Chudakov Sergey Yuryevich doctor about dietary supplements certificate. Application of dietary supplements in neurology

In September, the first ONF Forum dedicated to healthcare issues took place in Russia. Public councils have also been formed under relevant ministries. Can the population really influence government policy on health issues? Which formats can bring the greatest impact?

Expert opinion from the coordinator of the School of Citizenship Activation (STEP) Sergei Chudakov - candidate of medical sciences, associate professor of the department of general medical practice (family medicine), member of the working group on public health of the commission on quality of life and health protection of the Social Platform of the WFP "United Russia" - RAD.

- The emergence of various types of public associations on health issues is not exclusively a public initiative. It must be said that at the state level there are regulatory documents that regulate the creation and functioning of public expert councils. Such associations exist in various departments, not only in healthcare, and should monitor the work of the department from the public.

At their core, community councils are the right idea. But the existing mechanism for their formation does not correspond to the functions that were assigned to them. Namely, to broadcast people’s opinions through representatives in public councils. As practice shows, the majority of representatives do not represent anyone but themselves. Or these are small local public organizations with 10-30 members who are trying to promote something. Or - retired officials. These people, as a rule, do not express the opinions of the majority. Which leads to the problem: departments are on their own, people are on their own. Such councils do not have any real influence on the work of departments. Rather, they are a formal education that allows the agency to report that it complies with regulatory guidelines.

The same can be applied to public councils under ministries of health. These are precisely the structures “under ministries” that do not conduct independent dialogue.

It’s good that the ONF forum made an attempt to solve this problem and rely on people’s controllers. But control alone will not solve the issue. We need to create, we need change. And such a constructive mechanism needs to be formed.

It must have two supports. The first is popular strategizing in the field of health. The second is interdepartmental interaction, in which the policies of any ministries - social, economic - are formed taking into account whether decisions will lead to deterioration of health. Because it is known that doctors are already dealing with the result, and problems begin in areas far from healthcare.

As for popular strategizing, this is a technology for working with civil society that gives it a real opportunity to influence policy and participate in decision-making. After all, it is the population that is the main customer of the national health care system. Therefore, it should form the agenda - what the system should be. The same technology is being implemented, which was developed and already tested in a number of regions by the “School for Activating Citizenship”, through strategic, project sessions. Such events bring together people from different social and demographic groups, various communities, including professional ones. Wide representation makes it possible to take into account the whole range of problems, opinions, approaches and form an image of the future: what kind of people would like to see the health care system.

And one of the main results of using the format of popular strategizing is that people who have formed a new image are ready to participate in events that would make it real. They didn’t just assign tasks to someone, but they have their own initiatives that they want and can translate into action.

I note that this ideology fits into the concept of “public health”. Similar norms and scenarios are already applied in foreign countries. And in Russia it is necessary to create a similar system. To get out of the zone in which only doctors are responsible for health. The main customer of the state health policy should be the population.

Kremlin medicine. Clinical Bulletin" No. 3, 1999.

"...food should be considered not only as a source of energy and plastic substances, but also as a very complex pharmacological complex"

Academician A.A. Pokrovsky

Systematic epidemiological studies conducted by the Institute of Nutrition of the Russian Academy of Medical Sciences in various regions of Russia over the past few years have revealed significant deviations in the diet of Russians from the formula of a balanced diet, primarily in terms of the level of consumption of micronutrients - vitamins, trace elements, unsaturated fatty acids, and many other organic compounds of plant and animal origin. which are important in regulating the metabolic process and the functions of individual organs and systems.

Nutritionists are clear that using the most common set of food products in our country, with the optimal energy value of food at the level of 2200 kcal/day for women and 2600 kcal/day for men (corresponding to the daily energy expenditure typical for the average Russian and not causing obesity), It is not possible to provide the body with essential nutritional factors.

