6 Natural Appetite Suppressants.pages
Transcription
6 Natural Appetite Suppressants.pages
! 7 Natural Appetite Suppressants You Must Use to Finally End Dieting © 2015 All Rights Reserved http://DiabeteStepsRx.com Cheryl Winter, MS RD, RN, CDE, FNP-BC “GET Balanced, Fit & Slim” STEP-POWER® Transformation 7 Natural Appetite Suppressants All Rights Reserved: Copyright © 2016 – DiabeteSteps Rx® and Cheryl Winter. All rights are reserved. You may not distribute this report in any way. You may not sell it, or reprint any part of it without written consent from the author, except for the inclusion of brief quotations in a review. Disclaimer: This E-Report is for general information only, and not to replace the advice and guidance of a qualified healthcare specialist. Any current medical treatments that you are receiving should not be stopped or changed without the consent of your healthcare specialist. All individuals have different needs and should receive individualized evaluation and management from a qualified healthcare provider. 1 http://DiabeteStepsRx.com “GET Balanced, Fit & Slim” STEP-POWER® Transformation 7 Natural Appetite Suppressants Table of Contents Sensible Supplementation…………………………………………………..….3 Whey Protein………………………………………………………………….….6 PGX…………………………………………………………………………….…8 Flaxseed…………………………………………………………………………16 Chia………………………………..……………………………………………..23 Fiber (at least 35 grams per day)……………………………………………..32 Green Tea……………………………………………………………………..…41 Gymnema………………………………………………………………………..48 2 http://DiabeteStepsRx.com Sensible Supplementation Herbal & Nutraceutical supplementation can provide remedies to many health conditions, that are safer and far less risky than pharmaceutical medications. However, “herbal and nutraceutical” remedies should be treated with respect because they do have pharmacologic effects. Depending on your own specific body chemistry and the particular supplements and prescription medications that you may be taking, there is always a potential for detrimental consequences, especially if poor-quality supplements are chosen or if too many supplements are implemented at the same time. In the case of treating high blood sugar levels with herbal remedies, starting too many at once that have the potential for blood sugar lowering, could be too risky. Of course, working in conjunction with your healthcare specialist, is always encouraged. Please review these “Principles of Sensible Supplementation” before implementing your herbal and nutraceutical supplement regimen. Principles of Sensible Supplementation 1. Start low and go slow: when integrating supplements, try one new supplement every few weeks or once a month. This way, you can better observe the effect it may be having on your symptoms. If all is going well, you can then bring in another new supplement. Another reason to start low and go slow is if you add two or three supplements at once and begin to experience a side effect, such as 3 http://DiabeteStepsRx.com stomach upset, bruising, diarrhea, headache, a rash, or itchiness, for example, you will not know which supplement is to blame. This will cause you to stop all of the supplements in order to figure out which one is the culprit, which will then slow down your entire progress. 2. Take supplements with food or snack (unless advised otherwise). 3. Take the lowest effective dose. If the product label or your healthcare provider instructs you to “Take one or two capsules twice daily,” I suggest you begin with one capsule and than increase it to twice daily after one or two weeks, or as your symptoms improve or abate. 4. Check the expiration date before opening or purchasing. If you are in the middle of taking a product that expires, this is not that big of a deal, as the product may actually be fine for a short time after the expiration date, but it is always best to check the dates before opening and avoid purchasing products near expiration or return any products that are near expiration. 5. Look for Lot Numbers. A lot number refers to the batch that was produced and is a sign of quality and purity. This is also a sign that your product has been tested for quality assurance. For example, if there is ever a product recall due to contamination, you can refer to the lot number to see if you need to stop taking it. 6. Only purchase quality products from a reputable source. Here are 7 reasons why: 1) Supplements, vitamins, and herbal products are NOT regulated by the FDA. 2) Studies have found that the majority of OTC (over-the-counter) products did not contain exactly what was listed on the label. 3) The active ingredient in OTC products may not be present in every capsule in the quantity listed on the label so the expected benefit may not be realized and the money spent on the product is wasted. 4) More concerning: The contaminants not listed on the label are frequently 4 http://DiabeteStepsRx.com present. This is especially problematic for people who may have an allergy to or may be taking another medication or supplement which interacts with the contaminant. 5) Many of the OTC products contain cheaper, less effective ingredients, such as cyanocobalamin instead of methylcobalamin for vitamin B12, magnesium citrate (laxative) instead of magnesium lysly glycinate, or calcium carbonate (chalk) instead of calcium malate. 6) In contrast, pharmaceutical-grade or prescription standard supplements are made by professional companies which dedicate great resources to scientific studies and continuing medical education and guarantee that every single capsule contains all of the active ingredient and no contaminants or allergens. 7) While at first glance, pharmaceutical-grade supplements may appear to be more expensive than the OTCs, closer examination reveals that in actuality they are not, since it may take multiple OTCs to equal the benefit of one pharmaceutical-grade supplement—with the added risk of contaminants and allergens. Please check out my blog post: BEWARE: Counterfeit Supplements, Over-the-Counter and Online: http://diabetestepsrx.com/counterfeit-supplements/ 5 http://DiabeteStepsRx.com Whey Protein The macronutrient that promotes satiety the most is protein. Compared to carbohydrates or fat, it yields satiety more effectively. One of the protein foods with the fastest satiety impact is whey protein that is whole and nondenatured. The satiety peptides cholecystokinin (CCK) and glucagon-like peptide (GLP-1), have been shown in studies to swiftly be boosted with the consumption of whey protein before meals, consequently leading to a decrease in food intake and increase in weight loss. In addition, consumption of a small serving of whey protein (with no sugar added) about 30 minutes prior to exercise has been found to sustain intense muscle performance and increase the efficiency of muscle protein synthesis after exercise. The body’s metabolic rate has also been shown to be boosted for 24 hours after a pre-exercise whey meal. Whey protein has also been show to reduce the “hunger” hormone, ghrelin. It is also a natural ACE inhibitor (blood pressure lowering medication), so it also helps with blood pressure regulation. Recommended Whey Protein Products: Whey Protein Only: 6 http://DiabeteStepsRx.com Whey Protein Plus vitamins/minerals/antioxidants: Combination Full-Meal Products: Where to Purchase: If you purchased one of our packages or programs, take advantage of your