Packages of chocolate milk await shipment at Cambrooke Therapeutics's Ayer plant. See video at sentinelandenterprise.com. SENTINEL & ENTERPRISE / JOHN LOVE

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AYER -- A marvelous thing happened after a jeweler, her architect husband and her businessman brother put their heads together.

"We made a difference," Lynn Paolella said. "It really started with an inspiration to feed my kids."

Lynn and her husband David have three children, the two youngest, Cameron and Brooke, were born with a rare disease, phenylketonuria or PKU.

The only way to manage the disease that can cause intellectual disability and other health problems is a diet that minimizes exposure to phenylalanine, an amino acid in protein, yet provides enough protein for the body.

The amino acid is present in many foods, even things like potatoes. It is also a main ingredient of the sweetener Aspartame.

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Until 2009, the accepted treatment for the disease was based on synthetic protein without phenylalanine. "They protected our kids' brains," David Paolello said, but the diet was unpalatable.

Lynn set to work, developing recipes that her children would want to eat. "I love to cook and I absolutely loved the challenge of this low-protein diet," she said.

In 2000, those early attempts led to a new business, Cambrooke Therapeutics. It started out as a family business with just the Paolellas and Lynn's brother, Don Patterson. They developed the food, outsourced manufacturing and made connections all around the world.

Now, the Ayer-based medical food manufacturer is increasingly automated with clients across the globe.

Development of PKU treatment is covered under the Orphan Drug Act, David Paolella said. The act covers drugs and treatment for diseases affecting small numbers of people.

PKU, an inborn error of metabolism, occurs in about 1 in every 10,000 births in the United States. When caught at birth and managed successfully, the children can thrive. If left untreated, mental retardation results.

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The disease is easy to catch in newborns. The screening test for was developed by a Massachusetts doctor, Robert Guthrie, in the 1960s. His photo is on the wall of the ground floor conference room in Ayer.

Cambrooke is at the cutting edge of medical nutrition. In 2009, the University of Wisconsin Madison developed a way to make a protein without phenylalanine from whey, a cheese-making byproduct.

"They approached us," Lynn Paolella said.

The protein tasted better than the synthetic product. Cambrooke licensed the technology. A peer-reviewed study funded by the National Institutes of Health and the Food and Drug Administration, proved the safety and effectiveness of the protein.

Along the journey, the company worked with the Small Business Development Center at Clark University in Worcester.

They moved into a former electronics plant in Ayer, drawn to the area by the other beverage and food companies. The building required a multi-million dollar makeover to become a sterile place to manufacture and package beverages.

Food is made from scratch in Brockton, Lynn Paolella said.

The liquids products are put into sterile packaging, David Paolella said. The product will not spoil at room temperature. Nutrients in the liquid will degrade over time.

Their equipment is the only setup in the county that can turn out cost-effective, sterile packages in small batches of 20 to 30 cases, he said.

Sentinel and Enterprise staff photos can be ordered by visiting our SmugMug site.

Cambrooke makes food products for other inborn error of metabolism diseases. They also make high-fat food that can manage and sometimes even cure intractable epilepsy that is not controlled by drugs.

The products allow people who must follow strict diets in order to remain healthy the chance to live a life just like everyone else.

"In essence, we're a grocery store of products they can eat," David Paolella said. Some want flour to make cookies, others would rather have cookie dough to bake and some want packages of cookies.

When Cameron and Brooke, now 24 and 19, their older brother Bryce, 26, sit down to eat with the family, everyone might eat Cambrooke products.Or maybe not. (The PKU diet is vegetarian; mom and dad like their meat.)

Three hospitals where families are sent when after receiving a diagnoses of a disease that can be treated by diet are in Massachusetts. They go home with information about Cambrooke after their first visit.

Working with the Massachusetts Export Center and the U.S. State Department, Cambrooke established overseas markets. The incidence of PKU is higher in other countries.

They just met with a Chinese mother, who began manufacturing PKU-friendly food after her child was diagnosed. Until recently, if a child in China had PKU, there was no government help. Babies were left by the side of the road to die, Lynn Paolella said.

An export deal could be in the works. The market would be huge. The disease is more common there than it is in the U.S., she said.

The test kitchen, with two sinks, large ovens and seating for a crowd, sees everyone from groups of dieticians to families learning to deal with the restrictive diet. A playroom upstairs keeps little ones busy while older folks learn.

Enabling people and families to live with the diagnoses is another challenge Cambrooke took on.

