Do you value your body? if you are not sure read this…
Life, from the very first gasp to the last laboured breath we take, is finite. Once born we are set on a life trajectory which varies greatly from person to person. A multitude of factors shape our lives from our parents to our location of birth, wealth, poverty, friends, education, health care…. Living in the modern world we can; see it all, do it all and eat it all. Our lives, although finite, can be stuffed full of experiences and all for the betterment of ourselves and our families??? Sadly, the modern world has also created many avenues that do not allow us to choose the best paths, especially in relation to optimal health or taking care or the environment and the future of our off-spring. We are bombarded with so much info we find ourselves switching off and burying our heads. Did you know the number of people in the world living on less than £1.50 a day is 736 million (worldbank.org)? There are 2,208 billionaires in the world (Forbes’ 2018 rich list) with the richest 1% owning half of the world’s wealth. The contrasts are stark. These figures may not be of interest to you, however what is important to note is that if you are reading this then you are one of the lucky ones and because of this you have the ability to make the best of your short time on earth for yourself, family and the environment. I have been listening to people tell me their backgrounds and health stories for over 20 years. I work with very low income to high salary earners. Interestingly the same problems keep popping up when I ask the question: How do you value your body? And what steps do you take to keep it healthy? Amazingly many people are oblivious to what they are doing to themselves – they are completely unconnected to their body and the fact they may be making choices that has led them or is leading them down a path of ill health. We all know the stereotypical Rab C Nesbitt types with fags and booze at hand, sitting all day on the sofa with battered Mars Bars! Crazily, you don’t have to be a smoker, a drinker or ‘lazy’ to fall into trouble with your health. I hear people everyday tell me what they believe the “good for health” message is, and my goodness much of it is claptrap, difficult, expensive, sucks you into some scheme, or worse still makes your life miserable. The other side of the coin is the person who smugly feels that they can eat, drink and do anything they wish as the NHS will fix them if they fall ill. Sadly neither is ideal or anywhere close to reality. You need to constantly evaluate your health and invest for the future. Family and environment included. Before I go on, I am not saying to go and start drinking, smoking, and eating processed junk! What I am saying is that just because your friend or your trainer or the people at your slimming club are recommending something amazing for them that it will automatically work for you. Chances are you have tried everything under the sun in terms of diets, exercise and stress relief already. Consider the number of apps on your phone for health related topics – is it embarrassing??! So the message I am spreading is: STOP and evaluate your health…. Consider that you may not be following the right advice for you… Do any of the following common issues I see resonate with you? Pounding it at the gym with no improvement in weight loss or performance? Take a multivitamin and still feeling fatigue? Always hungry? Even after a meal. Frequently ill? Needing naps? Gut health issues? Bloating, wind, acid reflux. Skin issues? Temperature irregularities? Struggling with good quality rested sleep? Issues with depression and anxiety? Low mood? High cholesterol and on a statin while following a “healthy diet”? Excess fat around the middle? Difficult and prolonged recovery after exercise? If “Yes” what can you do? There are many areas of your day-to-day life that you can focus on over time to address your health and well-being. Although I am a Dietitian, I am also a Health and Lifestyle Coach as diet is only one aspect of fixing or optimising the whole person. I focus on ensuring you are sleeping correctly, addressing anxiety and stress, assess and manage the correct food choices that suit your gut and overall physical and mental health, talk through the exercise options that suit you for age, sex, weight, hormones and ultimately health. This is integrated into life for ever to ensure you can manage the surprises, good and bad, that come your way. Investing your health now will save a lifetime of potential health misery. Car insurance does not cover petrol, windscreen wipers, car wash etc so neither should your healthcare insurance. After all your health is your wealth – without it you can do very little. 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]
Metabolic syndrome – are you at risk?
