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Open heart surgery – diet tips?

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Dear Pooja,
My father, 72, had an open heart surgery a few weeks ago and is better now.  He did not have a heart attack, and he does not have diabetes nor high BP. What are the kinds of foods he can have now to gain back his strength? He is slim and had been otherwise fit always and is a vegetarian.

Your father can most easily be the best example to what I say over and over again ‘You are what you eat’ being a wise eater thus the absence of any excess weight baggage and like you said fit always’ and therefore is metabolic disease free even now. The reason for an open-heart surgery could very well be age related plague deposition as the most noticeable characteristic of vascular ageing is the change in the mechanical and structural properties of the vascular wall. Now to help him regain his strength first focus should be on better quality proteins – being vegetarian please ensure you are giving him one-two servings of dal/pulses/sprouts daily – low fat milk and its products and if possible introduce some quinoa and soyabean weekly. Vitamins are another point to emphasis thus ensuring no micro nutrient deficiency leading to delayed healing. Two-three servings of vegetables plus an additional raw veggie juice daily (minimum three colours of vegs) along with two-three servings of fruit daily should do the trick. Ample hydration, adequate sleep and slow walks for about 15-20 minutes a day should help in better recoup and recovery. Check with your doctor or nutritionist for basic multi vitamins and some B12 as well as omega 3-6-9 supplements since he is vegetarian. Always keep the faith in the magic and the powers of healthy frequent eating and may he have a long healthy life ahead.

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In Articles to munch on

EXAM DIET

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At this time of the year, what’s colder than the nip in the air is usually that chill running up and down your spine: whether a student or a parent, ’tis not the season to be jolly. Because it’s exam time.

When it comes to February-March, nutrition rules are flung out of the window. Comfort food replaces regular meals and overindulgence replaces common sense. The need for emotional eating is understandable as is the natural gravitation towards fattening and sugary meals. They provide students with a warm hug when they need it the most. But it’s also harmful.

Remember, exam nutrition is not about counting calories. Poor nutrition is detrimental to one’s ability to concentrate, retain and perform well under pressure. So, nutrition during exam time is simply about harnessing the best of what food can offer so that the body functions at its optimum level.

NIX THE JUNK

Avoid giving your child too much comfort food; try to ration it out. Rich, heavy foods are harder to digest and divert blood from the brain, which is needed the most by the digestive system during this time. Your brain needs blood because it brings oxygen with it, vital for its efficient functioning. That’s one of the reasons why students retain far more information early in the morning compared to later in the day. Because there’s very little to distract blood from going to the nervous system.

PUSH FOR PROTEIN

Protein works beautifully in helping the brain both retain information and recall it. Give your child good lean protein like dal, eggs, fish, chicken and quinoa, to help him or her get the best out of their prep.

CAFFEINE

While it seems like a knight in shining armour, the lesser the dependence on caffeine, the better it is for your child. Most parents don’t know how many milligrams of caffeine is safe to be given to a child, and that in itself is tricky to estimate because it differs from person to person. Forget children, sometimes caffeine levels are hard to estimate even for adults. An overdose of caffeine induces side-effects like loose motions, palpitations, and sometimes, even more serious ones like respiratory distress, vomiting and convulsions. Too much caffeine could also be counterintuitive to the exam process as it could bring about an inability to focus and concentrate. Common caffeine sources include energy drinks, black teas, coffees and caffeine tablets.

WATER

Adequate hydration is crucial for the proper functioning of the body, including the brain, and dehydration could bring with it headaches and tiredness. At least 8-10 glasses or 2 litres of water is recommended every day.

SLEEP

While this has nothing to do with nutrition, if you don’t sleep, your brain doesn’t work well. When you sleep is when your brain organises everything you have taught it, so that when you are awake, it functions almost like a jukebox. The fewer hours you sleep, the lesser time your brain gets to organise its short-term and long-term memory.

In short, pass the nutrition test, and you’re off to a flying start.

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In Articles to munch on

TALK TO THE FIST, BABY!

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Remember those `united we stand, di vided we fall’ ads that used to play on DD? Those cute little short films, about the importance of unity? The funda was simple: five fingers by themselves will not be effective unless you close your fingers and make a fist. The same principle works for your body as far as a balanced meal is concerned.

