Are NSAIDs Safe for Cartilage and Health?

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NSAIDsNSAIDs can help decrease inflammation and pain from musculoskeletal injuries, menstrual cramps, rheumatoid arthritis and more. However, they come with some major potential side effects.

NSAIDs can Destroy Cartilage

NSAIDs (non steroidal anti-inflammatory drugs) like ibuprofen (Advil) and indomethacin may speed up the breakdown of cartilage in osteoarthritic joints. They might also inhibit tissue repair. But, not all studies show NSAIDs damage cartilage. It may depend on the specific NSAID. The best study I’ve seen to date (and also published in a very reputable journal) found older adults (a group that commonly has osteoarthritis) who used NSAIDs including diclofenac, ibuprofen, naproxen, ketoprofen and piroxican for an extended period of time had higher risk of cartilage defects and nonsignificant loss of cartilage compared to nonusers.

Osteoarthritis is very common (athletes, older adults, those who are overweight, those who have been very active their whole life) and is “wear and tear” arthritis; symptoms include joint pain and stiffness.

If you have mild osteoarthritis look for other solutions including curcumin, glucosamine and chondroitin sulfate, and boswella serrata AKBA.

NSAIDs Can Lead to Major Side Effects:

In most cases the increase in risk is statistically significant but very small (see below in blue).

  • Increased risk of heart attack and stroke. Risk increases even with short term use (1 week) and increases more with higher doses of NSAIDs used for a longer period of time.

The increase in risk is about 20 – 50% higher if using NSAIDs vs. not using them. What does this mean? If you take NSAIDs the risk of heart attack is about 1% per year. 

Aspirin does not increase risk.

  • Heart attack and stroke risk is greatest in those who already have heart disease though people without heart disease are at risk.

“Patients treated w/ NSAIDs following a first heart attack were more likely to die in the first year after the heart attack compared to those not treated with NSAIDs” (FDA).

  • Increased risk of a bleeding ulcer in the stomach or intestines. Bleeding often comes without symptoms. Bleeding could lead to death. Risk increases in those who drink alcohol, smoke, take corticosteroids and anticoagulants, those who are older and people in poor health.
  • Kidney damage
  • Liver damage; very low risk
  • Anemia; when used for a prolonged time due to wearing of the stomach lining and therefore decreased absorption of iron and / or an increase in bleeding.
  • High blood pressure
  • Central nervous system issues headache, fatigue
  • Asthma attacks in those with asthma
  • Risk of bleeding
  • Hives

Safer Use of NSAIDs

Lower your risk of harmful side effects from NSAIDs by doing the following:

  • Take the lowest effective dose.
  • Take your NSAID for the shortest possible time.
  • Don’t take more than one NSAID at a time!
  • Find other solutions for pain (see my previous and upcoming posts, especially on Instagram).
  • If you notice any other symptoms including black tar like poop, skin rashes, stomach pain, yellow skin or eyes, nausea, feeling tired, swelling or vomiting, call your doctor ASAP.
  • Call 911 ASAP if you experience any heart attack, stroke or allergy symptoms including but not limited to shortness of breath, pain in chest, arm or neck; difficulty speaking, headache, blurred vision, droopy face, swelling in throat or face.

Tylenol may be a better option though it can cause liver damage if taken in doses > 4 g per day

NSAIDs (non-steroidal anti-inflammatory drugs) might be okay for very short-term use if you have:

  • No bleeding history
  • You are well hydrated, healthy and without renal issues.

Types of NSAIDs:

There are many different NSAIDs on the market and each one has a generic name and sometimes several trade names.

Types of NSAIDs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Keep in mind, NSAIDs are not a long-term solution to pain. Also, most NSAID safety data is not from athletes.

References:
FDA
Br J Clin Pharmacol 2010;69(6):689-700.
Ther Clin Risk Manag 2015;11:1061-1075.
Eur J Rheumatol Inflamm 1993;13(1):7-16.
J Prolotherapy 2010;(2)1:305-322.
Arthritis Rheum 2005(52):3137-3142.
Inflammation 2002;26:139-142.
Am J Med 2009;122(9):836-842.
World J Gastroenterol 2010;16(45):5651–5661.

