Expert Advice from Bonitas Medical Fund
Bonitas – innovation, life stages and quality care

What is HELLP?

Pregnancy and the arrival of a new baby is a time of great excitement and joy for expectant parents.  However, occasionally there can be complications, which is why pregnant moms should have regular health checks and be aware of any unusual symptoms that may develop. Over the past few years, there has been discussion around a condition known as HELLP Syndrome. It’s a life-threatening complication in pregnancy that can be difficult to diagnose. We reached out to Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund and his clinical team, to get some answers and advice about HELLP. What is HELLP Syndrome? HELLP (Haemolysis, Elevated Liver enzymes, Low Platelet count) Syndrome usually develops before the 37th week of pregnancy but can occur shortly after delivery.  It’s a serious complication that affects the blood and liver. H = Haemolysis is the breakdown of red blood cells that carry oxygen from lungs to the rest of the body. EL= Elevated liver enzymes.  High levels of these chemicals in the blood can be a sign of liver problems. LP = Low platelet count.  Platelets are little fragments of blood cells that help with blood clotting.  A low platelet count can lead to serious bleeding. What causes HELLP? ‘We don’t know what causes HELLP syndrome,’ says Dr Mkhatshwa, ‘however, you are at risk if you have pre-eclampsia or eclampsia.’  About 1 to 2 in 10 pregnant women (10 to 20 percent) with pre-eclampsia or eclampsia develop HELLP.  Pre-eclampsia is caused by high blood pressure. It usually starts after the 20th week of pregnancy or giving birth. Eclampsia is when pre-eclampsia is uncontrolled and causes seizures. Many women are diagnosed with pre-eclampsia before they have HELLP which is a more severe form of pre-eclampsia. What are the symptoms / signs of HELLP?  You may feel tired, have pain in the upper right part of the belly, bad headaches and nausea or vomiting. You may also experience swelling, especially of the face and hands and blurry vision. Some women develop HELLP suddenly, without having any signs or symptoms.  If you have any signs of HELLP Syndrome, call your medical practitioner, emergency services or go to a hospital emergency room for medical care right away. How is HELLP diagnosed? To find out if you have HELLP Syndrome, your healthcare provider will do a physical exam to check  for: Belly pain or soreness, especially in the upper right side An enlarged liver High blood pressure Swelling in your legs Other tests could include: Blood tests to check your liver enzyme levels, lactate dehydrogenase and full blood and platelet count with a peripheral smear Urinalysis to check for protein in the urine A CT scan to see if there’s bleeding in your liver Non-stress test or ultrasound to check your baby’s health. A non-stress test checks your baby’s heart rate, in the womb, to see how the heart rate changes when your baby moves. This test is to make sure your baby’s getting enough oxygen. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb Is HELLP painful? Symptoms of HELLP include serious pain just below the ribs, or the upper right side of the chest area (where the liver is), shoulder pain or pain when breathing. How is HELLP treated? You may be given medication to control your blood pressure and prevent seizures or you may require a blood transfusion to treat anaemia and low platelet levels.  Early birth may be necessary because HELLP complications can get worse and harm both you and your baby – either through an induced labour or by C-Section depending on the health assessment results of the baby.  How does it impact the baby? Infants born to mothers with HELLP Syndrome may have a variety of birth injuries: Intrauterine growth restriction (IUGR) or severe respiratory distress. Are there long term effects of HELLP? A history of HELLP Syndrome means you are at increased risk for recurrent pre-eclampsia and HELLP Syndrome as well as increased long-term morbidities, particularly depression and chronic hypertension. Can HELLP develop after childbirth? Yes, up to 30% of all patients who develop HELLP Syndrome do so after giving birth, typically within 48 hours.  Can I have another baby after HELLP syndrome? If you had HELLP in a previous pregnancy, regardless of the time of onset, you have a greater risk for developing it in future pregnancies. ‘The condition is serious but rare’, stresses Dr Mkhatshwa. ‘Throughout your pregnancy it’s important to understand the changes your body is going through and to discuss any unusual pain or symptoms with your medical practitioner. This will ensure you receive the right help especially if you develop a complication and make the pregnancy and birth the joyous event it should be!’ 

