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Wilson Disease Nutritionist Javeria Maqbool

Wilson Disease: A Rare Hereditary Disorder

Wilson disease is a rare hereditary disorder of copper metabolism, where the body fails to excrete excess copper from the diet. Copper builds up in the liver and the brain, causing damage. This leads to various symptoms like liver disease, tremors, and psychiatric abnormalities. Diagnostic tests include genetic analysis and clinical examination. Treatment involves drugs such as penicillamine and zinc supplements to lower the levels of copper. Early diagnosis and treatment can make a big difference and make it possible for people to control their disease well and live active lives. Early awareness and quick medical intervention are paramount for those who have the disease. Monitoring and staying on treatment regularly are vital in controlling Wilson disease.

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Ectopic Pregnancy Nutritionist Maham Arshad

An ectopic pregnancy occurs when a fertilized egg implant and grows outside the uterus, most commonly in the fallopian tube. Since the fallopian tube is not designed to hold a growing embryo, the pregnancy cannot continue and cause life threatening complications if not treated. Women may experience symptoms such as sharp abdominal pain, irregular vaginal bleeding or shoulder pain due to internal bleeding. Risk factors include pelvic infections, previous ectopic pregnancy, fallopian tube surgery, smoking and fertility treatments. Diagnosis usually made through ultrasound and blood test and treatment options based on the severity- ranging from medication like methotrexate to surgical removal. After treatment for ectopic pregnancy, whether by surgery or methotrexate injection, the patient needs a diet that helps with healing, recovery and blood rebuilding.

Recommended Diet for Ectopic Pregnancy Recovery:

  1. Iron rich foods to recover from blood loss
  • Meat, Chicken, Fish
  • Lentils, Spinach
  1. Vitamin C foods to improve iron absorption and healing
  • Orange, Tomatoes, Guava
  1. Protein rich foods to repair tissue after surgery
  • Egg, Milk, Chicken, Nuts
  1. Folic acid & B vitamins support blood formation and overall recovery
  • Leafy greens, Avocados, Grains
  1. Foods to avoid/ limit
  • Very spicy or oily food
  • Junk food
  • Alcohol and smoking
  • Caffeine in excess
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Nutritional Therapy For Cardiovascular Diseases by Dr Ashar Raza