NSAIDs Can Help Decrease Inflammation and Pain but Impact Muscle Gains

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NSAIDs (non-steroidal anti-inflammatory drugs) including ibuprofen, naproxen, diclofenac, celecoxib and indomethacin can decrease pain. Take them for the shortest possible time as they can be harmful.

Should you use NSAIDs? If you must get back to work ASAP then consider the risks vs. benefits. Talk to your pharmacist and physician (MD).

NSAIDs can help decrease inflammation and pain

NSAIDs can Help Decrease Pain from:

  • Acute ligament sprain – use for < 5 days. NSAIDs reduce pain and swelling so you can return to activity faster.
  • Osteoarthritis (cartilage wear and tear)
  • Delayed onset muscle soreness. When taken for several days before muscle damaging exercise, NSAIDs may reduce soreness. Take with caution as they can wreck your strength gains (see below).
  • Muscle bruise (contusion). Short term use can decrease inflammation with no adverse effects on healing.
  • Tendonitis – reduces inflammation and helps recovery. NSAIDs may do more harm than good for chronic tendon issues.

How NSAIDs Impact your Strength Gains

  • Short-term low dose (400 mg ibuprofen) use may have no real impact on muscle strength or size.
  • Longer term, higher doses (1,200 mg ibuprofen) may compromise muscle growth and, when training was preformed with all-out max reps, strength gains were also compromised.
  • The elderly may benefit due to a decrease in inflammation from taking NSAIDs. Chronic inflammation, which is not uncommon in the elderly, impairs strength gains. NSAIDs help tame inflammation.
  • After muscle injuries, NSAIDs can help reduce strength loss, soreness and muscle markers of inflammation, particularly when lower body muscles are injured.

Why do NSAIDs Impact Training (Strength) Gains?

NSAIDs work by blocking COX enzymes. COX enzymes alter prostaglandin synthesis, mediators of inflammation and pain. Prostaglandins have other actions in the body including regulation of muscle protein metabolism. Decreases in the prostaglandin PGFare associated with decreased protein synthesis and reduced muscle fiber size. In one study, 1200 mg ibuprofen blocked protein synthesis after resistance training. Other studies show signaling responses in muscle are decreased for hours or days after resistance training when NSAIDs are used.

References:
Arthritis Res Ther 2013;15(Suppl 3):S2.
Annals of Phys and Rehab Med 2010;278-288.
Am J Sports Med 2004;32(8):1856-9.
Am J Physiol Endocrinol Metab 2002;282(3):E551-6.
Acta Physiol (Oxf) 2018;222(2).
J Physiol 2009;587(Pt 24): 5799-5800.
Am J Sports Med 2018;46(1):224-233.

 

Supplement Testing for Banned Substances

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Banned substance testing

You can’t guarantee your supplement is completely free from banned substances. However, choosing a supplement that has been 3rd party tested (tested for banned substances by an outside company) provides added safety. Just because a supplement passes 3rd party testing this

doesn’t mean the supplement is safe for you. A sports dietitian with experience can determine if a supplement is safe for you. They will take your medical history, medications, health status, diet, training and other factors into account. It is also a good idea to double check supplement ingredient and drug interactions with your pharmacist.

  1. No testing company tests for all substances banned by MLB or WADA (World Anti-doping agency). Check out the WADA list by clicking here.

No certification program covers all banned substances for any sporting group. Why not? None of these lists are finite – they are always changing. Almost all sporting bodies (MLB, WADA, NFL etc.) include language that drugs with ‘similar biological effect or similar chemical structure’ or ‘including but not limited to the examples below’ are banned. These means drugs not listed may be banned. MLB says the list is a ‘non-exhaustive list’.

