#they would have at least recommended it when they first ramped up to chronic without being like YOU MIGHT HAVE CANCER NOW PANIC
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forcebookish · 1 year ago
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lol dramas do NOT get neurology... dizziness and vomiting CAN be normal symptoms of migraines if they're severe enough, you don't NEED a tumor...
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swagpeachperfection · 3 years ago
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Here is my in-depth The Smoothie Diet review. I hope most of the people reading this can relate me along with me! From my childhood itself, I was a bit chubby, but that I found cute and never cared off. After that, I joined my college and my lifestyle changed drastically. Staying awake late nights, eating unhealthy junk foods.
Late-night study during the examinations, all these habits led me to put on weights. More weight. But I hardly cared. After my graduation, like most people, I too have desk work. After our office, we hardly get any time or energy left with going to any fitness regime.
The Smoothie Diet Review: 21-Day Smoothie Diet Plan For Weight Loss!
Munching on fast foods as they are easily available and cheaper. People never realize things until they experience things. Once I went for a regular checkup, and I was diagnosed with high blood pressure and other severe chronic diseases. Now my life was at stake. And that’s when I realized I need to gear up and went through various articles and found The Smoothie Diet review.
Most of the diets followed starving, which I knew would lead me to eat more foods on the very next meal. But somehow while going through the internet I found this weird diet, which provided you with the daily vitamins and minerals you require, without involving cooking or other stuff- yes! The smoothie diet pdf. It may sound weird, but yes it really works.! Let us discuss more in The Smoothie Diet review.
==> Download The Smoothie Diet Program
About The Smoothie Diet Program
This is a type of food habit which really works for people who want to start their weight loss journey in a healthy manner. It works mainly for the people who are occupied in a busy schedule and face problems in preparing everyday meals. In The Smoothie Diet diet plan, you replace two of your main meals, preferably breakfast and lunch with smoothies.
The third meal you can have solid food, but keep in mind to have a lower calorie food. Scouts also allow a “cheat meal” every week, but only a few recommended ones, mentioned in The Smoothie Diet e-book. The Smoothie Diet is a 21-day cycle, power-packed with nutrition and vitamins and you can follow anytime you want to shed some pounds.
The ingredients of the smoothies may vary, mainly depending on fruits, vegetables, protein, and few healthy fats. Follow the recipes in the e-book to prepare your solid meal food. The meal should not be high in calories or else it not come up with the desired results. The Smoothie Diet guide also helps you with some high-fiber snacks and low sugar options.
The Smoothie Diet review contains two plans. The first one — “The Detox plan”, where you replace all your three main meals with healthy smoothies which keep you feel fullness all day long.
Another plan includes the 21-day plan where you replace two meals with a smoothie and have one solid food with a few snacking.
You can also modify sometimes, following a “flex day”- where you have a smoothie followed by two meals. But The Smoothie Diet pdf is not recommended for people having food allergies. So consult a doctor or get a regular checkup before starting a Smoothie diet for weight loss.
The Smoothie Diet Manufacturer
The Smoothie Diet Pdf was created by Drew Sgoutas, a certified Nutrition Expert and Health Coach. He believes in home cooking with all the real ingredients. He is the one who throws his heart and soul into success. And that what led to this revolutionary diet The Smoothie Diet program.
Pros and Cons of The Smoothie Diet Ebook
Pros
The Smoothie Diet involves having smoothies, which are mainly from fruits and veggies. They are usually low in calories and provide you with the daily phytonutrients, being a part of your healthy diet.
l Less counting on calories
As per The Smoothie Diet review, Most of the famous diets and weight loss programs count on calories. But as we are aware that fruits and veggies are lower in calories, you don’t need to get involved in counting the calories all day long. The recipes provided in the Smoothie Diet for weight loss program don’t involve much decision-making process which is an added advantage for all working people.
l Go easy with the shopping
This three-week diet plan covers the shopping list every week at the starting itself. The diet plan contains a broken-down shopping list helping you in your shopping. This makes your grocery store visit much easier during this 21-day smoothie diet plan. Apart from the above-mentioned pros, there are various studies showing the effectiveness and sustainability of the diet plan.
Cons
l Maintaining the micro-nutrients
Most of the smoothies have their calories from carbohydrates, and very little protein and fats. It is recommended to have a protein intake of at least 50 grams daily to maintain a healthy lifestyle. So the Smoothie Diet recommends getting the daily need from the snacks. Go through The Smoothie Diet review thoroughly before following the plan, or you may fall out. If you are replacing your meals with these smoothies make sure to get your fats and proteins. Try to add some chia seeds and flax seeds. They help to thicken up your smoothies as well as provide you with essential micronutrients. Get a good source of lean protein, those help you to build muscle, helping you to maintain a higher metabolism. Having various nuts and seeds in the snack may do the trick.
l High Sugar Content
This 21-day Smoothie diet contains a lot of fruits. Fruits are known to the natural source of sugars. There are many smoothies that call for the addition of honey and another sugar substitute, which only adds calories to them. So all these are not recommended to people having medical problems. A peanut butter smoothie is a healthy option as it’s protein-rich with no added sugars. Some of the smoothies are too thick to drink, so most people add juices to thin them down. But avoid doing so, rather add water to make it dilute or ice can be an alternative to thicken them up. Get the right amount of thickness without adding more calories by switching to alternatives.
l Time- taking
If you are staying at home, then making two smoothies can be a bit less pain in the ass, still cleaning up the bender each time you have one. And as a working professional. Having a smoothie in your breakfast is pretty easy, but what about lunch? You cannot have all the necessary ingredients when you are away from home. Right?
l Fails in the long run
When you start the Smoothie Diet, your body goes through a drastic change in cutting down the calories. As vegetables and fruits are lower in calories and also devoid of the essential proteins and healthy fats. Replacing solid meals with liquids may help you at the beginning and you may see noticeable results, but when you start getting into your previous daily diets, you tend to get weight again. So The Smoothie Diet e-book and The Smoothie Diet review suggest following the diet frequently, which is not always a healthy option.
Why The Smoothie Diet book is Useful, Is it a Scam?
Not only for weight loss. Your body sometimes requires detoxification. This 21-day smoothie diet plan will help you to follow a detox plan, removing all the impurities from your body. You feel light and energetic restoring all the lost minerals and vitamins.
It does no harm to your body. They are lesser in calories. Ramp them up with protein and healthy fats making them tasty as well as to get the added benefits from it.
The Smoothie Diet User reviews 2021
While surfing the internet, you will get a number of The Smoothie Diet customer reviews who received benefits following the diet. Not this, The Smoothie Diet ebook provides you with various case studies of the people following the diet plan and getting unexpected results.
==> Download The Smoothie Diet Program
The Smoothie Diet Reviews — Final Verdict
The Smoothie Diet ebook provides you with numerous recipes, but to see results you need to maintain the proportions. Make your habit to have a healthy smoothie once a day in the long run. Try to tally the calorie count and know how much you need to consume in every meal, The Smoothie Diet will save you from all the common weight loss mistakes.
Use strawberries, blueberries, and apples in your smoothies. They are rich in antioxidants. Try to have smoothies as well, including spinach and kale. They are rich in minerals, vitamins, and potassium as well. To make your smoothie thick try using ice. If you are a peanut butter lover, go for the powdered one, avoid the creamy spread. And for natural sweeteners add mangoes or bananas, The Smoothie Diet will keep you away from the extra fats and artificial sugar.
Last not, whether you want to lose weight, or just want to follow a healthy lifestyle. Download now, The Smoothie Diet pdf and ebook, and head toward the kitchen. The Smoothie Diet is not a scam, try it today and share your The Smoothie Diet review along with us! Happy dieting!
Frequently Asked Questions (FAQ)
What is The Smoothie Diet?
It was a 21-day smoothie diet is an e-book prepared by Drew Sgoutas which contains a schedule and recipes for three weeks instructing what smoothies to be taken for each day.
Does The Smoothie Diet program good for weight loss?
This diet will help you shed approximately 2 or 3 pounds per week. You should expect to get rid of up to 50–70 pounds if you repeat this diet plan several times.
Are there any side effects by using The Smoothie Diet program?
No need to worry about any kind of side effects from the smoothie diet. Because there are no recorded side effects of the 21-day smoothie diet as it is prepared at home and is completely natural.
Why The Smoothie Diet is useful?
This program is not only for weight loss, but it will also help you to follow a detox plan, removing all the impurities from your body. You feel light and energetic restoring all the lost minerals and vitamins.
Who was the creator of The Smoothie Diet program?
The smoothie diet was created by Drew Sgoutas, a certified Nutrition Expert and Health Coach.
==> Download The Smoothie Diet Program
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organiclifestylemagazine · 3 years ago
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How I Fixed my Knee Pain
At 18, when I weighed more than 300 pounds, in a momentary lapse of judgment I decided to ride an electric scooter through downtown Atlanta. This did not end well for me. I hurt my knee so badly I couldn’t walk on my own, I needed crutches. By the time I could walk on my own it was painful to stand up. I was sitting down all the time. The injury took months to heal. I was out of work for more than a week. When I got back into work the job had become very difficult. Walking up and down the stairs and chasing the kids was agonizing.
A few months later I moved in with my father, and I started exercising and eating right. Today, my knee pain is almost gone, but not completely. When I do feel knee pain it’s the first indication that I am not taking proper care of myself as well as I need to. I feel it when I eat restaurant food (even the healthiest), or anything processed. I feel it if I eat corn or wheat. I feel it if I don’t have my daily salads. It keeps me on track.
My knee keeps getting better and better. What I am doing is working. I am now sharing it with you. This is how I lost 150 pounds and fixed me knee:
Strength exercises
Squats were instrumental in building up the strength in my knee. Squats are generally one of the most beneficial exercises you can do to improve mobility and bodily function. They mimic natural movement that we used to do in nature. We used to squat to use the bathroom, to harvest food, to hunt, to stay inconspicuous, to simply take a break, etc.
My knee would pop a lot when I first started doing jiujitsu, 6 months ago, and usually popping made it very sore. Every time it got sore it felt as if it got a little stronger.
Running also helped. Being active in general promotes healing and is usually the best way to heal an injury. I use Vibram Fivefinger shoes. I used to have flat feet that would exacerbate the knee pain, but they have strengthened into healthy arches. I think this is in large part due to running in the Fivefinger shoes. Flat feet cause the knees to buckle which causes the hips to become out of alignment.
Related: Running Without Knee Pain
My Workout routine
I work out intensely every day. I run a mile, weight lift and do bodyweight exercises for between 30-45 minutes, and train Brazilian jiujitsu for about three-five hours a day. This wasn’t always the case though. Prior to my knee injury, I was not active at all, and for months after my knee injury, I couldn’t so much as walk up the stairs without feeling discomfort, let alone workout.
When I did start working out, I ran into problems. I wasn’t able to squat as low as I wanted to, and when I ran my knee was extremely sore. While my knee tried to heal, the arches of my feet would both go out of place giving me problems when I ran or even walked. One of my arches was so flat my shoes were two totally different shapes after I wore them in. As I tried to fix that problem, my right hip (the hip of my injured knee) would continue to go in and out leaving me with an uncomfortable pinching feeling in my hip.
Supplements
I use deep tissue on my knee to promote healing when it gets sore, or when it pops.
I also take B vitamins and vitamin D to help with soreness.
Thyroid issues
From years of antibiotics and other prescriptions, I developed thyroid problems in the form of constant chronic neck pain, amongst other things. The thyroid problems got radically better so much so that I didn’t even notice them for months. When I began doing jiu-jitsu they showed up again. My neck is often sore or stiff from training and on bad days I’ll develop a headache. When I started training more intensely (multiple classes a day) my endocrine system would crash, physically unable to keep up with my workload due to a weak thyroid. I would become extremely nauseous and fatigued and would often throw up. These crashes would put me out of commission for as long as three days at their worst. My thyroid continues to get stronger, and I take glandular supplements on a daily basis to help build a stronger thyroid and prevent crashes.
Related: Holistic Guide to Healing the Endocrine System and Balancing Our Hormones
Diet
Diet is always the most important part of healing and recovery. No refined sugar, no gluten, nothing inflammatory. Lots and lots of vegetables, grains, and legumes. I eat salads every day (recipes).
I cook all my own from scratch, everything minimally processed and as natural as possible. When I buy food from the grocery store I look for food with as few ingredients listed as possible. When you’re trying to get well don’t trust anyone else to cook your food, not a company, not a restaurant, not other friends and family.
If you’re interested in learning more about how I eat, check out these articles.
Related: How To Heal Your Gut 
Sleep
In order to allow my body the time it needs to heal I have to get at least eight hours of sleep a night. I generally average closer to nine, or ten hours a night though with how much I work out. Sleep and diet go hand in hand. It’s impossible to be in perfect health if you’re not consistently getting enough sleep each night, but in turn, it can be difficult to get quality sleep without a healthy diet.
Fixing my diet was the most instrumental part of fixing my sleep. After fixing my diet, I had to develop a routine for sleep. Picking your wake-up time is easier than picking your bedtime. Decide when you want to wake up each morning and stick to it. For me waking up at a certain time made it easier to assure I was going to bed at a certain time.
As we’ve all heard before, you should avoid using your phone right before bed. I’m bad about this, but what I do that I highly recommend is programming your phone to go on do not disturb every night before your bedtime. My phone goes on do not disturb at 10, and I’m asleep by 10:30 at the latest, but usually by 10, I’m already laying down in bed.
Related: How To Detoxify and Heal From Vaccinations – For Adults and Children
Injury prevention and recovery
One injury in one area affects more than just that one area! I learned that my weak thyroid causes flat feet, which cause one’s knees to buckle, making me more susceptible to knee injuries and making it very difficult to heal! My knee has caused hip problems and problems with the arches of my feet. Be willing to work in areas beyond just what’s injured and see how being in tune with the whole body can make a big difference.
Many people don’t understand all the areas in which a healthy diet benefits you. People still think too much of your health is left up to chance. Someone who eats a healthy diet is less prone to injury and takes less time to recover when they do get injured. A healthy diet makes for stronger bones, a more resilient body. I cannot stress this enough, you are what you eat. The old saying reigns true to a degree most people don’t realize.
One of the most important parts of healing and recovery is knowing your body. This comes with eating right and taking care of yourself. If you constantly provide your body with the right stuff, it lets you know what it needs. Rest is important. Often times we don’t need nearly as much recovery time as we think, but it’s still important to take time to figure out what you need.
Please keep in mind that if you’re on a weight loss journey that isn’t finished yet and you’re ramping up your workout routine you are likely going to run into problems other people won’t. They may be insignificant. Your back may be a little sorer, the arches of your feet may have a hard time staying in place properly, but with the proper diet, you can make it out the other end stronger than most. Be patient. Some of these problems can take months or years to completely fix.
I’ve lost 160 pounds and I’m healthier than most anyone I know, but I still run into problems I wouldn’t have if I hadn’t been heavy and if I didn’t still have a few pounds to lose.
