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General Research

PINEAPPLE: FORBIDDEN APPLE IN PREGNANCY?

 

The happiest moments in a family and couple’s life is that period when the wife is heavy with child. Everyone is expectant, and also,everyone has one advice to give; especially dietary. 

One of those many advice is the intake of pineapples during pregnancy;so many claims that pineapple contains ‘bromelain’ ( a protein digesting enzyme), which poses a threat of  miscarriage or induces premature labour on the woman. 

BROMELAIN 

Bromelain is a protein-digesting enzyme mixture derived from the stem, fruit, and juice of the pineapple plant. It has a centuries-long history of being used to treat medical ailments, primarily throughout Central and South America.

It is currently categorized as a dietary supplement, and generally recognized as safe (GRAS) by the U.S. Food and Drug Administration (FDA).

Bromelain may be used alone or in conjunction with other medications. People use bromelain topically, to remove dead skin from burns, and orally, to reduce inflammation and swelling — particularly of the nasal passages.

Bromelain is also used as a digestive aid, for osteoarthritis, and to reduce soreness in aching muscles.

Potential health benefits

Bromelain and its potential health benefits have been studied extensively in multiple areas. These include:

1. Osteoarthritis 

Clinical studies found that bromelain’s anti-inflammatory and analgesic properties make it an effective treatment for the pain, soft-tissue swelling, and joint stiffness associated with osteoarthritis.

The review focused on bromelain’s effectiveness in treating arthritis of the knee and shoulder. The studies analyzed varied significantly in terms of dosage. Improvements were found in some study participants given 400 milligrams of bromelain, two times daily.

 

2. Cardiovascular disease

A source  reported that bromelain was effective at treating cardiovascular diseases, such as peripheral artery disease, stroke, heart attack, and high blood pressure.

Bromelain inhibits the ability of blood platelets to stick or clump together (aggregation). This may help reduce clot formation and cardiovascular events.

3. Asthma

The results of an animal study indicated that bromelain’s anti-inflammatory effects might be beneficial to people with asthma or other forms of allergic airway disease.

4. Chronic sinusitis (chronic rhinosinusitis)

A pilot study found that bromelain tablets were effective at alleviating swelling, congestion, and other symptoms associated with chronic sinusitis. Study participants were given bromelain daily for a 3-month period.

5. Colitis

An animal study found that purified fruit bromelain reduced inflammation and healed mucosal ulcers caused by inflammatory bowel disease in rats.

6. Burns

A study review found that bromelain, when used as a topical cream, was highly effective at safely removing damaged tissue from wounds and from second- and third-degree burns.

7. Cancer

A 2010 study  indicated that bromelain shows promise in combating cancer. Bromelain may have the ability to positively impact cancer cell growth, and it may help to control the key pathways supporting malignancy.

 

NUTRITION 

Positive nutritional effects have been shown in bedridden, tube-fed, nursing home patients who received a supplementary digestive aid containing bromelain plus an extract of Aspergillus niger. Total protein concentration improved significantly with the supplement (P < 0.02), which was reversed after withdrawal.

 

DOSAGE 

Two slices of pineapple contain approximately 100 mg of ascorbic acid (vitamin C), approximately the recommended daily adult intake. Commercially available bromelain supplements contain predominantly stem bromelain, as compared with fruit bromelain.

The usual dosage of bromelain is 40 mg 3 or 4 times daily. However, because bromelain is regarded as being relatively nontoxic, doses of up to 2,000 mg/day have been used.Most commercial products contain bromelain 500 mg; manufacturers suggest a dosage regimen of 500 to 1,000 mg daily.

 

PREGNANCY 

Information regarding safety and efficacy in pregnancy and lactation is lacking. Clinical evidence to support the traditional use of pineapple as an emmenagogue and abortifacient is limited. Previously, bromelain/trypsin (as Kimotab) was investigated for use in breast engorgement during lactation.

