Method of correcting body weight gain after giving up smoking
SUBSTANCE: invention relates to medicine, namely to therapy, reflexology. Method includes introduction of low-calorie diet. Simple carbohydrates are limited to 10% of calorie content, general fats - to 30-35% of calorie content, animal fats - to 10%. Diet is enriched with proteins to 25%, vitamins, minerals, with magnesium - to 500 mg, cellulose - to 30 g. If body weight index is 25-30 units, food calorie content is limited to 1800 kcal per day for men and 1500 kcal - for women, course of auricular acupuncture is carried out. Course includes carrying out 10 sessions for 30 minutes in points AP 17 and AP 18. If body weight index is higher than 30, food calorie content is limited to1500 kcal for men and 1400 kcal - for women. Additionally to auricular acupuncture after 20-30 days carried out are 10 30-minute long procedures of corporal acupuncture every second day or daily. Corporal acupuncture is performed in points of intersection of anterior, medial and posterior axillary lines with horizontal line, drawn through crests of iliac bones.
EFFECT: method ensures body weight correction without application of drug therapy, does not have side effects.
The claimed invention relates to medicine and touches of tobacco and obesity.
Tobacco Smoking is a serious medical and social problem and one of the main preventable causes of death and disability worldwide. Despite the fact that many smokers wish to stop Smoking, their initial attempts, as a rule, does not lead to success (Centers for Disease Control and Prevention, 2005a, 2005b).
That is why along with the political, legislative and educational measures is of paramount importance is the selection of individual treatment methods smoker. The modern Arsenal of behavioral, pharmacological and non-pharmacological methods for long-term Smoking cessation should be directed not only to secure the installation of the patient to complete Smoking cessation and elimination or significant reduction of tobacco dependence, but for the purpose of effective relapse prevention Smoking prevention and correction of withdrawal symptoms and, mainly, the increase of weight.
Fear of overweight and obesity is a serious obstacle to the decision to stop Smoking, and the inability to cope with these conditions is the main reason to return to Smoking in those who attempted to quit Smoking.
Many large research investigated the I in Europe, Asia, America has revealed the fact of increase of body weight when quitting Smoking and demonstrated the necessity of taking into account the negative impact for the implementation of anti-tobacco programs (Filozof C, Fernandes Pinilla MC, Fernandez-Cruz., 2004; Teramoto T, Sasaki J, Ueshima H, Egusa G et al, 2008). So, Japanese scientists (Unai Tamura, Taichiro Tanaka, Tomanori Okamura, 2010), studying the risk of cardiovascular disease in 2000 working after Smoking cessation, found that people who refuse area, after 4 years, the levels of total cholesterol, blood sugar and blood pressure both systolic and diastolic higher than in persons who continue to smoke. And this is due to the increase in their body weight. Considering this issue is most relevant in the issue of Smoking cessation, they propose the development of new programs, taking into account this fact (Tamura U.,2010).
In addition, it was found that excess body weight has a negative impact on the function of external respiration, and so impaired in these individuals, which is one of the main points that motivate the patient to quit Smoking. Further deterioration of this indicator as a result of weight gain can also be a barrier to Smoking cessation or relapse (Murugan AT, Sharma G. Chronic Respiratory Disease, 2008).
Modern methods of treatment of tobacco dependence are designed to cope with the withdrawal symptoms, which, in fact, is visit their effectiveness. However, medical procedures aimed at specific parts of a complex neurobiological circuits nicotine addiction (nicotine replacement, selective inhibition of serotonin and antidepressant activity, partial stimulation of nicotinic receptors), and sometimes their effectiveness depends on the genetic characteristics of the Smoking. Therefore, the use of known drugs for the treatment of tobacco dependence often have to combine with each other (which, as the statistics shows, does not increase efficiency) and/or with other drugs (such as antidepressants, tranquilizers, anoreksigena) for maximum overcome the manifestation of withdrawal symptoms.
In terms of Smoking cessation particular importance is the monitoring of nutrition and body weight, as improved metabolism and increased appetite during treatment area can lead to the acquisition of alternative habits-the uncontrolled, compulsive eating.
This is because Smoking cessation, a gradual elimination of symptoms of chronic tobacco poisoning is accompanied by improvement of taste sensitivity, appetite, normalizing the secretion of digestive glands, which generally leads to increased food intake and hence weight gain.
Smoking hasten the em metabolism, that allows you to lose 100-200 calories per day more. Accordingly, when the Smoking cessation metabolism slows down again, the same caloric causes too much on the calories. Smoking suppresses the feeling of hunger. Nicotine causes the liver to allocate glycogen, because of which the level of sugar in the blood increases, and the appetite falls.
Smoking tones and improves mood. The consumption of nicotine increase in the brain levels of dopamine - a substance that accompanies the feeling of pleasure. The effect is similar to those that have sweet, and the alcohol, so after giving up cigarettes, the patient may experience an acute need for chocolates and alcoholic beverages.
Cigarette occupy your mouth and hands. The process of absorption of food. So quit Smoking, the patient instinctively replaces the cigarette meal. Weight gain can reach an average of 3-4 kg in 2-3 months of Smoking cessation. If overeating will turn into a lasting habit, after giving up Smoking will get rid of habits, and weight.
Pharmacological agents used in the treatment of nicotine addiction (bupropion, nicotinecontaining therapy (NRT), and varenicline), can help reduce weight over the period of their application, but this effect is not maintained during the year (Parsons AC, Shraim M, Inglis J, Aveyard P, Hajek P. Cochrane Database f Systematic Reviews, 2009).
Physical activity and exercise can help reduce/ overcome the withdrawal symptoms (Ussher, 2003); as for other methods such as versiona therapy and hypnotherapy - no evidence of their effectiveness in the treatment of tobacco (World Heath Organization Traditional Medicine, 2003; White, Rampes, & Campbell, 2006).
Widespread effect on the body nikotinsoderzhaschie chewing gum (US 2009005423 A1). However, they can cause irritation of the mucous membrane of the oral cavity until the ulcers, nausea, uncontrolled increase of the level of nicotine in the blood. NRT treatment, which binds to nicotinic receptors in the brain and has a number of side effects, trying to replace alternative therapy: supplements and vitamins. However, this is not a comprehensive purpose of the diet, and various components of the power - sulfur, vitamin B6, the amino acid tryptophan, which stimulate release of endorphin (US 2008103111 A1).
