PCOS -Weight Loss Diet
PCOS – Weight Loss Management (Fertility Programme) PCOS – Polycystic ovary syndrome is the most common hormonal disorder in women of reproductive age. It affects about one in 10 women and usually starts from puberty and can continue through to menopause. PCOS can cause multiple problems, including infertility, acne, excess hair growth, period irregularity and excess weight. Why does PCOS make it difficult to lose weight? PCOS has a link to multiple issues. What does the clinical evidence say for PCOS and Fertility? Many large studies across the world have shown that women who were overweight were able to lose weight before getting pregnant significantly improved both their fertility treatments and pregnancy outcomes. This is why international guidelines have recommended that weight loss should be the first line treatment for women living with obesity before undergoing fertility treatment or planning a family. How can a 121 Dietitian weight management programme help you? There is no one size fits all regime for losing weight, nor is there one specific fertility diet. Furthermore, women who are overweight with conditions such as polycystic ovary syndrome can find weight loss particularly difficult.All of the recent evidence has indicated that crash diet/exercise regimes tend not to work and can even cause harm, in other words, weight management does not mean starving yourself! The best approach is to have a sensible and achievable long-term plan to reduce weight and keep it off for GOOD. Who is this plan for? • Women with polycystic ovary syndrome (PCOS) experiencing difficulty losing weight• Women who are over or underweight experiencing a delay in achieving a pregnancy• Women who want to achieve weight and lifestyle improvement before trying for a baby• Men who have modifiable risk factors with diet and weight. Weight management for PCOS The aims of the weight management and or fertility programmes we offer are: • To achieve a realistic goal. We, therefore, focus on a 5-10% body weight loss over 4-6 months as this has been shown to improve fertility treatment outcomes.• To achieve sustainable weight loss – not just short-term gain• To provide a personalised dietary and exercise programme with appropriate psychological support – this has been shown to be the most effective way to achieve sustainable weight loss as well as improve quality of life – helping you to feel good about yourself• To empower you to help you feel more in control of everyday life so that you can avoid returning to unhealthy lifestyle behaviours. We haven’t forgotten the men in your lives…. Men can contribute to infertility issues also. Our programmes allow for both or either partner to be treated for infertility. How does our PCOS and Fertility plan work? You will meet a specialist dietitian throughout a period of a minimum of 6 months….Prior to an appointment, you will be asked to complete a 121 Dietitian – 7 Day Food Diary and Diet Plan Questionnaire. These will be assessed by Gillian Killiner RD, specialist Dietitian, and an appointment will be arranged to discuss the findings and begin the best nutritional programme bespoke to you. This can be via our online secure portal or face-to-face at our Holywood clinic. Week 1 – At this initial appointment Gillian will include nutritional information, motivation and lifestyle changes. A nutritional programme, recipes and shopping list will be written up for you to follow with SMART goals. Nutritional optimisation is the goal and this will include assessment of gut health/mental health/bloods and corrected with diet and supplements as required. Week 4 –6 – at this dietetic review Gillian will reassess the recommendations and assist you with setting further achievable goals. If you are wishing for a reduction in weight you will be aiming for 1kg/2lb weight loss as a steady and manageable reduction each week. Week 12-15 – Review with Gillian – you will be asked to forward a new food diary prior to this, the appointment is online/phone call &/or email. Week 22 -28 – Final appointment with Gillian – reassessment of weight and medical and general health parameters in conjunction with your fertility team. Partners together weight management fertility package £800 Either Partner weight management fertility Individual programme £600 Weight Loss for PCOS For women with PCOS who wish to lose weight only, our programmes will be tailored specifically to your requirements. PCOS weight management programme £500
Dark Chocolate – 9 reasons to swap
