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The salt wars will never end!

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Health Essentials Saturday, September 21, 2024 15 www.spectator.com.gh Your Weekend Companion IS SALT ENEMY NUMERO UNO? I do not have a precise answer to this question but salt is definitely revered in the company of killers. When heart and blood vessel diseases claim about 18 million lives each year worldwide and hypertension is one of the leading modifiable risk factors (the other factors are uncontrolled diabetes, high cholesterol, obesity, lack of adequate physical activity and cigarette smoking) for heart and blood vessel disease then I leave you to work the math since added salt is very often associated with hypertension. Not everyone reacts to salt in the same way but for the majority of us anything more than half a teaspoon of salt a day (includes what we cook with, those in our snacks and processed food). No one is born with a craving for salt, we learn this as we grow and keep eating more salt by the day. Many of us eat much more salt than we need and we are “rewarded” with high blood pressure, heart failure and other inconveniences related to fluid retention. Do you add extra salt to cooked food? Do meals prepared at home come out of a box or can? Do you eat out of home often? A yes answer to any of the questions could mean you may be having too much salt. Is it not time to shake off this salt habit? You are probably counting your calories to lose weight and exercising as well so why not watch your salt intake? It could be the cause of your difficulty to control blood pressure. Salt like many other things is only useful when taken in moderation; we cannot live without it but too much brings a host of troubles. Salt may be obvious as in what we cook with but often times it is hidden. Who would have thought that many processed foods including canned foods such as corned beef, ketchup and some salad dressings contain loads of salt? Two elements; Sodium and Chlorine make up salt and the sodium is often the centre of controversy. Excess sodium stays in body tissues and holds extra water causing swelling and raising blood pressure. The elevated blood pressure then puts a strain on the heart. You may be aware that increased blood pressure affects almost all organs and this includes: the eyes, the brain, the kidneys and even the blood vessels. Invariably people who eat a lot of salt have a high probability of developing hypertension and that may also be another reason for having high blood pressure running through some families. The answer may be quite simple; most family members have similar eating patterns or tastes so everyone may be prone to an increased-salt diet leading to elevated blood pressure over time. Many artificial flavours that we use in cooking also contain sodium, so imagine the harm you do when you add some of these flavours to food that you have already added your usual amount of “salt”. The salt story does not end here. Excess salt intake has been linked with osteoporosis, dementia/forgetfulness and even Alzheimer’s. It is interesting to watch people eat in restaurants and at home; some people will actually sprinkle salt over their food after almost every bite. People eating in restaurants will use the salt on the table aggressively probably making sure they are recouping every pesewa spent on the meal. Be careful you may be paying more on medication soon. If your food tastes like there is a salt shortage, thank God and eat as-is. It is an outright CRIME to add salt to already cooked food no matter how bland it may taste. This last statement lays the fact bare; all restaurants that leave extra salt on a dining table are involved in crimes against humanity. You are not a killer only when you draw a gun or knife to kill, you may use a “slow poison” such as a daily dose of extra salt. We will probably need some human rights activists to help us fight this war. I am really looking forward to the day that salt on restaurant tables will be banned. No matter how particular you are about the salt content of the food you cook, if food manufacturers and restaurants are not regulated when it comes to the allowed salt content then the battle is only half won. If we are able to reduce our salt intake to less than half a teaspoon a day (including all the hidden salt), it will be enough to significantly reduce the new cases of hypertension and by extension other heart diseases and complications of hypertension will also be reduced. This simple act will save our country millions if not billions of Ghana cedis each year. Reducing Salt Consumption • Never add salt to cooked food • Read food labels and avoid those with salt or high salt content (watch sodium) • Eat a lot of fresh fruits and vegetables; they do not need added salt and they also contain potassium that lowers blood pressure. • If you need snacks, choose unsalted ones. • Flavour foods with garlic, onions, fresh herbs and lemon instead of salt • If you have to add salt to food while cooking, add only sparingly. Excess salt does not only cause diseases, it also drains our pockets as well as the national coffers as we try to control the damage it has caused. Winning the war against salt needs us to be more proactive; before you put anything in your mouth think about the salt (Sodium) content and make a smart decision. You could be saving your life and that of others as well as creating wealth just by controlling salt intake. Now I throw the question back to you; is salt ENEMY NUMERO UNO? (*salt in this context refers to common salt / table salt etc. Other types of salts MAY have added benefits) 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/Mobissel *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 taste for salt is not inborn. Saltiness is something we’ve learned and eating salty foods fuels the craving”. Reference: 1. Health by Choice Not Chance – Aileen Ludington & Hans Diehl 2. Shaking the Salt Habit – Jennifer Nelson & Katherine Zeratsky The salt wars will never end! • Salt is useful when taken in moderation

Salt is useful when taken in moderation

IS SALT ENEMY NUMERO UNO?

I do not have a precise answer to this question but salt is definitely revered in the company of killers.

When heart and blood vessel diseases claim about 18 million lives each year worldwide and hyperten­sion is one of the leading modifiable risk factors (the other factors are uncontrolled diabetes, high cholester­ol, obesity, lack of adequate physical activity and cigarette smoking) for heart and blood vessel disease then I leave you to work the math since added salt is very often associated with hypertension.

