Manage Stress to Better Manage Irritable Bowel Syndrome (IBS)

What is Irritable Bowel Syndrom (IBS) and How Does Stress Impact It? Irritable Bowel Syndrome (IBS) is a common disorder of the gastrointestinal tract that affects an estimated 10-15% of people worldwide. Stress has been identified as a major factor in the onset and exacerbation of IBS symptoms and it is definitely a trigger for the patients I see at my clinic when attending one of our super successful gut health programmes. This month has been awareness month for both IBS and Stress, so I thought I would bring the two together in my final blog for this month. As previously mentioned in my previous blogs IBS and Probiotics Irritable Bowel Syndrome is characterized by abdominal pain, bloating, and changes in bowel habits. How does stress affect digestion? Studies have shown that stress can affect the way our bodies process food and how our digestive system functions, leading to an increase in abdominal pain and other IBS symptoms. Additionally, stress can cause changes in hormone levels which can further exacerbate IBS symptoms. It is important for people with IBS to take steps to reduce stress levels in order to manage their condition more effectively. The relationship between our brains and the digestive system is powerful, so it is not uncommon for changes in our emotional or psychological state to affect the way our gut works and could explain why we often feel ‘butterflies in the stomach’ when feeling anxious or stressed. The communication and feedback between the gut and the brain is known as the gut-brain axis. This network consists of two parts: The sympathetic nervous system, which manages fight-or-flight responses; and the parasympathetic nervous system, which controls repair, rest and digestion. It is believed that the enteric system functions as a third part to control the digestive system. This communication between the brain and the gut is referred to as ‘the gut-brain axis’, which helps connect emotional processes in the brain to the physical operations of our digestive system. Recent research has been able to establish the gut-brain axis, which is the connection between the two systems. Emotions can affect how your gut functions and vice versa. It’s important to note that although many digestive problems are related to mental health, not all of them are caused by Irritable Bowel Syndrome (IBS). Anxiety can manifest in various physical symptoms, such as stomach aches or changes in bowel movements. Gut Bacteria and Stress Did you know that having an imbalance in your gut bacteria is having an impact on your mental health? This is sadly not that well known, but with years of research and practice it is a major area that I have built into our programmes and is an important part of successful treatment. Certain bacteria can affect levels of anxiety or stress through activities in the digestive tract. A healthy balance of the ecosystem is necessary for our mental health and well-being, however when it is not balanced (dysbiosis) organisms like bacteria can lead to negative consequences. A recent large, most comprehensive and best-validated association study to date provides further evidence for an association between gut microbes and blood metabolites (generated by host and by microbes) in patients with Major depressive disorder (MDD). (1) They observed “that the genera Sellimonas, Eggerthella, Hungatella, and Lachnoclostridium were more abundant, while genera Ruminococcaceae…, Coprococcus, Lachnospiraceae…, Eubacterium ventriosum, Subdoligranulum, and family Ruminococcaceae were depleted in the guts of individuals with more symptoms of depression. Of these, genus Eggerthella showed statistical evidence of being involved in the causal pathway.” These microbes are involved in synthesising important neurotransmitters, such as gamma-aminobutyric acid, butyrate, glutamate, and serotonin. It is known that Butyrate can influence depression through several routes — ie, via immune regulation, genomic transcript/translation, and/or affecting energy metabolism. So this is really critical for health to ensure these pathways are optimised. 3 Tips for Identifying & Reducing Sources of Stress in Your Life Stress is a natural part of life and we all deal with it at different times in our day, week or life. It is normal and should not cause us problems. It can however become overwhelming if left unchecked. Identifying and reducing sources of stress in your life is essential for maintaining mental and physical health. There are many levels of stress and many ways to address. Here are 3 simple tips to help you identify and reduce the sources of stress in your life. One way is to take time to reflect on what is causing you stress. This could be anything from work or family pressures to financial concerns or relationship issues. Once you’ve identified the source, think about how you can reduce it. This could involve making lifestyle changes. Such as exercising more or taking up a hobby, or seeking professional help if needed. Second, get into the habit of practising mindful living by being aware of how your thoughts and actions affect your emotions and overall well-being. Taking regular breaks throughout the day to relax and refocus will help keep stress levels low. Third, set realistic goals for yourself that are achievable within a reasonable timeframe. Setting unrealistic expectations will only add more pressure and increase feelings of helplessness. Dietary Changes & Supplements that Can Help with Stress & IBS Symptoms Making changes to your diet can not only help reduce stress levels but also lessen the severity of IBS symptoms. Eating a nutrient-rich diet, and limiting processed fat and sugars is important as well as avoiding specific trigger foods. These can help reduce stress levels and improve digestion. Our 6 week elimination programme combines these all for excellent results. Additionally, certain supplements such as probiotics, omega-3 fatty acids, magnesium, vitamin B12 and zinc may be beneficial for those suffering from stress or IBS. By making key dietary changes and taking the right supplements specifically for you, you can experience improved overall health and well-being. We do a deep dive assessment for each patient that attends our practice. This allows 121 Dietitian programmes to be designed specifically for you, ensuring physical and mental health are addressed. Stress Management
Solgar Gentle Iron (Iron Bisglycinate) 20 mg Vegetable Capsules – Pack of 180 – Reduces Constipating Effects – Gentle on the Stomach – Vegan and Gluten Free

Highly absorbable unique form of iron
Useful for those with a restricted diet such as Vegans and Vegetarians
Gentle on the stomach / Ideal for sensitive stomachs
ProBiota HistaminX | 60 Vegetarian Capsules | Probiotic Blend – 10 Billion CFUs per Serving | Physician-Formulated | Seeking Health

May help support the gut’s healthy response to ingested histamine
May help support a healthy immune system
Supports the gut microbiome
Stevia: A Sweet and Healthy Alternative to Sugar

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

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

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