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How Safe is the 3 Day Cardiac Diet? – MedicineNet

Posted: September 23, 2020 at 4:49 pm

The 3-Day cardiac diet is one of the popular fad diets for weight-loss.

The idea of a healthy weight loss rests on the pillars of regular exercise and healthy food choices. The 3-day cardiac diet proposes a considerable weight loss in a short time which may be dangerous to your health. Furthermore, experts suggest that such a sudden weight loss mainly constitutes the loss of water and muscle mass rather than fat. This may make you feel weak and lead to repeated cycles of weight loss and weight gain. Such changes in weight can be damaging to the heart and overall health.

Due to the restricted food options in the 3-day diet, you may end up having unhealthy cravings and nutritional deficiencies. A restricted food plan is also not practical and may be difficult to continue in the long run. The deficiency of essential nutrients in such diet plans can make your immune system weak. This will make you prone to various infections.

A good diet is not the one that just helps you lose weight quickly. A good diet plan must help you meet your nutritional requirements as well. A modest weight loss of even five to 10 percent of your total body weight can protect you from various diseases such as high blood pressure, diabetes, and high cholesterol.

You must consult your healthcare provider to know what diet and lifestyle changes will help you achieve a healthy weight safely.

What is the 3-Day cardiac diet?

The 3-Day cardiac diet is one of the popular fad diets for weight-loss. The diet claims a weight loss of about 10 pounds or 4.5 kilograms in a week. The diet makes robust claims of faster and significant weight loss, detox, lowered cholesterol and increased energy. None of these claims, however, have been scientifically substantiated. The diet is also called the Birmingham Diet because the advocates of this diet claim that it was developed at the University of Alabama-Birmingham. The researchers at the university, however, deny such claims.

The diet constitutes a three-day diet plan (on days) that provide between 800-1000 calories. This is followed by four days of responsible eating when a person can have a diet rich in fruits, vegetables, lean meat and nuts. The diet pattern can be followed over and again till the desired weight loss is achieved.

What does a 3-day cardiac diet menu contain?

The 3-day cardiac diet offers an inexpensive but restricted menu. Sticking to the menu is proposed to result in 10 pounds of weight loss in seven days. You are not allowed to make any substitutes to the menu or add anything except salt and pepper.

DAY 1:

Breakfast

1/2 Grapefruit or juice1 Slice of dry Toast1 Tablespoon of Peanut ButterBlack Coffee or Tea

Lunch

1/2 Cup of Tuna1 Slice of dry Toast or 1 Oz. of cheddar cheeseBlack Coffee or Tea

Dinner

3 ounces of any lean meat1 cup of string beans1 cup carrots or beets1 small apple1 cup of vanilla ice cream

DAY 2:

Breakfast

Black coffee or tea

1 egg1 slice of dry toast1/2 banana

Lunch

Black coffee or tea

1 cup of cottage cheese or cup tuna5 saltine crackers

Dinner

2 beef franks1 cup of broccoli or cabbage1/2 cup of carrots or turnip greens1/2 banana1/2 cup of vanilla ice cream

DAY 3:

Breakfast

Black coffee or tea

5 saltine crackers1 Oz. of cheddar cheese1 small apple

Lunch

Black coffee or tea

1 hard-boiled egg1 slice of dry toast

Dinner

1 cup of tuna1 cup of beans or cauliflower

1 cup carrots or beets

1cup melon

cup vanilla ice cream

Medically Reviewed on 9/17/2020

References

https://blog.partnersforyourhealth.com/blog/3-day-cardiac-diet

https://www.cdc.gov/healthyweight/losing_weight/index.html

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How Safe is the 3 Day Cardiac Diet? - MedicineNet

Opinion | Going against the grain: Debunking celiac disease misconceptions – University of Pittsburgh The Pitt News

Posted: September 23, 2020 at 4:49 pm

Kevin Manuel | MLive.com/TNS

Celiac is estimated to affect one in 133 people worldwide.

Dining as a college student is notoriously difficult. Many of us are financially independent for the first time, responsible for figuring out where, when and what to eat each day. With time constraints, stress and easy access to junk food, eating healthy is particularly hard for us college kids.

