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  • The Safety of Fasting to Lose Weight  | NutritionFacts.org

    The Safety of Fasting to Lose Weight  | NutritionFacts.org

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    Why should fasts lasting longer than 24 hours and particularly for three or more days only be done under the supervision of a health professional and preferably in a live-in clinic? 
     
    Fasting for a week or two can actually interfere with the loss of body fat, as shown at the start of my video Is Fasting for Weight Loss Safe?. But, eventually, after the third week of fasting, fat loss starts to overtake the loss of lean body mass in obese individuals, as seen in the graph below and at 0:14 in my video. Is it safe to go that long without food? 

    Proponents speak of fasting as a cleansing process, but some of what is being purged from our bodies are essential vitamins and minerals. People who are heavy enough can fast up to 382 days without calories, but no one can go even a fraction of that long without vitamins. Scurvy, for example, can be diagnosed within as few as four weeks without any vitamin C. Beriberi, deficiency of thiamine (vitamin B1), may start even earlier in fasting patients. And, once it manifests, it can result in brain damage within days, which can eventually become irreversible.  
     
    Even though fasting patients report problems such as nausea and indigestion after taking supplements, all of the months-long fasting cases I’ve discussed previously were given daily multivitamins and mineral supplementation as necessary. Without supplementation, hunger strikers and those undergoing prolonged fasts for therapeutic or religious purposes (like the Baptist pastor hoping “to enhance his spiritual powers for exorcism”) have ended up paralyzed, become comatose, or worse. 
     
    Nutrient deficiencies aren’t the only risk. After reading about all of the successful reports of massive weight loss from prolonged fasting in the medical literature, one doctor decided to give it a try with his patients. Of the first dozen he tried it on, two died. In retrospect, the two patients who died had started out with heart failure and had been on diuretics. Fasting itself produces pronounced diuresis, meaning loss of water and electrolytes through the urine, so it was the combination of fasting on top of the water pills that likely depleted their potassium and triggered their fatal heart rhythms. The doctor went out of his way to point out that both of the people who died started out “in severe heart failure, complicated by gross obesity; but both had improved greatly whilst undergoing starvation therapy.” That seems like a small consolation since they were both dead within a matter of weeks. 
     
    Not all therapeutic fasting fatalities were complicated by concurrent medication use, though. One researcher writes: “At first he did very well and experienced the usual euphoria…His pulse, blood pressure, and electrolytes remained satisfactory, but in the middle of the third week of treatment, he suddenly collapsed and died. This line of treatment is certainly tempting because it does produce weight loss and the patient feels so much better, but the report of case-fatalities”—the whole part about killing people—“must make it a very suspect line of management.” 
     
    Contrary to the popular notion that the heart muscle is specially spared during fasting, the heart appears to experience similar muscle wasting. This was “described in the victims of the Warsaw ghetto” during World War II in a remarkable series of detailed studies carried out by the ghetto physicians before they themselves succumbed. In a case entitled “Gross Fragmentation of Cardiac Fiber After Therapeutic Starvation for Obesity,” a 20-year-old woman successfully “achieved her ideal weight” after losing 128 pounds by fasting for 30 weeks. “After a breakfast of one egg,” she had a heart attack and died. On autopsy, as you can see below and at 3:44 in my video, the muscle fibers in her heart showed evidence of widespread disintegration. The pathologists suggested that fasting regimens “should no longer be recommended as a safe means of weight reduction.” 
    Breaking the fast appears to be the most dangerous part. After World War II, as many as one out of five starved Japanese prisoners of war tragically died following liberation. Now known as “refeeding syndrome,” multiorgan system failure can result from resuming a regular diet too quickly. This is because there are critical nutrients such as thiamine and phosphorus that are used to metabolize food. Therefore, in the critical refeeding window, if too much food is taken before these nutrients can be replenished, demand may exceed supply. Whatever residual stores you still carry can be driven down even further, with potentially fatal consequences. This is why rescue workers are taught to always give thiamine before food to victims who have been trapped or otherwise unable to eat. Thiamine is responsible for the yellow color of “banana bags,” a term you might have heard used in medical dramas to describe an IV fluid concoction often given to malnourished alcoholics to prevent a similar reaction. (You can see a photo of them below and at 4:53 in my video.) Anyone “with negligible food intake for more than five days” may be at risk of developing refeeding problems. 
    Medically-supervised fasting has gotten much safer now that there are proper refeeding protocols. We now know what warning signs to look for and who shouldn’t be fasting in the first place, such as those who have advanced liver or kidney failure, porphyria, uncontrolled hyperthyroidism, and pregnant and breastfeeding women. The most comprehensive safety analysis of medically supervised, water-only fasting was recently published by the TrueNorth Health Center in California. Out of 768 visits to its facility for fasts up to 41 days, were there any adverse events? There were 5,961 of them! Most of these were mild, known reactions to fasting, such as fatigue, nausea, insomnia, headache, dizziness, upset stomach, and back pain. Only two serious events were reported, and no fatalities. You can see the chart below and at 5:58 in my video
    Fasting periods lasting longer than 24 hr, and particularly those lasting 3 or more days, should be done under the supervision of a physician and preferably in a [live-in] clinic.” In other words, don’t try this at home! This is not just legalistic mumbo-jumbo. For example, normally, your kidneys dive into sodium conservation mode during fasting, but should that response break down, you could rapidly develop an electrolyte abnormality that may only manifest with non-specific symptoms, like fatigue or dizziness, which could easily be dismissed until it’s too late. 
     
