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Table 1: Food and Drug Interactions
Use Interactions/ Guidelines Examples1
ALLERGIES Antihistamine To relieve or prevent the symptoms of colds, hay fever and allergies. FOOD: Take without regard to food. Exception: Fexofenadine/ALLEGRA. Bioavailability decreases if taken with apple, orange, or grapefruit juice.
ALCOHOL: Avoid alcohol because it increases the sedative effects of the medications. Diphenhydramine/ BENADRYL Fexofenadine/ALLEGRA oratadine/CLARITIN Cetirizine/ZYRTEC
* do not take with juice
ARTHRITIS and PAIN Analgesic/ Antipyretic To treat mild to moderate pain and fever. FOOD: For rapid relief, take on empty stomach.
ALCOHOL: Avoid or limit the use of alcohol because chronic alcohol use can increase the risk of liver damage or stomach bleeding. Acetaminophen/TYLENOL TEMPRA
Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) To reduce, pain, fever and inflammation. FOOD: Take with food or milk because medications can irritate the stomach. ALCOHOL: Avoid or limit the use of alcohol because chronic alcohol use can increase the risk of liver damage or stomach bleeding.
Your complete DNA sequence will help shape the future of medicine
Aspirin/BAYER, ECOTRIN Ibuprofen/MOTRIN, ADVIL Naproxen/ANAPROX, ALEVE, NAPROSYN
Corticosteroids • To relieve inflamed areas of the body.
• To reduce swelling and itching.
• To help relieve allergies, rheumatoid arthritis, and
other conditions. FOOD: Take with food or milk to decrease stomach upset. Methyprednisolon/ MEDROL Prednisone/DELTASONE Prednisolone/PEDIAPRED, PRELONE
Cortisone acetate/CORTEF
Narcotic Analgesic To provide relief for moderate to severe pain. ALCOHOL: Avoid alcohol because it increases the sedative effects of the medication. Codeine combined with acetaminophen/TYLENOL Morphine/ROXANOL, MS CONTIN
ASTHMA Bronchodilators To treat the symptoms of bronchial asthma, chronic bronchitis and emphysema. FOOD: High-fat meals may increase the amount of theophylline in the body, while high-carbohydrate meals may decrease it. It is important to check with the pharmacist about which form you are taking because food can have different effects depending on the dose form.
CAFFEINE: Avoid eating or drinking large amounts of foods and beverages that contain caffeine.
ALCOHOL: Avoid alcohol because it can increase the risk of side effects such as nausea, vomiting, headache and irritability. Theophylline/SLO-BID, THEO-DUR, UNIPHYL Albuterol/VENTOLIN, PROVENTIL, COMBIVENT Epinephrine/PRIMATENE MIST
CARDIO-VASCULAR DISORDERS Diuretics To help eliminate water, sodium and chloride from the body. FOOD: Take on an empty stomach or with milk to decrease stomach upset. Some diuretics cause loss of potassium, calcium and magnesium. Triamterene is known as a “potassium sparing” diuretic. When taking triamterene avoid eating large amounts of potassium-rich foods such as bananas, oranges and green leafy vegetables or salt substitutes. Furosemide/LASIX Triamterene/ hydrochlorothiazide/ DYAZIDE, MAXZIDE Hydrochlorothiazide/ HYDRODIURIL Trimterene/DRYENIUM Bumetamide/BUMEX Metolazone/ZAROXOLYN
Beta Blockers To decrease the nerve impulses to blood vessels. FOOD: Take with food to increase bioavailability. Take atenolol/TENORMIN separately from orange juice. Avoid licorice.
ALCOHOL: Avoid drinking alcohol with propranolol/INDERAL because these drugs lower blood pressure too much. Atenolol/TENORMIN Metoprolol/LOPRESSOR Propranolol/INDERAL Nadolol/CORGARD
Nitrates To relax blood vessels and lower the demand for oxygen by the heart. FOOD: Take on an empty stomach.
ALCOHOL: Avoid alcohol because it may add to the blood vessel-relaxing effect of nitrates and result in dangerously low blood pressure. Isosorbide dinitrate/ ISORDIL, SORBITATE Nitroglycerin/NITRO, NITRODUR, TRANSDERM-NITRO
Angiotension Converting Enzyme (ACE Inhibitors) To relax blood vessels by preventing angiotension II, a vasoconstrictor, from being formed. FOOD: Take catropil/CAPOTEN or moexipril/UNIVASC on empty stomach. High fat meals decrease absorption of quinapril/ACCUPRIL. Take others without regard to food. Ensure adequate fluid intake. Avoid salt substitutes. Captopril/CAPOTEN Enalapril/VASOTEC Lisinopril/PRINIVIL, ZESTRIL Quinapril/ACCUPRIL Moexipril/UNIVASC
HMG-CoA Reductase Inhibitors Known as “statins”
• To lower cholesterol.
• To reduce the production rate of LDL (bad) cholesterol. FOOD: Avoid grapefruit/related citrus with atorvastatin/LIPITOR, lovastatin/MEVACOR, and simvastatin/ ZOCOR. Lovastatin/MEVACOR should be taken with the evening meal to enhance absorption.
ALCOHOL: Avoid drinking large amounts of alcohol because it may increase the risk of liver damage. Atorvastatin/LIPITOR Cerivastatin/BAYCOL Fluvastatin/LESCOL Lovastatin/MEVACOR Pravastatin/PRAVACHOL Simvastatin/ZOCOR
Anticoagulants To prevent the formation of blood clots. FOOD: Vitamin K produces blood-clotting substances and may reduce the effectiveness of anticoagulants. Limit foods high in Vitamin K such as broccoli, spinach, kale, turnip greens, cauliflower, and br ussel sprouts. High doses of vitamin E (400 IU or more) may prolong clotting time and increase the
risk of bleeding. Warfrin/COUMADIN
INFECTIONS Antibiotics and Antifungals To treat infections caused by bacteria and fungi. GENERAL GUIDELINES: Tell the doctor if you experience skin rashes or diarrhea. If you are using birth control, consult with your health care provider because some
methods may not work when taken with antibiotics. Be sure to finish all of your medication even if you start feeling better. Take medication with plenty of water.