Cardiovascular disease (CVD) is the leading cause of mortality worldwide. The prevalence of CVD doubled from 1990 to 2019, and a steady increase in CVD deaths was observed, rising from 12.1 million in 1990 to 18.6 million in 2019. It is anticipated that CVD will remain the leading global cause of mortality, resulting in approximately 23 million deaths by 2030.
Regarding prevention measures, it is estimated the adoption of healthy lifestyle choices reduces the risk of myocardial infarction (MI) by 81–94%, whereas treatment with pharmacotherapies alone results in a 20–30% reduction. Accordingly, nutrition is the most important behavioral factor in preventing premature CVD death and disability, surpassing smoking abstinence and physical activity. As a result, International Guidelines strongly recommend a healthy diet, with particular emphasis on the intake of fruits and vegetables, whole grains, fish, and legumes. In contrast, intake of processed meats and fats should be minimized, aiming at efficacious control of CVD risk factors.
With respect to pathophysiology, it is well established that atherosclerosis and hypertension underly most of the cardiovascular disorders in the developed world, while both can be affected by dietary habits. There is also substantial experimental and clinical evidence indicating that atherosclerosis represents an inflammatory process characterized by a complex, dysfunctional interplay between the immune system and lipids. Considered a crucial determinant of chronic systemic inflammation, obesity represents a major nutritional disorder which, owing to its dramatic global spread, is now considered an ongoing pandemic. Providing more support for the close link between dietary factors and inflammation, the adoption of plant-based diets has demonstrated significant effects on inflammatory biomarkers. In this context, the Mediterranean (MED) diet (based mainly on whole grains, fruits, vegetables, beans, herbs, spices, nuts and healthy fats such as olive oil, moderate consumption of fish, poultry, egg and dairy and infrequent servings of red meats and sweets) as a healthy dietary pattern is well known for its anti-inflammatory potential.
The “ATTICA study”, which was conducted between 2001 and 2012 in Athens in Greece, revealed that the combination of MED with the adoption of a physically active lifestyle attenuates the inflammation process in healthy individuals, as indicated by a reduction in several inflammatory biomarkers. From a clinical perspective, this was translated into a lower incidence of cardiovascular disease among individuals with greater adherence to MED.
Providing further support, Tyrovolas et al. recently reported an inverse association between a low anti-inflammatory diet and successful aging; in particular, the multi-adjusted analysis revealed that consuming a low anti-inflammatory diet was associated with lower levels of successful aging, irrespective of age, gender, residence area, smoking habit, and waist circumference. In line with the latter observation, in 1995, Trichopoulou and colleagues disclosed a strong association between adherence to MED diet and overall survival. The main contributors to this association were moderate ethanol consumption, low consumption of meat products, high vegetable consumption, and high fruit and nut consumption. Larger cohorts worldwide replicated the above-mentioned results, confirming the strong association between adherence to a MED diet and lower all-cause and cause specific (CAD, stroke, CVD, or cancer) mortality.
In a similar vein, in the Lyon Heart Study, during a mean follow-up of 46 months, all the composite outcomes, (namely cardiac death and non-fatal MI combined with additional major or minor secondary endpoints) were significantly reduced in the MED subgroup. Among the potential benefits of the MED diet, an improvement in the left ventricular contractility and diastolic function was reported by Chrysohoou et al.
Another well-known and popular proposed dietary patent depicting beneficial effects on the cardiovascular outcomes is DASH. This diet was initially developed as a dietary approach to lower blood pressure and is based on fruits, vegetables, and low-fat dairy foods. This dietary approach has been shown to decrease incident cardiovascular disease by 20%, coronary heart disease by 21%, stroke by 19%, and diabetes by 18% in prospective cohort studies. A favorable effect on blood pressure, lipid levels, blood glucose, and body weight has also been demonstrated in controlled trials. Considering the remarkable effects of DASH diet on CVD, in 2013, the AHA Guidelines on lifestyle management to reduce cardiovascular risk recommended the DASH diet due to the “strong” level of evidence that it reduced CVD. In a similar vein, the traditional Japanese dietary pattern (rich in fish, seaweed, soybean products, vegetables, and green tea), was shown to substantially reduce CVD mortality after adjustment for potential confounders in a seven-year prospective cohort study. Nevertheless, some components of the Japanese diet (i.e., salt) may account for an increase in the risk of hypertension.
To further address the role of nutrition habits on CVD outcomes, a 2012 meta-analysis by Huang et al., which included a total of 124,706 participants, showed significantly lower mortality from coronary artery disease (CAD) in vegetarians compared to non-vegetarians. In the Physicians’ Health Study I (1982–2008)—a prospective cohort study of 20,900 men who were healthy at baseline—consumption of breakfast cereals, fruits, and vegetables was associated with a lower lifetime risk of heart failure.
The landmark Framingham Offspring Study, after 18 years of follow-up, demonstrated that each additional daily serving of ultra-processed foods was associated with a 7% increase in the risk of incident CVD. Likewise, the French NutriNet-Santé cohort study showed that increased consumption of ultra-processed foods was associated with a 12% increased CVD risk. Furthermore, there is convincing evidence from meta-analyses that specific ultra-processed products (processed meat, sugar-sweetened beverages) and nutrients that are abundant in ultra-processed foods (trans fats, sodium) enhance CVD risk. Based on these findings, current dietary guidelines recommend saturated fat intakes below 10% of total energy intake for both people with diabetes and general population.
Excessive energy consumption and fat intake increases the risk of obesity and may, paradoxically, be combined with deficiency of essential micronutrients. In fact, contrary to previous findings, obesity seems to represent a new type of malnutrition, at least in the developed world. This may be the result of unhealthy eating habits along with malabsorption and altered metabolism of micronutrients following low-grade systemic inflammation promoted by obesity. Poor dietary patterns linked to obesity may include limited access to nutrient-rich, high-quality foods which can be determined by socioeconomic factors. Indeed, diet quality level decreases with socioeconomic status, which is reflected in the higher prevalence of overweight and obesity. Likewise, dietary and behavioral aberrations, along with insufficient access to modern therapeutic modalities, are considered to partially account for high cardiovascular disease prevalence among individuals of lower socioeconomic status. Without overlooking integrated management of classical risk factors, educational interventions aiming to improve eating behaviors are crucial to reducing cardiovascular disease.
Interestingly, some studies have investigated the association of nutrition with psychological parameters. In this context, Greco A et al. enrolled 275 consecutive patients affected by ACS, who received up to 5 years of follow-up. They studied the role of both psychological (anxiety and depressive symptoms) and environmental (seasonal variations) factors as predictors of the longitudinal trajectories of healthy behaviors in terms of diet and physical activity. More anxious patients, who were more concerned about their health, maintained healthy behavior over time. Recently, a healthy lifestyle, characterized by healthy dietary habits, was associated with a slower memory decline over a 10-year follow-up period in a Chinese cohort composed of 29,072 cognitively normal older individuals. Notably, the favorable effect of healthy lifestyle on cognitive function was not affected by the presence of genetic predisposition to memory decline, as assessed by the detection of the apolipoprotein E allele, which is considered to correlate with earlier and more progressive impairment of cognitive ability.
In conclusion, it is currently well established that a healthy diet is the cornerstone for CVD primary and secondary prevention. Optimum nutritional strategies promote longevity, reduce the risks of diabetes mellitus, arterial hypertension and stroke, prevent obesity, and thus reduce the risk of CVD. Nutrition should play a central role in prevention of CVD as a non-medicinal agent. Μore educational strategies should be implemented to emphasize the paramount importance of dietary habits in healthy life and aging.
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Protect Your Brain With Your Fork by Fatima Farhan

