Category: Health & Wellness

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March is National Nutrition Month

Between what you hear on TV, see on social media, and read in the news, eating well can seem like a real challenge. But it doesn’t have to be. A registered dietitian nutritionist (RD or RDN) will partner with you to develop a safe and realistic eating plan that you can stick with for the long haul. To guide and motivate you, an RDN will use creative and out-of-the-box strategies to help with meal planning, grocery shopping, and mindful eating.

An RDN has completed multiple layers of education and training established by the Accreditation Council for Education in Nutrition and Dietetics. All RDNs must do the following:
• Obtain a minimum of a master’s degree, which includes a specially designed, accredited nutrition curriculum.
• Complete an extensive supervised program of practice at a health-care facility, food-service organization, or community agency.
• Pass a rigorous registration exam.
• Maintain continuing education credits throughout their career, with licensure in each state they practice in.
What’s more, many RDNs have certifications in specialized fields, such as sports, pediatric, renal, oncology, diabetes, or gerontological nutrition.

Do you want to lose or gain weight? Are you pregnant, looking to become pregnant, or you’ve just had a child? Are you looking for ways to maintain your health in your older years? Are you an athlete looking to boost your performance? These are just a few of the reasons people seek the expert, science-based advice of an RDN.

10 Common Reasons to Consult with an RDN

1. You want help managing diabetes, high blood pressure, or other chronic diseases. An RDN can help you understand your condition and how the foods you choose might affect it. Plus, a registered dietitian nutritionist works with you to create an eating plan that has the nutrients needed to manage your condition.

2. You are thinking of having or have had gastric bypass surgery. Because your stomach can only manage small servings after surgery, it’s tricky to get the nutrients your body needs. As a part of your health-care team, an RDN helps you make changes to your eating plan to meet these needs and still feel satisfied.

3. You have digestive problems. Working closely with you and your doctor, an RDN provides guidance to help fine-tune your diet. Together, you’ll find choices that do not aggravate your condition—for example, limiting fried foods or caffeinated and carbonated drinks.

4. You’re pregnant, trying to get pregnant, or are a new parent. Meet with an RDN to make sure you get the nutrients you need for a healthy pregnancy. And, after the baby comes, an RDN can help make sure you and your little one are getting the nutrients you need to support good health.

5. You have a food allergy, intolerance, or sensitivity. Unsure what you can eat because of celiac disease, food allergies, lactose intolerance, or another condition? It’s easy to be overwhelmed by what you think you can’t eat, which can lead to a boring diet that doesn’t give your body the nutrition it needs. An RDN can teach you strategies, including identifying foods to avoid, and help you find substitutions to keep your diet balanced and tasty.

6. You or your child is experiencing disordered eating. As part of the treatment team, RDNs counsel people with eating disorders such as anorexia and bulimia.

7. You’re caring for an aging parent. An RDN can help with food or drug interactions, proper hydration, special diets for hypertension, and changing taste buds as you age.

8. You want practical lifestyle advice. Need help sorting through the facts and fiction of nutrition headlines? Learn how to read labels at the supermarket, discover how healthy cooking can be inexpensive, learn how to dine out healthfully, and find out how to manage temptations. When you see an RDN, the last thing you’ll get is one-size-fits-all diet advice. After learning about your health history, favorite foods, and eating and exercise habits, an RDN will help you set goals and prioritize. Follow-up visits will focus on maintenance and monitoring your progress.

9. You want to improve your performance in sports. A RDN can help you set goals to achieve results—whether you’re running a marathon, skiing, or jogging with your dog.

10. You realize the need to feed your family healthier foods, but you do not cook. A registered dietitian nutritionist can teach you how to plan and prepare meals in a simple, healthful, and convenient way. Connect with an RDN today!

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Are you zombie scrolling too much? Try to cut down

It’s 2024. Will your average screen time go down this year?

In 2023, the average time that people spent staring at a screen was just under 7 hours, slightly higher than the worldwide average of 6.5 hours a day, according to DataReportal. Some of it is on your computer, which accounts for half of the screen time. The other half is on your mobile device. Effectively, half of our waking hours is spent looking at a screen.

Is this healthy? Probably not. Health experts recommend less than 2 hours in front of a screen daily (excluding school or work), according to the National Institute of Health (NIH).

It’s not surprising. Data from Harmony (www.harmonyhit.com), a healthcare information technology company, shows that 40% of Americans are trying to cut down on their screen time this year, and another 36% feel like they should. Like all new year’s resolutions, this may not be easy.