Some of the diseases treated by diet must require lifelong management. An iPhone app helps patients keep track of their nutrition.

Cambrooke can bill insurers directly, making it easier for their clients.

Schools are required to supply special diets when needed. The school lunch program Lynn Paolella developed is used in about 400 schools, the closest one in Groton.

The meals need to be heated up and the child with a restricted diet can eat with friends.

Health-care benefits are not consistent across the country, David said. Some states do not even require newborn testing for PKU. The test might be sent out of state to be read. If the lab will includes PKU results, out-of-state health-care providers might not give them to parents.

Lynn went to Washington, D.C., to advocate for the Medical Food Equity Act, requiring insurance plans to cover formula and low-protein foods. The act died in committee.

The business remains a family business at heart. Bryce Paolella helped with developing a new product.

Lynn and David Paolella are the founders and work with the company daily.

Don Patterson is the vice president of operations.

Lynn and Don's mother gives the products her own blessing. Marilyn Patterson helps out with packaging; she plants a kiss and a prayer of goodwill in each box she prepares.

Follow Anne O'Connor on Twitter and Tout @a1oconnor.

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Ayer company grows with food developed for those with disorder - Lowell Sun

Fruits and vegetables are low in saturated fat. (Photo: Valeria Boltneva, StockSnap)

People dont want to be fat, so its natural for us to think we should avoid eating fatbut being healthy is never quite that simple, is it?

Ive talked a lot about various dieting strategies with a lot of focus on losing weight. Sometimes I think I do it too much, but the truth is theres so much new information out there. I think its important to stay on top of the new research while also keeping in mind what we already know (or thought we knew) about the dieting strategies that actually work.

With that in mind, a recent study caught my eye. Heres some information on it and why I think its so important.

One meal heavy in saturated fat can cause warning signs of Type 2 diabetes.The study I read examined the results of a massive amount of saturated fat on the body in a single sitting. Scientists took two groups of test subjects. One was given a glass of water to drink, and the other was given a flavored palm oil drink. The palm oil contained a similar amount of saturated fat as "two cheeseburgers with bacon and a large portion of french fries or two salami pizzas."

Scientists then studied the liver contents and insulin sensitivity in the test subjects to determine just how much it changed based off this single (massive) serving of saturated fat. What they found was that the changes were quite significant. Those who consumed the saturated fat saw an increased insulin resistance similar to what you would find in people with Type 2 diabetes, as well as an increased amount of fat content in the liver. Metabolic changes were also observed, meaning the subject's metabolism was slowed similar to what is seen in people suffering from "metabolic syndrome," which is another warning sign for the development of Type 2 diabetes.

What does this mean for you and me?There are a few ideas to keep in mind. First, the amount of saturated fat the subjects received was massive. It is significant that the researchers took healthy individuals and witnessed such dramatic effects in one go. However, its less surprising when you put the amount in perspective.

For instance, the average height of a man in the U.S. is about 5 feet 10 inches tall. The high end of a healthy body mass index for a man that tall is 173 pounds. So if that man is moderately active (exercises three to five times a week), he needs about 2,750 calories a day to maintain his weight. The amount of saturated fat the researchers were talking about here, specifically the two cheeseburgers and large fries, would roughly equal that same amount. That's a whole lot of fat packed into one serving. It shouldn't be a huge surprise that the effects were so dramatic, should it?

Secondly, and Ive touched on this before, the test subjects didnt sit down and actually eat two cheeseburgers and large fries. They were given a drink containing a similar amount of saturated fat. So there wasnt even a balance to the amount of unhealthy ingredients. Their bodies werent given a bunch of carbs, protein and fat all at once. They mainly got a massive amount of fat alone. Since eating healthy really is all about balance, no wonder their systems were thrown into chaos! Imagine if you ate 2,700 calories of soda water or 2,700 calories worth of protein powder in a single sitting.

I think wed all experience some pretty significant side effects, dont you?

Plenty of healthy foods have lots of fat.Look, I dont think the researchers for this study set out to terrify people. I also dont think what they ended up publishing is false. However, I do think its imperfect, simply because its information taken from one day's worth of data, and it wasnt put into proper perspective. Why? Probably because they get a flashier headline and more attention this way, but I just want people to remember this: Fat is not the enemy.Saturated fat isnt even necessarily the enemy. Too much saturated fat can be a problem for some people, but its all about your individual needs.