June 22, 2023
Bonitas – innovation, life stages and quality care

Asthma – avoiding triggers

Asthma is one of the most common chronic illnesses, affecting over 300 million people worldwide. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, talks about the causes of asthma, preventative steps to reduce the chances of an attack and treatment. What is asthma? Asthma is a long-term condition affecting children and adults. The air passages in the lungs become narrow due to inflammation, production of extra mucus and tightening of the muscles around the small airways. This causes asthma symptoms such as coughing, wheezing, shortness of breath and chest tightness. These symptoms can be intermittent, are often worse at night and can be triggered by exercise.  It affects approximately one in 10 children and one in 20 adults and can occur for the first time at any age, even in adulthood, although asthma usually begins before the age of five.  A few children affected will ‘outgrow’ it during their teenage years but it usually persists if contracted in adulthood. Asthma tends to run in families. Signs and symptoms Asthma is often under-diagnosed and under-treated and this can lead to disturbed sleep, tiredness during the day and poor concentration. If you fail to recognise and avoid triggers that lead to your tightened airways, you may have an asthma attack, feel respiratory distress or experience a life-threatening situation. It’s important to avoid the triggers and recognise the signs of this condition to enjoy a better quality of life.  What causes asthma? There are various types of asthma including allergy-induced asthma. Research shows that the risk factors include a combination of genetic predisposition and environmental exposure, to inhaled substances and particles that may cause allergic reactions or irritate the airways.  These include indoor allergens – such as dust mites, particles of cockroach waste and pet dander and outdoor allergens – such as seasonal pollen, mould as well as tobacco smoke and air pollution. Smoke and strong soaps and perfume can also be triggers.  Other triggers for asthma can include cold and dry air, physical activity, stress, certain medications, such as aspirin and other non-steroid anti-inflammatory drugs and beta-blockers (which are used to treat high blood pressure, heart conditions and migraine) viral infections and occupational asthma, triggered by workplace irritants such as chemical fumes, gases or dust. Factors associated with asthma prevalence or disease severity in South African children include the adoption of an urban lifestyle, atopy (a genetic predisposition to having allergies), obesity, respiratory infection or exposure to industrial pollution or tobacco smoke.  Treating asthma Asthma can be life threatening when left untreated and cannot be cured but, with the right treatment most asthmatics will lead completely normal, active lives. The aim of treatment should be to make the lungs and breathing tubes as normal as possible so that there are minimal symptoms and as little disruption to ordinary life as possible. People with asthma may need an inhaler. Their treatment will depend on the frequency and severity of symptoms and the different types of inhalers available. There are two main types of inhalers: Bronchodilators that open the air passages and relieve symptoms Steroids that reduce inflammation in the air passages. This improves asthma symptoms and reduces the risk of severe asthma attacks and death It can sometimes be difficult to coordinate breathing using an inhaler, especially for children and during emergency situations. Using a spacer device makes it easier and helps the medicine to reach the lungs more effectively. A spacer is a plastic container with a mouthpiece or mask at one end and a hole for the inhaler in the other. A homemade spacer, made from a 500ml plastic bottle, can be as effective as a commercially manufactured inhaler. Reduce your exposure to allergy triggers The best way to reduce your exposure to seasonal allergy triggers is to avoid them.  Avoid activity in the early morning when pollen levels are at their highest Stay indoors on dry, windy days as the pollen counts surge in these conditions The best time to go outside is after a good rain, rain washes pollen away but beware, pollen counts can also soar after rainfall Delegate gardening chores like mowing the lawn to others  Wear a pollen-filtering mask if you must do chores outside. When back indoors, shower to rinse pollen from your skin and hair and put on clean clothes Keep windows shut or use an air conditioner if you know that pollen counts are going to be high Clean floors often with a vacuum cleaner Wash your bedding in hot water at least once a week  Don’t hang laundry outside during this time as pollen can stick to sheets and towels Cover your bedding and pillows with allergen-proof covers Remove stuffed toys from your children’s bedrooms Dr Mkhatshwa says, ‘If you are experiencing asthma symptoms or think you might have asthma, it is important for you to talk to your GP. This will help you establish if your symptoms are linked to asthma or whether something else is causing them.’