Fortunately, living in a city provides most students with a wide range of options. The Eatery at Market Central alone has more than half a dozen food stations, and within a few blocks of campus students can find everything from Halal Pitt to Atarashi sushi. But the difficulties of dining become compounded for students with dietary restrictions. As someone who was diagnosed with celiac almost a decade ago, Im familiar with these challenges. There is one station celiacs can eat at in Market Central, and there are a select few restaurants in South O that are celiac-safe. Dining with celiac disease presents unique obstacles that many people fail to recognize or understand here are three things I wish everyone knew about celiac disease.

Basic understanding of celiac

Celiac is estimated to affect 1 in 133 people worldwide, but there is a widespread lack of knowledge about the disease, even within the food industry. Many people have never heard of celiac disease, including restaurant staff. I cant count how many times Ive gone to a restaurant and told the staff I have celiac, only for them to tell me theyve never heard of celiac. This is a problem because when people dont know what celiac is, or how careful we must be with our gluten-free diet, it is harder for us to eat safely. Also, just as importantly, the lack of knowledge on celiac means that people go undiagnosed, including the estimated 2.5 million undiagnosed Americans.

So heres my quick little run down. Celiac disease, as stated by the Celiac Disease Foundation, is a serious autoimmune disease that occurs in genetically predisposed people where the ingestion of gluten leads to damage in the small intestine. When we eat gluten, our body attacks itself and we are no longer able to absorb nutrients. Theres no cure, and adhering to a strict gluten-free diet is the only treatment.

We dont mean to be difficult

Along with a lack of understanding, many people fail to recognize the severity of celiac disease. We must adhere to an incredibly strict gluten free diet because any more than 20 parts of gluten per million parts of food sample can cause damage. To put this into context, a 1-ounce slice of gluten-free bread containing 20 parts per million of gluten would contain 0.57 milligrams of gluten. This is why those of us with celiac must worry about cross-contact from shared toasters, cutting boards, and other areas where our food could be exposed to gluten particles. The damage has immediate effects, which could include some of the more than 200 known symptoms, which range from abdominal pain to arthritis, from seizures to behavioral issues. Even eating a small particle of gluten can cause symptoms that last for months. Additionally, there are long-term health effects people with celiac are more likely to develop heart disease, GI cancers, fertility issues, other autoimmune diseases and other problems if they eat gluten for long periods of time.

All of this is to say that celiac disease is very serious. Even one slip up can cause painful effects, so people with celiac are very careful about what they eat. We may need to turn down your homemade meal, or ask that you be willing to go to a different restaurant that can accommodate us. We often have to ask extra questions when eating out, or we may not want to eat out at all. If we do get glutened, we may be irritated and fatigued, and may need to cancel plans. We know that these are inconveniences to you, and we know it sucks. All we ask is that you recognize we dont mean to be high-maintenance, we just want to stay healthy and safe.

The gluten-free fad

I understand youre probably tired of everyone and their mother trying a new gluten-free diet, especially if you work in the food industry. People have claimed that gluten-free diets help with weight loss, acne and general health despite the fact that few of these claims are supported by science. It can be frustrating when people start a gluten-free diet as a fad because it creates backlash for celiacs. The rise of gluten-free diets by choice has led to the perception that all gluten-free diets are by choice. Failing to see celiac as a medical necessity, and instead seeing it as part of the fad, leads to people discounting the seriousness of our requests. Trust me, we are tired of the fad too, but its important to recognize that celiacs are very different from the people who go gluten-free for a month as part of an Instagram weight loss challenge.

If you are inclined to maintain a gluten-free diet without the medical need to do so, please consider how your actions affect those of us with celiac and other disorders that require a gluten-free diet. Many people who follow the fad will tell restaurant staff that they have a gluten allergy or celiac, which is problematic because it confuses restaurant staff about what restrictions celiacs actually need. For example, if you say you have celiac, but then dont ask the staff to use a different kitchen space to prepare your food, it could leave the staff with the impression that they do not need to do so for future celiac requests which is incorrect. Of course, when an actual celiac goes they will ask for a separate kitchen space, but then we are just seen as a nuisance the staff didnt have to do that for the last celiac, so they assume they dont need to for us. Claiming to have a disease when you do not have it for personal gain can negatively affect the community, and all we ask is that you be mindful of the consequences of your actions.

Loretta primarily writes about politics. Write to her at [emailprotected].

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Opinion | Going against the grain: Debunking celiac disease misconceptions - University of Pittsburgh The Pitt News

The good, the bad and the dietary: Making sense of cholesterol – The Topeka Capital-Journal

Posted: September 23, 2020 at 4:49 pm

Cholesterol can be confusing. But understanding it could help you live a longer, healthier life.

