Hashimoto’s Hypothyroidism – My Journey
Hashimoto’s Hypothyroidism and me……. Here, 121 Dietitian Founder and Lead Dietitian, Gillian Killiner, shares how she was diagnosed with Hashimoto’s Hypothyroidism, which through research, dietary and lifestyle changes, supplements and exercise, she has reversed. Read on to find out how she did it and how she can help you too! Invincible? Me? In my youth, I thought I was invincible. I tried to be everything to everyone, I empathised and sympathized with others on their poor health or misfortunes and tried to rebuild or improve them, but never in a million years thought that ill health could happen to me. My lack of truly listening to my body over many years caught me out, and with a family history of auto-immune disorders I now regret this stubborn inner me. However, as I live with a chronic auto-immune condition I feel that if anything positive has come out of it, is that it has really allowed me to understand and help my patients at a level deeper than ever imaginable before. Hashimoto’s thyroiditis For those unfamiliar with this condition, is in which the body’s own immune cells attack and destroy the thyroid gland. There can be up to 300 different symptoms and so there can be many of these symptoms that cross over into other illnesses. It can be slow progressing for some and so blood tests may not detect it in the early stages, making lives unpleasant with symptoms and no answers. Hypothyroidism Hypothyroidism is the most common outcome for a Hashimoto’s sufferer and medication is used to help treat this condition, end of story. That is what I was taught when learning about the thyroid at uni and during my hospital career. Take a tablet and all will be fine, next…. My story is classical: I trace my trigger to having quinsy in my 3rd pregnancy – the infection was so severe I was in the hospital for 3 days on an IV drip. They lanced my tonsils at the bedside and let all the bacteria drain into my gut. From this, I slowly recovered and after having baby number 3 many things occurred that put additional pressure on our lives. I felt rubbish, but put that down to long hours running my new business, caring for three small kids, getting older and significant involvement weekly in caring for my disabled mother who was a 3-hour drive away. My husband, a fabulous man, was hardly around with his job. I was a “no-time-for-me person” to whom I used to say if I met someone like this: “If you don’t look after your health you will have “plenty of time in the future”, as you won’t be able to work!” A total hypocrite I know now. I just did not see it for myself or maybe I chose to ignore it. I was invincible! One day it all changed when I uncharacteristically booked to get my Vitamin D checked. This I know was mainly due to my dietetic curiosity with work spurred on with the media hype at the time. I remember when my blood panel came back I was shocked and in disbelief but if honest, relieved. I was not surprised that something showed up and that all my symptoms that I tried to ignore or had secretly stressed about were valid. In addition to Hypothyroidism and Hashimoto’s diagnosis, I had a very low Vitamin D level and suboptimal levels of B12. My diagnosis was in Dec 2012 and I thought that was it, all fixed. I was commenced on Levothyroxine and I slowly built up the dose as guided by my GP and I sat back and waited to get better. Did I feel better? Psychologically maybe a little as I started to take more interest in myself and others around me had to also consider my health. However, this feeling did not last long; 4 weeks later and I was worse and so the GP increased the tablets and so the story went on until my bloods were in NORMAL range but I was feeling worse than ever. My GP made an urgent appointment for me with an Endocrinologist who assessed me and said “go take a holiday”. OMG I didn’t see that coming. I was hoping to be taken seriously but clearly, I was not ill on the small panel of thyroid blood tests taken and so it had to be in my head….any of you who have been there will know the score. From that moment onwards, as best I could, I did my research. I was so unwell I did not see how I could make it to my next birthday: I was 1 month away. Some of my major symptoms included: severe headache like a vice, walking in concrete, mixing up words, brain fog, exhaustion, not able to get out of the car to lift my kids or shop, back pain, chest pain, lots of sighing, yawning, un-refreshed sleep, brittle nails and hair, skin on chin irritated, sensitive teeth and gums, low moods, insomnia, tearful, constipation, freezing cold, heart palpitations….my adrenal glands were struggling too. I bought a medical thyroid book which was a great starting point and I commenced the recommendations. I know you would think that as a Dietitian I would be an expert in nutrition, which I am! But the subject of auto-immune and supplements was lacking in my knowledge and so all news was new and I ate it all up. (With these new skills I now successfully treat patients today). Anyway; I took a summer holiday with my family but sadly as a shadow of my former self in vitality, stamina, and energy. Sitting at 40c I was cold and wrapped up, but the headaches were gone and that was one step in the right direction. I came home from my holiday and began to fix myself further. I joined the Health Unlocked forum, which again has been instrumental in my recovery. I requested further blood tests and
Fuss-free fish fingers recipe