A cup or two of pineapple juice per week won’t do any harm to mother or foetus, rather it supplies a lot of benefits as: 

  • 2 slices of pineapple contains about 100mg of vitamin C which is a bit above the daily value for pregnant women (85mg/day). Vitamin c helps repair and prevent cell damage by warding off free radicals. 
  • Contains manganese which helps build strong bones and connective tissues 
  • Might be helpful in preventing osteoporosis in post menopausal women

 

HEALTH RISKS

Because pineapples contain a whole lot of vitamin c, overconsumption may lead to diarrhoea, abdominal pain, nausea and heartburn for some people. 

Additionally, extremely high amounts of bromelain can cause skin rashes, vomiting, diarrhea, and excessive menstrual bleeding, according to the University of Maryland Medical Center. Bromelain can also interact with some medications. Those taking antibiotics, anticoagulants, blood thinners, anticonvulsants, barbiturates, benzodiazepines, insomnia drugs and tricyclic antidepressants should be careful not to eat too much pineapple.  

 

SOURCES: https://www.drugs.com/npp/pineapple.html

https://www.livescience.com/45487-pineapple-nutrition.html

https://www.healthline.com/health/bromelain#health-benefits

 

 

 

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Uncategorized

DAIRY: POISON OR POTION?

In a society and age where everyone has become a nutrition guru, it’s best to always look out for and rely on strong science based articles which debunk so many pseudoscience on the internet. 

IS DAIRY REALLY THE VILLAIN? 

In a recent article in The New England Journal of Medicine, Dr. Walter Willet and some other colleagues stated thus : “A central rationale for high lifelong milk consumption has been to meet calcium requirements for bone health. Paradoxically, countries with the highest intakes of milk and calcium tend to have the highest rates of hip fractures”

Really, this is a ‘fallacious argument’- very deceptive arguments that seem convincing but lack scientific rigor. Possible truths may be found in the paper, but is there an identification of limitations? Research is not carried out based on personal bias but on neutral grounds right?

Let’s look at some potholes in this paper shall we? 

SHAKY EVIDENCE 

The paper clearly starts out by stating that there has not been any health benefits related with the HIGH intake of milk products. Well, i would like to ask this: What’s your explanation of high intake? 1 litre of milk? A  bucket of milk? Per sitting? Per month? Just state it.

We can’t deny the fact that before this new age of funny health shaky-umentaries,  there has been so much research to prove that consumption of milk and its product are beneficial to health. 

The paper even goes along to suggest that consumption of milk is related to the incidence of bone fracture through correlative data. Are you kidding me now? So many meta-analyses confirm that foods high in calcium, protein and vitamin D (especially dairy) are preventative for good bone health.

 There are obviously other sources of calcium, protein and vitamin D that are healthy and beneficial, but demonising  a particular food group just to push the vegan agenda doesn’t alright. 

Before stating the correlation of a data, so many things like vitamin D status, genetics, longevity, exercise, environmental factors, or overall diet quality should be considered – because a lot more goes into building strong bones than simply calcium.

“Aside from bone fracture risk, the authors also look at how dairy consumption links to cardiovascular disease. They state that milk is beneficial to the heart when being used as a substitute for sugary beverages (like pop or juice) and then state that milk isn’t beneficial if it replaces whole fruit, nuts, and legumes in the diet” My question is – Why do you think milk is replacing those other foods? What do you term an adequate diet?

Isn’t it one that has all food groups in right proportions and quantities?

IS THERE A ROOM FOR DAIRY INTOLERANCE?

Dairy has never posed any health problems as claimed by everyone on the internet, but really, there are some individuals that won’t be able to tolerate dairy products.

Many people are lactose intolerant (carbohydrates found in dairy) and have serious digestive problems when they consume dairy products. So it’s best they eliminate dairy products from their diets so they won’t have complications.

Some folks are also allergic to cows milk which could lead to hives, skin rash and anaphylaxis. But hey, these people are not the ALL people yes?