    The risks of any therapy must be premised on the severity of the disease. The consequences of obesity are considered so serious that effective therapies could have “considerable acceptable toxicity.” For example, many consider major surgery for obesity to be a justifiable risk, but the keyword is effective. 
     
    Therapeutic fasting for obesity has largely been abandoned by the medical community not only because of its uncertain safety profile but its questionable short- and long-term efficacy. Remember, for a fast that only lasts a week or two, you might be able to lose as much body fat or even more on a low-calorie diet than a no-calorie diet. 
     
    Fasting for a week or two can actually interfere with the loss of body fat. For more background on this, see Is Fasting Beneficial for Weight Loss? and Benefits of Fasting for Weight Loss Put to the Test.
     
    If you’re wondering what the best way to lose weight is, I wrote a whole book about it! Check out How Not to Diet
     
    Interested in learning more about fasting? See related videos below. 

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    Michael Greger M.D. FACLM

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  • Reviewers Say This $30 Brightening Cream Rivals Pricier Brands—’Difference After One Use’

    Reviewers Say This $30 Brightening Cream Rivals Pricier Brands—’Difference After One Use’

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    All products and services featured are independently chosen by editors. However, StyleCaster may receive a commission on orders placed through its retail links, and the retailer may receive certain auditable data for accounting purposes.

    If there’s one skin concern we’ll all be fighting this winter, it’s dullness. But that’s where adding brightening products into your regimen can really make a difference—and we found one product worthy of the task. Introducing: LUMENE’s Overnight Bright Sleeping Cream, a formula so good, shoppers are comparing it to popular luxury formulas. 

    If you’re new to the brand, LUMENE puts out high-performing, sustainable beauty products made with ingredients from Nordic nature and organic certified forests. All products contain up to 99 percent naturally derived ingredients and lean on tested efficacy. Each product is made with respect for the planet’s limited resources, and 100 percent of the skincare and foundation formulations are vegan.

    That all obviously includes the overnight cream, a formula that revitalizes dull-looking skin with the help of potent antioxidant Arctic cloudberry and vitamins A, B3, C and E. It also features pure Arctic spring water and hyaluronic acid to plump and hydrate the skin for a more supple appearance. 

    Lumene Sleeping Cream
    LUMENE

    It’s been clinically tested to promote skin renewal and bring both immediate and lasting moisture to the complexion—and reviewers have confirmed its results go above and beyond. 

    One person compared it to that of pricier brands, writing “I rarely write reviews, but I got this about 6 months ago and I look forward to using it every night! It is by far my favorite and I have Clarins, Estee Lauder and several other well-known creams. This one is a lovely cream that makes a difference after one use. Every morning I wake up looking so much fresher than when I use any other night cream.”

    It’s also been extremely helpful for those with sensitive or acne-prone skin. “It doesn’t aggravate my acne at all, if anything it helps counteract it and is fading old spots,” shared another fan. “On the occasions that I get lazy about my skin care and I’m looking a bit more spotted and flaky, I step back to it, and wake up looking 10x better. I didn’t know my skin would love this so much when I first tried it but it’s my new best friend.”

    There’s no better time to refresh your 2024 skincare stash than during LUMENE’S winter sale. Spend $50 for 15 percent off, spend $75 for 20 percent off or spend $100 for 25 percent off, right now. The discount is applied automatically at checkout.

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    Maya Gandara

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  • The Safety of Keto Diets  | NutritionFacts.org

    The Safety of Keto Diets  | NutritionFacts.org

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    What are the effects of ketogenic diets on nutrient sufficiency, gut flora, and heart disease risk? 

    Given the decades of experience using ketogenic diets to treat certain cases of pediatric epilepsy, a body of safety data has accumulated. Nutrient deficiencies would seem to be the obvious issue. Inadequate intake of 17 micronutrients, vitamins, and minerals has been documented in those on strict ketogenic diets, as you can see in the graph below and at 0:14 in my video Are Keto Diets Safe?

    Dieting is a particularly important time to make sure you’re meeting all of your essential nutrient requirements, since you may be taking in less food. Ketogenic diets tend to be so nutritionally vacuous that one assessment estimated that you’d have to eat more than 37,000 calories a day to get a sufficient daily intake of all essential vitamins and minerals, as you can see in the graph below and at 0:39 in my video


    That is one of the advantages of more plant-based approaches. As the editor-in-chief of the Journal of the American Dietetic Association put it, “What could be more nutrient-dense than a vegetarian diet?” Choosing a healthy diet may be easier than eating more than 37,000 daily calories, which is like putting 50 sticks of butter in your morning coffee. 
     
    We aren’t just talking about not reaching your daily allowances either. Children have gotten scurvy on ketogenic diets, and some have even died from selenium deficiency, which can cause sudden cardiac death. The vitamin and mineral deficiencies can be solved with supplements, but what about the paucity of prebiotics, the dozens of types of fiber, and resistant starches found concentrated in whole grains and beans that you’d miss out on? 
     
