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2 clusters of Legionnaires' disease in Illinois identified - SFGate

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Updated 6:39 am PDT, Sunday, October 28, 2018

CHICAGO (AP) — State public health officials say they've identified a cluster of Legionnaires' disease in Chicago and another in nearby Lake and McHenry counties.

The Illinois Department of Public Health in a news release says it is investigating possible sources of the Legionnaires' disease but says the clusters aren't connected.

The department says the Chicago cluster involves two residents of the Warren Bar South Loop nursing home. It says that the possible exposure point of the second cluster was a Walmart store in Johnsburg.

The department says both the nursing home and the Walmart have taken action.

Legionnaires' is water-borne malady. The state is now investigating a three-year-old Legionnaires' disease crisis at a state-run veteran's home in Quincy that contributed to the deaths of 14 and sickened dozens more.



Source: https://www.sfgate.com/news/article/2-clusters-of-Legionnaires-disease-in-Illinois-13342869.php

A family’s keto journey

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After many years as an overweight person, Carol had had enough. Just when she needed it, a friend told her about the keto diet, and she decided to give it a try. She told her family about it and it didn’t take long for them all to join in. This is their story:

I love Diet Doctor. In fact, I feel that Diet Doctor has been the key to my family’s success. The great thing about it is that it gives the visitor the chance to learn all they want to learn, and then make the decision to follow the keto diet in the best, and easiest way for them. It worked perfectly for us. I wanted to share our success story.

Meet my family. We currently live in Virginia, USA. This is Dean, 55; Carol, 57; Nick, 24; Cassandra, 23, Wesley, 17; Alec, 27; Blake, 30, Zac, 21 and Victoria, 26.

I included this graphic to show each person’s weight loss:

The Johnson Family Weight Loss2 (Nick started out super thin. Victoria has been pregnant/nursing since we started keto. Grandson has gained 20 lbs).

I allowed my obesity to stop me from fully enjoying my life.

I asked my husband to help me describe my life as an obese person. He used the word, “paralyzed.” I allowed my obesity to stop me from fully enjoying my life. I saw myself as “gross” and wondered how people could like me. As a family, we were active and fun, but I often did not fully participate. I missed out on many parties, outings, activities and even friendships.

I grew up, just slightly overweight. I considered myself “fat,” but I could easily lose the 5-10 pounds (2-4 kilos) by just starving myself for a few days. I figured out how to get by on very little food, and stayed relatively thin. Unfortunately, after I had my children, I started to gain weight. It wasn’t because of my pregnancies, but because I started to eat when I prepared food for my family. If I ate, I gained weight. I ate as little as possible, skipped many meals and rarely had any desserts, but I continued to gain weight. My heaviest weight was 234 pounds (106 kilos), and all the while I felt deprived.

I went on a spiritual journey to learn to love myself as an obese person. It took a few years, but it happened. I started to buy clothes and to participate in life. I hated being unhealthy, but I was grateful for the body I had. One day I prayed to know what to do and felt that I needed to call a friend who would tell me what to do. She told me about the keto diet. I was incredulous, but I felt it had been an answer to prayer, so I jumped into it. I announced to my husband and 16-year-old son that we were about to start the keto journey. The next day, on February 7, 2018, we started the keto diet, knowing very little about how to do it. It took exactly two (delicious) keto meals for them to be 100% behind me!

I needed more info so I searched and found Diet Doctor. I consumed as much information as I could over the next month (and continue to do so). We started – and loved – the two-week challenge, but we were already at the point that we couldn’t eat more than two meals a day.

We were shocked and amazed at all the positive results we hadn’t expected.

By April first, at our Easter family gathering, the three of us were totally enamored with keto. We were feeling wonderful. My husband’s snoring was gone!! He was off his high blood pressure and cholesterol medicines. My son’s allergies were gone! My horrible acid reflux and stomach problems (20 years of stomach pain) were gone! We were shocked and amazed at all the positive results we hadn’t expected. We spent a lot of our time talking about keto and even shared some keto dishes.

My eldest son, who was approximately 75 pounds (34 kilos) overweight, gave it a try without even telling me. He did it for a week and then stopped because it was hard in his living situation. By the end of one weekend off keto, he had made the decision to get back on. He realized how terrible he had felt on a daily basis (he also had stomach problems) and how much better he felt on keto. He has lost 50 pounds (23 kilos) so far and loves it.

My other children joined in one by one. We’ve all really enjoyed working on this together. My daughter, who is unable to do it fully at this time, because she is nursing her baby, has been instrumental in helping others get started.

We moved after a month and a half on keto, so I lost my weight around people who really weren’t aware of me as an obese person. I am a whole new person. I have a very active job, and I seriously feel as good as I did in my 20s. I work with mostly younger people, and I easily keep up with them.

Several people have asked how I was able to get my youngest son to eat this way. Ironically, he’s been the most enthusiastic about keto. He discovered that when he eats carbs, his allergies come back, so he eats very carefully. He has gained a lot of confidence, and personal discipline and that has spilled out into the rest of his life. Just in time for him to move on to college.

With the correct information, being healthy is easy.

The weight loss has been just a small portion of the benefits of the keto lifestyle for us. We are all feeling great and healthy. However, the biggest benefit, in my opinion, is our new understanding of how to control our lives and bodies. With the correct information, being healthy is easy. Some of us still have some weight to lose, but even when we get to our final goals, we will eat keto for the health benefits.

Thanks to all who teach so well at your website!

Your story will surely inspire many others.




