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Anne Kiltie and her team.

By 2066, its predicted that around a quarter of the total UK population will be over 65 years old. A number approximately equivalent to the population of London.

This is in part due to increasing life expectancy, a result of progress made through medical research. But as life expectancy increases, an ageing population brings up a whole host of new challenges for healthcare, as weve blogged about before.

One of these problems is considering the side effects of cancer treatments, which can often be experienced more intensely by older patients.

We can see this with radiosensitisation, where additional treatment, such as small doses of chemotherapy, can be added to enhance the sensitivity of a tumour to radiotherapy.

But this comes at the cost of harmful side effects.

We caught up with Professor Anne Kiltie and PhD student, Chee Then, who are part of a team looking into the relationship between the gut microbiome and radiosensitisation in bladder cancer.

A radiosensitiser can be thought of as an enhancer, an additional agent that increases the sensitivity of tumour cells to radiotherapy.

So classically, radiotherapy was given on its own for any sort of tumour. And then people discovered that if you add a little bit of chemo at the same time as giving radiotherapy,it acts locally to enhance the effects of the radiotherapy, explains Kiltie.

This is often the case for patients who are being treated for pelvic tumours including cervical, rectal and bladder cancers. The problem, Kiltie explains, is that the radiosensitising chemotherapy frequently results in increased toxicity in local organs and tissues, causing negative side effects.

And these negative side effects may be too much for older people to cope with. Kiltie has witnessed this first-hand in her clinics. The median age of my radiotherapy patients is about 81 to 82, Kiltie explains, and patients older than this end up having radiotherapy alone.

So Kiltie and Then set out on the hunt for a radiosensitiser with reduced side effects, which led them to the gut.

The gut is one of the most widely researched parts of the body, but scientists are finding out eye-opening information about the gut and its unusual inhabitants every day.

More specifically, the trillions of bacteria, fungi and viruses that call the human body home, often called the microbiome.

The vibrant community of bugs can help protect us from harm, programming our immune system as well as providing nutrients for our cells. And its a real area of interest for cancer research.

Scientists, including our OPTIMISTICC Cancer Grand Challenges team, are interested in a whole host of possible links between the gut and cancer, from looking for cancer clues in poo, to discovering unique strains of bacteria that could act as a genetic marker for bowel cancer.

So far, changes to the gut microbiome enhancing anti-cancer treatment have only been explored in the context of chemotherapy and immunotherapy, but there is not any study about radiotherapy and the gut microbiome, says Then.

Because of its effect on the microbiome, scientists are also interested in the role that diet particularly high fibre foods can play in cancer. Previous studies have looked at how a high fibre diet has the capacity to reduce tumour growth, but havent looked explicitly at the mechanism behind how a high fibre diet could change the bacterial composition in the gut.

Kiltie and her team wanted to explore this gap in the research by further examining the connection between the microbiome and radiotherapy.

The lab focussed their work on mice with a compromised immune system and bladder cancer, who were fed a variety of fibre diets. We treated the mice with either a low fibre diet, or a high soluble fibre or insoluble fibre diet or a mix of the two, Then explains.

The team went on to analyse the composition of the gut microbiome of the different groups of mice, and how they responded to radiotherapy.

The team found that the mice fed with the high soluble fibre diet on average had the slowest tumour growth rate following small doses of radiotherapy.

Changes to fibre consumption can be seen almost immediately in the mices poo. With an indication of an increased amount of a short chain fatty acid known to confer anti-cancer effects, called butyrate.

Interestingly, and more unexpectedly, of the mice administered the high soluble fibre diet, those who responded to radiotherapy were enriched with a strain of bacterium known as Bacteroides acidifaciens. A relatively newly-discovered bacterium, I suppose isolated in 2000, Then comments.

The team believe the increase in the Bacteroides acidifaciens could be the missing link between the change in fibre consumption, short chain fatty acids and radiosensitisation. And that this bacterial strain plays a crucial role in the production of short chain fatty acids.

