It’s the second day of our weight loss journey and when our friends call up for a dessert meetup, we can’t resist the urge and land up eating more than normal. We take months together to get our body fit and ready for marathons, study for weeks together for exams or play a game of chess during every possible break to sharpen our skills before the inter-company tournament. While we take so much pain and care to prepare ourselves before such events, why don’t we even think twice before taking up some weight loss program? Eat a cookie with your evening coffee today, do the same tomorrow and Eureka, your hand goes automatically to your cookie box the day after tomorrow! Good habits are not so straightforward and easy to follow. Researchers say that it takes 21 days to make/break a habit. Maybe this would go good with habits such as drinking water before and after your meals but not for the hardcore ones such as weight loss! Weight loss is a huge task left at your disposition and it depends on the individual’s mindset and willpower to pursue and succeed! Right before relishing the fruits of success that come by way of physical changes, one must first prepare himself/herself mentally to dump off the unhealthy habits. Instead of aiming for a crash-diet kind of weight loss, think of a lifestyle change that can stay with you for a lifetime. Try to get into a habit that can stick with you in the future too. Once you decide to embark on your weight loss journey, shifting your thoughts about how to lose weight is the first biggest challenge. Don’t expect to witness magnificent physical changes without preparing your inner mind and thoughts. Give me an answer to this question genuinely- ‘How many of you decide upon losing weight when you are in a clear state of mind, without any frustrations, a feeling of overwhelming body shaming or self-deprecation? Almost none! The decision to lose weight enters the mind only when you are affected by such negative thoughts and emotions. Any endeavor performed or decided upon in this state of mind will only focus on results-quick results. Hence, the weight loss task becomes a stressful affair that focuses primarily on quick fixes without caring about sustainability or health. This is destructive thinking-working on a task with a negative mindset without focusing on the positives such as better health, good quality of life, ease in performing daily activities and the prevention of health diseases; tasks performed in this frame of mind fail to succeed mostly. Before jumping onto your weight loss goal, prepare yourself mentally by ensuring the following: Define a workable goal: Your reason for weight loss might be anything from looking prettier or getting rid of the energy drain you suffer from dragging around your excess 15 kilograms to fixing health problems such as diabetes or blood pressure. Your goal should not be to lose weight but to fix upon smaller ones that help you succeed on your final result of weight loss. For instance, eating five portions of fruits and veggies or getting enough sleep are smaller goals that are achievable and gratifying. Meet a dietitian: Once you are focused on losing weight please don’t google search for a diet or ask suggestions from your near and dear ones. Everyone is ready to help you, no doubt about it and the internet offers a plethora of diets and weight loss ideas, but the reason why many people fail to succeed in their decision is because they have chosen a plan that is completely unsuitable for their body type. Meet a dietitian and explain your core reason for weight loss. Once the RDN gets your goal, she will be able to come up with the best weight-loss program suitable for your body type, lifestyle, food habits and medical conditions (if any). An RDN can also help you mentally prepare yourself for the challenges ahead, guide you to overcome these challenges successfully, encourage you when you achieve smaller goals and help you accomplish the ultimate result. A dietitian/nutritionist at www.firsteatright.com would be the best guide to help you succeed and motivate you all through your weight loss journey. Be positive: Try to be amidst positive people and those who have a positive frame of mind to approach any problem. This encourages you and keeps you emotionally healthy. Never hesitate to ask help or support when needed. You might have failed in your past weight loss efforts, but it is not mandatory that you will fail again. Don’t lose hope if you skip workout for a day or overeat a meal. It’s all in the game. Redefine rewards and punishments: Neither food is a reward and nor is exercise a punishment. Both help to nourish your body and keep you energetic and strong. All of us need the right mix of both, food and exercise to stay fit and healthy. Shun away from the calendar: Patience is the utmost important quality for a healthy weight loss in a sustainable way. When you set smaller goals, even daily ones such as covering 10,000 steps or eating five portions of produce and achieve them there is no need of constantly engaging with the calendar and worrying about results. Results would automatically fall in place sometime gradually. Pick out ‘problem’ areas: Each of us have a few weak points when it comes to eating or exercising. Pick out these weak points and work over them. For instance, when you crave for something during stress, stop the craving by saying “STOP” aloud or count from 1 to 10 repetitively until the craving vanishes. Stay away from the scale: While people regularly advice to note your weight every couple of days please don’t do so if you think that weighing scale measurements might cause negative thoughts and actions. Don’t weight yourself until you are convinced that the numbers on the scale don’t define your worth and it is your actual self who stands before these numbers. Cheat occasionally: You are not a saint doing a penance but a human trying to work on achievable things. Don’t restrict yourself like an army man. An occasional cookie or potato wafers is not sinning. Feel free to eat something of your choice sometimes. This would motivate you even more to stay fixed on your goal and prove results. Encourage yourself: You are your soul’s best friend. Talk to yourself. This might seem funny and people around might ridicule you for this. Do it in your personal space at the comfort of your home. Don’t be too harsh on yourself and keep imposing harder restrictions. This would become a punishment of sorts and we don’t want this! Pat yourself for your achievements until now, ponder on your mistakes and work on improving yourself to get better results. Jot down rewards: Plan your rewards as you would plan your diet and exercise. Note it down in your food journal along with your daily food habits and exercise durations! But never make the same mistake of giving yourself a food reward. Maybe you can go for a relaxing spa or get yourself an accessory you have been eying along as a reward for achieving each of your smaller goals. An infant’s first tooth protrusion is a delight to watch-white in color and peeping out of the gums the tooth holds a permanent place in our hearts until the second one springs up 😊 Such milk-white teeth turns brown or yellowish in color as we age due to different reasons. The shape and size also differ from person to person. Some people might have it in the form of brown lines while it appears as blotchy, irregular patches in others. Such spots are extremely common and treatments for tooth discoloration have become a money-spinning industry with sophisticated treatment procedures and options available.