So in honor of Cholesterol Education Month, we asked a pair of experts to clear up five common questions.

Do my blood cholesterol numbers matter?The answer is yes, said Dr. Neil J. Stone, Bonow Professor in Medicine-Cardiology at Northwestern Universitys Feinberg School of Medicine in Chicago.

Studies show healthy people with LDL levels of 100 mg/dL or below tend to have lower rates of heart disease and stroke, supporting a lower is better philosophy, according to cholesterol guidelines issued by the American College of Cardiology and American Heart Association in 2018.

Older recommendations emphasized targeting specific cholesterol numbers. But today, doctors use cholesterol tests as part of a personalized assessment of overall cardiovascular risk. Those with the highest risk have the most to gain from cholesterol-lowering, said Stone, who was vice chair of the task force for the guidelines.

But cholesterol doesnt exist in isolation, he said. One has to think about diet and lifestyle and medication to treat the whole risk continuum of blood pressure, cholesterol, blood sugar and weight.

The guidelines recommend getting cholesterol and other traditional risk factors checked every four to six years starting at age 20. If the COVID-19 pandemic has complicated those plans, get up to date when you can do so safely, said Kristina Petersen, an assistant professor in the department of nutritional sciences at Texas Tech University in Lubbock.

Im confused about good cholesterol versus bad. What should I focus on?When you get your blood tested, youll probably see numbers for total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides.

LDL is the so-called bad cholesterol because it increases the risk of heart disease, stroke and other health problems. HDL is dubbed the good cholesterol because having a higher level is associated with lower risk of heart disease and stroke.

Lowering LDL should be the priority, said Petersen, co-author of an AHA science advisory on dietary cholesterol and heart disease published in December in the journal Circulation.

The most important thing is to lower LDL cholesterol, because that is what ultimately increases your risk of heart disease, she said.

Should I worry about cholesterol in food?Many sources of cholesterol in the diet also are sources of saturated fat, Petersen said. We do want to limit dietary saturated fat intake. And if you do that, your intake of dietary cholesterol will be low. Cutting back on saturated fat can improve your LDL number in four to six weeks, she said.

The advisory on dietary cholesterol emphasizes that a healthy diet is more important than focusing on a specific cholesterol target, and such a diet highlights fruits, vegetables, whole grains, low-fat or fat-free dairy products, lean animal protein or plant protein sources, nuts, seeds and liquid vegetable oils.

Selecting the right food may be particularly important for people who are sensitive to dietary cholesterol, which some studies suggest could be the case for roughly 1 in 4 people. A 2019 review published in JAMA of long-term studies suggested that each additional 300 milligrams of dietary cholesterol consumed per day was significantly associated with higher risk of heart disease.

The patient should talk to the doctor about individualizing limits on dietary cholesterol, Stone said.

Is it OK to eat eggs?Egg yolks are known for their cholesterol, with one large scrambled egg containing 169 milligrams of cholesterol.

You can eat eggs, Petersen said. We suggest eating no more than one full egg per day in order to keep your cholesterol intake low, but you can definitely have eggs as part of a healthy dietary pattern.

The research is inconsistent, she said, because eggs often are consumed with foods high in saturated fat, making it hard to parse out potential harm.

And people vary, Stone said. Some patients have two eggs a day, and their cholesterol doesnt budge. Other patients have two eggs a day and their cholesterol goes up 50 points.

Is possible to inherit high cholesterol?High LDL cholesterol is sometimes caused by a genetic abnormality called familial hypercholesterolemia that affects an estimated 1 in 212 U.S. adults. If its picked up early, medication combined with a healthy diet and exercise can be very effective.

The ACC/AHA guidelines say its reasonable to check cholesterol in children as young as 2 who have a family history of early heart disease or high cholesterol.

Everyone needs to stay aware of their cholesterol levels and be mindful of the connection to overall health, even amid the pandemic, Stone said.

This is exactly not the right time to let diet and regular exercise go to develop habits that are not heart-healthy, he said. This is exactly the right time to learn how to eat less, eat smarter, move more daily, and keep from gaining weight.