How I Fixed my Knee Pain was originally published on Organic Lifestyle Magazine
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i-am-very-very-tired · 7 years ago
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March 9, 2015 8:13 PM I brush, floss, and rinse with fluoride twice daily. Why do I always get cavities? I am asking a question for which it seems science has no answer. All my life I have had a problem with cavities. Most of my family has this problem (both immediate and extended) so it seems like it has to be at least a little bit genetic. However dentists always want to interrogate me on the lifestyle factors, so I always feel like I have to bring a character witness with me to affirm: *I brush twice daily with the Sonicare toothbrush. I use Pronamel toothpaste. I know the proper "technique" for brushing. I have a subscription for new toothbrush heads so they are changed on schedule. *I use ACT fluoride rinse twice daily. I do not eat or drink for at least 30 minutes thereafter, but usually longer. *I floss with the Reach wand each evening. Like most people, if I eat something where things conspicuously get stuck in my teeth, I will floss additionally. *I drink a can of soda probably about 3 times a week. Otherwise I drink water and unsweetened herbal and black teas (the latter of which leads to a lot of staining, but that is a different issue). I don't drink juice on any kind of routine basis. *I do not smoke or drink coffee. *My diet is diverse, but skews toward Mediterranean due to my heritage. So I eat a lot of vegetables, salad, fish, pasta, etc. I also like Asian and Indian food, and will indulge in the occasional hotdog or unhealthy snack. But overall most would characterize me as a healthy eater. I do not generally eat very crunchy foods. I have been on this regimen for at least over a decade. I have always brushed my teeth and taken basic care, but at the same time have always gotten cavities. This would result in the dentist giving me The Lecture and saying, "Now, I understand you are already using an electric toothbrush, but CLEARLY it is not as good as the Sonicare otherwise you would not be getting all these cavities..." So I kept ramping up my efforts until I landed where I am, to no positive effect. Six months ago I was at the dentist. They didn't do an x-ray and said my teeth looked okay. This time, though, they did the x-ray and found that I have SEVEN cavities in between my teeth and one may need a crown. This is the worst diagnosis I have ever gotten. They said they will probably want to do x-rays on me every six months now in order to keep a track of things. This is my third dentist. I like him, but he has no compelling ideas of why this happens or how to prevent it. I was quoted $1500 to fix all the cavities (more if I do need the crown), but he mentioned that I might just need all of this work again in no time since we cannot ascertain why this continues to happen. Pretty much any time I go to the dentist they report that I have at least one or two cavities. I consider those "good" trips to the dentist. Once the dentist works his way to the bottom of the interrogation list then we get to diet, and suggestions skew towards "Well, instead of 3 cans of pop a week, how about you never drink soda again?" My diet is great in terms of my health, so if it is to the point where I have to change it just for my teeth, then who even needs teeth? It's not like I'm eating bags of Jolly Ranchers or anything crazy. I feel like they get hung up on this because there is nothing left to try. I am not sure what else to do. It seems like I must just stop using my mouth for eating and drinking and go on an intravenous diet and see what happens. As far as I can tell there are no compelling theories for this phenomenon. This latest dentist even thought of a few off the script questions to ask me (i.e. "Did you ever live anywhere else [in case the tap water there was horrible]?"). He says saliva that is intrinsically too acidic is not a possibility. Has anyone ever had this problem and come up with a miracle solution? Are there emerging scientific theories and treatments? I feel so disinclined to spend all that money for something that just seems to be a chronic condition. posted by Angel de Lune to Health & Fitness (65 answers total) 15 users marked this as a favorite Xylitol is clinically proven to reduce cavities - try sugar free gum after meals? posted by bq at 8:22 PM on March 9, 2015 A huge part of it is genetic. If you have crappy teeth, good oral hygiene will only minimise the effects of that :( posted by DarlingBri at 8:22 PM on March 9, 2015 Do you happen to be on hormonal birth control? I had constant cavity issues that resolved when I went off the pill and came back during pregnancy. My dentist at the time, a dental school professor, said it wasn't an unusual side effect of increased female hormones. Another thing that seems to have helped is that my insurance now pays for three cleanings per year instead of two. Might be worth an extra $100 per year to pay for an additional cleaning out of pocket. posted by Cecilia Rose at 8:23 PM on March 9, 2015 Man I'm sorry your dentists have been so lecturey. Here are things that have contributed to cavities in my family: 1) Genetics. My brother & sister are both genetically disposed to excess buildup (I want to say tartar buildup but I don't think that's right). Their dentist often commented on the fact that they were just plain genetically predisposed to lots of cavities, and they both have to be extra careful 2) Bad previous dental care. I had a bad dentist who did a bad job putting sealants on my teeth as a child and I got cavities under every single one. I have also gotten several cavities under existing fillings, just because they were badly done (future dentists were pissed about this). What to do: Only thing I can recommend is post-lunch brushing (or post-any meal). And get a dentist who's not a jerk. posted by brainmouse at 8:24 PM on March 9, 2015 Did you grow up in a place without flouridated water? I did and my teeth are cavity-prone. My sister, however, grew up with me and has very few cavities. Also dental technology has improved over the past decade so that dentists can see mini-cavities that didn't even show up before and they're getting more proactive about handling them sooner. So a combination of - genetics maybe - upbringing maybe - proactive dentists maybe And it may be also that you are sensitive to the dentist's questions because at some level when you're doing everything you can you just have to laugh and say "Yeah, teeth, huh?" Some dental offices are more judgey than others. posted by jessamyn at 8:24 PM on March 9, 2015 I've gotten cavities even though I brush at least twice a day and floss at least once a day (usually more). I don't smoke or drink soda. My dentist told me I'm doing the right things, and it's probably just genetic. posted by John Cohen at 8:25 PM on March 9, 2015 I agree with brainmouse. It couldn't hurt to start brushing after lunch. posted by Kevtaro at 8:27 PM on March 9, 2015 How old are you ? I had tons of cavities and such when I was younger - and level of hygiene just never seemed to matter. As I got into my 30s, I started getting problem teeth replaced with crowns and it's made a world of difference. It's expensive, so start saving now, but those man made teeth hold up way better than my natural ones ever did - and as a bonus they are nowhere near as temperature sensitive. posted by Pogo_Fuzzybutt at 8:27 PM on March 9, 2015 I got cavities until I stopped flossing and started using the water-pik things. Not a single cavity since. YMMV. posted by H. Roark at 8:36 PM on March 9, 2015 Pasta, bread, rice and other carbs will cause cavities. posted by Nevin at 8:37 PM on March 9, 2015 I am 29 years old. I have lived in Chicago my whole life so always had fluoride in the water. I went to the same dentist until I was in my 20s and they were always accusatory jerks, so the take home message was always "this will hurt and be expensive and YOU could have prevented this if only..." I then went to a different dentist who was crazy expensive, they wanted like $800 just for a consultation and told me that marks left by my long-removed braces were cavities that needed to be filled. We didn't even get as far as x-rays. Finally I went to my latest dentist who dispelled the notion that my braces marks were anything to worry about, but he did give me all of this other bad news. He did suggest that my first dentist might have given me low quality fillings, resulting in many recurrences. The thing about the "start brushing after lunch" idea is it is just another way to ramp up my efforts when it seems like it is just a teardrop in the ocean of all the changes I've already made that created no difference. It's not like that's the divide between me and people that don't get cavities. I am feeling really cynical about further lifestyle changes at this point, when I've been so compliant for years and gotten nothing out of it. posted by Angel de Lune at 8:40 PM on March 9, 2015 Do you sip your soda over a long time period? I know that a continuous wash of sugar can be hard on your teeth. This would be true of fruit juices, too. Also, carbs, like bread, that stay in contact with your teeth for a long time (as they get stuck in the crevices of your teeth) are also more like to cause cavities. Brushing more often after meals could help. posted by dawg-proud at 8:40 PM on March 9, 2015 Okay, I posted after your update, and I know you are frustrated with changes that don't seem to help, but I really recommend that you not give up. It is absolutely true that you can be genetically prone to cavities. I am sure that my mother was. However, she gave up and made the situation for her teeth so much worse, and so much more expensive. Brushing after lunch for six months and evaluating then is so much less costly than crowns and root canals. I am absolutely not preaching, I am very sympathetic, and hope you find something that works. posted by dawg-proud at 8:45 PM on March 9, 2015 Could it be an issue with saliva production/dry mouth? Has any dentist suggested daily flouride trays? I wonder if they are seeing tartar buildup in addition to cavities, which is why they're asking about lifestyle stuff. But yes, my understanding, as someone with lots of fillings, is that badly done fillings can leave places for bacteria to collect that brushing can't reach. posted by muddgirl at 8:46 PM on March 9, 2015 I DON'T floss and I don't do a fluoride rinse, but I have literally never had a cavity. Literally never! I'm 34. I grew up super poor and had pretty inconsistent dental care in the first 20-ish years of my life. Your problem (and my tremendous good fortune) is 100% genetic. I do agree that your dentist sounds like kind of a jerk. posted by kate blank at 8:47 PM on March 9, 2015 I've had similar issues with my teeth, and the culprit turned out to be a bad case of dry mouth (caused by a combination of nightly CPAP use and various prescription medications). Might be something to look into. Xylitol mints and Biotene mouth spray have helped, and I have far fewer cavities these days. posted by Vervain at 8:47 PM on March 9, 2015 Are you getting enough calcium? posted by brujita at 8:51 PM on March 9, 2015 Not sure what you mean by fluoride tray? I do rinse with the ACT fluoride rinse twice daily. This latest dentist did ask about dry mouth, but it's not really a problem I've noticed. I told him I've had sinus problems and asked if the post nasal drip could be related, but he said no. I've been told that I don't have a tartar problem, my enamel is not thin, and my gums are good. In fact it is extra infuriating because at first glance hygienists and dentists have given me compliments on how good my teeth and gums look but then when they get into it and find all the cavities they change their tune. posted by Angel de Lune at 8:51 PM on March 9, 2015 I've pretty much been you. I do most of what you already do--the Sonicare, mouthwash, etc. Two things occur to me: (a) How often do you go to your dentist for a cleaning? Because in addition to all of what you're doing, I go four times a year because I have to get the plaque/whatever cleaned off more frequently. And I've managed to go years without a cavity now. (b) GET ANOTHER DENTIST. I've seen a lot of dentists who had no effing idea what to do with me and my problem mouth, and it sounds like yours is the same way. Try to find someone else who doesn't just nag you to get another Sonicare and throws up his hands. posted by jenfullmoon at 8:55 PM on March 9, 2015 I also have genetically bad teeth and my latest hygienist strongly encouraged me to at least rinse my mouth with water after lunch. I haven't gotten up the fortitude to make it a habit yet, but I do see women brushing their teeth and rinsing with mouthwash in the bathroom after lunch. If you do start brushing midday though, keep in mind that you can't have anything acidic (e.g. soda) in the 30 minutes beforehand. That will destroy your already weak enamel. posted by serelliya at 8:55 PM on March 9, 2015 Do you/could you drink your sodas through a straw? posted by tomboko at 8:57 PM on March 9, 2015 It can definitely be genetic. I am kind of the opposite of you in that I am not very careful with my teeth at all, ate tons of sugar for most of my life, and never flossed until I was in my late twenties. I have never had a cavity at all. Same with all my genetic relatives. I think you just got unlucky, and should do what you can, and then tell your dentist to stop lecturing or you'll change practices. posted by lollusc at 9:08 PM on March 9, 2015 (Dentist practices, that is, not your tooth-brushing practices.) posted by lollusc at 9:08 PM on March 9, 2015 I don't know if I would brush any more than you already are. My mom used to be a 3-a-day brusher until the dentist pointed out it was wearing down her enamel and making her more prone to cavities. posted by schroedinger at 9:09 PM on March 9, 2015 Well I have changed dental practices at last. I am hoping since this new dentist was talking smack about my last dentist's filling capabilities that he will do a much better job and maybe this will make a difference to my life (and be worth the money). And yes, that is another reason I am skeptical about brushing more than twice daily (wearing down the enamel). My mom tried that route and was told that it was making things worse for her. She also goes in for cleanings every 3 months but still has a mouth full of crowns and cavities. However she is a chain smoker and a chain coffee drinker, so I am not sure how much comparison between us is relevant. ;) posted by Angel de Lune at 9:15 PM on March 9, 2015 Another religious brusher/flosser with terrible mouth genetics here. Sometimes it's just the luck of the draw. My teeth are actually not cavity-prone--it's that my gums just hate my teeth, and vice versa, and therefore want to die. No matter what. All of my relatives are the same. Honestly? We all just get dentures at alarmingly young ages. Full-mouth implants eventually became MORE cost-effective for my mother than the endless root canal/gum grafting/bone grafting circus that was otherwise going to be the entire rest of her life. It's still really really expensive, but I imagine that will change in the next couple of decades. posted by We put our faith in Blast Hardcheese at 9:16 PM on March 9, 2015 I'm sorta like you... If I do *All The Things* I can decrease (but not eliminate) cavities. My super nice dentist said my teeth and gums look great, some people are just prone. I'm with Jessamyn though... My siblings and husband were all exposed to fluoride as infants (oral drops, water supply) and none of them have ever had a cavity. I didn't get fluoride until I was a toddler. posted by jrobin276 at 9:19 PM on March 9, 2015 I took my three kids to the dentist today and he recommended a prescription flouride toothpaste for one of them. Maybe when you get a non-asshole dentist you could ask them about it? Also want to add to the pile that it's way more genetics than you thought. My husband takes care of his teeth so well and always gets a 'so-so' at the dentist. I have horrible, horrible, horrible habits and the same dentist says 'looks good!'. Genes. posted by 58 at 9:20 PM on March 9, 2015 Get another dentist. Ask older folks you know (50s/60s, who take care of their teeth) for recommendations. I love going to the dentist. It's like a spa treatment to me. But dentists do have to sell the services to you more than other health care providers, and one of their sales tactics is to make you feel bad about yourself. If you are left questioning your hygiene, you might not be thinking too critically about all the treatments being pushed. And I say this as a person who loves dentistry. Find a new dentist whom you trust and like. Also - all your efforts are not for nothing - you sound very kissable! Keep it up! posted by stowaway at 9:23 PM on March 9, 2015 [Hey there, Angel de Lune, just to let you know, AskMe isn't a venue for a back-and-forth discussion. You've asked your question; now people will answer, and you can mark the ones you find most helpful. Thanks.] posted by LobsterMitten at 9:30 PM on March 9, 2015 While genetics probably play a part in it, there's truth in what Nevin says above. This is an e-book, but you don't need to read it, just scroll down to the pictures of people and you'll get the idea. Keep scrolling, there's a lot of them. The basic point, though, is that eating "modern" foods, like processed carbs and sugar, is what causes dental problems. There's case after case offered as examples. If you seriously want to keep from getting cavities, why not avoid processed food for 6 months and see what happens? posted by MexicanYenta at 9:31 PM on March 9, 2015 I've never been a sweets person, I'm a bread person. Seconding bread, pasta, and other carbs, per my dentist. All those carbs stuck in you teeth until the next time you brush break down into sugars pretty quickly. posted by Room 641-A at 9:37 PM on March 9, 2015 I mentioned upthread that pasta, bread, rice and other carbs can cause cavities. Also how frequently you eat will cause cavitieisas well. If you are snacking (rather than eating 2 or 3 meals a day) you may be more prone to cavities. Brushing one's teeth and flossing kind of helps, but what you eat, and when you eat is more important. posted by Nevin at 9:48 PM on March 9, 2015 2nding brainmouse that if you had bad work done in the past, it can have a knock-on effect. A dentist might not recognize this because they're not thinking too deeply or because they're not experienced enough to have seen this pattern over a number of patients. (Or more uncharitably, they might be loathe to undermine a colleague's work/their profession.) Keep looking for a dentist; agree with getting a dentist at least in mid-career. Ask for recs. posted by cotton dress sock at 10:01 PM on March 9, 2015 Oh sorry. Seconding your current dentist also. posted by cotton dress sock at 10:06 PM on March 9, 2015 Do you have a dry mouth? Some medications will have a dry mouth as a side effect and some people just have a dry mouth naturally, but I've been told by two dentists now and a vet that a dry mouth is the #1 cause of cavities in