A Break From the Countdown: Tight Pants and Bad Research

OK, a slight break planning the double whammy feast to concentrate once again on exercise and diet. I still delight in many of my body changes. Many but not all. There is some thrill along with the frustration when clothes do not fit properly, but only in certain body areas.

My shoulders and lats have exceeded my nice suit jacket? Makes me preen all the more.
My chest and biceps too big for some of my size medium button-downs? Dan-tastic!
My quads actually flexing through my trousers? Well, hello!
My pants not buttoning properly? OK, wait a minute...

Yes for all my continued intense exercise and training, and all the accompanying muscle bloat, two other things have happened:
1) My weight training has now far exceeded cardio time
2) My sense of portion control spun somewhat askew

In regards to the former, I admit I really enjoy weight training and the results I see. Sure it burns calories but more intense weight training means more time spent on weight training. At this time last year, I was probably spending 30-40 minutes on weights and then 20-30 minutes on cardio. A quick self-check shows me I now spend 75 minutes on weight training, which usually leaves not much time at all to get cardio in before I have to book it up to work. Non-weight days are spent running, but now that the weather is turning crappy, there's more of a need to go do it inside.

So, I decided this week would be all cardio. Give my muscles a week's respite and really concentrate on cardio and returning to portion awareness. After a week, I'll how I'll reset this. Even after only a few days some of the water weight has already come off, so I can see it was a good decision.

Except for the cardio itself. I thought I could spend the days with boxing, HIIT and then the cardio machines. But while I'm doing it I quickly remembered that cardio at the gym is SO FRIGGIN' BORING!!

This is why I never could keep exercise plans afloat all those years past! This is why I finally got a trainer and learned what else I could do at a gym. Treadmills and ellipticals are really not very motivating. I'm glad that I now have a lot of gym experience so I can manage to get through this. Maybe add even more HIIT, switching to some light weight workouts with mega reps and little rest, those sort of things. 

I think it's just driven home that I miss that push my trainer gave me. 90% of the work may have been me, but, man some of this stuff is dull! I'm sure other people find that true about weight training, but to me, you're switching it up every day and with different body parts.I really love it.

It's also driven home how easy it can be to just not be motivated.

Now, on to the latter part regarding portion control. No real biggie there, for me. The food scale and measuring devices came back out, so I could really set in my mind how big a portion is. And more self-awareness as I was eating meals. For now, there are no "special treats." Not having a cupcake or a second helping for a few weeks ain't gonna kill me. And there may be a few evenings where I am feeling peckish, but I let it go. 

But I'm also not seeing this as a way to become super-buff. It's merely to get myself back to comfy pants size. My Streamlined Ska Librarian body still looks hot (Yes, it does!). But 10 lbs off the frame will probably be all I need. 

I will not be trying to exceed any levels of diet craziness. I'm not going to end up like this fellow. (Talk about a special diet and routine gone wrong!)

But this doesn't mean I can't still peruse the food blogs out there to continue my search for Thanksgiving-Chanukah recipe inspiration. And there's always the Dietitians blogs. Except now comes this recently published study by Dietitians seeing if food blogs provide nutritionally balanced recipes.

OK, I hate to diss my new favorite profession, but as a Librarian, as a blogger and as someone who reads a lot of food blogs, I'm not sure this is great research.

Mind you, the food blogs they chose were pretty popular (Smitten Kitchen, The Pioneer Woman), but they weren't marketed as "healthy" blogs. What were the findings? 

"Recipes met energy recommendations but were excessive in saturated fat and sodium."

OK, that's not so unusual. And:

This study revealed an opportunity for dietitians and public health professionals to improve recipes accessed on social media...Dietitians may also partner with existing food blog authors to add more healthy options or to create alternative, healthy versions of each recipe using modified ingredients. Other possible interventions include designing a branded icon for labeling recipes that meet specific nutritional standards."

Um...isn't that why you have your own blogs, as linked above? If the blogs in this study were claiming to be healthy or specifically targeting weight loss, then that might be different. It's your job as nutrition professionals to ensure that there should be some vetting of fact. But they're not. These are just regular, albeit popular, food blogs. 

To try to push one's agenda on something fairly open to interpretation doesn't work, and it also doesn't do the profession any favors. I would most definitely go to a RD blog to learn more about healthy food trends (I already do that!), and if someone was claiming health from their "special food system," I would hope Dietitians would weight in. 

