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‘Obesity is highly misunderstood; people usually equate food with weight gain’: Dr Aparna Govil Bhasker

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Since obesity is a silent killer and a precursor to many diseases like that of the heart, PCOD, joint-related problems and more, bariatric surgery has increased worldwide, said Dr. Aparna Govil Bhasker, bariatric surgeon. And just like any other surgery, bariatric surgery – a type of weight loss surgery – requires certain diet and lifestyle changes. But that doesn’t mean you have to go without your favorite foods, and that’s exactly what the expert shared in her new book Bariatric Recipes – A Global Cookbook from India, co-authored with her team and by nutritionist Mariam. written by Lakdawala and Miloni Shah Sancheti.

“Diet and nutrition are an integral part of any culture and the goal of bariatric surgery shouldn’t take away the pleasure of dieting, ”said Dr. Aparna and announced that you can find 85 recipes in the book, including for grams of dal and cabbage pancakes, ragi tikkis, healthy sliders.

“When it comes to nutrition after bariatric surgery, there are many recipe books in the western world that can help patients. Until now, no such food source has been available to Indian patients. Indian diet is unique and different from its western counterpart. So the recipes in this book will go a long way in helping patients cope with post-surgery demands, ”she added.

Excerpts:

What led to the conception of the book?

This book is a great resource for patients who have had bariatric surgery. There is a big change in diet after surgery and nutritional progression includes a liquid diet for 15 days, followed by a semi-solid diet for an additional 15 days, and then a normal solid diet. With over 15 years of experience, we’ve seen our patients struggle to find interesting meal options for each stage of the diet. So we decided to create a resource that would make post-bariatric care easier and more enjoyable. These recipes are healthy and can be tried by anyone, including those who have not had an operation.

There is a common misconception that one cannot enjoy food after having bariatric surgery. The surgery leads the patient to a healthier diet and lifestyle. Eating is an integral part of our culture and the purpose of this book was to provide guidance on how to eat healthily and yet not take away the joy of eating. It is possible to cook and eat with joy even after bariatric surgery Weight loss.

On what basis were the recipes chosen for the book?

All recipes were contributed by qualified dietitians from around the world. The recipes are divided into three types – liquid, semi-solid and solid recipes. They were because of her nutritionally Composition. The focus of every recipe is on high protein and fewer fat and calories per serving.

Obesity is known as the “silent killer”; can you explain?

Obesity is mistakenly perceived as self-inflicted, and often a person with obesity is viewed as responsible. It still doesn’t evoke the same level of sympathy as other diseases like heart disease or cancer. obesity has a negative effect on the body – from head to toe. People with obesity are at higher risk of heart disease, diabetes, high blood pressure, fat metabolism, lung and liver diseases, joint problems, PCOD, infertility, gout and so on. Obesity leads to a poor quality of life and is also associated with many psychological problems. There is a huge void when it comes to a deeper understanding of obesity. People still don’t consider it a disease, so they usually delay finding treatment. As with any other disease, early treatment is key and delayed treatment is denied, resulting in poorer results.

Here’s why obesity is the leading cause of other diseases. (Source: Getty Images / Thinkstock)

What is bariatric surgery all about?

Bariatric surgery is currently the only effective therapy for weight loss in people with severe obesity. It also leads to a significant improvement in all obesity-related comorbidities such as diabetes, high blood pressure, heart disease, PCOD, joint problems, and liver disease.

The mere mention of the word “surgery” is enough to instill fear in people. However, surgery in the 21st century is much more advanced and safer. Bariatric surgery today is performed laparoscopically, which involves 4 to 5 tiny incisions under one centimeter. laparoscopy is one of the friendliest innovations in surgery, resulting in less pain and earlier recovery. Most patients are discharged within 48 hours of surgery and can return to work within a week. Bariatric surgery is just as safe as any other operation. In fact, the complication rate of bariatric surgery is lower than that of other major surgeries.

What is the role of diet in treating lifestyle disorders such as obesity?

Obesity is multifactorial. An unhealthy diet is one of the factors that contribute to weight gain in people predisposed to obesity. Of the 12 or so factors known to cause obesity, there are only a few that we can modify. We cannot change genetic factors. However, diet, physical activity, stress management and sleep hygiene are, to a certain extent, in our hands. Hence, a healthy diet and lifestyle is an important part of the treatment Strategy in dealing with obesity.