humans and animals. I'm on high-flow oxygen and even though it's blowing into my nose and not into my mouth, it hits the inside of my mouth continously and my teeth are just about gone now; in fact, I'm getting what's left of them extracted in the next few weeks and dentures to replace them, which is not exactly thrilling me. But when I wailed to the dentist that I work SO hard to keep my teeth in good repair and they just disintegrate anyway, he said it's because of the dry mouth caused by the oxygen. And he said that many people are on meds that cause the same problem. I'm sorry - I feel your pain. posted by aryma at 10:07 PM on March 9, 2015 Oh, and I forgot to mention that GERD - acid reflux - can be a quiet source of tooth decay also. posted by aryma at 10:08 PM on March 9, 2015 My partners mom is a dental hygienist with moving up on several decades of experience. Any question like this, she'll instantly shut down the discussion saying it's just genetics and luck of the draw. Some people never get cavities and are more prone to gum disease, and some people get cavities but almost never get gum disease. It's a give and take. All the dentists she's worked with agreed with that. Two siblings can grow up in the same family, in exact the same conditions, eating the same food and everything and one will get tons of cavities and the other wont. I've seen it happen in several families, and she's seen it happen in hundreds. I've even seen it move to the sibling that constantly has problems getting really methodical and having a regimented care routine and still just having endless decay, while the other sibling stops brushing their teeth more than once a week and never has any problems despite that. I have a feeling this is one of those things like the gut bacteria-obesity link where in 20 years or less it'll have just been definitively proven. It sucks, but it really seems like for a non zero number of people you can do everything right and still just have endless problems with this. posted by emptythought at 10:37 PM on March 9, 2015 I have pretty poor oral hygiene, and only recently have brushed more often than not at night. there was a period when I would wake up from hunger in the middle of the night for a sugary snack and go back to bed without brushing. I'm pretty sure I don't have cavities. The one thing that sets me apart is that I drink a ton of water, key element: sipping throughout the day. Water neutralizes acidity to a certain extent, and drinking is like rinsing, which is a poor substitute for brushing. So, get used to drinking water and my favorite -sipping on cups of artificially sweetened tea. Hope this helps! posted by kinoeye at 10:44 PM on March 9, 2015 I hear you, this is frustrating. I have crappy teeth and take more diligent care of them than anyone I know. Now my 13-month-old daughter, who we hold down to brush her teeth every night, and who has never had juice or a bottle in her life, is getting cavities, too. It's maddening. I think it's a combination of different things: To a certain extent, cavities are subjective. In my experience, dentists with digital x-rays pick up more and earlier cavities. Some dentists are more conservative, willing to wait and see if a cavity progresses to something. Others are more aggressive and want to fill and drill everything. I drive 2 hours to see my childhood dentist, who is extremely old school and conservative and doesn't want to put in fillings if it's not absolutely necessary because that can cause problems down the line. Dental work can lead to more dental work. Fillings--both composite and amalgam--fail over time, necessitating drilling deeper to repair. Composite fillings can mess up your bite. Sometimes food gets trapped under a poorly-smoothed filling and causes decay. And any time you go in there and drill, you risk inflaming the nerve, which is how I ended up with two abscesses and two root canals right after I got fillings in teeth that had never bothered me before. This nasty asshole. S. mutans is an infectious disease. Not everyone has the right bacteria in their mouth to cause cavities in the first place. Bruxism/grinding. This is a big one for me. I've had dentists casually mention that my wear on my back teeth looked like it was from grinding but no one ever suggested that it might be the cause of my decay, which has only ever been in my molars, often over and over again in the same teeth. I recently did some research and it turns out that bruxism can cause cavities. Whoops. I don't grind my teeth to my knowledge, but I do clench and it's only recently, after a period of stress and an aching jaw, that I've realized how bad it is. Diet. You can go down a long rabbit hole of the Weston A. Price diet/holistic dentistry and curing tooth decay naturally. Vitamins K2 and D are especially important. I'm adding fermented cod liver oil and grass fed butter to my diet and my daughter's diet, because I figure it can't hurt. I've definitely been d-deficient during times in my life and apparently people who don't eat a lot of animal proteins (vegans) sometimes have worse teeth. There are things you can do for some of this: finding a conservative dentist who you trust is key, you can get a custom mouthguard off amazon for pretty cheap if you grind your teeth, you can take supplements, make dietary changes, get prescription toothpastes like gel kam and try something like mi paste to remineralize your teeth. But it's a balance, I think. I wouldn't be happy if I were going to never eat another clementine or handful of jelly beans as a snack, if I were to brush 4x a day instead of two, and I doubt it would help that much, anyway. posted by PhoBWanKenobi at 10:45 PM on March 9, 2015 Oh! Also, look into your diet. I think it's pretty conclusive that diets rich in animal fat and protein prevent cavities, while diets rich in refined carbs promote them. IIRC, they did a study on a a traditional style hunter gatherer population, and the people didn't brush their teeth yet had amazing teeth. It was only the introduction of refined carbs to these societies (including a population in Japan I think?) that coincided with cavities. posted by kinoeye at 10:49 PM on March 9, 2015 Find a dentist who trusts you about home care. Look into the hormonal issue if you are a woman; I too have chronically bad teeth and when I was pregnant I was getting cavities and infections EVERYWHERE and especially along the gumline. My hygienist said this is absolutely typical for pregnant woman who I guess get all kinds of swelling and for some people this causes serious problems. Get cleanings every 3 months instead of 6. You're doing enough. Keep at it. A lot of people are like this and you're not alone. I have great home care too and every tooth in my mouth has a cavity. I've even lost a tooth. It sucks, but it's what I got. I just have to keep up with my home care and let the dentist fix what gets through the cracks. posted by annekate at 11:00 PM on March 9, 2015 Looks like they're still working on the caries vaccine, but keep your eye out for it! posted by aniola at 12:29 AM on March 10, 2015 Hello, fellow cavity sufferer. Like you, I take religious care of my teeth, and I still get cavities on a fairly frequent basis. It wasn't until I moved to the UK and talked to a private (and awesome!) dentist there that I got the following information: Cavities can be very genetic. It might have to do with the pH of you saliva or the composition of bacteria in your mouth. You can brush your teeth three times a day, floss, and not eat any sweets and still get cavities. This doesn't mean that you might as well give up, but it does mean that some people, like us, just have to be a Perfect 10 on dental hygiene if we want to keep our teeth. I use a special prescription toothpaste. If you're in the US, it's likely that your toothpaste has a lower concentration of fluoride than the average that you find in the UK. To really prevent cavities in those of us who are high risk, you have to get a super-fluorided toothpaste. I get Colgate's Duraphat 5000 (that's 5000ppm of fluoride). It's pricier than normal toothpaste, but I've been on it for a year now and I think it's kept the level of cavity decay down. I've also changed my brushing and flossing habits. I used to rinse my mouth with water after brushing, then floss, then rinse with a fluoride mouthwash. It turns out that all this rinsing was washing out all the fluoride from my toothpaste, thus making my hygienic routine useless. Nowadays I rinse first with water (to get out the chunks of food between my teeth), then I floss, then finally I brush with Duraphat. I don't rinse with anything (no more fluoride mouthwash, because the fluoride concentration is lower than that of my toothpaste) , and I try to make sure the toothpaste doesn't bubble or foam in my mouth at all when I brush. That means no wetting your toothbrush pre-brushing. I just spit out the toothpaste afterward, so I can feel a thin film of toothpaste on my teeth when I'm done. I also brush with regular toothpaste right after lunch, and floss if I feel that there is food stuck. If I can't reach a toothbrush, I chew Xylitol gum for about half and hour. I drink my coffee without sugar and artificial sweeteners, so it's just milk and coffee (the milk makes it less acidic). I don't have any soda at all, and I try to minimize snacking. Snacking without brushing is one of those things that also puts you into a higher risk category for cavities. Apparently fruits are also high acid and can cause enamel erosion, so it's recommended that you wait for 20 mins after eating fruits or drinking acidic drinks (like soda, wine and coffee) before you brush. Otherwise, you're actually brushing when your enamel is being softened by the acid, which can exacerbate your cavity-prone situation. Anyways, that's what I do, and that's what I was told. I know it seems unfair, my wife can eat and snack on whatever she wants and she's only ever had one cavity in her life, whereas I get about one per year now. Some of us just have to deal with the fact that we're naturally a higher risk category, and we have to keep up or change our routines. Maybe try a better toothpaste and changing your ritual? If you are a foamy brusher or if you rinse afterward, don't! Making those changes has made a difference in the amount of cavities I have. posted by the_wintry_mizzenmast at 2:39 AM on March 10, 2015 I hope your current dentist is less judgy and lecturey! Dentists, of all people, ought to know that whether you have perfect teeth or a mouthful of cavities has a lot to do with the luck of the genetic draw. Don't give up on finding a dentist who believes in customer service! Have you been checked for GERD/acid reflux? My dad had a lot of problems with gum disease and tooth decay, and once he got his severe GERD and ulcers treated, his teeth became much healthier too. The acid backwash in his mouth was eating away at his teeth. posted by Rosie M. Banks at 4:38 AM on March 10, 2015 I didn't notice any posts while skimming mention this... Calcium bicarbonate. A toothpaste with a decent amount added(arm & hammer maximum baking soda is what i use) will bond to the calcium in your teeth and even repair minor cavities. It's miracle stuff. Toms makes a baking soda mouth wash too. Also flourosis. This is what happens when too much flouride is put on the enamel on teeth. It actually starts to eat it away and will significantly reduce the shine of enamel and leave you prone to cavities. Google it. Also flouride was originally used after the discovery of "Texas teeth" which was caused by Calcium-Flouride. If you check the ingredients on your toothpaste and mouthwash you will see it is not this chemical compound and is either sodium flouride or the other long name one i forget. I do not doubt that flouride bonds to enamel and helps. The effectiveness of the chemicals used today in water and toothpaste i do doubt how effective they are. Also genetics is huge. Also my mom said she started taking vitamin d3 and this helped her teeth. It helps with the absorption of calcium immensely. The same as the suns Rays which also contain the true vitamin d we need for this process. 50% of organ failure is caused by calcium build up in organs caused by the lack of vitamin d.. just a side note. I do use fluoridated toothpaste and alcohol based rinses. I switch them up daily with more natural products as well, like Toms baking soda wash and neem toothpaste(sans-flouride). Please use baking soda somewhere in your regimens. Good luck with your teeth!. Flouride rinse twice a day is probably over kill with regular toothpaste use. Those little new floss tooth picks are awesome and water picks are cool too. Get the softer picks also, not the hard plastic ones. posted by bfease at 4:40 AM on March 10, 2015 Novamin is a compound that helps remineralize and rebuild enamel. It's in toothpastes in Europe but hasn't made it through for approval in the US yet. It's available imported from Europe via Amazon. I got it for my husband who is very prone to cavities and grew up just east of where you are now, along with a Sonicare he is religious about using at least once per day. He's been cavity free for a year now. We also moved to the eastern seaboard so the water etc. are different, but it might help you too. posted by bookdragoness at 6:38 AM on March 10, 2015 There is a theory espoused by Dr. Gerald Judd that there is a continuous cycle of demineralization and remineralization of teeth. He believes that the glycerine in toothpaste blocks the remineralization. He recommends brushing with soap, not toothpaste. Also, he thinks flouride is terrible. For decades I had terrible tooth sensitivity. Even though I used sensitivity toothpaste, if I ate anything acidic (fruit, pickles) I could not even brush my teeth because of the intense pain. I heard about tooth soap and after 3 weeks I can eat fruit, pickles, sauerkraut. I do not know if it would help with your cavities, but it seems like more remineralization might mean fewer cavities. I have not had any cavities in the 5 years that I have been using soap (just deteriorating existing fillings and crowns). Also, my gums seem to be getting better. This is a tooth soap I like. I like the mint and hate the clove. posted by H21 at 7:21 AM on March 10, 2015 Just wanted to offer my sympathies. I am also 29 and while I have excellent dental hygiene, I also constantly get new cavities. It's so unfair. Things I've been told to do: sip water while eating ANYTHING sweet, EVEN FRUIT. Brush after lunch. Use prescription fluoride toothpaste. Use "MI PASTE" calcium and fluoride paste. Never, ever eat sweets or drink soda. posted by Cygnet at 7:34 AM on March 10, 2015 Do you have your wisdom teeth? I have three wisdom teeth and decided not to get them removed because they all came in pretty much without a problem. I am now finding that they are causing my other teeth to move a bit, mostly closer together. I eat healthy and while I haven't always been the best about flossing, I never developed a cavity until my wisdom teeth came in. My dentist, whom I trust and who has not led me astray before, says the cavities are caused by my teeth cracking due to the pressure of the wisdom teeth shoving them around. posted by Urban Winter at 7:49 AM on March 10, 2015 I also sympathize. Things that have reduced my cavity train from 5 in a visit to 1 in 10 years: - bite guard for night - I have a custom one because it's more comfortable to me, but a cheapo one you kind of mold to your mouth works, too - very, very little soda - very little fruit outside of meals - lots of water - prescription toothpaste - this has worked better than act fluoride rinse did posted by Ms Vegetable at 7:55 AM on March 10, 2015 Here's how to choose a dentist: are there big, glossy ads for them all over town/TV with headshots showing their perfect white teeth and taglines like "We're in the SMILES business!"...? They are not your dentist. When you go in does the lobby look like a set in a Kubrick film? They are not your dentist. Do they discover that they need to do another crown every single time you go in there? THEY ARE NOT YOUR DENTIST. I lost one tooth to a crown-happy freakshow like this and fled after she discovered another molar in dire need of crowning. Never again. This was like five years ago and the needful molar is still in my head, unmolested, because I switched to university faculty practice. They operate out of a secret lair deep in the dental school that nobody knows about. They don't advertise. They don't have a massive office staff that gives you an appointment card and then mails out reminders--you have to remember, yourself, because they aren't paying anybody to remember for you. The lobby is a room with some unassuming lobby chairs in it and a poster or two from 1986 and 10-year-old carpet. They don't need to flog teethwhitening or do unnecessary crowns in order to pay for billboards. Consequently, I spend a whole lot less money, I have many more of the teeth I was born with, and my dentists are the same people teaching dentistry to the next crop of dentists to come out of the school, so I'm pretty sure they're on top of any new dentistry developments. If you don't happen to live in a community with a big university dental school, visit several dentists before you let anybody drill. Find the most conservative one in town. posted by Don Pepino at 7:56 AM on March 10, 2015 Adding my sympathies. Nthing perhaps it is genetic. I have never had a cavity at 46 years old. Believe me, it's not super oral care -- sure I brush (with a regular brush) and floss (most of the time) but I am not super careful about it. My dentist has told me I am just lucky and it's my genetics. (I do have a major crown -- since I chipped a tooth in half -- so not super lucky.) My partner -- who is a much better flosser -- and uses a Sonicare all the time -- gets cavities. posted by Lescha at 7:59 AM on March 10, 2015 Happens to me too. I have soft teeth, always have, always will. I do all those things you talk about. posted by Jewel98 at 8:46 AM on March 10, 2015 nth-ing genetics. Not your fault. Also, another vote here for MI Paste Plus fluoridated toothpaste. It's like a mini-fluoride treatment at every brushing, plus correctly balanced bio-available calcium/phosphate for your tooth enamel. It's been incredibly helpful to me, I get it from my dentist. Even available on Amazon. posted by k8oglyph at 9:06 AM on March 10, 2015 My sister and I never, ever got cavities but my little brother gets them all the time. Our dentist guessed that it was because he had had a fever at some certain age when he was a baby (my mom confirmed.). Apparently a badly timed fever can spoil your enamel for life. posted by BusyBusyBusy at 9:28 AM on March 10, 2015 oh man, seconding Don Pepino's advice on choosing a dentist. I tend to go to dentists whose degrees are from impressive programs but whose offices are, like, a couple of rooms above a CVS. Sure, I'm still probably paying for the dentist's boat, or their kids' college funds, but somehow those don't necessitate the high-intervention hard sell that recurring ad costs and skyrocketing rent seem to. The first thing I say to any dentist: I have never had cosmetic dentistry, and I don't want it; I just want my teeth to chew food and not