Supplementation before and during pregnancy as well as breastfeeding

Stay healthy | 2020

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New European Surgical Academy).

Since 2000, prof. dr. Werner Seebauer worked only in preventive medicine, after ten years spent at the Frankfurt University Hospital.

He is also involved in the medical professionals training for nutrition and prevention.

MediHelp International contributes to the medical science development and is actively involved in the international social responsibility advocacy. 

The need for several micronutrients increases significantly during pregnancy and breastfeeding period, but the additional requirements of most vitamins and minerals can be met by a balanced selection of foods with a high nutrient density and the diet doesn't need to be highly caloric in this regard.

Fruits and vegetables (including salads) as well as whole grains, legumes, sprouts and seeds are even more recommended than usual.

For some nutrients, it can be more difficult to cover the need well, so to be on the safe side, supplementation with standardized supplements is recommended.

German Nutrition Society (DGE) Recommendations for daily requirements - (for supplementary doses see below)

Nutrient / Trace element - Dose per day Pregnant woman Breastfeeding women
     
Folic Acid

when planning pregnancy * - 400 µg / day

during pregnancy - 550 µg / day

at the beginning only in present pregnancy (if not previously supplemented) * - 800 µg / day for the first trimester

450µg/day
Iodine 230µg/day (WHO 200µg/day) 260µg/day (WHO 200µg/day)
Iron 30mg/day 20mg/day

There may be a different need for certain metabolic disorders and certain diseases. In such cases, this should be discussed with the doctor and adjusted if necessary, according to the routine supplement doses.

Folic Acid

Before and during pregnancy as well as during breastfeeding, in addition to a balanced diet with good sources of folic acid, a large part of the required folic acid dose should be completed for safety reasons with a nutritional supplement (folic acid is sensitive to heat and light).

  • At least 4 weeks before pregnancy (conception), folic acid should already be supplemented in a dose of 400µg / day; 
  • If this is not done, 800µg / day should be added by the end of the first trimester of pregnancy; 
  • Then after 550µg / day (better 600µg/day) is recommended as a daily dose - at least 400µg/ day (better 450-500µg/day) as a supplement.
  • For safety reasons, folic acid should also be increased to 450µg / day during breastfeeding.

Iodine

The supplementation of iodine is recommended for healthy pregnant women between 100-150 µg/day in addition to the diet since the remaining dose should be given by the food (especially with fish consumption and through foods with iodized salt)*. 

* If there are enough sources of iodine from the diet, additional supplementation is not necessary.

In the case of thyroid disorders, it is essential to consult the doctor treating you before taking the supplement.

Iodine deficiency increases the risk of miscarriages, malformations and impairs mental development.

Food sources: use iodized table salt, eat sea fish such as saithe or herring twice a week, and regular milk and milk products.

Omega-3-Fatty Acids (DHA / EPA)

At least 200mg / day is recommended for omega 3 fatty acids (bioactive forms DHA and EPA) during pregnancy. The supplementation of 1-2g per day has advantages in various factors, so such a dose can be recommended even if the diet (e.g. twice a week cold sea fish) already provides these important fatty acids. Over 4g per day should not be supplemented - 2g DHA / EPA is a good daily dose.

The following health-related statements from EFSA are permitted as health claims based on the scientific data: http://onlinelibrary.wiley.com/doi/10.2903/j.efsa.2011.2078/full

Effects of Docosahexaenoic acid (DHA), Eicosapentaenoic acid (EPA)

  • Support of the brain, eyes and nerve development,
  • Maintain normal brain function
  • Maintaining normal cardiac function
  • Maternal health during pregnancy and lactation - support for increased omega-3 fatty acid requirements during pregnancy
  • Support the skin and mucous membranes of the digestive tract
  • Improve the mood
  • Anti-inflammatory effects on the membrane cell structure
  • Maintain normal blood LDL cholesterol levels

Note

It should always be pointed out that the effects cannot be viewed in isolation. Numerous other factors always play a role in healthy eating. Therefore, one often observes the sensibility of supplementing omega-3 fatty acids, but the effects cannot be explained with such a supplement alone.

In addition to the indication of the need for a balanced healthy diet, it must always be pointed out that an overdose of fatty acid supplementation should be avoided, as this could cause undesirable effects.