 

What you eat directly impacts your brain’s health, especially when it comes to Alzheimer’s disease.What if your next meal could help protect your brain?

Emerging science reveals that diet plays a starring role in preventing Alzheimer’s disease.

It’s a Two-Part Strategy

  1. Loading up on protective nutrients
  2. Cutting down on harmful ones formed during cooking.

FEED YOUR BRAIN:

Power up your plate with brain-shielding nutrition. Feast on fatty fish like salmon for omega-3s that strengthen brain cells, and load up on blueberries and dark leafy greens packed with antioxidants that neutralize damaging free radicals.

Spice up your protection with turmeric and cinnamon—these potent anti-inflammatory warriors help block the formation of amyloid plaques. Don’t forget your greens: broccoli and spinach are rich in vitamin K and lutein, proven allies in cognitive preservation.

 BEWARE OF HIDDEN HARM:

The way you cook is just as important. Grilling, frying, and roasting at high temperatures create harmful compounds . These toxins increase inflammation and are linked to a higher risk of cognitive decline. Instead, embrace boiling, steaming, or stewing. Marinating meat in lemon juice or vinegar before cooking can also drastically reduce these harmful compounds.

Your fork is a powerful tool. By choosing brain-boosting foods and smarter cooking techniques, you’re not just eating for today—you’re nourishing a sharper tomorrow.

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A Simple Guide to Managing a Gluten Sensitivity by Fariha Tehreem

Many people feel discomfort after eating foods that contain gluten. It is a protein found in wheat, barley, and rye. If you are one of them, managing your diet is the key to feeling better. This process involves learning what to eat, how to avoid hidden gluten, and how to keep your meals safe from contamination. 

The most important step is to remove all gluten from your diet. This means avoiding all foods made with wheat, barley or rye. Sources include bread, pasta, cereal, and baked goods. However, gluten can also be found in less obvious places like sauces, soups, dressings, and even some processed meats. Learning to read food labels carefully is essential. Look for products that are specifically labelled “gluten free,” as this is a regulated term that you can trust. 

Preventing cross-contamination is also very important. This happens when gluten-free food comes into contact with food or surfaces that have gluten on them. At home, you can reduce this risk by using separate utensils for gluten-free foods. When eating out, it is helpful to tell restaurant staff about your dietary needs so they can prepare your meal safely. 

Although avoiding gluten is necessary, it is also important to maintain a balanced diet. Many gluten free products are low in essential nutrients like fiber, iron, and B vitamins. Eating a variety of naturally gluten free foods such as fruits, vegetables, rice, eggs, and lean meats can help you stay healthy. 

Finally, it is always best to seek guidance from a doctor or a dietitian. They can provide personalized advice and help you make sure your diet is both gluten free and nutritious. With careful attention to what you eat, it is possible to manage gluten sensitivity effectively and live a healthy and comfortable life. 

