Gina, Leicester (now Cornwall) – November 2015
Gina, Leicester (now Cornwall) – November 2015
GRATITUDE – November 2015
01 Nov – I am grateful for a sunny and “summery ” Sunday at the start of November
02 Nov – I am grateful for ticking off all items on my “to do” list today
03 Nov – I am grateful for my silent, smooth and dependable car
04 Nov – I am grateful for the arrival of a very late parcel (didn’t get lost!)
05 Nov – I am grateful for pumpkins
06 Nov – I am grateful my pumpkin soup turned out very tasty
07 Nov – I am grateful for waterproof jackets!
08 Nov – I am grateful for a nice day of rest and relaxation
09 Nov – I am grateful for feeling good
10 Nov – I am grateful my eyes are ok
11 Nov – I am grateful for persimmons
12 Nov – I am grateful for computers and technology
13 Nov – I am grateful for a nice long sunny spell on Friday around lunchtime
14 Nov – I am grateful for being alive
15 Nov – I am grateful for a lovely, health-enhancing sauna today
16 Nov – I am grateful for managing to fit it all in today
17 Nov – I am grateful for “clarifying” and “dissolving” a tense situation today
18 Nov – I am grateful for a nice, perspective-giving chat
19 Nov – I am grateful to see my (previously-in-pain) sports massage Leicester client leave smiling
20 Nov – I am grateful for people’s kindness
21 Nov – I am grateful for meeting new, interesting people
22 Nov – I am grateful for a lovely meditation
23 Nov – I am grateful for Amazon’s super quick delivery
24 Nov – I am grateful for vitamin D
25 Nov – I am grateful for hot coconut milk with turmeric and its soothing effect on colds
26 Nov – I am grateful I have sorted out home insurance
27 Nov – I am grateful for a dry and partly sunny morning in the park today
28 Nov – I am grateful for finding a great Black Friday deal
to boost the speed of my computer
29 Nov – I am grateful my neighbours’ party relocated elsewhere at midnight last night
30 Nov – I am grateful for a delicious lunch today
B-12 deficiency is shockingly widespread. Studies now show that up to 40% of the population may be deficient in vitamin B12.
Symptoms include:
* Chest pain or shortness of breath
* Fatigue or unexplained weakness
* Dizziness, trouble with balance, and fainting
* Confusion, memory loss or dementia
* Coldness, numbness or tingling in the hands and feet
* Slow reflexes or diminished nervous system function
* Pale skin or yellowing of the skin
* Sore mouth and tongue
… in addition, vitamin B12 deficiency can actually cause brain shrinkage, according to a University of Oxford study [REF]. Although more work needs to be done, research is already suggesting a link between vitamin B-12 deficiency and Alzheimer’s.
This video shows how several doctors almost died (and are permanently damaged) by vitamin b12 deficiency, one of them even a doctor who failed to diagnose his own vitamin b12 deficiency, originally believing it a “hoax”. This led to permanent nerve damage. Don’t make this mistake!
What does vitamin B12 do in the body?
Low vitamin B12 can be a problem for anyone.
Our bodies need B12 to make red blood cells and nerves. A severe deficiency can lead to anaemia, depression and memory loss. It can cause incontinence, loss of taste and smell, headaches, migraines and more.

Mechanism of Action of vitamin B 12 Source: wikipedia
But for women, low B12 levels have also been linked to one of the most serious epidemics of modern times: breast cancer.
A study from Johns Hopkins University tells the whole story. Researchers compared blood samples of 195 breast cancer patients with 195 healthy women. The women with the lowest levels of B12 had four times the risk of breast cancer as those with the highest levels. [1]
How can this be? Well, vitamin B12 makes sure that your DNA gets copied accurately when cells divide. It’s critical to prevent the kind of DNA damage that leads to breast cancer.
How Vitamin B12 Helps Prevent Breast Cancer
Our cells are constantly dividing and replicating themselves. DNA strands have to unravel, make a copy of our chromosomes, and zip up the DNA again. This process happens billions of times every day. There is the potential for a lot of it going wrong.
Vitamin B12 is one way your body makes sure everything runs smoothly. It helps convert the amino acid homocysteine to methionine and then to S-adenosylmethionine (SAMe). This natural compound triggers the “methylation” process of making well-formed DNA.
