The truth about nutritional supplements revealed by a UK leading Dietitian
One of the most commonly asked questions we hear at 121 Dietitian is “What supplements should I be taking?” With this in mind, Director and Principal Dietitian Gillian Killiner discusses the topic of supplements and who should be taking what. It might surprise you to learn that the term ‘dietary supplements’ actually applies to a wide group, including; vitamins, herbs, enzymes, amino acids, minerals, protein drinks, sport aids, weight loss pills, anti aging tonics etc. According to a report in Optimum Nutrition Magazine, the nutritional supplement market in the UK in 2016 was valued at £431 million and this is expected to double in the next 5 years. People in the U.K. take dietary supplements for a variety of different reasons. Athletes and bodybuilders may take supplements to gain performance improvements and to bulk up. Others take supplements to get protein and vitamins into their diets as part of an overall focus on a healthier lifestyle. Pregnant and lactating women may take dietary supplements to provide enough nutrients to support their growing babies. Children from ages six months to five years may be given supplements to make certain that they are getting enough vitamins while they are growing. The government recommends that children in this age group are given supplements of vitamins A, C and D. People also take dietary supplements to help lose weight, while older adults take supplements to help to maintain their health as they age. This sounds and is, for the main part, acceptable. When supplements are advised and taken correctly, they can enhance an individual’s health and thus improve life outcomes and I am all for this when following an expert’s advice. However, this needs to be after a full health assessment. What is most worrying is that I find frequently in my clinical practice individuals taking supplements for several years or maybe longer and they really have no idea the quality of the supplement they are taking (often cheap shop brand) the quantity of the ingredient dose they are taking and the risks associated with this or on the reverse that they might not be absorbing the ingredients at all. Sadly, I have had several patients who have significant liver damage as a direct result of high dose supplementation taken for an extended period of time. Truth be told, I am a supplement nerd and I am meticulous in sourcing the correct therapeutic supplements for each individual based on their; health, lifestyle, age, sex, metabolic status and most importantly, blood test results. The supplements that I select are chosen because they have: No nasty chemicals which can often trigger additional issues with gut/skin health. Selected for optimal dosage and from natural sources so the body can absorb them easily. Purest for no toxicity. Dose administered to assist their optimal absorption. If using several supplements they are introduced over time to monitor for any reactions. During the time a patient is with me, bloods and symptoms are monitored to ensure health is assisted and the supplements taken for the correct time frame at the correct dose. So where does that leave you? For those of you that do supplements: Do remember you can’t expect supplements to take care of a bad diet or lifestyle – research has proven this to be more harmful. If you take supplements please do consider there are positives and negatives to these and be aware that they could be unnecessary, toxic or just making expensive urine! Don’t mix food supplements and medicines. Some food supplements can interact with medicines. So if you are taking any medication, seek advice from either a GP or dietitian. Your body is like a finely tuned engine of a car – all the parts have to work in harmony to ensure you are in top gear. Too much or too little of anything and your won’t be firing on all cylinders! If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed]
Confused by food labels? Let’s get clear!
Food labels which can leave you confused. Here, we share our top tips on understanding what they really mean. Food labels – You’re ready to make some health changes and like many others, your new year resolution may have you rethinking your shopping trolley contents. The internet bombards us with recipes and healthy eating advice multiple times a day. So surely it must be easy to eat healthily? Wrong! With more advice and food labels it has become more confusing to eat healthy. We see this in clinic every day, and it affects a wide range of people. Whether it’s acute or chronic health issues, sports nutritional needs, weight loss, weight gain or allergies, everyone struggles to not only find the right foods for their needs, but how to integrate them into their day, suit their budget and time constraints for shopping and cooking. As Dietitians, we work with individuals to ensure they select the correct foods and nutrients optimal for their particular health issue or request. We also work with families to ensure they get value for money when they shop and that their kids will enjoy eating the same meals. A win-win in reducing the shopping bill and stopping the need to cook separate meals. How can you be sure you are picking foods that are correct for you? We know from The Institute of Grocery Distribution’s research since 2015 that many people are confused about how to use the information displayed on nutritional labels correctly. The main areas of confusion, in particular, are portion size information, reference intakes and colour coding. As a general guide the front of label’s nutritional information can be helpful. Taking a particular food – like bread as an example – there can be numerous options to choose from. Some are low fat, some high fibre… What therefore do you need to consider when looking at labels of foods in general? Using front of label information 1. Start with the colour background All green and it should be a good choice in relation to the nutritional guidelines – HOWEVER… My advice in addition to this is to always turn to the ingredients to check it is not loaded with artificial sweeteners and fat substitutes as this is a great way manufacturers can achieve all green. Some foods that fall into this amazing green light category can actually be chemical junk. The goal: Choose foods that are unprocessed. 