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	<title>Offline Clinic &#187; Diet</title>
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	<link>http://offlineclinic.com</link>
	<description>fitness, health, beauty tips, exercise, gym, medical and surgery</description>
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		<title>How to control thirst during Fast in Ramadan</title>
		<link>http://offlineclinic.com/how-to-control-thirst-during-fast-in-ramadan/414/</link>
		<comments>http://offlineclinic.com/how-to-control-thirst-during-fast-in-ramadan/414/#comments</comments>
		<pubDate>Thu, 04 Aug 2011 11:39:57 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Diet]]></category>

		<guid isPermaLink="false">http://offlineclinic.com/?p=414</guid>
		<description><![CDATA[Ramadan in summer brings alot of thirst while fasting along with it! It&#8217;s some what ok to bear the hunger during the fast but the thirst is sometimes really exhausting... <a class="meta-more" href="http://offlineclinic.com/how-to-control-thirst-during-fast-in-ramadan/414/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>Ramadan in summer brings alot of thirst while fasting along with it! It&#8217;s some what ok to bear the hunger during the fast but the thirst is sometimes really exhausting and unbearable!</p>
<p><img class="alignright size-thumbnail wp-image-415" title="thirsty-water-crisis" src="http://offlineclinic.com/wp-content/uploads/thirsty-water-crisis-150x150.jpg" alt="" width="150" height="150" />Here are few tips for how to avoid excessive thirst during the month of ramadan.</p>
<p><strong>1. Us lassi / Yoghurt in sehri</strong></p>
<p>In the morning, take yoghurt or lassi if possible. (lassi = a milkshake of yoghurt in simple words, take some yoghurt and milk + water and add some salt to it (or sugar if you want) and make a shake of it, have it at the end of sehri)</p>
<p><strong>2. Shower</strong></p>
<p>Take cold shower when it&#8217;s hot outside. Cold shower relieves thirst and exhaustion alot. It relaxes the body and also causes body to cool down. It also causes blood vessels near skin to contract so there is more blood in the inner body system, leading to less thirst feeling.</p>
<p><strong>3. Avoid Sun</strong></p>
<p>Sun and heat evaporates water from the body. So definitely avoid them to avoid thirst!</p>
<p>If you have any tips do share them with us!</p>
<p>These are some tips added by Aman Rehman:</p>
<blockquote><p>there are some contents related ramazan thirst, which should added to the above para.<br />
1. Avoid spicy food n sehri, which produce stomach acidity and thus produce thirst.<br />
2. Avoid more salt intake in sehri. It also increases thirst.<br />
3. Caffien substances like tea, coffie also increase thirst.</p></blockquote>
<p>Thanks for the tips <img src='http://offlineclinic.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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		</item>
		<item>
		<title>Restricting Salt and water intake can make you slim?</title>
		<link>http://offlineclinic.com/restricting-salt-and-water-intake-can-make-you-slim/303/</link>
		<comments>http://offlineclinic.com/restricting-salt-and-water-intake-can-make-you-slim/303/#comments</comments>
		<pubDate>Mon, 21 Feb 2011 07:32:58 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Water]]></category>

		<guid isPermaLink="false">http://offlineclinic.com/?p=303</guid>
		<description><![CDATA[I&#8217;ve heard some people say that if you reduce intake of water and / or salt, you will reduce weight! For a short answer to it, NO, don&#8217;t even try... <a class="meta-more" href="http://offlineclinic.com/restricting-salt-and-water-intake-can-make-you-slim/303/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>I&#8217;ve heard some people say that if you reduce intake of water and / or salt, you will reduce weight! For a short answer to it, NO, don&#8217;t even try doing that!</p>