At this time, testing companies such as NSF, BSCG, Informed Choice and Aegis Shield fall short on testing for peptide hormones on the MLB list. The digestive track breaks down these drugs (such as HGH or IGF-1) when taken orally,  rendering them useless. So they will not likely have an effect if added to a supplement and taken orally (though they will if injected). MLB would like 3rd party testing companies to add peptide hormones to their tests. NSF and BSCG test for some though not all SARMs (selectiveandrogen receptor modulators). SARMs are tissue-selective (designed to decrease the progression of sarcopenia, the slow progressive decline in muscle mass and strength that occurs with age starting when a person is in their 40s or 50s).

    1. No testing company ensures a product meets 100% of its label claim (this isn’t a FDA requirement). For instance, a supplement may say it contains 20 grams of protein. However, it may actually contain 16 grams (or less because no testing company takes amino spiking / nitrogen spiking into account).

Click on the link below for a thorough snapshot of the most popular 3rd party testing programs:

Supplement Testing Programs

How do banned substances get in supplements?

Spiking supplements with banned substances can make the product “work.” Banned substances may also contaminate a supplement during processing. As an example, let’s say a production line (bottling line) bottles pharmaceutical weight loss drugs. A dietary supplement uses the same line to bottle their products. It is important to clean the machinery thoroughly after the weight loss drug is bottled and before the supplement is bottled.

You can’t be 100% sure your supplement contains no banned substances. However, you can go the extra mile by choosing a 3rd party tested supplement.

Are you in the NFL, NHL or MLB? You must use supplements that are NSF Certified for Sport only.

References:
1 FDA Guidance on Labeling. 
2 NSF for Sport. 
3 Informed Choice.
4 https://www.aegisshield.com/file/4839211-certification/GQ-6.Flooid.Green-Apple.216152.pdf
5 NSF 306 Guide 2016. NSF International Certification Guideline for Certified for Sport Program.
6 They spike compounds into formulas and run the formulas through analytical tests to ensure their tests will pick up banned substances within a supplement or food matrix.
7 The Aegis Shield app reviews products for banned ingredients listed on the product label. The app is not an assurance of safety as products listed on the app have not been through 3rd party testing.
8 This includes drugs on the World Anti-Doping Agency (WADA) Prohibited List and other banned substance lists like the MLB, NFL, NHL, NBA, NCAA, PGA, LPGA, CrossFit, UFC and other related programs.
9 This includes drugs that are on the World Anti-Doping Agency (WADA) Prohibited List and other banned substance lists like the MLB, NFL, NHL, NBA, NCAA, PGA, LPGA, CrossFit, UFC and other related programs.

 

 

Summertime Entertaining Recipes that will Delight Your Guests

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What should you serve when it’s close to 100 degrees outside and you have guests coming over? Though it may be tempting to run to the store and buy prepared dips and potato salad, I have a few fresh ideas that will impress your guests.

Cool down with seasonal beverages

Individual sun teas with fruit come in beautiful colors and flavors to quench your guest’s thirst for something unique. Tea (black, green and oolong) is calorie free yet packed with health benefits. Regular tea drinkers have a low risk of developing heart disease. Adding fruit – orange slices, blueberries, and sliced peaches lends flavor and a healthy touch.

POM Princess is one of my new all time favorite drinks. Find the recipe here. The color pops and it’s refreshing + pure pomegranate juice also boasts polyphenol antioxidants, which are plant compounds being studied in the areas of athletic performance, memory and cognition, gut health, and more.

Pack Plant Foods into Mini Dishes

Plant-based mini dishes add eye appeal, flavor and great nutrition. Cucumber egg salad mini sandwiches are a good source of protein thanks to the eggs. Plus, using cucumbers as the bread helps you get more vegetables in your diet and lends a crunchy and pleasing texture on the outside of the creamy egg salad.

Who doesn’t love cheese Tortellini? Well this version, tortellini with pistachio basil pesto, is even better thanks to pistachio basil pesto. This pesto is easy to make and packed with good nutrition. Pistachios contain good for you fats. In fact, nearly 90% of the fats found in pistachios are the better-for-you mono and polyunsaturated type. Plus, they provide a good source of protein and fiber, for a trio that can help keep you fuller longer.

