means it isn’t a foregone conclusion and further research may change the situation. For now, it looks like electric toothbrushes are better than manual ones.

It can get a little confusing though, as not all electric toothbrushes are equal. There is a difference even within electric toothbrushes. It appears that electric toothbrushes that oscillate and rotate (makes circular motions) are better at cleaning plaque than those that create side-to-side movements.

I asked Dr Catherine Chong, a dentist in private practice, on how to determine which toothbrush is better. According to Dr Catherine, electric toothbrushes are indeed better. However, some people do just as well with manual toothbrushes. She recommends the use of plaque disclosing tablets to determine which toothbrush is more effective for an individual person. She says a person can perform a simple test of using a manual toothbrush to clean their teeth and then using the tablet to check for plaque remnants. Then the next day, the person can try brushing their teeth with an electric toothbrush and testing with the plaque disclosing tablet again to see the amount of plaque left after brushing. The difference will allow the person to decide which is best for him or her.

Plaque disclosing tablets are chewable tablets that stains plaque on teeth. It is usually made of vegetable dye that makes the plaque stand out and is either red or blue in colour. Although it isn’t a common item, these tablets can easily be purchased online.

Manual Toothbrushes
Manual toothbrushes are much cheaper than electric toothbrushes. They usually range from a few ringgit to tens of ringgit, depending on their unique selling points. Generally, toothbrushes are divided into soft, medium and firm bristle types. But within these three types are the numerous designs, angles, and materials that go into the bristle production.

How about the measurements of the toothbrush and bristles? A Korean study says the length of the bristle head should be 2.14 to 3.05 cm for men and 2.09 to 2.96 cm for women. The length of bristles should be 1.07 cm for men and 1.03 cm for women. The width of the toothbrush head should be 7.7 mm. Finally, the neck of the toothbrush should be 3.13 cm for men and 3.0 cm for women.2 While the study was done on Koreans, they should not stray too far from our measurements as they are also Asian in terms of size.

While this may sound confusing, the best advice would be to test out a few types of toothbrushes and find out which one fits you the best.

Electric toothbrushes
Electric toothbrushes are less common but are seeing better uptake in recent years. As mentioned earlier, some models oscillate and rotate while others only move in a singular side-toside motion. While the hard work of manual brushing is already done by the motor of the toothbrush, the highspeed movement and vibration of the device can still cause damage to gums and teeth if the user is not careful.3



Specific types of toothbrushes
Beyond the usual round or oblong toothbrush heads we are used to, there are some uncommon types in the market. First is the interdental toothbrush, which is good for cleaning between teeth and dental braces.

We also have end-tufted toothbrushes which are specially made to clean the wisdom tooth area and also crooked teeth with odd angles that are hard to reach using normal toothbrushes.

Whichever toothbrush you choose, remember it doesn’t negate the recommended twice-yearly visit to your dentist. Regular visits to the dentist not only ensure your teeth and mouth are in good condition, it will also help doctors detect abnormalities early. These includes receding gums, oral cancers, dry mouth, fungal infections, and taste impairment.

A dentist also trained to look at the muscles of the head, neck, jaw, tongue, salivary glands, and the nervous systems of the head and neck. They can quickly refer the patient to a specialist if they suspect there is something serious going on. HT

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References:References: 1. Yaacob, M., et al. (2014). Powered versus manual toothbrushing for oral health. Cochrane Database Syst Rev;(6):CD002281. 2. Chun, J.A., et al. (2014). The Standardization of Toothbrush Form for Korean Adult. Int J Clin Prev Dent;10(4):227-235. 3. University Health Service – The University of Hong Kong. Types of Toothbrushes. Retrieved from