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Comment Live: Round of 32, Billabong Pipe Masters in Memory of Andy Irons! – BeachGrit

Posted: December 11, 2019 at 8:42 pm

Medina awesome, John John half-cooked, Billy Kemper hot wildcard.

I tried to keep pace with the Triple Crown but was forced onto a low information diet, so only got to watch bits and pieces.

But it did feel strangely disconnected from the season finale at Pipe, in a way that appears to be becoming more prominent. John Florences 2016 Triple Crown was the last great unifier, tied in with his World Title.

Griffin Colapintos 2017 win and Jesse Mendes 2018 victory, along with Fred Morais potential 2019 win seem cut off from Pipe mastery.

Medina having no input into the Triple Crown this year was significant, Toledo doesnt seem interested.

Was Jordy in there? Kolohe? Not with any impact.

The Triple Crown tied the QS and CT together into a credible finale that seems to be ebbing away.

Or is it just cyclical?

Pipe seems more on its own this year. Looking at the heat draw and the contenders all looked locked into relatively safe heats. On paper, Kellys round one heat with Seabass and Bourez was most competitive.

Lot of funky, low-scoring heats. Filipe over-cooked a high-line exit on an opening tube-ride after a deep tube. It could have been a seven, judges gave it a 1.13. Pip relaxed though and easily took out Deivid Silva and Ricardo Christie. That was a heat that showed just how many of the Top 34 have severe deficiencies in the Pipe skill set.

Toledo vs. Silva vs. Christie Seeding Round, Heat 3 Billabong Pipe Masters 2019. Source: World Surf League

Peterson Crisanto in his narrow victory over Jordy Smith claimed it was the first time he had surfed Pipe.

Lots of god-praising and life coaching cliches.

Filipe said, a connection to God has been super healthy for me. It made me think of a conversation I had with my sons pal, a nine-year-old who goes to a Catholic school.

He said, I dont believe in God, I believe in the big bang.

Explicit faith now is a prerequisite for success at the CT level.

In a sense, it makes perfect sense. You cant deny the utility of the belief.

Kolohe thanked God and went even further, claiming he had moved beyond Ego itself. I think he meant in terms of producing a performance and that advancing is the most important thing.

Heats five and six gave us a head-to-head comparison of the two frontrunners and their respective approaches and current form. Halfway through his heat Medina was sitting on 15.50. He shifted gears between buried arm stall take-offs, aggressive tube pumps from very deep on the reef and big hacks. Perfect makes, no wipeouts.

The biggest threat he faced was himself. That mix of arrogance and dominance tends to the kind of catastrophic priority error we saw in Portugal. Gabe kept himself in check. His form looks imperial.

Medina vs. Cardoso vs. deVault Seeding Round, Heat 5 Billabong Pipe Masters 2019. Source: World Surf League

Italo was more scattered, more haphazard, more reckless, risky. He wore heavy water. Got pounded by waves that could have easily injured him. He has put in a lot of time on the reef, with Shane Dorian as coach.

Even with the Doz back-up that would not be easy for him. A recent Surfers Journal interview with BG Principal Derek Rielly revealed the Italian Ferrari had no love of localised line-ups and line-ups dont come more localised than Pipeline.

If it wasnt for Billy Kemper he would have looked good. Billy said in the presser he loved to rough em up meaning the title contenders and thats exactly what he did.

With nine minutes to go a three-wave exchange went as follows: B.Kemper, big Backdoor wedge from deep on the Pipe side. Scary, technical tube-ride expertly wrangled.

M-Rod, freefall Pipe drop to shallow tube.

Italo, super intense late drop to Pipe tube.

Italo will go, we know that now, after the Box and Tahiti.

The question marks are over judgement and mastery.

Medina would have crushed him, as Kemper did.

Ferreira vs. Rodrigues vs. Kemper Seeding Round, Heat 6 Billabong Pipe Masters 2019. Source: World Surf League

One more thing about Billy. Has any surfer in history faced down a schedule as insane as his looks for this week? Multiple heats at moderate to macking Pipeline and a Jaws comp thrown in, for good measure.

How do you go from ten-foot Pipe to twenty-five-foot Jaws and back again without your adrenal gland exploding?

John John was subdued in his seeding round heat with Ace and Mendes. He sat there, unmoved for twenty minutes, then tried to scratch into one on the buzzer when Ace had the P.

He admitted in a later presser that he was a long way from being fully prepared. There were a lot of non-makes, hesitant kick-outs. Still, a John John at fifty or sixty percent is still going to beat a lot of the Top 34 at Pipe. The x in the equation will be how he goes against a fired up Pipe guy.

Like Zeke Lau.

Florence vs. Buchan vs. Mendes Seeding Round, Heat 8 Billabong Pipe Masters 2019. Source: World Surf League

There was a lot of heat in the hustle in the opening exchanges of Zekes heat with Caio and Flores. Mostly with Caio. Nothing physical, although Billy Kemper in the booth said Zeke was the modern day Sunny Garcia and Sunny was not averse to a physical encounter.

Splashing water, stern words and angry faces was the limit of it. Zeke spiked the wave of the day soon after. Rocket drop, no-grab pull in and a couple of Hail Mary pumps while levitating on the foam ball.

I wrote a little ten next to his name straight away. Strider in the channel, agreed. Judges low-balled a 9.73 and tightened a spread with Caio who had a clearly inferior ride given an 8.33.

Lau took it out of the judges hands with another critical ride.

Will he put the hustle on John again, seeing as it is a proven strategy? I know people disapprove, but I hope, yes.

Flores vs. Ibelli vs. Lau Seeding Round, Heat 9 Billabong Pipe Masters 2019. Source: World Surf League

The Slater/Seabass/Bourez heat was a dud. Slater skipped out to an early lead, Seabass fucked up several rides and Bourez did enough to advance.

Slater vs. Bourez vs. Zietz Seeding Round, Heat 10 Billabong Pipe Masters 2019. Source: World Surf League

The broadcast was wavering badly by then. After watching Brazilians, Hawaiians, Australians and a token South African and a European or two, basically the status quo for the last decade, Barton was chewing up minutes telling us how globalised and diverse the Pro Surfing world had become.

Say what?Where? Who?

Dorian did great in the booth but he went off script telling us there were more unbelievable kids coming through than ever before.

Really? I thought. Who?

Where is the next John John, who was a superstar at thirteen? The next Medina? Toledo?

Do you seen em?

(Editors note: Yes! Cruz Dinofa, Jackie Doz)

Kelly seemed to veer dangerously close to saying that even were he to finish ahead of John John in the ratings he might give up his Olympic Spot for JJF.

But then he walked it back, saying Ill think about it.

Leo Fioravanti got axed in round two and the WSL cannily wheeled out Renato Hickel to explain that three injured surfers would not go into two wildcard spots.