It is proposed to use chewing gum, candy cane, vanilla, mint, peach. Not only do they possess antibacterial properties, but also possess anti-stress effect. So, in a double - blind, placebo-controlled study (EP 1928259 A2) candy during the first 4 days of quitting Smoking reduces the level of cortisol in saliva. Some authors prescribe salicylic acid, vitamin D, green tea extract (CN 101249130). These methods offer only individual food components, ignoring the complex nutritional intervention and, very importantly, the issue of increasing body mass.
With the aim of preventing the increase of body weight patentowy when quitting method of assigning sibutramine 10-15 mg for 2 weeks of giving up Smoking and continue for another 6 months (D. Mitchell Anti smoking device and method, CA 2368093 A1). But it is known that the drug has several side effects and contraindications (ischemic heart disease, uncontrolled hypertension, arrhythmia, hyperplasia prostate cancer, cerebrovascular disease, and others). Moreover, drug therapy of overweight is effective only against the backdrop of diets.
Methods of psychotherapeutic influence when it comes to self-hypnosis (RF Patent 2330689 C2); the way of meditative trance with versionnow therapy with oral irrigation Dibazol, lidocaine, papaverine (RF Patent 2234950). In the latter case, a powerful mental effects combined with the possibility of uncontrolled toxic effects of several drugs that can reduce weight.
Regardless of the problem area in the literature are many and varied diet for the treatment of overweight and obesity. They are described in various guidelines (European guidelin on cardiovascular disease prevention in clinical practice 2007; Who, 2007; School of health, 2009). All these diets composed without the problem of Smoking cessation, i.e. without taking into account the etiology of the process, therefore:
they are not so necessary for smokers detoxification functions
- do not take account of disturbed acid-base balance and IMR,
- there's no accounting for "distracting" and "provoking" the role of products,
- there is no differentiation in diet between women and men in calories, although their energy demands vary.
Along with this reflex therapists developed their own methods of treatment of obesity, again without the problem area as one of the reasons for the rise weight (Drobysheva N.A., 1988, luvsan,, 1990, and others) are Traditionally long corporeal needles are inserted horizontally from F13 to VB25 c two sides and KZT25, and RP9 also on both sides. The duration of the sessions of 20-30 minutes Rate up to 10 sessions. The method does not meet the requirements of the impact on the pathogenetic mechanisms of obesity, there is no pronounced stimulation of metabolism, activation of lipolysis, as there is no use of auriculotherapy, the effectiveness of which is recognized. Also, do not take into account the influence on the psycho-emotional sphere; treatment not differentiated in savinesti from the initial mass of the body and enhance appetite; not considered the problem of Smoking cessation
Pokatilov ACTING, Flies is on MM in his work "the Methods of correction of overweight (RF Patent 2176496) pay attention to the psycho-emotional sphere, evaluate it according to the technique of RESINS. But not considered such stress on this area as a Smoking cessation. Conducted a comprehensive corporal and auricular acupuncture. AT constant points 17, 18, 55, 87 - 14 days Needles are inserted into the major fat depot. On the anterior abdominal wall is F13 VB26. E19-28; in the back is V25, V19, 48; on the outside of the thigh VB29,31,33,34. These sessions are held three with an interval of one to three days. After 14 days, again, there is a session of auricular acupuncture. Removed old microneedle. Prick both auricles, but only AT 17, 18.
- The method is not taken into account important factors, such as diet therapy.
Sessions corporeal therapy are not enough (only 3).
- The location of the points of the standard.
Golden needles suggested Mukhina MM for the treatment of obesity used in point "hunger" and "thirst" (Patent RU 2233149 (C1) may not have wide practical value. They are expensive and can have, from the point of view of traditional Chinese medicine, stimulating effect on the centers of hunger and thirst. Although endorphins when auriculotherapy stand out, and even if you can slow down the respective centers, the influence of ear needles adipose tissue doubt the tion, because there is no corporeal therapy. The main disadvantages of the method:
- here, too, is not connected with the problem of Smoking cessation;
- not differentiated intervention depending on the body mass index, sex and time
- no combination of needles.
Alibaev A.D., Akayev S.A. (RF Patent 2163478) in the treatment of obesity prescribed in the background reflexology low-calorie diet of 1000 kcal. The impact of elektrichesky shock is on point E36, e, MS, RP6, B67, B20, symmetric auricular points of the hypothalamus, thyroid gland, "hunger" and "thirst". The diet of 1000 kcal. However, this diet is designed for the treatment of obesity without any connection problems weight gain when quitting Smoking. Since there is no reference to the issue of Smoking, diet low calorie, but structurally it without regard to metabolic disorders, deficiencies, changes in acid-base balance, the need for detoxification of the body of the smoker.
Tukaev RG (RF Patent 2008028) for correction of the mass body in alimentary forms of obesity pre conducts psychotherapy, performs auto-heterosuggestion impact, inspire indifference to food, causes anorexically-distancesa feeling and enhance their mechanical irritation of the anterior projection of the stomach, esophagus, session repeat 1-2 days. The next session begins with irritation method is m acupuncture or acupressure reflex zones or points of the hypothalamic-pituitary system, the autonomic nervous system and the gastrointestinal tract, expect a program of weight loss, combine it with the program of introducing into a meditative state, with a combined program enter the patient into a meditative state and repeat the auto-suggestive effect on the background of the stimulation of reflex zones.
Here reflexology combined with psychotherapeutic effect, but if this solves the problem of obesity not related to Smoking cessation.
There are attempts combined treatment of Smoking cessation by replacing the action of nicotine on hypothalamic-pituitary-adrenal system of the body by the method mesodiencephalic modulation of the alternating current amperage in the range of 0.07-047 mA. The electrode with positive polarity impose between frontal mounds and naderinasab in the center of the forehead, and cutaneous electrode with negative polarity placed on the occipital region at the centre of the great occipital foramen, while the Central frequency is 76 Hz with a deviation of frequency of 20 Hz, the period of change of frequency of 80. At the same time the patient receives 150-300 mg of diazepine, which increases the treatment efficiency of 57% (RF Patent 2234954). Although the method is combined and affects the pituitary-hypothalamic region, responsible for hunger and thirst, the n does not take into account the problem of increase of body weight when quitting Smoking.
