If u r saved from stroke,u need to investigate thorouughly. ECG Lipid Tsh Rft Echo Bp cannot b cured.can b controlled only with correct medicines LSM Yoga Meditation Wt reduction
Salt restricted diet. Monitoring calorie intake to avert obesity related issues. Weight loss, brisk walking, basic gym workouts. newly diagnosed htn patients would be given Metoprolol along with Anxiolytic like chlordiazepoxide. For 15 days and then followups. Yoga, meditation, white noise binaural sound sessions for persons with anxiety issues. Anxiolytic tablets once at night (SOS). As a thumb rule, patient's diastolic bp is indicative of stroke risk. Increases by 6% for Every 1mm greater than 90mmHg diastolic
ANTIHYPERTENSIVE MEDICATIONS.. LIMITED SALT .. REGULAR EXERCISE.. YOGA AND MEDITATION..
Dashmool qwath BD galo ghan tab 1bd Kanchnar guggul 2bd or Arjunarishtha 30ml bd for 4 to 6 weeks, are helpful for preventive.
Salt restriction Exercise ARB CCB betablokers as per BP.
By anti hypertensive drugs Change in life style Youga
Low salt diet. Yoga and meditation. Anti hypertensive drugs.
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24yrs old female M.L.- 3 yrs eager to conceive K/c - hupothyroid, polycystic-o p/a- soft what can b plane management plz suggestionsSumayya Khan0 Like8 Answers
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Friends today I am discussing about a common problem obesity which can lead to so many problems. Obesity is a condition in which a person has excess body fat. More than just a number on a scale or the size of someone's body, obesity can increase a person's risk of diseases and health problems, including high blood pressure, diabetes and heart disease. It is a complex problem and a major public health concern, both in the United States and worldwide. Around the world, rates of obesity are on the rise: Since 1975, the worldwide obesity rate has nearly tripled, and there are now more than 650 million obese adults, according to estimates from the World Health Organization. Obesity is usually defined using a ratio of height to weight called body mass index (BMI), which often correlates with a person's level of body fat. According to the CDC, an adult with a BMI of 30 or higher is considered obese. However, some doctors and researchers suggest that using BMI alone may not be the best screening tool for obesity and a better approach may be to take into account a person's physical, mental and functional health. (Functional health refers to a person's ability to move around and go about their daily activities.) Causes At a fundamental level, obesity occurs when people regularly eat and drink more calories than they use. Besides a person's eating behavior, a number of factors can contribute to obesity, including a lack of physical activity, a lack of sleep, genetics and the use of certain medications that can cause weight gain or water retention, such as corticosteroids, antidepressants or some seizure medications. Modern culture and conveniences also, in part, contribute to obesity. Environmental factors that promote obesity include: Oversized food portions, busy work schedules with little time for an active lifestyle, limited access to healthy foods at supermarkets, easy access to fast food and lack of safe places for physical activity. Obesity may also be linked to the company a person keeps: It has been found to "spread" socially among friends. A 2011 study published in the American Journal of Public Health suggested that the reason for this social spread was because friends share similar environments and carry out activities together that may contribute to weight gain. Certain health conditions also can lead to weight gain, including: Hypothyroidism, an underactive thyroid gland that slows metabolism and causes fatigue and weakness. PCOS, or polycystic ovary syndrome, which affects up to 10 percent of women of childbearing age and can also lead to excess body hair and reproductive problems. Cushing's syndrome, which stems from an overproduction of the hormone cortisol by the adrenal glands and is characterized by weight gain in the upper body, face and neck. Prader-Willi syndrome, a rare genetic condition in which people never feel full, and so they want to eat constantly. Complications Obesity increases the risk of developing a number of potentially serious health problems, including: Coronary heart disease High blood pressure Stroke Type 2 diabetes Some cancers (breast, colon, endometrial, gallbladder, kidney, and liver) Sleep apnea High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides Gallstones Osteoarthritis Infertility or irregular periods Besides its physical consequences, obesity may also take an emotional toll: Some people with obesity experience depression, feelings of social isolation, discrimination and an overall lower quality of life, according to the Mayo Clinic. Is obesity a disease? Whether or not obesity should be considered a "disease" (or an abnormal state) is a matter of debate. In 2013, the American Medical Association, the nation's largest group of physicians, voted to