The consequence of this is the presence in the population of a large number of people, on the one hand, with excess body weight - one of the leading risk factors for atherosclerosis, coronary heart disease, hypertension, diabetes mellitus, and on the other hand, with reduced nonspecific resistance to adverse environmental factors and immunodeficiencies. The composition of modern food products forces doctors to solve a dilemma: reduce the consumption of food containing excess saturated fats, monosaccharides and salt, in order to prevent atherosclerosis, obesity and hypertension, thereby exacerbating the deficiency of essential micronutrients, or increase the amount of food eaten, eliminating micronutrient deficiency, but sharply increasing the risk of the above-mentioned “diseases of civilization”.

From these positions, in the process of optimizing the nutrition of the population at the present stage, three possible methods of rationalization should be taken into account. The first way is to strictly select a daily diet from high-quality food products with a clear predominance of plant products over animal products. This is the classic and most natural way, used for thousands of years. However, given the depletion of soil by unreasonable use, the widespread use of herbicides and subsequent irrational storage, even plant products that have not been heat-treated are an unsatisfactory source of micronutrients, covering only 60-70% of the daily requirement. In addition, some essential nutrients have recently ceased to be included in the diet of many Russians due to the narrowing of the range of food products used, caused by their sharp rise in price. The second way is the creation of food products with a given chemical composition and properties, or the so-called enrichment of food products with essential nutrients. Unfortunately, in Russia, compared to the countries of Europe and North America, there are still catastrophically few such products produced, both in quantity and in range. Another problem is that some of the micronutrients added to such foods may be destroyed during the production process, which makes their accurate dosing much more difficult. And finally, the third way consists in the widespread production and implementation of biologically active food additives (BAA), which, as a supplement to the diet, contain in small quantities a complex of plastic and regulatory substances of plant, mineral and animal origin that are necessary daily. According to many scientists and practitioners in Russia and abroad, the widespread use of dietary supplements is perhaps the single fastest, most economically acceptable and scientifically sound way to solve the seemingly fatal problem of the late 20th century related to nutrition, since it does not require radical restructuring food industry and agriculture and can be implemented using existing food and pharmaceutical production facilities. In addition, already produced dietary supplements can be quickly transported to any region, including remote areas of the North and Siberia, zones of environmental distress, and the shelf life of dietary supplements significantly exceeds those of traditional and modified food products.

History of the problem

In addition to the issue of changing the existing vicious nutrition system, which has become acute in all countries over the past 20 years, there were other reasons that led to the rapid development of a new field of knowledge bordering between dietology and pharmacology, which was called pharmaconutrition, or the science of treatment with individual micronutrients and their balanced complexes ( and not classic food, as is typical for diet therapy).

Firstly, serious discoveries were made in the field of nutrition itself, which significantly expanded our understanding of essential nutritional factors and almost doubled their total number. Secondly, this was facilitated by the successes of bioorganic chemistry and biotechnology, which made it possible to obtain biologically active components in a sufficiently purified form from almost any biosubstrate (plant, animal, mineral). Thirdly, it is necessary to note the successes of pharmacology, which has deciphered the pharmacodynamics and pharmacokinetics of most essential nutritional factors. Fourthly, the production of dietary supplements for a number of manufacturers turned out to be simply more economically profitable compared to synthetic drugs, since the production itself is much cheaper, and the population (with the appropriate level of information support) constantly buys supplements for preventive purposes, unlike drugs, purchased only in the presence of a specific disease.

Currently, in developed countries around the world, experiencing the same problems with unbalanced diets as Russia, dietary supplements are produced and consumed on a huge scale, which has significantly influenced the level of health of entire nations.

Russia also, despite the difficult economic situation, is taking a number of measures to widely introduce proven foreign dietary supplements and, of course, to produce domestic ones. It should be noted that certain successes have already been achieved along this path: the “State Program in the Field of Nutrition” was drawn up taking into account the widespread use of dietary supplements, interesting Russian developments in this area have appeared, thanks to the efforts of doctors and the media, a whole group of people has emerged who systematically use dietary supplements for the purpose of prevention, many medical institutions have begun to show interest in this group of drugs from the point of view of their use in complex treatment and rehabilitation. However, unfortunately, due to the lack of relevant methodological literature and special periodicals on this issue among specialists, and the lack of a course on pharmaconutrition in the higher education system, our country in terms of the scale of use of dietary supplements still continues to lag behind economically developed countries by almost an order of magnitude.