So, the gut microbiota needs the fibre to produce short chain fatty acids and we think that this might be a potential radiosensitiser, Then explains.

Like Kiltie and Chee, Our Cancer Grand Challenges OPTIMISTICC team are also investigating correlations between the microbiome and treatment response. Some of their latest work has identified a bacterial strain which is associated with a higher chance of relapse of patients with rectal cancer who have been treated with chemotherapy.

Kiltie and her team believe the proof is in the fibre. And it wont take any expensive medicine to get this into practice, but repurposing of an existing treatment.

The team are looking into different types of fibre, including ispaghula husk. This is currently administered as a standard treatment for radiotherapy patients, but as a way to reduce diarrhoea.

Currently, patients only start taking it halfway through their radiotherapy to help the side effects, explains Kiltie. But the argument is that the fibre can actually increase the short chain fatty acid production.

The idea would be to get patients to take the fibre supplement before and during their radiotherapy to act as a radiosensitiser, whilst also reducing side effects. And most importantly, this would be something easily administered to older patients.

The beauty of ispaghula husk, or whatever fibre supplement we end up giving, is its a medicine and old people take lots medicines and theyre generally pretty compliant, says Kiltie. To try and modify somebodys diet is unlikely to work in a 78-year old, theyre probably going to say no way.

Its early days, and the team have lots planned before they can trial it in humans, but the latest results are promising. The idea has been kind of boiling, bubbling along for two or three years, says Kiltie, but to actually show something in the mice is really exciting.

Lilly

Then, C.K., Paillas, S., Wang, X. et al. (2020). Association of Bacteroides acidifaciens relative abundance with high-fibre diet-associated radiosensitisation. BMC Biol 18, 102. DOI: https://doi.org/10.1186/s12915-020-00836-x

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Donna Eschenbrenner, Special to the Ithaca Journal Published 8:00 p.m. ET Aug. 21, 2020

When Ithaca resident Freida Diemond turned 100 years old during the coronavirus pandemic, the staff at Oak Hill Manor Nursing Home arranged a party for her. Ithaca Journal

Humans have been beekeepers for a long time. A rock painting in Spain dating from 7000 BCE shows a man gathering honey from a beehive. Ancient Egyptians kept bees, and the Romans had large apiaries for honey production.

There are about 20,000 different species of bees, but one kind that is commonly known to people is the honey bee, or apismellifera. European settlers of North America brought this bee with them in the early 1600's. The environment was well suited for this prolific little social bee, and it spread widely across the United States.

By the mid-19th century, beekeepers here and abroad were working to develop hives that would enable them to better harvest honey, but they didnt succeed until 1851, when the Rev. L.L. Langstroth, a minister and part-time beekeeper, developed a new kind of commercial hive that allowed beekeepers to remove combs of honey safely and securely. According to one scholar, Langstroths innovation enabled the growth of beekeeping from a gardening or small farming sideline to a full-scale commercial enterprise.

ProfessorRoger Morse, of Cornell University, has written that there are around 300,000 beekeepers in the United States a few of them commercial beekeepers with hundreds (or sometimes thousands) of bee colonies, but many are merely hobbyists producing honey as a sideline.

In the early years of the 20th century, one of the most successful beekeepers in the world, W.L. Coggshall, lived here in Tompkins County.

W.L. (LaMar) Coggshall is pictured here with his two sons in his beeyard.(Photo: Provided)

John Coggshall, of England, emigrated to Newport, Rhode Island, in the early 17th century. His family became farmers in Connecticut, but his great grandson David Hayt Coggshall moved to Groton in 1820.

Davids son, another David, was a farmer and apiarist, or beekeeper, in Groton, where he lived until his death in 1889. The next generation produced two beekeepers of note: yet a third David Coggshalland, more importantly, William LaMar Coggshall, who was to become one of the most prolific and successful beekeepers in the world in his time.

