Wednesday, February 18, 2009

Diabetic Goodie Book or Menopause and the Mind

Diabetic Goodie Book

Author: Kathy Kochan

Gone are the days of making two separate after-dinner desserts, one for those with diabetes and one for those without. The 190 recipes in this title will meet everyone's sweet tooth as they are high in flavor and low in fat, sugar, and calories. Recipes include cakes, cookies, bars, coffee cakes, scones, muffins, puddings, pies, and cheesecakes. No artificial sweeteners are used. 256 pp.



Look this: Espiritu Santo de Zuniga or Cant Boil Water

Menopause and the Mind: The Complete Guide to Coping with the Cognitive Effects of Perimenopause and Menopause - Including Memory Loss, Foggy Thinking and Verbal Slips

Author: Simon and Schuster Staff

Are you between the ages of 35 and 60 and having trouble remembering your best friend's phone number? If this sounds familiar to you, take heart: Claire Warga's help and advice are on the way.

In this groundbreaking book, Dr. Warga, a neuropsychologist, identifies the "mind misconnect" syndrome that causes unsettling events during perimenopause and menopause, noting that they are not signs of imminent madness but a natural part of aging.

Drawing upon cutting-edge brain research and many never-before-described cases, Warga provides the first scientific explanation for why the symptoms occur and reveals how they can be reversed or alleviated. She provides a self-assessment test to help readers determine whether they are experiencing "mind misconnect" syndrome and offers important information and advice on estrogen replacement therapy as well as non-hormonal treatments that mimic estrogen's mind-boosting effects. Her self-screening test, symptom chart, and treatment measurement technique are important tools every woman can use to assess her condition and progress over time, with or without her ob/gyn.

Kate Murphy Zeman

Many well-informed women going through menopause today greet hot flashes without surprise, step up calcium intake to guard against weakening bones, and consider hormone therapy to ease symptoms and protect their hearts. But what most of them never expected are an assortment of behavioral and cognitive effects ranging from memory loss to difficulty concentrating to verbal lapses. Neuropsychologist Claire Warga writes in her new book, Menopause and the Mind, that she first began to notice these behavioral symptoms in her patients; when she started to see them among a wide variety of women she knew socially, she got curious enough to do some research at a medical library on menopause and the mind. She turned up nearly nothing, but when she began to look for information on estrogen's effects on the brain, she hit paydirt -- a wide variety of recent studies that had begun to explore changes in memory and attention caused by estrogen loss. As she began to track down researchers and talk to organizations like the American College of Obstetrics and Gynecology and the North American Menopause Society, she was dismayed to find that while the new research was becoming widely known, the connection with behavioral symptoms during menopause was largely still unrecognized, and that the organizations were waiting for consensus to form before making any recommendations to their members.

Meanwhile, the critical information wasn't making its way to the women suffering the cognitive effects of declining estrogen levels, women who in many cases, Warga reports, had such noticeable lapses that they worried they might have early-onset Alzheimer's or a brain tumor. Warga began to get the message out with a 1997 New York magazine cover story; in her groundbreaking book, she expands on that story to describe in detail the cognitive symptoms that can be associated with perimenopause and menopause, to cover the scientific findings on estrogen and the brain, and to explore treatment options for women experiencing these behavioral effects. An extensive section of the book presents screening techniques and self-tests so readers can determine whether it's likely they are suffering from the syndrome Warga has named WHMS -- Warga's Hormonal Misconnection Syndrome. She emphasizes that though some of these effects are strange, they are normal in the same way that hot flashes are normal, and they need not go unrelieved. Treatment options she discusses include various forms of hormone replacement therapy, dietary changes, and memory enhancement exercises. Menopause and the Mind is at once a wake-up call to a medical establishment that has been woefully slow in responding to what is clearly a serious biological effect of menopause and a survival guide for the women experiencing it; it's an empowering addition to the library of any woman over 30 who wants to take control of her heath and mental well-being for years to come.

--Kate Murphy Zeman

Library Journal

Mood swings and other more severe psychological disorders during perimenopause have already been documented and attributed to estrogen deprivation (Marcia Lawrence's Menopause and Madness, LJ 4/15/98). Here, neuropsychologist Warga focuses on the cognitive deficits that result from estrogen loss, detailing such changes as losing one's train of thought, the "what did I come here for" sensation, having the wrong words pop out, reversing words while speaking, briefly forgetting how to do things, and experiencing erratic fine motor coordination. She postulates the existence of Warga's Hormonal Misconnection Syndrome to describe these symptoms and suggests remedies--hormone replacement therapy as well as nonhormonal approaches involving glucose, antioxidants, anti-inflammatory agents, aerobic exercise, and behavioral training. Although one might chide the author for naming her theory after herself, her book is reassuring and worthwhile. Recommended for consumer health and health sciences collections.--Linda M.G. Katz, Allegheny Univ. of the Health Sciences Lib., Philadelphia

Kirkus Reviews

A significant heads-up for women over 30, along with reassurance and a detailed action plan: yes, there are measurable cognitive changes that occur in midlefe as a result of changing hormone levels, and yes, there are pharmaceutical, dietary, and other measures that can be taken to alleviate or even reverse the changes. Warga, a neuropsychologist, aims this book at educating women and their physicians, as well as pointing health-care researchers in the right direction for more thorough investigation. The root cause of the syndrome (which Warga dubs Warga's Hormonal Misconception Syndrome, WHMS) is dropping estrogen levels. It includes a range of intermittent disturbances or lapses in memory, speech, attention, behavior, or thinking. Part two of this volume looks at the cause: Warga explains clearly the current understanding of the neurochemical interplay between estrogen and the brain. Part three sets out thorough screening tools for self-diagnosis. In part four, Warga gives extensive, thorough advice on alleviating the symptoms and correcting the cause: hormone replacement therapy, glucose, phytoestrogens, antioxidants, antiinflammatories, along with mental exercises and drills, and learning new ways of focusing on tasks. Choosing the right health-care provider is paramount: choose someone who is knowledgeable about the existing evidence, understanding of the problem, and alert to new treatment options. This book offers validation and hope for those affected by the syndrome. A welcome, emminently worthwhile guide.



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