Vitamin D Benefits – 9 awesome reasons
Vitamin D Benefits everyone’s health young and old. Vitamin D has multiple benefits and I have been a massive advocate of Vitamin D for many years due to my autoimmune family. Further strengthened when asked to write for the New Scientist on the tragic case of a murder trial.… So lets dive in to why you and your family need Vitamin D today….. It has been known for many years that Vitamin D is important for the following reasons: Vitamin D helps our body absorb calcium and phosphate, lowering the risk of tooth decay, cavities, and gum disease as well as ensuring our bones are flexible and strong. Vitamin D support the immune system which allows our body to fight off harmful bacteria and viruses. Vitamin D helps to strengthen muscles. Excitingly there is more to vitamin D than it was originally believed…..but before we get into that lets cover the basics…. Low levels of Vitamin D It is important to be aware that nearly half of the population have low blood levels of Vitamin D during winter months. This is especially low from January through to April/May when any summer sunshine stores you may have gained the previous summer are truly depleted. Those living in latitudes above ∼35° are significantly affected. In addition to depleted stores, many more people than ever have low levels of vitamin D due to changes in our lifestyles, less time outdoors, and the use of sunscreens. The elderly or those who are housebound are at very high risk all year round. Dark skinned people are also at risk. Further risk has been found in people who are obese, pregnant or a child due to either a lack of availability as Vitamin D is locked away in high fat stores or due to an increased need for development and growth in childhood and pregnancy. What are the Symptoms of a low vitamin D? The following symptoms can be common in those with Vitamin D deficiency: Fatigue Not sleeping well Bone pain or achiness Depression or feelings of sadness Hair loss Muscle weakness Loss of appetite Getting sick more easily What does vitamin D do for you? Tonnes!!! Interestingly Vitamin D is actually a steroid hormone but also known as a fat-soluble vitamin. This helps the body absorb and retain calcium and phosphorus; essential for building bone. How does Vitamin D work as a hormone? The body synthesizes Vitamin D after you have been exposed to the sun. It is then activated by the liver and kidneys. This activated form acts like a hormone to regulate calcium metabolism around the body. Vitamin D Benefits Cancer Exciting studies are now showing that vitamin D can reduce cancer cell growth, help control infections and reduce inflammation by stimulating the production of T-cells. These T cells help our bodies respond correctly to fight infections, including viruses, bacteria and fungus. These infections are responsible for various types of illnesses, including the common cold, and flu, Strep A and similar community-wide diseases. Vitamin D also aids in the repair and regeneration of cells, stimulate the death of cells that have been damaged by cancer, and lower the formation of blood vessels in tumours. Mood Vitamin D boosts your mood. Studies suggest that the decreased levels of Vitamin D3 may impact the levels of serotonin in the brain, this is a hormone that regulates the mood. By enjoining some safe sun each summer and, if in the Northern hemispheres taking a Vitamin D3 supplement in the winter, you could see a significant boost in your mood. Weight Loss Vitamin D can aid in weight loss. The chemical influence of Vitamin D is on serotonin, the “feel-good” hormone. This is known to assist appetite, sleep, mood, and stress levels. The connection to weight loss is believed that with sufficient levels of Vitamin D you are more likely to be motivated and have the energy to make the changes both mentally and physically to stay fit and healthy at a safe weight. Rheumatoid Arhtritis Vitamin D can lower the risk of rheumatoid arthritis. One of Vitamin D benefits is to help maintain the immune system and ensure that it is working correctly. A deficiency in Vitamin D could therefore increase the risk of developing rheumatoid arthritis as your immune system is more susceptible to attack. Type 2 Diabetes Vitamin D lowers the risk of type 2 diabetes. Not getting enough sunlight can reduce the secretion of insulin from the pancreas, which can create resistance to insulin and affect how the body responds to glucose. Sufficient vitamin D can help lower levels of cortisol. This is a stress hormone produced in the adrenal glands. Cortisol assists in the body’s response to stress. Prolonged high levels of cortisol can lead to increased abdominal fat. This is linked to several health conditions including diabetes type 2. Blood Pressure Vitamin D can help lower blood pressure. a large genetic study that involved more than 150,000 people revealed that low levels of Vitamin D can cause hypertension. In this study, those who had the highest