Who doesn’t like dark chocolate! Did you know that dark chocolate is made from the cocoa bean. It has been around since the year 2000 B.C. originating from south America. It has a fascinating history; used as currency, consumed at royal feasts and after battles served to surviving warriors! (1) What happens to the cocoa bean to make dark chocolate? Well, it is roasted dried and roasted again and then from that you get the cocoa butters and the cocoa solids, and this is where we get our chocolate from. The variety of chocolates on the shelves in our supermarkets are endless. The main ones that we are familiar with are milk chocolate, dark chocolate, and white chocolate, plain, filled, coated…. Picking the right chocolate can be so confusing. So in this blog I wish to dive into the detail (while dreaming of Augustus Gloop). Dispel some inaccurate information, giving you many important facts along the way. You can then make the informed choices and enjoy this very tasty snack, especially useful for those with “sweet tooth” cravings! So, the first question I frequently get asked as a Dietitian…. Is there more sugar in milk chocolate than dark chocolate? Yes, there is significantly more sugar in milk chocolate than dark chocolate. This can vary considerably so you need to check the content of cocoa solids for each bar you select. The varying amounts really impacts on the fat, sugar, kcals you will consume and more. If you get this wrong this is so disappointing, so I will explain more below. What is the healthiest type of chocolate to eat? To check the numbers and understand this further for the best choices we need to look at the nutritional profile of both milk chocolate and dark chocolate. This is all based on how much cocoa solids they both have. To be classified as dark, the chocolate must contain at least 35% cocoa solids (not that much). Milk chocolate much less at only 10% cocoa solids. As you can see these figures can allow for other unhealthy ingredients to be added and take over. Looking at milk chocolate first, its nutritional profile in 25% cocoa solids per 100-gram bar (average content in a UK bar) is as follows: 540 calories, 31 grams of fat, 58 grams of carbohydrates with 55 grams coming from sugar, 6 grams of protein, 0.6 grams of fibre and 0.2 grams of salt (check the table below). How does that compare to dark chocolate: 85% dark chocolate (a good % choice) provides a little more energy about 580 calories so another 40 calories per 100 grams due to the 40g of fat in the bar. This should not put you off. The reason for a little extra kcals is the higher cocoa butter. The focus that is more important for you is the carbohydrate, sugar, fibre, protein, polyphenols content so read on… The 85% dark chocolate bar contains less than half the carbohydrates than that of milk chocolate, at 22 grams compared to 58g of carbohydrate along with significantly less sugar at 12 grams compared to 55g. This is a massive benefit for those watching their blood sugars, inflammation, and health in general. In addition, the higher profile of fibre at six grams per 100g and the 11 grams of protein with only 0.13 grams of salt. This allows you to enjoy the full satisfying flavour with benefits. Not spiking your blood sugars or enticing you to overindulge. Per 100g Milk Chocolate Dark Chocolate Kcals 540 580 Fat (g) 31 40 Protein (g) 6 11 Carbs (g) 58 22 Sugars (g) 55 12 Fibre (g) 0.6 6 Salt (g) 0.2 0.13 There are also further chemical benefits that you get from dark chocolate which have been researched over and over. Polyphenols, a plant food chemical is present in dark chocolate. Known as flavanols and one of them called catechin is known to have a beneficial effect on your blood pressure, which I highlight further on. Can you eat milk chocolate on a diet? Yes, you can eat milk chocolate, but do consider how much and how often and what you are eating the rest of the time. All of this together may affect any health or weight issues you may have. On our various dietary programmes, we teach you the best way to look after and optimise your body. The key to success is learning to enjoy eating a variety of foods, the correct amounts, and the frequency – milk chocolate included! Is dark chocolate good for you? Dark chocolate when consumed as part of a varied nutrient rich diet can be beneficial in small amounts for assisting mood, providing flavonoids for blood pressure, nitric oxide for athletes, therefore contributing positively to our health. Dark Chocolate is not only high in antioxidants but also nutrients like magnesium, calcium & potassium. All essential elements needed for good general health. These nutrients are also known to assist in immune protection important against disease causing bacteria/viruses… Knowing these nutrients are present make this a better choice over others when looking for a tasty snack. How much dark chocolate can I eat each day? 20g-40g is a sufficient amount. Which is healthier dark chocolate or milk chocolate? Dark chocolate wins with over 85% cocoa solids provides beneficial flavonoids, fibre, essential minerals, and protein, in addition less sugar and saturated fat compared to milk chocolate. Is dark or milk chocolate better for weight loss? Weight loss requires food choices to be varied providing as many good nutrients as possible. Dark chocolate provides polyphenols, less saturated fats, and sugar than milk chocolate. Therefore in small amounts can be included as part of a weight loss programme. Chocolate and mental health? Dark chocolate contains 4 times more antioxidants than regular milk chocolate does. This can assist in lowering levels of inflammation and may play a role in reducing symptoms associated with depression such as fatigue, irritability, anxiety, and mood swings. Studies suggest that
Pistachio nut- interesting facts
