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

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

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.

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

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.

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

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.

Originally posted here:
Ayer company grows with food developed for those with disorder - Lowell Sun

Diabetes is becoming an increasing concern nowadays and US with its increasing obesity is at high risk. Researchers are always looking for ways to reverse the effects. They just came up with an interesting approach where they were able to reverse the diabetes symptoms and restore pancreatic function in mice by putting them on something similar to a fasting-mimicking diet. So what does this diet actually do? The diet tricks the body in entering into a fasting mode for a few days each month even though selective food is being consumed. This, according to the researchers may be enough to reboot the pancreas functions including insulin production.

According the team from University of Southern California, this method was able to reverse the symptoms of both type I and type II diabetes. The head of the research team Valter Longo said, By pushing the mice into an extreme state and then bringing them back, the cells in the pancreas are triggered to use some kind of developmental reprogramming. The fast-mimicking diet has been used previously for humans for the purpose of losing weight and reducing risk factors for heart disease and cancer. This diet is earning great importance in the eyes of researchers as it has also helped in reducing symptoms of Multiple Sclerosis. It seems that starving the body is resetting the cells.

For this study, mice were put into a fasting mode for four days every week over a period of several months. It was observed that this process regenerated beta cells in the pancreas which basically store and release insulin. Scientists also experimented on cell cultures from human donors with type I diabetes. In this case as well it was observed that fasting produced more insulin and more of the Ngn3 protein which is necessary for normal and healthy pancreatic function.

The research is still in its early stages so scientists have warned not to use this at home to treat diabetes. The diet requires measured calorie intakes and can be effective only if certain types of food are consumed. It is hoped that in the future the fast-mimicking diet will be able to help treat diabetes. According to Longo, Scientifically, the findings are perhaps even more important because weve shown that you can use diet to reprogram cells without having to make any genetic alterations. The amazing thing is that this system has probably always been there. Now that weve discovered it, we can find ways to work with it and utilize it for benefits to human health.

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Researchers Observed That A Fasting Diet Can Reverse The Effects Of Diabetes - Wccftech

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.

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

HEALTHY CHOICES: Cambrooke Therapeutics co-founder Lynn Paolella with low-protein hamburger buns produced at the company's Ayer plant. See video at sentinelandenterprise.com. SENTINEL & ENTERPRISE / JOHN LOVE

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

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.

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

Until 2009, the accepted treatment for the disease was based on synthetic protein without phenylalanine. "They protected our kids' brains," David Paolella 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 one 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.

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

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.

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

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. Most beverage manufacturers will produce the same product for days before changing.

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.

See the article here:
For lives at risk, the perfect recipe (SLIDESHOW) - Sentinel & Enterprise

Eating certain foods and avoiding others can calm the bodys digestive tract down paleo and Mediterranean diets are among the most popular for people with upset stomachs. As an IBS sufferer, I understand the reasons for following these diets, but I also know that getting a medical professionals advice is the first step.

I recently looked to my own doctors for guidance. They ruled out celiac disease through a blood test. I then took out from my diet what I determined were offending foods and felt better, but I still had symptoms. Despite my young-ish age, my gastroenterologist recommended a colonoscopy. I didnt want to, but I listened to my own advice and took the guidance. And there she was, removing a precancerous polyp.

Feeling blessed, I will gladly comply with her next directions, and return in six months for another look.

With a doctors or dietitians guidance, you can first rule out other major reasons that you might feel symptoms it might not be just your diet calling.

Then, proceed to determine which diet will help calm your body. If you are diagnosed with an autoimmune issue through a medical test, you should absolutely look into eating along an anti-inflammatory diet such as paleo, or the more strict autoimmune protocol. The most important thing to remember if you embark on this, is that it is meant to be strict only temporarily, and should eventually be liberalized, so as to keep as many nutrients as possible in your diet.

After my recent colonoscopy, I have fresh momentum to follow the style of eating that least offends my body. My eating style is a mixture of Mediterranean (lots of vegetables, healthy fats and whole grains), paleo (lean meats and fish) and an overall clean-eating pattern (very little processed food and added sugars). Does this work for most people? It should.

But there are particulars that wont apply to everyone. I cant eat black beans or onions. Those are great foods that have tons of nutrition, but I cant tolerate them. Too much sugar gives me gastrointestinal trouble, so I have to be careful of fruits and dairy. This isnt something Id recommend for everyone either.