    Not surprisingly, constipation is very common on keto diets. As I’ve reviewed before, starving our microbial self of prebiotics can have a whole array of negative consequences. Ketogenic diets have been shown to “reduce the species richness and diversity of intestinal microbiota,” our gut flora. Microbiome changes can be detected within 24 hours of switching to a high-fat, low-fiber diet. A lack of fiber starves our good gut bacteria. We used to think that dietary fat itself was nearly all absorbed in the small intestine, but based on studies using radioactive tracers, we now know that about 7 percent of the saturated fat in a fat-rich meal can make it down to the colon. This may result in “detrimental changes” in our gut microbiome, as well as weight gain, increased leaky gut, and pro-inflammatory changes. For example, there may be a drop in beneficial Bifidobacteria and a decrease in overall short-chain fatty acid production, both of which would be expected to increase the risk of gastrointestinal disorders. 
     
    Striking at the heart of the matter, what might all of that saturated fat be doing to our heart? If you look at low-carbohydrate diets and all-cause mortality, those who eat lower-carb diets suffer “a significantly higher risk of all-cause mortality,” meaning they live, on average, significantly shorter lives. However, from a heart-disease perspective, it matters if it’s animal fat or plant fat. Based on the famous Harvard cohorts, eating more of an animal-based, low-carb diet was associated with higher death rates from cardiovascular disease and a 50 percent higher risk of dying from a heart attack or stroke, but no such association was found for lower-carb diets based on plant sources.  
     
    And it wasn’t just Harvard. Other researchers have also found that “low-carbohydrate dietary patterns favoring animal-derived protein and fat sources, from sources such as lamb, beef, pork, and chicken, were associated with higher mortality, whereas those that favored plant-derived protein and fat intake, from sources such as vegetables, nuts, peanut butter, and whole-grain bread, were associated with lower mortality…” 
     
    Cholesterol production in the body is directly correlated to body weight, as you can see in the graph below and at 3:50 in my video

    Every pound of weight loss by nearly any means is associated with about a one-point drop in cholesterol levels in the blood. But if we put people on very-low-carb ketogenic diets, the beneficial effect on LDL bad cholesterol is blunted or even completely neutralized. Counterbalancing changes in LDL or HDL (what we used to think of as good cholesterol) are not considered sufficient to offset this risk. You don’t have to wait until cholesterol builds up in your arteries to have adverse effects either; within three hours of eating a meal high in saturated fat, you can see a significant impairment of artery function. Even with a dozen pounds of weight loss, artery function worsens on a ketogenic diet instead of getting better, which appears to be the case with low-carb diets in general.  

    For more on keto diets, check out my video series here

    And, to learn more about your microbiome, see the related videos below.

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    Michael Greger M.D. FACLM

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  • Feeling Sick? An RD Wants You To Eat This (Nope, Not Soup)

    Feeling Sick? An RD Wants You To Eat This (Nope, Not Soup)

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    Save this for your next sniffle episode.

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  • This Vitamin C Serum Made a Shopper’s Skin ‘Bright & Clear Again’

    This Vitamin C Serum Made a Shopper’s Skin ‘Bright & Clear Again’

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    All products and services featured are independently chosen by editors. However, StyleCaster may receive a commission on orders placed through its retail links, and the retailer may receive certain auditable data for accounting purposes.

    In case you haven’t heard it enough already, vitamin C is a major game-changer when it comes to fading dark spots, evening skin tone, and adding a glow to your complexion. I’ve tried a couple of vitamin C serums before, and things didn’t always go as planned. I learned that it can take time to find a formula that suits your skin type and needs, but one you shouldn’t overlook is The INKEY List’s 15% Vitamin C + EGF Serum.

    For one, the brand touts it as a powerful yet gentle face serum, and considering vitamin C can sometimes be too potent (and therefore cause irritation), this is music to our ears. It’s made with 15 percent ascorbyl glucoside, which works to brighten and protect skin. Additionally, plant-based peptide Epidermal Growth Factor (EGF) helps get rid of any dullness in your complexion and makes skin appear firmer, per the brand.

    Not to mention, this vitamin C serum doesn’t sit on top of your skin or leave behind a sticky residue (a.k.a. the worst). The formula is lightweight and absorbs fast, creating the perfect canvas for the remainder of your skincare routine. 

    Can you believe a serum with all these powers only costs $16? Correction: It’s down to $12 as part of The INKEY List’s post-Cyber Monday sale. Take 25 percent off of the entire site while you can.

    The INKEY List 15% Vitamin C + EGF Serum

    The INKEY List.

    The INKEY List 15% Vitamin C + EGF Serum

    On Sale 25% off

    If you’re dealing with hyperpigmentation, dull skin, or uneven skin tone, you’re going to want The INKEY List’s 15% Vitamin C + EGF Serum on hand. The ingredient list speaks for itself, but you likely also want to hear what reviewers have to say about their experience using the product.

    “It makes your skin so glowy! My skin was kind [of] dull before but now, it glow[s] even with no products on. Gives you that natural lit-from-within glow. It’s a fave,” one five-star shopper raved.

    “This is super light and hydrating, a little goes a long way. My skin is bright and clear again,” another one wrote.

    “I’ve tried a few Vitamin C serums, trying to find that wonder product that works but doesn’t inflame my very sensitive skin. This is the one! I’ve been using it for a week and already starting to see improvements in my skin tone,” another reviewer commented.