The dosage information of such nutritional supplement products should, therefore, be adhered to. The possible, sometimes higher dosage as part of therapy is reserved for doctors or other therapists with a state of science education. Even with normal dosages, as with all foods, there may be undesirable effects or even contraindications to individual peculiarities. This should also be discussed with the attending doctors. Usually, supplements with omega-3 fatty acids are uncomplicated and well-tolerated.

Vitamin D

The vitamin D requirement is covered on average only by 10% through food, the rest needs to be produced through skin contact with the sun usually. Supplementation is advisable at certain times of the year or due to other factors that do not lead to sufficient sun contact and production of vitamin D in the skin - this does not only affect pregnancy and lactation. Since vitamin D is a fat-soluble vitamin and it also stores in the adipose tissue for some time, there are reserves, which vary from person to person. The safest way to evaluate whether and which doses of supplementation are recommended is to use laboratory analyzes from blood values.

A vitamin D blood serum value of approx. 70 ng/ml is defined by some doctors as a target value. But if you look closely at the newer study situation, you can say that a lower threshold of 20ng / ml may be sufficient and 30ng/ml for the absolute majority of the targeted study participants was seen as sufficient (including people who are considered to be a high-risk group for secondary diseases in the context of deficiency).

It should be emphasized that - in the context of prevention - I do not define the target values that some colleagues seek with high doses of daily supplementation. Even if some therapies may be positively supported, sometimes with high doses, there is too little evidence for the doses regarding the majority in the risk groups and it cannot be ruled out that long-term high doses will have undesirable interactions (too high doses could trigger something that is not immediately considered or measured as an undesirable side effect).

My recommendation is based on the guidelines of the specialist institutions: It states that between 1000 and 2000 IU of vitamin D3 supplemented daily is sufficient for most people. These doses have also been shown to be safe from overdoses. I, therefore, recommend supplementing in this dose range as long as you do not have enough sun contact on the skin. Have your serum value checked in wintertime and even e.g. in June when there is more sun contact.

A value of 30ng/ml should already be safe in preventive medicine; however, if there are various complaints, it can be clarified whether values between 50-70 ng / ml improve. It should also be clarified whether you may not need the higher serum values because you have lower values for the vitamin D-binding protein and thus already with lower serum values more free vitamin D results. Determination of the free vitamin D (bioactive form) and the vitamin D binding protein (VDBP).

Note and recommendation: since there is 95-99% of the vitamin D in the serum inbound (inactive) form (through the vitamin D binding protein VDBP), it is crucial how much VDBP is genetically produced. With low VDBP values, a significantly lower vitamin D dose may be sufficient - the high target values of 70ng/ml are then not required. The additional analysis of bioactive Vit. D (free Vit. D) gives even more clarity.

Vitamin D for the infants

Since the vitamin D formation in the body is mainly stimulated by sun contact on the skin and this is lower in our culture groups in infants, vitamin D in infants is regularly supplemented according to the guidelines of the specialist societies. 

  • In the first year of life 400 - 500 IU of vitamin D is given orally. If the child was born in the winter months or was born prematurely, supplements are also made in the 2nd year of life until after the winter period.
  • For premature babies, 800-1000 IU of vitamin D per day is recommended for the first few months.

Among other things, vitamin D is used for tooth and bone development. The same conditions apply to vitamin D supplementation for the mother during breastfeeding during pregnancy.

If the mother has a high vitamin D level (e.g. when the sun is high in the summer there is sufficient sun) and breastfeeds the infant, the higher vitamin D dose in breast milk can be guaranteed. In our cultures, however, this is often not the case, which is why general supplementation in infants is recommended as a precaution. Breast milk has sufficient doses of vitamin D for the child if the mother takes 5000 to 6000 IU of vitamin D daily. However, this is not the primary recommended route, as it already means doses for the mother that can exceed the safe dose limit (possible undesirable side effects).

Usually, the amount of vitamin D in breast milk is relatively low. To prevent rachitis and lower caries incidence, 400 - 500 IU vitamin D is given orally from the second week of life (see above).

Depending on the region were you live, 0.25 mg of fluoride is also given (fluorine is not recommended consistently) - If it is given, this is usually done together with the vitamin D (as D-fluorite). See notes on fluoride.

Fluoride

In regions where the drinking water has too high fluorine values,  fluoride should not be supplemented. With a drinking water fluoride of 0.3 mg / l, it is not necessary to supplement it. With values above 0.7 mg / l, no extra fluorine should be given (attention should also be paid to any table salt with fluoride used).

