until next time, i hope you're learning to be more of a healthy you. you. it's time for "sunday housecall." >> and i'm arthel nevadaville. joining us with dr. david samadi, chief of robotic surgery. >> and of course dr. marc siegel, professor of medicine and author of the inner pulse, unlocking the secret code of health. >> good to see you. >> the centers for disease control stepping up its sprons to the growing ebola outbreak.

they are issuing a level one activation alert. a rating reserved for the most serious. why? >> level one alert is actually the highest alert you can get. this is a public health crisis. the reason is because the numbers are increasing. we are going from now 1,400 people infected with this disease, about 932 are dead in that and also this ebola is expanding to nigeria now. level one alert is what we've seen africa trina. they have called it even with h 1 n 1 in the past. they are taking agents working on other projects and they are all geared toward ebola. they are sending agents, about 59d of them to west africa. part of the problem we're having is, you should thinking about this just like a global economy.

if some banking has a problem, our stock market is going to be affected. the virus in west africa somehow through the travel can come to our country and contaminate us. we need to be aware that this is a lot more serious than we thought. >> those numbers you site to far only in west africa. >> obviously we have two americans in our country, one american that has passed away from this. and one was in quarantine. recently you saw the scare about this in new york city. so everyone is really aware and geared. so that's what the level one is. >> i think we need to get the fear out of this. we need to distinguish what's happening over there and what's happening here. we're part of a global health community. the center for disease control have sent these disease experts to try to figure out who has it,

put them in isolation, figure out who their contacts are over 21 days, follow those carefully. one of the things we're doing to spread fear here, is we're not distinguishing, you can't get this very easily. you -- look, if we show photographs of kent brantly in his isolation claimer, everyone thinks you need an isolation chamber. if you put on gloves, gowns, you can effectively isolate someone who has it. also the 60 and 90% death rate, did everyone out there know that if you get iv fluids, you can decrease that dramly. so all this obsession on anti-viral drugs people need to know that regular measures can help. so the issue here is don't need special facilities, use supportive care, isolate people and their contacts for 21 days.

that's how you stamp it out over there. the cdc is also putting special agents. they're working with public health authorities in west africa to figure out who to screen before they come here. in other words, who has a fever, who has flu-like symptoms. but for people in the media here to take a patient at a hospital in new york and have press conferences, it's realry a disservice to people. >> you pointed out that you can't really just get it. it's not in the air like a virus. it has to be direct bodily fluids. and our medical facilities in america are more sophisticated. >> that's very true. and the health care system over there is completely overwhelmed. now, having said that, i think if this virus tries to be a little cute and tries to mu at a time and start becoming airborne and other things, then we're in

deep trouble. i want people to know that we're not living alone. the globe has become extremely close to each other as a result of travel. we may or may not be completely prepared for this in the emergency room. somebody comes in with fever or news ya or vomiting, we have to be super careful. >> the first question the cdc ask is have you been in contact with a patient of ebola. dr. freedman has -- >> who's that? >> the head of the centers for disease control. we have an exclusive op-ed from him. >> i think both 06 you made excellent points on this topic. okay. so moms across the country marking breast-feeding awareness month. we're going to take a look at all the benefits breast-feeding can have and whether it's right for you and your baby. all the breast feeding can have and

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helps you make a smart new car decision. now for should i worry? our weekly segment about everything that worries us. this viewer asking, i have decided not to breast-feed. should i worry? dr. siegel is this a good idea or not? >> first of all, i don't want the person out there to worry, because formula has reached the point where it approximates breast milk in that it has vitamins and similar proteins, on top of that breast milk is better for a lot of reasons. it's amazing what it does, it's great with the proteins, great with the anti-bodies, i would list that as number one, when a baby is born, it has maternal anti-bodies. then it makes its own after nine months. so in between, if you're

breast-feeding, you're giving antibodies from breast milk. the american academy of pediatrics recommends breast feeding for the first six months and then you can start to introduce solid food at six months and then regular diet at one year. i think that's a pretty good recommendation. brain development improves. here's another one, the hormone you make when you're breast-feeding, that makes you feel good. it improves your relationships and you're bonding with your baby. but i don't think people who don't breast feed, my mother included out there, you still bonded with me, i'm cool with it. >> oxytocin. >> it sounds good. >> but go ahead, you say what? >> did you know that last week was the world breast feeding week. >> that's why we're talking about it. >> exactly right. it started in 1992, and they want you to go for breast feeding for the first six months. it helps the baby with antibodies.