On the other hand, it has been found that the combination of microglobulinuria therapy with cranial acupuncture there is a good effect of Smoking cessation (92%). This combination causes more effective reflex activation of the limbic-reticular complex of the Central nervous system, providing viscero-endocrine functions of the body to release endorphins (O. Davydov and others, 1999). Obviously, the release of endorphins during acupuncture, due to stress, antidepressant effect and inhibits the corresponding centers in the brain. But in this work there are no dietary recommendations.
- Is not taken into account its influence on the psycho-emotional sphere.
The treatment is not differentiated depending on the initial mass of the body and enhance appetite.
- Excessive reflex stress, which can exacerbate comorbid conditions.
Famous work Shakirzyanov GS and Novikova O. (EN 2132203) "Method of treatment of tobacco dependence and tobacco combined preparation", which describes a comprehensive method of treatment of tobacco dependence, combining methods of psychotherapy, drug therapy and diet therapy: it is recommended that at the end of the termination area to observe fasting diet, but the authors make no calorie, no structure, no sample menu diet; the problem of increase of body weight when quitting Smoking, the special is the super is not considered.
Special diet for smokers developed by Finnish scientists (Food from area, 2008). The basis of the diet on the results of a 13-year study, which involved more than 26 thousand smokers citizens of Finland. According to scientists, smokers useful products with a high content of magnesium, only because they can reduce the risk of stroke by 15%. As sources of magnesium researchers suggest the use of whole grains, black beans, peanuts, broccoli, spinach, halibut and oysters. However, in the diet of focusing only on one component of the food magnesium salts, which have a positive impact on blood vessel walls, reducing the risk of stroke, and in addition, the diet is designed for people with stroke and smokers, but not for those who are trying to give up tobacco.
Closest to the claimed method is an adjustment increase of body weight when quitting Smoking, described in Smoking Cessation Treatment with Appetite Suppression (US 2008103111 (A1). In the patent proposed multicomponent "suppressant" appetite. In this complex in the form of pharmaceutical capsules, along with colloidal sulfur, which, binding nicotinic receptors, reduces cravings for nicotine, provided the amino acid tryptophan is the precursor of serotonin, and the latter as an antidepressant suppresses the appetite. However, in this work the development of the nerd special diet while quitting Smoking for persons of different sex, with different body weight with regard to metabolic disorders, deficiencies, changes in acid-base balance, the need for detoxification smoker with a long-term effect of treatment.
Based on the foregoing, we have aimed to develop and test the methodology for a comprehensive adjustment of increase of body weight when quitting Smoking without the use of additional drug therapy, which would have no additional side effects and take into account the sharp increase in appetite, intoxication nicotine, vitamin deficiencies, impaired acid-base balance in the body by Smoking, the conditioned reflex link in the diet with certain foods and other
In the process of Smoking cessation used method to adjust the increase of body weight, consisting of a combination of the method of acupuncture (RTIs) and diet.
Complex correction of the rise of the body mass includes auricular acupuncture, if the body mass index (BMI) (weight in kg: height in meters squared) of 25 or more and/or increased the appetite of the patient at the point AR 17 AR 18 from 5 - 10 daily (1-2 weeks) procedures. In individuals with a BMI above 30 20-30 days after the main course is additionally assigned a 10-day course of daily or every other day treatments corporal RTIs. Nutritional correction switch is no restriction of energy intake with BMI, 25 -30% up to 1500 kcal per day for women and 1800 kcal for men, while a BMI over 30 to 1500 kcal per day for men and up to 1400 kcal for women. In all cases, the diet includes the following structural changes: the restriction of simple carbohydrates and animal fats to 10% of calories each, enriching the diet of proteins up to 25% of the calories, vitamins, fiber (30 g or more), magnesium salt (500 mg or more) and vegetable fats (up to 20% of calories).
Sessions are conducted by auricular and corporeal acupuncture during, and after therapeutic measures used for Smoking cessation.
The claimed invention is as follows.
The patient is warned in advance about the possibility of increase of body weight when quitting Smoking and so that it is not negatively influenced his decision to quit. We have developed recommendations for weight control, based on the body mass index of the patient, and offered their implementation from the very beginning in the process of Smoking cessation and within 6-12 months after a complete failure.
If the body mass index does not exceed 25 units (weight in kg: height in meters squared), a patient-balanced, healthy, enriched with vitamins and minerals food, without special restrictions calories. If the body mass index exceeds its normal value and composition of jet 25 and above and/or in case of complaints, increased appetite, spending power with limited calories and auricular acupuncture, while a BMI over 30 (obese) and corporal RTIs.
Particular care should be taken to the complaints that appear immediately after quitting Smoking, to stop the possibility of the formation of the patient of causation and remove the reason for the return of this habit.
Diet for quitting Smoking
Organization "healthy food" when Smoking cessation is of great value and performs several functions.
1. Substitution, "distracting"
The patient in the process of quitting Smoking, you need to offer "substitute" the process of Smoking cigarettes diet "equivalent". The choice depends on the taste preferences of the patient. It is desirable to have low-calorie, leafy vegetables. But in some cases in order to "replace" within daily calories can recommend sunflower seeds and/or pumpkin.
2. Detoxification function
With the aim of detoxification of the body, it is desirable that the diet contained a large amount of fiber, more soluble, i.e pectin (berries, beets and other). Pectin will help to decrease the content of toxins in the intestines. The diet should be enriched with vitamins, mineral salts. The increased peroxidation and the R lipids when Smoking special attention should be paid to the content of vitamins in the diet - antioxidants, beta-carotene and vitamin E.
It is recommended to increase the consumption of sources of vitamin C (rose hips, black currants, green onions, cabbage, lemons, and others), beta-carotene - fruit orange and yellow colors, with high antioxidant potential (figs) vitamin E (wholemeal bread, vegetable oil, green vegetables, wheat germ). Antioxidants in the form of beta-carotene and vitamin E have to do strictly with the products and not drugs.
Important b vitamins, their synthesis may be impaired due to violations of the microbiological environment of the gut, producing vitamins and due to their excessive spending while Smoking. Need to increase vitamin b1(wholemeal bread, cereals), vitamin b12(green peas, oranges, melons), vitamin PP (beans, grains, yeast, cabbage, dairy products, potatoes).
3. Normalization of acid-base balance
Nicotine dependence, accompanied, as a rule, the disruption of the acid-alkaline balance of the body in the direction of increasing acidity, reduces alkaline drink (mineral water, juices, vegetable broths and citrus.
