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Health Essentials

Is there a prescription to reverse aging? -Part 1

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• The human brain begins to slowly decreasein size at age 25

The human brain begins to slowly decreasein size at age 25

Your hairline begins to recede, you can no longer keep count of the gray hair, your skin begins to sag, you can no longer fit into your clothes, but you can swear that you weigh the same on the scale.

Things may sometimes get worse; you just cannot remember where you place your keys and your “sweet after meals” is now a tray full of pills and you keep refilling these from your new-found recreational centre, which is your doctor’s office.

You may also belong to the team that wakes up every day with pain in your joints and getting out of bed can set off panic bells.

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What if you retired from your job barely a year ago and you are currently in hospital for the second time with a broken arm?

Surely you will nev­er agree with the phrase “age is just a number” because you seem to be “experiencing so many things that never happened to you in the past.”

This morning, I woke up more convinced than ever that we can prevent or reverse many of the changes associated with aging. Certainly, the downward spiral will continue if you do not do something positive to arrest and then reverse it.

These days whenever I spend time together with friends, the con­versation will often be interspersed with greying, potbellies and health challenges. Consistently making our health a priority will go a long way to making things much better.

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This month of April I have ded­icated to discussing aging, its life-changing impact on our lives and what we can do.

I wish I had known these much earlier then I would not have to start a crush programme this week to make up for lost time.

You may be eager to get started too but no matter the state you find yourself in today, do not allow your­self to be sucked in by the “terrible toos” – too much, too hard, too fast, too soon – why?

The answer is simple you may either harm yourself or “burn-out” quickly. Both scenarios mean you will no longer continue with your newfound positive life.

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The world is generally living longer but our “health span”, which is the time when we are actually fit and can enjoy life and not just hang onto it, is probably getting shorter.

Is it possible that much of the decline we experience is a result of our mindset and inactions? May­be “we expect to fall apart so we allow ourselves to fall apart.”

Many of us ignore the “signs of aging” such as easy fatigueability and shortness of breath and in­stead focus on outward signs such as graying of our hair and a reced­ing hairline; surely these are also important, but I bet it’s what is on the inside that really counts; your heart, your lungs, your brain, your kidneys and all the others that you cannot see.

I wish I could equate this to “don’t mind the body, mind the en­gine” but that would not be exactly true.

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What happens to your brain, heart, lungs, muscle and bones as you keep celebrating birthdays? If you do not know your birthday or you have adopted a “f—ball age” you will still not be able to hide, just get proactive.

The brain

From age 25, the human brain begins to slowly decrease in size and that cannot be good news. Small in this scenario is certain­ly not better. As the brain shrinks, it becomes less efficient and your ability to reason, comprehend and retain informa­tion starts a slow difficult to detect downward ride. Who has seen my car key to­day, I thought I left it on the table?

What to do

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Playing with balls (tennis balls I mean) may help your brain bounce back. Start with jug­gling three balls at a time. The good news is you don’t even need to get the juggling right; it is the effort at practis­ing a new skill that matters. Remember not to be caught by the terrible toos. I plan to buy three balls today. Solve puzzles, read books and increase your physical activity.

The heart

In your mid-40s, your heart tends to grow smaller (excluding effects of a heart failure or muscle thickening from high blood pres­sure). This reduction in size means your heart no longer pumps blood as efficiently as it used to. This will force your heart to work harder putting it at risk of injury or dis­ease.

What to do

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The more time you spend mov­ing the better. There is no dispute about it though, lace your boots and start moving. Depending on your level of fitness you may need to start slowly and build up momen­tum.

To be continued…

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERY­DAY AND REMEMBER IT’S A PRICE­LESS GIFT TO KNOW YOUR NUM­BERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

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dressel@healthessentialsgh.com

*Dr. Essel is a medical doctor with a keen interest in Lifestyle medi­cine, he holds an MBA and is ISSA Specialist in exercise therapy, fitness nutrition and corrective exercise. He is the author of the award-winning book, ‘Unravel­ling The Essentials of Health & Wealth.’