covers the lungs. lower respiratory infection. lower infections. there's a lot of benefit to mom as well. study after study shows, that if you breast-feed for four months, lower risk of breast cancer. also this oxytocin that we're talking about, there's always this post-partum depression and oxytocin is your happy hormone, it gets women out of this. it shrinks the uterus so you lose the weight faster. and of course the bond between baby and mom that these babies have better iqs in the future, all around it's the best thing that happen. the abc for breast-feeding. you want to be aware of the child making sure you don't let the kid go all the way until they're crying. it takes about 10 to 20 minutes

and you have to be patient and comfort is essential. make sure you sit comfortable, don't rush. who should not be breast-feeding? if you're hiv positive. these are obvious. if you're under chemotherapy, if you're taking cocaine or marijuana, do not breast-feed. >> dr. siegel, i want to bring you in. apart from those women that dr. samadi highlighted, what about the women that can't breast-feed for what other reasons? >> i first want to address the women that because they're so tired in the first 24 hours after birth decide not to breast-feed and then can't go back. so one of the messages we're sending, try to do it if you can do it. but ther out there. small-breasted women can breast-feed. the real reason not to

breast-feed is because of the reason david mentioned. do you have an underlying medical problem. >> i've heard, maybe i'm wrong, but i've heard and read and speak to women -- i don't have children, but you speak to women who cannot do it. it's painful. >> and they should continue to feel good about themselves. >> well, there are a lot of techniques for breast-feeding. for example, when the baby latches, sometimes it would be very painful and taking the baby off. there's a one finger technique you can use. and also sometimes the women use a lot of the pads that have alcohol in it and it can make it very dry. so you want to be careful. after today, i'll be the expert on breast-feeding. thank you. >> i think people can't breast-feed, they should feel good. the baby will do well, but we also love breast milk for what it gives you. >> i was impressed to hear the formula has gotten to the

point -- >> it's much easier for them to digest the food. the nutrients and fiber and all the cab high drats you get is much healthier. but more important, you get the aunt bodies that carry the children through the future. it would prepare them for the future. >> assume you guys know everything about practically everything. >> there's a lot of time and effort goes into it. >> if you have questions for the doctors, you can e-mail under the circumstances. here's the address. we'll try to get your questions on the air. of course all names and e-mail addresses will be kept confidential. so if you have a question for the doctors, e-mail them and we'll get to it on a future sunday. >> we talked about this before, test tost roen replacement therapy. now there's a new warning from the fda. so is the treatment right for you? the doctors on testosterone,

next. the test.

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and find out more about our two-year price guarantee. comcast business. built for business. back now with "sunday housecall." it promises to boost your energy and give you a new lease on life they say. that's testosterone replacement therapy. how do you know if it's right for you and if you should do it? dr. samadi, tell us about this. >> every other ad is about testosterone. there's a deyoed rant and all these injections and unfortunately men are falling into this. is it really the fountain of youth or the fountain of dollar.

