anyone. >> that's it for this week's show. thanks for watching. hope to see you right here next week. hello i'm arthel neville. time now for time now for "sunday housecall." >> dr. marc siegel at nyu, also an author of "unlocking the secret code of sickness and health." >> nice to see you. >> we start today with a really important message. a new movie, it reveals what it is like to live with the early onset of alzheimer's. >> i've always been so defined

by my intellect, my language, my articulation. and now sometimes i can see the words hanging in front of me, and i can't reach them. and i don't know who i am. i don't know what i'm going to lose next. >> that was julianne moore giving an emotional performance in "still alice." it follows the story of a professor who learns she's suffering from early onset alzheimer's. it comes at the time researchers are revealing a promising new treatment of the disease. the film and that performance and the message is heartbreaking. >> also at the same time, a strong message. i think julianne moore did an amazing job in that bringing alzheimer's problem to the surface. everyone knows it as an aging process over the age of 65. we have five million americans that suffer from alzheimer's.

but that's not what she's talking about. this professor, we're talking about people in the age of 40 and 50. early onset alzheimer's which is a different disease. 200,000 americans suffer from this disease. it's only 5% of the population in this category. what happens exactly the dark side of alzheimer's, the sentences are fumbled, words are there to grab but it doesn't come out, lack of judgment. things that are familiar to you that you do all the time, playing games, spending time with family becomes a huge problem. it's not just memory loss but it's a neurospatial type of disease that we are finding out. >> what does this nasal spray do? >> by the way, in addition to what david is saying, you don't know how to get back home. you don't know where your car s. your personality changes. you get irritable. people notice you are not acting the same. >> sometimes they say, it's

just -- i'm forgetful. it's not really -- how do you know when it gets to the concentrated point that it's early onset? >> because it's sustained. it's not reaching for one word. it's constantly reaching for words. it's not just forgetting where you are one time. it's forgetting it many, many times. that's what julianne moore portrays in the film. i wrote a column where i analyzed tv and movies for medical accuracy. she's about the best i have seen. i was doing this every week and a half to two weeks for six and a half years. she brings home the idea of somebody who is 50 years old that suddenly has a change. it's not just alzheimer's. it's the idea of facing death, mortality, disease at a young age. >> what is happening here is that we are talking about different stage of alzheimer's. that's important to know. what i want people out there to know is that there are things that we are capable of doing. certain things we cannot control, which is the progression of the disease. for example, we know lack of

sleep certainly insomnia can affect stress, plays a role. that's when you forget one or two words here or there or where you left your keys. this is a real entity. i want people to really check their vitamin d level. there are studies that show low vitamin d and b-12 can mimic the signs of and symptoms of alzheimer's. one other thing, check your homocysteine level. too much, it has toxic affect. it can cause some symptoms of alzheimer's. by changing your diet, adding nuts, omega-3 fatty acid. now we are getting better imaging. with mri way to diagnose, we have cognitive test and neurologic test, we can diagnose early on. try to prevent it. what happens in this particular movie is very interesting. she went on and she did four months of research and found out not just memory loss or where

you left your car, but some of the teachers were writing backwards. they were not aware of this. the brain all of a sudden, connections change. i congratulate her for bringing such tremendous job and awareness to alzheimer's. >> if you are 50, should you get an mri? >> not an mri. when someone comes to my office at 50, one of the things i check is a b-12 level. david made a great point there on everyone. if you are low in vitamin b-12 you can have the same memory loss. if you see somebody fumbling like this, the p.e.t. scan has an ability to diagnose this early. >> what's that? >> that's a study that looks at the amount of chemical energy or heat. it's not just an imaging study. it tells you how much metabolism, how much energy is going on. if we find it early, we want to do that because of the money that's involved. billions of dollars taking care of alzheimer's patients.

it affects families. treatments, what treatment do we have? right now, all we have so far is basically a drug called aricept. we're looking into new ideas. you can prevent the onset by exercising, by eating fruit and vegetable, by playing board games and keeping your mind active. if you have it -- one more thing. the study we are looking at, if you have it, we actually have a study coming out of north carolina that inhaling insulin, believe it or not -- a small study, but inhaling insulin may improve alzheimer's. >> you mentioned a nasal spray? >> i'm not sure about the study. it's a very small step forward. we have genetic testing. i want you to know about this. i put this on my twitter and facebook. apoe genetic testing, that if you have family history and high risk, you should get this genetic test. also i want you to know you are not alone.

there's a community out there. alzconnect.org is a group and website. >> alzconnect.org. learn about the disease. don't ignore it. early intervention is the way to go. this movie brings it up on the surface on the type of alzheimer's we didn't know much about which is early onset. there's a lot of research going on in institutions here, at mount sinai, a lot of great scientists over there and many other institutions. >> two basic proteins in the brain that are abnormal in a alzheimer's. where we made advanced over the last few years is knowing by being able to follow them when somebody is going to develop that. the future -- as david mentioned the issue of genetics is involved. who is prone to it? i don't want to scare anyone. but if you have alzheimer's in your family, we have to watch your family. it's genetically-based.