Dr Willet also stated that 67% of children with diagnosed intolerance to cow’s milk had reduced symptoms immediately they were switched to an alternative- soy milk (plant based). OH YES! They sure will since they were given an alternative to cow’s milk which don’t contain lactose. But really, the agenda was to kick against the consumption of cow’s milk.

If you feel better and don’t get digestive problems when you eliminate milk from your diet, no problems. But doing it out of fear? We dietitians won’t support that.

MILK AND MUCUS PRODUCTION 

The texture of any fluid determines the texture and amount of mucus produced after consumption of said fluid. 

Mucus is produced by cells within the nose, sinuses and lungs.  It consists of water, salt and various proteins that help trap germs and particles of dirt.

“There is a belief among some members of the public that the consumption of milk and dairy products increases the production of mucus in the respiratory system. Therefore, some who believe in this effect renounce drinking milk. According to Australian studies, subjects perceived some parameters of mucus production to change after consumption of milk and soy-based beverages, but these effects were not specific to cows’ milk because the soy-based milk drink with similar sensory characteristics produced the same changes. In individuals inoculated with the common cold virus, milk intake was not associated with increased nasal secretions, symptoms of cough, nose symptoms or congestion. Nevertheless, individuals who believe in the mucus and milk theory report more respiratory symptoms after drinking milk. In some types of alternative medicine, people with bronchial asthma, a chronic inflammatory disease of the lower respiratory tract, are advised not to eat so-called mucus-forming foods, especially all kinds of dairy products. According to different investigations the consumption of milk does not seem to exacerbate the symptoms of asthma and a relationship between milk consumption and the occurrence of asthma cannot be established. However, there are a few cases documented in which people with a cow’s milk allergy presented with asthma-like symptoms”. 

That being stated, lets focus on the benefits of dairy products 

BENEFITS OF DAIRY PRODUCTS 

Dairy products like milk, yogurt, cheese, and cottage cheese, are good sources of calcium, vitamin D and protein which helps maintain bone density and reduces the risk of fractures. Adults up to age 50 need 1,000 milligrams (mg) of calcium per day. Women older than 50 and men older than 70 need 1,200 mg. (For comparison, a cup of milk has 250 mg to 350 mg of calcium, depending on the brand and whether it’s whole, low-fat, or nonfat. A typical serving of yogurt (plain) has about 187 mg of calcium.) Milk is also fortified with vitamin D, which bones need to maintain bone mass.

WHICH DAIRY IS PREFERRABLE?

The American Heart Association still recommends adults stick to fat-free or low-fat dairy products. But new research suggests full-fat dairy might not be much of a threat to heart health. A report presented at the 2018 Congress of the European Society of Cardiology looked at 20 studies involving almost 25,000 people, and found no association between the consumption of most dairy products and cardiovascular disease.

Some science has even suggested that the right kind of dairy may prevent heart disease. A study involving 2,000 men published by the British Journal of Nutrition found that those who ate plenty of fermented dairy products like yogurt and cheese had a smaller risk of coronary artery disease than men who ate less of these products. This supports earlier studies that showed that fermented dairy products have more healthful effects on blood lipid profiles and the risk of heart disease than other dairy products.

 

BOTTOM LINE 

On the issues of overall health benefits, dairy products {especially milk) are neither poison or potion. The right quantity added to your daily diet is important in benefiting from vital nutrients for every day activities and function. 

 An adequate diet cannot be over emphasized; elimination or demonising food groups won’t solve any problems.