2. Know your portions This detail can be very telling and misleading. A small cake may have the nutritional information available for a portion and doesn’t look too bad! Think: supermarket coffee and walnut cake (400g). The portion info is for 1/6 of the cake or 68g. If you manage to keep to 1/6 of a slice then that’s fine but most people cut bigger portions and so the nutritional information then becomes meaningless. Don’t just rely on portion measurements but take a look also at 100g measures. If your sugar value is below 5g per 100g then you are on the right track (unless your portion is over 500g!). For fibre push for 20g per 100g. 3. Checking the carbohydrates content is useful It’s worth remembering that too high carbohydrates intake is converted to fat if over-eaten. My advice is to check the total sugar and fibre content which makes this carbohydrate figure more meaningful. High fibre 20g/per 100g, low sugar 5g/100g is what you want to see. 4. Fat is very much in vogue The media are all about fats at the minute. After being banished for three decades, fat is now back on the menu. Fat is found in various healthy and not so healthy forms. Watch out for the saturated fat content in processed foods and keep to below 5g per 100g or 5%. Palm oil, refined oils and processed vegetable oils are linked to inflammation, due to the chemicals used for extraction and production. Many more factors are involved in selecting foods and using front of packet labels are helpful and a good starting point. Using common sense and checking the ingredients are also top priority. Remember the first ingredient on the list has the largest amount in the product and so on with the smallest amount of the ingredient last. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018.
Gallstones diet – the facts
Gallstones are more common than you may think. A gallstones diet could help. In fact it’s estimated that more than 1 in every 10 adults in the UK has gallstones. But what exactly are they and what effect can they have on the body? Today, we share the facts on gallstones and the risk factors which increase their likelihood. What are gallstones? The gallbladder is a small sac on the underside of the liver. Bile (also called gall) is a greenish-brown liquid produced by the liver. It’s stored and concentrated in the gallbladder and passed into the small intestine (through the bile ducts) to help with digestion, mainly of fats. Gallstones occur when bile, which is normally fluid, forms stones. They contain lumps of cholesterol-like (fatty) material that has solidified and hardened. Sometimes, bile pigments or calcium deposits can form gallstones. Some people have many very small stones, like fine gravel, and some have a single stone that’s big enough to completely fill the gallbladder. Who is at risk of developing gallstones? One in 10 people will develop gallstones. Women, people over 40 and overweight people are more likely to develop them. Gallstones are also more likely if: Your bile contains too much cholesterol The outlet from your gallbladder is blocked or infected You have a family history of gallstones How will I know if I have gallstones? Gallstones are often discovered by accident, when you have an X-ray or ultrasound scan for another reason. In these cases, it’s usually best to leave them alone unless they produce symptoms. Fewer than one in five people with gallstones have symptoms, because the stones usually stay in the gallbladder and cause no problems. However, sometimes gallstones may lead to your gallbladder becoming inflamed (cholecystitis), which can cause: Pain below your ribs on the right hand side Pain in your back and right shoulder Fever Nausea Biliary colic If gallstones pass down your bile duct into your duodenum, you will experience a painful condition known as biliary colic. The pain is usually felt in the upper part of your abdomen, in the centre, or a little to the right, and often occurs about an hour after a meal that has a particularly high fat content. The pain is usually continuous, lasting a few hours before it disappears. However, some people experience ‘waves’ of pain and others have continuous pain for more than 24 hours. Some people describe the pain as being similar to very severe indigestion. In some cases, the pain can be so severe that they report feeling like they’re having a heart attack. Also, people can feel sick and may vomit. The effects of gallstones Infection Gallstones can sometimes cause flu-like symptoms, such as a high temperature and shivering. This can be a sign that gallstones are causing an infection to develop in your gallbladder. You will normally be admitted to hospital to have your gallbladder removed if you develop this problem. Jaundice This is an uncommon complication of gallstones. It occurs if a gallstone comes out of the gallbladder, but gets stuck in the bile duct. Bile then cannot pass into the gut, and so seeps into the bloodstream. This causes your skin and the whites of your eyes to turn yellow (jaundiced). The stone may eventually be passed into the gut, but you’ll normally need an operation to remove it. Pancreatitis This is an inflammation of the pancreas. It occurs when a small gallstone passes through a bile duct and blocks a pancreatic duct or causes a reflux of fluids and bile into this duct. Acute pancreatitis develops in about 5% of people that have gallstones and is more common in patients with small, multiple stones. Gallstones Diet Recent decades have seen gallstones on the increase in our western population. Why is this? Our love of processed/convenience foods, high sugar consumption and insufficient healthy fats, fluids and fibres are major factors in stone formation. 121 Dietitian provides the gold standard in assessment and dietary treatment specific to you and your health. Using natural foods and fluids to reduce the inflammatory processes our gallstones diet programme will allow you to settle your gallstones and optimise your health. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018.
