Timayesa zinthu ndi ntchito zonse zomwe timalimbikitsa paokha. Tikhoza kulandira chipukuta misozi ngati mudina ulalo womwe timapereka. Kuti mudziwe zambiri.
Malinga ndi National Institutes of Health (NIH), akuluakulu aku America opitilira 21 miliyoni adadwala matenda amisala aakulu mu 2020. COVID-19 yapangitsa kuti anthu ambiri azivutika maganizo, ndipo omwe akukumana ndi mavuto aakulu azachuma, mwina akhoza kuvutika kwambiri ndi matendawa.
Ngati mukuvutika maganizo, si vuto lanu ndipo mukuyenera kulandira chithandizo. Pali njira zambiri zochiritsira kuvutika maganizo, koma kumbukirani kuti iyi ndi matenda aakulu amisala omwe sayenera kutha okha. "Kuvutika maganizo ndi vuto lalikulu la thanzi la maganizo lomwe limasiyana kwambiri ndipo lingachiritsidwe ndi njira zosiyanasiyana," adatero Emily Stein, katswiri wa zamaganizo komanso pulofesa wothandizira wa matenda amisala ku Icahn School of Medicine ku Mount Sinai, Dr. Berger. . Mukasankha kuyamba kumwa mankhwala owonjezera pochiza kuvutika maganizo, ndikofunikira kukumbukira kuti zakudya zowonjezera nthawi zambiri zimaonedwa ngati mankhwala ena owonjezera pochiza kuvutika maganizo. Izi zikutanthauza kuti zingathandize mankhwala ena kukhala othandiza kwambiri, koma si mankhwala othandiza okha. Komabe, zakudya zina zowonjezera zimatha kuyanjana ndi mankhwala m'njira zomwe zingakhale zoopsa, ndipo zomwe zimagwira ntchito kwa anthu ena zitha kuipitsa zizindikiro kwa ena. Izi ndi zifukwa zochepa chabe zomwe ndikofunikira kugwira ntchito ndi dokotala wanu ngati mukuganiza zomwa mankhwala owonjezera kuti muchepetse zizindikiro zanu.
Poyang'ana zakudya zosiyanasiyana zochizira kuvutika maganizo, tinaganizira za mphamvu, zoopsa, kuyanjana kwa mankhwala, ndi satifiketi ya chipani chachitatu.
Gulu lathu la akatswiri odziwa zakudya olembetsedwa limaunikanso ndikuwunika chakudya chilichonse chomwe timalimbikitsa poyerekeza ndi njira yathu yowonjezera zakudya. Pambuyo pake, bungwe lathu la akatswiri azachipatala, akatswiri odziwa zakudya olembetsedwa, amaunikanso nkhani iliyonse kuti aone ngati ndi yolondola pa sayansi.
Nthawi zonse funsani dokotala wanu musanawonjezere china chake chowonjezera muzakudya zanu kuti muwonetsetse kuti chakudyacho chili choyenera zosowa zanu komanso mlingo wake.
Eicosapentaenoic acid (EPA) ndi omega-3 fatty acid. Carlson Elite EPA Gems ili ndi 1,000 mg ya EPA, mlingo womwe kafukufuku wasonyeza kuti ungathandize kuchiza kuvutika maganizo. Ngakhale kuti sizingatheke kuti ugwire ntchito wokha kapena kukonza maganizo anu ngati muli ndi thanzi labwino, pali umboni wotsimikizira kuphatikiza EPA ndi mankhwala oletsa kuvutika maganizo. Carlson Elite EPA Gems yayesedwa ndi pulogalamu yodzifunira ya ConsumerLab.com ndipo yasankhidwa kukhala Top Choice mu 2023 Omega-3 Supplement Review. Izi zikutsimikizira kuti mankhwalawa ali ndi makhalidwe omwe adalengezedwa ndipo alibe zinthu zodetsa zomwe zingakhale zoopsa. Kuphatikiza apo, yatsimikiziridwa kuti ndi yaubwino komanso yoyera ndi International Fish Oil Standard (IFOS) ndipo si GMO.
Mosiyana ndi mafuta ena owonjezera a nsomba, ali ndi kukoma pang'ono pambuyo pake, koma ngati mukumva kutsekeka kwa nsomba, sungani mufiriji kapena mufiriji.
