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Nov 21

Considerations to bear in mind with dietary trends – DVM 360

Deborah E. Linder, DVM, MS, DACVN, discusses the latest research and guidance surrounding popular pet food diets during a Fetch dvm360 talk.

It behooves veterinary professionals to understand the nuances between polarized dietary trends. With so many pet food products on the market, mining the best diet to match each patients needs can pose a unique challenge to many professionals working with clients who are seeking the best nutrition plan for their pets.

During her lectures at a recent Fetch dvm360 conference, Deborah E. Linder, DVM, MS, DACVN, a research assistant professor at Cummings School of Veterinary Medicine, Tufts University in North Grafton, Massachusetts, discussed the latest research and recommendations for veterinary therapeutic diets (VTDs) and OTC diets, as well as home-cooked meals for pets.

VTDs require approval from a veterinarian and are formulated to help manage 1 or more disease processes in cats and dogs, said Linder. Because of this special formulation, not all VTDs will be complete and balanced, she noted, adding that this includes meeting the minimum and maximum nutrients levels presented by the Association of American Feed Control Officials(AAFCO).

VTDs are clinically studied to weigh certain vitamins, minerals, proteins, fats, carbohydrates, and other nutritional components to determine their effect on the disease process.1 Conditions such as gastrointestinal (GI) disease, as well as obesity and cardiac disease, require a case-by-case assessment as to whether a pets diet requires modification to accommodate a need that would otherwise be available in OTC foods.2 Digestibility of nutrients should always be a key consideration when selecting a diet for a patient presenting with GI disease.3

Although there is a suite of nutritional and nonnutritional diseases that can affect the GI tract, several therapeutic diets are available for these conditions such as highly digestible diets, novel antigen or hypoallergic diets, hydrolyzed (protein) diets, and those with added concentrations of dietary fiber.3

OTC diets typically have a higher risk of contamination with common pet food proteins than VTDs.4 However, VTDs tend to be more stringent and costly than OTC diets. Communication to owners about the difference between VT and OTC diets can promote adherence, especially in cases where the diet must be fed exclusively for benefit, noted Linder.

According to Linder, despite anecdotal stories surrounding the benefits of home-prepared diets for cats and dogs, there is no evidence in findings from peer-reviewed clinical trials to support these claimsespecially when it comes to home-prepared diets being healthier than commercial diets in general. For clients seeking nutritional advice, she recommended they consult with a board-certified veterinary nutritionist and be prepared to follow a strict recipe daily that requires weighing.

One threat to pets with owners implementing home-prepared diets is unbalanced recipes, according to Linder. Often, diet recipes that are available on websites and in books, including those created by veterinarians, are vague, outdated, or deprived of essential nutrients that are needed for a balanced and complete diet. According to Linder, investigators in one study evaluated recipes for dogs and discovered that only 9 of 200 recipes met the basic nutrient requirements for commercial pet foods.5 However, perhaps the most concerning aspect of unbalanced recipes, said Linder, is that pets that are fed a deficient diet may not demonstrate adverse clinical signs or hallmark complications for years. This can make owners believe their pet is fine until a serious health issue arises that may not be easilyreversed.5

Another concern about home-prepared diets is quality control. A formulated diet by a board-certified veterinary nutritionist ultimately ensures that the recipe will meet the AAFCO minimum and maximum nutrient guidelines along with the pets individualized nutrient needs. Unlike commercial foods, which undergo thorough quality control testing, digestibility trials, and feeding trials to assess for bioavailability and nutrient adequacy, home-cooked diets do not undergo any form of safety and nutritional testing. It is recommended that pets eating homecooked diets have routine veterinary visits and laboratory tests (ie, blood work and urine testing), more so than those eating commercial diets.2

References

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Nov 21

Here’s Why Experts Are Not Grabbing The Keto Diet Highly – Central Recorder

One glance at social media and its easy to see that America is obsessed with diet and nutrition. Nearly everyone has tried to lose weight by following one of these restrictive diets. However, the ketogenic diet has proven to be a revolutionary new way to lose weight.