Born in 1852, LaMar, as he was known to colleagues, was also a farmer like his ancestors. His beekeeping interests were supplemental to that, but he nonetheless managed to grow and expand his bee colonies throughout the years. He was one of the first beekeepers in New York to expand his bee colonies to what are known as out-yards. These are locations away from his home farm, and he developed several, some in Lansing, Mecklenburg, Enfield, Danbyand Ellis Hollow.

Eventually, he expanded his business to Arizona, Coloradoand even Cuba. At the height of his success, he had more than 3,000 colonies. His most productive hives were here in central New York, and he attributed that to the generous buckwheat crop of the Finger Lakes area, from which bees can produce excellent honey.

He trained his farmhands (usually teenage boys) to work quickly and forcefully as they extracted honey from the combs, ignoring, as much as possible, the stings of some angry bees. On a good afternoons work, they could extract more than 1,000 pounds of honey in just over an hour. The records of the Empire State Honey Producers Association reflect this success: In 1904 Tompkins County was the record honey producing county in the state; the county produced 236,000 pounds of honey. W.L. Coggshall, the worlds largest honey producer, had over 20 apiaries in the county.

LaMar Coggshall died in 1926. His sons, and later his grandson William L. Coggshall, also kept up the familys beekeeping interests throughout the middle of the 20th century. They were instrumental in starting the Finger Lakes Honey Producers Cooperative in Groton.The first manager of the cooperative was Elton J. Dyce, of Ontario, Canada, who later became professor of apiculture at Cornell. The Dyce Laboratory for Honey Bee Studies is named for him.

Honeybees are threatened now by a parasitic mite, Varroadestructor, as well as overuse of pesticides, and whole colonies are dying off in alarming numbers. American beekeepers are reporting that more than half of their colonies are infested with the mite, and this could have a direct impact on our food supplies.Many staples of American diets ,including almonds, apples and pears, are pollinated by bees.

Special thanks are due to Peter Borst, of Cornell, for his generous gift of invaluable information on all things related to beekeeping.

Donna Eschenbrenner is the archivist at The History Center in Tompkins County.

Follow Maggie Gilroy on Twitter @MaggieGilroy.Support our journalism and become a digital subscriber today. Click here for our special offers.

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1. Diet alone had nearly identical benefits on insulin sensitivity compared to gastric bypass surgery.

2. The metabolic benefits from diet and gastric bypass surgery were related to weight loss.

Evidence Rating Level: 2 (Good)

Study Rundown: Previous studies have demonstrated that bariatric surgeries are far more effective than medical therapy to treat type 2 diabetes. However, many of these studies have results which are confounded by the difference in weight loss among the participants undergoing these procedures. Because of this, the effects of bypass surgery independent of weight loss on major factors in type 2 diabetes pathogenesis such as beta-cell function and insulin resistance is unclear. As such, this study evaluated whether gastric bypass surgery provided metabolic benefits, independent of weight loss, in participants with obesity and type 2 diabetes. The results of the study demonstrated that both diet and gastric bypass surgery confer metabolic benefits, which were actually related to resulting weight loss from the interventions. This prospective cohort study was limited by the assessment of metabolic outcomes after weight loss between 16 to 24%. Therefore, the study results could not be extrapolated for weight loss above or below that range. Nonetheless, this study was strengthened by matching participants based on weight loss to control for the confounding variable.

Click to read the study in NEJM

Relevant Reading: Effects of moderate and subsequent progressive weight loss on metabolic function and adipose tissue biology in humans with obesity