Definition, modern classification and role of dietary supplements

According to Order No. 117 of the Ministry of Health of the Russian Federation dated April 15, 1997 "On the procedure for examination and hygienic certification of biologically active food additives", biologically active food additives are concentrates of natural or natural-identical biologically active substances intended for direct intake or inclusion in the composition food products in order to enrich the human diet with individual bioactive substances and their complexes. Dietary supplements are obtained from plant, animal and mineral raw materials, as well as by chemical or biotechnological methods. These also include enzyme and bacterial preparations (eubiotics), which have a regulating effect on the microflora of the gastrointestinal tract. Dietary supplements are produced in the form of extracts, infusions, balms, isolates, powders, dry and liquid concentrates, syrups, tablets, capsules and other forms. Using dietary supplements allows you to:

  • It is quite easy and quick to compensate for the deficiency of essential nutrients, primarily micronutrients;
  • regulate caloric intake and appetite, thus influencing body weight;
  • purposefully change the metabolism of individual substances, in particular endogenous and exogenous toxins;
  • maintain the normal composition and functional activity of intestinal microflora;
  • increase the body’s nonspecific resistance to the effects of adverse environmental factors;
  • obtain a mechanism for a non-drug and safe way to regulate and support the function of individual organs and systems.

    Based on their composition, mechanisms of action and indications for use, dietary supplements can be divided into two large groups - nutraceuticals and parapharmaceuticals.

    Nutraceuticals are means for replenishing the deficiency of essential (irreplaceable, i.e. not synthesized in the human body and obtained only with food) nutritional factors:

  • vitamins and vitamin-like substances;
  • macro- and microelements;
  • polyunsaturated fatty acids;
  • essential amino acids;
  • dietary fiber.

    Distinctive features of dietary supplements of this group:

  • are products produced using food (non-pharmaceutical) technologies;
  • can be used continuously for the purpose of prevention without side effects;
  • As a rule, they have a nonspecific general health-improving effect;
  • usually have no contraindications.

    However, taking into account the specific role of a number of essential nutritional factors in the etiology and pathogenesis of many diseases, in case of already developed pathology, nutraceuticals become effective tools for therapy and rehabilitation, often no less effective than a number of pharmaceuticals, while maintaining their most important advantage - safety during long-term use. Thus, polyunsaturated fatty acids are actively used as anti-inflammatory, antiplatelet and ulcer-healing agents, vitamin-like substances coenzyme Q10 and L-carnitine as cardiotonics, amino acids methionine and cysteine ​​as hepatoprotectors, microelements chromium and zinc as hypoglycemic agents.

  • individualize the diets of specific people depending on their needs by gender, age, intensity of physical and mental activity, biorhythms, phenotype and genotype, characteristics of the physiological state in a specific period of time;
  • quickly and effectively eliminate emerging imbalances in individual nutrients and their groups, associated with both individual nutritional disorders and endemic micronutrient deficiencies;
  • correct disrupted metabolic processes in people suffering from chronic diseases, primarily of a metabolic nature (obesity, atherosclerosis, diabetes, osteoarthritis, gout);
  • facilitate absorption and increase the amount of nutrients supplied to patients suffering from chronic diseases of the gastrointestinal tract, accompanied by biliary dyskinesia, dysbacteriosis, dumping syndrome, and malabsorption;
  • enhance the processes of inactivation, binding and elimination of toxic metabolic products, and above all, in patients living or working in environmentally unfavorable conditions, receiving constant drug therapy with synthetic drugs, suffering from chronic liver and kidney diseases;
  • increase nonspecific immunological resistance and antioxidant protection, thus contributing to the prevention and complex treatment of infectious and oncological diseases.

