121 Dietitian

Stevia: A Sweet and Healthy Alternative to Sugar

stevia leaves

Stevia Do you have a sweet tooth but worry about the negative health effects of sugar? You’re not alone. Many people are looking for healthier alternatives to sugar, and one of the most popular options is Stevia. Stevia is a natural sweetener that has been used for centuries by indigenous people in South America. In recent years, it has gained popularity as a sugar substitute due to its many health benefits. In this article, we’ll explore what Stevia is, how it’s used, and the benefits it offers. What is Stevia? Stevia is a natural sweetener derived from the leaves of the Stevia rebaudiana plant. This plant is native to Paraguay and Brazil and has been used for centuries by indigenous people in these areas to sweeten tea and other foods. Stevia is a non-caloric sweetener that is 200-300 times sweeter than sugar, so a little goes a long way. It has a slightly different taste than sugar, but many people find it to be a pleasant and satisfying alternative. Steviol glycosides, don’t add calories or have an impact on blood glucose when ingested. Once they reach the colon, gut bacteria use the glucose molecules as fuel. This makes steviol glycosides an ideal choice for diabetics and those looking to reduce their calorie intake without sacrificing sweetness. Types of Stevia There are three main forms of stevia available on the market: liquid stevia extract, powdered stevia extract, and even whole stevia leaves. Each form has its own unique flavour and sweetness profile, making them ideal for different recipes and drinks. Additionally, each form has different levels of sweetness and health benefits, making them great options for those looking for a natural healthier alternative to sugar. How is Stevia used? Stevia can be used in many different ways as a sugar substitute. Here are some popular options: Benefits of Stevia: Cons of Stevia: FAQs: Q: Is Stevia safe? Yes, Stevia is considered safe for most people. It has been approved as a food additive in many countries. Q: Is Stevia suitable for baking? Yes, Stevia can be used in baking. However, as Stevia does not have the same chemical properties as sugar, some adjustments may need to be made to the recipe. Q: Does Stevia have any side effects? In general, Stevia is considered safe and has no significant side effects. However, some people may experience mild gastrointestinal symptoms such as bloating or gas if using the store-bought versions. Conclusion: Stevia is a natural sweetener that offers a healthy and versatile alternative to sugar. It’s low in calories, has antioxidant properties, and may even help lower blood sugar and blood pressure. With its many benefits, it is certainly another option for you to consider in your wide and varied diet. There are many to choose from, here at 121 Dietitian we have found that NKD Living Stevia and Erythritol a good option to start with for flavour and ease of use. Do let us know if you have one you enjoy.   If you want to book your programme TODAY we would love to help you. You can book a 121 Dietitian Programme today by clicking on the link below     If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Do visit our YouTube Channel for more on keeping your health optimal.     If you are interested in how I overcame my Thyroid Autoimmune Condition do check out the About section below     Before you go please check out our 121 Dietitian Shop created specifically for optimising your health.     Gillian x