June 14, 2023
Bonitas – innovation, life stages and quality care

Free hearing screening (online) for all

Hearing loss is an under-diagnosed medical condition that significantly impacts the physical and mental health of those who have any degree of hearing difficulty. Disabling hearing loss is being called the ‘invisible epidemic.’ It affects more than three million South Africans and over 1.5 billion people globally. The World Health Organization (WHO) estimates that in just two more decades, this number will exceed 2.5 billion. To help create more awareness, Bonitas Medical Fund is offering free online hearing screening for all South Africans. One of the biggest concerns associated with hearing loss when it is not treated properly is the long-term impact it has on the quality of life. Prevention and early detection are important, after all, hearing is the foundation for speech and language development, as well as learning and communication.  Which is why Bonitas Medical Fund has introduced an online hearing screener on its website www.bonitas.co.za. ‘We have partnered with hearConnect to make this functionality available to all South Africans,’ says Lee Callakoppen, Principal Officer of Bonitas. The online, validated speech-in-noise hearing test uses the latest in audiological technology. This is combined with the highest standards of clinical expertise and available on the website. In just two minutes you can test your hearing status.  All you need is access to a computer or your mobile, headphones or ear plugs, a quiet area and then you’re all set to take the test. If the screening test indicates you are experiencing hearing loss, hearConnect is available to guide you through the next steps. ‘Our partnership with hearConnect includes a full audiology benefit management programme for our members. This includes a follow up with ongoing treatment steps if hearing loss is detected.’  The introduction of this programme has also improved audiology benefits for Bonitas members – offering full cover all consultations, tests and treatment needs without any unwanted co-payments. This is subject to the use of an audiologist on the hearConnect Audiology Network, hearConnect treatment protocols and clinical pathways.  There are many challenges associated with hearing loss. These include language development that impacts our ability to read, write, spell and concentrate. It affects social skills resulting in isolation, depression, loneliness, cognitive impairment, unemployment and an increased risk of dementia.  Hearing loss also has a direct impact on healthcare costs. ‘As a medical scheme we know that patients with untreated hearing loss experience more inpatient stays compared to those without hearing loss,’ says Callakoppen. This has a direct impact on healthcare utilisation costs. There is a 17% increased risk of emergency department visits, readmissions and rate of hospitalisation as well as longer hospital stays.’   What causes hearing loss Hearing loss can come about as you age or as a result of loud noises, illnesses and disease, genetics and trauma (contact sport) can also cause hearing loss. Other factors, such as too much earwax, also reduce your ability to hear.  Don’t blast your eardrums  Overexposure to loud music – or any loud noises – can be harmful. Research indicates that hearing loss results from a combination of sounds being too loud, listening to loud sounds over an extended period and the frequency of exposure.  A BMJ Global Health review recently reported that pumping tunes, listened to via ear buds or even live, could be placing up to 1.35 billion young people at risk of hearing loss worldwide. The gift of hearing  ‘Our new ABM programme, with hearConnect, supports our initiative with Gift of the Givers and sponsorship to test over 15 000 learners this year. The learners are from Grade R to Grade 12 at schools in in six areas within KZN,’ explains Callakoppen.  ‘This project uses a South African manufactured portable audiometer, called the Kuduwave. It’s a state-of-the-art, medically certified device that has revolutionised the testing and diagnosis of auditory related deficiencies. It combines a headset, audiometer and sound booth into a single, lightweight device, which can be used in just about any location.  ‘The combination of the online testing through hearConnect and the Kuduwave means we are able to offer a comprehensive hearing testing solution in South Africa,’ says Callakoppen.