<p><img class="alignright size-thumbnail wp-image-327" title="salt-in-water" src="http://offlineclinic.com/wp-content/uploads/salt-in-water-150x150.jpg" alt="" width="150" height="150" />Let&#8217;s discuss it abit. Some of you might have tried it too and lost some weight too! so then why did I say NO?</p>
<p>Let&#8217;s cut it down, we will discuss reducing water intake and reducing salt consumption separately first and then combined.</p>
<p><strong>Reducing water intake:</strong></p>
<p>Water goes out of our body all the time. By urine, by skin via sweat and perspiration, via breathing, etc. If you cut down the water intake, then probably your urine output will lower down (causing damages to the body including the urinary system and kidneys in severe cases) but it can&#8217;t stop skin and breath loss of water! So now you know why it made you lose some weight? that is how! Next time never try it!</p>
<p><strong>Reducing salt intake:</strong></p>
<p>Reducing salt intake lowers down the salt concentration in the body. Making it hypotonic, so to keep it isotonic, the body losses more water via the <a href="http://offlineclinic.com/sources-of-water-loss-from-body/306/">water loss mechanisms of the body</a>. This is severely damaging to the body! never ever try it!</p>
<p><strong>Reducing salt and water intake both:</strong></p>
<p>Well, simple enough, you&#8217;re trying to do the damage of both of the above combined!</p>
<p>So now when someone advices or asks you to cut down water and salt intake, what would be your response? yeah! and say it louder!</p>
<p>Tip: take nearly 8 glasses of water a day and have normal salt in meals.</p>
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		</item>
		<item>
		<title>Sources of water loss from body</title>
		<link>http://offlineclinic.com/sources-of-water-loss-from-body/306/</link>
		<comments>http://offlineclinic.com/sources-of-water-loss-from-body/306/#comments</comments>
		<pubDate>Mon, 21 Feb 2011 07:29:52 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Water]]></category>

		<guid isPermaLink="false">http://offlineclinic.com/?p=306</guid>
		<description><![CDATA[This post enlists sources of loss of water from the body. If you thought urine was the only way how water goes out of body? think again! read below to... <a class="meta-more" href="http://offlineclinic.com/sources-of-water-loss-from-body/306/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>This post enlists sources of loss of <a href="http://offlineclinic.com/tag/water/">water</a> from the body. If you thought urine was the only way how water goes out of body? think again! read below to know how water is lost from the body.</p>
<p><a href="http://offlineclinic.com/wp-content/uploads/water-ring.jpg"><img class="alignright size-thumbnail wp-image-330" title="water-ring" src="http://offlineclinic.com/wp-content/uploads/water-ring-150x150.jpg" alt="" width="150" height="150" /></a>Water is lost from the body by:</p>
<p>1. Urine</p>
<p>2. sweating</p>
<p>3. breathing</p>
<p>4. vomitting</p>
<p>5. feaces</p>
<p>6. bleeding</p>
<p>Tip: take almost 8 glasses of water a day to keep your body properly hydrated.</p>
]]></content:encoded>
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		</item>
		<item>
		<title>Calcium role in weight loss</title>
		<link>http://offlineclinic.com/calcium-role-in-weight-loss/296/</link>
		<comments>http://offlineclinic.com/calcium-role-in-weight-loss/296/#comments</comments>
		<pubDate>Wed, 16 Feb 2011 13:02:44 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Mineral]]></category>
		<category><![CDATA[Weight]]></category>

		<guid isPermaLink="false">http://offlineclinic.com/?p=296</guid>
		<description><![CDATA[I sometimes advice taking calcium supplements (almost with vitamins) to those who are on intense dieting for weight loss usually. Calcium have many roles in body. The role of calcium... <a class="meta-more" href="http://offlineclinic.com/calcium-role-in-weight-loss/296/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>I sometimes advice taking calcium supplements (almost with vitamins) to those who are on intense dieting for weight loss usually.</p>