Many people have been able to lose weight quickly with the low-carb/high-fat diet. Although it may have appeared to be a blessing, many health care professionals are now questioning the wisdom of this diet.

Every year, U.S.News & World Report publishes an analysis of the best and worst diets for health, according to an expert panel.The keto diet ranks second overall, behind the Gut and Psychology Syndrome, with 39 diets. 2021 Report.

While the keto diet is a fast and effective way to lose weight, other aspects of it performed poorly. Keto was, however, only deemed to be effective in weight loss. minimally effectiveFor diabetes prevention or control Experts. One expert even went so far as to say, It is not safe for people with diabetes.

The keto diet scored only 1.9 stars out five in terms of safety. It has been controversial for many years because of its high-fat content. The panelists acknowledged that this trendy diet could prove to be dangerous for some. One expert cautioned that people with kidney disease, diabetes and heart disease need to be cautious.

The health panel found that keto is significantly more difficult than other diets on 2021. Following this eating plan long term is the most difficult aspect of this diet regime,One expert pointed out.

The keto diet also lacks a balanced nutritional approach, contrary to the Mediterranean diet, which is ranked Americas top diet.People become very bored just eating fatty foods, fat, and meat.Another expert defined keto as the hardest of the extremely hard!

The keto diet is much more restrictive than most diets. So, its not surprising experts rated keto difficult to follow. The keto lifestyle was scored in the nutrition category. extremely incomplete.One panelist explained that Any diet that recommends snacking on bacon cant be taken seriously as a health-promoting way to eat.

While U.S. News & World Reportrated the ketogenic diet nearly last in terms of overall health, it continues to gain popularity. According to keto supporters, the proof is in their pudding. If you follow the keto diet properly, it will help to lose extra weight and improve your health. But, health experts arent yet convinced.

In spite of the keto diets ability to aid in weight loss, its long-term effects remain unclear.Robin ForoutanThe Morrison Centers registered nutritionist and integrative dietitian, Dr. Judith explains. Insider that a big factor in the U.S. News rankings is the amount of research supporting various diets, which may explain ketos low scores.

When you get to more diets that are newer, theres less published data and less time for prolonged studies, sotheyre almost always going to rank lower because theres not as much evidence, Foroutan explained.

In The Ketogenic Diets Advantages and Drawbacks: A Review ArticleAlthough the review does not analyze all data, it provides some insight. However, the review discusses the benefits and dangers of the ketogenic lifestyle. It was found that after six to 12 months, blood pressure, cholesterol, and triglycerides decreased, while HDL (high-density lipoprotein) increased.goodcholesterol)increased, and weight loss occurred.

The effects of keto are often not evident after a year. Furthermore, the effects in the studied studies were not noticed. statistically significant.More research is necessary to establish the long-term effects on the ketogenic diet.

Despite ketos beneficial effects on HDL-C, the concomitant rise in LDL-C and very-low-density lipoproteins may pose cardiovascular risks, according to the review.

A few small samples and a short time span of each study in the review raise doubts about the generalizability or validity. Consequently, its difficult to assess the diets risk or make recommendations to individuals with individual comorbidities.

Its difficult to know if the keto diet can be sustained. It may offer a quick solution to other weight loss methods, but at what price?

There are simpler, more efficient ways to keep your health healthy. The U.S. News rankings include several diets that have support.

The Mediterranean diet is balanced and easy to follow. Its also scientifically supported. best diet in 2021.You can also find the Mediterranean dietPromotes a healthy lifestyle that includes limiting red meat, sugar, saturated fat, and other unhealthy foods. A plant-based diet is recommended by the top diet, which is rich in vitamins and minerals.

Choose the path that feels more comfortable for your health and wellbeing. Unbalanced eating may make it difficult to achieve balance.

