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Triad grandma turns weight loss mission into inspiration to others

Updated: 9:22 PM EST Feb 18, 2020

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>> NEVER GIVE UP. THATS THE MESSAGE FROM A TRIAD GRANDMOTHER WHO TURNED A WEIGHT LOSS MISSION INTO SOMETHING MORE. KIMBERLY VAN SCOY SHOWS US HOW THIS WOMAN CAN INSPIRE US AL >> IT IS AMAZING TO SEE A FEMALE LIFTING THIS MUCH WEIGHT. BUT WHATS EVEN MORE REMARKABLE IS HOW TRICIA THOMAS GOT HERE TO BEGIN WITH. 278 POUNDS. >> THAT WAS TWO AND HALF YEARS. THOMAS WAS AT HER TOP WEIGHT AND COULDNT LOSE A POUND. , TRY THE ONES YOU ORDER THROUGH THE MAIL THAT GIVE YOU YOUR MEALS, I TIRED WW, I TRIED ATKINS, I TRIED LA WEIGHTLOSS, I TRIED MY OWN PERSONAL APPROACH. >> SO IN 2017, SHE DECIDED TO GET A GASTRIC SLEEVE AT NOVANT HEALTHS BARIATRIC SOLUTIONS. IT REDUCED HER STOMACH SIZE BY 85%, LIMITING THE AMOUNT OF FOOD SHE COULD EAT. IT WENT AMAZING. YOU SEE A LOT OF CHALLENGING STORIES OF HOW PEOPLE JUST CANT EAT, GET SICK ALL THE TIME I -- THE TIME. I NEVER HAD THE NAUSEA, I NEVER HAD VOMITING, I NEVER HAD ANY OF THOSE CHALLENGES. SHE ALSO WORKED OUT DAILY AND IN ONE YEAR LOST MORE THAN SHE EVER DREAMED OF. >> I LOST 130 EIGHT POUNDS TOTAL, SO I LOST HALF MY BODY WEIGHT. >> AND AT 46 IT ALLOWED HER TO PURSUE ANOTHER LIFELONG DREAM , BECOMING A BODYBUILDER. >> IT JUST SEEMED LIKE IT WOULD BE SOMETHING MY GRANDKIDS WOULD BE PROUD OF, THEY COULD SAY THATS MY GRANDMA, SHE DID THIS , AND THEY COULD TAKE THROUGH THEIR YEARS THAT YOURE NEVER TO OLD TO ANYTHING. >> THOMAS ENLISTED THE HELP OF MATT FORTUNE, A SPORTS PERFORMANCE TRAINER AT NOVANTS REHABILITATION CENTER WHO CREATED A TRAINING AND NUTRITION PLAN FOR HER. >> WE HAD TO GET HER COMFORTABLE EATING MORE CALORIES THAN SHE WAS ACCUSTOMED TO. WE HAD TO MAKE SURE THE MACROS, THE PROTEIN, CARBS, FATS ARE BALANCED, SO WE MADE SURE SHE GOT ENOUGH PROTEIN. >> AND IT PAID OFF. THIS IS HER ON STAGE LAST SEPTEMBER AT THE GREENSBORO MUSCLE HEAT. SHE WON FIRST PLACE IN THE TRUE NOVICE PHYSIQUE CATERGORY FOR HER AGE GROUP. >> I JUST THINK THAT IM HAVING A BALL, AND I THINK IM LOOKING FORWARD TO WHAT I CAN ACCOMPLISH AND DO IN THE FUTURE. >> AND FOR HER, THE FUTURE MEANS COMPETEING IN A POWER LIFTING CHAMPIONSHIP THI

Triad grandma turns weight loss mission into inspiration to others

Updated: 9:22 PM EST Feb 18, 2020

Two and a half years ago, Tricia Thomas reached 278 pound and didn't seem to be able to lose a pound. So, in 2017, she decided to get a gastric sleeve at Novant Health's Bariatric Solutions. The surgery reduced her stomach size by 85 %, limiting the amount of food she could eat. Click the video player above to see Thomas' inspiring story Thomas also worked out daily and in one year lost 138 pounds, half of her body weight. It allowed her to pursue a lifelong dream, to become a body builder.. "It just seemed like it would be something my grandkids would be proud of. They could say 'That's my grandma, she did this.' They could take thru their years that you're never to old to anything," Thomas said. Thomas enlisted the help of Matt Fortune, a sports performance trainer at Novant's rehabilitation center, who created a training and nutrition plan for her.

Two and a half years ago, Tricia Thomas reached 278 pound and didn't seem to be able to lose a pound. So, in 2017, she decided to get a gastric sleeve at Novant Health's Bariatric Solutions. The surgery reduced her stomach size by 85 %, limiting the amount of food she could eat.

Click the video player above to see Thomas' inspiring story

Thomas also worked out daily and in one year lost 138 pounds, half of her body weight. It allowed her to pursue a lifelong dream, to become a body builder..

"It just seemed like it would be something my grandkids would be proud of. They could say 'That's my grandma, she did this.' They could take thru their years that you're never to old to anything," Thomas said.

Thomas enlisted the help of Matt Fortune, a sports performance trainer at Novant's rehabilitation center, who created a training and nutrition plan for her.

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Triad grandma turns weight loss mission into inspiration to others - WXII12 Winston-Salem

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The Biggest Losers Bob Harper, trainers Erica Lugo and Steve Cook, and USA executive Heather Olander at the Television Critics Associations 2020 winter press tour. Pic credit: USA/TCA/Evans Vestal Ward/NBCUniversal

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Poor Bob Harper, he never saw it coming.

The affable, energetic cheerleader trainer from the old The Biggest Loser was on panel at the Television Critics Association earlier this year to promote the rebooted version of their old show for USA Network still called The Biggest Loser. Harper served 17 seasons on that original series. His old partner Jillian Michaels is long gone and no longer tied to the series.

Time (and ratings) will tell if the audience cares any more about The Biggest Loser. And this is all happening while the legal woes are adding up for another long running weight-loss series, TLCs My 600-lb Life. A Texas attorney has now opened two lawsuits against the production company.

What this kind of push back reveals is that theres a limit to what production companies can successfully sell and present networks in pitch meetings in this day and age. It may come to be that the risk is not worth the reward for networks to be in the weight transformation business with liability issues growing and overall public sentiment changing.