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The good, the bad and the dietary: Making sense of cholesterol - The Topeka Capital-Journal

Are you experiencing work from home burnout? Know the signs, symptoms and management – Times Now

Posted: September 23, 2020 at 4:49 pm

Are you experiencing work from home burnout? Know the signs, symptoms and management  |  Photo Credit: iStock Images

New Delhi: One thing that every employee will nod their head in agreement with is that ever since working from home became a practice due to the COVID-19 pandemic, work hours and workdays have been all over the place. While this initially did not seem like a big deal, a lot of people are now experiencing low productivity, and low mental, physical energy to sit and work all day anymore. While stress and mental health issues are on a rise during the pandemic, these feelings could have a link with what people are now calling the 'Work from home burnout.'

Burnout is defined as a state of emotional, physical and mental exhaustion caused due to excess and prolonged stress. It occurs when you feel overwhelmed, emotionally drained, and unable to keep up with your own expectations, and demands of others. While people who have gone back to working from offices are at a high risk of the viral infection, it seems that those working from home do not have it very easy either.

Distinguishing burnout from regular stress or another mental health issue is not very difficult, but people mostly live in denial, as there are no set norms r symptoms to define the condition. Some signs that you have reached a point of burnout include -

While burnout is not a clinically diagnosable mental health condition, it needs to be taken seriously, especially during this time when mental health issues are soaring high. Here are some ways to manage burnout.

Disclaimer: Tips and suggestions mentioned in the article are for general information purposes only and should not be construed as professional medical advice. Always consult your doctor or a professional healthcare provider if you have any specific questions about any medical matter.

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Are you experiencing work from home burnout? Know the signs, symptoms and management - Times Now

Adoptable Pets Of The Week: Kelp, Carson Daly, Mack, Alex, Bart – Rockville, MD Patch

Posted: September 23, 2020 at 4:49 pm

ROCKVILLE, MD For those looking to adopt a pet, a great place to look for your new family member is at Montgomery County's adoption center. The facility houses dozens of cats, dogs, and other adorable critters. And all of them need a furever home.

Here, we've rounded up a list of five adoptable pets for a series called "Patch's Adoptable Pets of the Week." This week, we're featuring Kelp, Carson Daly, Mack, Alex, and Bart.

Due to COVID-19, the facility is open for adoptions by appointment only. Click here for instructions on how appointments work.

Name: Kelp - ID#A467532Sex, Breed: Neutered male, black and white American Bulldog.Age: Approx. 1 year old.Arrived at Shelter: Sept. 21, 2020.

Click here to learn more about Kelp.

Name: *Carson Daly - ID#A461427Sex, Breed: Neutered male, black and white Domestic Shorthair.Age: Approx. 6 years old.

I am currently in foster care. If you would like to meet me, please email my foster parent to schedule a meet and greet.

Name: Mack - ID#A451359Sex, Breed: Unaltered male, brown and white Welsh Corgi - Cardigan and Staffordshire Bull Terrier.Age: Approx. 4 years old.Arrived at Shelter: Sept. 22, 2020.

Click here to learn more about Mack.

Name: Alex - ID#A434756Sex, Breed: Neutered male, brown tabby Domestic Shorthair.Age: Approx. 2 years and 7 months old.Arrived at Shelter: Sept. 17, 2020.

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Adoptable Pets Of The Week: Kelp, Carson Daly, Mack, Alex, Bart - Rockville, MD Patch

Dr. Roach: Unexplained weight loss must be investigated – The Detroit News

Posted: September 22, 2020 at 4:02 pm

Keith Roach, To Your Health Published 12:00 a.m. ET Sept. 22, 2020

Dear Dr. Roach: I am a 72-year-old man in good health. I have lost about 12 pounds in the past year, with no explanation. Im 5 feet, 9 1/2 inches tall, and my morning weight has dropped from 166-168 pounds to 154-156 pounds. It is still slowly falling.

I eat well, and Ive exercised an hour every other day for 36 years. Ive had on-and-off atrial fibrillation for 14 years, with two ablations, but since I began flecainide two years ago, no more episodes. I also take 10 mg simvastatin and 1,000 mg vitamin D3 daily.

My doctor did bloodwork and ordered a full CT scan, but found nothing. Since the pandemic began, Ive been walking 3 miles every other day, alternating with my days on the stationary bike at home. The doctor thinks I may be burning more calories than Im eating, but I doubt it.

Dr. Keith Roach(Photo: Reed Brennan)

Would you have any ideas? I was a skinny child, and I weighed just 126 pounds or so into my mid-20s, until I got married. So maybe Im just returning to the high basal metabolism of my youth.