Mwatsoka, zowonjezera zabwino kwambiri zimatha kukhala zodula, monga izi. Koma botolo limodzi limakhala ndi zopatsa miyezi inayi, kotero muyenera kukumbukira kudzaza katatu pachaka. Chifukwa chakuti limapangidwa kuchokera ku mafuta a nsomba, silingakhale lotetezeka kwa anthu omwe ali ndi vuto la nsomba, komanso silidya zamasamba kapena zamasamba.
Timakonda mavitamini achilengedwe chifukwa ali ndi satifiketi ya USP ndipo nthawi zambiri amakhala otsika mtengo. Amapereka zowonjezera za vitamini D m'magawo kuyambira 1,000 IU mpaka 5,000 IU, zomwe zikutanthauza kuti mutha kupeza mlingo woyenera kwa inu. Musanamwe zowonjezera za vitamini D, ndi bwino kuyang'ana kuchuluka kwa vitamini D m'magazi mwanu kuti muwonetsetse kuti mulibe. Katswiri wovomerezeka wazakudya kapena wopereka chithandizo chamankhwala angakuthandizeni kudziwa mlingo woyenera kwa inu.
Ndikofunikira kukumbukira kuti kafukufuku wokhudza kuwonjezera vitamini D ndi kuvutika maganizo si wofanana. Ngakhale zikuoneka kuti pali mgwirizano pakati pa kuchepa kwa vitamini D ndi chiopsezo cha kuvutika maganizo, sizikudziwika ngati zowonjezerazo zimaperekadi phindu lalikulu. Izi zitha kutanthauza kuti zowonjezerazo sizikuthandiza, kapena pali zifukwa zina, monga kuchepa kwa kuwala kwa dzuwa.
Komabe, ngati mulibe vitamini D wokwanira, kuwonjezera zakudya zowonjezera ndikofunikira pa thanzi lanu lonse ndipo kungakupatseni ubwino wamaganizo pang'ono.
Wort wa St. John's ukhoza kukhala wothandiza pochiza kuvutika maganizo pang'ono mpaka pang'ono monga mankhwala oletsa kubwerezabwereza kwa serotonin (SSRIs), omwe ndi amodzi mwa mankhwala omwe amaperekedwa kwambiri pochiza kuvutika maganizo. Komabe, ndikofunikira kwambiri kufunsa dokotala wanu musanayambe kugwiritsa ntchito chowonjezera ichi chifukwa chingakhale choopsa kwa anthu ambiri.
Posankha wort yowonjezera ya St. John's, ndikofunikira kuganizira mlingo ndi mawonekedwe ake. Kafukufuku wambiri wayang'ana chitetezo ndi magwiridwe antchito a zotulutsa ziwiri zosiyana (hypericin ndi hypericin) m'malo mwa zitsamba zonse. Kafukufuku akuwonetsa kuti kumwa 1-3% hypericin 300 mg katatu patsiku ndi 0.3% hypericin 300 mg katatu patsiku kungakhale kopindulitsa. Muyeneranso kusankha mankhwala omwe ali ndi ziwalo zonse za chomera (maluwa, tsinde, ndi masamba).
Kafukufuku wina watsopano akuyang'ana zitsamba zonse (osati zotulutsa) ndipo akuwonetsa kuti zimagwira ntchito bwino. Pa zomera zonse, yang'anani mlingo wokhala ndi 01.0.15% hypericin yomwe imatengedwa kawiri kapena kanayi patsiku. Komabe, ndikofunikira kudziwa kuti zitsamba zonse zimakhala ndi vuto lalikulu la cadmium (carcinogen ndi nephrotoxin) ndi lead.
Timakonda Nature's Way Perika chifukwa sikuti imangoyesedwa ndi anthu ena, komanso ili ndi hypericin ya 3% yothandizidwa ndi kafukufuku. Chochititsa chidwi n'chakuti, pamene ConsumerLab.com inayesa mankhwalawa, kuchuluka kwenikweni kwa hypericin kunali kotsika kuposa komwe kunalembedwa, koma kunali mkati mwa kuchuluka komwe kumalimbikitsidwa kwa 1% mpaka 3%. Poyerekeza, pafupifupi zowonjezera zonse za St. John's wort zomwe zinayesedwa ndi ConsumerLab.com zinali ndi zochepa kuposa zomwe zinalembedwa pa chizindikirocho.