recognize obesity as a disease. The decision was meant to improve access to weight loss treatment, reduce the stigma of obesity and underscore the fact that obesity is not always a matter of self-control and willpower. But others argue that calling obesity a disease automatically categorizes a large portion of Americans as "sick," when they may not be. Instead, critics say obesity should be considered a risk factor for many diseases, but not a disease in and of itself. Treatment To achieve a healthy weight and adopt healthier eating habits, people may need to see several health professionals, including a dietitian, behavioral therapist, exercise physiologist and obesity expert, Working with a diverse team of health experts can help people make long-term changes in their eating and exercise habits and develop strategies to address any emotional and behavioral issues that may lead to weight gain and unhealthy lifestyle habits. Although there are lots of fad diets, such short-term dietary changes are not the best way to keep weight off permanently, Instead, people should aim to make long-term changes, such as eating healthy on a regular basis, and boosting daily physical activity. Behavior changes, such as understanding what stresses or situations may contribute to overeating and learning to modify these behaviors, are also important for achieving weight-loss goals. Even small amounts of weight loss — such as 5 to 10 percent of your total body weight — can have health benefits,These benefits include improvements in blood pressure, cholesterol levels and blood sugars. Keep a daily food diary, which can make people more aware of what foods they eat, when they eat them and how much they consume, as well as identify potentially unhealthy eating habits, such as eating when stressed or not hungry. Make small changes to your eating habits, such as eating more slowly, putting your fork down between bites and drinking more water, which can all help to reduce the number of calories people consume. Identify ways to incorporate healthy habits into your daily routine, such as taking a walk at lunchtime. Set specific but realistic goals for weight-loss and exercise, such as having a salad with dinner and walking for 15 minutes in the evening. Once you've lost weight, regular physical activity (60 to 90 minutes of moderate-intensity physical activity per day, on most days of the week) can help keep weight off. Homeopathic medicines for Obesity are Calcarea carbonica for weight reduction: This characteristic homeopathic medicine best the rundown of homeopathic weight reduction medicines. To be qualified to utilize this medicine to get in shape, the constitutional symptoms appeared by the patient are given most extreme significance. Natrum Mur: Natrum Mur, the Homeopathic medicine is likewise a proper remedy which is utilized to shed pounds. This medicine happens to be suggested when there happens to be an overabundance of fat for the most part in the thighs and buttocks when contrasted with different parts of the body. This medicine gives awesome results if the individual has put on overabundance weight because of since a long time ago proceeded with anxiety or sadness. The constitutional symptoms are constantly considered in the event of this medicine also. Lycopodium: It is a standout amongst the most helpful homeopathic solutions for fat misfortune. This is additionally utilized for the most part when the thighs and butt cheek regions have overabundance fat, much the same as the aforementioned medicine Natrum Mur. Yet, again the constitutional symptoms that are one of a kind to utilizing Lycopodium separate between these two. The patients who require Lycopodium are chronic sufferers of gastric inconveniences like tooting and blockage. They tend to long for sweet nourishments. Nux Vomica: Nux Vomica is suggested for people who have put on overabundance weight because of stationary propensities. The primary essential side effect in people requiring this medicine is that they are chronic sufferers of the most stubborn blockage. Such a man has a persistent desire to pass stool, yet just a little stool is shot out at once. Antimonium Crudum: This is for the most part a homeopathic medicine recommended for fat children keeping in mind the end goal to help them get more fit. A reasonable contender for this medicine is a child who has great crabbiness, exceptionally cross nature, and an abhorrence for be touched or be taken a gander at. These children likewise have a stamped abhorrence for icy showering. The significant indicator for utilizing this medicine to shed pounds is a longing for acidic things such as the pickles in the child.Dr. Rajesh Gupta6 Likes7 Answers