Our all-over oral health is essential for nutrients intake, communication and host defense and our teeth is involved in all three of it. Any problems with the oral cavity or teeth can cause oral infections and also make it difficult for the individual to chew/swallow food or even affect phonation/pronunciation of words and sounds. Causes Tooth discoloration is a result of different intrinsic and extrinsic causes. Dental plaque, foods, beverages, tobacco, chromogenic bacteria, topical medications and other metallic compounds are common extrinsic causes while intrinsic dental stains are the result of dental materials, dental caries, trauma, infections, medications, nutritional deficiencies and other complications such as pregnancy problems, anemia, bleeding disorders, bile duct problems, genetic problems or hereditary diseases that affect enamel development. Extrinsic discoloration is stain located on the outer layer of the tooth structure as a result of external agents. Factors such as enamel defects, improper salivation and poor oral hygiene make certain children and adults a victim of external stains. When enamel defect is the underlying root cause, it can lead to accumulation of stain-producing food, beverage, tobacco and other topical agents. Saliva is vital for oral protection aiding in cleaning of food debris and dental plaque and rarely, the salivary output decreases due to different reasons such as salivary infections, head and neck radiation therapy for cancer, chemotherapy and multiple medications such as antihypertensives and antihistamines. Above all, the main cause of extrinsic discoloration is poor oral hygiene. The lack of ability to remove the stain-producing material or insufficient cleaning and polishing actions cause discoloration. Black or brown stains are in essence due to the accumulation of dental plaque, calculus and food particles. Plaque is a sticky, colorless substance that forms on the teeth and when this is not removed with proper oral care, it can create calculus (or tartar) which cannot be removed by the individual but does need the intervention of a dental professional. Tea, coffee and other beverages can cause stain formation on the outer and inner surfaces of the teeth. Extremely dark brown and black stains are the result of tobacco stains due to cigarettes, pipes or chewing tobacco. Pan, a common betel leaf-based after-food freshener chewed commonly by people in South-Asian regions including India brings about the production of blood red saliva that causes red stains on the teeth and makes the person’s entire mouth including the lips and tongue too look red in color. Metallic compounds can also cause dental discoloration due to the interaction of the metals such as iron, manganese and silver (black discoloration); mercury and lead (blue-green); copper and nickel (green to blue-green stain) and chromic acid fumes (Deep orange) with dental plaque. Intrinsic discoloration is primarily due to dental restoration and aging also causes progressive loss of tooth enamel due to tooth wear or attrition revealing the natural yellow color of the underlying dentin. Also, frequent ingestion of acidic foods and beverages and acid regurgitation from the stomach can cause yellow tooth due to enamel erosion. This is commonly seen in patients with anorexia or bulimia due to acid reflux contact with the teeth. Trauma to developing yet unerupted teeth or trauma that occurs to fully erupted teeth can also cause discoloration. Other causes of tooth discoloration include: Foods & beverages: Dark-colored foods and beverages contain a chemical called chromogen that can stain the tooth enamel. These stains can leave a lasting mark on the teeth if the person follows a poor oral hygiene routine. Also, those food products that contain artificial colors and dyes can cause tooth stains. Nicotine & tobacco: Frequently using these products can cause particles from them to stick onto tooth enamel and develop stains. Tartar: Plaque is inevitable and each of us keep it under control by brushing and flossing. Plaque hardens into tartar or calculus when proper oral hygiene is not maintained and this can be removed only by a dental professional. Apart from this, factors such as smoking, diabetes, hormonal changes, illness or medications that cause reduction of saliva in the mouth increase the risk of developing tartar. Tooth decay: Plaque and tartar eat sugars that pass through the mouth and cause acid accumulation that can wreck the tooth enamel. As the enamel is weakened, it exposes the yellow layers of tooth below it making it appear yellowish-brown. Any small cracks or breaks in the teeth can also cause bacteria to enter and cause decay. Some people have dark spots of decay around their dental fillings or crowns when there is bacterial entry through the crevices. Genetics: Each person’s natural tooth color is different. Some might have darker-colored teeth than others. Genetic factors including the strength of the tooth enamel, enamel response to acids and pigments, exposure of enamel to constant wear and tear, hereditary conditions and developmental conditions that hinder proper bone and tooth formation can affect the color of the teeth. Treatment What causes the brown spots forms the basis for treatment. Individuals try home remedies such as brushing their teeth with baking soda and water every few days or rinsing the mouth with diluted hydrogen peroxide solution daily or every few days and rinsing the mouth again with water after that. Some over-the-counter medications that promise improvement within a week or two include:
Sadly, tooth discoloration associated with celiac disease is permanent and such long-lasting spots or discolorations can be prevented or hidden using crowns, veneers or white composite fillings. Prevention The best way to avoid tooth discoloration is to practice excellent oral hygiene. Some tips mentioned here might prove to be useful:
There are certain other foods that can strengthen enamel and prevent discoloration. Foods rich in fiber and roughage can pull off bacteria and bits of plaque off the teeth. Consuming high-fiber foods such as whole grains and cereals, veggies such as broccoli and leafy greens such as kale and spinach, foods rich in antioxidants such as carrots, ginger and garlic, nuts and high-fiber fruits and veggies such as apples, plums, pears and celery are good for your oral health and overall body health. Know your healthy fiber-rich foods from the website www.firsteatright.com and eat accordingly. Brown spots on the tooth are mostly due to poor oral hygiene, smoking or consuming dark foods and drinks. These can be removed mostly and prevented from striking our teeth again. Rarely, these spots indicate an underlying medical problem or might be the side effect of some medication. It is always recommended to approach a dentist when you are unsure about the problem at hand. Men, are you planning to go the family way in near future? Then, it’s time to go nuts! Different kinds of nutty varieties have been praised for their nutritive values and promoted as a heart-healthy snack. Nuts have a long-standing list of advantages to their kitty and the latest one is mind-blowing, especially for all the men out there. So guys, grab a bowl of mix nuts, settle yourself peacefully on your couch and feel good about yourself after reading the article!
