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Living 50 Plus 2019_07_12

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A Blank Slate Media/Litmor Publications Special Section • July 12, 2019


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Home remedies for joint pain can provide relief

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tiff, painful joints affect a vast number of people. According to the American College of Rheumatology, arthritis and other rheumatic diseases afflict roughly 23 percent of Americans, while Canadian Health Surveys indicate that nearly 17 percent of the Canadian adult population have arthritis. The number of people living with arthritis is expected to increase as the Baby Boomer generation continues to age. Treatments for joint pain and stiffness range from medication to physical therapy. Finding the right regimen may take some effort, including some trial and error. For those looking for treatments they can try at home, consider these homespun remedies. (Note: Check with a physician to confirm the safety of alternative treatments before adding herbs to or modifying your existing medications.) • Exercise more. Regular movement helps to maintain

garlic, celery, and kelp should be included in diets as well.

flexibility in the body’s joints. Those with joint pain may shy away from exercise, but they could be doing themselves a disservice. Low-impact exercises, like swimming and water aerobics, can work out muscles and joints without adding extra stress. Walking can replace jogging or running, and yoga and pilates may be just the thing for deep stretching. • Lose weight. Joint pain is often tied to obesity. Losing just a few pounds can ease up strain on certain joints, such as the hips, feet and knees. Shedding weight can improve mobility and decrease pain and potential future damage to joints. Exercise goes handin-hand with healthy eating to lose weight. • Consider hot and cold therapies. Using a heating pad, hot shower or bath or an ice pack can work wonders on arthritis-related pains. Hot treatments will loosen up stiff joints, while cold therapy is best for acute pain relief. Do

• Go for a massage. The Arthritis Foundation says regular massages can help reduce pain and stiffness and improve range of motion. The massage therapist should have experience working on people with arthritis. In addition, massages should be performed by licensed physical therapists and guided by a doctor’s recommendation.

not apply hot and cold packs to the skin directly, as this can injure the skin. Wrap them in a towel first before application. • Include anti-inflammatory foods and beverages in your diet. Explore the many different natural foods and

herbs that are purported to reduce inflammation in the body. Ginger, turmeric, flaxseed, grape juice, and bromelain can alleviate inflammation and stiffness. Foods such as fatty fish and nuts high in omega-3 fatty acids also will help fight inflammation. Blueberries,

• Increase magnesium intake. Magnesium can alleviate pain and reduce inflammation. It is best ingested through dark, leafy greens but also can be taken in supplement form. Magnesium oil can be applied topically to sore joint areas. Joint pain can impact daily life and make activities less enjoyable. Fortunately, there are plenty of ways that do not require harsh medications to loosen joints and combat pain.

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Home health care is supportive care provided directly for an individual. Assistance may occur in the home, a rehabilitation center or assisted living facility, a nursing home or hospital. Most times, the care helps older adults live independently for as long as possible even with illness or injury in the comfortable and familiar surroundings of home! A home health aide can help you with tasks such as bathing, dressing, toileting, laundry, light housekeeping and meal preparation. Are the home health aides background-checked? Marian Care, Inc. is a licensed agency, therefore, our home health aides must be certified and registered with the New York State Department of Health. Their backgrounds are thoroughly screened and fingerprints are registered with the criminal history database of New York State. What are the advantages of going through an agency for a home health aide? You will have the peace of

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How to eat after 50 Friendly fats People over age 50 should increase their intake of unsaturated fats and reduce consumption of saturated fats. Nutrient-rich unsaturated fats can guard against heart conditions, protect against stroke, keep skin supple, and even help men and women maintain good neurological health. Omega-3 fatty acids can be found in nuts, olives, seeds, and fatty fishes. Increase protein

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s people age, their dietary needs begin to change. Foods that were once staples of your diet as a youth may be restricted once you hit a certain age, while other foods you may have always avoided may now be necessary to fuel and support a healthy body.

Eating healthy foods and exercising may not be enough to sustain health, as hormonal changes and other health effects as a person reaches age 50 can have a profound impact on his or her nutritional requirements. The following are a few things men and women over 50 may want to consider as they look to eat a healthy diet for years to come.

