nd of like shopping hungry equals overshopping. hello. i'm arthel neville. time for sunday house call. >> and i'm eric shawn. welcome as always. joining us dr. samadi. >> and dr. marc siegel. professor after medicine. also author of the interpost unlocking the secret code of sickness and health. >> more health than sickness. >> very good. it's all about health. >> talking about health this month is colon cancer awareness month. they're calling it the second

leading cause of cancer death in the united states. if it's detected early and screened for properly it's also one of the most treatable. dr. samadi this hits home for me because my father dayed of colon cancer. he never had a colonoscopy. it calls the importance to having them. i do it once every three years. >> i know that you're a huge advocate of screening, and no better month than march which is the colon cancer awareness month. and i know this is really a sensitive topic for you, but you learned from that mistake and we want people to also follow the same exact thing. 143,000 adults are being diagnosed and 50,000 die from this disease. we have a rot lot of people thae from this. screening can help stop it you may want to talk to your doctor

and do it earlier if you have family history. >> age plays a role. obesity, sploeking, excess alcohol. fatty food and red meat plays a role and more important if you have inflammatory bowl disease. these are all risk factors and we want you to see your doctor and make sure to get your colonoscopy. i think a lot of people are afraid of colonoscopy. did you know that 25% of people over 55 didn't want to get a colonoscopy. maybe it's invasive. i have so many people saying i don't want to go for the prep. i don't know why they're afraid of it. they don't like it. >> i was just going to say, does it hurt? that's the main thing. it keeps people from getting it. it's not the right reason. >> what i'm trying to say is there are other options besides colonoscopy. cologaurd chsz a study that just

came out. they found that a noninvasive thing another alternative is 92% predictive. they send you a kit at home. you send back the stool. they look at the dna cells and they can diagnose it. that's good for a lot of them. >> i want 100 percent. take the tube and look at everything. >> i want to start with snag iraq adm eric admitted. this is what i want people to know. if you have a family history of colon cancer. you have to get the colonoscopy earlier. much earlier. ten years earlier than your relative was diagnosed. that's what we usually say. that's number one as an internist what i'm looking in the 95% sensitive is a colonoscopy for picking up colon cancer. it has to be in the right hands. pros state cancer has to be in

the right hands and colonoscopies too. i want you to be doing it from the age of 50 but if you have a change in bowel habits. you suddenly see blood for you have weight loss. get in and get that colonoscopy scheduled. again, family history. if you have polyps, it's got to be more frequent. if you are afraid of colonoscopies, i want to answer erik's question. it's the prep that bother most people. they worry about the colonoscopy but it's the prep where you have to drink stuff the night before and you're on the toilet for a couple hours. >> the procedure isn't painful? >> the procedure these days, most people are doing it, putting them out. they're using drugs most of the time. i personally like conscious sedation. that's an alternative. you can see it being done. you have an option. you can talk to your gastroentrolgs or your answer these yolgs, but i want to make

one more point. that is just coming out. inbetween theies whether you're doing it every five or ten years or because of family history, every three years. inbetween we do something called fee cal blood. we look for blood in your stool. >> is that a tab that you leave on the shelf and never actually do? >> you should do it because you can bring it into your next doctor's office. you can mail it into the lab. we can chemically test it that's better than the usual way. i believe that like david is saying, i think the cologuard that's just coming out. it's 92% sensitive. colonoscopy 95%. it looks at your dna. >> colonoscopies still a standard of care but for a lot of people that are older, they

don't want a. you're getting drugs and you have to go to a surgical procedure. this is a great start and if you find something abnormal, then you can get the colonoscopy and they can treat it. for a lot of people who may have hemorrhoids or they may see blood. that's not the time to do the test. the test is about $600. medicare and interestingly enough, and blue cross blue shield accepts this and will pay for it. people who don't want a colonoscopy for whatever reason, this is a great alternative test. >> as a female should i get it done as well. >> yes. spaesk if you see any blood. one of the things that came up is the caliber of the stool. if you have a mass in the colon. the diameter of stool is going to be narrow. usually hemorrhoids is a lighter blood. it's fresh blood, and blood

mixed in the stool is very different. >> the prep isn't that bad. they have orange dink now that -- >> what's, i believe. >> we've gotten away from using something else. they're using now go lightly or new lightly which you have to drink more of it than you would with the other treatment. i do want to take a different point of view than david. i don't think we're ready to say cologuard. the love it. i love the premise. we almost have no other situation where we literally can look at your colon directly with a scope and tell you hay, there's a polyp here. you can't find that with the other treatment. in in the meantime eat more fruit and vegetables. obesity is a huge risk and smoking. being sedentary is a huge risk for colon cancer. fruits and vegetables alone cuts down. >> perfect way to end the

