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Author Archives: Dr. Raymond Kordonowy

Dr. Raymond Kordonowy

About Dr. Raymond Kordonowy

Private Practice Medicine. President of IPALC. Delegate for the FMA,. Member of the National Lipid Association, and Florida Lipid foundation. I have provided CME lectures in the area of cholesterol disorders. Areas of interest : General Internal Medicine are advanced lipid testing/Lipidology, difficult to manage lipid cases, obesity, diet and nutritional assessment, wellness. I am married to Margaret and our two grown boys are Nicholas and Matthew. Hobbies mostly reading, listening to music economics, jogging, bad mandolin playing and upland bird hunting.

Optimizing Your Nutrition

Looking for a new “diet”? Need to drop a few pounds? Looking for a healthier eating strategy? The information readily available these days is nearly endless. However, it can be a little overwhelming. Information overload! Who do you trust on this topic? Is this person a doctor, nutritionist or other health professional? How do you know if something is healthy? The health and fitness industry continues to grow, but that doesn’t mean everyone speaking on the subject is an expert or even remotely qualified to offer their opinions.

Ideally, you want to speak to a doctor or nutritionist who can examine you, listen to your needs, symptoms, and concerns to determine the best course of action when it comes to your nutrition. By blindly relying on information you find on the internet, you can lead yourself down an unhealthier path of eating and living, believe it or not.

Nutrition doesn’t have to be hard. In fact, the method I’m about to share with you is simple, and focusing on the basics: nourishing your body with whole foods in a balanced way.

With more than 20 years in private clinical practice, I have worked to help people manage their health in natural ways. I try to help my patients think about a new way to approach eating and nutrition.  I recommend the plate-building strategy. Instead of the old message of fats/carbs/protein this plan enforces nutrients over calories sources.

As an overview, I suggest the following for a plate-building strategy- it starts with imagining and building our plate at every meal:

  • Start each meal with 8-12 ounces of water. (Some of our hunger is thirst).
  • Each meal should have 25-35 grams of protein in it (4-8 oz); each snack should have 15 grams (1/2 as much as mealtime) of protein. Proteins provide us with amino acids and optimizes our lean body mass/muscle and our cellular metabolism/basal metabolic rate.
  • 2-3 servings of fruit/vegetables per meal and 1-2 servings of them per snack. ½ cup equals a serving. Aim for 3 vegetable servings for every 2 fruits.
  • Include good fats in your daily diet such as walnuts, almonds, chia seeds, hemp hearts, vegetable and olive oil and flaxseed.
  • If after eating your plate you’re still hungry, you can add grains, cereals and unrefined flour bread to your diet.

Through this plate-building strategy, a person will begin to consume high-fiber and high-nutrient foods that have far less caloric content. The result? A person will have more fat burning, leaner body mass, highly optimized cellular function with a built-in high antioxidant intake. With a higher antioxidant intake, a person will have a lower risk of getting heart disease, cancers, strokes, and kidney failure.

If you’re looking for help with your diet, Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers offers comprehensive dietary consults to his patients. To schedule an appointment with Dr. Kordonowy, call 239-362-3005, ext. 200 or click here. Dr. Kordonowy offers direct patient care membership and concierge services including the unique Inpatient Advocate Service™.

 

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October 17, 2017
Dr. Raymond Kordonowy

About Dr. Raymond Kordonowy

Private Practice Medicine. President of IPALC. Delegate for the FMA,. Member of the National Lipid Association, and Florida Lipid foundation. I have provided CME lectures in the area of cholesterol disorders. Areas of interest : General Internal Medicine are advanced lipid testing/Lipidology, difficult to manage lipid cases, obesity, diet and nutritional assessment, wellness. I am married to Margaret and our two grown boys are Nicholas and Matthew. Hobbies mostly reading, listening to music economics, jogging, bad mandolin playing and upland bird hunting.

Feel the Burn: Facts About UTIs

Did you know around 10 million doctor office visits and 1.5 million hospitalizations per year are due to urinary tract infections (UTIs)?  In fact, one in every five women will get at least one UTI in her lifetime. Twenty percent of women who get a UTI will get another, and 30 percent of women who have had two will get a third infection. For the most part, UTIs are not serious and can be easily treated with antibiotics.  If left untreated, a mild infection can lead to more severe and complicated health issues.

 

A urinary tract infection is when any part of a person’s urinary system (kidneys, ureters, bladder, and urethra) has an infection. Most of these infections are found in the lower urinary tract, bladder, and/or the urethra. A UTI becomes more serious when it spreads to the kidneys.  Men have a unique tissue in their urinary tract called prostate which can be infected.

 

How do UTIs occur? Most UTIs are caused by different bacteria (staph saprophyticus, E. coli), some of which can be found in feces. Since the urethra, vaginal and bowel openings are close to one another, it can be easy for bacteria to spread and travel up the urethral tract into the bladder. When the bacteria multiply, an invasive infection can occur. If the infection is in the urethra, this is called urethritis. If the infection involves the bladder it is diagnosed as cystitis.  If the bacteria migrate upward further into the kidney tissue itself a more serious and systemic infection ensues. Bacterial kidney infection is called pyelonephritis (infection of the kidneys). In pyelonephritis the culprit bacteria can enter the bloodstream which can be life-threatening. Blood born infection is known as bacteremia.

