Prevent and Reverse Heart Disease

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Author :
Publisher : Penguin
ISBN 13 : 1583333002
Total Pages : 329 pages
Book Rating : 4.5/5 (833 download)

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Book Synopsis Prevent and Reverse Heart Disease by : Caldwell B. Esselstyn Jr. M.D.

Download or read book Prevent and Reverse Heart Disease written by Caldwell B. Esselstyn Jr. M.D. and published by Penguin. This book was released on 2008-01-31 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New York Times bestselling guide to the lifesaving diet that can both prevent and help reverse the effects of heart disease Based on the groundbreaking results of his twenty-year nutritional study, Prevent and Reverse Heart Disease by Dr. Caldwell Esselstyn illustrates that a plant-based, oil-free diet can not only prevent the progression of heart disease but can also reverse its effects. Dr. Esselstyn is an internationally known surgeon, researcher and former clinician at the Cleveland Clinic and a featured expert in the acclaimed documentary Forks Over Knives. Prevent and Reverse Heart Disease has helped thousands across the country, and is the book behind Bill Clinton’s life-changing vegan diet. The proof lies in the incredible outcomes for patients who have followed Dr. Esselstyn's program, including a number of patients in his original study who had been told by their cardiologists that they had less than a year to live. Within months of starting the program, all Dr. Esselstyn’s patients began to improve dramatically, and twenty years later, they remain free of symptoms. Complete with more than 150 delicious recipes perfect for a plant-based diet, the national bestseller Prevent and Reverse Heart Disease explains the science behind the simple plan that has drastically changed the lives of heart disease patients forever. It will empower readers and give them the tools to take control of their heart health.

Beat the Heart Attack Gene

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Author :
Publisher : Turner Publishing Company
ISBN 13 : 1630260568
Total Pages : 232 pages
Book Rating : 4.6/5 (32 download)

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Book Synopsis Beat the Heart Attack Gene by : Bradley Bale

Download or read book Beat the Heart Attack Gene written by Bradley Bale and published by Turner Publishing Company. This book was released on 2014-02-04 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: A revolutionary, personalized guide to preventing heart disease—America’s #1 killer Heart disease is the #1 cause of death in America. It affects 81 million Americans and is the culprit in one of every two deaths in the United States. Most people think that they are not at risk of a heart attack if they control their cholesterol and blood pressure, but they aren’t aware of other major risk factors. The good news is that with the right information and strategies, heart attacks are preventable—even if heart disease runs in the family. In Beat the Heart Attack Gene, world-renowned cardiovascular specialists Bradley Bale, MD and Amy Doneen, ARNP, present a new model for understanding and preventing heart disease. They explain the three different genetic types of cholesterol profiles and tailor treatments for each type, using their cutting-edge Bale/Doneen Method, a comprehensive, evidence-based medical treatment plan that detects cardiovascular disease (CVD) at early stages and stabilizes it with individualized medical and lifestyle therapy. Beat the Heart Attack Gene includes easy quizzes and self-tests that show how to determine cholesterol genotype as well as advice for how to apply that knowledge through and individualized lifestyle advice. For heart attack and stroke survivors, the Bale/Doneen Method also helps prevent recurrences by identifying and treating what's triggering the patient's disease—a crucial step that many cardiologists neglect. With their proven method utilized by healthcare professionals worldwide, Bale and Doneen empower readers by alerting them to potential health threats, and then offer personalized strategies so they can live healthy, active lives without fear of heart attack or stroke. Specifically, Beat the Heart Attack Gene addresses: *The hidden cause of most heart attacks *Early prevention methods *The dangerous cholesterol most doctors don’t check *Major red flags for heart attack and stroke risk, including gum disease *The genes that increase cardiovascular risk as much as smoking *The best and worst supplements and foods for your heart *10 surprising ways to prevent heart attacks

Healthy Heart, Healthy Brain

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Author :
Publisher : Little, Brown Spark
ISBN 13 : 0316705578
Total Pages : 397 pages
Book Rating : 4.3/5 (167 download)

