Nutrition and Lifestyle Decisions with an Outstanding ROI

1. Carla Heiser, MS RD LD
Jacquie DiPego, LSE
Avellino Group, Ltd. Health Beyond Medicine™
At the Oasis Center for Health
Achieving a competitive edge with nutritional and lifestyle
management

2. Wellness:
A Changing Perspective
Choreographed Lifestyle:
 Making choices toward a more successful
existence.
 Good nutrition, fitness, risk factor management
& weight control .
 Proactive approaches designed to achieve
optimum health, social, spiritual needs, physical,
psychological, and emotional functioning.
 Overall improved quality of life.

3. ROI
 People who take care of themselves and
manage their lifestyles are healthier, more
productive, have fewer absences from
work, and make fewer demands for
medical services.
 A year long self care education program
resulted in a 17 % decline in total medical
visits and a 35% decline in medical visits
for minor illness. (JAMA)

4. Nutritional Rx 2010
 Dietary Cholesterol is good for you
 Eat Avocados
 Eat Nuts
 Lean red meat is nutrient rich
 Consider the sugar content of milk
 Select other sources of calcium to
optimize bone health
 Salt restriction may not lower blood
pressure
 Sunlight is good for you

6. Key Ingredient: Cholesterol

7. Inflammation is the basis of
Disease
 Underneath heart
disease, diabetes,
cancer, parkinson's,
Alzheimer's &
autoimmune
diseases.
 Excess body fat, out-
of-control appetites,
food cravings, food
addictions, diabetes,
& the inability to lose
body weight.

8. Martins D et al. Prevalence of Cardiovascular Risk Factors and
the Serum Levels of 25-Hydroxyvitamin D in the United States.
Arch Intern Med. 2007;167(11):1159-1165.
Vitamin D Deficiency – USA <30 ng/mL
25(OH)D

10. Care
Packages
Group
Classes
1-1
Counseling
Medical
Nutrition
Therapy

11. Basic labs
Initial
Nutrition
&
Culinary
Consults
Special
Labs
Nutrition
education
Culinary
Classes

12. Avellino 1: Core Care Package
 Basic Labs
 1st
Line Therapy Book
 Meditation CD
 Core Supplements
Multivitamin and Mineral
Antioxidant
Fish Oil
 Change breakfast recipe cards

13. Avellino Custom Care
Packages
 Plan II:
Liver and Digestive
Optimizing
 Plan III:
Weight Management
 Plan IV
Stress Reduction
 Plan V
Hormone Balancing
 Plan VI
Restore Sleep
 Plan VII
Pain Relief
 Plan VIII
Physical performance
Enhancement
 Plan VIII
Comprehensive
Nutritional Medical

14. Components
 Group Classes
 1-1 Nutritional Medicine consultations
 Culinary Consults
 Culinary demos and workshops
 Basic and Specialty Labs
 Core Supplement Packages

15. Rx: Step 1
Take the Red Out
 Limit aggravating
foods
 Limit sugar & refined
carbohydrates
 Limit Bad Fats
Trans fats
Refined, commercial
oils
 Eat good fats
Omega 3
○ Fish Oil
○ Flax Oil
Olive oil types
 Eat whole foods
 Include vitamin,
mineral & anti-
oxidant rich foods

16. 16

17. Fate of Carbohydrates:
All Carbs Convert to Sugar
Sugar
- JIT:
-Immediate Energy
- Too much
-Inflammation
-Storage
* Muscle or liver
* Fat
17Copyright Ailanto, LLC 2008

18. Carb Distinctions
 Fast & Furious
Sugar & refined, processed starches
Skim milk
 Sticky Carbs
Grains: breads, rice, cereal, pasta, crackers
 Slow & Steady
Legumes, root vegetables, non-starchy
vegetables, low glycemic fruits
18Copyright Ailanto, LLC 2008

19. Understanding Carbohydrates
 Breakfast
2 cups honey bunches of oats
12 oz. skim milk
1 banana
 110 g total carb
 Converts to 27 tsp sugar within an hour
 > OGTT
19Copyright Ailanto, LLC 2008

20. Rx: Eat a Good Breakfast
 Fruit & nuts or nut butter
 Peanut, sunflower seed,
almond, or cashew butter
 Nut bars
 (low sugar < 8 g sugar)
 Kind
 Boomi
 BioBar
 Fruit & nuts
 Real cheese and fruit
 Organic or European
 Goat or sheep milk cheeses
 Greek Style, 0 % fat Yogurt
 Low sugar yogurt 6-8 g sugar
 With sliced berries and nuts
 Chicken or turkey sausage
Organic, low fat, lean and
vegetables
 Chicken, turkey or lean meat
with vegetables & beans
 Eggs as tolerated
 Crab or salmon cakes and
vegetables
 Beans as a side dish instead
of bread, cereal or hash
browns
20Copyright Ailanto, LLC 2008

21. Jacquie’s Lifestyle Recipes
Nut Muesli
Cinnamon Walnut Crunch
Almond Pancake
Protein/Nut Bars
Smoothies

22. Here’s to Your Health

23. 201 Ogden Avenue
Suite 115
Hinsdale, IL 60521
630.325.2880
Avellino Group, Ltd. Health Beyond Medicine™
At the Oasis Center for Health
Achieving a competitive edge with nutritional and lifestyle
management

