Dr. Joe Galati

About Dr. Joe Galati

Dr. Joe Galati is a Liver Specialist practicing in Houston, Texas. His practice, Liver Specialists of Texas is dedicated to the care of patients with all facets of liver disease.
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Lentils: A Super Food to Love

Lentils: A Super Food to Love

LentilsDay 20.

Hard to believe we are almost finished with the 31 Days of Wellness. Don’t fear, there are 334 days in the year left afterwards.

There is a very nice entry from the New York Times Recipe for Health section, that features an assortment of healthful recipes you should all bookmark and check in with from time to time. Today I chose the entry on Lentils.

If you have lentils, you have dinner. This high-fiber, protein-rich legume cooks in 20 to 40 minutes, depending on the dish, and requires no soaking. Lentils are the basis for many starters and salads, soups and stews, side dishes and Middle Eastern pastas. The distinctive flavor has been adapted to a variety of classic cuisines, from France to the Mediterranean, from India to Mexico and North America.

The usual supermarket offerings are brown lentils, but there are other varieties and they’re all worth looking out for. Chefs prefer the pricier small black “beluga” lentils (in their raw state they glisten like caviar, but the resemblance stops there) and the firm green Le Puy lentils from France, because when cooked both types stay intact and maintain a firmer texture. But the flavors of all three are similar enough to make them interchangeable in this week’s recipes.

Red lentils, available in Indian and Mediterranean markets, have a different taste, more akin to dried favas or split peas, and a very different texture when cooked, so do not attempt to substitute these for the brown, black or green varieties.

One fact worth noting: unlike other beans, lentils do not contain sulfur, the gas-producing element in legumes. And in addition to being an excellent source of soluble fiber and a good source of protein, manganese, iron, phosphorous, copper, vitamin B1 and potassium, lentils are an excellent source of molybdenum, a mineral important in the metabolism of fats, carbohydrates and iron. – Martha Rose Shulman

Like so many foods, the key message all of us are stressing is the need to experiment, and leave your comfort zone of what you are used to. Discuss it over with your family, and each week select one new vegetable to try. If you don’t like it, try another.

Send me your feedback, and share your experience. Keep trying.

Dr. Joe Galati

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2013 Hepatitis C Research Opportunities in Houston, Sugar Land, Katy, Woodlands, Beaumont, Lake Jackson, and Clear Lake,Texas

2013 Hepatitis C Research Opportunities in Houston, Sugar Land, Katy, Woodlands, Beaumont, Lake Jackson, and Clear Lake,Texas

Hepatitis C Research Opportunities

Hepatitis C Research Opportunities

Liver Specialists of Texas and Dr. Joseph Galati are conducting a number of research studies in hepatitis C. Liver Specialists of Texas is a major site for hepatitis C research in Houston, with patients from the major cities surrounding Houston, including Sugar Land, Missouri City, Rosenberg, Brezoria, Lake Jackson, Katy, The Woodlands, Kingwood, Clear Lake, Conroe, and Beaumont. Patients with hepatitis C from all of these areas have successfully participated in research studies over the years.

This updated link lists all of the current studies available as of January 2013. Studies are being added every several weeks, so there are added opportunities later in the year.

If you have questions about hepatitis C or our research program at Liver Specialists of Texas, contact Dr. Galati at 713-794-0700, and ask for Dee Wade.

Here is a PDF file of all the hepatitis C studies available. Click here: Hepatitis C Studies.

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The Paleo Diet: Part 2 with Chuck Garcia

The Paleo Diet: Part 2 with Chuck Garcia

Day 19, and Chuck Garcia submits Part 2 of his Paleo Diet outline.

In a previous post I referenced a book called The Paleo Diet.  It is nothing new or revolutionary.  In fact, it points out that for millions of years humans ate only five food types.  They not only survived on this, they thrived!

It’s now 2013, what did you eat today?  For most Americans, the answer has strayed so far from what our ancestors ate, they wouldn’t recognize fruit loops, pop darts, bon bons, or even a piece of white bread as food. It is not religion or dogma that drives people to go back to our ancestral roots.  It is common sense and simply the most effective eating method to optimize your health.  Before I recommend what to eat, let me state clearly the biggest food mistakes that cause ill health and disease:

  1. Eating food out of a box or bag – it’s not food; it something that used to be food, stripped of any nutritional content, and stored on a shelf.  Off limits!Believing that junk food in moderation is acceptable – It’s not…enough said on that topic.
  2. Using vitamins to compensate for poor eating habits – they are a complement to a solid eating plan, not a replacement.
  3. Believing that excessive exercise makes up for poor eating habits – it doesn’t!
  4. Believing that eating whole, nutritious food is expensive.  What is the cost bad health???

