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Doctor’s Tip: Worried about Alzheimer’s? Don’t count on recently approved Aduhelm

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Six percent of Americans have Alzheimer’s dementia. Aging Americans fear developing this memory-draining disease more than any other age-related illness.

Alzheimer’s has been linked to amyloid plaques in the brain, which are different from the atherosclerotic plaques found in arteries that cause heart attacks and strokes. However, association is not the same as causality. Most of the information in this column comes from The Prudent Prescriber, an email newsletter sent monthly to doctors in Colorado by Rocky Mountain Health Plans, based in Grand Junction.

It seems logical that removing plaque from the brain would improve Alzheimer’s symptoms. But, as is so often the case in medicine, what appeared to be logical turns out to be wrong in studies. Several drugs that reduced plaque in the brain have been developed over the past few decades, but all have been rejected by the FDA for not improving Alzheimer’s symptoms.

The newest of its kind is Aduhelm (aducanumab), developed by Biogen. This drug reduces Alzheimer’s-associated brain plaques, but whether it improves the disease is debatable at best. Aduhelm was approved by the Federal Drug Administration on June 7 through an accelerated approval process. Almost all experts are of the opinion that the approval was premature, hasty and not scientifically sound.

The FDA is a government agency reporting to the Department of Health and Human Services. It was founded in 1906 and aims to protect public health by monitoring food safety; Regulation of prescription and over-the-counter drugs; and regulation of vaccines – among other things. For the most part, the FDA has done a good job, although in the past it has sometimes been criticized for being too cautious and slow in approving new drugs; and sometimes for the influence of big pharma and politics.

Biogen has conducted two clinical studies with Aduhelm, both of which have been criticized for their quality. They discontinued the 2019 studies because plaque levels improved but patients’ symptoms did not. Biogen later claimed that one of the studies upon further analysis suggested a slight clinical improvement (the other clearly did not) and resubmitted its application for approval to the FDA. Apparently a third study was needed. The 11-member FDA Advisory Board voted 10-0 to reject the approval (the 11th member abstained), but the FDA took the unusual step of ignoring its advice. In addition, the FDA has approved Aduhelm for all Alzheimer’s patients, regardless of the severity of their disease, although participants in the two studies were limited to patients with mild disease. Three members of the advisory committee resigned in disgust, one of whom said, “The FDA’s decision was probably the worst drug approval decision in recent US history”.

This is not a cheap drug. A year of monthly Aduhelm infusions costs $ 56,000, plus an additional $ 30,000 for required MRI and PET scans. There are also safety concerns with side effects such as headache (27 percent of patients), brain swelling (35 percent), cerebral hemorrhage (19 percent), and death.

The premature release of this drug will have further negative consequences. Patients and families are desperate for a cure, and doctors are under pressure to prescribe these against their better judgment. There will be pressure on Medicare and private insurance companies to approve the use of this unproven drug, which will result in a huge financial burden. In addition, the FDA’s actions will cause the public to lose confidence in the agency.

Hopefully one day there will be a drug to prevent and reverse Alzheimer’s, but Aduhelm doesn’t seem to be (although more studies may paint a more positive picture). If you are concerned about Alzheimer’s, sticking to what we know will help: 1) Engage in intellectual and social activities as you get older. 2) Eat a diet that is high in vegetables, fruits, whole grains, nuts, and seeds. 3) Participate in regular aerobic exercise. 4) Control cardiovascular risk factors that are the same as risk factors for Alzheimer’s: obesity, high blood pressure, high cholesterol, diabetes, inflammation, smoking, and stress. (There are cases of people with normal brain function who have brain plaque but healthy brain arteries, and it is possible that Alzheimer’s is a vascular disease). 6) Get seven to eight hours of healthy sleep each night. 7) Consider turmeric daily. In a study group of 40 patients with mild to moderate Alzheimer’s symptoms, all 40 returned to normal after taking a teaspoon of turmeric powder a day. (Search for turmeric and Alzheimer’s on Nutritionfacts.org).

