that's all for today. thanks for joining me. until next time, i hope you're learning to be more of a healthy you. . now time for sunday house call. >> i'm jamie colby. welcome to all of you as we welcome the chairman pressoof senate chief of robotics surgery. >> and dr. marc siegel is professor of medicine at langdon medical center pulse wi the secret code of sickness and health. welcome as always. >> great to have you here. >> of course. >> this week, an amazing warning from the fda. the agency is not now looking at the risk of stroke, heart attack

and death with the treatments. this seems to be troubling when you hear about this. >> eric, all of us have seen the ads on tv with the image of the who looks healthy. it's interesting to see this kind of result coming out. some people call this the fountain of youth for anti-aging. this is a 400 million dollar industry and it's growing. more and more men are saying i need that testosterone and prescription. we are going to be careful here. let me talk about menopause among women. we have talked about this. it's abrupt and you get the hot flashes and the symptoms around 41 to 51-year-olds. with men it's a slower process over the age of 35. men lose testosterone about 1% a year. by the time you get to your 50s, you will get your feeling of low libido and you don't want to

socialize and that's the picture of someone sitting at the tv watching sports all the time. that makes sense. they go to the doctor and get injections or a patch. you have to be careful. that's a big message. make sure you see your urologist before we start this. we need to know the psa and the size of your prostate and check your testosterone early in the morning. it has a sar kadian rhythm. in the morning it's higher. it has to be between 300 to 1,000. going back to what you said. too low is not good for you. that's the metabolic. >> how do you feel if you don't have enough? >> you are running out of energy. you have no battery. >> how do you know if it's safe? >> you can replace it now. if you overshoot and have too much testosterone, you increase

the risk of stroke and heart attack. too much is not merrier. you have to be in the normal zone of the urologist. >> you have to tell the doctor. >> the biggest problem is the doctor is not always in the loop. 25% of the men get testosterone replacement. 50% get it treated wrongly by not a urologist. somebody who puts him on it. 25% will get the replacement should actually get it. we have to five times of the prescription we had ten years ago. what should you do. you go to your doctor. over 50 i check everyone's level because of the reasons david mentioned. the risk of obesity and diabetes and heart disease and cholesterol and libido and all

with low testosterone. that's where the question comes in. do i replace it or don't i? i refer to an expert. the problem here with the wake up call, it looks like from the huge study of over 50,000 men in the major journal, if you start on men over 60, i will give you testosterone. why? men, i think have an underlying risk of heart disease. you may be sitting there with a plaque. you can be at risk of a heart attack and not know it. if you give something that revs up testosterone, that's the issue. >> it's confident with what they just said. testosterone is not always the answer. obesity itself can cause low testosterone. now we know that there ren zims

that can convert to estrogen. that's why men get the man boobs as a result of increasing estrogen. depression is another that can lower your testosterone. >> the changes are sometimes without going on testosterone. you talked about the man boobs, you may not feel comfortable talking to your doctor about it. you see the guy in the bathtub. he is ready any time. a lot of men feel pressure they have to feel that libido and feel pressured to do the testosterone. you have a strong warping for guys not to do this without consuling a physician first. >> you described that in just the right way. there is all this pressure. that's why prescriptions have increased. the message here is yes, it may help you with your libido and energy. what are the underlying factors?

those men that had heart disease it was three times the risk. i'm not saying not to take it, but be careful about it. >> we wanted people to know that libido is very different than sexual function. if you have dysfunction that we are talking about, the treatment is viagra or cialis and it's a different way of treating it. libido is testosterone. you may have a drive and a mechanical problem. talk to your doctor. >> interesting. thank you. i'm sure guys appreciate it. all right. let's talk about another troubling health alert. a second cruise ship was forced to return to port early because they suspected a norovirus outbreak. i reported on this and i'm not really sure what norovirus is. why is it different than other ailments. >> i reported on the first one. norovirus was confirmed in the