Joining Harper during the press conference were trainers Erica Lugo and Steve Cook; and USA and Syfys executive in charge of alternative programming, Heather Olander.

The unease was there, the vibe palpable with this panel that spun the premise as not so much an idea of a show that pits people in tough challenges or parades them in front of audiences in their skivvies and weighs them on giant scales after a week being yelled at and subjected to pep talks but one of caring and medical interventions.

However, the feeling in the room facing the panel was that this reboot seemed to fly in the face of a new worldwide wokeness in acceptance.

The bottom line was that no one was buying what the panel and the network were trying to sell that fated day. Or, for those who call the three letter f-word unacceptable and obsolete in the modern day, the new body positive worldview seemed to center around the general audience adoration of actors and personalities like Shrill star Aidy Bryant, This Is Us star Chrissy Metz, musical performer Lizzo and reality TV star Whitney Way Thore.

These are all women living large, making big money being their authentic selves and not apologizing for it.

Truth be told, everybody was hoping someone would bring up the Jillian/Lizzo question at this Biggest Loser panel, about her previous remarks about the singer and her health. They did.

Also broached was the empirical evidence suggesting that carrying a certain amount of excess weight isnt all bad and that the approach to weight loss is better done incrementally and with less aggressive tactics than these competition weight shows promote.

In other words: Slow and steady wins the race in weight loss, and the decision to jump in to lose weight is nobodys business but your own. Much less plaster Peak TV with dated, insulting content that no longer feeds the audience in ways that satisfy.

Its clear from this #BiggestLoser panel at #TCA20 that the show has learned precisely nothin, except how to talk around criticism so they can get this popular brand back on the air and making more money off of people. Not that I have strong feelings!

Andy Dehnart (@realityblurred) January 12, 2020

But it appeared that no one gave that particular note to the network who resurrected this series. People are now far more agreeable to let people just be, and to mind their business about something as personal as what their scale reads. Twitter makes damn sure you keep your opinion about someones weight to yourself these days.

But getting back to Bob.

He looked great, so taut, and inked, and had new highlights in his hair. Regardless, the TV critics were ready to pounce on him, taking umbrage at the existence of this new rebooted old chestnut that frankly none of us were sitting on our hands and waiting (or wanting) for to return.

The displeasure in the large dark room was real. It had been at least 20 minutes since we had been served something to eat, and after the panel had wrapped, they threw beer and carbohydrate empty calorie bar snacks at us promoting new noirish, scripted series Briarpatch to keep the tempers at bay.

It did not go unnoticed.

After the #BiggestLoser panel they passed out pub mix and beer. LOL #timing #Funny #TCA20 #nobeerforme

CandaceHavens (@CandaceHavens) January 12, 2020

At first, Bob seemed to be back up on his heels a bit, taken aback by the direct line of questioning. Then it hit.

The first question out of the gate was a feel-gooder that lulled the panel into thinking their show was gonna rock the TCA:

Hi. I always found this show very inspirational, except sending people home, and I dont know. Did you have to keep that element this time around?

The storm clouds gathered.

Over here to your left. In conversations about body positivity, a lot of people talk about the idea of reclaiming the word fat, and Im wondering, on the show and for you guys just personally, how do you feel about the word fat? Do you feel like its a word that should be reclaimed, or is it something you try to avoid using?

Harper said: I think I never really use that word.

Steve Cook concurred: No.

Harper said: Yeah. Im trying to think. I never really use that word. Its always about the weight issues, right? Its one of those things I guess, like, being gay, I can say the f word, but if you say it, Im going to have a problem with you. So its, like, Im not. I dont have a weight problem. So I dont think that its really my right to be throwing that word around loosely.

Cook replied: And because its so subjective, you know. Its a word that I feel like its just one that, on the show, I never use, I dont think I ever heard.

Heather Olander chimed in: No, never.

The questions the critics asked piled on like the pounds I gained during the two-week cloistered press tour where a writers sedentary immobility is paired with daily good intentions-meet-passive-aggressive spreads of ice cream, coffee, tapas, candy and snack breaks underscored with calorific parties galore every night.

I would KILL for a soft pretzel and some nacho cheese.#BiggestLoser #TCA20

Daniel Fienberg (@TheFienPrint) January 12, 2020

If you have never experienced a TCA event, its food porn with cocktails writ large. The subsequent questions, like the onslaught of meals, booze and goodies at the twice annual press tour, were relentless.

Yeah, but everybodys bodies are different, and you fluctuate, and it just always seems so unfair, and always the one I liked the most goes home first. So I was just curious if you guys thought about changing that?

You talked about that the show has been updated for 2020, but there has been a considerable amount of criticism of the show over the years, particularly in the health of the contestants afterwards and how it has normalized fat shaming and the idea that anyone can go lose weight if they just try hard enough. What is your responsibility to people who are not out there being able to exercise 20 hours a day? What responsibility do you have to people whose lives have been hurt by the show?

But not just the contestants. There are people in real life who have been affected by the perception that the show brings, that anyone can lose weight and that fat people are entertainment. So why do you want to bring this show back in 2020 when were starting to make very small steps towards body positivity?

I wanted to piggyback on that because there have been critics who have also said that the actual process of the show isnt healthy, including people who have been on the show, who said that the pressure to win a contest that involves a cash prize and that involves fame pushes them to do unhealthy things during the course of the contest, some things that may not even be shown on the show. So when we hear that the show is coming back, the big concern I had as a critic is that were going to see more of this, that were going to see contestants pushed to do unhealthy things because they want to stay on the show because the person who loses the least amount of weight is going to get ejected no matter what you say. So what have you done to deal with those criticisms?

So someone decides to put on, like, a garbage bag or wear heavy sweatpants and work out for hours and hours and hours the day before weigh-in because they need to lose that weight, which weve heard some contestants have done, youre not going to allow that?

Bob, you were talking earlier about the struggle of keeping it off and kind of framing that as about willpower and people doing it, and the first episode very much does that to you about how much people want this. But Im wondering if you all, and especially Heather, were aware of the NIH study that was done of Biggest Loser contestants that followed them over six years and found that, basically, this kind of extreme weight loss doesnt work because peoples bodies fight back against it, and it actually slows the metabolism. So, essentially, this is not a successful plan, and yet here it is back on television again?

