November 30, 2011

Fast food – The Fast Way to Ill Health.

Filed under: Fast food – The Fast Way to Ill Health — admin @ 3:49 pm

Fast Food

Most of us realise that take-away food is not the healthiest choice, but do you really know what is in that Chinese food you just polished off in front of the TV? An average portion of sweet and sour chicken, egg fried rice and vegetable spring rolls, can contain a huge 1,436 calories and 65g of fat. The average Indian takeaway is not much better, with chicken tikka masala, pilau rice and a plain naan containing a massive 1,338 calories and 55g of fat according to a report by Which? Magazine. That’s over half the recommended calorie intake for a man, and two-thirds of the intake for a woman.

The Department of Health say that women should have no more than 2,000 calories and 70g of fat a day, and men no more than 2,500 calories and 95g fat in total.

And if you were wondering why there was a salt shortage last winter, perhaps your local Indian restaurant may have the answer, with up to 7g of salt in a tikka masala alone, that’s 1g more than the recommended daily intake! Researchers analysing 52 different countries found the typical Western diet, high in fat, salt and meat, accounted for about 30% of heart attack risk in any population.

So after a long hard day at work, what are the alternatives? Why not try this fragrant chicken curry with chickpeas:

Ingredients

2 Onions 20g of fresh coriander

3 Garlic cloves 1 low salt chicken stock cube

4cm piece of fresh root ginger, peeled & roughly chopped

425ml boiling water

2 tbsp moblai (medium) curry powder

4 skinless chicken fillets cubed

½ tsp turmeric

natural low-fat yogurt & basmati rice to serve

2 tsp paprika

1 fresh red chili, seeded & roughly chopped

410g can chickpeas, drained & rinsed

 

1. Tip the onions, garlic, ginger, ground spices, chilli and half the coriander into a food processor, blend to a purée. Tip the mixture into a medium saucepan and cook over a low heat for 10 minutes, stirring frequently.

2. Crumble in the stock cube, add the boiling water and return to the boil. Add the chicken, stir, then lower the heat and simmer for 20 minutes until the chicken is tender.

3. Chop the remaining coriander, reserve 2 tablespoons, then stir the remainder into the curry with the chickpeas. Heat through and divide between four bowls. Sprinkle with the reserved coriander and spoon over the yogurt, then serve with basmati rice.

Ready to eat in 45 minutes, a miniscule 272 calories per serving, and only one pot to wash up, so remove that take-away from your speed dial now and get cooking!

Recipe adapted from Good Food Magazine.

Nutrition per serving (serves 4)

272 k/calories, protein 39g, carbohydrate 19g, fat 5 g, saturated fat 1g, fibre 5g, salt 1.68 g

 

Jenny Burn BSc N.Med mBANT

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November 28, 2011

With Christmas Just Around The Corner

Filed under: News — admin @ 8:20 pm

With Christmas just around the corner and the upcoming events that require that little black dress, now is the time not to go on a crash diet, leaving you hungry and drained, but instead embark on a wellness plan, that will not only aid the achievement of the elegant dress, but also address long term health and wellness.

Too many of us feel the answer to lose weight is to restrict food intake. Actually we need to address the types of foods that we eat. Foods high in sugar and white refined carbohydrates (bread, pasta, rice and potato) cause sudden sugar spikes that create a surge of insulin. This release causes us to store glucose as fat; this storage is particularly around the abdomen.

Instead we want to eat regular meals combined of both protein (nuts and seeds, eggs, fish, beans and lentils) and complex carbohydrates – wholemeal bread and pasta, brown rice, oats and root vegetables, not potatoes. We also need to ensure daily intake of the good fats (oily fish, nuts and seeds, flax or hemp oil, avocado, olives). It is these essential fats that have a thermodynamic effect on the body, which helps us to burn fat.

Nuts And SeedsBy eating these regular meals and snacks. We will balance our energy levels, we will reduce sugar cravings and we will increase metabolism, allowing our body to utilize fuel more efficiently.

Start the day with a protein rich meal, such as omelette or scrambled egg on toast, take protein rich snacks to work or school with you, opt for hummus and vegetable sticks or a piece of fruit with a handful of nutrient rich seeds. Make a homemade soup with lentils for lunch, or a salad served with some brain nurturing oily fish. Afternoon could be 2 oatcakes with some walnut butter and dinner could be a butternut squash and red lentil curry (all recipes can be found on the website.. Click Here)

Once our blood sugars are stable throughout the day, our body produces a much more consistent supply of insulin and our sugar cravings are reduced.