Vitamin D Both men and women age 50 and up have a reduced ability to produce vitamin D through exposure to the sun. Extra vitamin D will be needed from foods and supplements. Everyone over the age of 50 should take a daily vitamin D supplement of 400 IU (10 µg), according to Canada’s Food Guide. Without adequate vitamin D, bone strength and health can deteriorate because vitamin D promotes calcium absorption. Vitamin D also has other roles, including helping neuromuscular and immune function and reducing inflammation.

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According to Christine Gerbstadt, MD, RD, a spokesperson for the Academy of Nutrition and Dietetics, as they age, men and women need more protein in their diets to maintain their muscle mass. The amount of protein needed at a younger age no longer may be adequate. Look for lean sources of protein from fish and poultry. Beans are also a low-fat source of protein that can help fulfill daily protein requirements. More fiber Eating more fiber can help with digestive and intestinal problems, such as constipation. Constipation can occur when fiber intake is not enough, coupled with a more sedentary lifestyle. The best way to get fiber is through diet. Leave the skins on fruit and vegetables and choose whole fruits

over juices. Whole-grain breads and cereals also are good sources of fiber. Dry beans and lentils can add a fiber boost. Always increase fiber slowly to determine your tolerance. Fewer calories The National Institute on Aging says women over the age of 50 need between 1,600 and 2,000 calories, depending on how physically active they are. Men need between 2,000 and 2,400 calories per day. With each passing year there is a decrease in the energy required to maintain body weight, so caloric intake should be adjusted accordingly. More water As a person ages, his or her body may not signal it is thirsty as well as it once did, so it’s possible that you may not recognize when you are thirsty or dehydrated. The Mayo Clinic recommends around nine to 10 cups of beverages per day to remain hydrated. Eating healthy and changing one’s diet is important as a person ages, as dietary needs at age 50 may be quite different from what they were at age 30.


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Senior living options abound

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enior living communities often present an affordable and comfortable option for adults over the age of 55. Filled with like-minded and similarly aged residents, these communities can be the right fit for individuals no longer interested in or capable of taking care of a larger home. Senior communities are located all across the country. Finding one that meets your needs takes only a little research. Although they are often moderately priced and offer a variety of amenities, senior living communities sometimes suffer from a bad reputation. But such communities are not the “old age homes” that some people purport them to be. Rather, they’re entire living neighborhoods that cater to the needs of an active resident base. These communities can range from independent living private homes or condos to managed care facilities. Residents may be able to enjoy organized outings, recreation, shopping, and socialization without having to venture far from property grounds. Some communities offer food services or an on-site restaurant.

• Determine the fees associated with a community. Can Medicaid or longterm care insurance pay for all or a portion of the fees? Which types of services does the monthly fee cover? • Who is eligible to live in the community? Some restrict all residents to a particular age, while others do not. Rules may be in effect that include an age cut-off limit. • Investigate the types of residents and who would be your immediate neighbors. What percentage of people live in the community all year long, and how many are part-time residents? • Look into the particular home owner’s association rules. Bylaws may indicate that the property must be kept in a certain manner. You may not be able to paint exterior items a certain color, nor put up fencing or set up outdoor patio furniture. Get the details before you sign anything. • Is this the type of community where you can age in place? Meaning, are there separate accommodations if you eventually need assisted living care? Some communities offer living options that vary depending on residents’ ages.

Fifty-five and older communities offer conveniences that many find irresistible. They’re frequently located close to shopping, dining and healthcare providers. Taxes, insurance, utilities, and maintenance expenses may be covered in one fee. Clubhouses, golf courses, lakes, card rooms, and many other offerings are designed to appeal to residents of many ages.

• Be sure there are activities or amenities that appeal to you. You eventually want to find your niche and get together with a group of friends who share the same interests.

Now that baby boomers have reached the age where retirement communities are a consideration, there has been an influx of interest. Those considering a move to one of these communities should research some information before purchasing a unit.

• Some communities are gated, which can increase feelings of safety. If this is a priority, look for housing under security.

• You may want to find a community close to your children or other relatives. This way you will not have to travel far to visit others, and they will be able to visit you easily in return.

