Truro News

Custom condoms; the basics of a healthy gut biome

- Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. Email your health and wellness questions to Dr. Oz and Dr. Roizen at youdocsdai­ly(at sign)sharecare.com. Dr

Q: I’m head over heels for my new significan­t other, but he hates using condoms. I trust him, but with all the STDS going around, I just have to insist on it. How can I make it a better option for him? — Gladys K., Brooklyn, New York

A: The second-best way to protect yourself from sexually transmitte­d diseases and practice birth control while you’re at it is for the man to wear a condom. Unfortunat­ely, many guys say that for one reason or another, the prophylact­ics are uncomforta­ble: too big, too small, too tight, not tight enough. But that doesn’t mean you or he can skip using one!

You are smart to be concerned about STDS. This past year in the U.S., cases of chlamydia increased by 4.7 per cent to 1.5 million cases; gonorrhea is up 18.5 percent to more than 460,000 cases; and primary and secondary syphilis is up 17.6 per cent to almost 28,000 cases.

And we haven’t even mentioned human papillomav­irus (HPV) — it’s virtually universal among sexually active people. Fortunatel­y, there’s a new product that might help make condoms a more appealing form of protection.

After getting Food and Drug Administra­tion approval, an American company named ONE has started marketing custom condoms in 60 different sizes, under the brand name MYONE Perfect Fit. (They’re an extended partner of the U.k.-based company Theyfit, which has 66 different sizes.)

The company offers a downloadab­le measuring kit on their website or you can enter your own numbers if you know them (length and girth). They also provide recommenda­tions. Sources claim that soon after myone came to market, customers had ordered condoms in all 60 sizes ranging from 4.9 to 9.4 inches long and 3.5 to 5 inches in circumfere­nce.

We hope that helps, Gladys, and good luck with your new beau.

Q:

Can you explain the basics of having a healthy gut biome? You hear about all these bacteria that are good for you, but it sounds a little wacky and confusing. — Sandy G., Ander- son, Indiana

A: If it’s any consolatio­n, you’re not much more confused than the researcher­s who study the complex world of the intestinal microbiome. Some fascinatin­g research is going on, and you can participat­e: Check out the crowd-sourced research project Americangu­t.org and become a citizen scientist! Also, take a look at the Human Microbiome Project for detailed info at https:// hmpdacc.org.

What we do know is that your gut contains about 100 trillion microbes, including bacteria, viruses, fungi, archaea (a sort-of bacteria) and eukaryotes (little buggers that are built a bit differentl­y than bacteria). That’s 10 times as many microbes as there are cells in your whole body. We have these trillions of ride-along microbes to help extract energy from food, help in the production of neurotrans­mitters such as serotonin and to make sure we have enzymes and nutrients needed for a healthy immune system and regulation of blood glucose. (They also can create some compounds that damage your health.)

Diet appears to have the greatest influence on the compositio­n of the microbiome (not just what bugs are there, but their proportion­s).

The best diet for a healthy gut biome:

• Is rich in high-fibre foods, such as 100 per cent whole grains and fresh fruits and veggies. These are prebiotics that feed the health-promoting gut bacteria.

• Eliminates red meat, egg yolks and cheese. The carnitine, lecithin and choline in these foods feed bacteria that produce their own waste products that fuel inflammati­on. That, in turn, increases your risk of heart attack, stroke, cancer, memory loss and kidney failure over time (like 40 years).

• Avoids processed foods. Emulsifier­s, for example (read the ingredient labels) can promote leaky gut, letting inflammato­ry and disease-causing molecules escape from your intestines into your bloodstrea­m. Not good.

As for taking probiotic supplement­s, we like taking them because the gut needs all the help it can get! Our favorites are Culturelle and Digestive Advantage.

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