discount through our virtual dispensary & receive FREE Shipping on orders >$49). Set up your FREE account here: https://www.healthwavehq.com/welcome/diabetestepsrx 7 http://DiabeteStepsRx.com PGX WHAT IS PGX®? PGX® (PolyGlycopleX®) is a unique complex of highly purified, water-soluble dietary fiber developed using advanced EnviroSimplex® technology. This technology combines these natural compounds in a very specific ratio making PGX® an effective weight loss aid and dietary supplement. PGX® was invented by researchers at InovoBiologic Inc., Calgary after many years of extensive research. PGX® is available in a variety of forms including capsules, soft gelatin capsules, granules, meal replacement powders, and premeal drink mixes. Through a special process, natural fibers are transformed to make PGX® the most viscous and soluble fiber ever discovered. What that means is that all the health benefits linked to soluble dietary fiber, including stabilizing blood sugar levels, are significantly magnified with PGX®. Detailed analysis has shown that PGX® produces a higher level of viscosity, gel-forming properties, and expansion with water than the same quantity of any other fiber alone. The PGX® matrix is able to bind hundreds of times its weight in water, resulting in a volume and viscosity 3 to 5 times greater than that of other highly soluble fibers such as psyllium or oat beta glucan. To put this in perspective, a small 5 gram serving of PGX® in a meal replacement formula or on its own produces a volume and viscosity that would be equal to as much as four bowls of oat bran. In this way, small quantities of PGX® can be added to foods or taken as a drink before meals to have an impact on appetite and blood sugar control equivalent to eating enormous and impractical quantities of any other form of fiber. Detailed clinical studies published in major medical journals and presented at the world’s major diabetes conferences have shown PGX® to exert the following benefits: 8 http://DiabeteStepsRx.com * stabilizes blood sugar in the overweight and obese * reduces appetite and promotes effective weight loss, even in the morbidly obese * increases the level of compounds that block the appetite and promote satiety * decreases the level of compounds that stimulate overeating * reduces after-meal blood glucose levels when added to or taken with food * reduces the GI of any food or beverage * increases insulin sensitivity and decreases blood insulin * improves diabetes control and dramatically reduces the need for mediations or insulin in diabetes * lowers cholesterol and triglycerides PGX® REDUCES BLOOD SUGAR VOLATILITY By using new techniques in 24-hour blood sugar monitoring, groundbreaking research conducted by Michael Lyon, MD, and others at the Canadian Centre for Functional Medicine has shown that excessive appetite and food cravings in overweight people are directly correlated with rapid fluctuations in blood glucose throughout the day and night. Furthermore, it has now been documented that by using PGX®, these same patients can dramatically restore their body’s ability to tightly control blood sugar levels and that this accomplishment is powerfully linked to remarkable improvements in blood sugar control, reductions in appetite, and safe and effective weight loss. HOW TO USE PGX® PGX® works best if it is used with a low-glycemic diet. The dosage of PGX® is based on your needs. If you don’t need to lose weight and simply want to take advantage of the ability of PGX® to stabilize blood sugar levels, the dosage is only 750–1500 mg before meals. However, if you want to lose weight, then the dosage needs to be at least 2500–5000 mg before meals (start with a dosage of 750–1000 mg and work your way up to the full dosage over the course of a couple of weeks). PGX® is available in a variety of different forms: soft gelatin capsules, a zero-calorie drink mix, granules to be added to food and beverages, and a meal replacement drink mix containing un-denatured whey protein, natural flavors, and sweeteners along with vitamins and minerals. It does not 9 http://DiabeteStepsRx.com matter which form you use, just make sure you get the required dosage of PGX® before each meal. For weight loss, I like to recommend taking another dose of PGX® about an hour after dinner to reduce nighttime eating. Be sure to drink 8 oz of water for each 2500 mg dose. For many people, taking PGX® in soft gelatin capsules 5–15 minutes before meals with a glass of water is the most convenient way to use PGX®. Detailed studies in both humans and animals have shown that PGX® is very safe and well tolerated. There are no specific drug interactions, but it is best to take any medication either an hour before or after taking PGX®. RECOMMENDATIONS FOR INDIVIDUALS WITH INSULIN RESISTANCE, PREDIABETES, or TYPE 2 DIABETES: As the natural therapies that you are engaging in start to take effect, if you are on any type of prescription medications, their dosages may need to be altered and that a good working relationship with the prescribing doctor is required. The ultimate goal is to re-establish normal blood sugar control without drugs and prevent the development of the complications of diabetes, including Cardiovascular Disease (CVD). CVD is the cause of death in 55% of diabetics. DIET Start each meal by taking PGX® at a dosage of 2500–5000 mg. All simple, processed, concentrated carbohydrates must be avoided. A low-glycemic diet rich in high-fiber foods should be stressed, and sources of healthy fats should be ingested. Low-glycemic vegetables, onions, and garlic are particularly useful and their liberal consumption is encouraged. DOES PGX® HAVE SIDE EFFECTS? PGX® is a highly concentrated and highly effective form of fiber. It can take time for your body to adjust. To avoid minor side effects, such as increased gas, bloating, loose stools or constipation, it is best to start with small amounts of PGX® and then gradually increase your intake as your body adjusts. If you take PGX® consistently, and increase the dose gradually, it is likely that you will be able to consume a highly effective dose, without these effects, within a few days to a week. To decrease any possible side effects, it is important to drink a large glass of water with each dose of PGX®. 10 http://DiabeteStepsRx.com CAN PGX® BE TAKEN WITH MY MEDICATION? PGX® can slow the rate of absorption of food and therefore it can theoretically do the same with medication. It is recommended that any oral medication be taken 1 hour before PGX® and/or 2–3 hours after consuming PGX® products. People with diabetes must monitor their blood glucose carefully as they may need to adjust medications accordingly. As PGX® helps control blood glucose, it may lessen the need for insulin or other medications over time. If you are on any medication consult a health care practitioner prior to using dietary supplements or changing your nutritional regimen. CAN I TAKE PGX® WITH OTHER SUPPLEMENTS? There is no problem taking PGX® along with supplements including essential fatty acids (EFAs) and multivitamins/multiminerals. A 21-day double-blind, placebo-controlled human tolerance study where 10 g of PGX® were given per day showed no statistical difference between levels of minerals and fat- and water-soluble vitamins in the test and control groups. HOW FAST CAN I EXPECT TO LOSE WEIGHT? Participants in a study who exercised and followed a 1,200 calorie/day diet lost on average 1–2 lbs per week. This is considered healthy weight loss. For some people weight loss is not immediate, while many people lose more weight depending upon their consistent use of PGX® and other lifestyle factors. PGX® makes following a calorie-restricted diet easy because it controls appetite due to its water solubility (absorbs many times its weight in water) and its ability to reduce and diminish cravings for starchy and sugary foods. It is important to differentiate between weight loss and fat loss. As fat weighs less than muscle tissue, many people actually experience weight gain when they begin a reducing regime. Also, for some people, the additional water they drink with PGX® can temporarily add weight, since a liter of water weighs 1 kg or 2.2 lbs. While fast weight loss may seem ideal, it is important to remember that we gain weight gradually over a period of time. Losing weight the same way is “healthy weight loss” and will help reduce the risk of regaining the lost weight. 