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Kokum could be that miracle food to help you burn those calories – Indulgexpress

Posted: June 10, 2020 at 2:49 pm

Garcinia cambogia is an exotic fruit grown in South India and has been used by our ancestorsfor ages. It has particularly been used in Indian cooking for the sour notes that it imparts. For those who may not know, garcinia cambogia is nothing but our very own kokum, better known as the Malabari tamarind.

It has many healing properties and nutrients. Additionally, in summers its one of the most easily available superfoods that aids in cooling the body. It is also rich in hydroxycitric acid or HCA that helps in fat-burning, boosts metabolism, acts as an appetite suppressant, and aids in weight loss. The HCA in the fruit inhibits the enzyme, citrate lyase, from converting carbohydrates into fat. This process forces the body to burn carbohydrates. One could say that its an elixir of weight loss. Also, the Alpha Lipoic acid that is found in kokum is an effective antioxidant. The acid binds with toxic metals in the blood and removes them from the body.

Kokum extract or supplements are best taken before meals because it works upon the nutrients that we ingest. But remember, the concentration of the supplement should not exceed 2,000 mg. To see results, one would need to take kokum for about three months or 12 weeks. However, side effects, if taken without consulting a doctor or used for extended periods, could include nausea, discomfort in the digestive tract, andheadaches. This can be avoided if the supplements are derived from a natural source and are chemical-free.

Safe for those above the age of 18, pure garcinia extract/supplement can be used in its concentrated form. While the plant and its fruit have been eaten safely for years, breastfeeding mothers or pregnant women should avoid HCA supplements. However, if it is naturally found in your food it can be eaten without cause for concern. Additionally, diabetics, who take insulin or glyburide, should talk to their doctors/nutritionists before taking an HCA supplement, as it could cause a sudden drop in blood sugar.It can also interfere with blood thinners, psychiatric medicines, pain medicines, and statins, which are drugs used to lower cholesterol. It is always best to consult a health care provider before taking any supplement.Having said that about the supplements, it doesnt mean that one has to only depend on them for a healthy life. Taking these supplements alone will not cause you to lose weight or be healthy unless you also change your food habits and lifestyle, and increase your level of physical activity. You dont necessarily need a special diet, but having nutritious meals and snacks that includes whole grains, pulses, organic lean meat, free-range egg, fruits, vegetables, nuts, oil, and seeds, is a great place to start. You should also remove white processed sugar, too much sweet, processed food, junk, and sweetened soft drinks or aerated drinks including diet sodas to lose weight.

Mindful eating, along withsupplements (if you are having any) is the best way to ensure your weight-loss journey is sustainable and healthy.

(The writer is the Chief Nutrition Officer, Luke Coutinho Holistic Healing Systems. She is a clinical nutritionist with a focus on healthy lifestyle choices.)

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Kokum could be that miracle food to help you burn those calories - Indulgexpress

"For Such A Time As This — OrthoChallenge" Winners Announced – PRNewswire

Posted: June 10, 2020 at 2:49 pm

ALACHUA, Fla., June 10, 2020 /PRNewswire/ --Six innovative ideas to help patients with musculoskeletal conditions have been selected to win the 'For Such A Time As This OrthoChallenge.' These novel products have the potential to help orthopedic patients during and after the COVID-19 pandemic and reduce their risks during an operative procedure.

NovApproach Spine's CEO, Raymond Cloutier, one of the sponsors of the For Such A Time As This - OrthoChallenge said: "It was clear that each innovator who took the 'OrthoChallenge' had a passion to help orthopedic patients in a creative way. This 'can do' attitude to overcome the issues we face gives me great hope."

Audrey Beckman, leader of the selection process, said: "Rapid change and crisis encourage innovation. It has been energizing to see ingenuity, combined with technical and clinical knowledge, that provides solutions to the changing needs of patients during this historic and challenging period. While born during the pandemic, these innovations may benefit patients and healthcare providers for many years."

For Such A Time As This - OrthoChallenge Winners:

OrthoChallenge winners will receive the following:

Cloutier said, "I wish each of the submitters the best in seeing their ideas come to fruition - often a difficult task. I pray that each will keep in mind WinstonChurchill's statement: "We make a living by what we get, but we make a life by what we give" along their challenging journey to deliver their ideas to patients."

Media Contact:Raymond Cloutier, CEO/Founder NovApproach Spine 352.262.9524[emailprotected]

About "For Such A Time As This"

SOURCE For Such A Time As This - OrthoChallenge

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"For Such A Time As This -- OrthoChallenge" Winners Announced - PRNewswire

How Different Types of Gyms Are Adjusting for Life After the Pandemic – Yahoo Lifestyle

Posted: June 10, 2020 at 2:49 pm

From Men's Health

All 50 states are easing COVID-19-releated restrictions on businesses, including fitness studios. If youve been cooped up for weeks, developing a one-sided bond with Adrien from Yoga with Adrien and really feeling the rigidity of your homes hardwood floor against your ass while doing spine twists, you might be tempted to line up, mat in hand, the first day your yoga studio reopens.