  • In areas with active volcanoes, there is a higher ground load on the environment and thus also on drinking water. In Germany, the fluorine content is usually low ("more than 90% of the drinking water contains less than 0.3 mg fluorine / l - source BfR Federal Institute for Risk Assessment)
  • Since infants usually do not need extra drinking water before the 3rd complimentary food phase (7th month of life) and receive the liquid with the milk, fluoridation probably makes sense in the first months of life (the data then show a lower susceptibility to caries).

But note fluorine supplementation is not necessarily recommended or viewed more critically by some institutions.

  • An excessively high fluorine dose in pregnant women and infants can possibly impair the child's development of intelligence (further study data are necessary to confirm such relationships reliably).
  • This was seen with the excessive supply of countries where the drinking water had been fluoridated and the supply doses were more difficult to control than with defined supplementation with a tablet and non-fluoridated drinking water.

 For example, the Institute of Medicine USA recommends only 10% of the recommended supplement dose, but drinking water is fluoridated in many places in the USA. Drinking water is not fluoridated in Germany.

  • Pregnant women should inform themselves about the fluorine content of their drinking water and avoid this if it contains more than 0.3 mg / l fluorine; you should also avoid fluoridated salt, but use iodized salt if you have no other sufficient sources of iodine; you should also avoid toothpaste with fluorine.

While low-dose fluoridation in the first few years of life helps reduce dental caries development in children (not significant in adults), too long or too high fluorine doses lead to tooth enamel damage with brownish-yellow spots on the teeth (with lower overdosage, white streaks or white spots) and more bone damage in adulthood are observed.

Note: In the case of older children and adults, it is generally agreed that fluorine supplementation via food or water is not the successful dental protection route; only toothpast containing fluoride and regular tooth brushing should be carried out there (toothpaste with lower fluorine doses should be used for children, as they do are offered for different age groups).

Iron 

Pregnant women need twice as much iron as before, but the higher iron intake in our cultures should preferably come from food, which provides better protection against overdose.

Iron deficiency increases the risk of premature birth and low birth weight, but excessive iron intake with already sufficient blood levels increases complications. Since the study data shows different results, no general iron supplementation during pregnancy is recommended in Germany. I recommend to make the doctor's check of the blood values (iron and iron storage - ferritin, as well as transferrin the iron transport protein) and if necessary to have the therapy controlled by the doctor.

The WHO's international recommendation to generally supplement iron in pregnant women is based on the fact that in many developing countries many pregnant women have iron deficiency anemia. In Europe, studies show that 20% of women of childbearing age potential iron deficiency (2-4 times higher than the overall average)*.

* Stahl A, Heseker H. Physiology, functions, occurrence, reference values and care in Germany. Nutrition Review 2012; 6: 346-353

The best sources of iron are meat and fish. Although whole grains, legumes, nuts, and seeds also have good doses, only a significantly smaller proportion is absorbed from plant foods. This can be improved by combining it with foods rich in vitamin C (acerola juice, parsley, kiwi, red peppers, papaya, tomato juice, etc.). If there is an increased need, attention should also be paid to how certain foods are combined. The combination with inhibitors of iron absorption such as calcium and certain antinutrients can reduce the iron absorption.

Only a small fraction of the plant binding form (non-heme iron) is absorbed (on average only 3-5%; in the case of deficiency up to 10%). Much more iron is absorbed from meat and fish (approx. 23% on average; if there is a deficiency of up to 30%).

The need for iron increases during pregnancy because the placenta and uterus must be supplied additionally with iron. The fetus also creates its own iron stores.

The effective regulation of iron absorption in the body normally prevents the tissue from being overloaded with iron from food. Alcoholics and people who are genetically burdened with an iron storage disease (hemochromatosis) are excluded; they get iron overdoses faster.

However, it has been discussed for some years that high iron intakes - especially in the form of red meat heme iron –generally may increase the risk of chronic diseases such as coronary artery disease and cancer. Even if the last scientific evidence for this is still not given, excessive iron absorption should be avoided. In particular, it should be noted that foods that are fortified with iron or some food supplements are additional sources of iron, which means that in some population groups significantly more iron is consumed than necessary.

Supplement: in extreme cases - e.g. in children - there may be acute symptoms of intoxication such as vomiting, diarrhea, fever, blood coagulation disorders, but also kidney and liver damage. According to the current state of knowledge, it cannot be excluded that a high iron supply or high iron stores due to uncontrolled and long-term intake of dietary supplements with iron increases the risk of heart or cancer.