In-Depth [prospective cohort]: This prospective cohort study followed 33 participants at a single center in the United States. Participants included in the study were diagnosed with type 2 diabetes and obesity. Participants unable to achieve the target weight loss, defined as 16 to 24% of the participants original weight, were excluded from this study. The participants underwent a comprehensive metabolic function assessment before and after weight loss from gastric Roux-en-Y bypass surgery or low-calorie diet therapy. The diet group received weekly education on dietary practices and prepackaged meals. Prior to analysis, the participants were matched between the two intervention groups based on percentage of weight loss. Once the participants achieved the target weight loss, the body weight was maintained for three weeks before conducting the final comprehensive metabolic function assessment. The primary outcome was the change in hepatic insulin sensitivity. The mean weight loss in the diet group was 17.81.2% (range, 16.1 to 20.4) and 18.72.5% (range, 16.0 to 24.4) in the surgery group. Insulin sensitivity in the liver increased after weight loss in the diet group (31.0 mol/kg; 95% confidence interval [CI], 22.5 to 39.6) and the surgery group (25.1 mol/kg; 95% CI, 16.4 to 33.8). There was no significant difference between the two group (-6.5 mol/kg; 95% CI, -15.7 to 2.7). Additionally, beta-cell function increased after weight loss in the diet group (1.83; 95% CI, 1.22 to 2.44) and in the surgery group (1.11; 95% CI, 0.08 to 2.15); however, there was no significant difference between the two groups (-0.71; 95% CI, -1.75 to 0.34). Interestingly, weight loss in both groups resulted in a decrease in plasma bile acids, plasma branched-chain amino acid, and C5 acylcarnitine concentrations. However, the decrease in these plasma components were greater for the surgery group than the diet group. Taken together, weight loss resulting from diet or gastric bypass surgery provided near identical benefits for insulin sensitivity in participants with type 2 diabetes and obesity.

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2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

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This week, the legitimacy of the popular F-Factor diet, which is known for its tasteful protein powders and bars, has been put into question by an Instagram influencer.

Emily Gellis started sharing anonymous testimonials with her near-170,000 follower fanbase on Instagram earlier this week after reading about a woman who believed consuming the products is what caused her to lose her period. Gellis has continued to post women's accounts on her Instagram stories, with a majority saying they've experienced unbearable bloating, urinary tract infections, rashes, and even more severe side effects, including heavy metal poisoning and miscarriage, while following the diet.

"I miscarried at 9 weeks and they said there were high traces of lead in my blood that could have been the reason I miscarried," one anonymous user said to Gellis, as reported by Refinery29. "I never even thought of the powders/bars, etc I cried all week reading these as I put two and two together."

All of these symptoms have led affected consumers to believe that the high-in-fiber protein powders and bars have high concentrations of lead. The claim may not be far-fetched either, considering the products have a Prop 65 warning label on them, indicating they do contain traces of metal. Passed in California in 1986, the Proposition 65 law, "requires businesses to provide warnings to Californians about significant exposures to chemicals that cause cancer, birth defects or other reproductive harm," as stated by the California Office of Environmental Health Hazard Assessment.

The F-Factor website promises that people can, "Eat Carbs. Dine Out. Drink Alcohol. Work Out Less," when following the diet, which is heavily comprised of fiber-rich protein bars and powders that you make shakes with. The diet's approach is centered around increasing fiber consumption, which sounds harmlessespecially in the way the website explains it:

"Fiber is the zero-calorie, non-digestible part of a carbohydrate that adds bulk to food. When you follow a diet rich in fiber you feel full after eatingso you'll generally eat less throughout the day. Also, fiber swells in the stomach, absorbs and removes fat and calories, and boosts metabolism."

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However, as one person negatively affected by the diet pointed out to Refinery29, the website isn't transparent about one thing: Proof of a Certificate of Analysis (CoA). The International Alliance of Dietary/Food Supplement Associations says that this document details "specifications on characteristics such as purity, strength, composition and appropriate limits for ingredients in which there is a known or reasonable expectation that a contaminant or adulterant may be present."

Creator of the F-Factor Diet, Tanya Zuckerbrot, who is also a registered dietitian, told Page Six, "What I can categorically confirm is that the rumors of dangerous levels of lead in the product is false." She also added that in the two-plus years she has been selling her products, she has received less than 50 complaints and requests for refunds.

"This rumor that somehow I created a product that's harming people's health is so malicious and frankly unfounded," she said.

To be transparent, F-Factor's Vanilla Shake Powder was the winner of our protein powder taste test last year. There's no denying that both the flavor and texture of the powder are near-perfect when blended with other smoothie ingredients. However, this test was performed purely on taste.