first outbreak on royal caribbean. everyone is watching the news and only nine ships had it last year and so far this year. of all the 20 million passengers that go on a ship, your chances of getting norovirus remain quite low. what is norovirus? the number one cause of gi-related distress in the country. it's the number one cause of you having that nausea, diarrhea and vomiting. >> it is on airplanes. it's not only on cruises, but all over the place. 20 million people a year get it in the country. cruises are what we report on. there two reasons. the virus mutates and changes all the time. you think you are immune, you are not. the next reason is it only takes 14 particles of the virus to

give it to you. with the first we spoke to the passengers. it was harrowing if you got one. let's watch. >> we are feeling nausea and feverish. we went back to our cabin and we were sick. without going into detail. we were sick. >> they were constantly sanitizing and spraying everything. the elevators and inside the elevators and everywhere you went. you were not allowed to touch everything. you couldn't take a napkin. you could take nothing. everything had to be handed to you. >> the big question of the day is how do you protect yourself? >> this is a new kid around the block to some extent. it has been around since 1970. they called it norwalk virus. it's very contagious and a stubborn bug that can be

everywhere. it can be on this table and on the doorknob. food, water, everywhere. the reason why we are having a problem with this even though they call it stomach flu, it's not a flu. flu you need about 1,000 particles to get it. how do you prevent it? it will go on its own. you have diria, nausea and vo t vomiting. the hand sanitizers may not work very well. washing your hands is a way to go and cook your foot to 140 degrees. it doesn't disappear easily. if you feel part of the kitchen is contaminated, this is the area where a lot of people constantly touch everything. get rid of all that food. >> everything is contaminated. >> on a ship they controlled it, cdc controlled it. they only eight from that place.

>> they can possibly die from this. hydrate. >> if you have a stomach virus or the norovirus, you may need to be hydrated with the iv bag. >> wash your hands all the time. >> don't touch your mouth. you can't get your hands to your mouth. >> be careful, guys. be careful. >> you know about the e cigarettes market said as a safer alternative. why are they coming under fire? >> do you really have to smoke no matter what it is? there is something more serious than bad breath. really? do you brush your teeth every day? if you don't brush your teeth every day, maybe you are okay. doctors will tell us, next. ♪

wow...look at you. i've always tried to give it my best shot. these days i'm living with a higher risk of stroke due to afib, a ype iula htbea :

it's a misconception to say that cigarette is not safe. we have worked so hard for decades to reduce the number of cigarette smoking now to say that this is safe it's a misconception and people have to be careful. this is good for somebody who is a real heavy smoker.have has tried everything. can't get off and cannot quit. they cand see how use this on the way out toward quitting. but, by having this in the market, you are encouraging kids the whole oral the sensation of having some of this. the numberer of high school students using this has doubled over the last 15 years. and i think that's going to take that generation back to the smoking zone.

i'm against it. not -- it's not f.d.a. regulated. now, they are saying that there is no tar, there is no car sin agains it's all nicotine. we don't know howw much nicotine is there. there m are 250 different brands. each one of them have different amount.er >> not regulated? >> not regulated. there are toxics in there.c. i even heard about a few of them actually exploded because it's not made correctly. so i want you to be careful about this. we don't have long-term data ca of what nicotine and the amount of stuff that you are inhaling. now, it's vapor.ou there are bars opening up. people are going in and they have different types and different smell. all i'm against this.eren >> everyone thinks it's completely okay. >> i don't think it's okay. com. >> it's not okay. i agree with david. it's a $1.7 billion industry. they consider it a gateway drug. the high schoolers are using it. 80% of high schoolers are also smoking cigarettes. that's the problem. 12 states are trying to ban it

in minors. they are getting it from parents and on the street. the one thing positive about it, if it were in the doctor doctor's hands, there was a study that came out of britain that shows it is as effective as the patch and an overall smoking cessation. if it were in the doctor's hands, i would occasionally use it to help a heavy smoker quit that is out of control. it is a gateway drug to get into the nicotine. the next thing you know -- >> how do you quit? >> there many behavioral changes to quit. this is not the way to go. if it's in the hands of doctors, it's not safe. you don't know what's in it. that's the thing. it's not regulated. i said it last week.

