Subhasree Ray Profile picture
Reliance Ind. Ltd. | Ph.D. Ketogenic Diet and Refractory Epilepsy | Diabetes Educator | Columns @ThePrintIndia @IndianExpress @fpjindia | Views Personal
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10 Oct
White sugar, honey, and jaggery, 3 different names of the same thing, 'sugar'. The later 2 have some micronutrients but there is a BIG 'but' to consider these 'healthy'. Thread #nutrition
Jaggery is considered a better choice as compare to white/brown sugar because, it contains a small amount of B vitamins & minerals, including calcium, Iron, magnesium, phosphorus, potassium & sodium. 10 gm Jaggery provides 36 KCAL (minimal protein, no fat, and 8.5g carbs).
Jaggery has a glycemic index (GI) of 84, which makes it a poor dietary choice. Also need to eat a lot of jaggery to get a meaningful amount of these nutrients, which you can get in much greater amounts from other sources.
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29 Apr
📌The #COVID19 Vaccine: Myths & Facts

1. COVID-19 vaccines are unsafe because it was developed quickly.

Fact: The authorized vaccines are proven safe & effective. Although they were developed in record time, they have gone through the same rigorous approval process as others.
2. I have already had COVID once; why vaccinate now?

Fact: Those who have had COVID-19 in the past have no method to tell if reinfection of the COVID-19 virus will happen or not even if they have developed some natural immunity. So, it's important to take the vaccine.
3. I will get COVID-19 if I take a vaccine.

Fact: None of the COVID-19 vaccines can give you the COVID-19 infection that you dread. None of these vaccines uses the live virus that causes COVID-19.
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2 Jan
✅Health Benefits of Yogurt: Yogurt, made by the bacterial fermentation of milk & a powerhouse of nutrients.

1 cup of yogurt provides:
49% of daily calcium need
38% of phosphorus
12% of magnesium etc.

Thread Explaining health benefits backed by science.
yogurtinnutrition.com/the-benefits-o…
1. Some types of probiotics found in yogurt, such as Bifidobacteria and Lactobacillus, have been shown to lessen the uncomfortable symptoms of irritable bowel syndrome (IBS), which is a common disorder that affects the colon.
ncbi.nlm.nih.gov/pmc/articles/P…
2. Probiotics may protect against antibiotic-associated diarrhea, as well as constipation.
ncbi.nlm.nih.gov/pmc/articles/P…
ncbi.nlm.nih.gov/pmc/articles/P…
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15 Nov 20
#WorldDiabetesDay 2020: Information on Diabetes & management by making suitable lifestyle changes.

1. Understanding Diabetes - types, risk factors & how it occurs
2. Diagnosis of Diabetes Type 2 & Prediabetes - HbA1C, Fasting & post-meal
3. Effects of Diabetes on the body. (1/4)
4. How to prevent diabetes type 2?
5. Diet for Diabetes type 2: This is individualized. A low carb, moderate-protein diet plan is recommended for the Indian population. However, intermittent fasting & the Ketogenic diet are showing promising results in managing diabetes. (2/4)
6. Glycemic Index (GI): Understanding the GI of foods is crucial in managing diabetes.

A. What is GI?
B. GI of some common foods. Chose foods that are low in GI. Moderate GI foods can be taken sometimes. Avoid high GI foods. High GI foods also lead to weight gain. (3/4)
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15 Nov 20
15 Nutrition Reminders: via @Healthline

1. You don't need to eat every 2-3 hours
2. Meat doesn't rot in your colon
3. Eggs are one of the healthy foods you can eat
4. Surgery drinks are the most fattening product in the modern diet.
5. Low fat doesn't mean healthy
6. Fruit juices aren't that different from soft drinks
7. Feeding your gut bacteria is critical
8. Cholesterol isn't the enemy
9. Weight loss supplements rarely work
10. Neither carbs nor fats make you fat.
11. Junk foods are addictive
12. Omega 6 containing vegetable oils such as sunflower, soybean & corn oils contribute to oxidative stress
13. Organic or gluten free doesn't mean healthy
14. Your weight is not correlated to your health status
15. There's no perfect diet.
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9 Nov 20
THREAD: #VitaminD and #COVID19 Studies (Series 2):