Pistachio nut day is on 26th February 2022 We love pistachio nuts here at 121 Dietitian. So when we spotted there was a special world pistachio nut day we felt we had to give them a big shout out! Pistachios are good for you! Pistachio nut facts: • Pistachio are nuts native to Western Asia and Asia Minor, archaeology suggests that pistachios were eaten as a common food as early as 6750 BC. Wow!• They are one of the more expensive of the nuts out there because of the trees on which they grow. It only reaches production 15-20 years after being planted. Isn’t that crazy!• Pistachio trees can only produce about 22kg of nuts each year. Furthermore, pistachios are sorted by hand and not by machine.• Pistachio trees can only grow in cool winters and hot summers, meaning that there’s only a few locations in the world where the trees can grow.• Iran is the biggest producer of pistachio nuts ahead of USA and then Turkey. How to eat Pistachio nuts: When eating pistachios from the shell, split the shell and eat the small kernel inside. The kernel may have a thin skin on it that do eat this for upping polyphenols. If you find a nut in a shell that doesn’t pry apart easily, simply use a nutcracker to open it up. As a snack. Eating pistachios raw or roasted. Both in-shell and shelled pistachios are available in grocery stores. Over salads. Shelled pistachios (either whole or chopped) are often sprinkled over salads. Pistachios can also be puréed and mixed with oil and herbs to make a creamy salad dressing. Ground into sauces. Ground pistachios are popular as a base for sauces and dips, like pistachio-yogurt sauce. Added to bread dough. Ground pistachios can be added to bread dough to give it a thicker texture with extra protein. In desserts. Chopped pistachios are commonly mixed into or sprinkled atop desserts like ice cream, cake, truffles, and pastries. Pistachio nuts are also a common ingredient in dishes from an array of cultures: • In Turkish dishes. Pistachios are most well-known in Turkish recipes for being minced and layered in the traditional baklava.• In Italian dishes. Pistachios are a common addition to Italian pastas, either chopped and mixed in to the noodles or ground and made into a spiced pistachio sauce.• In Indian dishes. Indian food makes ample use of pistachios, and they’re a staple ingredient in many Indian rice puddings, pilafs, cookies, and a spiced pistachio fudge called pista barfi.• In Iranian dishes. Pistachios are a common ingredient mixed into Iranian chicken and rice dishes, and also served as a traditional Persian snack, roasted with lemon juice and saffron and tossed with sea salt. What are the health benefits of Pistachio nuts? – Nutrition Pistachios are high in fibre: Eating pistachios can improve your gut health if you have no ongoing dysbiosis issues. Rich fibre foods help move food through the gut and prevent constipation and may help reduce the risk of colon cancer. Pistachios are high in antioxidants: Pistachios are known to contain antioxidants that have strong cancer-fighting properties and cardiovascular disease prevention. Furthermore, pistachios also contain lutein and zeaxanthin, two carotenoids that will help you maintain eye health and overall immunity. Pistachios are great for vegans and vegetarians: With protein accounting for almost 21% of the total weight of the nut, pistachios contribute almost 6% to a person’s daily protein needs. For plant-based diets, pistachios provide that much-needed protein. Relative to other tree nuts, pistachios have a lower amount of fat and calories but higher amounts of potassium, vitamin K, γ-tocopherol, and certain phytochemicals such as carotenoids, and phytosterols. A handful of pistachios (45) contain 156 calories, 3 grams of fibre, and are one of the most vitamin B6-rich foods around. Do you enjoy eating pistachio’s? They are so tasty if you haven’t tried them. Don’t continue to miss out, try them as part of a bigger plan to increase variety in your diet. 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]
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
2020 with COVID 19 – How our family recovered…
2020 was a tough year for the world with the COVID 19 pandemic and 2021 continues to see no end to this virus. The vaccinations can hopefully help reduce hospital admissions however we still need to keep others safe. Reflecting over the past year we have had our ups and downs but over all I am one of the lucky ones and wake everyday thankful for what we have. We are fortunate that my husband has a secure job and really glad my kids are easy to manage as teens. We are fortunate we can sleep and eat in the safety and comfort of our warm home and we have a large park beside us to walk our dog. I am also very fortunate to be have my Dietetic nutritional consultancy business www.121dietitian.com online to continue to help and advise others. I am passionate about wholefood nutrition and this really matters with our current pandemic. Not being able to visit loved ones has been very difficult. I am especially sad about not seeing my parents. My mum has Multiple Sclerosis and dependent on hoists and wheelchair and loves company. She needs many to assist her daily needs. Sadly they are 120 miles or a 3 hour car drive away in a different country – not easy to visit, so in between the lockdowns we have hopped in the car driven and spent a few hours chatting in the window to them returning home relieved they are safe and coping. Summer 2020 was a tough time for my eldest 2 children: A-levels and GCSE’s were cancelled and they were hugely disappointed. They