Fish Fingers – It’s a family classic and one which kids love! Sometimes it’s nice to get the ingredients together to make this family favourite from scratch. And it’s a lot easier than you might think. This recipe can be made with white fish of your choice. We suggest you try sustainable haddock for something different as it is packed full of essential vitamins – most notably B vitamins. A 90g portion contains 3.9 milligrams of niacin and 1.2 micrograms of vitamin B-12. Other B vitamins include B-6, thiamin, riboflavin, folate and pantothenic acid. The B vitamins are essential for food metabolism and the formation of red blood cells. Haddock also contains several minerals, including phosphorus, magnesium, potassium, iron, calcium, sodium, zinc, copper and manganese. The most abundant mineral in haddock is selenium, with a 90g portion of cooked haddock containing 34.4 micrograms or almost 50 percent of the recommended dietary intake. Selenium is reported to help prevent cancer, heart disease and diabetes. A lack of selenium has also been linked to a weakened immune system. What a great micro-nutrient rich fish! This can be served with your favourite side dish, but we’ve opted for smoky potato wedges, which can be substituted for sweet potatoes (see recipe below). Swap the breadcrumbs to gluten-free bread if you are avoiding gluten/wheat. Ingredients for fish fingers 1 egg, beaten 85g white breadcrumbs, made from day old bread Zest and juice from 1 lemon 1 tsp dried oregano 1 tbsp olive oil 400g skinless sustainable white fish, sliced into 12 strips 4 tbsp mayonnaise 140g frozen peas, cooked and cooled 100g young leaf spinach How to make fish fingers Heat oven to 200°C/ 180°C fan / gas 6. Pour the beaten egg into a shallow dish. Tip the breadcrumbs onto a plate. Mix the lemon zest into the breadcrumbs along with the oregano and some salt and pepper. Brush a non-stick baking sheet with half the oil. Dip the fish strips into the egg, then roll them in the breadcrumbs. Transfer to the baking sheet and bake for 20 minutes until golden. Meanwhile, mix the mayo with a squeeze of lemon juice. Toss the spinach leaves and peas with a squeeze more lemon juice and the remaining oil. Serve the fish fingers with the spinach and peas and a spoonful of the lemony mayo. Serve with a side: Why not try smoky potato wedges? These chunky chips can be cooked alongside the fish fingers. Method: Heat over to 200°C/180°C fan/gas 6. Cut 4 baking potatoes into wedges, then arrange a single layer on a baking sheet. Sprinkle over 1 tsp smoked paprika and 1 tbsp olive oil, season, then bake for 30 minutes. Need advice on healthy recipes for your family? Get in touch to find out how 121 Dietitian can help you. 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.
Immune nutrition -9 tips to boost your immunity
With the autumn and winter months generally considered a time of coughs, sneezes, colds and flus, we take a look at what exactly is the immune system and what you can do at this time of year to fine tune it with immune nutrition tips. So what exactly is the immune system? Quite simply, it is a system which requires harmony and balance. Every part of the body functions better when protected from environmental, emotional and nutritional stress. As it is a complex system, research is ongoing but generally the advice to keep it in tip top shape, is to adopt an overall healthy living strategy. On the whole, your immune system does a remarkable job of defending you against disease-causing microorganisms. But sometimes it fails: a germ invades successfully and makes you sick. And in autumn and winter months, there is a greater risk of this happening. Why is immunity lower in winter? There are various reasons why our immunity is lower at this time of year. The temperature drops and so we turn up the heat and stay indoors. Bacteria thrive in our heated/enclosed environments, allowing more germs breading, so much easier to catch a cold or flu. With less sunlight our vitamin D stores drop too with it no longer being available for its protective effect. Our bodies also need an increase in vitamin C, so we need to stay topped up daily as Vitamin C is water soluble and is not stored in the body. However be careful if considering a Vitamin C supplement. Ascorbic acid is not as good as one may think due to its longer term negative effect on copper metabolism. Can I do anything to boost my immune system with Nutrition? Thankfully, yes! To keep a strong and balanced immune system to stay healthy and avoid infections this autumn and winter, follow these top tips: Give your immune system a real fighting chance this winter by being mindful of your intake of vitamins A, C, D and E, as well as minerals selenium and zinc and Omega 3s. The best way to do this is to eat whole foods, such as quality animal protein, whole grains, nuts and seeds and plenty of fresh fruits and vegetables. The darker days and colder weather often comes with a desire to comfort eat but we recommend avoiding processed meats, fried foods, soft drinks and processed baked goods, as consuming too much of these can suppress the immune system and cause low-level inflammation. Getting more vitamin C in your diet is easier than you might think. Upping you intake of fresh fruit and vegetables is the most convenient way to do so, opting for good sources such as berries, citrus, kiwi, bell peppers, and dark green vegetables. Boost immunity by adding herbs and spices while cooking. Onions, garlic, ginger, black peppercorn, cayenne pepper, allspice, curry and turmeric are great! While hot drinks might be your preference, don’t neglect fresh water. Water helps in the production of lymph, which