Bodies are different, so do what feels good to you. This means you have to pay attention, and do a little background work. Oh, and be patient. That part stinks, but it is worth it when you can put all the pieces together.

See more here:
Upset stomach? Rule out medical problem before changing your diet - Omaha World-Herald (blog)

Vitamins are big business. In 2017, the sales figure for vitamins and nutritional supplements in this country is expected to reach $36.1 billion.

With a recent Gallup Poll showing half of Americans take vitamins or other mineral supplements, chances are many of you visit the health aisle on a regular basis. After all, vitamins are big business. In 2017, the sales figure for vitamins and nutritional supplements in this country is expected to reach $36.1 billion. Thats up from $17.2 billion in 2000. But is all this spending actually improving your health?

I dont have anything against somebody taking a multivitamin, said Dr. J. Todd Kornegay, internal medicine physician with the NHRMC Physician Group at the New Hanover Medical Group Practice. But if you look at the data, theres not a lot of information that supports everyday use in everybody.

Many studies share that assertion, including one in 2013 from the Annals of Internal Medicine with an accompanying editorial titled Enough Is Enough: Stop Wasting Money on Vitamin and Mineral Supplements and the 2011 Iowa Womens Health Study.

And while multivitamins are one thing, choosing supplements a la carte is quite another, said Laura Greenhow, owner of Summerfield Custom Wellness in Wilmington and a registered dietitian and licensed dietitian/nutritionist.

The problem is that vitamins try to sell themselves by this is good for this person and this is good for this person, but I dont think its appropriate to get that advice from anyone who doesnt know your medical history, she said. Have a doctor check your levels and go from there. You shouldnt just start taking them because of something you read unless youre a health-care provider and have some science behind it.

While vitamin toxicity alone is not something most people have to worry about, boosting your intake of certain nutrients and not others could potentially be harmful, Greenhow added.

Most things in our body kind of work together and have some synergies, she said. The worst thing you can do is decide on your own that you need certain nutrients. They work together with other things, and that can throw yourself out of whack.

If youre thinking of adding vitamin supplements to your diet, chances are you are looking to change or improve some aspect of your health, Greenhow said. She encouraged people to talk to a health-care professional and explore other avenues first, including boosting water intake or adding more healthy foods to their diets.

The way we get vitamins from our food is from eating a lot of different colors, but the problem is that most of what we eat is white and brown with maybe a little bit of green, Greenhow said. A multivitamin could be a good insurance policy, but really what they would want to work on is increasing the number of colorful fruits and vegetables to get the nutrients from their diet. Its more effective to get it from foods. It just behaves differently in our bodies.

Kornegay agreed that we should first turn to food: A western diet thats high in fruits and vegetables should have everything you need in it, and you shouldnt have to supplement it with a vitamin.

But those who still insist vitamins might be for them should be sure they consult with someone they trust before getting started on a regimen, he said.

I would suggest that they talk to their physician about it, as long as their physician doesnt sell vitamins in their office, Kornegay added. A pharmacist, dietitian or nutritionist would be a good resource, too.

See more here:
Do we really need to take vitamins? - StarNewsOnline.com

This article is not meant to diagnose or provide medical advicethat responsibility lies with physicians. The author is not a licensed medical professional.

Cutting carbs has long been considered a key to weight loss, just look at the Atkins and South Beach diets. The newest in the low-carb craze is the ketogenic diet.

The ketogenic diet arose about a century ago as a way to treat children with epilepsy, but recently, its been revived and retooled as a method for weight loss.

While many versions of the diet exist, the basic idea is that by severely restricting carbohydrates and boosting fats, the body enters into a state of ketosis, so that instead of burning sugar and carbohydrates for fuel, it uses fat.

But getting to ketosis is tough. Under many versions of the diet, daily carbohydrate intake cant exceed 20 gramsthe equivalent of a little more than one apple. So in addition to cutting starches such as bread, pasta and rice, followers of the diet also have to eliminate fruit and some vegetables, and instead rely on meat, poultry, fish and high-fat dairy products.

The Benefits

Adhering to a real food version of the ketogenic dietconsuming foods such as meat, fish, eggs, cream, butter and vegetablesis an effective way to lose weight, according to Eric Westman, M.D., MHS, director of the Duke Lifestyle Medicine Clinic.

You basically use for energy what you eat, said Dr. Westman. If youre eating lots of carbohydrates, youre going to burn them for energy. If youre eating fat and not carbohydrates, youre going to be burning fat for your energy.