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Book Synopsis Healthy Heart, Healthy Brain by : Bradley Bale

Download or read book Healthy Heart, Healthy Brain written by Bradley Bale and published by Little, Brown Spark. This book was released on 2022-03-15 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: Boost your cardiovascular health, optimize your mental strength, and prevent and reverse arterial disease with this personalized plan from the founders of the renowned Heart Attack & Stroke Prevention Center –– “you’ll want to read every page” (Amen). Did you know that every forty seconds, someone in the US suffers a heart attack or stroke, and every sixty-five seconds someone develops dementia? The culprit is cardiovascular disease—and rates are soaring in younger, seemingly healthy people. Busting every myth we have about cardiovascular health, including that women are less likely to suffer from heart attacks and strokes, world-renowned cardiovascular specialists Bradley Bale, MD, and Amy Doneen, DNP, have pioneered a lifesaving method to prevent these devastating events—and reverse the disease that causes them. The BaleDoneen Method transcends the medical silos of cardiology, neurology, endocrinology, and others with a holistic approach designed to protect and optimize the health of the heart, brain, and other vital organs, as well as the blood vessels that supply them. With laser-sharp focus, Bale and Doneen provide the latest research on how your oral health is contributing to the decline of your heart. Captivating and revolutionary, Healthy Heart, Healthy Brain is a unique and comprehensive program to prevent chronic diseases and memory loss in people of all ages regardless of their body type, medical history, or genes. Offering a roadmap to lifelong arterial wellness, it includes: Precision medical methods to prevent diseases of aging The best and worst supplements and foods for your heart Ten lifestyle moves that lower dementia risk by 35 percent Information about genes that raise cardiovascular risk as much as smoking The top ten heart attack prevention tips for women Healthy Heart, Healthy Brain will equip you with the knowledge you need to approach your healthcare as an empowered and informed patient.

Healthy Heart Cookbook

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Author :
Publisher : Black Dog & Leventhal
ISBN 13 : 1603763759
Total Pages : 1193 pages
Book Rating : 4.6/5 (37 download)

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Book Synopsis Healthy Heart Cookbook by : Joseph C. Piscatella

Download or read book Healthy Heart Cookbook written by Joseph C. Piscatella and published by Black Dog & Leventhal. This book was released on 2013-01-05 with total page 1193 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the millions of Americans living with heart disease, The Healthy Heart Cookbook provides hundreds of delicious and healthy recipes for all the family favorites, from hamburgers to pancakes! In The Healthy Heart Cookbook, Joe Piscatella, a heart patient himself, who has turned his life and health around by following a healthy diet, 700 of the BEST recipes from Joseph C. Piscatella's five cookbooks (which have more than 2,000,000 copies in print and are used by more than 5,500 hospitals). The 700 recipes -- which range from Taco Pizza to Grilled Teriyaki Salmon to marinated flank steak and Chocolate Pudding -- are quick-to-fix and delicious. Based on guidelines from the American Heart Association, each recipe includes nutritional breakdowns, and the 1000-plus-entry fat-gram counter for common foods makes healthy substitutions a breeze. Perfect for the whole family!

How to Prevent Your Stroke

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Author :
Publisher : Vanderbilt University Press
ISBN 13 : 9780826515377
Total Pages : 246 pages
Book Rating : 4.5/5 (153 download)

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Book Synopsis How to Prevent Your Stroke by : J. David Spence

Download or read book How to Prevent Your Stroke written by J. David Spence and published by Vanderbilt University Press. This book was released on 2006 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: Live-saving advice is given for those at risk of their first stroke and those who have already had a mini-stroke--the #1 risk factor facing survivors.