are now doing their best to continue focused for the future but it is damn hard. I am very proud of them. Fast forward December 20 everything was going well, life was in a routine with work and school and we were preparing for Christmas at home. We managed to enjoy Christmas day and then COVID struck (brought home from my husbands work). We began to fall ill first my husband and then me. We told no one as we were scared of what was ahead. We self isolated and were fortunate to have extra food in with Christmas. The kids also had varying symptoms. I can’t say for sure but as I write this we have got away lightly. Loss of taste and smell and fatigue being the most difficult for 2 weeks. We were dreading the worst as both myself and my husband are healthcare professionals and have seen first hand what COVID 19 is doing to people. The longer term damage of kidneys, heart, brain, stroke and lungs is all too real. I have over the past year of COVID been advising others on assisting their immunity and improving their overall health. Little did I think we would be saved by it too. I personally feel that having underlying good health, eating a varied diet, taking Vitamin D, getting restorative sleep and keeping a safe alcohol intake has been advantageous in our recovery. 2021 has been a slow start for us but when you have your health you have your wealth so it can only hopefully get better. From my experiencing with COVID 19 if you can do one thing in the next 12 months I would strongly urge you to please protect yourselves and your family from contracting COVID 19. Let 2021 be the year you make any changes you need. Optimise your diet. Have the best metabolic health you can. Take Vitamin D daily. Ensure you have the best sleep, activity, mood and gut possible. Stay well and stay safe. 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]
Healthy Snacks For Kids and Teens going back to school…
The kids are back to school. Now the headaches is what to feed them each day. Having 3 kids I know how challenging feeding them Healthy Snacks can be! ?Your child is going to need nutrients for brain power and the additional exercise they may not have been availing of for the last few months. ? Don’t fall for the high-fat, nutrient-poor snacks that are lining our supermarket shelves. Here is a list of a few healthy snacks with a twist: Healthy Snacks for all the family ? Peel a banana and dip it in yogurt. Roll in crushed pecans and freeze? Spread celery sticks with peanut butter or cream cheese. Top with raisins. Stuff a whole-grain pita pocket with cream cheese and apple slices. Add a dash of cinnamon. Take 2 oat cakes top with Greek yoghurt add some raspberries and enjoy. Put cubes of cheddar cheese and grapes on pretzel sticks. Spread peanut or almond butter on apple slices.? Take semi skimmed milk, frozen strawberries or raspberries or blueberries add some oats and seeds blend for thirty seconds for a delicious smoothie. Use wholemeal thins to make tasty sandwiches fill with colourful salad and home cooked meats like gammon, chicken or prawns, egg, houmous…??? Sprinkle grated cheese over a wholemeal tortilla; fold in half and microwave for twenty seconds. Top with homemade avocado guacamole, cucumber, peppers, tomato salsa.?️ Heat homemade soup: mushroom, tomato or chicken, bean and vegetable soup and enjoy with oat cakes and pate. Sprinkle grated Parmesan cheese and smoked paprika on hot popcorn. Banana pancakes – mash 1 ripe banana, add 1 egg and some wholemeal flour and mix – cook on pan in a little butter. No need to add anything as sweet enough. Spread mayo on a wholemeal tortilla. Top with a slice of turkey or ham, cheese, tomato and lettuce. Flavour with herbs and spices. Then roll it up ? Mini Pizza: Toast the bottom of an English muffin, add some passata on the top and sprinkle with mozzarella cheese and vegetables and grill. Fruit kebabs. Make fruit exciting by threading melon, grapes and pineapple chunks on a wooden skewer. Dark chocolate- 2 squares place in a cup add boiling water and top with milk.☕ Snacks to say “no” to: Chocolate type biscuit bars are not filling and high in sugar and saturated fat. Soft drinks. Eight to 10 teaspoons of sugar are found in the average can of soft drink. All sugar and no nutrients is not healthy and can lead to health problems like diabetes and weight gain. Read more about Sugar in our recent blog here. Sweets. Even when disguised with the word “fruit” included- avoid. A healthy snack provides good quality nutrients and protein —- something that sweets do not provide. Snack pots eg: ham, cheese, and biscuits – these are all highly processed in plastic packaging. Make your own with home made ingredients – much fresher and again less waste using a Tupperware box. Crisps are high in salt and saturated fat. Keep to a minimum. Top Healthy Snack tips: ✔️Buy some Tupperware boxes to reuse in small and large sizes tocarry food to school (reduces single use plastic waste). ✔️Use refillable water bottles for water. Try the glass ones that don’t break. ✔️Having the food at home means you are eating out lesswhich will save you money too! These are just a few of our random Healthy Snack suggestions to get you thinking. If you have any Healthy Snacks please let us know. 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]
