Anorexia nervosa is a type of eating disorder, which falls under the category of psychological disorders. The patient becomes extremely thin and has an unreal perception of body weight. This unreal perception involves a fear of becoming fat. The primary symptoms are fasting, an aversion for food, obsessive thought about weight loss etc.

Here are the usual treatments for anorexia nervosa according to the progression of the disease.

Medications: The first thing your doctors will do is prescribe medications to make sure that the patient has come back to a health condition, which is stable. This is because anorexia causes heart problems, depression and osteoporosis among other physical complications. The doctor will be giving separate medications for all of them. Once you start feeling better, the doctor will stop giving you medications. Sometimes medication also has to be given for malnutrition or starvation if the disease has set in far too deep.
Counselling: The primary type of counselling, which will take place is nutritional counselling. Dietitians can help you with this, as they teach healthy eating patterns and know how to make you follow it therefore, this is a crucial part of the recovery process which should not be neglected.
Therapy: Firstly, therapy and counselling are different treatment procedures. The main difference between the two is the focus of the treatment. Therapy is done by psychologists who help deal with what causes your hate of eating and try to eliminate these mental issues while counselling is done by counsellors who are there to help sort out your eating disorders. 
Nutritional rehabilitation: This is a more serious form of counselling. The counsellors generally try unconventional methods at this stage to make sure that you are eating properly and will eat properly in the future. This is because by this stage the progression of the disease is more serious and weight has to be gained immediately.
Starvation treatment: By this stage, nutrition has to be given in the form of fluids and you will be having severe health problems all of which need medication.

Anorexia Nervosa - 5 Ways it Can be Treated!

Why drastic deficiency of vitamin d is becoming increasingly common among urban Indian youth?

On this women's day, let's understand why young Indians esp. Are women facing this unforeseen deficiency and resultant problems?

Vitamin d is unique because it can be made in the skin from exposure to sunlight. We get a really good amount of sunny days as opposed to many western and northern countries where vitamin d deficiency is ought to be common.

It is surprising that vitamin d deficiency is such a common problem in India nowadays that it finds prevalence among 70-100 percent of the general population in the country. More than 80.63 percent of 73 lakh Indian youth suffer from the deficiency of vitamin d. What's more shocking is that it can lead to a variety of health issues ranging from osteoporosis to diabetes. Without vitamin d, only 10-15% of dietary calcium and about 60% of phosphorus are absorbed - which would certainly lead to weaker bones. Vitamin d sufficiency enhances calcium and phosphorus absorption by 30-40% and 80%, respectively.

Vitamin d exists in two forms - vitamin d2 and d3. Uv rays from the sun hit the skin, and vitamin d3 is naturally synthesized, so it is the most 'natural' form. However, our bodies do not make vitamin d2, and most oil-rich fish such as salmon, mackerel, and herring and eggs contain vitamin d3.

Here are a few reasons why deficiency of vitamin d is becoming increasingly common among urban Indian youth.

1. Being always indoors

Our youth is never out in the sun because they are too occupied with their laptops or video games. Their lifestyle is such that it does not allow them to spend some good time out in the sun, which is a major source of vitamin d for the body. Technological advancement and cut-throat competition have made the youth forget the sun as a source of a healthy dose of vitamin d.

2. No milk, no fish

A lot of Indian youth follow a strictly vegetarian dietary regimen and they avoid milk very commonly. Vitamin d is found in foods like fish, egg yolks, fish liver oils etc. And not consuming them is a major reason why youth face vitamin d deficiency.

In fact certain, distinct symptoms can help you know if you're suffering from vitamin d deficiency or not.

You need to keep an eye out for these:

- excessive sweating without indulging in physical activities or being exposed to high temperatures

- sudden bouts of weakness for no apparent reason

- brittle bones that break easily

- chronic pain in your brains

- feeling of depression

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Do You Need Vitamin Supplements?

Why Drastic Deficiency of Vitamin D is Becoming Increasingly Common Among Urban Indian Youth?

Vitamin D is one of the essential vitamins, with a significant role in bone health. People who are very careful about sun exposure and those who do not get enough natural sun tend to be worried about their bone health, and so go in for supplemental vitamin D.