The top application we are using when on the phone is messages. This is followed by all the social media sites—YouTube at #2 and Facebook at #3. TikTok, the latest fashionable app, is #6, just behind Instagram.

According to the study, half of Americans feel they are addicted to their devices. The younger you are, the more you tend to feel that way. The top reason is that our entertainment is more and more coming through our phones now. People often reach for their phone when bored.

In our search for the next viral video that keeps us entertained, we end up constantly checking our phones. Researchers call the behavior of scrolling for new content without a specific purpose “zombie scrolling.” Often, even if the news is bad or depressing, we still constantly look out for it; Merriam-Webster has termed this “doom scrolling.”

According to Harmony’s December 2023 study, 48% of Americans zombie scroll; they are scrolling without a specific purpose. More alarmingly, 27% of us text while at the stoplight. This might contribute to why we are hearing more honking and road rage than in the past. Also, if you ever wondered if others share the habit of using their phone on the toilet, you will find that you are among the supermajority—3 in 5 admit to doing it.

A University of Rochester Medical Center study in 2023 listed some of the signs of addiction to our smart devices:

  • Losing large amounts of time mindlessly checking apps or browsing the internet on your phone
  • Feeling anxious or restless when you cannot access your phone
  • Use of your phone has interfered with your productivity at work or at home
  • Using your phone in dangerous or inappropriate situations, such as when driving or crossing the street
  • Struggling to wait to check your phone when you receive an alert

It is hard to imagine that, just a few decades ago, baby boomer parents would have frowned upon hours and hours of TV watching. Now, every age group is spending much more time in front of the screen. Many parents nowadays still try to limit their children’s screen time. NIH reports the following among those 8 to 18 years old:

  • 28% said that their parents set TV-watching rules
  • 30% said that their parents set rules about video-game use
  • 36% said that their parents set rules about computer use

A NIH-sponsored study showed that, when parents set media rules, children’s media use dropped by 3 hours per day!

Recently, TikTok started implementing a screen limit of 60 minutes for kids under age 18. The limit can be disabled or extended via entering a passcode.

Even among adults, the Harmony survey showed that 55% feel that they waste time on their phones. And previous studies showed that excessive phone usage is linked to anxiety among younger adults.

Smartphones are a power tool for us to stay connected with our loved ones, and like all tools, we need to use it to benefit ourselves. So if you feel like you are zombie scrolling too much, or when the next world event upsets you and you feel like doom scrolling, try these suggestions from Harmony to cut down on screen time:

  • Doing activities that don’t require a phone
  • Putting the phone away while around others
  • Using the “Do not disturb” feature

Early studies are showing that even a small reduction has shown benefits in respondents’ mental health. So for 2024, try some of these suggestions, and maybe you will end up less anxious in a turbulent world.

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25 heart-healthy tips for your valentine

February is Heart Month. Here are some tips to take care of your heart this Valentine’s Day. Some foods can lower your risk of heart disease or help to manage it, while other foods may increase your risk. Try these tips for preparing heart-healthy meals.

 Choose Healthier Types of Fat and Cooking Methods

  • Use small amounts of oils, such as canola and olive, in recipes and for sautéing.
  • Make your own salad dressings with olive or flaxseed oil.
  • Blend mashed avocado into dips or use small amounts to add flavor to dishes.
  • Try different ways of cooking foods, such as baking, broiling, grilling, steaming, and poaching, to add variety.

 Eat Foods Containing Omega-3 Fatty Acids

  • Add walnuts to cereal, salads, or muffins. Try walnut oil in salad dressings too.
  • Eat two 4-ounce portions of fatty fish each week. Some options include salmon, lake trout, canned light tuna (in water), mackerel, and sardines.
  • Some chickens are given feed that is high in omega-3s, so their eggs will contain more as well. When buying eggs, check the package label.

Include Sources of Dietary Fiber Throughout the Day

  • Include plant-based foods as sources of protein, including tempeh, beans, lentils, seeds, and nuts.
  • Make half your plate fruits and vegetables at each meal.
  • Select whole fruits and vegetables instead of 100% fruit juices more often, and don’t discard edible peels. Removing the peels on produce, such as apples and potatoes, lowers their fiber content—just be sure to wash them before preparing or eating.
  • Choose whole grains instead of refined grains whenever possible.

