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Thursday, February 28, 2019

“20 Things You Should Know About Grapefruit”



Grapefruit nutrition: Grapefruit can seem like an acquired taste. Their bulbous size; bitter pith (the white stuff that surrounds the fruit); and tart taste can be off-putting to those who are more accustomed to their sweeter citrus cousins, like the orange. But consider adding this superfood to your regular rotation of healthy foods. It's among the 20 best foods to eat for breakfast. And you don't have to limit your intake to the early morning hours: Grapefruit are supremely portable and make a great snack (with very few calories) that fills you up while also relieving thirst due to its high water content. But be a smart snacker: Grapefruit can inhibit an enzyme in the intestines called CYP3A4, (although some other fruits may do the same, grapefruit is the most documented) which plays a key role in breaking down certain medications in the body. The fruit, particularly the juice, has been shown to result in extra-high, even potentially dangerous levels of certain drugs in the body when consumed at the same time. 

Grapefruit has more water than almost any other fruit: Grapefruit is 92% water, giving it one of the highest water contents of any fruit. That makes it good for overall health. (It's one of our 15 foods that help you stay hydrated.) "All of our body systems and process . . . require water," says Wesley Delbridge, RD, located in Phoenix, Arizona. "Proper hydration makes your body more efficient in everything you're doing." About 20% of your daily fluid intake actually comes from food. So add some grapefruit to get closer to your daily H2O goal and choose the heavier of two fruits of equal size: It has more juice.  

Grapefruit may speed weight loss: Several studies have shown that people who eat half a fresh grapefruit or drink grapefruit juice before each meal lose more weight than people who do not. Not all studies have shown the same weight-loss benefit and scientists don't know if the effect seen in the studies was specifically due to grapefruit—or filling up on a low-calorie food in general—but fruits and vegetables should always be part of your strategy to lose or maintain weight. What is 100% ironclad fact: Grapefruit delivers a lot of nutrition and water for very few calories. It's one of our 30 foods under 40 calories (39 calories in one half!) and 30 summer snacks under 100 calories (yes, we're fans). So, it's a great choice if you want to boost your intake of high nutrient, low calorie foods. 

Grapefruit pith is good for you: When you peel away the outer layer of a grapefruit, you may be tempted to pick off the white flesh that is between you and the juicy fruit, and throw it away. This stuff is called pith. Don't do it. "That [pith] is very rich in antioxidants and nutrients and also soluble fiber which is going to help you feel fuller and impact your glucose reactions," says Delbridge. While the pith of grapefruit can have more of a bitter taste than say, oranges, it's worth eating along with the fruit (if you can). Fiber is a good thing, and can help lower blood sugar, cholesterol, and possibly even colon cancer risk. 

Grapefruit can help lower "bad" cholesterol: A grapefruit a day may help lower ‘bad’ LDL cholesterol levels by as much as 15.5%, according to a 2006 study in the Journal of Agricultural and Food Chemistry. In the study, researchers looked at 57 patients ages 39 to 72 who had high cholesterol and had undergone bypass surgery for heart trouble. For one month, some ate a grapefruit daily (either red or white) while others, the control group, did not. Grapefruit eaters, particularly those eating red, had a drop in bad cholesterol, while the control group did not. This is great news for your heart. LDL cholesterol is a type of fat that can build up in your arteries and raise the risk for heart attack and stroke. But if you are taking a cholesterol-lowering drug, don't add a grapefruit for extra effect—the FDA issued a warning in 2012 about interactions with such medications.

Grapefruit may help pump up your immune system: That's because of the hefty dose of vitamins A and C in each serving. "Vitamin C and A are huge as far as immune boosting," says Delbridge. Some research indicates that not having enough vitamin C (and other micronutrients) may actually hurt your immune system, especially if you're elderly. Grapefruit may not prevent a cold but the vitamins inside may reduce your suffering or possibly the duration of a cold. "There's nothing else you can do for a cold so why not?" says Ann Marie Chiasson, MD, assistant director of the Fellowship in Integrative Medicine at the University of Arizona College of Medicine in Tucson.   

