Eating for two in Pregnancy; Myth or Fact:

Pregnancy is a time when women believe that they need an extra amount of food for themselves and growing fetus. According to a survey conducted by the National Charity Partnership (NCP),1 in 3 pregnant women still believes that they should consume 300 or more calories every day.           

But studies have shown that this myth has harmful effects on the mother as well as baby health. Eating too many calories means excess weight gain which can be detrimental for both mother and baby.

There are no official guidelines for weight gain during pregnancy in UK, but according to the US Institute of Medicine (IOM) recommendation:

Pregnancy complication for overweight or obese women

  • Gestational diabetes
  • Preeclampsia or high blood pressure
  • Increased risk of Miscarriages
  • Cesarean section

Being overweight or obese causes a problem for baby:

  • Large for gestational age
  • Premature birth
  • Birth defects
  • Risk of type 2 diabetes, heart diseases and obesity later in life.

According to NICE guidance: A pregnant women normally need to have 2,000 calories per day, as energy intakes do not change in the first 6 months of pregnancy.  However, women should require 200 extra calories per day in their last trimester.  These extra 200 calories can be

Take home message; 

Moderation is key; Eat varied diet comprises of all food groups.

  • Fruits and vegetable should be taken in plenty as they are a good source of fibre and vitamin.
  • Choose healthy carbohydrates like whole- grain cereals, bread.
  • Proteins either in the form of meat, eggs or plant based like pulses.
  •  Eat two portions of fish as it is an excellent way to get omega 3 fatty acids.
  • Choose healthy snacks.
  • Avoid salt laden and sugary food.   

Moderate light exercise during pregnancy is also helpful for preventing excess weight gain.

‘‘Listen to your body, but only when you know its intentions are sound.’’

Chronic Fatigue Syndrome

#Chronic#fatigue#syndrome CFS 
It is a medical condition of unknown cause affecting adults as well as children. 
#Symptoms
The main s
ymptom of CFS is extreme/constant fatigue, other symptoms are:
*lack of sleep(insomnia)
*Muscle or joint pain.
*Headaches.
*A sore throat or sore glands that aren’t swollen.
*Problems thinking, remembering or concentrating.
Flu-like symptoms,feeling dizzy or sick
*Fast or irregular heartbeats (heart palpitations.
*Symptoms of Irritable bowel Syndrome(IBS) like stomach pain altered bowel habits and bloating.
Does diet play any role in CFS treatment ???
Diet alone isn’t the cause, or cure, of CFS
poorly-balanced diet, can compromise your health. *Try to include low GI (Glycaemic Index) foods, such as oats and wholegrains, which slowly release energy, helping to keep your energy levels stable.
*Fruits and vegetables
*Dairy and alternative *Proteins like Beans, Pulses, fish and lean meat 


Keep hydrate urself 10-12 glasses of water or other forms of liquids but without added sugar can helps in keeping the body hydrated. 
There are some claims about the effectiveness of  #supplements  like Multivitamins, #Magnesium and #Omega3 fatty acids in CFS but any benefit of supplements in CFS is unproven and there is a need for further research in this area.

Premenstrual Syndrome and Diet.

#Premenstrual#syndrome (PMS) and #Diet
Premenstrual syndrome is complex disorder affecting women in their child bearing. According to the American Congress of Obstetricians and Gynecologists (ACOG), it’s a group of physical or mood changes that occur one to two weeks before menstruation. Symptoms usually stop once a woman’s period begins
👉Causes:
The exact cause of this syndrome is remains unclear however, certain #neurotransmitters like #serotonin and#GABA( gaba aminobutyric acid) may play an important role in the pathophysiology of this syndrome. Serotonin helps to regulate mood and behavior, while GABA tends to promote calmness and ease anxiety.Research suggests that women who suffer from PMS may have abnormal serotonin neurotransmission, leading to symptoms such as irritability, depressed mood, and food cravings. 
The role of progesterone is inconclusive as suggested by some studies.


👉 #Risk factors :*Obesity *Family history *environment, and diet may play an important in its onset.
👉 Symptoms: headache, breast tenderness mood swings, abdominal bloating and food cravings.
👉The food connection :
certain vitamins like #vitaminD vitaminB1 and B6 may improve symptoms. Studies revealed that 1000mg/ day of calcuim along with 10 micrograms of #VitaminD may reduces premenstrual pain and migraine.
👉Dairy products or other alternative sources, egg and fortified cereals are the best choices.
👉Vitamin B6 is a factor in the synthesis of the amino acids tryptophan and tyrosine, the precursors to serotonin and dopamine, respectively, both of which affect mood. 
The researchers found that higher intakes of dietary thiamine and riboflavin for approximately two to four years was associated with a significantly lower incidence of PMS.
Some minerals like #Iron#zinc and #Magnesiumalso associated with PSM.
Evidence suggests magnesium may be beneficial in reducing fluid retention associated with PMS.
👉Take home Message :
A blanced diet with plenty of calcium, vitamin D and vitaminB 
Do include whole grains, lean protein, fruits, and vegetables.
with moderate physical activity🏃‍♀️ If symptoms getting worse always consult your GP.

Eat Your Water


#Eat
#your#water
fruits and vegetable are helpful to keep our body well hydrated.Water in fruits and vegetables is surrounded by molecules that facilitate the entry of water into cells, which is why it is referred to as cellular water. Cellular water is absorbed slowly, providing you with lasting hydration

Folic Acid Fortification in the UK

#Folic#acid fortification in #UK
Government strats consultation to add #folicacid to flour in the UK to help prevent birth defects like #spinabifida
👉why folic acid is important 
This vitamin is essential for fetus brain development. It is recommended that women should take 400 micrograms of #Folic acid before conception and continue upto first 3 month as baby’s brain and spinal cord developed in first 12 weeks.
👉but it is reported that around 1,000 pregnancies are affected by Neural tube defects due to lower intake of folic acid and over 40% are fatal.

👉Despite voluntary fortification, data from the last 9 years shows folate intakes of women who could become pregnant have continued to decline and are particularly low in areas of deprivation. 
➡️This mandatory Fortification would also help the wider population meet recommended folate intake levels and could helpful to prevent around 200 birth defects a year.

About me….

My name is shazia faisal and i am General practitoner and registered nutritionist. I belive in preventive medicine. Nutrition is an imporatnt piller along with other component for healthy life.Nutritional education as appendage to conventional medicine has the power to close the gap in current medical treatment thats why i equipped my self with Msc in Clinical Nutrition. My aim is to spread evidence-based awareness and knowledge about healthy life style. I want to motivate and inspire people by giving ideas about a balanced diet ,stress management and physical activity as healthy eating is not about weight loss but its life style.