The Health Benefits of Eating Eggs and How to Incorporate Them into Your Diet

health beefits of eggs

What are the Health Benefits of Eating Eggs? If you don’t already know, eggs are a great source of nutrition and provide a variety of health benefits. They are high in protein, contain essential vitamins and minerals, and can help reduce the risk of certain diseases. Eating eggs regularly as part of a varied and nutritious diet can help improve your overall health and well-being. In this blog, you will learn of the health benefits of eating eggs and why they should be part of your diet. Firstly why were Eggs considered bad for us? For decades, eggs have been the subject of controversy and debate. In the 1970s and 80s, they were linked to high cholesterol levels and salmonella poisoning, leading to a wave of negative press and public advice to avoid eating eggs. However, more recent research has revealed that eggs are actually a healthful food with numerous benefits for our bodies. In 1999, a groundbreaking study published in the Journal of the American Medical Association (JAMA) sought to challenge the long-held belief that egg consumption was linked to an increased risk of cardiovascular disease. The results of this study found no such link, leading to a paradigm shift in how eggs were viewed by medical professionals and the general public alike. This shift in attitude towards egg consumption has continued over two decades later, with many health organizations recommending moderate egg consumption as part of a balanced diet. In 2020 an observational study has stirred the pot again and has not been so favourable regarding eggs and heart disease! Many experts are sceptical due to the methods of data collection so it will be interesting to see what researchers come up with next!  For now, Eggs are definitely on the 121 Dietitian yum list, read on to find out why.. Egg Nutrition Eggs are packed with essential vitamins and minerals including calcium, iron, potassium, zinc, manganese, vitamin E, folate and many more, as well as being a great source of protein. They contain all nine essential amino acids, making them a complete protein source. Additionally, eggs are loaded with choline, an important nutrient that can help support many bodily functions including cardiovascular health and the yolks are one of the best sources of lutein, a pigment that has been linked to better eyesight and lower risk of eye disease. With their powerhouse of nutrition, eggs make a great addition to any healthy diet. For the protein and nutrients they provide, they are an inexpensive food group. If you are already a Boiled egg eater you will be delighted to know the following: Eating just one large boiled egg can give you 8% of your daily value (DV) of vitamin A, as well as 6% DV of folate, 14% DV of pantothenic acid (vitamin B5), 23% DV of vitamin B12, 20% DV of riboflavin (vitamin B2), 7% DV of phosphorus and 28% DV selenium. Eggs are an excellent source of several essential vitamins and minerals. 78 calories, 6 g of protein and 5 g of fat can be found in each egg, as well as trace nutrients which are important for overall health. Nutrients found in eggs include vitamin D, vitamin E, vitamin B6, calcium, zinc. How to Choose the Right Type of Egg for Your Diet Choosing the right type of egg for your diet can be a tricky task. With so many options available, it can be difficult to know which type of egg is best for you. Organic eggs, regular eggs, free-range eggs, cage-free eggs, pasture-raised eggs and omega-3 enriched eggs are some of the main types of eggs available in the market today. Each type of egg has its own unique benefits and drawbacks that should be taken into consideration when making a decision about which one to buy. Organic eggs we know are a healthier and more sustainable alternative to regular eggs. Eggs that come from hens are fed organic feed and are allowed to roam freely in their natural environment. These hens have access to fresh air, sunlight, and plenty of space for foraging. As a result, organic eggs contain higher levels of essential vitamins and minerals than regular eggs. Additionally, organic egg production is more humane and does not involve the use of antibiotics or hormones. For those looking for a healthier option that is also better for the environment, organic eggs are a good choice if you are able to spend the money as this can be prohibitive if consuming large amounts. Omega-3 enriched eggs are a type of egg that has been enhanced with additional omega-3 fatty acids. These eggs are produced by feeding chickens a diet that is rich in omega-3 fatty acids, such as flaxseed, fish oil, and algae. The resulting eggs have higher levels of omega-3 fatty acids than regular eggs and can be used as an alternative to traditional sources of dietary omega-3s. Omega-3 enriched eggs have been shown to have health benefits such as improved heart health, reduced inflammation, and improved brain function. They also provide an excellent source of protein and essential vitamins and minerals so a win-win. Caged eggs, also known as battery eggs, are eggs laid by hens that are kept in a cage. The cages used for caged eggs are typically small and restrict the hens’ movement. This type of egg production is controversial due to animal welfare concerns. Caged eggs have been banned in some countries, while others have implemented regulations to ensure that the hens receive adequate space and enrichment activities. It is good to know that more is being done to stop hen cruelty and to assist this further – selecting alternatives where possible is a good start. How to Incorporate Eggs into Your Diet Eggs are not only a super choice nutritional but so versatile and can be cooked in many different ways to create delicious dishes that are both nutritious and satisfying. From omelettes to frittatas, quiches to salads, and the infamous cloud bread!

Waist Hip Ratio Measurement are you familiar with this?