Antibacterials/ Penicillin To treat infections caused by bacteria and fungi. FOOD: Take on an empty stomach unless it upsets your stomach, then take with food. Penicillin V/VEETIDS Amoxicillin/TRIMOX, AMOXIL Ampicillin/PRINCIPEN, OMNIPEN
Quinolones To treat infections caused by bacteria and fungi. FOOD: Take on empty stomach one hour before or two hours after meals. If your stomach gets upset, take with food, but not with dairy or calcium-fortified products alone.
CAFFEINE: Taking these medications with caffeine-containing products may increase caffeine levels, leading to excitability and
nervousness. Ciprofloxacin/CIPRO Levofloxacin/LEVAQUIN Ofloxacin/FLOXIN Trovafloxacin/TROVAN
Cephalosporins To treat infections caused by bacteria and fungi. FOOD:Take on an empty stomach one hour before or two hours after meals. If your stomach gets upset, take with food. Cefaclor/CECLOR
CECLOR CD
Cefradroxil/DURICEF
Cefixime/SUPRAX
Cefprozil/CEFZIL
Cephalexin/KEFLEX,KEFTAB
Macrolides To treat infections caused by bacteria and fungi. FOOD: May take with food if GI distress occurs. Avoid taking with citrus foods, citrus juices, and carbonated drinks. Azithromycin/ZITHROMAX
Clarithromycin/BIAXIN
ERYTHROMYCIN/E-MYCIN,
ERY-TAB, ERYCErythromycin
+ sulfisoxazole/PEDIAZOLE
Sulfonamides To treat infections caused by bacteria and fungi. FOOD: Take with food and at least 8 ounces of water. Sulfamethoxazole + trimethoprim/BACTRIM, SEPTRA
Tetracyclines To treat infections caused by bacteria and fungi. FOOD:Take on an empty stomach with 8 ounces of water. Avoid taking tetracycline with dairy products, antacids, and vitamin supplements containing iron because they can interfere with the medication’s effectiveness.
Tetracycline/ ACHROMYCIN, SUMYCIN Doxycycline/VIBRMYCIN Minocycline/MINOCIN
Nitromidazole To treat infections caused by bacteria and fungi. FOOD: May take with food to decrease GI distress, but food decreases bioavailability.
ALCOHOL: Avoid drinking alcohol and taking medications that contain alcohol while taking metronidazole and for at least three days after you finish the medication. Alcohol may cause nausea, abdominal cramps, vomiting, headaches, and flushing. Metronidazole/FLAGYL
Antifungals FOOD: Take with food to increase absorption. Do not take itraconazole/SPORANO
X with grapefruit/related citrus.
ALCOHOL: Avoid drinking alcohol and taking medications that contain alcohol while taking keroconzole and for at least three days after you finish the medication. Alcohol may cause nausea, abdominal cramps, vomiting, headaches, and flushing. Fluconazole/DIFLUCAN Griseofulvin/GRIFULVIN Ketoconazole/NIZORAL Itraconazole/SPORANOX
MOOD DISORDERS Monoamine Oxidase (MAO) Inhibitors To treat depression, emotional and anxiety disorders. FOOD: These medications have many dietary restrictions and people taking them need to follow the dietary guidelines and physician’s instructions very carefully.
A rapid, potentially fatal increase in blood pressure can occur if foods or alcoholic beverages containing tyramine are consumed while taking MAO inhibitors. Avoid foods high in tyramine and other pressor amines during drug use and for two weeks after discontinuation. These include aged cheeses, aged meats, soy sauce, tofu, miso, fava beans, snowpeas, sauerkraut, avocadoes, bananas, yeast extracts, raisins, ginseng, licorice, and caffeine.
ALCOHOL: Do not drink beer, red wine, other alcoholic beverages, non-alcoholic and reduced alcohol beer and red-wine products. Phenelsine/NARDIL Tranycypromine/PARNATE
Anti-Anxiety Drugs To treat depression, emotional and anxiety disorders. FOOD: May take with food if GI distress occurs.
CAFFEINE: May cause excitability, nervousness and hyperactivity and lessen the anti-anxiety effects of the drugs. ALCOHOL: May impair mental and motor
performance. Lorasepan/ATIVAN Diazepam/VALIUM Alprazolam/XANAX
Antidepressant Drugs To treat depression, emotional and anxiety disorders. FOOD: These medications can be taken with or without food.
ALCOHOL: Avoid alcohol. Paroxetine/PAXIL Sertraline/ZOLOFT Fluoxetine/PROZAC
STOMACH CONDITIONS Histamine Blockers To relieve pain, promote healing and prevent irritation from returning. FOOD: These mediations can be taken with or without food.
CAFFEINE: Caffeine products may irritate the stomach.
ALCOHOL: Avoid alcohol while takingthese products. Alcohol may irriate the stomach and make it more difficult for the stomach to heal. Cimetidine/TAGAMET Famotidine/PEPCID Ranitidine/ZANTAC Nizatadine/AXID
1The generic name for each drug is stated first. Brand names are in all capital letters and represent only some examples of those medications.
References: Food and Drug Interactions, 1998, U.S. Food and Drug Administration, National Consumers League.
Table 2: Aspirin vs. Acetaminophen vs. Ibuprofen
Aspirin Acetaminophen Ibuprofen
Classification NSAID, ANALGESIC, ANTIPYRETIC, ANTIARTHRITIC ANALGESIC, ANTIPYRETIC NSAID,
ANALGESIC, ANTIARTHRITIC
Use • pain relief and fever reduction in adults-relieves mild itching
• reduces swelling and inflammation
• used to treat arthritis, many
other conditions and injuries
• used to reduce risk of heart attack and stroke • mild pain relief
• reduces fever • pain relief
• reduces fever
• reduces inflammation
Cautions Caution is advised if you:
• get stomach irritation when taking aspirin-or are allergic to aspirin
• are taking blood thinning medication
• have a hang-over
A person should not take aspirin if he/she has: ulcers, gout, asthma, hearing loss. • High doses or regular, long-term use can cause liver damage, especially if used with alcohol.
• Should not be used to treat fever over 103.1° F for more than three days.
• Should not be used to treat fevers that keep coming back.
• Should not be used on a regular basis by people who suffer from: anemia or liver or kidney disease Caution is advised if you have:
• asthma and nasal polyps
• a stomach or intestinal disorder
• a skin condition called “angioedema”
• an allergic reaction to other antiinflammatory medications
• liver or kidney disease
• a blood clotting disorder
• heart failure
• Not to be used with aspirin, alcohol or steroids.