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Nov 21

Harvard study: Healthy diet associated with lower COVID-19 risk and severity – Harvard – Harvard Health

Heres more incentive to eat a healthy diet: its associated with a reduced risk of developing COVID-19 and its serious complications, according to a study published online Sept. 6, 2021, by the journal Gut. Researchers asked about 593,000 adults (mostly middle-aged and older) what they ate in February 2020, and then followed their health through September. Scientists found that people who reported eating the most fruits, vegetables, and legumes had a 9% lower risk of getting COVID and a 41% lower risk of developing severe COVID during the study period, compared with people who reported eating the least fruits and vegetables. Researchers also found a link between COVID and a poor diet or socioeconomic disadvantages. "If you could remove just one of those factors diet or disadvantage we think nearly a third of the COVID-19 cases could have been prevented," notes Jordi Merino, the studys lead author and a research associate at the Diabetes Unit and Center for Genomic Medicine at Harvard-affiliated Massachusetts General Hospital. The study was observational and doesnt prove conclusively that a healthy diet prevents COVID. Researchers point out that getting vaccinated and wearing a mask in indoor settings are still the most important approaches to ward off the disease.

As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

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Nov 21

Diet-related illness increases with availability of red meat: study – Yahoo News

As global trade in red and processed meats has increased, so have chronic diseases associated with meat consumption, a study looking at data from 154 countries found on Thursday.

Researchers focused on illness and death rates from three diseases strongly linked to red and processed meat consumption: colorectal cancer, type-2 diabetes and coronary heart disease.

They drew on meat import and export figures from the UN Food and Agriculture Organization (FAO) to find out where in the world red and processed meats had become more available.

They then checked these findings against health data from the Global Burden of Disease project.

"The increased intake of red and processed meat products via trade caused the abrupt increase of diet-related non-communicable diseases," the study published in the British Medical Journal concluded.

The adverse effects of a diet high in red and processed meats is well known.

But the international trade of these products also has far-reaching impacts on the climate, through greenhouse gas emissions, and biodiversity loss, through shrinking habitat, the study noted.

"Few international initiatives and national guidelines for sustainable diets explicitly address the spillover impacts of the meat trade across countries," they said.

They calculated a worldwide increase in related deaths of nearly 75 percent between 1993 and 2018, with major variations by geographical region.

While they estimated a 55 percent rise in related deaths in developed countries, the rate of increase in developing countries was more than double: 157 percent.

"These higher rates are because many developing countries around the world exponentially relied on red and processed meat imports to meet their increased meat demands under rapid urbanisation and income growth," the study says.

Over the years covered by the study, developing countries expanded imports while rich ones expanded exports, the findings showed.

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The study suggests that to achieve healthier and more sustainable diets, international dialogue should involve both health and trade bodies, citing the World Trade Organization (WTO).

"Regional trade agreements of the WTO accelerate red and processed meat flows among countries," it said, and suggested it could coordinate with UN health and food agencies to improve future trade policy.

Since it is observational, the study can suggest but not confirm the cause-effect relationship between meat trade and diet-related illnesses.

nrh/mh/har

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Nov 21

Microbiome stability and structure is governed by host phylogeny over diet and geography in woodrats (Neotoma spp.) – pnas.org

Significance

Understanding the factors that sculpt gut microbial communities in mammals is of great interest. Here, we studied a diverse clade of herbivorous rodents (woodrats, Neotoma) with variable but well-characterized diets and habitats to quantify the relative contributions of host genetics, geography, and diet, alongside neutral processes, in structuring the gut microbiome under natural and controlled conditions. While diet and geography made significant contributions to microbiome structure, host phylogeny explained the greatest proportion of observed variation. Provision of a common diet in captivity altered natural microbial communities, with communities from different species varying in their resistance to this perturbation. Captivity increased the amount of variation explained by host phylogeny, further emphasizing the extent to which host genetics structure mammalian microbiomes.