 

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Nutrition Treatment for Gastroesophageal Reflux Disorder by Dt Iqra Shafqat

Gastroesophageal reflux disease (GERD) is a digestive condition that affects both adults and children. It occurs when stomach acid flows back into the esophagus due to a weakened sphincter, causing irritation and discomfort.

Certain factors can worsen GERD, such as overeating, eating late at night, or consuming trigger foods like spicy dishes, fried foods, caffeine, citrus fruits, and chocolate.

On the other hand, many foods and habits can ease symptoms. High-fiber choices like oatmeal, vegetables, and whole grains prevent overeating and reduce pressure on the stomach. Watery foods such as cucumber, lettuce, and watermelon dilute acid, while alkaline foods like bananas and melons help neutralize acidity. Non-fat dairy and yogurt soothe the stomach lining, and ginger’s anti-inflammatory properties calm irritation.

Lifestyle changes also play an important role in managing GERD:

  • Eat smaller, more frequent meals.

  • Avoid lying down immediately after eating.

  • Wear loose-fitting clothes around the stomach.

  • Maintain a healthy weight.

  • Identify and avoid personal trigger foods.

  • Adopt long-term healthy eating and lifestyle habits.

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PCOs and Nutrition: Healing Through Food. Dt.Syeda Izma Hasan

Polycystic Ovary Syndrome (PCOS) is a hormonal condition affecting millions of women worldwide. Symptoms like irregular periods, weight gain, acne, excessive hair growth, and difficulty in conceiving can make life challenging. While there’s no single cure, nutrition and lifestyle play a powerful role in managing PCOS naturally.

 

🔹 Why Nutrition Matters in PCOS

PCOS is closely linked to insulin resistance, hormonal imbalance, and inflammation. The right dietary choices can:

Improve insulin sensitivity

Regulate periods

Support weight management

Balance hormones

Reduce long-term risks (diabetes, heart disease)

 

🔹 Nutrition Treatments for PCOS

1. Balanced Carbohydrates

Choose low GI carbs (oats, quinoa, brown rice, sweet potato, whole wheat).

Limit refined carbs (white bread, pastries, sugar) to prevent insulin spikes.

 

2. High-Quality Protein

Include lean proteins: chicken, fish, eggs, legumes, lentils, and tofu.

Protein keeps you full longer and helps balance blood sugar.

 

3. Healthy Fats

Omega-3 rich foods (salmon, walnuts, chia seeds, flaxseeds) reduce inflammation.

Use olive oil, avocado, and nuts instead of saturated/trans fats.

 

4. Fibre-Rich Foods

Vegetables, fruits, beans, and whole grains improve digestion and stabilize glucose.

Aim for 25–30 g of fibre daily.

 

5. Anti-Inflammatory Foods

Green tea, turmeric, ginger, cinnamon, berries, and leafy greens can help reduce inflammation.

 

6. Supplements (with medical advice)

Vitamin D – often low in PCOS; helps hormone balance.

Vitamin B12 – especially if on metformin.

Magnesium & Zinc – support insulin sensitivity and hormonal health.

Omega-3 – improves menstrual regularity.

 

🔹 Foods to Limit

Sugary drinks, desserts, white bread, fried foods.

Processed snacks and fast foods (increase inflammation).

Excess caffeine and alcohol.

 

🔹 Lifestyle Tips Along with Nutrition

Regular exercise (walking, strength training, yoga) improves insulin sensitivity.

Adequate sleep – poor sleep worsens hormones.

Stress management – meditation, journaling, and relaxation techniques help.

 

🔹 Takeaway

Nutrition is not a quick fix, but it’s a powerful tool in managing PCOS. By focusing on whole, balanced, and anti-inflammatory foods, women with PCOS can reduce symptoms, improve fertility, and protect long-term health.

 

🌸 Remember:

Every woman’s body is unique. Consulting a dietitian can help personalize a PCOS-friendly meal plan.

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Parkinson’s disease and role of diet in management Dt.Amyna naz

Parkinson’s Disease and the Role of Diet in Management:

Parkinson’s disease is a progressive neurological disorder that affects movement, muscle control, and balance. While there is currently no cure, medical treatments combined with proper lifestyle changes can help manage symptoms. Among these, diet plays an important role in supporting overall health, boosting energy, and improving the effectiveness of medications.