levels of Vitamin D had lower blood pressure. It was found that a 10% increase in Vitamin D led to a 10 % reduction in high blood pressure. Heart Disease Vitamin D might reduce the risk of heart disease. Several studies have indicated that a deficiency in Vitamin D is a risk factor for developing high blood pressure, heart disease, congestive heart failure, peripheral arterial disease, strokes, and heart attack. What causes vitamin D to drop other than sunshine? Vitamin D deficiency as mention is most commonly caused by a lack of exposure to sunlight. However some medical disorders can also cause Vitamin D deficiency. The most common causes after sunlight is a poor diet, medications and certain disorders. Cystic fibrosis, Crohn’s disease and Coeliac disease are conditions that can prevent your intestines from adequately absorbing enough vitamin D through diet and even supplements, especially if
Sugar what you need to know …
It is Sugar awareness week 18th – 24th January 2021 so I thought I would take a look at this in more detail for you as it is one of the biggest concerns my patients have when I see them at my clinics. What is sugar? The term ‘sugar’ usually refers to what we know as table or granulated sugar – the type of sugar that we add to our tea or coffee. We also are familiar to the different variations which include caster sugar, icing sugar, brown sugar, demerara sugar, these are types mostly used in baking.These, you may already know, are not the only sugars around. Sugar occurs naturally in all foods that contain carbohydrates, such as fruits and vegetables, grains, and dairy.All ‘sugars’ are carbohydrates and along with starch they one of our body’s main source of energy. Carbohydrates are required for our brains, bodies and nervous system. In fact it has been part of our diets for thousands of years. Sugar is found naturally in most foods like fruits, vegetables and milk as well as being an ingredient used in a wide range of foods and drinks. Great, so what is all the fuss about? Consuming whole foods that contain natural sugar is acceptable as part of a healthy intake when you have a healthy metabolism. Plant foods have high amounts of fibre, essential minerals, and antioxidants alongside smaller amounts of carbs, and dairy foods contain protein, fats and calcium which are important for the body.Because of these extra components your body digests these foods slowly allowing the sugar in them to provide a steady supply of energy to your cells. A sufficient intake of fruits, vegetables, and fibre rich foods have been shown to reduce the risk of many chronic diseases, such as diabetes, heart disease, and some cancers. So what’s the problem? Increasing technology has brought many changes to our food production. More and more convenience foods are available that taste good, are very addictive and can be eaten 24/7.Problems occur when regularly eating these processed foods leads you to consume too much “added sugar”. The food manufacturers add this to enhance the flavour or extend shelf life and this can often be hidden in foods you would never imagine.In the modern diet, the top sources of sugar are soft drinks, fruit drinks, flavoured yogurts, cereals, biscuits, cakes, sweets and most processed foods. But added sugar is also present in items that you may not think of as sweetened, like soups, bread, processed meats, and condiments like ketchup. How much sugar are we allowed? Our recommended dietary intake of sugar per day: Adults should have no more than 30g of free sugars a day, (roughly equivalent to 7 tsps/sugar cubes). Children aged 7 to 10 should have no more than 24g of free sugars a day (6 tsps/sugar cubes). Children aged 4 to 6 should have no more than 19g of free sugars a day (5 tsps/sugar cubes). What sugar we consume Adults in the UK take in 3 times the recommended amount at an average of 22 teaspoons/cubes of added sugar per day, according to the NHS website.Four to 10-year-olds are eating more than twice as much sugar as they should per day, equivalent to 13 tsps/sugar cubes (PHE 2018). “Excess sugar’s impact on obesity, Blood pressure, inflammation, weight gain, fatty liver and diabetes and this is well documented, but one area that may surprise many is how their taste for sugar can have a serious impact on their heart health and increase risk of stroke,” says Dr. Frank Hu, professor of nutrition at the Harvard T.H. Chan School of Public Health. Impact of sugar on your heart In a study published in 2014 in JAMA Internal Medicine, Dr. Hu and his colleagues found an association between a high-sugar diet and a greater risk of dying from heart disease. Over the course of the 15-year study, people who are 17% to 21% of their calories from added sugar had a 38% higher risk of dying from cardiovascular disease compared with those who consumed 8% of their calories as added sugar. “Basically, the higher the intake of added sugar, the higher the risk for heart disease,” says Dr. Hu. Sugar has