高蛋白補充飲料2

若問我怎樣利用高蛋白飲料補充,它的用處有:
1. 補充日常不足的蛋白質攝取量
2. 針對運動量較高人士,如專業運動員,重量訓練人士,增加 Lean Body Mass。因為日常飲食,較難獲得足夠的蛋白質。同樣的體形,每週三小時運動量比沒有運動人士,需要近兩倍的蛋白質!
3. 減肥,以高蛋白質飲料,代替每日正餐或副餐的食療 (一日五餐的抗衰老食療原則)。

1.及2.類人士,正常飲食,高蛋白飲料只是輔助性質,若份量不多,不會嚴重影響身體。
可是3.類以高蛋白飲料,代替日常飲食,必須按照營養師或醫生吩咐,不應自行使用。
不要認為,用高蛋白飲料減肥,就是很簡單地用高蛋白飲料,代替日常食物,便可達到減肥效果。因為沒有代餐,可完全代替正常飲食。還要配合進食時間,大量水份,並補充身體所需的微營養如多種維生素,礦物質 (如鉀,鈉,鎂,鈣等),這些補充礦物質,也不是一日幾顆藥丸,那麼簡單。再按進度,加入其它適當的食物,才能健康地減肥。
不應長時間使用高蛋白飲料食療。不正確使用,會嚴重影響身體因為機能。
常見的不適或副作用
作悶
嘔吐
口氣 (特別在療程初期)
無力
頭痛
心跳
手震
怕冷
腹瀉或便秘
腸胃氣脹
神志不清
脫髮
尿酸過高或痛風症狀
影響肝腎功能
(肝腎功能受捐損人士,不建議使用)
高蛋白食療,每天攝取熱量可低於1000卡路里 (Very Low Calorie Diet VLCD)。是正常的一半! 高蛋白飲料的減肥食療效果顯著 (初期每週可減兩公斤),可是要注意的也不少。

固體的高蛋白

健身用的高蛋白

高蛋白代餐

美肌護膚膠原蛋白,每份也有十克蛋白質。

高蛋白補充飲料1

高蛋白補充飲料2

高蛋白補充飲料1

早上收到好友提問,健身教練說她每需要多些蛋白質,問在那裡可以買到,那個牌子比較好,粉狀的蛋白奶粉是否好一點?⋯
蛋白質對健康,體重抗衰老的重要,早前在我的文章或電視訪問中,已討論過,可以重溫。
要回答,先問自己幾個問題:
知道自己每天所需蛋白質是多少嗎?
知道自己每天所吃的食物,可提供足夠的蛋白質?還是要額外補充呢?
不同體質骨骼,高度,體重,每天運動量,會影響每日所需的蛋白質。可從量度身體,配合計算方程式得出有關數字。是有點複雜,有必要嗎?自己認為,這是數字而已,是讓大家方便跟從。較簡易的方法,就是從選擇入手,從日常飲食,選取多些含豐富蛋白質的食材,盡量增加蛋白質的份量。一般而言,每天所吃的蛋白質,是較澱粉和脂肪的食物少。若不加注意,我們便浪費了可吃的空間!多吃了澱粉脂肪,那有胃口吃蛋白質食物。先減少澱粉脂肪,多吃含豐富蛋白質的食物,身體狀況和體重仍不受控制,才考慮使用較複雜的計算,混合使用高蛋白質補充飲料。

這是四份蛋白,即14克純蛋白。蕃茄汁含 高抗氧化 lycopene。

 

若不想要油份,可選擇這個。但每天不要吃超過兩份蛋黃。蛋白則多少份均可!

 

白米飯,高 GI,浪費進食空間。

 

這個飽肚,可是蛋白質不足。也不是選擇!

若不先從日常飲食調整,高蛋白質補充飲料,可能會變成額外的熱量,增加身體負擔!說實話,若包裝不跟你說,是強效補濕,美白,抗皺的護膚品,您會買嗎?同樣,高蛋白質補充飲料,也不會跟您說,可引致肥胖,可是它也是熱量哦!