But this smacks of just grasping at research straws. I'd be more concerned of RDs played a larger role in the social media of community health initiatives, school lunch programs, even the Affordable Care Act.


Maybe it's the sugar deprivation and the cardio boredom but my take is: Be a professional. Don't be a nudge.

Next post will be back to recipes (probably not RD approved.)




References:

“I Got Six-Pack Abs in Six Weeks. Here’s How I Feel One Year Later.” Greatist. Accessed November 13, 2013. http://greatist.com/fitness/six-pack-abs-six-weeks-one-year-later.

Schneider, E. P., McGovern, E. E., Lynch, C. L., & Brown, L. S. (2013). Do Food Blogs Serve as a Source of Nutritionally Balanced Recipes? An Analysis of 6 Popular Food Blogs. Journal of Nutrition Education and Behavior, 45(6), 696-700. http://dx.doi.org/10.1016/j.jneb.2013.07.002

Countown to eating part a lot, part 2: Did you say radish? And Campari?

When I cam back from my time in Japan, I was more than happy to continue the Thanksgiving tradition at Chez Ska Librarian (still Retro in those days). But I had picked up a few tricks of the trade in Tokyo and wanted to fit those into the meal.

OK, so not really tricks. More like me doing my usual recipe tweaking much to the horror of my Japanese acquaintances. I always joked (joked, it's all in fun!) that the official motto of Japan should be "No substitutions on the menu." And that's basically a direct challenge for me!

One of the very ubiquitous (and one of the the few inexpensive) items one found at Japanese markets was the daikon radish:

You can buy one in Japan the size of an entire arm for about 2 bucks!

Daikons are usually used as a garnish or soup addition, just grated straight into the bowl. They taste...well, like radishes.

But I soon discovered another way to use this root. If you simmer or poach them in water or broth until soft, they become these sweet, soft, delicate pucks of tastiness. More mellow than a turnip. 

In Japan, it's a basic boil and then served with white miso. But after one or two tries like that, I began to wonder just how it would work with other flavors. I often poach chicken in vermouth, so why not these? They were deLISHous! So I added olives soaked in gin and made Martini Daikons. 

It was a fun idea, and I certainly have enough martini-loving pals, even if I don't drink them anymore. But I wanted to see if something else could be done with these big fellas. Something more festive that might work spice-wise for both Thanksgiving and Chanukah, yet also appeal to the non-meat eaters attending.

And I spied this in my kitchen:

Hmmm.....I know Campari is an acquired taste, but if your guests don't mind complex tartness, this is for you!

So I now present:

The Streamlined Ska Librarian's Campari Daikons

Wash, peel and slice the daikon into 1 inch discs. Score one side of them. 

In Japan, you're also supposed to bevel the edges. But shape however you like. Make them into Magen Davids. Or Turkeys!

Place daikon slices into large saucepan with enough liquid to cover. This one is:
1 part Campari
2 parts water
1 cinnamon stick

Bring to a simmer and cook until fork tender (about 25-30 minutes). Remove from liquid and let stand until room temperature. (You can also refrigerate them for a few days and bring back to room temp before serving).

And here we are:

Do these not look lovely? They're actually a little pinker than this photo. 

The sweetness of the cooked daikon with the spiciness of the Campari and cinnamon. Mmm...
These were eaten with some salty-savory snacks and the play of flavors was great.

Will this recipe make it to the Holiday(s) table? We'll see!

Countdown to eating a lot

Oh, where to begin? So many weight loss and weight maintenance studies our there. And yet, a recent study shows that a large percentage of research on obesity and nutrition tend to overstate their results. Is this really a surprise? I also think the topic lends itself to that. We like to grab onto a definitive "solution" or "answer" when it comes to obesity and nutrition. I know I've certainly been guilty of cherry-picking data I need to make a point. But then again, I'm just blogging here, not claiming I've done grant-funded research. 

I do recommend you seek out the entire article. But that's not where we're going now....

I'm going to take a break from some of the usual format this month and go for a theme. We're coming up on one of my favorite holidays, Thanksgiving. For almost every T-day for the past 22 years, I've hosted anywhere from 3 to 30 people for the feast. Over the years, I've gotten intoa "zone" where I cook EVERYTHING, down to making ice cream for the pies. All guests just bring drinks, themselves and an appetite. It's worked out very well. 