several indirect connections to affecting heart health: 1) high amounts of sugar overload the liver. “Your liver metabolizes sugar the same way as alcohol, and converts dietary carbohydrates to fat,” says Dr. Hu. Over time, this can lead to a greater accumulation of fat, which may turn into fatty liver disease, a contributor to diabetes, which raises your risk for heart disease.2) Consuming too much added sugar can raise blood pressure and increase chronic inflammation, both of which are pathological pathways to heart disease.3) Excess consumption of sugar, especially sugary drinks, also contributes to weight gain by tricking your body into turning off its appetite-control system because liquid calories are not as satisfying as calories from solid foods. This is why it is easier for people to add more calories to their regular diet when consuming sugary drinks. How you can reduce your sugar intake? Reading food labels is one of the best ways to monitor your intake of added sugar. Look for the following names for added sugar and try to either avoid, or cut back on the amount or frequency of the foods where they are found: • brown sugar• corn sweetener• corn syrup• fruit juice concentrates• high-fructose corn syrup• honey• invert sugar• malt sugar• molasses Also syrup sugar molecules ending in “ose” (dextrose, fructose, glucose, lactose, maltose, sucrose). Check the total sugar of the product, which includes added sugar, this is usually listed in grams.If it says 5 grams of sugar per serving, but the normal amount you would eat is three or four servings, you will easily consume 20 grams of sugar which is way too much.Also, watch the amount of sugar or syrups you add to your food or drinks. About half of added sugar comes from
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]
Top health tips for 2019 by Gillian Killiner
At 121 Dietitian, we firmly believe that small steps can always be taken to greatly improve our health. Looking at the key areas of mental health, kids’ health and weight loss, here we share our top health tips for 2019…. Mental health tips If you want instant improvements a few simple suggestions include: Stay well hydrated: fluids, notably water and not caffeinated drinks allow the brain and body to function. If dehydrated you will become sluggish and metabolism slows down adding to a depressed state. Avoid processed meals and snacks: Artificial, chemical laden foods will cause your body to build insulin resistance over time. High fructose syrups and sugars affect metabolism and cause low level inflammation, affecting Vitamin A and D levels, magnesium, copper and iron to name a few. This downward spiral negatively affects mental health and causes additional chronic illness. Get adequate sleep: This is essential for brain health. Poor sleep is linked to physical problems such as a weakened immune system and mental health problems such as anxiety and depression. Sleep allows the brain to shrink and eliminate toxins that can build up and lead to Alzheimer’s. It also allows to repair and consolidation of memories. Kids’ health Nutrition and lifestyles are ever changing as kids grow. Peer pressure, advertising and increasing independence all contribute to choices made. To optimise growth, development and good mental stability, we recommend the following: Encourage your kids to eat all together and most importantly with an adult – the more the merrier! A meal with family and friends allows a relaxed, enjoyable experience. It encourages children to eat more variety and not scoff! Each week or month try a new healthy food, especially with vegetables and fruits. Make it fun, research the food chosen and rate different recipes. When eating, turn the gadgets, phones and TV off. This will reduce the risk of mindless eating and thus obesity. If your kids are eating many unhealthy snacks, try to reduce these over time. Use tasty protein/fat alternatives like nut butters, avocados, cheeses, eggs, seeds, greek yoghurt topped with a little natural sugars such as dark chocolate or berries, plenty of vegetables including peppers, celery, carrots, cucumber and make flaxseed wraps or oat buns. Weight loss health tips Do not get caught up in kcal counting! The quality of your food is vital for providing satiety and happiness, better than any sugarless, fatless, processed biscuit. Make sure you are not battling with a hormonal or nutritional imbalance. These can thwart your best efforts and really damage your confidence. Always chew your food well and take time to enjoy what you eat. Getting the enzymes in your mouth involved will assist metabolism and send the correct signals from the gut to the brain to indicate fullness. Avoid low fat/sugar processed foods where possible. Eat a rainbow at each meal for nutrient density. Alcohol provides liquid energy so be careful of how much you consume. It can negatively affect your weight loss goals. 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 12th December 2018.