The intake of iron in the form of food supplements should therefore only take place after diagnosed insufficient supply and consultation of a doctor.

Source: Federal Institute for Risk Assessment Germany

Iron during infancy

The insufficient iron content in breast milk is reduced after the 4th-5th month of life relevant when the baby's iron store, which is well filled up in the uterus until birth, is increasingly exhausted and more iron is needed.

Nutritionists do not recommend a purely vegan diet for infants and young children. Adequate supply is possible with the appropriate nutritional supplements* that adult vegans also need, but the risk of undersupply is higher in these important growth phases since children often do not consume the food variety of adults anyway. 

* Children can also overdose more quickly due to inadequate supplementary doses.

With good advice and a good nutritional composition and accompanying laboratory controls regarding various nutrients, as well as supplementation with certain nutrients, vegan nutrition is theoretically possible, but if one of the important points is not adequately implemented, the risk of undersupply with negative results;  there are also sustainable deficits possible in somatic and intellectual development.

Vitamin K - in first days after the birth 

Vitamin K is low in breast milk. It has important functions in the blood coagulation system. For safety reasons, 3 mg of vitamin K is given orally three times in the first few days after birth (for the U1 - 1st day; for the U2 - 3-10th day; for the U3 in the 4th-6th week of life) - with Absorption disorder it will be given intravenous (0.1-0.2 mg i.V.).

 

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Stay healthy | 2018

04 Apr

Prof. Dr. Werner Seebauer is, Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine –...

Stay healthy | 2018

24 Apr

The thyroid gland is a butterfly-shaped organ located in the lower front of the neck and has an essential role in the body's good functioning. For an in-depth understanding of the gland, it can be seen as a central unit that secretes hormones...

Stay healthy | 2018

31 May

Anxiety - a natural reaction to modern life, with physical and psychological effects. In the short term, this state is the awareness of an intense situation that prepares a person for a specific and significant action, be it a presentation, an interview or...

Stay healthy | 2018

01 Jun

Food is the fuel of life, as assimilated nutrients determine its quality, influencing health both in the short and long term. A varied diet helps build the resistance blocks which reside in our body in the form of antibodies that make up the immune system....

Stay healthy | 2018

14 Jun

Helicobacter Pylori (HP) is a human pathogen that is transmitted from human to human, producing active chronic gastritis in all colonized patients. HP infection is known and accepted as a major etiologic factor in gastric cancer, being known that at...

Stay healthy | 2018

04 Jul

Do you often participate with friends in the grill season? Are you wondering if red meat increases the risk of disease? Cancer, rheumatism and other chronic inflammatory diseases? Does it depend on the quality, type and method of preparation?Discover the...

Stay healthy | 2018

06 Jul

Cancer is one of the most widespread diseases in the world, and by 2030 it is estimated that the number of new cases will increase by 23.6 million per year. The degree of spread and effects on the body makes the care for prevention and treatment a matter...

Stay healthy | 2018

16 Jul

The community of Romanian expatriates in Europe counts over 3.5 million people, according to the latest estimates made by the Foreign Ministry. Whether they have gone on an experience exchange, or work in various fields, such as transport, HORECA, health...

Stay healthy | 2018

02 Aug

Do you often eat eggs or egg-products?Research shows - the answer to this question is quite complex  Prof. Dr. Werner Seebauer is, Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of...

Stay healthy | 2018

22 Aug

 Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2018

30 Aug

Family is a concept that defines the comfort zone of each person, the power source, the pattern of conduct, a safe space from where the journey of each of us begins. Building a family to ensure all of this for a child is a constant responsibility of any...

Stay healthy | 2018

14 Sep

The connection between oral and general health is a close one, which makes the responsibility for dental hygiene extremely important. Oral health offers us clues regarding the general state of health, also having direct effects over it. The emergence of...

Stay healthy | 2018

24 Sep

Prof. Dr. Werner Seebauer is, Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2018

27 Sep

The notion of food disorder involves a psychological problem, spread among women and men alike, covering a wide area of unhealthy eating habits, from compulsive eating to anorexia. Usually, this health problem manifests because of stress and excessive...

Stay healthy | 2018

18 Oct

What is the best strategy to recruit specialized workforce? How do companies manage to secure the loyalty of good employees? These two questions reflect the preoccupation of the HR and Management departments to create and maintain a proactive work...

