CARIBBEAN TODAY 11 6 n t T 91 Fit to a tea: green or black, they pack punch GREG ISAACSON The leaves of the camellia sinensis plant contain an array of bioactive sub- stances, but scientific interest is brewing over the medicinal properties of antioxidant polyphenol compounds known as flavonoids. In green, or unprocessed, tea, the most potent are the catechins. As tealeaves are fer- mented by air exposure to pro- duce black tea, the catechins are transformed into theaflavins and thearubigins. Though all have benefits for brain and body, it may be best to consume a variety of teas. GREEN TEA 1. Arthritis: Epigallocatechin gallate (EGCG) inhibits inflammation, bone erosion, and joint damage from rheumatoid arthritis. 2. Cancer: Populations that drink green tea have lower rates of cancer. EGCG com- bats free-radical cell damage and activates p57, a protein that protects healthy cells. 3. Cholesterol: Lowers total cholesterol and raises good HDL cholesterol. 4. Intestinal inflammation: EGCG has potent anti-inflam- matory properties that could help treat inflammatory bowel disease. 5. Liver disease: Lowers risk of developing liver disorders in men. May also protect liver against damaging effects of alcohol. A cup of tea offers many health benefits. 6. Sunburn: EGCG mitigates sunburn reaction. May protect against skin cancer. BLACK TEA 1. Bone health: May increase bone mineral density. 2. Cancer: May reduce risk of many cancers. Theaflavin-3'- monogallate (TF-2) acts as a COX-2 inhibitor to suppress cancer cells. 3. Cholesterol: Drinking five cups of black tea per day low- Finding ways to stop DR. HARVEY B. SIMON .- Question: I know I should quit smoking. I'm 27 years old and just started three years ago. I always believed I could quit any time I wanted. Now, almost four months have gone by since I made my New Year's resolu- tion to give it up for good. But I am still smoking a pack per day. What can I do? Answer: In addition to nicotine replacement you can buy with- out a prescription, your doctor has additional tools to help you quit. Two forms of nicotine replacement require a pre- scription. Nicotine inhalers (Nicotrol Inhaler) Each cartridge deliv- ers a "puff" of vapor contain- ing four mg of nicotine through a plastic holder. The holder may help satisfy a smoker's oral urge. The average dose is six to 16 cartridges a day for up to 12 weeks, followed by a gradual reduction in dose over the next 12 weeks. Most of the nicotine is absorbed through the mouth, not the lungs. Side effects may include mouth or throat irrita- tion and cough. Nicotine nasal spray (Nicotrol NS) Each spray delivers 0.5 mg of nicotine. Use one spray in each nostril when you feel the urge to smoke, up to a maximum of 10 sprays an hour or 80 a day for three months. Side effects may include nasal irritation, sneez- ing, tearing, and cough. DRUGS Many smokers need more than just nicotine replacement and behavioral therapy to stop smoking. Two of the drugs pre- scribed most often are bupropi- on (Wellbutrin, Zyban) and varenicline (Chantix). Bupropion (Wellbutrin) - This antidepressant was approved for smoking cessa- tion under the name Zyban. It doesn't contain nicotine and can be used in combination with nicotine replacement therapy. Start taking bupropi- on one to two weeks before your quit date. The dose for the first three days is 150 mg once a day, then 150 mg twice a day for the next eight to 12 weeks or longer if needed. Bupropion may help prevent weight gain after quitting. Side effects may include dry mouth and insomnia; seizures are very rare. Varinicline (Chantix) - This is the newest drug approved for smoking cessa- tion. Although experience is ers total cholesterol and bad LDL cholesterol. 4. Heart disease: Helps lower blood pressure. May reverse endothelial dysfunction; also reduces blood platelet activa- tion. Note: Adding milk to tea cancels the beneficial effect. 5. Stress: Speeds recovery from stressful events, reducing levels of cortisol and diminishing blood platelet activation. BOTH 1. Brain health: Catechins in both green and black tea (although more concentrated in green tea) protect against buildup of amyloid deposits, implicated in Alzheimer's and other age-related neurodegen- erative diseases. 2. Diabetes: Improves glucose tolerance in borderline diabetics. 3. Oral health: Rich in fluoride, which protects against cavities. Theobromine found in teas appears to strengthen teeth and protect against cavities better than fluoride. Added to chewing gum, green tea extract protects gum tissue and stimu- lates salivary glands. 4. Weight control: Catechins stimulate thermogenesis, boosting fat metabolism and calorie expenditure. smoking still limited, it appears to be the most effective quit-smok- ing drug. It blocks nicotine receptors in the brain while also partially stimulating these receptors to reduce nicotine withdrawal symptoms. The usual dose is 0.5 mg once a day for the first three days, then 0.5 mg twice a day for four days, followed by the full dose of one mg a day for 12 weeks or longer. The dose should be lowered in patients with severe kidney disease. Nausea is com- mon and bad dreams may occur. Contact your doctor if you experience behavior or mood changes. Smoking is the top threat to public health. So if you smoke, quitting should be your top priority. Over 45 million Americans have quit smoking and you can, too. Dr. Harvey B. Simon is an associate professor of medi- cine at Harvard Medical School and a member of the Health Sciences Technology Faculty at Massachusetts Institute of Technology. For additional consumer health information, please visit www. health., harvard edu. 2008 President and Fellows of Harvard College. All rights reserved Distributed by Tribune Media Services, Inc. 2008 Sussex Publishers, Inc. All rights reserved. HAVANA, Cuba, CMC Cuba and Antigua and Barbuda have signed a memorandum of understanding (MOU) provid- ing a legal framework for the free eye surgery program, "Operation MIraj.k that has already benefited more than 1,000 patients from the English- speaking Caribbean nation. The document was signed by Cuban Health Minister Ramon Balaguer and Antigua Prime Minister Baldwin Spencer, who was on an official visit to the country at the invi- tation of President Raul Castro last month. Balaguer told the Cuban News Agency (ACN) that Spencer was particularly inter- Distributed by Tribune Media Services, Inc. 0 ested in the Cuban experience in the treatment of diabetes, a disease that is significantly affecting the people of the twin-island federation. The prime minister also expressed his interest in increasing cooperation in the training of Antiguan nursing personnel in Havana. 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