and until next time, i hope you learn to be more of a healthy you. hi, everybody. i'm jamie comeby. it's time now your "sunday house call." >> joining us today as always, dr. marc siegel, at nyu's langone medical center. author of the "unlocking the secret cold of secret and health." >> dr. manny alvarez. professor of obstetrics and gynecology at new york university's school of medicine. whose baby have you not delivered, doctor? >> right now if they're in labor. >> things are all calm on this side of the desk. i'm going to start with dr. siegel.

i'm not buying it. the fda comes out with a landmark ruling, taking away your transfat, folks. that's what makes your favorite foods taste good. dr. siegel, i believe that they'll then use more sugar, something else in these foods to keep selling products. >> dr. colby, as usual, you stole my best line. >> i'm sorry. i want to keep this medical rather than political. we can get into what the role of the fda is, whether this is a nanny state, whether they're overreaching. where you draw the line. if you take the transfats out, what about the cheeseburgers, the saturated fats? let's talk about what a transfat is. it's extremely unhealthy. tyke vegetable oil and add high zro jen to it and sticks to arteries and lowers your good cholesterol and raises your bad cholesterol. it's been very associated with hart disease. you know, we know that 5,000 deaths a year due to transfats. we know 15,000 heart attacks, heart disease is due to transfats. transfats are a problem. here's the good news. over past eight years we've seen

a 73% reduction in transfats. americans today are only eating a gram of transfats whereas eight years ago they were eating four grams. >> the companies on their own started to cut them? >> pressure. yes. mcdonald's. kentucky fried chicken. these places have taken it out of the french fries, taken it out of the big macs. things are moving in the right direction already. i agree with jamie's point. if you start with this, what else is going to creep in? the butter. if you take the transfats out of microwave popcorn, you end up with more butter. that leads to breast cancer, colon cancer. >> we should cut these. doctor, i thinking more slouugao make things taste good. >> i think it's a wonderful idea. all these products were manufactured to sell more and have no role. these are artificial foods, and we're paying the dividends nowaday. look at our health system. we are more sick people. so as dr. siegel said, you know, these things have come off. 75% of all the companies right now don't use transfat.

only about a 12% consumption of transfa transfats. a few products that have those things are things you don't want to eat like microwave popcorn. >> people will, dr. manny. should they check the packages? how much of a transfat is okay? >> every company already has said they have natural good ways of doing the same thing that transfats are doing. >> really? >> so we already have the technology. it's just a matter of implement it and talking about the cost effectiveness of whether it increases the price of food is another topic for another day. >> what should we look for? sometimes on the packages it says no transfats. what should we look for in case it doesn't say that? >> baked goods, manny just made the point, they sometimes use it to keep store life or make it more tender, the cupcake more tender. look at it in products where the manufacturer is trying cheaply to keep it tastier for lasting longer. so if it's an artificial, you know, twinkie or cupcake -- >> there it is right there, folks.

that's the line item. 5 grams. that's a lot. >> here in new york it's been removed from restaurants. that was a pace setter, actually. >> so look at the label. if it says transfat, your advice? >> look at the label, don't buy it. you're not going to find it that often anymore. good move by the fda. i love it. >> all right. i think it's overreach, but i do think it's bad for you. very bad for you. >> okay. anything for our health. have you heard about this other stunning report that came out this past week? it links testosterone treatments to the risk of heart disease in men. dr. manny, what about the study? some are criticizing it saying that it looks at just high-risk populations, not the average joe. >> this is a study, of course, coming out of the va with men usually over the age of 6 o. i have to confess, i take testosterone. i tdid it the last six months because i was having symptoms of low testosterone. low energy. poor concentration. i was getting cranky. dr. siegel says that's another thing i have. at the end of the day -- >> they're showing a video.

not your reaction. >> but at the end of the day, you know, low testosterone is a real problem. and this study did point out that there's a 26% or so increase in haeart attacks and stroke. the problem is there's no direct link in the study and, tl there, the population they looked at had pre-existing conditions. that's the whole issue. >> you can have low testosterone from another -- >> youonce you hit 40, it's downhill. >> for women, too. women can have low testosterone. >> testosterone plays a different role in women. women, estrogen, their natural good hormone to keep them going. but low "t" is a whole entity. this is a nice footnote and needs to be further studied. again, men like myself, talk to your, you know, cardiovascular specialist like dr. siegel, get any stressed out, do a stress test, check my cholesterol and

decide whether or not testosterone therapy is good. >> marc, manny makes a good point about this. should he worry? he's taking it now. should the average person worry because of this study? >> let me get to the point. a round about way. this is what we do best on "sunday house call." when patients come to see me over 50, men, i check their testosterone levels. if they're low, i think of it as something i want to treat. are they overweight? do they have high cholesterol? do they have diabetes? are they at risk for heart disease and fatigued? have a low sex drive? it's leading to a frenzy of people being described testostero testosterone. i'm happy about this study because this study looks at a select group over the age of 60 who has heart risk factors. it says over a three-year period if i gave you testosterone, are you going to have heart attack or stroke? i tell you why i like it.