5 FINGERS OF WEIGHTLOSS
By themselves, the Five Fingers of Weight Loss -proteins, carbohydrates, fats, vitamins and minerals -have their own functions. But the various nutrients must act in unison for effective action. In other words, for long-lasting weight loss or weight management, you need to eat all five nutrients. Every day. There is no other way.

The Five Fingers of Weight Loss can further be broken down into three macronutrients (proteins, carbs, fats) and two micronutrients (vitamins, minerals); the reason it is divided this way is because it rep resents the relative importance on your plate.Don’t overload your vitamins at the cost of carbs, or cut fats and go crazy about protein.Too much emphasis as well as the absence of any one nutrient will compromise your health and result in short-term gains ­ sending you right back where you started. Any meal plan that is skewed towards any food group, including proteins or raw veggies,w i l l give rise to a host of medical problems, and will result in a diminishing effect on your system. If you think your diet is unbalanced, it is. You cannot be short-sighted about it as the ills will eventually catch up with you.
On your plate lies the answer to many issues plaguing your life ­ from the mental to the physical. Your plate holds not just fuel for your system, but carries all the tools you need to do more with your body and your life. Because food is not just fuel. Food is power.
Collectively, these five nutrients are your defence against disease, obesity, heart at tacks and almost anything else you need to ward off. Diabetes? Make a fist. Heart disease? Hey, you’ve got your fist. Obesi ty? Talk to the fist, baby! So many dis eases are lifestyle-related and can be eradicated -not just improved -by the rule of the fist.

 

 

 

 

 

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In layer2

OLD GOALS, NEW APPROACH

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This year, let’s try making a different set of health resolutions different because their approach will be changed though the objective is still the same -a healthier, thinner, fitter, happier you. We’re in the second month now. Pay attention.

Start on January 1

DON’T AIM TO BE SOMEONE ELSE

Please remember that actors, models and sport stars get the best out of the bodies that they either have been blessed with; or are working very hard upon, with expert guidance every second. Your body is unique, your body is yours. Appreciate every feature, wrinkle and line ­ it’s god’s gift to you. Enjoy it, revel in it and be the best you can be.

PLAN YOUR EXERCISE

Most resolutions just stay on paper because their foundations are weak. Get a clear conception of what you’re about to begin. It is this first step where most people falter. If you haven’t been exercising for years, aiming to show up at the gym every day is more than a little ambitious.Set exercise goals that you’re confident of achieving. A good place to start would be to clock three to four hours of exercise a week. This gives you the scope to break up your exercise regime into smaller capsules, depending on your specific body needs and time available to you. Be the architect of your workout ­ it usually takes just one missed workout for you to feel as if you have failed your purpose.

WRITE A FOOD DAIRY

When you get into the practice of writing down every single thing you eat -whether it’s a piece of fruit or what you ate at dinner -it makes you accountable. The diary works both as your conscience and guide. If you are not losing weight at the pace you want to, just turn the pages of your diary and you’ll find the honest answer. You cannot fool yourself.

PLAN YOUR `ME’TIME

Stress can kill even the best motivation to get fit. In the madness of our lives, we forget what we are eating, ignore meal times and often use food to combat stress. If you want to stay on track, make a plan to manage your stress in ways that don’t invite food as the chief guest. Engage in relaxation activities, whether it’s a hot bath, a massage, a trip to the spa, meditation, deep breathing or shopping! Unplug, disconnect, rejuvenate ­ even if it’s for 15 to 20 minutes a day.

SLEEP WELL TO BE FIT AND SLIM

Your body does not just run on food, water and air. Sleep is a vital component of its functioning.Without adequate sleep (average of seven to eight hours a day), you are setting yourself up for trouble. In my experience, most people who drop their resolutions midway are sleep-deprived. Depression, irritability, reduced brain function, memory loss are all results of not getting enough sleep. Innumerable studies over the years have shown the definite link between sleep deprivation and weight gain. But still, so many of us just do not pay enough attention to our sleep pattern.

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In layer3

DIWALI DETOX

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Weight gain is a little like that small pile of unattended laundry on your chair. Left alone, it’ll just stay there and pile up day after day. If you think you’ve gained weight during Diwali, don’t panic. But deal with it before the fat starts to accumulate.

