SAAOL E-Magzine

Emagazine - june, 2020

Life Style + Medical Management vs
Angioplasty Bypass Surgery

SAAOL News

Covid-19

Covid -19 panic and fear has gripped the whole country and the whole system of transport/travel has taken a big hit. Everything was locked.

Since we do not deal with emergency situations, Saaol centers were also closed for a good 60 days across India and abroad. Now we have started these centers again in a small way. Our patients who were taking Saaol Pharma Medicines now can have them from all our centers. Many local patients have started to come back for treatments In the last three weeks (starting 15th May,2020) we initiated online OPD of Dr. Chhajer at the request of our patients who could not come to Delhi or even visit our head office from other areas of Delhi. This has proved to be a boon for many who wanted to have our opinion. Any of our readers who wants to consult Dr.Chhajer and visit our website SAAOL and book their appointment.

increase our Immunity

BOOST IMMUNITY. Dr. Chhajer’s ten tips to increase our Immunity can become a lifesaver for you

On March 23rd, 2020 Dr. Chhajer recorded one video (which is now in You Tube) on how to increase our immunity against the Corona Virus. With the Government ultimately deciding to open up the lockdown and increased number of asymptomatic Corona patients – the possibility of getting infected with the virus has surged tremendously. Masks are useful – but social distancing is not always possible if one wants to start working, travelling, going to buy essentials. In this case the only way out is to increase our Immunity. Dr. Chhajer’s ten tips to increase our Immunity can become a lifesaver for you. Please click the link ( Click Me ) and listen to his most valuable advice on Increasing immunity and share it with your friends, relatives and colleagues.

natural food supplement

SAAOL VIRTUAL OPD. He has recently launched a natural food supplement


Saaol’s sister concern JMA Pvt ltd. Has recently launched a natural food supplement – Antox natural which can boost up your immunity immensely. This has Haldi (Turmeric) extract called Curcumin – which is a very powerful immunity booster. One capsule has a power of 250 gm of haldi – which is impossible for anyone to eat on daily basis. One capsule a day is an ideal dose. All our Saaol centers can be contacted to buy this product. We are already having 93 branches of Saaol – four more centers are going to open as soon as the Corona Virus effect is waned off. These are Noida, South Mumbai, Virar (Mumbai/Thane) and Firozpur in Punjab. Please wear in mask, wash your hands frequently and keep social distancing for the next few months to keep yourself and your family safe. Best wishes till next month.

Dr. Bimal Chhajer's Talk

Coronary Heart Disease (CHD) or the disease of heart where its supply tubes are blocked is the most common but most fatal disease of the world. heart disease.Plenty of research studies have been conducted on the cause of this disease in the last 6-7 decades and multiple causes – known as “Risk Factors” has been found associated with this disease. The causes are mostly lifestyle related – some of them being wrong diet, lack of exercise, excess stress, tobacco consumption. High Blood Pressure, Diabetes and Obesity – all lifestyle related diseases are also closely related to the development of Three types of solutions are available to treat this disease – Surgical processes like Bypass Surgery/Angioplasty, Allopathic Medicines and Aggressive Lifestyle Modification.

Saaol – Science and Art of living – believes in avoiding surgical options as they are against the nature, temporary (as they
do not remove the causes of the disease) and full of complications Saaol combines the later two options medicines and lifestyle modification - to treat its patients and offers two more non surgical alternatives to its patients namely Natural Bypass and Detoxification therapy. Over the last 25 years Saaol have been able to simplify, improve its Aggressive Lifestyle modification treatment by working on more than 2.5 lac (250,000) heart patients who have been able to avoid Heart attack and surgical options. This issue is to provide you all the logic, research data and proofs that lifestyle, medicines combined with other non invasive means and alternative methods are much better than the complicated, invasive, expensive ways of popular treatments called Bypass surgery and Angioplasty. Dr. Bimal Chhajer

Dr Bimal image

Food Chapter | Zero Oil Samosa & Zero Oil Kachori

INGREDIENTS (PER SERVING)

2 big Potatoes, cooked and mashed
Green Peas
Chopped Green Coriander Leaves
4-5 Green Chilies
½ tsp Dhaniya Powder
2 tbsp Lemon Juice
Salt according to taste