>> the good thing about the nasal spray is it actually worked in 25% on even patients that had this gene. there's a step forward. we have a long way to go. but we want people not to ignore the symptoms and jump in if you see things are not the way they go. >> the nasal spray is not available yet? >> it's not. but it affects the family. it affects the whole one. get tested. >> very good. it's one of the deadliest cancers for women in the united states. we will talk about some of the most common risk factors for cervical cancer and the debate surrounding possible prevention as well as diagnosis. e... it's a full day for me, and i love it. but when i started having back pain, my sister had to come help. i don't like asking for help. i took tylenol but i had to take six pills to get through the day. so my daughter brought over some aleve. it's just two pills, all day!

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a huge debate surrounding

the most effective way to guard against cervical cancer is one of the deadliest cancers for women in the united states. also one of the most treatable if detected early enough. most women out there, they go and get pap tests. is this enough? >> i'm going to weigh in on this right away. i'm going to take a position contrary who says women should be screened over the age of 30. i think women should be screened from the time they're sexually active, which is usually in their teens. why? because the human papillomavirus is epidemic in the united states. 80% of people acquire it after they turn sexually active. you have to follow it with two tests. when you do the pap test, you look for abnormal cells in the cervix. it's at the bottom of the womb. bottom of the uterus. you're looking for abnormal cells. we have a new test that you can do to find the hpv virus and

identify what type it is. you know why that's important? because two of the types of hpv cause 70% of the cervical cancer. we're talking 14,000 new cases every year still. if i identify those two types with the hpv test, then i go ahead and i might want to do a biopsy right away. with the pap test, i follow the abnormal cells if i'm a gone ko gynecologis gynecologist. knowledge is power. screening is power. >> if i may jump in, i'm going to you to ask you if you are my gynecologist, do you ask for the pap as well as the hpv? >> i believe both should be done simultaneously and followed over time. how often they done after the initial one depends on what is found. if they are completely normal, an argument can be made for two or three years. if they are abnormal, followed

more frequently. >> the last time i asked about thyroid disease, he got up to do an exam. i think this is a serious problem. we see the number of hpv viruses on the rise among younger sexually active women and teenagers. that's why catching this early on is important. one of the risk factors for cervical cancer is hpv. there are other risk factors. smoking is another one. oral contraceptive pills are one. multiple partners, all of these are risk factors. early on, the answer to your question, it seems based on the recommendation, hpv test could be very effective, because we can find that as opposed to real cancer or pre-cancerous lesions that you can find more after the age of 30. you can combine pap and hpv test after 30. but at a younger age, get hpv test. >> do you have to request that? it's one exam? >> it's always -- this is what's

coming down the pipeline from the guidelines that we have. gynecologists may practice different things. but you can talk to them, ask them and also it's preventative. >> how about a vaccine? boys are getting a shot? >> that's a good point. there are two vaccines available. i'm glad you brought it up. people may or may not know this. at the age of 11 or 12, you can get the vaccine that can prevent you from getting this hpv. if you have it, it's not as effective. this is a safe vaccine. it's effective. usually it's not recommended after the age of 26. early on you can ask for this vaccine and it's fairly cheap. >> i want to add to that, boys as well as girls. this should be both. that's how we decrease the amount that's circulating. one other point, if you have it, what are we going to do? eric asks that question. you have early cervical cancer or you have a tendency toward it. the earlier we find it, the better. the earlier the better.

if you have cervical cancer, we probably can spare your uterus. take it out through a scope and actually cut the part out that's cancer. >> we're out of time. get the shot if you are -- >> get the shot. get tested. early diagnosis can save your life. we have heard of female menopause but what about male menopause? it's a condition that affects millions of men. how it can impact your life and what you can do about it when the doctors stay with us. there's a new way to buy a car. just find the one you're looking for, see what others paid for it, lock in your savings, and get the car you want hassle-free. with truecar, it's never been easier.