<p><a href="http://offlineclinic.com/tag/calcium/">Calcium</a> have many roles in body. The role of calcium specific to weight management is very important too.</p>
<p><img class="alignright size-thumbnail wp-image-323" title="calcium_vitamins" src="http://offlineclinic.com/wp-content/uploads/calcium_vitamins-150x150.jpg" alt="" width="150" height="150" />Calcium levels in blood is one of the few most important factors which help the body to decide if it is in starvation mode or normal one.</p>
<p>Like, if you take very low calories per day, your body will put on the reserve mode or starvation mode to preserve the energy. But if your body have sufficient calcium in blood, it will think it as something else, so your body MIGHT not move on to starvation mode (might not because calcium is one of the factor, not the only one).</p>
<p>But calcium unnecessarily supplemented is not recommended. It may lead to long term affects including affect to heart muscles too. So don&#8217;t use it unless you are sure what you are doing, and don&#8217;t go above recommended dose. You can also take it irregularly or on alternate days.</p>
<p>One more important thing is to not to take calcium with meal or with iron tablets, because it interferes with the absorption of iron, which is again very important for body.</p>
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		<item>
		<title>Let&#8217;s Lose 7 Kg this week!</title>
		<link>http://offlineclinic.com/lets-lose-7-kg-this-week/282/</link>
		<comments>http://offlineclinic.com/lets-lose-7-kg-this-week/282/#comments</comments>
		<pubDate>Sat, 12 Feb 2011 20:35:12 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Diet]]></category>
		<category><![CDATA[Lose weight]]></category>

		<guid isPermaLink="false">http://offlineclinic.com/?p=282</guid>
		<description><![CDATA[So who want&#8217;s to lose some quick 7 kg&#8217;s weight starting tomorrow morning? Believe me, it&#8217;s simple process! but wait! I never said it&#8217;s easy! You can lose almost half... <a class="meta-more" href="http://offlineclinic.com/lets-lose-7-kg-this-week/282/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>So who want&#8217;s to lose some quick 7 kg&#8217;s <a href="http://offlineclinic.com/tag/weight/">weight</a> starting tomorrow morning?</p>
<p><a href="http://offlineclinic.com/wp-content/uploads/losing-weight.jpg"><img class="alignright size-thumbnail wp-image-314" title="losing-weight" src="http://offlineclinic.com/wp-content/uploads/losing-weight-150x150.jpg" alt="" width="150" height="150" /></a>Believe me, it&#8217;s simple process! but wait! I never said it&#8217;s easy!</p>
<p>You can lose almost half to 1kg per day for this week and lose upto 7 kg easily! get in shape fast!</p>
<p>So for this week, starting from tomorrow morning, follow this:</p>
<p><strong>1. No carbohydrates</strong></p>
<p>NO carbohydrates for 7 days. No sugar, no bread, no bran bread, no meal full of vegetables, beans or what else! Just stop all carbs! Oh and no potatoes and biscuits too! (no noodles too btw!)</p>
<p><strong>2. Maximum protein diet</strong></p>
<p>Shift your meals to protein. Do this:</p>
<p>Egg white only (no yolk) in the morning. Get boiled eggs.</p>
<p>Chicken, yummy! roast or bar b que! or any other dish of chicken!</p>
<p>Pulses (no white beans though)</p>
<p>Add other protein rich substances!</p>
<p><strong>3. Walk &#8211; twice a day</strong></p>
<p>Walk twice a day for 1 hour each. One in morning, fresh brisk walk! and in the evening or after dinner!</p>
<p><strong>4. Sports</strong></p>
<p>Do any sport. Hike, martial arts, swimming, running, anything! just do any sport activity for a week!</p>
<p><strong>5. Pics and weight</strong></p>
<p>Calculate your weight today and daily, and get your pics from all 4 sides, better if undressed or in tight clothes, showing your weight! and place it on your desktop, as a wallpaper! yeah! so that it reminds you of your target whenever you see it!</p>