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Not everyone reacts to salt in the same way but for the majority of us anything more than half a teaspoon of salt a day (includes what we cook with, those in our snacks and pro­cessed food).

No one is born with a craving for salt, we learn this as we grow and keep eating more salt by the day. Many of us eat much more salt than we need and we are “rewarded” with high blood pressure, heart failure and other inconveniences related to fluid retention.

Do you add extra salt to cooked food? Do meals prepared at home come out of a box or can? Do you eat out of home often? A yes answer to any of the questions could mean you may be having too much salt.

Is it not time to shake off this salt habit? You are probably counting your calories to lose weight and exercising as well so why not watch your salt intake? It could be the cause of your difficulty to control blood pressure.

Advertisement

Salt like many other things is only useful when taken in moderation; we cannot live without it but too much brings a host of troubles. Salt may be obvious as in what we cook with but often times it is hidden. Who would have thought that many processed foods including canned foods such as corned beef, ketchup and some salad dressings contain loads of salt?

Two elements; Sodium and Chlo­rine make up salt and the sodium is often the centre of controversy. Ex­cess sodium stays in body tissues and holds extra water causing swelling and raising blood pressure.

The elevated blood pressure then puts a strain on the heart. You may be aware that increased blood pressure affects almost all organs and this includes: the eyes, the brain, the kidneys and even the blood vessels.

Invariably people who eat a lot of salt have a high probability of devel­oping hypertension and that may also be another reason for having high blood pressure running through some families.

Advertisement

The answer may be quite simple; most family members have similar eating patterns or tastes so everyone may be prone to an increased-salt diet leading to elevated blood pres­sure over time.

Many artificial flavours that we use in cooking also contain sodium, so imagine the harm you do when you add some of these flavours to food that you have already added your usual amount of “salt”.

The salt story does not end here. Excess salt intake has been linked with os­teoporosis, dementia/forgetfulness and even Alzheimer’s.

It is interesting to watch people eat in restaurants and at home; some people will actually sprinkle salt over their food after almost every bite. People eating in restaurants will use the salt on the table aggres­sively probably making sure they are recouping every pesewa spent on the meal. Be careful you may be paying more on medication soon.

Advertisement

If your food tastes like there is a salt shortage, thank God and eat as-is. It is an outright CRIME to add salt to already cooked food no matter how bland it may taste. This last statement lays the fact bare; all restaurants that leave extra salt on a dining table are involved in crimes against humanity.

You are not a killer only when you draw a gun or knife to kill, you may use a “slow poison” such as a daily dose of extra salt. We will probably need some human rights activists to help us fight this war. I am really looking forward to the day that salt on restaurant tables will be banned.

No matter how particular you are about the salt content of the food you cook, if food manufacturers and restaurants are not regulated when it comes to the allowed salt content then the battle is only half won.

If we are able to reduce our salt intake to less than half a teaspoon a day (including all the hidden salt), it will be enough to significantly reduce the new cases of hypertension and by extension other heart diseases and complications of hypertension will also be reduced.

Advertisement

This simple act will save our coun­try millions if not billions of Ghana cedis each year.

Reducing Salt Consumption

• Never add salt to cooked food

• Read food labels and avoid those with salt or high salt content (watch sodium)

Advertisement

• Eat a lot of fresh fruits and vegetables; they do not need added salt and they also contain potassium that lowers blood pressure.

• If you need snacks, choose unsalted ones.

• Flavour foods with garlic, onions, fresh herbs and lemon instead of salt

• If you have to add salt to food while cooking, add only sparingly.

Advertisement

Excess salt does not only cause diseases, it also drains our pockets as well as the national coffers as we try to control the damage it has caused. Winning the war against salt needs us to be more proactive; before you put anything in your mouth think about the salt (Sodium) content and make a smart decision.

You could be saving your life and that of others as well as creating wealth just by controlling salt intake.

Now I throw the question back to you; is salt ENEMY NUMERO UNO?

(*salt in this context refers to common salt / table salt etc. Other types of salts MAY have added bene­fits)

Advertisement

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/Mobissel

*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.’

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Thought for the week – “The taste for salt is not inborn. Saltiness is something we’ve learned and eat­ing salty foods fuels the craving”.

Reference:

1. Health by Choice Not Chance – Aileen Ludington & Hans Diehl

2. Shaking the Salt Habit – Jen­nifer Nelson & Katherine Zeratsky

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By Dr. Kojo Cobba Essel

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Health Essentials

Show Me Your Friends and I Will Show You Your Health Span

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“Me nyare n’anso me nti ap)” is a popular Akan saying that can be translated into English as “I am not ill, yet I feel unwell.” It is that feeling when you just can’t place a finger on what is not right with you.

Today, I can confidently inform you that if you have felt this way in the past, you certainly had a point. Medical science has come a long way, and we know that health and wellness go far beyond the physical aspects such as pain, heart disease, or infections.

Other equally important aspects of wellness exist, and these may be classified as Social, Mental, Spiritual, Financial, and Digital Health and Wellness.