When you have (even just slightly less) vitamin B12 than required, i.e. a (small) deficiency, DNA in new cells can have weak links between chromosomes. And that makes cells more likely to form mutations linked to cancer. [2]
But you can reverse the slide to cancer even after these mutations occur. A study in the famous Journal of the American Medical Association found that taking vitamin B12 and folic acid (vitamin B9) makes the difference. It not only stops the progress of precancerous changes but also helps reverse the damage. [3]
This is why enlightened doctors encourage women to ensure they are getting enough vitamin B12. Many women are simply NOT getting enough B12, because they have followed low-fat diets in their efforts to lose weight and thus have cut back on fatty meats, fish, dairy and eggs.
Unfortunately, low-fat diets are a big cause of vitamin B12 deficiencies. You can only get B12 by eating a primal diet rich in animal products. This is because vitamin B12 is only produced in the gut of animals. You simply cannot get it from plants.
Some of the best food sources of vitamin B12
|
Type of Food |
Micrograms (mcg) |
| Liver, beef, braised, 1 slice |
48.0 |
| Clams, 85g / 3 oz. |
34.2 |
| Trout, rainbow, wild, cooked, 85g / 3 oz. |
5.4 |
| Salmon, sockeye, cooked, 85g / 3 oz. |
4.9 |
| Trout, rainbow, farmed, cooked, 85g / 3 oz. |
4.2 |
| Beef, top sirloin, broiled, 85g / 3 oz. |
2.4 |
| Yogurt, plain, 235g / 1 cup |
1.4 |
| Haddock, cooked, 85g / 3 oz. |
1.2 |
| Tuna, white, 85g / 3 oz. |
1.0 |
| Milk, 240ml / 16 tablespoons / 1 cup |
0.9 |
| Cheese, Swiss, 28g / 1 oz. |
0.9 |
| Egg, large, 1 whole |
0.6 |
| Chicken, roasted, ½ breast |
0.3 |
B12 from vegetarian sources?
Some dieticians claim you can get B12 from plant sources, such as seaweed, fermented soy, spirulina and brewer’s yeast. In reality, these foods only contain analogs of B12 called “cobamides”. Cobamides can block your intake of B12 and increase your need for the real thing. [4]
Why women need to supplement vitamin B12
We have seen how vitamin B-12 deficiency is especially common in vegans and vegetarians because typical vitamin B12 sources (meats, yoghurt, etc.) are simply not present in their diets.
But even meat eaters eating B12 foods several times a day may be deficient in B12 due to poor digestion, particularly older people who suffer a diminished ability to absorb nutrients in their small intestine.
Vitamin B12 can only be absorbed in the small intestine, and due to common intestinal ailments, absorption can be blocked. Vitamin B12 deficiency can be caused by low stomach acid and heavy alcohol use. Drugs like proton pump inhibitors (Prilosec and Nexium) interfere with B12 and so do diabetes drugs like metformin or pain pills. Moreover, intestinal parasites can also strongly block its absorption in the gut. [5]
Because of all this, many women (in particular) need to supplement vitamin B12. According to the National Institutes of Health, most adults need just 2.4 mcg per day. But women may need to take much more than that.
According to Dr Al Sears, women should take 100 mcg vitamin B12 per day. However, he advises many of his patients to take as much as 2,000 mcg per day. He claims that this is safe because “the body excretes any excess or stores it in the liver for later use”.
How to choose the right vitamin B12 supplement for you
I have written a whole post on this!
You can read my current vitamin B 12 supplementation recommendations here
Tags: vitamin B12, women, breast cancer, fatigue, shortness of breath
References
1. Wu K, Helzlsouer KJ, Comstock GW, et al. “A prospective study of folate, B12, and pyridoxal 5-phosphate (B6) and breast cancer.” Cancer Epidemiol Biomarkers Prev 1999;8:209-17.
2. Feinberg AP, Vogelstein B. “Hypomethylation distinguishes genes of some human cancers from their normal counterparts.” Nature, 1983;301:89-92.
3. Heimburger DC, Alexander C, Birch R, Butterworth CE, Jr, Bailey WC, Krumdieck CL. “Improvement in Bronchial Squamous Metaplasia in Smokers Treated With Folate and Vitamin B12: Report of a Preliminary Randomized, Double-blind Intervention Trial.” JAMA. 1988;259(10):1525-1530.