June 12, 2023
Bonitas – innovation, life stages and quality care

All about cholesterol

High cholesterol levels go hand in hand with a number of other factors which fall under chronic conditions. It is often as a result of lifestyle factors. According to the South African Heart and Stroke Foundation, one in four adults in South Africa has high total cholesterol, while 30% have a high LDL level and 50% have low HDL Levels. What does this mean?   Dr Morgan Mkhatshwa, Clinical Executive at Bonitas Medical Fund takes a look at cholesterol: What it is and why it is used, together with other factors like lifestyle and medical conditions, to estimate your risk of cardiovascular disease. And why knowing your LDL and HDL numbers is important in managing your health. What is cholesterol? Cholesterol [kuh·leh·stuh·rol] is a waxy fat-like substance, made in the liver and found in the blood and cells of your body. We all have cholesterol, it is made naturally and helps to form cells, hormones, vitamin D and bile acid (that helps us digest food). What is the difference between bad cholesterol LDL and good cholesterol HDL? LDL is low-density lipoprotein: It is called the ‘bad’ cholesterol because a high LDL level leads to a buildup of cholesterol in your arteries which leads to a greater chance of developing a heart disease HDL is high-density lipoprotein: Is the ‘good’ cholesterol because it carries cholesterol from other parts of your body back to your liver. Your liver then removes the cholesterol from your body. However, if someone has high levels of bad cholesterol it means they have too much of this fatty substance in their blood and, over time, this could cause arteries to block and result in a heart attack or stroke. Unfortunately, unlike most medical conditions, high cholesterol can go unnoticed and often doesn’t present any symptoms, unless it’s serious enough to cause problems.  What test is used to determine the levels of cholesterol in your body? Called a fasting lipogram, it measures the exact amount of different types of cholesterol you have. The SA Heart and Stroke Foundation maintain that healthy cholesterol levels should be: Total cholesterol: Less than 5.0 mmol/l (millimoles per litre) LDL cholesterol: Less than 3.0 mmol/l HDL cholesterol: Greater than 2.0 mmol/1 If your triglycerides (fat stored in the body) are higher than 1.7mmol/l, this is also indicative of a possible cholesterol problem Dr Mkhatshwa cautions that these are variables for the optimal LDL(bad cholesterol)  count, according to your risk profile. ‘If you are very high-risk or high-risk the LDL-C goal is 1.8 mmol/l and 2.5 mmol/l respectively. Your doctor will explain these to you, what they mean and the steps you need to take to reduce your LDL count,’ he says. ‘You can then begin to play an active role in managing your own health.’ How often should you be tested? Most healthy adults should have their cholesterol checked every four to six years. People who have heart disease, diabetes or a family history of high cholesterol, need to get their cholesterol checked more often.  What diseases or conditions result from high cholesterol levels?  When you have too much ‘bad’ cholesterol in your blood, it can cause narrowing and blockages of the arteries – the blood vessels that carry blood to your heart muscle and to other parts of your body. In time, this narrowing can lead to a heart attack, while blockages in the arteries of your brain can cause a stroke. What kind of illnesses or diseases can cause elevated levels of LDL? People with high blood pressure (hypertension) and diabetes often have high cholesterol. Some other health conditions that can also cause raised levels of cholesterol include kidney disease and liver disease. What role does genetics play in high cholesterol levels?  The medical term for high blood cholesterol is Familial hypercholesterolaemia. It is an inherited condition characterised by higher-than-normal levels of LDL blood cholesterol. It causes up to 10 per cent of early-onset coronary artery disease – heart disease that occurs before the age of 55 years. The cause is a mutation in a gene. Can I lower my genetically high LDL cholesterol? There is no cure for familial hypercholesterolaemia. Treatment aims to reduce the risk of coronary artery disease and heart attack and may include Dietary changes, including reduced intake of saturated fats and cholesterol-rich foods, and increased intake of fibre. Statins are the most common medicine for high cholesterol. They reduce the amount of cholesterol your body makes and you usually need to take them for life. What lifestyle changes can help to lower cholesterol levels? Losing weight Eating a heart-healthy diet: Focus on plant-based foods, including fruits, vegetables and whole grains Exercising regularly Not smoking Did you know? One third of adults have high cholesterol No one can live without cholesterol High cholesterol could be genetic Even children can have high cholesterol Sweating can raise your good cholesterol levels Supplements may work to lower cholesterol — but slowly