Metabolic syndrome – It’s estimated that 25% of the world’s population has “Syndrome X.” Sounds like a spy code and sadly it can be as deadly if not dealt with. Syndrome X is the underlying factor for a whole host of common health problems we treat every day at our clinic. In a nutshell, Metabolic syndrome “Syndrome X” is a cluster of simple abnormalities leading to hyperglycemia, hyperinsulinemia, and glucose intolerance followed by reduced insulin sensitivity, further leading to hypertension, hypercholesterolemia, obesity, and T2 Diabetes. What’s going on in Metabolic Syndrome? Insulin resistance is a condition where your body produces insulin but doesn’t use it properly. Insulin (a hormone secreted by the pancreas) helps your body use glucose for energy. When you’re healthy, your digestive system breaks your food down into glucose. This is absorbed into the bloodstream and travels throughout your body. As your blood glucose level rises after eating, the pancreas releases insulin to help your cells take in and use the glucose. This is a normal process and all settles pretty quickly until the next time. But when someone is insulin resistant, the cells in their muscle, fat, and liver don’t respond like they should to insulin. They “lock the door” and won’t let the glucose in. As a result, their body needs MORE insulin to help glucose enter their cells. This increases stress on the pancreas which is trying to keep up with this increased demand for insulin, but eventually the pancreas fails. The excess glucose then builds up in your bloodstream, and you are on route to Type II diabetes. The hidden dangers of Syndrome X (insulin resistance) People with metabolic syndrome are at a greater risk for developing these medical problems as well: * High blood pressure * Elevated triglycerides * Coronary artery disease * Heart attack * Obesity How Metabolic Syndrome happens Insulin resistance is largely due to eating a daily diet of refined carbohydrates (sugars, white flour, white rice, pasta, bread, cake, biscuits and all products made with them. There are thousands of them you would never realise). This over time takes its toll on your body. Also important and needs more research is the role of genetics as well as a deficiency in Omega-3 essential fatty acids. We now know about eating too many refined carbohydrates, but do you know about Omega -3? Omega-3 Omega-3 fatty acids (EPA and DHA) are found at every level of your body. They’re a major part of your cell membranes where they help control cell signalling, immune responses, inflammation and other metabolic functions. Including the production and release of insulin. EPA and DHA are important building blocks of nearly every organ and organ system and play a crucial role in your health. Your body depends on having the appropriate balance of Omega-6 to Omega-3 fatty acids. Having an imbalance leads to inflammation, sickness and disease. An estimated 6 out of 10 in western societies have far too much Omega-6. They are also seriously low in Omega-3. This is because our typical diet of convenient processed foods and lots of processed meat is heavy in Omega-6 fatty acids. The studies prove it Many studies have been performed that show when animals are fed a diet high in Omega-6 oils, they become insulin resistant and obese. But when the animals were given Omega-3 their metabolism became normal. Even when they continued to eat lots of Omega-6 fats. Prevent metabolic syndrome – What you can do To avoid being a Syndrome X statistic, it’s essential to ensure that you follow a suitable dietary intake for your health, take exercise, lose weight if required. Ensure where possible you are not elevating your blood sugars and creating insulin resistance. It is important your body has essential Omega-3 fatty acids and consciously avoid foods high in omega 6. You may require several supplements initially. This will ensure you are nutritionally optimal to allow your body to heal itself. Picking the correct supplement to your needs is crucial to get right. It can be a minefield and so if you have any concerns with: blood pressure, cholesterol and lipid levels, weight gain, excess weight around your abdomen, blood sugar control issues… we can help you so do get in touch. 121 Dietitian are the experts assisting you in turning the clock back on inflammatory health concerns. Nutritional programmes are completely created to suit you. They take into account your food likes and dislikes, your activity levels, your abilities to cook, if you have a family to include, if you travel with your job, your health parameters, your blood tests, body composition and much more…. The most worrying fact about metabolic syndrome: Even if you don’t have any of the associated health issues as mentioned at present in your body, it can still be showing normal while you have problems starting 10-15 years in advance. The body can store up problems and this is a certainty if you are eating incorrectly and slowly gaining weight. Don’t get to the stage where your body and bloods are showing ill health. 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]