I have some standard favorite dishes (there are a few I've been told can never leave the menu), but it also gives me a chance to try some new things each year. Very rarely is there a true cock-up (more often the casualties are dropped dishes). And I actually find it very enjoyable to just prepare and cook up a storm for a week. 

This year, however, we have a slightly different agenda. Thanksgiving falls on the first night of Chanukah. Yes, the All-American holiday where we all gather together to give thanks and eat a lot of food we may avoid most of the year is now being mixed up with a Jewish holiday where ... we all gather together to give thanks for being alive and eating a lot of food we may avoid most of the year.

Hmmm...this shouldn't be too hard.

Except when you're a kid and you probably feel more left out when everyone around gets Xmas presents, Chanukah doesn't play a big role in many adult Jews lives (or Adult Jews with no kids, I should say). 

Yes, it commemorates, as do many Jewish Holidays, our survival at almost being wiped out, and, like most Jewish holidays, it involved a lot of fried food. And I don't want to be frying latkes just as we're all sitting down to turkey.

So how to combine these two holidays into one super food day?

The rest of this month, I'll be trying out a few recipes and sharing them online. As you know, it's hard for me to actually write down amounts, but I will do my best to ensure you can all share in this. Yes, yes, I am very magnanimous that way.

One of the things I often skip or avoid is a bread with Thanksgiving dinner. In the past there's been pumpkin biscuits, a basic wheat loaf, polentas "crackers" but most often I buy a baguette or two. But I've been toying with a cornbread idea. It's quick, easy and goes well with the all those fall foods. 

But how to make it Chanukah-like? I've seen a few pumpkin or sweet potato corn breads. And a traditional Jewish dish is tzimmes. My family made it with carrots, but I had some yams, which is also "traditional." So why not make a Tzimmes Cornbread? Hmmmm...

I used yams and prunes. I think carrots may be added next time, but yams were a nice thought because you can microwave them very fast. And I thought using coconut oil added another "fruit" flavor to it. I also tend to favor my cornbread more on the corn side with less flour. I actually dropped the flour on the floor (see? that's my thing!) and after that clean-up, I substituted chickpea flour. The end result was good but I think whole wheat flour would work a little better, giving it a little less density. 

I decided to spice it with middle eastern spices and spiked the prunes. The result:

It was fragrant, sweet yet not too much (which is sort on un-tzimmes like) but a nice amalgam of holidays!
This could be good with gravy or applesauce and sour cream! Or even with peanut butter as a snack.


Will it make it to the holiday table in a few weeks? We shall see...

The Streamlined Ska Librarian's "Tzimmes" Cornbread:

12 prunes, cut up

1/4 cup bourbon or rye

1 1/2 cup cornmeal

1/2 cup wheat flour

1 tsp baking powder

2 tsps ras al hanout

1/4 tsp dried mint

salt to taste 

2 egg whites 

3 tbps coconut oil

1 to 1 1/2 cups yams, cooked 

1/4 cup yogurt, sour cream or buttermilk

1/2 cup honey

1 tbsp apple cider vinegar 

1. Preheat oven to 350

2. Soak the prunes in the bourbon

3. Combine next 5 ingredients

4. Add next 5 and mix well

5. Stir in prunes and bourbon. Adjust seasoning

6. Bake for 30 minutes or until done. 

References

Menachemi, Nir, Gabriel Tajeu, Bisakha Sen, Alva O. Ferdinand, Chelsea Singleton, Janice Utley, Olivia Affuso, and David B. Allison. “Overstatement of Results in the Nutrition and Obesity Peer-Reviewed Literature.” American Journal of Preventive Medicine 45, no. 5 (November 2013): 615–621. doi:10.1016/j.amepre.2013.06.019.

October Foodie Pen Pals Reveal - Manly Man Edition

It's that time again! Time to grab $15 worth of goodies and trade off in the mail. Yes, it's ...

This time, tireless RD and FPP diva Lindsay continued the one-on-one exchange system instead of the round robin version. And she set me up with Nick from Virginia. Yes... a man!! Out of thousands of FPP participants, it was a testosterone exchange. Bring it on!

Nick told me of his appreciation of grilling. I talked about my appreciation of hockey. (What? I eat everything!) We both said we'd send each other manly stuff.