Do not be surprised when your doctor begins to ask you questions about your social network, such as those you have close ties with—family, friends, or both. Longevity depends to a large extent on one’s social support system or network.

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As the American Heart Association notes, “lack of SOCIAL CONNECTION is associated with increased risk of premature death from all causes, especially among men.”

This is no open ticket to spend all of one’s after-work hours hanging out with friends under the disguise that you are prolonging your life. Moderation is key in all things, and your strong social ties need not be a whole village. All you need is a handful of loyal friends or family who know you inside out and have your wellbeing at heart.

If you are stressed out or have any mental health challenges, you should be able to speak to a close friend. Sharing your challenge may just be enough, or this friend may be able to advise you appropriately. It is easy to laugh with such friends and not be worried about being judged. Laughter, as you know, is medicine.

Close contacts may prompt you to take your physical health seriously, but even if they don’t, that bond you share produces feel-good hormones that protect you and prolong your health span.

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I prefer health span to lifespan simply because lifespan refers to just being alive, but one may not be “living”—you could be bedridden, in a coma, or have multiple organ challenges. We should all aim for a long health span.

The art of building strong social connections is one reason we need to work on getting our children away from their phones and other gadgets that deprive them of the opportunity to talk to peers, share physical contact, and form lifelong relationships.

Dear friend, choose your friends wisely if you want to live a long, healthy, and happy life.

While you work on your social connections, let us breathe our way to great health by following the steps below. Repeat these steps daily:

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  • Sit in a quiet place.
  • Avoid tight clothing (loosen your belt, necktie, or other constricting clothing).
  • Take deep breaths through your nostril and exhale slowly through partially closed lips.
  • At the peak of your initial inhale, take in another breath and hold for a count of 4 before exhaling.
  • Expand your belly as you breathe in.
  • Focus on your breathing and forget about everything else.
  • When your focus drifts off (and it will about 50% of the time), acknowledge the thought but quickly return to your breathing.
  • Continue breathing in and exhaling for five minutes.
  • Increase the duration of this breathing/mindfulness over time.

…and remember to teach your friends to breathe too. After all, together you will live a long, healthy, and enjoyable life.

As always: laugh often, ensure hygiene, walk and pray every day, 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 (HE&W Group)
(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 (1): “Lack of sleep may predispose you to many diseases including a STROKE. Jump into bed an hour earlier and sleep a stroke away.”

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Thought for the week (2): “There is no magic formula to being happy, but making a conscious effort to be happy goes a long way.”

Join us at the La Palm Royal Beach Hotel for our end-of-year Wellness Festival on Saturday, 29th November 2025, from 6 a.m. to 10 a.m. You should not miss this event. All six pillars of wellness will be at play.

By Dr. Kojo Cobba Essel


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The Prostate Has Found Its Voice

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The prostate gland, a small but essential organ found only in men, plays a key role in reproductive health. It produces fluid that nourishes, protects, and transports sperm, yet many focus only on its connection to prostate cancer.

Location & Function

  • Situated between the bladder and penis, with the rectum behind it.
  • The urethra passes through the prostate, carrying urine and semen.

Common Prostate Conditions

1. Prostatitis – Infection of the prostate:

  • Symptoms: chills, fever, pus-like urethral discharge, painful urination, groin/testicular pain, painful orgasms, erectile dysfunction.
  • Advice: Seek professional help; do not self-medicate.

2. Benign Prostatic Hyperplasia (BPH) – Non-cancerous enlargement of the prostate:

  • Symptoms: frequent urination (especially at night), urge incontinence, difficulty starting urination, weak stream, painful urination, blood in urine, terminal dribbling, and in severe cases, inability to urinate.
  • BPH can be extremely painful, sometimes compared to labor pains.

3. Prostate Cancer – Common among men, especially black men, often aggressive and with earlier onset:

  • Risk Factors: older age, African descent, family history, obesity.
  • Symptoms: frequent urination, straining, blood in urine/semen, weak urine flow, new erectile dysfunction; advanced stages may include fatigue, weight loss, and bone pain.

Diagnosis

  • Digital rectal examination – checks for irregular or hard areas.
  • PSA test, biopsy, ultrasound, CT/MRI/PET scans, bone scan.

Management

  • Holistic approaches include watchful waiting, medication, surgery, and radiation (external & brachytherapy).
  • Always discuss all options with your healthcare provider.

Risk Reduction Tips

  • Regular screening
  • Healthy, varied diet rich in fruits and vegetables (carrots, tomatoes, broccoli, kale, cauliflower)
  • Maintain a healthy weight
  • Exercise at least 5 days a week

Final Advice

  • Share this information – the prostate needs support!
  • Maintain good hygiene, walk and exercise daily, pray, and know your numbers (blood sugar, blood pressure, cholesterol, BMI).

Thought for the Week:

“There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel

Dr. Essel invites readers to the La Palm Royal Beach Hotel Wellness Festival on Saturday, November 29, 2025, at 6 a.m., to walk, exercise, network, and share ideas to stay healthy.

Contact: dressel@healthessentialsgh.com

By Dr. Kojo Cobba Essel

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