Dough Ingredients

Maida 4 tbsp
2 tbsp Rice Flour
¼ tsp Salt
Warm Water

METHOD OF PREPARATION

First knead the dough with warm water by mixing all the dough ingredients. And keep aside for 20 minutes. Now add other ingredients in mashed potatoes (Dhaniya Powder, Green Chilies, Green Peas, and Coriander Leaves). Mix well and keep aside. Make small balls from the dough. Roll the balls to normal chapatti size. Cut into half. Make cone from each half. Fill this cone with the filling we made before. Close the cone. Bake it at medium temperature until golden brown.
Serve hot with coriander-pudina chutney

Zero Oil kachori
Filling Ingredients

• 250 gram Chana Dal (soaked for 3-4 hrs)
• 1 tsp Garam Masala
• 1 ½ tsp Ginger-Garlic paste
• Salt to taste

Dough Ingredients

• 500 gram Wheat Flour • 1tsp Salt

Method

Prepare soft dough and keep aside.

Soak chana dal for 3-4 hours, drain out all water.Grind chana dal coarsely. Add ginger garlic paste, green chillies, garam masala and salt. Let the mixer run for 1-2 minutes. Now divide dough in small portions and make puris out of it. Put 1 tbsp full of chana dal on a puri and fold it like kachori sealing the edges completely. Bake kachoris till done. Serve hot with coriander-pudina chutney.

LIFESTYLE & MEDICAL MANAGEMENT

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Research Studies that discovered the causes of blockages

In 1948, after the death of their World War II winner president (Roosevelt) from heart failure the US Government initiated the biggest heart research study of the century called Framingham Heart Study. In the last 72 years this extensive study continuously published results of more than 3000 research papers on the causes of heart disease and its causative treatment. The findings of this study over the last 70 years changed the concept of heart disease treatment. It is the most important study which proved that Cholesterol and Triglycerides are the fats which lead to the fatty deposits and they must be controlled if we want to win over the pandemic of heart disease which killed more than 50% of people in 1950s. It was their efforts which proved that smoking/tobacco, high BP, Diabetes, obesity increase the possibility of heart attacks. They only showed that exercise, stress management, increased intake of fruits, vegetables protect heart patients from getting heart attack. They only coined the term Risk factors – which are universally accepted. Framingham Heart Study is the biggest ever research study in the history of medical science.

Apart from Framingham Heart Study – MRFIT (Multiple Risk Factor Intervention Trial) study, Lipid Research Clinic studies in USA; White Hall Study in UK; North Karelia study in Finland; WHO (World Health Organization) conducted MONICA trial; Inter heart study from Canada, Lifestyle Heart Trail in Sanfrancisco are some of the distinct studies which pointed out the real reasons of heart disease, heart attack and guided about how to prevent and reverse heart disease. If we want to just mention all the more than 1000 studies conducted on the very important heart disease it will take several pages.

By implementing the findings of these studies the developed countries of Europe, USA and Japan had been able to cut down their heart attack deaths starting from 1970s. By the year 2000 they had been able to almost reduce the heart attack deaths from 50% to 25%. But it has been seen that heart disease is still increasing in the middle income, low income developing countries especially in India, China, Pakistan, Bangladesh, Africa, South America and Middle East.

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Prevention of these Blockaging Processes, Heart Attacks

Two very important studies which changed the scenario of definitive control of heart attacks are North Karelia Project and Interheart Study. They were distinct as they showed that to control heart attacks we need to reduce all the risk factors together. Most of the studies showed effects of reducing one or two factors on heart disease – some showed the effects of lowering Cholesterol, some showed the effects of lowering of only Blood Pressure and so on.

North Karelia Project

This research demonstration project changed the food habits, exercises habits, smoking habits of the entire population of a state (North Karelia) of Finland by extensive education, and training. They assessed the number of heart attacks in the whole state initially. Then they helped the whole population to give up meats, cut down fats in the milk, reduce weight, exercise daily, reduced Blood Pressure, controlled Diabetes, trained them on cutting stress, and encouraged them to eat fruits and vegetables. They found out the cases of heart attack drastically reduced in the entire population. This project was then implemented to the whole country and Finland became the first country in the world to reduce the number of heart attacks of the entire country by 80%.

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Interheart Study

This is another landmark study that showed that 90-95% of heart attacks can be prevented by controlling eight risk factors only. This study conducted by the Canadian legendry heart researcher of Indian origin, Dr. Salim Yusuf. He and his team from all over the world took 15000 cases of heart attacks in 52 countries and compared them with another 15000 cases who did not suffer from heart attack. The entire history, blood tests, calculations and hard statistics showed that controlling eight factors – Lipids (Cholesterol, Triglycerides, HDL), Blood Pressure, Diabetes, smoking, psychological stress, lack of physical activity, intake of fruits and vegetables, intake of Alcohol – can stop almost 90-95% of heart attacks. This study was published in the most prestigious medical journal Lancet in 2004 changed the whole concept of heart disease prevention. The medical science had to agree that this may be the best, cheapest and most scientific way of treating heart disease.