As with all elements of post-coronavirus life, things will be different. Specialty fitness studio dedicated to disciplines like yoga, Pilates, martial arts, and rock climbing are making radical adjustments to curb the spread of the virus. Expect half-empty rooms, rules on physical distancing, and an end of walk-in classes and some shared equipment. Fitness studio owners say they will enforce face masks if their local public health authority mandates them, but they may not require them if theyre cumbersome to the particular exercise. Temperature checks at the door are a maybe. Hand sanitizer dispensers everywhere are a given.

Crowded, sweaty rooms we once entered without a care are 2019. Spaced out, disinfected spaces ruled by occupancy, efficiency, and cleanliness are 2020.

Also a thing of the past are lounges where regulars hang out after class. Its a loss, said Jesse York, co-owner of the Title Boxing Club in Knoxville. We are definitely southern people and southern people like to talk. However, he is asking that once students are done pounding their assigned punching bags and class is over, people file out quickly, one row to the left of the fitness floor and one to the right.

To review the risks to fitness spaces and their clientele remember that, as a respiratory illness, COVID-19 is spread when an infected person releases droplets through their mouth or nose, through breathing or speaking. Another person consumes them through swallowing or inhalation, or when they touch the virus and then touch their eyes, nose, or mouth. The more people in a space the greater the risk of a person who is, perhaps unknowingly, transmitting the virus, and the more time spent there the greater the risk of exposure. Also, heavy breathing from rigorous exercise can launch droplets further than the six feet of space thats become a norm of social distancing.

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[I]f you are going hard, then you are propelling those droplets everywhere, Alan Schenkel, PhD, a virologist at Colorado State University says. I would urge people to be very wary and very cautious.

Fortunately for gyms, sweat is not thought to be conduit for the virusbut surfaces still need to be disinfected regularly, since the virus-carrying droplets can settle onto them. Combine all these factors and experts are hesitant about returning to fitness studios.

I take Pilates and people also use controlled breathing practices, said Zandrea Ambrose, PhD, a virologist at the University of Pittsburgh. I have no intention of going back to my Pilates studio any time soon!

Schenkel agrees. I would not do it myself, he said. I bike past the gyms and see people on stair machines and lifting weights and I think, They are taking a lot of risks. Instead, he recommends outdoor exercise. Very few cases of COVID-19 were traced to transition in an outdoor space, he says.

If you go back to your specialty fitness studio anytime soon, here are some new precautions, regulations and changes to the atmospheres you may encounter.

Once-crowded yoga rooms will operate at about one fourth of their pre-COVID capacity as businesses adjust for social distancing. Kendra Blackett-Dibinga, owner of Bikram Yoga Works, which has studios in Boston and the D.C. metro area, said that once rows of yoga mats are set six feet apart, she expects to fit 20 people into rooms that once held 60 or 70.

The Yoga Alliance suggests restricting the use of studio-owned props, like mats and blocks. Some studios may require clients to bring their own. The Alliances best practices list also includes setting aside more time between classes for disinfecting surfaces and mandatory face masks.

Blackett-Dibinga said she wont make her pupils wear masks. People need to be able to take a breath, she says. Particularly in her hot yoga studios, she thinks a face mask may dangerously restrict airflow.

One element that also might be missing from yoga class: a flesh-and-blood teacher. To keep instructors from continually moving between locations, Blackett-Dibinga said some will lead via live video link.

These factors might not be great for attracting casual yogis, and the studios, already reeling from weeks of being shuttered, will face financial hardships as they can only serve a fraction of the students who used to clutter weekend and 6 p.m. classes. It will be a challenge unless our landlords can say they will work with us, Blackett-Dibinga said. We may cut down a location or two. We are looking for the model that works.

There are few places more difficult to disinfect than a climbing gym. Every wall and structure is meant to be touched. Oils from clinging hands are thought to be a poor conduit for COVID-19but climbers release water droplets as they breath, huffing inches from the wall as they struggle to grasp the next hold. And those holdsas the shapes that climbers grip are calledare made from porous plastics. That makes them easier to clutch, but they absorb liquids more readily. Some of the holds would be extremely hard for a cleaner to reach. After all, being hard-to-reach is often the point.

There is no real history of disinfecting climbs, said Tyler Norton, a video-blogger for the climbing YouTube channel Plastic Weekly and manager at Up The Bloc and Joe Rockheads, a pair of climbing gyms in Ontario. They will go untouched for months.

In online forums, climbing gym owners have talked about options like ultraviolet light and a fumigation spray, but cleaning such a space thoroughly and regularly is largely unfeasible. So expect greater requirements on climbers to curtail the spread of pathogens themselves. Some reopened climbing gyms are requiring that climbers wear masks and pass a temperature check at the door. Some are requiring liquid chalk, instead of dust, because it contains sanitizing alcohol.

Norton said to expect fewer people and fewer climbs. His gyms are eliminating half their tracks to create distance between climbers. He said others in the industry are doing the same.