Fomu: Piritsi | Mlingo: 300 mg | Chogwiritsira ntchito: Chotsitsa cha St. John's wort (tsinde, tsamba, duwa) 3% hypericin | Kutumikira Pa Chidebe: 60
Wort wa St. John's ungathandize anthu ena, koma kwa ena, ukhoza kukulitsa zizindikiro za kuvutika maganizo. Umadziwika kuti umalumikizana ndi mankhwala ambiri, kuphatikizapo mankhwala oletsa kuvutika maganizo, mankhwala a ziwengo, mapiritsi oletsa kubereka, mankhwala oletsa chifuwa, mankhwala oletsa chitetezo chamthupi, mankhwala a HIV, mankhwala oletsa kutopa, ndi zina zotero. Nthawi zina ungapangitse kuti mankhwalawa asagwire bwino ntchito, nthawi zina ungapangitse kuti ugwire bwino ntchito, ndipo nthawi zina ukhoza kukhala woopsa kuwonjezera zotsatirapo zake.
"Ngati St. John's wort itengedwa ndi SSRI, mutha kukhala ndi serotonin syndrome. St. John's wort ndi SSRI zonse zimawonjezera kuchuluka kwa serotonin muubongo, zomwe zimatha kudzaza thupi ndikupangitsa kuti minofu idumphe, thukuta kwambiri, kukwiya, komanso kutentha thupi. Zizindikiro monga kutsegula m'mimba, kunjenjemera, kusokonezeka komanso ngakhale kuona zinthu molakwika. Ngati sizikuthandizidwa, zimatha kupha," adatero Khurana.
Wort wa St. John's sulimbikitsidwanso ngati muli ndi vuto lalikulu la kuvutika maganizo kapena matenda a bipolar, muli ndi pakati, mukukonzekera kutenga pakati, kapena mukuyamwitsa. Zimaikanso pachiwopsezo kwa anthu omwe ali ndi ADHD, schizophrenia, ndi matenda a Alzheimer's. Zotsatirapo zake zingakhale monga kusokonezeka kwa m'mimba, ziphuphu, kuchepa kwa mphamvu, mutu, kusakhazikika, chizungulire kapena kusokonezeka, komanso kuwonjezeka kwa chidwi ndi kuwala kwa dzuwa. Chifukwa cha zonsezi, ndikofunikira kufunsa dokotala wanu musanayambe kumwa wort wa St. John's.
Popeza kusowa kwa vitamini B kwagwirizanitsidwa ndi zizindikiro za kuvutika maganizo, mungaganizire kuwonjezera B Complex yowonjezera ku mankhwala anu. Ndife okonda Thorne supplements chifukwa amaika patsogolo kwambiri ubwino ndipo ambiri mwa iwo, kuphatikizapo Thorne B Complex #6, ali ndi satifiketi ya NSF yamasewera, satifiketi yolimba ya chipani chachitatu yomwe imatsimikizira kuti ma supplements amachita zomwe akunena pa chizindikiro (ndipo palibe china chilichonse). ). Ili ndi mavitamini a B othandiza thupi kuyamwa bwino ndipo ilibe chilichonse mwa zinthu zisanu ndi zitatu zazikulu zomwe zimayambitsa allergen.
Ndikofunikira kudziwa kuti zowonjezera mavitamini a B sizinatsimikizidwe kuti zimathandiza kuchiza kuvutika maganizo, makamaka kwa anthu omwe alibe vuto la vitamini B. Kuphatikiza apo, anthu ambiri amatha kukwaniritsa zosowa zawo za vitamini B kudzera muzakudya zawo, pokhapokha ngati ndinu wosadya nyama, pamenepo zowonjezera vitamini B12 zingathandize. Ngakhale zotsatirapo zoyipa chifukwa chomwa mavitamini a B ambiri sizimachitika kawirikawiri, funsani dokotala wanu kuti muwonetsetse kuti simukupeza zakudya zopitirira malire omwe mukuyenera kudya.
