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Dec 17

Weight Loss Surgery Bests Medical Therapy for Reducing CVD in Obese Teens – Endocrinology Network

This study was originally published on PracticalCardiology.com.

A recent comparison by investigators at Childrens Hospital Colorado is offering insight into the effects of bariatric surgery versus standard medical therapy on future cardiovascular disease risk in obese teens with type 2 diabetes.

An analysis of the Teen-LABS and the TODAY studies, results suggest undergoing bariatric surgery was associated with nearly 3-fold reductions in long-term risk of heart attack, congestive heart failure, stroke, and coronary death among teenagers with type 2 diabetes compared to those only managed medically.

"Bariatric surgery is currently the only treatment available for youth with severe obesity and type 2 diabetes that results in considerable and durable weight loss and improvement in blood sugar levels in the majority of patients. With this study, our intent was to further demonstrate the benefits of bariatric surgery in adolescents by proving that it also leads to significantly lower long-term risks of cardiovascular disease, saidlead investigator Petter Bjornstad, MD, an endocrinologist at Children's Hospital Colorado, in a statement.

With the prevalence and societal burden of obesity and type 2 diabetes continuing to grow, Bjornstad and a team of colleagues sought to compare the 30-year risk for cardiovascular disease events among patients with type 2 diabetes and severe obesity. To do so, investigators designed their study to compare data collected from patients in the Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) the Treatment Options of Type 2 Diabetes in Adolescents and Youth (TODAY) studies.

From Teen-LABS, investigators identified a cohort of 30 participants who were of similar age and racial distribution as the 63 patients identified from the TODAY study for inclusion in the study. Of note, all patients from the Teen-LABS study underwent bariatric surgery and those from the TODAY study received metformin alone or in combination with rosiglitazone or intensive lifestyle intervention, with insulin therapy given for glycemic progression.

Patients from Teen-LABS had a mean age of 16.9 (SD, 1.3) years, 70% were female, 60% were white, and the mean BMI was 54.4 (SD, 9.5) kg/m2. Patients from TODAY had a mean age of 15.3 (SD, 1.3) years, 56% were female, 71% were white, and the mean BMI was 40.5 (SD, 4.9) kg/m2.

The primary outcome of the analysis was the difference in 30-year cardiovascular disease event score developed by the Framingham Heart Study. Investigators assessed this risk at baseline and again after 1 year and 5 years of follow-up.

At baseline, the likelihood of cardiovascular disease events was higher among those in Teen-LABS study than those in the TODAY study (17.66 [SD, 1.33] vs 12.11 [SD, .79]; P=.002). After 1 year, analysis indicated those in Teen-LABS had a significantly lower event risk than those in TODAY (6.79 [SD, 1.33] vs 13.64 [SD, 0.96]; P <.0001). Further analysis indicated this difference was sustained through the 5-year follow-up (adjusted P <.0001).

"The high cardiovascular disease risk observed in TODAY participants, despite their lower baseline BMI, underscores the inadequacy of standard medical therapy in mitigating the risk of cardiovascular events, and calls for more aggressive therapy in this at-risk population," saidThomas H. Inge, MD, PhD, Teen-LABS principal investigator, anddirector of pediatric surgery and the bariatric centerat Children's Hospital Colorado, in the aforementioned statement. "While longer-term studies are needed to determine whether the risk score predictions hold true, the long-term cardiovascular health prospects associated with bariatric surgery in adolescents appear to be very positive."

This study, Effect of surgical versus medical therapy on estimated cardiovascular event risk among adolescents with type 2 diabetes and severe obesity, was published in Surgery for Obesity and Related Diseases.

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Weight Loss Surgery Bests Medical Therapy for Reducing CVD in Obese Teens - Endocrinology Network

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Dec 17

I Tried Intermittent Fasting For Weight LossHere Are The Before And After Photos – SheFinds

Intermittent fasting is a method of dieting which prioritizes when you eat as opposed to what youre eating. Fasting windows can vary in length, but the most commonly followed variation is 16 hours fasted and 8 hours of eating. While IF doesnt follow the typical food restricting definition of a diet, limiting your eating time will naturally reduce your food intake, putting you in a calorie deficit for weight loss.

100+ Gift Ideas For Everyone On Your Holiday List

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Research is still being conducted as to the long term benefits of intermittent fasting, but some studies have already shown that fasting has the capability to delay aging and prevent the onset of some diseases.

Allie McCormick turned to intermittent fasting on a whim, and couldnt be happier with her results and the lifestyle shift that followed.