Norton's gyms also plan to limit entry to members initially. Teaching people the ins and outs of climbing usually entails more physical proximity than they can currently manage. Also, members usually have their own chalk bags and harnesses, and some gyms are not renting those out. Shoes, which are typically disinfected after every use, are feasible.

Notably, drops-ins are done. Members will have to call ahead and arrange a time. All the gyms that are open are starting to see complaints about that, said Norton. No one wants to have to sign up two days in advance.

In many martial arts, close contact with another person is part of the exercise. For judo, jujitsu, tae kwon do, and boxing, sparring or matches are out of the question. Even the shout of kiai! that begins a match of one of the Japanese martial arts is a forceful exhale of spit.

Martial arts or any other contact [or] collision sport is going to be hard to do now without constant testing, said Ambrose, the University of Pittsburgh virologist, likely unavailable outside of national sports leagues.

Some martial arts studios that have reopened have had students practice on dummies.

York, of the Title Boxing Club in Knoxville, said he is ceasing mixed martial arts classes. But he says his core business of boxing is uniquely adaptable to the post-COVID reality. You put your hand in the boxing gloves and then your hand doesnt touch anything else, says York, and that glove touches nothing but the bag. Sparring, he says, has always a small part of his boxing classes.

Classes will, of course, be at reduced capacity, from a maximum of 40 students before to 20 now. Students will only work on an assigned a bag, while borrowed gloves will be placed in an ozone purifying locker after use.

Like yoga, Pilates involves a series of controlled poses. And like yoga, Pilates classes will look half-filled due to social distancing guidelines.

While some exercises are done with just a mat, Pilates studios are filled with specialty equipment for resistance and pose assistance, including Reformers, Pilates chairs, barrels, and towers. Some studios are spacing such equipment six feet apart.

Pilates attracts former or current physical therapy patients and tends to require more hands-on instruction that does yoga, said Jo Ann Graser, president of the Pilates Method Alliance (PMA) Board of Directors.

Her studio, Tensile Strength Studio and Barrington Yoga Loft in the suburbs of Chicago, is open only for one-on-one instruction. Instructors stand ten feet away from clients, or six feet, if they stay behind stalls of Plexiglas Graser had installed. For Graser, this stage of reopening is about reconnecting with dedicated clients.

Barre is an exercise routine that utilizes movements from ballet to build strength and flexibility. Fred DeVito, one of the co-founders of the Exhale chain of fitness studios and a barre instructor, said that practitioners at their clubs will be required to wear masks and disposable plastic gloves. To prevent moving around and spreading their breath, instructors will stay in one place and use a megaphone.

Also, students will be assigned a dot in the studio, distanced six feet from others, and run through their exercises at the assigned spot, which will put each studio at about half capacity.

Before they would wander and be anywhere, DeVito says. They would be wall to wall.

Of course, those were different times.

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How Different Types of Gyms Are Adjusting for Life After the Pandemic - Yahoo Lifestyle

Sharing meals with family members may help improve eating habits: study – GO! and Express

Posted: June 10, 2020 at 2:49 pm

According to the survey, families with younger children were more likely to eat dinner and breakfast together

For people obliged to follow a special diet or those who have undergone bariatric surgery, taking part in meals together as a family rather than alone in front of a computer or television could help maintain balanced eating habits, a new study suggests.

Published in theJournal of Nutrition Education and Behavior, the study also indicates that patients were more likely to have family meals when they had good communication and moral support from their loved ones.

The study involved 259 patients, all parents of a child between the ages of 2 and 18, who were registered at accredited weight management and bariatric surgery centres at Ohio State University and Wake Forest University in the USA. The patients were asked questions about family meal practices, as well as parent-child discussions on specific topics such as diet, weight and body image.

According to the survey, families with younger children were more likely to eat dinner and breakfast together. The researchers also found that parents who perceived their child to be overweight or obese were four times more likely to discuss this topic with them.

Its important to ensure communication directly about childrens weight is not harmful in their development of a healthy body image and behaviours. That includes older children and adolescents who are at greater risk of developing eating disorders and disordered eating behaviours, points out Keeley J. Pratt, a professor at Ohio State University, who directed the study.

Additional research assessing the family meal practices and weight talk in the families of adults pursuing weight loss could yield important evidence that could lead to improved patient outcomes, and safely promote healthy behaviours and prevention of obesity in children, conclude the authors of the study.

BYAFP RELAXNEWS

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Sharing meals with family members may help improve eating habits: study - GO! and Express

Mixed martial arts: Ex-UFC double champion Conor McGregor tweets that he’s retiring once more – The Straits Times

Posted: June 10, 2020 at 2:49 pm

STOCKHOLM (REUTERS, AFP) - Former two-weight UFC champion Conor McGregor has announced on Twitter on Sunday (June 7) that he is retiring from the sport for the third time.

"Hey guys I've decided to retire from fighting. Thank you all for the amazing memories! What a ride it's been!" the Irishman said on his verified account, adding a picture of him and his mother Margaret and promising to buy her a dream home.

The former Ultimate Fighting Championship featherweight and lightweight champ first quit the sport in April 2016 with his now-famous tweet: "I have decided to retire young. Thanks for the cheese. Catch ya's later."