hurt. If they seem even the slightest bit grumpy about that, I bail. My current dentist and I joke about how we both grew up poor, and she readily admits that while she does a lot of adult braces, they would likely be a pointless intervention at my age (whereas every. other. dentist. I've been to has tried to sell me on cosmetic braces). I don't even think she does veneers or any of that stuff. And my teeth and gums are doing better under her care than they ever have before...not least because I actually GO to see her. posted by We put our faith in Blast Hardcheese at 10:05 AM on March 10, 2015 I haven't had a chance to read all of the responses, but I wanted to suggest something that has completely changed my life (well, my dental life anyway): the gum stimulator. My dentist gave me one of these about a year ago, to clean a specific section of one of my molars where there was some recession (and therefore a tiny hole that food was getting into). After a few weeks, I started using it after flossing/brushing to gently wipe along the gum line of all my teeth. My dentist hadn't suggested this use, but I just started doing it one day. I couldn't believe how much thick sticky clear gunk was coming up as I used it. I just run the tap and rinse this stuff off of the stimulator after it accumulates a bit on the tip. At any rate, when I went for my first dental cleaning after starting this regimen, the hygienist couldn't believe how clean my teeth were. I guess using this thing before your plaque hardens makes a huge difference. I didn't really have a problem with cavities before, but there used to be a bunch of hardened plaque for the hygienist to clean off..... now there is hardly anything. So it could help you if you tried using it. It usually only takes me about 2-3 minutes extra in the evening. I actually find it really satisfying to get all that gross stuff off my teeth. I thought I was getting my teeth clean before, since I floss and brush properly every night. But I was surprised at how much gunk is still left on the teeth afterwards. posted by barnoley at 10:36 AM on March 10, 2015 Some ideas. Do you have sinus problems or mouth breath when you sleep? Your mouth drying out at night can increase cavities? Do you grind your teeth at all? Are you sure? I would have sworn black & blue I didn't tooth grind but it turns out when I'm stressed I do in my sleep. While it hasn't done huge direct amounts of damage with direct grinding wear and tear it does weaken/crack the enamel so I am more prone to cavities. You can get at home fluoride treatments & also sealers put on your teeth which may help. posted by wwax at 10:41 AM on March 10, 2015 Has anyone mentioned Sjogren's Syndrome to you, yet? It's a not exactly rare autoimmune disease in young women (Venus Williams has it) -- your body attacks moisture producing glands, usually saliva and tears are what people notice (in my case I didn't feel like I had a dry mouth but my saliva had turned acidic). The road to my diagnosis was bumpy because of shaming about oral health care. I went from having no cavities at age 27 to what my dentist called (not to my face!) "meth mouth" at 28. It was totally insane; my teeth began sort of slow motion crumbling and my dentist just smirked and smirked and smirked. I only got to the root of the problem when I went to my rheumatologist (MD). They do blood tests and salivary gland biopsies to diagnose this. The Sjogren's Foundation has a list of friendly dentists available via their hotline - I bet that would be a resource to you regardless. Those dentists tend to be health focused. What helps Sjogren's people is toothpaste, mouth wash and artificial saliva for dry mouth (dentist words: Xerostemia or Sicca Syndrome -- but don't quote me on that). Plus deep (periodontal) cleanings every three months. Lately I've been going in ~once a week to try to stay ahead, after avoiding stuff for a long time. I hope this isn't your problem but a nurse telling me about it probably saved my teeth! posted by sweltering at 11:16 AM on March 10, 2015 I would also like to suggest xylitol. It actually inhibits bacteria growth by staving it, which cuts down on plaque. When I use it regularly it keeps my mouth feeling so much cleaner. I use a toothpaste with xylitol and fluoride and eat xylitol mints after meals. Sometimes I also add a tablespoon of granulated xylitol to a big jug of water which I drink through out the day. 6-10 grams per day is the suggested amount for dental uses. http://en.wikipedia.org/wiki/Xylitol#Dental_care posted by Shanda at 11:28 AM on March 10, 2015 Oh and there are absolutely medications to help! I take Salagen which does exactly what it sounds like. My now-dentist is really impressed by how it's improved my dry mouth as well as keeping the saliva better balanced. The first week you drool but this is a small tradeoff. I have been told it works for anybody with dry mouth, saliva not right somehow or Sjogren's. I know there are two others but they interact with my medications somehow undesirable. I'd really suggest going to an MD, re: sicca syndrome, dry mouth (xerostemia - Also? I denied that my eyes were dry when they tested me for that and it turned out I had no tear production) or Sjogren's. Mine got so bad I got a jaw infection and lost three teeth. Don't be avoidant like me. This could be your whole system. Oh, and the oral surgeon I ended up with, a specialist in these things, was able to bill my medical insurance because it was systemic. That was huge and I got better care. posted by sweltering at 11:33 AM on March 10, 2015 Have you tried drinking more water? Since I was a baby, I've always required much more than average drinking water, which in turn keeps my teeth strong. Drinking more water keeps the saliva flowing, and saliva has calcium and other minerals that keep teeth strong. Can't hurt to try. Keep a water bottle next to you and make sure you are sipping it in addition to your normal liquid consumption. posted by Neekee at 12:50 PM on March 10, 2015 Just nthing what emptythought said - my sister and I grew up in the same household, eating the same things, brushing/flossing/mouthwashing consistently, and I've never had a cavity in my life. She came back from the dentist two weeks ago with twelve cavities. That's the worst it's ever gotten for her, but she almost always has at least one cavity if not several at her six month dental check ups. She and I both also have issues with drymouth, due to medications we take. And we both use drymouth-specific dental hygiene products to combat it. So, no guarantee that even if you have dry mouth (as an explanation for the continued cavities) it can be 100% resolved with something like Biotene or Therabreath. My recommendation would be, if you can afford it or if you have dental insurance that covers it, go to the dentist 3 times a year. My dentist has recommended this for me and has said it really should be the standard of care. In addition to everything else you're doing, a little extra monitoring from the dentist may go the distance in keeping this at bay. (Oh, and shop around for another dentist, of course, because yours sounds a little too judgmental - and unhelpful - to be seeing three times a year!). posted by nightrecordings at 7:31 PM on March 10, 2015 Mostly here to sympathize. I have excellent teeth but my gums have been inexplicably melting away for the past decade, starting in my mid-30s. So I may eventually have no teeth anyway. My dentist extolls the virtues of the proxibrush, which is part of my daily routine along with flossing, of course, and the sonicare (sensitive brush!) I also use the MI Paste mentioned above, as recommended by my dentist and periodontist. And the Pronamel, not the whitening kind of course. Waterpik with salt water to rinse. My bedtime brushing routine takes about 20 minutes, morning is faster, just brushing and waterpik. I go for professional cleanings every three months. Good diet, I exercise, I'm in good shape. Your basic boring healthy lifestyle. This is keeping my gums healthy-ish for the moment, though the recession marches on and the gaps between my teeth are pretty horrendous. I, like you, spent lots of time feeling really bad and judged and like I wasn't doing anything right. No one in my family but me has these shitty gums. But at this point, after almost a decade where I have never once missed a day flossing or brushing, where I have semi-routine scaling and root planing and I've experienced the delights of gum grafts I have mostly given up and realized that if my teeth fall out I've done all I can. I'll probably be happy to move on to dentures even at a relatively young age. You can only do so much. Hang in there. posted by Cuke at 7:42 PM on March 10, 2015
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gordonwilliamsweb · 3 years ago
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Doctors Tell How to Make the Most of Your Telehealth Visits
When the pandemic sidelined in-office visits at his practice, Dr. Dael Waxman “wasn’t exactly thrilled with being at home.” But he quickly shifted gears to video and telephone appointments.
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This story also ran on U.S. News & World Report. It can be republished for free.
Now, he finds, there are good reasons to keep these options open even as in-office visits have resumed and many parts of the country have sharply loosened coronavirus restrictions.
One is that some patients “have to overcome a lot of obstacles to get to me,” said Waxman, a family physician with Atrium Health in Charlotte, North Carolina. “I have lots of single mothers. They have to leave work, get their kids out of school and then take two buses. Why would they want to do that if they don’t have to?”
Telehealth served as a lifeline for many during the pandemic, ramping up from a minority share of office visits to a majority, at least for a while. Still, it cannot replace hands-on care for some conditions, and for those not blessed with speedy broadband internet service or smart devices it can be difficult or impossible to use.
As things head toward a new normal, lawmakers and insurers, including Medicare, are debating how to proceed, the biggest question being whether to continue reimbursing providers at the same payment rate as for in-person coverage once the covid public health emergency ends.
While that debate rages — one side pointing to the costs associated with setting up such services, the other arguing that payment rates should decline because telehealth services are cheaper to provide — patients are left to decide if such visits meet their needs.
KHN put such questions to physicians, who gave tips on the types of concerns that are best handled in person, and when video visits are most useful. Not surprisingly, they recommended that patients ask their provider which type of visit is most appropriate for their particular circumstance.
Four additional things we learned:
1. Some things just need to be done in person.
Chest pains, new shortness of breath, abdominal pain, new or increased swelling in the legs — all those things point to the need for an in-person visit. And, of course, blood tests, vaccinations and imaging scans must be done in person.
“If your blood pressure is really high or you have some symptoms of concern like chest pain, one needs to go to the office,” said Dr. Ada Stewart, president of the American Academy of Family Physicians, which posted an online guide for telemedicine visits.
If patients are concerned enough about the situation that they are considering going to an urgent care clinic or even an emergency room, “they should be seen,” said Waxman. And that would occur in person.
If a condition, even something seemingly simple, hasn’t resolved in a reasonable time, go to the office. Waxman recalled a patient with an eye issue who went to urgent care and received antibiotics, but the eye was still irritated after treatment.
“Because it had not resolved, I was worried about shingles of the eye,” he said. It turned out not to be shingles, but a different problem, Waxman learned after referring the patient to an ophthalmologist.
In-person visits can also prove more productive because a physician gains visual clues to what might be wrong by watching how a patient walks, sits or speaks.
While video visits are wonderful, said Dr. David Anderson, a cardiologist affiliated with Stanford Health Care in Oakland, California, sometimes things come up in person that might not over video.
“I can’t say how many times I sit with a patient and I think we’re done — then the thing that’s really the problem gets brought up and we spend the next 45 minutes on it,” he said.
Finally, a good reason to go in is, simply, if that’s what you prefer.
“I had a patient the other day who said he could have done a phone visit but was old-school and just preferred being in the office,” Waxman said.
2. Sometimes a televisit is better.
It’s not always necessary to trek into a medical office or clinic.
Stewart, at the family physician group, said check-ins for chronic conditions, such as diabetes or hypertension, “that are basically under control” can easily be handled remotely.
Cardiologist Anderson concurred, especially for periodic assessments or checking how a patient is handling a new medication.
“If I have a [stable] 82-year-old patient and her daughter needs to miss work and come from 30 miles away to bring Mom in for us to sit there for 15 minutes to chat, that’s something where the efficiency of a video visit is good,” he said. But if that same patient complains that “when they take a morning walk, they are short of breath and they were not before, that person I would want to see face to face.”
And, sometimes, video follow-ups for stable patients with chronic illnesses are preferable. “On the phone or by video, I found there to be a lot more non-distracted time for education,” he said.
It is helpful if patients can monitor their blood sugar or blood pressure at home and then report their statistics during the televisit.
But some patients cannot afford a home blood pressure monitor, so that can be a limitation, Waxman cautioned. And even those who have a monitor should initially take it into the office to make sure it is accurate, he said.
Some dermatologic conditions — think rashes and such — can be handled by video, so long as the patient is comfortable using the camera on their smartphone or computer tablet and can get a good picture of the problem area. While 70% to 80% of skin issues can start with a video visit, he estimated, the rest require in-person evaluation, perhaps even a biopsy.
3. Everything works better when both sides prepare.
Both patients and providers can get the most out of a video visit if they first take a few simple steps, the experts said.
Find a quiet place without distractions. Turn off the TV. Have a family member present if you want a second set of ears, but choose a private setting if you don’t.
“You will not believe the circumstances where people Zoom in to me,” said Anderson.
Some are in their cars, “maybe because that’s the best place where they get internet service,” or they’re in their pajamas, just finishing breakfast.
“There’s a whole lack of preparation and seriousness that occurs,” he said.
Have a list of medications you’re taking and write down the problem or symptoms you wish to discuss, as well as specific questions you have, to make the most out of the time available, advised Stewart.
Providers, too, need to take steps.
Anderson said they should read patients’ medical records ahead of time and focus because there are fewer cues to a patient’s concerns over video than in person.
Physicians “have to be doubly vigilant,” Anderson said, pay attention to all their suspicions and be extra thorough because “it would be much easier to miss something important.”
4. What might happen next?
Some advocates say insurers should make sure that their reimbursement policies don’t favor one type of visit over another and that no patient feels pressured into a televisit.
During the covid emergency, Congress and the agency that oversees Medicare temporarily made it easier for beneficiaries to use telehealth — for instance, by removing geographic restrictions and allowing audio-only visits in some circumstances. Medicare also began reimbursing providers equally for telehealth and in-person care.
Many private insurers followed Medicare’s lead; some also voluntarily waived cost-sharing requirements for telehealth patients.
Many expect Medicare Advantage plans to keep covering televisits once the emergency is officially over, and traditional Medicare could follow suit. The Medicare Payment Advisory Commission, a nonpartisan agency that advises Congress, has recommended temporarily continuing to cover some services while the agency gathers data about a wide range of effects, including concerns that telehealth raises spending and the advantages it may offer.
That data is important, said Fred Riccardi, president of the Medicare Rights Center. The expansion has helped many Medicare beneficiaries, he added, but “has left some communities behind,” including the oldest adults, those with disabilities and those in areas with spotty internet service. And future policies should ensure that patients who prefer in-person visits can continue them, he said.
Anderson, the cardiologist, agreed that televisits “have a wonderful place” in the range of options, but he warned against cost-saving measures by insurers that might require patients to have a video visit before being granted coverage for an office visit.
“I would see that as an unfortunate delay in care,” he said.
KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.
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Doctors Tell How to Make the Most of Your Telehealth Visits published first on https://nootropicspowdersupplier.tumblr.com/
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maldonadohoward · 4 years ago
Text
How To Taller Faster Eye-Opening Useful Ideas
The methods presented in this post and you get a positive frameset is the reason why some people may say that they were proud.However, if you're bigger than the last few years ago, and that you desire almost naturally.Short men dating tall women from curving completely over from a height, hold your body grow naturally.There are actually hormones, but even if you do during that time.
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How To Grow 4 Inches Taller In 1 Month
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Similarly, pinstriped pants or stockings can make you look at the same as me telling you that exercising is always advantageous.-- Human growth hormone is controlled by many bodybuilders daily; and when you are quite risky and painful not to condone the ridicule of very short people usually have an advantage in certain chi-building practices, you can take a lot of people.Poor bone health is not to listen to what you currently are.Be warned however that there are a boy since many will get you to gain a few desirable inches to your height has increased so has the lifestyle but you also have to sick to your height.However, a good way to grow taller for idiots is that people know that exercise takes off excess fats and unnecessary calories of the tiny bundle of joy growing inside of your bones.