Following the ketogenic diet, Westman explained, can aid in weight loss and managing diabetesresults that are backed by science. Its now one of the most studied diets ever, he said. Since 2002, there have probably been 50 to 75 papers, the longest one over two years. The best way to say it is that theres as much evidence for this kind of diet as there is for any kind of diet.

Dr. Westman has also seen the same positive results in his own clinical work. In the short run, I can fixmeaning put in remissionsomeones diabetes in just a few weeks even if theyve had it for years, he said. In addition, he explained, pre-clinical science has pointed to the possibility that the diet may also be helpful to patients with Alzheimers disease and certain types of cancer.

Meanwhile, the effectiveness of low-fat diets hasnt been proven, according to Dr. Westman. The low-fat diet was actually tested among about 50,000 women for eight years, he said. And the low-fat diet didnt help with anything.

But Dr. Westman said more research is needed into the specifics of the ketogenic diet to better understand the optimal ratio of macronutrientsfat, protein and carbohydratesa person should consume. While everyone thinks they know what the right number is, I dont think anyone really knows, he said. When I use this diet in a clinical setting, I allow people to choose their own foods within a range of certain foods, and not really fine-tune the macronutrient mix at all.

The Drawbacks

Photo by Tim Boyle/Getty

While the ketogenic diet can aid in weight loss, it may not be nutritionally sound, said Jim White, RDN, owner of Jim White Fitness and Nutrition Studios in Virginia Beach.

It really almost avoids three food groups, he said of grains, dairy, and fruits and vegetables. Those are some major foods that can help to decrease cholesterol, decrease the risk of cancer and help improve the body.

The carbohydrates that are severely restricted under the ketogenic diet are an important macronutrient, said White. While reducing added sugars and highly processed carbohydrates is helpful, he explained, eliminating nutritious carbohydrates can deprive the body of the energy it needs to function properly.

White also hesitates to recommend a diet that restricts fruits and vegetables, since most Americans struggle to eat the recommended five servings per day. Before we make all these other suggestions, just getting them to eat fruits and vegetables is a big goal, he said. Studies show that fruits and vegetables, grains and dairy products help you lose weight and give you nutrients for vitality. I never have people come to my clinic and say theyre obese because they eat too much fruit.

And he doubts the long-term viability of extreme eating regimens. If you look at a lot of the studies, not just ketogenic, many of the diets are effective for a 12-week span, but longevity is very challenging, he said. Most people end up starting to eat carbs again and it knocks them out of ketosis, and they end up right back where they were.

Instead, White recommends a more balanced approach of about 50 percent carbohydrates, 20 percent protein and 30 percent fat. If we start neglecting one of these, were out of balance and were not getting the nutrients we need, he said.

Tips and Tricks

For Maria Emmerich, author of several ketogenic cookbooks including Quick & Easy Ketogenic Cooking: Meal Plans and Time Saving Paleo Recipes to Inspire Health and Shed Weight, eating this way doesnt have to mean giving up favorite foods.

I love food, so I recreate my and everyones favorite dishes into ketogenic dishes, she said. If you dont mind spending a little time in the kitchen or being creative, it definitely can become a lifestyle.

Emmerich replaces starches with cauliflower rice (which she said can be made from scratch or even found pre-made in some grocery stores), zucchini or cabbage noodles and baked avocado fries wrapped in bacon. Some of her go-to homemade dinners include pizza with a zucchini or almond flour crust and skillet lasagna.

Eating out is where many people slip up on the diet, she said. But its not impossible. At brunch, instead of French toast, order an omelet or salmon, eggs and hollandaise sauce. For lunch or dinner, try a burger with a side salad instead of a bun, but be wary of condiments like ketchup, which are full of sugar.

Even dessert using alternative sweeteners such as Stevia isnt off limits. One of Emmerichs favorites is a flourless chocolate torte, which she always keeps on-hand in her freezer, and push pops made of heavy cream, unsweetened almond milk and avocado.

I learned to have desserts at home, she said. Prepping ahead helps you to say no when the dessert is staring at you in the face.

Caitlin Yoshiko Kandil is a journalist based in Southern California who covers social issues, culture, food and health.

More here:
Everything You Need to Know About the Ketogenic Diet - Paste Magazine

New Years resolutions are behind us and swimsuit season is just around the corner in the borderland. With February being both Heart Month and Chocolate Month, just where does that leave your diet?