Greg Feinsinger, MD, is a retired family doctor with a special interest in preventing and reversing heart disease and diabetes, ideally through lifestyle changes. He is available for free, hour-long consultations – call 970-379-5718.

Whole Grains Health

DVIDS – News – Fit for 2022: Commissaries offer plenty of tips, ideas, resources to help patrons improve their health and wellness

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By Kathy Milley, DeCA Public Affairs Specialist

FORT LEE, Va. – The new year is always an exciting time for reflection and recommitment, especially when it comes to wellness. Whatever your health goals for 2022, the Commissary is here to guide you in the right direction with tips, ideas and resources to improve nutrition.

“The health and well-being of our guests is our number one priority, so it’s vitally important to us, too,” said Bonita Moffett, Defense Commissary Agency Sales Manager. We work diligently to offer our customers the right mix of products and resources to support their wellness goals while saving big at checkout.”

According to Deborah Harris, DeCA’s Dietitian and Health and Wellness Program Manager (who holds a Masters of Public Health degree and is a Registered Dietitian and Certified Diabetes Care and Education Specialist), the officer strives for when he commits to a healthier lifestyle and Wellness Goals Keep customers engaged by offering easily identifiable, high-performing foods and easy-to-use, quick meal solutions and wellness resources.

• Dietitian Approved Thumb (DAT): The “Thumbs Up Dietitian Approved” labels on shelves make it easier for shoppers to quickly identify foods with high nutritional value that they can incorporate into healthy eating habits. DAT uses unique software that analyzes and identifies products in most commercial food categories based on up to 86 FDA-defined health attributes. Attributes analyzed vary by food category, but identify dietitian-approved foods that limit added sugars, sodium, and unhealthy fats while containing whole grains, healthy fats, fiber, or lean protein, as well as items that qualify as USDA organic . Once these products are identified, they are marked on consignment shelves with a “Thumbs Up – Dietician Approved” label.

• Thinking Outside the Box Recipes: Preparing nutritious food at home doesn’t have to be difficult or expensive. With “Thinking Outside the Box” recipes, Your Commissary continually offers meal solutions that are quick, healthy and economical, using ingredients that are normally offered to our customers at greater savings. Recipes are always available on commissaries.com under the Healthy Living tab. This library includes quick and easy, nutritionist-approved recipes for appetizers, entrees, salads, sides, and even desserts.

• Commissary CLICK2GO: Use Commissary CLICK2GO, the Commissary’s online ordering service, to instantly add the ingredients of your favorite nutritionist-approved recipe to your virtual shopping cart. With your Commissary CLICK2GO order on Commissaries.com, click on the recipe link (https://shop.commissaries.com/recipes), select the recipe you would like to add to your meal plan for the week and click simply click “Add to Cart” next to each of the ingredients you need to prepare the meal. Preparing nutritious food at home has never been easier.

• Gas Stations: Dietitian-approved gas stations, located near the front checkout aisles at over 170 food service establishments, offer convenient, tasty, nutritious meals and snacks to give customers the convenience they need without the high calories or high cost of a fast food restaurant meal. Customers can expect to see products that offer protein, healthy fat, complex carbohydrates, and a low-calorie form of hydration, such as low-calorie water and sports drinks, deli sandwiches, one-serving hummus, ready-made lean protein, fruit and cheese, no-sugar-added yogurt, Low sugar protein bars or prepared sliced ​​fruits and salads.

• Quick Homemade Meals: Don’t let a lack of time prevent guests from preparing nutritious home-cooked meals. DeCA has created a list of no-fuss entrees (https://commissaries.com/sites/default/files/2019-09/no_fuss_entrees.pdf) selected from the many nutritionist-approved “Thinking Outside the Box” (https://). became. /www.commissaries.com/healthy-living/healthy-eats) Recipes featured on commissaries.com. The list is designed to minimize prep time with quick and easy meal solutions featuring ingredients that will save groceries money. It includes links to recipes for quick preparation using a slow cooker, microwave or pressure cooker; Prepared frozen meals; One-skill meals and entrees with prepared protein like fried chicken and canned tuna.