segment. >> i want to say something about cologuard. >> in the future. >> people need to know about this. >> i'm done. we're done. >> i just needed permission to continue. okay. thank you. very important stuff. you know you may have noticed when you woke up this morning that you lost an hour of sleep, but did you know that the time difference may also have an impact on your health? we're going to find out what they might be up next. .. ...heartburn. did someone say burn? try alka seltzer reliefchews. they work just as fast and are proven to taste better than tums smoothies assorted fruit. mmm... amazing. yeah, i get that a lot. alka seltzer heartburn reliefchews. enjoy the relief.

test test test test test

okay. we all set our clocks last night. less time getting sleep so that could impact a lot more than how you're feeling this morning. dr. siegel, how much of an impact could one less hour of

sleep have on your health many. >> more than you think. >> he looks exhausted. look at him. >> no, you don't. you look great. >> it's all that coffee that dr. samadi has recommended. so if i lost sleep last night. i made it up with all the coffee. >> go ahead. >> listen. this started with benjamin franklin who wrote a paper who said let's extend in spring so we don't need artificial lights. he's the man. but how does this affect us? it's actually because studies have started to show and a study out of michigan last year showed that you have about a 25% greater rick of a heart attack on the monday after you move the clocks forward. and get this, arthel. 21% less the day after you move the clocks back. now, that's pretty good science, and why. why are people having more heart attacks? it has to do with something

called your rhythm. your body is used to a certain rit. and in the morning when you get up, you release your testosterone. if you're me and david. you release your steroid hormone. your court sol is dependent on when you get up. if you're a heart attack about to happen, that may be the day it happens. also car accidents are more likely to occur on the monday following. it's about screwing up your clock. you, dr. samadi said yesterday on tv, i'm going to beat him to the pumnch. he wears a beautiful watch. he's changed it yesterday. he missed all his appointments yesterday. >> this is actually a very special watch. you can zoom in on this. this is given my one of the presidents of a most powerful country. you can zoom many. >> i want to make the point. the point he's making is excellent. you have to get your body ready for the change. you can't just jump if into it

on a saturday night. >> they say accidents go up this week. this coming week accidents go up. >> 5 to 10%. that's unbelievable. so please be careful. we work today. almost everyone slept and woke up late earn. tomorrow, grumpy day. they are all grumpy because they are sleep deprived. >> let me jump in. chronic fatigue syndrome is a syndrome that has been around for a long time. the biggest news is not what's going to happen on monday morning. every year we get through and we'll be fine. you set up your time an hour before. you basically don't have alcohol or smoking or et cetera. you don't exercise before you go to bed or coffee. the truth is the institute of medicine just came out and changed the whole concept of croppic fatigue syndrome. people that cannot stand for a long time with some exertion.

they get really tired, and they called it systemic exertion intolerance disease. mouth full but they're changing it because now we're starting to understand what this is. for a lot of drrs it's hard to diagnose. there's no real test. this is a diagnosis of exclusion. you feel you're always tired. there are some data coming in that if you check your blood test and i'll put this on my twitter, your sediment rate is going to be low. you're going to have some blood work against herpes and cla maid ya. we can find out if it's lyme disease, hypothyroid or truly chronic fatigue syndrome. >> bottom line you can be tired because of the of the change of time but it could also be chronic fatigue syndrome. >> it could be other things like weight gain and gregs too. if you're not feeling back to where you were, go to your doctor.

>> long term watch out for these and check with your doctor. >> it's a whole different thing for you. >> if you have fatigue, contact your doctor. >> have to get through grumpy morning tomorrow morning. >> a warning about testosterone boosting drugs. they are telling doctors to avoid prescribing some of the popular treatments. we'll have that as we continue.

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purchase any new verizon wireless smartphone or tablet from comcast. visit comcast.com/wireless to learn more. back with sunday house call. a new warning about testosterone enhancing drugs.