Stay healthy | 2018

18 Oct

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2018

25 Oct

In the last few years, the business environment has gained momentum, and there is a new trend on the horizon: freelancers or small companies of two or three people who offer niche products or services. Often, they work on a project basis or deliver a...

Stay healthy | 2018

20 Nov

Healthy and happy employees are those who go beyond the target, working to achieve the company's goals and providing a proactive work environment. For these reasons, the investment in their well-being has become a priority for companies of all sizes, which...

Stay healthy | 2018

05 Dec

  Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2018

09 Nov

Workplace stress is a widespread factor and cause for many diseases often encountered among employees who use their healthcare insurance to make an appointment to the doctor. The data shows that on average one person has to juggle with 30 to 100 projects...

Stay healthy | 2018

14 Dec

Private health insurance covers the costs of a wide range of medical services, being valid for both consultations and treatments in case of illness. This ensures access to the best quality services at national and even international level, offering the...

Stay healthy | 2018

21 Dec

Sight is the sense that helps us to learn as much as possible about the surrounding environment. Therefore, the eyes must be as protected as possible from the disorders that may occur throughout life. Whether we are at work or at home, we must take all...

Stay healthy | 2018

23 Jan

More and more people understand the importance of accessing the best doctors and the latest treatments, which is why they choose private health insurance that guarantees the quality of their medical services. This trend is also noticeable among Romanians,...

Stay healthy | 2019

22 Jan

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

29 Jan

Children's success and happiness are among the main concerns of parents, this is why there are more and more books on parenting, more and more extracurricular activities to help children perform at school and more and more complex programs to prepare them...

Stay healthy | 2019

05 Feb

Eleonora Brillo* and Gian Carlo Di Renzo Department of Obstetrics and Gynecology and Centre for Perinatal and Reproductive Medicine, S. Maria della Misericordia University Hospital, University of Perugia, 06132 Perugia, Italy Prof. Di Renzo, Honorary...

Stay healthy | 2019

20 Feb

  Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

22 Feb

A healthy lifestyle requires a particular care of the body and mind, and those who desire such a lifestyle need to pay attention to a few essential rules. The most long-lived people in the world, the Japanese, pay great attention to the health of their...

Stay healthy | 2019

26 Feb

The liver is the largest gland in the human body, being a voluminous parenchymatous organ with a weight ranging from 1200 to 1500 mg. Like the pancreas, it has an exocrine function and endocrine function, but, unlike it, a single cell, the hepatocyte, is...

Stay healthy | 2019

28 Feb

Health is a subject people are more and more concerned with. We try to eat healthier, to find time to exercise or to have ourselves checked by a physician, all of which prove that we are aware that prevention is more important than treatment. We try to...

Stay healthy | 2019

19 Mar

  Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

21 Mar

The birth of a baby is not always free of complications. In some cases, the child could be diagnosed with a congenital malformation, and the cause can’t always be precisely established. From pregnancy and birth complications, to genetic malformations and...

Stay healthy | 2019

25 Mar

Health is the most valuable resource we posses and we need to enjoy it every moment of life. It is precisely because it is so important that it requires special care and each of us is responsible for the actions taken in this regard. One of the available...

Stay healthy | 2019

08 Apr

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

30 Apr

What are allergies, in reality? Allergies are a normal response of the immune system that identifies the intruder considered dangerous and triggers a series of defence mechanisms in order to eliminate it as soon as possible from our body. How and to...

Stay healthy | 2019

15 Apr

The difference between a healthy body and a weakened body lies in the daily choices we make, and our interaction with the outside world and our state of mind can be directly influenced by essential aspects such as nutrition. What does an appropriate...

Stay healthy | 2019

14 May

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

27 May

Physical condition has become a pillar in defining a good health condition, that is why food, which has a direct impact on the physical body, receives an increasing attention from people. Observing the meals of a day and the amount of physical effort we...

Stay healthy | 2019

15 May

The ever-increasing rhythm of daily activities can have a major impact on our health. We assume more and more responsibilities, we carry out more and more tasks at work, but also in our personal lives, we get involved in projects, and these things can...

Stay healthy | 2019

07 Jun

The moments spent with the family are some of the happiest moments in our lives, and summer holidays are an opportunity to build memories with loved ones. Whether we visit relatives from distant areas, whether we are on a trip to a foreign country, summer...