Source: https://www.dietdoctor.com/a-familys-keto-journey

Losing Weight on the 800-1000 calorie version of hCG Diet – Interview Episode 73 – Adele

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And I do NOT. In case you were wondering. So if you would like one-on-one coaching both with hCG and help with maintenance, please do contact Adele to find out more – she offers free initial consults AND (drumroll please) hCGChica readers get 10% off their coaching price if they mention “hcgchica” in the subject line of the email to Adele. Woot woot.

Some of you ladies do really well with more targeted one on one accountability, as well having someone to help you troubleshoot in a timely manner (or sometimes tell you that nothing is wrong and to stop troubleshooting) ;)- can go a really long way in helping you to have a successful journey with hCG and beyond.

For this interview, we have the lovely Adele Frizzell, the author of “The HCG diet, Fact and Fiction”.

I thoroughly enjoyed reading it, it’s an excellent book with lots of really good information.

Adele first tried the hCG diet 5 years ago.

“I did my first round of hCG 5 years ago. I had a lot of trouble losing weight” Adele explained. She had signed up with a doctor who supplied her with the injections. She also got B12 shots every 2 weeks. After 30 days of being on the diet, Adele lost 17 pounds and was amazed and elated at the result. She, however, did not have a plan after finishing her round and she gradually gained the weight back.

Fast forward to five years later, at 48 years old, Adele started going through menopause and her weight got to 194 pounds. She was anxious and uncomfortable about her size and she felt the impact her weight had on her health as well. She started experiencing sleep apnea and her cholesterol rose to risky levels.

Adele was at a loss for what to do. She even hired diet coaches, a dietician, and a nutritionist. She tried different diets and did a lot of research, but what little weight she lost (she could not lose more than 10 pounds) she would always gain back. Adele thought back on when she did the hCG diet and lost a lot of weight with it so she decided to give it another go.

Adele was at 194 pounds when she went on the hCG diet again and this time she tried the homeopathic drops. During the first week she lost a lot of weight, but then the drops was unable to curb her hunger and she started bingeing. Every day she would try to get back on track but she couldn’t and after 3 weeks, she ended up losing just 7 pounds.

Since she did not do so well on the homeopathic drops, Adele did some more research and that was when she came across hcgchica.com. On the website, she read about other people’s success stories and saw recommendations for hCG suppliers. She thought about how she found success before with the hCG injections and decided to try it again, this time ordering from Nu Image.

Adele went on the 21-day program and it worked immediately. She noticed that her hunger went away and she quickly started losing weight. She decided she wanted to keep going and this time ordered her supplies from Diet Doc. Adele lost a total of 21 pounds (28 pounds including what she lost from the drops), bringing her weight down to 167 pounds. She fitted her clothes again and she felt sexy and confident.

I have talked to lots of hCGers and I respect everyone’s preference, but you guys know that I am partial to the real hormones. While some have found success using the homeopathic drops, Adele’s results were not as remarkable. However, it is great that she was able to try the different variants and found which one worked best for her. Adele believes that some of the success with homeopathic hcg come from appetite suppressants that are included in its formulation or because a keto diet is sometimes recommended while using them. A keto diet has been shown to reduce carb cravings and hunger in some people.

For those of you who are doing homeopathic drops, if you start having trouble as you get smaller and leaner, keep in mind that it may be a good idea to transition at that point to the real hormone. Just some food for thought �

For someone her age, going through menopause and who, like me, also has Hashimoto’s and hypothyroidism, Adele’s weight loss of 28 pounds (or about half a pound a day) is pretty AWESOME.

Adele also tried weight watchers and was 100% compliant while on the diet, but unfortunately did not lose a pound on it.  She believes it was more because of her thyroid condition because she was probably under medicated for a lot of years. She believes that unless your hormones are in decent shape, then it will be very difficult to lose weight.

CALORIE INTAKE AND STAYING ACTIVE

Adele believes that maintaining weight loss for life can be achieved by bumping up protein intake and staying active. She has read about long-range studies of people who have kept weight off for a long period of time and she saw that they had two things in common: they follow a high-protein diet and they classify themselves as being highly active.

“I try to keep my proteins to at least 100 grams a day and I find I lose more weight if I keep my carbs below 100 grams, Adele explains. She enjoys the benefits of eating a high protein diet, it helps keep her satiated and also helps in preventing muscle loss. She is also very particular about her carbs. She found that when her carb intake goes over 100 grams, she starts to stall. She also does not eat any extra fats, her fat intake comes from whatever fats her protein sources provide.

But for Adele, an intake above the traditional 500 calories while on the protocol isn’t just for people who want to stay active. One of the ladies Adele has coached on hCG (using drops) lost about 30 pounds in 60 days on an 800 to 1000 calorie diet. As her client transitioned off the diet, she lost another 4.5 pounds. According to Adele, that client’s only workout was walking but she still ended up losing a lot of weight on a higher calorie intake. She has been maintaining for a couple of months now and is ready to go on another round and lose more weight.

The experience of Adele’s client reminds me of one of the ladies I interviewed who did P3 to Life as well. She only had another 10 or so pounds to lose and she had been having a stall for around 5 days. She called Diet Doc and they actually advised her to bump up her calories by increasing her protein or eating more veggies. To her surprise, she started losing weight immediately after following their instructions.

It’s worth noting that different people have different thresholds. It’s all about finding your sweet spot. Adele says that her clients even eat chocolate everyday and they still lose weight. It’s possible as long as you learn about your body and what your tolerances are and tracking food is a way to do that.

Adele is a big fan of tracking because it’s a great way of learning about your body which can give you more freedom when it comes to your meal choices and calorie intake. Adele promotes flexible dieting on hCG which works really well for her clients. One of her clients even told her that for the first time in her life, she is not afraid of regaining weight because she feels empowered knowing exactly what she needs to eat to maintain her weight and she can basically eat whatever she wants.