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Friends today I am discussing about Avery disgusting problem said to be obesity. What is obesity? Obesity is an epidemic condition puts people at a higher risk for serious diseases, such as type 2 diabetes, heart disease, and cancer. Obesity is defined as having a body mass index (BMI) of 30 or more. BMI is a calculation that takes a person’s weight and height into account. However, BMI does have some limitations. According to the CDC, “Factors such as age, sex, ethnicity, and muscle mass can influence the relationship between BMI and body fat. Also, BMI doesn’t distinguish between excess fat, muscle, or bone mass, nor does it provide any indication of the distribution of fat among individuals.” What causes obesity? Eating more calories than you burn in daily activity and exercise (on a long-term basis) causes obesity. Over time, these extra calories add up and cause you to gain weight. Common specific causes of obesity include: eating a poor diet of foods high in fats and calories having a sedentary (inactive) lifestyle not sleeping enough, which can lead to hormonal changes that make you feel hungrier and crave certain high-calorie foods genetics, which can affect how your body processes food into energy and how fat is stored growing older, which can lead to less muscle mass and a slower metabolic rate, making it easier to gain weight pregnancy (weight gained during pregnancy can be difficult to lose and may eventually lead to obesity) Certain medical conditions may also lead to weight gain. These include: polycystic ovary syndrome (PCOS): a condition that causes an imbalance of female reproductive hormones Prader-Willi syndrome: a rare condition that an individual is born with which causes excessive hunger Cushing syndrome: a condition caused by having an excessive amount of the hormone cortisol in your system hypothyroidism (underactive thyroid): a condition in which the thyroid gland doesn’t produce enough of certain important hormones osteoarthritis (and other conditions that cause pain that may lead to inactivity) Who is at risk for obesity? A complex mix of genetic, environmental, and psychological factors can increase a person’s risk for obesity. Genetics Some people possess genetic factors that make it difficult for them to lose weight. Environment and community Your environment at home, at school, and in your community, can all influence how and what you eat and how active you are. Maybe you haven’t learned to cook healthy meals or don’t think you can afford healthier foods. If your neighborhood is unsafe, maybe you haven’t found a good place to play, walk, or run. Psychological and other factors Depression can sometimes lead to weight gain, as people turn to food for emotional comfort. Certain antidepressants can also increase risk of weight gain. It’s a good thing to quit smoking, but quitting can also lead to weight gain. For that reason, it’s important to focus on diet and exercise while you’re quitting. Medications such as steroids or birth control pills can also put you at greater risk for weight gain. How is obesity diagnosed? Obesity is defined as having a BMI of 30 or more. Body mass index is a rough calculation of a person’s weight in relation to their height. Other more accurate measures of body fat and body fat distribution include skinfold thickness, waist-to-hip comparisons, and screening tests such as ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) scans. Your doctor may also order certain tests to help diagnose obesity as well as obesity-related health risks. These may include blood tests to examine cholesterol and glucose levels, liver function tests, diabetes screen, thyroid tests, and heart tests, such as an electrocardiogram. A measurement of the fat around your waist is also a good predictor of risk for obesity-related diseases. What are complications of obesity? Obesity leads to much more than simple weight gain. Having a high ratio of body fat to muscle puts strain on your bones as well as your internal organs. It also increases inflammation in the body, which is thought to be a cause of cancer. Obesity is also a major cause of type 2 diabetes. Obesity has been linked to a number of health complications, some of which are life-threatening: type 2 diabetes heart disease high blood pressure certain cancers (breast, colon, and endometrial) stroke gallbladder disease fatty liver disease high cholesterol sleep apnea and other breathing problems arthritis infertility How is obesity treated? If you’re obese and haven’t been able to lose weight on your own, medical help is available. Start with your family physician who may be able to refer you to a weight specialist in your area. Lifestyle and behavior changes Your healthcare team can educate you on better food choices and help develop a healthy eating plan that works for you. A structured exercise program and increased daily activity — up to 300 minutes a week — will help build up your strength, endurance, and metabolism. Counseling or support groups may also identify unhealthy triggers and help you cope with any anxiety, depression, or emotional eating issues. Medical weight loss Your doctor may also prescribe certain prescription weight loss medications in addition to healthy eating and exercise plans. Medications are usually prescribed only if other methods of weight loss haven’t worked and if you have a BMI of 27 or more in addition to obesity-related