A smart move to get out in front of the story. Basically, Leo would have to re-qualify through the rankings, and that aint gunna happen, so hes out.

Or is he first injury alternate? Those rules never seem clear to me.

TL:DR: Medina was awesome. JJF looks half-cooked. Everyone else was off the pace, bar Billy Kemper who is setting an unprecedented pace.

Billabong Pipe Masters Seeding Round 1 Results:HEAT 1: Soli Bailey (AUS) 14.33 DEF. Conner Coffin (USA) 7.17, Kanoa Igarashi (JPN) 4.70HEAT 2: Kolohe Andino (USA) 7.27 DEF. Griffin Colapinto (USA) 4.34, Jadson Andre (BRA) 3.33HEAT 3: Filipe Toledo (BRA) 11.93 DEF. Deivid Silva (BRA) 6.07, Ricardo Christie (NZL) 4.10HEAT 4: Peterson Crisanto (BRA) 7.36 DEF. Jordy Smith (ZAF) 7.33, Frederico Morais (PRT) 2.60HEAT 5: Gabriel Medina (BRA) 17.30 DEF. Willian Cardoso (BRA) 7.56, Imaikalani deVault (HAW) 6.10HEAT 6: Billy Kemper (HAW) 15.63 DEF. Italo Ferreira (BRA) 10.67, Michael Rodrigues (BRA) 5.60HEAT 7: Owen Wright (AUS) 7.94 DEF. Jack Freestone (AUS) 4.90, Leonardo Fioravanti (ITA) 1.40HEAT 8: Adrian Buchan (AUS) 7.76 DEF. Jesse Mendes (BRA) 7.33, John John Florence (HAW) 4.57HEAT 9: Ezekiel Lau (HAW) 16.93 DEF. Caio Ibelli (BRA) 15.00, Jeremy Flores (FRA) 11.60HEAT 10: Michel Bourez (FRA) 11.33 DEF. Kelly Slater (USA) 9.10, Sebastian Zietz (HAW) 4.90HEAT 11: Joan Duru (FRA) 15.00 DEF. Julian Wilson (AUS) 4.60, Wade Carmichael (AUS) 4.23HEAT 12: Seth Moniz (HAW) 9.34 DEF. Ryan Callinan (AUS) 5.77, Yago Dora (BRA) 1.90

Billabong Pipe Masters Elimination Round 2 Results:HEAT 1: Kanoa Igarashi (JPN) 13.60 DEF. Imaikalani deVault (HAW) 8.00, Leonardo Fioravanti (ITA) 3.26HEAT 2: John John Florence (HAW) 10.93 DEF. Sebastian Zietz (HAW) 9.16, Frederico Morais (PRT) 2.70HEAT 3: Yago Dora (BRA) 8.60 DEF. Ricardo Christie (NZL) 6.80, Jeremy Flores (FRA) 6.04HEAT 4: Jadson Andre (BRA) 12.40 DEF. Wade Carmichael (AUS) 9.57, Michael Rodrigues (BRA) 8.07

Billabong Pipe Masters Round of 32 Results:HEAT 1: Italo Ferreira (BRA) vs. Jadson Andre (BRA)HEAT 2: Peterson Crisanto (BRA) vs. Conner Coffin (USA)HEAT 3: Owen Wright (AUS) vs. Yago Dora (BRA)HEAT 4: Julian Wilson (AUS) vs. Willian Cardoso (BRA)HEAT 5: Filipe Toledo (BRA) vs. Ricardo Christie (NZL)HEAT 6: Ryan Callinan (AUS) vs. Jack Freestone (AUS)HEAT 7: Seth Moniz (HAW) vs. Billy Kemper (HAW)HEAT 8: Kelly Slater (USA) vs. Joan Duru (FRA)HEAT 9: Gabriel Medina (BRA) vs. Imaikalani deVault (HAW)HEAT 10: Wade Carmichael (AUS) vs. Caio Ibelli (BRA)HEAT 11: John John Florence (HAW) vs. Ezekiel Lau (HAW)HEAT 12: Kanoa Igarashi (JPN) vs. Soli Bailey (AUS)HEAT 13: Jordy Smith (ZAF) vs. Jesse Mendes (BRA)HEAT 14: Adrian Buchan (AUS) vs. Griffin Colapinto (USA)HEAT 15: Michel Bourez (FRA) vs. Deivid Silva (BRA)HEAT 16: Kolohe Andino (USA) vs. Sebastian Zietz (HAW)

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Comment Live: Round of 32, Billabong Pipe Masters in Memory of Andy Irons! - BeachGrit

Practicing Intuitive Eating During the Holiday Season – Study Breaks

Posted: December 11, 2019 at 8:42 pm

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The holiday season can be an emotional mixed bag. A magical time of connection with family and friends can quickly devolve into stress and anxiety when challenging relationship dynamics emerge. If you are a person who has a difficult relationship with food or weight, that can amp up the stress even more. Intuitive eating can provide a solution however.

Holidays often center around food: Planning, preparing, eating and expressing gratitude for food are standard fare. Discussions about food, weight and diets are sure to be at the holiday table. Im sure Ive gained 10 pounds from this meal! I really shouldnt have that whipped cream. You know the drill.

If you have a strategy for working with your relationship with food, holidays can scatter your routine and leave you vulnerable to feelings and behaviors you might not normally experience. This discussion may help you begin changing your orientation to food and weight and make the next holiday meal more enjoyable.

Contemporary approaches to body, food and weight problems emphasize emotional and physical health rather than weight loss or will power. A diet-centered strategy can increase your chances of gaining weight. This may feel counterintuitive given the pressure college students feel to conform to a socially prescribed body size and shape.

The practice of intuitive eating doesnt include dieting. The idea is, when your relationships to food and your body are healthy, you wont tend to overeat and will naturally move toward better physical health and weight. The approach is believed to promote lasting change and eliminate the yoyo diet pattern that often develops in diet-centered approaches to eating.

Eating certain foods can masquerade as a way to cope with unpleasant emotions. Actual, physical hunger is different from hunger driven by emotions. Physical hunger occurs when your physiology requires nourishment for energy. Emotional hunger can lead to overeating and even disordered eating. Emotional eating does not heal our emotional wounds but rather delays the opportunity to do so.

How do you tell if youre emotional eating? If you are craving comfort food, that may be a sign that emotions may be driving your hunger. Physical symptoms like stomach emptiness or fatigue can signal real hunger. Authentic hunger is satisfied by almost any food, whereas emotional-based hunger is often insatiable and results in feelings of guilt or shame.

There is no better time than the holidays to introduce a new attitude about food. Whether youre going home on a break from college or hosting a big meal yourself, you can prioritize a healthier relationship with food.

Developing a positive relationship with food generally requires dismantling patterns you have had since childhood, so it may require some patience. These three basic principles of intuitive eating may help you decide if you want to give it a try.