What is Parkinson’s Disease?

Parkinson’s disease occurs when brain cells in the substantia nigra, which produce the neurotransmitter dopamine, become damaged or die. Dopamine is essential for smooth, controlled muscle movement. Low dopamine levels lead to the movement-related symptoms of Parkinson’s.

Common Symptoms:

Tremors (shaking in hands, arms, or legs)

Muscle stiffness

Slowness of movement (bradykinesia)

Poor balance and coordination

Fatigue, sleep issues, and mood changes

Role of Diet in Parkinson’s Disease:

Nutrition does not cure Parkinson’s, but it can help manage symptoms, protect brain health, and improve response to medication. A well-planned diet can reduce complications such as constipation, weight changes, and fatigue while supporting long-term well-being.

1. Supporting Dopamine Production:

Dopamine itself is not found in food, but its building block—the amino acid tyrosine—comes from protein-rich foods like chicken, eggs, fish, beans, nuts, and seeds. Careful timing of protein intake is important, as it can affect how well levodopa medication works.

2. Medication and Protein Interaction:

Levodopa, the most common Parkinson’s medication, competes with dietary protein for absorption in the intestine. To get the best effect, many patients take medication 30–60 minutes before meals or follow a “protein redistribution diet,” where protein is consumed later in the day.

3. Antioxidant-Rich Foods:

Oxidative stress contributes to nerve cell damage. Antioxidant-rich foods may help protect the brain, including:

Berries (blueberries, blackberries, strawberries)

Leafy green vegetables (spinach, kale, broccoli)

Nuts and seeds

Green tea

4. Fiber and Hydration:

Constipation is a frequent non-motor symptom of Parkinson’s. A diet high in fiber—whole grains, fruits, and vegetables—combined with plenty of water can ease digestion and promote gut health.

5. Omega-3 Fatty Acids:

Healthy fats found in salmon, sardines, walnuts, flaxseeds, and chia seeds may reduce inflammation, support brain health, and improve mood and cognitive function.

6. Bone Health and Vitamin D:

Because people with Parkinson’s are more prone to falls and fractures, maintaining strong bones is crucial. Adequate calcium and Vitamin D from dairy products, fortified foods, or sunlight exposure supports bone strength.

7. Caffeine in Moderation:

Some research suggests that caffeine intake may lower the risk of Parkinson’s or improve alertness. However, excess caffeine can worsen anxiety and sleep issues, so moderation is best.

Foods to Limit:

Highly processed foods high in sugar, salt, or unhealthy fats

Large amounts of protein consumed alongside levodopa medication

Alcohol, which may interfere with medication and increase fall risk

Practical Nutrition Tips:

Take levodopa on an empty stomach or 30–60 minutes before meals

Eat small, frequent meals to maintain energy

Include colorful fruits and vegetables daily for antioxidant protection

Drink 6–8 glasses of water daily to prevent constipation

Work with a registered dietitian for a personalized nutrition plans.

FAQs About Parkinson’s and Diet:

1. Can diet prevent Parkinson’s disease?
No diet can fully prevent Parkinson’s. However, antioxidant-rich foods, omega-3 fatty acids, and a generally healthy lifestyle may help protect brain health and lower risk factors.

2. What foods are good for Parkinson’s patients?
Berries, leafy greens, whole grains, fatty fish, nuts, and seeds are excellent choices. These foods support dopamine production, fight oxidative stress, and improve gut and heart health.

3. Should Parkinson’s patients avoid protein?
Not avoid, but time it carefully. Protein can interfere with levodopa absorption, so patients often take medication before meals or shift most protein intake to evening meals.

4. Can caffeine help with Parkinson’s symptoms?
Some studies suggest caffeine may improve alertness and even lower risk, but excessive intake can disrupt sleep or worsen anxiety. Moderation is key.

5. Do supplements help in Parkinson’s disease?
Vitamin D, omega-3s, and coenzyme Q10 have been studied, but supplements should always be discussed with a doctor or dietitian to avoid drug interactions.

Key Takeaways:

Although diet cannot cure Parkinson’s disease, it can play a major role in improving quality of life. A balanced diet with antioxidant-rich foods, healthy fats, and carefully timed protein supports brain health and medication effectiveness. Along with medical care, these nutrition strategies help people with Parkinson’s live healthier, more active lives.