Following these guidelines can mean discovering a community where anyone can feel comfortable for years to come.


Blank Slate Media Newspapers, Friday, July 12, 2019 ADVERTORIAL

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Top causes of wrinkles

Coping with agerelated hair loss ttitude goes a long way in regard to self-esteem. With a positive spin, it’s possible to get through difficult situations and even have a favorable outlook on getting older. But even the most optimistic among us may at times worry about the physical signs of aging and wonder what can be done to make them feel and look their best.

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Wrinkles and a little extra weight around the middle certainly garner attention, but hair loss is another age-related concern. As people age, their hair changes in several ways. Graying through loss of melanin pigment is the most apparent. MedlinePlus, the health information resource from the U.S. National Library of Medicine, says that strands of hair also can become less dense and smaller through the years. Many follicles also may stop producing new hairs. Regardless of age, it is customary for a person to lose about 100 hairs a day. If those hairs are not replaced as readily as they once were, patches of thinning and balding hair may appear. The rate at which hair falls out is largely determined by genetics, according to Headcovers Unlimited, a company that produces wigs, scarves and other headwraps. But nearly everyone will experience some sort of age-related hair loss. Hormonal changes during menopause can cause noticeable thinning and scalp exposure that may be mistaken for actual hair loss. There are many ways to mitigate hair loss. Here are some handy tips.

Getting older brings about many physical and emotional changes. Wrinkles are one such physical change that is widely associated with aging.

Try a new cut. Work with your stylist to determine a haircut that can suggest the appearance of thickness and camouflage the loss of density or bare spots. Graduated layers kept close to the face can help, as can pixie cuts. Men can choose to go entirely bald and bold. Treat hair gently. Avoid harsh chemical processes and constant heat styling. Protect fragile hair from damage by pampering it. Look for thickening formulas. Many shampoos, serums and conditioners tout volumizing or thickening properties. These can help plump up hair and make thinning less apparent. Talk to your doctor. Hair loss may be a result of medication, a skin condition or aging. Doctors may suggest products, such as Minoxidil and Lipogaine formulas, that can be used on the scalp to reduce hair loss and help follicles produce new hair strands. Hair thinning and hair loss can be a symptom of getting older. Knowledge is key to improve hair’s appearance at any age.

Some people begin fighting wrinkling long before their first wrinkle even appears. A poll of 2,000 women conducted by DermStore found that around 30 percent of women under 35 regularly use anti-wrinkle products. The average millennial user starts at age 26 compared to the average currently 55-year-old woman, who began using wrinkle-reduction products at around age 47. As skin ages, its natural tendency is to become less elastic. However, other factors also contribute to the formation of wrinkles. Understanding the main culprits behind wrinkles can help people combat them more effectively. Exposure to UV light: The Mayo Clinic says that ultraviolet radiation speeds up the natural aging process and is the primary cause of early wrinkling. UV from the sun can break down the supportive connective tissue in the skin, which includes collagen and elastin fibers. Using sunscreen and staying out of the sun as much as possible can help. Exposure to pollution: Pollution can cause free radical damage that contributes to wrinkling, advises Maral Skelsey, M.D., director of the Dermatologic Surgery Center of

Washington. Other data indicates those who live in urban settings have more wrinkles and age spots than those who live in rural areas. Washing off skin contaminants from the air each day may be beneficial. Smoking: The contaminants in cigarette smoke can damage the skin, promoting wrinkles, states the skincare company Nivea. Also, dragging on a cigarette purses the lips and can form deep wrinkles around this area of the face. Poor diet and stress: Stress and eating unhealthy foods, such as a diet high in sugar, may contribute to premature aging of the skin. According to Kristina Goldenberg, MD, boardcertified dermatologist of Goldenberg Dermatology, after sugar is ingested it goes through a process called glycation, which involves binding to different proteins in the body. These proteins include collagen and elastin. By binding to these building blocks of the skin, sugar weakens collagen and elastin and will lead to an appearance of fine lines and wrinkles. Stress can increase cortisol levels that affect the skin’s ability to stay hydrated and elastic. Avoiding wrinkle triggers and following a dermatologist’s advice on skincare products and care can help people stave off wrinkles.