Maybe some of the issues today we have grown. Society has been more, is more enlightened since the show first aired is the title alone. There are some, sort of, negative connotations with the wordplay even though its kind of cutesy, Loser, in other words. So, in that vein, what do you guys know of any studies, the latest in the mental health portion of dealing with weight loss and getting healthy, trauma, stress, physical addiction, and what sort of programs or methods really work now along with exercise and eating veggies?

I dont want to belabor this. But my question is, what did you specifically require of them to keep them from doing things that would endanger their health so they can lose weight to stay on the show?

To her credit, Erica Lugo, a panelist with Bob, shared her personal weight loss journey. She said:

Personally, myself, I have a history of where I lost 160 pounds, and I know at that point in my life I was not healthy. I had high blood pressure. I was prediabetic. Health comes in all different shapes and sizes. Im a size 8, and Im the healthiest Ive ever been. My doctor and I understand that all my markers are great. I just beat thyroid cancer. Im a size 8, and Im healthy. So for someone to say what size is healthy or not, thats up to them and their doctor to determine what is healthy and whats not.

This gave Harper the platform to mitigate the prickly situation and salvage a panel that went sideways.

He said:

And, I also think that its having realistic goals, working with what you have, making sure that you are in constant communication with your doctor because only you and your doctor know what your real health is like. We cant judge anyone. Its none of my business to tell you how you look or how you feel unless you bring me in under the tent to ask me those questions. Otherwise, its none of my business.

Cook then added the cherry on this controversial sundae, leaving the interpretation of all of it still untethered:

Yeah. If you are 300 pounds and healthy, great.

At the end of the day, the audience showing up (or not) for this genre of reality TV will determine if it is, indeed fat and fabulous and a keeper, or part of the growing cancel culture and ready to bin.

The Biggest Loser airs Tuesdays at 9/8c on USA Network. My Big Fat Fabulous Life airs Tuesdays at 8/7c on TLC. My 600-lb Life airs Wednesdays at 8/7C on TLC

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The Biggest Loser: Is weight-loss TV about to be canceled by modern audiences? - Monsters and Critics

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LAKELAND, Fla. -- When Detroit Tigers manager Ron Gardenhire greeted Miguel Cabrera on Monday, he could tell that the slugger was considerably thinner than when they last met in September.

When I hugged him, I actually could reach around him, Gardenhire said with a smile.

Cabrera, 36, said his goal was to slim down this offseason after getting too puffy in 2019. Hes now at his 2015 weight, he said.

Its unclear what exactly that weight is. He was listed at 240 pounds in five consecutive seasons from 2014-2018, then jumped to 249 pounds in 2019. Team rosters are updated only sporadically and arent considered scrupulously accurate.

In any case, Cabrera said he cut out carbohydrates, tried to eat more vegetables (presumably those that are not high in carbs) and worked with his personal trainer.

Last year I think I was heavy," he said. "I did a lot of work from last year to this year. Youve always got to have a goal. My goal was to get in shape, get ready for the season, try to come back 100 percent and trying to produce on the field.

Despite all the challenges of 2019, Cabrera played in a team-high 136 games, hitting .282 with 12 home runs and 21 doubles. But in the last three seasons, hes hit a home run only once every 40 plate appearances, compared to one every 19 plate appearances in the five preceding seasons.

The Tigers finished the season 47-114, the worst record in baseball.

Last year I was not happy with my numbers and the way we played, the losses we had," Cabrera said. Its a reason to motivate you.

Gardenhire said Cabreras arrival means everything gets louder.

Youre talking about one of the better players to ever play the game, Gardenhire said. The numbers prove it. Hes had some injuries. Hes fighting through them. The guy loves baseball. He loves to play. He went and did what he needed to do, and thats lose weight. Now hes just taking it day by day. Hes our leader. Theres no doubt about it.

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While many diets may work for you, the key is finding one you like and can stick to in the long run.

Here are 5 healthy diets that are scientifically proven to be effective.

The low-carb, whole-food diet is perfect for people who need to lose weight, optimize health, and lower their risk of disease.

Its flexible, allowing you to fine-tune your carb intake depending on your goals.

This diet is high in vegetables, meat, fish, eggs, fruits, nuts, and fats but low in starches, sugars, and processed foods.

The Mediterranean diet is an excellent diet that has been thoroughly studied. Its particularly effective for heart disease prevention.

It emphasizes foods that were commonly eaten around the Mediterranean region during the 20th century and earlier.

As such, it includes plenty of vegetables, fruits, fish, poultry, whole grains, legumes, dairy products, and extra virgin olive oil.

The paleo diet is a very popular diet that is effective for weight loss and general health improvement. Its currently the worlds most popular diet.

It centers on unprocessed foods believed to resemble those available to some of humanitys paleolithic ancestors.

The vegan diet has become increasingly popular in the past decade. Its linked to a number of health benefits, including weight loss, improved heart health, and better blood sugar control.

The diet is based exclusively on plant foods and eliminates all animal products.

The gluten-free diet is essential for people who are intolerant to gluten, a protein that is found in wheat, rye, and barley.

For optimal health, you should focus on whole foods that are naturally gluten-free. Gluten-free junk food is still junk food.

So many diets exist that it can feel overwhelming to simply find a single one to try.

However, its important to note that some eating patterns have more scientific backing than others. Whether youre looking to lose weight or simply boost your overall health, try to find diets that are supported by research.

The five examples listed above are a good place to start.

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5 Diets That Are Supported by Science

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Paleodietary studies of the fossil record are impeded by a lack of reliable and unequivocal tracers, currently making it impossible to determine the exact timing of dietary changes or, often, even the species involved. Scientists from the Max Planck Institute for Evolutionary Anthropology in Leipzig, the Max Planck Institute for Chemistry in Mainz and the Johannes Gutenberg University in Mainz have now tested a new method, the isotope analysis of zinc isotopes from the tooth enamel of fossil mammals. They found this method to be well suited to expand our knowledge about the diets of fossil humans and other Pleistocene mammals. The method proves especially useful when it comes to differentiating whether prehistoric mammals had mainly animal or plant based food on the menu.

Information on what our ancestors ate is based mainly on carbon and nitrogen isotope analyses of the structural protein collagen in bones and dentin. Nitrogen isotope analysis, in particular, helps scientists determine whether animal or plant food was consumed. Since collagen, like proteins in general, is not easily conservable, this method cannot be used to examine vertebrate fossils older than about 100,000 years. This timeframe is even often reduced to only a few thousand years in arid or humid tropical regions like Africa and Asia, which are considered key regions for human evolution and are therefore of particular interest to science. New methods such as zinc isotope analysis are now starting to open up new research perspectives.