Right now, the vast majority of Americans are still consuming way too much added sugar. We need to keep the focus on lowering those numbers and continue balancing our diets with a mixture of carbohydrates, protein and fat. We should avoid foods like these, because only about 3 percent of Americans currently meet the four criteria for a "healthy lifestyle,"which is a good diet, moderate exercise, a recommended body fat percentage and being a nonsmoker.

Here are strategies to help prevent Type 2 diabetes.Remember, Type 2 diabetes and obesity are kind of like the chicken-or-egg argument of the health world. They both make the other issue harder to fix, and they both make the others side effects more severe. Heres an article I wrote discussing seven habits that cause people to fail to lose fat, and heres another article in which I specifically discuss how to combat and prevent Type 2 diabetes.

Being healthy and staying that way takes a lot of work. What I hope youll remember is that research is constantly evolving and new information is always on the horizon, but one particular study rarely (if ever) means we should throw what we already know out the window. Stay focused on your goals and be vigilant in your search for trustworthy health articles.

Jay McKenzie loves soccer, history and feeling great. He's on a quest to eat better and exercise more, and he wants to share his experiences along the way. You can email him at jaymckenzie86@gmail.com with comments or questions. The opinions expressed in this column belong solely to the author, not Nooga.com or its employees.

Continued here:
Fresh and Fit: Why 1 meal high in saturated fat causes symptoms mimicking Type 2 diabetes - Nooga.com

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PHOENIX, AZ(Marketwired February 22, 2017) When it comes to weight loss, some of the most important factors include genetics, general health, daily behavior and physical activities. Based on research, dieting is the most important component that affects weight gain or weight loss. By improving eating behavior, for instance, one can dramatically affect their weight. This is why emotional eating, binge eating and other common dietary abnormalities can have long-term effects of body weight. Effective weight loss generally involves losing more calories than you gain. Because one pound of weight is equivalent to 3,500 calories, one needs to reduce caloric intake by 500-1000 calories per day in order to lose 1-2 pounds per week. However, this type of extreme dieting is often starvation-based and therefore risky.

The starvation approach to dieting is nothing new. For example, the original hCG diet from the 1950s, also called the Simeons method, was practically a starvation diet that limited daily consumption to 500 calories. It led to many harmful side effects ranging from weakness to muscle loss. According to the Obesity Medicine Association, the hCG-based Simeons method and diet for weight loss is unsafe and not recommended.

There are healthy alternatives to dieting, however, and doctor-supervised dieting is always the safest approach. hCG can be applied more safely with a flexible diet program that necessitates between 800 to 1250 calories daily without reducing the rate of rapid weight loss. The Simeons method for hCG dieting is not only outdated but also unnecessary and unrecommended. High-calorie programs offering safe weight loss are the ideal option for patients considering the hCG diet treatment. Doctor-supervision and diet customization based on nutritional needs is highly recommended.

At Diet Doc, patients can get a thorough understanding of the weight loss needs and develop an individualized diet based on their nutritional needs or even their genetics. All Diet Doc programs, provide a doctor-supervised, customized diet plan.Instead of encouraging patients to adopt harmful dietary practices with no prior medical knowledge, Diet Doc consults with patients to provide a detailed weight loss plan based on their nutritional needs and medical history. Losing weight with Diet Doc is safe, simple and affordable. Nutrition plans, exercise guidance, motivational support, and dietary supplements are all part of the package. More than 90% of Diet Doc patients lose 20 or more pounds every month.

Patients can get started immediately, with materials shipped directly to their home or office. They can also maintain weight loss in the long-term through weekly consultations, customized diet plans, motivational coaches and a powerful prescription program. With Diet Doc, the doctor is only a short phone call away and a fully dedicated team of qualified professionals is available 6 days per week to answer questions, address concerns and support patients.

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Diet Doc Weight Loss is the nations leader in medical, weight loss offering a full line of prescription medication, doctor, nurse and nutritional coaching support. For over a decade, Diet Doc has produced a sophisticated, doctor designed weight loss program that addresses each individual specific health need to promote fast, safe and long term weight loss.

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Diet Doc Provides Customized And Healthy Weight Loss Alternatives To Starvation-Based hCG Diet - Satellite PR News (press release)

Atkins, Gluten-Free, The South Beach, The Zone, Paleo.

Do these sound familiar?

Its just a short list of fad diets youve probably heard at least someone talking about.

But what is it that about these food fads that keeps them coming back?

Registered dietician Lori Smart with Health BC says the reason why fad diets keep popping up is because people are always looking for a new way to better themselves.