• Meal Planning: To make meal planning easier, DeCA has created two nutritionist-approved dinner menu plans, including weekly grocery lists, each for an entire month of family meals. These monthly meal plans are available on commissaries.com at these links: Meal Plan #1 (https://www.commissaries.com/sites/default/files/2021-02/nutrition-month-calendar-2b.pdf) and Meal Plan #2 (https://www.commissaries.com/sites/default/files/2021-09/Meal-plan-calendar-with-links.pdf). Choose your preferred plan and simply print out the grocery list for the week, add breakfast and lunch items and your grocery list is ready. You have everything you need for the week. If you want to create your own menu plan tailored to your family’s preferences, use our easy-to-follow planning guide, the Dietitian Approved Menu Planner (https://www.commissaries.com/sites/default/files/ 2019-02 /Dietititan_Approved_Menu_Planner.pdf) and the Weekly Meal Plan Worksheet (https://commissaries.com/sites/default/files/2020-06/Weekly_Meal_Plan_Worksheet.pdf).

“Make fruits and vegetables your favorite snack, experiment with nutritious substitutes like cauliflower rice and zucchini noodles for starchy rice or pasta, or try a new fruit or vegetable each month,” Harris said. “All of these ideas, coupled with our programs that identify high-performing foods, our easy-to-use quick meal solutions, and our many wellness resources, give our customers a head start in achieving their wellness goals while stretching their grocery dollar.”
-DeCA-

About DeCA: The Defense Commissary Agency operates a global chain of commissioners that provide military members, retirees and their families with groceries in a safe shopping environment. Commissioners offer a military advantage and save authorized customers thousands of dollars annually on their purchases compared to similar products at commercial retailers. The reduced prices include a 5% surcharge to cover the cost of new construction and modernization of existing police stations. As a central element of military family support and a valuable part of military salaries and benefits, commissioners contribute to family preparedness, improve the quality of life for the American military and their families, and help recruit the best and brightest men and women for service and to hold country.

Date of recording: 01/20/2022
Release Date: 01/20/2022 17:04
Story ID: 413176
Location: FORT LEE, VA, USA
Web Views: 10
Download: 1

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Hy-Vee HealthMarket Picks and Heart Health

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DAVENPORT, Iowa (KWQC) — Nutritionist Katie Schaeffer of Hy-Vee shares HealthMarket products and a healthy mango salsa!

Top 5 HealthMarket Products

· Food For Life Ezekiel Sprouted Grain Bread

  • Food For Life Ezekiel Bread is made by combining six sprouted grains and legumes (wheat, barley, millet, lentils, soybeans and spelt) that together provide a complete protein. It is free from preservatives.
  • Sprouting grains can help improve digestibility, absorption of nutrients and antioxidants.
  • Each slice of bread contains 3 grams of fiber and 5 grams of protein. Both fiber and protein can help with satiety and support better blood sugar control.

Tumaros Carb Wise Wraps

  • Tumaros Carb Wise Whole Grain Wraps contain 60 calories, 13 grams of carbohydrates, 7 grams of fiber and 5 grams of protein.
  • The lower-calorie yet high-fiber combination is helpful for those trying to lose weight while staying fuller for longer.
  • They can be used for so much more than just packaging. Try them as breakfast burritos, sandwiches, enchiladas, tacos, and fajitas.

· Zevia® Zero Calorie Soda

  • Zevia® – Zero Sugar, Zero Calories and Naturally Sweetened
  • All Zevia® products are kosher, vegan and gluten-free
  • Zevia® drinks are sweetened with stevia leaf extract and contain no additives that many must avoid to manage their ailments.

Banza noodles

  • Banza noodles are made from chickpeas. Chickpeas have been shown to improve blood sugar control. Studies show that eating beans is correlated with a reduced risk of diabetes and cardiovascular disease.
  • Banza is high in fiber and protein (5 grams of fiber and 11 grams of protein per serving). For those looking to go more plant-based, banza can be a helpful addition to a pasta that provides a good amount of protein. It provides 1.5 times more protein and 3 times more fiber than regular pasta.