Limit Saturated Fat

  • If you eat meat, select lean cuts of beef and pork, especially cuts with “loin” or “round” in their name, and drain the fat off cooked, ground meat.
  • Cut back on processed meats high in saturated fat, such as hot dogs, salami, and bacon.
  • When you make a stew or soup, refrigerate leftovers and skim off the fat with a spoon before reheating and serving.
  • Replace higher-fat cheeses with lower-fat options such as reduced-fat feta and part-skim mozzarella.
  • Thicken sauces with evaporated fat-free milk instead of whole milk.
  • Move toward using lower-fat milk and yogurt. Start with 2% products, then move to 1% and finally to fat-free, to adjust to the new taste.
  • Choose skinless poultry or remove the skin before eating chicken or turkey.
  • Check the Nutrition Facts Label on food packaging for saturated fat content and to see if trans-fat or partially hydrogenated oils are listed. Food manufacturers have removed trans fats from their products, but some foods with longer shelf-life dates—such as cakes, cookies, crackers, pastries, pies, muffins, and doughnuts—may still contain them. These foods also are sources of added sugars and should be limited for that reason, as well.

Reduce Salt (Sodium)

  • Prepare foods at home more often so you can control the amount of salt in your meals.
  • Use as little salt in cooking as possible. You can cut at least half the salt from most recipes.
  • Skip the table salt and be mindful when adding other higher-sodium condiments such as soy sauce, ketchup, pickles, and olives to your food at the table.
  • When choosing canned foods, select “reduced-sodium” or “no-salt-added” soups and vegetables.
  • Check the Nutrition Facts Label for sodium, and choose products with lower sodium content.
  • Season foods with herbs, spices, garlic, onions, peppers, and lemon or lime juice to add flavor.
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Finding Peace: Practical Ways to Relieve Stress in Your Daily Life

In the hustle and bustle of everyday life, stress has become a constant for many. However, incorporating simple yet effective stress-relief strategies into your daily routine can make a significant difference in your overall physical and mental well-being. 

Here are some practical tips from the CDC, along with simple (and local) ways to relieve stress and make healthy choices in the new year:

Take breaks from news stories, including those on social media. It’s good to be informed, but constant information about negative events can be upsetting. Consider limiting news to just a couple times a day and disconnecting from phone, TV, and  computer screens for a while.

Take care of your body: Staying physically healthy can improve  your emotional well-being. Whether you’re already a gym rat or working towards developing a  sustainable exercise routine, Parkland/Coral Springs and the surrounding areas have plenty of options to help you stay active.

Eat healthy. Have fruits and vegetables, lean protein, whole grains, and low-fat or no-fat dairy. Limit foods with unhealthy fats, salt, and added sugars.  Luckily, living in South Florida makes it just a bit easier to eat well all year. From the many smoothie and juice shops to our nearby locally owned healthy eateries, our town is perfect for people who want food that doesn’t skimp on flavor or nutrition.

Get enough sleep. Go to bed and wake up at the same time each day to help you sleep better. Adults need 7 or more hours per night. 

Move more and sit less. Every little bit of physical activity helps. Start small and build up to 2 ½ hours a week. You can break it into smaller amounts such as 20 to 30 minutes a day. Many locals enjoy taking a brisk cool walk first thing in the morning or  an afternoon stroll to break up the day. Either way, spending time outdoors and connecting with nature is proven to have a calming effect on the mind. 

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Dealing with dietary restrictions at holidays

The holiday season is here and with that comes fancy dinners, work parties, potlucks, and family gatherings. While breaking bread with your favorite people can be one of life’s simple joys, anxiety over what to make when feeding those with special dietary needs can make things feel complicated. Here are nine tips and tricks for hosting a holiday dinner that everyone can enjoy:

Ask for advice. Who knows best? The person with special dietary needs! Once you have a menu in mind, discuss it with your guests ahead of time and ask how they can best be accommodated.