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Research Studies that proved Reversal of Heart Disease

A series of lipid lowering trials have been conducted over the years which have shown that heart attacks can be avoided by prolonged use of Statins. Some of them are REGRESS, Scandinavian Simvastatin Survival Trial, CARE, WOSCOPS, REVERSAL Study, LIPID, TNT, PROSPER, Helsinki Heart Study, Heart Protection study. These studies have shown that lowering lipid can arrest progress and even reverse heart disease. But the most formidable study by Dr. Dean Ornish, a heart researcher based in San Francisco in USA – the Lifestyle Heart Trial have conclusively proved Reversal of heart blockages by Lifestyle change. This Randomized Controlled trial published in The Lancet in 1990 showed that complete reduction of risk factors can lead to angiographically proven reversal of blocked arteries when compared with a control group at the end of one year. This study became so famous that Dr. Ornish’s book became the New York Times bestseller. This reversal process continued for five more years for more reversal in the same group and this was published in the JAMA (Journal of American Heart Association). Dr. Ornish supplied his group zero oil plant based food along with Yoga, stress management for these years and the results proved that heart patients can avid heart attacks by following guided lifestyle change. They did not need any surgery or Angioplasty.

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Research Studies on Angioplasty and Bypass Surgery vs. Optimum Medical Management and Lifestyle Change

Bypass Surgery was introduced to the medical community in 1970s and Angioplasty became popular after 1980s. When Bypass was introduced people did not know about the risk factors so well and it was offered as no option choice for the treatment of Heart disease. But since it was a very mutilating and high risk surgery that people fell for Angioplasty because it was relatively less invasive and with fewer side effects. As complications and failures of Angioplasty came into surface the doctors introduced newer versions – promising better results. The cost of the stents kept on increasing with every new addition. There were no research studies to show that Angioplasties are really working. But with the knowledge of Lifestyle based treatments becoming clear and the introductions of better medicines this non invasive ways of treatment started producing better results. Thus several studies were carried out by the medical science to compare the effectiveness of the two modes of treatments – invasive and non invasive. At least six such studies have shown that the Angioplasties/stents and bypass surgery are not better than Optimum Medical Treatment combined with lifestyle changes. Lets us discuss the results of these studies.

Courage Trial

In 2007 the famous New England Journal of Medicine (NEJM) published the results of a research called Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE). Conducted in the USA this randomized Controlled Trial enrolled 2287 severe heart patients – half of them took Aggressive Medical Management and half continues with the same medicines after they got Angioplasty also. The study followed all there more than 2000 people for 4.6 years and found no additional benefit of doing PCTA or Angioplasty. Now the same group of researchers followed these 2000 plus patients for 15 years and still found no advantage of doing Angioplasty on half of the group.

Orbita Trial

This interesting research study was conducted in London Imperial College and was published in The Lancet in 2017. The research group took 200 patients with severe heart disease with chest pain. They all went for Angiography – in half of them Angioplasty was done during angiography and in the next half though Angioplasty was not done – but they were informed that Angioplasty was done. Both the groups continued on medicines and were followed for next 6 weeks – angina and TMT were done on all. Surprisingly there was no difference between the two groups. This study proved that Angioplasties do not produce any benefit over dug treatment even on short term.

BARI 2D Trial

This study is another example which showed that in heart patients with type two Diabetes Revascularization (Bypass surgery or Angioplasty) was no effective that Optimal medical therapy. This study took 2368 patients of heart disease and divided them into two groups – one went for either Bypass surgery or Angioplasty (about 1100 plus patients) and continued their intensive medical therapy with allopathic medicines. The next half only took only Intensive Medical therapy and did not go for either Bypass or Angioplasty. These patients were followed for next 5 years and the survival rate was same. This study showed that the results of Bypass were little better that Angioplasty. This study was published in 2009 in New England Journal of Medicine (NEJM) and was titled as “Bypass Angioplasty Revascularization Investigation 2 Diabetes” or BARI 2D.