4. Watanabe F et al, “Pseudovitamin B(12) is the predominant cobamide of an algal health food, spirulina tablets.” J Agric Food Chem. 1999;47(11):4736-41.
5. http://www.naturalnews.com/032766_cyanocobalamin_vitamin_B-12.html
6. Diagnosing vitamin b12 deficiency on youtube:
Tai chi is “movement meditation”, so even if you cannot sit or lie down long enough to meditate, consider tai chi instead.
Research has confirmed [1] many similarities between meditation and Tai chi.
In a study [2], elderly Chinese adults living in group homes were placed in tai chi, walking, social interaction, or no intervention groups.
The tai chi group saw:
Tai chi also lowers cardiovascular risk [3] in women (more below), just like meditation.
Tai Chi and COPD
COPD, or Chronic Obstructive Pulmonary Disease, is the name used to describe a number of conditions affecting the lungs including emphysema and chronic bronchitis.
COPD makes it difficult to breathe and often makes everyday tasks a real challenge. But with the right support, it is possible to live well with COPD.
Recent research has found that Tai Chi can be beneficial to COPD patients. It is thought to improve functionality without worsening breathlessness, a common and uncomfortable symptom of chronic respiratory disease.
Tai Chi for Cardiovascular Disease
Several have shown that tai chi can reduce certain cardiovascular risk factors, including reducing levels of total cholesterol and triglycerides, increasing levels of “good” HDL cholesterol and slowing heart rate.
There is also quite a bit of evidence to suggest the practice can improve blood pressure. Harvard doctors who conducted a systematic review of the medical literature in 2008 [6] found that 22 of 26 studies reported reductions in blood pressure among participants who practiced tai chi.
One 1996 trial [7] that randomly assigned 126 heart attack survivors to either a tai chi, an aerobic exercise or a non-exercise support group for eight weeks found improvements in both diastolic and systolic blood pressure (the top and bottom numbers) only in the tai chi group. Participants were also more likely to stick with the tai chi program over time.
Tai Chi for OsteoArthritis (OA)
There is some encouraging evidence suggesting that tai chi may be effective for pain control in patients with knee OA [8]
Tai Chi for Mental Wellbeing
The studies in a review of tai chi for anxiety, depression and psychological well-being [9] showed that tai chi interventions have beneficial effects for various populations on a range of psychological well-being measures, including depression, anxiety, general stress management, and exercise self-efficacy.
A 2015 meta-analysis [10] of randomised-controlled studies showed that Traditional Chinese Exercise can significantly improve the quality of life and depression of patients with chronic diseases
Tai Chi for Insomnia
Clinical trials in general settings indicated that tai chi improves insomnia symptoms was associated with improved sleep quality, fatigue, depressive symptoms in healthy older adults with moderate sleep complaints compared to sleep seminars [11]. Findings from another study showed that long-term (one year and over), rather than short-term, tai chi practice led to improvements in sleep and reduction of biomarkers associated with cardiovascular, metabolic and inflammatory disease risk in older adults with chronic insomnia. [12]
In addition, a systematic review and meta-analysis of 11 studies involving 994 patients evaluated the effect of tai chi on sleep quality in healthy adults and those with chronic conditions. Data revealed that tai chi practice for 1.5–3 hours per week for 6–24 weeks significantly improved sleep quality, although the studies were heterogeneous and some lacked methodologic rigor. [13]
Tai Chi Against Cancer
Tai chi has been shown to reduce cellular inflammatory responses [14] and expression of genes encoding proinflammatory mediators, both associated with sleep disturbance. [15]
Among breast cancer survivors with insomnia, 3 months of TCC reduced cellular inflammatory responses, and reduced expression of genes encoding proinflammatory mediators. Given the link between inflammation and cancer, these findings provide an evidence-based molecular framework to understand the potential salutary effects of TCC on cancer survivorship. [15]
Tai Chi for Balance
Falls can be devastating, particularly in older people. Yet falls can be prevented.
Balance studies clearly show that retraining programs can decrease the risk of falls by 45%. In particular, studies show that people who practice tai chi (with its gentle stretching movements) have a significantly better proprioception (body awareness in space) and better reaction times than people of the same age who do not practice similarly balance-intensive activities. [16]
CONCLUSION
In general, researchers say that more studies would be helpful. Many of the trials that have been done [17] are small, prescribe different regimens and different types of tai chi, and follow people for varying amounts of time. Those limitations make it hard to draw firm conclusions about the effects in traditional scientific studies.