4. Accounting related diseases.
When giving individual dietary recommendations need to be considered related to Smoking risk factors and diseases: hypercholes is arinami, hypertension, diabetes, osteoporosis and others. In hypercholesterolemia should be limited even more animal fats (up to 7-10% of calories), and arterial hypertension - salt (up to 5 grams per day), diabetes dramatically reduce and even eliminate sugar (less than 30 g), and osteoporosis - add low-fat dairy products (up to 500 g per day) and fish (2-3 servings per week) or fish oil (up to 5 g per day).
5. Disclaimer provoking products
You should avoid those foods and dishes that are probably conditioned reflex provoked by Smoking. For example, coffee, strong tea, alcohol.
6. The weight control
Kindly requested to develop recommendations on nutrition for losing the extra weight, based on the body mass index of the patient, and to begin implementation in the process of quitting Smoking and for 3-6-12 months after a complete failure.
Limited caloric value only if the body mass index exceeds its normal value. Basically caloric restriction must relate to animal fats because of the high consumption of animal fats as well as Smoking is a risk factor for cardiovascular diseases and cancer. The necessary correction of both behavioral risk factors: Smoking, and malnutrition. It is very important to limit carbohydrates, osobennostyu. The fact that Smoking increases insulin resistance of tissues and, thereby, the likelihood of developing metabolic syndrome. This is due to toxic membranotropic effects of Smoking, as a pathogenetic factor in the development of the "defect" of cell membranes. Caloric intake and its limitations depend on the initial level of body weight and degree (if any) of obesity.
Original position when the body mass index (25-30) is a calorie restriction to 1500 kcal per day for women and 1800 kcal for men per day. If the index is more than 30 limit accordingly to 1500 kcal per day for men and 1400 kcal for women. Diet in all cases has structural shifts: limit simple carbohydrates (up to 10% of calories), fat (30-35% of calories) mainly due to the fats of animal origin (up to 10% of calories), enriching the diet of proteins (25%), vitamins, minerals, fiber (30 g) and vegetable fats (up to 20% of calories).
|Sample menu for a day for persons with excess body weight when quitting Smoking (1800 kcal)|
|The name of the dishes||Output (g)||Protein (g)||Fat (g)||Carbohydrates (the)||Kcal|
|Buckwheat 1% milk||300||the 11.6||3,1||28,8||189,5|
|Green tea with 5 g of sugar||200||0,4||0,6||6,1||of 31.4|
|Soup vegetarian (1/2|
|Green peas without oil||50||1,3||0,1||0.5||to 47.2|
|Orange - 1 medium||150||1,2||-||15||64,8|
|Boiled fish (halibut)||100||12,8||10,6||0,02||149,3|
|Ragout of vegetables (broccoli,|
|On the night|
|The rye bread otrubny||200||8,4||1,65||69,9||320|
|Just in grams||100 g||68 g*||200 g **|
|Note: If you remove and bread and sugar, then you get the diet in 1450 -1500 kcal.|
|* Vegetable fats more than half of all fat 20 g (20% of calories).|
|** Complex carbohydrates - fiber - 30,|
Thus, it is possible to bring the power structure, the composition of the diet while quitting Smoking and various calories depending on gender and baseline values of body weight.
|The chemical composition of the daily diet while quitting Smoking|
|The who guidelines (2003)||10-15%||20-30%||55-70%||About 2000 kcal|
At a BMI of 25 or more and/or complaints increased appetite spend from 5 to 10 daily procedures auricular acupuncture points (AR 17 AR 18). If technically possible sessions performed during therapy, used for Smoking cessation, and after, when less pronounced withdrawal syndrome and should affect side effects.
Needle and microneedle used for single use, sterile. After cleaning the skin with 70% alcohol needle is injected perpendicularly or at an angle in the point of "hunger" and "thirst". The needle should penetrate the cartilage, but never enter it. After insertion of the needles, in order to strengthen therapeutic effect, they should be rotated. When mild stimulation to rotate 1-2 times per session, with the strong stimulation until you get the effect of intentional received the response. You can use special microneedle and leave them for 7-10 days, sealed with adhesive tape. The patient is instructed intervals to put pressure on certain points of the ear.
Patients with baseline overweight are more prone to its increase in quitting Smoking. Although weight gain is mainly standard (3-4 kg, as described above), may require additional effort to motivate the patient for treatment of tobacco dependence.
In patients with a body mass index greater than 30 correction of body mass more difficult than others. Therefore, along with recommendations for low-power, we conducted RTI for additional adjustments "extra pounds"scored after Smoking cessation. Corporal acupuncture is 20-30 days after completion of the course on the treatment of tobacco dependence, consists of 10 daily or every other day RTI procedures at the point of intersection of the anterior, middle and posterior axillary lines with a horizontal line drawn through the crests of the iliac bones. After cleaning the skin with 70% alcohol needle is injected perpendicularly or at an angle; the needle should penetrate deep into the fat, but not to hurt the peritoneum. After insertion of the needles, in order to strengthen therapeutic effect, they should be rotated. When mild stimulation to rotate 1-2 R is per session; during strong stimulation until you get the effect of intentional feelings.
The duration of the session is 30 minutes.
During the period of treatment was generally able to completely get rid of the "extra" pounds gained in the "result" of Smoking cessation.
In 18 patients out of 30, with a BMI of 25 and over was conducted in the course of auricular acupuncture on the background of Smoking cessation with a positive effect of prevention of increase of body weight after 1 year, 12 patients (66.5 per cent). In 5 patients of them with a BMI greater than 30 in addition to the auricular treated corporal RTIs from obesity, the average weight loss was 4±0.5 kg, weight gain was not one. In 10 patients there was no indication for acupuncture (index below 25, the appetite has not been upgraded), 2 patients acupuncture was contraindicated (benign tumors).
The presented invention is illustrated by the following examples.
Clinical example 1
Man, 36 years old, married, smoker with 18 years of experience 20 cigarettes per day, with arterial hypertension. In the process of treatment and Smoking cessation noted some increased appetite, which required additional foot reflexology intervention in the form of auricular acupuncture from the first day. Conducted a 10-day course of treatment at the point of "hunger" and"thirst" on the treatment of tobacco dependence.