health issues. Prescription weight loss medications either prevent the absorption of fat or suppress appetite. These drugs can have unpleasant side effects. For example, the drug orlistat (Xenical) can lead to oily and frequent bowel movements, bowel urgency, and gas. Your doctor will monitor you closely while you’re taking these medications. Weight loss surgery Weight loss surgery (commonly called “bariatric surgery”) requires a commitment from patients that they will change their lifestyle. These types of surgery work by limiting how much food you can comfortably eat or by preventing your body from absorbing food and calories. Sometimes they do both. Weight loss surgery isn’t a quick fix. It’s a major surgery and can have serious risks. After surgery, patients will need to change how they eat and how much they eat or risk getting sick. Candidates for weight loss surgery will have a BMI of 40 or more, or have a BMI of 35 to 39.9 along with serious obesity-related health problems. Patients will often have to lose weight prior to undergoing surgery. Additionally, they will normally undergo counseling to ensure that they’re both emotionally prepared for this surgery and willing to make the necessary lifestyle changes that it will require. There’s been a dramatic increase in obesity and in obesity-related diseases. This is the reason why communities, states, and the federal government are putting an emphasis on healthy food choices and activities to help turn the tide on obesity. How can you prevent obesity? Help prevent weight gain by making good lifestyle choices. Aim for moderate exercise (walking, swimming, biking) for 20 to 30 minutes every day. Eat well by choosing nutritious foods like fruits, vegetables, whole grains, and lean protein. Eat high-fat, high-calorie foods in moderation. Common and effective homeopathic remedies for weight loss Antimonium crudum. Argentum nitricum. Calcarea carbonica. Coffea cruda. Capsicum. Other homoeopathic medicines can also be given on the basis of totality of symptoms.Dr. Rajesh Gupta7 Likes4 Answers
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B M I n O B E S I T Y BMI is commonly used to diagnose overweight and obesity, often in conjunction with measurement of waist circumference. Leading guidelines, such as those produced by the American Association for Clinical Endocrinology (AACE),the UK National Institute for Health and Care Excellence (NICE), and the European Association for the Study of Obesity (EASO),consider a BMI of 30 kg/m2 to be the threshold for obesity, and describe 3 classes of obesity, rising in severity from low-risk/class 1 (between 30.0 and 34.9 kg/m2), through moderate-risk/class 2 (between 35.0 and 39.9 kg/m2), to high-risk/class 3 (≥40.0 kg/m2). Lower BMI thresholds may be recommended for black African, African-Caribbean, and Asian (particularly South Asian) populations in order to trigger action to reduce the risk for comorbid conditions. For example, in the NICE guidelines, a BMI of 23.0 kg/m2 in these groups indicates increased risk for type 2 diabetes mellitus (T2DM), and 27.5 kg/m2 indicates a high risk. Obesity is a global epidemic and its prevalence more than doubled between 1980 and 2014. In 2014, more than 1.9 billion adults (≥18 years), which is 39% of all adults, had overweight. More than 600 million had obesity, representing 13% of all adults. The fundamental cause of obesity and overweight is an imbalance between calories consumed and expended. Changes in dietary and physical-activity patterns worldwide have led to the increase in obesity and overweight.Obesity is a serious chronic condition that is associated with multiple comorbidities and decreased life expectancy.An increase in BMI increases a person's risk for cardiovascular disease (CVD), and obesity is an independent risk factor for CVD.It also increases the risk for T2DM; fatty liver disease; musculoskeletal disorders, in particular osteoarthritis; and some cancers, including breast, colon, kidney, and pancreatic cancer.Higher BMIs are also associated with cognitive/mood disorders, obstructive sleep apnea, gallstones, and gastroesophageal reflux. Classes 2 and 3 obesity are associated with significantly higher all-cause mortality than class 1 obesity and normal weight.Other factors, such as waist circumference, also contribute to the increased risk for obesity-related disease. As well as fat accumulation, fat distribution is related to obesity-related mortality and morbidity. Central obesity, also known as the apple shape, confers a higher risk than general obesity for several chronic diseases.In recent years, there has been a broadening of focus from BMI alone, so that the management of obesity-related comorbidities is also a priority Physical-activity counseling is an integral part of obesity management, but would not be effective on its own. EASO guidelines recommend that pharmacological therapy is considered in patients who are overweight or who have class 1 obesity if they also have comorbidities. Treatment guidelines recommend that the first stage in managing patients with