The microbiome is critical for host survival and fitness, but gaps remain in our understanding of how this symbiotic community is structured. Despite evidence that related hosts often harbor similar bacterial communities, it is unclear whether this pattern is due to genetic similarities between hosts or to common ecological selection pressures. Here, using herbivorous rodents in the genus Neotoma, we quantify how geography, diet, and host genetics, alongside neutral processes, influence microbiome structure and stability under natural and captive conditions. Using bacterial and plant metabarcoding, we first characterized dietary and microbiome compositions for animals from 25 populations, representing seven species from 19 sites across the southwestern United States. We then brought wild animals into captivity, reducing the influence of environmental variation. In nature, geography, diet, and phylogeny collectively explained 50% of observed microbiome variation. Diet and microbiome diversity were correlated, with different toxin-enriched diets selecting for distinct microbial symbionts. Although diet and geography influenced natural microbiome structure, the effects of host phylogeny were stronger for both wild and captive animals. In captivity, gut microbiomes were altered; however, responses were species specific, indicating again that host genetic background is the most significant predictor of microbiome composition and stability. In captivity, diet effects declined and the effects of host genetic similarity increased. By bridging a critical divide between studies in wild and captive animals, this work underscores the extent to which genetics shape microbiome structure and stability in closely related hosts.

Author contributions: S.B.W., C.D., K.D.K., and M.D.D. designed research; S.B.W., R.M.-M., T.E.S., D.M.K., and T.J.O. performed research; R.G. contributed new reagents/analytic tools; S.B.W., D.M.K., and R.G. analyzed data; and S.B.W., C.D., K.D.K., and M.D.D. wrote the paper.

The authors declare no competing interest.

This article is a PNAS Direct Submission.

See online for related content such as Commentaries.

This article contains supporting information online at https://www.pnas.org/lookup/suppl/doi:10.1073/pnas.2108787118/-/DCSupplemental.

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Nov 21

What Is the Pesco Mediterranean Diet? We Asked a Nutritionist – Yahoo Lifestyle

When you hear the word diet, calorie-counting and food restrictions may come to mind. But thats not the case with the Mediterranean diet, a meal plan that focuses on whole grains, fresh produce, lean meats and healthy fats. Now, its time youve met its second iteration, the pesco Mediterranean diet, which is essentially the same as the O.G., only it prioritizes fish as a main source of protein. We asked Dr. Felicia Stoler, DCN, a registered dietician, nutritionist and exercise physiologist, for all the deets on the flexible diet plan. (Spoiler: Its easier to stick to than you may think.)

RELATED: 26 Healthy Mediterranean Diet Snacks to Keep You Full All Day

As the name suggests, the pesco Mediterranean diet focuses on proteins from fishin addition to nuts, seeds, legumes and other plants, explains Stoler. Those on the pesco Mediterranean diet plan can also eat dairy (read: mostly low-fat dairy, rather than hard cheeses and butter, which are high in saturated fat and sodium) and eggs, just like those on the standard Mediterranean diet. Like its predecessor, healthy fats, fresh fruits and veggies, whole grains and protein-rich plant-based foods are the bulk of what youll eat on the pesco Mediterranean diet.

To pull it off without getting bored, diversifying the seafood you eat is crucial. We always think salmon, salmon, salmon, sometimes tuna; but theres plenty in between, and different types of water creatures have varying nutrient levels, explains Stoler. In Europe, the diets around the Mediterranean include seafood and fish like sardines, anchovies, canned fish, salted fish.

In other words, if youre going to get sick of eating salmon and shrimp on the daily and you have no interest in casting a wider net (pun intended), the pesco Mediterranean diet may get old fast, and you likely wont stick to it.

The pesco Mediterranean diet stars fish as the main source of protein, versus chicken, beef and pork. Its great for people who already like fish, shellfish and seafood in general. If you dont, cutting yourself off from other animal proteins would likely make sticking to the diet more difficult (and you might have a hard time staying full if you arent diligent about consuming other protein-rich, plant-based foods).

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If fish isnt your thing, the regular Mediterranean diet is likely a better choice for you (although theyre essentially identical, minus the pesco iteration having a specific source of animal protein). It focuses on foods that are found in the Mediterranean (as you might have guessed), so youll be able to eat a lot of produce, grains, nuts and other ingredients that are popular in Greece, Italy, Israel and the Middle East. Were talking Greek yogurt, chickpeas, quinoa, walnuts, feta cheese, a whole lot of olive oilyou get the picture. Red meat isnt totally off the table, but its meant to be eaten sparingly; the same goes for refined sugars, saturated fats and processed foods. You should also be mindful of the carbs youre consuming, taking care to choose complex carbohydrates (like barley, quinoa and brown rice) instead of pasta, white bread, baked goods and the like, says David Becker, a board-certified cardiologist at Chestnut Hill Temple Cardiology.