Tracking also works in determining food sensitivities which can hinder weight loss. Adele had a client whom she advised to try about half a cup of cottage cheese at night (cottage cheese is a lean source of protein). Her client stalled and they decided to give it another try to see if the cottage cheese had anything to do with it and again, her weight stalled. Adele’s client was not sensitive to all kinds of dairy since she can have yogurt, but she can’t have cottage cheese if she’s trying to lose weight.

There’s pretty much no off-limits foods for Adele or her clients. She usually starts her client’s calories as high as possible or nothing below 800. She says that when they start to get smaller or leaner, that’s when they consider dropping their calories or macros.

Since she does strength training, protein has always been Adele’s priority so she increased her lean protein intake. She had 100 to 130 grams of protein a day. Her meals included egg whites, nonfat greek yogurt, shrimp, and lots of chicken breast. She also had Jarlsberg Lite Nonfat Cheese and would sometimes have Carbmaster Milk as well as protein pancakes with some light syrup and whipping cream with some light chocolate sauce. As time went on she was basically eating what she wanted as long as it fit her macros. As long as she kept her carbs below 100 grams she would lose weight.

As Adele said, she gets her fats just from her protein sources, except for when she has occasional cravings like nuts. Even if she does consume a little more fat, she makes sure her calorie intake remain the same.

On the program, Adele also had lots of veggies and fruits. She ate a large variety of vegetables and usually mixed them. She would often have an egg white frittata with spinach, tomatoes, and mushrooms. She would usually make a big frittata, cut it into 4 servings and have it for four breakfasts. Sometimes she would have a big pot of spaghetti sauce over miracle noodles. She would also have a piece of bread sometimes or some potatoes.

When it comes to meal varieties on the protocol, Adele says “I think 60 years ago they did not have the same understanding of protein and nutrition that they do now so there has been a lot of myths that were pervasive.” She talked about how she was terrified of going off protocol when she first tried the hCG diet because she was afraid of gaining weight or stalling. During her first round, Adele followed simeon’s protocol and the only off-protocol food she had was a diet Pepsi every other day. However, with her succeeding rounds as she learned more about nutrition, she became more confident with experimenting.

It’s great to have varieties and even some weight loss clinics these days use updated protocols that have a longer list of vegetables. Just like the recipes in hcgchicarecipes.com which utilizes a lot more veggies. I get a lot of feedback from people who still lose a lot of weight even while using a lot of different ingredients in their meals as long as it is within the framework of their macros and calories

“I may have lost more weight if I didn’t experiment too much but I am scientific by nature.” She explained, laughing.

In terms of what to expect with weight loss while on the hCG diet, Adele explains, “When you have a lot of carbs, you put on a lot of water weight. When you drop your carbs, that water weight starts flushing out so that’s why the first week on the diet looks great on the scale. However, as things slow down then that’s when you’re experiencing true fat loss since you have flushed out the water weight.”

When you are losing weight, your body is indiscriminate, it will pull from both your fat and muscle stores. “There is some thought that the hCG hormone protects against muscle loss.” Adele says, however, that she still needs more data as proof of that. That’s why she had a Dexa scan done before and after she went on another round of the hCG diet (this time using pellets). The test showed she had lost some muscle, however, she said that there are caveats to the result because your level of hydration can affect it. Another is when you drop your carbs so low, you tend to lose a lot of glycogen. Glycogen loss can look like muscle loss even if it isn’t. As soon as carbs are increased, glycogen stores are also replenished and it can look like you have more muscle than you do.

“Science says that when you lose fat, you also lose muscle but there isn’t enough research with the hCG hormone,” Adele says. She also thinks there are a lot of factors that come into play as well like some people are more catabolic than others and they tend to lose more muscle when they lose weight, while others work out or eat more protein and that helps them preserve more muscles.  “I was basically doing all that I could to preserve my muscles by eating more protein and working out.”

BEING ACTIVE WHILE ON THE PROTOCOL

According to Adele, the only drawback she found while on the 500 calorie Simeon’s protocol was that whenever she would do something physically demanding she would feel tired. For her, the 500 calorie plan is suitable for people who are more sedentary. She did her best to adhere to the 500 calorie plan but had to bump it up to 650 then 800 calories. However, she would still crash during her workouts. She eventually found her sweet spot around 1,000 to 1,200 calories.

Adele’s usual activities include walking an hour a day with her dog, weight training every three to four times a week for about an hour to an hour and a half. She also loves to go on hikes. For these activities, she needs to have an intake of at least a thousand calories or she would not be able to go through a workout or she’d crash on the couch. She remembered a time when she could not get through her work out. She crashed so hard that she had to go grab a coke. She felt much better 15 minutes later and she was able to finish her exercise.

For people who work out regularly, it would be extremely difficult to maintain the same amount of activity on a 500 calorie diet. So you will either have to take a break from working out or up your calorie intake if you plan to continue exercising. It is important to remember that if you do exercise, you have to be realistic. You will have to adjust the intensity of your workout. You can’t expect to operate at the same level.

“I’m a big fan of exercise but if you find yourself avoiding regular activities because you have no energy, you may need to bump your calories,” Adele explains. “When we reduce our calories the body conserves energy and reduces activity output. It’s better If you eat more calories and get some activity in like walking for an hour to burn calories, plus you get the additional physical and mental benefits.”

According to Adele, she can have as much as 2,000 calories but still lose weight the following day if she did an activity, like a hike, the day before. It is, however, very important to know when to dial it back. Even when you are so active, your weight loss will, of course, slow down or stall when you overeat.