In March 2019, he again announced that he was hanging up his gloves after being battered into submission by arch-rival Khabib Nurmagomedov in October 2018. But on both occasions the retirements were short-lived.

His last appearance in the octagon was in January after a 15 month-absence when he knocked out American Donald "Cowboy" Cerrone in a ruthless 40-second destruction in Las Vegas.

The 31-year-old, an icon of the UFC, is no stranger to controversy and hit the headlines last year for an attack on an older man in a Dublin bar that was captured in a viral video.

McGregor, one of the most popular fighters in mixed martial arts (MMA) history, has a record of 22-4 and was the first UFC fighter to hold two championship belts at the same time. He achieved that feat in 2016 when he stopped Eddie Alvarez in a lightweight title fight, adding it to his featherweight title.

That triumph was followed by a loss to boxing great Floyd Mayweather in a cross-combat superfight in 2017, his loss to Nurmagomedov, announcements of retirements and returns to fighting.

UFC president Dana White paid tribute to McGregor after the conclusion of UFC 250 in Las Vegas early on Sunday morning.

"If Conor McGregor feels he wants to retire, you know my feelings about retirement, you should absolutely do it," White said at the post-event press conference.

"I love Conor. There's a handful of people that have made this really fun for me, and he's one of them."

At the UFC 250 event on Saturday, featherweight champion Amanda Nunes dominated Felicia Spencer and scored a comprehensive decision victory in retaining her crown, becoming the first two-weight UFC champ to successfully defend both belts.

The Canadian challenger went the distancebutwas completely outclassed, as the Brazilian won every one of the five rounds on the judges scorecards.

I studied her very well, I know shes tough and I have to be sharp if I have to go five rounds, I have to be dominating, a beaming Nunes told commentator Joe Rogan after the fight.

That was my goal, defending my two belts at the same time. I defended both belts, you know, Im the greatest! Im so happy right now! she added.

The problem for Nunes and the UFC now is that there is no challenger on the horizon wholooks capable of threatening her. The 32-year-old has not lost since beingknocked out by Cat Zingano in September 2014.

I dont know what is next, but Ive proved (myself) already. Tonight I closed a cycle, and Im proud of myself and my team, shesaid.

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Mixed martial arts: Ex-UFC double champion Conor McGregor tweets that he's retiring once more - The Straits Times

How to find the right nutrition advice for a healthy gut? Registered dietitians debunk 5 common gut health myths – Gut Microbiota for Health

Posted: June 10, 2020 at 2:48 pm

As we explained in this blog, the best ways to maintain a healthy gut is by being mindful of the foods you choose to eat. However, not all of the nutrition advice available online is reliable and some of it is downright wrong.

Another important point to bear in mind is that one-size-fits-all diet recommendations are not necessarily the answer. In other words, the diet that helped your friend, work colleague or family member will not necessarily be as helpful for you. As such, it is better to focus on the particular ways the foods you choose can support your gut health.

We interviewed gut health dietitians Andrea Hardy, Paula Crespo, Kate Scarlata, Megan Rossi and Mariana Camarena on frequent misconceptions you can find on your way to a healthy gut and how to fix them.

Andrea Hardy: The most common myths I hear are usually around restrictive diets there seems to be a new one each month! Between gluten-free, dairy-free, lectin-free and even vegetable-free, there is an array of restrictive diets focused on removing foods and, often, moralizing food decisions. My nutrition motto is If something scares you, its probably not true. Listen to that gut reaction and trust that nutrition science is rarely that sensational or extreme. All foods you enjoy can fit within a balanced diet. I prefer people focus on what they can add rather than take away!

Paula Crespo: I think that the most common misconception is to not believe how something so abstract or invisible as gut microbiota can be so important to maintaining overall well-being. In general, people dont understand that the gut microbiota is as important as other organs. [I debunk this by giving] specific nutritional recommendations for improving intestinal health. I also personalize those recommendations according to each individual case and condition, and say Just try. This is harmless, it is just food. Please just try and lets see what happens after following these recommendations daily for at least two months.

Kate Scarlata: One common misconception is that FODMAP carbohydrates are bad for you. While some FODMAP food sources such as high fructose corn syrup offer little beneficial nutritional value, other foods that contain FODMAPs such as cashew nuts, pistachios, kidney beans, and onion, to name a few, are rich in healthy prebiotic fibers.If a person tolerates these FODMAP-containing foods, they should be included as part of a healthy diet. A low-FODMAP diet has science to support its use in irritable bowel syndrome, but for the majority of people that do not experience IBS, FODMAP-rich foods can be enjoyed and many FODMAP-rich food sources are fiber-rich and offer health benefits.

Megan Rossi: One common myth is that you need to be following a restrictive diet for good gut health. In fact, the opposite is likely: its more about what you INclude rather than EXclude. Indeed, research has shown people who eat at least 30 different types of plant-based foods each week, compared with those who ate 10 different types, had a more diverse range of gut bacteria, which is typically used as a marker of good gut health. Whats more, cutting out whole food groupsfor example cutting out whole grains and legumes on the paleo dietcan negatively impact your GM. It may also increase your risk of nutritional deficiencies.

