Benefits of black seed oil
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Ahmad, A., Husain, A., Mujeeb, M., Khan, S. A., Najmi, A. K., Siddique, N. A. … Anwar, F. (2013, May). A review on therapeutic potential of Nigella sativa: A miracle herb. Asian Pacific Journal of Tropical Biomedicine, 3(5), 337–352. Retrieved from https://www.sciencedirect.com/science/article/pii/S2221169113600751?via%3Dihub Aljabre, S. H. M., Alakloby, O. M., & Randhawa, M. A. (2015, July). Dermatological effects of Nigella sativa. Journal of Dermatology & Dermatologic Surgery, 19(2), 92–98. Retrieved from https://www.sciencedirect.com/science/article/pii/S2352241015000286?via%3Dihub Dwarampudi, L. P., Palaniswamy, D., Nithyanantham, M., & Raghu, P. S. (2012, October–December). Antipsoriatic activity and cytotoxicity of ethanolic extract of Nigella sativa seeds. Pharmacognosy Magazine, 8(32), 268–272. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785163/ Hamed, M. A., El-Rigal, N. S., & Ali, S. A. (2013, March). Effects of black seed oil on resolution of hepato-renal toxicity induced bybromobenzene in rats. European Review for Medical and Pharmacological Sciences, 17(5), 569–581. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23543440 Hasani-Ranjbar, S., Jouyandeh, Z., & Abdollahi, M. (2013, June 19). A systematic review of anti-obesity medicinal plants — an update. Journal of Diabetes & Metabolic Disorders, 12(1), 28. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3691594/ Kolahdooz, M., Nasri, S., Modarres, S. Z., Kianbakht, S., & Huseini, H. F. (2014, May 15). Effects of Nigella sativa L. seed oil on abnormal semen quality in infertile men: A randomized, double-blind, placebo-controlled clinical trial. Phytomedicine, 21(6), 901–905. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24680621 Mathur, M. L., Gaur, J., Sharma, R., & Haldiya, K. R. (2011, April). Antidiabetic properties of a spice plant Nigella sativa. Journal of Endocrinology & Metabolism, 1(1), 1–8. Retrieved from http://www.jofem.org/index.php/jofem/article/viewArticle/15/15 Metformin. (2018, March 15). Retrieved from https://medlineplus.gov/druginfo/meds/a696005.html Namazi, N., Larijani, B., Ayati, M. H., & Abdollahi, M. (2018, June). The effects of Nigella sativa L. on obesity: A systematic review and meta-analysis [Abstract]. Journal of Ethnopharmacology, 219, 173–181. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/29559374 Nigella Sativa. (2014, August 29). Retrieved from https://www.mskcc.org/cancer-care/integrative-medicine/herbs/nigella-sativa Omar, N. M., & Mohammed, M. A. (2017, June). The impact of black seed oil on tramadol-induced hepatotoxicity: Immunohistochemical and ultrastructural study. Acta Histochemica, 119(5), 543–554. Retrieved from https://www.sciencedirect.com/science/article/pii/S0065128117301174?via%3Dihub Racoma, I. O., Meisen, W. H., Wang, Q.-E., Kaur, B., & Wani, A. A. (2013, September 9). Thymoquinone inhibits autophagy and induces cathepsin-mediated, caspase-independent cell death in glioblastoma cells. PLoS ONE, 8(9), e72882. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3767730/ Rajput, S., Kumar, B. N., Dey, K. K., Pal, I., Parekh, A., & Mandal, M. (2013, November 13). Molecular targeting of Akt by thymoquinone promotes G(1) arrest through translation inhibition of cyclin D1 and induces apoptosis in breast cancer cells. Life Sciences, 93(21), 783–790. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24044882 Salim, L. Z. A., Mohan, S., Othman, R., Abdelwahab, S. I., Kamalidehghan, B., Sheikh, B. Y., & Ibrahim, M. Y. (2013, September 12). Thymoquinone induces mitochondria-mediated apoptosis in acute lymphoblastic leukaemia in vitro. Molecules, 18(9), 11219–11240. Retrieved from http://www.mdpi.com/1420-3049/18/9/11219 Yousefi, M., Barikbin, B., Kamalinejad, M., Abolhasani, E., Ebadi, A., Younespour, S., Manouchehrian, M., & Hejazi, S. (2013, December). Comparison of therapeutic effect of topical Nigella with Betamethasone and Eucerin in hand eczema. Journal of the European Academy of Dermatology and Venerology, 27(12), 1498–1504. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23198836 Weight Loss via Obesity / Weight Loss / Fitness News From Medical News Today https://ift.tt/O45xlc August 31, 2018 at 03:49PM
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How do you kill food cravings?
https://ift.tt/2oqBsCP Sweet foods and those rich in other carbohydrates fire off feel-good chemicals like serotonin, dopamine, and other relaxing endorphins in the brain. The effects of these chemicals may make a person more likely to seek them out repeatedly. Satisfying cravings can become a habit, and it may be easy to eat sugary or carbohydrate-rich foods without thinking about the consequences. Once a person kicks the habit, for example by following a restrictive diet, the cravings usually end soon afterward. The strategies below can help with managing food cravings. 1. Drinking water
The body can misinterpret thirst for hunger, and drinking water may help to curb food cravings.
The body can misinterpret signals from the brain, and what feels like a food craving may be a sign of thirst. Some people benefit from drinking water as soon as a food craving hits. Drinking more water may also help people who are dieting to lose weight. Authors of a study from 2014 examined overweight female participants who drank an extra 1.5 liters of water per day. The study found the participants who drank water weighed less, had less body fat, and reported more significant appetite reduction than matched participants who did not drink the water. Results of a study from 2013 indicated that drinking 2 cups of water before meals while following a calorie-restricted diet, helped middle-aged and older people with obesity to lose weight. When a food craving strikes, try drinking a large glass of water and waiting a few minutes. If the craving goes away, the body may just have been thirsty. 2. ExerciseIn 2015, researchers published the results of an investigation into the effects of quick exercise sessions on cravings for chocolate in people who were overweight. They found that brisk, 15-minute walks were more effective at reducing cravings than sitting passively. The next time a craving hits, it may help to try taking a quick walk or using the stairs instead of the elevator. 3. Mental gamesOne way to differentiate between cravings and real hunger is to ask questions, such as: Would I eat a piece of fruit?This exercise is called the fruit test. If a person cannot tell whether they are really hungry or just craving a sugary sweet, asking themselves whether they would eat a piece of whole fruit can help. If the answer is yes, the body is likely hungry, and if the answer is no, a person may be having a craving. Is it worth it in the long term?Visualizing the long-term consequences of snacking or otherwise indulging can help some people to curb cravings. These consequences may include:
This exercise can also help a person to see the big picture and remember why they are dieting or trying to restrict their intake of certain foods. 4. Reduce stress
Stress-relieving exercises, such as tai chi, may reduce hunger cravings.