How important is it to lose weight under expert guidance?

Obesity needs to be treated early. But please do not be fooled by all the information on the Internet and turn to qualified weight loss professionals. Expert guidance is required for effective treatment.

How is diet after bariatric surgery different from normal home-cooked meals? Is it possible for everyone to hug?

After bariatric surgery, diet progression includes liquid food for 15 days, semi-solid food for the next 15 days, followed by normal solid food. However, patients cannot consume large amounts at once. The portions are limited and therefore the recipes included in the diet should be more nutritious and at the same time lower in calories. In this recipe collection, we have made sure that these requirements are met.

What are the most important points in post-bariatric nutrition?

Some important rules of a post-bariatric diet are:
* The diet must consist of nutrient-rich foods.
* Foods high in protein and fiber must be added to every meal.
* The hydration must be maintained.
* Healthy eating habits must be encouraged – eat slowly, chew well, avoid drinking liquids with meals, do not skip meals or take long breaks between meals.
* Mindful eating must be encouraged.

Can people who want to lose weight also try these recipes?

Yes, these recipes can be included in the diet of those looking to lose or maintain weight. However, a healthy diet alone is not enough. It definitely needs to be accompanied by physical activity, good quality sleep, and stress management techniques to keep any lifestyle-related illnesses at bay.

What are the myths related to obesity in India?

Myth 1: Obesity is not a disease
Obesity has emerged as one of the biggest killers of this century and urgent action is needed to contain this pandemic.
Myth 2: Eating less is the only weight loss solution
Obesity is widely misunderstood and people typically equate food with weight gain. That is only partially true. In recent years we have moved away from this doctrine and we now know that obesity is multifactorial and that food is only one factor responsible for the disease process. Therefore, the solution cannot focus on food and nutrition alone. The strategy for treating obesity must be multi-pronged.

Myth 3: Those who weigh more are well nourished
Obesity is the other end of the malnutrition spectrum and most of them have several Nutritional deficiencies. Excessive fat accumulation can lead to multiple deficiencies such as vitamin D, iron and also has an undesirable impact on bone health.
Myth 4: A big belly is a sign of happiness and prosperity
A big belly actually means poor health. People with big belly have higher levels of visceral fat, which can make them more prone to metabolic diseases, especially type 2 diabetes.
Myth 5: Obesity is the result of lack of willpower and lethargy
This is one of the biggest myths and in the current scenario I would say that it shows the lack of understanding of the disease. Obesity has nothing to do with willpower or lethargy. Mostly these are the aftereffects of obesity and not the other way around.

obesity, causes of obesity, effects of obesity, obesity cures, obesity treatments, obesity diet, foods for obesity, latest obesity study, indian express, indian express news It is important that your diet is high in fiber after bariatric surgery. (Source: Getty Images / Thinkstock)

What are other precautions a post-bariatric patient should take?

Patients after bariatric surgery have a very rewarding journey ahead of them. Some of the things to take care of are-
* Focus on healthy eating
* Have small portion sizes, chew well, and eat slowly.
* You are not allowed to combine food and liquid
* You need to stay away from sugar and high calorie Food
* Avoid carbonated drinks whenever possible
* You need to try to get 40-45 minutes of moderate exercise 4 to 5 times a week
* Be regular with nutritional supplements
* Maintain regular follow-up care with the bariatric team

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Healthy Eating

Berkeley, California Now Home to First Plant-Based City Council

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Berkeley, California, made history today as the first US city to abandon animal products in favor of plant-based foods. Berkeley city council announced plans to replace at least 50 percent of animal-based food spending with plant-based options by 2024. According to The Daily Californian, the move is the first step in the city’s goal of phasing out all animal products across all of its facilities, including summer camps, prison, senior centers and other city facilities.