Mariana Camarena: The I have to detox to clean my gut myth is one of my favorites. The body has its own detox system supported by the lungs, the colon, the liver, the kidneys and the lymphatic system, which are all programmed to detoxify the body constantly. We dont need a detox diet with enemas to ensure gut health; we just need to maintain a proper diet, exercise regularly, drink plenty of water and sleep well. That is the route to a good and natural detox.

To sum up, although lots of dietary patterns and advice have been touted to have beneficial effects for gut health, not all of them necessarily work for your particular situation. Rather than focusing on what you can take away in your diet and on sticking to restrictive diets for a long while, it is a better approach to focus on what you can add. In case of any doubt or question, ask a registered dietitian before completely eliminating a food group that you love.

Note: original answers may be edited for style and length.

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How to find the right nutrition advice for a healthy gut? Registered dietitians debunk 5 common gut health myths - Gut Microbiota for Health

4 Easy Ways To Restore Healthy Eating Habits Post Lockdown – NDTV Food

Posted: June 10, 2020 at 2:48 pm

Highlights

Whether we like it or not, the elongated period of staying at home has had unprecedented changes on our diet. Some people have started becoming more diet-conscious while at home, avoiding heavy food that could impact health severely at times. Other people are guilty of overindulgence - reaching out for a snack more frequently. Lockdown has meant irregular schedules and changes in working routine too. As countries begin to open up restrictions, it's important to find ways to restore rhythm into our regular working lives and our diets too.

1. Adopt Simplicity

While we were at home, we experimented with new and innovative recipes that we had never tried before. But once lockdown ends, it means getting back to the rigours of life like before. Your motto during this time should be, "Not every meal has to be an event". Keep it simple and make easy recipes for at least some meals to save time on preparation as you resume work.

2. Switch Your Meals Around

Sometimes we don't feel like eating an entire meal, as a drink or a heavy snack often suffices and satiates our appetite. It can be a good idea to practice intermittent fasting by skipping first or last meal of the day. But it is always good to consult a dietitian or nutritionist before making the switch.

(Also Read:Celebrity Nutritionist Pooja Makhija Shares 5 Nutrition Tips For Those Working From Home)

3. Get Creative With Leftovers

It's not necessary to cook every meal from scratch. Leftovers can be creatively used to make a brand new dish altogether. Another idea could be to cook a bit extra during one meal and save time by reusing leftover preparations in the next one.

4. Be Daring

When it comes to easy recipes for working people, there are a plethora of options that can be found. There's no time like now to try out some new recipes, if you find your old ones tedious or time-consuming. It is the way the food is cooked and how it tastes that makes a difference to our habits!

(Also Read:'The Quarantine Plan' by Nutritionist Rujuta Diwekar May Sort Out Your Weekly Diet)

The idea is to resume working life with as much rigour and gusto as possible. We need not make drastic shifts to our eating practices in these trying times. However, it is essential to practice good dietary practices to maintain our health. Eating a balanced diet and generous amounts of fruits and vegetables is a must irrespective of lockdown being present. These are basic diet tips that will go a long way in keeping the body fit and fine, at all times.

About Aditi AhujaAditi loves talking to and meeting like-minded foodies (especially the kind who like veg momos). Plus points if you get her bad jokes and sitcom references, or if you recommend a new place to eat at.

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This Doctor Treated Her MS By Switching to a Plant-Based Diet – The Beet

Posted: June 10, 2020 at 2:48 pm

Saray Stancic, MD ran her first marathon in 2011. This coming October she will walk 25 miles to commemorate the 25th anniversary of her diagnosis with MS. She was supposed to be in a wheelchair by now. "They told me that I would never walk without a cane and that Icould expect to be wheelchair-bound in 10 to 15 years." Her triumphant story is now the subject of a documentaryCODE BLUE, which is about whymedicines most powerful tool is almost never prescribed.

Dr. Stancic shared her story with The Beet. It all began when as a young medical resident, she was having trouble walking and went to the doctor, who did all the tests, MRI's and blood tests and delivered the devastating news: "You have MS."

"I was a young doctor, and so I took all the meds and did all the things mydoctors advised and I kept getting worse. ThenI read about a doctor who had treated MS patients with diet changes in the Netherlands and I immediately began researching more.Her work led her to a plant-based diet, and successfully overcoming her chronic condition. She has a collection of canes and crutches in the basement she says, a reminder of what might have been, had she not taken her own treatment into her hands and changed her diet.

Dr. Stancic'strue cause now is to change the way the medical community views nutrition.She is on a mission to get hospitals and doctors, nurses, and healthcare professionals of all types to help feed patients healthy plant-based foods, get the fast food and junk out of hospitals, and make nutrition an integral part of medical training.

"They used to let you smoke in hospitals," she points out. "Now that is absurd. Having a Burger King in Rutgers Medical Center is equally absurd. I protested but no one listened. One day I want to be able to say, they used to feed heart patients eggs and bacon and pancakes. It's just insane."The example starts with the doctor, she adds. "Studies show that if a doctor eats healthy and exercises and is mostly plant-based then the patients will be more likely to follow his or her advice," Stancic says.