we thought there was no downside to testosterone. what's the takehome? if you're in a high-risk group for heart disease and over the age of 60, i say maybe because we need more studies. maybe you should hesitate a bit before you start it. >> manny is only 30. >> my lo bead doe is pretty good. >> all right, doc. settle down. before we leave this topic, quick question. i have to be honest you. i'm not menopausal. >> we know that. >> anyone watching can see that. >> i had a doctor who recommended i was low "t" and women can benefit from "t" for concentration and things like that. i didn't follow the advice, but i'm curious about that. could it be dangerous for a woman to take testosterone? >> more and more women are taking it for the point of view of sex drive. many fact, let me toss this manny, it's his specialty. i think it's okay under certain circumstances. >> testosterone plays a different role in women when itle tos to their sex drive.

for some women, sometimes it's recommended. the issue is, we still don't know what the exact -- everything with testosterone, as i was saying before, if you take testosterone and don't get relief from the symptoms, then you don't need it. despite the fact what the numbers might be. you may have a -- >> that's a great point. >> hormone therapy is about the effectiveness of whether or not it changes the symptoms. for women, the same thing. you start low with testosterone, see how things change if they don't, go to something else. >> that's great. this recommendation was based solely on numbers. so you take a good history from a patient. >> right. >> okay. that's great. a multitiered approach. >> same with men, too, by the way. forgot to mention that. what's the background on this? what's the medical problems? >> very good, doctors. we appreciate it. we're going to tell you about a potential breakthrough that could change way we fight cancer next. could our own bodies hold the key to curing that deadly disease? for a lot of us, got back pain? just a fact of life, and boy,

can it hurt and be full of discomfort? how do you know if that back pain actually may be your kidneys? where are they? what do they do? how do i know? should i worry? we'll have that coming up. worr? we'll have that coming up. you can prevent gas with beano meltaways, or treat gas with these after you get it. now that's like sunblock before or sun burn cream later. oh, somebody out there's saying, now i get it! take beano before and there'll be no gas. 20 years with the company.hool. thousands of presentations. and one rd earned partnership. it took a lot of work to get this far. so now i'm supposed to take a back seat when it comes to my investments?

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welcome back to "sunday house call." you know when there's a potential game changer in the fight against cancer, this is where you're going to hear it. turns out it could be just around the corner. dr. siegel, could our own bodies with the key to treating cancer? >> that's exactly right, jamie. now, the reasons this may be a game changer is first of all, tradition chemotherapy gives a lot f side effects. you try to poison the cancer with radiation or chemo but end up poisoning the body, too, why your hair falls out and you feel so sick. we're using immune therapy where

we convince the body to fight the cancer like it's a foreign invader, an infection. what i like about this vaccine, dvvaccs, they take the tumor out of body and use the proteins on the tumor to trigger your immune system. something called the dendridic cell. early results are very promising. in brain cancer which is fatal approximately 15 months, in brain cancer they have people living up to three years. let's take a look. >> ultimately, we would like to find a cure for this and many other types of cancers. but right now, this seems to burr our best weapon to make this a more chronic disease that you can live with this tumor and not die from it. >> i think the vaccine has been life changing for me. what you see is what you get. my energy level is at an all-time high. i have nothing negative to say anything about this, that i think that with this vaccine and with the proper nutrition, i

think that a lot of positive things could happen. >> i'm living the wave of the future which is using the body and its own mechanisms 20 defeat cancer rather than having to take a club to it from the outside through all the traditional measures. >> that patient we just saw, dan garay, actually had thyroid cancer treated with this vaccine. widespread thyroid cancer. he's in remission. he compared it to his treatment with colon cancer with traditional payment, said no side effects with the vaccine. after your question, you're going to ask me, when is it going to be available? >> what do i say to my doctor. >> when is it going it be available? it's in phase 3 trial. 48 centers across the country. >> what does that mean? >> it's in the final stages of trial before approval. now, if i come on tv today and tell you when that's fwigoing t be, the fda won't like it. >> is it fast tracked? >> it's fast tracked but don't know whether we're talking months or a couple years. it's something in the near future. this follows other cancer

proteins that targeted specific proteins. this does a smorgasbord. >> can you get into the trial if you're a patient in how does that work? >> a lot of people are asking me that over the last few days and sending them over to the manufacturer, northwest biotherapeutics to see -- >> perhaps on the website or on the national institutes of health, national cancer institute, you can get more information. >> absolutely. >> is this an allogenic vaccine? >> it's an allogenic. you use your own cells, your own tumor. >> basically the patient has the cancer, then they remove the tumor from his or her's own tumor cell, then they create a vaccine. it's not a vaccine coming from other donors. >> by the way, i should add that only takes eight days. that process takes eight days. costs $100,000 for 3 years and have enough to treat you for three or four years. >> i think that's -- five vaccine trials are going on

right now, styles of v vaccinations. ant anti-genic vaccines going forward. the key for any vaccine therapy is it has to have a broad production, if you will, so the cost comes down because right now with these individual kind of vaccines for your own particular cancer, they're so expensive that in order to get effectiveness in the masses and reduce the rates of breast cancer and things like that, this is, i think, going to be the challenge -- >> need to be able to produce -- >> these are individual vaccines from your own dna. are we going to get to the point where -- >> nevertheless, it's an advance. >> this is $100,000 for 3 years which is actually cheap by these things. the question is, will insurance cover this if it's personalize the? >> probably not. keep us posted for the folks who want to get more information. >> if it works so well.