• HT hypertension
Dietary Recommendations • Insure adequate fluid intake/hydration
• Increase foods high in vitamin C and
folic acid with long-term, high dosage use
• Avoid or limit garlic, ginger and Gingko, or horse chestnut
• Limit caffeine
• Avoid alcohol • Avoid alcohol or limit to less than 3 drinks per day. • Take with meals or milk.
• Avoid or limit garlic, ginko, or horse chestnut.
• Limit caffeine.
•Avoid alcohol.
Remarks Children and teenagers should not take aspirin because it is associated with a rare disorder called Reye’s Syndrome in these age groups. Works will for people who can’t take aspirin because of aspirin-related allergic reactions, stomach irritation, or ringing in the ears. • Less irritating to the stomach than aspirin for some.
• Does not cause ringing in the ears like aspirin.
• Does not cause liver damage like acetaminophen.
Known Brands Aspirin, Ascriptin, Bufferin, Ecotrin Aspirin Free Anacin, Aspirin Free Excedrin, Tylenol, Panadol, Tempra. Advil, Midol IB, Motrin
Pregnant women should consult a doctor prior to taking any over-the-counter medication. Other people, including persons with medical conditions, are advised to read product labels carefully and consult a pharmacist if they have any questions about proper use.
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Connie Dello Buono
Your complete DNA sequence will help shape the future of medicine
Keeping you and your partner satisfied takes all the energy you can get. Even though energy drinks seem like stamina saviors, the hefty doses of sugar and caffeine pair up for only a temporary surge, resulting in a crash later, says David Zinczecko in his Eat This, Not That series of books. In other words, your energy may not last long enough to get you to the finish line. Too much sugar also can lower testosterone levels, zapping libido. Youkilis suggests sipping black currant juice, which nourishes the adrenal glands for a natural, enduring energy boost.
http://nutritiondata.self.com/facts/fruits-and-fruit-juices/1878/2
Consider taming your tofu habit, at least for tonight. With high amounts of plant-based phytoestrogens, a lot of the soy-based food can up estrogen levels, says Dr. Richard. And extra estrogen is a sex-drive stealer in men and women. As a vegetarian-friendly alternative, whip up some eggs. High in vitamins B5 and B6, the breakfast staple fights stress and balances hormones for a healthier libido.
Less of oatmeal and peppermint in the night
There’s no doubt that this morning munch has a slew of health benefits. In fact, oatmeal helps your body produce the stress-reducer known as serotonin, a moderate amount of which is good for your sex drive. But Dr. Richard says bowl after bowl in a single sitting has the opposite effect, lowering sexual desire. Plus, oatmeal’s high fiber content also can lead to that unpleasant, gassy feeling.
Bad breath may be a turn-off, but freshening it up might not help your situation in the sack. The menthol in peppermint has been shown to reduce testosterone levels, sending sex drive plummeting, says Dr. Richard. Chomping on peppermint-flavored gum means more bad news, since chewing brings air into your system, making you burp. While moans and grunts may enhance sex, belches are better left out of the soundtrack. If mint’s a must before a romp, try peppermint tea. It’s relatively low in menthol and it’s better than gum for digestion, says Robyn Youkilis, a certified health coach and founder of Your Healthiest You
Ghosh, D., McGhie, T. K., Zhang, J., Adaim, A. and Skinner, M. (2006), Effects of anthocyanins and other phenolics of boysenberry and blackcurrant as inhibitors of oxidative stress and damage to cellular DNA in SH-SY5Y and HL-60 cells. J. Sci. Food Agric., 86: 678–686. doi: 10.1002/jsfa.2409
At least 61 million Americans suffer from some form of heart disease. And with coronary heart disease (CHD) as the leading cause of death in the United States, it’s important to focus on dietary and lifestyle factors that can help prevent it! The American Heart Association supports a diet high in fruits and vegetables in helping to prevent cardiovascular disease.
In particular, berries that are especially high in certain compounds like flavonoids and other antioxidants may have an even more protective effect. A recent study in the American Journal of Clinical Nutrition found that subjects who were given a mixture of berries daily (including Black Currants) had a reduction in blood pressure and an increase in good (HDL) cholesterol, two factors that can decrease the risk of cardiovascular diseases like heart attack and stroke.
American Heart Association.
I. Erlund, R. Koli, G. Alfthan, J. Marniemi, P. Puukka, P. Mustonen, P. Mattila, A. Jula. Favorable effects of berry consumption on platelet function, blood pressure, and HDL cholesterol. American Journal of Clinical Nutrition. February 2008, Volume 87, Number 2, Pages 323-331
Vision disorders of aging such as Age Related Macular Degeneration (AMD) are the number 1 cause of blindness in adults over age 65.
Research and clinical studies have shown that certain antioxidants like vitamin C and anthocyanosides (anthocyanins) may support vision health and decrease the risk of age related vision problems such as cataracts and (AMD).
Scientists have found that a plant based diet rich in flavonoids, including anthocyanins and quercitin (found in Black Currants), may play a role in decreasing the degeneration of the macula (the part of your retina that’s responsible for central vision) by keeping harmful free radicals from damaging the retina.
Hiroshi Ohguro, Ikuyo Ohguro, and Saeko Yagi. Journal of Ocular Pharmacology and Therapeutics. February 2013, 29(1): 61-67. doi:10.1089/jop.2012.0071.
While the best treatment for a urinary tract infection is antibiotics, plant compounds called proanthocyanins, found in fruits like Black Currants, may help prevent the infection from beginning or progressing.
Proanthocyanins work their magic by preventing harmful bacteria from sticking to the urinary tract walls. The most studied for these effects are cranberries, but scientists believe that Black Currants may be just as beneficial. Studies show that Black Currants also contain proanthocyanins, which can be found in the urine after drinking the juice.
Netzel et al. Bioactive anthocyanins detected in human urine after ingestion of blackcurrant juice. K Environ Pathol Toxicol Oncol. 2001; 20 (2): 89-95
L.Boyle et al. 1996, Study of blackcurrant juice in nursing home residents to alleviate urinary tract infection and associated problems. Centre for Ageing Studies, Flinders University of South Austrailia.