 

Symptoms of urinary infectious include:

  • The strong urge to urinate that doesn’t go away
  • A burning sensation when urinating
  • Cloudy urine and/or urine that is red/pink in color
  • Strong-smelling urine.
  • Pelvic pain around the public bone
  • Urinating in small, but frequent, amounts
  • Sudden onset of severe high fever with rigors (shaking chills) can be seen in deeper infection such as the kidney, blood stream or prostate.

 

For most cases, a doctor will ask the patient to give a urinate sample to be analyzed for infection. Physical examination can help sort out pyelonephritis and prostatitis (prostate involvement). If there is an infection, the doctor will prescribe an antibiotic. The type of antibiotic and duration is dependent on the type of bacteria found in the urine and the level or stage of infection.  Symptoms will usually clear up in a few days, but may take a week or more to fully disappear. Severe or frequent UTIs will require different types of treatment, including low-dose antibiotics (six months or longer), vaginal estrogen therapy, or intravenous antibiotics.

 

If you’re concerned you may have a UTI, don’t hesitate and get it checked by a physician so it doesn’t spread and infect your kidneys. Dr. Kordonowy of Internal Medicine, Lipid & Wellness can test to see if you have an infection and treat the infection (if there is one). Dr. Kordonowy is a concierge, patient membership physician in Fort Myers, and provides direct primary care services. To book an appointment, click here or call 239-362-3005, ext. 200.

 

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October 10, 2017
Dr. Raymond Kordonowy

About Dr. Raymond Kordonowy

Private Practice Medicine. President of IPALC. Delegate for the FMA,. Member of the National Lipid Association, and Florida Lipid foundation. I have provided CME lectures in the area of cholesterol disorders. Areas of interest : General Internal Medicine are advanced lipid testing/Lipidology, difficult to manage lipid cases, obesity, diet and nutritional assessment, wellness. I am married to Margaret and our two grown boys are Nicholas and Matthew. Hobbies mostly reading, listening to music economics, jogging, bad mandolin playing and upland bird hunting.

Target Your Nutritional Needs with PureGenomics®

 

You are unique! Your genetic makeup is unique. This means, many of the answers to your health and wellness are inside of you. Your genome, or your set of genes, gives practitioners and researchers the opportunity to better test you to optimize your health.

 

Through genetic testing, you and your doctor can become more empowered with information that can better help you both make more effective decisions for your health. The PureGenomics® platform is used to help identify Single Nucleotide Polymorphisms (SNPs), which are common genetic variations, that are clinically relevant and nutritionally actionable. This platform can translate genetic information for targeted SNPs. SNPS explain many of the differences between individuals. When a doctor knows what SNPS a person has, this allows him or her to be more precise with nutritional recommendations which may enhance optimal cellular metabolism and function.

 

PureGenomics® is a practitioner-exclusive website application. Dr. Kordonowy is enrolled on this site and has access to his patients testing results if the patient consents to accessing the data. Once Dr. Kordonowy’s patients’ results have been processed, a report is generated and the patient can share the results with him.

 

When you enroll on the PureGenomics® site, you will get “gene defined,” tailored, supplementation recommendations. This site looks at nutrient-related gene variants, and can predict weight management issues and liver and mitochondrial (cellular) detoxification weaknesses.

 

Bullet Point: The PureGenomics® platform filter can incorporate your specific genetic information for targeted and actionable metabolic and nutrition related functions. It is a collaborative effort with 23 and Me®- a widely available, affordable genetic testing company.

 

  • It tests for nutritionally-relevant SNPS with saliva-based personal genome analysis kits by 23andMe, which is a personal genomics and biotechnology company. To order a kit, visit 23andMe.com and follow the instructions to obtain the results.
  • It translates the results to nutritional recommendations by receiving the 23andME® results and identifying actionable SNPs.
  • It targets with personalized nutritional support.

 

This testing for common genetic variations allows practitioners to more effectively treat patients based on their individual needs.

 

For more information, watch this video.

 

If this testing sounds like something you are interested in, schedule an appointment with Dr. Kordonowy to help you get more precision in your health and wellness. To book an appointment, click here or call 239-362-3005, ext. 200.  Dr. Kordonowy is a concierge, patient membership physician in Fort Myers, and provides direct primary care services.

 

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September 27, 2017
Dr. Raymond Kordonowy

About Dr. Raymond Kordonowy

Private Practice Medicine. President of IPALC. Delegate for the FMA,. Member of the National Lipid Association, and Florida Lipid foundation. I have provided CME lectures in the area of cholesterol disorders. Areas of interest : General Internal Medicine are advanced lipid testing/Lipidology, difficult to manage lipid cases, obesity, diet and nutritional assessment, wellness. I am married to Margaret and our two grown boys are Nicholas and Matthew. Hobbies mostly reading, listening to music economics, jogging, bad mandolin playing and upland bird hunting.