Snapshot of ADHD in practice – how nutrition can help
Here, Director and Principal Dietitian, Gillian Killiner discusses why children with attention deficit hyperactivity disorder (ADHD) are at risk of being deficient of multiple nutrients and why the link between hyperactivity and food sensitivity is strong. Overall nutritional status in children with attention deficit hyperactivity disorder (ADHD) shows that this patient population is at risk of multiple nutrients deficiency. Why is this? There are many hypothesis from insufficient chemical balancing to early exposure to antibiotics and gut flora and fauna being disrupted negatively affecting nutrient absorption. One area that has been studied is low trace mineral status. Most notably, minerals that may play a crucial role in the production of dopamine, norepinephrine, and melatonin, which regulates sleep. Nutrient deficiency in ADHD Investigators at the University of British Columbia and the Children’s and Women’s Health Centre in Vancouver, Canada, 2010 showed among 44 children aged 6 to 12 years with ADHD. Nutrient deficiencies were averaging around 40%. The data suggested children with ADHD are nutritionally different from the rest of the population in that they eat less meat, fish, and poultry and have low levels of related micronutrients that are essential cofactors for the body’s manufacture of dopamine norephinephrine, and melatonin. Researchers have also theorised that ADHD children may be deficient in essential fats. Not just because their dietary intake from foods such as seeds and nuts is inadequate (though this is not uncommon). But also because their need is higher, their absorption is poor, or they are unable to convert these fats well into EPA and DHA, and from DHA into prostaglandins. All which are important for brain function. Hyperactivity and food sensitivity Of all the avenues so far explored, the link between hyperactivity and food sensitivity is the most established. Food allergies can be of two types: Type 1 in the classical, severe and immediate allergy most commonly associated with peanuts and shellfish. This allergy involves an antibody called IgE and most people discover if they have this type of allergy early in life since the reaction is so immediate and severe. The second type, Type 2 involves the IgG antibody which works in quite a different way. Symptoms of these allergies can be many and varied and may take many hours to appear. These allergies often go undetected for this reason. A study by Dr Joseph Bellanti of Georgetown University in Washington DC found that hyperactive children are seven times more likely to have food allergies than other children. Creating a dietary programme for ADHD sufferers As a Dietitian for over 25 years, I have treated hundreds of children with health issues including ADHD. I find that there are often not one but multiple issues that need to be addressed when creating a programme of care for optimising health in the ADHD individual. The focus in practice requires the following approach: Assessment: A full dietary and fluid assessment A lifestyle assessment Bloods GI and bowel assessment Sleep Plan: No one size fits all when it comes to making changes. Each programme has to be personal and specific to each child based on: Their age Their understanding Their weight If they are growing Their taste – are they fussy/faddy eaters? Their behaviour around food Allergy potential Sleep patterns Mood Resistance to change Supplementation School involvement Their family’s ability to facilitate and provide all of the changes Activity levels Fluid intake Siblings I have excellent success with children as when they are switched on they are keen to please and try. Once you get the correct balance of all the above and focus on the positive things the family can relax and enjoy their lives together again. The programmes created at 121 Dietitian are enjoyable, achievable and fun, which they have to be as they are for life. The results are rewarding. If you wish to book for a dietary ADHD assessment, get in touch today! 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]
Climate Change – Do You Think About Food shopping?