  1. Read labels. Dairy, gluten, nuts, and non-vegetarian ingredients are found in many packaged foods. If you are not sure whether an ingredient is safe for your party guests, ask the person you’re accommodating or skip it.
  1. Don’t cross-contaminate. Use separate tongs when grilling meat and veggie burgers to spare the vegetarian foods from meat juice. Don’t bake a nut-free cookie on the same tray where you just roasted almonds. Thoroughly wash the strainer in between draining wheat spaghetti noodles and gluten-free ones. Being mindful of opportunities for cross-contamination can lower the risk of serving foods that your guests might not be able to eat.
  1. Make simple swaps. Tossing your veggies with olive oil instead of butter means that those with dairy allergies or observing a vegan diet can enjoy them too. Use vegetable stock instead of chicken or beef stock for meat-free side dishes and soups so more people can enjoy them.
  1. Leave the toppings on the side. Sometimes it’s just one or two ingredients that rule out a dish for those with dietary issues. If you leave certain items on the side, like bacon crumbles, nuts, or croutons, those who have food restrictions can still eat the food and those who don’t can top off their dish.
  1. Build a bowl. Rather than designing a menu with several parts, build a buffet of toppings and let your guests do the rest. From a yogurt parfait brunch to a smoky burrito bowl, there are many options for having a casual meal that is satisfying for everyone. Having a diverse spread of options will allow your guests to create a meal that fits their needs.
  1. Serve delicious drinks. Even those not drinking alcohol enjoy fancy mocktails. Include everyone in the festivities by making a pitcher or two of fruit and herb–infused waters or a dry bar with seltzer, juices, and herbs. 
  1. Polish your sales pitch. We tend to be wary of foods we cannot easily identify. To encourage everyone to try different dishes, write the menu on a chalkboard or place a menu card on the table. On your buffet line, label each dish with enticing adjectives and include ingredients. Not only does this encourage a picky eater to try new things, but it also helps guests avoid food allergens.
  1. Have fun! Remember, you don’t have to accommodate your guests for every single dish. If your holiday dinner would not be complete without your grandmother’s Yorkshire pudding, include it. Missing your personal favorites might lower your own enjoyment at the occasion. With a well-planned dinner, all of your guests can be happy and well fed.

 

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Carbohydrates, part of healthful diabetes diet November is National Diabetes Awareness Month

Carbohydrates are the body’s preferred source of fuel, and food sources containing carbohydrates can offer a variety of vitamins, minerals, and other nutrients.

There are three types of carbohydrate: starches, sugars, and dietary fiber.

  • Starches are present in plant-based foods such as potatoes, peas, corn, beans, rice, and other grain products.
  • Sugars occur naturally in foods such as fruit and milk, but there are also sources of added sugars that are found in highly processed foods, such as candy, cake, and soft drinks.
  • Dietary fiber is an indigestible part of plant foods that may help with digestive and heart health.

Individuals with diabetes should focus on choosing carbohydrates from nutrient-rich, whole foods such as fruits, vegetables, beans, whole grains, and dairy products, including low-fat or fat-free milk and yogurt. Foods and beverages with added sugars should be consumed sparingly, regardless of a diabetes diagnosis.

Spreading carbohydrate choices evenly throughout the day helps to prevent spikes and dips in blood sugar. A registered dietitian nutritionist (RDN) can create a specific meal plan that harmonizes individual preferences with the special needs of someone with diabetes.

Recommendations for carbohydrate goals will vary from person to person. For someone who eats 2,000 calories a day, an RDN may recommend that one meal contain about 45 to 60 grams of carbohydrate—or three to four servings of carbohydrate. This may vary depending on how frequently a person plans to eat throughout the day.

In meal planning for diabetes, a serving of carbohydrates is equal to 15 grams of carbohydrate. Here are some examples of serving sizes, but refer to the Nutrition Facts Label whenever possible for exact amounts:

  • Fresh, frozen, or canned fruit:
    • 1 small apple, a 4-inch-long extra-small banana, or a medium orange
    • ½ cup fruit cocktail, canned pineapple, or unsweetened applesauce
  • Dried fruit:
    • 2 tablespoons of raisins or dried cranberries
  • Milk and milk substitutes:
    • 1 cup (8 fluid ounces) fat-free, low-fat, or lactose-free milk
    • 1 cup (8 fluid ounces) unsweetened or light soy beverage
  • Yogurt:
    • ⅔ cup (6 ounces) unsweetened or light varieties
  • Cereal:
    • ½ cup cooked oatmeal or grits
    • ½ cup bran flakes or plain shredded wheat
  • Whole grains:
    • ⅓ cup cooked brown rice, quinoa, or whole-wheat pasta
  • Other starches:
    • ½ hamburger bun or English muffin
    • 1 small (6-inch) corn or flour tortilla
  • Starchy vegetables:
    • ½ cup mashed or boiled potatoes
    • ½ cup green peas or corn
    • ½ cup black, kidney, pinto, or garbanzo beans
  • Sweets and other carbohydrates:
    • 1 tablespoon regular syrup, jam, jelly, sugar, or honey
    • ½ cup sugar-free pudding
    • ½ cup ice cream

For people both with and without diabetes, carbohydrates play an important role in a healthful diet. Whole foods such as fruits and vegetables, beans, whole grains, nuts, and seeds provide dietary fiber, protein, and nutrients to support health.