Declining Sperm Count Most of us (Except for a few exceptions!) love to munch on a handful of hazelnuts, almonds, pistachios or the ever-green cashews. A 14-week study has shown that including nuts in a regular diet significantly improves the quality and function of human sperms. This comes as a welcome news wherein there is an overall decline in sperm counts worldwide, especially in the developed countries. A colossal analysis reported a momentous decline of sperm counts between 1973 and 2011. This analysis made use of more than 40000 men’s semen samples available across 244 studies and found almost a 50-60% decline in fertility among men in North America, Europe, Australia and New Zealand. Sperm concentration declined by 1.4% per year and sperm count by 1.6% per year. Diet Can Improve Fertility Research shows evidence piling up supporting the odds of conception when a person consumed a healthy diet. Almost one of four couples suffer from infertility and almost 40-50% of the time, the problems can be attributed to the man involved. The study was performed for a duration of 14 weeks with the cooperation of 119 young men aged between 18 and 35 years. These participants were either given their routine western diet along with 60 grams/day of mixed nuts such as almonds, hazelnut and walnuts or their regular western-style diet without nuts. The study team recorder sperm parameters as per WHO guidelines along with changes in various molecular factors such as sperm DNA fragmentation. Sperm and blood samples were analyzed before and after the research. WHO guidelines state four semen quality parameters which include concentration (simply put, sperm count and the quantity should be at least 15 million sperm cells per ml semen), progressive motility (32% minimum), vitality (58%) and morphology (4%). All these four parameters play vital roles in measuring sperm quality. It has been clearly proved at the molecular level that genetic integrity of every sperm cell is crucial for healthy and successful fertilization. When DNA strands in these cells either become fragmented or damaged, they lose their head start to fertilize an egg and enable embryonic development. Several studies and research theorize that DNA fragmentation is the result of oxidative stress due to environmental and lifestyle factors. Study results showed significantly increased levels of sperm count, vitality, motility and morphology in those men who consumed 60 g of nuts daily compared to the nut-free diet group. All the major factors associated with male fertility showed decent improvements on a nut-based diet.
This study is an additional proof that a diet rich in omega-3 fatty acids, antioxidants and B vitamin folate improve fertility as nuts are rich sources of all these and many other nutrients too. One reason to frown is that, this study was conducted on men who were healthy and fertile. We have no data to prove if the same results would prove positive in the case of men with fertility problems too. On the other hand, evidence is mounting up in support of complying with healthy lifestyle changes and eating a healthy diet to promote conception. We witness more cases of IVF and IUI technology-assisted fertility treatments and there are more and more couples opting for such methods fearing childlessness. Problems such as PCOS, ovarian count problems, infertility due to obesity/overweight and similar other ones can be combated with a diet rich in all five food groups in the right proportion. There are certain problems that cannot be cured by dietary changes (such as problems with the fallopian tube) and it is advantageous to go for fertility treatments in such cases. But why waste your time, body, money and mental agony to solve some issues that can be corrected in the simplest way with diet and exercise? The website www.firsteatright.com lists down a clear picture of how diet plays a vital role in solving fertility problems, what kind of problems cannot be resolved by nutrition and how diet and nutrition affects fertility and childbirth. Let’s take every step possible to reduce a man’s risk of infertility (major causes include aged 40 years and above, obesity/overweight, smoking, drugs, alcohol, exposure to radiation and high temperatures) and boost the intake of a healthy diet along with regular physical exercise. You go to bed and the next thing you realize is your alarm clock ringing in the early morning hours. What happens in between stays a mystery for you but a nightmare for your partner in bed due to your long speeches, crazy text messages or berserk noises and grunts! Sleep is an integral part of your daily routine and as essential as food and water. We spend 1/3rd of our time sleeping and quality sleep is integral for brain activation and body functioning. Aware of the benefits and consequences, researchers/scientists are still inconclusive about the biological purpose of sleep. Insomnia is the inability to sleep properly which all of us are familiar with. Sleep apnea interrupts breathing briefly and repeatedly during sleeping but what is parasomnia? This is a term that includes all forms of sleep disorders such as sleepwalking, sexsomnia, nightmares, sleep paralysis, REM sleep behavior disorder, sleep talking and aggression during sleep except sleep apnea. While some of these are seriously connected with sleep disorders some of them are normal physiological occurrences that occur either during start of sleep, during sleep or while getting up from sleep. While sleeping, the brain fluctuates between wakefulness, nonrapid eye movement (NREM) sleep and rapid eye movement (REM) sleep. NREM further consists of four stages (1-4) and parasomnia commonly occurs when the transition between these stages are blurred (prominently present during the stage 3-4 transition and the awake stage). Sleepwalking This is the most-popular type of parasomnia all-the-more popular due to its depiction in movies and stories! Sleepwalking is the result of a series of complex behaviors that occurs when the patient is in an altered state of consciousness. This happens mostly during the stage three NREM sleep, a stage during which individuals cannot be woken up so easily and hence, makes sleepwalking a bit terrorizing as the sleepwalker is physically active but still in a deep state of sleep. Sleepwalking includes a series of activities and the most common ones include sitting up in bed in a confused state, fumbling with the bed cloth and then walking with open eyes. Heredity is the most common cause for this sleepwalking behavior while sleep deprivation, touch, noise, stress, anxiety, alcohol and medications are also potential causes. Sleepwalking rarely causes harm to the walker as well as the people around him/her. Sleep terrors & Sleep starts Sleep terrors last anywhere between 30 seconds and five minutes where the individuals sits up in the bed, emits a loud scream and starts displaying intense fear. He/she may shout in a threatening manner and run out of the bed assuming something harmful and this might lead to injury to the individual or the people surrounding him/her. While asleep, we often feel like falling off the bed or a tall mountain and our whole body gives a solid jerk trying to safeguard itself. Such jerks can occur in any individual of any age but mostly seen in adults 60-70% of the time. This is not a sleep disorder but is only due to muscle contractions that last for less than 1 second when the person is about to fall asleep or is in a light state of sleep. Sleep texting This has no confirmed scientific evidence but sleep texting is commonly present among adolescents. Media reports exist where teenagers accept sending some meaningful or unmeaningful text messages to their friends during sleep. Texting among teenagers is at an alarmingly high rate and such individuals often send more than 100-200 messages each day. This prompts them to pick their mobile and send some message to some person unknowingly even during sleep. Sleep-related eating disorder This is often seen during sleepwalking when the individual gets out of bed, goes to the fridge, picks up a snack and eats it, all of these without waking up actually. It is mostly high-calorie foods and beverages that are preferred by the sleep walker and consumed in a rapid manner as though someone is going to curb their eating at any point of time. Rarely, the individual might even consume unusual foods such as uncooked butter slices or even toxic substances such as uncooked chicken directly from the fridge. The affected individual is totally unaware of his/her acts and all that can indicate such behaviors are leftover plates, empty food containers and wrappers strewn around the house the next morning. There are plenty other eating disorders apart from sleep-related ones explained at www.firsteatright.com. Please go through the list to rule out any of its presence in your life. Sexsomnia With only 95 cases reported till date, sexsomnia is mostly common among the male population (67-81%). A common form of parasomnia, sexsomnia involves display of sexual affection, using