Kidney stones
Kessler T, Jansen B, Hesse A. Effects of Juice on Kidney Stone Formation Reviewed: Effect of Black Currant-, cranberry- and plum juice. European Journal of Clinical Nutrition 2002
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Adequate sleep, exercise, sun block use, whole foods and adequate supplementation are important skin solutions.
Beauty serums abounds such as the list below. Email or order motherhealth@gmail.com via paypal conniedbuono@gmail.com or Chase bank quick pay using the email and tel 408-854-1883 with free health coaching.
1/2 cup coconut water , 1/2cup water (or almond, rice, or soya milk), 1/2 scoop protein powder
, 1/2 cup frozen raspberries, 1/2 cup blueberries, 2 tbsp. probiotic active yogurt 1 tsp, chia seeds 1 tbsp , wheat or barley grass 1 tsp, cocoa powder 1 tsp , flax oil and your choice of favorite food
You may try a different variation of the above drink. Mix and match with different kinds of berries.
Remember that sleep is important for your skin. Wash your face before going to bed for face wash based on your skin needs.
To lessen the allergies and redness of your skin, take Vit Bs, D, E, A and C and do eat whole foods only , fish and all healthy, organic foods.
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If you are trying to lose weight, lessen caffeine, sweets including sweet fruits during the first 3 weeks. When your body has not been consuming unhealthy food for sometime, you will notice that you prefer to eat healthy moving forward.
What a surprise, you are now feeling energetic with a healthier skin since you have stopped eating sweets, soda, and other unhealthy food and lifestyle.
A new study has found that low vitamin D levels in people over 55 are associated with an inability to perform ordinary tasks of daily life.
Dutch researchers studied two groups of older people — one of 725 men and women aged 55 to 65, and another of 1,237 older than 65 — to see if they could walk up or down a 15-step staircase, dress and undress, stand from a sitting position, cut their toenails, walk outside unaided for five minutes, and use their own or public transportation. Then they did blood tests for vitamin D levels.
After controlling for factors including age, physical activity and chronic diseases, they found that in both groups, a vitamin D level below 20 nanograms per milliliter was associated with an increased number of disabilities compared with those with a normal level (above 30). The study was published online in The Journal of Clinical Endocrinology and Metabolism.
The lead author, Dr. Evelien Sohl of the VU University Amsterdam, said that the study does not establish that low vitamin D is the cause of disability. “Maybe vitamin D supplements would be of benefit,” she said. “But before we can assume this, we have to test it in randomized controlled trials.”
Connie’s comments: In the early morning hours in Taiwan where I worked in the 90s, seniors and adults do their daily exercise and movement training outdoors facing the sun in a park or any open space with trees and grasses. Mother’s with newborn with yellow skin coloration is asked to sunbath their newborn by the glass window with early morning sunshine to help breakdown the excess bilirubin in bile, byproduct of the liver.
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An increasing number of hospitalized patients age 65 and over are being classified as outpatients under observation rather than as admitted.
“When hospitals classify people as ‘outpatients,’ on observation status, rather than as admitted inpatients, those patients cannot obtain Medicare nursing home coverage and may also have hospital bills they would not have if properly considered inpatients,” says Judith Stein, executive director of Center for Medicare Advocacy.
Medicare will only cover the cost of nursing home care when a patient has been hospitalized as an inpatient for three consecutive days. In these cases, Medicare will foot the entire bill for the first 20 days in an approved facility. Patients who have been classified as outpatients will have to pay the entire tab.
In addition, Medicare patients who have been relegated to observation status may be responsible for paying cost sharing and the unreimbursed cost of prescription drugs under Medicare Part B that under inpatient status would have been paid for by Medicare Part A.
In June 2012, a study was published in the journal Health Affairs showing that there has been a sharp rise in the number of Medicare patients held in the hospital under observation. This finding was accompanied by a downward shift in patient admissions into the hospital. The Brown University researchers reported that the ratio of patients placed in observation to patients admitted into the hospital increased 34% between 2007 and 2009 and that outpatient observation hospitalizations grew 7% longer, on average, over the study period.
For their part, patients can’t tell the difference between whether or not they’ve been admitted into the hospital or are classified as under observation as an outpatient. They lie in the same beds, wear the same gowns, eat the same hospital food, receive the same nursing care and wear the same ID bracelets.
The Brown University researchers, led by Zhanlian Feng, assistant professor of health services, policy and practice, noted that there was a lead up to a shift in Medicare costs to patients and hospitals, most recently through the Affordable Care Act, which includes a provision that penalizes hospitals for high readmission rates. Hospitals are able to avoid readmitting patients and dodge the associated penalty by classifying patients as outpatients, either on their initial or second visit.
In addition to shifting the burden of costs to Medicare patients, this practice has consequences for public health data.
“When people are classified on [o]bservation [s]tatus, they are not considered hospital inpatients and, therefore, if they need to return to the hospital, those admissions are not considered readmissions,” Stein says. “Thus we cannot accurately determine which hospitals tend to have a lot of admissions and readmissions.”
Last year, the Center for Medicare Advocacy filed a class action lawsuit against the federal government to get hospital labeling policy changed. The filing for the Bagnall suit notes that in some cases patients are admitted into the hospital and their status is later changed to observation, an outpatient status. It goes on to note that under the secretary’s Medicare manual, observation status is generally supposed to last no more than 24 hours, but that “[b]oth the incidence of placing beneficiaries on observation status and the average time period in which beneficiaries are on observation status have been increasing dramatically in recent years.”
The lawsuit also challenges the lack of notice and appeal rights for those on observation status,” says elder law attorney Christopher J. Berry, adjunct professor at the Thomas M. Cooley Law School.
“On the legislative front, Rep. Joe Courtney (D-Conn.) and Sen. John Kerry (D-Mass.) have introduced legislation that would require time spent on observation status to count toward the three-day stay requirement,” Berry says.
“The Center is also working with Congress, led by Joe Courtney of Connecticut, to count all time in the hospital towards the three-day hospital requirement for Medicare nursing home coverage,” Stein says. “The bill is bi-partisan in the House and Senate.”
The Centers for Medicare and Medicaid Services recently released its proposal to make changes to the Hospital Readmissions Reduction Program.
