Naila Karim’s Post

I will talk about the importance of protein intake and pulsing your protein intake for eternity. Protein intake is fundamental to high-performance living both now, and as you age. It is critical for your longevity. Here is another reason why this should be a focus for EVERYONE.

Have been teaching patients and coaching clients for 20+ years that protein adequacy is a crucial part of not just muscle, but bone health. Adding to Prof. Stuart Phillips excellent piece and list of items, in addition to calcium and Vitamin D, maintaining a low renal acid load dietary pattern by having healthy intake of whole fruits and vegetables and moderating grains (adds to acid load), as well as care to avoid excess sodium🧂by on average keeping <2000 mg/day. If using Euro labels, which instead of labeling sodium label the full “salt” molecule (ie sodium chloride - which is 40% sodium) on their labels, < 6.0 g/d. Excess salt not only increases bone loss, but also kidney stone formation. And excess is the rule, not the exception. Why? It’s due to ~80% of US sodium intake coming from that added to foods in refinement processing, with refined grains - breads, rolls, pizza dough, crackers, cereals - being #1 source of added sodium in US. Tongue partially in cheek - I’ll remind patients and health coaching clients - “if you want your bones to magically disappear and then reappear in your kidneys, eat a lot of salt”. I respectfully prefer to recommend at least 1000-2000 IU D3 daily as I’ve seen too many in the north miss getting above the minimum 25 hydroxyvitamin D blood level for bone threshold of 20ng/mL (50 nmol/L) without quadruple IU levels of D3 supplementation. Also applies to people who cover with SPF agressively or devout Muslim women who cover most skin most of the time while outdoors. And cannot forget that bone - like muscle - is a “use it or lose it” tissue. Another reason to value the benefits of resistance exercise. Regarding protein sources - plant and animal based - see our Reality Meets Science® #Flex5 food pyramid in the comments section.

𝗙𝗮𝗰𝗶𝗮𝗹 𝗦𝗶𝗴𝗻𝘀 𝗼𝗳 𝗗𝗶𝘀𝗲𝗮𝘀𝗲 & 𝗡𝘂𝘁𝗿𝗶𝗲𝗻𝘁 𝗗𝗲𝗳𝗶𝗰𝗶𝗲𝗻𝗰𝗶𝗲𝘀 As nutritionists and dietitians, recognizing facial changes associated with various diseases can provide crucial insights into potential nutrient imbalances. Let's explore some of these conditions, focusing on the nutrient deficiencies linked to each one... 1️⃣ Mitral Facies (Mitral Stenosis) ↳ Possible Deficiencies: Iron, due to poor oxygenation and the chronic nature of the condition. 2️⃣ Acromegalic Facies (Acromegaly) ↳ Possible Deficiencies: Vitamin D and calcium, as excess growth hormone can affect bone metabolism. 3️⃣ Amiodarone Facies (Amiodarone Use) ↳ Possible Deficiencies: Selenium and iodine, because this medication may impact thyroid function. 4️⃣ Myasthenia Gravis ↳ Possible Deficiencies: Vitamin D and B12, often associated with autoimmune diseases. 5️⃣ Hippocratic Facies (Peritonitis/Terminal Illness) ↳ Possible Deficiencies: Protein, calories, and general malnutrition due to chronic illness and weight loss. 6️⃣ Moon Face (Cushing's Syndrome) ↳ Possible Deficiencies: Vitamin D and calcium, related to long-term steroid use leading to bone loss. 7️⃣ Risus Sardonicus (Tetanus/Wilson’s Disease) ↳ Possible Deficiencies: Copper in Wilson's Disease, where copper accumulates due to improper metabolism. 8️⃣ Masked Facies (Parkinson's Disease) ↳ Possible Deficiencies: Antioxidants like vitamin E and coenzyme Q10, and Vitamin D for neuroprotection. 9️⃣ Mauskopf Facies (Systemic Sclerosis) ↳ Possible Deficiencies: Iron and calcium, related to tissue fibrosis and impaired digestion. 🔟 Hyperthyroidism (Graves' Disease) ↳ Possible Deficiencies: Magnesium and calcium, as hyperthyroidism increases mineral turnover. 1️⃣1️⃣ Hypothyroidism ↳ Possible Deficiencies: Iodine, selenium, and zinc, important for thyroid hormone production. 1️⃣2️⃣ Leonine Facies (Leprosy or Amyloidosis) ↳ Possible Deficiencies: Vitamin A, zinc, and other antioxidants to support immune function. 1️⃣3️⃣ Myotonic Dystrophy ↳ Possible Deficiencies: Magnesium and calcium, linked to muscle weakness and wasting. 1️⃣4️⃣ Facial Plethora (Polycythemia Vera) ↳ Possible Deficiencies: Iron, due to increased red blood cell production depleting stores. 1️⃣5️⃣ Hemolytic Facies (Thalassemia) ↳ Possible Deficiencies: Folate, Vitamin B12, and iron, essential for red blood cell production. 1️⃣6️⃣ Malar Rash (Lupus or Dermatitis) ↳ Possible Deficiencies: Vitamin D and omega-3s, often recommended to reduce inflammation. Understanding these signs can help us identify underlying nutrient deficiencies and support better patient outcomes through targeted dietary interventions💪🏻 🔔 Follow me and my hashtag #abdelmobdy for more insights and resources to elevate your nutrition practice 🤓👏🏻 #Nutrition #Healthcare #Education #medicine #health #HealthyLiving #mentalhealth #nutrition #nutritionist #hospital #like #dietation