DON’T STARVE…

That’s the fundamental lesson you need to remember. Don’t deprive your body of nutrition by starving yourself with drastic diets. Instead of losing fat, starvation ensures your body loses muscle. Muscle loss leads to more fat storage, which is why you always gain the weight you lose right after a crash diet. Food is the only thing that fuels your body and is your friend ­ not your enemy.

…EAT SMART

Eat simple and smart during your detox phase. Shore up on simple proteins like sprouts and egg whites.Have 4-5 servings of fruit per day (100 gm of fruit per time), and eat and drink your veggies prepared without much oil, or as juice. But whatever you do, don’t forget to break up your meals into smaller ones. Eat every two hours. Like walking or running, digestion also burns calories and eating smaller meals frequently means that your body keeps burning, burning, burning.

…BUT DON’T LOSE THE OIL

Don’t cut oil out entirely because you’d be depriving your body of essential fatty acids. The lack of fatty acids dries up your skin, apart from other adverse effects. In this detox phase, include one teaspoon of oil in your cooking through the day.

STEP UP THE EXERCISE

Get to know your treadmill a little better. In addition to eating right, one hour of explosive exercise is what you need. You can walk, run, cycle, go on the elliptical but whatever you do, don’t forget cardio during this phase. Sweat it off.

SLEEP

Catch up on your sleep. Your body needs food, water and sleep for effective functioning. And fat burning and metabolising food is a part of its functioning. Studies have shown the strong link between weight gain and sleep deprivation. Snooze to lose.DRINK In this phase, drink about three to four litres of water. You could also mix it up by including other beneficial hydrants like coconut water, chaas and nimbu pani. Hydrate, hydrate, hydrate.

How much detox you need depends on how much you have abused your body. If you have binged for four days, detox for the same amount or a week, and so on.

But don’t overdo it, and trust your body during this process.

The body is magical. It will know what to do.

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In Lose Weight

ON YOUR MARKS, GET SET AND GLOW THIS DIWALI

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With all the parties and social obligations, your days will soon get shorter and nights, longer. In this season of bling, excesses and over stimulation, what’s the best possible way to get that healthy, cared-for glow? A small early Diwali present in the form of some invaluable, tried-and-tested health advice…

FOOD

 

If you are not used to a healthy eating pattern, it’s hard to start strict regimens during a season littered with temptation. Having said that, you can always be one step ahead of your metabolism by breaking up the four meals a day -break fast, lunch, dinner, tea-time snack -into eight smaller meals, spread through the day. This way, you ensure that you eat every two hours. Keep in mind that just like walking, running or jumping, digestion also burns calories. Eating smaller meals pushes your body to burn more calories from the same food, giving your body a workout on the inside. Eating every two hours may also help you lose a little weight and keep your cravings under control. Also, keep your antioxidant quotient high, and focus on drinking vegetable juices, not fruit juices (high in sugar).

And, whatever you do, don’t starve your body into submission in order to knock a few kilos off. Just be smart about what and how you eat. Don’t be afraid of food. Always remember that food is your friend, not enemy.

EXERCISE

It’s never too late to start a daily 60-minute cardio session as a run-up to the season. Exercise helps to pump up your metabolic rate by almost 20-30 per cent sometimes, enabling you to digest better and burn the little and bigger treats that you allow yourself this season. Blood also rushes to your skin when you exercise, providing it with that much-needed glow. Not only do you lose weight, you also look fresh and young. You can never go wrong with exercise, no matter when you start.

SLEEP

 

‘Tis the season to be drowsy. Diwali can bring about heavy sleep deprivation because of late nights and compulsive socialising. If you are already cheating on your sleep even before you are well into the season, catch up now to shore up for the inevitable sleep debt that will pile up. Sleep is vital for your body though its importance is quite undervalued.Your body heals and repairs itself when you sleep, and this includes your skin. There is also a strong and undeniable link between sleep and obesity. Do note that when your body reaches 24 hours of sleep debt, it tends to crash, causing conditions like flu or viral.