Eating Mindfully: Cultivating the ability to sense when youre hungry or full means slowing down. In the spirit of truly watching what you eat, really tasting each bite of your holiday meal can help you appreciate it as nourishment and cue you when you are full.

Neutralizing Your Relationship with Food:Food is meant to taste good and nourish your body. If you can begin viewing holiday feasts as just another meal, it may help avoid the build-up of anxiety associated with special meals. A life of restricting and controlling food can give food power it doesnt actually have. If your religious holidays require fasting or feasting, this belief system can be even more complicated.

Honoring True Hunger: When you develop the ability to notice an authentic call from your physiology to nourish itself, you are more likely to eat just what your body needs. Depriving yourself of food even though you feel hungry actually can promote overeating. The idea is to let go of restricting food when you are authentically hungry. When the stuffing comes around again, you can learn to let your true hunger make the best decision. If youre truly hungry, have seconds. If you arent, dont.

It may seem challenging to merge Intuitive eating and Thanksgiving or Hanukkah, but the holidays are actually an especially good time to learn the practice because the false power given to food is on full display. While the basic principles of this useful approach may contradict your current beliefs about food and weight, you may be surprised at the results if you try it.

With the holiday season at the door, its a good idea to begin noting how you feel when you think about food and when you feel hungry. Begin developing a habit of focusing less on what and how much you eat but more on when you eat and how you feel. When you do eat, slow down the process by chewing slowly and noting the flavor of the food.

Another practice that can help is a hunger continuum. Begin rating your hunger on a scale from one to ten. One is starving and ten is uncomfortably full. Hungry and satisfied are in between. The goal is to become accustomed to eating somewhere in the hungry range. Waiting until you are starving can lead to overeating. Emotional factors are often at play if you are eating in the higher range of the scale.

Dieting is known to lead to weight fluctuation and often results in more gaining than losing. Intuitive eating is meant to help you cultivate awareness and improve your relationship with food, eating, and your body. It is a holistic approach geared toward a better quality of life. You may find you can turn a once-dreaded holiday meal into the start of a new belief in yourself and your relationship with nourishment.

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Practicing Intuitive Eating During the Holiday Season - Study Breaks

Burger King Andy Ruiz Jr a disgrace to boxing says Frank Warren, who calls him the elephant in the room – talkSPORT.com

Posted: December 11, 2019 at 8:42 pm

Frank Warren has blasted Burger King Andy Ruiz Jr over his lack of physical preparation for last weekends rematch with Anthony Joshua.

The Mexican-American, already famed for his portly physique, astonishingly came in at 20st 3lbs (283lbs) for Saturdays fight, having tipped the scales at 19st 2lbs (268lbs) back in their initial bout in June.

As a result, a flabby Ruiz was comprehensively out-boxed and out-manoeuvred by Joshua, losing his titles in the process.

Mark Robinson/Matchroom

And Warren, the famed promoter, called the former world champion Burger King and branded him a disgrace to himself and the sport of boxing in a column on frankwarren.com.

Fair play to Anthony Joshua, began Warren. He got his game plan and tactics just right while confronting any lingering demons from his June demise in New York.

He did what we tell boxers to do on a daily basis hit and dont get hit so no boxing people can have any complaints over that.

Andy Ruiz Jr, on the other hand, brought disgrace to himself and the sport by simply failing to prepare to any sort of required level.

Just because you are a heavyweight it shouldnt mean you dont have an obligation to display a certain degree of athletic intention.

Yes, he was heavy last time around and usually wobbles a bit around the middle, but this was ridiculous. When eyebrows were being raised at the weigh-in he literally was the elephant in the room.

Joshua must have wondered which chin he was supposed to aim for.

In the aftermath of his loss, Ruiz Jr admitted to enjoying his new-found fame and wealth a little too much, with three months of partying and a lack of training his downfall in Saudi Arabia.

He even apologised to trainer Manny Robles for his lack of preparation and increased weight.

Warren, however, feels Ruiz had no excuse for neglecting to stay in shape just because he is a heavyweight.

It is a bit late after the event to come out and say you partied too much and regret carrying so much weight, he continued.

If he turned up like that for a non-title fight where the paymasters were not so invested in a positive outcome for their man, the promoters and TV executives would be rightly hacked off over a fighter coming in so obviously out of condition.

Matchroom Boxing

And spare a thought for those punters who might have had a punt on the champion, who had every right to believe he had put the graft in having had the benefit of a full camp. Professional athletes have a responsibility to ensure a level playing field on behalf of those who pay for the privilege of watching.

What we ended up with was a fella who basically scoffed himself out being world champion and a spectacle that suffered as a result. The fault for this lies firmly with Ruiz, who didnt have any legs to close down a Joshua on the retreat.

Unwilling to stand and engage like he had in their first bout, Joshua opted to fight Ruiz at range, and losing 10lbs for the rematch clearly aided AJs game plan.

His promoter Eddie Hearn hailed Joshuas victory as a boxing masterclass, while Tyson Furys trainer Ben Davison said he was a poor mans version of the Gypsy King.

While he did get his tactics right, Joshua was all safety first, added Warren. The big ring offered him plenty of room to manoeuvre and everything was stacked in his favour.

It is all very well having fast hands, but this is pretty redundant if your legs wont shift you quickly enough into range. Carrying all that weight around with you will never be an advantage.

Joshua did what he had to do and congratulations to him on getting his belts back, but I know what Ben Davison was getting out when he used the term a poor mans Tyson Fury.

Ben wasnt being disrespectful because Tyson Fury wouldnt have been dancing around away from Ruiz, he would have done a job on him and stopped him.

Tyson is elusive. While he looks to make them miss, he also always seeks to make them pay. Watch the Wilder fight again and you will see that getting up close holds no fears for Tyson.

Matchroom Boxing

Joshua now has two mandatory defences looming so well have to wait and see whether he attempts to negotiate fitting them in or lets a belt go.

The bottom line from what we saw over in Saudi is that Ruiz was a disgrace to the belts he was defending. He did a Buster Douglas and ate himself out of contention.

I saw in an interview before the fight with Ruiz saying he had achieved his dream. Well, if his dream was to win the titles then stuff himself stupid and lose them at the first time of asking, then his dream has become a reality.

King of the heavyweight division to Burger King in the space of six months.

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Burger King Andy Ruiz Jr a disgrace to boxing says Frank Warren, who calls him the elephant in the room - talkSPORT.com

Shooting inefficiency, transition defense lapses and more: 8 observations from Cavs’ loss to Celtics – The Athletic

Posted: December 11, 2019 at 8:42 pm

BOSTON On a night when another loss was added to the Cavs resume for the season, coach John Beilein chose to focus on the energy and effort of the team.