A lot of the popularity around fad diets come from ones own personal beliefs that this is a diet that would be healthy for them, or this is a diet that would help them lose weight, she says.

Smart adds they seem to crop up more often this time of year, when people coming out of the winter are looking to make lifestyle changes or lose weight and are looking for a way to do it.

She says a big contributor is the internet.

With so much information on the web it can be very, very hard to figure out whats true, whats not true or whats beneficial, whats potentially harmful.

Smart says its important to remember that some of these diets are meant for people with clinical conditions, for example people with celiac disease must eat a gluten-free diet, or people suffering from cardiovascular disease might take special care about what they eat.

It may be turned into a fad diet because others believe its beneficial, but they could really have a benefit for that person with the food condition.

She says if youre interested in trying a new diet you read about online, or have heard from a friend has tried it, its still best to speak to a healthcare provider, physician, dietician, or by calling 8-1-1 the nurses line. She recommends asking questions such as:

And she says its important to have an honest conversation about it.

Certain diets are okay as long as youre aware of the things, or the nutrients that you might be missing out on if you follow that diet. Now some are just not healthy in general, but thats why its always good to talk to a health care provider, especially a dietitian who has been trained in this area to help you navigate that information and then to point you to some resources that if you choose to continue follow that diet, you can do so safely.

Smart adds this is important because its also a good way to prevent yourself from falling off your new routine.

Its usually that people start off really strong and then they end up falling back on old eating patterns, she says.

Id say some [diets] are easy to follow, most are not easy to follow because a lot of them end up eliminating a food group or they become overly restrictive or they require a lot of extra work and preparation, which is why we always recommend that when youre thinking about going on, or adopting a different way of eating, you look at something that would be more sustainable long term.

Smart says if you plan on giving up something you love like bread, maybe try phasing it out so you dont end up breaking down and give up entirely

Smart says that means if, say, youre trying to cut out carbohydrates that you do it in steps, set yourself small goals, and work out a pattern that you can stick to.

As for the future of fad diets? She says it doesnt look like they are going anywhere.

The food industry, the nutrition industry, all of these things keep coming up, so theres all these new and better ways of doing things, she says, but adds that is constantly being mixed with opinions and peoples personal beliefs.

What I would hope is that theres more information available so that consumers and individuals can make informed choices about what they want to do with their own diet and lifestyle and then seek out advice and help from a health care professional.

But Registered Holistic Nutritionist Bridgette Clare raises caution, warning theres a never ending supply of new fad diets, not all of them created equal.

If it sounds too good to be true, it probably is. They promise weight loss in seven days, or thirty days, or its the new miracle, that sort of thing thats simply isnt the truth, she says.

Clare says rather than focusing on excluding things, we should be looking at ways to include healthy, whole foods into our diets

Clare says the key is a well-balanced diet that isnt restrictive to the point of being uncomfortable.

The reason being is that even if you were to stick with it for say thirty days or sixty days especially if youre cutting out entire food groups, its not sustainable, its not teaching you positive eating habits or teaching you about new and exciting foods, its far too restrictive to keep going long term.

Clare says she hopes to see a transition from restrictive fad diets to more people adopting more balanced diets built around whole foods.

It almost feels like it needs to be crazy for people to buy into it. Like it needs to be something way more complicated than just eating a balanced, varied diet with a focus on more plants and more veggies.

Clare says thats tough with the competition between fad diets, each trying to distinguish itself from the others with some special feature.

She recommends the Whole 30 diet, which she says could be seen as a fad diet but boils down to fit with her core principles.

[It] has such a great back bone, really just focusing on eating more whole foods. It does require some restrictions; eliminating dairy I believe and sugar and that sort of thing, so it might not be sustainable in the long term but of all the diets Ive seen, its the one that has the most holistic sustainable view to it.

Clare says if youre looking for a magic pill or magic diet, youre out of luck.

But she says if you do plan on trying a fad diet, do your reading, see if it really will help your body, and make sure you are still getting balance in what you eat.

Tune into your body and if it doesnt work for your body dont do it.

With fad diets having a start date, it can either set you up for a success or you will inevitably revert back to old habits.

Clare saysits often best just to create lifestyle changes by making one small difference at a time and build on positive eating habits, rather than straining your mental well-being by focusing on an end date.

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CKNW Health Series: Why are 'fad diets' so persistent? - AM900 CHML

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If you're thinking of ending a diet, take a page fromHugh Jackman's menu.