As told by Allie McCormick to Merrell Readman.

via Allie McCormick

I stumbled upon intermittent fasting through a forum on Reddit and thought it was weird, but I saw people getting good results. I'd heard "breakfast is the most important meal of the day," and thought that people were nuts for starving themselves. But, as I grew tired of gaining and losing the same weight over and over, I finally decided to give it a try.

via Allie McCormick

I lost 10 pounds my first month without counting calories, exercising regularly, or "dieting. I just ate all my food between 12pm and 8pm every day. Since I started my intermittent fasting journey, I've lost nearly 50 pounds and have been able to keep it off. Now I help others with fasting too.

via Allie McCormick

The first change I noticed is that I was really hungry in the beginning, but by the end of the first week I was forgetting to eat! Fasting helps with overall hunger and cravings. I also noticed that if I drank lots of water, the weight came off much more quickly. As I got into fasting, I wound up growing more motivated to eat cleaner and exercise the healthier I got as well. Now, I focus on eating more plant-based foods and get 10,000 steps a day.

Intermittent fasting gives you that initial push you need to change your life because it instills a sense of self-control and "Yes, I can do this."

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I Tried Intermittent Fasting For Weight LossHere Are The Before And After Photos - SheFinds

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Dec 17

Why Pete Davidson might be removing all of his tattoos – Nicki Swift

Although Pete Davidson might be sacrificing his body art for the sake of his acting career, removing his tattoos may be pertinent for his health. As Davidson's fans flocked to Mike McGranaghan's tweet, one user took to the replies to suggest why the comedian might want to forgo his tattoos. "There have been tons of articles, starting with Newsweek, about the toxic ingredients in tattoos and the fact that they can migrate into your bloodstream. Given Pete's medical issues with Crohn's, this was a wise decision long-term," they wrote to the film critic on Dec. 16, 2020.

Although there is no confirmation that this is the case, Davidson has openly discussed his struggles with Crohn's Disease, which is "an inflammatory bowel disease (IBD). It causes inflammation of your digestive tract, which can lead to abdominal pain, severe diarrhea, fatigue, weight loss, and malnutrition," according to the Mayo Clinic. When talking with Howard Stern in 2018, Davidson revealed that smoking marijuana is necessary for him to deal with his diagnosis. "I have Crohn's disease, so it helps more than you can imagine," Davidson said at the time, according toHigh Times. "There was a point where I couldn't get out of bed (due to the pain). I was 110 pounds. I also just love smoking weed. I've been smoking weed every day for eight years."

Only time will tell whether Davidson wipes himself clean of the tats. Stay tuned!

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Why Pete Davidson might be removing all of his tattoos - Nicki Swift

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Dec 17

You Can’t Beat COVID-19 With Diet, No Matter What the Internet Tells You – Lifehacker

In the face of so much uncertainty caused by the COVID-19 pandemic, its tempting to search for answers that might help you regain some sense of control over your life. You might, for instance, find yourself reading the advice of self-appointed health experts and social media gurus, who love to make overblown and often blatantly inaccurate claims about using diet to avoid getting seriously ill from the novel coronavirus and spreading it to other people.

Their arguments can be summed up like this: A population full of strong bodies would effectively stanch the pandemics spread and hasten our return to normalcy. Also, eating the right food and fortifying ones immune system (through vitamins, etc.) is enough to personally inoculate oneself from the worst effects of COVID-19.

As science, its garbage. Worse, emphasizing healthy eating above all else is a way of casting doubt on the necessity of masks, social distancing and, on occasion, the efficacy of vaccines.

This focus on diet is shared by alternative-health gurus, medical quacks, social media grifters, and at least one celebrity chef and former presidential candidate. These people often dont deny Covids existence, or even its virulence. But they often imply that the climate of fear surrounding the pandemic is overblown and that mainstream authorities have deliberately ignored the issue of diet in their safety messaging. The true pandemic, they say, is Americas longstanding preponderance of diet-related disease, such as diabetes, heart disease, hypertension and obesity.

Perhaps youve seen these ideas echoed by friends on social media, where they tend to proliferate. Or maybe youve seen the misinformation emerge at its source: by various influencers or public figures who advance these claims online, often to audiences in the tens of thousands.

One particularly brazen tweet that was devoid of much context came from the UKs Aseem Malhotra, a cardiologist who cites dieting as something of a panacea in the fight against COVID.

As Nicola Guessassociate professor at the UKs University of Westminster and Head of Nutrition at the Dasman Diabetes Institutetells Lifehacker, diet is and has always been an important aspect of ensuring overall health. But there is zero evidence to support claims that eating healthier will protect one from contracting COVID or succumbing to its more serious effects.

She writes in an email:

Eating a healthy diet and...exercise is sensible as it protects us from a lot of diseasesin my view there is no evidence and no justification for pinning healthy eating on COVID-19 (unless you have something to sell). Is it worth trying to eat more healthy during a pandemic if theres a chance it could protect you against severe infection? Sure, because there are no downsides to eating less sugar, junk food etc. Lets just not pretend that its going to prevent someone from getting COVID-19 and even dying from it there are 23-year-old slim athletes who have sadly died.