Climate Change – Over the past 60 years, globalisation of the food industry has dramatically changed the way we produce, buy and eat our food, which ultimately, will impact future generations. Here, we delve into this topic and share some simple and effective ideas worth considering about the way we shop, consume and store foods. Industrialisation of agriculture has encouraged farming to become capital and chemically intensive, having an impact on climate change. As consumers we have all benefited enormously by this revolution. Every type of food imaginable is waiting to be bought 24 hours a day, around each corner in one huge superstore. Amazing… or is it? However, with this so called positive never ending supply, negative concerns have arisen; local shops have been replaced by large supermarkets. We now have generic tasting foods everywhere. This type of shopping, although convenient and enjoyable, has affected the environment, the local producer and other countries involved in the retail process. It has also had a detrimental effect on our health. Fair trade has been a topic of heated debate for clothing sweat shops in recent years and we are all very much aware. Food sustainability has been highlighted more and more, and it is clear we can no longer focus solely on food shopping for taste. We now have to consider a whole host of different health and ethical issues. It seems you almost need a degree to go to the shops if you are going to remain in the know! Climate change is making food less nutritious Do you know or check all the artificial ingredients mentioned in the food products labelling? Are you savvy on the amount of fat, sugar and salt you need each day to work out the traffic light system? And then as an extra bonus, you also need to be considerate about; where the product has travelled from. how much did it impact on the environment and if you can afford it! It is easy to see how running around the stores these concerns never feature. It’s hard to believe that your individual choices will do anything to change the system and it may appear selfish. But it is clear many of us enjoy the lifestyles we now subscribe to and clearly not taking any responsibility for the future. What about our children? What about the world around and our long term health? Do you care enough to make some simple changes? It is ironic that we are becoming increasingly unhealthy. Now eating more processed foods with huge superstores stocked with the freshest, prettiest, largest variety of fabulous foods from all over the world. Transported for us every couple of hours. Recent television programmes and media have highlighted the fears that our children will die before us with illnesses related to obesity and unhealthy lifestyles. We are learning each day how chemicals in our food that we eat daily have hidden dangers and are contributing to our declining health. We are more than informed of the health changes we need to make: eat more natural unprocessed foods, more fruit and vegetables, fish etc But what can we do further? The following are some ideas that are simple and effective and a good place to start as we learn more about the impact we are having on the climate change now and for the future. Staying loyal and buying local produce is probably the easiest most logical and sensible option. Seek out farm grown produce and local butchers in your neighbourhood or at a local market. Eat what is produced locally when it is in season i.e.; Comber Potatoes, Armagh Apples. Take pity and buy the ugly fruit and vegetable (Class II). This promotes greater bio-diversity in production rather than the monoculture found in tunnel-cultivated produce. Eat less processed food and reduce carbonated drinks, which is beneficial both for your health and the environment, by reducing packaging, transportation, saturated fats, chemicals… Learn to cook meals from scratch and freeze leftovers. Healthy eating is often considered to be expensive. On the contrary, fresh basic ingredients cooked correctly have been shown to be cheaper and healthier than weekly intakes of ready-made meals. Waste has a detrimental effect around the world and is an easy one for individuals to tackle. When buying from markets and shops bring your own bags and recycle as much as you can. Drive less, fly less, walk and cycle more, use public transport, share cars, teleconference, or webcast. Consider over time to use less energy; turn off appliances, it’s environmentally worthwhile and puts more money in your pocket. Rant over! 😉 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]
Make October The Month Of Your New Year Resolution
When it comes to diet and lifestyle changes, there is now better time than right NOW to put your well intended plans in place. If you still haven’t made progress with your New Year Resolution, you’re not alone. A client came to me for help with her New Year resolution IN AUGUST! She was disappointed she had not yet achieved her personal goal of “being as healthy as possible.” Despite her good intentions, she had made disappointing progress and it was 8 months into the “new year”! Her weight was going up, not down. Many of us can relate to this. We have expectations for great changes and we feel motivated at the start, but events and responsibilities seem to work against us. We are left feeling frustrated and sometimes discouraged that the changes we want to see will never be accomplished. With this client, and many others, I’ve found a few simple strategies help to make significant changes in order to promote health, fitness, and control without the stress. I advised this client that October would be the perfect time to make her changes. The kids are back in school, the home routine is in place, and it is a long time until the Christmas rush. My client is now focused for October – she is prepared to make the time and energy to commit to her new plan. The following are a few of the goals we decided to focus on: Step 1: Start small