What I do like about today is I thought we fought all 48 minutes, he said. Were playing against three all-stars, maybe more with Jaylen Brown. These are guys that are really established in the league, really good, and they know what theyre doing and how to take advantage of mismatches all with a great coach. The fact that we stayed in there, found ways to score some points, we found ways to get stops.

The Cavs havent strung all four quarters together that frequently throughout the season, even in their five wins. Monday nights game was not the sharpest example of grit for 48 minutes. For Beilein and a handful of the players in the postgame locker room, they looked at the effort more than the result.

Here are eight observations from the...

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Shooting inefficiency, transition defense lapses and more: 8 observations from Cavs' loss to Celtics - The Athletic

Florida’s Top 10 Players: The Postseason Edition – 247Sports

Posted: December 11, 2019 at 8:42 pm

GAINESVILLE, Fla. -- Florida's regular season is in the books. Though the Gators have one game left, we have a pretty good idea now which players were most important to the team's success during the 2019 season.

Today we stop to update our Top 10 players ranking. Our last edition was published after the first eight games, taking into account all games prior to the Georgia loss.

Our list will weight these rankings fairly heavily based on production and importance to the team, with a more minor focus on next-level ability and pure ceiling for each player.

As of now, our Top 10 list features five defensive players and five offensive players. It includes six seniors, two juniors and two sophomores. Dive in below.

Next to each player's name in parentheses is their rank in the previous edition of the Top 10 players.

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Florida's Top 10 Players: The Postseason Edition - 247Sports

What You Need To Know About Insulin Resistance And Weight Loss – Women’s Health

Posted: December 10, 2019 at 2:46 pm

Should we become obese, fat can spill out from our overbloated fat cells back into our bloodstreams and get lodged in our muscles. When this happens, it can interfere with insulin signaling, causing our muscles to become less responsive to insulin, a phenomenon known as insulin resistance. Normally, our muscles take up blood sugar in response to insulin, but if they become resistant to the effects of insulin, the sugar remains in the blood and can build up to dangerous levels. To prevent this, our bodies produce even more insulin to force more blood sugar into our muscles. But all that extra insulin in our system can cause additional fat storage and result in a vicious cycle: obesity leading to insulin resistance, which leads to higher insulin levels that then lead to more obesity and even more insulin resistance.

When insulin resistance gets so bad that our insulin production can no longer keep up and overcome it, our blood sugars start creeping up and we become prediabetic and then progress to full-blown diabetes. Instead of treating the cause insulin resistance with lifestyle medicine to try to reverse the diabetes, what do most doctors do? Prescribe even more insulin, which can perpetuate the cycle. With injections, insulin levels can be forced so high that even resistant muscles will concede, but what effect will all that extra insulin have on our fat stores? Within the first year of starting insulin, type 2 diabetics typically gain between three and nine kilograms of insulin-associated weight gain.

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Obesity can kick-start the vicious cycle leading to the insulin resistance, which leads to elevated insulin levels, which leads to more obesity.

You can also become insulin resistant without being obese. The fat that ends up clogging our muscles and causing insulin resistance can come from the fat we wear or the fat we eat. Normally, we may have as little as 100 mol/l of free fat floating around in our bloodstreams at any one time, but those who are obese may have up to 800 mol/l. However, skinny people can reach 800 mol/l just eating a high-fat diet. In other words, a thin person eating a low-carb diet can have the same level of fat in their blood that an obese person does.

Infuse fat into peoples veins through an IV, and, by using a high-tech type of MRI scanner, you can show in real time the buildup of fat in muscle cells within hours, accompanied by an increase in insulin resistance. The same thing happens when you put people on a high-fat diet. Feed folks even a single high-fat meal, and within six hours, their insulin sensitivity can be cut in half, meaning their insulin resistance shoots up. Do this day after day, and insulin levels can rise to compensate, which can then lead to weight gain as the vicious cycle starts turning.

Some people are born with higher-than-normal insulin levels and naturally have a higher propensity to gain weight, suggesting that the cycle can also start with an elevated insulin level, leading to elevated obesity and, subsequently, elevated insulin resistance.

The causal role of high insulin levels in obesity was established in a study published in 2018 entitled Reducing InsulinviaConditional Partial Gene Ablationin Adults Reverses Diet-Induced Weight Gain, but the adults they were talking about were adult mice. You can prove insulin drives obesity by genetically engineering a low-insulin mouse that is essentially immune to obesity, but how can you prove it in people? The closest weve come is the demonstration that drugs that lower insulin levels do cause weight loss in obese adult humans, but the drugs also may have direct effects on body fat that could account for the benefit. So while we dont know for certain, I think theres enough evidence to try to keep our insulin levels within the normal range.

One way to lower our insulin levels is to make our insulin work better. The reason our bodies pump out so much insulin is to overcome any resistance, so by improving the insulin sensitivity of our muscles, we can make a little insulin go a long way. How? You can do it with exercise (both endurance and resistance training), weight loss, or reducing your intake of fatbut not necessarily all types of fat. While the monounsaturated fats concentrated in nuts, olives, and avocados appear more likely to be detoxified or safely stored away, the saturated fats concentrated in meat, dairy, and junk can create the toxic breakdown products in our muscle cells thought responsible for the development of insulin resistance.

Experimentally shifting people from animal fats to plant fats can improve insulin sensitivity even without changing the overall quantity of fat eaten. Thinking this may help explain why those eating more plant-based diets have less insulin resistance, researchers at Imperial College London set out to compare the amount of fat clogging the muscle cells of vegans versus omnivores. So as not to give the vegan group an unfair advantage, the researchers recruited omnivores who were as slim as the vegans. The researchers wanted to know if plant-based eating had a direct benefit beyond simply indirectly pulling fat out of the muscles by helping people lose weight in general. The vegans were found to have significantly less fat trapped in their muscle cells, which can translate into less insulin resistance and lower insulin levels.

So can switching fats help with weight loss? Amazingly, Australian researchers found that even if you feed people about the same number of calories and the same amount of fat, but switch out meat and butterfat for olive oil, nuts, and avocados, you lose nearly three more kilograms of fat in a single month. You can certainly overdo plant fats, though. On high-fat diets, the type of fat appears to matter less. Have people drink nearly a half cup of oil, and you can temporarily triple their insulin resistance in a matter of hours.

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In addition to making our insulin work better by improving our sensitivity to it, we can lower our insulin exposure by choosing foods that cause less of an insulin surge. Although those who are born with or develop higher-than-normal insulin spikes after meals are at elevated risk of weight gain and obesity, anyone can get an exaggerated insulin response to Wonder Bread.

High glycemic loads are the primary stimulus for insulin release as our bodies desperately try to sock away blood sugar from the rapidly digested sugars and starches. Randomised controlled trials clearly show that swapping out refined grains in favour of whole grains reduces insulin spikes (likely due to the fibre content). Remember, though, insulin doesnt just deal with carbohydrates after a meal but protein and fat as well.