How to measure your weight hip ratio

Waist Hip Ratio. I released a recent blog highlighting the positives and negatives of the BMI calculation and wanted to follow up on this with another measurement that you may find useful. Just to recap, BMI (Body Mass Index) is a well-known measurement that checks weight against height to select a number that you then can plot in a range for health. You can check yours here on our BMI calculator.  This unfortunately in some circumstances can be misleading, and my BMI blog covers this in more detail. One example is if you have a high muscle mass, you may see your BMI number to be ‘overweight’.. What to use instead of BMI? The measurement that is now recommended as standard by the British Diabetes Association is the Waist : Hip Ratio This is a simple and quick-to-do measurement that just requires a tape measure. The tape measure below is designed to assist you to be more accurate as it holds the tape in place as required so you can record your numbers..  How to take your own Waist-Hip Ratio Start with the tape around your tummy, this should be the smallest part of the waist. Record this number. Next, drop the tape down around the hips, you need to measure the widest point across your bottom. Take down this number. Next, you need to divide the waist measurement by the hip measurement this will give you another number called the ratio. You use this number to check against the guidelines below. Waist Hip Ratio Guidelines The following are the recommended parameters: What does the Waist Hip Ratio number show? In simple terms the nearer this ratio you have recorded is to 1, the more likely you are to be insulin resistant and at risk of developing Type-2-Diabetes. If you have a high waist-hip ratio you may notice you have more of an ‘apple’ body shape. This body shape means you are carrying excess abdominal fat. Why does this matter? Health risks rise significantly with increased abdominal fat as many of our vital organs like your liver and pancreas are located here, if these organs are restricted by excess fat they are put under extra pressure. What can you do to lower your Waist Hip Ratio? Thankfully you can assist your waist-hip ratio by taking action in several ways. What to do next about your Waist Hip Ratio or anything else.. If you are unsure of how to increase or decrease your weight, change your eating habits or need help optimising the foods you eat and are not sure what programme to select please do contact us. We would love to help you or your family and friends with any nutrition-related queries big or small. If you want to book your programme TODAY we would love to help you. You can book a 121 Dietitian Programme today by clicking on the link below If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Do visit our YouTube Channel for more on keeping your health optimal. If you are interested in how I overcame my Thyroid Autoimmune Condition do check out the About section below Before you go please check out our 121 Dietitian Shop created specifically for optimising your health. Gillian x

PCOS -Weight Loss Diet

PCOS – Weight Loss Management (Fertility Programme) PCOS – Polycystic ovary syndrome is the most common hormonal disorder in women of reproductive age. It affects about one in 10 women and usually starts from puberty and can continue through to menopause. PCOS can cause multiple problems, including infertility, acne, excess hair growth, period irregularity and excess weight.  Why does PCOS make it difficult to lose weight? PCOS has a link to multiple issues. What does the clinical evidence say for PCOS and Fertility? Many large studies across the world have shown that women who were  overweight were able to lose weight before getting pregnant significantly improved both their fertility treatments and pregnancy outcomes.   This is why international guidelines have recommended that weight loss should be the first line treatment for women living with obesity before undergoing fertility treatment or planning a family.   How can a 121 Dietitian weight management programme help you? There is no one size fits all regime for losing weight, nor is there one specific fertility diet. Furthermore, women who are overweight with conditions such as polycystic ovary syndrome can find weight loss particularly difficult.All of the recent evidence has indicated that crash diet/exercise regimes tend not to work and can even cause harm, in other words, weight management does not mean starving yourself! The best approach is to have a sensible and achievable long-term plan to reduce weight and keep it off for GOOD.   Who is this plan for? • Women with polycystic ovary syndrome (PCOS) experiencing difficulty losing weight• Women who are over or underweight experiencing a delay in achieving a pregnancy• Women who want to achieve weight and lifestyle improvement before trying for a baby• Men who have modifiable risk factors with diet and weight.   Weight management for PCOS   The aims of the weight management and or fertility programmes we offer are: • To achieve a realistic goal. We, therefore, focus on a 5-10% body weight loss over 4-6 months as this has been shown to improve fertility treatment outcomes.• To achieve sustainable weight loss – not just short-term gain• To provide a personalised dietary and exercise programme with appropriate psychological support – this has been shown to be the most effective way to achieve sustainable weight loss as well as improve quality of life – helping you to feel good about yourself• To empower you to help you feel more in control of everyday life so that you can avoid returning to unhealthy lifestyle behaviours. We haven’t forgotten the men in your lives…. Men can contribute to infertility issues also. Our programmes allow for both or either partner to be treated for infertility.   How does our PCOS and Fertility plan work? You will meet a specialist dietitian throughout a period of a minimum of 6 months….Prior to an appointment, you will be asked to complete a 121 Dietitian – 7 Day Food Diary and Diet Plan Questionnaire. These will be assessed by Gillian Killiner RD, specialist Dietitian, and an appointment will be arranged to discuss the findings and begin the best nutritional programme bespoke to you. This can be via our online secure portal or face-to-face at our Holywood clinic. Week 1 – At this initial appointment Gillian will include nutritional information, motivation and lifestyle changes. A nutritional programme, recipes and shopping list will be written up for you to follow with SMART goals. Nutritional optimisation is the goal and this will include assessment of gut health/mental health/bloods and corrected with diet and supplements as required. Week 4 –6 – at this dietetic review Gillian will reassess the recommendations and assist you with setting further achievable goals. If you are wishing for a reduction in weight you will be aiming for 1kg/2lb weight loss as a steady and manageable reduction each week. Week 12-15 – Review with Gillian – you will be asked to forward a new food diary prior to this, the appointment is online/phone call &/or email. Week 22 -28 – Final appointment with Gillian – reassessment of weight and medical and general health parameters in conjunction with your fertility team. Partners together weight management fertility package £800 Either Partner weight management fertility Individual programme £600   Weight Loss for PCOS  For women with PCOS who wish to lose weight only, our programmes will be tailored specifically to your requirements. PCOS weight management programme £500  