11 http://DiabeteStepsRx.com HOW DO I KNOW PGX® IS WORKING? HOW MUCH DO I HAVE TO USE TO LOSE WEIGHT? It is recommended that you start with a lower dose of PGX® for the first 3– 7 days to see how your body adjusts to the increase in fiber intake. An increased amount of PGX®, to its active dosage (10–15 grams per day or 2.5–5 grams per meal) will produce noticeable reductions in appetite and cravings. Many people who have just started taking PGX® feel energized and notice their clothes fit better even though they have not changed anything else except taking PGX® everyday. IF PGX® IS FIBER HOW CAN I GET CONSTIPATED? PGX® can only cause constipation if your water intake is not adequate for the amount of PGX® you are consuming. PGX® expands to hold many times its weight in water. You need to drink at least 250 ml (8 oz) of water per 2.5 grams (2–3 softgels). It is also important to eat smaller amounts of food regularly and take PGX® according to label directions. Be sure to take in adequate fresh water – not drinks such as coffee or alcohol that can cause you to lose water. During the day you may want to drink noncaffeinated herbal teas, vegetable juice, or diluted fruit juice (watch the sugar content of juices). Also, be sure to take PGX® consistently. Do not skip days and, if you are prone to constipation, take PGX® at the same time every day WHAT CAN I DO ABOUT GAS AND BLOATING? Reduce the amount of PGX® you are taking and once you feel comfortable (no gas or bloating) gradually increase the amount over a few days (3– 7 days). These side effects are temporary with most people and completely subside after a week or more of use. You may also want to take probiotic supplements (friendly intestinal bacteria) to enhance the health of your gastrointestinal tract. AFTER TAKING PGX® IS IT POSSIBLE TO STILL BE HUNGRY? For some people, yes. One explanation is that when blood sugar has been out of control or imbalanced for a long time, and the body has not been using insulin properly, the brain can still send out powerful messages to eat. When you take PGX® every day these strong messages become weaker. The inappropriate messages to eat are no longer needed when blood sugar becomes balanced and the brain is satisfied it will get the glucose required to function. 12 http://DiabeteStepsRx.com I’VE TRIED OTHER DIETS. HOW IS PGX® DIFFERENT? PGX® isn’t a diet, but it can make any weight loss plan or diet work better. Research has shown that people who gain weight and have difficulty losing weight, often spend much of their day on a “blood sugar roller coaster” with blood sugar alternately surging and plummeting, leaving them tired or irritable and leading to frequent and unhealthy food cravings. PGX® helps retrain your body and eliminate the blood sugar roller coaster so you don’t crave “bad foods” and so you can better control your appetite. With PGX® you can achieve lasting results. HOW DOES PGX® CONTROL CRAVINGS? Often blood sugar levels can make our bodies crave sugar and starchy foods. Blood sugar levels rise and fall naturally, but rapid changes are harmful and create many of the cravings we experience. When blood sugar levels drop, our brain tells us to eat and often we look for foods with lots of sugars, fats, and starches in order to raise sugar levels. By balancing blood sugar levels, the brain is no longer demanding fast energy and you will be less likely to crave food. DOES PGX® CONTAIN GLUTEN? PGX® softgels and PGX® granules are wheat and gluten free. PGX® meal replacement and pre-meal drink mix products cannot be considered gluten or wheat free. DOES PGX® CONTAIN CAFFEINE OR OTHER STIMULANTS? No. PGX® is a natural, non-addictive dietary supplement containing no caffeine or other stimulants. HOW DO I KNOW IF MY BLOOD SUGAR IS “OUT OF BALANCE”? Your doctor can do tests to determine whether or not your blood sugar levels are within normal range. The indicators you can see and feel yourself include * Cravings—especially sweets and carbohydrates * Feeling tired and irritable for no apparent reason * Gaining weight in spite of an unchanged diet or lifestyle * Feeling hungry again shortly after eating. 13 http://DiabeteStepsRx.com HOW DOES PGX® LOWER THE GLYCEMIC INDEX OF MEALS AND WHY IS THIS IMPORTANT? Glycemic Index (GI) is a way of indicating how fast a particular food is turned into energy by the body. High GI foods are digested quickly and raise blood sugar fast. Low GI foods are converted to glucose more slowly. PGX® slows down the rate at which all food is digested, lowering aftermeal blood sugar and virtually lowering the glycemic index of any food. Clinical studies show that high after-meal blood sugar levels are a major factor for heart disease risk. HOW LONG DOES A PERSON HAVE TO TAKE PGX®? After initial weight loss goals have been achieved, a lower “maintenance” dose of PGX® can effectively help control weight, appetite, blood sugar, and cholesterol for life. PGX® is non-habit forming but many people find that its effects – increased self esteem, a healthy weight, and more energy – are quite “addictive”. WHAT RESEARCH IS THERE TO SUPPORT THE BENEFITS AND EFFECTIVENESS OF PGX®? PGX® is the result of many years of intensive clinical and laboratory research with universities from around the world and specialized research organizations in collaboration with the Canadian Centre for Functional Medicine. After years of research involving thousands of participants it is clear that adding PGX® to meals can: balance blood sugar, reduce the glycemic index of foods, restore insulin sensitivity (a key factor in weight control), curb food cravings, and lower cholesterol levels. IS PGX® SUITABLE FOR CHILDREN? Yes. Half the adult dose is recommended for children 9 years of age and older, or 1–3 softgels before each meal until the child notices a reduction in hunger and between-meal food cravings. However, children have unique develop-mental nutritional requirements. PGX® suppresses appetite and you should consult a qualified health care practitioner before giving PGX® to your child. WHO SHOULD NOT USE PGX®? Anyone who cannot compensate for a large water intake, such as someone with renal disease or congestive heart failure. Anyone taking a large number of medications that must be taken with food and/or without food, unless advised by a health care practitioner. Anyone who