Nutrition Therapy & Health Coaching - RD, CDCES

08/12/2023

Nothing to say about nutrition….This was just a great article ❤️

If medicine is not your true passion, should you quit? The life of a friend from medical school left this cardiologist questioning his choices but grateful to have known him.

01/02/2023

Drinking enough water can help you lower the risk of disease, faster aging, and early death, according to a brand-new study.

People whose middle-age serum sodium exceeds 142 mmol/l have increased risk to be biologically older, develop chronic diseases and die at younger age. Intervention studies are needed to confirm the link between hydration and aging.

12/24/2022

This beautiful piece is for anyone in healthcare who “does too much” or “cares too much” or has been told such… we are in this for people- keep that beautiful humanity!

At most medical schools, the first two years are spent in lectures, labs and classroom learning. The third year is when students begin rotating on various clinical teams in the hospital and clinics, finally seeing patients as part of a large educational medical team. As I moved through pediatrics, o...

12/24/2022

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Brief article about reflux and relationship with coffee:

“And while some people may anecdotally report that less coffee helps with their acid reflux, and fair enough if that is truly the case, there is no strong or consistence body of evidence that demonstrates that removing coffee or switching between caffeinated or uncaffeinated will make a meaningful difference.”

Just over two years ago today I published a very successful book on acid reflux management, the details of which are briefly outlined below. A big part of the books success had to do with the fact that acid reflux, formally GERD, is a condition that is both quite common

10/16/2022

“Obesity is a complex disease, with a complex interplay between genetics, food environment, neurohormonal and various other factors that make treating obesity complex.”

…semaglutide comes in:

-The once-weekly subcutaneous injection of semaglutide 1.0 mg (Ozempic)

-The higher dose of semaglutide, 2.4 mg (now known as Wegovy)
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In June 2021, this groundbreaking medication Wegovy (Semaglutide 2.4 mg) was approved by the FDA for weight management in adults with obesity or overweight with ≥1 weight-related comorbidity.
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We have found:
At 2 years, 83.3% individuals who were adherent taking their semaglutide 2.4 mg once weekly (Wegovy) maintained greater than 5% weight loss.
But even more impressive:
56.8% of individuals maintained GREATER than 15% weight loss, and almost 40% of individuals maintained greater than 20% weight loss!
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Patients on semaglutide at 2 years, significantly decreased their cardiovascular risk and significantly improved their metabolic health AND significantly reduced their risk of developing Type 2 Diabetes

This article is provided for informational and educational purposes only, and does not intend to substitute professional medical advice…

10/09/2022

Great review on fiber!:
https://www.sciencedirect.com/science/article/pii/S221226721631187X

Fiber:

There are three main health benefits: -cholesterol lowering
-improved glycemic control
-normalizing stool form - constipation and diarrhea

In the small bowel, clinically meaningful health benefits (eg, cholesterol lowering and improved glycemic control) are highly correlated with the viscosity of soluble fibers: high viscosity fibers (eg, gel-forming fibers such as b-glucan, psyllium, and raw guar gum) exhibit a significant effect on cholesterol lowering and improved glycemic control, whereas nonviscous soluble fibers (eg, inulin, fructooligosaccharides, and wheat dextrin) and insoluble fibers (eg, wheat bran) do not provide these viscosity-dependent health benefits

In the large bowel, there are only two mechanisms that drive a laxative effect: large/coarse insoluble fiber particles (eg, wheat bran) mechanically irritate the gut mucosa stimulating water and mucous secretion, and the high water-holding capacity of gel-forming soluble fiber (eg, psyllium) resists dehydration.

Soluble fermentable fibers (eg, inulin, fructooligosaccharide, and wheat dextrin) do not provide a laxative effect, and some fibers can be constipating (eg, wheat dextrin and fine/smooth insoluble wheat bran particles)

For lowering cholesterol:
only highly viscous soluble fibers (eg, gel-forming fibers such as b-glucan, psyllium, and raw guar gum) have been shown to exhibit this viscosity-dependent health benefit.

For glycemic control:
improving glycemic control is a viscosity-dependent phenomenon.

improved glycemic control is proportionate to the viscosity of a hydrated fiber (eg, gel-forming raw guar gum, high-molecular-weight b-glucan, and psyllium). Insoluble fiber (eg, wheat bran and cellulose) and soluble nonviscous fibers (eg, inulin, wheat dextrin, polydextrose, soluble corn fiber, and resistant maltodextrin) do not provide these viscosity-dependent health benefits at physiologic doses.

Insoluble fiber:
In studies comparing coarse wheat bran and coarse plastic particles, the observed increase in stool output and the stool softening effect were due to mechanical irritation of the large bowel mucosa (plastic effect), stimulating secretion of water and mucous. Large/coarse particles can provide a significant laxative effect/regularity benefit, whereas fine/smooth particles can have a constipating effect, providing a rationale for why laxative-effect clinical data for insoluble fiber may appear inconsistent.

Soluble fiber:
soluble fermentable fibers do not significantly increase stool output, and therefore do not provide a regularity benefit/laxative effect.

Note:
Fibers that are readily fermented do not remain intact and present throughout the large bowel

Psyllium:
gel-forming psyllium is not fermented in the human gut, so it remains intact and present throughout the large bowel and retains its high water-holding capacity, providing bulky/soft stools that are easy to pass

Enduring misconceptions about the physical effects of fiber in the gut have led to misunderstandings about the health benefits attributable to insolub…

10/08/2022

Results from a 2021 study: evidence from systematic reviews and meta-analyses of RCTs looking at the effects of foods on LDL cholesterol levels.

-foods high in n-6 PUFA and/or MUFA had moderate to large reduction and had high grade evidence
-oats and barley had moderate reduction with high grade evidence
-avocados had moderate to large reduction with moderate grade evidence
-pulses had small to moderate reduction with moderate grade evidence
-garlic powder small to moderate reduction with low grade evidence
-ginger small to moderate reduction with low grade evidence
-tomatoes small to moderate reduction with high grade evidence
-Unfiltered coffee (French press and espresso) in place of filtered coffee has a moderate to large increase in LDL cholesterol, with high grade evidence

https://pubmed.ncbi.nlm.nih.gov/33762150/?mc_cid=978da16ede&mc_eid=2d23c435c4

10/06/2022

Good article covering this common clinical dilemma for RDs, and reminding us, nothing replaces the professional with clinical judgement.

“The dilemma is identifying the appropriate MNT prescription because CKD treatment restricts protein while wound repair requires additional protein. No uniform answer will meet every patient’s needs and individual situation.

The clinician must educate, discuss, and carefully determine an acceptable path forward.”

The protein dilemma

09/29/2022

“White House on Tuesday announced a five-pronged national strategy that includes integrating nutrition and health.” Food is medicine. Yes! This is long overdue…

Science has "connected the dots" between a healthy diet and disease prevention and treatment, and it is high time to realize a person's chronic illness can't be managed if they're hungry -- and do more about it.

09/28/2022

Listen live at 9:30 EST!

Conference Streaming Schedule 📌 Use the schedule below to find the desired video session that you want to watch. When the conference concludes, videos can be found here. Opening | 8:30 AM - 9 AM YouTube Video Link and Title Brief description of this session More Details About Some Stuff | 10:30am...

09/27/2022

Good article on oats- the slight differences and which to choose

Oats are linked to a number of health benefits, but the large variety of options can make it hard to know which type to choose. Here are the key differences between rolled, steel-cut and quick oats.

09/05/2022

You may be wondering what defines true expertise in nutrition. This article reviews the difference between a dietitian and a nutritionist, what they do, and the education required.