D.S.

Dear D.S.: Unexplained weight loss should be taken seriously, especially in an older person. Getting bloodwork and a CT scan is a reasonable start, but there are some additional issues that should be considered.

Your doctor is right to think about energy intake as well as energy expenditure. The first to do is to see how many calories you are eating. A careful food diary can accomplish this. People with major depression and other neurologic and psychiatric illnesses sometimes eat very little, and these should be carefully explored.

Sometimes, the body cannot absorb calories properly. Celiac disease and inflammatory bowel disease are the most common, but there are others. The body may lose calories; diabetes causes sugar to come out through the urine. Some infections can cause profound weight loss, such as tuberculosis consumption is an old name for this disease HIV, viral hepatitis and parasites.

Your metabolism might indeed be high, but that is not a normal condition of aging. Overactive thyroid disease is a condition your doctor has probably already looked for.

Medications are an uncommon cause of weight loss. Flecainide has been reported to cause weight loss in 1% to 3% of users. Some supplements can cause weight loss, too.

Cancer leaps to the mind for many when they hear about weight loss. Colon cancer and prostate cancer should be considered in any 72-year-old man, but especially with weight loss. The CT scan, if it included chest, abdomen and pelvis, should have found lung, kidney or pancreatic cancers, which all are frequently associated with weight loss.

Since your weight loss continues, its time for a more thorough re-evaluation. Your youthful basal metabolism probably hasnt just returned.

Dear Dr. Roach: I am a small-boned 80-year-old woman who was just advised to begin osteoporosis treatments. At age 80, will the medication actually slow down my bone loss, or am I too old to see any better results from next years bone density test? Im very active, ride an exercise bike 3 miles and walk a treadmill 1 mile at least five days a week. I also take four daily tablets of Citracal+D3 tablets.

S.M.

Dear S.M.: You are not too old to benefit from treatment of osteoporosis. Plus, the exercise you do will certainly continue to help your bones and the rest of you.

Bone density changes slowly. It may take two years to be sure of the benefits, but that doesnt mean you arent getting benefits as soon as you start the medicine.

Readers may email questions to ToYourGoodHealth@med.cornell.edu.

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Dr. Roach: Unexplained weight loss must be investigated - The Detroit News

Wendy Williams reveals 25-pound weight loss on her talk show – TODAY

Posted: September 22, 2020 at 4:02 pm

While theres been a lot of talk about the quarantine 15, otherwise known as the extra pounds easily packed on while stuck at home, Wendy Williams just opened up about the 25-pound impact the pandemic has had on her as in 25 pounds lost.

On Monday, the 56-year-old kicked off season 12 of her eponymous talk show and revealed that, even though she didnt plan on it, lockdown left her with a new, leaner look.

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Ive lost 25 pounds look! she told her audience. And I didnt do it on purpose. Its just that food became disgusting to me.

According to Williams, she started cutting back and dropping pounds after a period of overindulgence.

I was cooking at first and it was all good, I was shoveling stuff in my mouth, she said. Everything from hot dogs to lobster, you know, king crab legs all that stuff.

Fans who follow her on Instagram got a glimpse of many of those meals, but Williams got tired of seeing her own fully loaded plates.

Then it became, Im done with food, she recalled.

Or at least she was done with the frequent hot dogs and lobster dinners for a while and she doesnt even miss them, since losing weight led her to gain a new appreciation for her waistline.

The radio talent-turned-TV talker said that she wasnt even aware she was shedding pounds at all until she had to step on a scale before a recent routine colonoscopy.

(The doctor) told me the weight, and I was like, I havent weighed this little since high school! she raved. Uh-huh!

Williams, who in January confirmed her divorce from her second husband, Kevin Hunter, was finalized, said that she feels really good now, except for one thing.

Im just alone in my romance, she explained to sympathetic groans from the audience. Then, with a look of resilience she added, Oh, well. Dont you worry, because (Mr. Right) might be watching right now.

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Wendy Williams reveals 25-pound weight loss on her talk show - TODAY

Eating Healthy Is More Important Than Weight Loss for Heart Health – Healthline

Posted: September 22, 2020 at 4:02 pm

If you are overweight, you dont necessarily have to lose weight in order to live longer.

But you probably need to change your diet.

