Want to know how sugar and fruit juice effect the microbiome?
"Some sources of sugar are worse than others with respect to fostering the overgrowth of pathogens (1).  Those foods and beverages, or in the enteral area-formulas, contain much of their sugar in the form of fruit sugar or fructose.  Fruit juice, fruit juice concentrates, and high fructose-containing fruits are often the leading ingredient and foundations for enteral formulas." 
 
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Most of people regard fiber as something that helps keep them “regular”.  Others who may be more interested in their health understand how a diet rich in fiber can foster populations of beneficial gut flora and greater diversity overall within the microbiome.  The latest investigation however is sure to pave the way for a better understanding of the mechanisms linking higher levels of soluble fiber with improved brain health.

Award Winner: Andrew Yeh, MD
Institution: University of Pittsburgh, Department of Surgery
Senior Author: Michael Morowitz, MD
Abstract Title: Whole-Food Enteral Nutrition Prevents Gut Dysbiosis and Improves Outcomes in a Mouse Colitis Model
Meeting: Society of Academic & Research Surgery (SARS) Annual Meeting, January 7-8, 2019 in London

Trisomy 18, also known as Edwards syndrome, is a condition caused by an error in cell division, occurring in about 1 out of every 2500 pregnancies.  The developmental issues caused by Trisomy 18 are associated with medical complications that are generally critical in the early years of a child’s life.   Only 50% of babies who are carried to term are born alive.  Intensive care admissions in Neonatal Intensive Care Units (NICU’s) are the norm for infants with Trisomy 18.   Infants that survive and are discharged from the hospital require extensive care and support by the parents, family, and outside help.

Sure, the monosaccharide glucose is the best common form of sugar.  It generally makes up the majority of starchy root vegetables carbohydrate content and is far more compatible with human physiology.  Although excess glucose from some sources can still produce high blood glucose levels and may create problems with our corresponding insulin production, this form of sugar is metabolized much more cleanly than fructose. 

This is often considered a main component of the Hippocratic Oath, which of course is recited at most medical school graduations.  Well, sort of.  An actual translation of what is written in the Oath would be more like: “I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous.”

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There is so much written about the organic certification of foods and food safety standards in general.  Unfortunately,  much of it is written by individuals working for companies who either don’t know any better or who are trying to confuse consumers. Should claims be made that agrichemicals are “cooked off” when a food product, such as an enteral formula, is heated. This is either wishful thinking or someone working from the ‘say it and it must be true’ model. 

These are two very different formulas.  The differences should be noted by clinicians and care providers, as they may significantly alter the overall metabolism of a patient.

These are two very different formulas.  The differences should be noted by clinicians and care providers, as they may significantly alter the overall metabolism of a patient.

The last decade has seen dramatic rises in the incidence of eosinophilic esophagitis (EoE), an inflammatory and autoimmune condition of the esophagus where children experience both pain and difficulty with swallowing.  Many epidemiologists have considered this new epidemic to be puzzling with no clear causes.  A recent investigation at Children’s Hospital of Philadelphia however, raises an important question about the role of severe food allergies.

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