Meet with an RDN to develop an individualized meal plan that works for you.

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Reducing your breast cancer risk

October is National Breast Cancer Awareness Month, and the perfect time to learn how to reduce your risk by eating right and engaging in physical activity. While there is no guaranteed way to prevent breast cancer, a healthy lifestyle can help reduce your risk of developing it and boost your odds of full recovery if you are diagnosed with it.

 All women are vulnerable to developing breast cancer, but certain women are at a higher risk. Although some risk factors can’t be controlled, such as family history, gene mutations, and onset of menstruation and menopause, other risk factors can be reduced by focusing on nutrition and lifestyle choices.

Weight is closely connected with breast cancer risk, and risk increases for those with overweight or obesity after reaching menopause. Engaging in regular physical activity is associated with reduced breast cancer risk and is one way to help promote a healthy body weight. For optimal health, aim for at least 30 minutes of moderate-to-vigorous physical activity most days of the week.

Certain foods—high in dietary fiber, vitamins, minerals, and phytonutrients—may help protect against some cancers. The following foods include a variety of vegetables, fruits, and whole grains:

  • Cruciferous and dark, leafy green vegetables:spinach, broccoli, cauliflower, brussels sprouts, cabbage, collards, and kale
  • Fruits:citrus, berries, pomegranate, and cherries
  • Whole grains:oats, whole-grain barley, bulgur, whole rye, and whole-grain breads and cereals
  • Legumes:beans, peas, lentils, and soybeans

Alcohol intake also is linked with breast cancer risk. If you are a female of legal age and choose to drink, limit your intake to no more than one serving of alcohol per day. (A serving of alcohol is considered 1½ fluid ounces of hard liquor, 5 fluid ounces of wine, or 12 fluid ounces of beer.)

An oncology registered dietitian nutritionist (RDN) will do the following:

  • Help individuals find the best food choices and ways to eat based on how they feel and what they like. For example, small, frequent snacks may be easier to tolerate than a few larger meals.
  • Help patients determine if supplements and nutrient-rich beverages and foods are needed to get the nutrition they need.
  • Answer questions about foods, supplements, nutrients, and diet. There is an infinite number of sources of information about diet and cancer.
  • Help patients process the information they’ve found and discuss the options that may be most beneficial.

Food and nutrition are critical parts of successful cancer treatment. Nutrients support healing and the growth of healthy cells in your body; they also go a long way toward helping you maintain energy and strength.

A personalized nutrition plan based on an individual’s likes, dislikes, lifestyle, symptoms, and concerns is an integral part of cancer treatment. An RDN trained in oncology nutrition is a key part of the medical team working with people with cancer.

Once cancer treatment is complete, maintaining a nutritious eating routine can help the body heal and offer protection for the future. Center your plate to focus on fruits, vegetables, and whole grains. Studies have also found that people who limit added sugars, red meat, and alcohol have lower risks of certain types of cancer. Food choices should be easy to chew, swallow, digest, and absorb, even if high in fat.

This type of eating routine is also good for heart health and can help reduce the risk of other chronic diseases.

 

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Healthy habits for the new school year

It’s August, time for our kids (and teachers) to get ready to return to school. Even if your children are excited to begin school, it is typically a big adjustment for everyone. Getting back into the school routine can be difficult, especially after a relaxed summer schedule. Parents, you can assist your children and manage the increased pace by planning ahead, being realistic, and maintaining a consistent, structured schedule until school begins.

The new school year requires changes, which can be difficult for kids, especially for the younger ones. School-aged children who are sensitive or have anxiety issues or developmental delays may need more time to adjust than others. In order to alleviate discomfort and make the transitions easier, I suggest that parents talk to their children about the upcoming school year, the new teachers, and the excitement of making new friends. This type of dialogue is helpful to learn about your kids’ feelings so that you are able to understand their fears and help them move ahead in a positive, nonjudgmental way. Your reaction and response can assist your child in setting realistic goals and reducing internal concern. The conversations will open doors for future interactions.