“The agency seems to assume a continuing role for observation status, but public sentiment is leaning toward a solution that does not subject beneficiaries to drastic financial consequences for a classification that remains largely invisible and counterintuitive,” Berry says.
The final rule is expected to be announced in August.
Almonds
Hey, guess what? Almonds are seeds, not nuts, and they’re stuffed with vitamin E, a potent sun blocker. Volunteers who consumed 14 milligrams of the vitamin per day (about 20 almonds) and then were exposed to UV light sunburned less than those who took none. “Vitamin E acts as an antioxidant that helps to protect skin cells from UV light and other environmental factors that generate cell-damaging free radicals,” explains Jeffrey Dover, M.D., associate clinical professor of dermatology at Yale University.
Suitable Switch 2 Tbsp peanut butter; 1/2 cup broccoli
Carrots
Think of them as orange wonder wands-good for eyeballs, good for clearing up breakouts. Credit vitamin A. “It helps prevent the overproduction of cells in the skin’s outer layer,” says Howard Murad, M.D., associate clinical professor of dermatology at UCLA’s David Geffen School of Medicine. That’s where dead cells and sebum combine and clog pores. Another reason to snack on carrots: Vitamin A also reduces the development of skin-cancer cells. Nibble on a half-cup of baby carrots (that’s about 16) per day.
Suitable Switch Milk (1 cup); cheddar cheese (1 slice)
Dark Chocolate
It’s medicine-so of course you need it! Flavonols, the antioxidants in dark chocolate, reduce roughness in the skin and protect against sun damage. In a study published in The Journal of Nutrition, women who drank cocoa fortified with 326 milligrams of flavonols (equal to a standard Hershey’s Special Dark bar) had better skin texture and stronger resistance to UV rays than those who drank cocoa containing just a small amount of the antioxidant. You need just a few ounces a day.
Sort-of-Suitable Switch Blackberries, blueberries, cherries, raspberries-though you’d have to eat a huge amount.
Flaxseeds
These wee seeds contain omega-3 fatty acids, which erase spots and iron out fine lines. The British Journal of Nutrition reported that participants in one study who downed just over two grams (about half a teaspoon) of O-3’s in six weeks experienced significantly less irritation and redness, along with better-hydrated skin. “The fats are believed to stifle your body’s response to irritation and attract water to skin cells to plump up the skin and reduce wrinkles,” Murad says. Sprinkle seeds on oatmeal or veggies.
Suitable Switch Flaxseed oil (1 Tbsp with sauteed veggies); salmon (4 oz); walnuts (1 oz, or about 14 halves)
Green Tea
What can’t green tea do? OK, your taxes. Anyway, when it’s hot, the bionic brew releases catechins, a type of antioxidant with proven anti-inflammatory and anti-cancer properties. (The tea’s antioxidants start to degrade as it cools, so drink it while it’s hot.) A 2007 study in The Journal of Nutritional Biochemistry found that drinking two to six cups a day not only helps prevent skin cancer but may reverse the effects of sun damage by neutralizing the changes that appear in sun-exposed skin.
Suitable Switch White tea
Safflower Oil
The omega-6 fatty acids found in safflower oil can be the ultimate moisturizer for people who suffer from painfully dry, flaky, itchy skin. They keep cell walls supple, allowing water to better penetrate the skin. Scientists have found that this oil may help people who suffer from severe conditions like eczema. So shoot for an amount that gives you 5 to 10 percent of your daily calories.
Suitable Switch Cooking oils like borage, soybean, or corn oil
Spinach
You could probably build a fortress against the Big C with these leaves. In a study published in the International Journal of Cancer, people who ate the most leafy greens actually had half as many skin tumors over 11 years as those who ate the least. It’s thought that the folate in these veggies may help repair and maintain DNA-basically bolstering cells’ ability to renew themselves. That reduces the likelihood of cancer-cell growth, Drayer says. The added bonus to Popeye’s fix: The water in greens penetrates cell membranes-which makes for plumper and less wrinkled skin.
Suitable Switch Collard greens
Sweet Potatoes
They not only pack a big yum; they’re also loaded with vitamin C, which smooths out wrinkles. “Vitamin C is essential to collagen production,” Dover says, “and the more collagen you have, the less creased your skin looks.” In fact, a recent study in The American Journal of Clinical Nutrition found that volunteers who consumed about four milligrams of C (that’s about half a small sweet tater) daily for three years decreased the appearance of wrinkles by 11 percent.
Suitable Switch Carrots (1 large or 16 baby); orange juice (6 oz)
Tomatoes
Sure, they’re swell on salads, but cook them down and these plump little beauties can help save your skin. Why? Lycopene, the phytochemical that makes tomatoes red, helps eliminate skin-aging free radicals caused by ultraviolet rays, according to Murad. Your body gains the most sun-shielding nutrients when the vegetable is heated. Just a half-cup of cooked tomatoes or pasta sauce has 16 milligrams of lycopene; along with ample sunscreen, that daily dose should help keep you out of the red.
Suitable Switch Watermelon (1/16 of a whole melon)
Tuna in a Can
Your favorite sandwich melt has a little secret: selenium. This nutrient helps preserve elastin, a protein that keeps your skin smooth and tight. The antioxidant is also believed to buffer against the sun (it stops free radicals created by UV exposure from damaging cells). Three ounces, or half a can per day, can help.
Suitable Switch Brazil nuts (about 12); turkey (1 cup)
Top Good fats to make you skinny
1. Cold water fish
2. Good dietary sources of monounsaturated fat include avocados, olive oil, grapeseed oil, almond butter, olives and most nuts.
3. Omega-3 fatty acids are also abundant in flaxseed oil, soybean oil, walnuts and pine nuts.
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Vitamin C (water soluble) and A (fat soluble) for vision and cancer fighting properties: both from colored fruits and veggies
Eat Vit A together with good fatty foods and eat Vit C with water soluble foods. Vitamin C is important in the absorption of most minerals and nutrients in the body such as Calcium, magnesium, iron and others. Ascorbic acid becomes widely distributed in body tissues with large concentrations found in the liver, leukocytes, platelets, glandular tissues, and the lens of the eye. In the plasma about 25% of the ascorbic acid is bound to proteins. Ascorbic acid crosses the placenta; cord blood concentration are generally 2 to 4 times the concentration in maternal blood. Ascorbic acid is distributed into milk.