<p>Well, this might make you feel bit off track and interfering with your daily routine, but come on! it&#8217;s just 1 week! (2 holidays, so basically only 5 working days to keep tight diet!) and boom! there&#8217;s new you! 7 kg lower than your current weight!</p>
]]></content:encoded>
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		<slash:comments>168</slash:comments>
		</item>
		<item>
		<title>Abocol – contra indicated in diabetes</title>
		<link>http://offlineclinic.com/abocol-effervescent-prohibited-diabetic-patients/183/</link>
		<comments>http://offlineclinic.com/abocol-effervescent-prohibited-diabetic-patients/183/#comments</comments>
		<pubDate>Tue, 02 Nov 2010 20:46:59 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Carbohydrate]]></category>
		<category><![CDATA[Medicine]]></category>
		<category><![CDATA[Mineral]]></category>
		<category><![CDATA[Nutrients]]></category>
		<category><![CDATA[Vitamin]]></category>

		<guid isPermaLink="false">http://offlineclinic.com/?p=183</guid>
		<description><![CDATA[Abocal Efferevescent tablets are Calcium, Vitamin C , Vitamin D and Vitamin B-6 supplement tablets manufactured by Abbott, Pakistan. Abocol is a very good source for calcium and Vitamin C,... <a class="meta-more" href="http://offlineclinic.com/abocol-effervescent-prohibited-diabetic-patients/183/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p><img class="alignright size-medium wp-image-182" title="logo_abbott" src="http://offlineclinic.com/wp-content/uploads/logo_abbott-300x122.jpg" alt="" width="300" height="122" />Abocal Efferevescent tablets are Calcium, Vitamin C , Vitamin D and Vitamin B-6 supplement tablets manufactured by Abbott, Pakistan.</p>
<p>Abocol is a very good source for calcium and Vitamin C, D and B6 supplementation in patients but it is contra indicated in patients with diabetes mellitis. It contains carbohydrate (sugar in common words) content and is so not indicated to be used by the patients suffering from the diabetes.</p>
<p>In case of patient suffering from diabetes mellitus, alternate sugar free calcium supplement (e.g qalsan-d) and vitamin supplement should be given.</p>
]]></content:encoded>
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		<item>
		<title>Tips to improve your body shape and reduce weight</title>
		<link>http://offlineclinic.com/tips-to-improve-your-body-shape-and-reduce-weight/256/</link>
		<comments>http://offlineclinic.com/tips-to-improve-your-body-shape-and-reduce-weight/256/#comments</comments>
		<pubDate>Mon, 01 Nov 2010 23:54:54 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Diet]]></category>
		<category><![CDATA[Lose weight]]></category>
		<category><![CDATA[Maintain Weight]]></category>
		<category><![CDATA[Walk]]></category>

		<guid isPermaLink="false">http://offlineclinic.com/?p=256</guid>
		<description><![CDATA[If you think you are fat and need to lose weight, you probably should! but make sure you really need it first! ask some of your friends or a doctor... <a class="meta-more" href="http://offlineclinic.com/tips-to-improve-your-body-shape-and-reduce-weight/256/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>If you think you are fat and need to lose weight, you probably should! but make sure you really need it first! ask some of your friends or a doctor near you if you look really overweight and out of proportion!</p>
<p>also note, losing weight, and getting in shape (toning up your body) are two different things.</p>
<p>for losing weight and then maintaining it, simply stop these things:</p>
<p>- no ice creams, chocolates, biscuits (all type of junk food infact)</p>
<p>- no drinks / sodas or juices (can have diet coke etc)</p>
<p>- stop sugar – in tea, coffee, milk etc, use sucral(not canderal) instead if you&#8217;re unable to stop sugar initially.</p>
<p>- try to eat roti made at home, instead of nan from shop, and that too, try to have the “bgair channa hoa aata”</p>
<p><img class="alignright size-medium wp-image-257" title="beach_0_1" src="http://offlineclinic.com/wp-content/uploads/beach_0_1-276x300.jpg" alt="" width="276" height="300" />- in the breakfast, if you have eggs, then avoid their yolk and also avoid paratha ofcourse!</p>