Soon, my squishy FPP envelope arrived, and what did Nick send?

A Clif Bar, Jack Daniels Marinade in a Bag, A Chocolate-Chipotle bar, BLT dip mix, olives in a bag, Halloween peeps, and DeeDee Desserts No Bake Chocolate Mousse Cheesecake mix.

This is, without a doubt, the manliest Foodie Pen Pal Package I've ever received. I've used the olives in a sauce, but I'm still debating on what to marinade. And that no bake mix would probably make a decent custard.  Yeah, I never was a recipe follower.

And I did try the BLT Dip, which was like a sweet onion mix with bacon bits. I didn't have cream cheese or sour cream on hand, so I used ... silken tofu and yogurt. I know, I know, but it still tasted rugged.

This is definitely a departure for the usual FPP reveal. It is a lot of sugar in one place, but I've already had offers for sharing:

Black cats and pumpkin peeps...very October appropriate!

As Nick doesn't have a website, let me show what I sent him. He did say he liked grilling, so:

Assorted rubs and condiments/glazes, some jerky, some bacon mints and of course, candy for Halloween!
I hope you liked it, Nick! (Dude, you gotta acknowledge! There are some FPP rules we all must follow!)

So, it was a different package, but it adds to the diverse tapestry that is the receiving of free food n the mail.

Now it's off to watch the Rangers. And eat not so manly BLT dip.

Happy Halloween!

It Never Gets Old...

The season of reality shows is coming back in full swing. In many ways these are a guilty pleasure for me. Partially they are a sense of escape and partially they reaffirm that, yes, at least my life is not like THAT, nor would I ever go through that exposure just for fleeting fame. Sadly, a lot of these shows involve many people from my homeland of Staten Island. All I can say to that is: You can't blame that much on editing.

Of course, a lot of makeover shows are on nowadays including weight loss programs. I know a popular one is The Biggest Loser. I admit I do tune into that one, now more than ever in Streamlined times.  I don't really need to reaffirm what many people think about this show. I won't even link to those posts, because they are everywhere. Suffice to say that I do feel it is presenting a very unfair view of weight loss and the idea that "failures" on the show are only losing 2-5 lbs. a week....well, it's just bad. It reminds me of one of my previous attempts at weight loss a few decades back. I managed to lose 25 lbs. and reached a tableau. And I felt like a complete failure.

Because I. Only. Lost. 25. Lbs.

Sigh. I'm glad that mindset is over. 

But this also brings to mind the endless attempts at dieting and the yo-yo effect that can have on someone.

But this is nothing new. I've already mentioned some of the old diet and cookbooks I own. Now how about a old time "reality show'?

This fascinating paper on President William H. Taft's correspondence with a doctor about weight loss had me hooked. Taft certainly cut a prosperous figure:

Source

But he had concerns about his health. The prescription for weight loss reads remarkably modern (without the "fads"): reasonable amounts of food, exercise and daily logging of weight. There are some historically unique aspects to the plan (Taft's exercises including horseback riding, as opposed to something we might now consider more rigorous), but the gist is very much the same as today.

There's even the other aspects here which show how little things have changed. Taft was a celebrity that was publicly ridiculed for his weight. He tended to report a higher weight loss than he actually managed to achieve. He did lose a lot weight but gained a lot back when he stopped dealing with his physician. This was also not the first doctor and weight loss prgram to which he subscribed. And this particular doctor also used his work with Taft to promote his own diet business, cashing in on this celebrity diet.

When Taft passed away he was about 70 lbs. less than his highest weight, but still considered "morbidly obese" by today's standards.

Taft's legacy as President and as Chief Justice of the US Supreme Court is quite varied (He is the only person to hold both positions). But sadly he's probably remembered more for being the fat president. 

Strange to think that dieting and celebrity is more embedded in our collective mind than governmental and judicial initiatives still in play. 

Maybe we should elect Snooki to the Supreme Court. But first I need to go track down some of Taft's doctor's books to add to my collection.


References:

Deborah I. Levine; Corpulence and Correspondence: President William H. Taft and the Medical Management of Obesity. Annals of Internal Medicine. 2013 Oct;159(8): 565-570.

Obsessively healthy

Enough laziness....time to get my workout on!