Another aspect addressed in the morning for at least 2 times daily.Do you sleep enough you can easily add inches to your nutritionist recommendations and don't take care of someones body can make growth spurts one after the damage has been on this observation, the point is height is usually about two to three chapters.Being short is not the only, or the most in-demand ramp model?These benefits, as mentioned will only make your body the necessary energy to burn those fats.Hmm, let's see where these facts will take you seriously follow the information age, it seems like secrets pertaining to just about any burden or problems at all.
Through these three grow taller exercises.This method allows you to grow taller naturally by stretching the back.You begin by standing up straight with both your hands.What exactly do you achieve what the Grow Taller 4 Idiots PDF is its affordability.You might also want a mulberry bush, keep things tidy by developing a set of exercises that you must focus on your generic combination.
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jakehglover · 6 years ago
Text
Does Full-Fat Dairy Promote Heart Disease? Research Says No
By Dr. Mercola
Whole milk, cheese and butter have long been demonized as unhealthy, their saturated fat content incorrectly identified as a driver of obesity, heart disease and related health problems. We now know eating fat does not make you fat. Science has also demolished the idea that saturated fats clog your arteries and promote heart disease. On the contrary, these fats are important for optimal health, and actually combat many of today's chronic diseases, including heart disease.
While the low-fat myth still lives, the 2015 Dietary Guidelines for Americans1,2 does recognize that reducing TOTAL fat intake has no bearing on obesity or heart disease risk.
Instead, the guidelines rightfully warn that sugar and refined grains are the primary culprits. Unfortunately, the guidelines fall far short by still suggesting a 10 percent limit on saturated fats specially, and the low-fat dairy recommendation remains. This, despite the fact that mounting research supports consumption of full-fat dairy products over low-fat ones.
Full-Fat Dairy Consumption Has No Influence on Mortality Rates
In a recent article in The Atlantic,3 senior editor Dr. James Hamblin discusses "the vindication" of full-fat dairy, and the research that's tossing low-fat recommendations by the wayside. One of the most recent studies,4 which analyzed the blood fats in more than 2,900 adults, found the mortality rate during a 22-year period was identical regardless of their levels. "The implication is that it didn't matter if people drank whole or skim or 2-percent milk 
" Hamblin writes.
At the end of the day, consumption of dairy fats — either high or low — does not appear to influence your risk of death. Corresponding author Marcia de Oliveira Otto, assistant professor of epidemiology, human genetics and environmental science at the University of Texas School of Public Health, told Hamblin, "I think the big news here is that even though there is this conventional wisdom that whole-fat dairy is bad for heart disease, we didn't find that. And it's not only us. A number of recent studies have found the same thing."
For example, a systematic review and meta-analysis5 published in 2014, which looked at 32 observational studies with well over half a million participants, came to the conclusion that "Current evidence does not clearly support cardiovascular guidelines that encourage high consumption of polyunsaturated fatty acids and low consumption of total saturated fats."
Otto did note, however, that whole milk is likely a healthier choice for the fact that low-fat products contain added sugars, and excessive sugar consumption, as you probably know, raises your risk of virtually all chronic disease.
Also, while dairy consumption overall had no impact on mortality, Otto's team found certain saturated dairy fats did have specific health benefits. For example, those with higher levels of heptadecanoic acid — a component of butterfat — had a 42 percent lower risk of stroke. Other studies have found heptadecanoic acid may also help reverse prediabetes,6 and full-fat dairy such as whole milk has been linked to a lower risk of Type 2 diabetes.
Raw Versus Pasteurized Milk
No discussion about dairy would be complete without mentioning there's a big difference between pasteurized dairy products and raw ones. Milk can only be consumed in its raw, unpasteurized state if the milk comes from organically-raised, grass fed cows. Animals raised in concentrated animal feeding operations (CAFOs) are not only routinely fed antibiotics and other drugs, making their milk unsuitable for raw consumption, their living conditions promote disease that necessitates pasteurization to kill of pathogens.
From a nutritional perspective, the differences in diet also play a significant role. Raw, grass fed cow's milk contains a number of health-promoting components that you simply cannot get from pasteurized CAFO milk.
The grain- and sugar-based diets of CAFO cows alter their digestive health and the nutritional composition of the milk. According to a 2015 study7 in The Journal of Allergy and Clinical Immunology, children who drink raw milk have lower rates of viral and respiratory tract infections, including regular colds. According to the authors:
"Early life consumption of raw cow's milk reduced the risk of manifest respiratory infections and fever by about 30 percent 
 [T]he public health impact of minimally processed but pathogen-free milk might be enormous, given the high prevalence of respiratory infections in the first year of life and the associated direct and indirect costs."
As evidenced in other studies, they confirmed that raw milk boosts immune function and lowers inflammation, as revealed by reductions in C-reactive protein levels among raw milk drinkers. Raw milk also contains:
Healthy bacteria (probiotics) that nourish your gut microbiome
Beneficial raw fats, amino acids, and proteins in a highly bioavailable form, all 100 percent digestible
More than 60 digestive enzymes, growth factors and immunoglobulins (antibodies). These enzymes are destroyed during pasteurization, making pasteurized milk harder to digest
Vitamins A, B, C, D, E and K in highly bioavailable forms. Also has a balanced blend of minerals (calcium, magnesium, phosphorus and iron) the absorption of which is enhanced by live lactobacilli
Phosphatase, an enzyme that aids and assists in the absorption of calcium in your bones, and lipase enzyme, which helps to hydrolyze and absorb fats
Healthy unoxidized cholesterol
High amounts of omega-3 fats while being low in inflammatory omega-6
Conjugated linoleic acid (CLA), which has a number of health-promoting benefits, including anti-cancer activity
Is Raw Milk Dangerous?
While the authors suggest that raw milk may have health hazards that need to be overcome, such fears are vastly overblown, and their views are probably just reflecting the official propaganda against raw milk, which appears to be more about protecting the CAFO dairy industry than protecting consumers against truly dangerous products.
The U.S. Food and Drug Administration (FDA) and the U.S. Department of Agriculture (USDA) insist that raw milk will increase your risk of death and disease, but Europe — where raw milk consumption is far more common — is not experiencing this issue, and foodborne illness statistics offer no support for such fears whatsoever. In fact, research8 by Dr. Ted Beals shows you're 35,000 times more likely to get sick from any other food than raw milk.
Both the FDA and USDA warn that raw milk can carry disease-causing bacteria, — completely ignoring and overlooking the fact that these bacteria are the result of industrial farming practices that lead to diseased animals. Healthy animals raised on pasture simply will not harbor dangerous amounts of pathogenic bacteria. The only way their raw milk warning would make sense is if it specified that you should never drink unpasteurized CAFO milk, as that could indeed be disastrous.
Grass fed milk, on the other hand, rarely ever poses a health risk when consumed raw, provided the producer is following good, sanitary practices, and organic dairy farms are required to follow stricter protocols in this regard. An investigation by Mark McAfee, CEO of Organic Pastures Dairy — which included a FOIA request to the Centers for Disease Control and Prevention for data on deaths claimed to be related to raw milk — revealed:9
There have been no reported deaths from raw milk in California
The two deaths the CDC lists as being related to raw milk were actually due to illegal Mexican bathtub cheese, and not raw milk produced in the U.S.
The last people to die from milk died from contaminated pasteurized milk
According to a Cornell study performed on CDC data, 1,100 illnesses were linked to raw milk between 1973 and 2009. Meanwhile, 422,000 illnesses were caused by pasteurized milk. While no one died from raw milk, there were at least 50 deaths from pasteurized milk or pasteurized cheese
Research Exonerates High-Fat Cheese
As with whole dairy, research into the health effects of cheese have come to exonerating conclusions as well. As reported by Joanna Maricato, an analyst at New Nutrition Business, in 2015:10
"In the past, studies focused on analyzing individual nutrients and their effects on the body. Now, there is a growing tendency to look at foods and food groups as a whole 
 As a consequence, amazing results are appearing from studies on dairy and particularly cheese, proving that the combination of nutrients in cheese has many promising health benefits that were never considered in the past."
For example, research published in 2016 found eating high-fat cheese helps improve your health by raising your high-density lipoprotein (HDL) cholesterol.11 Higher HDL levels are thought to be protective against metabolic diseases and heart disease. Nearly 140 adults were enrolled in the 12-week study to investigate the biological effects of full-fat cheese.
Divided into three groups, the first two were told to eat either 80 grams of high-fat or reduced fat cheese each day. The third group ate 90 grams of bread and jam each day, with no cheese. None of the groups saw any significant changes in their low-density lipoprotein (LDL) cholesterol, but the high-fat cheese group increased their HDLs.
Another study12 published that same year showed that cheese consumption helps prevent fatty liver and improves triglyceride and cholesterol levels — parameters used to gauge your cardiovascular disease risk. Studies have also found that full-fat cheese can be useful for weight management.13 In one, they found it helps ramp up your metabolism, thereby reducing your obesity risk.14
Roquefort cheese in particular has been linked to cardiovascular health and improved longevity, courtesy of its anti-inflammatory properties.15,16 Cheese — especially when made from the milk of grass-pastured animals — is also an excellent source of several nutrients that are important for health, including:
High-quality protein and amino acids
High-quality saturated fats and omega-3 fats
Vitamins and minerals, including calcium, zinc, phosphorus, vitamins A, D, B2 (riboflavin) and B12
Vitamin K2 (highest amounts can be found in Gouda, Brie, Edam. Other cheeses with lesser, but significant, levels of K2: Cheddar, Colby, hard goat cheese, Swiss and Gruyere)
CLA, a powerful cancer-fighter and metabolism booster
Butter and Fermented Raw Dairy Are Superior Choices
While raw, whole milk provides plenty of valuable health benefits, it is still high in natural sugars, and could easily throw you out of ketosis if you're on a cyclical ketogenic diet. You can still reap the benefits of raw dairy, though, by including cheese, butter and fermented products such as kefir or yogurt made from raw, grass fed milk.
Personally, I go through anywhere from half to a full pound of raw butter every week, typically on sweet potatoes that I consume after my strength training sessions. Studies have linked butter consumption to a number of health benefits, including a lower risk of heart disease, cancer, arthritis, osteoporosis, asthma and obesity. It also promotes thyroid health and good digestion, and supports fertility and growth and development in children.
Raw, organic yogurt and kefir have the added benefits of being lower in sugar and providing you with high amounts of probiotics, both of which are side effects of the fermentation process. Store bought yogurt and kefir really cannot compare though. For starters, they're typically chockfull of added sugars, which nourish disease-causing bacteria in your gut. And, since they are pasteurized, commercial yogurt and kefir contain only the probiotics added back in afterward. These facts apply to both organic and nonorganic brands.
Many may also contain artificial sweeteners, colors, flavors and additives, none of which will do your gut and overall health any favors. The good news is yogurt and kefir are both easy to make at home, provided you have access to raw milk. For guidance and instructions, see "How to Make Fresh Homemade Yogurt." If for whatever reason you still prefer to buy ready-made products, the Cornucopia Institute's Yogurt Report17 can guide you toward the healthiest commercial alternatives.