 

SOURCES: https://www.health.harvard.edu/blog/dairy-health-food-or-health-risk-2019012515849

https://www.nejm.org/doi/full/10.1056/NEJMra1903547

https://www.allergy.org.au/patients/food-other-adverse-reactions/milk-mucus-and-cough

https://www.ncbi.nlm.nih.gov/pubmed/16373954

https://ignitenutrition.ca/blog/is-dairy-deadly/?utm_campaign=meetedgar&utm_medium=social&utm_source=meetedgar.com

 

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General Research

FENUGREEK: USES, BENEFITS AND CONTRAINDICATIONS

Fenugreek is truly an amazing plant with so many health benefits. People from Western Asia and the Mediterranean have used fenugreek for thousands of years to improve the flavour of their food, improve health, and soothe skin maladies. In more recent times, this herb has supposedly gained global popularity as a herbal supplement with a variety of health benefits.

While fenugreek has many promising applications/ benefits, not all of its uses have yet been backed up by rigorous scientific examination. This tour will tell us which of fenugreek’s health benefits are supported by evidence, and which ones remain more assumptions and advertising gimmicks than fact.

Let’s take a dive together to learn what fenugreek is, what it does in the body, and how best to utilize all its

benefits. Shall we?

What Is Fenugreek?

Fenugreek (scientific name Trigonella foenum-graecum) is a plant native to Western Asia and the Mediterranean. It has three green or yellow oblong leaves, which can be consumed fresh or dried.

Fenugreek leaves and seeds are important for cooking and medicines. Because of their sweet, maple-syrup like smell and flavour, fenugreek seeds are also added to artificial maple syrup, candies, ice cream, beverages, tobacco, soaps, and cosmetics.

 

 

What Makes Fenugreek Work? Important Compounds

Well, as stated below, the health benefits of fenugreek involve the regulation of blood sugar, stimulation of milk flow in new mothers, maintenance of hormones, and treatment of inflammation; made possible by the presence of the outlined compounds:

  • 4-hydroxyisoleucine and 2-oxoglutarate: molecules with an insulin-stimulating effect.
  • Protodioscin: compound that may have aphrodisiac effects.
  • Diosgenin and Yamogenin: compounds used in the commercial synthesis of progesterone and other steroid products.
  • 3-Hydroxy-4,5-dimethyl-2(5H)-furanone: compound that causes a maple-syrup scent in body excretions.

Now that we’ve taken a look at what fenugreek does, let’s appreciate its functions.

Look before you leap! Some retailers care more about their pockets than your health. (Shine your eyes)

 

Why You Should Be Cautious About Herbal Supplements

Herbal remedies can be very effective alternative treatments to prescription medication. At the same time, there’s a big business of retailers that exaggerate health claims to market their products and make money.

The best way to evaluate these claims is to take a look at objective, rigorous scientific research. Has the supplement been tested in a randomized control trial and been proven to have statistically significant effects? Has it been used on human subjects and not just lab mice? If its benefits are purely anecdotal, then you might not want to waste your time or money, or worst case scenario, risk causing yourself more harm than good.

With these guiding principles in mind, we’ve done a thorough research on fenugreek, its uses, contraindications and special cases.

Fenugreek Benefits: Analysis of 4 Popular Uses

People take fenugreek in a variety of forms as an herbal supplement. Its most common form is a pill or capsule, but it can also be made into a tea or ground up and combined with other ingredients to make a poultice and applied to injured skin.

The most commonly claimed fenugreek benefits are milk production in new mothers, blood sugar levels, testosterone and male libido, and treating inflammation.

Fenugreek can act as a galactagogue.

 

Use 1: To Enhance Milk Production in New Mothers

Fenugreek is widely used as a galactagogue, or a milk flow-enhancing agent in new mothers. Nursing women take fenugreek in pill form or drink it as a tea after they’ve had a baby.

While fenugreek appears to be an effective galactagogue, it can have adverse effects if you take it while pregnant. Most doctors advise that women should only take fenugreek supplements once they’ve had their baby and not before.

Scientists believes it contains phytoestrogens, which are plant chemicals similar to the female sex organs oestrogen. They really don’t know how it happens though, they only believe breasts are modified sweat glands, and fenugreek promotes sweat production.