Osteodystrophia fibrosa (Nutritional Secondary Hyperparathyroidism) is a metabolic bone disease seen in goats,caused primarily by dietary imbalances, particularly a high phosphorus-to-calcium ratio or calcium deficiency. This condition leads to excessive resorption of calcium from bones, resulting in bone softening, deformities, and lameness. 🔷Etiology and Pathophysiology: Primary Cause: Imbalance in dietary calcium and phosphorus (high phosphorus and low calcium). Secondary Cause: Chronic vitamin D deficiency, which impairs calcium absorption. Pathophysiology: Low dietary calcium or high phosphorus levels trigger parathyroid hormone (PTH) secretion (secondary hyperparathyroidism). PTH stimulates calcium resorption from bones to maintain normal blood calcium levels, leading to bone demineralization. This results in fibrous tissue replacement of bone matrix (fibrous osteodystrophy 🔷Clinical Signs: Skeletal Deformities: Swelling of the jaw (“Big Head Disease”), limb bowing, and spinal deformities. Lameness and Stiff Gait Fractures (pathologic) with minimal trauma. Pain and Reluctance to Move Poor Growth or Weight Loss despite normal appetite. Facial and Mandibular Swelling – fibrous tissue deposition. Reduced Milk Production and fertility issues. 🔷Diagnosis: 1. History and Clinical Signs – Dietary analysis (high grain, low roughage diets). 2. Radiography: Bone thinning, fractures, and fibrous tissue deposition. 3. Biochemistry:Low or normal calcium, high phosphorus, and elevated PTH. 4. Necropsy: Thin cortical bone, fibrous marrow replacement, and rubbery bones. 🔷Treatment: Dietary Correction: Increase calcium intake – Provide calcium carbonate or limestone supplements. Reduce phosphorus by limiting grain intake and increasing forage. Optimal Ca:P ratio: 2:1. Vitamin D Supplementation – If deficient. Supportive Care: Analgesics (NSAIDs) for pain management. Fracture management if needed. 🔷Prevention: Balanced Diet: Ensure adequate calcium and phosphorus balance. Forage-Based Diets: High-quality hay or pasture with minimal grain supplementation. Supplementation: Mineral blocks with balanced calcium, phosphorus, and vitamin D. Regular Monitoring: Periodic dietary assessment and monitoring of herd health. 🔷Prognosis: Good if diagnosed early and dietary correction is implemented. Advanced cases with severe bone deformities may have a guarded prognosis. #caprine #veterinarymedicine