obesity is to assess their views of their weight and the diagnosis, as well as the possible reasons for weight gain. Failure to engage patients and to convince them of the benefits of lifestyle interventions aimed at weight loss is likely to result in the lifestyle interventions being less effective. Therefore, this is an important first step. Eating patterns and physical-activity levels should be explored, as well any beliefs about diet, exercise, and weight gain that may be unhelpful to the patient. The physician should find out if the patient has already tried to lose weight and how successful these efforts were. They should assess the patient's confidence and willingness to engage in a weight-loss program. The health and other risks of obesity should be explained, as well as the benefits of weight loss and increasing physical-activity levels. The physician should be aware that a patient's feelings about obesity and other health problems, such as surprise or denial, may reduce their willingness or ability to change. For this reason, it may help to stress that obesity is a clinical condition with specific implications for health, rather than something that focuses on how a patient looks. It has reported a divergence in the perception of obesity between people with obesity and the clinicians treating them. For example, 65% of people with obesity consider obesity to be primarily a lifestyle disease and 44% think it is possible to have obesity and be healthy, compared with 88% and 4%, respectively, for clinicians. Barriers can be motivational, such as lack of willpower, emotional/personal, such as eating habits, or practical/systemic, such as medication costs or lack of support services. A comprehensive lifestyle intervention is a fundamental part of the management of obesity. This consists of lifestyle/behavioral training, a dietary calorie-reduction plan, and increased physical activity.When developing a weight-loss plan for a patient, the main requirement is that total energy intake is less than total energy expenditure.This will help address the imbalance of energy regulation that characterizes obesity. Obesity develops when the body's weight and energy regulatory mechanisms do not work properly, leading to an elevated body fat "set point," ie, the amount of fat the body wants to retain. The energy intake behavior of an individual is determined by whether he or she is at, above, or below the set point. Diets with a daily deficit of 600 kcal, leading to a 5% to 10% reduction in current body weight over 6 months, are considered to be realistic and have proven health benefits.Lower-calorie diets with an intake of 800 to 1600 kcal/day can be considered, but they are less nutritionally complete. Very low-calorie diets (<800 kcal/day) should not be routinely used to manage obesity. Evidence from systematic reviews suggests that, although initial weight loss is more rapid with very low-calorie diets, weight change after 1 year is not very different from comprehensive approaches. Physical activity is part of a comprehensive lifestyle intervention. Although it may have only modest effects on weight loss, it will bring other benefits, such as a reduction in the risk for T2DM and CVD.Physical activity also helps to preserve fat-free mass during weight loss and promote weight maintenance. People who have had obesity but have lost weight may need to do 60 to 90 minutes of activity per day to avoid regaining weight. Weight loss is difficult to achieve for most patients with obesity because a desire to restrict caloric intake is counteracted by biological responses to weight loss. The reduction in energy expenditure and increase in appetite that occur after weight loss are associated with changes in several hormones. Some of the hormonal changes result in altered physiology that leads to weight gain, whereas other changes lead to improvements in hormonal systems as the patient gets closer to a healthy weight. Weight-loss medications aim to reinforce the patient's efforts to change eating behaviors and produce an energy deficit.Most promote weight loss through their effects on appetite -- increasing satiety and decreasing hunger. It is possible that satiety signaling and inhibitory control are weaker in people who are prone to obesity. Many treatment guidelines recommend that weight-loss medication is considered for patients with a BMI ≥30 kg/m2 or a BMI ≥27 kg/m2 if they also have 1 or more comorbidities and a history of failure to lose weight.The inclusion of comorbidities in the criteria reinforces the benefits of weight loss for people with obesity-related disease. ORLISTAT Unlike most weight-loss medications, orlistat is a reversible gastric and pancreatic lipase inhibitor that blocks absorption of 30% of ingested fat from a 30% fat diet when taken at the recommended dosage (120 mg 3 times per day). It is approved for use in adults and adolescents, is considered one of the safest drugs in its category, and is available in most countries around the world. However, it has well-documented GI adverse events, such as fecal leakage, which