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Health & Fit Tragedy as marathoning Boston mom, 36, dies of flu in ultra-rare case

18:10  28 december  2022
18:10  28 december  2022 Source:   dailymail.co.uk

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Yes, you can lose weight on the keto diet, if that's your goal — but it's far from a well-rounded, or even healthy, style of eating. "Originally designed to help patients with epilepsy, a strict keto diet guides you into ketosis by eliminating significant food groups that you may normally enjoy on a daily basis, including healthy carbohydrates that are part of a balanced diet," explains Stefani Sassos, MS, RDN, deputy director of the Good Housekeeping Institute Nutrition Lab and GH's registered dietitian. "While keto dieters may lose weight, it can come at the expense of a sudden surge in 'bad' LDL cholesterol and triglycerides, which can be harmful to your heart."

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In fact, the messaging that "carbs are the enemy" is longstanding diet language that's outdated and worth rebranding — because carbs are actually your body’s preferred source of fuel, and it’s okay and important to eat them, Sassos says. The key is to focus on nutrient-dense carbs like fruits, vegetables and whole grains that offer fiber, antioxidants and more nutrition benefits.

Editor's note: Weight loss, health and body image are complex subjects — before deciding to go on a diet, we invite you to gain a broader perspective by reading our exploration into the hazards of diet culture.

But if you do follow the keto diet for medical reasons or under the care of your physician, it can definitely be challenging to navigate the world of eating out. That's because choices are limited to avoid sugars and carbohydrates, so your body can maintain a state of ketosis. This can be especially difficult for those who can't live without a daily caffeine fix. Caffeine itself isn't off-limits for keto dieters, but there's a very good chance that your favorite iced coffee or tea is loaded with ingredients that contain sugars and carbohydrates... especially if Starbucks is your go-to coffee hotspot.

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Unless your go-to order in the morning is a simple cup of black coffee, you'll have to hack your way through Starbucks' menu to enjoy something completely devoid of sugar. While there are thousands of creative videos found on sites like Instagram (#KetoStarbucks racks up 47,000 posts alone!) and more on TikTok, there's nothing better than being reassured by a professional on which keto-friendly drinks are 100% safe to enjoy.

Brierley Horton, MS, RD, a registered dietitian has spent quite a bit of time decoding the keto diet and says it's a good first step to consult Starbucks' master nutritional list before ordering. Then, use these tips from Sassos and Horton for ordering keto-friendly beverages at Starbucks.

gettyimages-649863860 © Smith Collection/Gado - Getty Images gettyimages-649863860

How to order a keto-friendly drink at Starbucks:

  • Start with black coffee for all coffee-centric orders. "Carb allowance is so limited on the keto diet that you want to save up for carb-rich items that also have a strong source of fiber and other nutrients," Horton says.
  • You have the option to add heavy cream at Starbucks to meet your fat macronutrient goal for the day, but keep in mind that heavy cream is primarily saturated fat, says Sassos. "Just one tablespoon of heavy cream can have roughly 4 grams of saturated fat, and it’s likely that you may be adding more than that to a drink, which would put you well over the daily limit considered healthy by the American Heart Association," Sassos adds. Whole milk still has saturated fat, but less than heavy cream, Sassos says, and it will also get you a little bit of protein.
  • If you're opting for an alternative milk, you'll want to rely on substitutions like coconut milk or soy milk, as these add-ons have fewer carbohydrates than traditional milk, says Horton.
  • Lastly, you'll need to swap your sweeteners and syrups for low-sugar varieties instead, Horton says. Starbucks offers three different sugar-free syrups (including vanilla, Cinnamon Dolce, and Skinny Mocha) that do not contain additional carbohydrates and are made with sucralose, which is also known as Splenda. If you're angling to add a touch of sweetness to any drink without adding actual syrup, reach for stevia, which Starbucks' offers to customers as a custom drink option.