Fomu: Kapisozi | Kukula kwa Kutumikira: Kapisozi 1 Ili ndi mavitamini ambiri | Zosakaniza Zogwira Ntchito: thiamine, riboflavin, niacin, vitamini B6, folic acid, vitamini B12, pantothenic acid, choline | Kutumikira Pa Chidebe: 60
Mafolic acid owonjezera amagulitsidwa ngati folic acid (yomwe thupi limafunikira kuti lisinthe kukhala mtundu womwe lingagwiritse ntchito) kapena folic acid (mawu omwe amagwiritsidwa ntchito pofotokoza mitundu yosiyanasiyana ya B9, kuphatikiza 5-methyltetrahydrofolate, chidule chake ndi 5-MTHF), yomwe ndi mtundu wa B9. Vitamini B9. Kafukufuku akuwonetsa kuti methylfolate yambiri, ikaphatikizidwa ndi mankhwala oletsa kupsinjika maganizo, imatha kuchepetsa zizindikiro za kupsinjika maganizo, makamaka kwa anthu omwe ali ndi kupsinjika maganizo pang'ono mpaka kwakukulu. Komabe, folic acid sinawonetsedwe kuti imapereka zabwino zomwezo.
Ubwino wake ndi woonekera kwambiri kwa anthu omwe zakudya zawo sizili ndi folic acid yokwanira. Kuphatikiza apo, anthu ena ali ndi kusintha kwa majini komwe kumachepetsa mphamvu yosinthira folate kukhala methylfolate, motero ndikofunikira kumwa methylfolate mwachindunji.
Timakonda Thorne 5-MTHF 15mg chifukwa imapereka folic acid yogwira ntchito mu mlingo wothandizidwa ndi kafukufuku. Ngakhale kuti chowonjezera ichi sichinatsimikizidwe ndi imodzi mwa makampani athu otsogola oyesa, Thorne imadziwika ndi zosakaniza zake zapamwamba ndipo nthawi zonse imayesedwa ngati ili ndi zinthu zodetsa. Chifukwa chowonjezera ichi chimagwira ntchito pokhapokha ngati chikuphatikizidwa ndi mankhwala ena ochizira kuvutika maganizo, ndikofunikira kufunsa dokotala wanu musanayambe kumwa kuti muwonetsetse kuti ndi choyenera dongosolo lanu la chithandizo.
Fomu: kapisozi | Mlingo: 15 mg | Chogwiritsira ntchito: L-5-methyltetrahydrofolate | Kutumikira pa Chidebe: 30
SAMe ndi chinthu chachilengedwe chomwe chimapezeka m'thupi chomwe chimayang'anira mahomoni ndipo chimagwira ntchito popanga ma neurotransmitters dopamine ndi serotonin. SAMe yakhala ikugwiritsidwa ntchito pochiza kuvutika maganizo kwa zaka zambiri, koma kwa anthu ambiri sigwira ntchito bwino ngati SSRIs ndi mankhwala ena oletsa kuvutika maganizo. Komabe, kafukufuku wowonjezereka akufunika pakadali pano kuti adziwe phindu lomwe lingakhalepo kuchipatala.
Kafukufuku akuwonetsa ubwino wa SAMe mu mlingo (wogawanika) wa 200 mpaka 1600 mg patsiku, kotero ndikofunikira kugwira ntchito ndi dokotala yemwe ndi katswiri pa zaumoyo wamaganizo ndi zowonjezera kuti adziwe mlingo woyenera kwa inu.
SAMe yochokera ku Nature's Trove yayesedwa ndi pulogalamu yodzifunira ya ConsumerLab.com ndipo yasankhidwa kukhala chisankho chabwino kwambiri mu 2022 SAMe Supplement Review. Izi zikutsimikizira kuti mankhwalawa ali ndi makhalidwe omwe adalengezedwa ndipo alibe zinthu zodetsa zomwe zingawononge thanzi. Timakondanso kuti Nature's Trove SAMe ili ndi mlingo wapakati wa 400mg, womwe ungachepetse zotsatirapo zake ndipo ndi poyambira pabwino, makamaka kwa anthu omwe ali ndi kuvutika maganizo pang'ono mpaka pang'ono.
Ilibe zinthu zisanu ndi zitatu zazikulu zomwe zimayambitsa ziwengo, gluten ndi mitundu yopangidwa ndi zinthu zina komanso zokometsera. Ili ndi satifiketi ya kosher ndi non-GMO, zomwe zimapangitsa kuti ikhale yotsika mtengo.
Fomu: piritsi | Mlingo: 400 mg | Chogwiritsira ntchito: S-adenosylmethionine | Kutumikira pa Chidebe: 60.