words that promote sexual acts, intercourse/attempted intercourse during sleep followed by morning amnesia. Just like sleepwalking, sexsomnia occurs in the NREM stage of sleep and is often embarrassing as the sleeper might disturb or end up assaulting his/her sleeping colleague/friend/family or partner. It is also disturbing when complaints are lodged against such individuals as they are totally unaware of their acts the previous night and have not done any of it intentionally. Some even consider suicide to put an end to all this misery. Treatment only involves psychotherapy sessions to manage stress and reduce the occurrence of this act. Dream Enactment REM sleep behavior disorder is characterized by performing actions while still asleep, something similar to sleepwalking. As the name suggests, this happen during the REM stage (dreams mostly come at this stage) of sleep. Individuals with this disorder either act out or respond physically to their dreams and this might not be good for the affected person and those around the individual too! Physical violence is not seen much and if displayed, it is present more in men than women with this disorder. Antidepressants used for the first time can cause this disorder and so can stimulants such as alcohol, coffee and chocolate. Often present in individuals above the age of 50, REM sleep behavior disorder is a well-established risk factor for neurodegenerative disease. Nightmare disorder Dreams and nightmares are common in every person’s life. What if these nightmares occur multiple time every night? This is nightmare disorder which includes recurring nightmares that involve anger, anxiety or disgust that can leave the individual wide awake. More the nightmares, less is the well-being of the individual. Nightmare disorder can occur in both, REM and NREM states of sleep and is a part of both, acute stress disorder and post-traumatic stress disorder. All the disorders listed above might seem fictional or something like a movie. Yes, they are fascinating and rare but need to be addressed immediately to avoid negative consequences. Improving sleep hygiene, avoiding substance abuse, using proper medications and avoiding sleep deprivations can promote deep sleep and prevent such disorders from ruining our lives. Skin, the largest organ in the human body, works like a flexible rubber band. It stretches and adjusts matching to the growing body needs but can be damaged if it is stretched beyond its capability too quickly (just like how your rubber band breaks) causing stretch marks. In fact, between 50 and 90 percent of women bear stretch marks according to a study from the University of Michigan Health System. Gone are the days when mommies took pride in their stretch marks! Mommies today take pride in climbing the ladder of success at work through their ultimate efforts along with their responsibilities of child rearing and family commitments. Some regard these marks as a symbol of motherhood, some are extremely self-conscious about its presence and try to veil it over and few others are double-minded, they do feel embarrassed but also want to take it in their stride! Which of these categories do you belong to? The Name Speaks for Itself Women and pregnancy are all that get associated with stretch marks. But it can affect men, teenagers or any person of any age. There is no clue why these marks affect some people and leave the rest unaffected. But there is a journal study that suggests that women who get pregnant at a younger age are more prone to stretch marks and so do women who put on excess weight during pregnancy. As the name suggests, a stretch mark is a type of scar that develops when our skin stretches or shrinks quickly. To understand how these marks make themselves visible, it becomes necessary to become aware of the skin layers in our body. The epidermis forms the outermost layer of the skin below which exists the dermis. Dermis is composed of connective tissue and provides elasticity and strength to the skin with the help of collagen, the main structural protein of the connective tissue. Elastin is another protein of the connective tissue that supports many tissues in the body to resume their shape after stretching or contracting. During periods of rapid growth in the body, the skin stretches abruptly which damages the collagen and elastin and ruptures them. When the skin stops expanding (that is, growth stops gradually), the epidermis appears wrinkled and stretched as the collagen beneath it is damaged and not available for support. Causes Puberty, pregnancy, rapid weight gain or increased muscle mass are some examples of rapid growth phases during which these marks begin to appear. Save yourself from excess weight gain during pregnancy by meeting a registered dietitian nutritionist at www.firsteatright.com who can suggest a healthy diet and lifestyle plan to keep you and your fetus healthy. Certain people get affected by stretch marks after using creams containing steroids in them and these marks also make their presence felt in people with Cushing’s disease (excess weight gain is a critical symptom) and Marfan syndrome (a condition that affects connective tissues). Even having a family history of stretch marks puts you at a greater risk. Most stretch marks appear discolored initially or sometimes with a red, purple, pink, reddish-brown or brown tinge depending on your skin color. They might itch and also have a distinct texture that is different from the surrounding skin. These marks start diminishing in course of time but never do they disappear totally in most people. Treatment Stretch marks are not painful but it makes some individuals lose their self-confidence and might even seem disfiguring rarely. Due to these mental effects, there have been numerous research carried out for years together to find a remedy for these marks. But none of them provide 100% results but the different ways provide us interesting clues on reducing these marks as much as possible. There are home remedies as well as clinical treatment procedures available for treating stretch marks. Clinical Treatment Procedures Various studies prove two ingredients to be useful for treatment-hyaluronic acid and tretinoin. Tretinoin is a type of retinoid that helps early stretch marks to fade and this is backed up by strong study results. Dermatologists also make use of the following procedures to make stretch marks less visible, but they do not completely leave them untraceable.
Home Remedies There are multiple home remedies prescribed for stretch marks but there are no valid proofs supporting their success. Some of the common treatments prescribed include: Gels, lotions and creams: Individuals might see effective results when they apply any of these continuously daily for several weeks as soon as they find stretch marks appearing. But, dermatological associations don’t back up these and neither are there supportive proofs stating their success rate. Using a moisturizer on the damp skin soon after bathing can help keep the skin soft and supple. Pregnant women often find the skin on their belly itch prominently and using a moisturizer provides relief to some extent. Applying Oils: Many people suggest massaging cocoa butter, almond oil, olive oil or vitamin E oil to diminish stretch marks. Research proves that none of these products aided in fading stretch marks. But none of these are dangerous too and people might sometimes benefit from using them. Sunscreens: While sunscreen lotions don’t improve stretch marks, they help to improve skin’s health and appearance. Sunlight exposure makes these scars more noticeable and also makes the person more prone to stretch marks as sun exposure can break down collagen. But before trying any of these remedies, pregnant women are advised to speak to their doctor regarding its safety as some of these products might contain ingredients such as retinol that can harm the fetus. Also, while some people advocate tanning as a remedy, in fact it makes the marks even more visible. But there are limited evidences that prove that products containing hyaluronic acid or the herb centella can help to prevent stretch marks. Trying these treatment options is not wrong but don’t remain stubborn and determined to get rid of stretch marks at the risk of your health. Learn to love your natural body! Then, you would start realizing its beauty. Head of the family might be the male, but the deciding authority and several other critical issues are predominantly dependent on the woman of the house. Marriage brings two people from very different backgrounds together forever. Married people are similar in many attributes such that even their footsteps start matching each other in sometime, obesity/weight loss of either of the couple affects the other and now the latest news is that, we can predict a person’s risk of developing type 2 diabetes based on his or her partner’s BMI. If you’re a man married to an obese woman, your risk of developing Type 2 diabetes increases by multi-folds. Fortunately, or unfortunately, the vice versa is not true.