    Based on their composition, nutraceuticals can be divided into several functional subgroups, differing in the specific tasks they solve:

  • complete or reduced complexes of vitamins, minerals or vitamins with minerals, and in recent years there has been a clear trend toward an increase in the market share of balanced multicomponent preparations, including not only classic vitamins, but also vitamin-like substances (coenzyme Q10, choline, inositol, lipoic acid, L-carnitine, etc.), chelated (associated with amino acids) minerals and their colloidal solutions, which have high bioavailability;
  • antioxidant complexes, including vitamins A, C, E, selenium, bioflavonoids, enzymes superoxide dismutase, catalase, peroxidase and plants with a high content of antioxidants - hawthorn, garlic, ginkgo biloba, blueberries and a number of others;
  • preparations containing polyunsaturated fatty acids (PUFAs) of the omega-3 and omega-6 classes;
  • drugs - sources of phospholipids (various versions of lecithin);
  • preparations with dietary fiber (pectin, microcrystalline cellulose, crustacean chitin, brown algae alginates);
  • monopreparations and complexes of essential amino acids;
  • “daily diet modifiers” containing in a balanced composition highly nutritious complete proteins (most often soy or egg), polysaccharides, polyunsaturated fatty acids, a full range of vitamins and minerals (including microelements), dietary fiber, digestive enzymes and a number of plants - sources of easily digestible forms of micronutrients, such as alfalfa, horsetail, oats, kelp, providing a comprehensive program for correcting nutritional status and weight control that is convenient for doctors and patients;
  • preparations from accumulator plants of a wide range of nutrients (alfalfa, rose hips), algae (kelp, spirulina, chlorella) and beekeeping products (honey, bee pollen), which, in addition to general health benefits, also have an antioxidant, antihypoxic and immunomodulatory effect.

    The use of dietary supplements from the group of nutraceuticals in clinical practice is necessary for doctors of all specialties without exception, since the tasks solved by this group of dietary supplements relate to the fundamental issues of maintaining the constancy of the internal environment and resistance to the adverse effects of external factors of any nature:

  • maintaining the stability of the function of metabolic conveyors,
  • maintaining the constancy of the ionic electrolyte composition;
  • antiradical protection;
  • improvement of microcirculation;
  • reducing the effects of hypoxia;
  • ensuring a high degree of immunological control;
  • maintaining adequate tissue regeneration;
  • maintaining a high degree of energy supply;
  • detoxification of organs and systems.

    As world experience has shown, it is not possible to solve these problems using only synthetic pharmaceuticals, especially at the prevention stage and for long periods of time.

    The second large and no less important and interesting from a clinical point of view group of dietary supplements consists of parapharmaceuticals - a class of drugs that are closer to natural-based drugs than to food and allow a targeted effect on the function of individual organs and systems. Many dietary supplements from this group are distinguished from drugs of a similar composition only by a significantly lower daily dose of active ingredients. If nutraceuticals can be used by patients both on the recommendation of a doctor and in many situations independently, then parapharmaceuticals should be prescribed by a specialist and require additional knowledge from the doctor, primarily in the field of phytopharmacology.

    Very conditionally, this group of dietary supplements can be divided into the following functional subgroups:

  • regulators of the functional activity of organs and systems;
  • immunomodulators;
  • natural antibiotics and antiseptics;
  • eubiotics;
  • enzyme preparations;
  • adaptogens;
  • anorectics (hunger regulators);
  • thermogenics (depot fat mobilizers);
  • detoxifiers.