Diabetes and Heart Healthy Cookbook

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Author :
Publisher : American Diabetes Association
ISBN 13 : 1580405185
Total Pages : 222 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Diabetes and Heart Healthy Cookbook by : American Association

Download or read book Diabetes and Heart Healthy Cookbook written by American Association and published by American Diabetes Association. This book was released on 2014-05-13 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes puts people at a very high risk of having a heart attack or stroke. To address this problem, the American Heart Association and the American Diabetes Association created a heart-healthy cookbook for people with diabetes. Now, it's back in an all-new and expanded edition, including new recipes, twists on previous favorites, updated meal planning advice, and a beautiful new design. It's truly a one-of-a-kind cookbook packed with delicious recipes people will genuinely enjoy! Every recipe is low fat, carb controlled, and sodium conscious. Most importantly, every recipe tastes great. Recipes include everything from appetizers and breakfasts to dinners and desserts. With cardiovascular disease ranking number one on the list of diabetes-related complications, this is the must-have cookbook for anyone who wants to pump up his or her heart health! And it's great for those with prediabetes or people just looking to eat heart-healthier, too. The original Diabetes and Heart Healthy Cookbook was a bestseller and a reader favorite. With new and updated recipes and an all-new look, this new edition is better than ever.

Heart Attack Proof

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Author :
Publisher : BenBella Books, Inc.
ISBN 13 : 1936661888
Total Pages : 290 pages
Book Rating : 4.9/5 (366 download)

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Book Synopsis Heart Attack Proof by : Michael Ozner

Download or read book Heart Attack Proof written by Michael Ozner and published by BenBella Books, Inc.. This book was released on 2012-04-03 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: A combination of the newest blood tests, medications, and nutrition approaches have made coronary heart disease preventable, but for most of us, it's still not a question of if, but when. Renowned and leading preventive cardiologist Michael Ozner says there's no reason to wait until you have a heart attack or stroke. In Heart Attack Proof, Dr. Ozner shares the same six-week cardiac makeover to prevent and reverse heart disease he has been successfully giving his patients for more than 25 years. Even if you've been diagnosed with heart disease or have undergone surgery, you can still improve your condition; his easy week-by-week plan arms you with the latest science and research to make you virtually heart attack proof. Learn: In Week 1: What new blood tests can uncover hidden risks and save your life In Week 2: How to get started on an exercise routine In Week 3: Effective ways to manage stress In Week 4: Scientifically proven approach to a heart-healthy diet and weight control In Week 5: How to treat and reverse the metabolic risk factors In Week 6: Which vitamins and supplements are beneficial for cardiovascular health Complete with checklists to keep you on track and a heart-healthy 7-day meal plan and recipes, Heart Attack Proof gives you the toolkit to start your six-week journey toward a heart-healthy life!

The High Blood Pressure Solution

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Publisher : Simon and Schuster
ISBN 13 : 1594777950
Total Pages : 330 pages
Book Rating : 4.5/5 (947 download)

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Book Synopsis The High Blood Pressure Solution by : Richard D. Moore

Download or read book The High Blood Pressure Solution written by Richard D. Moore and published by Simon and Schuster. This book was released on 2001-05-01 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: • Proves that the majority of cases of stroke, heart attack, and hypertension can easily be prevented by maintaining the proper ratio of potassium to sodium in the diet. • Updated with scientific evidence from a recent Finnish study showing a 60 percent decline in deaths attributed to strokes and heart attacks. • Provides a comprehensive program for balancing body chemistry at the cellular level. High blood pressure is entirely preventable, without reliance on synthetic drugs. Dr. Moore's approach is simple: by maintaining the proper ratio of potassium to sodium in the diet, blood pressure can be regulated at the cellular level, preventing the development of hypertension and the high incidence of strokes and heart attacks associated with it. Dr. Moore updates this edition with a new preface reporting on the latest scientific research in support of his program. The most striking results come from Finland, where for several decades sodium chloride has been replaced nationwide with a commercial sodium/potassium mixture, resulting in a 60 percent decline nationwide in deaths attributed to strokes and heart attacks. Extrapolated to America, the Finnish statistics would mean 360,000 strokes prevented and 96,000 lives saved every year. Dr. Moore makes it clear that high blood pressure is only one symptom of an entire systemic imbalance. He outlines a safe, effective program that focuses on nutrition, weight loss, and exercise to bring the entire body chemistry into balance. For those currently taking blood pressure medications, he includes a chapter on working with your physician to ensure that any reduction in hypertension drugs can be effected gradually and safely.