Getting kids back on the early-morning wake-up routine can be extremely difficult, especially for teens and preteens. An idea that works well in establishing school protocol is to begin having them back into the habit of going to bed earlier and waking up earlier about a week before school starts. This slow change allows them time to adjust so that they are more comfortable and school-ready. It also helps to create a morning schedule in order to keep kids on track. Helping children by practicing the before-school behaviors of getting dressed, brushing teeth, and eating breakfast in a timely manner can help manage mornings in order to avoid stress and tempers. Establishing afternoon and evening schedules ensures that there will be time for homework, screen time, play, baths/showers, dinner, and bedtime. One of our many jobs as parents is to help our children adjust to new routines and to accept responsibility, in age-appropriate ways. A consistent bedtime routine helps to ensure a good night’s rest, which is important in having productive and happy school days.

Another great way to ensure success is to help your kids plan ahead. Encourage them to organize clothing, backpacks, and even lunch before going to bed. This way, an extra minute or two of snoozing eliminates a mad dash around the house and the chance of forgetting something important. I also strongly recommend avoiding screen time before school because it distracts kids from their routines and responsibilities. It also encourages children to stay calm and focused. Once your routine is established, you can slowly make concessions and allow some screen time. However, I would encourage you to save screen activities for after school.

Planning ahead for parents is also helpful as it encourages you to think about what meals you want to serve your family. Planning meals that are healthy and easy to prepare works because kids and families are going to be tired throughout the first few weeks back.

Establishing homework time and a designated place for kids to do their homework is also really helpful. Children thrive with structure and routine, so making sure they know what the expectations are in the afternoon is key to success. Having a set place to do homework, and knowing that they can play afterward, provides kids with the motivation to complete their work earlier in the afternoon.

Overall, it’s an exciting time of year, but also one that can be difficult to adjust to. Having a plan in place to help yourself and your family get prepared for the new school year is the key to less stress and less anxiety for all.

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Dealing with dietary restrictions during the holidays

The holiday season is here, and with that come fancy dinners, work parties, potlucks, and family gatherings. Although breaking bread with your favorite people can be one of life’s simple joys, anxiety over what to make when feeding those with special dietary needs can make things feel complicated. Here are nine tips and tricks for hosting a holiday dinner that everyone can enjoy.

  1. Ask for Advice

Who knows best? The person with special dietary needs! Once you have a menu in mind, discuss it with your guests ahead of time and ask how they can best be accommodated.

  1. Read Labels

Dairy, gluten, and non-vegetarian ingredients are found in many packaged foods. If you are not sure whether an ingredient is safe for your party guests, ask the person you’re accommodating or skip it.

  1. Don’t Cross-Contaminate

Use separate tongs when grilling meat and veggie burgers to spare vegetarian foods from meat juices. Don’t bake a nut-free cookie on the same tray you just roasted almonds. Thoroughly wash the strainer in between draining wheat spaghetti noodles and gluten-free ones. Being mindful of opportunities for cross-contamination can lower the risk of serving foods that your guest might not be able to eat.

  1. Make Simple Swaps

Tossing your veggies with olive oil instead of butter means that vegans and those with dairy allergies can enjoy them too. Use vegetable stock instead of chicken or beef stock in the side dishes so that more people can enjoy them.

  1. Leave the Toppings on the Side

Sometimes it’s just one or two ingredients that rule out a dish for those with dietary issues. If you leave the bacon crumble on the side, those who eat meat can still have it, and vegetarians can eat the dish too.

  1. Build a Bowl

Rather than designing a menu with several parts, build a buffet of toppings and let your guests do the rest. From a yogurt parfait brunch to a smoky burrito bowl, there are many options for having a casual meal that is satisfying for everyone. Having a diverse spread of options will allow your guests to create a meal that fits their needs.

  1. Serve Delicious Drinks

Even those not drinking alcohol enjoy fancy mock-tails. Include everyone in the festivities by making a pitcher or two of fruit and herb-infused waters or a dry bar with seltzer, juices, and herbs.

  1. Polish Your Sales Pitch

We tend to be wary of foods we cannot easily identify. To encourage everyone to try different dishes, write the menu on a chalkboard or place a menu card on the table. On your buffet line, label each dish with enticing adjectives and include ingredients. Not only does this encourage a picky eater to try new things, but it also helps guests avoid food allergens.