    The ingredients of dietary supplements of this group, as a rule, are medicinal and food plants growing in Russia and other countries of the world, such as, for example, the well-known hawthorn, ginseng, eleutherococcus, mint, valerian, dandelion, buckthorn, and less familiar, exotic - Asian rosemary (gotu kola), ginkgo biloba, kava kava pepper, cat's claw, sarsaparilla and many others. In addition, to enhance and modify the effect, certain vitamins, minerals, amino acids, bee products (propolis, royal jelly), proteolytic and antioxidant enzymes, omega-3 PUFAs, extracts and extracts from the organs of cattle and hydrobionts are introduced into a number of drugs , homeopathic complexes. The result is often a drug consisting of several dozen components, providing a multifaceted effect. An important advantage of this type of dietary supplement is that the positive properties of the drug are enhanced due to the multicomponent composition. Often, both doctors and patients have reasonable questions about the higher cost of dietary supplements compared to traditional medicinal preparations of a similar composition, which are simply finely chopped and dried parts of plants, the further processing of which occurs at home, most often by extraction with hot water or alcohol. However, when comparing these two groups of dietary supplements with similar composition, they always show greater effectiveness, sometimes differing by an order of magnitude. The answer lies, without a doubt, in technology. As it turned out, the most gentle in terms of preserving the active ingredients and the most complete in terms of their use is finely dispersed (pulverized) grinding of plant parts with special mills after freezing or freeze-drying, rather than extracting the ingredients with water, alcohol or ether. Using the example of many medicinal plants, it has been proven that it is optimal to use the entire complex of substances found in the plant cell, and not individual isolated components. This approach allows you to repeatedly enhance the beneficial properties of raw materials, avoid overdoses, side effects and allergic reactions. Naturally, the high-tech modern production of dietary supplements from the group of parapharmaceuticals, which is approaching the complexity of the production of pharmaceuticals, not only increases their final cost, but also greatly increases clinical effectiveness while maintaining a high degree of non-toxicity.

    Common features characteristic of this group of dietary supplements:

  • application of targeted courses to solve a specific clinical problem in complex prevention, therapy and rehabilitation;
  • in production, as a rule, the use of pharmaceutical technologies;
  • often standardization on the content of the most important ingredients;
  • as a rule, there are contraindications and restrictions for use;
  • the need for monitoring by a doctor over the duration of use, regimen and doses;
  • when applying, it is mandatory to take into account the compatibility of these drugs with medicinal and non-medicinal methods of treatment.

    The role of dietary supplements in clinical practice

    Analysis of numerous literary data in recent years allows us to conclude that the proposed solution to the problem under discussion is a serious tool for the prevention and treatment of cardiovascular diseases, lesions of the gastrointestinal tract, musculoskeletal system, endocrine system and many others. Let us briefly look at the existing experience and prospects for the use of dietary supplements in various fields of practical medicine.

    In cardiology- Dietary supplements containing a number of cardiotropic vitamins and vitamin-like substances, macro- and microelements, amino acids, polyunsaturated fatty acids, ginkgo biloba plants, cayenne pepper, white willow bark, hawthorn, garlic have shown high efficiency in complex therapy and prevention, providing a clinically significant cardioprotective effect , increasing myocardial contractility, normalizing the lipid spectrum of blood plasma, mildly lowering blood pressure, correcting microcirculation disorders, restoring rhythm. Many dietary supplements used to correct disorders of the cardiovascular system, as shown by many years of clinical experience in our country and abroad, are often no less effective than a number of pharmaceuticals traditionally used in the treatment of systemic atherosclerosis, cardiomyopathies, and myocardial dystrophies. A number of so-called “mitochondrial diseases” that lead to profound dysfunction of the heart can be treated only with the use of coenzyme Q10 and L-carnitine.

    In gastroenterology- dietary supplements containing multicomponent protein-vitamin-mineral nutritional complexes, polyunsaturated fatty acids, enzymes, eubiotics, motor regulators, hepatoprotectors, choleretic plants have been successfully used for quite a long time in combination with pharmaceuticals for the treatment and secondary prevention of ulcerative lesions of the gastrointestinal tract, constipation, dysbiosis , enzyme deficiency, biliary dyskinesia, malabsorption syndrome. It should be noted separately the high effectiveness of a number of dietary supplements as a means of complex non-surgical treatment of cholelithiasis, as well as restoration and maintenance of liver function after acute hepatitis, as drugs of choice in the treatment of chronic hepatitis.