Adele competes in powerlifting and I asked her to tell me more about it. “Most people picture weightlifting which is an Olympic sport, powerlifting isn’t an Olympic sport yet, but it’s trying to get in.” She explains. “[In powerlifting], people compete in three lifts – the deadlift, squat and bench press.”

Adele explained that because of her knees and back, she only competes in the bench press, but not in the deadlift or squat powerlifting, although she still trains in them. Adele’s personal best on the platform is 160 pounds (mine is about 110 or 115) and she even has some records in bench pressing. “There aren’t a lot of ladies lifting at my age, so it’s fairly easy to get records!”

Adele also mentioned that the benefits of lifting include stimulation of growth hormones in the body which helps with aging and osteoporosis. It also increases muscles and helps in preventing bone density loss.

Her advice to people who want to try the hCG diet or are currently on it? “If people really want to be successful on [the program], they really need to be in the mental and physical space to give it 100%.”

For those who are really planning on giving hCG a try, Adele recommends reaching out to a coach like herself or checking out hCGchica.com for motivation and resources. I was very flattered to learn that hCGchica has been a big source of inspiration for Adele, especially the videos, which she said has helped keep her on track while she did the protocol.

Just like I always say, you cannot expect for everything to be perfect every single day on the journey. When things get off track, you can always troubleshoot.

I’m sure some of you guys are fine being independent and doing the diet on your own. For those who utilize my website, you guys know that we answer your emails as they come in but we are limited in what we can do. Adele does one on one coaching for both hcg and beyond limits

Adele says that as a coach, when she takes clients, her goal is not only to help them lose weight, but to help them keep the weight off for life. She helps her clients through all the phases and beyond until they are confident enough that they know what to do to maintain their weight.

For those of you who are interested, you can email Adele at [email protected], you can also visit her website adelefrizzell.com. Her digital book The HCG Diet Fact and Fiction: Cut through the hype for rapid and permanent weight loss is available on Amazon for only $4.99.

Adele goes into more detail in her book about the topics we talked about in the interview. For all of you are interested, Adele will be happy to do a free one-on-one consultation. And, as an super awesome bonus, just include “hcgchica”  in the subject line and you will get 10% off her coaching!



Source: https://hcgchica.com/800-calorie-hcg-diet-interview-episode-73/

Gum Disease May Worsen Blood Pressure Problems

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By Robert Preidt

HealthDay Reporter

MONDAY, Oct. 22, 2018 (HealthDay News) -- Gum disease may interfere with high blood pressure control, a new study suggests.

Researchers reviewed medical and dental records of more than 3,600 people diagnosed with high blood pressure.

Compared to people with good oral health, those with gum disease were less likely to respond to high blood pressure medications and 20 percent less likely to achieve healthy blood pressure targets, the study found.

"Physicians should pay close attention to patients' oral health, particularly those receiving treatment for hypertension [high blood pressure], and urge those with signs of periodontal disease to seek dental care," said lead author Dr. Davide Pietropaoli. He's a doctor of dental surgery at the University of L'Aquila in Italy.

Pietropaoli added that dental health professionals should keep in mind that oral health is "indispensable" to overall health.

While the study only found an association, the findings suggest that people with gum disease may require closer blood pressure monitoring, and those with high blood pressure might benefit from regular dental care, according to the authors.

The study was published Oct. 22 in the journal Hypertension.

"Patients with high blood pressure and the clinicians who care for them should be aware that good oral health may be just as important in controlling the condition as are several lifestyle interventions known to help control blood pressure, such as a low-salt diet, regular exercise and weight control," Pietropaoli said in a journal news release.

Worldwide, high blood pressure affects up to 40 percent of people 25 and older. Left untreated, it can lead to heart attacks, strokes, heart failure and kidney disease.

Red, swollen or tender gums, and bleeding while brushing and flossing are signs of gum disease.

WebMD News from HealthDay

Sources

SOURCE:Hypertension, news release, Oct. 22, 2018

Copyright © 2013-2018 HealthDay. All rights reserved.
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Source: https://www.webmd.com/oral-health/news/20181022/gum-disease-may-worsen-blood-pressure-problems?src=RSS_PUBLIC

Cinnamon Crockpot Applesauce

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This 4-ingredient Cinnamon Crockpot Applesauce is sweet, simple and so delicious. Throw everything into your slow cooker, and you’ll be enjoying cinnamon applesauce before you know it.

Cinnamon crockpot applesauce in a glass dish

Falalala fall recipes are in full swing here at Fit Foodie Finds. We were at the apple orchard last weekend, and came home with the biggest bag of McIntosh apples. We’ll save some for snacks throughout the week, and made an apple crisp right when we got home, but still had enough to whip up a batch of this delicious crockpot applesauce. SO EASY. SO DELICIOUS. And if you just went to the apple orchard, too, you probably already have all the ingredients on hand at home.

I also can’t get enough of the color of this applesauce. We were afraid it was going to come out a little too brown with the cinnamon, but it cooked down to this perfect dark fall color. And made the whole house smell like the holidays. Let’s get into how we made this cinnamon crockpot applesauce.

Sliced apples in a crockpot

How To Make Crockpot Applesauce

First, peel and then core your apples, making sure to remove all the seeds. Place all your apples + water + honey + cinnamon in the crockpot. The apples will steam themselves and bake down in the crockpot over 4 hours. And the best part? You won’t even need to food process the cooked apples to make the applesauce itself at the end. Just stir through with a fork, and you’re good to go!