After 17 years, the actor starred asWolverine for the ninth and last time (allegedly) in theX-Men spinoff filmLogan, which is set for release on March 3. He appeared on NBC'sTonight Show Starring Jimmy Fallon Friday to talk about the movie. While backstage in his dressing room, he decided to have a little snack.

Make that a humongous snack. Make that theWolverine of snacks. He posted on his Instagram page a photo of himself holding a fettuccine dish large enough to feed a whole group of X-Men, courtesy of celebrity chefMario Batali.

"Happy Break The Wolverine Diet! @mariobatali you are legend! @jimmyfallon @wponx @20thcenturyfox," Jackman wrote.

"The new @thehughjackman #wolverine diet includes pasta. lots of pasta," Batali said.

The photo also showed a smaller plate with a mostly eaten portion of pasta sitting alongside a glass of red wine. Now that's a way to break a diet!

Jackman said onThe Tonight Show that his Wolverine diet consisted of boiled chicken, broccoli and cauliflower.

"It's not like I never had a cheat meal, 'cause I did," the actor said. "But for 17 years, I've kind of known, 'Well, next year, you gotta get into shape...' It kind of puts a bit of a damper on things."

Jackman also said he sought advice from his friendJerry Seinfeld about whether to stop playing Wolverine.

He said he asked the comedy actor and comic why he decided to endSeinfeld when he did.

"He was very clear," Jackman said. "He said, 'Look, when you're creating something, it's very important not to run yourself dry. It's not about finishing on top, necessarily, but making sure that you creatively still have something left, which propels you into whatever's next.'And as he was talking to me, I went home and I said [to my wife], 'Deb, this is it. This is the last one.'"

(E! and NBC are part of the NBCUniversal family.)

E! Online - Your source for entertainment news, celebrities, celeb news, and celebrity gossip. Check out the hottest fashion, photos, movies and TV shows!

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Hugh Jackman Breaks His Wolverine Diet in the Most Delicious Way - E! Online

Nutritional intake from diet plays a huge role on dental diseases and general oral health, as explained in manystudies.

Damaged teeth enamel is also caused by chemicals found in plastics and fungicides, such as: bysphenol A (BPA) and Vinclozolin.

BPA and Vinclozolin are endoctrine disruptors that stimulate the growth of dental enamel, according to a new study presented at the European Congress of Endocrinology. Poor hygiene and acidic foods also can promote staining of the teeth.

How to get rid of white spots on your teeth naturally

Hygiene

First you have to understand that for teeth to be healthy, the entire mouth needs to be cared for on a daily basis. In a recent research, published on the journal of American Dental association it was observed that The ability of the biofilm to sequester calcium, phosphate and fluoride from the saliva, as well as from sources outside the oral cavity allows enamel to undergo remineralisation after demineralization.

Diet

Diet plays a huge hole on overall health, and the reason why dental degradation is increasing, is because of the high consumption of acidic foods and drinks, coupled with poor diet.

Acidic foods to avoid

To Get rid of white spots on your teeth naturally, your daily diet needs to be rich in phosphorus, calcium and vitamin D.

1) Phosphorus: Approximately 85% of the body's phosphorus is found in bones and teeth. Phosphorus is an essential mineral, required by every cell in the body for normal function. Bound to oxygen in all biological systems, phosphorus is found as phosphate (PO43-) in the body.

2) Calcium and vitamin D supplementation slow the rate of bone loss from various skeletal sites, which have a beneficial effect on teeth retention and health.

The Linus Pauling Institute recommends the following daily intake of Phosphorus:

Adults (19 years and older): 700 mg; children (9 to 18 years): 1,250 mg; children (4 to 8 years): 500 mg; children (1 to 3 years): 460 mg; infants (7 to 12 months): 275 mg; infants (0 to 6 months): 100 mg

Foods to consume more frequently and in moderation that that are high in phosphorus:

Bread whole grain, 1 slice (25g) Bread, white, 1 slice (25g) Oat bran, 1 cup, 100g Lentils, 1 cup, 200g Peach, 100g Banana, 120g

The National Intitute of Health says that calciums daily intake should be as follows:

(Birth to 6 months) 200 mg; (Infants) 712 months 260 mg; ( 13 years) 700 mg; ( 48 years) 1,000 mg; ( 913 years)1,300 mg; (1418 years) 1,300 mg; (1950 years) 1,000 mg; ( 5170 years) 1,000 mg; ( 5170 years) 1,200 mg; ( 71 years and older) 1,200 mg; Pregnant and breastfeeding teens 1,300 mg; Pregnant and breastfeeding adults 1,000mg

Calcium rich foods:

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Get rid of white spots on your teeth with diet - eMaxHealth

There are many reasons why one would want to adopt an anti-inflammatory diet. One of the most prominent reasons would be to reduce pain and inflammation in the body. Another might be to reduce the effects of diabetes, arthritis and other inflammatory processes that raise the HbA1C.