Baked cauliflower bites are super easy to make and so tasty even those who claim they don’t love vegetables will fall for this dish.

Give them a Sweet Treat

No party is complete without dessert and I love summertime desserts because they’re typically lighter and refreshing. Plus you can provide small portions that are inviting and satisfying. For mini portions – I love individual key lime cheesecakes.

 

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SpringTime Entertaining Ideas that will Delight Your Guests

What should you serve when it’s close to 100 degrees outside and you have guests coming over? Though it may be tempting to run to the store and buy prepared dips and potato salad, you can wow your guests in no time with these ideas from registered dietitian Marie Spano.

 

Me: If you are thirsty for new ideas, I’m sharing a few new twists on Summertime entertaining.

 

Cool down with seasonal beverages
I have a few drinks that your guests will love! Individual sun teas with fruit are full of beautiful colors and flavors to quench your guest thirst for something different. Tea drinkers have lower risk of heart disease and the addition of fruit lends an added healthy touch.

 

Pom Princess is a flavor-packed drink made with POM wonderful 100% pomegranate juice, lemon juice and sparkling water. The color pops and it’s refreshing + pure pomegranate juice also boasts polyphenol antioxidants, which are plant compounds being studied in the areas of athletic performance, memory and cognition, gut health, and more. Each 8 oz bottle contains the juice of two whole pomegranates– no added sugar, fillers or preservatives.

 

Peanut Butter Whey Protein Bites

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Protein Bites are easy to make and packed with good nutrition – including fiber and protein. Plus you can alter this recipe based on the flavor or texture you are looking for (see below for ideas). Here are two basic recipes:

Protein Bites

Ingredients

  • 1/2 cup peanut butter
  • 1/4 cup honey
  • 1 cup Old Fashioned Oats (use quick oats for a smoother texture)
  • 1/2 cup whey protein (vanilla, chocolate or plain)

Change the flavor by adding any of the following:

  • Vanilla powder or sugar
  • 100% maple syrup instead of honey
  • Any nut or seed butter instead of peanut butter
  • coconut flakes
  • chocolate chips or cacao nibs
  • orange peel (use honey and walnut butter instead of peanut butter)
  • caramel

Decrease the sugar and calories by using part VitaFiber and part honey.

Directions
Add all ingredients to a KitchenAid mixer or other high powered mixer and blend until smooth. Shape into bars.

Almond Protein Bites

Ingredients

  • 1.5 cup almond butter
  • 3/4 cup whey
  • 3 Tbsp agave syrup

Directions:
Bake at 320°F for 30 minutes.

Here is a recipe I’ve been meaning to try (and add protein powder too) because it looks amazing: Margarita Energy Bites

All Weight Loss Diets Work

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Every single weight loss diet works, if you follow it. All diets help you eat fewer calories so you lose weight. So how do you choose one that is right for you? Ignore the hype from your friend who lost 20 pounds. There is no one “best” diet. Pick one you can stay on.

Research shows the #1 factor that determines weight loss success and keeping the weight off: sticking to the plan

Weight Loss Diets

While cutting calories is the key, some diets aren’t nutritionally sound or socially convenient. Over the next few days I will explore the pluses and minuses of popular diets and help you examine if you really need to be on a diet. In the meantime, here’s a brief lowdown on each:

  • They are a one-size-fits-all cookie cutter approach. Getting your clothes tailored ensures the best fit. Likewise, tailoring a diet to suit your needs ensures it will better suit you. After all, cookie cutters are good for one thing only, cutting cookies.
  • Elimination diets take decision making out of the equation.  Making decisions is emotionally draining. The ketogenic diet, Whole 30, raw food diet, and low carbohydrate diet are “eat this, not that” approaches. The decision is either yes or no. There’s no measuring, counting or weighing. There’s no split second indecision wondering if you can have just a small piece of cake and walk away.
  • Counting keeps you accountable.  Weight Watchers, myfitnesspal (and other apps), meal plans and IIFYM (if it fits your macros) all involve counting. Though calorie counting is not 100% precise (more on this later this week), counting keeps a person accountable. After all, you can’t claim your metabolism is slow when your food log shows 2 hotdogs, bags of chips and beer.