While nothing has been confirmed just yet, the claims made by women who have tried the diet and experienced adverse symptoms are concerning. Until a concrete correlation can be made, the diet and its products seems to continue to be under public scrutiny.

For more, check out 5 Dangerous Mistakes You're Making on a Low-Carb Diet.

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When I was a teenager, the advice I got about acne was clear and consistent:

By the time I got to medical school, the message had changed. I learned that the diet-acne connection was considered a myth, and that what we eat has little to do with making acne better or worse.

But a new study has once again turned the tables. It suggests that diet might contribute to acne at least in adults.

For many including me thinking about teenage acne is a painful exercise. But its worth understanding why acne develops in the first place.

Acne is thought to develop because of a combination of factors: the production of too much oil in the skin, clogged skin pores, bacteria in the skin, and inflammation. Hormonal changes which occur during puberty, or with a condition called polycystic ovary syndrome and the menstrual cycle can have a big impact on acne, because they affect oil production in the skin. Some medications can cause acne (especially steroids and lithium), and hair products, makeup, and other products we put on our skin can contribute to clogged pores. Genetic factors, pollution, smoking, and stress have also been suggested as causes or contributors to acne.

And then there remains the possibility that diet matters. Certain foods can promote inflammation throughout the body, and its possible this triggers acne outbreaks. In addition, diet can affect hormones that, in turn, could make acne worse. For example, milk and foods with a high sugar content can cause a rise in insulin levels, altering other hormones that can affect the skin. Some research has linked milk and whey protein with acne.

Despite these possible connections between diet and acne, there is no consensus that changing your diet is an effective way to deal with acne.

A new study, published in the medical journal JAMA Dermatology, compared the results of 24-hour dietary surveys of more than 24,000 adults (average age 57) who reported having acne currently, having it in the past but not currently, or never having had it. The researchers found a correlation between the chances of having current acne and consumption of

Higher intake of high-fat, high-sugar foods was associated with a higher incidence of current acne. For example, compared with those with no history of acne, those with acne at the time of the survey were 76% more likely to report drinking at least five glasses of milk in the previous day, more than twice as likely to report consuming at least five servings of high-sugar drinks in the previous day, and eight times more likely to report consuming a complete meal of fatty and sugary products in the previous day.

Fast foods and snack foods were linked with past (rather than current) acne. And chocolate? Neither dark nor milk chocolate were associated with past or current acne.

There are reasons to interpret these results cautiously. Dietary records can be faulty. For example, a person with acne who strongly believes that diet affects their skin health may be more likely than others to recall and report certain elements of their diet (such as fatty or sugary foods) than those who are more skeptical about a connection. Such recall bias can affect the results of a study like this. And many of those who reported having adult acne were self-diagnosed; its possible that some of these diagnoses were not accurate. Other factors so-called confounders might be at play and lead to misleading conclusions. For example, maybe people who drink more milk also happen (just by chance) to live in more polluted areas, and its the pollution, not the milk, that explains the findings.

Finally, studies like this can only detect an association, not causation. That means that while those with adult acne tended to consume more fatty and sugary foods, the study cannot prove that their diet actually caused adult acne. It also could not determine whether a change in diet would reduce the incidence or severity of acne.

As our understanding of acne continues to evolve, we may eventually have clearer guidelines about the best diets to prevent or treat it. For now, whether youre a teenager or an adult, its likely that there is no single diet that will guarantee clear skin. So enjoy your favorite foods in moderation. And if you find that some of them make your skin worse, youll have to decide if theyre worth it.

Follow me on Twitter @RobShmerling

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Carbohydrates must have a tough skin.

For decades, this poor classification of macronutrients has been been chewed up and spat out. As a registered dietitian, I feel like I've heard it all.

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Carbs will, depending on which diet you're entrusting with your life, make you fat, unhappy, diabetic, in danger of cardiac arrest, at the mercy of severe gastrointestinal problems, keel over in abdominal pain, or filled with a Viking-like bloodlust.