Stay healthy | 2019

25 Jun

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

26 Jun

Parachute jumping or scuba diving? Roving on canoe on a churning river or exploring caves? Our activities are becoming more and more diverse and involve a growing level of courage. We are looking for new ways to test our boundaries and live unique...

Stay healthy | 2019

28 Jun

Prof Irinel Popescu is a prominent surgeon and a member of the Romanian Academy of Sciences. He is a leader in surgical oncology and liver-related medical procedures. For the last three decades, Prof Popescu has been the pioneer and motivator of liver...

Stay healthy | 2019

08 Jul

Unpleasant or dangerous situations cause changes in the way our human body works. When, for example, a dangerous dog barks in our direction or a car approaches us at a speed in traffic, the body enters an alert state in order to prepare us to overcome the...

Stay healthy | 2019

15 Jul

How many times have you not put your mind to starting a new activity or giving up an unhealthy habit, only to observe, after a period, that you didn’t succeed in accomplishing the challenge? Reaching goals can sometimes be complicated, and it is therefore...

Stay healthy | 2019

17 Jul

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

14 Aug

As unusual as it may seem to us, there is a strong connection between our mental balance and the integrity of the intestinal microflora. The brain and gastrointestinal tract communicate directly through the intestine-microbiome-brain axis, which will...

Stay healthy | 2019

20 Aug

Nutrition is an essential aspect of our health; therefore, we must learn to choose products that are beneficial to us, which have high nutritional value and help the body to function properly. One of the important challenges we are witnessing today is...

Stay healthy | 2019

27 Aug

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

20 Sep

Prof Irinel Popescu is a prominent surgeon and a member of the Romanian Academy of Sciences. He is a leader in surgical oncology and liver-related medical procedures. For the last three decades, Prof Popescu has been the pioneer and motivator of liver...

Stay healthy | 2019

12 Sep

The physical condition is an essential factor in maintaining a good health and more and more Romanians are beginning to understand this reality. Equally, they become aware that attention and care for their own health is an accessible way to have a balanced...

Stay healthy | 2019

26 Sep

The birth of a child represents a one-of-a-kind moment for any mother. A new dimension is unfolded to her and she will need a period of adaptation, in which the support received from others is very important. The emotions felt by a mother after giving...

Stay healthy | 2019

08 Oct

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

15 Oct

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

22 Oct

From the first moment of pregnancy, the bond between a mother and the child she is about to bring into the world becomes indestructible and will connect the two for the rest of their lives. The new mother will become the support for her little baby, and...

Stay healthy | 2019

29 Oct

It is no secret anymore that exercising is extremely important for our overall well-being, as it has a very poignant impact on health. Being fit is an essential condition for the daily activities, which is why exercising must become a...

Stay healthy | 2019

21 Oct

Prof. Irinel Popescu is a prominent surgeon and a member of the Romanian Academy of Sciences. He is a leader in surgical oncology and liver-related medical procedures. For the last three decades, Prof Popescu has been the pioneer and motivator of liver...

Stay healthy | 2019

05 Nov

  Private health insurances are a more and more accessed instrument due to the flexibility they offer to their beneficiaries. They guarantee access to the most efficient medical services in the country or abroad and create the necessary framework for...

Stay healthy | 2019

12 Nov

Second Opinion is becoming a more and more spread medical practice which offers patients the possibility to look for a higher certainty level in relation to a certain diagnosis or treatment.  Sometimes, the medical condition a person is diagnosed with...

Stay healthy | 2019

27 Nov

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2019

10 Dec

The quality of life is influenced by a variety of factors, from the lifestyle to the inheritance of genes that predispose a person to certain genetic diseases.  Choices such as eating, smoking or playing a sport play a fundamental role in how the body...

Stay healthy | 2019

20 Dec

The coming of winter can be a challenge, especially because the holiday season favours a sedentary lifestyle and negligent eating behaviour. Also, the cold weather prevents some physical activities, such as running or playing sports outdoors, and culinary...

Stay healthy | 2019

07 Jan

Premature birth can have serious consequences for the baby's health, and globally, around 15 million children are born prematurely. Of these, a small part is born long before the end of the 37 weeks. A birth is considered premature if a baby is born...

Stay healthy | 2020

21 Jan

Technology is a significant part of our lives. Its evolution has offered us many benefits throughout time, but it also has its less pleasant effects. An example of this is the accidents caused by the use of smartphones. Studies that include an analysis...