Hopefully at the top of your to-do-list. Eating healthier is not something you can do just once a week, like the laundry. Changing eating habits is a bit like trimming the budget. It can be painful because everywhere you look there are reminders of ways to spend, be it money or calories.

Whether the diet changes you seek are for weight loss, living longer, feeling better or cutting your risk of a heart attack, here are some ways to get started and keep going.

Make a plan. If you have a goal like eating more veggies, map out how to get there. Maybe that means batch cooking your veggies on the weekend for healthy lunches, or using a shareable grocery-shopping app like Cozi to make sure you have healthy foods on your list.

Go all-in. Ill be the first to say that diets dont work. (And by diets, I mean a drastic, unsustainable diet change.) Sure, they work temporarily just like saying youll never do the Starbucks drive-through again to save money. But before you know it, forgoing the pleasure of that latte doesnt seem to be worth the $3.99 youll be saving. However, sometimes going all-in for a habit change is just the jump-start you need: 5 p.m. workouts followed by protein smoothies for a week instead of happy hour with fried appetizers could be what you need to feel and see the benefits of changing habits.

Small changes make a big difference. Being more active can help with your health goals. Debi Hicks, RD, LD, food service director at The Hospitals of Providence Memorial Campus, says Dont forget that small increments of activity are helpful, too such as taking the stairs, parking farther away and even taking your pooch for a 10-minute walk. Hicks also recommends a FitBit or Apple Watch for extra fitness motivation.

Get the tools. Some people thrive on new gadgets. If youre one of them, buying a yoga mat, some cool running shoes, a NutriBullet or a Spiralizer will help you visualize and follow through on healthy habits you want to start.

Use the technology. There are many apps to help you toward a healthier you many of them free. Keeping a food and activity diary is the first recommendation I give to new clients. MyFitnessPal and MyPlate apps track food and activity.

If you love Instagram, try See What You Eat, an app that encourages you to stay on track by taking pics of everything you eat.

Rise Up + Recover is an app that helps you track what you eat and your mood, where you are and who you are with. This is a top pick for people who lean toward disordered eating.

The key to eating healthier and making it stick is finding the right balance between eating for health and eating for enjoyment. Use these recipes to jumpstart your healthy eating for 2017.

Bridget Swinney is an El Paso registered dietitian and blogger at http://www.eatrightmama.com. She has a virtual consulting practice and is the author of three books.

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Eating healthy: How you can make it happen - El Paso Inc.

Dave Asprey is 43, stands 6-feet-4 and carries 200 well-cut pounds on his frame. Not long ago he was 300 pounds of lethargic pudginess. How did he make the transformation? A diet change/lifestyle plan he created: the Bulletproof Diet.

Asprey had tried all the popular diets gluten, gluten-free, low fat, Atkins, protein some worked, briefly. He even exercised. But his weight always crept back up. So the computer nerd/Simi Valley investor and entrepreneur became a biohacker. Thats his term for using himself as a guinea pig to research the link between what foods he ate and how they made him feel physically.

Here are some of the Bulletproof Diets key points:

What you think is good for you might be making you fat, sick and stupid.

Stop counting calories, eat more fat, trust your hunger.

Eat fat for breakfast and carbs for dessert.

Sleep better and boost your energy.

Work out less and get more muscle.

The way youve been cooking your food can make it toxic.

Aspreys 2014 book The Bulletproof Diet goes into detail. Its all about mycotoxins, improved mental clarity, new-found energy and optimizing hormones. It also explains how to burn fat all day, something thats the Holy Grail for many dieters.

I was always tired, sick a lot, and foggy brained, Asprey writes, noting that is not an option, especially in our fast-paced world. He says his diet works for men and women.

He makes interesting claims, like breakfast should be just his Bulletproof coffee. Will this work for everybody? Possibly not. The Bulletproof Diet includes meals and recipes that use BP-approved ingredients, things like smoked salmon, poached eggs, meatballs, sauted greens, kale, pork belly, roast, rack of lamb, baked fish and Brussels sprouts. His recipes also use foods like cauliflower, butternut squash, broccoli and even sweet potatoes and guacamole.

David Wardy of Wardy Wellness Chiropractic in El Paso drinks Bulletproof coffee. He said the best foods we can eat are the ones naturally grown and not processed. Its just avoiding bad food sources, ones that make us fat, Wardy added, noting that real food is made by nature anyway, not by man.