健身教練的話真的有說服力,難怪 Amanda 那麽愛健身⋯教練,真的要好好學習。
待續⋯怎樣應用和我所選擇的高蛋白質補充飲料

高蛋白補充飲料1

高蛋白補充飲料2

 

化妝品和暗瘡 的概念

這是一篇很值得閱讀的文獻。(我已經為大家記下要點,看以下中文字便可。)

化妝品與暗瘡 Facial Cosmetics and Acne

What exactly does a patient mean when reporting that a certain cosmetic causes her face to "break out?" This phrase may refer to formation of a comedone, papule, pustule, nodule, cyst, or red rash. In addition, patients often have difficulty establishing a cause-and-effect relationship. From a dermatologic standpoint, the term that is still used to refer to cosmetic-related acne is acne cosmetica.

化妝品引發的暗瘡
Acne cosmetica is a concept that was developed many years ago when cosmetics could indeed cause comedone formation. The issue of comedogenicity in relation to cosmetics arose in 1972 when Kligman and Mills described a low-grade acne characterized by closed comedones on the cheeks of women aged 20-25. Many of these women had not experienced adolescent acne. The authors proposed that substances present in cosmetic products induced the formation of closed comedones and, in some cases, a papulopustular eruption. Presently, personal communication with Dr. Kligman indicates that he no longer believes currently marketed cosmetics cause comedone formation, yet acne related to cosmetics remains a problem.

這是源於 1972 年 Dr. Kligman 認為 化妝品的成份,可引致暗瘡。可是這個概念,對現在的化妝品 (指有一定質素的),已不太合用了。

The literature reports lists of ingredients that supposedly cause acne, but finding a formulation that possesses none of these substances is practically impossible. The list contains some of the most effective emollients (eg, octyl stearate, isocetyl stearate), detergents (eg, sodium lauryl sulfate), occlusive moisturizers (eg, mineral oil, petrolatum, sesame oil, cocoa butter), and emulsifiers found in the cosmetic industry. A product line that avoids all of these substances would not perform well on the skin and would possess low cosmetic acceptability.
There are many myths regarding cosmetics and cosmeceuticals and the acne that they may or may not cause. Examining these myths to determine the medical truth is worthwhile.

以下是一些沒有事實根據的觀點

The first myth is that cosmeceuticals do not produce acne if labeled noncomedogenic and nonacnegenic. Similar to the term hypoallergenic, labels that describe products as noncomedogenic and nonacnegenic are marketing claims carrying no implied regulation. They were developed to create a new consumer image for cosmetic lines designed to minimize acne.

一些標榜 ‘不引致暗瘡’ ‘不引致毛孔阻塞’ 標語 ,跟 ‘低敏配方’一樣,都是沒有標準的市場學字句,只在於建立消費者對產品的信心。看到這些字句,購買時才有信心?

In order to market a product as noncomedogenic, rabbit ear or human comedogenicity testing should be undertaken. Both the animal and the human model are based on the presence of new comedone formation after the exposure of skin to the finished cosmetic. Human testing is considered to be more accurate, but the results are highly dependent on the skill of the contract testing laboratory. Acnegenic claims are based on human use testing and the evaluation of volunteer subjects who report any increased acne following product use. Many manufacturers, however, make noncomedogenic and nonacnegenic claims based on the safety profiles of the individual ingredients in the formulation. This is inaccurate. Noncomedogenic and nonacnegenic claims should be made based on clinical testing of the finished formulation. Therefore, dermatologists should still consider all products labeled noncomedogenic or nonacnegenic as potentially problematic.

廠商在產品研發時,會在動物和人類皮膚上測試,是否阻塞毛孔,引致暗瘡。優質的化妝品,會以完成後的配方作測試。只以產品中的個別成份作測試,即使是沒有引致阻塞毛孔和暗瘡,也是不可靠的。
(只看着那成份表,用產品中個別成份的功效,作為分析該產品的理據,也是不對的。 要考慮各成份互相作用,互相影響,穩定性和吸收度,光破壞和氧化分解⋯等等。這個跟給你食材表,就以爲可以煮出美餸菜一樣的道理!不是天真了一點嗎? Dr James)

The second myth is that mineral oil is comedogenic. Mineral oil is one of the most common ingredients in skin care products and colored cosmetics. It is a lightweight inexpensive oil that is odorless and tasteless. One of the common concerns regarding the use of mineral oil is its presence on several lists of comedogenic substances. These comedogenic lists were developed many years ago yet remain frequently quoted in the dermatologic literature.
Several points are important to consider. First, different grades of mineral oil are available. Industrial grade mineral oil is used as a machine lubricant and is not of the purity required for skin application. Cosmetic grade mineral oil is the purist form without contaminants. Industrial grade mineral oil may be comedogenic, but cosmetic grade mineral oil is not. Quality manufacturers only purchase quality products from quality suppliers who guarantee the standards of the materials they provide. This author considers cosmetic grade mineral oil noncomedogenic based on findings from testing performed for the skin care industry.