Healthy Food like your body
Over the years, studies have looked at the relationship between food and their impact on the body and in particular, it’s fascinating to learn that healthy food can help certain organs that resemble their same shape! While there are many theories, we have put together a selection of our favourites, showing the power of food and its function. A sliced carrot looks just like the human eye. Cut one open to reveal the pupil, iris and radiating lines, which look just like the human eye. And what’s more, science shows that carrots greatly enhance blood flow to and function of the eyes, so while that old adage of carrots helping you see in the dark might not be entirely true, there is some logistic in the statement. A tomato has four chambers and is red, just like the heart. Current research indicates that tomatoes are indeed pure heart and blood food, so up your intake today! Grapes hang in a cluster that adopts the shape of the heart, and when opened, each grape looks like a blood cell. Recent studies show that grapes are a profound heart and blood vitalizing food. A walnut looks like a little brain, with a left and right hemisphere, upper cerebrums and lower cerebellums. Even the wrinkles or folds on the nut are just like the neo-cortex. What’s more, we now know that walnuts help develop over 3 dozen neuron-transmitters for brain function. Kidney beans actually heal and help maintain kidney function and yes, they look exactly like the human kidneys. Celery, bok choy, rhubarb and more look just like bones. These foods specifically target bone strength. Bones are 23% sodium and these foods are 23% sodium. If you don’t have enough sodium in your diet the body pulls it from the bones, making them weak. These foods replenish the skeletal needs of the body. Onions look like body cells. Today’s research shows that onions help clear waste materials from all of the body cells. They even produce tears which wash the epithelial layers of the eyes! Shaped like the pancreas, ironically, the ‘sweet’ potato has great health benefits for an organ that helps with sugar load in the body! Despite its name, a sweet potato actually helps the pancreas do its job, balancing the glycemic index of diabetics. Resembling the shape of ovaries, olives assist the health and function of the ovaries. The healthy fats, vitamins and minerals found in these tasty fruits of the olive tree have been shown to reduce the risk of ovarian cancer. Furthermore, olive oil is excellent treatment for skin and hair, delays old age and treats inflammation of the stomach. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help with healthy food Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018.
Reduce the risk of prostate cancer with dietary changes
Reduce the risk of prostate cancer. In recent years, more and more research has been devoted to the link between diet and prostate cancer and reducing its likelihood with dietary changes. Every year in the UK, 35,000 men are diagnosed with prostate cancer, resulting in one fatality every hour. What we do currently know about the condition is that men are more likely to get it if they are over the age of 60, have a family history of prostate cancer or are of African decent. Furthermore, Asian men are less likely than Western men to develop this cancer form but those who have migrated to Western countries are found to develop the same risk as those who have been there their entire lives. What this suggests is that there are in fact some fixed factors which increase the risk of prostate cancer, so much so that the World Cancer Research Fund (WCRF) is continuing research into the link between lifestyle factors and prostate cancer. However, until these finding have concluded and been published, based on the current consensus science, the following tips can play a role in protection against most types of cancer, including prostate cancer. Here, we take a look at the diet and lifestyle changes you can make in order to reduce the risk of prostate cancer Maintain a healthy weight through the principle of keeping active and eating a healthy, balanced diet. Moderately exercising for just 30 minutes a day is recommended. If your busy lifestyle doesn’t permit this, try shorter sessions throughout the day. Aim for a healthy BMI of between 18.5 and 25. Not sure what your BMI currently is? Check out this handy calculator on our website here. When it comes to your diet, one which is varied and balanced containing the right proportions from the five food groups is essential. Use the above plate as a guide on your daily food intake. As a good indicator, at each mealtime, fill half your plate with fruit and vegetables, a quarter with protein and a quarter with starchy carbohydrates. Up your water intake to the recommended 6 – 8 glasses of fluid per day, one of which can be a small serving of fruit juice. Limit sugar-laden drinks to special occasions only. Ensure