    In pulmonology Dietary supplements, as a rule, are auxiliary agents that enhance the effect of antibiotics and neutralize side effects in the form of dysbacteriosis. Many specialists actively use eubiotics, proteolytic enzymes - parapharmaceuticals with expectorant, anti-inflammatory, bronchodilator, mucolytic effects in the complex treatment and prevention of acute and chronic nonspecific diseases of the lungs and bronchi. A number of dietary supplements containing plants with steroid-like effects (yucca, dioscorea, licorice), as well as omega-3 PUFAs and magnesium, have recently been successfully used by a number of clinics as part of drugs for the treatment of bronchial asthma and chronic obstructive bronchitis.

    In rheumatology, taking into account the multiple side effects, and sometimes the direct toxic effects of most basic-action pharmaceuticals, dietary supplements are beginning to play an increasingly important role as promising safe agents for chondroprotection (glucosamine and chondroitin sulfate), reducing the severity of the inflammatory process (omega-3 PUFAs, proteolytic enzymes, plants - devil's claw, tree hydrangea, yucca), immunomodulation (preparations from plants Echinacea, cat's claw, spirulina microalgae, ant tree bark), for effective remineralization (horsetail, kelp, oats). Already now it has become possible to reduce the doses of immunosuppressants and corticosteroids when combined with a number of dietary supplements.

    In endocrinology Dietary supplements are effectively used in monotherapy for overweight patients, in complex therapy of both types of diabetes mellitus (allowing a reduction in the dose of administered insulin and oral hypoglycemic agents), for the prevention and treatment of endemic goiter and hypothyroidism. It is also important that the systemic use of dietary supplements from the group of nutraceuticals is, as many years of scientific research have shown, an effective way to prevent many diseases of the endocrine system.

    In neurological practice Dietary supplements play an important role, ensuring, firstly, the maintenance of an optimal micronutrient composition in the central and peripheral nervous system (neurotropic vitamins, microelements, amino acids, phospholipids), and secondly, the gentle regulation of impaired functions using tonics (Eleutherococcus, shen, aralia, Chinese lemongrass) and sedative (valerian, skullcap, hops, kava kava) plants. Of undoubted interest is the clinical experience of the last few years in the use of the Asian coryfolia plant (gotu kola) for the treatment of intracranial hypertension, the ginkgo biloba plant for the treatment of asthenic syndrome, dyscirculatory encephalopathy, and to delay the progression of senile dementia.

    Interesting clinical results have been achieved in recent years using dietary supplements in complex treatment urinary tract diseases(urolithiasis, chronic pyelonephritis), chronic inflammatory diseases of the male and female reproductive system, infertility, secondary immunodeficiencies, for primary and secondary prevention oncological diseases and improving tolerability of specific treatments. Dietary supplements from the group of nutraceuticals are the most promising in terms of safety and effectiveness for use in obstetrics and neonatology for the correction of disorders of the uteroplacental circulation, the fight against gestosis, anemia of pregnant women and hypogalactia. Considering the strictest anti-doping control at sports competitions, adaptogens of plant origin (ginseng, eleutherococcus, aralia, bee pollen), vitamin and mineral complexes, amino acids are the only acceptable means of increasing physical endurance and strength, officially accepted by the Russian and International Federations of Sports Medicine.

    The widespread introduction of dietary supplements in pediatrics and gerontology, since it is precisely this contingent of patients that often finds it difficult to tolerate even short-term therapy with synthetic drugs, not to mention long-term, sometimes lifelong, treatment with several drugs. The use of natural remedies opens up broad opportunities for preventing polypharmacy, reducing the risk of allergic reactions, the toxic effects of a number of chemotherapy drugs, and significantly reducing the doses used. The so-called states of maladaptation or “pre-disease”, many functional disorders of organs and systems, the consequences of environmental disasters and long-term exposure to occupational hazards can be successfully corrected only with the use of dietary supplement complexes.

    There is no doubt that the further development of a new direction, located at the intersection of pharmacology and nutrition, will lead to even more interesting results in preventive and therapeutic medicine of the new third millennium.