Obesity-linked Study of Married Couples-First-of-its-kind Studies sometime back focused on how spouses share similar body weights and the results were finally dedicated towards following the same kind of eating habits and exercise schedules. This is the first-of-its-kind study analyzing the sex-specific impact of obesity in married couples on the risk of diabetes. Researchers examined data from over 7000 adults (3,649 men and 3,478 women) in UK who were part of the English Longitudinal Study of Aging cohort. This study garners importance due to the mind-boggling fact that more than 422 million adults suffer from diabetes (WHO statistics) out of which 1.5 million deaths occur annually. Couples are often commented that they are made for each other. That’s mainly because we choose partners who share similar interests, thinking and mindset. They even share the same kind of body weight and dietary/exercise habits while living together. While researchers tried to understand whether the risk of type 2 diabetes of an obese woman was mainly due to her own body weight, one thing that surprised them was the different responses given by both the sexes to underlying problems that arise due to body weight. A husband’s BMI did not affect the risk of developing type 2 diabetes for a woman, but a woman’s BMI definitely did affect! A man whose wife had a BMI of 30 kg/m2 had a 21% greater risk of developing diabetes than a man whose wife had a BMI of 25 kg/m2, all these irrespective of the man’s BMI. While researchers have not yet analyzed and concluded what causes such detrimental consequences in a man due to his wife’s obesity, there are few theories suggested. They feel that women decide what every person in the house eats and hence, administer greater powers over their spouse’s dietary habits. Also, women mostly decide what to cook, what to shop and how much of every ingredient/food to buy which makes other family members dependent on her for health and wellness mostly. A Prilimenary-Type 2 Diabetes Diabetes can be controlled, prevented or postponed minimizing the number of years the patient would suffer from the disease. If left unattended to, it can cause multiple complications and damage the heart, kidneys and eyes. As per Danish Diabetes Association, almost 35% individuals experience complications by the time they are diagnosed with diabetes. Early detection of type 2 diabetes suppresses the need of medical treatment and the patient can start with lifestyle changes such as eating healthy food and doing physical activity regularly to increases the potential for successful prevention and treatment. Also, there is more scope for early detection of type 2 diabetes if we change our approach to the disease. Rather than concentrating on the individual, our approach must be to focus on the entire household. Any woman who suffers from high-risk diabetes chances shares the risk probability with her husband too. Also, women tend to visit a physician even when they slightly doubt the presence of diabetes while men rarely go to meet one. Either the wife should take her husband along the next time she visits her doctor or the doctor himself/herself can suggest bringing the patient’s husband along with her to check for the presence of type 2 diabetes. Diabetes is already prevalent worldwide on a large-scale basis due to risk factors such as obesity and family history which increase the risk of the disease. This study provides an additional risk factor for diabetes screening. Husbands of obese women can take their wife’s obesity as a warning sign and get themselves tested for diabetes. Recognizing such risks can improve detecting diabetes at an early stage and also motivate couples to start eating healthy food and perform physical activity daily. Physicians too can recommend couple-based interventions to increase intake of healthy foods that are not energy-dense and encourage doing physical activity regularly. Obese/overweight individuals, people suffering from diabetes problems and those struggling to lose weight can get in touch with reputed dietitian nutritionists at www.firsteatright.com for getting back in shape or becoming healthy Time and again the medical fraternity insist upon the advantages of breastfeeding to the general public but still 3 in 5 babies are not breastfed in the first hour of life. WHO recommends every mom to feed her newborn infant with colostrum, the yellowish, sticky breast milk secreted at the end of pregnancy. This fluid must be fed to the baby within an hour of birth as it is the perfect food for a newborn.
World Breastfeeding Week is celebrated every year from August 1st-7th to emphasize the importance of breastfeeding, encourage more mommies to breastfeed and improve the health of babies worldwide. Despite its celebration since 1992, not many women take up breastfeeding as their duty and perform it whole-heartedly. The theme for 2018 is Breastfeeding: The Foundation for Life. The core objectives of this year’s theme include informing people about the direct advantages of breastfeeding on good nutrition, food security and poverty reduction, anchoring breastfeeding as the foundation of life, engaging with individuals and organizations for large-scale impact and galvanizing actions to promote breastfeeding. WHO recommends exclusive breastfeeding up to a baby’s 6th month after which nutritious complementary foods must be introduces gradually along with breastfeeding for up to 2 years or beyond. Repeatedly, WHO insists on feeding the baby with colostrum which can also be termed as the baby’s ‘first vaccine’ owing to its rich nutrients and antibodies. For a good supply of colostrum, skin-to-skin contact between the mother and the baby should be initiated within an hour of birth. This creates an inseparable bond between the mommy and her baby which along with suckling at the breast stimulates production of breastmilk. What Makes Breastmilk Stand Above the Rest?