has difficulty 14 http://DiabeteStepsRx.com swallowing, including people with gastrointestinal disorders and those with esophageal stenosis, or pre-existing bowel abnormalities, may be at risk for esophageal or intestinal blockages or obstruction and should consult a health care practitioner prior to use. Pregnant or lactating women should discuss PGX® use with a health care practitioner prior to use. Anyone under 18 years of age should discuss PGX® use with a health care practitioner prior to use. SOURCE: Michael T. Murray, ND. Cholesterol and Heart Health: What the Drug Companies Won’t Tell You and Your Doctor Doesn’t Know Where to Purchase: If you purchased one of our packages or programs, take advantage of your discount through our virtual dispensary & receive FREE Shipping on orders >$49). Set up your FREE account here: https://www.healthwavehq.com/welcome/diabetestepsrx 15 http://DiabeteStepsRx.com Flaxseed Flaxseeds may be tiny, but they are HUGE and POWERFUL in the amount of benefits that they provide. Flaxseed is a small oil-rich seed that is a little larger than a sesame seed. Most people describe its flavor as “nutty,” since its texture is crisp and chewy. Flaxseed is one of the richest sources of omega-3 fats and an excellent source of fiber. Flaxseed contains plant compounds, called lignans, that act in humans like a weak form of estrogen. They are the riches source of lignans and this unique component has been studied as a preventive method and treatment for heart disease, cancers (breast, prostate, colon), diabetes, rheumatoid arthritis, kidney disease, constipation, and symptoms of menopause. Where Do You Buy Flaxseed? Flaxseed is fairly prevalent in most grocery stores, as well as health food stores and direct from manufacturers, e.g. Bob’s Red Mill’s products. There are two different colors of flaxseed available: golden yellow and reddish brown. When in comes to taste or nutritional value, color is of little significance. How Do You Store Flaxseed? Since flaxseed is composed of “fat,” rancidity is always a possibility. Because of the risk of rancidity, flaxseed should be stored in the refrigerator or the freezer. In addition, you should purchase the form of flaxseed that 16 http://DiabeteStepsRx.com makes the most sense for your lifestyle. For example, if you use ground flaxseed often, and store it in the refrigerator for no longer than three to four months in a tightly closed container, you should be fine. However, if you use flaxseed rarely, purchase the whole seeds and ground them up yourself, as you need them. Whole flaxseed has a shelf-life of up to one year. My preference is to always purchase the “whole” flaxseed and ground up about a week’s worth, in a coffee-grinder. It’s fast and easy enough to do. The benefits of flaxseed are only received when grinded. Unless you are a horse, we humans are unable to chew the seeds enough to get the benefits that are released through grinding. Flax oil and flax pills last six to eight weeks after opening, but always check the expiration date. Remember that flax oil does NOT have the benefits of fiber and lignans, therefore, I always encourage the use of flaxseed. How Much Flax Do You Need? There are no definite guidelines established to indicated what is needed for disease prevention, but research seems to indicated that one to three tablespoons of ground flax and/or flax oil per day is beneficial. Nutritional Composition of Ground Flaxseed & Flax Oil 1 Tablespoon Ground Flaxseed: Calories 36 Protein 1.6 grams Fat 3.3 grams Omega-3 fats Fiber 1800 mg 2.2 grams 17 http://DiabeteStepsRx.com 1 Tablespoon Flax Oil: Calories 124 Protein 0 grams Fat 14 grams Omega-3 fats Fiber 8000 mg 0 grams A Word of Caution Concerning Flax Supplements & Flax Foods Flax Supplements: You will most likely find flax in two different types of pill forms—- one containing flax oil and the other containing flaxseed. While getting flax via pills may be more convenient for some people, here are some considerations: * to obtain a beneficial amount of ground flax or flax oil through pills, you may have to take several each day. For example, to obtain 8000 mg omega-3 fats that you would get from a single tablespoon of flax oil, you may have to take up to 14-flax oil pills. * Pill supplements usually present only a select set of the many substances found in whole flaxseed. * Supplements tend to be more expensive. Flax Foods: Like most processed foods, choosing flax-fortified foods is also challenging, but it is possible. If you want to determine the amount of flax in a product, check the amount of omega-3 fatty acids the product contains per serving, and compare it to the amount in 1 tablespoon of ground flax. For example, if you are looking at a flax snack bar that contains 2000 mg omega-3 fatty 18 http://DiabeteStepsRx.com acids, then the bar contains at least one tablespoon of ground flax. If flax food products are your main source of flax, choosing foods that contain at least one tablespoon of ground flax is a good reference. However, be sure to read the other contents of the product, as not all are created equal. It’s always best to prepare your own products in order to control the wholesome ingredients. Flax & Medications Always understand how medications may interact with flaxseed. If you are unsure, ask your prescriber. Usually, you will want to wait at least 30-60 minutes between your dose of flaxseed and taking a medication. If a woman is using the drug tamoxifen for the treatment of breast cancer, flaxseed should be avoided since lignin's in flaxseed could interfere with the action of the tamoxifen. Ways to Use Flaxseed Sprinkle ground flax on or mix in: * cereal * salads * soups * yogurt * scrambled eggs * pancake batter (1/4 cup ground flaxseed per 1/4 cup batter) * spaghetti sauce * stew When baking addd flaxseed into the batter or dough of: * meatloaf/burgers * muffins * casseroles * cookies 19 http://DiabeteStepsRx.com * breads * pizza crust If you are short on shortening: The high oil content of flaxseed makes it a reasonable substitute for shortening. A 3:1 substitution ratio works well, e.g. three tablespoons of ground flaxseed replaces one tablespoon of oil or shortening As an egg substitute: The protein content of flaxseed makes it a great egg substitute. To replace one egg, mix one tablespoon of ground flaxseed with three tablespoons of water and let this sit for one to two minutes. This is great for those who are sensitive to eggs. Recipes Using Flaxseed: Nutty Grain-Free Breakfast Porridge: Ingredients: * 1 cup raw pecans * 1/2 cup raw almonds * 2 tablespoons flaxseeds * 1 tablespoon chia seeds * 2 Medjool dates, pitted * 2 cups water Directions: Place all the ingredients into a high-powered blender and blend until smooth. Pour into a medium saucepan over low heat, and cook, stirring frequently, until thickened and warmed, about 5 minutes. Serve 20 http://DiabeteStepsRx.com immediately with your favorite toppings (such as cinnamon, frozen blueberries). Serves: 4 Source: The Whole Life Nutrition Cookbook by Alissa Segersten & Tom Malterrre Almond-Coconut Pizza Crust: Dry Ingredients: 2 cups blanched almond flour 1/4 cup ground golden flaxseeds 1/4 cup coconut flour 1 tablespoon Italian seasoning 1/2 teaspoon sea salt Wet Ingredients: 1/2 cup water 2 large organic eggs 2 teaspoons extra-virgin olive oil, plus more for the pizza stone Directions: Preheat the oven to 375 degrees. Lightly oil a 12-inch round pizza stone and set aside. In a medium bowl, whisk together the dry ingredients. Add the wet ingredients and whisk to incorporate. 