Dr. Stancic:I am ininfectiousdisease specialist who started her career in the 1990s during the HIV epidemic and at the VA.... As a young woman, I was diagnosed with Multiple Sclerosis and I was very ill and taking all these medications and depending on a cane and as a young resident, I was really struggling.

"Then one dayI came across an article in 2003 about the effect of diet and chronic illness and specifically this spoke about the effects on MS -- both the cause and the symptoms. Royce Swank wrote an article in the New England Journal of Medicine (NEJM) in 1952 and said that somehow dairy was connected to worsening symptoms of MS. He was looking at the incidence of MS in Norway and saw that those who were consuming a diet high in dairy and animal fat had a higher incidence of the disease and worse disease. So he started "treating" patients with a low-fat plant-based diet and he followed 130 patients over 34 years and he found that those who followed the diet were symptom-free.

"And here I was a physician at 32 and struggling and this was not taught to me in medical school. And this offered me a glimmer of hope and it wasn't just Swank but others too. And it wasn't just diet but exercise and sleep hygiene and stress relief and these lifestyle interventions were ethe best weapons against MS. And of course, I went to my physician and he didn't think there was any merit in it.

"So I had to take my own treatment into my own care and I adopted a plant-based diet because the overwhelming body of evidence pointed to the fact a diet rich in fruits and vegetables, whole grains, legumes, nuts and seeds was the optimal diet not only for MS but for all of us. I went off all my medicines and went into that diet.

It's been 25 and I take no medicines and I run every day. October 11th this year 2020 on that day I am going walk 25 miles and celebrate 25 since my diagnosis. And they told me I'd be in a wheelchair within 10 to 20 years. I don't even have a cane. I have a collection of canes and crutches in my basement. I don't need them.

"My hope is to tell the story of the absence of this critical piece of education in our medical schools. All of our doctors are not getting this education which is particularly important in our world today. The rates of obesity are rising, heart disease and diabetes are all rising. And I am an infectious disease specialist and I treat people from a lifestyle basis. We know that those who have bad outcomes from COVID-19 who die from it have obesity and diabetes. and hypertension ... we can prevent 80 percent of these diseases. We can prevent 80 percent heart diseases. . . and isn't it tragic? Every year about 600,000 people diet every year from heart disease and we could save about 450,000 people a year.

"Not only bring education to the community, but to the public. This is what we need today: To prevent diseases and maintain wellness by changing how we eat.

"Even the way we train physicians is inhuman. They are on-call 24 hours at a time. So they have no time to eat or sleep and no time to exercise. The hospitals should be the example of how we treat humans. Inside Rutgers ... I can tell you there is a Burger King inside... and that to me is unacceptable. I have tried everything, petitions, signs, stood inside the hospital and our community that is struggling with heart disease and hypertension and obesity.

"We need to change medical school and the hospital's food environment. Our patients in the hospital who are healing and recovering from illness should be fed a plant-based diet. We can't serve bacon and eggs and pancakes to someone recovering from a heart attack or heart surgery.

"You used to be able to smoke in the hospital in the 1960s. Today we know better. Today we know that these foods are fueling the disease states: Obesity and hypertension and heart disease. And those are fueling the COVID-19 crisis... this is like a perfect storm, it's come together. And how can you ignore that?

"We need to change the medical school education, as well as pharmacists and nurses and everyone in the health care community. We know that doctors, those who are the ones giving the message to their patients are most likely the ones practicing this lifestyle himself. That doctor who is exercising and eating plant-based and meditating and taking care of themselves is more likely to counsel and educate their patients as well.

"The patients take it more seriously when the doctor is an example. Erika Frank has published literature on that. So those doctors who set an example and those patients are more likely to take it more seriously. They think, If my doctor does it then I should as well.

"I work with patients to practice what I call Lifestyle Medicine. I tell them to optimize every aspect of their life. I spend 2 hours with patients and help them realize they don't have to be hypertensive or obese or have heart disease. I counsel them that they can make changes that will intervention and reverse their disease. They can. That' s what I want for every human being is to optimize and empower them to live their best lives.

"I also mentor youngdoctors and help them integrate this lifestyle medicine into their practices, because we want to treat the disease and teach and educate people about lifestyle medicine.

"I am not against medicine and I think it is an important part of the management and armament against diseases. I am an infectious disease specialist. Where would we be without antibiotics? But many of the diseases we treat are preventative and only 3 to 5 percent of the NIH budget goes toward prevention. But while the advances in medicine are important we know that prevention is even more important. Prevention is always preferred over cure.

"In 2010 I ran a marathon. It was an extraordinarymoment for me. I am blessed and hope to spread this healing message far and wide."

"For the film, interviewing doctors like Dr. Caldwell Esselstyn (below) and Dr. Ornish was meaningful. We all care about spending time and resources on prevention.Seven of the top 10 causes of death in America are chronic diseases, two of which, heart disease and cancer, account for nearly 50% of all deaths.