The resolution, authored by Berkeley Mayor Jesse Arreguin and Councilor Sophie Hahn, states: “Streamlining the city of Berkeley’s transition to plant-based and plant-based meals promotes the priority of the city’s strategic plan to lead the world in fighting climate change, environmental justice and environmental protection and support the goal of the climate protection plan that much of the food consumed in Berkeley is produced locally. “

During the July 27 session, the city council discussed how the plant-based switch would encourage the city and its people to adopt a vegan diet. Motivated by environmental, health and ethical concerns, Mayor Arreguin and the city council hoped that this transition would raise awareness of the benefits of plant life. The council meeting shows that the plant-based switch was aimed at reducing the negative effects of carbon emissions, water scarcity and natural disasters caused by climate change.

This drive for sustainability comes after years of protests by local organizers who want to address the dangers of animal husbandry. Direct Action Everywhere chairman Almira Tanner claims the constant clash between animal rights activists and the city council was the reason the resolution was passed.

“This industry is immensely powerful, but it cannot match ordinary, passionate people who come together to act together,” Tanner said in an email to The Daily Californian. “That’s just the beginning.”

Beyond the environment, Berkeley’s decision to reduce its animal-based foods stems from a deeper concern for the health and wellbeing of individuals. The city’s goal is to promote healthy and nutritional life for people, especially after the COVID-19 pandemic. The agenda also discussed the benefits of a plant-based diet related to diseases such as cancer and diabetes, in hopes of highlighting the importance of diet for immunity.

Prior to the plant-based food campaign, Berkeley stepped into the spotlight for cruelty-free plant-based initiatives when it became the second city in the US to ban fur sales in 2017. Following the fur ban in West Hollywood, Berkeley councilor Kriss Worthington proposed banning fur to promote the humane treatment of animals.

“These animals are often victims of cruel conditions that include intense stress, desperate and repetitive movements, self-mutilation and even cannibalism,” the proposal said, citing Free Fur Berkeley’s website. “With the availability of myriad varieties of suitable fabrics, there is no need for this brutal industry.”

These measures only mark the beginning of the city’s campaign to reorganize its food spending and systems. With sustainability in mind, the city will continue to explore ways to reduce carbon emissions, promote nutrition and end the harmful by-products of animal husbandry.

31 delicious, herbal recipes for repeating

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Healthy Eating

Keto Recipes: Make These 7 Yummy Breakfast Keto Recipes In Just 30 Minutes

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If you’ve just started leading a healthy and fit lifestyle, then there is a high chance that you need to figure out what type of diet to follow. Although there are different types of diets, it is best to know your body’s needs first, and then, with the help of a nutritionist, choose a diet. While we have many options to choose from, one of the diets that has gained a lot of attention in recent years is the keto diet. The keto diet is known to be a low-carbohydrate, high-fat diet.

(Also Read: What Is Keto 2.0? How Is It Better Than A Keto Diet For Weight Loss? Expert Reveals Everything)

According to nutritionist Dr. Rupali Dutta “The keto diet helps you consume less than 50 grams of carbohydrates per day and it takes 2-3 days for the body to reach the state of ketosis.” So, if you’re already on or starting out on a keto diet, today we’re going to share some simple keto breakfast recipes that you can make in no time and that you would love to devour with these meals.

Here are 7 keto breakfast recipes | Keto breakfast recipes:

1. Keto-Thepla

Theplas have always been considered a light meal. They are easy to prepare and can be combined with quark, any sabzi or dal. While this popular Gujarati snack is usually made with wheat, the Keto Thepla is made from flax seed dough and dried methi water. This low carb keto thepla is indeed becoming a recipe for you. You can find the full recipe here.

Keto thepla is delicious to have

2. Keto coconut rice

Nothing feels more refreshing than a piece of coconut or coconut water. The sweet and crunchy goodness of coconut is laden with many benefits that can improve our health. So, if you have yesterday’s rice left over, mix it up with some tasty shredded coconut to make this keto recipe. For the full recipe click here.

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You have to try this dish

3. Keto Poha

Poha is a very common breakfast in our country. You can easily find a plate of hot poha in any region. But if you want to make a keto poha, you will be surprised because this particular poha is made from crushed cauliflower instead of flattened rice. Mixed with spices and vegetables, this Poha is sure to be the next addition to your recipe list. You can find the full recipe here.

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Poha is a very common breakfast item

4. Keto Masala Omelette O.

The good old omelette has been a popular breakfast recipe for ages. But this keto recipe is certainly different from what you normally would have eaten. Made with cream, cheddar cheese, red onions, sausage meat (optional), turmeric, and some vegetables, this masala omelette recipe is certainly worth a drool. You can find the full recipe here.

