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Ernährungsberatung Schorndorf

Binge eating disorder

Binge eating & "binge eating"

 

"Food keeps body and soul together"

When the soul is hungry

Certified individual therapeutic counseling

with a doctor's prescription (§ 43 SGBV)

       

              

Ernährungsberatung in Schorndorf Sarah Mörstedt

Uric acid is a metabolic product of the breakdown of purines.

It occurs in plant and animal foods (cell walls)

and is also endogenous - produced in our body itself.

Occurrence of purines in foods of animal origin (high levels) and in

vegetable foods (low levels) depending on the cell nucleus content.

-Definition:

Hyperuricemia: > 6.5 mg uric acid / dl blood in the serum, causes no symptoms.

 

Gout (arthritis urica): inflammatory joint disease

Permanent hyperuricemia leads to gout and thus to deposits of uric acid crystals in tissues and joints.

Normal values in the blood:

men  3.5 - 7.0 mg / 100 ml 

women  2.5 - 6 mg / 100 ml  

Solubility of uric acid in the blood: up to 6.5 mg uric acid are soluble in 100 ml of blood.

From 7mg / dl blood, the increased values should be treated!

Causes:

  • Genetics (primary gout)

  • Diseases / drugs (e.g. diuretics) (secondary gout)

  • Fasting inhibits the elimination of v. Uric acid (kidney)

Possible consequences:

Gout attack, joint changes, uric acid stones in the kidneys (gouty kidney)

Elevated values

can also arise when losing weight (crash diets, fasting) or

also be the result of taking certain medications.

Elimination : 20% via the intestines, 80% via the kidneys.

Why is nutritional therapy important?

Nutritional therapy supports you in reducing the elevated values, preventing gout attacks, preventing the disease from worsening and using dietary measures to promote elimination in a natural way. In addition, weight reduction can be indicated if the patient is overweight and the state of health can thus be further improved. For a low-purine diet, no more than 3000 mg per week and no more than 500 mg uric acid per day should be consumed.

Nutritional therapy supports you in reducing your symptoms and thereby positively influencing your health. An energy-adjusted wholesome diet under the supervision of a certified nutritionist can lead to your long-term success. The diet is adapted to your current weight and a jointly defined goal for weight loss.

The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed.

Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index. Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

Nutritional therapy

  • Reduction of the increased values through a diet that is appropriate to the diet (no fasting, no crash dieting!)

  • For a low-purine diet, no more than 3000 mg per week and no more than 500 mg purines per day should be consumed.

  • Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

  • anti-inflammatory diets for disease prevention

  • Energy-appropriate full nutrition, calculate the need for normal weight

  • Body weight: If you are overweight, weight reduction is recommended depending on the severity.

  • Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

  • Prevent protein deficiency

  • Which nutrients do I need in which ratio?

  • Get enough fiber (> 30 g / day) through natural foods, possibly fiber substitution

  • Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of at least 2 L drinking liquid per day is recommended (uric acid excretion via the kidneys!)

  • add valuable anti-carcinogenic (anti-cancer) secondary plant substances

  • A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

  • Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

  • which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

  • How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

  • Get enough Omgea-3 fatty acids and essential fatty acids

  • How can I boost and support my metabolism with natural foods?

  • Coordinate sensible meal frequency for your individual case - meal allocation

  • Define the desired weight stabilization / normalization & the estimated period for this

  • what should be considered with beverages and alcoholic beverages?

  • How does exercise affect your body and thus also your diet?

  • Avoid blood sugar fluctuations

  • Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

  • what should be considered when baking and cooking?

  • what are cheap snacks / main meals

  • Eating out - what should you watch out for?

  • Vacation, boat trip or hospital stay, what should be considered?

  • Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

  • Daily plans as an example for practical implementation in everyday life

  • Enjoyment training

  • Optimizing your eating situation

  • long-term maintenance of a jointly defined weight

  • Strengthen the stomach and intestines with natural foods

  • Additional therapy options

  • Dietetic products in support of nutritional therapy

  • Food supplements - under certain circumstances, a supplement can be useful

  • and other topics

 

Any questions? I look forward to your call or email. To contact form

Assistance:

Medizinische Ernährungsberatung die wirt!

Be free

with healthy food

for more well-being

"Your food should be your remedies , & your remedies should be your food."

Hippocrates (460-370 BC)

Ernährungsberatung
Ernährungsberatung Sarah Mörstedt
Praxis für Ganzheitliche ErSarah Mörstedtährungsbertung & Ernährungstherapie Sarah Mörstedt Diätassistentin Gesundheitspädagogin (B.A.) Diätetik Schorndorf
VDD Sarah Mörstedt Diätassistentin VDD Logo
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