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welcome back. because i'm here for you i will not name names.

but one of you wrote us ask and the, should i worry, asking, i don't brush my teeth every day. should i worry? they know who they are. doctor? >> i brush my teeth but i can't say everyone in my name does but i will not name names. the army has a gun to take the place of brushing. but i am telling you, brush your teeth, two or three minutes, three time as day, with glossing, after meals. rinse out the toothbrush, get to the inside teeth. because of plaque which is an infamiliartory and gets in your bloodstream. >> the same as the plaque in the arteries? >> now but it leads to heart disease. studies show people with gum disease have higher incidence of heart decease. flossing and brushing decreases

the risk of gum disease. you have to do both. are more likely to have premies with bad oral hygiene. >> so it could affect your heart. >> don't let him scare you. don't be scared. i see the concept, it is interesting, it is not so much the bad odor or that you lose the teeth, the physiology is very interesting. the bacteria gets into the blood, the protein attract as lot of the blood platelets and then there will be a shell and the immune system will not get to it so this guy will go anywhere in your body. we are chasing this bacteria. where will it go? to the valve. then you have heart disease and

heart attack, all of that. just from not brushing your team. a lost didn'tives say simple floss and tooth brush will save your life. 40 percent of the public flosses their teeth. >> so brush your teeth and floss three time as day. >> and replace the toothbrush they say every three months. >> so, great snacks for the super bowl parties with a lot of calories and fat. who wants to trade in the pigs in a blanket for celery and

carrots. well learn how to make it a little bit healthier. >> celery and carrots? really? really. ok, so what's the catch? there is no catch. ok, i'm obviously getting nowhere with you. i'm gonna need to speak with the supervisor. i am the supervisor. oh, finally someone i can talk to. [ male announcer ] it's not complicated. new smartphone plans starting at $45 a month, with no annual contract. only from at&t. i ke prilosec otc each morni. for my frzero heartburn.n. becat wohoo! [ male announcer ] prilosec otc is the number one doctor recommended frequent heartburn medicine for 8 straight years. one pill each morning. 24 hours. zero heartburn.

>> and now super bowl. before you break outrate additional chips and dips, there are easy ways to make a healthier party without all the guilt. dr. samadi i will not give up my nachos or pigs in the blanket or pizza. i will not give that up. >> out of everything, you have to give up a little of the pizza. that is the problem. the cheese and hotdog, the processed meat, that is it. can you replace it with healthy stuff the we talked about avocado so have some with tomatoes. if you do not want your burger have turkey burger. this is about having fun. it is a great day. we will enjoy ourself and tomorrow hit the gym but what is

important, tomorrow heart attack s double, tomorrow don't starve yourself, drink a lot of water before you go, and watch the alcohol. >> the blue cheese dipping sauce, it is fantastic. >> beer is inevitable, i can never talk anyone out of beer but get rid of the juice, get rid of the soda, and use water with the beer. if you have chicken wings, bake them rather than filing. guacamole, that is great but use sweet potato chips. if you have chili, put turkey n. >> no one is coming to my house for celery or carrots but i like the menu of dr. samadi, the

guacamole stuffed cherry tomatoes, great. turkey burgers with avocado, and hummus on the side doesn't sound horrible. >> popcorn is another great but no butter. root for the broncos, we are not fair and balanced here. >> fair and balanced. all the recipes will be on facebook. >> how about a lite beer? >> better than regular. >> just one day. nothing wrong with having a little fund. >> i don't want them to be nervous. have a good time but exercise after the game. >> exercise after the game, i'll be stuffed? >> a long walk. a long walk. >> have a great day, everyone, doctors, thank you so much. that does it for us, we enjoy having you here and make you

healthy on sunday. >> it is super bowl and super bowl every sunday on house calls and now, "media buzz," on in super bowl sunday. >> this is super bowl boulevard. big game. >> on this super bowl sunday, barack obama ready for face off with bill o'reilly. why is he playing ball with a network he resents? >> a former chris christie claims the governor knew about the bridge closure and isn't telling the truth and christie reports back to the "new york times" for this report. >> with the big game hours away, i talked with fox sports former football star about what players think of the media circus surrounding the super bowl and the treacherous terrain facing black athletes. >> have you as an afri