21 http://DiabeteStepsRx.com Place the dough onto the oiled pizza stone and pat into a large circle. Sometimes it helps to oil your hands so they don’t stick to the dough while doing this. Bake the pizza crust for 20 to 25 minutes, then add any desired toppings and return to the oven until the toppings are cooked and heated through, 5 to 10 minutes more. Yield: 1 pizza crust Source: The Whole Life Nutrition Cookbook by Alissa Segersten & Tom Malterrre Where to Purchase: Try the nutrition section of your supermarket or you can purchase it here through one of my favorite places 22 http://DiabeteStepsRx.com Chia Seed What are Chia Seeds? Chia seeds are members of the mint family. They are tiny black and white seeds that come from the Salvia hispanica plant, grown in Mexico and South America. They have a long history of use by the Mayan and Aztec cultures for supernatural powers. What is Chia Seeds “claim to fame?” With the prevalence of obesity, cancer and heart disease, this potential “superfood” when used on a daily basis, claims to help control hunger, reduce blood glucose levels, reduce the inflammation linked to cancer, and reduce heart health. In addition, chia seeds have been sought out by consumers for their ability to treat wrinkles and dry skin, boost cognition, and support bone and joint health (wellknown benefits of omega 3- fatty acids). Clinical trials are limited for proving that chia seeds reduce heart disease. Although three out of four clinical studies have shown positive effects for weight loss, improved omega 3-fatty acid levels, and reduced triglyceride and blood glucose levels, sample sizes of these clinical trials were small and other aspects of the studies limit the degree of generalizing the results. More research is needed to determine if chia seeds can truly meet these claims. However, understanding that chia seeds boost more antioxidants than 23 http://DiabeteStepsRx.com blueberries, and are the highest known plant source of omega-3 fatty acids (alpha-linolenic acid [ALA]), and contain such a large amount of health benefiting fiber, it would be negligent to not incorporate this nutrition powerhouse into a daily diet, knowing of all the health benefits for ALA and fiber. Chia seeds are also a high source of energy and can be a versatile food for runners since their liquid absorbing properties encourages a slower release of fluid, thereby improving hydration status. This is definitely a unique, versatile and powerful food. What makes Chia Seeds a nutrition “powerhouse?” A one-ounce serving (2-Tablespoons) contains: 138 calories 9 grams fat 10 grams fiber 5 grams protein 18% Daily Value for calcium 4,500 mg per ounce of alpha-linolenic acid (omega 3-fatty acids) Chia seeds are also rich in iron, boron, magnesium, phosphorus, and zinc. Chia seeds can theoretically help control hunger due to their ability to swell and form a gel when combined with liquid. The chia seed is hydrophilic (water-loving), and can thus soak up 12 times its weight in water. Its high omega 3-fatty acid content (more than flaxseed and salmon) makes it an excellent heart healthy food for reducing risk of heart disease, especially when combined with other heart-healthy practices. Chia seeds also contain 3 times the fiber of 24 http://DiabeteStepsRx.com that found in a slice of whole wheat bread. Chia seeds are a complete plant protein, making it an excellent choice for those who eat vegan and vegetarian. Chia seeds are also useful to those who eat gluten-free or who have allergies to eggs, since its cooking characteristics or so versatile. Chia seeds can be eaten raw, cooked into foods, and easily added to many foods since they so easily absorb liquid. How do Chia Seeds taste and how are they used? Chia seeds have a mild, nutty flavor, similar to flaxseeds. Unlike flaxseeds, however, chia seeds can be eaten whole as well as ground. Chia seeds go well with both sweet and savory foods and add more crunch and texture to foods, without changing the foods flavor. When mixed with beverages or puddings, the suspended seeds are more for presentation (and health) than for flavor. One popular beverage in the Mexican and Central American culture is chia fresca, where chia seeds are mixed into lime or lemon juice, along with added sweetener. Chia seeds can be added to any liquid to make a chia seed gel. To make the seeds taste like orange juice, soak them in orange juice, or to make them taste like tomato soup, soak them in tomato soup---you get the idea. Who should NOT eat Chia Seeds? * People who are sensitive to mustard, oregano, thyme or sesame seeds may also have a reaction to chia seeds, although this is rare. * People who are on blood thinners or other heart medications should check with their healthcare providers before eating chia seeds, due 25 http://DiabeteStepsRx.com to possible food/drug interactions, but no known adverse reactions or interactions with other drugs, food, herbs or supplements have been reported. * There has been some evidence that high intakes of ALA may increase risk of or worsen existing prostate cancer. The mechanism for this is unknown, therefore, until more evidence is available, large quantities of chia seeds and other ALA-rich foods should be avoided in men diagnosed with prostate cancer or at high risk of prostate cancer. How to use Chia seeds for improved nutrition & health: • Sprinkle the whole or ground chia seeds into hot or cold cereal, smoothies, cottage cheese, salads, yogurts or puddings • Make a gel to bind veggie patties, meatloaf/meatballs instead of eggs or breadcrumbs • Thicken soups or sauces • Use the gel to replace or reduce oil in baked dishes or salad dressings • Mix ground seeds into flour for muffins, cookies and cakes • Add to scrambled eggs to add fluffiness or to gluten-free products, e.g. waffles, pancakes to increase fluffiness • Substitute one tablespoon of chia seed gel (one part chia seeds to three parts water) for one large egg in baked products • Use the gel to displace foods, such as yogurt if you want to eat less of that food, while also providing insoluble fibers that are also filling (thus keeping hunger pangs more at bay) • Mix with nut butter for a spread on toast 26 http://DiabeteStepsRx.com • Make an ice cream topping by making a gel with fruit juice instead of water How are Chia Seeds purchased and stored? Chia seeds are usually sold in bulk 10-pound bags, but smaller quantities are available. Thanks to their amazing antioxidant content, chia seeds have a long-shelf life (about 3 months) and do not go rancid as quickly as flaxseeds. They should be stored in a cool, dry place. If the chia seeds are ground, they should be placed in a container with a tight-fitting lid, for no more than a month, and if storing chia seed gel, keep in the refrigerator for about two weeks. Recipes Using Chia Seeds: Chia Seed Gravy: To lighten up your holiday meals, try cutting the flours and starches from the gravy. Rather than cornstarch or flour thickening it up, ground chia blended into broth creates a smooth and naturally creamy sauce. Great for topping mashed potatoes, vegetables, and roasted meat. Ingredients: * 2 Tablespoons avocado oil * 1/2 medium garlic, minced * 1 