Okay, maybe I'm exaggerating on the last one. But stillyou get the point. And you're probably confused, because while one diet tells you that you need to eat low-carb, another urges you to eat no-carb, and yet another says you just need to avoid "bad" carbs.

I'm here to help you sort through all this. Honestly, it is confusing, but only because bad diets make it that way. Think about it: The more chaos they can sow in the dietary landscape, the more money they can reap from people looking for a quick-fix solution.

So I've taken to task four of the (many) many myths that are out there about carbohydrates in the hopes that you'll see the simple carb as more than "good" or "bad."

At most, maybe you'll gain a little more appreciation for carbohydrates.

At the very least, maybe you'll gain some skepticism for crash diets that drag their good name through the dirt.

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This is a good time to define what the term "essential" means as it applies to nutrition.

An "essential" nutrient is nutrient that you have to consume because your body doesn't make the nutrient itself.

Sodium, for example, is an essential nutrientyour body can't make it. By comparison, vitamin D, is non-essential, because your body can make it.

Yes, technically, carbohydrates are non-essential, because your body can make its own carbs in the form of glucose.

Howeverand this is a big HOWEVERbad diets can conflate the two terms to argue that "non-essential" means "unimportant."

Carbs are incredibly important for reasons soon addressed.

Need isn't the right term here.

No, you wont die without eating grains (a classic form of carbohydrate that bad diets like to slander).

You could avoid grain products, but doing so means you'll be missing out their key benefits.

High-quality grains are a very efficient source of glucose, which your brain, red blood cells, and muscles use as an energy source. Even though you can make glucose from non-glucose containing sources (like fat and even protein), its certainly not as efficient for your body to do so.

Whole grains also contain insoluble fiber, which helps keep your digestive tract moving and keeps you regular. Some whole grains, like oats, contain soluble fiber, which helps lower cholesterol and glucose levels your the blood.

And both types of fiber help you feel full, which means youll feel more satisfied with what youve eaten for longer after you've eaten it.

What started with the paleo and keto trends has now transitioned to other diets claiming that produce can provide all the fiber your body requires.

Like the other myths, this is just half correct. It is possible to get the number of grams of fiber required by eating only fruits and vegetables. What is not possible is to get the needed diversity of fiber types that are associated with optimal health.

Fiber is like vitamins in that not all fibers do the same things and so we need different sources and types, says Julie Miller Jones, Ph.D., Distinguished Scholar and Professor Emerita at St. Catherine University, author of Dietary Fibre: Bio-Active Carbohydrates for Food and Feed.

While some fibers are the same, some are unique in structure and function. And guess what? There is no cereal fiber in fruits and vegetables," says Jones. "For example, the cholesterol-lowering B-glucan structure found in barley and oats is not found in fruits and vegetables which is just one of many examples.

In terms of colon cancer, a large US meta-analysis of the Nurses and Health Professionals study showed that whole grains and cereal fiber, not total fiber, reduced colorectal cancer risk in men. Another study also showed a greater decrease in the risk of colon cancer with cereal fiber and whole grains than with fruit and vegetable fibers.

Now, on the other hand, fruit and vegetable fiber was associated with the reduction in stroke and cereal fiber was not, so its important to consider all fiber. The key is variety.

Only 4 percent of Americans meet the fiber requirement. We need more ways to eat fiber, not less.

Hmmbeer gives us plenty of energy, so why not just drink beer for every meal of the day? says Frances Largeman-Roth, R.D.N., nutrition expert and author of Smoothies & Juices: Prevention Healing Kitchen.

Smoothies & Juices: Prevention Healing Kitchen

She says that while fat may provide plenty of energy, fat does not provide fiber, or the antioxidants to keep your cells healthy. Fiber also doesnt help us repair your broken-down muscles.

You need carbs (and protein) to do those things.

Thats the magic of eating a balanced diet with carbs, protein and fatit really helps you cover all your bases.