American Heart Association Healthy Fats, Low-Cholesterol Cookbook

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Author :
Publisher : Harmony
ISBN 13 : 0553447173
Total Pages : 386 pages
Book Rating : 4.5/5 (534 download)

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Book Synopsis American Heart Association Healthy Fats, Low-Cholesterol Cookbook by : American Heart Association

Download or read book American Heart Association Healthy Fats, Low-Cholesterol Cookbook written by American Heart Association and published by Harmony. This book was released on 2015-12-29 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The classic cookbook for achieving heart health and wellbeing through a diet that is low in cholesterol and saturated fat--updated and revised with 200 recipes (including 50 new to this edition) Lose the bad fats, but not the flavor. Now in its fifth edition, American Heart Association Healthy Fats, Low-Cholesterol Cookbook provides the most up-to-date information on heart health and nutrition. Good-for-you food should also be satisfying, and the American Heart Association reveals how easy it is to replace the bad fats in your diet with healthier ones. This classic cookbook offers more than 200 tempting dishes, 50 of which are new, including: · Fresh Basil and Kalamata Hummus · Triple-Pepper and White Bean Soup with Rotini · Taco Salad · Hearty Fish Chowder · Chicken Pot Pie with Mashed Potato Topping · Balsamic Braised Beef with Exotic Mushrooms · Grilled Pizza with Grilled Vegetables · Stovetop Scalloped Tomatoes · Puffed Pancake with Apple-Cranberry Sauce · Mango Brûlée with Pine Nuts The perfect companion for today’s healthy cook, this indispensable collection of recipes proves you can eat deliciously and nutritiously.

American Medical Association Guide to Preventing and Treating Heart Disease

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Author :
Publisher : Wiley
ISBN 13 : 0470083395
Total Pages : 288 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis American Medical Association Guide to Preventing and Treating Heart Disease by : American Medical Association

Download or read book American Medical Association Guide to Preventing and Treating Heart Disease written by American Medical Association and published by Wiley. This book was released on 2007-12-10 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: More Than 3 Million American Medical Association Books Sold. American's most trusted medical authority shows you how to prevent and treat heart disease. When you or someone you love is diagnosed with cardiovascular disease, it's important to know the facts, which can help save a life. In the American Medical Association Guide to Preventing and Treating Heart Disease, you will learn everything you need to know about heart disease to ensure a long, full, and active life. Authoritative and up to date, the American Medical Association Guide to Preventing and Treating Heart Disease explains the most common forms of heart and blood vessel disease and lays out practical strategies to get you on the road to better health. The book also provides up-to-date information on women and their unique heart disease risks and symptoms as well as information on hart6-healthy eating, including the National Heart, Lung, and Blood Institute's DASH diet. Even if heart disease runs in your family, you can still lower your risk of developing it by following the simple guidelines found in this comprehensive resource. For every 3 pounds you lose, there is a corresponding drop of about 2mm Hg in your diastolic pressure, and by bringing down your blood pressure to healthy levels, your risk of stroke can be reduced by 35 to 50 percent. If you have already had a heart attack or a stroke, this book offers vital practical information on preventing another one. Highlighting prevention, lifestyle changes, testing, and treatments, the American Medical Association Guide to Preventing and Treating Heart Disease provides you and your loved ones with the essential tools you need to reclaim a healthier life.

The End of Heart Disease

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Publisher : HarperCollins
ISBN 13 : 0062249371
Total Pages : 307 pages
Book Rating : 4.0/5 (622 download)

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Book Synopsis The End of Heart Disease by : Joel Fuhrman, M.D.