Drainded or Energezyded? Eating right has many benefits. In my wellness journey, I stopped eating sugars and processed food and exercised more. Today, 45 pounds less, I enjoy a better #brain, less #inflammation, and more #energy! Making that #mindset shift started me on a new journey, and I love the compound effect. Small habits for long-lasting results! 📢 Here are some questions to help you assess your #health #habits and commit to something small but #transforming. 📝 How do you feel about your energy levels and health? Energized or drained. 📝 What is one thing you will start doing to become healthier? Walk for a minute, drink more #water, take the stairs... 🚶♀️ 💃 📝 Who are you bringing along on your journey? Sharing increases #accountability, and it makes it more #enjoyable. 🤼♂️ 📝 How are you measuring your #consistency? I use a 🗓 calendar, and crossing the dates out keeps me going. The healthier you are, the better you will perform at your job, at home, and in relationships... Take care, Jennipher Gonzalez M.D. #md #mbbs #research #crc #img #ecfmg #fmg #doctor #physician #clinicaltrials

Dietary Protein for Bone Health The role of dietary protein in maintaining bone health has garnered significant attention, especially concerning its effects on women and older adults. News flash: bone is ~40% by composition protein! Adequate protein intake is crucial for bone maintenance and prevention of osteoporosis. It was once thought that higher protein intakes were bad for bone, but that hypothesis is firmly dead (https://lnkd.in/gzAkihe2) Dietary Protein and Bone Health in Women For women, especially postmenopausal women, studies have shown that higher protein consumption is associated with increased bone mineral density (BMD) and reduced risk of fractures. Beasley et al. (1) found that biomarker-calibrated protein intake positively correlated with bone health in women. Similarly, the Framingham Osteoporosis Study highlighted that higher protein intake was linked to slower rates of bone loss in older women (3). Protein supplements could help increase serum insulin-like growth factor-I (IGF-I) levels and attenuate bone loss in women with recent hip fractures (5). Dietary Protein and Bone Health in Men Protein intake also plays a significant role in bone health in men. Cauley et al. emphasized that dietary protein could help mitigate the risk factors for hip fractures in older men (2). Additionally, the Rancho Bernardo Study reported that higher protein consumption was beneficial for bone mineral density among older men (4). In addition to making sure you're dialled in on calcium (1000-1200mg) and vitamin D (400-1200 IU/d) (6), maintaining an adequate intake of dietary protein is vital for bone health across different demographics. This is particularly important for women and older adults who are at a higher risk of osteoporosis and fractures. Ensuring sufficient protein intake can help preserve bone density, reduce fracture risk, and enhance overall skeletal health. References: 1) Beasley JM, et al. Am J Clin Nutr 2014;99(4):934–40 2) Cauley JA, et al. J Bone Miner Res 2016;31(10):1810–9 3) Hannan MT, et al. J Bone Miner Res 2000;15(12):2504–12 4) Sahni S, et al. Public Health Nutr 2014;17:2570–76 5) Schurch et al. Ann Intern Med 1998; 128(10):801-9 6) https://lnkd.in/gEAQQmHC