Breastfeeding increases energy needs by almost 500 calories per day, increases the need for various nutrients and also makes it essential to eat a varied diet. The numerous hormonal changes that have occurred before, during and after pregnancy can make you eat more due to excess hunger and trying to restrict calorie intake might decrease both your milk supply and your energy needs. It is better to stick with your body fat for the first 3 months after delivery as any inclination to reduce calories or lose weight might decrease your milk supply. Nutrients play a great role in affecting your breast milk quality. The amount of some nutrients consumed via your diet may affect their presence in breast milk while some other nutrients are transferred into breast milk regardless of your intake quantity. It is crucial that you eat a variety of foods rich in different nutrients to nourish your baby. Some foods that you must include while breastfeeding include:
Countries worldwide celebrate important events by assigning a specific day. On the global level, we have several important ones such as the ‘World Health Day’ and ‘World Breastfeeding Day.’ In India, the Indian Orthopedic Association (IOA) celebrates Bone & Joint day on Aug 4th every year since the year 2012. Fitting the occasion is the slogan, ‘Stronger Bones, Stronger India’ which imparts the critical message to people nation-wide that healthy bones are the foundation of a healthy society and hence, a strong nation. Most problems start with bones and joints as we age. First comes the knee problem, then the back problem and so on. Even youngsters, as young as 25- or 26-year-olds are victims to knee and joint problems due to rise in obesity rates (greater the weight, greater the pressure on knees and sooner do the knees give off!) and lack of Vitamin D levels (Sun, the primary source of this vitamin has become the enemy for many! Individuals either cover themselves from head to toe while going out in the sun, turn on the air conditioner at home, work or travel or never step out of their house and order things from A to Z online). Hence, Bone & Joint Day is not a day just for celebrations and advertisements but a great platform to educate and sensitize the society about the dangerous effects of musculoskeletal conditions and promote/provide efficient and cost-effective prevention and treatment solutions. According to the Indian Journal of Orthopedics, despite more than 60 years history of orthopedics in our country, we are not ready-enough to define optimum and current state of bone health nationwide. There are hundreds of bone-and-joint clinics everywhere, almost some person in every household suffers from some kind of an orthopedic problem and people have become less-tolerant towards pain and diseases, yet there are no ideal factors identified for poor bone health and state/national-level strategies taken to improve the bone health of our nation. Apart from pain and agony, impaired bone health affects work and performance capability and stresses the mind reminding us of tremendous musculoskeletal disease burden in the latter years of a youngster’s life due to weak bones. Keeping these things in mind, individuals too should take care and precaution, fulfill nutrient requirements and stay active to safeguard themselves from the clutches of weak bones and pained joints! A Brief Insight into Bones & Joints Pain Bone pain includes extreme tenderness, aching or discomfort in one or more bones and differs from muscles or joint pain in that, it is constantly present irrespective of whether or not you’re moving. Injury, metastatic cancer, bone cancer, infections and leukemia might contribute to bone pain but the No.1 reason due to which innumerable people across India suffer from bone pain is due to mineral deficiency. For strong bones, one requires vitamins and minerals such as calcium and vitamin D in balanced quantities. But, ironically these are two of the most deficient nutrients present in our bodies. Time and again physicians, nutritionists and dietitians have stressed upon including dairy products, leafy greens, beans, lentils, sardines, salmons, almonds and seeds in our diets in balanced proportions to equip our body with calcium. Also, they insist on pursuing weight-bearing exercises such as walking, tennis and dancing to strengthen bone mass and get some vitamin D too. The early-morning sun is good for your body and there is no doubt about it, but the best time to get enough vitamin D levels quickly is around midday when the sun is shining at its peak. But, what we do? Sit comfortably inside our offices, homes or shops and avoid the sunrays! Complete information on calcium and vitamin D including the foods that are great sources of these nutrients are available in the website www.firsteatright.com. A joint is where two or more bones come together, like the knee, hip, elbow or shoulder. Arthritis is a joint problem that affects almost any part of the body, specifically targeting the joints and tendons resulting in pain, stiffness and inflammation. Almost 15% people in our country suffer from arthritis that can leave a person with debilitating side effects and affect the person’s quality of life. Teenage years are when 40-60% of peak bone mass is built. It is the duty of every parent, teacher and the teenager to ensure that these adolescents get enough physical exercise, drink adequate milk, eat plenty of fruits and veggies and eat foods rich in calcium to promote bone formation. Avoid all kinds of soda and cola drinks that tend to contain high quantities of phosphorus that can interfere with the skeleton’s ability to absorb calcium and cause damage. It is only up to the age of 30 that bone mass keeps increasing and in our 30th year the bones reach their maximum strength and density, known as peak bone mass. In women, there is minimum change in bone mass from the age of 30 up to menopause. After menopause, women tend to experience a rapid deterioration in bone mass and every woman must ensure to supplement this loss effectively through food, supplements and exercise. Events & More… The theme for this year’s day is ‘Road Safety’ and the IOA plans to arrange several road safety rallies, distribute pamphlets and posters on road safety to general public, arrange guest lectures in schools, forums and social organizations, free medical camps, free surgeries and basic life support course for paramedics, drivers, students and general public. This theme is the need of the hour as there are more than 5 lakh road injuries that happen in our country and the worst thing is that, most of these accidents are preventable. Out of the 5 lakh citizens injured, almost 1.5 lakh people die, some lose their limbs and some are permanently disabled to different degrees. All these campaigns and activities are organized from August 1st to August 7th to not only create awareness about various orthopedic diseases but also with an intention of being useful to the general public. Women choose either sanitary pads or tampons to address menstruation issues. Drugstores and supermarkets are lined up with a host of personal care and hygiene products nowadays right from wet wipes to gentle washes which are used on a day-to-day basis. Safety and the need for using feminine hygiene products is a rarely-discussed topic and women feel awkward to comment or open up on such ‘personal’ topics publicly.
Simply speaking, all you need to do to maintain hygiene of your vagina is to rinse/wash it. We complicate things fearing foul smell, infections and with the intention of taking extremely rightful steps to protect our intimate parts. We buy them in the hope that these feminine hygiene products will provide cleanliness without harming our skin unlike soaps that are often irritating and caustic. Useful or Harmful? A new study, the first-ever such kind of a study, finds that using these feminine intimate hygiene products isn’t that fanciful! The study was done by researchers in a Canadian University. Almost 95% Canadian women use intimate hygiene products, but they are likely to suffer from some form of infection and these products end up doing more harm than good. Published in the BMC Women’s Health Journal, this study surveyed around 1500 Canadian women regarding their vaginal health practices, use of products and the potential problems faced. Most of these women admitted their use of anti-itch creams, moisturizers, lubricants and wet wipes for feminine care. The results showed connections between specific products to specific infections. Although the research does not define clearly if it is the product causing the infection or if these women used the product to curb/minimize infection, the results are strong enough to suggest that further research and in-depth analysis is required in the case of using these feminine hygiene products. Some startling analysis from the study include:
Our society has branded female genitalia as unclean and women view these vaginal hygiene products as something women need to attain levels of purity and neatness. It is seen as a requirement rather than a luxury. This causes a chain of problems that start occurring once the female starts using such products. Sanitary Pads & Tampons A woman uses more than 12,000 tampons or sanitary pads through her active years of menstruation. Safety of these products have been questioned by many people, but no proper results and research exist that either support or deny their use. This might be primarily because menstruation and female personal hygiene have been set aside as a taboo subject for a long time. Various women organizations in America have found the presence of chemicals such as dioxins, carcinogens and reproductive toxins in tampons and pads although the FDA and product manufactures vouch for the safety of these products. There are research results that show that vaginal douching can increase women’s exposure to phthalates and chemicals that are related to various health problems (including developmental and behavioral issues in children who are exposed to these products in the womb). Two studies that specifically focused on the safety of tampons found that women are exposed to much higher levels of dioxins through use of tampons than what they eat and drink. Some researchers feel that it is better to use pads compared to tampons, at least they are not inserted inside. Least, go for tampons made of 100% organic cotton which are better for the individual and the planet. While sanitary pads and tampons have become almost mandatory for every menstruating female, the use of other female hygiene products at least can be avoided. Maintain vaginal hygiene simply by washing it. It’s the only one needed! Vasectomy is a surgical procedure carried out on the man to prevent pregnancy as the tubes that carry sperms are permanently cut or sealed during the surgery. The procedure is done under local anesthesia and is 99% successful in preventing pregnancy while leaving your sexual function fully intact. Being such a simple, effective and an almost painless procedure with such a great advantage, the debate still exists whether this procedure would force individuals to become a bait to prostate cancer, the most common cancer in the male population. That’s because, there are several research papers that support or deny this clause and the results remain arbitrary.