Stress can play a role in hunger cravings, and long-term stressors can cause some people to crave foods that are sugary or more calorie-dense. Finding ways to reduce stress may help to eliminate cravings. Simple means of reducing stress, such as taking regular breaks from work, or even taking a few deep breaths, can help the body to refocus and calm the mind. It may also help to try mindful stress-relieving practices, such as:
5. Avoid hungerMany people who are dieting cut back on calories, but calorie restriction can pose challenges and lead to more frequent feelings of hunger. If a person feels hungry all the time, making certain dietary changes may help to curb sugar and carb cravings. Some people recommend structuring the diet by setting specific times for meals each day. This can help to retrain the body and brain, and communicate that there are times to eat and times not to. If a person cannot sit down for set meals, they are more likely to snack throughout the day. In this case, it is important to have healthful snacks on hand. This may also make a trip to the convenience store, fast food restaurant, or vending machine less tempting. 6. Eat more protein
Increasing the amount of protein in the diet may reduce the number of cravings and keep the body satisfied for longer after eating.
Many people find that eating more protein helps to keep hunger pangs and cravings to a minimum. Protein may help the body to feel more satisfied for longer. According to findings published in the research journal Obesity, overweight males who increased their dietary protein intake to represent at least 25 percent of their total calorie intake reported a significant reduction in food cravings. Protein may be especially helpful at breakfast. Research published in Nutrition Journal studied the effects of eating breakfast on cravings in teenage females who were overweight or obese and who usually skipped breakfast. They found that eating breakfast resulted in fewer cravings for sweet or savory foods. Those who ate breakfast with a high protein content had fewer cravings for savory foods. The authors considered the protein content to be high when the meal contained 35 grams of protein from certain sources. 7. Plan times to indulgeCompletely ignoring cravings can have negative consequences, so it may be a good idea to plan times to eat otherwise restricted foods. This may look like a cheat day or an after-work treat, depending on a person's dietary needs. Sticking to a restrictive diet and ignoring cravings may be easier if a person has a planned indulgence to look forward to. 8. Try a stick of gumSome people find that reaching for a piece of sugar-free gum helps them to avoid food cravings when they strike. Authors of a study from 2015 concluded that chewing gum may reduce appetite and cravings, and they attributed these effects to the process of chewing. Gum may be a more healthful alternative to sugary or high-calorie snacks. TakeawayAny of the strategies above, or a combination, may help to reduce cravings for foods rich in sugars and other types of carbohydrate. However, it may still be a good idea to speak with a professional. A dietician or personal trainer can help a person to develop a healthful diet plan that reduces cravings and associated stress. Ultimately, a person will see the best results if they make dietary changes that they can maintain in the long term. Weight Loss via Obesity / Weight Loss / Fitness News From Medical News Today https://ift.tt/O45xlc August 31, 2018 at 02:59PM
Is Keto Cycling Healthy? Here's What to Know About the Controversial Diet
https://ift.tt/2PlvMFF Chances are, you’ve read about or know someone who’s on the keto diet, or perhaps you’ve experimented with it yourself. Short for “ketogenic,” the keto diet is an extremely low-carbohydrate eating plan that sends the body into ketosis—a state of burning fat for energy, rather than sugars. People on a ketogenic diet consume 50 grams or fewer of carbohydrates per day and instead eat higher-than-normal amounts of fat and protein. And while they often lose weight quickly, health experts say the diet isn’t sustainable—and often isn’t healthy—to follow for long periods of time. That’s where keto cycling comes in: Touted as a less restrictive, more sustainable way to get the benefits of a ketogenic lifestyle, keto cycling involves following a ketogenic diet for a few days in a row, then taking a break and eating high (or at least normal) levels of carbohydrates for a day. In other words, it’s the best of both worlds... right? Well, as with most things science and dieting and weight loss, it’s not quite that simple. We checked in with two nutritionists—each with a difference stance on the keto diet in general—to find out what they think about this on-again, off-again approach. Here’s what you should know before giving it a try. RELATED: 7 Dangers of Going Keto What is keto cycling?Because keto cycling isn’t a branded or trademarked term, there’s no exact definition for how it’s done. Some websites describe following a strict keto diet for six days a week followed by one “cheat day” or “high-carb day.” Others encourage switching it up more frequently. Josh Axe, a doctor of natural medicine and clinical nutritionist, says his preferred method of keto cycling is a two-day-on, one-day-off pattern. Axe is a big proponent of the keto diet, and he sells keto-related supplements on his website. But because the diet is difficult to follow long-term, he believes it should ideally be done for just 30 to 90 days. “After that, it’s a good idea to transition into another diet that’s going to be easier to maintain, and maybe that’s keto cycling,” says Axe. He says he was turned onto the benefits of keto cycling by his wife, who tried it herself after doing the keto diet for 30 days. “She started eating like that, two keto days and one carb day, and she noticed results probably just as good as doing the full-on keto,” he says. “Her hormones really balanced out, she lost about 10 pounds, and we found she was able to do this long-term rather than crashing and burning the way people sometimes do on long-term diets.” RELATED: 4 Things You Need to Know Before Trying the Keto Diet Carb cycling vs. keto cyclingAxe describes keto cycling as “the keto diet meets carb cycling.” So what’s the difference between the two terms? Carb cycling is a more general term used when a person cuts back on carbs for a few days (followed by a high- or moderate-carb day), but does not restrict so much that the body has to switch to burning fat for fuel. “The ratios are slightly different,” says Axe. “Carb cycling tends to be more high-protein, moderate-fat, and you’re not really ever getting into ketosis. Keto cycling is higher-fat, higher-protein, and lower-carb than what you’d eat if you were carb cycling.” In both carb cycling and keto cycling, he adds, people may choose to match up their carb days with high-intensity workout days. During keto cycling, the body goes