The researchers analyzed the ratio of two different zinc isotopes in the dental enamel of fossil mammals that had only recently been discovered in a cave in Laos. These fossils date from the late Pleistocene, more precisely from around 13,500 to 38,400 years ago. In 2015, in the Tam Hay Marklot cave in northeastern Laos, scientists found fossils of various mammals, including water buffalos, rhinos, wild boars, deer, bears, orangutans and leopards. "The cave is located in a tropical region where organic materials such as collagen are generally poorly preserved. This makes it an ideal location for us to test whether we can determine the differences between herbivores and carnivores using zinc isotopes," says study leader Thomas Ttken, professor at the Johannes Gutenberg Universitys Institute of Geosciences.

Zinc is ingested with food and stored as an essential trace element in the bioapatite, the mineral phase of tooth enamel. Thus, zinc has a better chance of being retained over longer periods of time than the collagen-bound nitrogen. The relevant ratio is derived from the ratio of zinc 66 to zinc 64: "On the basis of this ratio we can tell which animals are herbivores, carnivores or omnivores. This means that among the fossils we analyze, we can identify and clearly distinguish between carnivores and herbivores, while omnivores are expected to be in between," says Nicolas Bourgon first author of the study from the Max Planck Institute for Evolutionary Anthropology and PhD student in Ttkens research group.

Lean meat contains more zinc-64 than plant food does. Carnivores, like the tiger, will have a smaller ratio of zinc-66 to zinc-64, as compared to herbivores, like the water buffalo. In order to exclude alteration from external sources on the samples, the fossils were also examined by the team of Klaus Peter Jochum at the Max Planck Institute for Chemistry. No changes were found when comparing the concentration and distribution of zinc and other trace elements of fossil tooth enamel with those of modern animals using laser ablation ICP mass spectrometry.

The zinc isotope method has now for the first time been successfully applied to fossils. "The zinc isotope ratios in fossil enamel from the Tam Hay Marklot cave suggest an excellent long-term conservation potential in enamel, even under tropical conditions," summarize the authors. Zinc isotopes could thus serve as a new tool to study the diet of fossil humans and other mammals. This would open a door to the study of prehistoric and geological periods well over 100,000 years ago. In the future, the next goals are to apply this method to reconstruct human dietary behaviours. The researchers also want to find out how far back in time back in time they can go, by applying their new method to fossils of extinct mammals and dinosaurs that are millions of years old.

ReferenceNicolas Bourgon et al. Zinc isotopes in Late Pleistocene fossil teeth from a Southeast Asian cave setting preserve paleodietary information. PNAS, 17 February 2020, DOI: 10.1073/pnas.1911744117.

This article has been republished from the following materials. Note: material may have been edited for length and content. For further information, please contact the cited source.

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Diabetes is one of the largest, most expensive problems facing America's veterans, and the US government is staking its hopes for a solution on an unconventional treatment: the popular keto diet.

The Department of Veterans' Affairs (VA) has launched a partnership with a digital therapeutics startup Virta Health to treat diabetic veterans using the low-carb, high-fat keto diet, at no cost to the vets or the VA.

The partnership, first announced in May 2019, has enrolled 400 veterans into Virta's program, which includes personalized nutrition plans and online access to health coaches and physicians.

So far, the results have been promising, according to the company's data. A pilot program with the VA found that half of the participating veterans achieved blood sugar levels below the threshold for diabetes after three months on Virta's program. And the treatment successfully reduced medications, including insulin, by 53% across the entire group.

But some experts have raised concerns that there may be unforeseen health consequences following this kind of treatment, and that the VA's buy-in will lend legitimacy to what is still an experimental treatment.

Prior to working with the VA, Virta had been studying keto as a treatment for diabetes for over two years.

Diabetes is an inability to balance blood sugar.Reducing carbs manages the problem at the source by preventing blood sugar from rising in the first place, according to Dr. Mark Cucuzzella, a professor at West Virginia University School of Medicine, a US Air Force Reservist, and a marathon runner who has published several studies on keto and diabetes.

Hollis Johnson/INSIDER "The most impactful thing on your blood glucose is the amount of carbs in your diet. The low-carb diet is effective because it lowers the insulin load," Cucuzzella, whois not affiliated with Virta, told Insider in an interview. "Insulin is the master switch."

Medications like insulin can mitigate diabetes symptoms by managing blood sugar levels. But keto can help patients reduce medications, said Dr. Sarah Hallberg, medical director for Virta.

Eating carbohydrates causes blood sugar to rise, but eating fats does not. It means diabetic patients can get their daily calories without needing to use insulin to balance out spiking blood sugar levels.

"Standard treatment puts people on a one-way street of progression for diabetes, with temporary pharmaceutical treatment that will have to be added on to," Hallberg told Insider. "We're able to give people another lane going the other way by bringing blood sugar into non-diabetic range while reducing and eliminating medication."

That doesn't mean keto can cure diabetes.

Virta refers to its treatment as a "reversal" of diabetes. In layman's terms, this means the disease is in remission. The treatment only works as long as the low-carb diet is maintained. As soon as carbs are re-introduced, the same problems with blood sugar and insulin emerge.

A keto diet is any eating plan that pushes the body into a state of ketosis when it begins producing substances called ketones, explained Dr. Ethan Weiss, a cardiologist and founder of a ketone-detecting device. (Weiss previously served as a medical advisor for Virta.)

"Keto" typically refers to eating plans in which a majority of daily calories come from fat, along with some protein and minimal carbs.People with diabetes could cut their carb intake to as low as 30 grams a day and still be healthy.

But the key to medical keto is going beyond counting macronutrients. Instead, it's important to focus onwhole-food sources of fats, cutting carbs without completely eliminating nutrient-rich foods like veggies.

Vietnam war veterans among other guests listen to U.S. President Barack Obama at the Memorial Day observance at Arlington National Cemetery in Washington, U.S., May 30, 2016. REUTERS/Yuri Gripas

It's not clear what long-term health effects the keto diet might have.

The Physicians Committee for Responsible Medicine, a group of medical experts who advocate a plant-based diet, sent a letter to VA officials asking them to reconsider the partnership, and keto treatment, based on evidence that a high-fat, low-carb diet could potentially increase risks of diabetes, particularly diets high in saturated fat.