  1. Have Fun!

Remember: You don’t have to accommodate your guests for every single dish. If your holiday dinner would not be complete without your grandmother’s Yorkshire pudding, include it. Missing your personal favorites might lower your own enjoyment of the occasion. With a well-planned dinner, all of your guests can be happy and well-fed.

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Shop healthy on a budget

With a little know-how and advanced planning, you can enjoy nutritious foods while sticking to a tight budget.

Plan Around Sales

The key to smart, budget-friendly grocery shopping is planning ahead. Plan meals around fresh produce, lean protein foods, and low-fat dairy items that are on sale and in season to save money while eating healthy.

Check store sale flyers and available coupons on the same items for additional savings. Compare national brands and private store labels for the lowest price. Once you’ve identified sale items, incorporate them into simple meals; baked, grilled, or broiled lean meats or fish served with vegetables and whole grains are delicious and healthy with few added ingredients. Also, use the unit price to compare costs between different-sized packages of the same product.

Create a Shopping List

Use your weekly eating plan to create a master grocery list and stick to it. Prioritize your food dollars for nutrient-rich vegetables, fruits, low-fat dairy, lean protein foods, and whole grains. To keep your grocery list from growing too long, prepare meals that include similar ingredients throughout the week.

In the Produce Section

When it comes to fresh vegetables and fruits, shop seasonally. Local, seasonal produce is at its peak flavor and is generally more abundant, so it’s usually sold at a lower price.

Frozen or Canned Alternatives

If the produce item you want isn’t in season or doesn’t fit in your budget, consider purchasing it frozen or canned. Fresh, frozen, canned, or dried fruits and vegetables can be good for you. Canned fruits and vegetables are picked at peak freshness and can be just as nutritious as fresh foods because canning and freezing preserves many nutrients. Canned and frozen foods offer an alternative to fresh and may be more budget-friendly. Be sure to check the ingredients list to avoid items with added sugars or salt.

At the Meat Counter

Consider purchasing a larger quantity of meat that is on sale and preparing enough for two or more meals. Enjoy leftovers later in the week or freeze for future use. Because meat is often the highest-dollar ingredient in a recipe, consider planning meatless meals a few nights each week, or try replacing half the meat in dishes such as chili, meatloaf, or burger patties with beans, finely minced mushrooms, or chopped vegetables. Incorporating more non-meat proteins, including beans, nuts, and eggs, can be cost-effective and nutritious.

Whole Grains and Dry Goods

Whole grains and dried beans are generally inexpensive and are an easy way to get more nutrition for your buck. Stock up on these nonperishable items when on sale or take advantage of the bulk bin by purchasing only the amount you need. Dried beans, peas, and lentils are great options to keep on hand. You can buy in bulk, prepare ahead of time, and then freeze so you always have protein and fiber-rich foods on hand.

Reduce Waste

Once you’ve done your shopping, make the most of your food spending by cutting down on waste. Plan to use highly perishable items — such as fish and seafood, salad greens, berries, and fresh herbs — early in the week, and save more hearty items for later in the week. Enjoy leftovers for lunch or create new meals from leftover ingredients. Cooked meat and vegetables can be revamped as a filling for a casserole, frittata, or soup.

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A canine (human) intervention

I have a friend who will remain anonymous. She has read my articles for the past 20 years and had already declared last month’s conversation as article worthy. Literally, she gave me the look like, “You are going to use this as an article,” not as a question but as a statement. With a wink, I told her that this is not the first time I have used her cute-isms, as my wife and l like to call them, as inspirations for an article.

My wife and I have known “L” and her family for a long time. Our kids have grown up together and we view them as family. L looks at the world differently. She is a teacher and a mother and takes care of everyone around her. When her kids or her dog Mello have an issue, she has them diagnosed and treated like a protective mother might, but she also has the tendency to forget about herself.

L has a family history of high blood pressure and heart disease. She hadn’t seen a doctor in years, and at her last physical she was informed that her physician wanted her to see a cardiologist to work up her high blood pressure and new heart murmur. L’s husband called to tell me the news that L vehemently did not want to be discussed with anyone. She told her husband that her physician is an alarmist and came up with a hundred excuses, from caffeine to stress to weight gain, for why her blood pressure was elevated.

L is an amazing pet owner. Mello has been to my hospital for ACL surgery, tumor removals, emergency dental abscesses, and even once he ate those toxic crayons that the babysitter brought over. If there was a problem with Mello, it was addressed quickly and without question.