Let that little black dress be the beginning of the new you. Treat yourself to a Nutrition Mission consultation for Christmas or ask your loved ones to buy you a consultation. What better gift than the gift of health? Good health is for a great life not just for Christmas.

Jo Gamble BA (hons) Dip CNM MFNTP

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November 23, 2011

Under-Active Thyroid

Filed under: Under-active Thyroid — admin @ 9:51 pm

Under-active Thyroid (Hypothyroidism)Under Active Thyroid

The thyroid gland is located in the front of the neck, below the larynx. Hypothyroidism refers to low thyroid gland function in which the thyroid gland does not make enough of the thyroid hormones thyroxine (T4) or triiodothyronine (T3), these are the hormones responsible for the regulation of metabolism in every cell in the body, therefore a deficiency can potentially affect every system in the body.

The most common cause of hypothyroidism is inflammation of the thyroid gland, which damages the cells in the gland. A common example of this is Hashimoto’s Thyroiditis, or autoimmune thyroiditis, where the immune system attacks the thyroid gland. Some women can develop hypothyroidism during pregnancy, known as gestational hypothyroidism; others may develop hypothyroidism after pregnancy, known as postpartum thyroiditis.

The severity of symptoms vary from sub-clinical hypothyroidism, where there are very few symptoms, to severe deficiencies which could be potentially life threatening. Clinical suspicion of hypothyroidism in the elderly can easily be delayed due to the fact that the symptoms can be attributed to the aging process.

The signs and symptoms of hypothyroidism usually manifest when the disease is fully developed, however even in the early (sub-clinical) stages, some of the following may present:

  • Fatigue
  • Weight gain
  • Cold intolerance
  • Constipation
  • Poor memory recall
  • Dry skin
  • Decreased concentration
  • Depression
  • Loss of hair
  • Muscle and joint pains
  • Lowered body temperature
  • Reduced or excessive sweating
  • Brittle nails
  • Lowered sex drive
  • Poor muscle tone
  • Goitre (enlargement of the thyroid gland).

Later symptoms include:

  • Lowered basal body temperature
  • Altered menstrual cycle
  • Thinning of the outer third of the eyebrows
  • Dry puffy skin, especially around the eyes
  • Hoarse voice

Most cases of hypothyroidism develop in adulthood and the medical treatment almost always involves the use of replacement thyroid hormones.

Long-term stress can deplete thyroid function as the stress hormone cortisol inhibits it. Our body’s hormones all dance together and if one is out of sync then they will all be out of sync.

Nutritional considerations include:

  • Reducing intake of Brassica vegetables – cabbage, brussel sprouts and cyanate foods – apples, walnuts and almonds as these are known goitrogens.
  • Supplement thyroid stimulating nutrients such as iodine, tyrosine, selenium, zinc and iron.
  • Increase intake of omega-3 polyunsaturated fatty acids that are important for cell membrane integrity.
  • Decrease intake of saturated fats.
  • Ensure that phase 2 liver conjugation pathways are activated.
  • Increase antioxidant nutrients.
  • Increase intake of iodine, which is found in seafood and seaweed.
  • Reduce exposure to toxins.
  • Balance blood sugar levels.

 

Debi-Ann Wrigglesworth Dip CNM MFNTP MBANT

 

References:

Barnard, N., Weissinger, R., Brent, J., Kahan, S. and Smyth, C. (2009) Nutrition guide for clinicians. 2nd Edition. Washington. Physicians Committee for Responsible Medicine.

Gould, B. (1997) Pathophysiology for the health professions. 3rd Edition. Philadelphia. Saunders Elsevier.

Holford, P. (2007) New optimum nutrition bible. London. Piatkus Books.

Osiecki, H. (2006) The physicians handbook of clinical nutrition. 7th Edition. Australia. AG Publishing.

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November 18, 2011

Look after your gut and your gut will look after you

Filed under: Look after your gut and your gut will look after you — Tags: — admin @ 1:38 pm


The growing demand for probiotic drinks shows that everyone is becoming more aware of the importance of gut health. Yet the ever growing sales of antacids shows that perhaps we’re not getting it quite right. It pays to look after our digestive system – it has a number of important functions to perform. If it’s not working well, the chances of feeling on top form are slim!