<p>- don’t eat potatoes, milkshakes and highly oily thing</p>
<p>Other than these basic changes, to tone up your body and keep it in good form:</p>
<p>- walk atleast 3 days a week for 30 mins, (goto park, or simply some friends home near your house etc)</p>
<p>- skipping is good, but if you make a habit of it, and then leave it, it will make your thighs much fatter than what they are now! so don’t over do it</p>
<p>- do some sports! basketball, football, martial arts, hiking, cycling, dance, aerobics, swimming, etc! chose any similar one! and do it once or twice a week atleast</p>
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		<item>
		<title>Severe itching on legs (&amp; body) while walking / exercise</title>
		<link>http://offlineclinic.com/severe-itching-on-legs-body-while-walking-exercise/239/</link>
		<comments>http://offlineclinic.com/severe-itching-on-legs-body-while-walking-exercise/239/#comments</comments>
		<pubDate>Fri, 09 Jul 2010 09:36:55 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Dermatology]]></category>
		<category><![CDATA[Diet]]></category>
		<category><![CDATA[Exercise]]></category>
		<category><![CDATA[Running / Jogging]]></category>
		<category><![CDATA[anaphylaxis]]></category>
		<category><![CDATA[environment]]></category>
		<category><![CDATA[exercise induced anaphylaxis]]></category>
		<category><![CDATA[itch]]></category>
		<category><![CDATA[itching]]></category>
		<category><![CDATA[itchy legs]]></category>
		<category><![CDATA[severe]]></category>
		<category><![CDATA[severe itching]]></category>

		<guid isPermaLink="false">http://offlineclinic.com/?p=239</guid>
		<description><![CDATA[It&#8217;s enough man! it hurts! itching like hell on the skin not only on legs but on back, belly and so on! damn! it drives crazy! !!!!! Read all of... <a class="meta-more" href="http://offlineclinic.com/severe-itching-on-legs-body-while-walking-exercise/239/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>It&#8217;s enough man! it hurts! itching like hell on the skin not only on legs but on back, belly and so on! damn! it drives crazy! !!!!! Read all of it! it&#8217;s worth it!</p>
<p>OK first of all let&#8217;s categorize the itching condition depending upon the cause and situation:</p>
<ol>
<li>itching in hot and humid environment</li>
<li>itching when start to walk/exercise (specially after a few &#8211; many days pause in physical activity)</li>
<li>vibration! yay!</li>
</ol>
<p>Ya i know you also fall in anyone of these categories! Let&#8217;s see what exactly causes them, and how can we avoid them!</p>
<p>The first one, itching in hot and humid <a href="http://offlineclinic.com/tag/environment/">environment</a>, like sauna, or simple summer days, or hot bath, etc The solution to this one is simple. Avoid the hot environment, if you feel itchy, don&#8217;t scratch it, instead take a bath with cold water <img class="alignright size-thumbnail wp-image-246" title="3 ivans glimtar running" src="http://offlineclinic.com/wp-content/uploads/3-ivans-glimtar-running-150x150.png" alt="" width="150" height="150" />and stay in cool room. This condition also occur when you take shower with hot water in winters, so technically it&#8217;s the hot water that causes problem for you.</p>
<p>Secondly, if you have the problem when you start walk / <a href="http://offlineclinic.com/tag/exercise/">exercise </a>after long long time! or some people have it if they have a break of 1 week or 10 days even&#8230; it hurts! seriously! One of the reasons for this is exercise induced anaphylaxis. You may feel nausea, git symptoms, shortness of breath and even become unconscious! Whats the cause? it&#8217;s because your body is allergic to some antigen (proteins) that you took that day or day before the exercise. Yup you did! because they are among the common use items, most common one&#8230; wheat (bread!) ! and others are like caffine (coffee and tea), shellfish, aspirin, celery, etc.</p>