    Dear reader, of course, understands that it is not realistic to present in detail all aspects of the possible use of dietary supplements in various areas of clinical medicine within the framework of one article. For a more complete coverage of this issue, thematic publications on the most pressing issues of private pharmaconutritiology are planned in subsequent issues of the journal “Kremlin Medicine. Clinical Bulletin”.

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  • According to the World Health Organization (WHO), human health depends on: 10% from social conditions, 15% from factors associated with heredity, 8% from medical care conditions, 7% from climatic conditions and 60% from the lifestyle of the person himself.

    Think about it:

    What we eat and drink, what we breathe (we eat and inhale poisons and toxins).

    We move little (muscles and cardiovascular system atrophy).

    We are experiencing stress (acidification of the body by free radicals).

    Perhaps that's enough. It’s amazing how anyone can survive in such conditions! To complete the picture, a few lines from an interview with the Chief Immunologist of the Irkutsk Region, Academician of the EAN B.V. Gorodisky: “A sad truth is revealed to us: the internal environment of the body - blood, lymph - is so polluted that it loses sensitivity to pharmaceuticals. It turns out that pollution of the internal environment interferes with metabolism. The body does not receive the necessary substances from the outside and is not able to remove metabolic products. Current purification methods either do not bring the expected results (hemosorption, plasmaphoresis) or are very expensive (lymphosorption).”

    Therefore, we suggest CONSTANTLY drinking “Strong” herbal tea drinks - they ALL help cleanse the body of toxins. Of course, it is better for adults to start with special cleansers No. 10, 11, 16, 17 or 19.

    For the whole family, including even infants, it is more convenient to brew No. 1, 14.

    Most often, the first signs of many diseases appear several years before the onset of the acute stage. It is very important to be able to MAKE A TIMELY diagnosis. There is no causeless pain, even short-term. The doctor cannot make a diagnosis with a minimum of information (for example, a stabbing sensation in the right side). Incorrect diagnosis makes treatment useless. Observe, think, analyze - no one is more interested in your health than you.

    If a person gets tired quickly, this does not mean old age. This is a warning: something is wrong in the body. The Health Navigator program, adopted by the Russian Ministry of Health in 2003, is aimed at early diagnosis and is being successfully implemented in various regions of Russia with the help of the Longevity consumer society. The President of the Longevity holding, Sergei Yurievich Chudakov, speaks about the program for monitoring the health of healthy people: “The intensification of the preventive focus of domestic healthcare is aimed at finding ways to protect the population from non-transmissible functional diseases and numerous industrial, transport and household injuries, which are the cause of mass disability and premature mortality of the population working age.

    WHO experts have determined and declared that the health of the population is formed under the influence of 4 groups of factors: genetics, ecology, medical service and lifestyle.

    Modern civilization has formed in highly developed countries a certain lifestyle of the population, which is characterized by increased comfort and sterility of the living environment, frequent stress, excess caloric nutrition and an extremely low level of physical activity.

    Medical observations state that a significant part of the population experiences dystrophy of the muscular system and hypertrophy of adipose tissue, increasing allergy dependence, poor protection from viral attacks, high blood pressure and rapid heartbeat.

    Modern civilization has freed many people from the need to perform physical work using muscular effort. A lack of movement constantly leads many organs to ineffective functioning, chronic atrophy and organic disease.

    The structure of the bones is demineralized, their strength decreases, and a deficiency in the production of red blood cells occurs, which negatively affects the quality of the blood.

    Adaptation of the heart and blood vessels to a sedentary lifestyle results in a decrease in the size of the heart, a reduction in the diameter of the main arteries and a decrease in the number of functioning capillaries.

    The Holding Longevity group of companies is engaged in comprehensive provision of health and active longevity programs. The main areas of activity are: medical, health and educational programs. The concept is based on the process of preserving and strengthening human health, which can only be achieved through the joint efforts of the doctor and the patient, which must be built on the basis of objective knowledge about the state of one’s body and clear medical recommendations for the use of adequate health measures and lifestyle correction. Longevity specialists actively use family medicine programs, conduct face-to-face and remote consultations with leading Moscow specialists in the field of natural medicine in all specialties, perform a full range of unique diagnostic services combining methods of European and Oriental medicine, implement targeted longevity and rejuvenation programs using natural remedies and methods. medicine.