礦物油會引致毛孔阻塞和暗瘡? 礦物油以不同的純度分成多個等級,有工業用,也有最潔淨的和沒有用污染物的。後者是不會引致毛孔阻塞和暗瘡,現在的化妝品,都是用它作成份。

The third myth is that sunscreens produce acne. Many patients note the occurrence of breakouts following the use of sunscreens. These patients typically present with perifollicular papules and pustules in a random distribution over the face. Eruptions appear within 24-48 hours after wearing a facial sunscreen. This author has not performed biopsies on patients who develop sunscreen-related acne, but presented below is a hypothesis based on how sunscreens function.
Most sunscreens available today are based primarily on UVB-absorbing ingredients, such as octylmethoxycinnamate, oxybenzone, and homosalate. Many also have UVA-absorbing ingredients, such as avobenzone, titanium dioxide, or zinc oxide, as secondary sunscreens. All of the UVB sunscreens and avobenzone function by transforming ultraviolet radiation to heat energy through a process known as resonance delocalization. This heat energy is appreciated by many patients who state that they do not like wearing sunscreens because the gels or lotions make them feel hot.
In some patients, the increased sweating induced by the sunscreens and the sunny weather may cause increased activity of the eccrine glands. This may cause miliaria rubra that may be magnified by the occlusive nature of the water-resistant, rub-proof sunscreen product. Thus, much of the problem with sunscreen-induced acne is the formation of papules or pustules around the eccrine duct ostia without the sebaceous gland involvement that characterizes true acne.

防曬用品可引致毛孔阻塞和暗瘡,是沒有證實的。有些人對皮膚溫度上升,會有較大反應,引致流汗增加,形成汗腺出口發炎。這跟一般因皮脂腺阻塞引起的暗瘡不一樣。

Myth Four is that a complex skin care regimen of multiple cleansers, moisturizers, and ancillary skin care products is necessary for clear skin. There are many different approaches to skin care, from the no-nonsense soap-and-water approach to the 20-step skin care routine. No routine is established as better. In Japan, skin care is a complex ritual of multiple cleansers, toners, and moisturizers. The Japanese are also considered to have the most sensitive skin of all races, and the incidence of atopic dermatitis is dramatically rising in Japan. Perhaps this due to the use of extensive skin care products. However, without doubt, the more the skin is manipulated, the more opportunity there is for problems to arise. The best advice may be to recommend moderation in skin care.[22 ]

複雜的護膚程序,不單沒有改善皮膚質素,反而引致更多皮膚炎,濕疹⋯等皮膚狀況。建議用溫和簡易的護膚程序。

Myth 5 is that acne breakouts after age 30 years in women are rare and benefit from special skin care. Acne after age 30 years is actually becoming more and more common in women. The cause of this trend is not known, but it appears to be related to fluctuating hormones and the onset of premenopause and perimenopause. This supposition is based on the observation that the acne is not characterized by open and closed comedones, but rather inflammatory papules and pustules. Because these lesions are in the lower epidermis and dermis, special skin care routines cannot have a dramatic effect. Thus, the use of oral antibiotics and hormonal therapies, such as birth control pills or estrogen replacement therapy, are the best options for acne control in this population. Cosmetics and skin care products have little effect on this type of acne. Many mature patients mistake this cyclic hormonal acne for acne related to cosmetic product use.

三十歲以上的女性,因生理週期的影響,較多機會有暗瘡的煩惱。有時會誤以為是化妝品的影響。這些激素轉變引致的皮膚炎,大多是發炎膿皰和丘疹,跟一般毛孔毛孔阻塞的暗瘡不一樣。處理的辦法,不是加強清潔,而是用激素類的治療。

Summary
For all purposes, acne cosmetica is a concept of the past, which the industry has done its best to remedy. Skin care manufacturers are keenly aware of the need to test and formulate products without skin side effects. Yet, many acne myths persist. This article has posed possible answers to some of the most common acne myths submitted by several dermatologists.