    For application, you’re going to want to pay special attention to this part. Vitamin C is a skincare MVP, but that doesn’t mean it doesn’t have some rules to follow. Make sure to apply this product in the morning to reap all of its antioxidant benefits. This serum should come after your cleanser and before your moisturizer. As usual, top everything off with a sunscreen.

    Vitamin C is an amazing ingredient, but The INKEY List does not recommend mixing it with other skincare products that contain retinol, alpha hydroxy acids (glycolic acid, lactic acid, mandelic acid, or apple cider vinegar), or beta hydroxy acids. If you don’t want to have to completely alter your regimen, try using this vitamin C serum in the morning and everything else in the evening.

    A shopper-approved vitamin C serum that doesn’t cost a fortune? Stock up now to get glowing. And don’t forget everything else on The INKEY List’s site is also marked down during its post-Cyber Monday sale. Keep scrolling for some of the brand’s other best-sellers.

    The INKEY List Hyaluronic Acid Serum
    The INKEY List.
    The INKEY List Retinol Serum
    The INKEY List.The INKEY List.
    The INKEY List Caffeine Eye Cream
    Photo: The INKEY List.

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  • What An M.D. Tells Her Patients To Lower Cervical Cancer Risk

    What An M.D. Tells Her Patients To Lower Cervical Cancer Risk

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    According to the CDC, more than 42 million individuals in America are now impacted by human papillomavirus (HPV). HPV, a very common sexually transmitted infection, can lead to the development of cervical cancer—a global health issue that impacts women of all ages.

    Recent studies have indicated an increase in cervical cancer cases associated with HPV infections. While this is concerning, the good news is that many cases of cervical cancer can be prevented through proactive lifestyle changes. It’s also worth noting that cervical cancer, while a serious health concern, is not an inevitability in the face of a positive HPV Pap smear.

    With more than 90% of my patients being women who are seeking holistic approaches to cancer prevention, I can attest to the fact that taking a proactive approach with lifestyle choices can have a significant impact on cervical health outcomes. Let’s take a look at three holistic ways I help my patients support their immune systems to fight HPV and reduce cervical cancer risk. These can all form complementary strategies for HPV prevention alongside vaccination:

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    Dana Cohen, M.D.

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  • If You’re Not Pairing Vitamin C With This Ingredient, Your Skin Is Losing Out

    If You’re Not Pairing Vitamin C With This Ingredient, Your Skin Is Losing Out

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    According to Yadav, ferulic acid is another antioxidant that supports and enhances the effects of vitamin C. “Ferulic acid is another potent antioxidant found in many different types of plants, including grasses, grains, fruits, and flowers. I often recommend using ferulic acid in conjunction with vitamin C. These two are a great pair because they help make each other more effective when it comes to protection from UV damage, giving you more bang for your buck. Ferulic acid also helps stabilize vitamin C, which is a notoriously unstable ingredient and breaks down easily without the proper support.” 

    Elyse Love, MD, FAAD, Board-Certified Dermatologist at GlamDerm, agrees, saying the two work best when used in tandem. Ferulic acid increases the stability and supports the antioxidant properties of vitamin C. This synergistic relationship maximizes the potential of the vitamin C.” 

    The best part is that there are nearly zero downsides or drawbacks to this ingredient pairing, save for irritation when used in high percentages. “For vitamin C, tolerability will depend on the form and the concentration,” Love says. “L-ascorbic acid is the most potent form of vitamin C and is typically found in a range from 10-20%, with higher concentrations being more potentially irritating. Those with sensitive skin will benefit from stating with lower percentages and/or gentler vitamin C formulations to prevent irritation.” In that case, she recommends First Aid Beauty’s 10% Vitamin C Brightening Serum ($50) since it’s designed for sensitive skin. 

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    Kaitlyn McLintock

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  • My Sun Damage Is Out of Control—This $62-and-Under Skincare Brand Works Miracles

    My Sun Damage Is Out of Control—This $62-and-Under Skincare Brand Works Miracles

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    I love summer, and I love skincare, but sometimes, those two things seem at odds with each other. I want to be in the sun, but too much sun exposure is bad for my skin. I want to be in the water, but it’s drying. I want to drink one Aperol Spritz after another, but that’s not great for the complexion either. So, what’s a girl to do? Well, it all comes down to balance (and sunscreen)—both of which I’ve focused on heavily for the past few months. 

    Still, though, it’s nearing the end of summer, and I see so many signs of sun damage in the mirror. I have hyperpigmentation littering my nose and cheeks; I have fine lines deepening around my eyes and forehead; I even have a general dull, lackluster complexion. Gone are the days of bright, even skin, and as a beauty editor, I’m serious about getting it back. 

    To do so, I’m relying on OAM Skin—a brand founded by Ciara. Now, I know what you’re thinking, and I agree: I have celebrity beauty brand fatigue just like everyone else. But, this brand is different. For one, it was created in collaboration with a team of research scientists, dermatologists, and an MIT engineer. Secondly, they’ve made a visible improvement in the state of my skin. Ahead, shop the products. Plus, see a pretty epic before-and-after photo. 

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    Kaitlyn McLintock

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  • 3 Must-Have Tips For Optimal Kidney Health, From An MD

    3 Must-Have Tips For Optimal Kidney Health, From An MD

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    “In terms of diet, reduce sugar, reduce processed red meats, and reduce alcohol, especially beer,” says Johnson. (It’s the brewer’s yeast in beer that can become a problem, thanks to its high purine content1.)