When the height is 180 cm weight patient was the source 102 kg; body mass index equal to 31.5. Blood pressure is 150/95 mm RT. Art. blood Cholesterol, 280 mg/DL (moderate hypercholesterolemia according to who criteria, 2003). As a body mass index over 30, took the course corporeal IRT - 10 procedures through the day at the points of intersection of the anterior, middle and posterior axillary lines with a horizontal line drawn through the crests of the iliac bones.
During the course of treatment and during the next year the patient remained non-smokers. He was appointed diet: given memo, reference material, examples menu.
restrict calories to 1500 kcal/day by limiting animal fats and simple carbohydrates,
- enrichment of the diet with fruits and vegetables (up to 800 g) with high "saturation index", rich in vitamins, minerals,
- enrichment of diet dietary fiber, with antitoxic action
- limitation cholesterolaemia products - by-products, shrimp, egg yolks of eggs (including hypercholesterolemia),
- restriction of salt due to the products salting, pickling, Smoking due to high blood pressure.
But by the second visit in a month after the course was marked improvement of health and the General condition of the patient, the withdrawal symptoms are not observed is of n. Tried to follow his recommendations. Normal acid-base balance: pH from 7.32 went up to 7.38.
The body mass index was changed from the first visit to the fourth, i.e. after 1, 6 and 12 months after completion of the course. During the observation period has been a slight fluctuation of body weight within 2 kg: 1 month after end of treatment for tobacco dependence, the patient has gained 2 pounds. Conducted 10 sessions of acupuncture therapy. After 6 months the weight of the patient has recovered to the initial values, and a year later further diet was 98 kg, which corresponds to the index of 30.3 units. Although the diagnosis of obesity 1 degree (according to the who classification, 2003) remained, yet the body mass index decreased by 1.2 units. Blood pressure one year after Smoking cessation and diet remained within normal values. Cholesterol decreased from 280 mg/DL initially to 250 mg/DL after a year (a decrease of 10.7%). And this is a minor hypercholesterolemia according to who criteria (2003).
Clinical example 2
Patient E., 38 years old, appealed for help to quit Smoking. Complains of fatigue, irritability, coughing in the morning, overweight, increased appetite. Smoking history of 20 years, 10-15 cigarettes a day. Repeated attempts to quit Smoking ended with the increase in the ECE 2-3 kg, then again, she had lit a cigarette.
Currently, with the growth 164 cm body weight of the patient was 71 kg. body mass Index equal to 26.4 kg/m2(BMI more than 25% but not more than 30 units). Diagnosis of overweight.
The complex therapy according to the standard scheme, auricular acupuncture - 10 sessions in point "hunger" and "thirst" and diet. With the patient interviewed, given the necessary checklists and tables to determine the energetic cost and calories of foods. Dietotherapy assumed:
restrict calories to 1,500 calories by limiting animal fats and simple carbohydrates,
- enrichment of the diet with fruits and vegetables (up to 800 g) with a high index of saturation, vitamins, minerals,
- enrichment of diet dietary fiber, with antitoxic action
- supplemental vitamin C - 150 mg per day.
During treatment there was a slight appetite, which required additional foot reflexology correction in the form of auricular acupuncture from the first day.
But by the second visit in a month after the course was marked improvement of health and the General condition of the patient, the withdrawal symptoms were observed, the breathing became more free, increased appetite, stopped worrying, improved appearance. Acid-the Christmas equilibrium has shifted to the alkaline side within normal values: pH of 7.36 rose to 7.40.
During the observation period has been a slight fluctuation of body weight within 1-2 kg: 1 month after end of treatment of tobacco dependence and overweight patients have not gained a single pound, second visit (after 6 months) lost 4 kg, and by the end of the year, continuing to follow a diet, to stabilize the weight. Currently, with the growth 164 cm weight patients was 67 kg. body mass Index equal declined by 1.5% and was 24.9 kg/m2that corresponds to the norm.
During the period of treatment was generally able to completely get rid of the "extra" pounds gained in the "result" of Smoking cessation.
Thus, the claimed invention has enabled to adjust the increase of body weight when quitting Smoking without the use of additional drug therapy, without side effects, given the sharply increased appetite, intoxication nicotine, vitamin deficiencies, impaired acid-base balance in the body by Smoking, the conditioned reflex link in the diet with certain foods, helping to preserve long-term remission.
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15. Samsonov WAS a Way to discontinue Smoking. Patent for invention EN 2330689 (C2) from 10.04.2008.
16. Ermolov, A. a Method for the treatment of tobacco dependence. Russian Federation patent RU 2234950 from 29.04.2002.
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26. Davydov, O., Volodina T.V. Treatment of nicotine addiction microglobulinuria therapy in combination with cranial electro. Military-medical journal, 1999, 4, 75-77.
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29. Smoking Cessation Treatment with Appetite Suppression. United States Patent Application 20080103111.
30. Diet, nutrition and the prevention of chronic diseases. Technical report series world health Organization. No. 916, Geneva, 2003, 196 S.
Pic is b correction slew of body weight when quitting Smoking, characterized in that conduct low-calorie diet with restriction of simple carbohydrates to 10% of calories, total fat - up to 30-35% of calories, fats of animal origin - up to 10%, by enriching the diet of proteins up to 25%, vitamins, minerals, and magnesium - 500 mg, fiber up to 30 g; when the body mass index of 25-30 units restrict calorie intake to 1800 calories a day for men and 1,500 calories for women, prescribe a course of auriculoterapia - 10 sessions for 30 min in point AR 17 AR 18; the body mass index more than 30 restrict calorie intake to 1500 kcal per day for men and 1400 kcal for women in addition to auricular acupuncture with body mass index more than 30 20-30 days spend 10 procedures corporeal acupuncture every other day or daily for 30 min, at the point of intersection of the anterior, middle and posterior axillary lines with a horizontal line drawn through the crests of the iliac bones.
SUBSTANCE: invention refers to medicine, namely to - physiotherapy. An apparatus comprises a power supply and a main component. The main component incorporates a body, a front cover, a back cover and a light source unit. And the light source unit accommodates at least one light-emitting diode. The front cover contains a polariser of polarisation efficiency more than 60 % for emission in a range 700 to 1000 nm. The light source unit is movable close and away from the front cover for power output adjustment of polarised emission directed on a patient's body. The method of application of the apparatus is characterised by the fact the human body area is exposed to polarised light generated by said apparatus. Exposure time is 10 to 15 minutes every day or every second day. 20 procedures are carried out.