結論
化妝品引發的暗瘡 ,是舊概念了。現在的護膚品和化妝品生產商, 利用正確的測試, 致力改善產品質素,令使用者用得放心。

Acknowledgement:  Zoe Diana Draelos, MD, Primary Investigator, Dermatology Consulting Services; Private Practice Updated: Apr 30, 2009

防曬 一 (晴天,美白天?)

現今的醫學已經証實陽光的紫外線是皮膚的大敵人,是色斑、皺紋、皮膚鬆馳及皮膚癌的原兇。可是我們生活在這個繁華的城市總不能一天都隱藏室內。

怎樣對抗這個大敵人?對於防曬,每天聽到不同專家,不同媒體和不同護膚品牌發表防曬的理論概念,什麼SPF,SPF80是否好過30+,PA+++是最好的,有美白抗氧化的產品更好,又或每兩小時要再補塗等等。防曬這個大題目真是說十日十夜也說不完,James 對這課題也十分有興趣,日後一定詳細跟大家分享。

要防曬,倒不如想想怎樣把這個有害的紫外線變成有益的光線 ─〝陽光轉合治療〞。當陽光被一種特別纎維布料 (Fluorescent Therapeutic Material –FTM)過濾、轉化、收窄、最後把波段強化,利用光學的原理,把原先有害的紫外線轉成藍光或黃光。藍光可以消除毛囊中引致暗瘡的細菌 ─Propionbacterium acnes (P. acnes) ,阻止組織發炎,改善紅腫及爆發中的暗瘡。黃光則可減淡黑色素,有美白功能。這跟我們熟悉的彩光或脈衝光的原理相近。最新的醫學美容教科書籍已包括了這種療法。只要配載這種物料的衣飾或防曬用品,在戶外活動適當的時間,便可得到SPF45的保護及光學治療的效果,同時亦可應用在那些不容易塗抹藥物例如身體背部等位置,有效地改善身體皮膚的質素。這類產品當然有它的限制,例如顏色、質料和設計款式仍有待改進。希望日後有多些醫學研究,把這個技術加以利用。

作為醫學美容的工作者,當然希望大家可以把美麗的光陰延長,而這類產品應該是防曬用品外的另類選擇。

防曬 一 (晴天,美白天?)
防曬 二 (什麼是紫外線?)
防曬 三 (選擇防晒用品 1)
防曬 四 (選擇防晒用品 2)
防曬 五 (選擇防晒用品 3)
防曬 六 (選擇防晒用品 4)

blumod


All Rights reserved by Dr James Clinic. Unauthorized duplication is prohibited.

何谓「医学美容护肤品」?

「医学美容护肤品」好像成为各护肤品牌的口号。大家都说是医学认証,科学研究而成,保正疗效显着。没有这个称号,好像便略逊一筹。

何谓「医学美容护肤品」不用多说,成份要得到确认,没有对身体有害的物质(致敏, 有毒,致癌…),有效的输送系统 (delivery system),临床认証。光是以上的条件,就已经够难度。很多在研究成份时,都是在实验室进行,不太清楚科学家在干什么?是在白老鼠和猪的身上测试証实,或是在人体细胞的实验结果成功,亦不代表,真正用在我们的皮肤上是有效的。

要产品有效,还需要很多配合,各成份的含量和溷合后的稳定性,有效的输送系统 (把成份输送入皮层适当的位置), 护肤品的储存 (包括护肤品瓶,稳定济,防腐济,香料,色素,温度,湿度,防光和紫外线…),溷合其他护肤品后产生的变化,跟皮肤的性质状况是否配合…等等…太多了。

很多号称是「医学美容护肤品」都有很多自我研发的专有名词,不是根据原来医学名称。什么super (超级) secret (秘密) dna repair (基因修復) complex (合成体) , return (逆转) magic (魔法)… 太多tm (trademark)专利配方了!那个基因出错都不知道,又怎样修復呢!

我当然明白,这是保护生产商利益的做法,怕被人复製,还可以一卖再卖,改改名字便可。
作为消费者,看到那个名词利害,广告内容吸引,那个明星名人代言,便成为选择的根据,最终还是不懂自己买的,用的,是什么?这些神奇complex,便成为就是「有效」的等称。
跟药物不一样,政府没有严格监管,不需列明真正成份和含量。就是有列明,也不是大家看得懂的!