I have reported 16 articles before. Unfortunately, some still think there's a lack of 'evidence'. Reporting 8 more studies. Now we have 22 articles including an RCT. It's time to act. We have enough evidence to work on.
1. Study involving 185 Germans revealed 14.7 times more risk of death from #COVID19 patients with 12 ng/dl Vit-D level.
mdpi.com/2072-6643/12/9…
2. A retrospective, observational analysis in 191,779 COVID 19 patients from 50 states of Columbia revealed a positive association between lower #SARSCoV2 positivity rates and higher circulating 25(OH)D levels. SARS-CoV-2 NAAT positivity rates and circulating 25(OH)D lev
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8 Nov 20
Tomato:One of the most basic vegetables (originally a fruit) in Indian cuisine is a powerhouse of nutrients - Vitamin K1, B9, C, potassium, antioxidants - lycopene, beta-carotene, naringenin & chlorogenic acid.

Thread discussing the potential role of tomato in health promotion.
1. Nutritive value: 95% water & 5% carbs & fibre. A 100 g small raw tomato contains 1.5 g of insoluble fibres, great for our gut health.
2. Potassium: Associated with a lower risk of stroke & cardiovascular diseases. A meta-analysis of 11 studies involving ~247k subjects reported higher dietary potassium intake is associated with lower rates of stroke & other heart ailments.
pubmed.ncbi.nlm.nih.gov/21371638/
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5 Nov 20
#VitaminD and Respiratory illness: Why D is crucial in #COVID19 management?

Evidence on Vitamin D physiology has revealed that Vitamin D not just plays a role in calcium homeostasis but a crucial component to prevent respiratory illnesses.

Thread with 12 studies.
1. Respiratory Tract Infection:

A. A study from India involving 80 cases & 70 controls, aged 2-60 months concluded that subclinical D def. & nonexclusive breastfeeding were significant risk factors for severe Acute Lower Respiratory Tract Infection.
nature.com/articles/16018…
1.B. Epidemic Influenza: Hope-Simpson hypothesized that solar radiation produced a ‘seasonal stimulus’ that profoundly affected the pathogenesis of influenza A.
ncbi.nlm.nih.gov/pmc/articles/P…
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30 Oct 20
Thread: Basic information and myth-busting on #Ketogenic diet (KD):

1. It's NOT a fad diet. Wrongful practice by untrained professionals made the diet a fad
2. It's a high fat, normal protein, very low carbohydrate diet
3. Ketogenic diet doesn't include high protein. (1/6)
4. KD is ratio specific. The ratio between Fat: Carbs+Protein usually ranges from 1.5:1 to 4:1
5. Mostly used as a therapeutic diet for uncontrolled epileptic patients
6. Each recipe is hand calculated by a trained dietitian. (2/6)
7. Each ingredient, mentioned in a recipe is weighed raw by a kitchen weighing scale
8. No extra food is taken apart from the one's mentioned by the dietitian
9. No supplement is prescribed unless necessary
10. No vinegar is recommended. (3/6)
Read 7 tweets
29 Oct 20
29th September is celebrated as #WorldStrokeDay. Diet & Nutrition is one of the major components to keep your heart healthy & prevent stroke. A thread with vital nutritional information.
1. 4 exotic vegetables that are packed with fiber, vitamins & antioxidant minerals. ImageImageImageImage
2. a. Healthy fats to protect your heart
b. 12 carbs containing foods and their nutritive values
c. How to swap snacks to save calories
d. List of healthy and unhealthy carbs. ImageImageImageImage
3. Nutritional values and benefits of seeds and nuts - sources of healthy fats, omega 3 and 6. ImageImage
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20 Oct 20
Role of Zinc (Zn) during #COVID19: Probably The 2nd most important nutrient after #VitaminD. Zn is a must with antivirals in standard COVID care.