teaspoon chopped fresh herbs * 1/4 cup white wine * 1/2 teaspoon sea salt * 1/4 teaspoon ground pepper 27 http://DiabeteStepsRx.com * 2 cups stock or broth (including dripping from meat, where applicable) * 4 Tablespoons ground chia (adjust to desired consistency) Directions: Heat a wide, deep saute pan over medium heat. Add the avocado oil and medium onion. Cook until translucent, about 3-5 minutes. And the minced garlic and chopped herbs. Stir for 60 seconds or until the garlic is fragrant. Ad the wine, salt, and pepper, scraping the brown bits from the bottom. Stir in the stock and move the heat to medium high. Bring the mixture to a simmer and simmer for 3-5 minutes to meld all the flavors. Remove the pan from the heat and allow to cool 5-10 minutes. Source: Chosen Foods Yields: 3 cups Vanilla-Almond Chia Breakfast Pudding: In this recipe, chia seeds are soaked in almond milk, which transforms them into a luxurious and crazy tapioca-like pudding. Top this easy-tomake chia pudding with some fresh seasonal fruit, and you have yourself an incredibly nourishing breakfast. Ingredients: * 2 cups unsweetened almond milk, homemade or store bought * 1/2 cup chia seeds * 1/2 teaspoon vanilla extract 28 http://DiabeteStepsRx.com * 1-2 tablespoons pure maple syrup or raw honey * Seasonal fruit for topping * Almonds or other nuts for topping Directions: 1. Combine almond milk, chia seeds, vanilla and sweeter in a bowl. Mix well until combined and the mixture begins to thicken. Store covered in the refrigerator overnight or for at least an hour. 2. Stir well before serving and add a bit of water to the pudding if it becomes too thick. Top with fresh fruit and nuts of your choice. Note: This recipe makes enough for two large servings, but feel free to double this recipe and keep it in your refrigerator so that you have breakfast for a few days in a row. It will keep refrigerated for up to 5 days. Nutrient Content (per serving without fruit): * 280 calories * 7 grams fat * 45 grams carbohydrates * 12 mg sodium * 29 grams fiber * 15 grams protein Source: www.nourishtheroots.com 29 http://DiabeteStepsRx.com Raw Chia-Peach Breakfast Porridge: Ingredients: * 2 cups almond milk * 6 tablespoons whole chia seeds * 1 tablespoon pure maple syrup * 1/4 teaspoon organic vanilla powder * 1 large peach, diced Optional Toppings: chopped raw almonds diced peaches fresh blueberries freshly grated nutmeg Directions: Place the almond milk, chia seeds, maple syrup, and vanilla powder into a 1-quart glass jar. Screw on the lid and shake well. Let the mixture sit o the countertop for about 30 minutes, then shake again. Transfer the jar to the refrigerator to sit overnight, or for about 8 hours. In the morning, shake the jar again. If you have time, it is best to bring the porridge to room temperature before serving. Pour the chia porridge into a serving bowl, stir in the peaches, and serve with optional toppings if using. Store any leftover porridge in a covered glass container in the refrigerator for up to 3 days. 30 http://DiabeteStepsRx.com Yield: 3 to 4 servings Source: The Whole Life Nutrition Cookbook by Alissa Segersten & Tom Malterrre. Nutty Grain-Free Breakfast Porridge: (see Flaxseed above) Where to Purchase: Try the nutrition section of your supermarket or you can purchase it here through one of my favorite places 31 http://DiabeteStepsRx.com Fiber Dietary fiber is plant material that is normally left undigested after passing through the body’s digestive system. Food sources of dietary fiber are often classified according to whether they contain predominantly soluble or insoluble fiber. Plant foods usually contain a combination of both types of fiber in varying degrees, according to the plant's characteristics. • Insoluble fiber, found in certain plant foods, particularly whole grains, absorbs water throughout the digestive system, helping to promote regular, healthy bowel movements by binding with water and forming a gel, which allows the body’s waste to form into soft and bulky stools which helps to efficiently rid the body of toxins. Wheat bran is a good source of insoluble fiber. While we cannot digest the insoluble fiber in wheat bran, it is partially digested by beneficial bacteria in the gut, helping to ferment them into short-chain fatty acids that nourish our intestines. • Soluble fiber, found in all plant foods, dissolves in water to form a gel-like substance. It is readily fermented in the colon and includes other plant components such as lignans, oligo- and polysaccharides, resistant starches, and inulin. Soluble fiber also promotes soft and bulky stools, delays gastric 32 http://DiabeteStepsRx.com emptying, and binds with bile acids, helping to lower cholesterol levels. Foods that are considered good sources of soluble fiber include: oat bran, guar gum, dried beans and peas, apples with skin, seaweeds, and flaxseeds. Lignans, a soluble fiber found in flax seeds, wheat, and legumes, are known to possess anticancer, antibacterial, and antiviral properties. They bind to estrogen receptors in the body, interfering with cancer promotion and helping to regulate estrogen levels. Soluble fiber also promotes a delay in the absorption of glucose and increases insulin sensitivity, resulting in improved glucose metabolism, ultimately helping to lower the risk of type 2 diabetes. Inulin is another soluble fiber that is not digested in the upper GI tract. Low in calories, inulin stimulates the growth of beneficial bacteria, and does not lead to a rise in serum glucose or stimulate insulin secretion. Inulin has been used to improve the taste of low fat foods. Fructo-oligosaccharides (FOS) is one of the most common examples of inulin. FOS has a sweet, pleasant flavor and can be used to fortify foods with fiber, to improve the flavor of low calorie foods, while improving the texture of lower fat foods. Because these fibers stimulate the growth of beneficial bacteria, they are also called prebiotics. Besides FOS, good sources of inulin include: 33 http://DiabeteStepsRx.com artichokes, garlic, leeks, onions, chicory, tofu, and other soy products, and grains such as barley, flax, oat, and wheat. All fruits and vegetables contain fiber, but some have more than others. The list below focuses on the more important fiber sources. If there are less than 2 grams of fiber in a typical serving of a fruit or vegetable, it is not listed. At least 20-35 grams of fiber is suggested each day by the ADA (American Dietetic Association). BEANS Fiber (g)/serving Amy’s Black Bean Chili, 1 cup 13.0 Nile Spice Lentil Soup, (dehydrated) 1 container 11.0 Health Valley Vegetarian Santa Fe White Bean Chili, 1 cup 9.0 Split peas, ½ cup cooked 8.0 Lentils, ½ cup cooked 7.8 Black beans, ½ cup cooked 7.5 Health Valley Minestrone Soup, 1 cup 7.0 Progresso 3 Bean Chili with Beef, 1 cup 7.0 Kidney beans, ½ cup cooked 6.6 Lima beans, ½ cup cooked 6.6 Amy’s Indian Palak Paneer, 1 container (frozen) 6.0 34 http://DiabeteStepsRx.com Pinto beans, ½ cup cooked 5.5 Progresso Lentil Soup, 1 cup 5.0 Gardenburger, 1 patty (fiber depends on variety chosen) 4-5 Edamame, ½ cup cooked 3.8 Green peas, ½ cup, cooked 3.7 Hummus, ¼ cup 3.7 BREADS La Tortilla Factory Smart and Delicious High Fiber Tortillas, 1 12.0 La Tortilla Factory Smart and Delicious Whole Wheat Tortillas,1 8.0 Mission Carb Balance Whole Wheat or plain Whole Wheat Tortillas 8.0 Orowheat High Fiber