In nursing mothers on a normal diet the milk contains 40 to 70 ug/mL of the vitamin. Food Sources of Vitamin C ranked by mg of vitamin C per standard amount; also calories in the standard amount. (All provide ≥ 20% of RDA for adult men, which is 90 mg/day.)
Whole Food, Standard Amount Vitamin C (mg) Calories
Guava, raw, ½ cup 188 56
Red sweet pepper, raw, ½cup 142 20
Red sweet pepper, cooked, ½ cup 116 19
Kiwi fruit, 1 medium 70 46
Orange, raw, 1 medium 70 62
Orange juice, ¾ cup 61-93 79-84
Green pepper, sweet, raw, ½ cup 60 15
Green pepper, sweet, cooked, ½ cup 51 19
Grapefruit juice, ¾ cup 50-70 71-86
Vegetable juice cocktail, ¾ cup 50 34
Strawberries, raw, ½ cup 49 27
Brussels sprouts, cooked, ½ cup 48 28
Cantaloupe, ¼ medium 47 51
Papaya, raw, ¼ medium (strong enzyme) 47 30
Kohlrabi, cooked, ½ cup 45 24
Broccoli, raw, ½ cup 39 15
Edible pod peas, cooked, ½ cup 38 34
Broccoli, cooked, ½ cup 37 26
Sweet potato, canned, ½ cup 34 116
Tomato juice, ¾ cup 33 31
Cauliflower, cooked, ½ cup 28 17
Pineapple, raw, ½ cup 28 37
Kale, cooked, ½ cup 27 18
Mango, ½ cup 23 54
In humans, an exogenous source of vitamin A is required for growth (hormones and others) and bone development, vision, reproduction, and the integrity of mucosal and epithelial surfaces. In the retina, retinol is converted to the aldehyde, cis-retinal, which combines with opsin to form rhodopsin, and visual pigment. Vitamin A has been reported to act as a cofactor in various biochemical reactions including mucopolysaccharide synthesis, cholesterol synthesis, and hydroxysteroid metabolism.
Cholesterol synthesis happens during the night and so is Vitamin A.
Women should especially sleep before 10pm to follow the normal body rhythm and hormone production. Cholesterol and Vitamin A are important in hormone production.
Vitamin A is essential for growth and bone development in children, for vision (particularly in dim light), and for integrity of mucosal and epithelial surfaces.
Vitamin A deficiency leads to xerophthalmia, Bitot’s spots, keratomalacia, night blindness (nyctalopia), hyperkeratosis of the skin, epithelial metaplasia of mucous membranes, and decreased resistance to infections. Administration of vitamin A completely reverses signs of vitamin deficiency unless keratomalacia has resulted in irreversible ocular damage.
Retinol inhibited the mutagenic activity of aflatoxin b1 when added to the Ames salmonella/mammalian microsome assay.
Concurrent use of vitamin E may facilitate absorption, hepatic storage, and utilization of vitamin A, and reduce toxicity; excessive doses may deplete vitamin A stores.
Concurrent use /of tetracycline/ with vitamin A 50,000 Units a day and higher has been reported to cause benign intracranial hypertension.
Vitamin A administration induces a high risk of intoxication in patients with chronic renal failure.
From epidemiological research it is argued that low vitamin A intake is associated with a higher incidence of cancer in different tissues.
Food Sources of Vitamin A ranked by micrograms Retinol Activity Equivalents (RAE) of vitamin A per standard amount; also calories in the standard amount. (All are ≥ 20% of RDA for adult men, which is 900 mg/day RAE.)
Whole Food, Standard Amount Vitamin A
(μg RAE) Calories
Organ meats (liver, giblets), various, cooked, 3 oza
1490-9126 134-235
Carrot juice, ¾ cup 1692 71
Sweetpotato with peel, baked, 1 medium 1096 103
Pumpkin, canned, ½ cup (and yams are happy food) 953 42
Carrots, cooked from fresh, ½ cup 671 27
Spinach, cooked from frozen, ½ cup 573 30
Collards, cooked from frozen, ½ cup 489 31
Kale, cooked from frozen, ½ cup 478 20
Mixed vegetables, canned, ½ cup 474 40
Turnip greens, cooked from frozen, ½ cup 441 24
Instant cooked cereals, fortified, prepared, 1 packet 285-376 75-97
Various ready-to-eat cereals, with added vit. A, ~1 oz 180-376 100-117
Carrot, raw, 1 small 301 20
Beet greens, cooked, ½ cup (for hormonal balance) 276 19
Winter squash, cooked, ½ cup 268 38
Dandelion greens, cooked, ½ cup 260 18
Cantaloupe, raw, ¼ medium melon 233 46
Mustard greens, cooked, ½ cup 221 11
Pickled herring, 3 oz 219 222
Red sweet pepper, cooked, ½ cup 186 19
Chinese cabbage, cooked, ½ cup 180 10
Note: For those with thyroid problems, cooked your greens and most veggies.
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About 20 percent of people under 26 have moved back in with their parents. This is beginning to look like Italy where 40 percent of 40 year olds live with their mothers. A Pew Research survey found that 6 percent of recent grads still think they can make a good living as an artist, actor, or musician. A survey by Accenture found that nearly two-thirds of the 2013 graduates said they expected to be employed full time in their field of study, even though just over half of recent graduates are working full time in their field of study.
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Connie’s comments: Parents and the community should help in reaching out to our youth to find their dreams, build their skills and confidence and go out to this world with a positive spirit and dreams and most important to create their own dreams despite the lack of jobs or economy, everything is possible. It takes many hours, practice and determination but many have succeeded before us. Just read the book, “The Outliers”. Time should not be lost, choose your career well and research the path others have followed to reach their goals. Network, network, and learn from the best, your mentors.
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In the business mixer at Morgan Hill Chamber of Commerce that I attended, half of the crowd are baby boomers networking with others. Many of the baby boomers have to plan early on how they can retire with the current economy. From the polls that I posted here in my blog, many would still work and will have double jobs.
To prepare for the future, one must be computer savvy and well connected. Start attending social networking events whether in your community or online and start a conversation of exchanging services, ideas and referring business to business or people.
This way, you are very connected and will be prepared to have a service or product to share with when you need to generate an extra income. Help others and you will also benefit from it by adding a loyal friend to your list. Your collection of business cards or collections of people and businesses in your address book or email will be your diamonds.