One of Its main aims and the one you are probably most familiar with is the digestion and absorption of the nutrients we need for the proper functioning of every cell in our bodies. But it also has a protective role in keeping out toxins and bacteria or poorly digested proteins which could cause harm if they reach the bloodstream. It acts as a barrier, a “sorter of information” as to what is good for the body and what is not

So what can you do to improve your digestion, keep toxins at bay and avoid indigestion symptoms?

Protective role starts in the stomach – we naturally produce stomach acid so that we can digest the food and kill any toxins entering with the food. Stomach acid is often seen as the villain of the piece, hence the large scale use of antacids, but without it we just can’t digest our food well and we also lose our first protective defence against toxins and bacteria. Adequate stomach acid is also crucial to properly absorb zinc, vitamin B12, calcium and iron. A good level of stomach acid is dependent on adequate intake of zinc. Good food sources of zinc are shellfish (especially oysters) and in fish and red and white meats, but it can also be found in several plant foods with pumpkin seeds a particularly good source, as are split peas and brazil nuts, whole-wheat and rye.

Eat slowly – don’t eat on the run and remember to chew your food thoroughly – simple solution, but one that’s often overlooked and may be difficult to achieve in a busy lifestyle. There are digestive enzymes in your saliva – use them properly and you’ve taken some of the work load off of the stomach.

In the intestines, inflammation can cause damage to the tight junctions of the gut lining and allow toxins and poorly digested food particles to pass through into the bloodstream. This permeability is known as “Leaky gut” and is thought to be a possible fore-runner of a number of both atopic and auto-immune diseases. Avoiding foods that might be contributing to the inflammation may help. For some people, wheat and dairy can trigger the inflammation, but sugars and refined carbohydrates may also play a part, as can alcohol.

Maintaining a healthy gut flora is also essential to gut health. The gut microflora plays a vital role in health, synthesising some vitamins, inhibiting overgrowth of harmful bacteria and stimulating the immune system. Prebiotic foods feed the beneficial microflora, so try to incorporate these into your diet by eating plenty of onions, garlic, leeks, chicory and Jerusalem artichokes. Probiotic supplementation can replace gut flora lost to antibiotic use, disease, poor diets, and stress and studies support their use for many and varied health conditions, including food sensitivities, diarrhoea, irritable bowel, inflammatory bowel disease and Crohns. Check out Symprove probiotic on the Nutrition Mission Website.

Carole Nicholson (BSc Nut Med MBANT)

 

References

Borruel, N. et al., 2002. Increased mucosal tumour necrosis factor α production in Crohns disease can be downregulated ex vivo by probiotic bacteria. Gut, 51(5), pp.659 -664.

Brom B (2010). Integrative Medicine and leaky gut syndrome. SA Fam Pract 2010; 52 (4): 314-316

Clavel, T. & Haller, D., 2007. Bacteria- and host-derived mechanisms to control intestinal epithelial cell homeostasis: implications for chronic inflammation. Inflammatory Bowel Diseases, 13(9), pp.1153-1164.

Gibson, G.R. & Roberfroid, M.B., 1995. Dietary Modulation of the Human Colonic Microbiota: Introducing the Concept of Prebiotics. The Journal of Nutrition, 125(6), pp.1401 – 1412.

Kirjavainen, P.V. et al., 1999. New aspects of probiotics–a novel approach in the management of food allergy. Allergy, 54(9), pp.909-915.

LIpski E ( 2005). Digestive Wellness. McGraw Hill

Majamaa, H. & Isolauri, E., 1997. Probiotics: a novel approach in the management of food allergy. The Journal of Allergy and Clinical Immunology, 99(2), pp.179-185.

Matsumoto, T. et al., 2008. Prevalence of non-steroidal anti-inflammatory drug-induced enteropathy determined by double-balloon endoscopy: a Japanese multicenter study. Scandinavian Journal of Gastroenterology, 43(4), pp.490-496.

Savilahti, E., Kuitunen, M. & Vaarala, O., 2008. Pre and probiotics in the prevention and treatment of food allergy. Current Opinion in Allergy and Clinical Immunology, 8(3), pp.243-248.

Spiller, R., 2008. Review article: probiotics and prebiotics in irritable bowel syndrome. Alimentary Pharmacology & Therapeutics, 28(4), pp.385-396.

Vítor, J.M.B. & Vale, F.F., 2011. Alternative therapies for Helicobacter pylori: probiotics and phytomedicine. FEMS Immunology and Medical Microbiology, 63(2), pp.153-164.