All diets require some effort. After all, you can’t keep doing what you are doing now and expect different results. The key is finding the one that is easiest for you. Stay tuned….

The Chocolate Taste You Love with Added Health Benefits

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#AD: Dark chocolate has been sold as a health food for years. Even I wanted to believe this. Unfortunately, not all chocolate is created equally. In this video I share the lowdown on the health benefits of cocoa, including the beneficial plant-based nutrients known as cocoa flavanols, which can be found in @CocoaVia cocoa extract supplement. I’ll show you what to look for and how you can get that deep dark chocolate taste and health benefits with CocoaVia-inspired recipes. For more recipe inspiration, visit CocoaVia.

10 Superfoods for Better Health and More Energy

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Superfoods are full of good nutrition. They are important for health and well-being. Everyone knows about salmon for heart and muscle health and blueberries for your brain. So I skipped over these and included 10 other foods you should include in your diet:

Kefir

Kefir is a tangy cultured milk product made by fermenting milk with several bacteria and yeasts. Kefir tops the list of superfoods because it is rich in beneficial bacteria called probiotics. Probiotics are good for gut and immune health. Kefir is an excellence source of calcium and vitamin D for bone health and several B vitamins (your energy vitamins). Opt for plain kefir or mix a little flavored kefir (generally high in added sugars) with plain kefir for great taste but less sugar. If you are lactose intolerant kefir is easier on the stomach because enzymes in the bacteria help break down lactose.

Other Options: Though most yogurts don’t contain the wide variety and number of probiotics as kefir, they are a great option as well. Other probiotic-rich foods include: unpasteurized sauerkraut, miso soup, naturally fermented pickles, and good quality sourdough bread.

Beets

Beets come in brilliant shades of dark red, yellow and orange and have a nice sweet earthy flavor. They are a good source of potassium for nerve and muscle functioning as well as healthy blood pressure. Beets are also a good source of vitamin C and fiber. Beets have more nitrates than most other foods. Nitrates help the body make nitric oxide, a gas that expands blood vessels to make room for greater blood flow. Regular intake of high nitrate foods can help lower blood pressure and improve blood vessel functioning. If you drink 16 oz. of beetroot juice (containing 300-500 mg of nitrates) 2.5 – 3 hours before you hit the gym, you may notice a bump in energy thanks to greater blood flow to working muscles. There’s one caveat: antibacterial mouthwash kills the good bacteria in your mouth. This bacteria is needed for the first step in nitric oxide production. Some research suggests antibacterial mouthwash may increase blood pressure and raise heart disease risk.

Other Options: Celery, argula, spinach are good sources of nitrates.

Ginger

Ginger soothes an upset stomach and helps ease symptoms of motion sickness. Make ginger a regular part of your diet and you’ll also benefit from its ability to decrease muscle soreness after tough bouts of exercise.

Other options: Combat excess muscle soreness with tart cherry juice.

Sunflower seeds

One serving of sunflower seeds will help you meet one-half of your daily vitamin E needs – a nutrient that most Americans aren’t consuming in recommended amounts. Vitamin E protects your cell membranes (including muscle cells) from damage, supports immune functioning and helps expand blood vessels to accommodate greater blood flow. Vitamin E deprived muscle cell membranes do not heal properly yet a healthy balance is important. Get enough, but not too much, of this vitamin as both deficiency and excess may impair your training gains. Plus, more than recommended amounts will not improve athletic performance.

Other Options: Snack on almonds, pine nuts, and peanuts to help you meet your vitamin E needs.