    We generally encourage a balanced approach to all of the above, but if you have any concerns with your kidneys, you might want to be extra vigilant of your intake. “There is absolutely no doubt that high-sugar diets make kidney disease worse,” Johnson adds. 

    It’s actually fructose that’s the culprit, he adds: When you eat sugar, glucose and fructose separate in the gut, and you absorb them on their own. And “Fructose is the driver of uric acid and of kidney disease,” he shares.

    Now, you might be thinking: Doesn’t fruit contain fructose? You’re absolutely right, but according to Johnson, the amount is pretty minimal. “Even though fruit contains some fructose, it’s so much less than a soft drink,” he explains. Let’s try to look at the big picture, here, instead of splitting hairs. 

    Processed red meat, additionally, causes your body to produce a lot more uric acid. “When you’re eating red processed meats a lot, your uric acid probably is going to be pretty high, and you should get it checked,” he notes. As a refresher: When your body is producing too much uric acid, it can build up and lead to the formation of urate crystals. Over time, these crystals can cause gout and kidney stones2.

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    Jason Wachob

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  • Why You Should Never, Ever Take Too Much Vitamin C

    Why You Should Never, Ever Take Too Much Vitamin C

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    If you take vitamin C supplements, you may want to take a closer look at your dosage. Some people are overdoing it thanks to sketchy advice they’re seeing online, and developing uncomfortable side effects like nausea, headaches or heartburn — and, in extreme cases, painful kidney stones.

    Last week, a TikTok influencer battling colon cancer shared that she developed kidney stones after she’d been taking very high doses of vitamin C in an effort to boost her immunity and combat the cancer. She said she had been ingesting 50 g of vitamin C every day, she said, which equals a whopping 50,000 mg. The recommended daily intake for women is 75 mg.

    After seeing the video on TikTok, Dr. Ashley Winter, a board-certified urologist and chief medical officer at Odela Health, posted to X, formerly known as Twitter, to break down why taking too much vitamin C isn’t only unhelpful — it can also be dangerous.

    “Excess vitamin C in your diet doesn’t DO anything for your immune system because you just pee it out. And in your pee, the vitamin C becomes Oxalate, which is one of the major causes of KIDNEY STONES! YOU ARE LITERALLY FOLLOWING A DAMN KIDNEY STONE RECIPE,” Winter wrote.

    Supplement needs can vary, so it’s best to talk with a doctor to figure out what is best for you instead of going off the assumption that you need more of a vitamin for your health. And in the case of vitamin C, there can be such a thing as overdoing it.

    Vitamin C is a water-soluble vitamin that’s found in citrus fruits (think: oranges and grapefruit), cruciferous vegetables (such as cauliflower and kale) and potatoes. It plays an important role in the growth of our skin, bones and connective tissue. It’s also a powerful antioxidant, meaning it protects our cells from free radical damage. At a normal dose, which is 75 mg a day for women and 90 mg a day for men, vitamin C supports healthy immune function.

    You don’t want to have low levels of vitamin C, but the vast majority of people don’t. Too little vitamin C can cause issues like easy bruising and dry, splitting hair. Serious vitamin C deficiencies cause scurvy, a disease that can lead to fatigue, anemia and joint pain along with bleeding gums and loosened teeth. However, it’s not common — in the United States, about 7.1% of the population may develop any kind of vitamin C deficiency according to the Cleveland Clinic, and the incidence of extreme deficiency that leads to scurvy is rare.

    On the flip side, boosting vitamin C levels too high also brings issues. Because it’s water-soluble, vitamin C is not stored in your body. Your kidney processes it and you pee it out, Winter said. This means two things. One: High amounts of vitamin C won’t do anything for your health because it’ll just get excreted in your urine. Two: It can be risky. As your kidneys process an overflow of vitamin C, oxalate, one of the main causes of kidney stones, forms and accumulates. Over time, that oxalate can crystallize and turn into kidney stones, said Winter. Your kidneys will essentially have to work overtime and there are going to be health consequences, she added.

    Some of the milder signs you may be ingesting too much vitamin C include gastrointestinal problems like nausea, diarrhea, heartburn and vomiting. Plus, the higher your dose, the greater your risk of kidney stones. Kidney stones can block urine flow out of your kidneys and be incredibly painful. While some people can pass kidney stones naturally, others will need surgery to recover. In severe cases, too much vitamin C can even lead to kidney failure.

    “High doses of vitamin C don’t really ‘help’ that much,” said Dana Ellis Hunnes, a clinical dietitian, assistant professor at UCLA Fielding School of Public Health, and author of “Recipe for Survival.”

    Vitamin C supplements probably don’t boost your immune system, anyway.

    Hunnes said people are often looking to be healthy or healthier in general, and supplements are typically marketed as a relatively cheap way to achieve that. While vitamins and minerals are essential for several body functions, it’s important not to get carried away.

    “Just because a little bit of something is good doesn’t mean a lot of something is better,” she said.

    Winter said she started to see an uptick in patients taking extreme quantities of supplements like vitamin C during the pandemic, when many people were looking for natural ways to boost their immune system. (Data shows vitamin C sales soared during 2020.) It doesn’t help that you can find vitamin C products everywhere, with many claiming to enhance your health or boost your immune system.