Whorwell, P.J., 2009. Do probiotics improve symptoms in patients with irritable bowel syndrome? Therapeutic Advances in Gastroenterology, 2(4), pp.37-44.

Wright JV and Lenard L (2001). Why Stomach Acid is Good for You. Evans

 

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November 17, 2011

The Six week Eat-athon

Filed under: News — admin @ 3:21 pm

The Six week Eat-athon

Studies have shown that 50% of the average annual weight gain is most likely to be gained in the six weeks between mid-November and Christmas (lucky us, it’s exactly the time now). So we’re about one week in to the six week eat-athon which usually finishes with the consumption of a whopping 6,000 calories on Christmas Day (that’s three times the daily guideline amount of 2,000 calories for females). And unfortunately, that weight gain will (for most of you) still be there when Christmas comes around next year.

 
Let’s have a closer look at the nutritional value of some of the foods we tend to stuff our faces with during this six week eat-athon. The first on the list is the seasonal must-have, mince pies.
Did you know the female record holder ate 46 mince pies in 10min? With an average 250 calories per mince pie, this equals 11,500 calories, the recommended calorie intake of 5.75 days! Now I’m sure you don’t eat that many mince pies, but let’s have a closer look at this serious calorie punch.

 
So we’ve established an average mince pie contains 250 calories, 1/8th of your daily guideline amount of 2,000 calories. Put this into the mince pie calculator, and it tells you if you go swimming for an hour you burn off 1.4 mince pies. (But who has the time to do more exercise with all those festive dinners, ice skating events and shopping evenings. And be honest, do you really fancy showing off your body in an all-too-revealing swimming costume at this time of the year?) The mince pie might be small in size but high in sugar, containing up to 25gram per pie – that’s a total of five teaspoons of sugar in one mince-pie!

 
Considering your body can only ever deal with one teaspoon of sugar circulating in your system, you know what this will do to your blood sugar, insulin, and energy levels. The fat content isn’t much better – some of the mince pies out there contain a whopping 8g of total fat, and that’s not the healthy kind of polyunsaturated fat. So if you happen to eat 2.5 mince pies (which can happen too quickly, I know) you can easily reach your recommended daily allowance of 20g of saturated fat. The puff pastry offers little to no fibre, and can cause you to feel bloated and sluggish should you tend to be wheat or gluten intolerant. Protein levels are low so you won’t be satisfied for a long time, and you’ll want more mince pies in no time.

 
Now add a teaspoon of single or double cream (or brandy butter) and you can easily hit the 500 calorie mark. If you can’t resist a humble mince pie, keep these figures in mind, start reading labels, and try one of the gluten-free and lower calorie/fat versions out there.

 
After all, you don’t want to be first to cross the finish line of the six week eat-athon!

Lisa Wulf

BA (hons), Dipl CNM, MBANT

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November 16, 2011

Healthy Aging Test

Filed under: Healthy Aging Test — admin @ 9:57 pm

New Healthy Aging TestArteries thickening

Are you worried about the effect of stress on your health?  Are you worried about your true biological age?  Are you worried your aging beyond your years?  Are you worried that 1 in 3 of us will suffer a stroke or heart attack?
This is your chance to Turn Back time

For many years the medical community has accepted that many of the problems associated with aging, heart attacks and strokes are because our arteries stiffen and narrow and restrict the blood flow and oxygen supply to the skin, heart and other vital organs.

Did you know that ongoing stress and poor diet could damage your arteries, thus increasing your risk of heart attacks and stress?

We are now offering a unique medical device (class II medical equipment) that can determine and track arterial stiffness.  Through this test we can calculate your REAL biological age.  Jo Gamble is trained and registered by the company Turn Back Time to use this medical device.  The equipment together with specialist computer software can accurately determine and track your biological age.

For just ￡25 you can find out how quickly your cardiovascular system is aging and then be supported to take steps to improve this functioning.

Anyone can benefit from knowing the health of his or her arteries with the aging test.  Arterial stiffness can damage the amount of oxygen circulating which can accelerate the symptoms associated with aging.  If you are worries about any of the following, call today for a test:

* Stressful work or home life
* Family history of cardio-vascular disease
* High blood pressure
* Raised cholesterol
* Poor memory
* Wrinkles and loss of skin elasticity
* Decreased libido
* Weight gain
* Lack of energy
* Shortness of breath
* Angina
* Poor memory
* Reduced physical performance

Once the condition of the arteries is known, Jo will then suggest simple lifestyle, diet and supplemental changes for you to follow and then a retest can then confirm the progression of your arterial health.