We also tested this with a small batch – using only 5 apples, which yielded about 2 cups of applesauce. The recipe here calls for 10 large apples, but depending on the size of your crockpot, and how many apples you have on hand, you could definitely cut this recipe in half, or double or triple it.

cinnamon crockpot applesauce in a crockpot ready to be eatencinnamon crockpot applesauce in glass jars

Other Fit Foodie Finds Apple Recipes

Cinnamon Crockpot Applesauce

This 4-ingredient Cinnamon Crockpot Applesauce is sweet, simple and so delicious. Throw everything into your slow cooker, and you’ll be enjoying cinnamon applesauce before you know it.

  • Prep Time: 5 minutes
  • Cook Time: 4 hours
  • Total Time: 4 hours 5 minutes

Ingredients

  • 10 large apples (I used Macintosh)
  • 1.5 teaspoons cinnamon
  • 1/3 cup water
  • 1 to 2 tablespoons honey

Instructions

  1. Begin by coring and peeling your apple.
  2. Place apples into a large slow cooker and top with about 1/3 cup of water, 1.5 teaspoons of cinnamon, and 1-2 tablespoons of honey.
  3. Let cook on high for about 4 hours. Once the apples are extremely mushy, you know your apples are done! Use a fork to mash the apples to your preferred consistency.

Nutrition

  • Serving Size: 1/8
  • Calories: 176
  • Sugar: 34
  • Sodium: 0
  • Fat: 0
  • Carbohydrates: 46
  • Fiber: 7
  • Protein: 1



Source: https://fitfoodiefinds.com/crock-pot-cinnamon-applesauce/
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A Keto Twist On A Breakfast Favorite (That Will Make Your Skin Glow!)

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As the new year approaches, there's no better time to spice up your go-to meals. And why not make some small tweaks that return major benefits?

The keto diet is known for its anti-inflammatory, gut-healing, and weight-loss benefits, and the new release The Essential Vegan Keto Cookbook features plant-based recipes that are packed with macronutrients—without the meat. To get started, try the pumpkin overnight oats recipe. It has a high beta-carotene content that helps fight inflammation and leaves your skin glowing, as well as vitamin A for immune-boosting properties. Here's to a more beautiful morning.




Source: https://www.mindbodygreen.com/articles/a-keto-twist-on-your-favorite-overnight-oats

Raspberry Oat Bars [Vegan, Gluten-Free]

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If you enjoy recipes like this, we highly recommend downloading the Food Monster App, it's available for both Android and iPhone and has free and paid versions. The app is loaded with thousands of allergy-friendly & vegan recipes/cooking tips, has hundreds of search filters and features like bookmarking, meal plans and more! The app shows you how having diet/health/food preferences can be full of delicious abundance rather than restrictions!

In these delicious raspberry oat bars, the wholegrain spelt flour and old fashioned oats are a get source of fiber. The combination of pumpkin, sunflower, hemp and chia seeds add a nice nutritional punch that you won’t find in traditional desserts. So yes, it’s a little indulgence but it’s wrapped up in a lovely nourishing package which allows you to satisfy that sweet craving without derailing your good intentions.

Raspberry Oat Bars [Vegan, Gluten-Free]

Calories

366

Serves

8

Cook Time

30

Ingredients

Base

  • 1 cup gluten free old fashioned oats
  • 1/2 cup coconut sugar
  • 1/2 cup non dairy butter
  • 1 cup whole grain spelt flour

Filling

  • 1 cup raspberry jam
  • 1 teaspoon vanilla extract

Topping

  • 1 tablespoon hemp seeds
  • 1 tablespoon sunflower seeds
  • 1 tablespoon pumpkin seeds
  • 1 teaspoon chia seeds

Preparation

  1. Lightly grease an 8 x 8 inch pan.
  2. Pre heat the oven to 350°F
  3. In a large bowl mix the ingredients for the base. Using your hands create a coarse crumbly mixture (as if you’re making a crumble or crisp).
  4. Press two thirds of the mixture into the base of the pan. Press down firmly.
  5. Mix together the jam and vanilla extract and carefully spread the jam over the base stopping to give a 1/4 inch margin without any jam at the edges.
  6. Add the additions to the reserved base mixture. Combine well. Sprinkle over the top of the base and jam.
  7. Place in the oven and bake for 30-35 minutes until just turning golden. Allow to thoroughly cool before cutting and serving.

EXPLORE MORE RECIPES WITH THESE INGREDIENTS:

AUTHOR & RECIPE DETAILS

Author


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Source: http://www.onegreenplanet.org/vegan-recipe/raspberry-oat-bars-vegan-gluten-free/

Frühstück im Bett: 4 geniale Rezeptideen

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Die Bekanntschaft von letzter Nacht entpuppt sich am nächsten Morgen als Veganerin oder Fitness-Fanatikerin? Kein Problem: Mit diesen Rezepten für Frühstück im Bett machen Sie jede Frau glücklich

Damit nicht nur die erste gemeinsame Nacht ein Erfolg wird, sondern auch der Morgen danach, ist es als Mann wichtig, vorzusorgen. Mit einem perfekten Frühstück im Bett können Sie nämlich direkt doppelt bei ihr punkten. Vorausgesetzt, Sie kennen ihre (kulinarischen) Vorlieben.

>>> 4 Rezepte für Ihr Fitness-Frühstück

Denn vielleicht wissen Sie gar nicht so genau, wen Sie sich da ins Bett geholt haben: vielleicht eine Veganerin, die beim Anblick von Buttercroissants und Milchkaffee nur angewidert den Kopf schüttelt. Oder ein gesundheitsbewusstes Fit-Chick, das direkt die Flucht ergreift, wenn Sie ihr ein Tablett mit billigem Weizentoast und Marmelade vor die Nase stellen.

Zum Glück haben Sie uns, denn wir wappnen Sie mit SOS-Frühstücks-Rezepten für alle Fälle. 