To their credit, low-carb and paleo diet advocates identify insulin as playing a role in the obesity epidemic, but they often dont appear to recognisethe broader scope of insulin triggers. Since carbs increase insulin, the argument goes, we should eat lots of meat, which is just fat and protein with zero carbs. That wouldnt cause an increase in insulin, right? Wrong. Weve known for more than a half century that if you feed people a steak, their insulin levels go up. Pretty much pure protein (like whey powder) and pure fat can have a similar effect. Have people eat some lentils with butter, and you get a 60 percent higher insulin reaction to pure sugar compared to lentils alone. Thats why we need more than a glycemic index. We need an insulin index. We need to feed people dozens of different foods and just measure what kind of insulin reactions they get. And thats exactly what researchers did.

What do you think causes the biggest insulin reaction: a large apple, an orange, a cup of oatmeal, a cup and a half of white-flour pasta, four chocolate chip cookies, a bunless burger, or a fish fillet?

Is that your final answer?

Well, surprisingly, beef and fish cause more insulin to be released. In terms of meat, the original study looked only at beef and fish, but subsequent studies found the insulin response to chicken and pork was just as high. It turns out meat protein causes almost exactly as much insulin release as pure sugar. So, based on their own logic, low carbers and paleo folks should be reaching for big bowls of pasta rather than meat.

Those eating plant-based diets average significantly lower insulin levels and have less insulin resistance, even compared to non-vegetarians at the same body weight. In fact, those who eat meat have up to 50 percent higher insulin levels in their bloodstreams. Might that just be because theyre more sedentary or something? Researchers from the University of Memphis decided to put it to the test by placing men and women on a plant-based diet and got significant drops in insulin within just three weeks. But add some egg whites to the plant-based diet, and you can cause a dramatic rise in insulin outputas much as 60 percent within just four days.

Fish and poultry may be even worse than the egg whites. Add about half a can of tuna to some spaghetti, and induce about a 70 percent higher insulin spike in diabetics. Skinless chicken breast and white rice cause an insulin reaction closer to straight sugar than rice alone. Compared to chicken, the meat-free tastes-like-chicken Quorn causes up to 41 percent less of an insulin reaction within fifteen minutes.

So to reduce insulin levels to potentially facilitate weight loss: Rule #1: Avoid High-Glycemic foods; Rule #2: Make plant protein your preference; and Rule #3: When you do eat animal protein, try to pay particular attention to Rule #1.

This is an editedextractfromHowNottoDiet:TheGroundbreakingScience of Healthy, Permanent Weight Lossby Dr Michael Greger. Available now for $34.99, published by Bluebird -macmillan.com.au

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What You Need To Know About Insulin Resistance And Weight Loss - Women's Health

Federal Courts Have Diminishing Appetite For Claims Of Obesity Discrimination – Forbes

Posted: December 10, 2019 at 2:46 pm

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Many workplaces are sponsoring festive holiday parties this time of year, featuring a array of chips, candies, Christmas cookies and cakes.

But workers who eat this fattening fare do so at their own peril.

The U.S. Court of Appeals for the Seventh Circuit, which is based in Chicago, joined three other federal circuits earlier this year in a ruling that limits the protection of extremely obese workers under the Americans with Disabilities Act (ADA).

The ADA prohibits discrimination against employees and job applicants who have physical or mental impairments that substantially limit major life activities.

Four federal circuits now have ruled that obesity is not a qualified impairment under the ADA unless it is shown to be the result of an underlying physiological disorder or condition. No federal circuit has issued a contrary ruling.

To prove discrimination, workers must show that their obesity resulted from an underlying physiological disorder or condition, such as diabetes.

The four circuits refused to defer to the EEOCs interpretation that the ADA prohibits discrimination based on weight that is outside the normal range for an individual even if it is not the result of a physical impairment.

According to the three-judge panel for the 7th Circuit, the EEOCs analysis is flawed because it can be read to mean any employee whose weight or other physical characteristic is even slightly outside the normal range would have a physical impairment even with no underlying physiological cause. The panel said this could create an automatic impairment under the ADA for the up to 40 percent of the American adults who are overweight.

The 7th Circuit panel also rejected the American Medical Associations position that obesity is a disease that is in and of itself a physiological disorder. The panel said the ADA is an anti discrimination not a public health statute, and Congress desires as it relates to the ADA do not necessarily align with those of the medical community.

The 7th Circuit case, Richardson v. Chicago Transit Authority, involved a bus driver, Mark Richardson, whose weight rose from 350 pounds in 2005 to 566 pounds in 2009. After taking sick leave for the flu, he was found medically unfit to safely drive a bus.

According to court documents, Richardson was forced to cross-pedal, meaning that his foot was on the gas and brake at the same time, and he was unable to make hand-over-hand turns. He could not see the floor of the bus and part of his body hung off the drivers seat.

Richardson submitted medical evidence showing that he suffered from hypertension and sleep apnea. He argued these conditions were related to his obesity. However, the 7th Circuit panel said that nothing in the court record suggested these conditions caused his obesity.

After two years of inactive status, Richardson declined to work with CTA doctors to lose weight and was fired in 2011.

Court Disregards Indigent Status

The 7th Circuit in June upheld the lower courts dismissal of Richardsons lawsuit as well as the order requiring him to pay $ $2,067 in costs to the CTA. The 7th Circuit rejected Richardsons argument that he is indigent and could not afford to pay the costs.

The judges on the 7th Circuit panel were Judge Joel M. Flaum, Michael S, Kanne and Michael Y. Scudder, Jr.

The other federal appeals courts in agreement with the 7th Circuit (WI, IL, IN) are the 8th Circuit (ND, SD, NE, MN, IA, MO and AR), the 2nd Circuit (NY) and the 6th Circuit (MI, OH, KY, TN).

A recent Gallup survey found that from 2010 to 2019 an average of 28 percent of Americans in the United States weighed 200 pounds or more, an increase of about 24 percent from the prior decade. Gallup said 38 percent of Americans, on average, say they are very or somewhat overweight this decade, compared with 41% in the previous decade.

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Federal Courts Have Diminishing Appetite For Claims Of Obesity Discrimination - Forbes

Diverticulitis diet: Foods to eat and avoid – Medical News Today

Posted: December 10, 2019 at 2:45 pm

Diet can affect the symptoms of diverticulitis. Some foods can help prevent symptoms, while others may make a flare-up worse.

According to an article in the journal Gastrenterology, diverticulitis is one of the most common gastrointestinal diagnoses in United States clinics. Medical treatment may include antibiotics or surgery.

Doctors may recommend that people follow a clear liquid diet during an acute flare-up of diverticulitis. Some research suggests that dietary changes such as eating more fiber and probiotics while avoiding certain carbohydrates and red meat could help some people with diverticulitis symptoms.