the fda now warning doctors against overprescribing these supplements saying they're not really that safe or effective. dr. samadi, what are they? what do i was just flexing my m in front of marc. it's supposed to make you bulky. what happens over time, as you get older, the level of testosterone goes down. we talked about male menopause. you have low libido, low sex drive, you basically start gaining weight, you're tired all the time. what's the knee jerk reaction? go get testosterone, which is not great. the fda is putting warning against these tesestosterone replacement theories. >> the guys use it. >> yes. om by guys. they can sacause side effects o

risk of heart attacks. they looked at 55,000 men and they found out when they are on this type of testosterone enhancing therapy, twofold younger guys, older guys, threefold. this is meant to be for people who have a real problem. their testosterone is real low because they don't make it. not for aging population. and it's being misused. a quart er of them don't even gt their testosterone checked. get it tested early in the morning. it should be over 300. talk to your doctor before you do this. >> we were talking about fatigue and this is a relevant bridge, because what i do with my patients over 50 is checking fatigue. one thing i always check is their testosterone in addition to their thyroid, in addition to whether they have hepatitis our lung disease. it gets lower with aging. that's bad, you start to gain

weight. especially if you're drinking, you build up a big stomach, you get estrogen in there -- >> estrogen? as a man, you get it? >> estrogen. it increases your risk of a heart attack, and here's an interesting thing i found fascinating. within the first 90 days after starting the testosterone replacement is when the heart attacks occurred. so you might be sitting there with an underlying risk of heart disease, and you don't know it until you take this metabolic stimulant called testosterone. >> but if you have a metabolic stimulant, does that affect your weight? >> no, but the best way to really increase your testosterone, which is a very good question you're bringing up, if you don't want to use some of the assethe testosterone, lose the weight. you lose that weight, your testosterone is going to shoot up and you'll be very happy. >> lose that middle. >> eric, there are some patients who -- >> you don't have it.

>> there are some patients who legitimately have a problem with testosterone. i've seen some of my patients who you give it to them -- >> what do you mean, they have a problem? >> they literally don't produce testosterone and they're handicapped as a result of this. you give them testosterone, they wake up and become functional. it's legit. in a majority of people, you can't have a $2 billion industry, such an increase in prescriptions. >> to david's point on this, it's got to be my group that's doing it. you know how i'm always praising internists? don't let your internist replace your testosterone. if i find you're low in testostero testosterone, i'm going to send you to someone who deals with this. >> so sleep well and also be careful with supplements. >> have a colonoscopy. when we come back, we're going to get the skinny on a new invention that promises to

revolutionize the way doctors treat obesity. hmm. [ male announcer ] legalzoom has helped start over 1 million businesses. if you have a business idea, we have a personalized legal solution that's right for you. with easy step-by-step guidance, we're here to help you turn your dream into a reality. start your business today with legalzoom.

.. we're here to help you turn your dream into a reality. ...heartburn. did someone say burn? try alka seltzer reliefchews. they work just as fast and are proven to taste better than tums smoothies assorted fruit. mmm... amazing. yeah, i get that a lot. alka seltzer heartburn reliefchews. enjoy the relief. so a surgeon in grand rapids, michigan coming up with an invention that promises to end obesity. dr. siegel, what is this?

>> this is a sleeve that he accidentally found that you put into the esophagus and it signals the brain that you're full when you're not really full. this one is not fda-approved yet, but there are other sleeves that are and they basically fool your body. because if you go all wait doth down to your intestine, it's the hormone that tells you to stop heating. we first have to say, are you exercising enough? are you too sedentary? are you eating too many carbs? as an internist, i'm worried about the fact that 160 million americans are overweight because of the risk of high blood pressure, of heart disease and diabetes. but if i can't get that risk down by modifying lifestyle, and you're really obese, i have to start thinking of things like this. >> i think there is a room for surgery. not everybody is going to be treated by medication and being on the treadmill. some people have a real problem, whether it's genetic or thyroid, and we should always include them, i think these are excellent devices. but for those people who do not

do well with this, they can get surgery. now, this particular patient had a bypass, ended up having stricture at the coronary area. he put in a stint and is die lating it, and he thinks it's sending a message to the brain saying they're full. we don't know if it helps you lose weight by filling it up, it sends messages to the brain, or by dilating this sphincter. has it come to the u.s. yet? i think we should pursue it and give it a chance. >> one more quick point about this, whereas with the lap band where you basically put a rubber band around to stop the food going in, this device you remove after six months, so i'm a little wary after six months, somebody is going to go right back. or is it a warning that changes your lifestyle? who knows.

>> it also may cause some reflux. this is good because we don't agree on anything. >> we did, we did. that does it for us. we'll be back next sunday. every sunday here is "sunday housecall." hope you're having a great sunday. you as well. i'm leland vitter. welcome to new yoor american hes live from washington. and i'm shannon bream. did the president give hillary clinton a winning endorsement or a live response? >> i'm glad that hillary is instructed that those e-mails that have to do with official business need to be disclosed. isis gets a new ally. nigeria's home-grown islamic extreme ils group boko