Eating healthy, exercising, and taking vitamins when needed are great ways to ensure your personal health in a general sensethis is knowledge backed up by over a century of scientific study. Still, its no substitute for a coherent public health policy involving traditional epidemiological tools in the midst of a raging pandemic. Heres what you need to know about the culture of dietary zealotry and how you can spot it in its many forms.

In recent years, dietary evangelists have accrued an increasing deal of clout in the public sphere. The craze has been spurred on by celebrities such as Gweneth Paltrow, whose wildly popular lifestyle brand Goop has touted raw food diets deemed potentially deadly by experts. Podcast host Joe Rogan has also helped amplify the dietary claptrap of Canadian psychologist Jordan Peterson, who advocates a strictly carnivorous diet (both Peterson and his daughter, Mikhaila, claim a red meat diet cured their long standing bouts of depression).

Much of the dietary fundamentalism preaches different methods for boosting general immunity and thus warding off Covid. Paul Saladino, for example, a doctor based in Austin, Texas, recommends chowing down on organ meats and steak. The doctor T. Colin Campbell, on the contrary, is an advocate of whole food, plant-based dieting. He wrote this year: I doubt there are many people who will be content with repeated masking, social distancing, and contact tracing when changing our diet could do so much more, while simultaneously protecting social norms, job security, and our economy. UK celebrity doctor Aseem Malhotra, meanwhile, published a book promising a 21-day route to immunity through conscientious dieting that purports to prevent, improve and even potentially reverse the factors that can cause or worsen COVID-19.

Adherents of the trend arent always doctors. Australian celebrity chef Pete Evans was fined $25,000 by the countrys Therapeutic Goods Administration this year after making outlandish online claims about a device he invented called a Biocharger. Evans was charging $14,000 for the wellness platform, which he claimed was programmed with a thousand different recipes and theres a couple in there for the Wuhan coronavirus. The idea seeps into the echo chambers of YouTube and Instagram, but isnt confined to social media influencers: former Democratic presidential candidate Marianne Williamson joined in as well.

David Gorski, M.D., an oncologist and editor at Science-Based Medicine, says the notion that diet can prevent or treat illness is nothing new. The idea that diet can somehow magically enhance the immune system so that we never (or almost never) get sick is a very old alternative medicine fantasy that takes a grain of truth and then vastly exaggerates it.

This kind of dietary dogma is often devoid of the scientific nuance that pervades modern immunology, especially in light of COVID-19s recent emergence and our evolving understanding of the virus.

Dr. David Robert Grimes, a cancer researcher, physicist, and author of The Irrational Ape, builds on that point, saying: dietary zealots often make vague statements about protecting ones immune system, but this is at best a truism and at worst mindless. He explained to Lifehacker that this thinking showcases a complete lack of understanding about immunology.

According to Grimes:

Boosting your immune system is often the last thing you want to do; ask anyone with an allergy, being attacked by their own immune system, for example. During Spanish flu, young healthy people died disproportionately because their immune system over-reacted. Not only do diet evangelists give too much credit to diets ability to modulate immune response, they fail to understand any subtlety whatsoever with it.

Its important to note that many of those who preach the dietary gospel are entrepreneurs or authors in their own right. Saladino peddles dietary supplements in addition to his book; an anonymous meat evangelist who goes by @KetoAurelius on Twitter sells beef liver strips along with a hyper-masculine mantra that lauds the supremacy of beef while casting doubt on the severity of the pandemic.

The appeal of healthy eating makes sense as a tantalizing alternative to the uncertainty posed by government-mandated lockdowns, school closures, and the economic calamity wrought by COVID in the face of paltry fiscal stimulus from the federal government. After all, changing your diet is relatively easy, and wouldnt it be great if all it takes is some moderate self-discipline to make a world of difference?

There is an alluring prospect here. It allows anyone who subscribes to this logic to believe theyre equipped with unspoken knowledge that the mainstream medical community is actively ignoring. According to Grimes, the notion gives [people] a sense of power and well-being: they know the causes and cures to disease, and thus they are effectively impervious to them. This sense of control is entirely illusory, but it often flatters the believers ego.

But consciously, or not, theres an implicit level of victim-blaming that necessarily comes with this kind of individualist approachthat whoever succumbs to COVID-19 must have been doing something wrong.

Gorski says theres a definite blame the victim vibe to these claims. They imply that its the victims fault if he dies of COVID-19 because he didnt eat right or live right. Of course, that leaves out the fact that the biggest risk factors for severe COVID-19 are unalterable: being male and increasing age.

Gorski points out that making individual dietary changes can, in fact, bode enormously positive results in terms of increasing overall metabolic health in the long term, but those lifestyle adjustments often take a huge amount of time.