Grapefruit can lower triglyceride levels: There's another reason grapefruit can be good for your heart: It reduces levels of triglycerides. Triglycerides are another type of fat—like "bad" LDL cholesterol—which can quickly clog up your arteries. The same study that found that adding one grapefruit a day lowered cholesterol levels also found that this simple daily regimen lowered triglycerides—by as much as 27%. This was in patients who already had coronary artery disease and so were at high risk for heart attacks and other complications. Red grapefruit, in particular, surpassed its "blond" cousins in lowering triglycerides.

Grapefruit can lower blood pressure: "Grapefruit has got some data that it decreases systolic blood pressure, not by a lot—it's usually about five points—but there's definitely good data," says Chiasson. For the 70 million Americans who have hypertension, any drop in blood pressure is a good drop. The effect on blood pressure may be due to grapefruit's high potassium levels. Potassium neutralizes the negative effects of sodium. But again, don't eat grapefruit if you are already taking a blood-pressure lowering drug. Certain ones, such as Procardia and Adalat CC (both are from the generic nifedipine), can be dangerous when combined with grapefruit, according to the FDA. 

The color of the grapefruit matters: All the grapefruit colors are packed with goodness, vitamins, and nutrients but the red and pink ones come with a little extra. "They have a higher antioxidant level, specifically beta carotene," says Delbridge. "They also have lycopene, another antioxidant." Lycopene is one of a group of carotenoids or pigments that gives hued grapefruit (and other fruits and vegetables) their color. Eating diets rich in carotenoids may lower the risk of heart disease and some cancers. Antioxidants in general may play a key role in preventing cancer. 

Grapefruit doesn't mix with allergy medications: Grapefruits contain natural chemicals called furanocoumarin, which affect how your liver metabolizes certain drugs. The presence of these compounds means that if you consume grapefruit and certain allergy medications, such as Claritin (loratadine) or Allegra (fexofenadine), you could end up with higher-than-recommended levels of the drugs in your blood stream. "That can mean poisoning," says Ally Dering-Anderson, Pharm.D., clinical assistant professor of pharmacy at the University of Nebraska College of Pharmacy in Omaha. Avoid grapefruit or its juice when taking these meds, or talk to your pharmacist about possible substitutes. Benadryl may be one, although it can make you sleepy.

Grapefruit may help control blood sugar: Grapefruit also has a low glycemic index (GI), around 25, which means it doesn't raise blood sugar as quickly or as much as high-GI foods like white bagel (72) or even a banana (48) or watermelon (72).  (The highest GI score is 100.)  A 2006 study published in the Journal of Medicinal Food, found that people who ate grapefruit (juice or half a fruit) before a meal had a lower spike in insulin two hours later than those taking a placebo, and fresh grapefruit was associated with less insulin resistance.  All 91 patients in the 12-week study were obese, but they did not necessarily have type 2 diabetes. While the results are promising in those without diabetes, blood-sugar reactions to food can vary widely, so if you have been diagnosed with type 2 diabetes, test your blood sugar after eating grapefruit to make sure it can be part of your healthy eating plan.

Grapefruit juice is nice, but the fruit is better: Grapefruit juice has plenty of benefits, but the traditional fruit itself is going to give you more bang for your buck when it comes to nutrition and health benefits. "When you take juice, you're getting some of the nutrients but you're losing all the fiber," says Delbridge. "Grapefruit juice is great but at the end of the day, the entire fruit has pectin and rind and all the parts of it." Grapefruit juice can also spike your blood sugar more than the fruit itself. If you opt for juice of any kind, Delbridge recommends not drinking more than 6 ounces a day and going only for 100% juice products that don't have added sugar.

Grapefruit may speed wound healing: Vitamin C helps form healthy scar tissue and new blood vessels, both of which help return your body to a healthy state. A grapefruit contains about 72 mg of vitamin C, which is 120% of the daily value. "Vitamin C speeds up wound healing post surgically," says Chiasson. "I tell people to take 500 milligrams of vitamin C before they go into surgery." Always ask your doctor before adding vitamins, minerals, or any herbal supplements to your daily regimen, especially if you're about to have surgery.  In this case, that goes for grapefruit too, given its ability to affect the metabolism of certain drugs.