Blank Slate Media Newspapers, Friday, July 12, 2019

Pros and cons of joint replacement surgery

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To people outside the medical field, joint replacement surgery might sound like a solution that’s considered only after all other options have been exhausted. But joint replacement surgery has become very common, even though some studies have suggested certain procedures are being performed unnecessarily. A 2014 study published in the journal Arthritis and Rheumatology found that one-third of patients who undergo knee replacement surgery may not be appropriate candidates for the procedure because their symptoms are not severe enough to merit aggressive intervention like surgery. The decision to undergo surgery is always a patient’s to make. Weighing some pros and cons of joint replacement surgery can help patients make the most informed decisions possible.

Pros The Cleveland Clinic notes that many patients who have undergone joint replacement surgeries have experienced dramatic improvement within a relatively short time after undergoing the surgery. Much of that improvement is related to pain, which for many people becomes overwhelming prior to surgery. Another benefit to joint replacement surgery is the recovery time. For example, the Cleveland Clinic notes that patients who have knee replacement surgery are usually standing and even moving the joint the day after their surgeries. Within six weeks, those same patients are typically walking comfortably with very little support. While each patient is different, any fears that joint replacement surgery will require patients to be immobile for months after surgery are unwarranted. Joint replacement surgery also can be a long-term solution, whereas the alternatives might not be. The Cleveland Clinic says that roughly 85 percent of knee implants will last 20 years, and that life expectancy figures to grow as technology advances.

Cons As beneficial as joint replacement surgery can be, it’s not without downsides. Cost is one such disadvantage. How much a patient pays for the surgery depends on his or her coverage, but AARP notes that the average knee replacement surgery costs $31,000. Such costs can be prohibitive for aging men and women who are no longer working. Another potential disadvantage to going under the knife, especially for those who are borderline candidates for replacement surgeries, is the likelihood that surgery won’t have a significant impact on quality of life. A 2017 study published in the journal BMJ found that knee replacement had minimal effects on quality of life, especially for patients whose arthritis was not severe.

Joint replacement surgeries are common. When deciding if surgery is their best option, patients should consider the pros and cons of going under the knife before making their final choice.

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Yogurt is a dietary source of probiotics, healthy bacteria and yeasts that may improve overall health.

Exercises to support stronger hips Surgery is not an inevitable side effect of aging. In fact, men and women over 50 can employ various preventive techniques to strengthen their bones and joints in the hopes of avoiding the surgical wing of their local hospitals.

According to AARP, more than 370,000 men and women undergo hip replacement surgeries in the United States each year. Some may think such

Feel your best, starting with your stomach Did you know that they key to personal health may begin in the core of the body? Doctors

good and bad bacteria, for example, probiotic-rich foods and supplements can more readily replace what’s lost.

and researchers are learning more and more about how the immune system and other functions of the body are tied to microscopic players housed in the stomach and intestines. Improving this digestive environment can benefit the body in various ways.

Dietary sources of probiotics include some yogurts, cheeses, kefir, sauerkraut, miso, kimchi, pickles, and beverages like kombucha, a fermented tea. Getting probiotics from foods is the most natural way to supplement good gut bacteria, as the foods meld with the probiotics in ways that doctors may never understand to deliver the most benefits.

Understanding probiotics Bodily bacteria outnumber body cells by 10 to one, offers the health and wellness resource Healthline. Most of the bacteria in the body are harmless, and many of them in the gut actually are linked to numerous health benefits, such as weight loss, enhanced immune function, reduced risk of disease, and improved digestion. Unfortunately, bad bacteria also vie for space in the gut. If the good bacteria and yeasts, or probiotics, are not in abundance to push out the bad bacteria, like salmonella and E. coli, those bad bugs can proliferate, causing problems. It is essential to keep an abundance of probiotics available to stay healthy and maintain the “good vs. bad” balance in the gut.