Check your BMI – Body Mass Index calculator

Check Your BMI BMI Calculator BMI (body mass index) is a measure of whether you’re a healthy weight for your height. BMI gives a good estimate of your weight-related health risks for most adults, there are exceptions. Ethnicity, pregnancy, being muscular and anyone under 18 or over 60 this calculator may over or underestimate and so additional calculations or measurements are required. I will cover this in another blog. How to check your BMI (BMI Calculator) to see if you are in a healthy weight range. To do this you need your current weight (kg) and height (cm) measurements. This will give you a number that is called your Body Mass Index (BMI) Generally if your BMI is over 35, or under 18, your health is at risk. You can calculate your Body Mass Index using the BMI Calculator below. Understanding your BMI result Underweight Being underweight (BMI<18.5) could be a sign you’re not eating enough or you may be ill. If you’re underweight, we can assist you with nutritional advice on how to get your weight back to a healthy range. A detailed programme is created for you with recipes and a shopping list to make it as easy as possible. Healthy weight A healthy weight range (BMI 8.5-24.5) is where you want to be, so that is great if you are at the ideal body weight for you. But do remember this is a wide range and further tweaking may be required regarding your fat stores and muscle mass. Important to prevent future health issues. Overweight If you are overweight (BMI 24.5-29.9) chances are you have tried a few if not several times to change this. Weight loss is a specialist area at 121 Dietitian and we have helped thousands of people safely lose weight and most importantly keep this in control and enjoy life. Following our specialist, personalised plan and building in appropriate exercise is the goal. Obese A BMI of over 30 means you are in the obese category and clinically obese is where your BMI is over 35. It can feel overwhelming and lonely when you are faced with the thought of losing weight, especially if you have a lot to lose. Chances are like many you have tried repeatedly to tackle this yourself or with some form of generic programme and ended up back to the weight you were or heavier. Here at 121 Dietitian we work with you to ensure this doesn’t happen again. We know it can take a few weeks to several months to get everything optimal in your life and health to see successful and permanent weight loss. You may need some blood tests for this which we will guide you on. A personalised programme is created for you taking into account every aspect of your life: including your health, your likes, dislikes, cooking ability, finances etc. Our Plus programme will monitor you for up to a year to ensure you are meeting your goals AND more crucially keeping the weight off for good. BMI for Black, Asian and other minority ethnic groups Black, Asian and other minority ethnic groups have a higher risk of developing some long-term (chronic) conditions, such as type 2 diabetes. Checking your BMI figure Black, Asian and other minority ethnic groups adults with a BMI of: 23 or more are at increased risk 27.5 or more are at high risk What to do next about your BMI or anything else.. If you are unsure of how to increase or decrease your weight, change your eating habits or need help optimising the foods you eat and are not sure what programme to select please do contact us. We would love to help you or your family and friends with any nutrition-related queries big or small.