The Essential Synergy Between Magnesium and Vitamin D3 for Optimal Health Understanding the synergy between magnesium and vitamin D3 (cholecalciferol) is crucial for bone health, overall well-being, and disease prevention. Magnesium is pivotal in converting vitamin D into its active form, calcitriol (1,25-dihydroxyvitamin D [1,25(OH)2D]), vital for calcium absorption in the body. Magnesium is essential for the activity of enzymes involved in the metabolism of vitamin D, serving as a necessary cofactor for the biochemical reactions in the liver and kidneys. This conversion significantly influences bone health and helps prevent osteoporosis and osteopenia. A deficiency can impair the body's ability to effectively utilize vitamin D3, resulting in compromised calcium absorption and increased risk of bone demineralization. Additionally, inadequate levels of both nutrients can heighten the risk of vascular calcification, particularly with high dietary or supplementary calcium is consumed without sufficient vitamin K2. Vitamin K2 is essential for activating Matrix Gla Protein (MGP), important for helping prevent the calcification of blood vessels. Magnesium deficiency is also associated with various cardiovascular conditions, including arrhythmias and is associated with a higher incidence of atrial fibrillation (AF). Also, insufficient magnesium levels may worsen ventricular arrhythmias after a heart attack and render low potassium levels more detrimental to heart rhythm. Research, including data from NHANES, demonstrates that adequate magnesium intake is linked with a decreased risk of vitamin D deficiency. This highlights the role of magnesium not only in bone health but also in reducing risks associated with low vitamin D levels, including potential cardiovascular complications. Ensuring sufficient intake of magnesium, vitamin D3, and vitamin K2 (for those at risk of arterial calcification) through diet and, if necessary, supplementation may be required for maintaining overall health and help minimise the risk of chronic conditions.   Some References 1.  Sakaguchi Y. The emerging role of magnesium in CKD. Clinical and Experimental Nephrology. 2022 May;26(5):379-84. 2. Deng X, Song Y, et al, Magnesium, vitamin D status and mortality: results from US National Health and Nutrition Examination Survey (NHANES) 2001 to 2006 and NHANES III. BMC medicine. 2013 Dec;11(1):1-4 3. Vermeer C., Vik H. (2020). Effect of Menaquinone-7 (vitamin K2) on vascular elasticity in healthy subjects: results from a one-year study. Vascul Dis Ther, 5. 4.  Significance of magnesium in cardiac arrhythmias, Wien Med Wochenschr. 2000;150(15-16):330-4. 5. Thomas C. Crawford, MD, FACC Expert Analysis,  Low Serum Magnesium and the Development of AFib in the Community. American College of Cardiology, Mar 27, 2013   #magnesium #vitamind3 #heartdisease #vitamink2 #arrythmia #osteoporosis #AF #tachycardia #cramps #anxiety

Excellent advice here.

"Unraveling the Impact of Magnesium Deficiency on Daily Life: From muscle cramps to mood swings, understanding how inadequate magnesium levels can affect our everyday well-being. Let's prioritize nutrition and wellness to optimize our health. #MagnesiumDeficiency #WellnessJourney #NutritionMatters"

Read the caption ⬇️ Did you know that burns are responsible for 180,000+ deaths every year [WHO, 2023). ↪️ Introduction Major burns result in severe trauma, and this response can be more pronounced and prolonged than any other injury. ↪️ Causes: Burns are most commonly caused by electricity, sun, radiation, or heat etc. ↪️ Complications: Third degree burns are usually life threatening and require specialized medical care. --------------------------------------------------------------------- Medical Nutrition Therapy (MNT) for burn patients --------------------------------------------------------------------- ↪️ Energy requirements: Increased energy needs of burn patients vary according to the degree of burns etc. Measuring energy expenditure in these patients sometimes is a challenging task for dietitians or nutritionists. However, measuring energy expenditure via Indirect calorimetry (IC) is the most reliable method for assessing the energy expenditure (burn patients). The European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines suggest the Toronto equation for adult burn patients and the Schofield equation for burn children. ↪️ Protein requirements: Protein requirements in burn patients are elevated because of the losses through urine and wounds. There's a strong evidence that suggests providing 1.5 to 2.0 g/kg (adults) and 2.4 to 4.0 g/kg (children) is recommended. ↪️ Vitamin C : Vitamin C is crucial for collagen synthesis, fibroblast, and immune system maintenance etc. Vitamin C levels in these patients decrease after burn injury. ↪️ Vitamin A: Vitamin A deficiency is also important for collagen synthesis and affect the wound healing negativity. On the other hand, supplementation of vitamin A should be limited in patients with kidney or liver disease. ↪️ Vitamin D: Vitamin D deficiency has been reported in pediatric and adult burn patients. However, vitamin D is an ongoing research. ↪️ Serum calcium levels: Depression of serum calcium levels may be seen in patients with burns. Calcium losses may be exaggerated if the patient is immobile or being treated with silver nitrate soaks. ↪️ Magnesium & phosphorus levels: Hypophosphatemia also has been identified in patients with major burns. Magnesium levels are also depleted in these patients. ↪️ Zinc deficiency: A depressed serum zinc level has been reported in burn patients. Supplementation with 220 mg of zinc sulfate (50 mg elemental zinc) is common. 🩺Before you follow anything, always consult with your dietitian or a certified nutritionist. *** Enjoyed this content? Hit the like button & reshare 🔁 it.