Pumpkin seeds

Pumpkin seeds are one of the best sources of magnesium, a mineral that is so widely under-consumed. Magnesium keeps muscles and nerves functioning properly and is also necessary for your body to produce energy. Pumpkin seeds are also an excellent source of zinc, a mineral important for immune health and wound healing.

Other options: Sesame seeds and Brazil nuts are also excellent sources of magnesium. For a magnesium-packed meal, brush firm tofu (also a source of magnesium) with sesame oil and coat with sesame seeds before stir-frying.

Olive Oil

Olive oil is a staple in Italy and Spain where the Mediterranean Diet is associated with reduced risk of cardiovascular disease, cancer and improved brain health. Replacing dietary saturated fats, such as butter or shortening, with olive oil may help reduce risk of coronary heart disease. Replacing other cooking oils with olive oil may help lower blood pressure and improve blood cholesterol. Use olive oil in moderation, because it is high in calories. There are some sketchy companies out there who mix cheaper quality oils with olive oil to lower their costs. Make sure you’re getting good quality olive oil by looking for a seal of approval from the USDA Quality Monitoring Program or the North American Olive Oil Association (NOOA).

Other Options: For baking, cooking, stirfrying and other high heat cooking, consider almond, hazelnut, peanut, or pecan oil.

Garlic

Garlic adds favor without calories. When used in a marinade or added to beef, fish, chicken or turkey patties, garlic helps limit the formation of nasty compounds that cause cancer in animals, heterocyclic amines (HCAs). HCAs are formed when your protein-rich food is cooked. High dry heat leads to more HCAs formed so make sure you add garlic to any meat, poultry or fish you throw on the grill or in the smoker.

Other Options: Rosemary and Caribbean spices also decrease HCA formation.

Dark Chocolate, one of the Ultimate Superfoods?

Wouldn’t it be great if you could bite into a rich, smooth, dark piece of chocolate with complete confidence that you were doing something good for your body? Dark chocolate is made from cocoa powder – the defatted powder from cacao beans. Cocoa powder contains flavanols, a group of antioxidants responsible for the association between dark chocolate and lower blood pressure. Unfortunately you can’t rely on the percentage of cocoa or cacao in a bar as an indicator of total flavanol content. Here’s your best option for  getting that dark chocolate taste you are craving and health benefits as well.

Tempeh

In your local grocery store, tucked in a remote refrigerator between tofu and non-dairy “cheese,” you’ll find long, thin light brown colored sheets of tempeh. Tempeh is fermented soybeans. Unlike tofu, tempeh includes the whole soybean so it is higher in protein, fiber, and vitamins. Tempeh is also an excellent source of iron (for oxygen delivery throughout your body), magnesium and vitamin B-6 (an energy vitamin) and good source of calcium.

Tempeh has a firm, chewy texture and slightly earthy, bean-like taste. Replace deli meat with tempeh, try it sautéed in sesame oil and garlic, grilled or served on top of salad.

Other options: Pick up plan or flavored tofu.

Green peas

Green peas are so ordinary. Why did I add them to the list of superfoods? Green peas are an excellent source of fiber and vitamin C, good source of vitamin A (important for your eyes and a “nutrient of concern”) and also contain decent amount of magnesium, vitamin B6, folate (a “nutrient of concern,” folate helps build healthy new cells and prevents some birth defects) and iron. Look for pea protein in bars and protein powders. It boosts a leucine (the key amino acid that turns on muscle building and repair) content equivalent to whey protein and will give you the same muscle-building results as whey protein.

Try peas in multiple forms including pea protein powder, split pea soup and peas mixed into burritos, wraps, in other dishes. Add peas to your rice pilaf, pasta dish, casserole, or stew.

Other Options: Consider yellow whole or split peas. They have a similar nutrition profile to green peas.

Superfoods add vitamins, minerals, fiber and plant compounds important for good health. They support your daily energy needs while improving your overall health.

References

Balk E, Chung M, Lichtenstein A, et al. Effects of Omega-3 Fatty Acids on Cardiovascular Risk Factors and Intermediate Markers of Cardiovascular Disease. Summary, Evidence Report/Technology Assessment: Number 93. AHRQ Publication Number 04-E010-1, March 2004. Agency for Healthcare Research and Quality, Rockville, MD.