一个好的医学美容护肤品牌,应该有足够的透明度,让消费者了解明白,那些医学报告的真确,成份含量可靠安全,有清楚明确教导消费者使用方法。

说真的,我这大笨蛋,到今天也不明白,为什么要有神奇配方? 那些世界有名的时装品牌,不是每天都有新设计,更说明材料,跟产地,买回去更可复製千百件。可是别人怎样复製,也做不到那种细緻度和神绪。利害的品牌,就是跟你说怎样造,你也复製不到它的细腻,那种高质素的用料,效果,质感,味道,瓶身的设计和手感…

一个好的名字是吸引的,可是还是想知道 complex实际是什么?

比大家幸运一点,当有一种新的医学美容护肤品面世,有胆量勇气的公司们都会找我分析,让我看那些机密报告和配方。还好,我是看懂「火星文(医学名词)」的。
跟从前一样,我会在这裡,继续为大家解开「神奇complex 」的面纱!
(之前不是解说了不老的传说,原来是q10辅酶,再看看我从前的文章吧!)

醫學驗證」含特效 Complex 護膚品
抗衰老護膚品 — 抗醣化作用護膚用品
何谓「医学美容护肤品」?
抗衰老護膚品 — 抗氧化聯網


All rights reserved by dr james clinic. Unauthorized duplication is prohibited.

透明質酸皮層填充注射

只有一次機會,便要達到的「美」

先跟大家說句:「對不起!」很沒有跟大家分享了。忙什麼?真的說不完⋯ 去了幾個城市工作,參加了多個外地的醫學美容研討會。

台灣舉行的 Hyadermis 透明質酸年度研討會

曜亞水微晶亞洲顧問醫師香港首席講師

台灣舉行的醫學美容會議,永遠都是坐無虛設。

台灣舉行的醫學美容會議,永遠都是坐無虛設。

也去了數個國家,研發由自己一手創造的 Dr James 醫學美容護膚品。
有部份讀者,應該已用過,上月剛推出 淡粉紅色補充皮膚養份的 Dr James Clinic ‘Brightening Formula’ 亮麗精華素 。效果不錯吧?
真的花了很多時間,研發自己的護膚品。從成份、配方、測試、生產、品質控制、包裝⋯從沒想過醫生會做這個,是自己的理想,也是對自己的考驗和挑戰。希望為大家研製出最理想的醫學美容護膚品。 繼 Brightening Formula 亮麗精華液後,在九月尾,便推出另一產品,是什麼?是給大家最好的保護,到時再跟大家交代,要繼續支持噢!

Dr james Clinic Brightening Formula Serum

Dr James Brightening Formula Serum

本地的工作也有,剛剛在上星期,為 Q-med 公司 (有十五年歷史,全世界最大及最多人使用過,之透明質酸皮層填充劑,即 Restylane 及 Perlane 之製造商),進行了醫生教學活動,與一眾醫生,分享自己對透明質酸的應用和注射技巧。

透明質酸 皮層填充,近年於全世界廣泛使用,有助填補皺紋,改善面部輪廓和膚質等功效。 透明質酸 存在皮膚及軟組織 (關節、眼球⋯),是天然保濕劑和潤滑劑。它的安全性已不用懷疑,是 醫學美容 不可缺少的工具。 自己發現,越來越多香港醫生,對透明質酸皮層填充注射有興趣,這也是世界的趨勢吧。

教學時,也有點趣事。正當想自我介紹的時候,學員便很快回應:「Dr James 嘛,Youtube 看過啦! 不用多說了⋯」真的有點尷尬!哈哈,大家看過我的示範嗎? Youtube 或 土豆網 應該不難找到吧。

教學是雙向的,看見學員那麼努力學習,自己也變得十分起勁。教學途中,一再強調,醫學知識是必須的,但最重要是,學懂什麼是「美」。是只給你 (醫生)一次機會,便要達到的「美」。這不是「有」與「沒有」的分別,是「美」與「醜」的分別。多一點,少一點,高一點,低一點,都有不同的效果。要多觀察,多練習⋯多看漂亮的東西。

還要感謝,讓醫生們練習注射的自願者,衷心感謝您們的支持和鼓勵。
真的很享受,從教學中獲得的樂趣和刺激。感恩⋯