In the end, one diet isnt necessarily better than the other. There are many people, myself included, who feel that encouraging high consumption of fish [and] seafoodwhile great for your healthis not sustainable, especially knowing that weve been overfishing the oceans and seas, explains Stoler. There are pollutants and contaminants in these waters, and the delicate balance of the aquaculture is at risk, [as well as] the overall health of the planet. (On that note, keep in mind that buying farm-raised fish is a more sustainable choice than wild-caught.)

So, before you pigeonhole yourself into eating seven salmon fillets a week, consider the environment and additional sources of plant-based protein, like nuts, beans and tofu.

Hellooo, omega-3 fatty acids, aka essential fats that can reduce your risk of heart disease and stroke, lower your blood pressure and triglycerides and assist in reducing inflammation. Omega-3s are also rich in vitamin D and selenium, protect the heart from erratic cardiac issues, improve blood vessel function and can even aid in prenatal and postnatal neurological development.

Since our bodies dont produce omega-3s autonomously, its imperative that we consume them through food or supplementsand fish are packed with them. One to two three-ounce servings of fatty fish a week can reduce your risk of fatal heart disease by 36 percent, says the American Heart Association (AHA). Then again, fish are far from the only source of omega-3s out there. Omega-3 fatty acids can be found in chia, walnuts, hemp, algae oil and more, says Stoler.

Fish has also been scientifically proven to work wonders for your brain. Research shows that eating baked or broiled fish at least once a week can significantly lower your risk of Alzheimers disease, according to the Fisher Center for Alzheimers Research Foundation. Fish is also known to reduce the risk of many chronic illnesses, lower triglycerides, reduce blood clotting, lower your stroke risk and aid with irregular heartbeats, says the Mayo Clinic. Due to all these perks, its recommended by the AHA that we have two servings of fatty fish a week (either 3 ounces cooked or a cup of flaked fish). On the pesco Mediterranean diet, youre likely going to consume even more per week.

If you still need convincing, the Mediterranean diet can even possibly boost your mood, meaning its fish-filled cousin can, too. In a 2017 study by BMC Medicine, researchers monitored a group of people with depression for 12 weeks as they tried the meal plan. By the end of the study, most participants reported a major improvement in their symptoms. Scientists have also noted a connection between fish and anxiety reduction. While a definite explanation hasnt been discovered, researchers believe omega-3s can travel to the brain easily and positively communicate with mood-regulating molecules and neurotransmitters, says JAMA Network.

Fish and other popular Mediterranean diet foods have also been found to improve headaches and migraines. If you suffer from chronic headaches, they may be triggered by nutritional deficiencies, says Maria Marlow, integrative nutrition health coach and author of The Real Food Grocery Guide. More magnesium (which is found in leafy greens, beans, nuts and seeds), riboflavin (which is found in broccoli, eggs and almonds) and omega-3s can counteract those deficiencies.

And of course, a major benefit of this diet plan is that theres no calorie counting required and no food groups are totally off limits (although refined sugars are largely avoided, which is inherently good for your health). The pesco Mediterranean or regular Mediterranean diets could be easy ways for you to eat more nutritiously (or even possibly lose weight) without feeling like youre depriving yourself.

There are no risks, Stoler says, but the underlying assumption is that an individual likes fish and seafood. I also look at sustainability, availability, price and budgetthe [pesco Mediterranean diet] can be more expensive and out of reach for people.

The TL;DR? If youre all about fish and seafood and can afford buying the proper groceries, the pesco Mediterranean diet could be a solid fit for you. In the end, its all about finding a meal plan that works for your lifestylethats crucial for actually committing to this new way of eating for the long haul and changing your habits for the better.

I still hold firm in suggesting that people develop eating behaviors that they can stick to with a priority on eating more plant-based [foods] and less processed [foods], concludes Stoler. She also recommends minding your portion sizes, eating foods closer to the way theyre found in nature and trying to reduce food waste, no matter what diet youre on.