<p>So whats the solution? first of all, don&#8217;t panic, and DON&#8217;T scratch! what? it&#8217;s itching like hell! !!! Ya i know! if you scratch, it will itch more, so simply leave it, make it cool, take a cool bath! have some rest etc.</p>
<p>So what are the PROPER STEPS to do to stop and avoid this itching problem ???? here they are:</p>
<ol>
<li>be regular at exercise (jogging is fine &#8211; 3 times a week)</li>
<li>test out the food items ( and medicines ) that you are using those days, skip them and see if there is difference (like stop taking wheat for few days &#8211; it helped me! )</li>
<li>Don&#8217;t scratch! ofcourse!</li>
<li>take cool (not chilling cold!) bath whenever it&#8217;s itchy.</li>
<li>use soap (preferably only) Dove natural (non-fragrant) or else some similar one.</li>
<li>don&#8217;t take bath with HOT water . . . ever! if it&#8217;s winter, just make it warm enough to not cause you cold symptoms! that&#8217;s it</li>
<li>wear lose (and clean) clothes.</li>
<li>antihistamines do help (if you have issue only first 2-3 days of exercise start) but don&#8217;t use them for long, they will lead you to another problem!</li>
<li>apply local anesthetic on the itchy part</li>
<li>see a doctor (dermatologist preferable) &#8211; who does exercise himself too . . . (you can judge by his toned body)</li>
</ol>
<p>Hopefully it will help. I have seriously read people saying they scratch till it bleeds! man! i know how much it hurts! You feel like screaming! hopefully people will find remedy for it here!</p>
<p>If anyone doesn&#8217;t get the issue of severe itching solved by what&#8217;s stated here, please let me know! and also your unique problem, so that we can try to make it helpful and edit it for as much people as we can!</p>
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		<title>What to eat if you need more blood</title>
		<link>http://offlineclinic.com/what-to-eat-if-you-need-more-blood/211/</link>
		<comments>http://offlineclinic.com/what-to-eat-if-you-need-more-blood/211/#comments</comments>
		<pubDate>Mon, 24 May 2010 02:33:50 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Diet]]></category>
		<category><![CDATA[Medicine]]></category>
		<category><![CDATA[Mineral]]></category>
		<category><![CDATA[Pharmacology]]></category>
		<category><![CDATA[Vitamin]]></category>
		<category><![CDATA[blood loss]]></category>
		<category><![CDATA[deficiency]]></category>
		<category><![CDATA[ferrous sulphate]]></category>
		<category><![CDATA[folic acid]]></category>
		<category><![CDATA[iron]]></category>
		<category><![CDATA[replenish]]></category>
		<category><![CDATA[supplements]]></category>
		<category><![CDATA[underlying cause]]></category>
		<category><![CDATA[what to eat if you need more blood]]></category>

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		<description><![CDATA[Today a friend of mine asked randomly on messenger that: what to eat if you need more blood? So the instant reply was: drink, blood Na! anyway . . .... <a class="meta-more" href="http://offlineclinic.com/what-to-eat-if-you-need-more-blood/211/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>Today a friend of mine asked randomly on messenger that:</p>
<blockquote><p>what to eat if you need more blood?</p></blockquote>
<p><img class="alignright size-medium wp-image-214" title="red blood cells - what to eat if one needs more blood" src="http://offlineclinic.com/wp-content/uploads/redbloodcells-249x300.jpg" alt="red blood cells - what to eat if one needs more blood" width="249" height="300" />So the instant reply was:</p>
<blockquote><p>drink, blood</p></blockquote>
<p>Na! anyway . . . jokes apart, so what to eat in case you need more blood (inside body only) Well you need two types of things for iron / blood replenishment :</p>
<p><strong>1. Diet</strong></p>
<p>Apples, apple juice or as a whole</p>
<p>Green leafy vegetables, e.g. spinach.</p>
<p><strong>2. Supplements</strong></p>
<p>Ferrous sulphate tablets</p>
<p>Folic acid supplements</p>
<p><strong>3. Treat the cause of blood deficiency</strong></p>
<p>Treat the underlying cause of iron deficiency or cause of blood loss if any.</p>
