Dietary advice

During treatment, patients should take soft, gentle and warm foods, which are easily digested while being rich in nutrition. After recovery, appropriate dietary advice should be given to patients according to the digestive capacity of each individual. 

Nordvik I., Myhr K. M., Nyland H., and Bjerve K. S. (2000). Effect of dietary advice and n-3 supplementation in newly diagnosed MS patients. Acta Neurol. Scand. 102 143-149. 

While nutritional advice from public health authorities is getting more specific for subpopulations, it is still a long way from one of the claimed ultimate goals of personalized nutrition to tailor dietary advice for the individual to optimally achieve a lifestyle goal based on diet. To date, commercialized... 

In the past half a century, scientists and public health officials have gradually come to realize that the two leading causes of mortality in Western nations, heart disease and cancer, are associated to a certain though unknown extent with life style, including dietary factors. This association is somewhat better established for coronary artery disease than it is for cancer. Based on current knowledge, many organizations have offered dietary advice to the public (1-9). However, the scientific community has reached no clear consensus about the nature of the association between diet and chronic diseases and the extent to which dietary modification can decrease the risk, especially cancer risk (5 6 10 U). 

Anon (2000) Dietary advice tips Irritable bowel syndrome. Pharmaceutical Journal 11 March 397. 

The reported side-effects of interferon alfa include cardiovascular problems such as arrhythmia, tachycardia and hypotension in the absence of history of such conditions, severe myelosuppression, depression and suicidal behaviour, opthalmic disorders, anorexia and flu-like symptoms and hypersensitivity reactions. Mr JJ should be advised of these and of the actions to be taken. The patient should be informed that under no circumstances should he switch treatments as different formulations may contain different dosages. Furthermore, he should be made aware of the proper disposal of used pens/syringes and to take extra care if blood enters the dispensers, as described in the product literature. Hepatitis B support groups are available. Dietary advice may be offered as cytokine-based treatments often cause reduced appetite. 

No proteinuria Monitor blood pressure Monitor blood glucose Screen for microalbuminuria if type 1 diabetes for >5 years or type 2 diabetes Aim for <130/80 mmHg Aim for <120/70 mmHg if type 1 diabetes Aim for HbAlc <7% Dietary advice for sugar and fat STOP SMOKING... 

Simple dietary advice about bulk foods can mitigate minor bowel disturbances. More serious complications that can arise include paralytic ileus, which can be life-threatening, especially in the elderly (78). A less well-known adverse effect is the potential for aggravating or even possibly inducing a hiatus hernia, presumably due to an anticholinergic effect on the cardiac sphincter (79). 

Might be the body s own regulation system is put out of function when a mineral is given in pure form without at the same time give an increased amount of other minerals and nutrients. This is one of the reasons why Norway has a very restrictive fortification policy of foods. We think we can have a better control over the intake of minerals without fortifying, rather than give dietary advice to vulnerable groups in the population. 

Although some amount of saturated fat in the diet is beneficial, general dietary advice is to avoid saturated fats. Trans-fats have been implicated in raising total cholesterol, lowering HDL ( good cholesterol ) and raising LDL ( bad cholesterol ). 

Hartwell, D. and Henry, J., Dietary advice for patients undergoing coronary artery bypass surgery falling on deaf ears Int. J. Food Sci., 54, 37, 2003. 

Diet. Patients should be allowed to follow their own preferences as far as is practicable. They should receive dietary advice on a high complex carbohydrate diet (-65% of total calories) with low fat (< 30% of calories) with emphasis on reduction in saturated fat in favour of mono- and polyunsaturates. Calories should be restricted and... 

When taken with dietary advice, sibutramine can be expected to cause a loss of 5-7% of initial body weight but this tends to be regained once the drug is stopped. 

Although serious adverse events have not been reported, there is no evidence of the long-term safety of sibutramine (3). Several new randomized clinical trials have assessed long-term weight reduction efficacy, tolerability, and safety of sibutramine. In a 1-year placebo-controlled study in primary care, sibutramine lOmg/day (n = 122) or 15 mg/day (n = 123) with dietary advice produced and maintained more weight loss than dietary advice alone (4). None of the patients taking sibutramine or placebo n —114) was withdrawn because of a raised blood pressure. 

Many beneficial claims have been made for ascorbic acid, especially for the intake of ascorbic acid far in excess of that required to prevent scurvy. Whether vitamin C will increase resistance to disease, promote better health, or even cure certain diseases remains to be determined. The practical dietary advice offered depends upon how well the mode of action of this vitamin is understood, and understanding this mode of action in turn depends on how similar the model system used is to humans. 

Low-nitrogen (protein) diets have been advocated from the early years of treatment of severe chronic uremia. The very-low-protein diets tested in the MDRD Study were of marginal benefit in these well-supervised patients with very low renal function, but are not well adhered to in practice, may lead to negative nitrogen balance, and are not recommended. Protein intake is restricted spontaneously to approximately 0.6 to 0.8g/kg/day by uremic patients not receiving dietary advice. To prevent malnutrition, patients receive professional dietary advice, with diets containing an increased proportion of first class protein and increased calorie content of up to 35 kcal/kg/day. The NHANES III has confirmed an association with reduced GFR and malnutrition in noninstitutionalized individuals studied in a cross-sectional survey of more than 5000 participants stratified according to GFR. ... 

Dietary advice on avoiding constipation is essential as this is the main cause of haemorrhoids. 

It consists of a variety of approaches, from simple dietary advice to total parenteral nutrition. 

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