Vitamin D and breastfeeding

I was asked on healthtap why newborns are given trivisol drops which contain Vitamins A, C, and D. Breastfeeding babies milk is low in Vitamin D. Vitamin D is needed to absorb calcium and build strong bones. Breastmilk is therefore supplemented with Vitamin D to assure the newborn with build strong bones and grow well.

High Triglycerides

Below 159 is a normal level of triglycerides. What happens if your level is between 200-400.
First try to decrease your intake of sweets, candies, pies and cakes since they can contribute to high triglycerides

Increase your intake of omega three fish oils from salmon, herring, mackerel and tuna

Exercise burns triglycerides, so increase your activity

Decrease refined carbohydrates such as white flour and white rice and increase your intake of brown rice, 7 grain breads, whole wheat pasta

Maintain a healthy weight- a modest weight loss can reduce your triglycerides.

Eat low in saturated fats (animal fats) and low in fried foods.

Avoid trans fatty acids and hidden fats such as luncheon meats, hot dogs

eat more plant foods such as dried beans, peas,

myfitnesspal.com for calorie and fitness logging.

For free, myfitnesspal.com enables the user to log in the number of calories they are eating. It can be used for weight loss and you can print out your results and review them with your health care professional

I have had several people bring me their results, and we are able to fine tune their eating habits and make recommendations based on their printouts.

You can also log in your activity and water.

Summaries include, calories from carbohydrates, protein, fat and amount of sodium in the diet.

Constipation as a common cause of belly aches.

A follow up of a 10 year old in my practice revealed that constipation was the cause of her bellyaches. On miralax, she had bowel movements daily and her three times daily belly aches were completely resolved. Mom asked if there was an Over the counter fiber supplement her daughter can have. Here were my nutritional recommendations:

Minimize the milk and cheese intake, as they contain no fiber to help constipation and the casein part of cows milk, slows down digestion- almost bringing it to a grinding halt.

Use soy and almond milk instead if you want milk substitutes.

Increase your intake of insoluble fiber- from fresh fruits, peas, lentils, beans

Insoluble fiber, helps increase the transit time of your stool and keeps it moving along the intestinal tract.

Diabetic at 37

This week I saw a new onset of type one Diabetes in a 37 year old otherwise healthy for height and weight male. His sister also became diabetic at the same age. I felt bad for him, having to count carbs and give himself shots of insulin.

Kudos for him, thanks to apps, and his diligence, he is documenting all he eats, and how much insulin he takes and his blood sugars. He is doing a wonderful job and off to a good start. Thats an example of technology to our advantage

I was able to tell him how many calories he needed in a day and to break them down into 30% protein, 30% fat and 40% as carbs with emphasis on complex carbs and high fiber instead of simple sugars

High fiber slows down the absorption of glucose and helps regulate blood sugar better. It may decrease his need for insulin in the long run.

Policeman, Peanuts and the Judge

A policeman brought four boys before a judge.

“They were causing an awful lot of commotion at the zoo, your Honor,” he said.

“Boys,” said the judge sternly, “I never like to hear reports of juvenile delinquency.

Now I want each of you to tell me your name and what you were doing wrong.”

“My name is George,” said the first boy, “and I threw peanuts into the elephant pen.”

“My name is Pete,” said the second boy, “and I threw peanuts into the elephant pen.”

“My name is Mike,” said the third boy, “and I threw peanuts into the elephant pen.”

“My name is Peanuts,” said the fourth boy

Divorce, buffets, and weight gain

My two patients age 15 and 13 who are overweight reported today that since mom and dad are separated, dad takes them out to the Chinese buffet. At buffets, portion control is especially difficult. Yet, I’m proud to report that each child lost at least two pounds in the last month, despite the buffet. This shows that even one day a week of excess, can still result in weight loss

No weight plan is perfect, and we must allow for slight indulgences, however, they should be treats and not everyday occurences.

I will report further when they come back for month two of weight and nutritional rehab.