1. A study from Spain with 249 pts reported a zinc deficiency increased the risk of death by 2.3 times.
medicalxpress.com/news/2020-09-z… https://www.frontiersin.org/articles/10.3389/fimmu.2020.0171
2. A study from Japan reported Zn deficiency in 14% pts who remained mild to moderate & 84% among them later progressed into severe COVID 19.
ijidonline.com/article/S1201-…
3. A study from India with 47 COVID 19 pts & 45 healthy controls revealed that the COVID 19 pts had significantly lower Zn level & developed more complications (70.4% Vs. 30.0%, p=0.009). Zn def. pts also had a prolonged hospital stay. (7.9 d Vs 5.7 d).
ijidonline.com/article/S1201-…
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19 Oct 20
TRENDSETTER: In a scientific move, Vemulapalem Anganwadi, Gudur Mandal, #Nellore, Andhra Pradesh is providing 'Nandini Suraksha' milk & eggs to the kids. This milk is homogenized & fortified with Vitamin A & Vitamin D. Thanks @Bharat_J25 for sharing these. @ysjagan
Kudos to the Anganwadi workers for understanding the importance of Vitamin A and D in a child's growth and development. Requesting relevant media houses to report this intelligent work. @xpressandhra @ThePrintIndia
Just came to know another Anganwadi in the Guntur district providing the same milk. @CollectorGuntr
Read 4 tweets
18 Oct 20
What do we know about Vitamin C and #COVID19 so far?

The role of #VitaminC goes beyond immunity-boosting & the micronutrient at high dose is crucial to prevent severity.

Making a case with 14 studies, postulating Vitamin C to be an integral part of COVID treatment.
Direct Association:

1. August 2020 case study in a 74 years old COVID 19 patient with acute respiratory distress syndrome treated with oral vitamin C 1 g twice a day along with antivirals was able to be taken off mechanical ventilation within 5 days.
ncbi.nlm.nih.gov/pmc/articles/P…
2. A single-center observational study identified a total of 17 patients who received IV vitamin C for COVID-19 & noted a significant decrease in inflammatory markers, including ferritin and D-dimer, and a trend to decreasing FiO2 requirements.
covid19.elsevierpure.com/en/publication…
Read 17 tweets
16 Oct 20
On #WorldFoodDay2020, #WestBengal's Three Distinct Schemes:

1. 'Didir Rannaghar (Mamata's Kitchen):

a. In a kind gesture, WB CM @MamataOfficial is offering meals at just Rs. 5 to all migrant workers from 11 am to 3 pm with a new menu every day. (1/4)
sarkariyojana.com/mamata-kitchen…
b. What else is included in 'Didir Rannaghar'?

- New clothes are also donated to the poor keeping the auspicious occasion of Durga Puja in mind.

- As per the guideline, hygiene and Social distancing are maintained with special attention. (2/4)
2. Khadya Sathi scheme:

Incepted on January 27, 2016, this scheme aimed to provide 90% of the state population with rice & wheat at Rs. 2/kg. According to the latest report, the state has ensured food security of 90% of people across the state. (3/4)
deccanherald.com/national/east-…
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13 Oct 20
Vitamin K & #COVID19:

Thrombosis is a major manifestation of COVID-19 that contributes to poor outcomes. Vitamin K plays a crucial role in the activation of both pro & anti-clotting factors in the liver, prevent elastic fiber degradation, possibly prevent comorbidities. THREAD Article source: https://www.cambridge.org/core/services/aop-
1. Matrix Gla protein (MGP) is a vitamin K-dependent inhibitor of soft tissue calcification & elastic fiber degradation. Severe extrahepatic vitamin K insufficiency is recently demonstrated in COVID-19 pts, w/high inactive MGP levels correlating w/elastic fiber degradation rates.
MGP Protects against elastic fiber degradation that provides deformability to the lungs & arteries, which facilitates respiration & circulation. The balance between elastic fiber degradation & repair is of vital importance in cardiac & pulmonary health.
nature.com/articles/38607…
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11 Oct 20
Unique Initiative: As #COVID19 spreads to rural pockets of Delhi, Govt. to create task force called 'Nigrani Samiti' for effective containment of the virus and enforce COVID appropriate behaviour among the residents. (1/4) @ArvindKejriwal
google.com/amp/s/indianex… Image
Delhi Disaster Management Authority stated every task force will be made up of a patwari, a local civil defence warden and two members of the village committee to assess the ground situation and submit its report regularly to the SDM/tehsildar concerned. (2/4)
The teams will create awareness through posters, wall paintings and distribution of pamphlets. They will have to ensure regular spraying of disinfectants like sodium hypochlorite solution in public places like chaupals and akhadas. (3/4)
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8 Oct 20
Thread: Antioxidant & Anti-inflammatory phytonutrients could target the pathogenesis of #COVID19.