It was initially during the 1980s that reports began to crop up and news spread linking the potential risk of prostate cancer due to vasectomy. Men hesitated to take up vasectomy, but the results were proved otherwise and normalcy returned. In 2015, yet another large study that worked upon the vasectomy-prostate cancer link showed a slightly higher risk of high-grade prostate cancer in men who had a vasectomy compared to men who didn’t. The latest study bares another dimension that shows no increased risk of prostate cancer or death due to the same in men who had undergone vasectomy. The Grandeur Study Researchers analyzed 53 studies that covered 15 million men who underwent vasectomy and followed up with them for 24 years. The team also controlled for the potential bias that men who had a vasectomy were more inclined to take care of their health by segregating the studies into three categories based on their risk of bias-high, medium or low. Matching their belief, researchers found that evidences linking vasectomy with prostate cancer was strongest in the more biased studies while the link chances were negligible in the low-bias study. There was no evidence showing any link between vasectomy and prostate cancer. From the studies, the research team followed up around 50000 men who were aged between 40 and 75 years at the start of the study in 1986. They were followed up for 24 years during which a quarter of them (around 12000) had vasectomies. During the follow-up period, 6023 were diagnosed with prostate cancer amongst which almost 800 of them died from the disease. The researchers looked out for a comparison between men who were at a risk of cancer due to vasectomy and those men who were at a risk of cancer without vasectomy. Results showed that 12.4% of those who had a vasectomy developed prostate cancer compared to 12.1% of them who did not undergo the surgical procedure. Study results showed that overall, vasectomy was associated with a 10% increased risk of prostate cancer, 22% increased risk of high-grade cancer, 20% increased risk of advanced prostate cancer and 19% increased risk of prostate cancer with distant metastasis (cancer spreads to other body parts). This added only .3% absolute difference in cancer rates and given the huge nature of the study group, this difference is negligible. The decision to opt for or opt out of vasectomy is highly personal and one must consider the pros and cons before deciding to go for it. You can always use a condom as these are 98% effective when used correctly and can also protect you against sexually transmitted infections (STIs). Read more on STIs and their effect on human body at www.firsteatright.com. Vasectomy reversal is expensive and not always successful if in case you change your mind about having children. This is one huge study that is considerable solely based on its study size. The small potential risk of prostate cancer should not be disturbing and prevent one from having a vasectomy if the procedure is valued for its effective birth control method. Every man has a small chunk of feminine traits and every woman has her share of male qualities within her that make themselves visible every now and then. Men and women are designed differently, each of them possesses a distinct physical anatomy and characteristics which make them special people on this Earth. What exactly defines masculine or feminine qualities and why do some people act more like the opposite sex? Sex Hormones Sex hormones are chemical substances produced by the sex glands and involved in the regulation of sexual functions and secondary sexual characteristics. Testosterone is a male sex hormone that is involved in the development of male sex organs and secondary sexual characteristics (voice deepening, facial and body hair, penis growth) and estrogen is a female sex hormone involved in bringing about secondary sexual characteristics during puberty such as breast enlargement, menstruation and body shape changes. Men and women have both, testosterone and estrogen in their body. The only difference is that the proportion varies-men have testosterone mostly with a little amount of estrogen whereas women have estrogen mostly with minimum testosterone. This blend of sex hormones in every human attributes for the opposite-sex characteristics peeping out of us every now and then! Any changes or imbalance of these hormones in an individual can lead to differences in their body structure and functioning too. For instance, too much of testosterone production in a female can lead to increased facial and body hair or too much estrogen in men can lead to breast enlargement that usually seen in a typical male. Estrogen Estrogen are female sex hormones that promote the development and maintenance of female characteristics and play an important role in sexual and reproductive development. They are chemical messengers that instruct specific tissues to behave in a certain way. Estrogen is mainly produced in the ovaries and hold responsibility for structural differences that differentiate women from men, such as wider pelvis, smaller voice box that makes a woman’s voice shriller than males, brings about curves and contours to the body and makes body hair finer and makes the hair on a woman’s head more permanent (Sad! That’s the reason maybe we see more bald men than women). Estrogen does not hold a monopoly of the sex hormones in a woman but is a general term used to refer all other hormones that are chemically similar such as estrone, estradiol and estriol. Estrone is the main hormone found in post-menopausal women and present in most tissues of the body, mainly fat and muscles. The body can convert estrone into estradiol and estradiol into estrone. Estradiol is the primary sex hormone present in women of reproductive age and childbearing women. Produced by the ovaries, it plays a vital role in a woman’s bone health and also contributes to many gynecologic problems such as endometriosis, fibroids and women-specific cancers such as endometrial cancer. Estriol is produced from the placenta during pregnancy and is kind of a waste product that is made after the body uses estradiol. Puberty At the onset of puberty, estrogen levels rise and play a dominant role in regulating body growth. It helps in the development of female secondary sex characteristics such as breasts, wider hips, pubic hair and armpit hair. During puberty, ovaries release estrogen according to every monthly menstrual cycle and these levels rise halfway through the cycle initiating the release of an egg. When the egg is not fertilized, estrogen levels drop and menstruation starts. If the egg is fertilized, estrogen works along another hormone called progesterone (this helps to maintain pregnancies and implant an egg inside the uterus). Pregnancy Estrogen level rise during pregnancy and placenta produces high levels of estriol. Changes after childbirth such as lactation and other changes to the breast (during and after pregnancy) are also controlled and monitored by estrogen. During childbirth, estrogen stimulates muscles in the uterus to develop and contract. Contractions lead to delivery of the baby. Menopause Estrogen levels start falling after menopause and this is a natural process in every