· Avocado Oil by Chosen Foods

  • Chosen Foods Avocado Oil is 100% pure, naturally refined and always made from perfectly ripened avocados, which are a healthy source of fat.
  • Chosen Foods Avocado Oil is the workhorse of the kitchen. With its neutral flavor, avocado oil can be used in baking, marinades, dressing mixed leafy greens, and pasta salads — the possibilities are endless.
  • With avocado oil’s smoke point of 500°F, it can be used for any cooking purpose, from frying over high heat to grilling or baking.

Healthy You at the Health Fair 2022 – in person!!!

Do you want to start the new year off right? Attend our annual health fair to learn about your nutritionist’s favorite products, get your nutrition questions answered, and receive free samples, recipes, and coupons.

o Event date: Saturday, January 29, 12:00 p.m. – 2:00 p.m

o Locations:

  • Northgate Hy-Vee (1823 East Kimberly Street, Davenport, IA)
  • Devil Glenn Hy-Vee
  • Utica Ridge Hy-Vee
  • Milan Hy Vee
  • Rock Island Hy Vee

Mango Black Bean Salsa

Served 16

Everything you need:

1 medium mango, peeled, seeded and cut into ¾-inch cubes

1 (15 oz) can Hy-Vee black beans, drained and rinsed

1 cup frozen Hy-Vee Select super sweet corn, thawed

¼ cup diced red peppers

¼ cup finely chopped green onion

1 tbsp minced garlic

¼ cup coarsely chopped fresh parsley

3 tbsp fresh lime juice

Sp tsp Hy-Vee salt

¼ tsp ground cumin

Baked tortilla chips for serving

Everything you do:

In a medium-sized bowl, mix all the ingredients. Serve with baked tortilla chips.

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· READ NUTRIENT LABELS: Look for foods with 2 grams or less of saturated fat, 0 grams of trans fat, and less than 140 mg of sodium per serving. Choose foods with at least 5 grams of fiber per serving.

· ADD GOOD FATS TO YOUR BASKET: Unsaturated fats like nuts, olive oil, avocados, and salmon can reduce the amount of low-density (“bad”) lipoprotein (LDL) cholesterol in the blood and lower the risk of heart disease.

· CHOOSE WHOLE GRAIN FOODS: Look for the word “whole grain” as the first item in the ingredients list instead of fortified flour or “multigrain”. Whole grains contain the whole grain and are a better source of fiber.

· BEWARE OF HELPFUL INGREDIENTS: Sodium and added sugars can go by many different names. Sodium can be referred to as monosodium glutamate (MSG); Sugar can be high fructose corn syrup, dextrose, or molasses.

LOOK FOR THE HEART TICKET: When you see the heart tick on a food label, it means the product has been certified by the American Heart Association to meet certain nutritional requirements.

  • Heart Check certified foods contain 10% or more of the daily requirement of vitamin A, vitamin C, calcium, protein or fiber. It has 1 gram or less saturated fat per serving, ½ gram or less trans fat per serving, and limits sodium (based on each food category).

Meet your metric screening

When: February 2022

What: Do you want to take control of your health? Come for a Free Biometric Screening with your Hy-Vee Nutritionist! Your dietitian will take a fingerstick blood sample, which is used to measure cholesterol, triglycerides, and glucose levels. They will also measure resting blood pressure, weight and body fat percentage. Appointments will be made based on availability while stocks last! To enroll, visit www.hy-vee.com/health.

Where: Northgate Hy-Vee (1823 East Kimberly Road, Davenport, IA 52803) and Milan Hy-Vee

Copyright 2022 KWQC. All rights reserved.

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The Beef on Plant-Based Meat Alternatives

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Just look at the grocery store shelves and you will see a plethora of plant-based meat alternatives. As more people restrict animal products, companies are offering a wider variety of plant-based foods that mimic the taste of meat.