This article discusses foods to eat, foods to avoid, and other factors to consider.

Diverticulitis is a condition where small pouches in the intestine called diverticula become inflamed or infected. Symptoms of diverticulitis can include abdominal pain, nausea and vomiting, fever, constipation, and diarrhea.

If a person has these pouches that are not inflamed or infected, they have diverticulosis and usually have no symptoms. According to current estimates, less than 5% of people with diverticulosis will develop diverticulitis.

A 2018 review suggested that risk factors for developing diverticulitis include aging, increased fat around the abdomen, inactive lifestyles, and poor diet.

The review concluded that there is not enough quality research to identify which diets are beneficial for an acute attack of diverticulitis. They did, however, suggest that following a high fiber diet after recovery from acute diverticulitis might reduce the risk of another episode.

Serious complications of diverticulitis might include:

Keep reading for more information about which foods to eat and avoid when a person has diverticulitis.

One study on men suggests that a diet high in fruits, vegetables, and whole grains has associations with a decreased risk of diverticulitis.

Traditionally, doctors have recommended that people who are experiencing a flare of acute diverticulitis should follow a clear liquid diet. They should then progress to a low fiber diet until their symptoms have improved. Once a person's symptoms are better, some sources recommend they follow a high fiber diet.

The Dietary Guidelines for Americans 20152020 recommends a dietary fiber intake of 14 grams (g) per 1,000 calories. High fiber foods include:

If any foods aggravate symptoms, then a person should speak to their doctor. The University of California, San Francisco (UCSF) note that some doctors may suggest a person takes a fiber supplement, such as methylcellulose (Citrucel) or psyllium (Metamucil).

Probiotics are beneficial bacteria that help the gut stay healthy. A 2013 study suggested that probiotics can be effective in treating symptomatic diverticular disease, especially when combined with medication.

People can take probiotics as a supplement, but they also occur naturally in some foods. These foods include natural yogurt and fermented foods, such as:

People who have been taking antibiotics might consider adding these foods to their diet to help repopulate the gut with good bacteria.

A 2019 review of the health benefits of fermented foods suggested that the potential probiotic effects can support a healthy digestive system and may help symptoms of irritable bowel syndrome (IBS). However, there is insufficient evidence to determine their impact.

A typical Western diet is high in red meat and refined grains, and has a lower fiber content. A 2017 study associated this type of diet with an increased risk of diverticulitis.

The UCSF note that it is safe for people with diverticulitis to eat nuts, popcorn, and seeds, including pumpkin and sesame seeds. Experts also say that it is OK to eat the seeds in tomatoes, zucchini, cucumbers, strawberries, and raspberries. In the past, doctors may have advised people to remove these foods from their diets.

However, each person is different, and some may find that particular foods worsen their symptoms. Anyone who notices that a certain food causes pain or a change in symptoms should eliminate that food and talk to their doctor or healthcare provider.

FODMAP is an abbreviation for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. These are carbohydrate foods that research suggests can cause digestive symptoms, such as bloating, gas, and diarrhea.

In Dietary Patterns and Whole Plant Food in Aging and Disease, the author comments that low intake of FODMAP foods may help to lower the risk and alleviate symptoms of diverticular disease.

A 2016 hypothesis suggests that a high fiber diet, when combined with FODMAP foods, may cause excess gas, which could contribute to diverticulitis symptoms.

Some high FODMAP foods include:

As some of these foods also contain beneficial fiber, it is important to discuss food choices and elimination with a healthcare professional. Each person will have different dietary needs and sensitivities, so doctors recommend individualized professional guidance.

Research has linked higher intakes of red meat and processed meat to diverticulitis. One 2017 study found that if people stick to a healthful diet and lifestyle, it might be possible to prevent 50% of diverticulitis cases. Recommendations include consuming no more than 51 grams (g) of red meat per day, eating about 23 g of dietary fiber daily, doing at least 2 hours of vigorous exercise each week, maintaining a healthy weight, and never smoking.

Another study published in the journal Gut looked at males in the U.S. The study found that higher intakes of red meat, particularly unprocessed red meat, was associated with an increased risk of diverticulitis. They suggest that substituting red meat with poultry or fish may reduce risk.

Diet and other lifestyle factors play an essential part in the development of diverticulitis. Research indicates that obesity, physical inactivity, and smoking may all play a role in its development.

Research has linked several medications with an increased risk of diverticulitis. Regularly using non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or acetaminophen, corticosteroids, such as prednisolone, or opioid analgesics, may also increase a person's risk.

Estimates suggest that genes account for about 50% of a person's susceptibility to the condition, though research is yet to identify genetic markers. There may be more risk if a person has a family history of diverticulitis.

The review also linked low levels of vitamin D, which people mainly obtain through exposure to sunshine, with diverticulitis.

Researchers need to conduct more studies to determine which foods are beneficial for people with diverticulitis.

Currently, researchers are looking at how beneficial gut bacteria can support general health, and this may show promising results for diverticulitis also. However, at the moment, there is not enough good quality evidence to make recommendations.

Fiber intake seems to be a vital component. Consuming a high fiber diet may reduce the risk of diverticulitis and improve digestive health in general. However, people experiencing a flare-up may be better off avoiding high fiber foods.

Limiting red and processed meat may also reduce risk and symptoms. Replacing them with poultry, fish, and plenty of fruits, vegetables, whole grains, and legumes may be a sensible approach.

Leading a healthy lifestyle and being active, eating a healthful diet, reducing alcohol intake, and stopping smoking can support overall health and minimize a person's risk of obesity and disease.

A person with diverticulitis should always consult their healthcare provider or a registered dietitian nutritionist to discuss how best to manage their symptoms through diet and lifestyle changes.

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Diverticulitis diet: Foods to eat and avoid - Medical News Today

Is Eliminating Sugar the Only "Diet" We Should Be Taking Seriously? – Yahoo Lifestyle

Posted: December 10, 2019 at 2:45 pm

Your cube-mate went keto and lost 15 pounds. Your sister-in-law did the Whole30 and felt less moody and less stressed than ever before. Your dad wont stop raving about how the Mediterranean Diet cleaned up his blood pressure and triglycerides. These diets have more in common than being trendy they all ask you to cut your sugar down to almost zero.

In the U.S., added sugars make up roughly 17% of most adults diet. That makes sense considering roughly 74% of packaged foods have added sugar, according to stats from University of North Carolina, Chapel Hill. And before you think youre exempt from that category, turn over whatever bottle or box you just munched out of added sugar is in soda and potato chips, but also Greek yogurt, smoothies, trail mix, and protein bars, says Harley Pasternak, celeb trainer and co-founder of Sweetkick.