>> doctors are finished answering your questions. chronic back pain. hear what they have to say if your pain is moving forward. from november to movember. coming up, we'll tell you why mustaches are not just about style anymore. ng constipation by eating healthier, drinking plenty of water, but still not getting relief? try dulcolax laxative tablets. dulcolax is comfort-coated for gentle, over-night relief. predictable over-night relief you can count on. to share with family. [ woman 2 ] to carry on traditions. [ woman 3 ] to come together even when we're apart. [ male announcer ] in stuffing, mashed potatoes, gravy and more, swanson makes holiday dishes delicious.

back now, "sunday house call." should i worry? our weekly segment. one viewer asks, i have pain in my back, where i think my kidney is. should i worry? dr. alvarez, first of all, where's my kidney? how do i know it's not pain, or gout -- >> it could be anything, depends on whether you're a man or woman

when you're asking this question. basically right here in the flanks of your back. lateral to mid back is where the kidney area is. and, you know, this is one of the most common sources sometimes of pain. although there's a lot of other stuff in your back that can give you pain. >> the lower back. how i do know if it's not something going on with my kidney. >> when you have pain, answer a couple questions. how long you had it? does it raid yat to any part of your body? what type of pain is it? is it sharp, is it burning? do you have any triggers? in other words, does it get worse when you do physical activities? from that point, start thinking about what to do. and if you're thinking of kidney, of course, have to think of an infection. something like infection of the kidneys. very common especially if you have chronic stones. so, you know, you have to do a including checking for bacteria and urine analysis. you check tenderness by putting your hand over your lower back

and punch the back. if it is tender, you shake the kidney and the kidney is sensitive and see a doctor immediately. >> and you talk about stones. >> let me ask about stones. if you never had one, when you get it you know, right, because the pain is so excruciating? >> it is very sharp. do you have a history of kidney stones? is there blood in your urine? are you going a lot? do you have an urgency to go? do you have a fever? do you have cloudy urine? if you have a sharp pain in your back and you are not sure, see your doctor. the other thing -- more often than the we kidney it could be a muscle spasm that is radiating.

you do not want to self diagnosis. more often, heat or certain goals or muscle relaxants could help if it is muscular rather than the kidney. if someone bangs on your back, that is a good sign it is the kidney. >> a lot of people have back problems so that is good advise. >> kids, i was asked: do not be surprised if you notice men putting air the razors and women too, looking scruffy. it is for a good cause. i would not do it otherwise. the doctors will tell you. next. farmer: hello, i'm an idaho potato farmer.

and our giant idaho potato truck is still missing. so my dog and i we're going to go find it. it's out there somewhere spreading the good word about idaho potatoes and raising money for meals on wheels. but we'd really like our truck back, so if you see it, let us know, would you? thanks. what?

>> i have no idea but i am about to find out. november is mo-vember. guys raise awareness and funds for health issuing particularly house state cancer and they do it by sporting a mustache. did i raise money when i wore a mustache? >> no question. no question. >> give and give generously. >> we talk about prostate cancer a lot. there are 200,000 a year. you all know about the p.s.a. and ross state screening. i want to talk about the 8,000 new cases a year of vesticular cancer. you can find it with a lump, self compassions and if you are a young patient it is a reason to see a doctor. get this compassion. >> how easy is it to get? what do you looking for? >> if you find any tenderness in

the area, any nodule, this is something you shut have checked out but it should be part of the routine physicals which for a lot of americans you think is taking the blood pressure and cough but you have to do it, for men, you have to have comprehensive evaluation for things regarding the prostate cancer or the teesticular cancer . >> i want to represent the women on this. >> what other men's health issues are important? how do they raise money? you go to certain websites. >> there is something called mo-vember and there is a website. people seaman any, and when the women see him, they have a baby delivered, they stay in the

loop. men don't. they do nut go to the doctor. they are macho. they do not want to do it. this is an awareness for men to get checked each year, a yearly physical, even with no active medical problems. >> always keep your doctor in the loop. >> prevention is the key. men do it. men don't. >> hypertension is a silent killer. amen guest breast cancer. >> doctor, that is what you recommend. >> as you get older you do it more frequently once we get to that 40-year age. >> we are not there yet. >> and there is a newscaster in new york with the foundation

that does a lot of work with testicular cancer. now "media buzz." >> the media are demanding answers on obamacare. >> it is not correct. it is right for the media to say, let's straighten this out. >> bob woodward whether the press is holding the president accountable and his relationship with the "washington post" and its new owner. and we ask president obama about that broken promise on health care. >> you owe folks an