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Omelette is a common breakfast dish

5. Keto bread

Bread has long been a breakfast staple. While on a diet, many people try to avoid bread as it can lead to weight gain, but with this keto bread recipe you won’t have to worry about that. This bread consists of eggs, almond flour and flaxseed. This recipe is super healthy and delicious. For the full recipe click here.

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This bread is easy to make

6. Keto Upma

Nothing is easier than preparing a delicious plate full of vegetable upma. This upma is also made from cauliflower and then slowly cooked with vegetables and spices.

7. Keto Dahi rice

Dahi rice is one of the most delicious dishes. Not only is it easy to prepare, it is delicious too. To make this low-carb keto-dahi rice, you need to chop up some cauliflower and cook it a little to soften it. Then mix with Dahi and enjoy!

Make these delicious and easy keto recipes and let us know how you liked them.

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Foods, Meal Plans, and What to Eat or Avoid

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  • The best diets for people with diabetes are the Mediterranean Diet, the DASH Diet, and the Keto Diet.
  • The best foods for diabetes include non-starchy vegetables, lean protein, and healthy fats.
  • If you have diabetes, avoid sugar foods, refined carbohydrates, and fried foods like donuts.
  • Visit Insider’s Health Reference Library for more advice.

For people with

diabetes
It is important to eat a healthy diet that focuses on fruits and vegetables and limits or avoids refined carbohydrates and sugars.

Eating this way can help keep blood sugar stable. Both people with type 1 and type 2 diabetes need to carefully monitor their blood sugar levels to avoid health complications.

People with prediabetes – high blood sugar that is not yet diabetic – should also follow a similar eating plan to keep their disease from getting worse

Type 2 diabetes
.

If you have diabetes or are at risk, here’s how to eat healthy and regulate your blood sugar levels with three of the best diets to follow.

Foods To Eat When You Have Diabetes

People with diabetes should get the majority of their diets from vegetables, fruits, whole grains, and lean proteins and dairy products, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

The best foods for people with diabetes are:

  • Non-starchy vegetables like leafy greens, broccoli, peppers and tomatoes.
  • full grain like oatmeal, brown rice, and multigrain bread.
  • fruit like melon, apples and bananas.
  • Lean protein like fish, grilled chicken and nuts.
  • dairy that is low-fat or fat-free, like yogurt or milk.

“Foods high in protein and healthy fat are best for a diabetic diet, such as beef, pork, chicken, and fish,” said John Burd, PhD, clinical researcher and innovator and founder of lysulin, a dietary supplement for people with diabetes.

This is because protein and fat are not converted to glucose as easily as carbohydrates. Carbohydrates are processed quickly so they cause blood sugar to rise sharply, followed by a sharp drop. So-called simple carbohydrates – like candy and refined sugar – are broken down the fastest and have the greatest impact on blood sugar.

Complex carbohydrates – like fruits, vegetables, and whole grains – contain fiber and are digested more slowly. Because they are released into the bloodstream more slowly, they have less of an impact on blood sugar than simple carbohydrates.

note: For more information, read How Many Carbohydrates to Take in Each Day If You Are Diabetic.

Foods To Avoid In Diabetes You

Overall, people with diabetes should avoid foods high in saturated fats and added sugar. This contains:

  • Sugary drinks like juice or soda.
  • Sweet, processed foods like cookies or candy.
  • Simple carbohydrates including white bread or refined grains such as cereals.
  • Fried food like donuts or fried chicken.

If you want to create a nutrition plan with the right foods, try one of the three following diets.

1. Mediterranean diet

Health Weight Loss Greens Vegetables Vegetables Fruits Vegan Vegetarian Food Groceries Fitness Nutrition Libra Farmers Market Wellness

Fruits and vegetables are vital to the Mediterranean diet.


Crystal Cox / Business Insider

The Mediterranean diet focuses on plant foods like fruits, vegetables, and nuts; Protein like fish; and healthy fats from olive oil. It is often recommended for people with diabetes because it is high in vegetables and lean proteins, while also limiting added or refined sugars.