This is a non-invasive test.  The specialist equipment is mounted inside an arm cuff.

Book an appointment to see Jo and find out how healthy your arteries really are.

Jo Gamble
BA (Hons) Dip CNM MFNTP

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Coventry Observer – 10/11/2011

Filed under: 2011/11/10 - Coventry Observer — admin @ 9:44 pm

An article about Jo Gamble and Nutrition Mission in the Coventry Observer on the 10/11/2011.

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November 14, 2011

Do you need more of the sunshine vitamin?

Filed under: Do You Need More Of The Sunshine Vitamin? — admin @ 5:33 pm

Do you need more of the sunshine vitamin?

 

Sunshine Vitamin

Vitamin D’s role in numerous body systems has been underestimated. It is only now, when over 50% of the European population are considered deficient that we are beginning to understand its central role in maintaining health.

Vitamin D is a hormone pre-cursor, rather than a true vitamin. We maintain our body’s levels through exposing our skin to sunshine and from a few foods, such as oily fish, egg yolk and fortified foods. Its influence is vast as it is involved in over 2000 genes. There are two types of vitamin D – D3 and D2. D3 is the more stable and effective form when choosing supplements.

Our rigorous use of sunscreens and cosmetics with sun protection factors, our tendency to spend more time indoors alongside long dark winters minimise our opportunity to manufacture vitamin D through sun exposure.

In Spring 2010 there was a call from international experts to review the current recommendations for vitamin D. They believe that raising vitamin D levels would reduce the risk of developing a number of chronic diseases.

The Reference Nutrient Intake (RNI) for vitamin D is set at a level to prevent the classic deficiency disease rickets. This is between 300 and 600 IU’s per day depending on age and gender.

We need to consider the effects of milder deficiencies of vitamin D, over longer periods of time. An absence of rickets alone is not a sign that we have adequate levels of vitamin D.

Recent research has linked low levels of vitamin D to a variety of chronic conditions. These include various cancers, allergies, autoimmune conditions, diabetes and cardiovascular disease.

Many of us are aware that vitamin D is involved in calcium metabolism and adequate levels are required to protect bone health. Some evidence suggests that Vitamin D is more important than calcium in promoting bone health. Supplementing calcium without vitamin D can promote calcification of the arteries.

A lesser known, but equally important role of vitamin D is its role in regulating the immune system. A deficiency leads to altered production of specific immune system cells and may explain the role vitamin D deficiency plays in autoimmune conditions.

Observational and epidemiological studies have shown that the risk of heart attack and stroke are significantly increased in those with vitamin D deficiency. Randomised controlled trials are needed to ascertain whether vitamin D itself can prevent cardiovascular disease.

With good digestion being the cornerstone to good health it is worth noting that vitamin D is crucial for the action of specific peptides which defend our gastrointestinal tracts from the survival and adhesion to the gut wall of ‘unfriendly’ gut bugs.

Levels will fall in the winter months when we spend more time indoors. In some instances supplementation may be required; this will depend on exposure to sunshine, genetics, skin colour and age.

Vitamin D levels are assessed by measuring blood levels of 25-hydroxyvitamin D. This is considered to be the best indicator of vitamin D status. If you are concerned about your level of vitamin D it is worthwhile checking if your GP will run this test for you. At present, a normal range is considered between 30 and 74ng per millilitre. Many nutritional professionals consider a range of 60 to 80 ng per ml to be optimal.

Sarah Hanratty
Bsc N.Med MBANT

 

Armas, A. et al (2004) Vitamin D2 is much less effective than D3 in humans. The Journal of Clinical Endocrinology & Metabolism. Vol. 89 no. 11 5387-5391.
British Nutrition Foundation (2009) Nutrient Requirements. Available from: http://www.nutrition.org.uk/nutritionscience/nutrients/nutrient-requirements (11/11/2011).
Cantorna, M.T. et al (2004) Vitamin D status, 1,25-dihydroxyvitamin D3, and the immune system. Am J Clin Nutr. Vol 180, No.6 1717S-1720S.
Grant, W.B. (2002) An ecologic study of dietary and solar ultraviolet-B links to breast carcinoma mortality rates. Cancer: 94:272-81.
Heaney, R. (2003) Long-latency deficiency disease: insights from calcium and vitamin D. Am J Clin Nutr. 78:912-9.
Holick, M.F. (2010) The vitamin D deficiency pandemic: a forgotten hormone important for health. Public Health Reviews. 32:267-283.
Holick, M.F. (2007) Vitamin D Deficiency. N Engl J Med 2007;357:266-81.
Holick, M.F. (2004) Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. American Journal of Clinical Nutrition. Vol. 79, No. 3, 362-371.
Matsuoka, L.Y. et al. Sunscreens suppress cutaneous vitamin D3 synthesis. J Clin Endocrinol Metab 1987;64:1165-8.
Nicolle, L. and Woodriff Beirne, A. (Eds.) – (2010) Biochemical Imbalances in Disease. London: Singing Dragon.
Stihler, C. (Ed) – (2010) The Sunshine Supplement. Vitamin D in focus. The Parliament. Politics. Policy and people magazine. April, P1-20.