The real truth about fats in your diet
The research on fats has been turned on its head and the advice now is to embrace fats, rather than fear them. Here, we get clear on the role of fats and introduce you to the ‘best’ fats to incorporate into your diet. “NEW RESEARCH FINDS CURE”… “EXCITING WEIGHT LOSS PILL”… Who else is tired of reading sensational tabloid headline like these? I know we at 121 Dietitian love to read the latest news but are often left confused, annoyed or fed up after reading a rehash of facts that are no longer scientifically balanced. In this article I hope to provide you with some interesting observations of past and recent research that will actually be of relevance to your future health. One to begin is regarding fats within the body and not just the fats you eat, but both important none the less. The role of brown fat A study released in Diabetes Journal July 2014 suggested people with higher levels of brown fat have a reduced risk for obesity and diabetes. Unlike white fat, which lowers insulin sensitivity, researchers found that brown fat actually improves insulin sensitivity, blood sugar control and fat-burning metabolism. This was good news for overweight and obese people and those with insulin resistance and diabetes, and suggested that brown fat may prove to be an important anti-diabetic tissue. What did they find? The study found when the body was exposed to slightly cold temperatures, brown fat can boost energy expenditure and burn calories. But what is brown fat? It is fat we are born with and is stored around our neck and upper abdomen to keep us warm in infancy. It was thought only until a few years ago that this disappeared into adulthood but now it has been found that thin people have more of this than those who are overweight. So how was this put into practice? Unfortunately this study did not provide answers to this, however in other papers it was suggested shivering for 10-15 minutes at 14-16 degree celcius could be beneficial. The hype for this was big and so I thought I would reinvestigate this four years on to see the outcome. Sadly, the benefits for you; ie shivering at low temperatures to get brown fat activated was not as successful as suggested. Brown fat is there to keep you alive, not thin and so shivering all day may possibly see some brown fat activity but did nothing to warrant any weight loss or health benefits. It seems as usual, further investigation is required. Getting clear on fats Moving on, let’s look at the national guideline on the subject of fats and health. I am sure for the past 30 years, you have been dutifully following the national dietary guidelines to cut out fats and eat high carbohydrate, low fat food choices. Yep, we know all about how fat has been demonised for decades, and that every product under the sun was turned into being fat free. We were not so sure this was a good thing and we rethought our practice here at 121 Dietitian as we realised the health of our patients was not improving but worsening due to “low fat everything”. The key here? Don’t be fooled into believing that foods labelled as ‘low fat’ are actually better for your health. Embrace fat, rather than fear it So we are proud to say that for over 12 years, we at 121 Dietitian have been seeing amazing results by ensuring: good healthy fats, sufficient lean proteins, specified volumes of fruit and vegetables and lower levels of specific carbohydrates. We embrace fat not fear it and it is clear we are not the only ones! For the past 2 to 3 years, voices are being heard and with the assistance of the media there has been a turning of the tide on fat shaming and putting the correct spotlight on sugars. Eating the ‘best’ fats Fats are no longer the demon but you do have to be aware that convenience foods, processed foods and take-away meals are meals that you should hold back on as they are fats created from hydrogenation and artificial saturation, interestification and are pro-inflammatory to the body. The fats you can seek to eat in a balanced programme are what you great grandparents ate and are as tasty as: avocados, lean meat, poultry, eggs, fish, cheese, butter, semi-skimmed milk, nuts and seeds. The role of 121 Dietitian As Dietitians, we see hundreds of male and female patients for a plethora of medical related nutritional concerns. If not in clinic, we are working with sports people for endurance and performance enhancing bespoke nutrition, or we are out on the road regularly visiting businesses to optimise staff health and work performance. You may also see us in the media answering national queries. Nutrition is a vital piece of the jigsaw to feel alive, focused and ready for the day ahead. If you are not feeling this then you should question your overall health and lifestyle choices and really try to make some changes. Gillian Killiner – Lead Dietitian and Director at 121 Dietitian. 121 Dietitian is an award winning nutritional consultancy company based in Belfast. Clinics are available in Belfast and worldwide via Zoom, Google, Skype… 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
Vitamin D deficiency: Should we use supplements?