The plant has aggravated asthma symptoms in women and caused low blood glucose in diabetics; it should not be used by all.

Since its evidence backed that fenugreek could be used as a milk-enhancing agent, how should you take it?

 

 

How to Take Fenugreek to Stimulate Milk Production

Its best to speak to your doctor/ dietitian before taking fenugreek as it could have significant side effects during pregnancy. I remember one woman complaining to me how it makes her add more weight.

If you decide to take fenugreek, you could take it as fenugreek tablets or drink it as a fenugreek tea. A typical dosage is two to three capsules (580 to 610 mg each) taken by mouth three times a day. Drinking it as a tea is a milder amount. You might drink between 1-3 cups a day as a hot tea, iced tea, or mixed with apple juice.

 

Use 2: To Maintain Blood Sugar Levels

Fenugreek seeds are commonly used as a supplement to control blood glucose, especially to prevent or treat diabetes. It appears to alleviate problems around the metabolism of blood sugar.The seed contains fibre and other possible compounds that could slow digestion and the body’s absorption of carbohydrates and sugars.

How to Take Fenugreek to Control Blood Glucose

The most common ways to take fenugreek to control blood sugar levels are in capsule form, ground up and added to food, or made into a tea. The recommended dosage falls between 2.5 and 15 grams a day. The amount you take varies depending on your weight, any other medications you take, and other factors.

It would be really unwise to just depend solely on fenugreek to help in the treatment of diabetes; speak to your dietitan and doctor for possible and sustainable ways to handle your diabetes.

 

Use 3: To Boost Libido

One of fenugreek’s ancient uses is to enhance libido. Mediterranean and Western Asian cultures have incorporated the herb into their diets for thousands of years to enhance sexual desire. Recent studies have suggested that fenugreek may increase libido in both men and women.

Well, research holds that it’s a better aphrodisiac than banana, asparagus and almonds.

Ultimately, researchers concluded that “T foenum-graecum [fenugreek] seed extract is a well-tolerated and an effective botanical medicine for use in the support of sexual function for pre-menopausal women, in particular increasing sexual desire and arousal, with positive effects in concentration of E2 [estradiol] and free testosterone.” The studies suggest that fenugreek supplements may increase libido in both men and women.

How to Take Fenugreek to Boost Libido

Fenugreek can be taken as a capsule or brewed into a tea, or the seeds can be ground up and added to food or bread. A dose of 500 to 600 mg fenugreek capsules per day is recommended to boost libido. As with any herbal supplement, you should check with your doctor to determine the right amount for you.

 

Is your skin red, bumpy, or injured? A fenugreek-based poultice can help.

 

Use 4: To Soothe Skin Inflammation or Injury

Fenugreek powder has long been combined with other soothing herbs to make poultices and treat skin inflammation and injury. Recent studies have suggested that fenugreek may have anti-inflammatory and antioxidant properties.

How to Use Fenugreek to Treat Skin Inflammation

To soothe injured or inflamed skin, people traditionally grind dried herbs or boil fresh herbs in water and make a paste. You might combine fenugreek seed powder with other skin-soothing herbs, like slippery elm, flaxseed, as well as medicinal charcoal. After combining everything into a paste, just spread it across a clean piece of gauze, linen, or cotton and apply it directly to the skin.

Leave the poultice on the affected area for about 1 to 24 hours, taking it off when the skin feels better.

Along with the four main uses described above – enhancing milk production, controlling blood glucose, boosting libido, and treating skin inflammation – people claim a number of other fenugreek health benefits. Let’s take a look at other potential positive effects of taking fenugreek; with little scientific back up though.