Research has shown that people with high body mass index (BMI) are at significantly higher risk of all-cause mortality than those who have lower BMI.

High BMI accounts for more than 4 million deaths annually, with more than two-thirds of those deaths due to cardiovascular disease.

This data is considered crucial since 42 percent of people in the United States are clinically obese, according to the Centers for Disease Control and Prevention (CDC).

However, a new study led by Dr. Karl Michalsson, a researcher at Uppsala University in Sweden, concludes that people classified as obese can reduce mortality risk to the same level as people with lower BMI by switching to a healthier, Mediterranean-style diet.

The Mediterranean diet favors nutrient-dense foods such as fruits and vegetables, legumes, nuts, unrefined or high-fiber grains, fish, and olive oil over red meat and processed foods.

The study, published in the journal PLOS Medicine, tracked 79,003 Swedish adults with a mean baseline age of 61 for 21 years. During the study period, 30,389 people died.

Researchers found that overweight individuals who best complied with a Mediterranean diet were the least likely to die.

In fact, obese individuals with the healthiest diets were no more likely to die than those people with moderate weight and healthy diets.

Individuals with a normal BMI but unhealthy diets also had a higher mortality rate than those with moderate weight who had healthier, Mediterranean-style diets.

Diet was found to be such a strong predictor of mortality risk that the older people in the study who had moderate weight but an unhealthy diet were reported by researchers as the most likely to die during the study period even more than people with obesity who ate poorly.

My view is that it is advisable not to make recommendations based on a single study, even if it is my own, but our results indicate that eating healthy is beneficial independent of the relative body weight, at least in later years of life, Michalsson told Healthline.

While cardiovascular mortality associated with high BMI was reduced by adherence to a Mediterranean diet, it was not eliminated, researchers said.

Moreover, lower BMI did not counter the elevated cardiovascular mortality associated with an unhealthier diet.

These results indicate that adherence to healthy diets such as a Mediterranean-like diet may be a more appropriate focus than avoidance of obesity for the prevention of overall mortality, the study concluded. Nonetheless, a healthy diet may not completely counter higher [cardiovascular] mortality related with obesity.

Dr. Dexter Shurney, the chief medical officer and president of the American College of Lifestyle Medicine, told Healthline that the study findings square with the experience of treating people with type 2 diabetes, who can reverse their condition by adopting a healthier diet even without losing weight.

The same has been shown to be true of people with obesity who have received bariatric surgery, he said.

Even if you are not reaching your weight loss goals, following a healthy diet provides numerous other invaluable benefits to your entire body, Bansari Acharya, a registered dietitian and nutritionist at foodlove.com, told Healthline. A healthy diet consists of a diet that is rich in fruits and vegetables, nuts, adequate water, legumes, lentils, omega-3 fatty acids, lean protein, and low in saturated fats, trans fats, and processed foods.

Especially for cardiovascular health, the components in fruits and vegetables, most importantly, fiber and B vitamins, aid in healthy arteries by helping to ease cholesterol, she added. Additionally, obtaining an adequate amount of omega-3 fatty acids, which is found in walnuts, flaxseeds, chia seeds, and fatty fish, is crucial for cardiovascular health.

Shurney said that people who switch to a Mediterranean-style diet almost inevitably will lose weight.

If you eat more calorie-dense foods whole potatoes rather than potato chips, for example the weight loss will almost take care of itself, he said. You can actually eat more and weigh less.

Even if you dont shed the pounds, At the end of the day, the amount of weight you lose should not be the only indicator of how healthy your body is at a cellular level, said Acharya.

You could be losing weight through unhealthy means such as by severely restricting your calories, which may deplete you from essential nutrients, further harming your cardiovascular health even while losing weight, she said. However, when you incorporate healthy, nutritious, and wholesome foods in your diet, at a cellular level they are helping you regenerate healthy cells and fight off or prevent damage to existing cells.

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Eating Healthy Is More Important Than Weight Loss for Heart Health - Healthline

HEALTH: Unexplained weight loss must be investigated | News – Rockdale Newton Citizen

Posted: September 22, 2020 at 4:02 pm

DEAR DR. ROACH: I am a 72-year-old man in good health. I have lost about 12 pounds in the past year, with no explanation. I'm 5 feet, 9 1/2 inches tall, and my morning weight has dropped from 166-168 pounds to 154-156 pounds. It is still slowly falling.