He tells Lifehacker:

Its possible that by becoming less obese or by partially reversing type II diabetes or heart disease with diet, weight loss, and exercise, one might decrease ones risk of death from COVID-19, but that doesnt help NOW. Such interventions take months to years, not days to weeks.

While youre not going to be able to personally eradicate the spread of misinformation (thats an ongoing job for tech companies), you can equip yourself with enough to recognize all of its hallmarks: it often offers a reductive, quick-fix approach to a multi-faceted dilemma, valorizes individual efforts to protect themselves, sells various lifestyle products, and traffics in inflammatory rhetoric about the current slate of tools used to keep people safe in a pandemic.

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Dec 17

Dear Dietitian The best diets of 2020 – Kiowa County Press

Dear Readers: It seems that most Americans, including me, will be happy to put the year 2020 behind us. No doubt, it's been a tough year. It's difficult to focus on healthy eating during the holidays with so many sweets available, but the new year is just around the corner, and many people will resolve to eat healthier.

TheU.S. News& World Reportranks thirty-five diets every year. A panel of nutrition experts, made up of Registered Dietitians, Professors of Nutrition, and Medical Doctors, evaluates the diets. Assessment is based on seven categories: the ability to produce short-term and long-term weight loss, the ease of following the diet, the diet's ability to prevent heart disease and diabetes, its nutritional value, and its safety.

The #1-ranked diet is the Mediterranean Diet. By now, most of us are familiar with this diet. It is a plant-based meal plan rich in fruits, vegetables, whole grains, nuts, fish, and olive oil. Red meat is eaten no more than once a week, and red wine is often enjoyed with meals. This diet is associated with lower rates of cardiovascular disease (CVD) and diabetes than Western diets. It replaces saturated fat with monounsaturated fat found in olive oil and polyunsaturated fat found in nuts. It is likely the combination of foods in this diet that produces health benefits.

Pro:Allows a wide variety of foods

Con: Some of the dietary restrictions may be challenging.

The DASH (Dietary Approaches to Stop Hypertension) diet came in at #2. This meal plan originated in the 1990s when the National Institute of Health (NIH) funded research to determine if nutrition changes alone could lower blood pressure. Researchers found that dietary intervention reduced systolic blood pressure (top number) 6-11 points (1). The DASH diet is a well-balanced plan emphasizing fruits and vegetables, whole grains, low-fat dairy, and unsaturated fats. Meat is limited to 6 ounces a day, and salt is below 2300 mg per day. It even allows five servings of sweets each week. Alcohol is permitted in moderation, but remember, these beverages tend to be high in calories.

Pro: Well-balanced, so you're less likely to cheat when your body is adequately nourished.

Con: The restriction in sodium, while very healthy, takes planning and adjustment since we are surrounded by high-salt convenience foods

The Flexitarian Diet, rounding out the top three, is a vegetarian diet that allows meat once in a while. The term "flexitarian" was coined by dietitian Dawn Blatner Jackson. On this diet, you get the health benefits of a vegetarian diet and the satisfaction of a steak when you are craving meat. In her book, Jackson outlines three stages of the diet that gradually decrease the amount of meat in your diet. The goal is to focus on eating more plant foods. Moderate alcohol intake is allowed (2).

Pro: You may save money on your grocery bill since you're not eating less meat. You can also buy your fruits and vegetables at the local farmer's market to save a buck.

Con: The diet could be low in iron.

All of these diets focus on lifestyle changes, which evolve gradually. It takes time. Fortunately, when we eat better, we feel better, giving us encouragement to carry on. Another thing these diets have in common is they all emphasize fruits, vegetables, and whole grains. A healthy diet is well-balanced and allows a variety of foods from all food groups.

Until next time, be healthy!

Dear Dietitian

Leanne McCrate, RDN, CNSC, is an award-winning dietitian based in St. Louis, Missouri. Her mission is to educate consumers on sound, scientifically-based nutrition. Do you have a nutrition question? Email her today atdeardietitian411@gmail.com. Dear Dietitian does not endorse any products, health programs, or diet plans.

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Dec 17

COVID-19: A Healthy, Well-Balanced Diet Plan To Boost Your Immunity – India.com

The novel coronavirus affects the lungs and causes flu-like symptoms and pneumonia. Proper nutrition and hydration are vital with a well-balanced diet. A healthy balanced diet is a key for maintaining good health and immunity. Also Read - How to Apply For Thailand Tourist Visa; All About Its Fees And Validity Period - Happy Holidays!