in and out of ketosis depending on what fuel—fat or carbohydrates—is available for burning. “Our hunter-gatherer ancestors weren’t concerned with carb cycling," says Axe, "but when you think about it, sometimes they were eating quite a few carbs and sometimes they were eating fat because of the natural fluctuation in food sources.” Keto cycling benefitsSome proponents of keto cycling say that an on-again, off-again plan can help prevent side effects of a full-on keto diet. Theoretically, fatigue, nausea, diarrhea, and other symptoms of “keto flu” may be lessened if people aren’t in ketosis for so many days at once. There’s also some concern that carbohydrate restriction over a long period of time may negatively affect hormones, cholesterol levels, or even people's moods. Again, theoretically, these problems might be avoided with regular carb-replenishment days. Because there are no published studies on keto cycling versus a regular ketogenic diet, however, no one can definitively say what the health benefits are of one over the other. But one thing is for sure, says Axe: Mentally, keto cycling can be much easier to stick with in the long run, and it allows for more variety in the diet—something most health experts would agree is a good thing for physical health, as well. Axe generally recommends keto cycling as a way to continue the ketogenic diet after an initial 30- to 90-day period of everyday carb-restriction. “But the truth is,” he says, “somebody can just do keto cycling and can still really see results, even without doing full-on keto. RELATED: Keto Flu Explained: Why Low-Carb Diets Can Make You Feel Sick and Tired Keto cycling negativesKristen Kizer, RD, a dietitian at Houston Methodist Medical Center, says she advises her clients to avoid the keto diet. She says it’s unbalanced and restricts too many important food groups—and while people do lose weight, she says, they almost always gain it back once they add carbs back into their diet. But that doesn’t mean she thinks keto cycling is any better. She’s concerned that the keto diet can promote disordered eating and that keto cycling especially can lead to binge behaviors. “A lot of people will think, 'All I need to do is be very low-carb for five or six days, then on my cheat days I can eat as many carbohydrates as I want,'” she says. “It definitely is not supposed to work that way.” Keto cycling is also likely to make people’s weight fluctuate, especially if they are just coming out of several weeks or months of full-on carb restriction. “It doesn’t establish a healthy relationship with food, and it can mentally throw people off if they regain all the weight they just lost,” says Kizer. Kizer also points out that ketosis is an altered metabolic state, and, unlike Axe, she worries that it’s unhealthy to force the body in and out of it on a regular basis. “People can fall in and out of ketosis, and they won’t really know where they are unless they’re monitoring their ketones,” she says, referring to acids in the blood that are produced as a result of fat-burning. “You can’t just take a break for a day and then pick up where you left off after eating pancakes and waffles.” In fact, Kizer says she’d prefer that people follow a full-on ketogenic diet than keto cycling. “Again, I’d really prefer they do neither,” she says, “but I just feel there’s a lot more room for error when you start talking about cycling your carbs.” To get our top stories delivered to your inbox, sign up for the Healthy Living newsletter What to eat when keto cyclingIf there’s one thing that Axe and Kizer agree on, it’s that there is a healthy way and an unhealthy way to incorporate carbohydrates in your diet. “Keto cycling doesn’t mean going completely off the wagon and eating pizza and a bag of chips and a tub of ice cream,” says Axe. “What you want is those good carbs we’d always recommend as part of a balanced diet—brown rice, quinoa, sweet potatoes, fruit in the morning, that type of thing.” Some of Axe’s favorite foods to recommend on carb days include açai bowls, berry smoothies with protein powder, sweet potato fries (alongside a grass-fed burger with a gluten-free bun, he says), pizza with cauliflower crust topped with chicken and buffalo mozzarella cheese, and “a little dark chocolate” for dessert. He suggests getting 30 to 40% of your food intake on these days from healthy starches and carbohydrates, versus just 5 to 10% on keto days. Kizer says that regardless of carb cycling, ketosis, or any other diet that people may be trying, it’s always smart to choose carbohydrates that are as whole and unprocessed as possible. “I’m talking about whole fruit—not an apple strudel, but real apples,” she says. “I’m talking about brown rice, potatoes, beans, corn, and whole grains like quinoa, amaranth, and farro.” “I try to have my clients focus on food being as less processed as possible and avoid things like white rice, white bread, and sugary cereals,” Kizer says. “Unfortunately, a lot of people are choosing things like muffins, French toast, or garlic bread on their ‘days off,’ and they’re using keto cycling or carb cycling as an excuse." Weight Loss via Weight Loss - Health.com https://ift.tt/2um58Un August 30, 2018 at 01:52PM
What are symptoms of type 2 diabetes in children?
https://ift.tt/2NxHWLi In this article, we look at what type 2 diabetes is and describe its symptoms, causes, and risk factors in children. We also explore how a doctor diagnoses and treats the condition, ways to help prevent it and the complications that it can cause. What is type 2 diabetes?
In a child with type 2 diabetes, the body is either resistant to insulin or it cannot produce enough.
Type 2 diabetes is a chronic condition characterized by high levels of blood sugar, or glucose. The pancreas produces a hormone called insulin that helps to control the amount of sugar in the blood. In a person with type 2 diabetes, either the body does not produce enough insulin, or it does not respond to the hormone appropriately, and this is called insulin resistance. In the past, the medical community called type 2 diabetes either adult-onset diabetes or non-insulin dependent diabetes. However, the condition is affecting an increasing number of children and adolescents, as rates of obesity continue to rise. According to the National Center for Chronic Disease Prevention and Health Promotion, doctors in the United States diagnosed around 5,300 children and adolescents aged 10–19 years with type 2 diabetes between 2011 and 2012. Type 2 diabetes is a long-term illness that can lead to serious complications if a person does not receive treatment. At the moment, there is no cure. SymptomsType 2 diabetes often has a slow, gradual onset. Because of this, it can be difficult to detect in children. General signs and symptoms of both types of diabetes are similar. Children and adults may experience:
Causes and risk factors
Obesity causes insulin resistance, which increases the risk of type 2 diabetes.