    Despite the widespread popularity and accessibility of such products, there’s really no convincing evidence to support the belief that high doses of vitamin C do anything for your immune system, said Winter. “There’s this conflation between taking normal vitamin C, correcting scurvy, and using excess quantities of vitamin C for this quote-unquote immune boost,” she said.

    So, how much vitamin C should you take?

    As mentioned above, the recommended daily intake of vitamin C in adults is 75 mg for women and 90 mg for men. Most people get more than enough vitamin C by consuming fruits and vegetables or by taking a multivitamin and don’t need to take any vitamin C supplements, Winter said. Eating fruits and vegetables like oranges, strawberries, Brussels sprouts and broccoli, is the best way to get your daily dose of vitamin C. Not only are these foods a good source of the vitamin, but the calcium in them helps to inhibit the production of kidney stones, according to Harvard Health.

    That said, vitamin C supplements are recommended for certain health conditions that cause intestinal malabsorption problems or to counteract the side effects from some medications, like methenamine. Even in these situations, which should be closely monitored by a health care provider, a person probably wouldn’t need more than a 500 mg supplement, Winters said.

    If you do have a concern about the right amount of vitamin C for your needs, reach out to your physician. The upper limit for adults is 2,000 mg a day, but that doesn’t mean it’s worth getting close to the limit. Anything more than the recommended daily allowance or perhaps even up to two or three times that amount doesn’t really do you any good anyway, said Hunnes. “You’re best to get the daily requirement, maybe slightly more, and call it a day,” she said.

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  • Strawberries Support Cognition & Heart Health, New Research Shows

    Strawberries Support Cognition & Heart Health, New Research Shows

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    There are two things to consider when applying these results. First, the study was funded by the California Strawberry Commission. While research funded by trade groups should be approached with some skepticism, it’s not necessarily unreliable. And the findings of this study are in line with existing research on the benefits of strawberries3.

    Secondly, it’s worth noting that participants ate freeze-dried strawberry powder rather than whole strawberries. This was likely so that the study could be reasonably double-blind. (If half the participants were given whole strawberries and the other half were given a powder, it would be pretty clear to the placebo group that they were given a placebo.) But while freeze-dried berries are more concentrated than whole fruits, they have a similar nutritional composition, according to USDA data4.

    The powder participants ate was equivalent to about 16 large or 24 medium strawberries, about two servings1, says Maggie Moon, R.D., a brain health nutrition expert and author of The MIND Diet. Moon adds that the findings could be extrapolated to eating whole strawberries because “it’s likely that it’s the polyphenols in strawberries that promote memory and cognition brain health benefits, and the levels aren’t that different in fresh versus freeze-dried berries.”

    In support of the findings, Moon adds that the vitamin C content in whole berries can support immunity and help the body absorb iron from plant sources. The fiber found in berries promotes satiety and fights cholesterol, while the folate in strawberries supports neurotransmitter production.

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    Emily Kelleher

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  • 5 Nutrients That Promote Optimal Cardiovascular Health*

    5 Nutrients That Promote Optimal Cardiovascular Health*

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    If you haven’t heard about this incredible phytonutrient before, you’re in for a treat! Found in grapes, wine, chocolate, and key botanicals (e.g., Japanese knotweed extract), researchers believe that resveratrol is the secret behind the French Paradox: the juxtaposition of the standard French diet, which is high in saturated fats (*cough cough* butter) and red wine, and the relatively low rates of heart-health concerns among the French population.

    The scientific explanation for the French Paradox? Like vitamin C, resveratrol helps regulate healthy blood pressure levels5 and support vascular and endothelial function6.* Additionally, resveratrol has antioxidant properties that inhibit vascular oxidative stress7 and help maintain a healthy antioxidant balance.* 

    Although resveratrol is extremely beneficial to our cardiovascular and whole-body health, its bioavailability is limited.* To help boost resveratrol’s bioactivity and retention in mbg’s ultimate multivitamin+ formula, we’ve added its buddy phytonutrient, piperine, so the two can work together to promote longevity and overall well-being.*

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    Morgan Chamberlain

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  • The Missing Piece of the Foraging Renaissance

    The Missing Piece of the Foraging Renaissance

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    Harvesting wild local produce in Brooklyn’s Prospect Park may not seem like the best idea. And yet, on a foraging tour of the lively public park last month, a straw-hatted forager named “Wildman” Steve Brill and his teenage daughter, Violet, led roughly 40 of us amateurs into the grassy areas beyond the park’s paved footpaths for a four-hour tromp. Among plastic wrappers and bottle caps we found edible roots, fragrant herbs, and sturdy greens, all ripe for experimentation in the adventurous cook’s kitchen.

    At least in theory. There was food here, for sure, but hardly of the practical variety. We recovered fallen pods from the Kentucky coffeetree, whose seeds can be used to brew a caffeine-free alternative to a morning cup. That is, if one is willing to harvest enough of them, wash them of green toxic goo, and roast them for hours—though even then, it won’t really be coffee. I stuffed a few pods in a canvas bag alongside sassafras root, once used to make root beer the old-fashioned way, and a handful of lettuce-flavored violet leaves that could, in the right quantities, constitute a small salad. Two weeks later, I’m still wondering what, if anything, I’ll actually make with these odd new ingredients.