The non-meat eater population is growing, with 63% of respondents in a recent US consumer survey saying they are eating more plant-based foods. Specifically for plant-based meat alternatives, market research firm SPINS reported that dollar sales for plant-based meat increased 45% from 2019-2020.

People are turning to vegetarian options for many reasons, including environmental sustainability and animal welfare. Plant-based foods generally have a lower environmental impact while providing fiber and other nutrients that may help prevent some chronic diseases.

Research has shown that a greater intake of red and processed meat increases the risk of heart disease. A study of 20,000 people published in the journal European Society of Cardiology showed that people who ate more red meat had smaller heart chambers, poorer heart function and stiffer arteries.

On the other hand, research has linked a plant-based diet to lower cardiovascular risk.

“Everyone should follow a plant-based diet to reduce the risk of cardiovascular disease and certain cancers, and to diversify the bacteria in your gut microbiome,” says Kirsten Straughan, RD, director of the Nutritional Sciences program at the College of Applied Health Sciences University of Illinois Chicago.

If you’re looking to increase plant-based meat alternatives in your diet, you should know what to look for because not all are created equal.

Meat and plant-based diet

You know what you can get from whole plant-based foods — like an apple or a stalk of broccoli — but how healthy are plant-based meat alternatives?

The magic of food technology has transformed plant proteins from soybeans, peas, legumes, nuts, seeds, whole grains and mushrooms, or “mycoproteins,” into a variety of plant-based meat alternatives, from veggie burgers, sausages and hot dogs to fake chicken nuggets and fish fingers.

And just as animal meat is nutritionally different, not all plant-based meat alternatives are created equal.

Recent research in the Journal of the Academy of Nutrition and Dietetics compared the nutritional quality of ground beef alternatives sold by major brands in the US and ground beef made from animal meat.

The plant-based ground beef alternatives tended to contain less saturated fat than ground beef, although levels varied. Some products in the study had as much saturated fat as ground beef.

The plant-based alternatives contained a moderate amount of fiber, which is underconsumed in the US. The results also showed that the plant-based alternatives were good sources of iron, manganese, copper, folic acid, and niacin. However, they contained fewer essential nutrients — protein, zinc and vitamin B12 — than ground beef.

Sodium levels were also higher in plant-based alternatives than animal meat, but salt is usually added to flavor ground beef during cooking.

Plant based diet

Just because products are plant-based doesn’t mean you can be sure you’re getting all the nutrients you need. Consider how these options fit into your broader diet.

“It’s the total diet that counts,” says Penny Kris-Etherton, PhD, RDN, professor of nutrition at Pennsylvania State University, who recently spoke about plant-based meats and reducing cardiovascular risk at the Academy of Nutrition and Dietetics’ Food & Nutrition Conference & Exhibition.

“When you go plant-based, make sure you’re doing it right, because if you’re doing it wrong, you’re not doing yourself any good,” she says.

The food we eat, whether plant or animal, must be nutritionally adequate and in line with current dietary recommendations. “Our goal should be to achieve optimal nutritional quality, whether or not the diet contains animal protein,” says Kris-Etherton.

“Lean beef can provide many nutrients that are either under-absorbed or difficult to obtain,” she says. Lean beef provides protein, easily absorbed iron, zinc, magnesium, selenium, vitamin B12, phosphorus, as well as creatine for muscle growth and maintenance, the antioxidants taurine and glutathione, and conjugated linoleic acid, an important fatty acid.

“Lean beef can be incorporated into a healthy diet that meets all current nutritional recommendations for health promotion and disease prevention,” she says.

If you’re replacing animal meat in your diet, make sure you’re getting a nutritious substitute, says Straughan. “It’s important to read labels,” she says. “Even within brands, look at individual products, look for saturated fat from coconut oil, and look for fiber in the product.”

The bottom line is that eating less red and processed meat — and less animal products in general — can be good for your health, but it’s important to understand whether plant-based meat alternatives hit the nutritional mark for you.

Vicki is a Registered Dietitian, Lifestyle Nutritionist, Author, Culinary and Media Consultant and the author of two books.

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