1. Frühstück im Bett für Fit-Chicks

Das perfekte Frühstück für alle Fitness-Fans sind eindeutig Protein-Pancakes. Wir haben ein besonders fluffiges Rezept für Sie, denn schließlich wollen Sie einen guten Eindruck hinterlassen: 

Welche Früchte Sie zu den Pancakes servieren, liegt bei Ihnen © Ekaterina-Balandina / Shutterstock.com

Zutaten für Protein-Pancakes (2 Personen)

  • 75 g Haferflocken 
  • 25 g Proteinpulver (Vanille)
  • 5 Eiklar
  • 90 g Magerquark
  • 1 TL Backpulver 
  • 2 EL Zucker (oder ein wenig Süßstoff)
  • 125 g Beeren, nach Wahl

>>> Protein-Pancakes ohne Whey

  1. Alle Zutaten, bis auf die Beeren, in einer Schüssel vermengen und mit einem Mixer zu einem glatten Teig verarbeiten.
  2. Anschließend in einer beschichteten Pfanne (Öl nicht nötig) auf mittlerer Stufe portionsweise (1 Esslöffel = 1 Pancake) ausbacken. Beeren waschen und dazu servieren. 

2. Frühstücks-Ideen für Low Carb-Fans

Sie kennen Ihre neue Flamme schon eine Weile und wissen bereits, dass sie sich Low Carb oder vielleicht sogar ketogen (krasse Form der Low Carb-Diät) ernährt? Dann können Sie Brötchen und Haferflocken zum Frühstück direkt vergessen, die enthalten nämlich zu viele Kohlenhydrate. Das ideale Low Carb-Frühstück ist ein Omelette. Besorgen Sie vorab einige Zutaten, wie Tomaten, Lachs oder Schnittlauch. Dann fragen Sie sie nach ihren Vorlieben und bereiten ihr ein individuelles Omelette zu. Es gibt nämlich zahlreiche Varianten. Hier ein Vorschlag:

Ein Omelett ist fix gemacht © 4-PM-production / Shutterstock.com

Zutaten für Pilz-Schinken-Omelett (2 Portionen)

  • 250 g Champignons
  • 1/2 rote Zwiebel
  • 50 g Rohschinkenwürfel
  • 1 EL Öl
  • 4 Eier
  • 2 EL Milch 
  • Salz & Pfeffer
  • 1 TL Butter
  • 1 TL Schnittlauch

>>> Low Carb-Frühstücksrezepte

  1. Champignons in dünne Scheiben schneiden, Zwiebel in feine Würfel und in 1 EL Öl anbraten. Schinken dazugeben und mitbraten. Aus der Pfanne nehmen und beiseite stellen. 
  2. Eier und Milch mit Salz und Pfeffer verquirlen. Butter in der Pfanne erhitzen und die Hälfte der Eier-Masse (den Rest benötigen Sie für das zweite Omelette) hineingeben. Masse gut in der Pfanne verteilen und stocken lassen, nicht umrühren! 
  3. Pilz-Speck-Mix auf das Ei geben, zur Hälfte umklappen und 1 bis 2 Minuten zu Ende garen lassen. So ist es außen goldgelb, innen aber noch nicht vollständig gestockt und schön saftig. Am Ende alles mit gehacktem Schnittlauch toppen. 

3. Vegane Rezepte für Frühstück im Bett

Von veganer Ernährung haben Sie keinen blassen Schimmer? Macht nichts, wir helfen gerne weiter. Brot und Brötchen enthalten in der Regel keine tierischen Bestandteile, die Milch oder Eier. Beim Belag wird es allerdings schwierig: Butter, Käse, Honig und natürlich Wurst sind absolut tabu. Unser Tipp: Servieren Sie stattdessen lieber einen Chiapudding mit Obst. Den können Sie schon am Abend vorher vorbereiten. Chiasamen und Pflanzenmilch gibt es zudem mittlerweile in jedem Supermarkt.

Für Chiapudding brauchen Sie nur 2 Basis-Zutaten © Elena-Veselova / Shutterstock.com

Zutaten für Chiapudding mit Obst (2 Portionen)

  • 60 g Chiasamen
  • 500 ml Pflanzenmilch (z.B. Soja- oder Mandelmilch)
  • Obst nach Wahl

>>> Als Veganer zum Sixpack

  1. Chiasamen und Pflanzenmilch (Wasser ginge auch) in 2 Gläser aufteilen und gut verrühren. Dann mindestens 30 Minuten, besser aber über Nacht quellen lassen. Fertig ist der Pudding. 
    Beim Obst-Topping können Sie sich austoben, denn Früchte sind vegan. Lecker: Beeren, Bananen in Kombi mit Nüssen oder ein exotischer Mix, zum Beispiel Kiwi und Mango.

4. Schlemmer-Frühstück im Bett für die Genießerin

Ihre Liebste lässt sich nicht nur im Bett so richtig gehen, sondern ist auch beim Frühstück eine echte Genießerin? Jackpot! Dann können Sie Ihre Fingerfertigkeiten in der Küche jetzt unter Beweis stellen. Die Möglichkeiten sind endlos: Servieren Sie beispielsweise ganz klassisch Brötchen oder Croissants mit Marmelade, Käse. Oder wie wäre es mit deftigen Eiern und Speck? Wir hätten da einen Kompromiss aus beidem, der sich gut im Bett essen lässt – ohne Krümel-Chaos.