There isnt one food that can do everything, but a high-quality balanced plate with each of them is ideal to maximize wellbeing.

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DETROIT (PRWEB) August 21, 2020

COVID-19 has caused a rapid growth in telehealth, with 46 percent of Americans now using telehealth to replace in-person healthcare visits(1). In response to this growing trend, primary care practices are in need of virtual, effective tools to improve the patient experience. As a leader in eConsults, ConferMed has built a virtual care experience that is readily customized to help providers meet each patients unique needs.

To enhance their e-consult solution, ConferMed has launched Diet ID, a digital, image-based diet assessment tool that provides primary care practices with the ability to quickly assess a patients diet and develop a comprehensive nutrition and lifestyle plan that is personalized for each patient. The partnership empowers ConferMed with a leading-edge telehealth solution that boosts patient engagement and is reimbursable through Medicare and private insurance plans that cover Medical Nutrition Therapy.

Diet ID CEO and Founder, Dr. David Katz, commented, We are thrilled to work with ConferMed - another pioneer paving the way for more personalized virtual healthcare interactions.

ConferMed President, Dr. Daren Anderson commented, This partnership helps further enhance our patient-centered telehealth platform for primary care and ensure that all patients can get the support and care that they need.

The ConferMed and Diet ID solution will launch this fall with several primary care practices throughout the United States. For more information or interview requests, please contact Alison Hankins at 303-709-5246 or ahankins@dietid.com.

https://confermed.com/ https://dietid.com

1- McKinsey COVID-19 Consumer Survey, April 27, 2020.

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PEORIA, Ill. (WMBD) A local small business is making it easier to eat a healthier diet for meals.

Upbeet Jams was founded two months ago in a womans home with the goal of allowing easier access to plant-based vegan meal options. Jam Rohr owner of the business said she started eating healthier after experiencing stomach pains.

The business has seen early success, expanding into a kitchen in St. Pauls Episcopal Church. Rohr said after seeing increases in meals every week, she had to move to a bigger space to allow for more room. She said shes grateful for the support.

I started sharing it on Instagram and eventually people reached out wanting me to make meals for them, Rohr said. Every week I had more orders than the previous week, this week I had 22 orders and most ordered five meals.

Menus are released every Wednesday with pickup from 1 to 3 on Sundays or you can have them delivered to you for a $5 fee.

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James Blunt, pictured here at the BFI London Film Festival in 2019, went on a meat-only diet. (Getty Images)

James Blunt has admitted that he contracted scurvy after going on a meat-only diet out of principle to take a stand against his vegan friends.

The Youre Beautiful singer, 46, became a carnivore for two months - consuming nothing but chicken and mince - after finding himself surrounded by vegetarians.

Blunt was eventually diagnosed with scurvy, a disease brought on by a lack in vitamin C.

Scurvy is becoming a little more common in the UK but is still considered rare, according to Azmina Govindji,spokesperson for the British Dietetic Association, who warns that cutting out any food group from your diet involves risks of lacking essential nutrients.

Read more: Rosie Huntington-Whiteley reveals she doesnt eat after 6pm

Often referred to as sailors disease, scurvy was historically most common in sailors who were unable to get a balanced diet.

Govindji explains that the best way to achieve a healthy diet is by including all food groups.

There's a place for animal and plant-based foods in a healthydiet, she said.

Completelytaking away fruit, vegetables, beans and other plant-based foods can set you up for low levels of vitamin C, fibre and potassium: not having enough vitamin C can leave you feeling tired and lethargic.

Certain types of fibre such as oats and barley can reduce your blood cholesterol levels; and potassium helps your heart muscle to work properly.

Conversely, a well-designed plant-based diet, with the addition of vitamin B12, can be nutritionally adequate.

Read more: Tesco honey health claims after its bulked out with sugar

Symptoms of scurvy include weakness, feeling tired, and sore arms and legs. It is relatively easy to cure and is treated by adding vitamin C into your diet - which is usually found in fruit and vegetables.