Getting probiotics While the body can be healthy without the addition of probiotics, having more can be beneficial. The Cleveland Clinic says that food and supplements containing probiotics assist the good bacteria already present in your gut. When a course of antibiotics wipes out both

The downside is it’s impossible to measure just how many probiotics can be acquired from foods. That is what makes supplementation so handy. Capsules and tablets are loaded with a variety of different active bacteria and yeast cultures to aid the digestive system in measurable ratios. Some tout anywhere from one to 30 billion active colony-forming units (CFUs) per serving.

surgeries are a final solution to their hip pain, but that might not be the

Good Morning Stand with your feet shoulderwidth apart and keep your hands at your sides. With your knees slightly bent and your back naturally arched, bend at your hips as if you’re bowing out of respect as far as you can go, or until your torso is almost parallel to the floor. Return to the starting position. During the exercise, keep your core braced and don’t bow your back.

Hip Abduction Side effects Probiotics are generally healthy for people to consume in amounts found in foods, advises the Mayo Clinic. Most healthy adults can safely add foods or dietary supplements that contain probiotics to their diets. Introducing probiotics may cause temporary and mild flatulence, discomfort and bloating. Probiotics can be yet another tool to improve overall health at any age, but especially for adults looking to minimize illness risk.

Stand with your feet shoulderwidth apart. Loop a resistance band around both ankles, and then raise your right leg out to the side as far as you can. Hold in this position for a moment before slowly returning to the starting position. Switch legs and then repeat the exercise on the other side.

Hip Adduction Loop one end of a resistance band low around a solid object,

case, as AARP notes than one in 10 hip replacement recipients will need a second procedure for any number of reasons, including infection or mechanical failure. A proactive approach that focuses on strengthening and protecting the hips can help aging men and women reduce their risk of one day needing hip replacement surgery. The following are a handful of exercises, courtesy of the AARP, that can help men and women strengthen their hips.

then stand to the left of that object before looping the other end of the band around your right ankle. Place your legs shoulder-width apart, and then pull in your right leg until your ankles touch. Repeat with your left leg, this time moving to the right side of the object.

Glute Bridge Lie on your back with your knees bent and your feet flat on the floor. Raise your hips to form a straight line from your shoulders to your knees, using some type of support if you need to. Clench your butt at the top of the movement, pause, and lower yourself back down. Men and women unaccustomed to exercise should consult their physicians before performing any of these exercises. In addition, if necessary, perform the exercises under the supervision of a personal trainer who can advise you on proper form and help you reduce your risk of injury.


Blank Slate Media Newspapers, Friday, July 12, 2019 ADVERTORIAL

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When is the "right time" to have cataract surgery? If you are noticing vision problems and have been told you have cataracts, it's likely your cataracts are bad enough to require surgery. In some cases, people experience bothersome vision problems such as glare and halos at night even before their eye doctor notices significant clouding of the lenses in their eyes during a dilated eye exam. This condition, called dysfunctional lens syndrome, often is reason enough for many people to consider cataract surgery, especially if they need better visual acuity for driving at night. If your night vision is blurry and headlight glare is bothersome when you drive, you may need cataract surgery. However, financial considerations and insurance requirements also are factors when considering the best time to have cataract surgery.

Some insurance companies (including Medicare) consider cataract surgery to be "medically necessary" and a covered service only after the cataract has caused corrected visual acuity to be reduced below a specified level. Often, this criterion is 20/40 or worse (20/40 is the legal vision requirement to get an unrestricted driver's license in most states). Be sure to review the details of your insurance policy with your insurance agent or your eye doctor's staff so you understand if your vision qualifies you for coverage of your cataract surgery as a medically necessary expense. If you plan to pay for your cataract surgery completely out-of-pocket, you can have the procedure done at any time, provided your cataract surgeon feels you are a good candidate and that you will benefit from surgery.

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The importance of knowing your family medical history The National Center for Biotechnology Information states that family history might be one of the strongest in luences on a person’s risk for developing cancer, heart disease, stroke, diabetes, and more.

people at an increased risk of certain cancers. Doctors may recommend biannual checkups to stay apprised of any changes in health that may signal a risk. A thorough health care professional will record your family medical history and ask you to update it routinely in an effort to ensure you get the best, most effective care possible. You can help the process by having the information needed at the ready. The Centers for Disease Control and Prevention suggests the following.

When visiting a physician for the first time, patients may notice an extensive section on family history on one of the requisite forms they fill out before meeting the doctor. Though it can be hard to remember family members’ conditions, doctors have good reason to ask about their patients’ family’s medical histories.