Wegovy – New Diet Drug

Wegovy - New Diet Drug

Wegovy – New Diet Drug   121 Dietitian is excited by the launch of the New Diet Drug Wegovy for weight loss and obesity. A game changer for weight loss, but not without consequences. If you decide this is for you, you need to ensure you get the maximum results possible. As weight loss experts 121 Dietitian wants the best for you, we are seeing a massive push on online prescribing. What support do you get with this????? In most cases, it is lip service and not personalised. These drugs are not a quick fix, they are expensive, require 18 months of time commitment and stop working when you don’t inject. So what can you do? How to get maximum results with Wegovy- new diet drug If you decide Wegovy is for you. You may be surprised to read that the only way to get maximum results is by working with a Specialist. Dietitians like us here at 121 being the gold standard! Wegovy is not the golden ticket to weight loss. We know and have many years of experience assisting thousands of people with optimising their diet and health for life. Wegovy what you need to know As a Dietitian for nearly 30 years, I have watched many drugs come and go regarding weight loss. Wegovy is one of the newer kids on the block. Big breakthroughs have been the headlines over the years and many people eager to get their hands on the latest launch, pay big bucks for something they know nothing about. Creating drugs to allow for a substantial amount of weight loss without serious side effects is the dream for many pharmaceutical companies and many attempts have been made. In this blog, I hope to provide you with all you need to know about these medications the positives and negatives of taking these drugs and what alternative may work better for you long term. How Do These Anti-Obesity Drugs Work? In normal digestion, the gut secretes hormones after food intake, stimulating insulin secretion. These pharmaceutically created peptides (Wegovy) mimic these same gut hormones and provide more GLP-1 to flood the system and allow for additional weight loss. Wegovy and Mounjaro work differently in the body but both keep you fuller for longer by delaying gastric emptying, increasing insulin sensitivity, decreasing glucagon, and reducing high glucose levels. Both drugs reduce triglycerides, LDL and raise HDL cholesterol, along with reducing blood pressure. Who is eligible for Wegovy? Wegovy is intended for use by adults aged 18-75 who have a BMI of 30 or above, or a BMI of 27 or above AND a weight-related health condition such as (asthma, cardiovascular disease, depression, diabetes, fatty liver disease, gallbladder disease, high blood pressure, a history of certain cancers, osteoarthritis or gout, or polycystic ovary syndrome (PCOS). Side effects of Wegovy – New Diet Drug Something that is often overlooked or underplayed is the side effects of drugs. For Wegovy and Mounjaro (Tirzepatide) include nausea vomiting abdominal pain constipation diarrhoea There is a concern of 4.5 x higher intestinal obstruction in 25,000 people studied. Fatigue and headache are also very common, mainly as doses increase. Other common side effects include: feeling lightheaded excess passing wind gastroesophageal reflux injection site reactions hair loss hypoglycemia in patients with type 2 diabetes Less common side effects have been noted with these drugs including allergic reactions gallstones (which can occur with a large amount of weight loss) the potential of medullary thyroid cancer You are also at risk of acute kidney injury. In rare cases, there can be serious side effects, such as pancreatitis or anaphylaxis. A list NOT to be ignored. How is Wegovy Given and Practical Considerations Wegovy (Semaglutide), is in a prefilled self-injection delivered under the skin in the arm, abdomen or thigh. 0.25 mg for a month, increasing monthly to a maximum dose of 2.4 mg in the 5th month. It takes a year to 18 months to have full effect. As with any medication, there are positives and negatives and I have spent most of the last 15 years in my clinics trying to reduce my patient’s medication lists where possible! I am aware however that some medications are beneficial, and it is a major hope that these drugs will genuinely assist in weight loss for the select individual. One thing for sure is that they do seem to be a better option than bariatric surgery which is a blog for another day! Currently, the hype is big and no doubt we will find out more as time goes by, but for now, I prefer to recommend you don’t get swept up too soon and spend extortionate amounts of money without doing the following first. Wegovy -Work with a Dietitian Obesity is a complex, chronic disease with multifactorial causes, and taking a drug and expecting life-changing weight loss is too simplistic. For those seeking to improve their health and lose weight and really stuck these drugs may be a short sharp kickstart but no more. It is clear from the research that when people stop taking Wegovy/Ozempic, they rapidly regain the weight. It is very expensive and there are important issues that need to be highlighted regarding everyday considerations like how alcohol impacts blood sugar control, fasting, health risks and other medication interactions. Verdict on Wegovy – New Diet Drug  As a Dietitian, I have been asked repeatedly about weight loss drugs. I always consider all options and for the greater good of all who may be thinking about using these and believe in working on lifestyle, diet and fitness interventions first or alongside any targeted medication. I am concerned that vulnerable people who are really in need of significant weight loss may need to stay on Wegovy indefinitely in order to maintain any weight loss achieved, and this definitely raises concerns about long-term use. As 121 Dietitian offer weight loss services it is something for you to consider. You can invest in a 121 Dietitian programme, the