Anyone can develop type 2 diabetes, including children. The condition is more likely to develop in adults and children who are overweight or obese. Obesity increases the risk of type 2 diabetes by causing insulin resistance. This occurs when organs and tissues do not respond appropriately to insulin and do not absorb enough sugar from the blood. Insulin resistance results in high blood sugar levels, a lower tolerance for glucose, more inflammation, and an overproduction of glucose in the liver. According to the Centers for Disease Control and Prevention (CDC), obesity affected 13.7 million children and adolescents aged 2–19 years between 2015 and 2016 in the U.S. Authors of a study from 2017 found that children and adults below the age of 25 who fell into the body mass index ranges for obesity were four times more likely to develop type 2 diabetes than those in the normal ranges. Other risk factors for type 2 diabetes in children include:
DiagnosisTo diagnose type 2 diabetes, a doctor will ask about the child's symptoms, and they may take a blood sample to check glucose levels. The doctor may also use a simple urine test to screen for sugar in the urine. In the U.S., possible blood tests include:
For a reliable diagnosis, a medical professional should perform these tests on two separate occasions. To confirm a diagnosis, a doctor may also request multiple tests, or they may check other factors, such as glucose tolerance. TreatmentTreatment for type 2 diabetes is generally similar in children and adults. The most important treatments are often lifestyle interventions, which include weight management, dietary changes, and exercise. A doctor may also prescribe include insulin or other medications that help the body respond better to insulin. The child may also need to regularly monitor their blood glucose levels. The doctor will tailor the treatment plan according to the child's age, needs, and the severity of the condition. It is important for parents and caregivers to communicate the treatment plan to the child's caretakers, teachers, coaches, and anyone else who supervises the child away from home. Prevention
Exercising for at least 60 minutes each day will help children maintain a healthy weight.
Prevention of type 2 diabetes largely involves developing healthful lifestyle habits, such as: Maintaining a healthy weight Ensuring that weight stays at a healthful level can lower the risk of type 2 diabetes. A doctor or dietician can advise about healthy weight ranges for children and recommend programs for losing weight, if necessary. Eating a well-balanced diet A child's diet should contain limited amounts of added sugars and simple carbohydrates. Breads and pastries made with white flour may be problematic, and the diet should instead include plenty of fruits, vegetables, lean proteins, and whole grains. This will lower the risk of obesity and type 2 diabetes. Exercising Exercise is essential in maintaining a healthy weight and overall health. The World Health Organization (WHO) recommend that children aged 5—17 years get at least 60 minutes of moderate or vigorous physical activity every day. Encourage kids to play outside and engage in sports, and limit time spent in front of a screen. This may mean cutting back on video games, television, and similar devices. ComplicationsChildren with type 2 diabetes are at risk for potentially serious complications, including heart disease and stroke. Other complications and associated conditions can include: OutlookType 2 diabetes is becoming more common in children, as rates of childhood obesity continue to climb. The condition can be difficult to detect and diagnose in children, and doctors are not yet sure of the long-term effects of having it at a young age. Focusing on healthful lifestyle habits involving, for example, a well-balanced diet and plenty of physical activity, can help prevent and treat type 2 diabetes in children. Weight Loss via Obesity / Weight Loss / Fitness News From Medical News Today https://ift.tt/O45xlc August 30, 2018 at 08:48AM
Can simply changing your meal times help you lose more weight?
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How do shifting meal times impact your weight loss efforts?
Intermittent fasting is a form of diet that allows people to lose weight by "prompting" the body to switch to burning fats, so as to convert them into energy. Besides inducing weight loss, various models of intermittent fasting have been hailed for bringing additional health benefits. One type of fasting diet is time-restricted eating, in which the dieters only eat for a specific number of hours every day. Recently, researchers — led by Dr. Jonathan Johnston, from the University of Surrey in the United Kingdom — decided to conduct a study starting from the time-restricted eating model. The difference? Some of the study participants were asked to deviate from the times at which they would normally have their daily meals. The researchers did this to see how disrupting time patterns when it comes to eating can impact a person's weight, as well as other health factors, such as biomarkers for diabetes and heart disease. They report their findings in a paper now published in the Journal of Nutritional Science. Changing meal times may helpThe research team worked with an initial cohort of 16 participants, of which 13 successfully followed through with the study, which lasted for a period of 10 weeks. Dr. Johnston and colleagues split the participants into two groups. People in the first group were asked to have breakfast 90 minutes later than they normally would and have dinner 90 minutes earlier than usual. Participants in the second group acted as controls, and they kept having their meals at the same times as they would normally do so. Otherwise, there were no dietary restrictions, and everyone followed their normal diets — as long as they did so only between designated times. At the start of the intervention, as well as throughout the study, the researchers collected blood samples from each participant. At the end of the study, the volunteers filled in a questionnaire, offering feedback about how well they fared over the 10 weeks. Dr. Johnston and his team found that the participants in the first group, who modified their breakfast and dinner times by 1.5 hours, lost more than twice as much excess body fat, on average, than those following their regular meal times. Moreover, the researchers noticed that the participants in the experimental group actually tended to eat less food at meal times than their counterparts in the control group. The volunteers who took part in the intervention observed this themselves, reporting that they ate less because of decreased appetite, fewer opportunities to eat, or reduced snacking in the evening. However, it remains unclear whether these participants fasting for a longer time also affected how much body fat they lost. "Although this study is small, it has provided us with invaluable insight into how slight alterations to our meal times can have benefits to our bodies," notes Dr. Johnston. "Reduction in body fat lessens our chances of developing obesity and related diseases, so is vital in improving our overall health," he adds. Implementation may call for flexibilityThe researchers were also interested in learning whether such adjustments to meal times would be acceptable in the long run, and whether they could fit seamlessly into individuals' daily schedules. As it turns out, the shift may not be so easy to incorporate. Of all of the participants, 57 percent declared that they would be unable to continue eating according to the experimental schedule beyond the time frame of the study, since the changed times clashed with their regular day-to-day commitments. At the same time, however, 43 percent of the participants admitted that they would be happy to consider carrying on with the time-restricted eating diet if the meal times would be a little more flexible. "[A]s we have seen with these participants, fasting diets are difficult to follow and may not always be compatible with family and social life," admits Dr. Johnston, adding:
He explains that the findings of the recent study will allow him and his colleagues to conduct "larger, more comprehensive studies of time-restricted feeding" in the future. Weight Loss via Obesity / Weight Loss / Fitness News From Medical News Today https://ift.tt/O45xlc August 30, 2018 at 06:52AM
Best exercises for rheumatoid arthritis pain
https://ift.tt/2NxzrQj People with RA who exercise may find that they have less pain that those who do not. Exercise can reduce painful symptoms, improve joint function and flexibility, increase range of motion, and boost mood. It is best to seek medical advice before starting any exercise program and to work with a doctor and a physical therapist to develop a tailored exercise plan. Best exercises for RA painThe following types of exercise may help relieve the pain, joint stiffness, and other symptoms that RA can cause: 1. Stretching
Walking can help with joint health.