This, however, can lead to excessive vitamin D in the body, a condition known as hypervitaminosis D. Excessive supplements are the main cause for this condition. In addition, some heart medications, prolonged antacid therapy, and oestrogen therapy also can lead to this condition.

A person requires about 600 IU per day and if a person gets natural sun exposure for about 15 minutes, that is sufficient for the body to make this amount of vitamin D. The issue is when there is too less of sun or too much of sun protection, when the body is not able to make this on its own and requires supplements.
Increased vitamin D leads to increased amount of calcium in the system, known as hypercalcemia, which can lead to serious effects on multiple organs including bones, kidneys, heart, and other tissues and organs.
Taking some amount of supplements on a regular basis does not lead to this condition. Having heart disease, kidney disease, or being on diuretics like thiazide increases the risk of developing hypervitaminosis D.
It is advisable to periodically monitor the levels of vitamin D in a person who is on supplements, especially if these conditions are also present.
If it is in the levels beyond the required amounts, reducing the dose of the supplements or even temporarily stopping it should be considered.
Adhering to a diet which is naturally rich in vitamin D is also a good alternative. Cod liver oil, cheese, fatty fishes like tuna and salmon, mushrooms, and fortified milk and yoghurt are good sources. There are also juices and other drinks available which are fortified with vitamin D.
Some of the most common general symptoms of vitamin D include weight loss, extreme fatigue, poor appetite, excessive thirst and urination, dehydration, constipation. Specific symptoms indicative of excess vitamin D include muscle weakness, high blood pressure, heart rhythm disorders.
In the long-term, it can also produce complications like kidney stones/damage/failure, excessive bone loss, calcification of arteries and other soft tissues
Heart rhythm disorders is another major problem that can be caused by taking increased amounts of vitamin D.
Vitamin D is naturally available, and getting 15 minutes of sun, especially in the morning, is one of the best ways to get your daily dose. It also has a mood-elevating effect, so soak up the sun.

Vitamin D - Can An Overdose Harm You?

Vitamin C is a water soluble vitamin, which is essential for various functions and it is not produced or stored by the body, so it is important that the food contains adequate amount of it. It plays a vital role in heart, eyes, skin, and prenatal health and immunity. Long-term non-availability of vitamin C can lead to various symptoms, which though are not immediately threatening, can turn dangerous in the long run.

Bruised skin: Easy bruising is one of the early symptoms of vitamin C deficiency. There could be capillaries which appear superficial and have an increased tendency to bruise and bleed. There could also be unexplained reddish purple marks on the skin in people who have low levels of vitamin C.
Bleeding gums: Another major indicator of vitamin C deficiency is swollen gums that tend to bleed easily. This again is related to their role in collagen formation and if not identified and treated in the early phases, it can lead to severe gum inflammation, periodontal disease, and even loss of teeth.
Slow wound healing: Vitamin C has an important role to play in connective tissue formation, and if there is less of vitamin C in the body, collagen formation is delayed. This can lead to prolonged and delayed healing of wounds, even simple ones like cuts and bruises. The added role of vitamin C as an immune booster also leads to reduced healing when there is vitamin C deficiency.
Nosebleeds: Frequent unexplained nosebleeds is another sign of vitamin C deficiency. Reduced amounts of vitamin C make the capillaries fragile causing them to bleed easily.
Dry skin: While weather does determine if the skin is dry or normal, vitamin C also does. The decreased levels of collagen can lead to an unhealthy skin which can turn red and can be dry and can also lead to keratosis pilaris, which is an accumulation of melanin pigments in the skin. Good amounts of vitamin D helps as a good anti-ageing agent and reduces wrinkles and retains moisture. It also has sun protective effects and antioxidant properties.
Unexplained weight gain: Vitamin C plays a vital role in fat metabolism and therefore deficiency leads to weight accumulation, especially around the waist. It helps oxidise fat and so helps in weight regulation.
Lowered immunity: Vitamin C deficiency affects the body s susceptibility to infections, making it prone to more severe and frequent infections. People catching a common cold very frequently could be suffering from vitamin C deficiency.
Emotional health: Vitamin C is also a mood regulator, so inadequate amount can lead to depression. Try eating a juicy orange and see yourself feeling better!

Vitamin C - 8 Reasons Why Your Body Needs It!