Then what to eat?  Simple.  If you review the Paleo pyramid, you will notice there is no room for anything that doesn’t come directly from a farm, the ocean, lake, or any other natural source.  Nothing is consumed that came from a factory.  Farm to table is a hot concept; it’s nothing more than Paleo.  Also, Paleo calls for the complete elimination of all forms of sugar and starch.  Paleo people do not drink soda, sports beverages, and juices laced with sugar.  Drink water.  Red wine is a sensible indulgence.

I will summarize the sheer simplicity of it all.  There are only 6 food groups to eat (notice milk and bread are off the list and should be avoided; they are simply excess carbohydrates that spike your blood sugar and store excess calories as fat).

Eat this:

  1.  Animal Protein:  beef, chicken, pork, fish, eggs
  2. Vegetables:  They come in all colors beyond green.  Eat a rainbow of colors at every meal.
  3. Fruits:  Stick to berries as much as possible.
  4. Nuts:  Don’t let conventional wisdom keep you from eating these; just eat them in moderation.
  5. Seeds:  I put flaxseed on everything but sunflower seeds are just as good.
  6. Essential fats (fat is not a dirty word):  Coconut oil.  For salad dressing I recommend olive oil mixed with either balsamic or apple cider vinegar.  Avoid salad dressings from a bottle as they have chemical ingredients.  There is no room for chemicals on the Paleo diet.

Do you see how simple it is?  Stick to this plan and you will see tremendous improvements in your overall health.  For more on the Paleo theme, I refer to the following books:  The Paleo Solution by Robb Wolf, Primal Body Primal Mind by Nora Gedgaudas, and The Primal Blueprint by Mark Sisson.  Primal and Paleo are variations on the same theme.

Once you adopt this way of eating, there is no turning back.

Paleo Diet

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Dr. Joe Galati Interviews Dan Campolieta: Changing Your Diet in 2013

Dan Campolieta Interview with Dr. Joe Galati (Listen to the interview)

I had the pleasure of talking with Dan Campolieta earlier this week, to discuss strategies for making a change to your diet, for Day 18 of the 31 Days of Wellness. The interview will be heard this week on Your Health First, airing on Sunday evening at 7:00 pm CST, on 740 KTRH. Outside of Houston, the program is heard world-wide on iHeart Radio.  Dan’s bottom line message: take it slow one meal at a time.

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Day 17: Paleo Diet Part 1

Day 17: Paleo Diet Part 1

Paleo Diet

Paleo Part 1 Blog Post today is by Chuck Garcia. Over the past few years, Chuck has become committed to the Paleo lifestyle, and is eager to spread the values of this important lifestyle.

Every month I look forward to OUTSIDE magazine, .  Given our sedentary lifestyle and professions that confine us indoors, it is a magazine where dreams are born.  Given my day job, I work many hours at a desk in a big New York City skyscraper.  As a runner and mountain climber, I spend as much time outdoors as possible.  The magazine gives me great fitness and nutrition ideas and helps remind me that as a species, humans were designed to live, work, and play outdside.  We are also meant to eat the foods that nature delivers… outside!  Can you even imagine life without a supermarket?  Believe or not, humans subsisted for millions of years with no McDonalds, Wendy’s, or Dunkin Donuts.  How is that possible?

A few years ago I read an article in Outside Magazine that described a diet called The Paleo Diet.  Although I have a very disciplined diet and don’t eat any processed foods, the description of this diet put a different perspective (and label) on how we as a society are meant to eat.  The magazine made reference to a few great books that I recommend you read.  The first was the Paleo Diet written by Dr. Loren Cordain of Colorado State University.  In this book called aptly The Paleo Diet, he describes the world’s healthiest diet, based upon the fundamental concept that the optimal diet is the one to which we are genetically adapted. The therapeutic effect of the Paleo Diet is supported by both randomized controlled human trials and real-life success stories (my own).  I refer you to his site .