RELATED: 14 Mediterranean Diet Fish Recipes That Are Ready in No Time

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Nov 21

Plan winter diet carefully to avoid digestive issues – DTNext

Chennai:

Instead, one should take seasonal vegetables and fruits during the winter season, she says. Winter can make you feel sluggish and you tend to eat more.

Our digestive system will get disturbed by overeating. So, you should be extra careful while preparing food during this season. Plan a weekly menu well in advance so that you can have nutritious and homecooked meals. Eat whats in the season to beat illness it will help your digestive system. Consume oranges which are rich in vitamin C, make use of vegetables like carrots, broccoli, and cauliflower.

Avoid white sugar during winter replace it with honey, which has a soothing effect on the throat. You can also use jaggery it will improve digestion and give warmth to the body. Jaggery can also combat infections. Add a lot of pepper to the dishes that you make, says Kavitha Sankar.

One of the easiest ways to stay warm and healthy this season is by consuming soups and rasam.

When you prepare the winter diet, dont forget to add soups. You can make soups as a one-pot meal by adding many ingredients. Instead of munching on fried foods, prepare and store sesame ladoos using jaggery. Not just healthy, consuming sesame seeds helps in generating enough heat in the body and helps prevent respiratory disorders. A bowl of warm dal tadka is also a good lunch or dinner option, she tells us.

The blogger points out that one should avoid chilled, processed and tinned foods this season. Avoid consuming raw greens and veggies. Greens might contain fungus, so if you dont cook and eat, it will cause digestive problems. Make sure the vegetables are either blanched or stir-fried. Avoid aerated drinks and sweets made of white sugar.

According to food enthusiast and chef Rajni R, winter foods matter a lot. The cold weather brings about a decrease in the body temperature, and during the transition from summer to winter, we become prone to infections of the respiratory tract. Colds and lung-related issues become common. Therefore to tide over this, it is important to follow a healthy diet. A well-balanced winter diet includes whole grains, nuts, seeds, herbs, lean meats and fresh vegetables and fruits. These help in strengthening the immune system and fighting infections naturally, Rajni says.

She suggests a few commonly preferred foods during winters. Herbal drinks like kashaya (concoction made of betel leaves, ginger, pepper), etc. These naturally give heat to the body, thereby helping in regulating the body temperature. You can have rasam thats made of tomatoes, tamarind, cumin and pepper this as a package is said to improve immunity. Rasam preparations like betel leave rasam, pineapple rasam and ginger rasam help in keeping the lungs functioning smoothly.

Sweet potato is another winter delight with great health benefits. Apart from being a superfood, it gives instant energy as we tend to burn more calories in winter.

Jaggery and jaggery-based sweets like peanut chikki, porikadalai urundai (fried gram balls) and ellu urundai give heat to the body. Jaggery also keeps digestion in check and the blood iron-rich. A warm carrot halwa is a welcome dessert in winters. Not only is it nutritious, but this ghee-laden halwa gives the much-required good fat for the body, that is easily digestible. On the other hand, a beetroot poriyal is a comforting vegetable in the winters. When tempered with chillies, it is the perfect remedy for winter chills. Citrus fruits like amla are in plenty during winters and must be consumed to improve immunity. The amla murabba makes for a post-dinner digestive, and the juice a mid-morning beverage. Dont forget to pickle this berry to reap its benefits in summers, concludes Rajni.

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Nov 21

New Findings on the Role of Diet and Gut Bacteria in People with Lupus – Lupus Foundation of America

According to new research, a certain type of dietary fiber known as resistant starch may have an impact on lupus disease activity by affecting ones gut microbiome the naturally occurring community of bacteria and other microscopic organisms within the gastrointestinal tract. Resistant starch is a type of fiber that resists digestion in the small intestine and ferments in the large intestine, acting as a prebiotic, meaning it feeds the good kind of bacteria there. Some of these good gut bacteria, in turn, have been linked to immune system benefits and reduced disease activity in lupus and lupus-related antiphospholipid syndrome (APS, a condition that can cause blood clots and other health problems).