Our whole body functions better when the foods we eat contribute to it being slightly alkaline rather than acidic. So what types of foods are best to reduce inflammation and what are the worst triggers to produce an inflammatory response?

Processed foods with added sugar, salt, preservatives, artificial colors, flavors, hydrogenated oils and sundry chemicals contribute to inflammation in the body and therefore pain and discomfort.

Our joints and our intestinal tract are especially sensitive to unnatural foods and do best when served a diet primarily made of natural whole foods, including vegetables, fruit, legumes and whole grains. Some people do even better without the inclusion of whole grains because they have allergies that inflame their intestinal tract.

Processed items include commercially baked products, fast food and sweetened breakfast cereals because these items are usually high in sugar, white flour, corn starch, or corn syrup and trans-fats from hydrogenated vegetable oils.

Sugar is likely the worst culprit in the diet for inducing inflammation. It is an unnaturally occurring simple carbohydrate that is devoid of nutrition, spikes the blood sugar, and is frankly addictive. Consider that centuries ago, the only sweets that people had were fruit. Even in my lifetime my Christmas stocking held a big navel orange and a huge delicious apple. Centuries ago, people did not consume the inordinate amount of sugar that they do now and they were healthier for it.

Perhaps once in ones whole life, in days gone by, one might have had the opportunity to taste some honey or sample some maple syrup but compare that with the sugar load that most people consume today either knowingly or because of the added sugar in most processed foods. Better options are fruit, dried fruit and home- made goodies where the amount of sugar can be controlled. Sugary drinks are purported to be the leading cause of type 2 diabetes, and should have no place in the diet of anyone who wants to be healthy and fit!

Try to eat a diet mostly based in veggies and fruit and get as many colors into your diet as possible.

You will feel better, move better and think more clearly as your body reduces the amount of inflammation and becomes more alkaline. We are especially lucky to be living in a climate that produces fresh local produce all year round. Our local farmers markets make it easy and affordable to feed yourself well and enjoy the variety of beautiful fruit and veggies that we grow here on Kauai.

The healthy fats from the avos, nuts, coconut and fish are also plentiful here. These oils help your body stay pain free and also help you reproduce healthy cell membranes. Avoid processed oils such as soybean oil, cottonseed oil and corn oil which are usually GMO.

The whole grains which you might consider include barley, buckwheat, oats, quinoa, brown rice, rye, spelt or bulgur. The ancient grains are the healthiest, giving the most nutrition and the least amount of inflammatory response. White flour products and white rice are nutritional devoid and usually are found in products with massive amount of sugar included.

Some other disease fighting foods that you might consider adding to your diet are herbs such as garlic, parsley, rosemary, green tea and colorful spices such as cumin, turmeric and paprika. These foods have powerful antioxidants that ward off cancers and inflammation.

Fish has two dietary benefits. It is a high quality, low fat protein source in which the fat that it does contain is a beneficial omega 3 fat which has been shown to reduce inflammation in the body. Beans are also a great source of high quality protein. If you eat other sources of protein from animal sources, select free-range, grass fed or organic or wild caught sources. You truly are what you eat and also are what you eat ate. So if the meat you eat was fed GMO corn ... well, guess what? So are you.

Alcohol should be limited to one drink a day for women and two at the most for men. This is a strict maximum. The sizes are important too. One drink is equivalent to 1 oz. of spirits, 5 oz. of wine or 12 ounces of beer. This should be the daily limit, so if you skip a day you shouldnt feel that the next day you can have double.

The quality of your life can improve dramatically by making some small thoughtful choices. You might not be able to initiate all the above changes right away but by introducing small changes over time you can achieve a healthy and pain free lifestyle that feels better than ever. We have the resources here on Kauai that many other places do not. Lucky we live Kauai!

Dr. Jane Riley, EdD., is a certified personal fitness trainer, nutritional adviser, and behavior change specialist. She can be reached at janerileyfitness@gmail.com, 212-8119 cell/text and http://www.janerileyfitness.com.

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Anti-inflammatory diet can help many issues - Thegardenisland.com