Amreen Shaikh, Head dietician, and nutritionist, Wockhardt Hospital, South Bombay shares COVID-19 diet guidelines with us. Read on: Also Read - Safety Questions on Pfizer Vaccine Raised As Alaskan Suffers Serious Allergic Reaction Minutes After Taking Dose

1. Ensure a high protein diet: Protein is a major component to build up immunity to fight off infections and protect the body. Good nutrition and protein plays a very important role in your recovery from infections and surgical procedures and helps to regain the strength needed for rehabilitation. It is important to consume at least 1 serving of protein-rich food in each meal/ at least 2-3 servings of protein-rich foods per day. Also Read - Australian Open 2021 Delayed Due to COVID-19, Set to Begin From February 8 in Melbourne: ATP

You can take your source of protein from:

Milk products: You can include cheese, low-fat paneer, curd/yogurt, lassi, or buttermilk.

Eggs- If you are diabetic include egg whites to your diet.

You can include chicken, fish for protein intake.

If you are a vegan, you can opt for different types of Soybean. You can have tofu, soymilk, soya flour, soya nuggets/chunks, soya granules.

You can also take your source of protein from dal/pulses/legume.Tips:

Add paneer blenderized or cubes to soups, dals, vegetables and boiled salads.

Add skimmed milk powder to milkshakes, beverages, gravies, sauces and flour.

Add diced lean meats, cooked eggs, or cheese to sauces, vegetables, boiled salads and soups.

2. Ensure adequate hydration: It is important to maintain hydration during any viral infection. Ensure adequate hydration by drinking water or liquids through the day. Liquids also help reduce the cough and congestion. Water is the best choice. If not water, unprocessed and unsweetened liquids like vegetable soups, chicken soup, lemon juice, buttermilk, milk, etc can be included.

Drink plain, boiled and cooled or warm water. Aim to consume 2.5-3 litres of fluids per day.

Avoid drinking sweetened, sugary and carbonated beverages.

3. Include Omega-3 fatty acids: Omega -3 fatty acids have anti-inflammatory properties. Vegetarian can include nuts like walnuts, almonds, pistachio and oil seeds like flax seeds, chia seeds, soy oil, etc for omega-3 fatty acids. Non-vegetarian can include fish.

4. Eat fresh and unprocessed foods every day: Eat fresh fruits, vegetables, legumes and whole grains daily. Include at least 2 bowls of fruits and 2-3 bowls of vegetables regularly. Do not overcook vegetables as they may reduce the vitamin content of the food.

5. Include essential fats in moderation: Fats are good source of calories, required for the absorption of fat soluble vitamins. Fats are beneficial for lungs as lubricant/surfactants. Moderate quantity of ghee can be included in meals regularly as it is rich in MCT, easy to absorb. Oils like olive oil, sesame oil, mustard oil, ground nut oil, rice bran oil, and sunflower oil have a good balance of MUFA and PUFA that should be included in moderation.Recommended amount of oil/fat intake: 500 ml per person per month, this amounts to 3 tsp (15 ml) of oil per day per person and 1 tsp (5ml) of ghee per day per person or 4 tsp of oil per day per person. This includes oil in the visible form i.e. oil added to cook the food. It does not include hidden fats in groundnut, coconut and oil seeds used in cooking

6. Include Vitamin-C rich food Vitamin C contributes to immune defense by supporting various cellular functions of both the innate and adaptive immune system. Vitamin C deficiency results in impaired immunity and higher susceptibility to infections. Sources-Amla, guava, capsicum, orange, Lime, amaranth leaves.

7. Include Vitamin-E-rich food Vitamin E is a potent antioxidant and has an ability to modulate host immune functions especially in elderly populations. Sources-Sunflower seeds, pistachio nuts, safflower seeds, Almonds, flaxseeds, garden cress seeds (Halim).

8. Include Zinc rich food-Zinc is crucial for normal development and function of immunecells. Deficiency of zinc is associated with immune dysfunctions. Sources-Cereals, dals, pulses, black til, nuts, seeds, egg, chicken.

9. Include Anti virals from Kitchen No single food is a super food. Using these ingredients in your daily cooking or as tea/concoction may help improve immunity over a period of time.Sources- Ginger, garlic, turmeric, tulsi, neem, lemon grass.

General Guidelines

NO SINGLE FOOD IS A SUPER FOOD.

Do not fall prey to any forwards that claim that consumption or application of certain foods will help prevent or cure certain respiratory tract infection.

Although garlic, ginger, turmeric are known to have antiviral properties, there is no evidence on their role in preventing/ treating infections from respiratory tract viruses.

You may use these antioxidant rich ingredients in your daily cooking.

Food Safety Guidelines

Avoid roadside foods, water and beverages.

Prefer home cooked meals.

Eat well cooked foods only.

Avoid consumption of raw foods.

Salads can be lightly steamed.

Wash your hands thoroughly with soap before eating and drinking as well ascooking/handling food.

Wash fruits and vegetables thoroughly.

Buy non-veg items like chicken, meat and eggs from clean authorized outlets only.