Kromhout D, Bosschieter EB, de Lezenne Coulander C. The inverse relation between fish consumption and 20-year mortality from coronary heart disease. N Engl J Med 1985;312:1205–1209.

Kromhout D, Feskens EJ, Bowles CH. The protective effect of a small amount of fish on coronary heart disease mortality in an elderly population. Int J Epidemiol 1995;24:340–345.

Mozaffarian D, Rimm EB. Fish intake, contaminants, and human health: evaluating the risks and the benefits. JAMA 2006;296(15):1885-99.

Ahmet I, Spangler E, Shukitt-Hale B, et al. Blueberry-enriched diet protects rat heart from ischemic damage. PLoS One. 2009; 4: e5954. PloS ONE 2009, 4:e5954.

Malin DH, Lee DR, Goyarzu P, Chang Y, Ennis LJ, Beckett E, Shukitt-Hale B, Joseph JA. Short-term blueberry-enriched diet prevents and reverses object recognition memory loss in aging rats. Nutr 2011;27:338-342.

Krikorian R, Shidler MD, Nash TA, et al. Blueberry supplementation improves memory in older adults. J Agric Food Chem 2010, 58:3996-4000.

Davis C, Bryan J, Hodgson J, Murphy K. Definition of the Mediterranean Diet; a Literature Review. Nutrients 2015;7(11):9139-53.

Food Labeling, Summary of Qualified Health Claims Subject to Enforcement Discretion. Food and Drug Administration.

Fernandez-Janne E et al. Risk of first non-fatal myocardial infarction negatively associated with olive oil consumption: a case-control study in Spain. Int J Epidemiol. 2002 Apr;31(2):474-80.

Rozati M, Barnett J, Wu D et al. Cardio-metabolic and immunological impacts of extra virgin olive oil consumption in overweight and obese older adults: a randomized controlled trial. Nutr Metab 2015,12:28.

Grassi D, Necozione S, Lippi C, et al. Cocoa reduces blood pressure and insulin resistance and improves endothelium-dependent vasodilation in hypertensives. Hypertension 2005, 46(2):398-405.

Hooper L, Kroon PA, Rimm EB, et al. Flavonoids, flavonoid-rich foods, and cardiovascular risk: a meta-analysis of randomized controlled trials. Am J Clin Nutr 2008;88(1):38-50.

Mastroiacovo D, Kwik-Uribe C, Grassi D et al. Cocoa flavanol consumption improves cognitive function, blood pressure control, and metabolic profile in elderly subjects: the Cocoa, Cognition, and Aging (CoCoA) Study—a randomized controlled trial.. Am J Clin Nutr 2014.

Miller KB, Hurst WJ, Payne MJ et al. Impact of alkalization on the antioxidant and flavanol content of commercial cocoa powders. J Agric Food Chem 2008, 56(18):8527-33.

Product Review: Cocoa powders, dark chocolate, extracts, nibs and supplements – sources of flavanols. ConsumerLab.com

U.S. Department of Agriculture, Agricultural Research Service. 2012. Total Nutrient Intakes: Percent Reporting and Mean Amounts of Selected Vitamins and Minerals from Food and Dietary Supplements, by Family Income (as ! of Federal Poverty Threshold) and Age, What We Eat in America, NHANES 2009-2010. Available: www.ars.usda.gov/ba/bhnrc/fsrg.

Powers SK, Jackson MJ. Exercise-induced oxidative stress: cellular mechanisms and impact on muscle force production. Physiol Rev 2008, 88(4):1243-76.

Sharman IM, Down MG, Norgan NG. The effects of vitamin E on physiological function and athletic performance of trained swimmers. J Sports Med Phys Fitness 1976;16:215–225.