Thought for the week –“A sed­entary lifestyle – spending a lot of time seated at a desk, in a car, or in front of a television or comput­er monitor – increases your risk of death from heart disease even if you EXERCISE. Remember to take 2 minute heart health breaks from your desk or chair.”

Reference:

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1. Men’s Health Magazine. May 2012

2. Stephen L. Kopecky M.D. – Car­diovascular Disease Specialist at Mayo Clinic

3. Mayo Clinic-Essential Heart Guide. 2012.

The human brain begins to slowly decreasein size at age 25

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By Dr. Kojo Cobba Essel

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Health Essentials

A quest to prolong our health-span

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I have over the past two decades looked beyond mainstream medicine to assess other options that lead to holistic health, and I must say it’s been exciting and revealing but it’s not an easy path.

As I matured and my knowledge expanded, I have changed my opinion on some aspects of wellness and many findings have been humbling. We all continue to learn each day.

I will share some of the life-changing skills that we take for granted. In our quest for wellness there appears to be more questions than answers, but moderation still remains key in our daily lives.

The power of prayer, praise and worship of God cannot be taken out of the equation.

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Ready. Set. Let us do this together.

  1. Strength training is a must for ALL of us
    1. Yes, we all need to dig into the various aspects of exercise; strength training, cardiovascular training, stretches or flexibility training and balance training. If you asked me about a decade ago to pick the king of all exercises, I would naively have answered cardiovascular such as walking, cycling etc. but I am certain now that strength training trumps all and we need to incorporate at least a bit of that in our exercise programme.
  2. Take a short walk after each meal
    1. Many of us (your truly included) after dinner barely get to wash our hands before the miracle of the Lotus Eaters sends us to dreamland. Our fingers will be signaling to rats and cockroaches to come out and party.
    1. Walking a few minutes after eating may hold the key to helping control our blood sugar levels and reduce the spikes in insulin that come with a myriad of issues. At the very least the short walks after eating will add up to increase the energy you expend daily.
  3. Eating your vegetables and proteins before your carbohydrates may be helpful
    1. Well, how true may this be? I suggest it is worth trying. I am not saying clear your plate of all protein before you even take a spoonful of carbohydrate. The fibre will slow the absorption of the sugar for hours and even better, you may feel full after the vegetables and protein and not be able to gobble down the mounds of carbohydrates you had planned to dismantle.
  4. Eat slowly but do not get your boss angry
    1. Eating slowly does not mean spending hours at lunch and courting the displeasure of your superiors. It takes about 20 minutes for your brain to realise you are full so dear friend, take your time to chew and enjoy your food. A meal “downed” in less than 20 minutes may cause you to virtually suffocate when you top up with water. This is a message to myself and all those who like me eat so quickly that Usain Bolt will envy our speed.
  • Eat from small, colourful plates
    • Small colourful plates make an impression on our brains. Since the little food appears loaded on a small plate our brains tend to “believe” it’s a lot of food and we feel full for a strange reason. Put the same amount in a large plate and you are likely to be asking for second servings.
  • By all means make friends
    • The power of social wellness and its role in longevity and an enviable health span is no longer in doubt. By all means make a few good friends and enjoy life! Thank me later.
  • Sleep!
    • Yes, I do agree there are at least seven forms of rest, and they are all equally important BUT start off with sleep and we will gradually rope in all others.
  • Keep your eyes on your numbers
    • I have written and spoken about the miracle of knowing our numbers and keeping them in check; blood pressure, blood sugar, lipids and BMI. Today I suggest you look at your heart rate closely. A low heart rate may be an indicator for staying here on planet earth for a long time. Also keeping glycated haemoglobin (long term blood sugar) low is another feather in the cap of longevity.
  • Appropriate supplementation
    • The golden rule is to get all your nutrients from your food but for many of us that may not be possible hence the need to supplement ( note that supplement overdose does exist)
    • It is ideal to discuss supplementation with your healthcare professional and your discussion should look at probiotics, magnesium glycinate, Vit D3 + K2, a good multivitamin and in some instances creatine or whey Protein. I am in no way suggesting you take all these, each individual is unique and that is why it is crucial to discuss your options with a professional.
  • Make a conscious effort to be HAPPY
    • Happiness affects our entire being in positive ways; smile, say a kind word to someone, be grateful, surround yourself with people who make you happy and not ones who sap your energy, volunteer to support people and by all means get a hobby eg gardening, playing a game etc and the best get news yet; you don’t even have to be good at your hobby to benefit.