EFFECT: apparatus and method allow varying circulating blood volume.
10 cl, 9 dwg
SUBSTANCE: invention refers to psychophysiology. The acupuncture points 26XIII zhen-chzhun, VM3 in-tan are localised and marked by a colour. A full-face photography 10×15 cm is taken to draw a vertical straight line through two marked points. The pupil centres are marked to draw therethrough vertical and horizontal lines respectively parallel and perpendicular to a sagittal face midline line of the person and within the accuracy of 0.1 mm. A hemispheric asymmetry coefficient is calculated: Kas=0.1×A/(C-D)±B, where A is a horizontal distance of the pupil centres; B is a vertical distance of the pupil centres - with a "+" sign, if a right eye is higher than a left one; with a "-" sign, if a left eye is higher than a right one; O is a distance of the right pupil centre and the face midline; D is a distance of the left pupil centre and the face midline. At the coefficient Kas values are within 0 to 5.0, a right-hemispheric asymmetry is stated, while the Kas values -5.0 to 0 show a left-hemispheric asymmetry. A degree of asymmetry increases with the Kas value approaching to zero, and the Kas value equal to zero testifies to the presence of the complete hemispheric symmetry.
EFFECT: method extends the range of products for evaluating the hemispheric asymmetry.
5 dwg, 2 tbl, 6 ex
SUBSTANCE: scapulohumeral periarthrosis is treated by nonsteroid anti-inflammatory drugs, anaesthetics and vitamins, by local cryotherapy with using Kryotur 600 apparatus immediately followed by neuropulse cuppent therapy. An acute period of the disease requires cryotherapy at temperature (-6) - (-12)°C for 8-10 minutes. In a subacute period not accompanied by secondary synovitis phenomena, cryotherapy is carried out at (0) - (-6)°C for 5-10 minutes. 4 procedure fields are exposed to neuropulse current. The IV channel electrodes are crosswise fixed within a shoulder joint; the I channel electrodes are arranged longitudinally in a paravertebral area on an affected side at a level of the I-III thoracic vertebras; the II channel electrodes are found paravertebrally on an opposite side; the III channel electrodes are fixed within a deltoid muscle. The operating mode of all the channels is group-mixed with pulse current frequency of the IV channel is fixed and equal to 100 Hz, the channel current migration period is 8 seconds. The neuropulse current exposure time is 10-15 minutes. The therapeutic course is 8-10 daily procedures.
EFFECT: higher clinical effectiveness ensured by pain syndrome relief, increased range of shoulder joint movement and lower number of carried out physiotherapeutic procedures.
SUBSTANCE: method involves exposure on acupuncture points. For this purpose, from the 5th-7th menstrual day the acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4 (1) are exposed. The exposure is performed by means of needles for 10-20 minutes. After the needles are removed, an underbelly is exposed to a variable electrostatic field. The exposure is enabled by Chivamat 200 apparatus. A labile procedure is used. For this purpose, the 5-minute exposure of frequency 190 Hz, intensity 80 %, pulse/pause length - 2/1. For the following 5 minutes, the exposure characteristics are as follows: frequency 50 Hz, intensity 80 %, pulse/pause length - 2/1. The therapeutic course is 7-10 procedures.
EFFECT: method reduces time of treatment, is easy-to-implement.
2 cl, 2 ex
SUBSTANCE: invention refers to medicine, namely - to dentistry and physiotherapy. The method involves acupuncture of auricular points (AP). Every second day, the AP 4 are exposed to a portable electrode of DiaDENS apparatus and a red-light semiconductor laser of Svetozar apparatus. The exposure to DiaDENS apparatus is performed in a "Therapy" mode at frequency 77 Hz for 2 minutes. The exposure to Svetozar apparatus is characterised by wave length 665 nm for 1 minute. The therapeutic course is 7-8 sessions.
EFFECT: method reduces length of procedure and treatment, prolongs remission, improves patient's quality of life due to dysarthria elimination, considerable xerostomia reduction, neurologic semiology relief.
2 ex, 1 tbl
SUBSTANCE: invention relates to medicine, namely to psychiatry. Method includes determination of form of tobacco addiction and further impact taking into account its form. In case of dissociated form of tobacco addiction impact is performed on adrenergic, dopaminergic and glucocorticoid biologically active systems homolaterally from the left side, and on estrogenic, histaminergic and alimentary systems - bilaterally from both sides. In case of psychosomatic form of tobacco addiction impact is performed on androgenic, adrenergic and dopaminergic biologically active systems homolaterally from the left side, and on histaminergic and alimentary systems - bilaterally from both sides. Impact is performed by method of bioresonance therapy with application of corresponding for each system homeopathic preparation: estradiol-composite, androstendiol-composite, adrenalin-composite, dopamine-composite, glucocorticoid-composite, histamine-composite in hundredth homeopathic potencies and nicotine-composite in two hundredth homeopathic potencies. Impact is performed on all or separate arm or leg meridians of male patient. Impact duration on each biologically active system constitutes 3 minutes. Course of treatment includes 6-15 sessions.
EFFECT: method increases remission duration.
4 cl, 2 ex, 2 tbl
SUBSTANCE: invention relates to medicine, namely to psychiatry. Method includes determination of form of tobacco addiction and further impact on organism systems taking into account its form. In case of dissociated form of tobacco addiction impact is performed on androgenic, adrenergic and dopaminergic biologically active systems homolaterally from the right side, and on histaminergic and alimentary - bilaterally from both sides. In case of psychosomatic form of tobacco addiction impact is performed on androgenic, adrenergic and dopaminergic biologically active systems homolaterally from the left side, and on glucocorticoid and alimentary systems - bilaterally from both sides. Impact is performed by bioresonance therapy with application of corresponding for each system homeopathic preparation: androstenediol-composite, adrenalin-composite, dopamine-composite, glucocorticoid-composite, histamine-composite in hundredth homeopathic potencies and nicotine-composite in two hundredth homeopathic potencies. Impact is performed on all or separate arm or leg meridians of female patient. Impact duration on each biologically active system constitutes 3 minutes. Course of treatment includes 6-15 sessions.
EFFECT: method increases remission duration.