"US health care costs are approaching 3 trillion dollars per year with 86% of these dollars goes to manage chronic illness.Yet studies tell us thatby changingour lifestyle, including diet, physical activity, cigarette smoking, and managing body weight, we can prevent nearly 80% of chronic diseases that gravely compromise our quality of life. We have to change this paradigm."

More Information About Code Blue:

Code Bluereveals lapses in the current state of medicine and provides a common-sense solution by featuring the practice of lifestyle medicine to prevent, manage and reverse chronic diseases. The film presents the hurdles faced to the proposed shift: antiquated curricula in medical schools, confusion in the media, inadequate government policies, and the underlying influences of the pharmaceutical and food industries.

Code Bluefollows passionate physician Dr. Saray Stancic, as she reflects upon her journey from a multiple sclerosis diagnosis to wellness through her own adoption of lifestyle medicine. Dr. Stancic introduces us to expert physicians and scientists who are paving the way to make the meaningful and necessary change in our healthcare environment, in turn, empowering audiences to stand up and reclaim control of their health.

In Code Blue, the doctorswho have rallied around her and been interviewed for the movie reads like a Who's Who of plant-based medicine, including:

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This Doctor Treated Her MS By Switching to a Plant-Based Diet - The Beet

The 3 new ways doctors are trying to fight obesity – The Daily Briefing

Posted: June 10, 2020 at 2:48 pm

Obesity has long been a public health problem in the United States that providers have struggled to address, but medical experts say the latest research suggests doctors need to adopt a new "multipronged strategy" to help patients lose weight, Laura Landro reports for the Wall Street Journal.

Obesity is a chronic condition. Here's one expert's take on how to treat it like one.

The U.S. obesity rate has risen steadily over the past two decades, with the latest data showing 42.4% of adults ages 20 and older were obese in 2018, and 9.2% were severely obese. According to Landro, providers have long struggled with helping patients lose weight, often relying on diet and exerciseand treating poor results "as a failure on the part of patients."

But some medical experts say the Covid-19 epidemic's impact on patients with chronic conditions has put a spotlight back on obesityand a new wave of research that shows it takes a combination of strategies to combat the condition.

Recent studies have given medical experts more insight into how obesity affects the body and one's ability to lose weight, Landro reports.

Rekha Kumar, an endocrinologist at the Weill Cornell Medicine Comprehensive Weight Control Center, said, "Nobody is denying that there is behavioral component to obesity, but it is shortsighted and dangerous to fully blame an individual's behavior when there is so much evidence that the human body does not function normally in the condition of obesity."

That's why many medical experts are calling for providers to shift away from focusing strictly on behaviors like diet and exercise, and adopting a multipronged approach. Landro outlines three developments gaining attention "that hold promise."

1. Relying on obesity-medicine specialists

Most doctors have not received specialized training on obesity, which has proven to be a "longstanding obstacle to a more-comprehensive treatment" of the condition, Landro writes.

Doctors who lack specialized training on the topic might focus too much on diet and exercise, rather than other factors like genetics, psychological and environmental factors, or the body's natural response to a decrease in calories.

Obesity-medicine specialists on the other hand are trained to consider how biological, psychological, environmental, and genetic factors play a part in a patients' ability to lose weight.

Doctors with specialized training also know how to prescribe other strategies, like medication or weight-loss surgeries. Caroline Andrew, an obesity specialist at the Hospital for Special Surgery in New York who often treats patients waiting for a joint replacement procedure, relies on a variety of services to help her patients lose weight, including weight-loss drugs or referring patients to a dietician or behavioral health counselor.

2. Educating general practitioners

The American Board of Obesity Medicine has certified more than 4,000 obesity specialists in the United States and Canada, but that is still not enough obesity specialists to treat all patients, Landro reports.

That's why Louis Aronne, director of Weill Cornell's weight-control center, says "the average doctor" needs to be better trained to speak with and treat patients who have obesity. Weill Cornell's training program includes sensitivity training for doctors who treat obese patients and how to approach conversations around diet and exercise.

For instance, instead of mandating a specific food regimen, doctors, Landro writes, should consider patients' food preferences as well as diets they've tried in the past and devise a weight-loss program that meets their unique needs. It also teaches "office staff to be careful with language, such as 'a patient who has obesity' instead of 'obese patient' to avoid labeling patients by their disease," Landro writes.

Sadaf Mustafa, an internal-medicine doctor at MedStar Health and assistant professor at Georgetown University School of Medicine who became certified in obesity medicine two years ago, said the training helped her understand how medications for other common conditions, like depression and diabetes, can cause weight gain in patients.

"The impact of changing from one medication group to another can give them a huge benefit," she said. "That was a big eye-opener for me."

3. Incorporating medications and surgery into care

While weight-loss drugs and surgeries can be highly effective for some patients, doctors often only prescribe them as a last resort, Landro writes.

But the resistance to these methods is changing, especially now that research shows some surgeries are effective on a larger range of patients than doctors previously projectedand the latest procedures and medications have proven to be safer than older options, Landro reports.