We are not waiting for a magical or ideal day to start working on our Health and Wellness, we start today bearing in mind that “the most efficient way to reach our realistic health and wellness goals is to make small healthy choices daily.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

Health Essentials Ltd/ Medics Clinic

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(dressel@healthessentialsgh.com)

*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO

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Health Essentials

Acing your doctor’s visit

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A doctor in a consulting room with her patient

Very often we leave the doctor’s office only to remember that we left out a major complaint. Some patients immediately rush back to the consulting room totally oblivious of the privacy that the next patient is entitled to.

They expect that as they walk in, the doctor should ignore the seated or positioned patient and attend to them. That is totally outrageous. Others go home and continue to live with the condition hoping to be healed miraculously.

Most of us will be extremely lucky to spend 15 minutes with our doctor and this time is often much shorter in countries/communities where the doctor-patient ratio is so low that at best it can be described as criminal.

We are now in the second half of 2026, and I highly recommend that you see a doctor not only when you are unwell but as a means to assess your state of wellbeing and take the needed precautions. It is critical that you find a good primary care doctor who is knowledgeable and proactive and will also be able to coordinate specialist care that you may require.

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To make the most out of our time with the doctor we need to PREPARE. If your condition is an emergency, then you do not have the benefit of time to prepare.

A must do!

Kindly ensure your personal hygiene is excellent.

  • Take a good bath and brush your teeth
  • Wear clean clothes that also make undressing easy, especially if you need to expose some areas for inspection/examination.

This may sound ridiculous, but the opposite does happen in real life.

Remember that doctors are human and when you are unkempt you may not get adequate contact with your doctor.

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Research on the symptoms

If you have access to the internet or a book worth its salt you may read about your symptoms or wait to read after your doctor tells you your diagnosis.

Remember that if you need to research on the internet, it is essential that you use a reputable site.

In tune with your complaints

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  1. Write down your complaints/symptoms if you think you may forget.
  2. If you have had a similar problem and have the results of any investigations e.g. Laboratory tests, x-rays, CT scans etc kindly carry them along
  3. Let your doctor know if you react to any drugs.
  4. Be truthful about any medications you have taken for the condition, if you do not remember the names make sure you go with the containers.
  5. If you have any other medical conditions (and medication) make the doctor aware.
  6. Remember to make a note of the following
    1. When did the symptoms/complaint begin?
    1. How long have you had these symptoms?
    1. Is it getting worse?
    1. Does anything make the condition worse?
    1. What makes you feel better?
    1. Is anything related to their onset?
    1. How often does it occur?
    1. How long does it last e.g. in pain conditions as well as rash, allergies etc.
    1. Does anyone else in your family have them?
    1. How do they affect your daily life?
    1. Is it related to work or home?

You may need to modify these slightly when you have skin lesions, swellings etc. This list is by no means exhaustive, and you may not need to find answers to all of them before getting help, but they will definitely help you ace the visit to your doctor.

If your doctor books you for surgery, do not leave his presence without finding out the following:

  1. Will you go home on the same day of the surgery?
  2. Will you need assistance to go home or can you drive unsupervised for instance
  3. What form of anaesthesia will you be given?

Then, if your visit is for a medical examination, do remember that also being aware of disease conditions in your family will help your doctor select the appropriate tests and make the whole experience and time useful.

Finally do not leave your doctor without finding out:

  • How much physical activity/exercise you require; the Almighty “FITT” prescription
  • What you need to eat or avoid.
  • Some basic information regarding SLEEP.

See you in the consulting room soon.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

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Health Essentials Ltd (HE&W Group)/Medics Clinic

(dressel@healthessentialsgh.com)

*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – “The next big thing in Healthcare in Ghana is the Medics Clinic. Visit https://medicsgroupgh.com/ for more information.”

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References:

  1. www.patientedu.org
  2. www.healthclubsgh.com
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