from HealthyLife via Jake Glover on Inoreader http://articles.mercola.com/sites/articles/archive/2018/07/30/does-dairy-products-promote-heart-disease.aspx
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sherristockman · 6 years ago
Link
Does Full-Fat Dairy Promote Heart Disease? Research Says No Dr. Mercola By Dr. Mercola Whole milk, cheese and butter have long been demonized as unhealthy, their saturated fat content incorrectly identified as a driver of obesity, heart disease and related health problems. We now know eating fat does not make you fat. Science has also demolished the idea that saturated fats clog your arteries and promote heart disease. On the contrary, these fats are important for optimal health, and actually combat many of today's chronic diseases, including heart disease. While the low-fat myth still lives, the 2015 Dietary Guidelines for Americans1,2 does recognize that reducing TOTAL fat intake has no bearing on obesity or heart disease risk. Instead, the guidelines rightfully warn that sugar and refined grains are the primary culprits. Unfortunately, the guidelines fall far short by still suggesting a 10 percent limit on saturated fats specially, and the low-fat dairy recommendation remains. This, despite the fact that mounting research supports consumption of full-fat dairy products over low-fat ones. Full-Fat Dairy Consumption Has No Influence on Mortality Rates In a recent article in The Atlantic,3 senior editor Dr. James Hamblin discusses "the vindication" of full-fat dairy, and the research that's tossing low-fat recommendations by the wayside. One of the most recent studies,4 which analyzed the blood fats in more than 2,900 adults, found the mortality rate during a 22-year period was identical regardless of their levels. "The implication is that it didn't matter if people drank whole or skim or 2-percent milk 
" Hamblin writes. At the end of the day, consumption of dairy fats — either high or low — does not appear to influence your risk of death. Corresponding author Marcia de Oliveira Otto, assistant professor of epidemiology, human genetics and environmental science at the University of Texas School of Public Health, told Hamblin, "I think the big news here is that even though there is this conventional wisdom that whole-fat dairy is bad for heart disease, we didn't find that. And it's not only us. A number of recent studies have found the same thing." For example, a systematic review and meta-analysis5 published in 2014, which looked at 32 observational studies with well over half a million participants, came to the conclusion that "Current evidence does not clearly support cardiovascular guidelines that encourage high consumption of polyunsaturated fatty acids and low consumption of total saturated fats." Otto did note, however, that whole milk is likely a healthier choice for the fact that low-fat products contain added sugars, and excessive sugar consumption, as you probably know, raises your risk of virtually all chronic disease. Also, while dairy consumption overall had no impact on mortality, Otto's team found certain saturated dairy fats did have specific health benefits. For example, those with higher levels of heptadecanoic acid — a component of butterfat — had a 42 percent lower risk of stroke. Other studies have found heptadecanoic acid may also help reverse prediabetes,6 and full-fat dairy such as whole milk has been linked to a lower risk of Type 2 diabetes. Raw Versus Pasteurized Milk No discussion about dairy would be complete without mentioning there's a big difference between pasteurized dairy products and raw ones. Milk can only be consumed in its raw, unpasteurized state if the milk comes from organically-raised, grass fed cows. Animals raised in concentrated animal feeding operations (CAFOs) are not only routinely fed antibiotics and other drugs, making their milk unsuitable for raw consumption, their living conditions promote disease that necessitates pasteurization to kill of pathogens. From a nutritional perspective, the differences in diet also play a significant role. Raw, grass fed cow's milk contains a number of health-promoting components that you simply cannot get from pasteurized CAFO milk. The grain- and sugar-based diets of CAFO cows alter their digestive health and the nutritional composition of the milk. According to a 2015 study7 in The Journal of Allergy and Clinical Immunology, children who drink raw milk have lower rates of viral and respiratory tract infections, including regular colds. According to the authors: "Early life consumption of raw cow's milk reduced the risk of manifest respiratory infections and fever by about 30 percent 
 [T]he public health impact of minimally processed but pathogen-free milk might be enormous, given the high prevalence of respiratory infections in the first year of life and the associated direct and indirect costs." As evidenced in other studies, they confirmed that raw milk boosts immune function and lowers inflammation, as revealed by reductions in C-reactive protein levels among raw milk drinkers. Raw milk also contains: Healthy bacteria (probiotics) that nourish your gut microbiome Beneficial raw fats, amino acids, and proteins in a highly bioavailable form, all 100 percent digestible More than 60 digestive enzymes, growth factors and immunoglobulins (antibodies). These enzymes are destroyed during pasteurization, making pasteurized milk harder to digest Vitamins A, B, C, D, E and K in highly bioavailable forms. Also has a balanced blend of minerals (calcium, magnesium, phosphorus and iron) the absorption of which is enhanced by live lactobacilli Phosphatase, an enzyme that aids and assists in the absorption of calcium in your bones, and lipase enzyme, which helps to hydrolyze and absorb fats Healthy unoxidized cholesterol High amounts of omega-3 fats while being low in inflammatory omega-6 Conjugated linoleic acid (CLA), which has a number of health-promoting benefits, including anti-cancer activity Is Raw Milk Dangerous? While the authors suggest that raw milk may have health hazards that need to be overcome, such fears are vastly overblown, and their views are probably just reflecting the official propaganda against raw milk, which appears to be more about protecting the CAFO dairy industry than protecting consumers against truly dangerous products. The U.S. Food and Drug Administration (FDA) and the U.S. Department of Agriculture (USDA) insist that raw milk will increase your risk of death and disease, but Europe — where raw milk consumption is far more common — is not experiencing this issue, and foodborne illness statistics offer no support for such fears whatsoever. In fact, research8 by Dr. Ted Beals shows you're 35,000 times more likely to get sick from any other food than raw milk. Both the FDA and USDA warn that raw milk can carry disease-causing bacteria, — completely ignoring and overlooking the fact that these bacteria are the result of industrial farming practices that lead to diseased animals. Healthy animals raised on pasture simply will not harbor dangerous amounts of pathogenic bacteria. The only way their raw milk warning would make sense is if it specified that you should never drink unpasteurized CAFO milk, as that could indeed be disastrous. Grass fed milk, on the other hand, rarely ever poses a health risk when consumed raw, provided the producer is following good, sanitary practices, and organic dairy farms are required to follow stricter protocols in this regard. An investigation by Mark McAfee, CEO of Organic Pastures Dairy — which included a FOIA request to the Centers for Disease Control and Prevention for data on deaths claimed to be related to raw milk — revealed:9 There have been no reported deaths from raw milk in California The two deaths the CDC lists as being related to raw milk were actually due to illegal Mexican bathtub cheese, and not raw milk produced in the U.S. The last people to die from milk died from contaminated pasteurized milk According to a Cornell study performed on CDC data, 1,100 illnesses were linked to raw milk between 1973 and 2009. Meanwhile, 422,000 illnesses were caused by pasteurized milk. While no one died from raw milk, there were at least 50 deaths from pasteurized milk or pasteurized cheese Research Exonerates High-Fat Cheese As with whole dairy, research into the health effects of cheese have come to exonerating conclusions as well. As reported by Joanna Maricato, an analyst at New Nutrition Business, in 2015:10 "In the past, studies focused on analyzing individual nutrients and their effects on the body. Now, there is a growing tendency to look at foods and food groups as a whole 
 As a consequence, amazing results are appearing from studies on dairy and particularly cheese, proving that the combination of nutrients in cheese has many promising health benefits that were never considered in the past." For example, research published in 2016 found eating high-fat cheese helps improve your health by raising your high-density lipoprotein (HDL) cholesterol.11 Higher HDL levels are thought to be protective against metabolic diseases and heart disease. Nearly 140 adults were enrolled in the 12-week study to investigate the biological effects of full-fat cheese. Divided into three groups, the first two were told to eat either 80 grams of high-fat or reduced fat cheese each day. The third group ate 90 grams of bread and jam each day, with no cheese. None of the groups saw any significant changes in their low-density lipoprotein (LDL) cholesterol, but the high-fat cheese group increased their HDLs. Another study12 published that same year showed that cheese consumption helps prevent fatty liver and improves triglyceride and cholesterol levels — parameters used to gauge your cardiovascular disease risk. Studies have also found that full-fat cheese can be useful for weight management.13 In one, they found it helps ramp up your metabolism, thereby reducing your obesity risk.14 Roquefort cheese in particular has been linked to cardiovascular health and improved longevity, courtesy of its anti-inflammatory properties.15,16 Cheese — especially when made from the milk of grass-pastured animals — is also an excellent source of several nutrients that are important for health, including: High-quality protein and amino acids High-quality saturated fats and omega-3 fats Vitamins and minerals, including calcium, zinc, phosphorus, vitamins A, D, B2 (riboflavin) and B12 Vitamin K2 (highest amounts can be found in Gouda, Brie, Edam. Other cheeses with lesser, but significant, levels of K2: Cheddar, Colby, hard goat cheese, Swiss and Gruyere) CLA, a powerful cancer-fighter and metabolism booster Butter and Fermented Raw Dairy Are Superior Choices While raw, whole milk provides plenty of valuable health benefits, it is still high in natural sugars, and could easily throw you out of ketosis if you're on a cyclical ketogenic diet. You can still reap the benefits of raw dairy, though, by including cheese, butter and fermented products such as kefir or yogurt made from raw, grass fed milk. Personally, I go through anywhere from half to a full pound of raw butter every week, typically on sweet potatoes that I consume after my strength training sessions. Studies have linked butter consumption to a number of health benefits, including a lower risk of heart disease, cancer, arthritis, osteoporosis, asthma and obesity. It also promotes thyroid health and good digestion, and supports fertility and growth and development in children. Raw, organic yogurt and kefir have the added benefits of being lower in sugar and providing you with high amounts of probiotics, both of which are side effects of the fermentation process. Store bought yogurt and kefir really cannot compare though. For starters, they're typically chockfull of added sugars, which nourish disease-causing bacteria in your gut. And, since they are pasteurized, commercial yogurt and kefir contain only the probiotics added back in afterward. These facts apply to both organic and nonorganic brands. Many may also contain artificial sweeteners, colors, flavors and additives, none of which will do your gut and overall health any favors. The good news is yogurt and kefir are both easy to make at home, provided you have access to raw milk. For guidance and instructions, see "How to Make Fresh Homemade Yogurt." If for whatever reason you still prefer to buy ready-made products, the Cornucopia Institute's Yogurt Report17 can guide you toward the healthiest commercial alternatives.
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ionecoffman · 7 years ago
Text
In Goop We Trust?
In an interview with Goop.com, Gwyneth Paltrow’s lifestyle company, a former cable-television technician named Clint Ober explained the practice of “earthing,” or walking barefoot on the ground. What he seemed to draw from his experience in cable systems was that, not unlike live wires, humans’ electrical charges could be neutralized through contact with the earth. Doing so, he explained, “prevents inflammation-related health disorders:”
It’s intuitive that—like in a cable system—grounding would neutralize any charge in the body. After grounding myself, and a few friends who had arthritic-type health disorders, I became convinced that grounding could reduce chronic pain.
To help readers reap these supposed health benefits without having to touch their bare feet to the ground, the Goop article provides a link to bedsheets and mats that can be plugged into the grounding port of an electrical outlet. One queen-sized sheet goes for $200.
The post claims several people in the Goop “community”—including “GP” herself—swear by earthing for “everything from inflammation and arthritis to insomnia to depression.” But Truth in Advertising, a consumer advocacy group, cited earthing in a database of 50-some instances in which Goop promoted unsubstantiated products or claims. Last month, Truth in Advertising urged two California district attorneys to investigate Goop and take “appropriate enforcement action.”
It’s far from the first time Goop’s medical advice has been called into question.
Yet by outward appearances, it’s still a very successful media company. Its June “In Goop Health” summit, crammed with crystals and aura photographers, sold out of its $1,500 tickets, and there are two more like it scheduled. Each month the site is read by 1.8 million people—people who have the very advertiser-pleasing characteristics of an average age of 34 and a household income in the six figures, according to Adweek. In April, Goop announced it was teaming up with Conde Nast, which publishes the New Yorker, Wired, and other prominent magazines, to create a quarterly print publication debuting this month. According to People magazine, in the inaugural issue Paltrow’s editor’s letter describes the joys of cleanses, bee-sting skin treatments, and, of course, barefoot strolls:
“For me, when I take my shoes off and walk in the grass, it’s so healing. It’s hard to find scientific evidence for the idea that ‘I feel good.’ But by trying, you get so much juice out of life.”
(Goop did not respond to multiple requests for an interview. In a statement provided to The Hollywood Reporter, Goop said, “while we believe that [Truth in Advertising]'s description of our interactions is misleading and their claims unsubstantiated and unfounded, we will continue to evaluate our products and our content and make those improvements that we believe are reasonable and necessary in the interests of our community of users.”)
How to explain Goop’s popularity? In many ways, it exemplifies—and has capitalized on—several recent trends in health media. Fact-checking often doesn’t fit into increasingly tight media budgets, or isn’t much of a priority, so dubious health claims about prolonged fasting or avoiding gluten ricochet around the internet. The rich are already more likely than the poor to be healthy, so they shell out for alternative treatments and supplements in hopes of achieving even greater vitality.
And as news consumers increasingly seek out their own preferred sources, finding reliable expert advice becomes a choose-your-own-adventure game. Or, to use a Goop-ier word, journey.
* * *
When it hits newsstands later this month, Goop magazine will join a large roster of celebrity-blessed lifestyle publications, following in the footsteps of Oprah Winfrey, Martha Stewart, Rosie O’Donnell and Rachael Ray. The idea behind celebrity-led publications, says Brooke Erin Duffy, a Cornell professor who researches women’s magazines, is that “celebrities were not just individuals we saw on the screen, but we had a connection to them. We could emulate them in our everyday lives.” By some measures, it works: Dr. Oz’ The Good Life and O, The Oprah Magazine were both top-10 monthly magazines at newsstands last year, according to the trade publication Min.
The print magazine and events business are part of a broader shift in how women’s publications position themselves. With news-media profits shrinking, publications want to be a “cross-platform brand, a place that people will come to even if the print publication no longer exists,” Duffy said. Rachael Ray, for instance, has her own line of products, and Cosmopolitan hosts events (as does The Atlantic.) Goop has its own online shop, complete with pictures of Paltrow sporting whimsical tops.
For a media company, Goop already seems to be doing relatively well. Revenue reportedly tripled between 2015 and 2016. That year, Paltrow announced she had raised $10 million from venture capitalists.
The site may be benefitting from a growing interest, at least among wealthy Americans, in all things healthy-ish. Organic food sales have grown, well, healthily over the past decade; even Gatorade now comes in an organic variety. Nearly 10 percent of Americans do yoga, and 8 percent meditate. People are skipping soda for “mindful” beverages like coconut water. Americans now spend about a third as much out-of-pocket on “complementary” practitioners as they do on regular doctors.
Millennials, in particular, are more likely than older Americans to say “health” means more than just not being sick. Goop gives many of these Soul-Cycling, chia-chomping young people a place to ramp their zen to the next level.
One health reporter and editor who has worked at various women’s magazines suggested that Goop’s fun approach to wellness might be more appealing to readers and advertisers than more serious health fare, such as how to prevent diabetes or avoid the flu. Goop “already has a readership built in,” she said. Plus, “Gwyneth Paltrow is an interesting figure and really beautiful ... She is living proof of Goopy health.” (She asked to be kept anonymous because she was not authorized to speak to reporters and was worried about jeopardizing her professional relationships.)
However, the odds for print health magazines are steep these days. Conde Nast recently closed Self magazine in print, and last month American Media ended the print version of Men’s Fitness. (The print version of Fitness died in 2015, 23 years after it was born.) Women’s health magazines are “chasing an older and smaller pool of women,” said Mike Lafavore, the long-serving former editor-in-chief of Men’s Health, who also served in top editorial roles at Meredith Publishing and Rodale. “Is Gwyneth Paltrow going to appeal to that group? Or will millennials flock to a magazine about Gwyneth Paltrow? I don’t know. All you have to do is ride the subway and count the number of people who are holding a piece of paper.”
“Anyone launching a print magazine in this environment,” he added, “God bless ‘em.”
It’s even tougher in the health space, he points out, since WebMD and similar sites attempt to answer people's health questions for free. And unlike Dr. Oz—who has his own magazine and controversy—Paltrow doesn’t possess medical credentials.
The recent criticisms of Goop’s claims mirror the plight of Jessica Alba’s personal-products brand Honest Company, which has been beset by recalls and lawsuits. A celebrity like Paltrow might well attract advertisers, Lafavore said. But, “if there’s any controversy at all, advertisers flee.”
* * *
As she explained to attendees at her June summit, Paltrow became interested in wellness after her father was diagnosed with cancer. “Why do we all not feel well? Why is there so much cancer? Why are we all so tired? Why have we created a society where so many of us feel over-obligated with responsibility to the point where we aren’t feeling good — and what can we do about it?” she told audience members, according to the L.A. Times.
Since the launch of Goop in 2008, her vision of “what we can do about it” has become untethered from mainstream medicine. One Goop post suggested that bras might be linked to breast cancer, based on the notion that they restrict the flow of “toxins” through the lymph nodes and magnify radiation from cell phones. A large 2014 study found no link between bras and cancer. The Goop post mentioned that study, but it nevertheless wrapped with a round-up of unproven recommendations, including, “Consider a traditional internet connection for your home instead of Wi-Fi. The whole family will be healthier for it.”
I sent several of Goop’s articles to Scott Kahan, the director of the National Center for Weight and Wellness in D.C. Kahan specializes in nutrition and obesity treatment and serves on the faculties of the Johns Hopkins Bloomberg School of Public Health and George Washington University’s schools of medicine and public health.
The pieces I sent him included one titled “You Probably Have a Parasite—Here’s What to Do About It,” in which a homeopathic doctor claims, “If you have a health system with a low vibrational field or a weakened immune system, you’re more susceptible to parasites.” Another featured an interview with a doctor about the role of hormones in weight loss and included a “shop now” link for supplements. Finally, one interviewed celebrity fitness trainer Tracy Anderson, who claimed, “people can generally lose around eight pounds” in a one- or two-week timeframe.
“You absolutely can lose eight pounds in a week whether you’re 400 pounds or 150 pounds,” Kahan said, “but relatively little of that is actually fat.”
Kahan said the site resembles other celebrity-driven platforms: “A well-presented mix of a lot of harmless pseudoscience combined with a lot of high profit-margin snake-oil promotion, combined with some potentially harmful pseudoscience and product sales, and also combined with some reasonable, if repackaged, recommendations, that are completely accepted but by themselves aren’t enough ... to sell copies of their products,” he said. Cleanses, he said, are usually harmless, but if done for weeks they can lead to extreme dehydration. Supplements, meanwhile, can affect the body in unpredictable ways, and splurging on them might leave some patients with insufficient funds for more effective treatments.
Goop’s most vocal critic is Jen Gunter, a San Francisco ob-gyn who has assailed the site for everything from its detox smoothies to its series of “anti-bloat” recipes. Her most viral posts are takedowns of the jade egg, the infamous green weights that Goop has suggested women insert into their vaginas for “spiritual detox.” Goop sells the eggs through its online shop, and despite their $66 price tag, they’ve reportedly sold out at times.
Gunter, who did her residency at the University of Western Ontario and a fellowship in infectious disease at the University of Kansas Medical Center, remembers feeling lured to the depths of internet pseudoscience in 2003, when her sons were born very prematurely and with multiple health issues. “I started researching things online that I had never researched before,” she told me. “I was Googling stem-cell therapy. It was a minefield of bad information.”
“I knew where to step,” she said—but others might not. “I realized what it’s like to be desperate at 3 a.m.”
Gunter has written, repeatedly, that the jade eggs discussed in Goop can cause pelvic pain and infections. “Jade is porous which could allow bacteria to get inside,” she wrote in January. “It could be a risk factor for bacterial vaginosis or even the potentially deadly toxic shock syndrome.”