they are opening these centers and without having a doctor on board are giving big doses to men out there. they basically say that low testostero testosterone symptoms are if you're tired, low sex drive, et cetera, lower muscle mass, but a lot of other things can cause this. for example, one of the major reasons why we have low t is because of obesity. if you have belly fat, the question is is it the egg or the chicken. if you're obese, you're going to have lower testosterone. if you drink a lot of alcohol, if you're a diabetic, lack of sleep, stress, all of those are the reasons why your testosterone can come down. people are overtreating this, they're overdoing it. a lot of men out there are

getting testosterone for no good reason. it causes blood clots, heart attack and stroke. i want a lot of people to be aware of this. once you go testosterone you shut down the natural tesoro refinery drone and if you get off them you may not be able to produce them. >> we are disease detectives. we are disease detectives. someone comes to the office, an older male over the age of 50 gaining weight around the belly, fatigued, low sex drive, he is depressed, and i or david want to figure owe the reason. it could be thyroid or diabetes or it could be low testosterone but make sure before you address it to correct the other issues. is the person depressed? i try lifestyle alterations before i consider anything else. did you know if you sleep more

your testosterone can go out? was it checked in the morning? are you depressed for another reason? do you have a thyroid condition in when the question comes, whether to treat this, the reason there is evertreatment too many internist are putting people on testosterone gel or a patch or injection without thinking about it. the big problem in my opinion it causes you to make a lot of blood cells and they cause blood clots so there is a warning, it can cause blood clots. guess what else in they can go into your heart arteries so there was 30 30 percent increasn people that had testosterone replacement. the study i like the most is something that men under 65 with pre-existing heart disease had two times the a heart attacks in three months after starting the

therapy and all men over the age of 65, older men, two or three times greater risk of heart attack and stroke. >> is it possible to misuse the testosterone? why is the timing of the testing of the level? >> the height of the level is at 5:00 a.m. when no medical office is open so check it between 7:00 and 10:00 p.m. in the afternoon it comes down. check your psa and know what it is. a side effect of testosterone if you have a large prostate the symptoms can be worse. there is debate whether too much can cause prostate cancer. the debate is out there. the jury is out. you cannot just have a kneejerk reaction if you are obesity and tired to take the we testosterone, the side affects outweigh the benefits. >> exercise, correct eating.

>> absolutely. get to the gym. >> number of the prescriptions have triple from 18 million to two billion this year and then we will be $5 billion on testosterone. don't tell me so many men are walking around out there with low testosterone. so the level is low by the time they get to the office. >> i will on the office at 530 a.m. to checker risk -- to check the level of eric at 5:30 in the morning. >> americans are eating moral end months. what is kind of craving? is america's new favorite not all it is cracked up to be? avo: waves don't care what age you are.

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>> move over, peanut, the almond now america's favorite not. with the number of essential vitamins and minerals it is the mole popular. should we start popping almonds in. >> almond use is up four times the last few decades but not up enough. it has a great flavor point, shutting off hunger in the brain

and part of the mediterranean diet here. we love these am mondays. they have 30 grams of protein in a cup, 18 grams of fiber, zero cholesterol. the fine certificate great for the heart, the protein is great, you can get your protein here rather than red meat, low in sodium and great antioxidant. >> what about fat? >> the good kind of fat. >> i cannot disagree. we agree on this. these are the good type of fats like avocados and is great for bones and memory and i will post this on facebook. the way to eat this, take a lot of them, put them in a glass of water and let them soak for three hours. put the almond in the water and

soak for three hours. it has something that is the enzyme that makes it difficult to digest. people take am mondays and have con justification problem. if it soaks for three hours it sucks that out. you eat it with the skin. the skin is where the antioxidant is. >> quick question. >> you can shred them. no salt. >> what about i will have a handful, six of them, dark chocolate covered item. >> we love dark chocolate. you will live longer studies show. >> chocolate is great antioxidant. you add this. for you it is great because it adds vitamin e great for the skin and nails. not too much. >> doctors would recommend chocolate covered am mondays. love you guys. >> and put the am mondaysen the salad and will shut east hunger in your brain. >> who knew?

>> that it for us for "sunday house calls." thanks for joining. >> from los angeles, president obama who vowed to get out of iraq ordering elemented airstrikes again the militants overrunning the we country and killing christians. conservative critics are demanding more aggressive and liberals learning about mission creep as obama shifts the media strategy regularly taking questions from white house reporters as he did yesterday on the airstrikes and repeatedly in recent weeks. >> i wasn't going to take questions but let me respond to this question because i felt some of the stows were overcrank ed. >> hold on,