Grapefruit may even help prevent cancer: A large study conducted in Japan found that people who ate citrus (including grapefruit) throughout the week had a lower risk of developing cancer, especially prostate and pancreatic, compared with the total group of participants. The effect was amplified among those who also drank a lot of green tea. The authors speculate that compounds in citrus fruits reduce inflammation and stop cancer cells from multiplying. They may also help repair damaged DNA, which contributes to the development of tumors. The fiber in grapefruit may also help prevent colorectal cancer while fruits high in vitamin C and beta-carotene, which is in pink and red grapefruit, may lower the risk of esophageal cancer. 

Grapefruit are best at room temperature: Grapefruit can be stored in your fridge for as long as three weeks but they release their best flavor when kept at room temperature. If you plan to eat them within a week, leave them on a counter or table. There's an added advantage to keeping them in plain view. "The increased visibility helps you remind yourself that you need to eat them," says Delbridge. "Studies show that when you put fruits and vegetables out in a bowl or common area of the house, you will eat more." If you don't think you will eat the grapefruit for 2 or 3 weeks, tuck them in the fridge but make sure they're at room temperature before you actually dig in. This will give you maximum flavor.

Grapefruit may be dangerous if you are taking an erectile dysfunction drug: Grapefruit also interacts with erectile dysfunction drugs. All of them. Such drugs include Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil). These drugs, known as the phosphodiesterase inhibitors, already feature a warning about possible prolonged erections, a painful, serious, and potentially damaging side effect known as priapism. Grapefruit could make that worse and it could also cause headaches, flushing, and low blood pressure. One whole grapefruit or a 6- to 7-ounce glass of juice is enough for drug toxicity, according to a 2013 study. "With grapefruit, you increase the chance of having an emergency visit," says Dering-Anderson. "My advice is, don't take grapefruit." 

You can make grapefruit your main course: Grapefruit is most often associated with breakfast, but don't let that limit your imagination. Grapefruit is also super in salads and with fish or chicken. In fact, it's best when paired with protein and a little fat, like a handful of walnuts. "If it's paired with proteins and fats, it will delay your gastric emptying so you'll feel full longer," says Delbridge. The fiber, too, keeps you feeling fuller longer. 

Grapefruit doesn't mix with some anti-anxiety, heart, and HIV drugs: There's more to add to the list of possible drug interactions. Grapefruit also causes cholesterol-lowering statin drugs to build up in your blood stream. Common statin drugs are Lipitor (atorvastatin) and Zocor (simvastatin). Other dangerous grapefruit combinations you should be aware of: the painkilling, narcotic-based, fentanyl patch, and HIV/AIDS drugs (such as Invirase). And the anti-anxiety drug Xanax (alprazolam) is a big one. "Alprazolam is one that just jumps off the page," says Dering-Anderson. Ask your pharmacist if there's a problem and if there's a safe alternative if you would like to be able to consume grapefruit. 

Grapefruit can aggravate canker sores: If you have a canker sore or cold sore—or if you've had recent dental work—the acid in grapefruit or grapefruit juice can boost your pain level. "Grapefruit is really acidic and it really does burn," says Dering-Anderson. Citrus fruit can be one of the worst foods for your teeth, and can erode tooth enamel over time. But reducing the risk to your oral health could be as simple as rinsing the mouth with water, then brush and floss as you normally do. Good dental hygiene such as brushing your teeth after meals and flossing once a day may also help prevent mouth sores.

Grapefruit may have more vitamin A than an orange: One-half of one grapefruit contains 28% of your daily value of vitamin A (based on a 2000-calorie daily intake), or far more than the 4% in oranges, says Delbridge. This first vitamin in the alphabet is good for your eyes, not to mention your heart, lungs, kidneys and other organs. What's more, you also get 64% of your vitamin C, 8% of your fiber, a bit of calcium (3%) and iron (1%), and you start to understand why it's called a superfood. (For more comparisons, read "12 Foods That Have More Vitamin C Than an Orange.") Why eat a half a grapefruit when you can eat a whole one?