Skeptics have also noted that most of the data showing keto can treat diabetes is based on studies led and funded by Virta itself. There is barely any hard data on keto's health effects beyond two years on the diet.

Hallberg acknowledged the lack of long-term evidence, but said the same problem has plagued nearly every other type of therapeutic diet (with the exception of the Mediterranean diet).

"There's needs to be a hard outcome, long-term trial looking at a variety of eating patterns, no question," she said.

But in the meantime, diabetes continues to be diagnosed in record numbers, particularly among military veterans.

"Do we have 10-20 years to wait for that?We're in the midst of an unprecedented diabetes and obesity epidemic," she said. "We have to do something now."

Read more:

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There's a Mediterranean version of the keto diet that restricts red meat and trades butter for olive oil

The keto diet makes mice better at fighting the flu another clue about how the high-fat, low-carb plan changes the body

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Three decades ago, when David Oien and three other organic farmers from central Montana began planting lentils, it was a rebellious act. Oiens farm was surrounded by thousands of acres of wheat, the popular crop that blankets large swaths of arable land in the Northern Plains, and no one in the area was planting anything else.

The farmers, who formed Timeless Seeds, Inc. to grow alternative crops and find new markets, helped popularize pulsesi.e., lentils, peas, and chickpeas (also known as garbanzo beans)in their region and beyond. They started off with just a few hundred acres and a handful of volunteers, but today, Timeless is a million-dollar business that works with more than 40 organic producers and grows food for major retailers and restaurants. The company was featured in the 2016 book The Lentil Underground, which follows the farmers work and describes Oien and his colleagues as renegades and pioneers.

Many other farmers, both conventional and organic, have since followed their lead by growing pulses. And the Northern Plains, which saw virtually no lentils, peas, or chickpeas a generation ago, has become the leading pulse-growing region in the U.S. Yet despite this initial growth, pulses were for years perceived as niche crops, unfamiliar to many Americans and relegated to the plates of vegans, vegetarians, hippies, and immigrants. Most were quickly exported out of the country.

Thats now changing as concerns over human health and climate change are bringing these crops to the forefront in American grocery stores, kitchens, and restaurants, leading to growing domestic demand and enticing more farmers to grow them.

For those invested in regenerative agriculturepractices that rebuild soil and sequester carbonpulses are becoming a coveted tool. Simultaneously, these crops are now key ingredients in plant-centric dietsboth in their natural state and in a growing number of packaged, processed products.

The growth has been phenomenal, said Jeff Rumney, vice president of marketing with the USA Dry Pea & Lentil Council. Weve seen a huge run-up in product innovation and U.S. product launches with pulse ingredients.

Though they are one of the oldest crops on earth, in many cultures lentils and other pulses have long been considered a poor mans food. During the Great Depression, many Americans relied heavily on lentils for nutrition, tarnishing their image for years to come.

David Oien holds packaged lentils. (Photo courtesy of David Oien)

In my fathers generation, everything was meat and potatoes, there was no domestic demand for pulses, said Rumney.

In the U.S., pulse crops got their start in the Palouse, an agricultural area that encompasses parts of Washington, Oregon, and Idaho. There, they were first cultivated by Seventh Day Adventists, avid vegans and vegetarians, and market infrastructure for the crops didnt exist. In addition, a lack of federal government subsidies for pulses kept most farmers growing wheat and other commodities.

We knew pulses are important to the soil, we knew we could grow them, but nobody was eating them, Oien said, adding that Timeless Seeds had to figure out how to process, package, and find markets. [For] the first 25 years, we had to pretty much beg farmers to give these crops a try.

In parts of the Great Plains, where water is sparse and crops are mostly grown under dryland conditions, meaning they arent irrigated, farmers had for generations grown winter wheat for 10 months, followed by a 14-month period without a crop called summer fallow. During summer fallow, land is left barren to recapture soil moisture through rainfall, thus improving the following years wheat crop. More recently, some growers have also adapted no-till practices hand in hand with the use of copious herbicides.

But for many, said Oien, growing just one crop has proved increasingly untenable. Without a diversity of roots in the soil, farmers have had to use more and more synthetic fertilizers, pesticides, and herbicides. Their soil has lost organic matter. Droughts have decimated their crops. Theyve lost millions every year to a pest called the wheat stem softfly. And plummeting commodity prices have led many farming operations to the brink of bankruptcy.

In the early 2000s, word began to spread that pulses could successfully be grown in the Northern Plains and that their export markets were booming, and some farmers in the area began to see these crops as tickets out of the commodity monocrop trap. Local land grant universities, such as University of Idaho and Montana State, began to support the role pulse crops could play in expanding economic opportunities when planted in rotation with wheat.

Lentil farm photo CC-licensed by IslandVita.

In places like eastern Montana and North Dakota, its become really difficult for two generations to live on the farm, said Rumney. By growing another crop on that fallow ground, farmers doubled their income. This transformation has allowed their sons and daughters to stay on the farm.

In 1999, U.S. farmers harvested approximately half a million acres of pulse crops, and the vast majority of those were planted in the Pacific Northwest. Since then, pulses have seen steady growth. By 2014, the crop had topped a million acres and by 2018, it hit 2.2 million acres.

Today, Montana leads in pulse production, followed by North Dakota. In Montana, total lentil, dry pea, and chickpea acreage has almost tripled over the past decade, going from zero to over a million acres. And in North Dakota, its at about 650,000 acres.

And as lentils, peas, and chickpeas have turned mainstream, large agribusinesses such as Sabra and Archer Daniels Midland (ADM) have also jumped in to begin buying pulse crops from large farms. Just a few years ago, most of those companies crops were sent overseas; 80 percent of peas, 80 percent of lentils, and the vast majority of chickpeas were exported to India, Middle Eastern countries, and China, Rumney said. But in recent years, changing consumer trends have led to the development of the U.S. market. Today, only about 60 percent of lentils and peas are exported. And thanks to the exploding popularity of hummus, just 50 percent of chickpeas get sent out of the U.S.

Much of the growth has been in conventional pulses, but organic oneswhich command 3 to 5 times the price of their conventional counterpartshave also seen a steady increase, Oien said. Large agribusinesses are jumping in to grow organically, he added, but since most of those pulses are exported, small organic farmers can still count on premiums and incentives, he said.