Stretching can help improve flexibility, reduce stiffness, and increase range of motion. Stretching daily, ideally in the morning, is important for relieving RA symptoms. The ideal stretching routine will be different for each person and will depend on which joints are affected and what symptoms occur. However, stretches often involve slowly and gently moving the joints of the knees, hands, and elbows. A typical stretching routine may consist of:
Many people will find it beneficial to work with a physical therapist who understands RA to learn the correct way to perform the stretches that meet their personal needs. 2. WalkingWalking is a low-impact form of exercise that can help with aerobic conditioning, heart and joint health, and mood. It is essential to wear proper shoes and stay hydrated, even if the walking is not strenuous. It is often sensible to walk slowly initially and then increase the pace when possible. 3. Flowing movements, such as tai chi and yogaBoth tai chi and yoga combine deep breathing, flowing movements, gentle poses, and meditation. They increase flexibility, balance, and range of motion while also reducing stress. It is possible to buy DVDs of tai chi or yoga workouts that are specifically for people with RA. 4. PilatesPilates is a low-impact activity that stabilizes the joints and strengthens the muscles around them. People new to Pilates should begin with a routine that uses a mat rather than a machine to build muscle strength safely. 5. Water exercisesWater helps support body weight, which means that water exercises do not impact heavily on the joints. Swimming, water aerobics, and other gentle water exercises can increase flexibility, range of motion, strength, and aerobic conditioning. They can also reduce joint stress and stiffness. 6. CyclingAs RA increases the risk of cardiovascular disease, it is vital to keep the heart as healthy as possible. Riding a stationary bike can be a safe way to get the joints moving and improve cardiovascular fitness. In addition to improving aerobic conditioning, cycling can reduce stiffness, increase range of motion and leg strength, and build endurance. 7. Strength trainingStrengthening the muscles around the affected joints can help increase strength while reducing pain and other RA symptoms. Using a resistance band is one of the best ways to challenge the body and build muscle over time. A physical therapist who works with people with RA should be able to offer guidance on suitable exercises. 8. Hand exercisesRA can sometimes lead to limited use of the hands. Bending the wrists up and down, slowly curling the fingers, spreading the fingers wide on a table, and squeezing a stress ball can all help increase strength and flexibility in the hands. 9. GardeningAs well as being a form of exercise, gardening offers the benefit of improving mood. People should be gentle with their body, work slowly, and avoid overstraining the muscles and joints. Tips for exercising with RAThe tips below may improve safety and comfort when exercising with RA: Be consistentPeople need to exercise consistently to achieve meaningful results. It is important to keep at it and practice regularly. Some days may be less comfortable than others, but it is possible to adjust the intensity accordingly. Accessorize for comfort and protection
Use a slip-resistant yoga mat to reduce the risk of injury.
The following methods can help people exercise more comfortably with less risk of injury:
Listening to music can provide motivation and help pass time when exercising. Seek varietyRA symptoms can vary daily, and they tend to come in waves. People often experience flares and periods of remission. Doing a variety of exercises and mixing up the daily routine can help people avoid overworking one set of muscles or particular joints. For example, a person doing morning stretches each day may choose to add strength training twice a week, a water workout once a week, and yoga or tai chi twice a week, symptoms permitting. This variety should prevent any overuse injuries, which can aggravate symptoms and counter the benefits of the exercise. Adjust exercises according to symptomsOn days when symptoms are more severe, people can reduce the intensity of the exercise. For example, they could place a resistance band around the forearms instead of holding it in the hands. Alternatively, they can try a different type of exercise or exercise for a shorter time. On days when cycling or swimming seems too much, switching this type of activity to a leisurely stroll or some stretching will still be beneficial. Listen to the bodyIt is important for people with RA to remain as physically active as possible. However, it is equally crucial to avoid discomfort or injuries. It is vital to choose the right pace and listen to the body. If exercise causes discomfort or a flare, it is best to reduce the session. For example, do 10 minutes instead of 30. People should also take time off when necessary. Pay attention to small thingsMost exercises focus on large muscle groups. It is essential to make time for smaller parts of the body, such as the hands and fingers. Creating a daily routine out of these focused exercises can help. Work with a physical therapistWorking with a physical therapist who specializes in RA can be helpful in developing a safe and appropriate exercise routine. This collaboration can be particularly beneficial for people with a new RA diagnosis or those who are experiencing a severe flare. Exercises to avoidPeople with RA should avoid strenuous exercise or any exercises that cause pain. These may include high-impact exercises that put excessive strain on the joints. However, there are no specific exercises that everyone with RA should avoid. Each person is different, and an activity that causes pain for one person may not have the same effect on another person. What is right for someone will depend on their situation and health condition. However, everyone is likely to benefit from paying close attention to their body and working with a doctor or physical therapist for guidance. OutlookExercise is usually very helpful for people with RA. It offers a range of benefits, which include relieving symptoms, improving joint function, building strength, increasing flexibility, helping daily functioning, improving aerobic fitness, and boosting mood. It can reduce RA flares and make the symptoms of this condition easier to manage. It is a good idea to work with a doctor and physical therapist to develop a personalized exercise program for the best possible results. Weight Loss via Obesity / Weight Loss / Fitness News From Medical News Today https://ift.tt/O45xlc August 30, 2018 at 05:48AM
7 Dangers of Going Keto