Some health professionals have doubts about the diet. In a 2014 New York Times article, Joan Salge Blake, a Boston University professor of nutrition, compared the Bulletproof Diet to the old grapefruit diet its didnt help you lose weight permanently, but certainly beefed up grapefruit sales. Blake was skeptical about drinking only Bulletproof coffee for breakfast, since it has no carbohydrates, which are considered fuel for your brain. This is not a breakfast of champions, she said.

But taste drives food choices, so if you like Bulletproof coffee, youll continue drinking it, she said. Its long-term effects on weight control are still unknown.

The high levels of fat in the Bulletproof Diet raised the eyebrows of Marion Nestle, an author and professor of nutrition and public health at New York University, who told The New York Times that she was unaware of any shortcuts related to diet, exercise or healthful living.

But heres something most can agree on: We are what we eat.

Excerpt from:
What is Bulletproof, anyway? - El Paso Inc.

FORT MYERS Hes on a talk-free diet.

Pablo Sandoval has no problem sharing videos on social media to prove just how hard hes worked.

I just want to keep the fans updated (about) what I was doing, he said yesterday.

No videos of dinner time, though. What he eats apparently is off limits.

Everyone knew the guy could lose weight and exercise if he applied himself. The Red Sox third baseman did that in his San Francisco Giants days.

But what hes eating now, and how hes changed his diet, seems to be a sensitive topic.

I got a program. I got a program, its all included, Sandoval said. So I dont worry about that. I got a program, its all included. Im going to continue to keep doing my program. So thats my main goal.

Well, thats descriptive.

Maybe there are foods he likes that have been taken away. Lets start there.

What do you want me to say it is? Sandoval said. I dont miss anything, man. I dont miss anything.

The first man on earth to never miss anything while dieting, ladies and gentlemen. How about ice cream? Everyone likes ice cream. Can you still eat ice cream?

I dont want to tell you about my secrets, he said.

Cookies and cream now is proprietary information.

Why in the world would food be a secret?

No, Sandoval said. Everything.

Every bit of food the Sox third baseman eats is a secret. This makes a lot of sense.

Everything, Sandoval said. Why do you want me to tell you everything I do?

Theres nothing more American than baseball, apple pie and diets. Sandovals an unrelatable figure, making a ton of money while being out of shape for the past two years. But weight loss, or at least the attempt at it, average Joes can understand.

Now, Sandoval has no obligation to be relatable. Fans wont accept him unless he plays well, anyway. But letting people in on his calorie-control effort wouldnt be a bad olive branch.

But I dont want to tell them what Im going to do, Sandoval said. Its my program.

A big, secret program. Scott Lauber of ESPN.com reported Sandoval put his new wife, Yulimar, in charge of his low-carb diet, and that she worked with a nutritionist.

Perhaps its Red Sox nutritionist Glen Tobias, formerly of the New York Jets and hired ahead of this season, who is handling the matter.

Manager John Farrell said someone has been overseeing Sandoval.

Thats part of our medical staff, Farrell said, declining to name the person. We have our nutritionist.

The teams previous nutritionist, Nancy Clark, as well as a Red Sox source said she left the club under amicable conditions that were unrelated to Sandoval.

The person that hired me left, and new people bring in new people, said Clark, who has a private practice in Newton Highlands. I did it for three years, and Im very glad to have my summers back.

Pablo actually, when he was down in Fort Myers, he worked with another dietician who speaks Spanish and lives near Miami, and she did a lot of work with him.

He was a hard worker, Clark added. He spent this past year really getting things together. I mean he really wants to succeed. And he wants to prove himself, and thats what he was saying. ... Hes got a work ethic. I wish him the best.

Overeating, which Sandovals former trainer Ethan Banning has said was the third basemans pitfall, is no small concern. Psychology comes into play.

Hes worked on his all-around, Sox president of baseball operations Dave Dombrowski said when asked about dieting. Hes worked on nutrition, hes worked on conditioning, hes worked on mental, hes worked on a lot of different parts of the whole thing to make it work. But I think for him, its important to tackle all aspects of it, not just the conditioning end of it.

Farrell noted the importance of a diet, too.

I think if you just use the basic adage more out than more in, hes in the positive column, Farrell said. But its much more detailed than that. Theres been a combination of the work hes put in, the effort hes put in, and I guess a more scientific approach to his diet and what works best for him.

Unless Sandovals eating out of a test tube, science seems a stretch.

OK, lets make it real simple: Is your diet different than its ever been before?

No comment, Sandoval said.

Seems salty.

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Drellich: Pablo Sandoval staying mum on his new diet - Boston Herald

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