Before he goes into what the diet is and how to follow it, like a good salesman, he first sells the benefits.  When you adopt the Paleo diet you will:

  • reduce your risk of heart disease, type 2 diabetes, and most chronic degenerative diseases that affect people in the western world
  • lose weight if you are overweight
  • improve your athletic performance
  • slow or reverse progression of an autoimmune disease
  • improve or eliminate acne
  • sleep better and have more energy throughout the day
  • enjoy an increased libido
  • improve your mental outlook and clarity
  • enjoy a longer, healthier, more active life

How does it work?

It is based on the premise that we mimic the types of food everyone ate prior to the Agricultural Revolution which occurred 10,000 years ago.  These foods are high in beneficial nutrients that promote good health are missing refined sugars, grains, transfat, salt, and high glycemic carbohydrates.  In short, humans didn’t have an obesity problem before this revolution because the world of processed and fast food simply did not exist.  We ate foods from the earth and nothing that came from a factory or even bakery.  We ate wild animals for protein and wild fruits, vegetables, nuts and seeds.

While it’s great to live in a modern world, the reality is we have never been sicker as a species.   The standard American Diet (SAD) combined with a sedentary lifestyle has created an obesity crisis that would make the caveman cringe.

On my next blog post called Paleo Part 2, I’ll provide greater specificity on how to eat, exercise, and rest the way our ancestors did.  I am grateful to enjoy such great health and I thank the Paleo gurus for bringing their diet to the forefront.

For now please read the book.  It will change the way you think about food and bring you years of healthy living.

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Reading Food Labels: Day 16

Reading Food Labels: Day 16

Reading Food Labels:  Making sense of all this Noise .

Chuck Garcia again contributed a wonderful post on Day 16 of the 31 Days of Wellness going over tips on reading food labels.

 

You know I am not a fan of eating anything that comes out of a box or a bag.  The numerous aisles in a supermarket devoted to food in a box is staggering and shameful.  Stick to the periphery and back aisles where you find the vegetables, fruits, proteins, nuts, and seeds.  That is a healthful diet.  You will almost never find a food label on fresh food.

However, I recognize we live in the 21st century.  To live a modern life, there are times you need to buy something that does not come unprocessed nor directly from a farm.  Hence, when you make a buying decision, it’s best to know what you are about to consume.  Given these transparent times, food manufactures affix a label that summarizes what nutritional content you will actually consume.

The good news is that the U.S. Food and Drug Administration sets legal standards and requires the food companies to comply.  Consequently, many of the claims like “fat free” or “vitamin fortified” will have some standard that give us confidence we are buying something close to what they claim.

I know many of you have some kind of restricted diet for a variety of reasons.  Food labels are a great way to understand, for example, not to exceed a specific amount of sodium.  Lean, light, low fat, fat free, it is all so confusing.  How do I make sense of all these claims?  People look at food labels for different reasons. But whatever the reason, many consumers would like to know how to use this information more effectively and easily.

No worries.   The University of Iowa Health Care System has a great summation of food labels.  They make it easy to understand the label components and help you deconstruct just what you are consuming.  Tips on reading food labels can be seen here.  The FDA also has a great site to help with label-building skills intended to make it easier for you to use nutrition labels to make quick, informed food choices that contribute to a healthy diet..  Lastly, Label Watch works very hard to keep things honest.

Good luck on many excellent food choices for the New Year.  If you are going to buy food with a label, and for the sake of your health, take the time to understand what you will are about to digest.

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Just Eat Real Food

Just Eat Real Food

This is Real Food

Day 15 of the 31 Days of Wellness.

Leigh Garcia, an undergraduate student at University of Pennsylvania, has been an outspoken voice for improved nutrition and health, and has her own blog, Paleo at Penn.  Her guest entry today centers on a very basic fact many have neglected to remember: to maintain good health, simply eat real food. Real food comes from the ground, is not in a bag, can, or box, and has one (1) ingredient…the real food item. Period. If we could gravitate back to this thinking, we would be taking the first step in the right direction to taking control of the obesity epidemic that has us all doomed. Enjoy Leigh’s contribution, and follow her blog.