And unlike going low-carb or low-fat both controversial because they force you to cut out foods from your diet that are actually nutritious reducing your sugar intake is suggested by every health professional worldwide. (Spoiler: It's been tied to weight gain, depression, and increased risk of pretty much every disease.)

Translation: If you're overwhelmed with trendy diets but thinking about making some diet changes in 2020, sugar is a pretty good place to start. Ahead, everything you need to know about the mental and physical health benefits of a sugar "detox" plus tips for how to cut sugar out of your diet for good.

RELATED: Everything You Think You Know About Carbs Is Wrong

All sugars are a type of carbohydrate, but there are two types of sugar molecules: simple and compound.

Simple sugars contain one molecule glucose, fructose, or galactose and are the foundation for every type of sweet treat. Because they only contain a single molecule, they break down really quickly, spiking your blood sugar which is why we often call them quick-burning fuel. (More on this category in a minute.)

Compound sugars are made up of two or more of these foundational molecules and encompass things like sucrose, lactose, fiber, and starches. The combination of molecules means your body processes them slightly slower, which is a good thing. But depending on their chemical makeup, they can still be pretty bad for that spike in insulin. Which brings us to...

Considering galactose is almost exclusively found in lactose i.e. milk products fructose and glucose are the main simple sugars we are dealing with. And fructose is really the biggest problem, says Kimber Stanhope, Ph.D., R.D, research nutritional biologist with the University of California Davis and the SugarScience team at the University of California San Francisco. (A 2019 study analysis agrees, pointing to fructose above other offending molecules like glucose.)

Okay, quick bio lesson (stay with us this helps explain pretty much everything else): Glucose and fructose, the two main simple sugars, have the exact same chemical composition. However, they have a different rate-limiting enzyme, which influences how your body responds to the molecule.

Remember, sugar is a carb which means its purpose is to provide fuel for the body. When you eat any sugar, it leaves the intestine and goes directly to the liver. Glucoses rate-limiting enzyme (called PFK) is very sensitive to how much energy (aka fuel) the liver needs. If the organ is full-up, PFK shuts down and all the glucose bypasses the liver and goes to the brain, the muscles, fat cells, nerve cells in essence, it allows the rest of the body to use the energy source as fuel.

Fructose, on the other hand, has a rate-limiting enzyme called fructokinase, which doesnt really care how much energy is already in the liver. That means when fructose leaves the intestines and hits the liver, it stays there. The liver is then stuck dealing with a big overload of the sweet molecule. It stores some as glycogen to later be used as fuel during, say, a workout; but the liver can only store so many carbs or sugars, so whatever fructose is leftover, the liver does what it always does with too much potential energy: It stores the fructose as fat.

That fat has two fates, neither of which are good, Dr. Stanhope says: Its either sent into the blood along with cholesterol, raising things like triglycerides which directly increases your risk for heart disease; or its stored in the liver, increasing liver fat which, among other consequences, can cause insulin resistance, upping your risk for type 2 diabetes. For most people, both happen, increasing their risk for most of the top deadly diseases in America, Dr. Stanhope adds.

The main added sugars we consume are sucrose and high fructose corn syrup (found in sodas, desserts, candies, even salad dressing). Both of these are made up of both glucose and fructose, but the latter is harmful enough to trump the dynamic, meaning these added sugars still contribute to your disease risk, Dr. Stanhope says.

While its important we dont over-eat sugar of any kind, not all sugar is created equal, Pasternak says. That is, added sugar is enemy but natural sugars meaning fruit are a go.

The sugars in natures candy are a mix of sucrose, fructose, and glucose but there are a handful of reasons you dont need to stress over the fructose in your fruit, Dr. Stanhope says: For starters, fruits are no more than 10% sugar. And because of that, youd have to eat a lot of produce to equal the amount of fructose youd get in, say, a soda way more than most people are willing to or capable of eating in a day.

Mostly though, fruits fiber saves it from being a sugar rush fiber slows down the rate at which our body processes the accompanying molecules, so your liver and brain arent overloaded with sugar but instead are able to process it over a healthier timeline.

Whats more, fruit has a whole lot of other nutrients, namely bioactive compounds like polyphenols, that boost our health and create an advantage thats above and beyond any potential damage the fructose an do.

In fact, a 2018 meta-analysis in BMJ reports that carbohydrate quality, including sugars, plays a much larger role in disease risk than quantity that is, things like added sugars and high-glycaemic load grains are more related to obesity, diabetes, cardiovascular disease, and some cancers; whereas whole fruits, non-starchy vegetables, and legumes, help protect against it.

The problem: The food industry has come up with a zillion ways to say "added sugar" on a label, making it hard to know what to steer clear of. (Literally there are at least 61 different names for sugar listed on food labels.) Look for common terms like brown sugar, corn sweetener, corn syrup, dextrose, fructose, glucose, high-fructose corn syrup, honey, lactose, malt syrup, maltose, molasses, raw sugar, and sucrose.

Were not asking you to cut out added sugar always and forever. The word cleanse is overused the body is so resilient it doesnt really need to be cleansed, says Pasternak. But a sugar reset is really about resetting your habits, your palette, and your relationship to sugar.

Going through a sugar reset will help re-balance your neurochemical and hormonal production and improve pretty much every aspect of your health. And while nixing sweets from your eternal future sounds overwhelming, cutting back for a reset will actually help you crave less of it in the long-term. Heres nine benefits you can expect from cutting sugar:

Sugar increases your risk for obesity, type 2 diabetes, and pretty much every metabolic disease, but the major risk is to your heart: Researchers from Harvard looked at peoples diet over 15 years and found those who regularly got 17 to 21 percent of their calories from added sugar were 38 percent more likely to die of cardiovascular disease, compared to those who limited added sugar to 8 percent of their calories. In fact, just one or two additional servings of sugar a day increases your risk for coronary heart disease by 10 to 20 percent, reports a 2018 study in Nutrients.

Now, lets be real: Most of us under 45 arent thinking about heart disease. But the health issues that people encounter later in life are a byproduct of the poor food decisions that theyve made since they were young, says Pasternak. And considering heart disease is the leading cause of death for both men and women (most of whom more than likely didnt think theyd be a statistic when they were young and healthy), this is a huge perk.

People love to say our brain becomes addicted to sugar, and some studies have suggested this but the research is almost exclusively on mice and our brains are much more complex, says Drew Ramsey, M.D. assistant clinical professor of psychiatry at Columbia University who studies how nutrition affects mood disorders.

But while sugars not actually addictive in the official definition of the word, it definitely has a hold on your brain: Eating sweets and carbs prompts our brain to take up more tryptophan which is used to make serotonin, aka the happiness hormone. Thats why your brain craves the sweet stuff, he explains.

Sugar activates the reward center in your brain, so the more sugar you eat, the more youre going to want to eat sugar, he explains. Whats more, a recent study in Obesity revealed that when we eat something that has at least two of fat, sugar, carbs, or salt so-called hyper-palatable foods our brains ability to decipher when weve had enough to eat is overpowered, which increases the chances youll overeat.