Stay healthy | 2020

16 Jan

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2020

03 Feb

Dr. Ofer Gluck graduated from the Semmelweiss Faculty of Medicine in Budapest, Hungary and he is specialized in ENT medicine, head & neck surgery in the Soroka Hospital in Beer Sheva. After the completion of his specialization, he started a fellowship...

Stay healthy | 2020

04 Feb

What is it? Coronaviruses are a large family of viruses, some causing illness in people and others that circulate among animals, including camels, cats and bats. Rarely, animal coronaviruses can evolve and infect people and then spread between people such...

Stay healthy | 2020

12 Feb

A miscarriage is a moment with a strong emotional impact on a woman's psyche. A recent study showed that a miscarriage has long-term effects and can lead to manifestations of post-traumatic stress syndrome. The study analyses the impact that a miscarriage...

Stay healthy | 2020

19 Feb

How often do you find it hard to fall asleep but wake up after only a few hours of sleep? Nothing is more unpleasant than poor-quality sleep that causes a constant state of fatigue during the day. But this is not the only negative effect that poor-quality...

Stay healthy | 2020

12 Mar

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2020

17 Mar

Prof Irinel Popescu is a prominent surgeon and a member of the Romanian Academy of Sciences. He is a leader in surgical oncology and liver-related medical procedures. For the last three decades, Prof Popescu has been the pioneer and motivator of liver...

Stay healthy | 2020

18 Mar

The coronavirus (COVID-19) infection emerged on December 31st 2019 in Wuhan, China. It has since spread in various provinces of the country, later expanding to the rest of the continents; over 72 countries have confirmed at least one case up to this...

Stay healthy | 2020

27 Mar

Coronavirus Update – More Information on Transmission Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University...

Stay healthy | 2020

01 Apr

Prof Irinel Popescu is a prominent surgeon and a member of the Romanian Academy of Sciences. He is a leader in surgical oncology and liver-related medical procedures. For the last three decades, Prof Popescu has been the pioneer and motivator of liver...

Stay healthy | 2020

07 Apr

Seeing a specialist regarding your mental health is still considered a kind of stigma. If you told your friends that you are seeing a psychologist, you are in a way admitting that “something is wrong with you.”  The younger generationsin the post-communist...

Stay healthy | 2020

15 Apr

Dear Valued Reader,   Throughout my long career in healthcare, I have never seen such a chaotic situation as I am currently witnessing. It reminds me of times of war which I have experienced in the country I come from. Mess, confusion, lack of...

Stay healthy | 2020

04 May

Tiredness is a common thing among people of all ages and can be caused by factors varying from the obvious lack of sleep to what we eat or drink, or serious medical conditions. While not unusual, when tiredness becomes constant and persistent with no...

Stay healthy | 2020

04 May

Helicobacter Pylori (HP) is a human pathogen that is transmitted from human to human, producing active chronic gastritis in all colonized patients. HP infection is known and accepted as a major etiologic factor in gastric cancer, being known that at...

Stay healthy | 2020

14 May

These days, when we are forced to radically change our lifestyle, it is necessary to build a set of healthy habits to successfully overcome this period. Now, when we have to spend as much time in the house as possible, we rediscover new dimensions of...

Stay healthy | 2020

14 May

In recent years, more and more Romanians have changed their consumer behavior in terms of medical services. The trend is starting to shift more and more from a behavior of treating diseases after they have become manifestations to a behavior of prevention....

Stay healthy | 2020

21 May

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2020

09 Jun

Prof. Dr. Werner Seebauer is Dean of Studies – Association of German Preventologists, Head of Preventive Medicine Department of Institute of Transcultural Health Sciences (European University Viadrina) and Head of Preventive Medicine – NESA (The New...

Stay healthy | 2020

18 Jun

Prof. Irinel Popescu is a prominent surgeon and a member of the Romanian Academy of Sciences. He is a leader in surgical oncology and liver-related medical procedures. For the last three decades, Prof Popescu has been the pioneer and motivator of liver...

Stay healthy | 2020

29 Jun

Dr. Ofer Gluck graduated from the Semmelweiss Faculty of Medicine in Budapest, Hungary, and he is specialized in ENT medicine, head & neck surgery in the Soroka Hospital in Beer Sheva. After the completion of his specialization, he started a fellowship in...

Stay healthy | 2020

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