June 9, 2023
Bonitas – innovation, life stages and quality care

Dealing with anxiety during pregnancy

Pregnancy can be a very happy and exciting time of your life, however, it can also be a time that is very difficult for some expecting moms. This is often made more difficult by the fact that many family and friends expect you to be thrilled, and conflicting emotions are often surrounded by guilt. Your mental health is important, and you shouldn’t expect yourself to snap out of it, or soldier on alone. What is anxiety during pregnancy?  It’s natural for an expecting mom to have worries, this is a new and ever-changing part of your life. However, if your anxiety is ever-present, can’t be controlled easily and impact on your daily life it may be time to seek help. Worrying is part of being human, and if you have struggled to conceive or have lost a baby before, it’s very understandable that you may worry about your baby’s health. You may also worry about whether you’ll be a good parent or how your family dynamic will change, and these are all normal worries. But if you find your heart racing, your breathing shallow, obsessively worrying with racing thoughts, feeling restless or struggling to eat or sleep you may have anxiety. Anxiety in pregnancy is fairly normal, and you’re more likely to experience it if you’ve had anxiety in the past, have a high-risk pregnancy or are dealing with huge life stresses. What can I do about it? If you think you may have anxiety during your pregnancy, know that you are not alone or abnormal, as many expecting moms have experienced this. If you’re struggling, the best way forward is not put up with it, but to seek help. Speaking to a psychologist is a good way to start dealing with why you are suffering from anxiety and how you can deal with it. Medication during pregnancy can be tricky but are an option if they’ll benefit you and your babies well being. Staying active, eating healthy and trying to get enough sleep are also ways in which you can help yourself. Talking to others that have gone through pregnancy, or making sure that you rely on your family and partner for support are also ways in which you cope with your feelings and feel less isolated.