In the latest study, researchers looked at people with lupus and lupus-related APS and analyzed how much resistant starch they ate per day as well as their gut bacteria makeup. Although none of the study participants consumed a diet considered high in resistant starch (more than 15 grams per day), even moderate resistant starch consumption (2.5 to 15 grams daily) was associated with larger quantities of the good bacteria Bifidobacterium, which has known immune system benefits. Additionally, people with APS who ate moderate amounts of resistant starch had smaller amounts of bad bacteria that have been linked to the disease.

Dietary sources of resistant starch include:

While much remains unknown about the connection between diet and lupus, eating a nutritious, well-balanced and varied diet is recommended. Learn more about diet and nutrition with lupus.

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Nov 21

How to handle the holidays when youre on a special diet – Fox 59

The holiday season can be challenging for those on a special diet. Whether you have to go gluten-free, are watching your sodium or counting carbs, sometimes it can be tough to enjoy a holiday treat.

Registered dietitian Kim Galeaz joined FOX59 Morning News with tips for guests and hosts for navigating holiday gatherings and specialized diets.

The following recipes were featured in this Living Well segment:

Pecan Streusel Filling

Coffee cake

Heat oven to 350F. Grease a 913-inch metal baking pan. In a small bowl, whisk together brown sugar, cinnamon and pecans until thoroughly blended. Set aside. In a large bowl, whisk together flour, cinnamon, baking soda, baking powder and salt. Set aside. In the bowl of an electric mixer with paddle attachment, combine butter, sugar, eggs and vanilla. Mix on medium-high until smooth and creamy. Add half the flour mixture and half the sour cream, mixing until blended. Add remaining flour mixture and sour cream and mix just until blended. Spread one-half batter in greased pan. Sprinkle with one-half the streusel filling. Top with remaining half of batter (spread as close to edges as possible) and sprinkle with remaining half of streusel. Bake 40 45 minutes, or until toothpick comes out clean in center. Cool on wire rack. Enjoy warm or at room temperature. Store leftovers at room temperature in tightly covered container and enjoy within 3 days for best quality. Makes at least 20 servings.

Recipe provided by culinary registered dietitian nutritionist, Kim Galeaz, RDN LD from her baking friend with celiac disease, Laura in Blissfield, Michigan

Drain canned sweet potatoes, reserving the sweet liquid. In a medium bowl, smash/mash drained canned sweet potatoes. Add mashed sweet potato, garbanzo beans, peanut butter, lemon juice, oil and garlic to a food processor. Process/pulse until almost smooth. Add salt, cumin, coriander, harissa spice and Harissa sauce. Process again until smooth. Add reserved liquid to make smoother hummus if desired. Taste and add more lemon, harissa or spices if desired. Serve with favorite vegetables, pita wedges, whole grain naan, whole-grain crackers and gluten-free crackers.

Makes about 3 cups hummus (about 10 servings of 1/3 cup each)

Recipe created by culinary registered dietitian nutritionist Kim Galeaz, RDN LD

Heat oven to 350F. Coat two 1813-inch rimmed baking sheets with oil or cooking spray. Set aside. In a large bowl, whisk together brown sugar and all spices. Add walnuts, pecans, cashews and almonds and toss well. Drizzle vegetable oil over all nuts and stir/toss until thoroughly blended and all nuts are coated with spice mixture. Spread evenly in a single layer in prepared pans. Bake, stirring several times, about 15 to 20 minutes, until nuts are browned but not burned. Cool on wire racks. Enjoy immediately. Store leftovers in an airtight container or zippered plastic bag at room temperature. Enjoy within 4 5 days. Or freeze in zippered freezer bags. Theyll last up to one year in freezer.

Makes about 5 cups (roughly 16 servings of 1/3 cup each).

Recipe created by culinary registered dietitian nutritionist Kim Galeaz RDN, LD

Combine cranberries, canned cranberry sauce, onions and celery leaves in food processor bowl. Process until combined. Add Worcestershire sauce, mustard, horseradish, ketchup, lemon juice, garlic powder and salt and process until just combined. Taste and adjust horseradish, lemon juice, mustard, garlic powder and salt as desired. Serve immediately with cooked chilled shrimp. Refrigerate leftover cranberry sauce in a tightly covered container and enjoy within 4 to 5 days.