    What I didn’t anticipate were all the medicinal plants. Just a few minutes into the tour, we came across enough wild analgesics and anti-inflammatories to insure a casual hike. Here among the cigarette butts was broadleaf plantain, an easy-to-miss herb (unrelated to the bananalike fruit) known for calming mosquito bites. Over near the urinating puppy was jewelweed, which soothes poison-ivy and stinging-nettle rashes. Twigs snapped from a black birch tree exuded wintergreen oil, also known as methyl salicylate, a relative of aspirin that powers pain-killing ointments such as Bengay and Icy Hot.

    Interest in foraging for food has taken off in recent years, owing in part to the gourmet-ification of eating locally and in part to its popularity on social media, where influencers make chips out of stinging nettles and add fir needles to granitas. Foraged ramps and morel mushrooms have become so well known that they now appear on restaurant menus and in high-end grocery stores. But the foraging boom has largely left behind what has historically been a big draw of scrounging for plants—finding treatments for minor ailments. To be clear, medicinal plants aren’t likely to save the casual forager’s life, and they lack the robust clinical data that back up pharmaceuticals. But even some scientists believe they can be handy in a pinch. In a way, being able to find a jewelweed stem is more useful than identifying a handful of leaves that can substitute for lettuce.

    That has definitely been the case for Marla Emery, a scientific adviser to the Norwegian Institute for Natural Research and a former research geographer for the U.S. Forest Service who studies community foraging. Several years ago, when huge, oozing blisters formed on her legs after a run-in with poison ivy on a hunting trip, Emery visited an herbalist in Scotland who applied lobelia, an herb with pale-violet flowers, and slippery elm, a tree with mucilaginous properties, to her calf. Soon, she felt a tingling sensation—“as if someone had poured seltzer over the area”—and within an hour the blisters had healed, Emery told me.

    Both plants, traditionally used to treat skin conditions, “are supportive of health and have medicinal value,” she said, and they’re especially useful because “you’re highly unlikely to poison yourself” with them. Such anecdotes illustrating the profound utility of medicinal plants are common among botanist types. “If you get a cut and put [broadleaf] plantain on it, you can see it close up,” Alex McAlvay, an ethnobotanist at the New York Botanical Garden, told me. At least for some species, he said, “the proof is in the pudding.”

    Though foraging has long been a medicinal practice, and so many modern drugs are derived from plants, in the West, medicinal flora has largely been relegated to “traditional” or “folk remedy” status. Still, their use lives on in many communities, including immigrant groups that “come with medicinal-plant uses from their homelands and seek to continue them,” Emery said. People in Chinese, Russian, and certain Latin communities in the U.S. commonly forage dandelion, a weed with diuretic properties, to support kidney and urinary-tract health, she added.

    Along the concrete footpaths of Prospect Park, the Brills pointed out stands of burdock; its roots, in addition to being a tasty potato dupe, are used in some cultures to detoxify the body. Pineapple weed, found in baseball diamonds and sidewalk cracks, can calm an upset stomach, Steve told me later. Scientific data for such claims are scant, much like they are for other foraged plants, and using the plants for health inevitably raises questions about scientific credibility. Many medicinal plants that a casual forager will encounter in the wild will not have been studied through rigorous clinical trials in the same way that any prescription drug has been. Whether people ultimately embrace foraging for medicinal plants depends on how they believe “we make evidence and truth,” McAlvay said. “A lot of people are like, ‘If there’s no clinical research, it’s not legit.’ Other people are like, ‘My grandma did it; it’s legit.’” Nothing beats clinical research, though clearly some plants share valuable properties with certain drugs. Lamb’s quarters, a dupe for spinach, is so packed with vitamin C that it was traditionally used to prevent scurvy; stinging nettle, traditionally used for urination issues, may have similar effects as finasteride, a prostate medication.

    Naturally, the experts I spoke with unanimously recommended using foraged medicinal plants only for minor ailments. Just as foraging for food comes with some risks—what looks like a delicious mushroom can make you sick—the same is true of medicinal foraging. Take established, reputable classes and use books and apps to correctly identify plants, many of which have dangerous look-alikes; the edible angelica plant, for example, is easily confused with poisonous water hemlock, of Socrates-killing notoriety. Learning about dosage is important too. A benign plant can become poisonous if too large a dose is used, warned Emery. When working with medicinal plants, she said, “you’ve got to know what you’re doing, and that doesn’t lend itself to the casual TikTok post.” Beginner foragers should stick to “gentle but definitely powerful, easy-to-identify herbs,” such as dandelion and violet, said McAlvay.

    As the Brills instructed, when I got home I submerged a foraged jewelweed stem in witch hazel to make a soothing skin tincture. Days later, when I dabbed some onto a patch of sunburn on my arm, I felt, or maybe imagined, a wave of relief. Whatever the case, my delight was real. When I had asked both tour-goers and experts why foraged medical plants mattered in a world where drugs that accomplish the same things could be easily bought at a pharmacy, some said it was “empowering” or “satisfying,” but the description that resonated with me most came from McAlvay, who called it “magic”: the power to wield nature, in nature, in order to heal.