4 cl, 2 ex, 2 tbl
SUBSTANCE: invention relates to medicine, namely to cardiosurgery and can be used in treatment of patients after cardiosurgical interventions and receiving mechanical ventilation (ALV). Starting with the first post-operation day at the background of intensive therapy in lying position of patient visceral manual therapy on organs of abdominal cavity is carried out. After that impact is performed on biologically active points which are selected taking into account prevailing organ failure. Depending on state of patient's conscience either passive or active movements in joints of lower extremities are performed. In case of active movements doctor exercises dosed resistance to working extremity. Before beginning and in pauses between exercises rotation in hip joint is performed. After that, ventilation in prone-position is carried out. Slow transfer of patient into sitting position is carried out. In this position impact is performed on patient's back by means of manual therapy techniques. After that patient is placed into orthopedic arm-chair in "vertical sitting" position with gradual increase of exposure time.
EFFECT: method makes it possible to restore and support adequate function of gastrointestinal tract, facilitate early independent beginning of enteral feeding, improve ventilation function of lungs and gas-transport function of blood.
SUBSTANCE: invention relates to medicine, namely to dentistry. Method includes impact by remote electrode of apparatus "DiaDENS". Impact is performed with frequency 77 Hz for 2 minutes. Impact is performed on auricular points of acupuncture, which correspond to teeth of upper AT5, or lower AT6 jaws. When impact on auricular points is over, impact on pain zone in area of apex of cured tooth is performed. Impact is realised by point electrode of "DiaDens" apparatus with frequency 200 Hz, for 5 minutes.
EFFECT: method ensures obtaining high therapeutic result due to complex successive impact: reduces treatment terms, contributes to elimination of accompanying neurologic symptoms: sleep disorders, irritability, anxiety.
2 ex, 3 tbl
SUBSTANCE: invention relates to medicine, namely to psychiatry, psychotherapy. At the beginning of session psychotherapeutic influence is performed. After that, corporal biologically active points (BAP) are subjected to impact of extremely high-frequency radiation with low-frequency modulation (EHF-LF). Then, phonoresonans therapy is carried out. Impact of EHF-LF radiation is performed on the following corporal BAP: Hae-Gu (Gi-4), Qu Chi (Gi-11), Zhong-fu (P-1), bai-hui (T-20). In case of depressed states impact is performed on Chung-Fu (P-1), fen-fu (T-16), bai-hui (T-20), Hsin-hui (T-22). In case of phobic states impact is performed on Feng-fu (T-16), bai-hui (T-20), da-lin (MS-7), Jung-Fu (P-1). In case of post-trauma stress disturbance impact is performed on Chung-Fu (P-1), Hae-Gu (Gi-4), shen-men (C-7), Feng-chi (VB-20). In case of sleep disorders impact is performed on Chung-Fu (P-1), Hae-Gu (Gi-4), Lin Tao (C-4), shen-men (C-7). For impact with EHF radiation not less than two corporal BAP are used.
EFFECT: method reduces terms of relief of pathologic psychic states reduction and increases remission duration.
4 cl, 7 ex
SUBSTANCE: invention relates to medicine, namely to hematology and cardiology, and can be used for reduction of spontaneous aggregation of erythrocytes in case of arterial hypertension with dyslipidemia and disturbance of tolerance to glucose. For this purpose at the background of hypolipidemic diet, dosed static and dynamic physical exercise and daily swimming for not less than 30 minutes per day in the middle of the day introduced are lisinopril and metformin. Physical exercise includes morning hygienic gymnastics, therapeutic-preventive gymnastics, fractional physical exercise throughout the day. Lisinipril is introduced in dose 10 mg 1 time per day in the morning. Metformin is introduced in dose 500 mg 2 times per day. Treatment is carried out for 2 months.
EFFECT: method makes it possible to normalise spontaneous aggregation of erythrocytes during 2 months, bringing it to the level close to the level of healthy people, which in its turn contributes to reduction of risk of thrombotic complications.
1 tbl, 2 ex
SUBSTANCE: invention relates to medicine, namely to hematology and cardiology, and can be used for reduction of spontaneous aggregation of erythrocytes in case of arterial hypertension with abdominal obesity and disturbance of tolerance to glucose. For this purpose at the background of hypocalory diet, dosed static and dynamic physical exercise and daily swimming for not less than 30 minutes per day in the middle of the day introduced are lisinopril and metformin. Physical exercise includes morning hygienic gymnastics, therapeutic-preventive gymnastics, fractional physical exercise throughout the day. Lisinipril is introduced in dose 10 mg 1 time per day in the morning. Metformin is introduced in dose 500 mg 2 times per day. Treatment is carried out for 2 months.
EFFECT: method makes it possible to normalise spontaneous aggregation of erythrocytes during 2 months, bringing it to the level close to the level of healthy people, thus contributing to prevention of vascular complications in patients with arterial hypertension with abdominal obesity and with disturbance of tolerance to glucose.
FIELD: food industry.
SUBSTANCE: present invention relates to a food additive to be administered to children. Alternatively, the food additive contains a protein source, a source of vitamins and minerals, a carbohydrates source as well as a lipids source including a source of docosahexaenoic acid, linoleic and linolenic acids. The ratio of ω-6:ω-3 fatty acids in the said food additive is 6:1 or less. Alternatively, the food additive contains protein, carbohydrate and lipid components; the lipid component includes 10% - 50% of canola oil, 5% - 40% of soybean oil, 5% - 40% of high-oleic sunflower oil, 5% - 40% of middle chain triglyceride oil, 1% - 20% of corn oil and 0.1% - 10% of a docosahexaenoic acid source.
EFFECT: food additive having a ratio of ω-6:ω-3 of fatty acids 6:1 and less improves the immune system functions, the heart-vascular system activity, bone tissue quality and has a favourable effect on mental processes.
14 cl, 9 tbl, 3 ex
FIELD: food industry.
SUBSTANCE: invention relates to food industry, in particular, to a food product which may be used in ketogenic diet. One proposes a solid or semisolid nutritive composition including proteins, lipids and digestible carbohydrates. The components are produced of at least two different sources; the composition formula ensures 2520-3080 kilojoules per 100 g of dry substance. Lipids weight ratio to the sum total of proteins content and digestible carbohydrates is 2.6-3.8 to 1. The composition may be dissolved in water to produce a liquid food product.
EFFECT: invention allows to produce a product having a high level of ketogenic components applicable for feeding infants suffering from epilepsy.