Monga mankhwala, zowonjezera zimatha kukhala ndi zotsatirapo zoyipa. "SAMe ingayambitse nseru ndi kudzimbidwa. Pamene SAMe itengedwa ndi mankhwala ambiri oletsa kuvutika maganizo, kuphatikiza kumeneku kungayambitse kusokonezeka maganizo mwa anthu omwe ali ndi matenda a bipolar," adatero Khurana.
SAMe imasinthidwanso m'thupi kukhala homocysteine, yomwe yochulukirapo imatha kuwonjezera chiopsezo cha matenda a mtima (CVD). Komabe, kafukufuku wowonjezereka akufunika kuti timvetsetse ubale womwe ulipo pakati pa kudya kwa SAMe ndi chiopsezo cha matenda a mtima. Kudya mavitamini B okwanira kungathandize thupi lanu kuchotsa homocysteine ​​​​yochuluka.
Pali mankhwala ambiri owonjezera omwe angathandize thanzi la maganizo, kusintha maganizo, komanso kuchepetsa zizindikiro za kuvutika maganizo. Komabe, ambiri mwa iwo sathandizidwa ndi kafukufuku. Izi zitha kukhala zothandiza nthawi zina kwa anthu ena, koma kafukufuku wapamwamba kwambiri amafunika kuti apereke malangizo amphamvu.
Pali mgwirizano wamphamvu pakati pa m'mimba ndi ubongo, ndipo kafukufuku wasonyeza mgwirizano pakati pa microbiome ya m'mimba (malo opezeka mabakiteriya m'matumbo) ndi kuvutika maganizo.
Anthu omwe ali ndi vuto lodziwika bwino la kugaya chakudya angapindule ndi ma probiotic komanso amasangalala ndi malingaliro awo. Komabe, kafukufuku wowonjezereka amafunika kuti amvetsetse mlingo woyenera komanso mitundu yeniyeni ya ma probiotic. Kuphatikiza apo, kafukufuku wasonyeza kuti kwa anthu athanzi, chithandizo sichibweretsa phindu lenileni.
Ndibwino nthawi zonse kulankhula ndi dokotala, makamaka katswiri wa zaumoyo wa m'mimba, kuti adziwe ngati mankhwala owonjezera angathandize.
“Kuwonjezera ndi 5-hydroxytryptophan, yomwe imadziwikanso kuti 5-HTP, kungawonjezere kuchuluka kwa serotonin ndikukhala ndi zotsatira zabwino pa malingaliro,” akutero Khurana. Matupi athu mwachibadwa amapanga 5-HTP kuchokera ku L-tryptophan, amino acid yomwe imapezeka muzakudya zina zokhala ndi mapuloteni ambiri, ndikuisintha kukhala serotonin ndi melatonin. Ichi ndichifukwa chake chowonjezera ichi chimagulitsidwa ngati chithandizo cha kuvutika maganizo ndi tulo. Komabe, chowonjezera ichi chayesedwa m'maphunziro ochepa okha, kotero sizikudziwika bwino kuti chimathandiza bwanji komanso mlingo wake.
Ma supplements a 5-HTP alinso ndi zotsatirapo zoyipa, kuphatikizapo serotonin syndrome akamwedwa ndi SSRIs. "Anthu ena omwe amatenga 5-HTP amakumananso ndi maganizo odzipha," akutero Puelo.
Amakhulupirira kuti Curcumin imathandiza anthu omwe ali ndi vuto la kuvutika maganizo pochepetsa kutupa. Komabe, kafukufuku woyesa ubwino wake ndi wochepa ndipo umboni wake ndi wochepa pakadali pano. Ambiri mwa omwe adatenga nawo mbali mu kafukufukuyu omwe adatenga turmeric kapena curcumin (mankhwala omwe amagwira ntchito mu turmeric) adatenganso mankhwala ochepetsa kuvutika maganizo.
Pali mavitamini, mchere, ma antioxidant, ndi zowonjezera zitsamba zambirimbiri zomwe zimapezeka pamsika kuti zichiritse kuvutika maganizo, ndipo pali umboni wosiyanasiyana wotsimikizira kuti zimagwiritsidwa ntchito. Ngakhale kuti zowonjezera zokha sizingathe kuchiritsa kuvutika maganizo kotheratu, zowonjezera zina zingakhale zothandiza zikagwiritsidwa ntchito limodzi ndi mankhwala ena. "Kupambana kapena kulephera kwa zowonjezera kungadalire zinthu zosiyanasiyana monga zaka, jenda, mtundu, matenda ena, zowonjezera zina ndi mankhwala, ndi zina zambiri," akutero Jennifer Haynes, MS, RDN, LD.
