General measures
- Nicotine restriction (refraining from tobacco use).
- Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
- Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis.
- BMI ≥ 25 → participation in a medically supervised weight loss program.
- Falling below the BMI lower limit (from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
- Review of permanent medication due topossible impact on somatopause.
- Avoidance of psychosocial stress:
- Anxiety
- Emotional disturbances
- Stress – acute stress stimulates growth hormone; chronic stress, on the other hand, leads to suppression (due toInfluence on sleep quality and duration).
- Sleep hygiene. (to optimize the quality of sleep)
Vaccinations
The following vaccinations are advised, as infection can often lead to worsening of the present disease:
- Flu vaccination
- Pneumococcal vaccinationNote: In patients with immunosuppression, the STIKO advises sequential vaccination, with PCV13 (conjugate vaccine) first and PSV23 (23-valent polysaccharide vaccine) 6-12 months later. This strategy has significantly higher protective efficacy than when vaccinated with PSV23 alone.
Nutritional Medicine
- Nutritional counseling based on nutritional analysis
- Nutritional recommendations according to a healthy mixed diet, taking into account gender and age. This means, among other things:
- Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (whole grain products).
- Selection of appropriate food based on the nutritional analysis
- See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
Sports Medicine
- Endurance training (cardio training) and strength training (muscle training).
- Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine you will receive from us.
Psychotherapy
- Stress management (meditation, yoga), if applicable.
- Detailed information on psychosomatics (including stress management) you will receive from us.