I eat well, and I've exercised an hour every other day for 36 years. I've had on-and-off atrial fibrillation for 14 years, with two ablations, but since I began flecainide two years ago, no more episodes. I also take 10 mg simvastatin and 1,000 mg vitamin D3 daily.

My doctor did bloodwork and ordered a full CT scan, but found nothing. Since the pandemic began, I've been walking 3 miles every other day, alternating with my days on the stationary bike at home. The doctor thinks I may be burning more calories than I'm eating, but I doubt it.

Would you have any ideas? I was a skinny child, and I weighed just 126 pounds or so into my mid-20s, until I got married. So maybe I'm just returning to the high basal metabolism of my youth. -- D.S.

ANSWER: Unexplained weight loss should be taken seriously, especially in an older person. Getting bloodwork and a CT scan is a reasonable start, but there are some additional issues that should be considered.

Your doctor is right to think about energy intake as well as energy expenditure. The first to do is to see how many calories you are eating. A careful food diary can accomplish this. People with major depression and other neurologic and psychiatric illnesses sometimes eat very little, and these should be carefully explored.

Sometimes, the body cannot absorb calories properly. Celiac disease and inflammatory bowel disease are the most common, but there are others. The body may lose calories; diabetes causes sugar to come out through the urine. Some infections can cause profound weight loss, such as tuberculosis -- "consumption" is an old name for this disease -- HIV, viral hepatitis and parasites.

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Your metabolism might indeed be high, but that is not a normal condition of aging. Overactive thyroid disease is a condition your doctor has probably already looked for.

Medications are an uncommon cause of weight loss. Flecainide has been reported to cause weight loss in 1% to 3% of users. Some supplements can cause weight loss, too.

Cancer leaps to the mind for many when they hear about weight loss. Colon cancer and prostate cancer should be considered in any 72-year-old man, but especially with weight loss. The CT scan, if it included chest, abdomen and pelvis, should have found lung, kidney or pancreatic cancers, which all are frequently associated with weight loss.

Since your weight loss continues, it's time for a more thorough re-evaluation. Your youthful basal metabolism probably hasn't just returned.

DEAR DR. ROACH: I am a small-boned 80-year-old woman who was just advised to begin osteoporosis treatments. At age 80, will the medication actually slow down my bone loss, or am I too old to see any better results from next year's bone density test? I'm very active, ride an exercise bike 3 miles and walk a treadmill 1 mile at least five days a week. I also take four daily tablets of Citracal+D3 tablets. -- S.M.

ANSWER: You are not too old to benefit from treatment of osteoporosis. Plus, the exercise you do will certainly continue to help your bones and the rest of you.

Bone density changes slowly. It may take two years to be sure of the benefits, but that doesn't mean you aren't getting benefits as soon as you start the medicine.

Now, more than ever, the world needs trustworthy reportingbut good journalism isnt free.Please support us by subscribing or making a contribution today.

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Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or send mail to 628 Virginia Dr., Orlando, FL 32803.

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HEALTH: Unexplained weight loss must be investigated | News - Rockdale Newton Citizen

Tituss Burgess Shows Off Weight Loss in First Emmys 2020 Look – Extra

Posted: September 22, 2020 at 4:01 pm

Unbreakable Kimmy Schmidt star Tituss Burgess made a few arrangements during the COVID-19 pandemic!

On Sunday, Burgess took to Instagram to show off his slimmed-down look. Rocking a Lee Rickie Collection track outfit for his first look of the night, he wrote on Instagram, Emmys @ Home.

In response to the photo, his co-star Ellie Kemper wrote, WHATTTTTTTT .

Tituss, 41, opened up about his weight loss during an interview with E!s Emmys 2020 pre-show. He shared, The one thing I wanted to do during this time off was have some nip tucks because my weight has gone up and down. After that happens the skin gets a little saggy or whatever, so I got that st cut off, and this is the result.

Stressing he has nothing to hide, Tituss joked that hes still working on getting abs.

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Titus Burgess in September 2019

This year, Burgess is nominated for Outstanding Supporting Actor in a Limited Series or Movie for his role as Titus Andromedon in the Netflix film Unbreakable Kimmy Schmidt: Kimmy vs. the Reverend. It is his fifth Emmy nomination.

The Emmys are airing now on ABC.

Continued here:
Tituss Burgess Shows Off Weight Loss in First Emmys 2020 Look - Extra


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