Nathaniel DeNicola, a faculty ob-gyn at George Washington University, confirmed that the risk of infection with a jade egg is “worrisome,” though it depends on how porous the egg is and how it’s sanitized.
Goop’s editors struck back at Gunter with a post titled, “Uncensored: A Word from Our Doctors,” in which they explained that “we are drawn to physicians who are interested in both Western and Eastern modalities.” Its readers, they implied, can decide for themselves whose advice to follow: “We chafe at the idea that we are not intelligent enough to read something and take what serves us, and leave what does not.”
The “uncensored” post included a note from Steven Gundry, a doctor who has contributed to Goop. In it, he chastised Gunter for using the word “fuck” in her posts, defended his credentials, and claimed Gunter “did not do even a simple Google search of me before opening your mouth.”
On Goop, Gundry promotes the idea that lectins, a type of protein found in certain plants, such as kidney beans, cause diseases like asthma, multiple sclerosis, or irritable bowel syndrome. It’s true that lectins from uncooked beans can cause food-poisoning like symptoms, but as my colleague James Hamblin reported in April, experts say cooking prevents any potential harm from the lectins. Gundry has also been quoted warning against taking Advil and antibiotics, as well as eating tomatoes, potatoes, corn, and soybeans, among other foods.
In our interview, Gundry described his portion of the Goop editorial as a plea for civility. “Discussion should always be welcome, but discussion ... has always been at a collegial level, and there’s no shouting or screaming or profanity,” he said. (Paltrow has been quoted using the phrase, “If you want to fuck with me, bring your A game,” and reportedly has cocktail napkins stamped with the motto.)
Gundry told me he began contributing to Goop because he knows Alejandro Junger, a Uruguayan cardiologist who, according to the New Yorker, has treated Paltrow and helped her with her vitamin business. “When he says it’s a good place, that’s good enough for me,” Gundry said. He said he does not get paid for contributing, and he did not know about Goop’s plans for a print magazine.
I asked him where he recommends people get their health advice. “I’ll toot my own horn, GundryMD.com,” he said, referring people to a site where, alongside a blog with health tips, he sells $70 supplement bottles. “I personally feel that it’s the best source of health advice. I think there’s other sites, like Mercola.com, which gives very useful health advice.” When I checked Mercola.com, the site of Dr. Joseph Mercola, a few weeks later, a prominently placed ad on its “vaccine” subsection offered to show readers “How to Legally Avoid Unwanted Immunizations of All Kinds.”
* * *
It’s not clear how, or if, some of Goop’s claims would survive the editing process at more traditional health publications, including at other print magazines. The fact-checkers Lafavore worked with at Men’s Health didn’t accept out-there theories or unproven treatments. If there were no independent studies to back an expert’s statement, the quote would be hedged, i.e. “Dr. Smith says this, however, there aren’t any studies to prove it,” he explained.
He said the fact-checkers still talk about the few mistakes they’ve ever made. “Every fact-checker lives in fear of letting something get through that harms someone,” he said.
The reporter and editor who requested anonymity also described a rigorous fact-checking process at one of the women’s magazines where she’s worked. If a source described a health condition to a reporter, for example, the reporter would ask her to sign a release and confirm the condition with her doctor. Claims by medical experts were cross-checked with a different expert. The marketing claims of products—such as jade eggs—would be evaluated by independent doctors. Experts were off-limits if they made questionable claims or sold supplements, as Gundry does. (At The Atlantic, print-magazine articles are checked by a separate team of fact-checkers, while web articles, with rare exceptions, are checked by the article’s author herself. Newspapers often do not have dedicated fact-checkers.)
Gundry said that after he’s interviewed by one of the site’s writers, a separate person will later “ask for a reference to back up what I say.” (In one Goop post about lectins, Gundry’s views are supported by his own book on the subject.)
When I asked about how something like Goop might be fact-checked, Mark Bricklin, the former editor of Prevention, emailed back simply, “Goop is total B.S. It would flunk fact-checking in 15 seconds.”
* * *
When one of my interviewees asked me what I, personally, thought of Goop, I wasn’t sure what to say. My job, you could say, is “wellness.” I, too, like to do yoga, eat berries, and wear flattering neutral tones. When I lived in Los Angeles a few years ago, I dipped toward the Goop-ier end of the spectrum, eating cashew cheese and avoiding “conventional” cosmetics. Even now, with the ruthlessly practical eyes of a Washingtonian, I can see that some Goop advice isn’t bad, like this post on how cognitive-behavioral therapy can help with sleep problems.
Gunter and Kahan both say they’ve seen patients who have read Goop-style questionable theories and brought them up in the exam room. Much of the time, Kahan says, questions about dubious health advice can lead to “a valuable discussion about the issues with the claims, the potential harms in some cases, or just the lack of potential benefit of most of them. In some cases, though, not uncommonly, it’s hard to convince patients that what they’re reading is gobbledygook.”
Gunter, who calls Goop’s advice “goopshit,” recently wrote that the misinformation “bothers me because it affects my patients ...”
“They read your crackpot theories and they stop eating tomatoes (side note, if tomatoes are toxic why do Italians have a longer life expectancy than Americans?) or haven’t had a slice of bread for two years, they spend money on organic tampons they don’t need, they ask for [unindicated] testing for adrenal fatigue (and often pay a lot via copayments or paying out-of-pocket), or they obsess that they have systemic Candida (they don’t). ... I worry that you make people worry and that you are lowering the world’s medical I.Q.”
Paltrow encourages Goop readers to weigh the evidence for themselves, but she can also tip their scales: Celebrities influence public health in surprising ways. After Angelina Jolie wrote about her risk of breast cancer in the New York Times in 2013, there was an immediate, 64 percent increase in the number of American women who underwent testing for the breast-cancer gene mutation.
And stars’ influence is not necessarily positive. Several prominent celebrities are anti-vaccine, and 24 percent of parents surveyed by the University of Michigan in 2011 said they have “some trust” in celebrities regarding the safety of vaccines. As Steven Hoffman and Charlie Tan put it in a BMJ paper in 2013, “For people seeking to raise their social status, one strategy is to imitate the behaviors of celebrities.”
Paltrow acknowledged her influence on a recent episode of Sophia Amoruso's Girlboss Radio podcast, in which she explained that Goop had expanded into e-commerce because its recommendations could move product. “If we wrote about something we liked ... we would have an impact on the business,” she said
“Are there learnings you’ve had from the flak that you’ve gotten?” Amoruso asked.
Paltrow described “a lack of willingness to step into who I am 
 Going into a hole is exactly the opposite of the lesson.”
“The lesson,” she added, “is to energetically cultivate, 'fuck you.'"
Article source here:The Atlantic
0 notes
nancygduarteus · 7 years ago
Text
In Goop We Trust?
In an interview with Goop.com, Gwyneth Paltrow’s lifestyle company, a former cable-television technician named Clint Ober explained the practice of “earthing,” or walking barefoot on the ground. What he seemed to draw from his experience in cable systems was that, not unlike live wires, humans’ electrical charges could be neutralized through contact with the earth. Doing so, he explained, “prevents inflammation-related health disorders:”
It’s intuitive that—like in a cable system—grounding would neutralize any charge in the body. After grounding myself, and a few friends who had arthritic-type health disorders, I became convinced that grounding could reduce chronic pain.
To help readers reap these supposed health benefits without having to touch their bare feet to the ground, the Goop article provides a link to bedsheets and mats that can be plugged into the grounding port of an electrical outlet. One queen-sized sheet goes for $200.
The post claims several people in the Goop “community”—including “GP” herself—swear by earthing for “everything from inflammation and arthritis to insomnia to depression.” But Truth in Advertising, a consumer advocacy group, cited earthing in a database of 50-some instances in which Goop promoted unsubstantiated products or claims. Last month, Truth in Advertising urged two California district attorneys to investigate Goop and take “appropriate enforcement action.”
It’s far from the first time Goop’s medical advice has been called into question.
Yet by outward appearances, it’s still a very successful media company. Its June “In Goop Health” summit, crammed with crystals and aura photographers, sold out of its $1,500 tickets, and there are two more like it scheduled. Each month the site is read by 1.8 million people—people who have the very advertiser-pleasing characteristics of an average age of 34 and a household income in the six figures, according to Adweek. In April, Goop announced it was teaming up with Conde Nast, which publishes the New Yorker, Wired, and other prominent magazines, to create a quarterly print publication debuting this month. According to People magazine, in the inaugural issue Paltrow’s editor’s letter describes the joys of cleanses, bee-sting skin treatments, and, of course, barefoot strolls:
“For me, when I take my shoes off and walk in the grass, it’s so healing. It’s hard to find scientific evidence for the idea that ‘I feel good.’ But by trying, you get so much juice out of life.”
(Goop did not respond to multiple requests for an interview. In a statement provided to The Hollywood Reporter, Goop said, “while we believe that [Truth in Advertising]'s description of our interactions is misleading and their claims unsubstantiated and unfounded, we will continue to evaluate our products and our content and make those improvements that we believe are reasonable and necessary in the interests of our community of users.”)
How to explain Goop’s popularity? In many ways, it exemplifies—and has capitalized on—several recent trends in health media. Fact-checking often doesn’t fit into increasingly tight media budgets, or isn’t much of a priority, so dubious health claims about prolonged fasting or avoiding gluten ricochet around the internet. The rich are already more likely than the poor to be healthy, so they shell out for alternative treatments and supplements in hopes of achieving even greater vitality.
And as news consumers increasingly seek out their own preferred sources, finding reliable expert advice becomes a choose-your-own-adventure game. Or, to use a Goop-ier word, journey.
* * *
When it hits newsstands later this month, Goop magazine will join a large roster of celebrity-blessed lifestyle publications, following in the footsteps of Oprah Winfrey, Martha Stewart, Rosie O’Donnell and Rachael Ray. The idea behind celebrity-led publications, says Brooke Erin Duffy, a Cornell professor who researches women’s magazines, is that “celebrities were not just individuals we saw on the screen, but we had a connection to them. We could emulate them in our everyday lives.” By some measures, it works: Dr. Oz’ The Good Life and O, The Oprah Magazine were both top-10 monthly magazines at newsstands last year, according to the trade publication Min.
The print magazine and events business are part of a broader shift in how women’s publications position themselves. With news-media profits shrinking, publications want to be a “cross-platform brand, a place that people will come to even if the print publication no longer exists,” Duffy said. Rachael Ray, for instance, has her own line of products, and Cosmopolitan hosts events (as does The Atlantic.) Goop has its own online shop, complete with pictures of Paltrow sporting whimsical tops.
For a media company, Goop already seems to be doing relatively well. Revenue reportedly tripled between 2015 and 2016. That year, Paltrow announced she had raised $10 million from venture capitalists.
The site may be benefitting from a growing interest, at least among wealthy Americans, in all things healthy-ish. Organic food sales have grown, well, healthily over the past decade; even Gatorade now comes in an organic variety. Nearly 10 percent of Americans do yoga, and 8 percent meditate. People are skipping soda for “mindful” beverages like coconut water. Americans now spend about a third as much out-of-pocket on “complementary” practitioners as they do on regular doctors.
Millennials, in particular, are more likely than older Americans to say “health” means more than just not being sick. Goop gives many of these Soul-Cycling, chia-chomping young people a place to ramp their zen to the next level.
One health reporter and editor who has worked at various women’s magazines suggested that Goop’s fun approach to wellness might be more appealing to readers and advertisers than more serious health fare, such as how to prevent diabetes or avoid the flu. Goop “already has a readership built in,” she said. Plus, “Gwyneth Paltrow is an interesting figure and really beautiful ... She is living proof of Goopy health.” (She asked to be kept anonymous because she was not authorized to speak to reporters and was worried about jeopardizing her professional relationships.)
However, the odds for print health magazines are steep these days. Conde Nast recently closed Self magazine in print, and last month American Media ended the print version of Men’s Fitness. (The print version of Fitness died in 2015, 23 years after it was born.) Women’s health magazines are “chasing an older and smaller pool of women,” said Mike Lafavore, the long-serving former editor-in-chief of Men’s Health, who also served in top editorial roles at Meredith Publishing and Rodale. “Is Gwyneth Paltrow going to appeal to that group? Or will millennials flock to a magazine about Gwyneth Paltrow? I don’t know. All you have to do is ride the subway and count the number of people who are holding a piece of paper.”
“Anyone launching a print magazine in this environment,” he added, “God bless ‘em.”
It’s even tougher in the health space, he points out, since WebMD and similar sites attempt to answer people's health questions for free. And unlike Dr. Oz—who has his own magazine and controversy—Paltrow doesn’t possess medical credentials.
The recent criticisms of Goop’s claims mirror the plight of Jessica Alba’s personal-products brand Honest Company, which has been beset by recalls and lawsuits. A celebrity like Paltrow might well attract advertisers, Lafavore said. But, “if there’s any controversy at all, advertisers flee.”
* * *
As she explained to attendees at her June summit, Paltrow became interested in wellness after her father was diagnosed with cancer. “Why do we all not feel well? Why is there so much cancer? Why are we all so tired? Why have we created a society where so many of us feel over-obligated with responsibility to the point where we aren’t feeling good — and what can we do about it?” she told audience members, according to the L.A. Times.
Since the launch of Goop in 2008, her vision of “what we can do about it” has become untethered from mainstream medicine. One Goop post suggested that bras might be linked to breast cancer, based on the notion that they restrict the flow of “toxins” through the lymph nodes and magnify radiation from cell phones. A large 2014 study found no link between bras and cancer. The Goop post mentioned that study, but it nevertheless wrapped with a round-up of unproven recommendations, including, “Consider a traditional internet connection for your home instead of Wi-Fi. The whole family will be healthier for it.”
I sent several of Goop’s articles to Scott Kahan, the director of the National Center for Weight and Wellness in D.C. Kahan specializes in nutrition and obesity treatment and serves on the faculties of the Johns Hopkins Bloomberg School of Public Health and George Washington University’s schools of medicine and public health.
The pieces I sent him included one titled “You Probably Have a Parasite—Here’s What to Do About It,” in which a homeopathic doctor claims, “If you have a health system with a low vibrational field or a weakened immune system, you’re more susceptible to parasites.” Another featured an interview with a doctor about the role of hormones in weight loss and included a “shop now” link for supplements. Finally, one interviewed celebrity fitness trainer Tracy Anderson, who claimed, “people can generally lose around eight pounds” in a one- or two-week timeframe.
“You absolutely can lose eight pounds in a week whether you’re 400 pounds or 150 pounds,” Kahan said, “but relatively little of that is actually fat.”
Kahan said the site resembles other celebrity-driven platforms: “A well-presented mix of a lot of harmless pseudoscience combined with a lot of high profit-margin snake-oil promotion, combined with some potentially harmful pseudoscience and product sales, and also combined with some reasonable, if repackaged, recommendations, that are completely accepted but by themselves aren’t enough ... to sell copies of their products,” he said. Cleanses, he said, are usually harmless, but if done for weeks they can lead to extreme dehydration. Supplements, meanwhile, can affect the body in unpredictable ways, and splurging on them might leave some patients with insufficient funds for more effective treatments.
Goop’s most vocal critic is Jen Gunter, a San Francisco ob-gyn who has assailed the site for everything from its detox smoothies to its series of “anti-bloat” recipes. Her most viral posts are takedowns of the jade egg, the infamous green weights that Goop has suggested women insert into their vaginas for “spiritual detox.” Goop sells the eggs through its online shop, and despite their $66 price tag, they’ve reportedly sold out at times.