Download or read book The End of Heart Disease written by Joel Fuhrman, M.D. and published by HarperCollins. This book was released on 2016-04-05 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New York Times bestselling author of Eat to Live, Super Immunity, The End of Diabetes, and The End of Dieting presents a scientifically proven, practical program to prevent and reverse heart disease, the leading cause of death in America—coinciding with the author’s new medical study revealing headline-making findings. Dr. Joel Fuhrman, one of the country’s leading experts on preventative medicine, offers his science-backed nutritional plan that addresses the leading cause of death in America: heart disease. An expert in the science of food, Dr. Fuhrman speaks directly to readers who want to take control of their health and avoid taking medication or undergoing complicated, expensive surgery, the two standard treatments prescribed today. Following the model of his previous programs that have successfully tackled conditions from diabetes to dieting, Dr. Fuhrman’s plan begins with the food we eat. He focuses on a high nutrient per calorie ratio, with a range of options for different needs and conditions. He shows us what to remove and what to add to our diets for optimum heart health, provides menu plans and recipes for heart-healthy meals and snacks, and includes helpful questions for doctors and patients. By understanding heart disease and its triggers, Dr. Fuhrman gives us the knowledge to counter-attack this widespread epidemic and lead longer, healthier lives.

The Prevent and Reverse Heart Disease Cookbook

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Author :
Publisher : Penguin
ISBN 13 : 0698186508
Total Pages : 320 pages
Book Rating : 4.6/5 (981 download)

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Book Synopsis The Prevent and Reverse Heart Disease Cookbook by : Ann Crile Esselstyn

Download or read book The Prevent and Reverse Heart Disease Cookbook written by Ann Crile Esselstyn and published by Penguin. This book was released on 2014-09-02 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: The long-awaited cookbook companion to the revolutionary New York Times bestseller Prevent and Reverse Heart Disease. “I hope you'll treat yourself to one of these recipes and just open that door. I guarantee you won't close it!" —Samuel L. Jackson Hundreds of thousands of readers have been inspired to turn their lives around by Dr. Caldwell B. Esselstyn’s Jr.’s bestseller, Prevent and Reverse Heart Disease. The plant-based nutrition plan Dr. Esselstyn advocates based on his twenty-year nutritional study—the most comprehensive of its kind—is proven to stop and reverse even advanced coronary disease, and is built on the message the Esselstyn family has lived by for years: Your health is truly in your own hands, and what you eat matters. Mother-daughter team Ann and Jane Esselstyn have decades of experience developing delicious, healthful recipes for both their family and Dr. Esselstyn’s many grateful patients. Now, they combine their expertise to offer you the cookbook companion to Dr. Esselstyn’s groundbreaking book, with more than 125 easy and mouthwatering recipes, brimming with nourishment for your heart and your overall health. From their quick and easy meals like Fast Pasta and Greens and delicious “Sloppy Joes” to their indulgent desserts like their signature Kale Cake and Minty Frozen Chocolate Balls, these recipes will empower you to reclaim your health and discover the pleasures of eating plant-based.

NO More Heart Disease

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Author :
Publisher : St. Martin's Press
ISBN 13 : 1429972459
Total Pages : 276 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis NO More Heart Disease by : Louis Ignarro

Download or read book NO More Heart Disease written by Louis Ignarro and published by St. Martin's Press. This book was released on 2006-01-24 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Louis Ignarro discovered "the atom" of cardiovascular health--a tiny molecule called Nitric Oxide. NO, as it is known by chemists, is a signaling molecule produced by the body, and is a vasodilator that helps control blood flow to every part of the body. Dr. Ignarro's findings led to the development of Viagra. Nitric Oxide has a beneficial effect on the cardiovascular system as well. NO relaxes and enlarges the blood vessels, prevents blood clots that trigger strokes and heart attacks, and regulates blood pressure and the accumulation of plaque in the blood vessels. Dr. Ignarro's current research indicates that Nitric Oxide may help lower cholesterol by facilitating the actions of statin drugs like Lipitor. The goal of the regimen presented in NO More Heart Disease is to age proof the cardiovascular system, keeping the vascular network clean and elastic through enhanced NO productivity. The plan is easy-to-follow without extreme lifestyle adjustments, involving taking supplements to stimulate Nitric Oxide production, incorporating NO friendly food into the diet, and a moderate exercise program.

