How should I avoid craving for junk food?
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I am 62 yrs old. I have balanced diet and regime, with exception that I had great craving for junk food. I daily exerciser and having weight of 73 kgs now, height 5.81/2 feet, I do not have Sugar or BP as of now, which is checked a fortnight back when I underwent mater health check up, LIPID profile showed TGL level was 270 and VLDL was 54. All other parameters including CBP and Urine analysis are normal. I continue to exercise moderately and eat a balanced diet. I stopped junk foods totally. I am on medication of Rosuvastatin (ARVAST 10) 10 mg recommended by cardiologist for six weeks and I was informed that Junk food might have contributed to this. I was taking 1000g calcium and as per doctors advice I gave break for one or two months. I use a multivitamin used by 50+ men daily and a herbal capusule called Olive leaf extract. Kindly advise me how my life style should be to aovid recurrence. I am south Indian. Is Idly, Wada, Poori domestic sweets also fall under category of Junk foods? I have craving for spicy junk food, like Panipori, Bhel, Masala sav, Mirchi, Pavl. Bhaji etc. I stopped all of them as of now. I was health care advise from doctors regarding food styles etc.
Posted Fri, 10 Jan 2014 in Hypertension and Heart Disease
Answered by Dr. Rakesh Karanwal 59 minutes later
Brief Answer: Your issues have been addressed to, as below Detailed Answer: Hi friend, Thanks for your query. Firstly, your BMI is within normal range. A high Triglyceride (TGL) level could have been due to either, over-indulgence in junk food; or, type 2 Hyperlipidemia ( a sub-type of Hyperlipidemia in which there is isolated increase of TGL levels). Rosuvastatin alone will not reduce your TGL. Hence, take a combination of Rosuvastatin 10mg/5mg + Fenofibrate (ideally 200mg, or preferably 160mg). Fenofibrate typically reduces TGL. (Due to involved medical ethics, as well as, this website's Policy, I cannot prescribe the combination by its Brand Name.) Except for Pav bhaji, you can continue with other spicy "junk food". Pizzas, confectionary, mutton, butter, eggs, aerated drinks, soft drinks and alcohol (as applicable) should be totally stopped. Coconut oil should be curtailed. Use of Rice XXXXXXX oil, or Sunflower oil, olive oil would be preferable for cooking purpose. IDEAL DIET :- High fiber, high Protein, low fat and restricted Calorie (1500-1800 Calories) diet. A plateful of green salad (which is rich in fibers and Vitamin B) should be part of your meal. Get your Blood Vitamin D level estimated. If found to be low, addition of Calcitriol (Vit D3 in the dose of 0.25-0.5micrograms or even more/day) should be made along with oral calcium. Consult your doctor and apprise him of my opinion. I am certain that he will agree with my opinion and prescribe the suggested supplements in appropriate doses. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Dr. Rakesh Karanwal
Follow-up: How should I avoid craving for junk food? 17 hours later
Thank you Dr. XXXXXXX Karanwal, I prefer to complete the dosage of Rosuvastatin as it is and then suggest the doctor if the TGL does not come down. I need to clear the nutritional doubts. Being a south indian, I eat, Idly, Dosa, Poori, Rasam and Sambar dipped Idli, Voda, I also eat home made sweets on festival occasions. which some times are deep fried like Alu Bonda, or Save and hot Mirchi Bajji. We are using Olive oil in cooking. In US i some times take Pizza)vegetarian, American pancakes with Maple etc. I have given all above foods since I started medication. After recovery to normalcy, can I eat all the above or exempt some? I need nutritional guidance in terms of vegetarian south indian food, junk. If junk food is to be limited to what extent and spells of gap required betwen one time to next time. Regards vmr. Note. If the follow up does not fall in your advice, a South Indian Nutritionist if available on panel may be advised to answer querry
Answered by Dr. Rakesh Karanwal 1 hour later
Brief Answer: Nutritional guidance in terms of south indian food Detailed Answer: Hi there, I had fully taken your South Indian nativity into account, while rendering my advice. As mentioned in the earlier correspondence, EXCEPT for Poori and Pav Bhaji, you can continue taking idli, Rasam, Sambar dipped idle, vada. Occasional intake (in moderation) of home made sweets, deep fried items including Alu Bonda, save, hot Mirchi Bajji, Poori and Pav Bhaji is OK (once a month). Veg pizza and American pancakes should be avoided as far as possible. Restoration of TGL and VLDL with the help of ROSUVASTATIN IS NOT THE GOAL. The target is to maintain TGL and VLDL levels WITHOUT rosuvastatin. Hence, even after recovery of their levels to normalcy, dietary restriction- as given above- is to be followed religiously. Hope I have now clarified your nutritional doubts. Dr. Rakesh Karanwal