What we do know is that tai chi, characterised by gentle movement and deep breathing, offers a non-traditional form of exercise that may appeal particularly to elderly or frail individuals and those who “get bored at the gym,” said Alona D. Angosta, who wrote a review of the research on tai chi [18]. We also know that tai chi is unlikely to do anyone any harm and many report tai chi practice has benefited them at various levels (including stress reduction, I would add).
***
Emanuela is a fully qualified L4 chronic respiratory disease exercise instructor and phase IV cardiac rehab exercise instructor with a teaching older adults qualification. She has been teaching Tai Chi Qigong Shibashi sessions since 2011.
Just 15-20 minutes of tai chi a day have amazing effects in terms of improving mood, circulation and reducing stress.
To find out about tai chi sessions currently available, or to register your interest, please contact Pilates Fitness.
References
[1] Tai chi and meditation: A conceptual (re)synthesis? http://www.ncbi.nlm.nih.gov/pubmed/19443697
[2] Changes in brain volume and cognition in a randomized trial of exercise and social interaction in a community-based sample of non-demented Chinese elders http://www.ncbi.nlm.nih.gov/pubmed/22451320
[3] The Effects of Tai Chi on Cardiovascular Risk in Women http://www.ncbi.nlm.nih.gov/pubmed/26305613
[4] http://www.bbc.co.uk/news/health-34279190
[5] http://bjsm.bmj.com/content/early/2015/09/04/bjsports-2014-094388.short?rss=1
[6] http://www.ncbi.nlm.nih.gov/pubmed/18401235
[7] http://www.ncbi.nlm.nih.gov/pubmed/8758013
[8] http://www.ncbi.nlm.nih.gov/pubmed/17874172
[9] http://www.ncbi.nlm.nih.gov/pubmed/24078491
[10] http://www.ncbi.nlm.nih.gov/pubmed/26525282
[11] https://academic.oup.com/sleep/article/37/9/1543/2416985
[12] https://www.sciencedirect.com/science/article/abs/pii/S0306453015000608
[13] https://www.longdom.org/open-access/tai-chi-improves-sleep-quality-in-healthy-adults-and-patients-with-chronic-conditions-a-systematic-review-and-metaanalysis-2167-0277-2-141.pdf
[14]https://www.biologicalpsychiatryjournal.com/article/S0006-3223(15)00079-7/fulltext
[15] https://academic.oup.com/jncimono/article/2014/50/295/910695
[16] Fitness After 40
[17] https://nccih.nih.gov/sites/nccam.nih.gov/files/D322taichi.pdf
[18] http://www.ncbi.nlm.nih.gov/pubmed/?term=tai+chi%2C+angosta
How to choose the right vitamin B12 supplement for you
Other posts (like this one) have discussed why it is essential to have sufficient levels of vitamin B12, particularly for women.
It is often said that B vitamins work better, and are better absorbed, when you take all of them, so it is a good idea to take a good “B complex” instead.
Vitamin B12 supplements are available in capsules, patches, lozenges, or sublingual sprays.
But beware of the different forms… there are two main forms of vitamin B12: one used in cheap supplements and a superior form which is often contained in higher-quality multimineral formulas as well as high-quality B12 supplements
In short, avoid all supplements with cyanocobalamin and choose methylcobalamin instead.
How should we take this methylcobalamin?
Recommendations:
http://sn.im/b12_patches
http://sn.im/sublingual_methylcobalamin
Vitamin B12 Complex:
Let me know what you think!
Have you found a good form of vitamin B12 or vitamin B complex? Share with us!
Tags: vitamin B12, vitamin B complex
Exercise is good for you, regardless of your age.
There have also been many reports over the last few years of exercise reducing menopausal symptoms such as hot flashes, fatigue and irritability [1, 2].
But a new study [3] coming out of the University of Massachusetts Amherst and presented at the 2015 annual meeting of The North American Menopause Society (NAMS) shows that some types of physical activity have a greater impact on body composition in postmenopausal compared to premenopausal women.
The encouraging part of the study is that postmenopausal women may have more control over their body composition (meaning relative percentage of body fat and muscle) than their premenopausal counterparts since their body composition is more impacted by light physical activity, such as casual walking or yard work, and by sedentary behaviour.