Makes about 3 cups sauce.

Recipe created by culinary registered dietitian nutritionist Kim Galeaz, RDN LD

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Nov 21

Human growth hormone (hGH): How to boost it and illegal use – INSIDER

Human growth hormone (hGH) is a key hormone that helps maintain muscle tissue and is often associated with enhanced athletic performance, increased bone density, and reduced body fat.

This has led some athletic communities to attempt doping with hGH to improve strength and performance. That's why you may sometimes hear about illegal hGH use.

Note: HGH is prohibited by the World Anti-Doping Agency. And even though growth hormone is abused in competitive athletics, its benefits in a healthy, adult population are uncertain, according to a 2018 study.

However, if your doctor prescribes you hGH for hGH deficiency, then it's perfectly legal to use. There are also ways to increase hGH levels without medical aid, though they are not very effective long-term.

Here we discuss why some people have low hGH, how to boost hGH levels, and common side effects.

Human growth hormone (hGH) is a hormone you produce naturally. In childhood, it plays a key role in your physical growth and development.

However, hGH is also important in adulthood, helping maintain tissue and organ function. You can't get hGH from food, so if you're hGH deficient, it's important to see a doctor.

A doctor will typically prescribe injections of a synthetic version of the hormone called recombinant growth hormone (rhGH) to combat symptoms of low hGH.

HGH is produced by the pituitary gland, a small pea-sized organ located at the base of your brain. When that gland doesn't produce enough hGH, you're at risk of low hGH levels.

Children who are deficient in hGH may have short stature or stunted growth. Treatment requires daily injections of rhGH and typically continues until the child has stopped growing, around age 16 to 18, says Alan Rogol, MD, PhD, a pediatric endocrinologist and professor emeritus at the University of Virginia.

In adults, low hGH is often due to damage to the pituitary gland or the hypothalamus, a part of the brain that controls the pituitary gland. Damage is often from tumors in the area of the pituitary gland and hypothalamus, Rogol says.

Symptoms of adult growth hormone deficiency include:

To test for growth hormone deficiency, the first step is a blood test called IGF-1 to screen for a deficiency, and then a test called a growth hormone stimulation test, Rogol says.

Because you can't take growth hormone legally unless you're being treated for a deficiency, people may want to try to boost hGH levels naturally for its purported benefits.

Certain activities, such as exercise, do boost hGH levels, but the effects may not be significant enough to see the desired effects, Rogol says. "It's a controversial issue," he says.

Moreover, it's unclear from present research whether these changes are long-lasting or only temporary. So, whether these results are clinically relevant is unclear and more long-term research is needed.

With that in mind, here are some ways you may be able to boost hGH naturally, according to Shawn Arent, PhD, professor and the chair of the Department of Exercise Science at the University of South Carolina and an ACSM fellow:

Fasting and avoiding sugars can also affect hGH levels, but the effects are complicated because of how growth hormone interplays with other hormones and activities, and exercise will have a much greater effect, Arent says.

Last, there are supplements you can buy that claim to stimulate the natural release of hGH. For example, some supplements contain the amino acid L-arginine, which "some studies ... show that L-arginine can increase growth hormone. Whether it's meaningful or not, though, is pretty debatable," says Arent.

Moreover, a 2008 review looked at how exercise and L-arginine supplementation affected growth hormone responses and found that L-arginine increases growth hormone levels, but that exercise increases them more dramatically.

Although hGH has important benefits for people who take it to treat a deficiency, hGH also has some potential long-term side effects, according to the FDA, including:

Other side effects can include:

Growth hormone injections are effective in treating people with hGh deficiency, but other ways of taking the hormone are illegal.

By exercising and getting a good night's sleep, you may help boost your hGH levels, but this effect may only be temporary and not lead to any significant long-term changes.

If you're looking to boost hGH to build muscle or lose fat, eating a well-balanced diet and incorporating high-intensity exercise and weight training may be a better approach.

Follow this link:
Human growth hormone (hGH): How to boost it and illegal use - INSIDER

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