    When I got home from the tour and opened my bag of foraged goods, I found a black birch twig, still redolent of wintergreen. Coincidentally, that is the one smell I have craved throughout 38 weeks (and counting) of pregnancy, but moms-to-be are advised to avoid the medicinal ointments containing the oil. I sniffed the twig deeply, again and again, recalling that it might become useful in the months to come. When teething infants are given black birch twigs to chew, the gently analgesic qualities of the low-dose wintergreen oil helps soothe their pain, Brill had said. All of a sudden, their crying stops. What’s more magical than that?

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    Yasmin Tayag

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  • Sensitive Skin Doesn’t Always Like Vitamin C—These 15 Serums Are Derm Approved

    Sensitive Skin Doesn’t Always Like Vitamin C—These 15 Serums Are Derm Approved

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    For starters, the concentration of your vitamin C serum is key, especially if you have sensitive skin. According to Marisa Garshick, MD, a board-certified dermatologist located in New York City, choosing a serum that’s too highly concentrated can cause irritation. “It’s best to stick with vitamin C serums that contain L-ascorbic acid between 10–20%,” she shares. “If you’re sensitive, it’s best to start with a concentration of 8–10% and increase if needed.”

    Going for a lower concentration isn’t the only option, either. There are other forms of vitamin C, like magnesium ascorbyl phosphate (MAP), that can be just as beneficial for delicate skin types. MAP is water soluble and oil loving, so it more deeply penetrates the skin. This also makes it less irritating and easier on a sensitive visage. Another important factor to consider when buying the right vitamin C serum for your skin? The product’s pH level. “Those with sensitive skin may prefer a vitamin C with a pH that more closely mimics the skin’s natural pH,” says Garshick. “Often, vitamin C products are formulated to have a low pH to help with stability, but the lower pH can be irritating, so remember this if you have sensitive skin.”

    Additionally, some vitamin C serums are formulated with other ingredients. This can be either a win or a loss if you’re prone to sensitivities. Garshick reports that moisturizing and soothing agents like niacinamide or hyaluronic acid combine well with vitamin C in this case. “These [ingredients] contain other antioxidants, which may help to stabilize and boost results,” she adds.

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    Shawna Hudson

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  • 3 Bioactives That Support Your Skin Cells + How To Get More

    3 Bioactives That Support Your Skin Cells + How To Get More

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    Thanks to these targeted antioxidant actions at the level of skin cells, CoQ10 has been clinically shown to support skin elasticity and smoothness6 while combating wrinkles.*

    What’s more, endogenous (meaning internal) levels of CoQ10 decline with age, which can lead to changes in cellular function and rejuvenation. Luckily, ubiquinol is clinically shown to increase CoQ10 levels7—so look for this ingredient in your next skin supplement.*

    Not sure where to find the best products with these bioactives and more? Consider trying mindbodygreen’s cellular beauty+—a formula that includes astaxanthin, ubiquinol CoQ10, pomegranate extract, and phytoceramides (another skin-supporting ingestible) to promote cellular metabolism, energy, and rejuvenation.*

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    Hannah Frye

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  • FYI: This Is Why Your Multi Isn't Working (And What To Do About It)

    FYI: This Is Why Your Multi Isn't Working (And What To Do About It)

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    The act of “fairy dusting” in supplements is quite common

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    Hannah Frye

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  • FYI: This Is Why Your Collagen Supplement Isn't Working

    FYI: This Is Why Your Collagen Supplement Isn't Working

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    One quick nuance to collagen supplements you should be aware of.

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    Hannah Frye

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  • Sensitive Skin and Vitamin C Don’t Always Mix—Here’s What to Try Instead

    Sensitive Skin and Vitamin C Don’t Always Mix—Here’s What to Try Instead

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    Although I love writing and learning about beauty, I won’t pretend to be an expert on all skin types—that’s what I turn to the pros for. What I can do, though, is speak about my experience with sensitive, acne-prone skin. If you also have it, then you know what a giant pain in the you-know-what it can be. My skin has generally tolerated dermatologist-loved ingredients like vitamin C pretty well, but I know that that’s not the case for everyone. If you do tend to react to high concentrations of the ingredient, then you’ve come to the right place. You can still receive the benefits of this powerful brightening agent without the irritation.

    You may want to try a facial oil that contains vitamin C-rich ingredients or one that has ascorbic acid at a lower concentration (10% or less) than some serums. I also want to note that that doesn’t mean you can’t use a vitamin C serum at all if you have sensitive skin—derms have a few tips in that regard. “While those with sensitive skin can still consider vitamin C oils, those with sensitive skin should try to avoid heavy fragrance as this can be irritating on the skin,” says board-certified dermatologist Marisa Garshick, MD. “Oils may help to nourish and soften the skin, especially if containing ingredients like squalane. Other considerations when using vitamin C with sensitive skin are the type of vitamin C and the concentration. Certain types of vitamin c such as pure L-ascorbic acid may be more irritating on the skin and often higher concentrations of vitamin C may be more irritating as well, while more stable formulations like THD ascorbate may be preferred for sensitive skin as they are less irritating.”

    According to board-certified dermatologist Brendan Camp, MD, vitamin C oils may also be helpful for those who have dry or dehydrated skin since they can provide a heftier dose of moisture. Whatever your skin type, combining vitamin C and skin-nourishing oils can be beneficial. If you’re interested in trying one out for yourself, keep scrolling. Derms shared a few of their top picks and I threw in a few of my own favorites.

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    Shawna Hudson

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