June 8, 2023
Bonitas – innovation, life stages and quality care

7 Vital health checks for women

When it comes to healthcare, the focus has moved to preventative managed care and particularly, health checks and screenings. These include tests  carried out by a medical doctor to check for diseases and health conditions, even before you may have any symptoms. By detecting diseases early on they are often easier to treat.  Dr Morgan Mkhatshwa, Clinical Executive at Bonitas Medical Fund, talks about the most important check-ups for women. Breast cancer From the age of 18 you should do regular self-examination of your breasts, if you see or feel any changes, consult your doctor immediately. Early detection increases the chance of survival and can save your life.  Some doctors recommend having a mammogram every two years from the age of 40 , others believe you only need to start at 50 years of age. A mammogram is a low-dose X-ray which radiologists analyse to look for changes in breast tissue.  Although the greatest risk for breast cancer is age, women can get breast cancer from a very early age, genetics also play a role in determining if you are at risk for breast cancer. Having a first-degree relative (mother, sister or daughter) with breast cancer almost doubles a woman’s risk. Having 2 first-degree relatives increases her risk 3-fold. Breast cancer can affect men too,   so women with a father or brother who has had breast cancer have a higher risk of breast cancer. Cervical cancer South Africa has a high rate of cervical cancer which has been attributed to the fact that not enough women are screened regularly. Screening can detect early changes in the cervix which can be treated and save your life. These include: Pap test (pap smear) which looks for cell changes (pre-cancers) in the cervix that may progress to cancer if not treated.  The Human Papillomavirus (HPV) test. Looks for the virus that causes most cervical cancers It is recommended that between the ages of 21 and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test can be done every 5 years. A vaccine has been developed to protect women from getting HPV. It is administered free of charge, annually, to girls between Grade 4 and 7 (9 to 12 years of age) in all government schools. The HPV vaccination can be a cost-effective strategy in lowering the cervical cancer risk among women in South Africa. HIV/AIDS It is a misconception that men predominantly become infected with HIV/AIDS. Studies show that women are getting infected at a faster rate, particularly in developing countries and are both infected more and suffer more, than men. It is advisable for women to have an HIV test annually.  Bone Density As you age, your bones become thinner and weaker. Over time this can lead to a condition called osteoporosis. If you’re aged 65 or older a bone density test is recommended, which is covered by Bonitas. Called a DEXA scan, the frequency of this screening varies depending on your bone density and other risk factors. Your doctor may suggest you have this test earlier if you: Broke a bone in the past Have taken steroids for a long time Have rheumatoid arthritis Are underweight  Have a parent who has broken a hip after a minor injury Treatment for osteoporosis is readily available, ask your doctor.  Colorectal cancer screening These tests look for cancer in the colon or rectum by checking for tissue growths, called polyps. If you don’t have an elevated risk for cancer, then you should start having these tests when you turn 45. A colonoscopy, where the doctor looks at your entire colon, should be done every 3-10 years depending on what is found during your exam. A Faecal Immunochemical Test (FIT) should happen annually. The FIT is also a screening test for colon cancer which tests for hidden blood in the stool, which can be an early sign of cancer.  Skin checks Skin cancer is caused by the abnormal growth of skin cells – usually on the skin that has been exposed to the sun but not always. There are three major types of skin cancer: Basal cell carcinoma, squamous cell carcinoma and melanoma.  Examine your skin carefully at least once a month and, if you are prone to getting lots of moles, go to a dermatologist and have the moles ‘mapped.’  If skin cancers are found early and treated, they are almost always curable.   If you have a history of skin cancer in your family, have your skin checked regularly by a doctor.  Non-communicable diseases (NCDs) Known as lifestyle diseases, NCDs pose some of the biggest threats to the health of South Africans. They are a result of the way we live, combined with genetic, physiological, environmental and behavioural factors. The most common are hypertension (or high blood pressure), diabetes, mental health and obesity. It is imperative to have regular or annual checkups as recommended by your doctor.  Weight and BMI Almost 70% of women in South Africa are overweight or obese. The Body Mass Indicator (BMI) is used to check if you are a healthy weight. To calculate your BMI: Divide your weight in kilograms (kg) by your height in metres (m) Then divide the answer by your height again  Underweight is less than 18.5 and over 30 is considered obese Diabetes With over 4.6 million people in South Africa living with diabetes, it’s important to check your blood glucose. There are two main types of diabetes: Type 1 and Type 2. They are different conditions but are both serious and need to be treated and managed properly. One of the biggest problems with diabetes is when it remains undiagnosed. This can lead to blindness, heart attackstroke, kidney failure, impotence and amputation, so it’s vital to be checked frequently. Blood pressure Hypertension (high blood pressure) is when blood pressure stays elevated over time. It is often referred to as the ‘silent killer’ since nearly 33% of people who have it,