Ensure that food is cooked well (esp. fish, meat and meat products).

Wash food packets (like milk etc) with soap and water thoroughly.

Disclaimer- Viral Respiratory Tract Infections spread through droplets from infected persons. It is important to note that there is no single super food or foods in general which can help cure/prevent/treat the infection. An overall healthy diet will ensure better immunity and lesser chances of getting affected by this epidemic. One must follow all hygiene and food safety precautions published by WHO.

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Dec 17

ED and diet: There is a connection – The Union Leader

The sitcom Mister Ed ran from 1958 to 1966 and told the tale of a talking horse who fully participated in the life of his human keepers and friends. Mister Ed: Im attending college because I want a Ph.D. Wilbur (his owner): Ph.D.? Mister Ed: Palomino Horse Doctor.

Clearly Ed didnt see many obstacles before him. And if you guys dont want ED (thats erectile dysfunction) to be an obstacle in your life, well, a new study says you should go for a Ph.D. too thats a Pretty Healthy Diet!

Researchers recently mined 16 years of data on more than 21,000 healthy men ages 40 to 75. They found that guys who ate a diet that emphasized vegetables, fruits, nuts, legumes and fish or other sources of omega-3 fats, and avoided red and processed meat lowered their risk of developing ED by about 20%.

The study, published in JAMA Open Network, urges men of any age who are concerned about their risk for ED to adopt that healthy eating style. And if youre already contending with sexual dysfunction, those nutritional choices can help you too. A previous study found that they noticeably improve function in men with ED and metabolic syndrome (a collection of issues such as high blood pressure, elevated LDL cholesterol and glucose regulation problems).

So as Mister Eds theme song declares, Go right to the source and ask the horse. Hell give you the answer that youll endorse. In this case, its a plant-based diet with healthy proteins.

Mehmet Oz, M.D., is host of The Dr. Oz Show, and Mike Roizen, M.D., is chief wellness officer emeritus at Cleveland Clinic. To live your healthiest, tune into The Dr. Oz Show or visit http://www.sharecare.com.

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Dec 17

4 signs that food pantries improve the diets of low-income people – The Conversation US

The nation has thousands of food pantries, places that give cash-strapped people free food with few questions asked. These organizations can occupy everything from an entire building to a literal pantry as in a few shelves in a church basement.

Most of the estimated 300 million Americans who relied on food pantries in 2017 experienced food insecurity, meaning that they didnt have access to enough food. Even before the pandemic hit, up to half of the people who use food pantries live in food insecurity that is so severe that they sometimes skip meals or dont eat for whole days at a time.

Food insecurity is, by many accounts, an even bigger problem now.

Food pantries get the food they give away from many sources, sometimes making it hard to control nutritional quality as they seek to obtain the right quantity of food. And getting enough healthy food to give away is challenging.

I am a nutrition science researcher who studies what food-insecure Americans eat. My team and I have recently completed several studies on rural food pantries in Midwestern counties. We found four signs that food pantries improve the diets of low-income people.

Food pantries are an important source of food.

People typically receive a bag or box containing enough food to serve their family three meals for about three or four days. Most people who use food pantries visit multiple pantries. About half make more than five trips a month to pick up food.

Whats in those boxes and bags accounts for an estimated 36% of what the people who pick them up eat, according to our recent article in the British Journal of Nutrition.

Having access to enough food is critical, but the variety, nutrients and quality are also important for long-term health. We asked 613 U.S. Midwestern food pantry clients about the amounts and kinds of food they ate and where that food came from. We found that compared to supermarkets, other stores and restaurants, food pantries provided the most fruit, something that most people in the U.S. at all income levels need to eat more of every day.

Likewise, Americans generally get too little fiber, calcium, vitamin D and potassium, making these nutritional deficits a public health concern even for people not facing economic hardship. We found that the amounts of these nutrients in the items from food pantries were also highest or tied for the highest compared with all other food sources in the diets of people who visit food pantries.

Even so, Americans who use food pantries dont get enough of these nutrients. Another concern is that provisions from food pantries tend to contain too much sodium, something most Americans need to curb.

Making more trips to food pantries often means better nutrition.

Going more than once a month, rather than once a month or less, is linked with a higher-quality diet, or doing a better job of meeting the recommendations in the Dietary Guidelines for Americans, the science-based dietary guidance that the federal government maintains to promote health.

For example, the average American would get a failing grade, with a score of 59% for their consumption of fruits, vegetables, grains, dairy and protein, along with sodium, added sugar and saturated fat. People who rely on food pantries fare even worse.

Those using food pantries once a month or less would score 39%, while those visiting more frequently would score 44%. Higher dietary quality, even just a 5 percentage point gain, may improve someones health and help stave off chronic diseases.