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A new study distributed by the National Bureau of Economic Research finds that somewhere between 530,000 and 940,000 Americans might quit their jobs after January 1, 2014, as they’re able to get affordable health insurance through one of the public exchanges to be set up under Obamacare. That could provide ammunition for both critics and supporters of the politically explosive law. Critics might see it as evidence that Obama’s reforms encourage idleness while contributing to a growing welfare state. But it might also be a sign that workers have more freedom to pursue meaningful work or other interests instead of sticking to one job just because of the benefits, a phenomenon economists have dubbed “employment lock.”
Related: Citizens United Considering Suing the Government Over Obamacare
Study authors Craig Garthwaite, Tal Gross and Matthew J. Notowidigdo arrived at their estimate by studying changes in Tennessee’s Medicaid program, which expanded in 1994 to include more people, in ways similar to the way Obamacare will be structured. Costs became unaffordable, however, and a decade later the state forced about 170,000 childless adults—roughly 4 percent of the state’s working-age population—out of the program.
Related: Just Explain It: Five Things You Might Not Know About the Affordable Care Act
The researchers focused on what those people did for insurance once they could no longer get it through the state. For
starters, there was a sudden surge in Google searches emanating from Tennessee and including phrases such as “job openings,” while there was no such surge in neighboring states. In the two years following the change, employment levels among childless adults in Tennessee—the same group knocked out of Medicaid—rose by 5.7 percent, a far bigger jump than elsewhere. And sure enough, by 2006 there was a sharp increase in the percentage of Tennessee adults with private insurance. Losing subsidized public insurance, in other words, forced more people to get jobs.
The opposite may happen with Obamacare, since under the program, anybody under 65 should be able to get insurance at a public exchange, with no income requirement except that those who earn more will pay a bit more for coverage. (Those 65 and over will already be covered through Medicare.) There are about 8.9 million Americans who earn too much to qualify for Medicaid and who also get health insurance through an employer. The study estimates that, based on what happened in Tennessee, 4.2 million of those people will switch from employer-provided insurance to a publicly subsidized plan under Obamacare. Of those, as many as 940,000 could quite their jobs, since they work primarily for the insurance coverage and enroll in Obamacare instead. That’s far higher than other estimates.
On the surface, that suggests Obamacare will create an incentive not to work while shrinking the size of the labor force. But that‘s not the same thing as killing jobs, one of the charges frequently levied against Obamacare by Republican critics of the law. The study authors point out that people entering or leaving the work force by choice, because of the need for insurance, is different from employers reducing payrolls because of insurance or labor costs. Some of the people who leave jobs and opt for Obamacare could be workers close to retirement age who aren’t yet eligible for Medicare, or spouses who took a job with benefits simply to obtain insurance coverage their working spouse can’t get. Besides, with unemployment high, there’s an oversupply of workers in many industries, so for every person who leaves the labor force, that might mean somebody else gets a job.
If Obamacare were to end up improving workers’ ability to move among jobs, it could even be good news for the economy. “Now you can pick the employer that’s best for you, without having to consider the benefits they offer,” says Craig Garthwaite of Northwestern University Kellogg School of Management, one of the study’s authors. “That will certainly be a benefit to that individual person.” The U.S. economy is unique in that it’s the only big market in which healthcare coverage is linked directly to employment. Some analysts think that prevents workers from taking entrepreneurial risks, moving to a better economic climate or trying new things that could make them better off.
The real issue, says Garthwaite, is whether the benefits some people receive from Obamacare will be worth the costs imposed on others, such as new taxes that will help subsidize expanded coverage and penalties imposed on individuals and employers who don’t comply with the law. It will take years to gather data on that, and even then, interpretations will vary based on political ideology, just as they do now.
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Individuals buying health insurance on their own will see their premiums tumble next year in New York State as changes under the federal health care law take effect, state officials are to announce on Wednesday.
State insurance regulators say they have approved rates for 2014 that are at least 50 percent lower on average than those currently available in New York. Beginning in October, individuals in New York City who now pay $1,000 a month or more for coverage will be able to shop for health insurance for as little as $308 monthly. With federal subsidies, the cost will be even lower.
Supporters of the new health care law, the Affordable Care Act, credited the drop in rates to the online purchasing exchanges the law created, which they say are spurring competition among insurers that are anticipating an influx of new customers. The law requires that an exchange be started in every state.
“Health insurance has suddenly become affordable in New York,” said Elisabeth Benjamin, vice president for health initiatives with the Community Service Society of New York. “It’s not bargain-basement prices, but we’re going from Bergdorf’s to Filene’s here.”
“The extraordinary decline in New York’s insurance rates for individual consumers demonstrates the profound promise of the Affordable Care Act,” she added.
Administration officials, long confronted by Republicans and other critics of President Obama’s signature law, were quick to add New York to the list of states that appear to be successfully carrying out the law and setting up exchanges.
“We’re seeing in New York what we’ve seen in other states like California and Oregon — that competition and transparency in the marketplaces are leading to affordable and new choices for families,” said Joanne Peters, a spokeswoman for the Department of Health and Human Services.
The new premium rates do not affect a majority of New Yorkers, who receive insurance through their employers, only those who must purchase it on their own. Because the cost of individual coverage has soared, only 17,000 New Yorkers currently buy insurance on their own. About 2.6 million are uninsured in New York State.
State officials estimate as many as 615,000 individuals will buy health insurance on their own in the first few years the health law is in effect. In addition to lower premiums, about three-quarters of those people will be eligible for the subsidies available to lower-income individuals.
“New York’s health benefits exchange will offer the type of real competition that helps drive down health insurance costs for consumers and businesses,” said Gov. Andrew M. Cuomo.
The plans to be offered on the exchanges all meet certain basic requirements, as laid out in the law, but are in four categories from most generous to least: platinum, gold, silver and bronze. An individual with annual income of $17,000 will pay about $55 a month for a silver plan, state regulators said. A person with a $20,000 income will pay about $85 a month for a silver plan, while someone earning $25,000 will pay about $145 a month for a silver plan.
The least expensive plans, some offered by newcomers to the market, may not offer wide access to hospitals and doctors, experts said.