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Ischemia Trial

This very important trail called “International Study of Comparative Health Effectiveness with Medical and Invasive Approaches or ISCHEMIA Trial” is another and very recent proof that Lifestyle change with Optimum Medical Treatment is a replacement of Bypass Surgery or Angioplasty. The results of this 10 year US Government funded 100 million US Dollar study was conducted on more than 5000 heart patients in 37 countries to check whether bypass Surgery/Angioplasty was better than Lifestyle change with medical management. Of the 5179 heart patients with Angiography 2591 went for surgery or stenting and 2588 continued on lifestyle modification with medical management. All the patients were then followed for three and half years - and comparison of all parameters (number of deaths, heart attacks, heart failure, Hospitalization) was found to be same in both the groups. The study results were presented at the Annual conference of the American heart Association in Philadelphia, USA on 16 th November, 2019. The Ischemia Trial created so much of interest in non invasive therapies and resentment against overuse of Bypass Surgery/Angioplasty that the news created headlines in New York Times, Washington Post, Wall Street Journal, Associated Press and Reuters. In India - Times of India, Hindu, Telegraph, the Week, and major Hindi Newspapers carried out headline articles against the use of Bypass and Angioplasty. Dr. Ambuj Roy (head of cardiology, AIIMS, New Delhi), Dr. Balram Bhargav (Cardiologist, Head of Indian Council of Medical Research) also went on record by commenting on the effectiveness of Lifestyle therapy in majority of heart patients who are stable.

saool safety circle
Research Studies that discovered the causes of blockages

Dr. Bimal Chhajer, MBBS, MD is a medical doctor who does not believe in surgical procedures for coronary blockages – for the simple reason that now proven methods are available to achieve the reversal of blockages and saving them from heart attacks. While working as a resident in Cardiology in Dr. Ram Manohar Lohia Hospital, New Delhi in 1986 he found that without change of food habits, exercise, lifestyle change heart patients treated with medical drug treatment patients still die of heart attacks. During his MD studies at KG Medical College, Lucknow he started his research on how to implement lifestyle changes in heart patients and patients with High BP and Diabetes. He combined Yoga with diet and education to treat heart patients while they continued on Allopathic medicines. He found that the medicines can be gradually reduced as the effects of lifestyle came into effect. Post MD he worked at the AIIMS, New Delhi for six years (1989-1995) where he developed a unique program for treatment of heart patients where the Lifestyle and diet were combined with Modern medical management (Optimum Medical Management). His findings showed that heart patients could reverse their risk score, angina, as well as dosage medicines and could easily avoid operations like Bypass Surgery or Angioplasty. In 1995 January he organized an International Conference on Lifestyle and Health which highlighted his success and brought all the researchers with similar background under the same platform. Dr. Dean Ornish’s study was also represented in this conference and a workshop on “Reversal of Heart disease” was organized during this conference. In 1995 Dr. Chhajer resigned from the post of Assistant Professor at the AIIMS, New Delhi to start his public Clinic which was aptly named “Science and Art Of Living” or SAAOL. In the last 25 years (1995-2020) his clinic has spread over to 95 locations in India and Abroad and treated more than 250,000 heart patients who have been trying to avoid Bypass surgery or Angioplasty and heart Attack. Saaol combines guided lifestyle change with optimum allopathic medical management and has seen the success of 98%. A study on 5000 heart patients followed for a minimum of 5 years have been recently published in a reputed international journal showed that Saaol’s success rate was 98% - which was better than that predicted by Interheart Study. The lifestyle changes recommended by Saaol include complete education of heart patients, zero oil coking, avoiding animal foods, daily walk, stress management training and Yoga. To increase the efficacy of lifestyle change, Saaol has created a simple but unique chart called Saaol Safety Circle which guides the heart patients to follow the risk factor lowering to the maximum level so that reversal happens. Saaol adds Modern Allopathic drugs to the treatment to assure more safety to the heart patients. The drugs include Anti angina drugs, thinners, and lipid lowering drugs and other Blood Pressure or sugar medicines. They can be called Saaol’s Optimum Medical Management. Both guided lifestyle treatment combined with medical management has shown reversal of heart disease in more than 2.5 lac patients in the last 25 years.