Eating a wide variety of food helps meet basic nutritional needs. The day after visiting a food pantry, people ate two more kinds of food compared with what they ate the day before.

Specifically, people who visited a food pantry ate more fruit, including whole fruits such as eating an apple as opposed to drinking a glass of apple juice. Eating more whole fruits is especially helpful because they have a lot of fiber and other nutrients that can help prevent cancer, heart disease and other chronic diseases.

[Insight, in your inbox each day. You can get it with The Conversations email newsletter.]

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Dec 17

Goodbye pizza, hello toast. Welcome to your Brexit diet – The Guardian

As we stare at the cliff-edge of a disastrous no-deal Brexit, following a nine-month state of emergency owing to a deadly pandemic, I know that I am not alone in wondering what food, exactly, will make its way to our tables this January.

Reports that supermarkets have been told to stockpile in anticipation of food shortages are not reassuring, though we should take comfort in the fact that Marchs panic-buying frenzy has limbered us all up somewhat. We are now a nation of preppers. As one shrewd commentator pointed out, you can now repurpose old Soviet jokes: A man walks into a shop. He asks the clerk, You dont have any meat? The clerk says, No, here we dont have any fish. The shop that doesnt have any meat is across the street.

Lets set aside the fact that, by this point in the year, we are all sick of cooking for ourselves. At first many of us, myself included, channelled our anxious energy/desperate fear of mortality into food. It was all sourdough and making your own pesto back then, but by this point its a Good Day if I can summon the energy to put a potato in the microwave. Is this what life is, just an endless cycle of meal preparation? I always thought my mother was a hero, but now I look at her (on a screen, obvs) with the kind of respect mafiosi afford family members who have done serious time. How many carrots has that hand chopped? If she had a ring, Id kiss it.

So whats on the menu? Thankfully, MailOnline has provided us with a handy graphic predicting our post-Brexit food future, and spoiler alert most of it is beige. I considered momentarily whether this was some kind of meta-commentary on the racism at the heart of the Brexit vision, but concluded that Brexiteers dont really do semiotics. Unless you count the post-referendum graffiti on the Polish cultural centre, or the National Front posters that appeared after the vote, or Farage standing in front of that Ukip billboard.

I dont know about you, but I for one am excited that pizza (dough is made from wheat varieties that thrive in other climates) is to be replaced with (checks menu) is that toast? And chips? Never mind. If I dont fancy a toast-and-chips extravaganza and my usual, house deposit-sapping avocados are rotting in a shipping container somewhere near Dover while a lorry driver defecates in a hedgerow, there is always (picks up menu again) egg on toast with a glass of milk. Oh.

Look, Ill put my cards on the table: I am the metropolitan elite. I like garlic in my food, and wine lots of wine. Wine made in France, where they have been making it for quite a while. Sort of know what they are doing, there, the French. It doesnt even irk me that they keep the best for themselves. Honestly, Im happy with a bog-standard Ctes du Rhne. My husband makes country wines, and it is as surprising as it is true, that you can make a rather nice tipple from parsnips, but you wouldnt want to drink it all the time, and I expect some of you will remain wedded to the grape (some friends I stayed with in Provence I told you: metropolitan elite were amused by the notion of parsnip wine. Direct quote: Mais, ce nest pas du vin, a).

Perhaps mead will make a comeback. Mead and (refers back to menu) mutton why does it all feel like the menu at a medieval banquet? The point is, Britain was not better before it joined the European Union, food-wise. My mother can still remember a time when yoghurt was not really a thing. My grandfather used to reminisce about being sent to Soho by a certain Mrs Cambruzzi who worked in the canteen at St Thomas hospital, so that he could make her famous spaghetti at home. It was the only part of London where you could source the ingredients.

European food has now enriched and enlivened our diets for so long that I really dont know how we could do without it. Supermarket spinach-and-ricotta tortellini is now the opium of the masses. The UK is the worlds largest importer of halloumi. Do we really want to face a future without squeaky cheese? What will vegetarians eat at BBQs? (The answer is: turnips.)

In some ways, those of us who have been students are prepared for the coming flavour famine. Ill never forget the time I ran out of money and had to eat the corned beef and tinned oysters from the back of the cupboard. I even resorted to stealing another girls instant noodles (yes, Sophia, it was me, I lied. I had the munchies). My flatmate and I once tried to make potato pancakes from a packet of Smash. What we ended up with was fried Smash. A fine accompaniment to mutton, I think youll agree.

Furthermore, thanks to Covid, we have already adopted a grandparents attitude to sellby dates. Ham looking a bit green? Just trim those bits off. Cheese gone a bit furry? Penicillin!

Best to start carb-loading on toast and chips now because, I dont know about you, but Im gearing up for the fight of my life. No Little Englander is taking my poisses away from me. So what if the house starts to go a bit pungent? Ill have six of those, please. Welcome to Supermarket Sweep.