your diet is rich in whole grain food options, aiming for the recommended 3 portions of 16g wholegrain products per day. As a guide, one portion = x2 heaped tbsp brown rice, or x1 medium slice wholemeal bread or x3 tbsp wholegrain rice, or 1/2 a wholemeal pita bread. Ensure your daily intake of fruit and veg is high, striving for 7 portions per day. This is the equivalent of 1 medium apple, 3 dates, half a grapefruit, 2 small tangerines, 1/3 aubergine, 3 heaped tbsp carrots or 1 heaped tbsp tomato puree or a handful of mangetout. Limit your trans fat intake, keeping within the recommended guidance for 70g of fat and keep processed saturated fat low. Small tips to help with this include, for example, trimming fat from meat, cooking with healthier fats such as olive oil and upping your intake of nuts, seeds and avocados as healthier fat options. Reduce your sugar intake but keep below the recommended 30g per day with simple steps such as cutting down on sugary treats including cakes, biscuits and snack foods, limit your intake of fruit juice and fizzy soda, replacing with water or low sugar squash varieties and halve the amount of sugar consumed in tea, coffee, cereal, cooking and baking where possible. These simple steps will go a long way in preserving your future health and you’ll be surprised at how quickly your palate gets used to it. Be aware of hidden salt and keep to 6g per day. Swap the addition of salt while cooking for herbs and spices. These are a fab alternative and there are so many tasty choices out there, so get experimental and creative when cooking. Ditch the processed meals which are high in salt, instead aiming to cook simple meals from raw ingredients. It’s amazing how quickly a healthy and tasty meal can be prepared. Check out, for example, our Incredible Hulk Cannelloni recipe here. Finally to r educe the risk of prostate cancer, get up to speed on food labelling systems in order to choose foods that are low in fats (<3p per 100g fat, <1.5 saturated fat per 100g), sugar (<5g per 100g) and salt (<0.3g per 100g). For more information on prostate problems. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help reduce the risk of prostate cancer Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018 and 1st January 2023.
Incredible Hulk Recipe – Cannelloni Style
This Incredible Hulk Recipe – Cannelloni Style, is a fab way to use all the greens that you may not be keen on! Normally cannelloni is made with just spinach however adding variety with other greens allows you to consume a wider range of nutrients without compromising on flavour. All cruciferous vegetables (cabbage family) contain cancer-fighting plant compounds and vitamin C. Kale in particular also has bone-boosting vitamin K, vision- and immune-boosting vitamin A, and even anti-inflammatory omega-3 fatty acids. The rest of the ingredients in the Incredible Hulk Recipe need a mention too! Tomatoes are tasty and a wonderful source of lycopene and cancer fighting antioxidant. But the benefits don’t just end there. Tomatoes provide: vitamin A, vitamin K, vitamins B1, B3, B5, B6, B7, excellent vitamin C, folate, iron, potassium, magnesium, chromium, choline, zinc, and phosphorus. The tomatoes I used for this recipe were home-grown from excess surplus from our green house! Ricotta cheese provides excellent protein, calcium, phosphorus, Zinc, Vitamin B1, B12 and Vitamin A. If you are worried about excess fats (which by the way because this recipe is natural not processed you shouldn’t be!), you can add a tub of quark in instead. Incredible Hulk Recipe Ingredients – Cannelloni Style Olive oil/coconut oil 1 -2 onions/asafoetida powder* 1 small cabbage 1/2 bag of kale 1 broccoli head* Ricotta/quark or lacto free cream cheese* or vegan soft cheese Pasta – wholemeal (gluten free) lasagne sheets to roll or cannelloni rolls 1-2 cans of chopped tomatoes or 500ml passata (can add or include garlic*, olives, basil, peppers, chilli peppers/flakes) Hard cheese to top (parmesan or vegan cheese) More fresh basil leaves to top Large salad for serving: Spinach, cucumber, peppers, spring onion*, beetroot… your choice! How to make the Incredible Hulk Recipe Heat the oil in a large pan sauté the onions till brown and sweet or add asafoetida powder Take 1 small head of green cabbage, 1/2 bag of kale and 1 small head of broccoli roughly chop Add to the cooked onions and heat for 10 minutes Take off the heat and add the soft cheese or alternative Blitz in a blender Take the cannelloni tubes or cooked lasagne sheets and generously fill these with the green mix Place these into a oven proof dish, when complete top with the tins of tomatoes/ passata and any additional flavours for taste and spice! Top with sprinkle of parmasan Cook at 180c for 25-30 minutes Serve with 1/2 plate covered in salad This menu has been adapted for Fodmaps and coeliacs. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018 and 1st January 2023