Mello was in the hospital for a bath and his biannual examination days after I had talked to L’s husband. It was a weekly routine. L picked up Mello after work. She bought herself a medium iced coffee at the coffee shop and brought me one as well. I asked my receptionist to put L in an examination room.

I walked in and told L that during my examination of Mello, I found a new heart murmur. I told her that I had never heard one before in Mello. I also told her that I ran some bloodwork and checked his blood pressure. L repeatedly shook her head and was notably concerned. She wanted to know if I had any results, and I told her that the bloodwork results would be in tomorrow, and his blood pressure was elevated.

L wanted to know if I needed to do an EKG or take chest X-rays, and I told her that I would feel better if she went to the cardiologist because they are the experts, and if there is a problem then they usually recommend an echocardiogram. L took out her notebook to write down the cardiologist’s name and number. She told me that nothing could happen to Mello. He is so important to the family and losing him only midway through what she considered his life expectancy would be devastating.

I looked at her and gave her a hug. I told her that Mello was fine. He was perfect. L was confused. I told her that I had just talked to her husband, and he told me about her heart murmur and high blood pressure. I told her that she should attack her issues with the passion she had for Mello, because her family, students, and friends could not bear losing her midway through her life expectancy.

L was actually more relieved about Mello than angry with me for having the intervention. She walked out of the examination room smiling but telling me that turning 50 sucks.

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Osteoporosis: a ‘silent disease’ that leads to broken bones

Most people don’t care about statistics until they become one. But approximately 10 million Americans have osteoporosis, and another 44 million have low bone density that increases the risk. The importance of regular bone density testing cannot be underestimated, especially for adults over 50 years of age.

Eighty percent of older adults sustaining a broken bone never had a bone density test (BDT) and subsequently were never treated for osteoporosis. A BDT is the best diagnosis. If one’s T-score is –2.5 or lower, chances are that osteoporosis is present and a plan of treatment needs to be developed.

Osteoporosis is called the “silent disease” simply because it’s impossible to know when bones begin to deteriorate. Over time, they can become so brittle that a simple cough or bumping into furniture causes a break. Bone density tests are a vital part of one’s regular healthcare regime and should be repeated at least every two years.

Women are more susceptible to osteoporosis. One in two women will break a bone in their lifespan, and their incidence of breaking a bone is higher than their risk of a heart attack or a stroke — and it’s equal to the combined risk of getting breast, uterine, or ovarian cancer.

Not only is breaking a bone painful, it’s also very costly. The burden on the healthcare system is nearly $20 billion a year and specialists predict a gloomy future — expecting as many as 3 million fractures by 2025, costing patients, families, and the healthcare system as much as $25.3 billion.

Prevention

Bone tissue is constantly being broken down and replaced, and with age the process does not occur as frequently. Peak bone mass is usually achieved by the late 20s, but people can still build and maintain strong bones for the remainder of their lives. Osteoporosis occurs when creating new bone doesn’t keep up with the loss of old bone. Your physician can prescribe medications or other treatment options, but to gain full benefit it’s important to exercise regularly, and be sure to take the recommended amount of calcium and vitamin D obtained from foods and/or supplements.

Symptoms

There are typically no symptoms in the early stages of bone loss. When bones being to weaken, however, one can experience back pain, loss of height, a stooped posture, and bones that break more easily than expected. Women who have experienced early menopause or have taken corticosteroids for several months are highly susceptible to weaker bones. Low sex hormone levels will also weaken bones. A fall in estrogen levels in women at menopause is one of the strongest risk factors in developing osteoporosis. In addition, if a person has taken too much thyroid hormone medication to treat underactive or overactive thyroid conditions or adrenal glands, bone loss is a probability.

Diet

A lack of calcium, eating disorders, and gastrointestinal surgery are issues that can put people in the high-risk category for osteoporosis. A lack of calcium leads to lower bone density, early bone loss, and increases the risk of fractures. Surgery can limit the amount of surface area available to absorb nutrients because the size of the stomach has been reduced.

Medical Conditions

The risk of osteoporosis is higher in people with chronic medical problems. These include celiac disease, inflammatory bowel disease, kidney or liver disease, cancer, multiple myeloma, or rheumatoid arthritis.

May is National Osteoporosis Awareness Month. It’s an opportunity to be proactive about your health and a great time to make an appointment with a primary-care physician and undergo a painless bone density test. For more information, visit the Bone Health and Osteoporosis Foundation at www.bonehealthandosteoporosis.org.

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