Bread, 1 6.0 Ezekiel Sprouted Whole Grain Tortillas, 1 slice 5.0 Great Harvest Caraway Rye, 1 slice 5.0 Ezekiel Sprouted Whole Grain Breads, 1 slice 3.0 GRAINS AND PASTA Kashi 7 Whole Grain Pilaf, ½ cup 6.0 Coconut flour, 2 Tbsp 6.0 Bulgur ½ c. cooked 4.0 Macaroni, whole wheat, 1 c. cooked 4.0 Barley ½ c. cooked 3.0 Quinoa, ½ cup cooked 2.6 Buckwheat, ½ cup cooked 2.4 Brown rice ½ cup 2.0 CEREALS 35 http://DiabeteStepsRx.com Kashi 7 Whole Grain Nuggets, ½ cup 7.0 Wheatena, 1 cup, cooked 7.0 Post Grape Nuts, ½ cup 7.0 Post Shredded Wheat, 2 biscuits 6.0 Quaker Oat Bran Cereal, ½ c., cooked 6.0 Arrowhead Mills Bran Flakes, 1 cup 4.0 Barbara’s Breakfast O’s, 1 ¼ cups 3.0 Oats, steel cut, 3 tbsp, dry 3.0 Oats, ½ cup, cooked 2.0 CRACKERS, NUTS and SEEDS, and SNACK FOODS Chia seeds, 1 Tbsp 6.8 WASA Lite Rye Crispbread, 2 crackers 6.0 WASA Fiber Crispbread, 2 crackers 4.0 RYVITA Sesame Rye, or Pumpkin Seeds and Oats, 2 crackers 4.0 Whole Wheat Matzos, 1 4.0 Flax seeds, 2 Tbsp., ground 4.0 Coconut (unsweetened), grated, 3Tbsp 2.4 Sesame seeds, 2 Tbsp 2.2 Lundberg Organic Sesame Tamari Rice Cakes, 1 2.0 FRUITS Raspberries 1 cup 8.0 Blackberries, 1 cup 7.6 Pear 1 med 5.5 Strawberries, 1 ½ cups 5.0 36 http://DiabeteStepsRx.com Apricots, dried, ½ cup 4.8 Kiwi, 2 medium 4.5 Blueberries, 1 cup 3.5 Prunes, dried, 5 3.4 Grapefruit, 1 whole 3.2 Apple, with skin, 1 med. 3.0 Figs, fresh, 2 3.0 Banana, 1 med. 3.0 Orange, 1 med. 3.0 Peach, 1 med. 2.2 Cantaloupe, 2 cups 2.0 Cherries, 15 2.0 VEGETABLES Artichoke, 1 med. 7.0 Acorn squash, ½ cup, baked 4.5 Brussels sprouts, 5 sprouts 3.8 Butternut squash, ½ cup, baked 3.3 Avocado, ¼ cup 2.5 Jicama, ½ cup raw 3.2 Potato, baked with skin, 1 small 3.0 Collards, ½ cup, cooked 2.8 Parsnip, ½ cup, cooked 2.8 Green beans, 1 cup, raw 2.7 Broccoli, ½ cup cooked 2.6 Yam, ½ cup, cooked 2.6 Kale, 1 cup, raw 2.6 37 http://DiabeteStepsRx.com Broccoli, 1 cup chopped, raw 2.4 Carrots, ½ cup, cooked 2.3 Cabbage, 1 cup chopped, raw 2.2 Spaghetti squash, 1 cup, baked 2.2 Sweet potato, baked, 1 small 2.0 Carrots, 1 whole, raw 2.0 Corn, ½ cup 2.0 Green beans, 1/2 c. cooked 2.0 Lettuce, romaine, 2 cup 2.0 The following are sample menu plans for incorporating more fiber in the diet Breakfast: Kasha Whole grain Nuggets, ½ cup 7.0 ¼ cup nonfat milk, yogurt, or alternative milk ½ cup strawberries 1.7 Snack Hummus 3.7 Raw jicama, ¼ cup 1.6 Raw carrots, 1 2.0 Lunch Ezekiel Sprouted Whole Grain Bread, 1 slice 3.0 Turkey breast Progresso lentil soup, 1 cup 5.0 Fresh apple with skin 3.0 Snack 38 http://DiabeteStepsRx.com Organic nonfat or low fat plain yogurt Flax seeds, ground, 1 Tbsp 2.0 ½ cup blueberries 1.7 ½ cup raspberries 4.0 Dinner 3 oz baked salmon ½ cup baked acorn squash 4.5 ½ cup steamed broccoli 2.6 Tossed green salad with vinaigrette dressing and: Romaine lettuce, 1 cup 1.0 ½ cup raw cabbage 1.1 ¼ cup edamame 1.9 Cherry tomatoes 1.8 2 fresh figs or 1 orange 3.0 Total 44 Breakfast Shredded wheat, 2 biscuits 6.0 ¼ cup nonfat milk, yogurt, or alternative milk ½ banana 1.5 Snack Fresh peach 2.2 Lunch Large green salad with vinaigrette dressing and: Romaine lettuce, 2 cups 39 http://DiabeteStepsRx.com 2.0 raw broccoli, ½ cup 1.2 ¼ cup kidney beans 3.3 Carrot, ½ 1.0 Cauliflower, raw, ½ cup 1.0 Hardboiled egg, 1 Fresh fruit salad raw Cantaloupe, 1 cup 1.0 Strawberries, 1 ½ cups 5.0 Snack RYVITA, sesame rye, 2 crackers 4.0 Almond butter, 1 Tbsp Dinner Oven roasted chicken breast Baked yam, ½ cup 2.6 Brussels sprouts, roasted, 5 3.8 Fresh pear 5.5 Total 40 40 http://DiabeteStepsRx.com Green Tea Green tea has been touted as a remedy for centuries. Tea drinking can be traced back at least 4,000 years in China, where an emperor discovered tea accidentally, according to legend. Traditional Chinese medicine recommends drinking green tea to prevent and treat a variety of ailments, including headaches, body aches and pains and digestive problems. It is believed to improve immune function, aid detoxification, boost energy and prolong life. As we’ll see, the traditions may be right! Functional Components of Green Tea: Polyphenols: Tea is a rich source of a group of phytochemical known as polyphenols, particularly the flavonoids. Polyphenols are strong antioxidants. They are the most abundant antioxidants in our diets, as several thousand natural polyphenols have been identified in plants. Many phytochemicals are responsible for an astringent taste in foods. For example, tannins are the compounds that give tea a slightly astringent taste, especially when it is brewed to be strong. Antioxidants protect against the damage that can be caused by free radicals, which are unstable molecules in the body. Antioxidants — particularly vitamins A, C, E, and beta-carotene and the mineral selenium — are known to counteract free radicals. The chemical structure of polyphenols contributes to their antioxidant properties and makes them distinct from other antioxidants. 41 http://DiabeteStepsRx.com Polyphenols include four categories of compounds that are grouped according to their carbon-atom “skeleton.” These four categories are phenolic acids, flavonoids, lignans, and stilbenes. Within these categories there are several classes of compounds. Flavonoids: The most abundant polyphenols in our diets, flavonoids are synthesized in substantial amounts by a variety of plants. More than 4,000 flavonoids have been identified. Flavonoids are divided into several different groups or classes based on the degree of oxidation of the oxygen heterocycle. The classes of flavonoids include flavones, flavonols, flavanols (yes, there are two different flavonoids with very similar names), isoflavones, anthocyannins, proanthocyanidins and flavanones. Some facts about each: • Flavones are less abundant in foods and are found primarily in sweet red pepper and celery. • Flavanols include catechins that are abundant in tea, red wine, and chocolate. • Quercetin is the primary flavonol found in fruits, vegetables (particularly onions), and beverages. • Isoflavones are found in soy protein and foods containing soy protein. • Flavanones are found in oranges. • Proanthocyanidins, which are found in apples, pears, grapes, red wine, and tea, are the substances responsible for the astringency of food. • Anthocyanins, the red pigments of fruits, are found in cherries, plums, strawberries, raspberries, blackberries, grapes, and red and black currants. 42 http://DiabeteStepsRx.com The polyphenols and flavonoids contained in green tea are sometimes referred to as the catechins. The major catechins found in green tea include at least four subgroups: epicatechine (EC), epicatechin-3-gallate (ECG), epigallocatechin (EGC), and epigallocatechin-3-gallate (EGCG). Of these, EGCG is the most a bundant and has received the most attention in scientific studies, especially for its cancer-inhibitory activity and its possible role in weight loss and weight management. Contents of One Cup of Green Tea One cup of green tea contains approximately 50 mg of caffeine and 80 to 100 mg of polyphenols, depending on the strength of the infusion and the size of the cup. In capsule form, green tea extract varies and may range from 100 to 750 mg per capsule and may be standardized to contain from 60% to 97% polyphenols. One capsule containing 300 mg of green tea extract with 955 polyphenols, 80% catechizes and 55% EGCG is approximately equal to three cups of green tea. The average amount of green tea consumed traditionally by Japanese adults is about three cups per day, providing about 240 to 320 mg of polyphenols. 