    Using the Health Navigator technology approved by the Ministry of Health, a detailed description of the functional reserves of organ systems and the human body as a whole is provided in a form that is quite understandable for the average person. This makes it possible to monitor the age-related dynamics of health, identify early signs of functional deficiency of the neuromuscular, skeletal, respiratory and cardiovascular systems, intensify targeted prevention and significantly reduce the incidence of disease in the population of all age groups, especially young people. The safe correction tools developed at Longevity make it possible to restore people’s health for a long time, regardless of the initial state.”

    I am proud to announce that Omsk tea drinks “Strong!” are also included in the list of safe correction means that allow you to restore health.

    Separately about children. Very briefly, because good parents have probably read a lot on this topic. And for the unlucky ones, perhaps the brief information will give an impetus to action; they won’t read much. Very simple truths, around which there is no longer even debate among the luminaries of medical science.

    1. A child cannot be made a vegetarian from birth. Without receiving essential amino acids for up to five years, he will grow up mentally handicapped, and then this cannot be corrected.

    2. Modern products do not contain enough vitamins and minerals. Therefore, if you want to raise a child who is fully functional physically and mentally, take care of this from an early age.

    Once I listened to a speech by nutritionist and biochemist Konstantin Demidov about dietary supplements. He talked about a young mother who refused to give her child medications containing macro- and microelements so necessary during the growth period: “By declaring that you do not want to experiment, you are conducting a cruel experiment on yourself and your family, leaving yourself and them to the mercy of fate.

    Give your child the opportunity to develop a powerful intellect and good health. This is possible up to 12 years of age. And only then - what grew, grew. Calcium, iodine, and zinc are necessary during the growth period. Under conditions of oxidative load, iron becomes one of the first places. The health of your children is in your hands! It's time to act!"

    I don’t have a first aid kit at home - I just don’t need medicine. But vitamins, minerals, dietary supplements are necessary even for those who drink healing herbal teas. For myself, I chose products from different companies (see Appendix 4). This is not so important - there are many companies offering high-quality vitamins and dietary supplements. However, I decided that I could most trust companies that have been on the market for a long time.

    It is not difficult to teach a child from early childhood not to be poisoned by soda, black tea and coffee; there is an excellent substitute - freshly squeezed juices, delicious herbal teas No. 14, 1, 3, 17, 19, Sikanjubin balm and REGULAR FILTERED WATER.

    No. 14 “KARAPUZ” (FOR MOTHERS AND CHILDREN) Tea for pregnant women, nursing mothers and children (of any age). Alleviates toxicosis during pregnancy, promotes the bearing of healthy offspring. Increases lactation in nursing mothers. Improves digestion and sleep in capricious and often ill children. Helps cope with postpartum depression.

    No. 1 “HEALTH” (GENERAL STRENGTHENING, ECOLOGICAL) We recommend drinking it to those who live in difficult environmental conditions, and this is ALL city residents and the majority of village residents. The drink is useful for general weakening of the body, after illnesses, before and after surgery (the herbs included in the tea have restorative, immunomodulatory, antitoxic, regenerative properties, and enhance the therapeutic effect of medications).

    No. 3 “SPRING” (VITAMIN) This vitamin drink is especially useful for winter-spring vitamin deficiency, and is also necessary for frequently ill children. We recommend that EVERYONE use this drink in the pre- and post-operative period to reduce the harmful side effects of medications.

    No. 17 “FLIGHT” (VASCULAR STRENGTHENING, ANTI-SCLEROTIC) Just as a powerful torch disperses darkness, so “FLIGHT” clears the bloodstream of the vessels, makes them elastic, fights atherosclerosis, disorders of the blood supply to the heart muscle and brain. Tea is also useful for varicose veins and hemorrhoids. Relieves headaches, improves memory, vision, hearing.