25. Recommendations to Get Sufficient
Calcium and Vitamin D
 Adults need 400-800
units a day
 More if there is a
deficiency to correct
 70 year olds or older and
those with osteoporosis
may need more
 Sources of Vitamin D
 Cod Liver Oil
 Oily Fish
 Sensible sunlight
 Organic, 2% fortified milk ,
cheese and unsweetened
yogurt (Greek style)
 Fortified, unsweetened,
Almond Milk (0 g sugar)
 Eggs (yolk) or beef liver
 Supplements
 recommended and
monitored by a licensed
professional
25
National Osteoporosis Foundation: http://www.nof.org/prevention/calcium.htm [BC Health Files. Food sources of
calcium and vitamin D.] http://www.bchealthguide.org/healthfiles/hfile68e.stm

26. Smoothie
 2 scoops Protein Powder
 Frozen berries, mango, papaya or pineapple ½ c
 Choose 1:
1c almond milk unsweetened original
(Blue Diamond 2 g Carb)
OR
1/3 c light coconut milk (low sugar) & 6 oz water
OR
2 oz. low sugar pure cranberry juice & 6 oz water
 Flax oil 1 Tbsp
 Blenderize
26Copyright Ailanto, LLC 2008

27. Focus on Super Foods
 Foods containing compounds so powerful
that they have a profound effect on your
health.
 50 -70 % of suffering could be eliminated
by choosing superfoods.
 With a few exceptions, superfoods are the
kind of foods you can just pick up & eat.
They don’t require extensive preparation or
cooking.
 They are food the way nature intended for
you to eat food, & are perfect for a family
on the go.

28. “An Apple a Day”
 Normalize cholesterol levels
 Reduce risk of stroke, cancer, & type 2
diabetes.
 Improve lung function & lower risk for
respiratory disease–
 Cut smokers’ risk of chronic obstructive
pulmonary disease (COPD) in half.
 Protect from plaque build-up
 Lower risk for metabolic syndrome– > 3
symptoms related to risk for heart disease

29. Berries
 Protect the body against damaging free
radicals.
 Rich in antioxidants & a good source of
vitamins, minerals & dietary fiber.
 High in folic acid, & manganese.
 Oxygen radical absorbance capacity
(ORAC) is among the highest found
among fruits & vegetables..

30. Cruciferous Vegetables
 Sulfur-containing
compounds
 Broccoli, cabbage, kale,
radish, brussels sprouts,
cauliflower, collard
greens, kohlrabi,
mustard, rutabaga,
turnips, bok choy,
Chinese cabbage,
arugula, & watercress.
 Eliminates carcinogens
before DNA damage
 Prevents normal cells from
being transformed into
cancer cells.
 Contains Diindolymethane
(DIM):
Prevents & treats breast,
prostate, colon &
pancreatic cancers.
Modifies estrogen
metabolism for men &
women.

31. Beans & Lentils
 Provide soluble fiber that passes through
the digestive tract grabbing & trapping bile
that contains cholesterol, & removing it
from the body.
 A cup of cooked beans a day reduces risk
of heart attack by almost 40%.
 Creates more insulin receptor sites
allowing insulin to get to cells
 Insulin resistance improves from an
increase in receptor sites.

32. Omega 3 Rich Fats & Oils
 Cod liver oil: (flavored) 1 tsp
 Flax oil blend: 1 Tbsp
 Walnut oil: 2 Tbsp
 Cold Water Fish:
Salmon
Ahi or yellow fin tuna
Trout
Cod
Sardines
32Copyright Ailanto, LLC 2008

33. Monounsaturated Rich
 Avocado
 Canola or Olive oil
 Olives
 Hummus
 Tahini
 Raw nuts & seeds
Almonds,
 Cashews, walnuts
Sesame, pumpkin
Natural nut butter
33Copyright Ailanto, LLC 2008

34. Salmon & Wild Cold Water Fish
 Prevents erratic heart
rhythms.
 Lessens blood clotting.
 Improves cholesterol, &
prevent cholesterol from
becoming damaged.
 On par with anti-
inflammatory drugs without
the side effects
 Lowers triglycerides levels.
 Source of B vitamins to
normalize blood pressure &
promote heart health.
 Eating salmon
 1 to 3 times/month protects
against stroke
 4 times/month reduces the
risk for atherosclerosis &
vein thrombosis by 30-45%
 Improves insulin & lessens
obesity.
 EPA stimulates leptin, a
hormone that helps
regulate food intake, body
weight & metabolism.

35. Using Flax Oil
 Butter, flax oil &
cinnamon spread
 Juice, natural
vegetable juice, V8 or
Tomato, low sodium 4-
6 oz
 Juice, natural fruit 2oz.
 Protein Smoothie
 Soups, beans
 Bean dip or other
prepared dishes
 Salad dressing
 Salsa
 Guacamole
 Hot pepper spread
 Hummus
 Mustard/horseradish
spread
 Peanut or other nut
butter (decant natural
oil & add flax oil,
refrigerate after
opening & blending)
 Pesto
 Olive Tapenade
35Copyright Ailanto, LLC 2008

36. Nuts & Seeds
 > 5 servings/week reduces heart attack risk by 60%.
 People who eat nuts are generally thinner, & have
better bones. They are also at a lower risk for cancer
& inflammation.
 Lower blood cholesterol, triglycerides & LDL.
 Contain manganese & other antioxidants
 Provide high amounts of magnesium, boron, zinc --
minerals essential for heart & bone health.
 Contains vitamin E, folic acid, copper, & the amino
acid arginine which is a precursor of human growth
hormone.
 Contain tryptophan, a stimulator of serotonin to
reduce depression & boosts relaxation & sleep.