And while conventionally grown pulse crops often end up as ingredients in processed foods such as snacks and meat substitutes, most of the organic pulses grown by Timeless farmers are destined for Trader Joes, Whole Foods, and other natural food stores, or gourmet restaurants.

Pulses and rice for sale (Photo CC-licensed by Anthony on Flickr)

Our customers realize the impact organic pulses can have, Oien said. They are happy to pay more because theyre buying more than lentils. Theyre buying family farms, healthy soil, and a lower carbon footprint.

When the United Nations declared 2016 the International Year of Pulses, it also added to these foods visibility, Oien said. People started to realize their nutritional value and their environmental benefits. And that has brought pulse crops to the radar screens of farmers, chefs, food editors, and people shopping in grocery stores.

A major factor in pulses new visibility has been the growing popularity of the so-called plant-forward diet (also known as mostly plant-based or flexitarian). Already, over one-third of Americans identify wanting to follow such a diet, according to a OnePoll study.

Pulses are perfect for those looking to reduce their meat intake, because theyre high in protein, dietary fiber, and several vitamins and minerals. In addition, theyre gluten-free, arent genetically modified, and are not considered major allergens like soy or wheat.

Scientists around the world have recently advocated for drastically cutting meat consumption. Major research published in Nature and The Lancet over the last year advocates for a mostly plant-based diet to meet the challenge of feeding a growing world population, protect the environment, and boost human health benefits.

Right now, you have an animal-centric set of choices when you walk into a restaurant or other food place away from home, said Sophie Egan, the program director of Menus of Change, an ambitious project from The Culinary Institute of America and Harvard School of Public Health that aims to change how Americans eat. The vision is that the options would enable you to eat a flexitarian type of diet and that the plant-based dishes are cooked in a way that can stand head to head with animal-based ones when it comes to taste.

Menus of Change encourages chefs to adopt the Protein Flip, a concept that advocates moving away from feeding plant proteins and grains to animals, and instead feeding those plant proteins and whole grains directly to diners. The idea is to make pulses the meals center, using culinary traditions from around the world, and using only small servings of humanely raised, grass fed meat for blending, as a condiment, or as side dishes. Adoption of similar programs have been gaining ground across the foodservice industry, Egan said.

A related project, the Menus of Change University Research Collaborative, uses campus dining halls as incubators and innovators for a diet based mostly on plants. The collaborative, a working group that consists of 57 institutions and 236 members, including dining directors and executive chefs, academic faculty, scholars, and student fellows, focuses on evidence-based research, education, and innovation.

Universities and their students are at the front line of adoption for the industry as a whole, she said. Campus dining can implement innovative plant-based meals and then export those solutions to shift Americas culinary practices, Egan said, because college students are in their identity formation around food choices, and many college programs are independently run so they can implement changes more nimbly, while food chains have to shift the big ship.

The USA Dry Pea & Lentil Council has worked hard to promote the plant-centric diet, Rumney said, noting that its now popular in North America, but also all over the developed world. In the U.S., Rumney said, value added pulse products such as plant-based burgers, pasta, baby food, protein bars, and protein coffee are gaining market share. Theres even rising demand for pulse protein in pet foods. The organization is also working with the federal government to introduce pulses into the school lunch program, both in their whole form and as pasta, and to get them recognized as a vegetable, he said.

Of particular note is the explosion of pea protein, Rumney said, which is now second to soy as an ingredient in packaged/processed protein alternatives. Pea protein, derived from yellow peas, is a key ingredient in products ranging from meat substitutes such as Beyond Meats Beyond Burger to energy bars, plant milk, and dairy-free ice cream. According to data the USA Dry Pea & Lentil Council shared, the market research firm Mintel found that over 1,800 global products that use pea protein as an ingredient launched in 2019. Plant-based meat has fueled a good part of this growth. The North America pea protein market for meat substitutes is projected to surpass $21 million by 2026, according to a new research report by Global Market Insights, Inc.

And major food companies, ranging from Cargill to Kelloggs, are now investing in pea protein production and/or products. According to McKinsey, interest in pea protein grew at a compound annual growth rate of 30 percent from 2004 to 2019. The company concluded that pea protein and cultured meat show the most promise [of the existing alternative proteins] for market growth over the coming five to 10 years.

The success of pea-based meat substitutes is a start, said Egan, the Menus of Change director, but meat analogues are only a small part of the solution. While plant-based meat may be environmentally better, she said, its nutritional value isnt better than that of a meat patty. Minimally processed whole foods, especially pulses in their intact form, have a much more significant role to play, Egan said, but there hasnt been much capital going into their marketing.

Egan says chefs will play a prime role in creating cachet and excitement about the whole foods-based approach, which has the potential to boost nutrition for humans around the world. Increasingly, more chefs are choosing to emphasize plant ingredients. There is tremendous business opportunity here to offer these new protein options, Egan said.

In addition to helping overhaul American diets, pulses also have the potential to play a major role on organic and regenerative farms. As legumes, they can draw nitrogen from the atmosphere and dont require much, if any, synthetic fertilizer, said Meagan Schipanski, associate professor of agroecology at Colorado State University. They are great to grow in a rotation with other crops because they leave some nitrogen behind in the soil. This is especially true if theyre planted as forage for grazing animals or cover crops, but also if theyre harvested as cash crops.

John Wicks in his lentil field. (Photo courtesy of John Wicks)

And their nitrogen is less susceptible to being washed away when it rains than the nitrogen supplied by synthetic fertilizers. Pulses increase good microbes and soil organic matter, she said, and because of their nitrogen-fixing abilities, they can also help convert soil into a carbon sink and, in some cases, decrease wind erosion.

Peas, lentils, and chickpeas can also make land more productive and water-efficient when replacing fallow periods. Theyre especially suited to dryland farming because theyre shallow-rooted crops, so they dont use a lot of moisture. And when pulses are planted in rotation with wheat or other cereals, they can disrupt the disease, insect, and weed cycles, leading to higher yields and a reduced need for chemical inputs, particularly herbicides.

Most importantly, Schipanski said, pulses can provide additional income to farmers long dependent on a single crop. While farmers in the Central Plains have been slower than in other regions to add pulse crops to their rotations, there is growing interest and awareness among producers of the success stories (with pulses) in Montana and other places, Schipanski said. With commodity prices so low, more producers are looking for alternative crops or at integrating grazed cover crops into their system to spread their risk and diversify.