It’s the new year, and people all over the world have made resolutions to lose weight and/or eat healthier.  As many of you know, however, these resolutions are much easier said than done—it’s so much easier to eat something out of a box or bag than to cook or find fresh ingredients.  It’s also a lot easier to let big food corporations tell us what is or isn’t healthy; if a package says that a food is nutritious, the manufacturers couldn’t possibly be lying to us… right?

Wrong.

The next time you walk into the supermarket, go down the cereal aisle and look at all of the colorful boxes with pictures of silly cartoon characters or smiling children, and notice how they nearly all make nutritional claims.  Fortified with vitamins!  No trans fats!  Naturally flavored!  No high fructose corn syrup!  Those may sound potentially healthy, but have you ever looked at the mile-long ingredient lists or noticed how much sugar each box has?  According to the book Cerealizing America, the cereal industry alone uses 816 million pounds of sugar every year!  We know that sugar is toxic, and we know that foods high in sugar cause weight gain and other health problems, yet so many people believe these supposed health benefits written in big lettering on boxes and packages!  Don’t fall for that trap.  In the words of an article from the Journal of the World Public Health Nutrition Association, “There is no such thing as healthy ultra-processed foods.  By their very nature they are unhealthy… [and] may well accelerate the deterioration of public goods and public health.”

These marketing tools are used everywhere—granola bars, soft drinks (such as Diet Cherry 7Up Antioxidant), chips, Pop-Tarts (“Good source of vitamins & minerals”), and, most recently, Girl Scout cookies.  That’s right: the newest Girl Scout cookie (which will be released this cookie season), Mango Cremes with NutriFusion™, claims health benefits such as 15% RDI of Vitamin B1 and 5% RDI of Vitamins A, C, D, E, and B6.  Before you go off and eat a box, realize that these “health benefits” are just a mask for the 25g of carbohydrates and 11 grams of sugar per three cookies and the long list of ingredients (containing the ambiguous “natural and artificial flavor”).

Instead of buying these supposedly “nutritious” foods—or any other product that makes “healthy” or “diet” claims—think about what you’re putting into your body.  Today’s plethora of health problems have occurred because of the foreign chemicals and additives and overwhelming amounts of sugar—people are eating more than ever, but their bodies are starved of real nutrients that come from fruits, vegetables, nuts, seeds, good fats, and animal protein.  We need to turn away from fake, factory-made food and just eat real food, even if it’s not as convenient to do so.  Pay now or pay later—is spending a little extra time and money to eat real food now worth saving countless dollars on future medical bills?  Hopefully, your answer to that is a big YES!

Michael Pollan, author of The Omnivore’s Dilemma and In Defense of Food, wrote New York Times article in which he stated some basic food rules that we should all abide by:  “Don’t eat anything your great-great-grandmother wouldn’t recognize as food,” “Avoid even those food products that come bearing health claims,” “Especially avoid food products containing ingredients that are a) unfamiliar, b) unpronounceable, c) more than five in number—or that contain high-fructose corn syrup”, and “Get out of the supermarket whenever possible.”

Make 2013 a year of real food.  Buy organic and local, shop at farmers’ markets, and say no to anything packaged and processed.  Educate yourself as well by picking up books by health experts like Michael Pollan, Gary Taubes, or Robb Wolf— they stress eating fresh foods, dispel many nutritional myths that have permeated our society, and try to help you discover optimal health.  Keep it simple—don’t worry about counting calories and simply eat anything you can find in nature. Real foods don’t have ingredient lists or make health claims; they don’t come in boxes, bags, or packages; and they don’t spike your blood sugar or lead to metabolic conditions.

Make 2013 the best year of your life and remember to JERF:  Just Eat Real Food.

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Two Foods We Don’t Get Enough Of

Two Foods We Don’t Get Enough Of

Day 14 of the 31 Days of Wellness is a blog posting by Dan Campolieta, a Beach Body trainer. Dan has been a contributer to Your Health First, and is an articulate perveyor of health and wellness information. Dan start off by stating:  Many people believe the key to getting healthier is simply eating less.  Eating less sugar, saturated fat, and refined carbohydrates is definitely a way to get healthy.  But there are some foods that if left out of your diet, can cause an equal amount of damage to your long term health.  Today I am going to just focus on two major groups: dark green vegetables, and healthy fats. This is a very true statement.

1) Get it on with your dark green veggies

There’s a reason that Popeye the sailor man is ripped.  Aside from likely being in the P90X test group, Popeye eats his spinach.