Zutaten für Toast-Muffins mit Ei und Bacon (4 Stück)

  • 4 Scheiben Toast
  • 4 Scheiben Bacon 
  • 4 Eier
  • 1 Tomate
  • Salz & Pfeffer
Während die Muffins im Ofen backen, könnten Sie nochmal unter die Decke schlüpfen © Elena-Veselova / Shutterstock.com
  1. Backofen auf 160°C Ober-Unterhitze vorheizen und ein Muffinblech mit etwas Öl oder Butter einfetten. 
  2. Toast mit einem Nudelholz dünn ausrollen. Je eine Scheibe Brot dann vorsichtig in die Mulden drücken. Überlappenden Teig entfernen. Dünn mit Senf bestreichen und mit einer Scheibe Bacon auslegen.
  3. Nun je ein Ei in die Mitte gleiten lassen, salzen und pfeffern. Ein paar Tomatenstücke neben das Eio drücken. 
  4. Toast-Muffins rund 25 bis 30 Minuten backen, bis das Ei gestockt ist.

Das Ganze funktioniert übrigens auch in der Low Carb-Variante ohne Toast, dann einfach zusätzlich eine Scheibe Bacon mehr nehmen, um die Muffinförmchen gut auszufüllen. 

Mit unseren Rezepten für ein gelungenes Frühstück im Bett machen Sie natürlich nicht nur Eindruck auf Ihre Neue: So ein romantischer Start in den Morgen bringt auch Abwechslung in langjährige Beziehungen. Probieren Sie es doch einfach mal aus!



Source: https://www.menshealth.de/artikel/fruehstueck-im-bett-rezepte.523074.html

When to consume protein: The facts

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Source: https://www.medicalnewstoday.com/articles/324790.php

What causes heart disease – part fifty

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23rd July 2018

Trying to work out what causes any disease is tricky, very tricky, although in some cases it has been relatively straightforward – at least in retrospect. Scurvy, for example, has a single cause. A lack of vitamin C. If you replace the vitamin C, all the signs and symptoms of scurvy will disappear.

Equally, tuberculosis, is caused by the single pathogen, or microorganism, the tuberculous bacillus. The discovery of the bacillus was made by Robert Koch in 1882 using his meticulous scientific technique, based on his famous postulates:

  • The microorganism must be found in abundance in all organisms suffering from the disease but should not be found in healthy organisms.
  • The microorganism must be isolated from a diseased organism and grown in pure culture.
  • The cultured microorganism should cause disease when introduced into a healthy organism.
  • The microorganism must be re-isolated from the inoculated, diseased experimental host and identified as being identical to the original specific causative agent.

Koch didn’t just stumble across a bacteria in someone with TB and announce to the world that this was the cause of TB. He knew that if you look in any sample from diseased lungs, you will find hundreds of different bugs kicking about. Which of them is the true cause?

To find out, you need to isolate one, find a culture where it can multiply, then stick it in another animal to see if it develops the same disease. You take that microorganism back out of the newly diseased animal and check it is the same bacteria that you isolated in the first place. Then, and only then, can you claim you found the causal agent.

Good stuff, sounds complicated. In truth, that was simple.

Things become far more difficult when, for example, you cannot find a single causal agent. Or you find that you have found a likely agent, but many people exposed to it do not get the disease. Or, you find that people who have not been exposed to your proposed causal agent can also get the same disease.

Smoking, for example. You have a hypothesis that smoking causes lung cancer, but most people who smoke do not get lung cancer. Equally, many people who have never smoked can suffer from lung cancer. Given this, you could argue that it is not actually smoking that causes lung cancer, but something else. An argument used for decades by the tobacco industry to establish that smoking was perfectly healthy.

Recognising these difficulties, in 1965 the English statistician Sir Austin Bradford Hill proposed a set of nine criteria, known as ‘Bradford Hills cannons of causation’. They were designed to provide a model for epidemiologic evidence of a causal relationship between a presumed cause and an observed effect. It was Hill and Richard Doll who demonstrated the connection between cigarette smoking and lung cancer. The list of the criteria, or cannons, is as follows:

Strength: (effect size): A small association does not mean that there is not a causal effect, though the larger the association, the more likely that it is causal.

Consistency: (reproducibility): Consistent findings observed by different persons in different places with different samples strengthens the likelihood of an effect.

Specificity: Causation is likely if there is a very specific population at a specific site and disease with no other likely explanation. The more specific an association between a factor and an effect is, the bigger the probability of a causal relationship.

Temporality: The effect has to occur after the cause (and if there is an expected delay between the cause and expected effect, then the effect must occur after that delay).

Biological gradient: Greater exposure should generally lead to greater incidence of the effect. However, in some cases, the mere presence of the factor can trigger the effect. In other cases, an inverse proportion is observed: greater exposure leads to lower incidence.

Plausibility: A plausible mechanism between cause and effect is helpful (but Hill noted that knowledge of the mechanism is limited by current knowledge).

Coherence: Coherence between epidemiological and laboratory findings increases the likelihood of an effect. However, Hill noted that “… lack of such [laboratory] evidence cannot nullify the epidemiological effect on associations”.

Experiment: “Occasionally it is possible to appeal to experimental evidence”.

Analogy: The effect of similar factors may be considered.

You may have noted that these cannons are not remotely black and white. There are many shades of grey here. Even so, I can confidently assure you that if you take any of the current risk factors for heart disease, they fail to meet some, many, or indeed any, of Bradford Hills cannons for causation.

For some time, I looked at Koch’s postulates, changing the word microorganism to pathogen. I reviewed the Cannons for causation and repeatedly tried to apply them to possible causes of cardiovascular disease, but I found that they are of little practical use. Things got very complicated very quickly and trying to pull all the necessary strands of thought together was well beyond my mental capacity.

I began to realise that when it comes to cardiovascular disease we do NOT have any single causal agent, or factor, or even a remotely coherent causal model. Something noted over twenty years ago.