Do phytonutrients have the capacity to enhance immunity? Existing literature and evidence to support the hypotheses for 4 phytonutrients & 2 micronutrients.
frontiersin.org/articles/10.33…
1. Curcumin:

a. Inhibits the production of pro-inflammatory cytokines (IL-6 and TNF- α) in lipopolysaccharide (LPS)-stimulated BV2 microglial cells and IL- 1β and IL-6 in TNF-α treated HaCaT cells via inhibiting the NF-κB and MAPK signaling pathways.
pubmed.ncbi.nlm.nih.gov/17883952/ https://www.spandidos-publications.com/ijmm/19/3/469
b. Curcumin exerts an antiviral effect on a broad range of viruses including influenza virus, adenovirus, hepatitis, human papillomavirus (HPV), human immunodeficiency virus (HIV), herpes simplex virus−2 (HSV-2), and Zika viruses.
ncbi.nlm.nih.gov/pmc/articles/P… (A) 4 HA units of Newcastle disease viruses (NDV) were incub
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8 Oct 20
Why bio-decomposer policy on stubble burning by Shri @ArvindKejriwal must be adopted by the neighboring states?

2018 study by @NASAEarth stated stubble burning from Punjab, Haryana not only pollutes Delhi but affects west & southern India too. (1/4)
hindustantimes.com/mumbai-news/st…
A study by the International Food Policy Research Institute analyzed health data from more than 250,000 individuals of all ages residing in rural and urban areas in India and observed that crop burning worsened respiratory health in Haryana. (2/4)
academic.oup.com/ije/article/48…
Pollutant levels are found to be elevated by 2-2.5 times of the standard value during the crop residue burning period in Haryana and Punjab, reveals a study conducted by the PGIMER. (3/4)
tribuneindia.com/news/archive/p…
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8 Oct 20
A thread on Mono Diet: Is it Healthy?

Definition:

A diet that recommends eating only one food or a group of foods for all meals throughout the day to lose weight. The most harmful side effect of this diet in long term is nutritional deficiencies. (1/7)
healthline.com/nutrition/mono…
How people follow the diet?

On the mono diet, you should stick to just one food item or food group for each meal. Most people follow the mono diet for a few weeks before transitioning back to a healthy, balanced diet. This is mostly a quick fix to lose weight. (2/7)
What foods can be eaten?

Nearly any food can be consumed on the mono diet, including potatoes, apples, eggs, and bananas. Some variations involve sticking to one specific food group, such as meats, fruits, vegetables, or legumes. (3/7)
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6 Oct 20
How does #VitaminD prevent complications in severely affected #COVID19 patients (approx. 20% of hospitalized patients develop serious symptoms) by managing the cytokine/bradykinin storm, ARDS, and organ damage? Thread
1. Cytokine Storm:

a. Vitamin D decreases the production of Th1 cells. Thus, it can suppress the progression of inflammation through reducing the generation of inflammatory cytokines such as IL-6, IL-8, IL-12, and IL-17.
pubmed.ncbi.nlm.nih.gov/16142846/
pubmed.ncbi.nlm.nih.gov/21047796/
b. Vitamin D also decreases the generation of TNFα and nuclear factor-κB (NFκB). Moreover, 1,25(OH)2D, a biologically active form of vitamin D, directly inhibits gamma interferon (IFN-γ) and IL-2.
pubmed.ncbi.nlm.nih.gov/18717824/
pubmed.ncbi.nlm.nih.gov/6427926/
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