We all know the macronutrients: carbs, protein, and fat.  They are the basic structures of the food we eat that we digest and turn into energy in some way, whether long or short term energy.  In the case of protein, it provides amino acids which are the building blocks of all tissues in the body.  Without macronutrients, you would not survive.  However, beyond macronutrients are the micronutrients.  While these aren’t essential to survive in the short term (i.e., you can’t die of starvation from lack of micronutrients), they are arguably equally important and have a lot to do with long term health and prevention of disease.  While dark green vegetables like kale, collard greens, swiss chard, spinach, and broccoli are nutritious due to being low calorie, high-fiber foods, on the micronutrient level they are out of this world.

A micronurient may on one level be a vitamin, like A, B, C, D, E, or K.  We all have some knowledge of the benefits of certain vitamins.  Most dark green particularly excel in vitamin A, C, and B12/folate.  But beyond vitamins are the phytochemicals, or plant-based chemicals, that can help you live longer.  Phytochemicals like carotenoids, polyphenols, and flavonoids often have antioxidant potential, which helps combat free radicals and oxidative damage in your body, and some have anti-inflammatory properties.  Some phytochemicals such as sulforaphane in kale and other greens help detoxification enyzmes clear out carcinogenic substances from the system.

Most fruits and vegetables provide some sort of phytochemical potential (you may have heard of lycopene in tomatoes, or the fact that cranberries can help combat urinary tract infections due to a chemical that prevents pathogens from binding to cell walls).  The truth is, the dark, leafy greens tend to be the richest sources and on top of that they can help maintain alkalinity in your body.  Alkaline diet is an alternative medicine approach to regulating your body’s pH and is certainly trending right now.  Since alkaline foods tend to be fruits and vegetables, and acidic foods tend to be processed, fatty, or sugar laden, I see no bad effects of this diet concept!

So, find a way to get more dark greens into your diet.  Ditch the iceberg salad for lunch, and hit up some spinach, or arugla, or kale.  Steam some kale or spinach with pine nuts with your eggs and make it eggs florentine!  Have a side of steamed broccoli, garlic, and pepper with dinner.  Whereas before you might have thought they were a great low calorie choice, they are even more important as a nutrient-dense choice.  So if you’ve got your lean proteins and whole grains in line with your diet, and feel like you are eating healthy and within your calorie range, it’s time to step it up a notch with your green veggies! It might be the secret ingredient you are missing!

2) Healthy Fats Make You Less Fat

You should all learn to read the words “fat-free” and think instead: “sugar filled, chemical laden.”  If you don’t believe me, just look at the labels on most brands of reduced fat peanut butter, fat free dressing, low fat mayonaisse, etc. and see how many unpronounceable ingredients there are on the label.  Food without fat means there needs to be something else in its place.  Why? Because FATS TASTE GOOD!  It is one of the benefits of fats, it keeps you full and it satisfies your hunger.  In addition to making you full, fats can help control your blood sugar, are needed to absorb specific vitamins, and are needed to build cell membranes and other structures.

Now, what are the bad fats?  First saturated fat. Saturated fats tend to be the ones that are solid at room temperature, like butter or animal fat (as opposed to oils).  They are linked to heart disease, high blood pressure, and bad cholesterol.  Trans fat is an unsaturated fat that is bombared with hydrogen atoms, which gives it a longer shelf life and turns it into a solid.  Margarine is made of hydrogenated oils and is therefore a provider of trans fats.  Anything containing hydrogenated or partially hydrogenated oils contains trans fats even if the label says 0g.  Trans fats are directly linked to your LDL’s, or bad cholesterol, going up.

Well, now that those are out of the way, we look at the healthy fats.  Monounsaturated fats (sometimes called omega 9 fatty acid) and polyunsaturated fats (omega 6 and omega 3 fatty acids) remain as the “healthy” fats.  All three fatty acids are considered “essential,” which means the body doesn’t make them on its own and you need to get them from your foods.  Omega 3′s have gotten the most attention, but in reality you need a little bit of all on a daily basis.  The most studies have been done on Omega 3′s, and there is a general consensus that, particularly the Omega 3′s you get from fish, can have anti-inflammatory responses, help lower triglycerides, and even help prevent dementia and can boost brain function.  See below for common sources of all the healthy fats:

Monounsaturated Fat Sources:
-Avocado
-most nuts
-Oleic acid found in Olive oil, canola oil, most vegetable oils

Omega 6/Polyunsaturated Fat Sources:
-Meat, poultry, eggs
-Soybean, sunflower, safflower, and peanut oil

Omega 3/Polyunsaturated Fat Sources:
-Fish, particularly salmon, herring, and trout
-Flaxseeds
-Canola oil
-walnuts

Any diet should be at least 20% fat, and when we start “eating healthy” we tend to forget about the healthy fats, leaving them out all together.  In general, I would say the USA is at an all time low of healthy fats, and we are at an all time high of eating unhealthy, saturated fats.  Making the shift to the healthy side of your dietary fat will show BIG strides in your health, your weight, and your risk of disease.

Dan’s blog can be read here.

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Olive Garden Restaurant: Not Part of a Healthful Diet

Olive Garden Restaurant: Not Part of a Healthful Diet

Welcome to Day 13, of the 31 Days of Wellness. One of the favorite posts I have made over the years is based on a radio segment I did on Your Health First a couple of years ago. I posted the radio segment on several sites, and in turn, the link was copied around the web on other health conscious web and blog pages.

Real Italian Food

As it turns out, there are a lot of people that I meet that have hear the short segment, and agree with my comments. As previously stated in this blog:

So here we are, talking about health. The previous posts for the most part have dealt with some aspect of nutrition. I cannot over emphasize how important nutrition is with regard to your health. We are surrounded by fast food establishments, and we are pressured to eat around the clock (why must Wendy’s be open all night long in small town USA?).  A few months ago I spoke on the radio regarding an experience at Olive Garden. Being Italian, it is impossible for me to ever consider this food “Italian”.  Attached is a commentary I made several months ago.

For the New Year, make a deal with yourself, and your family, to not eat out, and cook meals at home together. We will give you all the tools you need to succeed.

Listen here: Dr. Galati Discusses Olive Garden Food

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Computer Virus Protection vs Human Virus Protection: Are you Protected?

Computer Virus Protection vs Human Virus Protection: Are you Protected?

Virus Protection

Day 12 of the 31 Days of  Wellness leads me to discuss virus protection.

When it comes to viruses, most people think of it in terms of keeping their computers safe. In this day and age, your peers would ostracize you if news got out that a damaging virus breached your precious hard drives. How negligent of you to leave your computer unprotected, running the risk of losing years of family pictures, important documents from work, and replaceable email messages. There is an abundance of software, many of which is simply given away to protect you from these dreaded viral attacks.

Unfortunately, not the same can be said about protecting ourselves from potentially deadly viruses. In many cases, many adults feel that virus protection, in the form of a vaccine, is to protect newborns and young children from deadly viruses. While there certainly is given a fair amount of attention given to vaccinating young children, it should be remembered that there is a complete list of recommended immunizations for adults age 19 and older.

Below, I have listed these immunizations that adults should seriously consider. My recommendation would be to print this out, and bring it to your doctor and have a one-on-one conversation regarding what vaccinations you may need. Based on your age and underlying medical conditions, the answer may vary from person to person.

As a liver specialist, it’s tragic to see adults getting infected with either acute hepatitis A for acute hepatitis B, which can have serious consequences as well as the risk of precipitating liver failure and death. Both hepatitis A and B vaccines are safe and very effective.

Other vaccines that are recommended include influenza, pneumococcal, mumps measles and rubella, Varicella to protect against chickenpox, and the zoster vaccine to protect against shingles.

The poliovirus, which was once thought to be completely eradicated, may still pose a risk in certain individuals that either have never been vaccinated, or travel to areas where the virus still exists. Though controversial, the human papilloma virus, to prevent the cervical cancer, needs to be considered as well.

Rounding out the list includes meningococcal vaccine, which in the state of Texas is mandated for all college students, as well as the tetanus diphtheria and pertussis vaccination.

Links to these recommendations, as well as virus and immunization information, is posted below. Do make it a point to have a conversation with your family physician and review these vaccines.

Links to review:

Adult Vaccine Recommendations
Print this and show it to your doctor.

Immunization Action Coalition

Hepatitis A

Hepatitis B

Influenza

Vaccine Recommendations

 

 

 

 

 

 

 

 

 

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