WATER

 

Make-up cannot hide dull, dehydrated skin. For a natural glow, don’t just drink the pink stuff in the daiquiri glasses, glug as much water as you can ­ a minimum of two litres a day. There’s also the trend of special `detox water’ doing the rounds, claiming you can lose weight just by drinking it. My take on it is that while you may or may not lose weight on detox water, you’ll definitely be well hydrated. Since there is a link between hydration and weight loss, you may just lose weight anyway.

Your brain’s thirst and hunger centers are so close together that sometimes you eat because you are thirsty. Adequate hydration means that you won’t confuse thirst with hunger ­ which leads to more thoughtful eating.Take care of yourself this Diwali for a great year ahead. On your marks. Get set and glow.

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In layer1

THE A-Z OF TETRA PAKS FOR PROTEINS DIET

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Did you know that boiling and re-boiling milk on a high flame for an extended period of time affects its nutritional content, particularly the proteins and B group (B1, B2, B12) of vitamins? These vitamins evaporate as heat increases. A lot of people are unaware of the fact that consumption of fresh milk is always advisable, and just one boil is enough to retain the nutrients of milk. A recent survey conducted by Research Pacific India reveals that 60 per cent mothers are unaware about the nutrition loss in milk due to boiling. Even after the first boil, they continue boiling it for about seven minutes. If you’re buying milk from the milkman, the ideal way to consume it is to heat it at 100 degrees Celsius for less than 8 to 10 minutes.
Another great solution is to opt for tetra paks. With rampant adulteration and microbial contamination of milk causing varied health risks, the use of aseptic packaging is a boon for the white revolution. Using either UHT (ultra high temperatures) or HTST (high temperature short time), the milk is heated on a prescribed high temperature for only a few seconds and then cooled down and immediate ly aseptically packed in tetra paks. This not only prevents entry of any microbes but also helps retain the nutritional strength of the packaged product. Once you open the tetra pak, refrigerate it and consume the milk within two to five days.Apart from being environmentally friendly, aseptic packaging increases the shelf life of the product, eases its transportation and also prevents adulteration of any sort.There are many myths surrounding tetra paks. We bust a few elementary ones:

MYTH #1

Tetra pak milk and dairy products have added preservatives: The use of high heat (75 degrees Celsius for 15-20 sec or 138 degrees Celsius for 23 seconds) helps remove all micro-organisms from the milk including bacterial spores. This process, followed by packaging, is conducted in a sterile con dition. The packing technique further helps prevent spoilage of the milk. All this together aids preservation and hence no additional preservatives are added.

MYTH #2

Tetra pak products are not nutritious: Heating on a high temperature for a very short time prevents the loss of most nutrients ­ something that occurs in the conventional method of boiling. Many homemakers repeatedly boil milk for long durations to ensure that all microbes are de stroyed but in doing so, there is in turn a loss of all wa ter-soluble vitamins. This is the reason why aseptically packaged milk and milk products have better nutritive val ue than other forms of bottled milk.

MYTH #3

Tetra pak milk needs boiling: Boiling of tetra pak milk is an unnecessary step that causes loss of many B complex vi tamins plus leads to wastage of time and resources. The aseptic packaging involves transferring the UHT treated milk into pre-sterilised packages in a sterile environment, thus there is no risk of contamination and therefore no need to boil the milk before use. You can have it directly or warm it slightly to have it as a hot beverage.

MYTH #4

Tetra pak is not suitable for children: With hygienic packaging of unparalleled quality, tetra pak milk is extremely safe for a child’s growth and development. Easy usability, convenient portability, and better nutrient strength ­ all these factors make it a preferred choice for kids.
The Food Safety Standards Authority of India (FSSAI) has confirmed that 70 per cent of the milk available in the country is adulterated with detergent, glucose and skim milk powder. Hence, though we consume milk for its protein and calcium which may be retained post boiling too, tetra pak is an ideal option for packaged milk as it eliminates the chances of adulteration due to its absolutely hygienic process ing and packaging methods.