With these tips in mind, you can decode many of the pre-made beverages at Starbucks and replace individual ingredients with keto-friendly supplements. Speaking of, here are some nutritionist-approved options to try now:

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Iced Café Mocha

Swap heavy cream for milk, and ask for a light mocha drizzle, which only adds about 1g of extra carbohydrates overall, Horton says.

Skinny Macchiato

This idea became popular on Reddit after one user suggested that Starbucks' secret menu hack of asking the barista to make the drink "skinny" could be an easy on-the-fly order. A grande iced "skinny" macchiato can be made with almond milk and no caramel drizzle, but still come in way below keto-appropriate carbohydrate levels, Horton explains.

Iced Chai Tea Latte

Made with whole milk and 2 to 3 pumps of sugar-free vanilla syrup, this espresso-enhanced tea drink is a great way to switch things up.

Venti Americano

Since it's a dark coffee, you can add heavy cream and certain Starbucks-ready spices, like cinnamon or nutmeg, as these flavorings are free of sugar.

Keto Frappuccino

Even "light" blended Frappuccino drinks contain upwards of 20g of carbohydrates, whereas a classic tall vanilla Frapp clocks in at a whopping 48g. If you can't live without one, Horton says to order a tall "skinny" vanilla Frappuccino made with almond milk or heavy cream, which should contain just under 15g of carbohydrates, the most any keto dieter should be having in a day to maintain ketosis.

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Keto Pink Drink

Order a Passion Iced Tea base with an optional scoop of dried strawberries and a whole milk infusion (if you're dairy-free, opt for the alternative milks we listed above). Sugar-free vanilla syrup sweetens the deal.

Cinnamon Dolce Iced Coffee

Start with a black coffee base, add your preferred milk, and go with the sugar-free Cinnamon Dolce syrup. Or, go with sugar-free vanilla syrup and ask for cinnamon powder.

Creamy Chai Tea

Order this one hot or iced, both will coat your tastebuds in spicy, creamy goodness. Add a little Stevia or Splenda if you like it sweet. And bonus: You'll also sip up some of chai's anti-inflammatory power.

Iced London Fog Tea Latte

This tea base is so flavorful (citrus-y bergamot with a hint of lavender) that you won't mind these mods. Swap in sugar-free vanilla syrup and go with whole milk or our greenlit alternative ones such as coconut or soy.

Iced Passion Tango Tea

When you're in the mood for something refreshing and fruity that still fits the keto bill, try this tangy drink. It features hibiscus, lemongrass, and apple, and comes unsweetened with no milk add-ins (aka no carbs), but you can add a little Stevia or Splenda if you do need a hint of sweet.

Blonde Vanilla Latte

Enjoy this classic with sugar-free vanilla syrup and whole milk or soy. Since it's a latte with a larger milk to coffee ratio, opting for heavy cream would definitely be way too much saturated fat for one sitting. Order it iced and with fewer sugar-free pumps to cut back on saturated fat.

Flat White

For that latte vibe with a little more balance, try this option. It's a more even espresso-milk ratio, and you can even ask for half steamed milk and half hot water.

Nitro Cold Brew

Consider this iced coffee kicked up a notch. It's a small batch variety that's infused with nitrogen to impart a naturally sweet flavor without actual sugar.

Honey Citrus Mint Tea

Here's something for the indecisive Starbucks fan. It's a blend of Jade Citrus Mint green tea and Peach Tranquility herbal tea, so you'll get a medley of flavors with each sip. Ask for it with no honey and no lemonade to eliminate those sugar-based carbs, and you don't have to worry about which milk to choose because it's ideal without any.

Iced Black Tea

Sometimes there's nothing more refreshing than a nice cold iced tea. If you need a little sweetness, go with Stevia or Splenda.

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Amid the "tripledemic" of influenza, RSV and COVID, doctors say the flu is getting worse. Here's what to know about cases, symptoms and the vaccine.Dr. William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center in Nashville, Tennessee, said he has seen the first signs that RSV infections may be stabilizing after an early jump, while COVID-19 is “smoldering.

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