‘Our poor understanding of the nature of coronary heart disease explains why we lack a clearly expressed paradigm to explain it. All diseases are explained on the basis of a paradigm, or model, which is an expression of present understanding even though it might be incomplete or wrong. Being able to develop a paradigm, to construct a model, implies a certain level of understanding; the absence of such a paradigm which would include most if not all known risk indicators, implies very little understanding.

In practice there is what can be regarded as a ‘flat paradigm’ for the development of coronary heart disease, in that it is thought to be due to the addition of a wide range of risk indicators. The flat paradigm of CHD means that it might appear to be due to genetic influences in one person, cigarette smoking in another, a faulty diet in another, a metabolic abnormality in another etc.. This contravenes traditional pathological teaching that a given disease has a specific cause, although a variety of factors might influence the natural history of the disease. In fact, the flat paradigm is simply a summation of observations and make no attempt to explain how the various factors might interact.’1

In that article, Grimes uses the term ‘flat paradigm’ which I rather like, but have never seen used before, or since. Others commonly describe CVD as being multifactorial, as though this helps in any way. ‘Yes, CVD is multifactorial.’ In reality, the use of this term is basically an admission of failure. ‘We don’t really know what causes CVD, but here is a list of things that we think might have something to do with it, in some people, but not alllook, stop asking difficult questions.’

This lack of any coherent model is reflected in the latest CVD risk calculator developed in the UK. It is called Qrisk3. There were two earlier models Qrisk1 and 2. You can bring up the calculator on-line and input all your ‘risk factors’. It will then work out your risk of having a cardiovascular ‘event’ in the next ten years – allegedly. It can be found here:https://qrisk.org/three/

It has twenty variable factors. These are

  • Age
  • Sex
  • Smoking
  • Diabetes
  • Total cholesterol/HDL ratio
  • Blood pressure
  • Variation in two blood pressure readings
  • BMI
  • Chronic kidney disease
  • Rheumatoid arthritis
  • Systemic Lupus Erythematosus (SLE)
  • History of migraines
  • Severe mental illness
  • On atypical antipsychotic medication
  • Using steroid tablets
  • Atrial fibrillation
  • Diagnosis of erectile dysfunction
  • Angina, or heart attack in first degree relative under the age of 60
  • Ethnicity
  • Postcode

There is an alternative calculator used in the US. It only uses ten factors. It can be found here http://www.cvriskcalculator.com/ As an aside, neither of them use LDL to calculate risk. Interesting? [Both calculators greatly overestimate risk].

Looking at the UK version, what does it all mean? Does this list imply understanding? No, it is just a mis-mash of the most common things that have found to increase your risk of CVD. Some of the items on the list can only be associations e.g.:

  • Age
  • Sex
  • Ethnicity
  • Postcode (Zipcode)
  • Angina, or heart attack in first degree relative under the age of 60

You may say that age clearly does cause CVD – it is certainly the most powerfully weighted factor on the list. I would counter that, if you have no other identified risk factors for CVD, why should getting older be a problem? What is the mechanism?

At least three items on the list are caused by CVD

  • Variation in two blood pressure readings
  • Erectile dysfunction
  • Chronic kidney disease

One of them sits completely alone

  • Atrial Fibrillation

As for the others:

  • Smoking
  • Diabetes
  • Blood pressure
  • Total cholesterol/HDL ratio
  • BMI
  • Rheumatoid arthritis
  • Systemic Lupus Erythematosus
  • History of migraines
  • Severe mental illness
  • On atypical antipsychotic medication
  • Using steroids tablets

Here we have ten causes? But can these extremely disparate things all cause the same disease, and in the same way. History of migraines, and smoking, for example – what links them. Or, severe mental illness and rheumatoid arthritis. Go on, try and fit them together, with the LDL hypothesis, and see if you can end up with a coherent model.

Therein lay the challenge that I set myself many years ago. Of course, I could easily add many other items to Qrisk3. Antiphospholipid syndrome, sickle cell disease, Kawasaki’s, air pollution, magnesium deficiency, Avastin, proton pump inhibitors and on and on.

The reality is that, when you analyse Qrisk3, it is immediately apparent that there is no single necessary and sufficient causal agent to be found here. One alternative would be to suggest that there are several hundred different varieties of CVD, all with their own specific cause, and all leading to the same pathophysiology [a term used to describe the disordered physiological processes associated with disease or injury.]

To put this another way, the classical causal models were never going to work for CVD. Koch’s postulates, Bradford Hills cannons for causation represent a paradigm that is not suitable for understanidng CVD. For starters it is impossible to establish how they can all fit together as independent factors.

Even if you restrict yourself to the twenty different variables on Qrisk3, the possible combinations between them is twenty factorial. Which is twenty times nineteen, times eighteen, times seventeen etc. That is 2,432,902,008,176,640,000 possible interactions. Two-point four sextillion. Go on, design a clinical trial to explore that.

What I came to realise, eventually, is that you cannot understand CVD by studyng hundreds and hundreds of different risk factors that could be causal, could be associations, could be coincidence. The only possibly way to understand this disease, was to stop looking for causes and start looking at the process. This is something that I have said many times before, but it bears almost endless repetition, for it is key to everything.

If you cannot explain why, and more importantly how such things as: postcode, rheumatoid arthritis, smoking, steroids and history of migraines can lead to an increased risk of CVD you are just making lists and explaining nothing. So, having got that off my chest, again, I shall return to process in the next instalment.

1: Grimes D, Hindle E, Dyer T: ‘Respiratory infection and coronary heart disease: progression of a paradigm.’ Q J Med 2000: 93:375-383




Source: https://drmalcolmkendrick.org/2018/07/23/what-causes-heart-disease-part-fifty/

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