For example, a 2009 study published in the journal Diabetic Medicine found that patients who a

Mediterranean cuisine
had stricter lower HbA1c levels – a measure of blood sugar levels over a three-month period – and lower blood sugar levels right after meals than people who were less strict about the Mediterranean diet.

A 2010 scientific review published in Diabetes Research and Clinical Practice concluded that the Mediterranean diet was beneficial in preventing diabetes, controlling blood sugar, and reducing cardiovascular risk factors – including high blood sugar – for humans was helpful with diabetes.

A day on a Mediterranean diet could look like this:

  • breakfast: Greek yogurt with berries and nuts.
  • Having lunch: Salad with olive oil, salmon and whole grain pita bread.
  • dinner: Whole grain pizza crust with vegetables and low-fat cheese.
  • snack: Nuts, fruits or hard-boiled egg.

Note: Read our guide to the Mediterranean diet for more tips.

2. DASH diet

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The DASH diet can help reduce the risk of gestational diabetes.


Crystal Cox / Insider

The DASH diet is very similar to the Mediterranean diet and focuses on fruits, vegetables, and lean proteins. While it was designed to help people with high blood pressure, it has also been shown to be beneficial for people with diabetes.

For example, a 2017 study published in the Diabetics Spectrum, the journal of the American Diabetes Association, found that after

DASH diet
can reduce insulin resistance and weight, both of which increase the risk of diabetes. The study concluded that the DASH diet is an “acceptable nutritional pattern for people with diabetes”.

A 2019 study published in Diabetes Management also found that adolescents following the DASH diet were using. could help

Type 1 diabetes
Better control their condition after 18 days of the diet and establish healthy eating habits.

Additionally, a 2016 study published in the journal Nutrition found that following the DASH diet can reduce the risk of gestational diabetes by up to 71% if diabetes occurs during pregnancy.

A day on the DASH diet could look like this:

  • Breakfast: Omelette with vegetables and low-fat cheese.
  • Having lunch: Tuna on a pita wrap with sliced ​​vegetables.
  • Dinner: Roast chicken with potatoes and vegetables.
  • Snack: Fruits, nuts or reduced-fat cheese.

Note: Read our DASH Diet Guide for more information on this nutritional plan.

3. Keto Diet

ketogenic ketogenic diet

The keto diet can be a great option for people with type 2 diabetes.


Hollis Johnson / INSIDER

The keto diet focuses on consuming fats and proteins while reducing carbohydrates. It aims to put your body in the metabolic state of ketosis. Ketosis is when your body burns fat for fuel instead of carbohydrates.

This can be helpful for people with type 2 diabetes because breaking down fats and proteins in fuel doesn’t raise blood sugar levels in the same way that breaking down carbohydrates does.

Research on the

Keto diet
is more mixed compared to the DASH or Mediterranean diet. For example, a 2019 study published in the journal Nutrients found that in people with type 2 diabetes, the keto diet may be effective at lowering blood sugar and weight, but drastically reducing carbohydrates might not be sustainable in the long run because many people find it difficult.

Additionally, the study warned that the safety of the keto diet for people with type 1 diabetes – who are at risk for diabetic ketoacidosis (DKA) – has not been proven. DKA occurs when ketones – the byproduct of burning fat for fuel – build up in the blood, so a diet that promotes the release of ketones could be potentially dangerous for type 1 diabetics.

Overall, if you have type 1 or type 2 diabetes, you should speak to your doctor before trying the keto diet. While there is some evidence that it can be helpful for people with type 2 diabetes, it can still pose health risks and be potentially dangerous for people with type 1 diabetes.

If your doctor allows you to follow this diet for diabetes, it might look like this:

  • breakfast: Bacon with eggs.
  • Having lunch: Asparagus wrapped in ham.
  • dinner: Steak with fried vegetables.
  • snack: Avocado, nuts or cheese.

Note: For more information, read about the benefits and risks of the keto diet for diabetes.

Insider tips

Whichever approach to nutrition you choose, it is important for people with diabetes to have a nutrition plan.

That’s because it can help you track your carbohydrates and control your blood sugar, which reduces your risk for complications like kidney disease and vision problems.

If you’re interested in developing a customized nutrition plan for your diabetes, speak to your doctor to learn more.

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