A total of 630 premenopausal and 274 postmenopausal women participated in the study.
Not surprisingly, postmenopausal women, on average, exhibited:
Also, as expected:
“Across the board, for each measure of body composition, we found that light physical activity had a greater impact in postmenopausal compared with premenopausal women,” says Dr. Lisa Troy, lead author from the University of Massachusetts.
Moreover, they found that “sedentary behavior was more strongly associated with waist circumference in postmenopausal women. This is an important public health message because, as women go through menopause, physiological changes may decrease a woman’s motivation to exercise. What we’ve found in our study suggests that doing even a little bit of exercise may make a big difference in body composition.
Regular exercise has so many benefits for women of all ages, from providing more energy and greater mobility to helping to build bone density,” says Dr. Utian. “This study suggests, though, for postmenopausal women, weight management may be improved with a variety of physical activities.”
Take-away message:
Tags: menopause, exercise
Source:
GRATITUDE – October 2015
Oct 01 – I am grateful for the sun popping out from behind the clouds
for another sunny Indian summer day
Oct 02 – I am grateful for a dry Friday morning
Oct 03 – I am grateful for easily handling 4 classes today and having energy to spare
Oct 04 – I am grateful for deep, restorative sleep full of dreams lately
Oct 05 – I am grateful for a dry morning
Oct 06 – I am grateful for crispy clean bedsheets
Oct 07 – I am grateful for avoiding traffic issues in Leicester last night (rugby world cup match)
Oct 08 – I am grateful my mobile phone is now working correctly
Oct 09 – I am grateful it was sunny this morning and still dry and pleasant this afternoon
Oct 10 – I am grateful for a tasty and healthy dinner
Oct 11 – I am grateful for elderberry syrup
Oct 12 – I am grateful for knowing so many amazing people born October 12th!
Happy Birthday Martin, Ross P, Sree J T
Oct 13 – I am grateful for a sunny afternoon in Leicester
Oct 14 – I am grateful for a stress-busting spin class today
Oct 15 – I am grateful for ginger
Oct 16 – I am grateful for LED street lights
(and lower council tax too, perhaps?)
Oct 17 – I am grateful for my powerful immune system
Oct 18 – I am grateful for deep & restful sleep
image: http://buff.ly/1LhZncz
Oct 19 – I am grateful it is sunny and warmer today
Oct 20 – I am grateful for finding discounted (but lovely!) organic red grapes today
Oct 21 – I am grateful for today, the “future day” in “Back to The Future 2”
(my brother won’t let me forget it…)
Oct 22 – I am grateful for a relaxing day
Oct 23 – I am grateful for Robert’s first shared smile and laughter today
Oct 24 – I am grateful for completing my 3 weeks of spin cover on Saturday this month
Oct 25 – I am grateful for an extra hour of sleep last night as we moved back to Standard British Time
Oct 26 – I am grateful for a nice cup of hot tea on a chilly morning
Oct 27 – I am grateful for receiving my parcel today
Oct 28 – I am grateful for finding a parking space near my home this morning
Oct 29 – I am grateful for receiving a lovely message from a friend
who had not been in touch for a while
Oct 30 – I am grateful for the lovely coloured Japanese acer this time of the year
Oct 31 – I am grateful I have managed to pay off my bills
Carvacrol – most studied compound in oregano oil
Carvacrol (cymophenol) is a monoterpenic phenol that has been referenced in several scientific research studies as a powerful antibacterial agent against pathogenic fungi, yeast and bacteria as well as human, animal and plant pathogenic micro-organisms including drug-resistant and bio-film forming micro-organisms [1,2]. It is present in Thymus vulgaris, Carum copticum, origanum and oregano essential oils [3].
Studies have shown anti-tumor effects of carvacrol on human metastatic breast cancer cells, MDA-MB 231, indicating that the compound could have a potential therapeutic significance in treating cancer [4].
At the Experimental Biology 2012 conference, held April 21 to 25 in San Diego, it was reported that carvacrol, a compound found in oregano, induces apoptosis (programmed cell death) in cultured prostate cancer cells [5]. Apoptosis is programmed cell death, something that occurs naturally in “healthy cells” but does not happen in cancer cells, leading to an uncontrolled cell growth and cancer development.