limit its popularity. NALTREXONE/BUPROPION This is a sustained-release combination of an opioid receptor antagonist (naltrexone) and a noradrenaline reuptake inhibitor (bupropion). Naltrexone has a minimal weight-loss effect on its own,but it acts synergistically with bupropion to stimulate central melanocortin pathways and antagonize inhibitory feedback loops that limit weight reduction. This leads to improved energy expenditure and a reduction in appetite.The maximum total daily dose is 32 mg naltrexone/360 mg bupropion.Naltrexone/bupropion is associated with increased BP, so it should be avoided in patients whose hypertension is not controlled, and BP should be monitored in the initial phase of therapy. The most common adverse events are nausea, headache, vomiting, anxiety, and insomnia. The risk for GI events can be minimized by gradual titration. Other anti obesity drug is Liraglutide but this and Naltrexone are not available n approved in India by FDA .Only Bupropion is available but at present is used in smoking cessation n in depression.Dr. Girish Dahake12 Likes21 Answers
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10 Amazing Benefits Of Olive Oil You Must Know doctor.ndtv.com Nov 1, 2017 5:13 AM Olive oil has numerous antioxidants and anti-bacterial properties that help in reducing heart diseases and also promotes weight loss ￼ Olive oil helps in prevention maintaining blood pressure Nutritionists and dieticians have always suggested the use of olive oil, instead of refined sunflower oil or any other oil which is used for cooking and have fewer saturated fats. Some studies also suggest that extra virgin olive oil is one of the healthies fats that exist. This oil, which is a part of the Mediterranean diet, is a traditional fat that has been a dietary staple for some of the world's healthiest populations. According to the numerous studies that have been conducted on the benefits of olive oil, the fatty acids and antioxidants in it have some powerful health benefits, such as a reduced risk of heart disease. 1. Has monounsaturated fats Olive oil is the natural oil extracted from olives. Of this 24% is saturated fats and omega-6 and omega-3 fatty acids. However, its predominant fatty acid is 73%, which is a monounsaturated fat called oleic acid. Oleic acid is extremely beneficial for health. It helps in reducing inflammation and might also have positive effects on genes linked to cancer. The oil is definitely a healthy choice for cooking. 2. Contains large amount of antioxidants Extra virgin olive oil contains a good amount of Vitamin E and K, and a large amount of antioxidants, which are are biologically active and may help in fighting serious diseases. They help in fighting inflammation and prevent the cholesterol in our blood from becoming oxidised. These are both crucial steps in fighting heart diseases. 3. Has anti-inflammatory properties Chronic inflammation is known to cause diseases like metabolic disease, cancer, heart diseases, arthritis, Alzheimer's and obesity. It contains nutrients that help in reducing inflammation - oleic acid, as well as the antioxidant oleocanthal - the reason olive oil is considered healthy. 4. Helps preventing strokes Stroke occurs as a result of the disturbance in blood flow to the brain. It is mostly caused due to a blood clot or bleeding. Olive oil has proven to be the soul source of monounsaturated fat which are associated with a lowered risk of stroke, heart disease. A research on 1,40,000 participants found that those who had olive oil were at a much reduced risk of stroke. 5. Good for the heart Heart diseases are the most common cause of death in the world. Extra virgin olive oil is an integral component of the Mediterranean diet, and protects against heart disease. Along with preventing blood clotting, olive oil also keeps the blood pressure regulated, which is one of the main reasons for heart diseases and heat attacks. 6. Promotes weight loss A 3-year study conducted on 187 participants states that that a diet rich in olive oil has caused weight loss. 7. Helps in fighting Alzheimer's disease Alzheimer's disease is caused by a buildup of beta amyloid plaques inside brain cells, and olive oil helps in removing these plaques from brain cells. 8. Reduces risk of type 2 diabetes Many studies have stated that olive oil has several beneficial effects on high blood sugar and sensitivity to insulin. It is known to reduce the risk of developing type 2 diabetes by over 40%. 9. Has anti-cancer properties Olive oil being rich in antioxidants, help reduce the oxidative damage due to the free radicals. This is anyways the leading drivers of cancer. 10. Has anti-bacterial properties Extra virgin olive oil has anti-bacterial properties. It is super effective against Helicobacter pylori which is bacteria that can cause stomach ulcers and even cancer. However, make sure you buy only authentic extra virgin olive oil, as there are many street vendors in the market who sell adulterated or diluted olive oil in the name of extra virgin olive oil.Dr. Tapan Kumar Sau23 Likes34 Answers