According to Landro, some of the barriers that once prevented physicians from relying on medications and surgeries are being removed as more insurers are broadening their coverage requirements for weight-loss.

Gayle Novak said a combination of the weight-loss drug Qsymia and a specialized diet plan helped her lose weight that was causing health issues, like high blood pressure. Novak said the doctor "really took the time to know me, know my history, know my medical issues and understand what does and doesn't work for me" (Landro, Wall Street Journal, 6/8).

See the article here:
The 3 new ways doctors are trying to fight obesity - The Daily Briefing

Growing up – The Hudson Reporter

Posted: June 10, 2020 at 2:48 pm

Vertical vegtable farms will be located in 10 sites throughout Jersey City to help provide residents access to healthy fresh food.

Vertical vegtable farms will be located in 10 sites throughout Jersey City to help provide residents access to healthy fresh food.

The public will get access to free fresh vegetables grown in Jersey City through the nations first municipal vertical farming program, according to an announcement by Mayor Steven Fulop.

Some 19,000 pounds of fresh vegetables will be grown in 10 sites throughout the city through a partnership with AeroFarms, the world leader in vertical farming, and the World Economic Forum (WEF), which selected Jersey City as its partner in the Healthy Cities and Communities 2030 Initiatives.

As we work through our municipal budget that has been decimated due to the Coronavirus pandemic, we are making choices on what programs to keep, Fulop said. It is clear that the virus has had a disproportionate impact on people with pre-existing heart conditions, high blood pressure, obesity and diabetes which is directly linked to a persons diet, and as a result, we feel it is more important than ever to focus on food access and education.

Jersey City has had 6,481 COVID-19 cases and more than 479 COVID-19 fatalities as of June 8, and according to the city, a disproportionate number of those impact economically challenged areas of the city.

We know diet is a key predictor of life expectancy, and the Coronavirus has made clear the huge inequities on food access and food education that exists in different communities, said the citys Director of Health and Human Services (HHS) Stacey Flanagan.

Grown around the city

The Vertical Farming Program will consist of 10 vertical farms throughout Jersey City, in senior centers, schools, public housing complexes, and municipal buildings. The 10 sites will grow 19,000 pounds of vegetables annually using water mist and minimal electricity.

The Jersey City HHS will run the program with a health-monitoring component to track participants progress under a greener diet in the areas of blood pressure, cholesterol, diabetes, and obesity. Crops will be integrated with other Healthy Food Access initiatives including senior meal programs.

The program is free, but residents must participate in the healthy eating workshops and agree to quarterly health screenings.

The program is part of the broader initiative from the World Economic Forum (WEF) toward partnerships with cities. Earlier this year the WEF selected four cities (Moscow, Mumbai, Austin, Jersey City) to launch the Healthy City 2030 initiative, which will target measurable changes to the health of each community.

The Healthy Cities and Communities initiative is a flagship effort of the World Economic Forum. In collaboration with both private-public sector stakeholders, the initiative aims to catalyze new ecosystems that will enable socially vibrant and health and well-being centric cities and communities, said Mayuri Ghosh, Head of the HEFs Healthy Cities and Communities initiative. Establishing a secure supply of nutritious food via locally sourced vertically farmed greens in collaboration with AeroFarms has been a key accomplishment of the Forums partnership with Jersey City. The shared insights will be incorporated into efforts underway in other global cities.

AeroFarms CEO David Rosenberg said he is excited to work with Jersey City, noting that structural food problems have come to lights because of the COVID-19 pandemic.

The world needs more distributed, localized food production systems, said Rosenberg. We also need new ways to get healthy food to our most disadvantaged members of society. I am honored to work with Mayor Fulop and the people of Jersey City to find better solutions.

This partnership will allow us to provide thousands of pounds of locally-grown, nutritious foods that will help close the hunger gap and have an immeasurable impact on the overall health of our community, Fulop said.

Tackling food deserts

The vertical farming program is the latest initiative Jersey City has launched around food access.

According to a 2018 city report, much of Jersey City could be described as a food desert.

The USDA defines a food desert as a low-income census tract where either a substantial number or share of residents has low access to a supermarket or large grocery store.

This means at least 500 people or 33 percent of the population live more than a mile from a supermarket or large grocery store.

According to the city, these deserts have led to an increased rate of diabetes, heart disease, obesity, and other diet-related illnesses in the more marginalized communities of Jersey City. Neighborhoods without healthy options such as Ward A and Ward F also have high concentrations of fast-food restaurants.

To address this the city has also offered more than 5,000 food market tours to educate seniors on healthy eating, and the grant program on the Healthy Corner Store initiative.

That initiative is a citywide effort to increase healthier food options in neighborhoods that lack access, including the Greenville and Bergen-Lafayette areas.

The initiative provides corner store owners with training assistance, marketing materials, consumer education resources, and equipment so that they can offer healthier food options.

For updates on this and other stories checkwww.hudsonreporter.comand follow us on Twitter @hudson_reporter. Marilyn Baer can be reached atMarilynb@hudsonreporter.com.

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Growing up - The Hudson Reporter


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