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		<title>I had Cholecystectomy (removal of gall bladder) , do i have to alter my diet now?</title>
		<link>http://offlineclinic.com/i-had-cholecystectomy-removal-of-gall-bladder-do-i-have-to-alter-my-diet-now/56/</link>
		<comments>http://offlineclinic.com/i-had-cholecystectomy-removal-of-gall-bladder-do-i-have-to-alter-my-diet-now/56/#comments</comments>
		<pubDate>Tue, 25 Aug 2009 15:52:43 +0000</pubDate>
		<dc:creator>Dr. Nabeel</dc:creator>
				<category><![CDATA[Fat]]></category>
		<category><![CDATA[cholecystectomy]]></category>
		<category><![CDATA[cholelithiasis]]></category>
		<category><![CDATA[gall bladder]]></category>
		<category><![CDATA[stones]]></category>

		<guid isPermaLink="false">http://health.nabtron.com/?p=56</guid>
		<description><![CDATA[Cholecystectomy is a surgical procedure in which the gall bladder is removed. So did you have a cholecystectomy (removal of gall bladder) ? and concerned if it is going to... <a class="meta-more" href="http://offlineclinic.com/i-had-cholecystectomy-removal-of-gall-bladder-do-i-have-to-alter-my-diet-now/56/">Read more <span class="meta-nav">&#187;</span></a>]]></description>
				<content:encoded><![CDATA[<p>Cholecystectomy is a surgical procedure in which the gall bladder is removed.</p>
<p>So did you have a cholecystectomy (removal of gall bladder) ? and concerned if it is going to affect your diet / food digestion and how to alter your dietary habits? well, in this topic, we will discuss over it.</p>
<p>First of all, lets clear it in one single line &#8220;<strong>most of the assumptions regarding cholecystectomy / removal of gall bladder are wrong</strong>&#8220;. And about diet, well, you don&#8217;t have to worry about it, and the patient can continue take the normal diet that he was used to take before the operation.</p>
<p>Mostly people question about fat metabolism, that isn&#8217;t it going to affect <img class="alignright size-medium wp-image-57" title="figure6" src="http://health.nabtron.com/wp-content/uploads/figure6-289x300.gif" alt="figure6" width="289" height="300" />the fat metabolism? well to answer this question, we need to see how biliary system and fat metabolism occur.</p>
<p>There is continuous production of bile and its moved into the biliary channels, gets stored in the gall bladder and also gets released into the intestine.</p>
<p>When there is meal entrance into the small intestine (duodenum) , gall bladder releases the stored bile into the intestine.</p>
<p>Now why does it do that? Well, fat digestion and absorption involves a step called &#8220;<strong>Emusification</strong>&#8221; and bile works as an emulsifying agent.</p>
<p>So what if gall bladder is removed, how is it going to affect the <strong>emulsification</strong> of the fat?</p>
<p>Well, lets see what happens if there is cholecystectomy?</p>
<p>There is no gall bladder, so no bile is being stored, which means that bile goes directly to the intestine, and is like continuous dripping off of the bile into the intestine. Well so? so !</p>
<p>1. duodenum is not a vertical pipe, so bile coming to it just dont get away from there once it reaches there, it gradually gets accumulated there.</p>
<p>2. as food enters duodenum, it also dont go away , it stays there for some time.</p>
<p>Which means, that the fats in the food still get enough bile to get emulsified!</p>
<p>There is one more point to note, for those who still consider that cholecystectomy patients (as a result of gall stones / cholelitiasis) should be adviced to reduce the fat intake, well, the point to be noted here is, that gall bladder was already not functioning before removal via cholecystectomy, which means, if patient was fine before surgery, in digesting type of food that he used to take, he would be having similar experience after the surgery!</p>
<p>Studies show that there is no difference in the blood cholesterol, VLDL and HDL after the removal of gall bladder.</p>
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