While the rates will fall over all, apples-to-apples comparisons are impossible from this year to next because all of the plans are essentially new insurance products.
The rates for small businesses, which are considerably lower than for individuals, will not fall as precipitously. But small businesses will be eligible for tax credits, and the exchanges will make it easier for them to select a plan. Roughly 15,000 plans are available today to small businesses, and choosing among them is particularly challenging.
“Where New York previously had a dizzying array of thousands upon thousands of plans, small businesses will now be able to truly comparison-shop for the best prices,” said Benjamin M. Lawsky, the state’s top financial regulator.
Officials at the state Department of Financial Services say they have approved 17 insurers to sell individual coverage through the New York exchange, including eight that are just entering the state’s commercial market. Many of these are insurers specializing in Medicaid plans that cater to low-income individuals.
North Shore-LIJ Health System, the large hospital system on Long Island, intends to offer a health plan for individuals as well as businesses for the first time. Some of the state’s best-known insurers, UnitedHealth Group and WellPoint, are also expected to participate. Insurers may decline to participate after they receive approval for their rates, but this is unlikely.
For years, New York has represented much that can go wrong with insurance markets. The state required insurers to cover everyone regardless of pre-existing conditions, but did not require everyone to purchase insurance — a feature of the new health care law — and did not offer generous subsidies so people could afford coverage.
With no ability to persuade the young and the healthy to buy policies, the state’s premiums have long been among the highest in the nation. “If there was any state that the A.C.A. could bring rates down, it was New York,” said Timothy Jost, a law professor at Washington and Lee University who closely follows the federal law.
Mr. Jost and other policy experts say the new health exchanges appear to be creating sufficient competition, particularly in states that have embraced the exchanges and are trying to create a marketplace that allows consumers to shop easily.
“That’s a very different dynamic for these companies, and it’s prodding them to be more aggressive and competitive in their pricing,” said Sabrina Corlette, a professor at Georgetown University’s Center on Health Insurance Reform.
But some consumers may still find the prices and plans disappointing. Jerry Ball, 46, who owns a recycling business in Queens, said the cost of covering his family increased so rapidly in the last few years that he had to scale back their coverage. Still, he pays nearly $18,000 a year for a high-deductible policy for a family of three.
He said he would be reluctant to part ways with his insurer, Oxford, and was disappointed that even the least expensive Oxford plan being offered next year would cost about as much as he pays now.
With another plan, he said: “Will I be able to maintain my doctors? I’m concerned that some of the better doctors aren’t going to take health insurance.”
He acknowledged that the new law would allow him for the first time to easily switch plans, but it is still hard for him to believe it guarantees coverage for pre-existing conditions. “I have to be careful. I can’t be denied coverage, right?” he asked.
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There are many recommendations for the best places for baby boomers to retire, including the healthiest places, sunniest places, best places overseas, the most affordable places and the best places that you probably can’t afford.
But people are funny. Sometimes they just don’t do what the pundits tell them to do. So where are baby boomers actually starting to retire? Here’s what the facts say about where boomers are headed over the next 10 or 15 years:
Boomers will stay where they already live. Even though boomers are more mobile than their parents, according to a survey by the housing company Del Webb, fewer than half of today’s 50-somethings intend to move at all during retirement. For one thing, according to a Careerbuilder.com survey, over 60 percent of workers over age 60 say they are postponing retirement, because of the economy, the disappearance of pensions and the threats to Social Security. As empty nesters they are likely to downsize, but in familiar surroundings, largely in the suburbs where they settled decades ago. According Sandra Rosenbloom of the Urban Institute, who studies retirement trends, the propensity to move drops dramatically as people get older. Roughly one out of three people in their 20s move in any given year, but as people age into their 50s and beyond, the ratio drops to one in 20. “Boomers are staying put more than anyone thought,” Rosenbloom says. “People of that generation tend to own their own homes and stay there.”
They will move to be near their children and grandchildren. When boomers do decide to move, Rosenbloom notes, they do so largely for prosaic reasons, such as being closer to children or, more importantly, grandchildren. Since the children of boomers are now beginning to get married and have children of their own, they, too, tend to live in the suburbs. Of course, a few well-heeled retirees may purchase a pad in the city or buy a fanciful cottage in the country, but most of those who move will relocate to another suburb, just like the ones they lived in before.
They will relocate to areas with a lower cost of living. Still, many boomers dream of relocating in retirement, leaving behind traffic, cold weather and high taxes. A quarter of a century ago, the most important consideration in choosing where to relocate in retirement was climate. Today, the primary drivers are the cost of living and access to affordable healthcare. Many boomers see selling a house in California or the Northeast as a way to make up for less than adequate IRAs. And the evidence supports the notion that many boomers are indeed moving away from high cost of living blue states like Massachusetts, New York, Illinois and California, and relocating to lower cost red states like Texas and the Carolinas. Recent surveys show the Carolinas have surpassed Florida as the top retirement destination. Texas, Arizona, Georgia and Colorado follow close behind.
They will choose less congested areas. An analysis of recent migration patterns among baby boomers shows that, like their parents, they are leaving the big cities of New York, Los Angeles, Chicago and San Francisco and heading for smaller cities with less congestion, less noise and a slower pace. Yet many boomers do not view retirement as a permanent vacation. Instead, they are turning to nontraditional and less expensive retirement spots for a second chance, or even a second career. They are especially attracted to college towns that offer opportunities for culture as well as work, which many boomers expect to continue on their own terms as consultants, freelancers or small businesspeople. Some current college town hot spots include Newark, Del.; Lancaster, Pa.; Raleigh/Durham, N.C.; Athens, Ga.; Gainesville, Fla.; Austin, Texas; Las Crucas, N.M.; Fort Collins, Colo.; Ashand, Ore. and Bellingham, Wash.
They will move into senior living facilities. The boomers are ready to pursue their own interests. They don’t want to spend time and money on home maintenance. They no longer want a backyard. There is a re-emerging trend toward condos and smaller, low-maintenance homes, including developments that offer special services for older people, such as golf and other recreational activities, social clubs, book clubs, knitting clubs and various educational activities. And while the majority of boomers will continue to live in mixed neighborhoods, among old friends and amidst familiar surroundings, a significant group will gladly retire to independent living facilities that offer services such as meals, housecleaning and convenient access to nearby medical facilities.
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