In the case of my client, instead of her usual pattern of becoming a slave to the gym with no rewards, she has already started with two 30-minute walks per week. Over the past three weeks, these have lengthened and she now looks forward to her evening walks most nights of the week. This simple change should add years to her life and assist her food focus. Step 2: Be ‘SMART’ Identify specific, measurable goals. They must be realistic and linked to a period of time so you can assess your achievements. These goals are “SMART” goals (specific, measurable, achievable, realistic and timely.) My client’s goals were, I think, what we would all like to achieve; ‘eat better and be more active’, but how do we measure success with a goal like this? As a starting point, we broke down her goals into some straightforward, but significant, changes: Below are 2 examples: 1) Begin to eat breakfast within 30 minutes of waking, five out of seven days per week. 2) Keep records of your food intake and exercise for five days to promote self-awareness of your eating and activity patterns. Step 3: Get support Do ask for support from a friend, spouse or family member. In this case of this client, her husband has been a great supporter. He reminds her to sit down and eat breakfast with him instead of running around after the kids and he provides the motivation for her to be fit by walking with her in the evenings. He and the kids are enjoying the health changes too. They are eating better and their mum is happier and healthier. The walk also has the added benefit of keeping away from tempting snacks. In addition to her family support, my client has benefited from professional support. In working with a dietitian it has helped her make appropriate goals, identify obstacles and help overcome challenges. My client laughs now when she recalls her fears of attending to see me. She expected I would stop her eating normal foods and she would be miserable, but instead she admits she enjoys the one-to-one online consultations when she can’t get to my clinic and the programme she is following. She is already feeling much healthier and fitter (see our google reviews). Step 4: Get accurate information As a Dietitian, I spend a lot of time correcting people’s myths. Most of my clients come in expecting they will be told to only eat salads and slave away on a treadmill seven days a week. We know from countless studies, that healthy eating does not mean dieting. While there are specific dietary requirements for many conditions, such as high blood pressure, diabetes and IBS, most people do not have to cut anything out – they just need assistance in finding the right balance. Obtaining professional guidance ensures you learn which strategies are appropriate for you. Accurate nutrition information is easier and more accessible than you may think… 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 this has been specially created for you. 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]
FODMAP – all you need to know to get results..
Here, Gillian Killiner, Principal Dietitian at 121, discusses the Low Fodmap Programme and in particular, why seeking the help of a qualified and experienced Dietitian is key to implementing it successfully. The Low Fodmap Programme has been around for over 10 years. I heard about it in its infancy and thought: “Wow! This is excellent for gut dysfunction and IBS”. And so in 2010/2011, I packed my bags and returned from Belfast to London on three separate weeks to go back to my training hospital, Guys and St Thomas’s to learn all about it – the first course of its kind outside of Monash University, Australia. The work load was intense but exciting. After qualifying with my certificate in Low FODMAP practice, I took my first guinea pigs patients and we followed the information I had learned from the course. I can’t lie. It was hard work. Now over the 7 years I have been practicing the Low FODMAP programme daily, much has changed in the way I deliver, advise and support because everyone is different. My high success rate of 97% is due to my expertise of using the programme daily. The gut is not just about absorption. It’s microbiota has a complex network of links to emotions, stress, activity, genetics, medical history, medication, lifestyle, food and fluids… We as individuals are not all uniform. We do not all follow the same diet and lifestyle. This is the basis of my increasing frustration and the fiasco I find myself in. People are coming to me more and more in desperation, telling me they have tried the Low FODMAP programme and it hasn’t worked. AhhHHHHH!! Another emotional boundary to cross. I have found that with the programme’s popularity and success has come the internet dippers. They take a bit from one website that they like and mix it with another and believe they have completed the programme. Wrong… The other – and most frustrating way that these people are not succeeding. They are being handed a “sheet” from their Consultant or GP and left to get on with it. Excuse me… WHAT??? A little more respect to the programme please! A sheet or a smorgasbord will not get results but in fact dangerously add to people’s fears around food and restriction is dangerous in the wrong hands. Low FODMAP Dietitian -why use one? A patient came to me recently and had been told by a local health food shop to avoid a major list of foods. She did so and over two years of carefully following the advice she to me gravely ill, malnourished, depressed and still her stomach issues continued. Appalling. If you have a gut health problem that has not resolved with medication, dietary changes, or visiting a health shop to pay and hold two balls in the air and told to eat very little, don’t despair – do get in touch. Gillian Killiner is an expert in all areas of Gut Health. 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 which has been expertly created especially for you. 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]