test

now for our should i worry, our segment about everything that worries us. one viewer writes, i'm an active male in my early 40s. recently i noticed i don't have much muscle strength as i used

to. should i worry? >> it's male menopause. it's a strange term we use. we know menopause in women. let me see it works this thing? think of ovaries or tey ies all of a sudden you wake up at the age of 51 and the bank says no more. that's female menopause. for men, every year you ask for money from the bank they say less and less. so the testicles produce less and less testosterone. because it's such a gradual process, you don't realize you're in trouble until you get to mid-50s and your testosterone starts to go down. how do we know about this? testosterone so you are drive, that's the mojo, so you have less interest in libido, sex drive, concentration goes down. you're fatigued all the time and all you want to do is sit behind

the tv and flip channels. that's the signs and symptoms of male menopause. unfortunately, this has become a huge business. billions of dollars, all the ads on tv, the shots. that's what we want to bring up. that's a knee jerk reaction, that's bad medicine and there could be some side effects. >> what shots are you talking about? >> we're talking about the testosterone shots that are being advertised. check your testosterone in the morning before 9:00 because in the afternoon it can go down, and there are many things we can do to boost testosterone. >> should people get those shots? >> i think, first of all, any male or female individual, if you're having a problem like that, should you worry? you should see your doctor and be checked. check your testosterone. that's one of the things on the list. it's not the only thing on the list. clearly at 40, aging is not an issue and you shouldn't have that so early.

you may have a problem. get that checked, see if you need a replacement. but there are other things that can cause this. low thyroid is very common and can cause this. a problem with a tiny england called the hyperthoric thyroid can cause this. and if you've been taking steroids for a long period of time, you can get something that wears down your muscles. that's extremely common and you have to know that history. if you're obese, you weigh too much, we talk about how bad obesity is for you. diabetes can cause a muscle wasting. >> this is very important. >> we talked about whether size matters or not. in this particular case, size does matter. the size of the belly. the belly fat sucks the testosterone, converts it to estrogen and that's when your libido goes down, man boobs, et cetera.

one of the ways to increase your testosterone, lose weight, guys. the best thing? lose weight, guys. vitamin d is essential to boosting your testosterone, having shellfish, egg yolk, meat, all those things will boost your testosterone. lack of sleep affects it, so make sure you sleep well. as i've always said as a neurologist, size does matter. that's a very good point. >> there is sometimes you want more testosterone. >> if you're still doing all this and you're still not making testosterone, get it treated. but people are getting shots without needing it and that's bad medicine. >> i'm going to check what's in the bank, that's what i'm going to do. >> garcelle neville has a great idea of how to lose weight. >> i do? >> every man's testosterone helps others so it's going to work.

>> i don't know what's happening. you exercise, you eat healthy, but according to a new study, that may still not be enough. we're going to talk about it after the break. not be enough. enough. we're going to talk about it ♪ stouffer's mac and cheese with real aged cheddar now in a convenient cup. new stouffer's mac cups. made for you to love.

this is a fox news alert. we are watching a situation now ahead of an enormous storm system that has now come together is baking a bull's eye on the east coast. blizzard warnings are into

effect. the new york city mayor is about to take the helm and prepare the city for something that we saw forecasts for this. but now that it it is coming together, are we ready for it? can we mobilize? we're talking upwards of two feet of snow. we don't want to make light of the fact that -- we know forecasts can change. even if this one changes by very little, it's still going to hit and hit hard. mayor bill de blasio of new york. let's watch. >> i want everyone to understand that we are facing most likely one of the largest snowstorms in the history of this city, in the recorded history of this city. the early projections for this storm are that it would easily

be as much as 2 feet of snow, potentially pushing on closer to 3 feet of snow. so this literally could be one of the top two or three largest storms in the history of this city, and we need to plan accordingly. so my message to all new yorkers is prepare for something worse than we have seen before. prepare to be safe. take every precaution. now is the time to get ready for this extreme weather. it is so important to focus on safety in these next few days. don't underestimate this storm. prepare for the worst, and we will all be able to get through this together. the agencies that are part of this effort. we're here in the sanitation

garage. obviously sanitation leads the way in making sure we get through each storm. sanitation, d.o.t., office of emergency management. obviously police, fire, all of the agencies will work together. they're already right now in a state of high alert, prepared for what will hit us starting tomorrow. and i want to remind my fellow new yorkers that we are blessed with the finest work force anywhere in this country, ready for emergencies, tried and tested and proven many times over. and these agencies are working together to prepare for what's about to hit us. here at sanitation garage 2, you talk to some of these members of new york's strongest, you can see that they have a winning attitude, that they're ready for the storm. they've faced a lot of tough storms before, and they know what they're capable of doing

and they're ready to do it. i remind you, the men and women of the sanitation department have 6,000 miles of roads they are responsible for clearing. that is as if going from here to los angeles and back. that's what they have to deal with, and they are up to the task. how is that going to happen? 2400 workers per shift on 12-hour shifts, 7:00 a.m. to 7:00 p.m. for each shift, and we will ensure that all hands are on deck for this crisis. we'll have nearly 500 salt spreaders out ahead of the snow falling, when at least 2 inches have accumulated there will be 1500 snow plows deployed to address the conditions. at the same time our colleagues at department of transportation have emergency pothole crews out