https://ift.tt/2LB4ede The ketogenic diet—also known as "keto"—has become the latest big thing in weight-loss plans, touted recently by celebs like Jenna Jameson, Mama June, and Halle Berry. The diet involves cutting way back on carbohydrates, to 50 grams a day or less, to help the body achieve a state of ketosis, in which it has to burn fat (rather than sugar) for energy. Doctors say that keto can be helpful in treating epilepsy; it’s unclear exactly why, but something about a ketogenic state seems to reduce the frequency of seizures. Animal studies have also suggested that the diet may have anti-aging, anti-inflammatory, and cancer-fighting benefits, as well. But as a general weight-loss plan, keto is more controversial. Some health experts warn against it entirely, citing unpleasant side effects, health risks, and the diet’s unsustainable nature. Even many keto proponents admit that, if the diet’s not done “the right way,” it can be the opposite of healthy. Here are a few things you should know about the ketogenic diet before you try it as a way to lose weight. Yes, you might drop pounds, but you should also watch out for the following side effects or complications. RELATED: 4 Things You Need to Know Before Trying the Keto Diet The "keto flu"“Some people report that when they start ketosis, they just feel sick,” says Kristen Kizer, RD, a nutritionist at Houston Methodist Medical Center. “There can sometimes be vomit, gastrointestinal distress, a lot of fatigue, and lethargy.” This so-called keto flu usually passes after a few days, she adds. Josh Axe, a doctor of natural medicine and clinical nutritionist, estimates that about 25% of people who try a ketogenic diet experience these symptoms, with fatigue being the most common. “That happens because your body runs out of sugar to burn for energy, and it has to start using fat,” he says. “That transition alone is enough to make your body feel tired for a few days.” You may be able to minimize the effects of keto flu by drinking plenty of water and getting plenty of sleep. Axe, who sells keto-related supplements on his website, also recommends incorporating natural energy sources to battle fatigue, like matcha green tea, organic coffee, or adaptogenic herbs. DiarrheaIf you find yourself running to the bathroom more often while on a ketogenic diet, a quick internet search will show you that you’re not alone. (Yes, people are tweeting about keto diarrhea.) This may be due to the gallbladder—the organ that produces bile to help break down fat in the diet—feeling “overwhelmed,” says Axe. Diarrhea can also be due to a lack of fiber in the diet, says Kizer, which can happen when someone cuts way back on carbs (like whole-grain bread and pasta) and doesn’t supplement with other fiber-rich foods, like vegetables. It can also be caused by an intolerance to dairy or artificial sweeteners—things you might be eating more of since switching to a high-fat, low-carb lifestyle. RELATED: 10 Things That Can Cause Diarrhea Reduced athletic performanceSome athletes swear by the ketogenic diet, not just for weight loss but for improved performance in their sport, as well. But Edward Weiss, PhD, associate professor of nutrition and dietetics at Saint Louis University, doesn’t buy it. “I hear cyclists say all the time that they’re faster and better now that they’re on keto, and my first question is, 'Well, how much weight did you lose?'” he says. In a recent study in the Journal of Sports Medicine and Physical Fitness, Weiss and his colleagues found that participants performed worse on high-intensity cycling and running tasks after four days on a ketogenic diet, compared to those who’d spent four days on a high-carb diet. Weiss says that the body is in a more acidic state when it’s in ketosis, which may limit its ability to perform at peak levels. “Just losing a few pounds is enough to give you a huge advantage on the bike, but I’m very concerned that people are attributing the benefits of weight loss to something specific in the ketogenic diet,” Weiss continues. “In reality, the benefits of weight loss could be at least partially canceled out by reductions in performance.” KetoacidosisIf you have type 1 or type 2 diabetes, you shouldn’t follow the keto diet unless you have your doctor’s permission and close supervision, says Kizer. “Ketosis can actually be helpful for people who have hyperglycemia issues, but you have to be very mindful of your blood sugar and check your glucose levels several times a day,” she says. That’s because, for people with diabetes, ketosis can trigger a dangerous condition called ketoacidosis. This occurs when the body stores up too many ketones—acids produced as a byproduct of burning fat—and the blood becomes too acidic, which can damage the liver, kidneys, and brain. Left untreated, it can be fatal. Ketoacidosis has also been reported in people without diabetes who were following low-carb diets, although this complication is quite rare. Symptoms of ketoacidosis include a dry mouth, frequent urination, nausea, bad breath, and breathing difficulties; if you experience these while following the keto diet, check in with a doctor right away. RELATED: Keto Diet Constipation Is a Legit Issue—Here's How to Deal Weight regainBecause the keto diet is so restrictive, health experts say it’s not an appropriate diet to follow long-term. (Even Axe says it’s best done for 30 to 90 days, followed by a more sustainable diet plan.) But the problem with that, says Kizer, is that most people will regain a lot of the weight they lost as soon as they go back on carbs. “It’s an issue with any fad diet, but it seems to be extra common with ketosis,” says Kizer. “When people tell me they want to try it because their friends lost weight, I always tell them, 'Just watch, I almost guarantee that they’ll gain it all back.’” These types of back-and-forth weight fluctuations can contribute to disordered eating, Kizer says, or can worsen an already unhealthy relationship with food. “I think this diet appeals to people who have issues with portion control and with binge eating,” she says. "And in many cases, what they really need is a lifestyle coach or a professional counselor to help them get to the bottom of those issues." Less muscle mass, decreased metabolismAnother consequence of keto-related weight changes can be a loss of muscle mass, says Kizer—especially if you’re eating much more fat than protein. “You’ll lose weight, but it might actually be a lot of muscle,” she says, “and because muscle burns more calories than fat, that will affect your metabolism.” When a person goes off the ketogenic diet and regains much of their original weight, it’s often not in the same proportions, says Kizer: Instead of regaining lean muscle, you’re likely to regain fat. “Now you’re back to your starting weight, but you no longer have the muscle mass to burn the calories that you did before,” she says. “That can have lasting effects on your resting metabolic rate, and on your weight long-term.” To get our top stories delivered to your inbox, sign up for the Healthy Living newsletter Increased risk of heart disease and diabetesAxe says that, when done right, the ketogenic diet includes lots of vegetables and lean sources of animal protein. In other words, it’s not an excuse to eat butter and bacon—although some people may try to do just that. That’s why many health experts are concerned about people on the keto diet, especially those who try it without the guidance of a doctor or nutritionist. Doctors say that high-fat diets like this one may raise cholesterol levels, and some studies suggest that they increase the risk of diabetes. Some have even called it a “cardiologist’s nightmare.” Just this week, a 25,000-person study presented at the European Society of Cardiology Congress in Munich suggested that people on the lowest-carb diets had the highest risk of dying from cancer, cardiovascular conditions, and all other causes. Another study, published this month in the Lancet, also found that people who followed diets that were low in carbs and high in animal proteins had a higher risk of early death compared to those who consumed carbs in moderation. (The opposite was true, however, for low-carb dieters who opted for plant-based proteins over meat and dairy.) “Whether you’re in the paleo camp or the keto camp or the vegan camp, everyone agrees that we want to have a nutrient-rich diet,” Axe says: “Lots of vegetables, herbs, spices, and plant-based sources of fat and protein, too.” “If you’re not doing that, you’re promoting disease in the body—it’s that simple,” Axe says. (And yes, that’s true even if you still lose weight in the beginning.) “If you’re just going to eat butter and bacon,” he adds, “I’d rather you not do keto at all.” Weight Loss via Weight Loss - Health.com https://ift.tt/2um58Un August 29, 2018 at 12:59PM
How exercise affects metabolic hormones
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Cardio exercise and strength training impact our metabolic hormones in different ways.