Diabetes and Heart Healthy Meals for Two

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Author :
Publisher : American Diabetes Association
ISBN 13 : 1580404162
Total Pages : 464 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Diabetes and Heart Healthy Meals for Two by : American Diabetes Association

Download or read book Diabetes and Heart Healthy Meals for Two written by American Diabetes Association and published by American Diabetes Association. This book was released on 2016-11-07 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: People with diabetes want heart-healthy recipes, since heart disease strikes people with diabetes twice as often as the rest of the population. But they also want recipes that taste great. In Diabetes & Heart Healthy Meals for Two, the two largest health associations in America team up to provide recipes that are simple, flavorful, and perfect for people with diabetes who are worried about improving or maintaining their cardiovascular health. A follow-up to Diabetes & Heart Healthy Cookbook, this collaboration from the American Diabetes Association® and the American Heart Association focuses on meals with only two servings. Because so many adults with diabetes are older, two-serving meals are perfect for those without children in the house—or even those living alone who want to keep leftovers to a minimum.

Reverse Heart Disease Now

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Author :
Publisher : Wiley
ISBN 13 : 9780470228784
Total Pages : 0 pages
Book Rating : 4.2/5 (287 download)

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Book Synopsis Reverse Heart Disease Now by : Stephen T. Sinatra, M.D.

Download or read book Reverse Heart Disease Now written by Stephen T. Sinatra, M.D. and published by Wiley. This book was released on 2008-01-18 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: While most books focus solely on the role of cholesterol in heart disease, Reverse Heart Disease Now draws on new research that points to the surprising other causes. Two leading cardiologists draw on their collective fifty years of clinical cardiology research to show you how to combine the benefits of modern medicine, over-the-counter vitamins and supplements, and simple lifestyle changes to have a healthy heart.

Preventing & Reversing Heart Disease For Dummies

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118944240
Total Pages : 378 pages
Book Rating : 4.1/5 (189 download)

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Book Synopsis Preventing & Reversing Heart Disease For Dummies by : James M. Rippe

Download or read book Preventing & Reversing Heart Disease For Dummies written by James M. Rippe and published by John Wiley & Sons. This book was released on 2015-01-06 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: The safe and trusted way to prevent and reverse heart disease Written in plain English and packed with tons of authoritative advice, Preventing & Reversing Heart Disease For Dummies includes the most up-to-date information on coronary heart disease and its treatment. This resource covers new ways to diagnose and treat both short- and long-term complications of heart disease, the latest medications, updated diet and exercise plans, the lowdown on recognizing the risk factors and warning signs of a heart attack, determining if you have heart disease, distinguishing between angina, heart attack, and stroke, and much more. It is projected that by the year 2020, heart disease will be the leading cause of death throughout the world. As the magnitude of cardiovascular diseases continue to accelerate globally, the pressing need for increased awareness and a stronger, more focused national and international response has become more important than ever. Preventing & Reversing Heart Disease For Dummies tackles this vital subject with compassion and authority, outlining the steps you can take to help ensure you don't become just another statistic. Helps you find the right doctor and handle a managed care plan Covers all thirteen types of heart disease and discusses the key differences that may determine their progression and treatment Illustrates how simple changes in diet may be enough to prevent heart disease Shows how you can reverse some of the effects of heart disease through exercise If you're suffering from or are at risk of heart disease—or love someone who is—Preventing & Reversing Heart Disease For Dummies empowers you to take control of heart health and get on a path to a longer, healthier life.

Control High Blood Pressure Without Drugs

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Author :
Publisher : Simon and Schuster
ISBN 13 : 0684873281
Total Pages : 372 pages
Book Rating : 4.6/5 (848 download)

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Book Synopsis Control High Blood Pressure Without Drugs by : Robert Rowan

Download or read book Control High Blood Pressure Without Drugs written by Robert Rowan and published by Simon and Schuster. This book was released on 2001-05-15 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now completely revised and updated with more than 75 percent new material, this invaluable book presents a proven hypertension treatment plan based on nutrition, herbal and alternate therapies, and lifestyle changes.