Family medical histories can be vital to one’s own health care. The National Center for Biotechnology Information states that family history might be one of the strongest influences on a person’s risk for developing cancer, heart disease, stroke, diabetes, and more. While you cannot modify your genetic makeup, knowing your family’s medical history can help you take the steps necessary to protect yourself. Family history reports can serve as warning signs for illnesses. These clues can help doctors prescribe certain screening tests at earlier ages to catch potential diseases when they are most treatable. For example, the U.S. National Library of Medicine says that healthcare professionals may recommend more frequent screenings (such as mammography or colonoscopy) and screening at an earlier age for

Talk to family. Make a list of close family members and discuss any conditions or issues they might have had and at what ages. Learn about chronic diseases. Speak to your relatives about chronic diseases like diabetes or high blood pressure, being sure to ask how severe such issues were and if any required hospitalization. Plot your ancestry. Learn about your ancestry and if any medical issues are more common among people who share that ancestry. Record everything you learn. Keep the information where it can be easily accessed and updated. For example, My Family Health Portrait is a free web-based tool to organize family health information and share it with doctors. Family history plays a key role in how doctors will approach patients’ treatment and preventive care.

Smart ways to embrace retirement Retirement is on the horizon for a significant number of people. Around 10,000 people retire each day in the United States, according to a study by Merrill Lynch and Age Wave, a consultancy studying the cultural and economic impacts of aging. But many soon-to-be retirees are not fully prepared for life after their work life ends. Shedding new light on this next chapter can make retirement something to look forward to even more.

How retired are you? Retirement may no longer mean what it once did. Some retirees remove themselves entirely from the active employment market, while others prefer to keep at least one toe in the professional water. Some retirees change fields and do part-time work. Others may volunteer their time without getting paid. Still, some choose to use retirement as an opportunity to spearhead a new business venture that may not have been possible beforehand. Retirees should reflect on their goals, as well as their finances, and make plans accordingly.

Don’t neglect health care Retiring may involve finding health insurance and preparing for other types of health care later in life. The U.S. Census Bureau says that employmentbased insurance covered 55.4 percent of the population in 2015, the most recent years for figures, followed by

Medicaid (19.5 percent) and Medicare (16 percent). Residents of other countries may be covered by government standardized health programs. It pays to know the rules of each plan to avoid unnecessary expenses that can eat into retirement dollars. For those Americans who will be relying solely on Medicare, find a counselor who can spell out the intricacies of the plan, or use the free tool on Medicare.gov.

See retirement as a beginning, not an end Quite often soon-to-be retirees focus on the end of a career or the end of a stage in life without putting enough focus on the possibilities ahead. This is a prime time to find a new social network, travel, join a ministry, and much more.

Choose your living space Retirement can be an opportunity to shed an old skin and try on a new one — especially as it pertains to housing. There are options to downsize for empty-nesters or even to secure resources to “age in place.” According to United Income, a money management service, retirees should try out particular scenarios and locations prior to jumping in. Rent in a particular neighborhood, or house sit and try things on for size. Airbnb and other types of services can make this trial easy. A new outlook on retirement can open up a world of opportunities.

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Those poised to begin a health regimen n that includes probiotics would be wise to also educate themselves about the closely named, yet vastly different, “prebiotics” that are also beneficial to health. Prebiotics are to probiotics what fertilizer is to a vegetable garden. e Prebiotics are essentially a special type ficial of soluble fiber that is used by the benefi bacteria as fuel, advises the prebiotic supplement company Prebiotin. Examples of good sources of prebiotics include bananas, onions, garlic, Jerusalem artichokes, apple skins, beans, and chicory root. The prebiotic fiber moves through the small intestine undigested and fermented until it reaches the large intestine. Once there, beneficial bacteria break it down and use it as food. Thusly, the prebiotics can then multiply readily and improve the balance of good and bad bacteria in the gut. Eating prebiotic foods can fuel the process, but many probiotic supplements now have a combination formula that includes prebiotics in the recipe.

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Blank Slate Media Newspapers, Friday, July 12, 2019

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