Other Potential Health Benefits of Fenugreek (anecdotal)

People have been consuming fenugreek for thousands of years, and many believe that it has a wide range of physical benefits. These are a few additional anecdotal fenugreek seeds benefits:

  • Balance cholesterol
  • Soothe upset stomach and digestive problems
  • Reduce menstrual cramps
  • Reduce appetite
  • Control obesity
  • Maintain liver and kidney health (hepatic and renal issues)
  • Soothe muscle pain
  • Reduce fever

At this point, there’s little scientific evidence behind these alleged benefits, so much more research is needed to assess the efficacy of this herbal supplement.

Apart from having health benefits, Fenugreek also has some potential adverse side effects, and it’s important to be aware of them before incorporating the supplement into your routine because physiology differs.

Fenugreek Side Effects: 6 Potential Problems

‘They are just supplements (herbal at that), they should not pose any threat; calm down first.

The following are the six main potential fenugreek side effects.

 

Side Effect 1. Induce Childbirth

For the most part, pregnant women are advised not to take fenugreek. Because it contains oxytocin, fenugreek could act as a uterine stimulant, meaning it could cause contractions and preterm labour. Some people have used fenugreek to induce labour, don’t try this at home.

The other side effect of taking fenugreek while pregnant is that it can give a false alarm of Maple Syrup Urine Disease (MSUD). MSUD is an inherited genetic disorder so named because it causes a maple syrup-like smell in body excretions (urine).

 

Side Effect 2. Diarrhoea

Fenugreek may cause stomach irritation and diarrhea. Excessive intake in pregnancy could lead to episodes of diarrhoea, gastrointestinal disturbances as nausea, vomiting and flatulence could also occur.

Side Effect 3. Bleeding

Fenugreek contains a chemical compound called coumarin that can act as a blood thinner. People on blood-thinning or anti-coagulant medications to be careful and consult their doctors before taking fenugreek supplements.

 

Be careful if you take a blood thinner, as fenugreek could cause excessive bleeding.

Side Effect 4. Hypoglycemia

If you’re taking both medicine for diabetes and fenugreek supplements, you should measure your blood sugar levels so they don’t become too low and cause hypoglycemia. Since fenugreek can lower blood glucose levels, its best you are always alert about your glucose levels.

Consult with your doctor about the right amount, and carefully monitor the effects that fenugreek supplements have on your blood sugar levels.

 

Side Effect 5. Allergic Reactions

Before introducing new things to your, you should be conscious of the possible allergic effects attached to that food.

Check with your doctor, and try just a small dosage of fenugreek at first. Stop taking it if you experience a rash, hives, swelling, or trouble breathing.

 

Side Effect 6. “Maple Syrup” Sweat or Urine

This last side effect doesn’t cause any harm, apart from the false alarm about MSUD in infants described above. Fenugreek has a strong, sweet odour, and eating the seeds might pass that maple syrup-like smell into your sweat and urine or the sweat and urine of a nursing baby. If you start to notice this maple syrup-like odour, then you’ll know the cause and what to do.

 

How to Take Fenugreek

Either in tea, pill, tincture or powder form, dosages should not exceed the under listed:

  • Capsule: 500 to 600 mg, three times a day.
  • Tea: two to three cups a day. You can make hot or iced tea or combine it with juice.
  • Powder: five to 30 grams of de-fatted seed powder up to three times a day. It’s best to consume fenugreek powder before or as part of a meal.
  • Tincture: three to four mL three times a day. One drop is similar to a 500-600 mg capsule.

Your dosage depends on a number of factors, including weight, age, and health status.

 

SUMMARY

Every seed, herb or fruit has potential health benefits attached to them if used in appropriate amounts, but when abused or used by the wrong groups, they could pose great health threats.

While adding fenugreek to your diet, remember its health benefits and also remember its contraindications and remember too that some presumed back up don’t have sufficient scientific claims.

SOURCE: blog.prepsholar.com/fenugreek-benefits-side-effects

ncbi.nlm.nih.gov/m/pubmed/3000083/

www.washingtonpost.com/blogs/blogspot/post/fenugreek-can-increase-male-libido/2011/06/20/AG0xpqcH_blog.html

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