14 cl, 1 tbl, 2 ex
SUBSTANCE: invention relates to medicine, namely to hematology and cardiology, and can be sued for reduction of spontaneous erythrocyte aggregation in case of dyslipidemia. For this purpose, at the background of hypolipidemic diet, dosed static and dynamic physical exercise and daily swimming for not less than 30 minutes per day, in the middle of the day simvastatin is introduced. Physical exercise includes morning hygienic gymnastics, therapeutic and preventive gymnastics, dosed physical exercise throughout the day. Simvastatin is introduced in dose 10 mg 1 time per day in the evening after meal. Treatment is carried out for 1.5 months.
EFFECT: method makes it possible to normalise spontaneous erythrocyte aggregation during 1,5 months, bringing its level close to that of healthy people, thus favouring prevention of vascular complications in patients with dyslipidemia.
1 tbl, 2 ex
SUBSTANCE: invention relates to medicine, namely to hematology and cardiology, and can be used for reduction of spontaneous erythrocyte aggregation in case of arterial hypertension with abdominal obesity. For this purpose at the background of hypocaloric diet, dosed static and dynamic physical exercise and daily swimming for not less than 30 minutes per day in the middle of the day lisinopril and metformin are introduced. Physical exercise includes morning hygienic gymnastics, therapeutic and preventive gymnastics, dosed physical exercised throughout the day. Lisinopril is introduced in dose 10 mg 1 time per day in the morning. Metformin is introduced in dose 500 mg 2 times per day. Treatment is carried out for 2 months.
EFFECT: method makes it possible to normalise spontaneous erythrocyte aggregation during 2 months, bringing it to the level close to that of healthy people, thus favouring prevention of vascular complications in patients with arterial hypertension with abdominal obesity.
FIELD: food industry.
SUBSTANCE: inventions group relates to a nutrient composition for preterm infants with very low body weight at birth: with weight equal to 1500 g or less. The composition contains 26-38 g/l of a source of hydrolysed whey protein with 8-20 hydrolysis degree free of allergenic substances, 37-46 g/l of a source of fats, whereof 20-40% are triglycerides with an average length of molecular chain, having a value of n6:n3 ratio 6-12, and 50-100 g/l of a carbohydrates source, the composition containing 3.2-4.0 g of protein per 100 kcal. Application of the source of hydrolysed whey protein with 8-20 hydrolysis degree free of allergenic substances in an amount corresponding to a protein content from 3.2 to 4.0 g of protein per 100 kcal in the process of production of the composition for stimulation of growth with infants with very low body weight at birth with weight equal to 1500 g or less. Application of the source of hydrolysed whey protein with 8-20 hydrolysis degree free of allergenic substances in an amount corresponding to a protein content from 3.2 to 4.0 g of protein per 100 kcal in the process of production of the medical agent for stimulation of growth with infants with very low body weight at birth with weight equal to 1500 g or less.
EFFECT: inventions group allows to stimulate growth of infants with very low body weight at birth.
17 cl, 2 tbl, 2 ex
SUBSTANCE: present invention refers to medicine, namely to therapy and endocrinology, and can be used for glucose level correction by gluconeogenesis optimisation in a body. That is ensured by introduction of a daily dietary intake with a carbohydrate quota reduced to 150-100 g and the content of glucogenic amino acids increased to 20000-40000 mg 2-3 times a week. Said dietary intake is prescribed after intensive physical exercises allowing to lose 2000-3000 kcal/day. Such loads are carried out in the form accessible to a specific person as jogging, swimming, football, volleyball or work in the garden.
EFFECT: method provides a protein-glucogenic diet stimulating gluconeogenesis enzyme development by a liver.
FIELD: medicine, pharmaceutics.
SUBSTANCE: invention refers to pharmaceutical industry, particularly to an agent for treating or preventing a peripheral neuropathy. An extract of a family Dioscoreaceae for preventing or treating the peripheral neuropathy recovered by extraction of a of the family Dioscoreaceae with a first extraction solvent selected from the group consisting of water, C1-C4 alcohol and a mixture of water and C1-C4 alcohol. The pharmaceutical composition for preventing or treating the peripheral neuropathy. A food composition for preventing or treating the peripheral neuropathy.
EFFECT: preparations are effective for treating or preventing the peripheral neuropathy.
8 cl, 9 dwg, 1 tbl, 11 ex
SUBSTANCE: invention refers to medicine, namely to cardiology and angiologia, and can be used for optimising vascular wall activity in patients with degree I-II arterial hypertension (AH) associating metabolic syndrome (MS) suffered eye vessel thrombosis. That is ensured by introduction of the preparations pioglitazone and amlodipine with underlying an individually prescribed hypocaloric diet and graduated physical exercises. The hypocaloric diet is calculated in kcal by formula: for women of 18-30 years old - (0.0621 × body weight, kg + 2.0357) × 240, of 31-60 years old - (0.342 × body weight, kg + 3.5377) × 240, over 60 years old - (0.0377 × body weight, kg + 2.7545) × 240, for men of 18-30 years old - (0.0630 × body weight, kg + 2.8957) × 240, of 31-60 years old - (0.0484 × body weight, kg + 3.6534) × 240; over 60 years old - (0.0491 × body weight, kg + 2.4587) × 240. The graduated physical exercises represent morning hygienic gymnastics, therapeutic exercises and graduated physical exercises throughout a day. The preparations pioglitazone 30 mg and amlodipine 10 mg are introduced once a day in the same time. The therapy is performed for 4 months.
EFFECT: method provides correction of reduced vascular wall function in the patients with degree I-II AH associating MS suffered eye vessel thrombosis for 4 months and allows avoiding vascular complications in such patients.
1 dwg, 1 tbl, 2 ex
FIELD: food-processing industry, in particular, production of gerodietary food.
SUBSTANCE: method involves preparing and mixing cabbage, tomato, onion, carrot and edible salt; packing resultant mixture; while mixing said components, additionally introducing fermentolysate of fish processing wastes and acidic hydrolisate of fish processing wastes, soya texturizer, flour of bean, sorghum groats, CO2-extract of dill and celery, rape-seed oil, and preparation produced from Mortierella lignicola microorganism biomass by sequential extraction with the use of non-polar extractant in above-critical state, water, alkaline, water, acid, water, alkaline, and water, with following joining of first extract with solid residue. Components are used in dried state and at predetermined ratio.
EFFECT: wider range of gerodietary products.