woman between the ages of 40 and 55. Actually, estrogen levels start falling during perimenopause, the transition stage before menopause. During this stage the woman experiences numerable symptoms such as weight gain, irregular menstruation, vaginal dryness, night sweats, decreased sex drive and hot flushes due to drop in estrogen and progesterone levels. Overcome menopause changes with the help of tips from the website www.firsteatright.com. As the estrogen level drops, rebuilding bones slows down and postmenopausal women break down more bones than they build. This might be the reason why women, especially postmenopausal women, suffer from greater risk of osteoporosis compared to men. There are many other changes that the hormone is responsible for in our human body. Estrogen helps to stimulate the growth of an egg follicle, promotes the growth of a thick muscular wall in the fallopian tubes, helps the vagina to grow to its adult size and maintain lubrication, plays a major role in maintaining the mucous membrane that lines the uterus and has a special rapport with other hormones in the breast (this enables growth of breast during puberty, pigmentation of the nipple and stopping milk flow once the infants stops feeding). Fluctuating Estrogen Levels There are many situations during which estrogen levels fall including hypogonadism, PCOS, hypopituitarism, pregnancy failure, anorexia nervosa, extreme physical activity or training, menopause, breast-feeding and using certain medications. Some other situations such as puberty, overweight, healthy pregnancy, high BP, diabetes, tumors of ovaries or adrenal glands and certain medications can increase estrogen levels. Uses Estrogen finds its major use in birth control pills and hormone replacement therapy (HRT). Estrogen in the birth control pill prevents ovulation and avoids pregnancy. Some doctors prescribe these pills to regulate periods, ease cramps and severe bleeding and decrease perimenopausal symptoms. Consuming these pills have their own side effects including irregular bleeding, heart attack, breast tenderness and swelling, nausea, vomiting, stroke, blood clots and weight changes. Using them for a long time increases the risk of breast cancer. HRT can relieve menopause symptoms to a certain extent. Estrogen HRT is used predominantly by transgender women to achieve breast growth, prevent body hair and undergo other changes required for changing from a male to female. Side Effects When the body does not have normal estrogen levels, one can experience mood swings, low sexual drive, depression, fatigue, dry skin, weight gain, hot flashes, night sweats, light/heavy bleeding during menstruation or dry skin. Estrogen can also elevate the risk of many cancers, especially breast cancer, and health risks too. It is vital that one consults a doctor before taking estrogen supplements. Are you the type of person who avoids handshakes during meetings, dreads a sleepover party with friends during summer or hesitates to show off your pedicured legs wearing flip-flops due to sweating? That’s common and there’s nothing to worry about much. Sweating is one way of cooling the body and prevent it from overheating. People generally sweat on a hot day or while exercising or even when they are nervous sometimes. The same reaction when it happens when your body does not need to cool down can cause excessive sweating. Excessive sweating can happen without any reason, as a side effect of medication or because of another condition that you might have. Medically termed as hyperhidrosis, this is a condition where the body sweats when there is no need of cooling down. This is not a dangerous or life-threatening condition but can cause embarrassment, discomfort and affect the individual psychologically. Hyperhidrosis Excessive sweating generally happens in the hands, feet, armpits and groin due to excessive sweat glands present. When these glands are localized it is called focal hyperhidrosis (such as sweating on the palms and soles) and excessive sweating that happens throughout the body is called as generalized hyperhidrosis. The condition might be present since birth or develop later in life. The most common time during which hyperhidrosis starts to happen is adolescence. While the condition is treatable, many individuals fail to seek solutions out of embarrassment or due to the lack of knowledge about effective treatments. Symptoms Bouts of excessive sweating occur at least once a week accompanied by symptoms such as:
Causes While causes of primary hyperhidrosis was believed to be anxiety, stress or nervousness until now, recent research proves that it is the other way round-excessive sweating can cause mental and emotional trauma, anxiety and stress in these individuals. Some studies do indicate the presence of a gene that might be responsible for the condition making it likelier to be inherited. Also, most of the patients with primary hyperhidrosis have a sibling or parent with the condition. Certain nerves in the body trigger sweating and it is possible that when these nerves overreact, it causes excessive sweating. Causes of secondary hyperhidrosis are clearly defined and include spinal cord injury, gout, anxiety, diabetes, heart disease, obesity, pregnancy, respiratory failure, shingles, hyperthyroidism, infections such as HIV, malaria and TB, substance abuse and certain medications. Get a detailed explanation of each of these conditions and analyze their effect on your body from the website www.firsteatright.com. Irrespective of whether you live in a hot or cold climate, you can be prone to hyperhidrosis. Treatment Before starting the patient on any treatment, it is necessary to diagnose the problem accurately. The physician initially does a physical examination of the areas that sweat profusely and asks specific questions that helps the doctor understand why the patient is having the condition. Sometimes, the physician physically checks the patient by coating their skin with a powder that changes color (purple) when the person starts sweating. Treatment depends on the type of hyperhidrosis and the part of the body that sweats excessively. The physician might recommend that the patient meets a dermatologist for getting treated. The dermatologist suggests medications to reduce sweat. Botox treatment might also be suggested which reduces sweating for at least 4-6 months and this can be repeated. When none of the treatments work, the surgeon might suggest surgery as the final remedy. The sweat glands are permanently removed or stop the nerve signals from sending message to the sweat glands to secrete sweat (sympathectomy). Any surgery carries a certain dose of risk and side effects. Meeting a dermatologist can help you seek effective treatments and control excess sweating which improve quality of life. Certain modifications in lifestyle may improve symptoms:
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Dr. Nafeesa Imteyaz of First Eat Right clinic, is the Best Dietitian Nutritionist in Bangalore. Best Dietitian Nutritionist in Pune. Best Dietitian Nutritionist in Hyderabad. Best Dietitian Nutritionist in Chennai. Best Dietitian Nutritionist in Mumbai. Best Dietitian Nutritionist in Delhi. Best Dietitian Nutritionist in Kolkata.