Institute of Medicine (IOM). Food and Nutrition Board. Dietary Reference Intakes: Calcium, Phosphorus, Magnesium, Vitamin D and Fluoride. Washington, DC: National Academy Press, 1997.

Smith JS, Ameri F, Gadgil P. Effect of marinades on the formation of heterocyclic amines in grilled beef steaks. J Food Sci 2008, 73(6):T100-5.

Notice of GRAS Exemption – Pea Protein as a Food Ingredient http://www.fda.gov/downloads/Food/IngredientsPackagingLabeling/GRAS/NoticeInventory/ucm464894.pdf

Babault N, Paizis C, Deley G et al. Pea proteins oral supplementation promotes muscle thickness gains during resistance training: a double-blind, randomized, placebo-controlled clinical trial vs. whey protein. JISSN 2015, 12:3.

Peas Commodity Fact Sheet. https://www.usaid.gov/what-we-do/agriculture-and-food-security/food-assistance/resources/peas-commodity-fact-sheet

 

 

 

 

 

Is Dark Chocolate Healthy? No, but Cocoa Flavanols Are!

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This post is sponsored by CocoaVia® Brand. chocolate and cocoa flavanols

A dark rich chocolate brownie or smooth, creamy chocolate bar tastes even sweeter when you know it is good for you. After all, chocolate is full of healthy compounds right? Unfortunately, it is not that simple. In its native state, the cocoa bean contains a mixture of compounds that may be beneficial to your health. Processing cocoa beans into cocoa powder or your favorite sweet treat destroys most of these helpful compounds.

Percent Cacao Means Nothing

You can forget choosing dark chocolate based on how bitter or dark it is. The benefits of chocolate come from cocoa flavanols, not from the percent cacao or the darkness of the chocolate. Cocoa flavanols are the beneficial plant-based nutrients (phytonutrients) naturally found in cocoa. No other food on Earth can match cocoa’s unique blend of flavanols. Cocoa flavanols work with your body to maintain healthy levels of nitric oxide. Nitric oxide helps maintain the healthy flow of oxygen and nutrients to all parts of your body. Supporting healthy blood flow is essential to helping you maintain who you are for years to come. In fact, our entire bodies, including our heart, brain, and muscles, depend on healthy blood flow, which helps us feel and perform our best.

How can I Choose Dark Chocolate Rich in Beneficial Compounds?

Don’t look for health benefits from dark chocolate . Most chocolate isn’t nearly as healthy as you may believe. It takes approximately four average dark chocolate bars (more than 700 calories) to get the same amount of cocoa flavanols as you get in a single serving of CocoaVia® cocoa extract supplement. So enjoy chocolate – in moderation, as your sweet treat, but not as your daily source of cocoa flavanols!

CocoaVia Cocoa Flavanols

So if chocolate isn’t a reliable source of flavanols, how about cocoa powder? Unfortunately, most cocoa powders aren’t much better. With no added sugars, less fat, and more fiber than typical chocolate, cocoa powder can be a better option for getting a chocolatey experience. However, cocoa powder might not be a reliable way to get your flavanols. Cocoa flavanols are typically destroyed when cocoa is processed. Any cocoa powder that is Dutched or alkalized contains significantly fewer cocoa flavanols.

Taste Plus Health Benefits

To take the guess work out, you can try CocoaVia®. CocoaVia® cocoa extra supplement delivers the highest concentration of cocoa flavanols in a cocoa extract supplement today – 375mg per serving – . and numerous scientific studies have demonstrated these flavanols promote healthy blood flow from head to toe.

It’s easy to start your day with CocoaVia® supplement. Add one delicious powdered stick pack to the beverage or food of your choice. For more information on CocoaVia® supplement, which is supported by more than two decades of scientific research, visit www.CocoaVia.com. I often start my day with a peanut butter chocolate shake. I mix one stick pack of CocoaVia® Unsweetened Dark Chocolate supplement into my morning smoothie with peanut powder, ice and milk.

 

†The Food and Drug Administration has not evaluated this statement. This product is not intended to diagnose, treat, cure, or prevent any disease.