 

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In layer1

RAINY SEASON WEIGHT LOSS CHECKLIST

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It’s raining buckets. You theatrically sigh in pretend lament as your heart secretly does cartwheels ­ no exercise today! For those of you who find it hard to reign in the urge to skip rained-out workouts, I’ve got bad news.I am going to suggest ways to lose weight, eat smart and exercise within the four walls of your home. Don’t hate me.It’s all for your own good.
Unless you have a home gym or a place of exercise that doesn’t involve some travel, there will be days where you genuinely won’t be able to make it. But I find that a lot of people use this season as a pretext to get off the health track entirely. Why gain when it rains? Look at it this way: a healthy monsoon means that when the party season rolls around, you are looking smoking hot. Instead of taking a rain check this season, take in the rain checklist instead…

 

FOR FOOD

You don’t have to plough slippery streets and negotiate overflowing gutters to get to a nutritionist. Online meal plans as well as online home delivery options abound. Nutritionists have also started online programmes so, after preliminary health checks and blood tests, the meal plan gets delivered straight to your inbox.

If you aren’t going to a nutritionist, do your research online and carefully choose diets that consist of about 25 per cent protein, 10 per cent (good) fats like MUFA, PUFA and Omega-3 and 65 per cent carbs (which includes fruits, vegetables, breads, pastas and the like). Needless to say, your carb intake needs to tip in favour of healthy fruits and vegetables. Check with your doctor that the diet ensures weightloss or maintenance (whatever your aim), and will not affect your general health. Also, don’t forget to monitor your oil and sugar content during the programme: depending on your lipid profile, 2-4 teaspoons of oil a day is all you need to ensure that your low-cal food has both fat and flavour. I’d also advise you to break up any diet you take into smaller meals and eat every two hours. The process of digestion burns calories and smaller meals help keep your body in the digestion mode for longer.

One of the most fun parts about going online though is tracking your progress -there are tons of weight tracker apps out there. But be honest to yourself.

FOR COMFORT FOOD

There’s something about the monsoon that heightens the senses and the food cravings with it. Avoid common comfort food traps. While bhujiyas and pakoras are standard monsoon comfort fare, other healthier options also work. Corn-on-the-cob or bhutta is a brilliant and incredibly healthy masala-filled option. Corn-in-a-cup also works. Boiled black chanas, piping hot idlis with yummy sambhar, masala rava idlis, hot masala chai (without tons of sugar), hot soups, boiled peanuts, kebabs, chicken tikka (with low oil), grilled vegetables, dosas, neer dosas, uttapams and upma -all have the ability to satisfy your craving for something fried in the rains.

 

 

 

 

 

 

 

 

 

 

FOR EXERCISE

If you can’t make it for a walk or the gym, you’d be surprised with the kind of workouts DVDs can give you. These may even go one step further, providing that missing bit of variation to your workouts, leading you to exercise mus cles that may not have been active in your regular workouts. Or just climb stairs or jump rope: both are amazingly simple ways to get your heart rate pumping just enough to lose weight.

So there you have it. The no-excuses guide to monsoon fitness. And a no-holds-barred solution to looking your best during the monsoon months.

 

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In Articles to munch on

EASY DIET PLAN

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Celebrity nutritionist and founder of www.nourishgenie.com, Pooja Makhija weighs in on the easiest way to diet.

Let’s face it. No one likes to diet. If you’re used to getting your four square meals a day, the word ‘diet’ conjures up scenarios of no meals at all, of empty plates or you emerging from the fridge empty-handed, wistful about the old days when you could, quite simply, eat. How about banishing that scenario, and creating a new one where no foods are the enemy, and where being healthier is a lot easier than you think?

The trick is not to eat sparse but eat smart and no, there is absolutely no need to go crazy. Think of your body as a willful child. Or better yet, a hormonal teenager. The more you restrict your intake, the more it will fight back . So here are some weight loss tips that will not only help you reach your goal weight but also help you stay there.

  • Love All, Eat All

The easiest way to diet is to include all foods – or mostly all – but to ensure that they are eaten in moderation and prepared healthfully. On my diets I prescribe pasta, noodles, rice, roti, bread, mangoes – almost everything except a few foods like red meat, for example. In this way, you don’t feel deprived and you resist the urge to play truant. Starvation – or even fad diets – is the worst thing you can do to yourself. Food is the only source of fuel for your body and the best diets consist of a daily consumption of 65% carbs, 25% protein and 10% fats. You can get a general diet online – by calculating your Basal Metabolic Rate online and subtracting 100 calories from it. So if your BMR is 1500 calories, you need to choose a 1400 calorie diet – or even a customized one from www.nourishgenie.com – which obviates the need to meet a nutritionist in person.