Dr Supriya Bavadekar, PhD, RPh and her colleagues at Long Island University in Brooklyn administered increasing concentrations of carvacrol to androgen-sensitive metastatic human prostate cancer cells and assessed cell viability after 48 and 96 hours. The team observed a dose-dependent effect for carvacrol, due to the induction of apoptosis. The study is the first to reveal an antiproliferative effect for the compound in prostate cancer cells.
“We know that oregano possesses antibacterial as well as anti-inflammatory properties, but its effects on cancer cells really elevate the spice to the level of a super-spice like turmeric,” stated Dr Bavadekar (assistant professor of pharmacology at Long Island University’s Arnold & Marie Schwartz College of Pharmacy and Health Sciences). Oregano is an spice regularly used in culinary recipes, pizza and even an important part of the Mediterranean diet, considered in general as safe.
“Some researchers have previously shown that eating pizza may cut down cancer risk,” she noted. “This effect has been mostly attributed to lycopene, a substance found in tomato sauce, but we now feel that even the oregano seasoning may play a role. Dr. Bavadekar said that the initial data indicates “a huge potential in terms of carvacrol’s use as an anti-cancer agent”, and “If the study continues to yield positive results, this super-spice may represent a very promising therapy for patients with prostate cancer,”.
Apigenin – another compound of oregano
Oregano also contains other anti-tumour compounds, such as apigenin [6,7].
Apigenin is a natural flavonoid found in many herbs and fruits, as for example Chamomile (Anthemis nobilis). Other apigenin food sources include apples, celery and also some spices as oregano, tarragon, cilantro, basil, parsley, onions, oranges, tea, chamomile and wheat sprouts. Other herbs as endives and cloves have also a considerable amount of this active constituent.
Oregano Also Kills Norovirus!
Oregano oil and carvacrol have also been shown to be effective against norovirus (MNV) by inactivating it within 1 h of exposure. Carvacrol has therefore potential as a natural food and surface (fomite) sanitizer to control human norovirus [8].
Flavonoids Reduce Cancer Risk in General
Recent studies on different types of flavonoids and the benefits of a high dietary intake of fruits and vegetables suggest that the intake of fruits and vegetables rich in certain types of flavonoids, mainly apigenin, epigallocatechin gallate, delphinidin and genistein appear to be associated with a lower incidence and risk of cancer [9].
CONCLUSION
Oregano, with its various compounds, has anti-bacterial, anti-inflammatory and anti-tumour compounds.
Prostate cancer is generally very slow-growing, so the recent trend is to opt for surveillance for many patients rather than have immediate treatment [10]. With oregano compounds having been shown to be anti-bacterial, anti-fungal and to induce apoptosis of tumour cells, you could do worse than add oregano to your diet whether you are male or female.
High intake of fruit and vegetables rich in flavonoids appear to seem to be protective against cancer. Yet another reason to eat more fruit and vegetables!
References
October 2015 – Study highlights which fruits and vegetables can aid weight loss
We often hear talk of fruit and vegetables being good for us, to stay slim and healthy, but does it matter which we choose in terms of lower body weight?
A recent study study compared 70 fruit and vegetables in relation to body weight changes. The study was a huge observational study which followed the diets of 133,468 men and women for 24 years. It looked at their consumption of 70 unprocessed fruits and vegetables in relation to their body weight.
Study Results (summary):
* When the participants increased their intake of higher-fibre, non-starchy, lower-glycaemic vegetables, particularly cruciferous vegetables like broccoli, cauliflowers and Brussels sprouts, their weight went down: 0.25 lbs (0.11kg) of body weight per daily serving over 4 years.
* Whole fruits (not juices!), mainly berries, apples and pears, which are low-glycaemic, contributed to greater weight loss: 0.53 lbs (0.24kg) per daily serving over 4 years.
Limitations:
The study depended on self-reporting (of food intake and portion sizes, as well as weight reporting), which is known to be unreliable. Still, you could do worse than follow the highlighted recommendations.
Comment:
High-fibre, non-starchy, low-glycaemic vegetables are quite filling and you can eat bigger portions of these foods without feeling deprived. They are great a great choice if you enjoy eating until complete satiation.
Reference:
Changes in intake of fruits and vegetables and weight change in United States men and women followed for up to 24 years: analysis from three prospective cohort studies, Bertoia et al., 2015. PLOS Medicine.