Schipanskis research shows that grazing cover crops in dryland farming systems can improve soil health and boost profitability. Farmers get paid to graze the cattle and enough cover crop residue remains in the fields to reap soil benefits, Schipanski said.

Even for conventional farmers, adding pulses into their rotation can begin a shift toward other, more sustainable practices, said Liz Carlisle, author of the Lentil Underground and assistant professor in the Environmental Studies Program at University of California, Santa Barbara.

The learning thats happening for farmers whove been working with just one commodity and relying on the industrial model of production is tremendous, Carlisle said. They realize that the plants themselves can be a self-supporting ecosystem and they, the farmers, are just working as stewards or facilitators of that ecosystem.

After adding pulses to their rotations, these farmers, often start thinking about further reducing their inputs, adding perennial crops, or integrating animals into their operation. Planting pulses leads them to ask questions about how they can make their farming systems more ecological, she said.

One challenge pulse crops have faced in recent years is a decrease in export markets due to politics and trade wars. After the U.S. withdrew from the Trans-Pacific Partnership Agreement in 2017, India imposed sizable tariffs on pulses. And when the U.S. imposed tariffs on China, that country retaliated, imposing its own tariffs on pulse crops (and other goods). As a result, prices for conventional lentils, chickpeas and peas crashed and acres planted decreased.

Farmers who wish to add pulses to their rotation should also consider that infrastructure is still limited in some areas, said Schipanski, the Colorado State professor. After a processing facility was built in Nebraska, the state saw a 300 percent increase in acreage of field peas in the area around the facility, she said. A huge piece of the puzzle is establishing the infrastructure and markets to support these emerging crops, said Schipanski.

As infrastructure develops, pulses should play a bigger role in U.S. agriculture, said Oien of Timeless Seeds, though for now their consumption remains a blip when compared with meat consumption. Annual consumption of meat in the U.S. is about 220 pounds per person per year, while the average consumption of lentils is 8 to 10 ounces per capita. When Timeless launched, lentil consumption was at about 2 ounces per year, he said.

Theres a big opportunity for building up the domestic market, said Oien. Regenerative farming depends on what people put on their plates every lunch and dinner. If they eat pulses, there will be a market and farmers will grow them.

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Plant-Based Diets and Regenerative Ag Have Sparked a Pea and Lentil Renaissance - Civil Eats

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Vegan diet is an extreme diet in which you might not get adequate protein

Vegan diet: Intolerance to milk and dairy products, weight loss, stopping animal cruelty and shifting towards so-called cleaner eatingare a few of the many reasons why many people are adopting veganism or vegan diet. Veganism is a lifestyle which excludes all kinds of animal exploitation and cruelty, be it in the form of food, clothing or for any other purpose. A vegan diet, thus, does not include any animal-derived foods like milk, meat, eggs and dairy. Vegan diet has been known to offer a variety of health benefits including weight loss, regulation of blood sugar levels and prevention of type 2 diabetes, better heart health and much more.

However, as is the case with any restrictive diet (diet which asks for food restrictions), even vegan diet comes with its set of side effects. Delhi-based nutritionist Pooja Malhotratalks about a few side effects of vegan diet in one of her posts on Instagram.

Also read:Can Vegan Diet Reverse Type 2 Diabetes? Know The Answer From Our Expert

A vegan diet essentially involves eating everything vegetarian (minus dairy products). So, it involves eating fresh fruits and vegetables, lentils and legumes, nuts and seeds and whole grains. A diet which includes these foods is by and large considered to be healthy. However, being an extreme diet (as Malhotra terms it), it has a few side effects.

A vegan diet may result in an increase in your carb intakePhoto Credit: iStock

Also read:Vegan Diet:Tips For Beginners By Nutritionist

If you want to lose weight and/or follow a healthy lifestyle, a more flexible approach is a better option. You should include all food groups in your diet, in moderation, Malhotra recommends. According to her, an inclusive, balanced diet in moderation is a time-tested lifestyle that has been followed by generations.

Follow a healthy diet and avoid going in extremes for weight loss and good healthPhoto Credit: iStock

Also read:6 Plant-Based Sources Of Protein For Vegans And Vegetarians

(Pooja Malhotra is a nutritionist based in Delhi)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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Vegan Diet: Inadequate Protein Intake And 7 Other Side Effects You Need To Watch Out For - NDTV News

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The research, conducted by the bakery company, Hovis, suggests that the UK is missing out on the full benefits a high fibre diet can bring to gut and heart health, despite high-profile campaigns to urge greater consumption.

2,064 adults in the UK were asked about their fibre intake and the results show people are generally confused about fibre intake.

The research shows that the majority (89%) of UK adults say they recognise that eating fibre each day is important, with just 2% saying it doesnt matter to them. The research reveals that 79% correctly identify that fibre helps digestive health, with more than a third (38%) also recognising that it can help to maintain normal blood cholesterol levels.

However, despite high profile campaigns to get people to boost their fibre intake, just 38% of UK adults say they ensure their diet is high in fibre, regardless of the wealth of scientific evidence pointing to the health benefits that fibre brings.

Meanwhile, when asked how much fibre they consumed each day, one-in-four UK adults (24%) say they simply dont know.

The research also reveals confusion about how much fibre we need, with half of those surveyed saying they dont know how much fibre the average adult should eat each day, and just 14% correctly identifying that the daily target is 30g.

When asked to identify the food types that are best for delivering fibre, most UK adults could correctly identify those that are a good source. The best-known food type is bread, with four fifths of UK adults (81%) thinking that wholemeal bread is a good source of fibre.

Jeremy Gibson, Marketing Director at Hovis commented: There have been numerous studies that have shown the benefits of eating more fibre, yet people are still failing to eat enough of it. The rise of lower-carb diets and reduction of bread consumption are another signal that consumers could be avoiding bread and missing out on the amazing fibre benefits they bring.

At Hovis we are determined to play our part in helping reverse this trend and getting the UK into better shape, one meal at a time. We are working with a registered dietitian, Sarah Almond Bushell, and other experts, to provide information, recipes and advice to help the UK improve its diet.

Its not difficult to boost fibre intake, anyone can do it by eating more wholemeal bread, wholemeal pasta, brown rice and fruits and vegetables. Consuming enough fibre can help with digestive health, as well as maintaining normal cholesterol levels and it can taste great too.