For years, it has been widely accepted by scientists that vitamin D deficiency is a longstanding health problem, with implications on health and wellbeing. While there are a wealth of reasons for vitamin D deficiently, inadequate skin synthesis due to restricted sunlight, limited food fortification and lack of vitamin D from natural food sources are confirmed contributing factors. Here, we discuss how certain health conditions can further enhance the risk of vitamin D deficiency and ways to increase its consumption. The levels of vitamin D deficiency In the UK, currently, Reference Nutrient Intakes (RNI) for vitamin D are only set for children aged 1.5-3 and adults over 65 years of age. Using the average intakes for each of these age groups, data from the latest UK National Diet and Nutrition Survey (NDNS) revealed that intakes of vitamin D from food sources are just 27% of the RNI for children and 33% for adults, showing significantly low vitamin D levels from food sources. When it comes to assessing blood biomarkers in relation to vitamin D levels, plasma vitamin D levels of <25 nmol/L are used to identify a deficiency. Using this as an indicator, it was revealed that on average, 19.7% of boys and 24.4% of girls aged 4 to 10 had levels less than 25 nmol/L, while 24% of men and 21.7% of women aged 19 to 64 has plasma vitamin D levels below this. The survey also revealed that when averaged out across the year, 40% of young people and adults were deficient between the months of January and March. Health conditions which can increase the risk of vitamin D deficiency Malabsorption, coeliac disease, cystic fibrosis, short bowel syndrome and inflammatory bowel disease (IBD) can all increase the risk of vitamin D deficiency. Amongst adults, an Irish study involving 81 patients with Crohn’s disease (CD) revealed that 63% were vitamin D deficient. Furthermore, a study of patients with coeliac disease in the US showed that 25% had vitamin D deficiency. Common signs of deficiency When it comes to symptoms of vitamin D deficiency, these tend to vary across the lifespan and with the level of deficiency. During adolescence, symptoms typical of severe deficiency include muscle cramps, pain in weight-bearing joints and problems walking, running or climbing stairs. In adults, a mild lack of vitamin D may present itself as general aches and pain, while more severe deficiency is associated with osteomalacia and post-menopausal increased fracture risk. Furthermore, suboptimal vitamin D levels are associated with an increased risk of severe infections and sepsis amongst those that re critically ill. Vitamin D supplements When it comes to supplementing vitamin D levels, we must first ascertain whether it is to maintain and prevent deficiency or to treat a diagnosed deficiency. In the care of maintaining levels, The European Food Safety Authority (EFSA) proposed an adequate intake of 15 µg/day for adults. In the UK, while RNIs are not available, it has been suggested that 10 µg/day for those aged 11 to 65 is suitable. In the situation of vitamin D deficiency, such as in cases of patients with diagnosed bone diseases, it has been advised by the National Osteoporosis Society that levels are increased rapidly with doses of up to 7500 µg. So, for example, taking 20 µg/day capsules, five times a day for 10 weeks could be used to rapidly correct low levels, and following this, levels should be maintained. When it comes to which form of vitamin D supplementation to take, evidence suggests that vitamin D3 (cholecalciferol) is effective at raising levels. Here at 121 Dietitian we support all the evidence regarding Vitamin D deficiency and the importance of correcting low levels. However the safety of increasing levels and continued maintenance of these levels are of concern, and so we prefer to guide our patients with a safe combination of a whole food diet rich in Vitamin D foods and natural supplementation of key nutrients. Why? Many of the general population are correctly taking action and looking after their own health, and over the counter supplementation has been around for a long time, nothing new there. The issue is the toxic levels of Vitamin D supplementation that people are taking and the length of time they are taking them for with no monitoring. Hypervitaminosis D is a rare but potentially serious condition. It occurs when you take in too much vitamin D. It’s usually the result of taking high-dose vitamin D supplements without checking your status. Too much vitamin D can cause abnormally high levels of calcium in the blood. This can affect bones, tissues, and other organs. It can lead to high blood pressure, bone loss, and kidney damage without treatment. Vitamin D can also affect Vitamin A, Vitamin K and magnesium levels and if the ratio is not maintained then you may experience further unpleasant side effects. As of the past number of years GP’s in Northern Ireland are unable to routinely measure peoples Vitamin D levels. This for me as a health professional is disappointing and worrying as we are frequently seeing cases of severe deficiency and many with long term excessive use and negative consequences. Monitoring needs to happen. In summary, Vitamin D deficiency is common in the UK, particularly during the winter months and notably in vulnerable populations. While symptoms can be hard to spot, tiredness and general fatigue are common and may suggest your levels should be assessed by your GP or through a simple blood test where possible. Action should be taken based on these findings and current health status. 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