carries white blood cells and other immune system cells. So make sure you get your recommended 2 litres per day. By this we mean sleep! The body rejuvenates and strengthens when it’s sleeping so aim for 7 to 8 hours at night. Plus, you’ll also feel more revived the next day. Try to include as many of the golden hours of sleep 10pm-2am. Winter is the perfect season for porridge! There’s nothing quite like kick starting your day with a warm bowlful on a cold morning and it also helps boost your intake of starchy foods and fibre. Plus, with porridge helping you feel fuller for longer, it will curb your temptation to snack on unhealthy foods. You’ll get extra bonus points if you top with fresh fruit or nuts. If you like it sweet, swap the sugar for cinnamon. Keep an eye on the blog over the next few weeks as we’ll be sharing lots of immune boosting recipes. Not only will you improve your fitness, exercise boosts immunity and improves sleep quality. As little as a 30 minute brisk walk each day has positive effects. Vitamin D stores drop in winter so catching some rays when you can is essential. Vitamin D strengthens our immune system so getting outside when you can is important. For dietary intake, boost immunity with fatty fish and if deficient you are recommended to take a daily Vitamin D3 supplement. As chronic stress and depression can weaken the immune system, which in turn makes our bodies more vulnerable to illness, it’s important to take part in activities which lower your stress levels, so make sure you have some fun this winter! There are, as always, many more nutritional additions or changes that may help you. These are only a snapshot. 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, December 2022.
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.
Prediabetes & Diabetes
Prediabetes? What is this? Prediabetes is a condition where blood sugar levels are higher than normal but not yet high enough to be classified as type 2 diabetes. This stage is a warning sign that you’re at increased risk of developing type 2 diabetes, heart disease, and stroke. Typically, prediabetes does not present noticeable symptoms, making it crucial to monitor blood glucose levels through regular health check-ups. Lifestyle changes such as a healthy diet, regular exercise, and maintaining a healthy weight can help manage and reduce the risk of progressing to type 2 diabetes Shocking Statistic: 1 in every 2 people have prediabetes in the UK. Risk factors Presentation Testing for prediabetes This is either having a fasting plasma glucose test or an HbA1c test, both are used to diagnose type 2 diabetes or prediabetes. The following results indicate the presence of prediabetes: If your results are above the upper limits for prediabetes, your GP may either diagnose you with type 2 diabetes or take another test to confirm whether you have diabetes. If you have symptoms of diabetes but have an HbA1c of below 42 mmol/mol (6.0%), you may be given an oral glucose tolerance test (OGTT). If you are diagnosed with prediabetes, your doctor should clearly set out the steps you need to take to lower your risk of developing type 2 diabetes. Can I stop prediabetes from developing into type 2 diabetes? YES!!! The good news is that cases of prediabetes that are identified early on can be reversed, preventing them from progressing into full-blown type 2 diabetes. Each year in the UK, 5% to 10% of people diagnosed with prediabetes go on to develop type 2 diabetes. The two principal factors for consideration are: By making these changes, blood sugar levels can be returned to normal. At 121 Dietitian we help people daily by improving their blood sugar control improving their health and well-being. If you have been diagnosed by your GP with prediabetes then please do not hesitate to book a program to reverse your chances of going on to developing type 2 diabetes. If you do have a diagnosis of Type 2 Diabetes and need advice with your diet and health we would be delighted to assist you also. Our Diabetes programme is recommended for both stages, so do please click on the link or on the button below to book NOW.
Hashimoto’s and me – part 2…
For me I could not imagine how I would be coping if I had not been able to recover my health after my Hashimoto’s Hypothyroidism diagnosis. Well sorry for the very long pause, things always happen when you least expect them. My mother who is disabled with MS was in a car accident and badly broke her leg in June. This meant all my extra time outside of work and family was directed at her care and attention and to keep her mentally strong. It is an ongoing slow process but she is getting there. To get to the level I am at now did take a big decision as I was, pre 2010, not an ‘elimination of foods’ Dietitian! My motto was to increase food choice and enhance variety in all my patients diets (obviously not those with allergies and specific ill health but the people who required help with healthy eating). The big leap was that I removed gluten from my diet, and I can only say I am happy I did. My symptoms like constipation and skin irritation did not change greatly but I knew it was scientifically worth the change – even if removal was to prove it was the wrong path, I could save my patients from possibly making the decision. It is 2 years since I made the change and I am continuing with this. I feel the scientific evidence is there and unfolding at present there is not enough research written up and so I will continue this route while I await further results to unfold. 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.