See original here:
Goodbye pizza, hello toast. Welcome to your Brexit diet - The Guardian

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Dec 17

The Health Benefits of Adding Nutritional Yeast to Your Diet – The Beet

Love Parmesan, but are trying to ditch dairy?Listen up:Youll probably also dig nutritional yeast, or nooch, as some fans like to call it. While theres nothing cheesy in it,nutritional yeast is often described as having a rich cheese-like flavor, one reason youll see it used on everything from pasta to popcorn.

Although nutritional yeast frequently guests stars in vegan fare, you dont have to be vegan to eat it. In fact, no matter what your diet, everybody can benefit by shaking a little moreof itinto their meals.

Nutritional yeast is a flaky, yellow-colored yeast that typically grows on cane or beet molasses, says Willow Jarosh, M.S., R.D., owner of Willow Jarosh Culinary Nutrition in New York City. Because its a deactivated yeast, its not alive when you use it in your kitchen. And while it has similar properties as brewers yeast, the two are different.

If that hasnt sold you on tryingit yet, maybe the nutritional benefits will. Start with B vitamins. Just two tablespoons ofit contain all eight of the B vitamins you need and well over 100 percent of the recommended daily value of five of them, including thiamin, riboflavin, niacin, vitamin B6, and vitamin B12, says Sharon Palmer, M.S.F.S., R.D.N., a plant-powered dietitian in Los Angeles who offers free resources at sharonpalmer.com. And on that B12 note, youll get more than a days worth of vitamin B12 in those same two tablespoons. B12, which occurs naturally in animal products, is key for vegetarians and vegans, Palmer says. Its important for regulating blood and nerve cell health and preventing a specific type of anemia, and a lack of B vitamins overall can lead to depression.

Nutritional yeastalso contains eight grams of protein and four grams of fiber, namely a type of soluble fiber called beta-glucan which is the main fiber in oats, too. Beta-glucan helps lower total and LDL cholesterol levels and can lower your risk for heart disease, says Julie Upton, M.S., R.D., San Francisco-based dietitian and co-founder of Appetite for Health and AFH Consulting.

And if youre looking for amino acids, youll get all nine in the powder, says Angela Wortley, R.D.N., dietitian and certified intuitive eating counselor in Ann Arbor, Mich., adding that its chromium may be beneficial for blood sugar control. And dont forget the zinc; two tablespoons has 20 percent of your daily value of zinc, Palmer adds.

Just note, though: Nutritional yeast may not be for everybody. People with health conditions like migraines and inflammatory bowel disease may find that nutritional yeast worsens symptoms, though smaller amounts may be tolerated, Wortley says. And of course, if youre sensitive or allergic to yeast products, you should avoid nutritional yeast.

Nutritional yeastlovers are fans of this crazy-sounding food for several reasons, starting with flavor. Nutritional yeast gives a cheesy and nutty flavor to foods, Wortley says.

In fact, because of its cheese-like flavor, nutritional yeast can be beneficial not only for vegans who are eschewing dairy but even people who cant tolerate dairy, Jarosh says. It also adds a umami flavor, which has an added benefit. If you need to reduce your salt intake, nutritional yeast can help you reduce salt without limiting flavor, she adds. And its an easy way to add flavor to vegetables, especially if you dont like the taste of plain vegetables.

If you want to experiment with the food, Jarosh recommends using it in or on anything that Parmesan cheese might be found in. Start simple and use it as a seasoning for something like scrambled tofu, sauted greens or popcorn. And lets not forget the famous kale chips, which almost always havethisyellow powder on them.

Once youve gotten the hang of shaking it on foods like pasta, potatoes and vegetables, you can also use it in sauces, dressing, soups and vegan cheeses, Wortley says. And either by itself or with other seasonings and ingredients like breadcrumbs, it can be a fabulous breading for tofu.

When shopping for nutritional yeast, look for a brand thats fortified in vitamin B12 (not all are). Then check for it in the bulk section, which is the most cost-effective way to buy it, Wortley says. Cant find it locally? You can also order it online.

Nutritional yeastmight not make national headlines anytime soon, but thats no reason not to give this flavor-filled, nutritionally dense food a shake. Chances are, it will soon become your favorite kitchen helper.

Turn nooch into a Parmesan-like topping with this recipe from Wortley:

Add quarter cup of nutritional yeast, one cup walnuts, another cup of nuts like raw cashews or Brazil nuts, and a pinch or two of salt to a food processor. As an option, add a teaspoon of garlic or onion powder. Process until its a grainy texture like Parmesan. Just dont overprocess it or it could turn into a nut butter consistency. Store in an airtight container in the fridge for three to four weeks.

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The Health Benefits of Adding Nutritional Yeast to Your Diet - The Beet

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