June 1, 2023
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Parenting Hub

Pregnancy And Obesity: Understand The Dangers

 Affinity Health, a leading provider of high-quality healthcare, highlights the benefits of weight loss when you’re pregnant and obese. Did you know? A high body mass index (BMI) during pregnancy is dangerous for you and your unborn baby? Obesity is diagnosed as a BMI of 30 or above. How to Calculate Your BMI? To calculate your BMI, divide your weight in kilograms by your height in metres squared. If you are 1.65m tall and weigh 85kg:  weight / height squared = 85 / 1.65 x 1.65 = 85 / 2.72 = 31.25.  Then your BMI would be 31.25.  According to CDC, BMI weight status is as follows: Could a High BMI Hinder My Ability To Become Pregnant? In short, yes. A high BMI can impair fertility by interfering with normal ovulation. The greater the BMI, even in women who ovulate regularly, the longer it may take to conceive. Additionally, some data shows that a greater BMI relates to an increased chance of in vitro fertilisation failure (IVF). How Can My BMI Impact My Pregnancy? A high BMI during pregnancy raises the risk of a variety of pregnancy problems, such as: Stillbirth, miscarriage, and repeated miscarriage Gestational diabetes Preeclampsia (a pregnancy complication marked by elevated blood pressure and symptoms of organ system impairment, most commonly the liver and kidneys) Heart difficulties Sleep apnoea The necessity for a C-section  How Can My Weight Affect The Health Of My Unborn Baby? A high BMI during pregnancy has been associated with an increased risk of a variety of health issues for unborn babies, including: Congenital diseases Being much bigger at birth than typical (foetal macrosomia) Growth issues Paediatric asthma Paediatric obesity Cognitive difficulties and developmental delay How Much Weight Gain Is Recommended During Pregnancy? When deciding how much weight you need to gain during pregnancy, it is vital to consider your pre-pregnancy weight and BMI.  If you have a BMI of 30 or above and are carrying one child, you should gain about 5 to 9 kilograms. If your BMI is at least 30 and you are pregnant with twins or multiples, the recommended weight increase range is about 11 to 19 kilograms.  “Instead of suggesting that you acquire a set amount of weight during pregnancy, your healthcare professional may advise you to avoid gaining too much weight,” says Murray Hewlett, CEO of Affinity Health. Will I Require Specialist Treatment During My Pregnancy? If your BMI is 30 or higher, your health care practitioner will follow your pregnancy regularly. Your service provider may suggest: 1. Prenatal screenings for gestational diabetes Between 24 and 28 weeks of pregnancy, a screening test known as the glucose challenge test is often administered to women at average risk for gestational diabetes. If your glucose levels are within the normal range, you will have a second screening test between weeks 24 and 28 of pregnancy. If the results indicate that your blood glucose levels are high, more testing will be required.  2. Changes to your ultrasound of the foetus To check a baby’s anatomy, routine foetal ultrasound is often performed between weeks 18 and 20 of pregnancy. However, ultrasound waves have difficulty penetrating belly fat tissue. This can compromise the efficacy of foetal ultrasonography. 3. Diagnostic testing for obstructive sleep apnoea Sleep apnoea is a potentially dangerous sleep disease characterised by recurrent pauses in breathing during sleep.  Pregnant women with obstructive sleep apnoea are more likely to develop preeclampsia and other problems. If obstructive sleep apnoea is suspected, your health care physician may send you to a sleep medicine expert for examination and potential treatment. What Measures Can I Take To Ensure That My Pregnancy Is Healthy? You can reduce the effects of a high BMI on your health and the health of your baby. For instance: Schedule a doctor’s appointment before conception Your provider may prescribe a daily prenatal vitamin and refer you to other health care professionals, such as a qualified dietitian, who can assist you in achieving a healthy weight before conception. Seek frequent prenatal care Prenatal appointments allow your physician to monitor you and your unborn baby’s health and manage any medical issues, such as diabetes, high blood pressure, or sleep apnoea. Consume a nutritious diet Work with your doctor or a qualified nutritionist to maintain a balanced diet and prevent excessive weight gain. Remember that you will need extra folic acid, protein, calcium, iron, and other critical nutrients during pregnancy. Perform physical activity Consult your doctor about safe methods to be physically active throughout pregnancy, such as walking, swimming, and low-impact aerobics. Avoid dangerous chemicals If you smoke, consult your health care practitioner for assistance quitting. It’s also important to avoid alcohol and illegal substances. “While a BMI of 30 or over during pregnancy can raise the risk of problems for both mother and child, there are ways in which you can manage your risks and promote a healthy pregnancy. Never hesitate to speak to your health care provider should you have any questions or concerns,” concludes Hewlett.

August 26, 2022
Parenting Hub

Do Women Burn Fat After Menopause?