43 http://DiabeteStepsRx.com Role of Green Tea in Weight Loss & Appetite Control Green tea and other varieties of tea can help reduce snacking and the catechins contained in tea help inhibit the growth of fat cells, and reduce fat storage. Because green tea also helps stabilize blood sugar levels, it is an effective appetite suppressant. In addition, individuals who take green tea extract have been observed to expend more energy and burn more calories than those who do not. The dosage found to be effective in a 1999 Geneva Switzerland study contained 50 mg of caffeine and 90 mg of EGCG in two capsules. Dosing is two capsules with breakfast and two capsules with lunch. One of my favorite ways to consume green tea is with “Matcha Green Tea.” Please see this blog post for the benefits: http:// diabetestepsrx.com/matcha-green-tea/ Other Health Benefits of Green Tea Includes its Use for: * Cardiovascular disease * Cancer (ovarian, breast, * Dental caries * Bone health * Kidney stones * Anti-diabetic effects * Anti-inflammatory effect/arthritis * Immune function * Uterine fibroids * Xerostomia (dry mouth) * cervical dysplasia and HPV * cognitive impairment * polycystic ovarian syndrome (PCOS) 44 http://DiabeteStepsRx.com * genital warts * Probiotic effect Overall Dietary Recommendations: It has been suggested that an individual should consume three to six 8-oz cups of tea per day, but not exceed 10 cups per day. The dosage will vary depending on the heart risk that is focused on. Precautions: * Green tea should be used with caution during pregnancy and while nursing. Caffeine crosses the placenta and has been associated with spontaneous abortion and intrauterine growth retardation and/or low birth weight. Greater than 400 mg/day of caffeine during pregnancy can increase the risk of sudden infant death syndrome. Doses about 1100 mg per day have been associated with birth defects. Infants whose nursing mothers consume caffeine could suffer from sleep disorders. * Children should not be given too much tea as it chelates (binds) iron. * Bottled teas are not good sources of polyphenols * The Natural Medicines Comprehensive Database lists the following commonly prescribed drugs as having potential adverse interactions with green tea: adenosine, alcohol, amphetamines, cimetidine, clozapine, cocaine, oral contraceptives, disulfiram, ephedrine, estrogens, fluconazole, lithium, monamine oxidase inhibitors, nicotine, quinolone antibiotics, theophylline, verapamil and clopidogrel, ticlopidine, heparin and warfarin. * Some individuals are negatively affected by the small amount of caffeine in green tea and its stimulating effect, which can lead to nervousness, 45 http://DiabeteStepsRx.com insomnia, dizziness, agitation, restlessness, confusion and anxiety. These effects are more common when using higher doses of green tea. Some individuals may also have an increase in blood pressure or heart rate, especially if green tea is consumed in higher amounts and in those who already have even mild hypertension. * Allergic reactions can occur and tend to include cough, dyspnea, loss of consciousness and asthma. Rare anaphylaxis reactions can occur to the caffeine in green tea. * Caffeinated green tea consumption can also increase urinary excretion of calcium * Another consideration is withdrawal from green tea. Although uncommon, withdrawal symptoms have been known to occur, including anxiety, restlessness, muscle tension, nausea and vomiting. * Combining ephedra with caffeine can increase the risk of adverse events including hypertension, seizures, and temporary loss of consciousness. Where to Purchase: OR FROM Herb Pharm If you purchased a package or program, take advantage of your discount through our virtual dispensary & receive FREE Shipping on orders >$49). Set up your FREE account here: https://www.healthwavehq.com/welcome/diabetestepsrx 46 http://DiabeteStepsRx.com AND/OR OR FROM MATCHA TEA Click link & save $3.00 off your first order from Matcha Source (Note: “Sugar Destroyer” Matcha also contains “Gymnema Sylvestre.” See next recommended appetite suppressant). 47 http://DiabeteStepsRx.com Gymnema What is Gymnema: Gymnema is a woody climbing shrub native to India and Africa. The leaves have been used to make medicine for over 2,000 years. Gymnema has a long history of use in India’s Ayurvedic medicine. The Hindi name, gurmar, means “destroyer of sugar.” Health Conditions Where Gymnema is Useful Gymnema is used for diabetes, metabolic syndrome, weight loss, and cough. It has also been shown to lower serum cholesterol and triglyceride levels. It is also used for malaria and as a snake bite antidote, digestive stimulant, laxative, appetite suppressant, and diuretic. How Does Gymnema Work for People with Diabetes? Gymnema contains substances that decrease the absorption of sugar from the intestine. Gymnema may also increase the amount of insulin in the body and increase the growth of cells in the pancreas, which is the place in the body where insulin is made. Gymnema also neutralizes the taste of sugar in the mouth, thereby reducing sugar and carb cravings. 48 http://DiabeteStepsRx.com This herb has been used overseas for years in diabetes medications, but here in the United States, it can be purchased over the counter as a dietary supplement without a prescription. Gymnema has also been shown to be very effective in people with type 1 diabetes, resulting in a decrease in insulin requirements, blood glucose and hemoglobin A1c levels, suggesting the restoration of insulin production (due to its effect on potentially regenerating beta cells in the pancreas). Gymnema for Weight Loss * Suppresses craving for sweets and stabilizes blood sugar, therefore is a great appetite suppressant. How to Supplement Gymnema Take 250 to 1,000 milligrams total per day in divided doses (500 milligrams twice daily or 250 milligrams three times daily). The product should state it contains 75% gymnemic acids or that it is standardized to 25 percent gymnemic acid. Precautions: * Pregnancy & Breast-feeding: there is not enough reliable information about the safety of taking gymnema in this situation, therefore avoid use. * Diabetes: Gymnema can affect blood sugar levels in people with diabetes. Watch for signs of low blood sugar (hypoglycemia) and monitor your blood sugar carefully if you have diabetes and use gymnema 49 http://DiabeteStepsRx.com * Interactions with diabetes medications: insulin & other diabetes drugs that can lower blood sugar: a reduction in these medications may be needed to avoid a hypoglycemic reaction * Interactions with herbs and supplements that also lower blood sugar: same precautions apply with diabetes medications * Gymnema might decrease the body’s absorption of oleic acid Where to Purchase: OR FROM Wise Woman Herbals If you purchased a package or program, take advantage of your discount through our virtual dispensary & receive FREE Shipping on orders >$49). Set up your FREE account here: https://www.healthwavehq.com/welcome/diabetestepsrx AND/OR FROM MATCHA SOURCE Click link & save $3.00 off your first order from Matcha Source (Note: “Sugar Destroyer” Matcha contains “Gymnema Sylvestre” in Matcha Green Tea. See previous recommended appetite suppressant). 50 http://DiabeteStepsRx.com