The research has deepened our understanding of how different forms of exercise affect the body. A significant finding is that endurance exercise increases a metabolic hormone called fibroblast growth factor 21 (FGF21), whereas strength training decreases another called fibroblast growth factor 19 (FGF19). The effects of various forms of exercise on better-known hormones such as insulin and adrenalin are already well-understood, says senior study author Christoffer Clemmensen, who is working as an associate professor in the Novo Nordisk Foundation Center for Basic Metabolic Research in Copenhagen. The new insight from their findings, he explains, is "that strength training and cardio exercise affect FGF hormones differently." The study — which features in the Journal of Clinical Investigation: Insight — also confirmed some known effects of other metabolic substances. Metabolism and exerciseThe word metabolism comes from the Greek phrase for "to change," but we use it to refer to all the processes that extract and use energy to sustain life. These range from breathing, digestion, and temperature regulation to muscle contraction, keeping the brain and nerves working, and getting rid of waste through feces and urine. Metabolism changes over the lifespan. As we get older, we burn fewer calories and our digestion alters. We also lose lean muscle and — unless we take care of our diet and exercise regularly — gain weight. Eating too much and having a lifestyle that is mostly sedentary can hasten these age-related changes. To protect against this, experts advise us to follow guidelines on how to eat a healthful diet and remain physically active. In the United States, the physical activity guidelines for adults advise a combination of muscle-strengthening and aerobic, or endurance, exercise. Exercise and metabolic hormonesHowever, while there is a lot of evidence outlining the various benefits of exercise on health, "the underlying mechanisms remain incompletely understood," Clemmensen and his colleagues note in their study paper. So, they investigated this further by examining the impact of two forms of exercise on metabolic hormones, which are the chemical messengers that regulate the processes of metabolism. They recruited 10 healthy young men and randomly split them into two groups. In one group, the men did cardio training first, and then strength training about a week later. In the other group, the men did the strength training first and then the cardio. All the exercise sessions lasted for about an hour and were intensive. In the cardio session, the men cycled at 70 percent maximum intake of oxygen. In the strength training session, they put all major muscle groups through a regime comprising five different exercises repeated between five and 10 times. During the 3-hour recovery period following each exercise session, the researchers took blood samples from each man immediately after exercise and then at intervals thereafter. They used the blood samples to measure changes in levels of: blood sugar, lactic acid, several hormones, and bile acid. Different effects on metabolic hormonesThe results showed that blood levels of FGF21 rose significantly during the cardio or endurance sessions, but not in the strength training sessions. The effect of cardio on FGF21 was so marked that the researchers believe that it warrants further investigation. Of particular interest is whether the hormone is directly involved in the health-promoting effects of cardio exercise. The results also showed that levels of FGF19 fell slightly after strength training. This was a surprise to the researchers who were expecting it to rise, since animal studies suggest that the metabolic hormone helps with muscle growth. FGFs are active in many different biological processes, in addition to helping regulate metabolism. These include, for example, cell growth, embryonic development, tissue repair, and tumor formation. FGF21 is produced in several organs and is active in weight loss, glucose control, and reducing inflammation. In fact, researchers have proposed that FGF21 has potential as a drug for treating "metabolic complications such as diabetes and fatty liver disease." FGF19, which is produced in the gut, is described as an "atypical" member of the FGF family. As a hormone, it helps regulate bile acid production and metabolism of glucose and lipids. Animal studies have shown that, as well as helping with muscle growth, FGF19 can aid weight loss, reduce fats and glucose levels in the liver, and improve use of insulin. The team now plans to further investigate the links between metabolic hormones and exercise. One limitation of the new study was that it only looked at changes in the 3 hours following the exercise session. It is still not clear what happens in the longer-term.
Weight Loss via Obesity / Weight Loss / Fitness News From Medical News Today https://ift.tt/O45xlc August 29, 2018 at 12:48PM
Letter from the Editor: Lucky number seven
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We're a colorful and curious bunch in the MNT editorial office.
When it comes to the Medical News Today editorial office, however, this stereotype couldn't be further from the truth. Our editorial office was first established in the United Kingdom a little over 5 years ago. The team has grown more than fourfold in that time, and while there have been many changes, one thing remains the same: our culture. From day 1, it was clear that the MNT team is something special. It abounds with wonderfully unique people, with interests ranging from rapping to paragliding. We all have different skillsets, and we all have very different tastes in music (cue the great ABBA debate). However, there are some things that run throughout the team. "I love working with people who are so passionate about what they do, super hard-working, and determined to do the job well, but who also have an excellent sense of humor and can have fun," one colleague commented. "Empathy is always a priority," said another, "and I can't stress enough how much this contributes to sustaining a great work environment." It's no secret that a happy team is a productive one. We're so happy to be part of a team with one distinct aim: to provide you, our readers, with reliable and actionable health content. It seems that you like what we're doing. July was a record-breaking month for MNT; more than 35 million of you came to our site. What is more, MNT have moved up the ranks to become the 7th biggest health website worldwide! This month, our article about how to lose weight without diet or exercise proved popular, and you were keen to learn about the health benefits of cranberry juice, as well as which foods can help reduce anxiety. Our report on a study about an existing drug that could prevent Alzheimer's disease piqued your scientific curiosity in August, as did our feature on the latest research on the health benefits of vitamin D. You were also interested in our article on a study that links the keto diet to diabetes, and our story on how probiotics could be linked to "brain fog" and bloating caught your eye. As always, we're open to article suggestions. Is there a health topic you'd like to learn more about? Get in touch and we'll get on the case! You can also reach out to us via Facebook, and you can keep up with the latest medical research by following us on Twitter and Pinterest. You'll hear more from me and the rest of the weirdly wonderful MNT team next month. Have a happy and healthful September! Honor Whiteman, Managing Editor Weight Loss via Obesity / Weight Loss / Fitness News From Medical News Today https://ift.tt/O45xlc August 29, 2018 at 11:51AM
What are the benefits of pistachios?