I knew those Pilates classes were good for my core! :) 



Much as I am a sucker for the Scopitone era, one thing that does strike me is that a lot of the women (and the one guy) dancing around that pool would be considered "unfit" by today's standards. And not in the sense that they are "fat", but rather that they don't look "strong." (Which is really another way of saying "thin but with visible muscles.")

I'm all for understanding what a healthy body looks like and I still get a bit giggly when I catch my reflection in a mirror (Hello, studly!), but I know that it took some time to actually convince myself that I don't have to be a solid six-packed beefcake dude nor super-skinny fella to look good AND look healthy. 

And yet there's this trend happening with these "Fitspiration" or "fitspo" posts on websites, facebook, etc. I'm sure you've seen them, so I won't bother putting one on here, even snarkily. 

It's still a shaming and somewhat misguided way of saying "you're not good enough, but here's some bad, pat advice with a still unrealistic photo to make you feel passive-aggressively better." And I know I'm not the only person that has problems with this trend. This post covers it pretty well.  However, it also draws me towards a topic about which I'm not too happy; the excessive attitude of many of the health-minded people. 

At various points in my life, I've had to drop some friends and acquaintances who were just unhealthy to be around. Sometimes it was for reasons centering about substance abuse, sometimes it was someone who just promoted a toxic environment. It's never easy, even when you know you have to do it, but it does happen. And lately I've had to "unfriend" those people who I felt were not healthily contributing to Streamlined Ska Librarian lifestyle. 

I'm not talking about people who insisted on eating pans of lasagna in front of me or those who would get frustrated now that I've cut back on the beers. Different eating habits don't mess up friendships, at least in my thought process. No, the people who I had to "let go" were all "healthy living" folks. Because how they were treating themselves (and others) was very unhealthy.

I previously posted about Social Physique Anxiety and my own change in mindset towards gyms and working out. We've seen enough about eating disorders and how societal factors contribute to those. But what about exercise and "healthy living"? Can someone treat it like a disorder? Is there such a thing as going too far? 

A few bloggers have coined it as "healthorexia" but I see it's actually been addressed some years before as Orthorexia Nervosa. That does seem to be more oriented solely towards food intake, but the expression does seem to be used as well to denote those folks who take both healthy food and exercise to an extreme.  

There have been some studies questioning whether or not it is an actual disorder and one somewhat troubling study seeing if there was a prevalence of orthorexics among Dietitians! (Hmm...Dietitians with food issues...that's like Librarians as hoarders.)

Whatever it's official diagnosis, I can't help but think these Fitspo photos have not helped. It gives the impression that you're otherwise doing it wrong. 

And I'm not immune. Almost a decade ago, I tried the Low Carb diet. And one day, I ate 8 grapes. And I proceeded to freak out that I ruined my whole diet experience. Thankfully, I immediately checked myself and realized there was something fundamentally wrong with any eating plan that would do that to your head. 

And yet, that's what we're seeing in orthorexics and those people who are no longer my friends. Every few weeks was a new "eating plan" that usually included some point of abstinence, starvation or "special food", while exercising to the point of continued injury and ill health. And then deriding those who did not follow the same plan. Never mind that it often changed from week to week. As a friend, I tried to support them but it soon became apparent that they did not want support that didn't follow their own strictures. 

But I've now seen this behavior all over the web, too. And unfortunately it's now easily shared among the internet and with it, the bullying atmosphere that comes with this medium: 

"You didn't puke? You're not exercising enough!"  
"You made non-paleo cupcakes? Stuff your face with failure!" 

How does this help people feel better about themselves? I'm all for being pushed into working harder. That's why I go to a trainer. But it's not about doing something til I puke. Or as my trainer put it, "I'm not here to beat you up, Dan. You seem quite capable of doing that yourself. I'm here to take it in the right direction."

So, I'm not a fan of this orthorexic movement. But I also hope that in my own quest for Streamlined life, I have not been perpetuating this attitude among others. One of the saddest parts of my Streamlined Ska Librarian journey is losing friends who feel they no longer "know me" because I'm trying to live healthier. Is it because I'm no longer staying out late drinking pitchers and eating entire pizzas? Or have I become something less palatable? Have I become as toxic as those people that I have had to unfriend? It's a reality check, to be sure. 

I'd like to think I'm basically still me, but more aerodynamic. So I hope to work on still being that way. If I start posting photos of airbrushed athletes with "hang in there, baby!", you all have the right to delete me.


