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Health Essentials

 Your heart is precious ‘don’t miss a beat’

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• Reduce intake of salt in meals
• Reduce intake of salt in meals

On September 29 of each year since 2000, we mark World Heart Day without fail but it appears we find a comfortable place to doze off after that, leaving the world’s number one killer to contin­ue its havoc.

This year, the theme “Don’t Miss a Beat” focuses on “the importance of heart and blood vessel (cardiovascu­lar) health by emphasizing how losing someone to heart disease also means losing irreplaceable moments in life. It encourages individuals to prioritise heart health, not to miss important life events, and supports building a world with fewer deaths and more healthy hearts.”

Together with its members, the World Heart Federation spreads the news that at least 80 per cent of premature deaths from heart disease and stroke could be avoided if the main risk factors, tobacco, unhealthy diet and physical inactivity, are con­trolled.

Stop smoking and prevent others from smoking

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a. Once upon a time, puffing the smoke of death was fashionable (maybe from a lack of adequate knowledge?) but certainly in 2025, a healthy lifestyle is in vogue. If you do not smoke, why should you inhale smoke from others (passive smoking)?

Eat more fresh fruits and vegeta­bles

a. In Ghana and other de­veloping countries, we often want something that will fill our stomach and stay there for as long as possi­ble. Why do you think “concrete” is so revered in this great land of ours? Start the day with a hefty dose and top it up with frequent gulps of water. We always come up with 1001 reasons why eating fruits could lead to instant “pocketitis” and may signal the beginning of a third world war in many homes. We love to get into unnecessary arguments about whether fruits should be eaten before or after meals etc., just eat them!

b. We probably should con­sider buying fruits when they are in season since they are much cheaper at the time

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c. Kontomire, cassava leaves and garden eggs, are great vegeta­bles that will not cost you an arm and a leg. You also have the option of cabbage, lettuce etc.

d. The option of having a small garden is great but many of us do not have the luxury of space to do that.

Eat a healthy diet

a. LOW in saturated fats

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i. Saturated fats can be found in animal products such as meat, milk, cheese and butter but be careful about plant products such as palm oil. Moderation is ALWAYS key.

b. LOW in refined carbohy­drates

i. Our tongues have the power to make or unmake us – talking and eating are two examples of paths that can spell doom. We love sugar, perfumed rice (white), white flour, pasta (macaroni) and white bread and will make excuses to skip brown rice for instance.

c. LOW in salt

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i.This is as simple as it is stated. Reduce the salt you put in food. Avoid adding salt to already cooked food. Flee from salted snacks and watch artificial flavouring.

Increase levels of physical activ­ity

a. This is no drill on exercising but sitting on the sofa all evening or sitting at your desk for hours on end has not yet produced a healthy being. Household chores, gardening, walking even if it means while on the phone, using the stairs instead of the elevator all add up. The more you move the better for you. Dear friend, moving the TV remote does not account for much but maybe if you could walk to the TV to change channels or make other modifications then you would be on the right path.

Regular medical examinations to assess heart health

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a. Beware of the modifiable risk factors for heart and blood ves­sels and check them often

i. Uncontrolled hyperten­sion, uncontrolled diabetes, abnor­mal cholesterol, obesity, physical inactivity and smoking

ii. Get evaluated for sleep apnoea especially if your snore could bring the walls down

Manage Stress

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• Check the quality and quantity (duration) of your sleep and rest

• Be happy

• Spend time with people who make you laugh and those who have positive vibes. The pessimists will drain your energy.

Changing these habits and be­haviours is possible but we need to be committed. Whatever we are today is by the grace of God and the choices we made before today. Make healthy choices that will protect your heart, and it will continue to perform well for many years to come.

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Today many people have died from a heart disease, and others have gained HEART HEALTH, which group would you rather join? Wouldn’t you spend quality time with family and friends for many years rather than being bedridden or spend precious endless hours in hospitals trying to fix our heart and blood vessels.

We have the power to make the right choice and stick to it.

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/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 – “You have the opportunity to have a Heart Health Assessment at The Medics Clinic, Tse Addo from now through Saturday 4th October. Call 055-341- 1221 to set up an appointment or simply walk-in.”

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References:

1. World Heart Federation Website

2. The Ten Commandments for A Healthy & Enjoyable Life: Dr Kojo Essel

By Dr Kojo 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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Health Essentials

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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