Gunter, who did her residency at the University of Western Ontario and a fellowship in infectious disease at the University of Kansas Medical Center, remembers feeling lured to the depths of internet pseudoscience in 2003, when her sons were born very prematurely and with multiple health issues. “I started researching things online that I had never researched before,” she told me. “I was Googling stem-cell therapy. It was a minefield of bad information.”
“I knew where to step,” she said—but others might not. “I realized what it’s like to be desperate at 3 a.m.”
Gunter has written, repeatedly, that the jade eggs discussed in Goop can cause pelvic pain and infections. “Jade is porous which could allow bacteria to get inside,” she wrote in January. “It could be a risk factor for bacterial vaginosis or even the potentially deadly toxic shock syndrome.”
Nathaniel DeNicola, a faculty ob-gyn at George Washington University, confirmed that the risk of infection with a jade egg is “worrisome,” though it depends on how porous the egg is and how it’s sanitized.
Goop’s editors struck back at Gunter with a post titled, “Uncensored: A Word from Our Doctors,” in which they explained that “we are drawn to physicians who are interested in both Western and Eastern modalities.” Its readers, they implied, can decide for themselves whose advice to follow: “We chafe at the idea that we are not intelligent enough to read something and take what serves us, and leave what does not.”
The “uncensored” post included a note from Steven Gundry, a doctor who has contributed to Goop. In it, he chastised Gunter for using the word “fuck” in her posts, defended his credentials, and claimed Gunter “did not do even a simple Google search of me before opening your mouth.”
On Goop, Gundry promotes the idea that lectins, a type of protein found in certain plants, such as kidney beans, cause diseases like asthma, multiple sclerosis, or irritable bowel syndrome. It’s true that lectins from uncooked beans can cause food-poisoning like symptoms, but as my colleague James Hamblin reported in April, experts say cooking prevents any potential harm from the lectins. Gundry has also been quoted warning against taking Advil and antibiotics, as well as eating tomatoes, potatoes, corn, and soybeans, among other foods.
In our interview, Gundry described his portion of the Goop editorial as a plea for civility. “Discussion should always be welcome, but discussion ... has always been at a collegial level, and there’s no shouting or screaming or profanity,” he said. (Paltrow has been quoted using the phrase, “If you want to fuck with me, bring your A game,” and reportedly has cocktail napkins stamped with the motto.)
Gundry told me he began contributing to Goop because he knows Alejandro Junger, a Uruguayan cardiologist who, according to the New Yorker, has treated Paltrow and helped her with her vitamin business. “When he says it’s a good place, that’s good enough for me,” Gundry said. He said he does not get paid for contributing, and he did not know about Goop’s plans for a print magazine.
I asked him where he recommends people get their health advice. “I’ll toot my own horn, GundryMD.com,” he said, referring people to a site where, alongside a blog with health tips, he sells $70 supplement bottles. “I personally feel that it’s the best source of health advice. I think there’s other sites, like Mercola.com, which gives very useful health advice.” When I checked Mercola.com, the site of Dr. Joseph Mercola, a few weeks later, a prominently placed ad on its “vaccine” subsection offered to show readers “How to Legally Avoid Unwanted Immunizations of All Kinds.”
* * *
It’s not clear how, or if, some of Goop’s claims would survive the editing process at more traditional health publications, including at other print magazines. The fact-checkers Lafavore worked with at Men’s Health didn’t accept out-there theories or unproven treatments. If there were no independent studies to back an expert’s statement, the quote would be hedged, i.e. “Dr. Smith says this, however, there aren’t any studies to prove it,” he explained.
He said the fact-checkers still talk about the few mistakes they’ve ever made. “Every fact-checker lives in fear of letting something get through that harms someone,” he said.
The reporter and editor who requested anonymity also described a rigorous fact-checking process at one of the women’s magazines where she’s worked. If a source described a health condition to a reporter, for example, the reporter would ask her to sign a release and confirm the condition with her doctor. Claims by medical experts were cross-checked with a different expert. The marketing claims of products—such as jade eggs—would be evaluated by independent doctors. Experts were off-limits if they made questionable claims or sold supplements, as Gundry does. (At The Atlantic, print-magazine articles are checked by a separate team of fact-checkers, while web articles, with rare exceptions, are checked by the article’s author herself. Newspapers often do not have dedicated fact-checkers.)
Gundry said that after he’s interviewed by one of the site’s writers, a separate person will later “ask for a reference to back up what I say.” (In one Goop post about lectins, Gundry’s views are supported by his own book on the subject.)
When I asked about how something like Goop might be fact-checked, Mark Bricklin, the former editor of Prevention, emailed back simply, “Goop is total B.S. It would flunk fact-checking in 15 seconds.”
* * *
When one of my interviewees asked me what I, personally, thought of Goop, I wasn’t sure what to say. My job, you could say, is “wellness.” I, too, like to do yoga, eat berries, and wear flattering neutral tones. When I lived in Los Angeles a few years ago, I dipped toward the Goop-ier end of the spectrum, eating cashew cheese and avoiding “conventional” cosmetics. Even now, with the ruthlessly practical eyes of a Washingtonian, I can see that some Goop advice isn’t bad, like this post on how cognitive-behavioral therapy can help with sleep problems.
Gunter and Kahan both say they’ve seen patients who have read Goop-style questionable theories and brought them up in the exam room. Much of the time, Kahan says, questions about dubious health advice can lead to “a valuable discussion about the issues with the claims, the potential harms in some cases, or just the lack of potential benefit of most of them. In some cases, though, not uncommonly, it’s hard to convince patients that what they’re reading is gobbledygook.”
Gunter, who calls Goop’s advice “goopshit,” recently wrote that the misinformation “bothers me because it affects my patients ...”
“They read your crackpot theories and they stop eating tomatoes (side note, if tomatoes are toxic why do Italians have a longer life expectancy than Americans?) or haven’t had a slice of bread for two years, they spend money on organic tampons they don’t need, they ask for [unindicated] testing for adrenal fatigue (and often pay a lot via copayments or paying out-of-pocket), or they obsess that they have systemic Candida (they don’t). ... I worry that you make people worry and that you are lowering the world’s medical I.Q.”
Paltrow encourages Goop readers to weigh the evidence for themselves, but she can also tip their scales: Celebrities influence public health in surprising ways. After Angelina Jolie wrote about her risk of breast cancer in the New York Times in 2013, there was an immediate, 64 percent increase in the number of American women who underwent testing for the breast-cancer gene mutation.
And stars’ influence is not necessarily positive. Several prominent celebrities are anti-vaccine, and 24 percent of parents surveyed by the University of Michigan in 2011 said they have “some trust” in celebrities regarding the safety of vaccines. As Steven Hoffman and Charlie Tan put it in a BMJ paper in 2013, “For people seeking to raise their social status, one strategy is to imitate the behaviors of celebrities.”
Paltrow acknowledged her influence on a recent episode of Sophia Amoruso's Girlboss Radio podcast, in which she explained that Goop had expanded into e-commerce because its recommendations could move product. “If we wrote about something we liked ... we would have an impact on the business,” she said
“Are there learnings you’ve had from the flak that you’ve gotten?” Amoruso asked.
Paltrow described “a lack of willingness to step into who I am 
 Going into a hole is exactly the opposite of the lesson.”
“The lesson,” she added, “is to energetically cultivate, 'fuck you.'"
from Health News And Updates https://www.theatlantic.com/health/archive/2017/09/goop-popularity/539064/?utm_source=feed
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swagpeachperfection · 3 years ago
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quick weight loss diet plan
Here is my in-depth The Smoothie Diet review. I hope most of the people reading this can relate me along with me! From my childhood itself, I was a bit chubby, but that I found cute and never cared off. After that, I joined my college and my lifestyle changed drastically. Staying awake late nights, eating unhealthy junk foods.
Late-night study during the examinations, all these habits led me to put on weights. More weight. But I hardly cared. After my graduation, like most people, I too have desk work. After our office, we hardly get any time or energy left with going to any fitness regime.
The Smoothie Diet Review: 21-Day Smoothie Diet Plan For Weight Loss!
Munching on fast foods as they are easily available and cheaper. People never realize things until they experience things. Once I went for a regular checkup, and I was diagnosed with high blood pressure and other severe chronic diseases. Now my life was at stake. And that’s when I realized I need to gear up and went through various articles and found The Smoothie Diet review.
Most of the diets followed starving, which I knew would lead me to eat more foods on the very next meal. But somehow while going through the internet I found this weird diet, which provided you with the daily vitamins and minerals you require, without involving cooking or other stuff- yes! The smoothie diet pdf. It may sound weird, but yes it really works.! Let us discuss more in The Smoothie Diet review.
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About The Smoothie Diet Program
This is a type of food habit which really works for people who want to start their weight loss journey in a healthy manner. It works mainly for the people who are occupied in a busy schedule and face problems in preparing everyday meals. In The Smoothie Diet diet plan, you replace two of your main meals, preferably breakfast and lunch with smoothies.
The third meal you can have solid food, but keep in mind to have a lower calorie food. Scouts also allow a “cheat meal” every week, but only a few recommended ones, mentioned in The Smoothie Diet e-book. The Smoothie Diet is a 21-day cycle, power-packed with nutrition and vitamins and you can follow anytime you want to shed some pounds.
The ingredients of the smoothies may vary, mainly depending on fruits, vegetables, protein, and few healthy fats. Follow the recipes in the e-book to prepare your solid meal food. The meal should not be high in calories or else it not come up with the desired results. The Smoothie Diet guide also helps you with some high-fiber snacks and low sugar options.
The Smoothie Diet review contains two plans. The first one — “The Detox plan”, where you replace all your three main meals with healthy smoothies which keep you feel fullness all day long.
Another plan includes the 21-day plan where you replace two meals with a smoothie and have one solid food with a few snacking.
You can also modify sometimes, following a “flex day”- where you have a smoothie followed by two meals. But The Smoothie Diet pdf is not recommended for people having food allergies. So consult a doctor or get a regular checkup before starting a Smoothie diet for weight loss.
The Smoothie Diet Manufacturer
The Smoothie Diet Pdf was created by Drew Sgoutas, a certified Nutrition Expert and Health Coach. He believes in home cooking with all the real ingredients. He is the one who throws his heart and soul into success. And that what led to this revolutionary diet The Smoothie Diet program.
Pros and Cons of The Smoothie Diet Ebook
Pros
The Smoothie Diet involves having smoothies, which are mainly from fruits and veggies. They are usually low in calories and provide you with the daily phytonutrients, being a part of your healthy diet.
l Less counting on calories
As per The Smoothie Diet review, Most of the famous diets and weight loss programs count on calories. But as we are aware that fruits and veggies are lower in calories, you don’t need to get involved in counting the calories all day long. The recipes provided in the Smoothie Diet for weight loss program don’t involve much decision-making process which is an added advantage for all working people.
l Go easy with the shopping
This three-week diet plan covers the shopping list every week at the starting itself. The diet plan contains a broken-down shopping list helping you in your shopping. This makes your grocery store visit much easier during this 21-day smoothie diet plan. Apart from the above-mentioned pros, there are various studies showing the effectiveness and sustainability of the diet plan.
Cons
l Maintaining the micro-nutrients
Most of the smoothies have their calories from carbohydrates, and very little protein and fats. It is recommended to have a protein intake of at least 50 grams daily to maintain a healthy lifestyle. So the Smoothie Diet recommends getting the daily need from the snacks. Go through The Smoothie Diet review thoroughly before following the plan, or you may fall out. If you are replacing your meals with these smoothies make sure to get your fats and proteins. Try to add some chia seeds and flax seeds. They help to thicken up your smoothies as well as provide you with essential micronutrients. Get a good source of lean protein, those help you to build muscle, helping you to maintain a higher metabolism. Having various nuts and seeds in the snack may do the trick.
l High Sugar Content
This 21-day Smoothie diet contains a lot of fruits. Fruits are known to the natural source of sugars. There are many smoothies that call for the addition of honey and another sugar substitute, which only adds calories to them. So all these are not recommended to people having medical problems. A peanut butter smoothie is a healthy option as it’s protein-rich with no added sugars. Some of the smoothies are too thick to drink, so most people add juices to thin them down. But avoid doing so, rather add water to make it dilute or ice can be an alternative to thicken them up. Get the right amount of thickness without adding more calories by switching to alternatives.
l Time- taking
If you are staying at home, then making two smoothies can be a bit less pain in the ass, still cleaning up the bender each time you have one. And as a working professional. Having a smoothie in your breakfast is pretty easy, but what about lunch? You cannot have all the necessary ingredients when you are away from home. Right?
l Fails in the long run
When you start the Smoothie Diet, your body goes through a drastic change in cutting down the calories. As vegetables and fruits are lower in calories and also devoid of the essential proteins and healthy fats. Replacing solid meals with liquids may help you at the beginning and you may see noticeable results, but when you start getting into your previous daily diets, you tend to get weight again. So The Smoothie Diet e-book and The Smoothie Diet review suggest following the diet frequently, which is not always a healthy option.
Why The Smoothie Diet book is Useful, Is it a Scam?
Not only for weight loss. Your body sometimes requires detoxification. This 21-day smoothie diet plan will help you to follow a detox plan, removing all the impurities from your body. You feel light and energetic restoring all the lost minerals and vitamins.
It does no harm to your body. They are lesser in calories. Ramp them up with protein and healthy fats making them tasty as well as to get the added benefits from it.
The Smoothie Diet User reviews 2021
While surfing the internet, you will get a number of The Smoothie Diet customer reviews who received benefits following the diet. Not this, The Smoothie Diet ebook provides you with various case studies of the people following the diet plan and getting unexpected results.
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The Smoothie Diet Reviews — Final Verdict
The Smoothie Diet ebook provides you with numerous recipes, but to see results you need to maintain the proportions. Make your habit to have a healthy smoothie once a day in the long run. Try to tally the calorie count and know how much you need to consume in every meal, The Smoothie Diet will save you from all the common weight loss mistakes.
Use strawberries, blueberries, and apples in your smoothies. They are rich in antioxidants. Try to have smoothies as well, including spinach and kale. They are rich in minerals, vitamins, and potassium as well. To make your smoothie thick try using ice. If you are a peanut butter lover, go for the powdered one, avoid the creamy spread. And for natural sweeteners add mangoes or bananas, The Smoothie Diet will keep you away from the extra fats and artificial sugar.
Last not, whether you want to lose weight, or just want to follow a healthy lifestyle. Download now, The Smoothie Diet pdf and ebook, and head toward the kitchen. The Smoothie Diet is not a scam, try it today and share your The Smoothie Diet review along with us! Happy dieting!
Frequently Asked Questions (FAQ)
What is The Smoothie Diet?
It was a 21-day smoothie diet is an e-book prepared by Drew Sgoutas which contains a schedule and recipes for three weeks instructing what smoothies to be taken for each day.
Does The Smoothie Diet program good for weight loss?
This diet will help you shed approximately 2 or 3 pounds per week. You should expect to get rid of up to 50–70 pounds if you repeat this diet plan several times.
Are there any side effects by using The Smoothie Diet program?
No need to worry about any kind of side effects from the smoothie diet. Because there are no recorded side effects of the 21-day smoothie diet as it is prepared at home and is completely natural.
Why The Smoothie Diet is useful?
This program is not only for weight loss, but it will also help you to follow a detox plan, removing all the impurities from your body. You feel light and energetic restoring all the lost minerals and vitamins.
Who was the creator of The Smoothie Diet program?
The smoothie diet was created by Drew Sgoutas, a certified Nutrition Expert and Health Coach.
==> Download The Smoothie Diet Program
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