References: 

Kinzl, Johann F., Katharina Hauer, Christian Traweger, and Ingrid Kiefer. “Orthorexia Nervosa in Dieticians.” Psychotherapy and Psychosomatics 75, no. 6 (2006): 395–396. doi:10.1159/000095447.

McInerney-Ernst, Erin Michelle. “Orthorexia Nervosa: Real Construct or Newest Social Trend?” Thesis, University of Missouri--Kansas City, 2011. https://mospace.umsystem.edu/xmlui/handle/10355/11200.

Vandereycken, Walter. “Media Hype, Diagnostic Fad or Genuine Disorder? Professionals’ Opinions About Night Eating Syndrome, Orthorexia, Muscle Dysmorphia, and Emetophobia.” Eating Disorders 19, no. 2 (2011): 145–155. doi:10.1080/10640266.2011.551634.

Is there really anything I won't eat?

Darn, I missed National Kale Day last week! The parades, the costumes, the kale massage contests! How will I ever get over this?


I really have no opinion on kale and it's special day. I mean, I like kale, been eating it for years....sure, why not have a parade? It is now sort of the ubiquitous hipster of the food world. But I do eat it.

I often talk about how I will eat (or at least try) everything. There's only one food I CAN'T eat and that's mussels, to which I developed an adult-onset allergy, and evidently that's pretty common. It's too bad because I do love them, and I can no longer truly bond with my Flemish pals.  

Het spijt me, mijn mosselen eten vrienden!

But if I had to list one food product I that prefer to consistently avoid it would be nutritional yeast and yeast spread. In other words, Marmite, Vegemite, that crumbly stuff on raw kale chips, an everything in that genre.
Now I love salty, funky, umami tasting foods, but these always seem a little ... wrong. I can't describe it, but it's just not worth eating. I always found it bad combination between a cheesy-beefy-tangy taste without the better notes of actual cheese and beef (and Tang).

Then when I was in France this past summer, my English-Dutch hosts had a variety of spreads on the breakfast table every morning:

What? no marmalade?

And every morning, I would watch their kids combine two of these spreads on their toast. And while we Americans may immediately assume it would be the two great tastes of chocolate and nuts, it was in fact peanut butter and Marmite.

Peanut Butter. And. Marmite.

That just seemed wrong. 

I of course did what any good American older gentleman would do: I made fun of them.

Soon after, my current "dating companion" wanted to try Marmite. So we bought some (it is available in many shops around NYC). There was one recipe for Marmite mushrooms, which only one of us liked (and it wasn't me). I thought that might be the end of it.

However, I am taunted by this image every morning in my kitchen:

*Sob* What do you WANT of me???

And one day, I was spreading plain peanut butter (just peanuts, no salt, sugar or additives) and I thought I'd give it a little kick.

So I ate the Marmite with peanut butter. And I've done it more than once.

So what made me do it? I'm not sure. Studies show that we are often conditioned by societal and cultural factors as to whether we will like food and changes in our diet. Now these two studies and many others focus on healthier eating habits but I think it's apt for many aspects of food preference.

When I started on my Streamlined Ska Librarian lifestyle, I had to make some major changes to my food intake. But because I was open to lots of tastes already, I didn't find it hard to alter my meals. nothing was too "odd."

But just because I do eat everything doesn't mean I want to eat everything. But it also doesn't mean I forgoo any usual conditioning and start liking it. 

So, will PB&M be my new go-to breakfast? Ummm....will there be kale?



References:

Nestle, M., Wing, R., Birch, L., DiSogra, L., Drewnowski, A., Middleton, S., Sigman-Grant, M., Sobal, J., Winston, M. and Economos, C. (1998), Behavioral and Social Influences on Food Choice. Nutrition Reviews, 56: 50–64. doi: 10.1111/j.1753-4887.1998.tb01732.x
  
A. Eertmans, F. Baeyens, and O. Van den Bergh.Food likes and their relative importance in human eating behavior: review and preliminary suggestions for health promotion. Health Education Research (2001) 16 (4): 443-456 doi:10.1093/her/16.4.443

     n.p. (2004, July 9). "Seafood allergies often begin later in life." Medical News Today. Retrieved from
http://www.medicalnewstoday.com/releases/10491.php.  10 Oct., 2013