7 food combos to help you get that gorgeous figure

Nowadays, each and every one of us is extremely conscious of our dietary habits and make sure that we consume the right foods. Thus, we are also aware of many healthy foods which not only help us crush fat but also provide a great boost to our metabolism. We bring to you 5 food pairings which work wonders for your figure when consumed together:

1. Ginger and tuna
Ginger prevents inflammation of the body caused due to bloating and also speeds up gastric emptying. Tuna, on the other hand, stops the growth of belly fat cells and contains docosahexaenoic acid which protects against stress chemicals, thus preventing flab storage. Thus, start pairing up your tuna roll with that ginger pickle!

2. Honey and cinnamon
Daily dose of honey with the goodness of cinnamon is the perfect recipe for a picture-perfect body. Cinnamon is packed with healthy antioxidants that help curb belly fat accumulation. Moreover, honey is known to aid in weight loss and enhance immunity.

3. Raspberries and yogurt
This combination is an extremely effective slimming agent. Yogurt is a rich source of vitamin d and calcium which helps prevent the absorption of fat. As for raspberries, they contain polyphenols which stop the formation of fat. Also, they are packed with insoluble fiber that increases ghrelin levels, a hormone that regulates hunger.

4. Spinach and bananas
Spinach contains almost zero calories and is known to significantly increase satiety levels. Bananas are packed with potassium that prevents bloating and gives the body a lean look. They also contain resistant starch which resists digestion and thus not only promotes oxidation of fat but also brings down the level of abdominal fat. So go make that smoothie now.

5. Watermelon and apples
Apples are abundant sources of fiber which is essential for the reduction of visceral fat. Watermelon is the perfect fruit for decreasing fat accumulation and improving lipid profiles. Consume these fruits together as a salad, dessert or snack; they are packed with good health!

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7 Food Combos to Help you get that Gorgeous Figure

The first commandment of healthy living is to eat plenty of fresh fruits. However, did you know that some fruits are healthier than others? Fruits do not have any added sugars but many fruits are rich in natural sugar. However, here are 11 fruits which have lowest sugar content.

Limes and lemons: Limes and lemons are known as sour fruits. While they are rich in vitamin C, they do not contain a lot of sugar. Freshly squeezed lime juice and hot water is the perfect drink to curb your appetite and raise metabolism.
Raspberries: Raspberries are rich in fiber but have only a little more than a teaspoon of sugar per cup. This makes them the perfect fruit to start the day with.
Strawberries: Strawberries may taste sweet but a cup of fresh strawberries has only about 7 grams of sugar. However, a cup of strawberries has enough vitamin C to take care of your daily requirements.
Blackberries: A cup of these berries also has minimal sugar. Along with fiber, these fruits are also rich in antioxidants. These berries also help lower the risk of type 2 diabetes, cardiovascular diseases, and other such conditions.
Kiwi: Did you know that kiwis are technically berries? Each kiwi has less than 6 grams of sugar but is very rich in vitamin C.
Grapefruit: A grapefruit is a perfect breakfast. These citrus fruits are rich in fiber and low in sugar. Half a grapefruit contains only 52 calories and minimal sugar. They are also rich in vitamin A, vitamin C, and potassium.
Avocado: Avocados are naturally low in their sugar content. One raw avocado has less than a gram of sugar. However, they are full of vitamin C, vitamin K, folate, and potassium.
Watermelon: Summer would be incomplete without watermelons. Though they taste sweet, watermelons are very low in sugar. A cup of watermelon has less than 10 grams of sugar.
Cantaloupe: Cantaloupes are rich in vitamin A but a cup of this fruit has only about 14 grams of sugar. They are also rich in vitamin B, magnesium and fiber.
Oranges: Eating an orange is the best way to boost our vitamin C levels and keep infections away. One orange typically contains less than 70 calories and 12 grams of sugar.
Peaches: A medium sized peach has less than 13 grams of sugar. This is an example of how taste can be deceptive when it comes to calories.
Given the sugar content in these fruits, it would be a great idea for the diabetics and weight watchers to include them in their diet and have a healthy and hearty meal. If you wish to discuss about any specific problem, you can consult a General Physician.

11 Best Fruits That Are Low In Sugar Content!

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