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Basic report: 12142, nuts, pecans. (2018, April). Retrieved from https://ndb.nal.usda.gov/ndb/foods/show/12142? Basic report: 12151, nuts, pistachio nuts, raw. (2018, April). Retrieved from https://ndb.nal.usda.gov/ndb/foods/show/302575 Bes-Rastrollo, M., Sabaté, J., Gómez-Gracia, E., Alonso, A., Martínez, J. A., & Martínez-González, M. A. (2007, January). Nut consumption and weight gain in a Mediterranean cohort: The SUN study [Abstract]. Obesity, 15(1), 107–116. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/17228038 Dreher, M. L. (2012, April). Pistachio nuts: Composition and potential health benefits [Abstract]. Nutrition Reviews, 70(4), 234–240. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/22458696 Ellsworth, J. L., Kushi, L. H., & Folsom, A. R. (2001, December). Frequent nut intake and risk of death from coronary heart disease and all causes in postmenopausal women: The Iowa Women's Health Study [Abstract]. Nutrition, Metabolism, and Cardiovascular Diseases, 11(6), 372–377. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/12055701 Full report (all nutrients): 12131, nuts, macadamia nuts, raw. (2018, April). Retrieved from https://ndb.nal.usda.gov/ndb/foods/show?n1=%7BQv%3D1%7D&fg=&fgcd=&man=&lfacet=&count=&max=25&sort=c&qlookup=&offset=25&format=Full&new=&rptfrm=nl&ndbno=12131&nutrient1=315&nutrient2=&nutrient3=&subset=0&totCount=6309&measureby=mGebauer, S. K., West, S. G., Kay, C. D., Alaupovic, P., Bagshaw, D., & Kris-Etherton, P. M. (2008, September). Effects of pistachios on cardiovascular disease risk factors and potential mechanisms of action: A dose-response study [Abstract]. The American Journal of Clinical Nutrition, 88(3), 651–659. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18779280 Glei, M., Ludwig, D., Lamberty, J., Fischer, S., Lorkowski, S., & Schlörmann, W. (2017, December 18). Chemopreventive potential of raw and roasted pistachios regarding colon carcinogenesis [Abstract]. Nutrients, 9(12). Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/29258268 Hernández-Alonso, P., Bulló, M., & Salas-Salvadó, J. (2016, May 19). Pistachios for health: What do we know about this multifaceted nut? Nutrition Today, 51(3), 133–138. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890834/ Kay, C. D., Gebauer, S. K., West, S. G., & Kris-Etherton, P. M. (2010, June 1). Pistachios increase serum antioxidants and lower serum oxidized-LDL in hypercholesterolemic adults. The Journal of Nutrition, 140(6), 1093–1098. Retrieved from https://academic.oup.com/jn/article/140/6/1093/4688948 Kendall, C. W., Josse, A. R., Esfahani, A., & Jenkins, D. J. (2011, June). The impact of pistachio intake alone or in combination with high-carbohydrate foods on post-prandial glycemia [Abstract]. European Journal of Clinical Nutrition, 65(6), 696–702. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21364607 Kennedy-Hagan, K., Painter, J. E., Honselman, C., Halvorson, A., Rhodes, K., & Skwir, K. (2011, October). The effect of pistachio shells as a visual cue in reducing caloric consumption [Abstract]. Appetite, 57(2), 418–420. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21704666 Li, Z., Song, R., Nguyen, C., Zerlin, A., Karp, H., Naowamondhol, K., ... Heber, D. (2010, June). Pistachio nuts reduce triglycerides and body weight by comparison to refined carbohydrate snack in obese subjects on a 12-week weight loss program [Abstract]. Journal of the American College of Nutrition, 29(3), 198–203. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/20833992 Lutein & zeaxanthin. (n.d.). Retrieved from https://www.aoa.org/patients-and-public/caring-for-your-vision/diet-and-nutrition/lutein Mai, V., Fredborg, M., Ukhanova, M., Wang, X., Daniel, S., Novotny, J., ... Baer, D. (2012, April 1). Human gut microbiota changes after consumption of almonds or pistachios [Abstract]. The FASEB Journal, 26(1). Retrieved from https://www.fasebj.org/doi/abs/10.1096/fasebj.26.1_supplement.830.6 Mohammadifard, N., Salehi-Abargouei, A., Salas-Salvadó, J., Guasch-Ferré, M., Humphries, K., & Sarrafzadegan, N. (2015, May). The effect of tree nut, peanut, and soy nut consumption on blood pressure: A systematic review and meta-analysis of randomized controlled clinical trials [Abstract]. The American Journal of Clinical Nutrition, 101(5), 966–982. Retrieved from https://ift.tt/2wwRVsX Parham, M., Heidari, S., Khorramirad, A., Hozoori, M., Hosseinzadeh, F., Bakhtyari, L., & Vafaeimanesh, J. (2014, August 10). Effects of pistachio nut supplementation on blood glucose in patients with type 2 diabetes: A randomized crossover trial [Abstract]. The Review of Diabetic Studies, 11(2), 190–196. Retrieved from https://ift.tt/2sU7PtO Vitamin B6 [Fact sheet]. (2018, March 2). Retrieved from https://ift.tt/1NmWTrr Weight Loss via Obesity / Weight Loss / Fitness News From Medical News Today https://ift.tt/O45xlc August 29, 2018 at 08:48AM |
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