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Research shows two thirds of adults don't have a high fibre diet - Health Europa

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If you deal with irritable bowel syndrome (IBS), youre not alone. This common condition causes bloating, gas, stomach pain, constipation, and diarrhea.

To manage IBS, your healthcare provider may recommend that you change your diet, improve your lifestyle quality, and limit your intake of certain fermentable carbs called FODMAPs.

You may have also heard that the high fat, very low carb ketogenic helps treat IBS symptoms.

Yet, you may wonder whether this claim is backed by scientific evidence and whether you should try out keto if you have IBS.

This article examines how the keto diet affects IBS symptoms.

Irritable bowel syndrome (IBS) affects 14% percent of the worlds population. Its symptoms include stomach pain, bloating, cramping, constipation, and diarrhea (1, 2).

Theres no one identifiable cause of IBS. Instead, it likely involves a number of processes that may be unique to each individual (1).

Possible causes include increased digestive sensitivity, chemical signals from your gut to your nervous system, psychological and social stress, immune system activity, changes in your gut bacteria, genetics, diet, infections, certain drugs, and antibiotic use (1, 3).

IBS treatment focuses on managing symptoms via medications, diet, and lifestyle adjustments (1, 4).

Many individuals find that food is a trigger for specific symptoms, so 7090% of people with IBS limit certain foods to try to decrease negative effects (1, 5).

Experts often recommend a diet that includes regular meals, as well as adequate fiber and fluids. You should limit alcohol, caffeine, and spicy or fatty foods if they trigger symptoms (5).

Currently, a common treatment for IBS is a low FODMAP diet, which limits short-chain, fermentable carbs that are poorly absorbed by your body. FODMAPs are found in wheat, onions, some dairy, and some fruits and vegetables (1, 6).

These carbs cause increased water secretion and fermentation in your gut, which produces gas. Although this doesnt negatively affect healthy people, it may trigger symptoms in people with IBS (1).

Diets low in FODMAPs have been shown to reduce the severity of IBS symptoms, particularly pain and bloating (2, 5, 7).

Very low carb, gluten-free, paleo, and immune-modulating diets are likewise used to treat IBS, though evidence on their effectiveness is mixed (2).

IBS is a chronic condition characterized by stomach pain, bloating, cramping, constipation, and diarrhea. Its commonly treated by restricting certain foods, eating a low FODMAP diet, and adopting other dietary and lifestyle changes.

The ketogenic diet is a high fat, low carb eating pattern thats similar to the Atkins diet. Originally developed in the 1920s to treat children with severe epilepsy, its commonly used for weight loss and other health conditions like blood sugar control (6, 8, 9, 10, 11, 12).

Its exact macronutrient ratio may differ based on individual needs, but its usually 75% fat, 20% protein, and 5% carbs (6, 13).

Keto limits bread, pasta, grains, beans, legumes, alcohol, sugar, and starchy fruits and vegetables while increasing your intake of high fat foods like nuts, seeds, oils, cream, cheese, meat, fatty fish, eggs, and avocados (6).

By restricting carbs to 50 grams or fewer per day, you enter a metabolic state in which your body burns fat for energy instead of carbs. This is known as ketosis (13, 14).

The keto diet is a low carb, high fat eating pattern that shifts your bodys metabolism away from carbs. Its long been used to treat epilepsy and other ailments.

Despite ketos popularity, very few studies investigate its effectiveness for treating IBS.

A 4-week study in 13 people with diarrhea-predominant IBS found that the keto diet helped reduce pain and improve the frequency and consistency of stools (15).

This may be due to the diets influences on your gut microbiome, or the collection of bacteria in your gut. Interestingly, people with IBS often have an imbalance in their types and numbers of gut bacteria, which may contribute to symptoms (16, 17).

Furthermore, animal and human studies reveal that very low carb diets deplete the bacteria in your gut that produce energy from carbs while boosting the number of beneficial bacteria (16, 18).

However, some research also suggests that low carb diets like keto decrease the overall diversity of gut bacteria and increase the number of inflammatory bacteria, which may have negative effects (18).

Currently, theres not enough information to conclude whether the keto diet can benefit people with IBS. Further studies are necessary.

Some research indicates that the keto diet may reduce symptoms of diarrhea-predominant IBS and improve aspects of your gut microbiome. Still, results are mixed and more research is needed.

Despite some promising results, evidence for using keto to treat IBS remains limited.

Its unclear whether positive effects can be attributed to the diet itself or rather the incidental elimination of trigger foods, such as FODMAPs or gluten (19).

Therefore, people with IBS shouldnt use the keto diet as a primary treatment for IBS.

Many people may find keto too restrictive in nature, as it eliminates food groups like grains, beans, and legumes.

That said, if this diet can fit into your lifestyle, and you are interested in how it could change your symptoms, please talk to a medical professional to learn more.

The keto diet isnt currently recommended as a standard treatment for IBS due to a lack of scientific evidence. Yet, if it fits your lifestyle, it may reduce some symptoms and provide other benefits. Speak to a medical professional if you want to learn more.

Its important to remember that the keto diet may have a few downsides.

For example, fatty foods trigger symptoms in some people with IBS. Because the keto diet is very high in fat, it may worsen symptoms instead of improving them (5).

Furthermore, the keto diet can be low in soluble fiber, a nutrient that may alleviate some IBS symptoms (20).

Thus, its important to eat plenty of leafy green vegetables and seeds to boost your intake of soluble fiber if you have IBS and decide to try keto. Alternatively, you can take a fiber supplement (5).

Finally, people with diabetes should consult a health professional before starting keto, as the low carb intake could cause dangerously low blood sugar levels (13).

The keto diets high fat levels may trigger IBS symptoms in some people. Furthermore, this eating pattern can be low in soluble fiber, a nutrient that may ease IBS-related complaints.

Studies on the ketogenic diet and IBS are limited and provide mixed results.

On the one hand, research demonstrates an improvement in diarrhea symptoms in people with IBS, as well as some positive changes to the gut microbiome.

On the other hand, keto may have several negative effects on your gut microbiome and is more restrictive than other dietary treatments.

Although the keto diet isnt currently recommended to treat IBS, some people may find it advantageous for symptom management or other benefits, such as weight loss and improved blood sugar control.

If youre curious about trying keto to help treat your IBS symptoms, its best to discuss your plans with your healthcare provider first.

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Keto Diet and IBS: Can This Diet Help Treat Symptoms? - Healthline

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