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November 11, 2011

Acne Treatment – Top Tips

Filed under: Top Tips In Aiding Acne Treatment — admin @ 7:32 pm

Acne Treatment acne treatment- Tops Tips

Commonly known as acne vulgaris in the medical world, although there are approximately 20 sub-types, this condition is most usually found among teenagers, especially boys, and is caused by an interaction between hormones, skin oils and bacteria that result in the inflammation of hair follicles. Lesions usually occur on the face but can also affect the chest, back and shoulders. Acne is characterised by pimples, cysts or abscesses and some severe forms of acne vulgaris can lead to permanent scarring.

Despite largely affecting teenagers, acne also statistically affects 1 in 4 men and 1 in 2 women at some point during their adult lives. People can develop acne during their 20’s, 30’s or 40’s and regardless of the age that acne occurs, or recurs, the emotional impact of the condition can cause problems with confidence and even lead to depression.

Although idiopathic, causes of adult acne are believed to be due to imbalanced hormones, nutrient deficiencies, stress and a lack of beneficial bacteria, often caused by overuse of antibiotics. Women can typically experience premenstrual flare-ups of acne.

Dietary aspects feature quite highly in acne treatment. A deficiency of vitamin A and zinc are widely known to contribute to this condition, as a deficiency in these nutrients lead to a lowered ability to fight infection especially when combined with a lack of beneficial bacteria.

Following a personal optimum nutrition program can be hugely beneficial in the treatment of acne by balancing hormones as well as reducing the risk of infection. A huge percentage of the immune system is in the gastrointestinal tract so if the gut is working correctly then the immune system should be running efficiently but it’s also worth noting that if the gut is working optimally then toxins should be excreted at an optimal rate.

General dietary advice would include eating an optimal diet rich in an array of fruits and vegetables, drinking plenty of filtered water and avoiding sugar, high sugar foods, cigarettes, alcohol and fried or foods high in saturated or trans fats. Increasing intake of zinc-rich foods these include: egg yolks, ginger, sunflower and pumpkin seeds, seafood, whole grains, yeast, milk, liver and beef. It may also be beneficial to increase foods rich in vitamin B5, which include: avocado, beans, green vegetables, peas, sweet potatoes, mushrooms, lentils and oranges.

Supplements may be beneficial but take care that they do not contain added iodine that can exacerbate the problem.

It is always best to consult with your Nutrition Mission nutritional therapist before embarking on any dietary program so that your personal nutritional requirements can be assessed.

References:

Acne.org. (no date) Adult acne. [Online] Available from: http://www.acne.org/adult-acne.html [accessed 6 November 2011]

Bernard, N.D., Weissinger, R., Jaster, B. J., Kahan, S. and Smyth, C. (2009) Nutrition Guide for Clinicians. 2nd edition. Washington, DC, Physicians committee for responsible medicine.

Ernst, E., Pittler, M. H., Wider, B. and Boddy, K. (2008) Oxford handbook of complementary medicine. New York, Oxford University Press.

Gould, B. E. (2006) Pathophysiology for the health professions. 3rd edition. Philadelphia, Saunders Elsevier.

Holford, P. (2007) New optimum nutrition bible. Great Britain, Piatkus.

Nutrition Mission (2010) Condition we can help with… acne. [Online] Available from: http://www.nutritionmission.co.uk/conditions/full.asp?id=5 [accessed 6 November 2011]

Osiecki, H. (2008) The physicians handbook of clinical nutrition. 7th edition. Australia, AG Publishing.

Osiecki, H. (no date) The nutrient bible. 7th edition. Australia, AG Publishing.

 

Debi-Ann Wrigglesworth dip CNM MFNTP MBANT

 

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