Some doctors will also recommend a vitamin C supplement to increase the levels in your body.

Blunt developed the disease while studying at university.

Out of principleI decided I'd become a carnivore and just lived on mince, some chicken, maybe with some mayonnaise, he said on the podcast, Table Manners with Jessie Ware.

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And it took me about six to eight weeksto get very unhealthy and see a doctor,who then said 'I think you've got the symptoms of scurvy'.

He saidyou are really lackingin vitamin Cso I took it upon myselfto drink orange juice everynight - then I nearly developed acid reflux.

Read more: Spoonful of yoghurt before meals may help you lose weight, study finds

Despite the disease becoming a little more common in recent years, its still deemed as rare by the NHS.

Those who are on unusual or restrictive fad diets, eat very little food at all, have a poor diet and also smoke, or a poor diet and are also pregnant or breastfeeding, are at a slightly higher risk of contracting scurvy.

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What is scurvy? James Blunt was diagnosed with the 'sailor's disease' after eating meat-only diet - Yahoo Canada Shine On

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DEAR DR. ROACH: I've never smoked, drank alcohol or used illegal drugs. My doctor says I'm in great health. My only vice is drinking diet soda, and I drink three or four cans a day. I'd like to know what you think about it. I know it's not great for me, but I figure it's better than the other vices. -- P.V.

ANSWER: I'm not sure "vice" is the correct term.

Compared with sugar-sweetened soft drinks, diet sodas are probably less harmful in several ways. Compared with plain water, they probably have some drawbacks. The effects vary by person, and the literature on this subject is mixed and controversial.

For your teeth, less sugar means less cavities. However, diet sodas are acidic and drinking too many can weaken the enamel on your teeth.

The effect of diet sodas on weight is complicated. Paradoxically, many people will gain weight when switching to diet soda. Scientists believe this is due to effects on the bacteria in the intestines (the microbiome). Consuming sweet beverages may also stimulate the desire for other sweets and less-healthy foods.

Some of the sweeteners in diet sodas can cause intestinal problems in susceptible people, especially diarrhea and gas. If you have no symptoms from drinking diet sodas, have no weight issues, get your teeth checked regularly and have good oral hygiene, then the risk from three or four daily cans of diet soda is modest. It's still better to drink plain water.

DEAR DR. ROACH: I have read numerous articles regarding the use of marijuana but have not seen a reference to cannabinoid hyperemesis syndrome. This is a condition that was recently identified and is increasing in frequency due to legalization and potency. I would appreciate your thoughts on this syndrome. -- D.L.

ANSWER: Cannabis use is indeed increasing, and one unusual side effect is the hyperemesis (literally, "too much vomiting") syndrome. This most often occurs in daily users of cannabis, usually after years of use. The vomiting tends to occur in cycles: nausea, abdominal pain and vomiting, which can be severe, occur without warning and last 24-48 hours. This is followed by a recovery phase lasting weeks or months, where people feel generally well. The diagnosis can be confused with cyclical vomiting syndrome, and the correct diagnosis is often missed for years.

Physicians sometimes fail to think of the diagnosis or have never learned of it -- it was first described in 2004. Cannabis users are sometimes highly resistant to the idea that the cannabis is causing these symptoms, as they have often been using for years with no problems. Further, cannabinoids are sometimes used to relieve nausea, so the mechanism of cannabinoid hyperemesis syndrome is not understood. The patients I have seen with this syndrome -- including one yesterday, coincidentally -- often have had very extensive evaluations, such as CT scans and endoscopies.

One clue that points toward cannabinoid hyperemesis syndrome is that most people learn that taking a hot shower temporarily relieves symptoms, and they will take several hot showers or baths during the day.

During the acute phase, treatment is supportive care, sometimes including anti-nausea drugs. However, the long-term treatment is cannabis cessation. It may take months before it is clear that the symptoms have resolved with cannabis cessation. Unfortunately the risk of relapse is high if the patient returns to cannabis use.

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Where does diet soda fall on the vice spectrum? - Hays Daily News

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