Grapefruit can be a pick-me-up: Citrus scents are becoming more popular in aromatherapy for a reason. "Citrus is really amazing for increased energy and vitality," says Chiasson. "It will wake people up." Not all aromatherapy is inhaled. You can also rub an essential oil on your skin, which allows you to feel it and inhale it at the same time. Grapefruit aromatherapy may even act as a natural skin toner, says Chiasson.


Reviewed by: Amanda Gardner, Health Magazine, February 1, 2019

Much Love, Dr.Shermaine #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit #IWantYou2LiveWell

The Goal is to Always Make You Aware of What Concerns Your Body, Soul and Spirit, So You Can Have Open, Honest and Frequent Discussions With Your Physicians and Counselors. You Can’t Treat or Cure What You Don’t Know is Sick.

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

The contents of the Health Magazine and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the Health Magazine and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the Health Magazine and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. Health Magazine and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by Health Magazine, Health Magazine employees, others appearing on the Site at the invitation of Health Magazine, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk.

Friday, February 22, 2019

“Top Cancer-Fighting Foods”




Fighting Cancer by the Plateful: No single food can prevent cancer, but the right combination of foods may help make a difference. At mealtimes, strike a balance of at least two-thirds plant-based foods and no more than one-third animal protein. This "New American Plate" is an important cancer fighting tool, according to the American Institute for Cancer Research. Check out better and worse choices for your plate.

 

Fighting Cancer with Color: Fruits and vegetables are rich in cancer-fighting nutrients -- and the more color, the more nutrients they contain. These foods can help lower your risk in a second way, too, when they help you reach and maintain a healthy body weight. Carrying extra pounds increases the risk for multiple cancers, including colon, esophagus, and kidney cancers. Eat a variety of vegetables, especially dark green, red, and orange vegetables.

 

The Cancer-Fighting Breakfast: Naturally occurring folate is an important B vitamin that may help protect against cancers of the colon, rectum, and breast.  You can find it in abundance on the breakfast table. Fortified breakfast cereals and whole wheat products are good sources of folate. So are orange juice, melons, and strawberries.

 

More Folate-Rich Foods: Other good sources of folate are asparagus and eggs. You can also find it in beans, sunflower seeds, and leafy green vegetables like spinach or romaine lettuce. The best way to get folate is not from a pill, but by eating enough fruits, vegetables, and enriched grain products. Women who are pregnant or may become pregnant should take a supplement to make sure they get enough folic acid to help prevent certain birth defects.

 

Pass Up the Deli Counter: An occasional Reuben sandwich or hot dog at the ballpark isn't going to hurt you. But cutting back on processed meats like bologna, ham, and hot dogs will help lower your risk of colorectal and stomach cancers. Also, eating meats that have been preserved by smoking or with salt raises your exposure to chemicals that can potentially cause cancer.

 

Cancer-Fighting Tomatoes: Whether it's the lycopene -- the pigment that gives tomatoes their red color -- or something else isn't clear. But some studies have linked eating tomatoes to reduced risk of several types of cancer, including prostate cancer. Studies also suggest that processed tomato products such as juice, sauce, or paste increase the cancer-fighting potential.

 

Tea's Anticancer Potential: Even though the evidence is still spotty, tea, especially green tea, may be a strong cancer fighter. In laboratory studies, green tea has slowed or prevented the development of cancer in colon, liver, breast, and prostate cells. It also had a similar effect in lung tissue and skin. And in some longer-term studies, tea was associated with lower risks for bladder, stomach, and pancreatic cancers. But more research in humans is needed before tea can be recommended as a cancer fighter.

 

Grapes and Cancer: Grapes and grape juice, especially purple and red grapes, contain resveratrol. Resveratrol has strong antioxidant and anti-inflammatory properties. In laboratory studies, it has prevented the kind of damage that can trigger the cancer process in cells. There is not enough evidence to say that eating grapes or drinking grape juice or wine (or taking supplements) can prevent or treat cancer.