Kuphatikiza apo, "poganizira za mankhwala achilengedwe ochizira kuvutika maganizo, ndikofunikira kumvetsetsa kuti mankhwala achilengedwe amatha kugwira ntchito nthawi yayitali kuposa mankhwala operekedwa ndi dokotala," akutero Sharon Puello, Massachusetts, RD, CDN, CDCES.
Kugwira ntchito limodzi ndi ogwira ntchito zachipatala, kuphatikizapo akatswiri azaumoyo, ndikofunikira kwambiri poganizira zowonjezera zakudya ngati gawo la dongosolo la chithandizo.
anthu omwe ali ndi vuto la zakudya zoperewera. Ponena za mavitamini ndi michere yowonjezera, kuchuluka sikoyenera kwenikweni. Komabe, "kusowa kwa vitamini B12, folic acid, magnesium ndi zinc kumawoneka kuti kumawonjezera zizindikiro za kuvutika maganizo ndipo kungachepetse mphamvu ya mankhwala," adatero Haynes. Kukonza kusowa kwa vitamini D ndikofunikira pa thanzi lonse ndipo kungathandizenso ndi kuvutika maganizo. Ndicho chifukwa chake ndikofunikira kufunsa dokotala wanu kuti akupatseni mankhwala owonjezera ngati muli ndi vuto la michere inayake.
Anthu omwe amamwa mankhwala ena oletsa kuvutika maganizo. SAMe, methylfolate, omega-3s, ndi vitamini D zingakhale zothandiza kwambiri zikaphatikizidwa ndi mankhwala oletsa kuvutika maganizo. Kuphatikiza apo, Haynes akuti, "EPA yawonetsedwa kuti imasintha kwambiri momwe imayankhira mankhwala osiyanasiyana oletsa kuvutika maganizo." Komabe, pakhoza kukhala chiopsezo chokhudzana ndi mankhwala ena, choncho funsani dokotala wanu musanawonjezere zowonjezera izi, kapena makamaka ngati mukumwa mankhwala.
Anthu omwe salandira bwino mankhwala. "Anthu omwe angapindule kwambiri ndi mankhwala owonjezera azitsamba angaphatikizepo omwe salola kapena osalandira chithandizo chamankhwala chokhazikika cha kuvutika maganizo, kuphatikizapo mankhwala amisala ndi psychotherapy," adatero Steinberg.
Anthu omwe ali ndi zizindikiro zochepa. Pali umboni wina wotsimikizira kugwiritsa ntchito zakudya zina zowonjezera, monga St. John's wort, makamaka kwa anthu omwe ali ndi zizindikiro zochepa. Komabe, sizili ndi zotsatirapo zoyipa ndipo zimatha kuyanjana ndi mankhwala ambiri, choncho samalani ndipo kambiranani ndi dokotala wanu za zizindikiro ndi njira zina zochiritsira.
Njira yabwino yodziwira ngati mankhwala osiyanasiyana owonjezera kuvutika maganizo ndi oyenera kwa inu ndikugwira ntchito limodzi ndi dokotala wanu. "Popeza zitsamba ndi mankhwala ena owonjezera salamulidwa ndi FDA, nthawi zonse simudziwa ngati zomwe mukupeza zili zotetezeka, choncho aliyense ayenera kusamala," adatero Steinberg. Komabe, anthu ena ayenera kupewa kapena kugwiritsa ntchito mankhwala ena owonjezera mosamala kwambiri, makamaka mankhwala owonjezera a zitsamba.
Aliyense ndi wosiyana ndipo zomwe zimagwira ntchito kwa munthu wina sizingagwire ntchito kwa wina. "Ndikofunikira kudziwa kuti zowonjezera zitsamba zimatha kukulitsa kwambiri kuvutika maganizo mwa odwala," adatero Gauri Khurana, MD, MPH, katswiri wa zamaganizo komanso mphunzitsi wa zachipatala ku Yale School of Medicine.