Even if youre sticking with seemingly healthier sweets like vanilla yogurt or smoothies, eating a lot of sugar cultivates a microbiome thats hungry for the molecule, which often furthers the craving cycle, Dr. Ramsey adds.

Eating a diet high in added sugar means youre inevitably eating less fruits and vegetables, which increases the chances were missing out on nutrients key for body and brain health things like magnesium, zinc, omega 3 fats, Dr. Ramsey says. One-fifth of deaths world-wide are thanks to poor diets namely those low in fresh vegetables, seeds and nuts but high in sugar, salt, and trans fat which breeds disease, reports recent research in The Lancet. Meanwhile, eating more fresh fruits and vegetables is directly linked with weight loss, fending off depression, and higher levels of happiness and life satisfaction.

Youre giving birth to thousands of brain cells a day and theyre always in the state of repairing and trying to make new connections, largely thanks to the neurochemical brain-derived neurotrophic factor, or BDNF, Dr. Ramsey explains.

Added sugars likely suppresses BDNF production, and certain nutrients in whole foods enhance it so ditching processed foods for real produce means a healthier brain.

Men and women who consumed a ton of sugar per day (67+ grams, which is 17 teaspoons of sugar or just under 2 cans of Coke) were more likely to show symptoms of depression over five years than folks who cut back (less than 40 grams a day, or 10 teaspoons), reports a 2017 study in Scientific Reports.

Theres a few things at play here. For starters, not eating enough fruits and vegetables significantly increases your odds for depression, according to a 2017 study in BMC Psychiatry. And that BDNF suppression comes into play, too, since less of the brain-derived neurotrophic factor is directly linked with depression.

The root of all this: What you eat directly affects the bacteria in your gut. The types of bacteria that live in your colon affect how you feel and think and how anxious you are, Dr. Ramsey adds. Plants and fermented foods create diversity; sugar creates discontent.

The World Health Organization recommends adults and children limit their added sugar intake to max 5% of their overall calories specifically to protect their oral health, as studies show this is the threshold for developing tooth decay. Bacteria feeds on sugar molecules, so the more its in your mouth, the more often bacteria can breed.

This may or may not be on your list of 2020 goals, but eating less sugar is directly linked to losing weight, and eating more of it with weight gain, according to a meta-analysis out of New Zealand. Sugar causes spikes in insulin which is our master metabolic switch that then tells your body to store visceral fat, Dr. Ramsey explains. Heres why thats important, even if you dont care about losing weight: Visceral fat not only increases body fat, but it actively produces inflammation, increasing your risk for depression, obesity, and type 2 diabetes, among other issues, he adds.

The inflammation sugar creates in the body can exacerbate skin conditions like eczema, acne, and rosacea. Hormones, genetics, and stress can all be culprits too, but docs say giving up sweets can significantly help your skin calm down.

RELATED: What Does Sugar Actually Do to Your Skin?

The types of bacteria that live in your colon affect how you feel and think, how anxious you are, whether you gain weight, how hungry you are, what you crave, Dr. Ramsey says.

When you eat sugar, youre feeding the less healthy bacteria in your gut and creating inflammation, he explains. Having an unhealthy microbiome creates an immune system thats out of whack and a metabolic system that isnt running as efficiently as it should, he says. When we eat more plants, diverse fibers, and fermented foods, however, we create a more diverse microbiome.

Itll only take about two weeks off sugar for the cravings to quit, Dr. Ramsey says. And if you make it a month, for most people that means theyve found a sustainable way to eat sugar-free. But a lot of people relapse in the third or fourth week, he adds. Your best bet: Go in with a game plan. Here are some general rules to make giving up the sweet stuff easier on your brain and body.

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Is Eliminating Sugar the Only "Diet" We Should Be Taking Seriously? - Yahoo Lifestyle

Medicine, diet and exercise may do more to heal your heart than stents or surgery says study – WWLTV.com

Posted: December 10, 2019 at 2:45 pm

NEW ORLEANS Recent headlines about a major heart study may have confused you.

It read that heart stents and surgery are no better at preventing heart attacks and death than pills with diet and exercise are.

So if you're one of the many people with cardiovascular disease, what should you do?

Jim Breland has always been active, but suddenly in August, he woke up sweating.

"I woke up and I had a burning feeling coming through my throat andI was having trouble catching my breath and chest pains," said Breland, 56.

At the hospital, doctors found four blockages in arteries going to his heart. Some were 100 percent blocked. He was having a heart attack like so many others in his family.

"My dad and his four brothers all died of heart disease and I have four brothers and now I'm the fourth one with heart disease," he said.

Jim got two stents to open up blockages. He's scheduled to have two more.

A new heart study may change the treatment some patients choose with their cardiologists. The ISCHEMIA Trial, an international study with thousands of patients with blocked arteries to the heart, was designed to answer two questions. Would stents to open up blocked arteries, or bypass surgery help patients live longer, and reduce heart attacks. The answer was no.

"What it really is a statement of, is that our medicines are really, really good nowadays," said Dr. Robert Hendel, Tulane Chief of Cardiology and Director of the Tulane University Heart and Vascular Institute.

Dr. Hendel says those medications are cholesterol-lowering medicines, such as statins, medicines to lower blood pressure and even aspirin to get the blood flowing. Then, he says, couple those with better diet and exercise.

"And I think the ISCHEMIATrial reinforces the idea that these lifestyle changes and medicines really are the way to go to improve survival," Dr. Hendel said.

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So while Dr. Hendel says that surgical procedures did help people feel better, his take-home message is, if you are not having symptoms from your blockages, there is no need for stents or surgery. And if you are having symptoms, like chest pain and it goes away with the medications, that's all you need. If symptoms don't go away, then you may need stents and surgical procedures. This decision affects many in this area.

"And unfortunately, here in the New Orleans area, we have a real propensity for this problem, largely due to genetics, our high blood pressure rates, our diet, a lot of things that really cause heart disease," explained Dr. Hendel.

Jim is one of those patients. He's now teamed up with the American Heart Association for the Northshore heart walk this year. He's following his doctor's medical advice and doing his part for good health.

"I feel good. I've started cardio rehab. I've done half of the 36 sessions. I'm playing a good bit of golf. I'm walking. I fish a lot," he said.

All of that helps so he can be around a lot longer for his children and grandchildren.

And the doctors say since each of you, and your heart condition, is unique, ask your cardiologist about the pros, cons, benefits and risks when you need to make a treatment decision.

Get breaking news from your neighborhood delivered directly to you by downloading the FREE WWL-TV News app now in the IOS App Store or Google Play.

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Medicine, diet and exercise may do more to heal your heart than stents or surgery says study - WWLTV.com


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