Natural Bypass/ EECP/ECP

Saaol also adds a new scientifically proven medically effective non invasive therapy for its heart patients called Natural Bypass Therapy or EECP/ECP. This therapy opens the second set of tubes, parallel to the coronary arteries in the heart. These extra tubes called Capillaries are existing in every body’s heart but lie unutilized except for the sportsmen who run regularly to open this second circulation. This therapy is approved by the American FDA (Food and Drug Administration) and European Community (CE) for treatment of heart disease and has now become very popular as this does not need any hospitalization, is safe, non invasive and effective. More than 200 research studies were done to prove that ECP is a highly effective therapy for Coronary Heart disease. A multicentre Randomized Controlled Trial called EECP MUST was instrumental in convincing the US Government

Medicare to approve and start reimbursing this mode of Treatment in USA. In this therapy, cuffs wrapped around the lower limb muscles of the patients are squeezed during every diastole increasing the flow of blood into the coronary arteries. Thirty five to forty one hour sessions of this therapy helps to open the second set of tubes in the heart – this helps in reducing angina, protecting against heart attacks and often improve the EF (pumping power of the heart. This therapy is called Counter Pulsation as it leads to flow opposite to pulse and since this pulse is induced externally it is called External Counter Pulsation or ECP. A company, which made it popular, patented this name as Enhanced ECP – so it is also known as EECP. This therapy gives double protection to the heart patients and is considered as a replacement of Bypass surgery.

Detox treatment and Oxidation prevention

Pollution, oxidative stress and toxins are gradually being implemented as the major cause of Coronary heart disease. Oxidation of Cholesterol in the body makes it more vulnerable to create blockages. A unique bio chemical called EDTA was used by the medical science to remove toxins from the body. EDTA is an Indian Government and US FDA approved medicine for Detoxification. A huge number of studies have shown that IV or oral EDTA helps to reduce the mortality and morbidity of heart patients. Recent US Government sponsored study called TACT Trial published in Journal of American Medical Association (JAMA) in 2013 have conclusively proved that drips of EDTA helped to reduce deaths and hospitalization of heart patients significantly. Saaol’s findings show a huge number of heart patients have been able to reduce the blocks by a combination of EDTA, Anti oxidants, lifestyle and Aggressive Medical Management.

Aggressive Medical Management

Saaol stands for Science and Art Of Living (S-A-A-O-L) and includes Aggressive Medical Therapy with allopathic drugs. By using allopathic medicines we reduce the major risk factors of heart disease – serum Cholesterol, serum Triglycerides, Blood Pressure and Blood Sugar in patients who join us – to reduce the risk of heart attacks from the very first day. We add blood thinners and anti angina medicines immediately to enable the patients to perform Yoga and walking which give additional protection to the heart patients. Our diet program and cooking training cuts down both Cholesterol and Triglycerides drastically and increase the intake of fruits and vegetables also help in the reversal program. We try to put all the risk factors to the best levels so that reversal starts immediately and the chances of heart attack reduce to almost zero. Our allopathic medical therapy is called Aggressive (as compared to the Optimum Medical Therapy) as we look to achieve the best level of the risk factors and nothing short of that. For example if the level of Cholesterol is 130-200mg/dl – Saaol wants to achieve a Cholesterol level of 129mg/dl. It is already proven that the best combination of diet, lifestyle change and Optimum Medical Therapy leads to reversal of heart disease and is better than Bypass surgery or Angioplasty. This reversal protects the heart patients against heart attack and gets the patients back to work, routine life within a few days.

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Saaol versus Heart Hospitals

Over the last three decades, Saaol has been very confident about the approach it has adopted in the treatment of Coronary Heart Disease. Based on the research conducted by Dr. Bimal Chhajer at the AIIMS and the results on about 300 patients, Saaol started treating heart patients with strict lifestyle change and Aggressive Medical Therapy. People joined us as they wanted to avoid surgical options and many came after getting reblockages after multiple surgeries or Angioplasties. They did not want to repeat the same mistakes. Almost all of them improved and a chain of referrals kept on happening. Heart Hospitals and the associated cardiologists/ heart surgeons did not like Saaol’s treatment and kept on issuing concerns and disrespectful comments about this kind of treatment. But our results over the years, our gradual improvement of therapy and effectiveness led to immense appreciation and word of mouth publicity. Thus Saaol kept on spreading from one state to next. We published our patient’s testimonies; we published books to educate our patients, recorded and published our logic in social media, which became very popular. We supported our patients over the years – we have huge number of patients who are still following up with us for the last 20-25 years though they were given not a single day to survive by our colleagues in the heart hospitals. They were well and better. But gradually the recent numerous researches are validating our approach and proving that our treatment is better than Bypass Surgery or Angioplasty is very reassuring. Our huge patient base and followers had also supported us. Out old patients are always behind us. It seems the weight is gradually shifting towards us and people who used to look at us suspiciously and turning their suspicion on the opposite side. Everyone wants safety and improvement and Saaol has been able to deliver it.

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