 

Limit Alcohol to Lower Cancer Risk: Cancers of the mouth, throat, larynx, esophagus, liver, and breast are all linked with drinking alcohol. Alcohol may also raise the risk for cancer of the colon and rectum. The American Cancer Society recommends limiting alcohol to no more than two drinks per day for men and one for women. Women at higher risk for breast cancer may want to talk with a doctor about what amount of alcohol, if any, is safe based on their personal risk factors.

 

Water and Other Fluids Can Protect: Water not only quenches your thirst, but it may protect you against bladder cancer. The lower risk comes from water diluting concentrations of potential cancer-causing agents in the bladder. Also, drinking more fluids causes you to urinate more frequently. That lessens the amount of time those agents stay in contact with the bladder lining.

 

The Mighty Bean: Beans are so good for you, it's no surprise they may help fight cancer, too. They contain several potent phytochemicals that may protect the body's cells against damage that can lead to cancer. In the lab these substances slowed tumor growth and prevented tumors from releasing substances that damage nearby cells.

 

The Cabbage Family vs. Cancer: Cruciferous vegetables include broccoli, cauliflower, cabbage, Brussels sprouts, bok choy, and kale. These members of the cabbage family make an excellent stir fry and can really liven up a salad. But most importantly, components in these vegetables may help your body defend against cancers such as colon, breast, lung, and cervix. Lab research has been promising, but human studies have had mixed results.

 

Dark Green Leafy Vegetables: Dark green leafy vegetables such as mustard greens, lettuce, kale, chicory, spinach, and chard have an abundance of fiber, folate, and carotenoids. These nutrients may help protect against cancer of the mouth, larynx, pancreas, lung, skin, and stomach.

 

Protection from an Exotic Spice: Curcumin is the main ingredient in the Indian spice turmeric and a potential cancer fighter. Lab studies show it can suppress the transformation, proliferation, and invasion of cancerous cells for a wide array of cancers. Research in humans is ongoing.

 

Cooking Methods Matter: How you cook meat can make a difference in how big a cancer risk it poses. Frying, grilling, and broiling meats at very high temperatures causes chemicals to form that may increase cancer risk. Other cooking methods such as stewing, braising, or steaming appear to produce fewer of those chemicals. And when you do stew the meat, remember to add plenty of healthy, protective vegetables.

 

A Berry Medley with a Punch: Strawberries and raspberries have a phytochemical called ellagic acid. This powerful antioxidant may actually fight cancer in several ways at once, including deactivating certain cancer-causing substances and slowing the growth of cancer cells. There is not, though, enough proof yet to say it can fight cancer in humans.

 

Blueberries for Health: The potent antioxidants in blueberries may have wide value in supporting our health, starting with cancer. Antioxidants fight cancer by ridding the body of free radicals before they can do their damage to cells. But more research is needed. Try topping oatmeal, cold cereal, yogurt, even salad with blueberries to boost your intake of these healthful berries.

 

Pass on the Sugar: Sugar may not cause cancer directly. But it may displace other nutrient-rich foods that help protect against cancer. And it increases calorie counts, which contributes to overweight and obesity. Excess weight is also a cancer risk. Fruit offers a sweet alternative in a vitamin-rich package.

 

Don't Rely on Supplements: Vitamins may help protect against cancer. But that's when you get them naturally from food. Both the American Cancer Society and the American Institute for Cancer Research emphasize that getting cancer-fighting nutrients from foods like nuts, fruits, and green leafy vegetables is vastly superior to getting them from supplements. Eating a healthy diet is best.

Reviewed by: Melinda Ratini, DO, MS on February 7, 2018

Sources:

American Cancer Society
American Institute for Cancer Research
Medical News Today
Michaud, D. The New England Journal of Medicine, May 6, 1999.
The Ohio State University Extension Service


Much Love, Dr.Shermaine #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit #IWantYou2LiveWell

The Goal is to Always Make You Aware of What Concerns Your Body, Soul and Spirit, So You Can Have Open, Honest and Frequent Discussions With Your Physicians and Counselors. You Can’t Treat or Cure What You Don’t Know is Sick.

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

The contents of the WebMD and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the WebMD and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the WebMD and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. WebMD and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by WebMD, WebMD employees, others appearing on the Site at the invitation of WebMD, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk. 

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