  • Eat Every Two Hours

Apart from breathing, eating and sleeping, your body burns calories digesting food. Breaking up your meal plan into smaller meals and eating every two hours ensures that your body is constantly in the ‘gym’, burning more calories through the day than it normally does.

  • Eat Smart

Choose weight loss foods that your body burns more calories to digest than the calories they contain – called negative calorie foods, these include apple, grapefruit, lettuce, for example – as well as include more healthy weight loss foods like egg whites, salmon, leafy greens, beans, legumes, broccoli, sprouts, boiled potatoes, cottage cheese and avocados.

  • Exercise

You don’t have to go mad. Just a daily brisk walk will do but if you find that that’s not quite your cuppa tea and the thought of walking daily bores you to death, you can do aerobics, Zumba, running or whatever gets you moving.

  • Hydrate and Sleep

Drink lots of water and get your Zzzzs in. Both lack of sleep and water have been scientifically proven to derail weight loss efforts so don’t forget to get plenty of rest and fluids to use these weight loss tips well make your weight loss wishes come true.

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In Articles to munch on

NOURISH GENIE:TAKE IT WITH A PINCH OF SALT

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Can’t do without it, and definitely can’t do with too much of it. Salt is a chemical compound called sodium chloride ­ 40 per cent sodium and 60 per cent chloride. Studies recommend that the upper limit of salt for adults is anywhere between 3.75 5 gm (sodium intake between 1.5 2.3 gm per day) which actually measures to just a tsp of salt per day. This is the ideal amount of salt for all healthy adults without high blood pressure, diabetes or cardio-vascular diseases.
WHY DOES THE BODY NEED SALT?
Cutting back on added salt is a small way to avoid over consumption. Do remember that you don’t need to add salt to all the food items you are consuming ­ 75 per cent of the salt you eat is already present in everyday food items, like bread, breakfast cereals, ketchup and a lot of canned foods. Fortunately, nutrition labels on most ready made foods indicate the salt content in them. (1 gm sodium = 2.5 gm salt; so if you know how much sodium is present in a food item, you can roughly know the amount of salt it contains). Here’s how you can decode the labels: High salt content: If the salt content is higher than 1.5 gm per 100 gm of the food product, the sodium content mentioned will be 0.6 gm per 100 gm. Low salt content: If the salt content is 0.3 gm for less per 100 gm of the product; equivalent sodium content would be 0.1 gm per 100 gm.
Medium salt content: Foods between high and low figures. e Also note that dis-solvable vitamin supplements and painkillers contain up to one gm of salt per tablet. It would be advisable that you switch to non-effervescent counterparts, especially, if you have been asked to watch your salt intake.

WHY TOO MUCH SALT IS BAD FOR YOU
If you binge on foods that are too salty, you feel bloated and puffy hours later. This is be cause eating too much salt causes your body to retain more water, which increases the blood volume. This furthur leads to excess pressure on the blood vessels, thus demanding a lot of hard work from the heart in order to ensure smooth blood flow through the body. This is the main cause for high blood pressure and various heart dis eases. Other metabolic disorders associated with excess sodium intake include osteoporosis, kidney stone, asthma and gastric cancers.
SALTY FOODS ONE MUST AVOID
Cheese Pickles Papads Salted nuts Wafers, chips and other savoury farsan Soy sauce Tomato ketchup, mayonnaise and other ready-made sauces Breads Ready-to-eat soups, noodles, pasta
BALANCE THE SALT INTAKE
Focus on potassium
Increase in the level of potassium helps lower sodium levels, thus balancing blood pressure positively. Potassium rich foods include fruits like plum, peach, banana, muskmelon, avocados, orange, spinach, prunes, raisins and apricots to name a few.
Increase your water intake
This is the best way to flush out the excess sodium and maintain correct pH balance in the body. Aerated waters, sodas, energy drinks are unfavourable and can easily sabotage your efforts to maintain normal blood pressure.
Rinse canned foods
Vegetables and meat that are packed in brine (salt solution) always increase the salt content in the body.Rinse them to wash away extra salt.
Replace salt with herbs
Instead of reaching out for the salt shaker to add that extra flavour, season your food with citrus juices, herbs and spices.

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