According to Affinity Health, a leading provider of high-quality healthcare, hormonal changes of menopause can cause weight gain in women. Here is how to keep the weight off.  What Causes Weight Gain During Menopause? The hormonal fluctuations of menopause may increase the likelihood of weight gain, especially around the tummy area. However, hormonal changes alone may not always induce weight gain during menopause. In most cases, the weight increase may be due to ageing, lifestyle, and hereditary factors. Typically, muscle mass decreases with ageing, whereas fat increases. Loss of muscle mass slows down your metabolism. That might make maintaining a healthy weight more difficult. If your current eating habits and levels of physical activity do not improve, you will gain weight. There may also be a genetic component to menopausal weight gain. If your parents or other close relatives carry excess abdominal fat, you are also prone to gain weight. Other factors, such as a lack of exercise, bad food, and insufficient sleep, may also increase weight during menopause. People who are sleep deprived tend to nibble more and eat more calories. How Dangerous Is Weight Gain Following Menopause? Menopause-related weight gain can have severe health consequences. Excess weight, particularly around the waist, raises your risk for the following health problems: Breathing difficulties Cardiovascular and vascular disease Type 2 diabetes In addition to increasing your risk for breast, colon, and endometrial cancers, obesity also raises your risk for other forms of cancer. What Is The Greatest Way To Avoid Gaining Weight After Menopause? No secret technique exists to prevent or reverse menopausal weight gain. It is as simple as sticking to these weight control fundamentals: Exercise more Physical activity, such as aerobic exercise and strength training, can aid in weight loss and maintaining a healthy weight. As you grow muscle, your body burns calories more effectively, making it simpler to maintain a healthy weight. “Experts recommend moderate aerobic activity, such as brisk walking, for at least 150 minutes per week or strenuous aerobic activity, such as running, for at least 75 minutes per week for most healthy individuals,” says Murray Hewlett, CEO of Affinity Health. “Additionally, weight training should happen at least twice each week. Depending on your fitness goals, you may need to exercise more.” Eat less To maintain your current weight or remove extra kilograms, you may require around 200 fewer calories per day in your 50s. That may be less compared to your 30s and 40s. “To cut calories without sacrificing nutrients, be mindful of what you eat and drink. Select more fruits, veggies, and whole grains, especially those that are little processed and high in fibre,” adds Hewlett. A plant-based diet is often healthier than other alternatives. Good options include legumes, nuts, soy, salmon, and low-fat dairy products. Eat red meat and poultry in moderation. Replace butter, margarine sticks, and shortening with olive or vegetable oil. Learn More: Vegetable Protein Cuts Risk of an Early Menopause Limit alcohol Alcoholic beverages add extra calories to the diet and increase the chance of weight gain. Alcohol may contribute to weight gain in several ways:  It prevents your body from burning fat. It is high in kilojoules. It can make you feel hungry. It can induce you to make bad eating choices. Whether or not you gain weight from alcohol depends on what you drink, how much you drink, how often you drink and what you eat while drinking. In addition to the possibility of weight gain, excessive alcohol use poses severe health hazards, including high blood pressure, high triglycerides, insulin resistance, heart disease, stroke, liver disease, and some malignancies. Seek help Surround yourself with friends and family supporting your efforts to improve your nutrition and physical exercise. Even better, make the lifestyle modifications as a group. “Remember that effective weight loss at any age needs persistent dietary and activity modifications. Commit to lifestyle modifications to prevent menopausal weight gain,” concludes Hewlett.

August 24, 2022
Parenting Hub

5 Facts Parents Should Know About Cleft Lip And Palate

Affinity Health, a leading provider of high-quality healthcare, highlights National Cleft and Craniofacial Awareness and Prevention Month.  Fact 1: Cleft Lip And Cleft Palate Is More Common Than Many Realise Did you know that 1 in 700 births occur with cleft lip and palate? Cleft lip and palate are amongst the five most common birth defects reported in South Africa. Children with clefts may have delayed feeding and language development. They may also be at a higher risk for ear infections, hearing impairments and tooth problems. “Cleft lip and palate are birth abnormalities. They develop when the lips or mouth do not form correctly during pregnancy. These congenital deformities are orofacial clefts,” says Murray Hewlett, Affinity Health CEO. Fact 2: Cleft Lip And Palate Occurs During The First Few Weeks Of Pregnancy Your lips form between four and seven weeks of pregnancy. The palate forms between six and nine weeks of pregnancy. Cells increase and move when a baby grows during gestation. Specialised cells from either side of the head move forward and fuse in the centre to form the face. This tissue fusion creates face characteristics, such as the lips and mouth. A cleft lip occurs when the tissues that comprise the lip do not unite before birth. That results in the upper lip opening. The aperture in the lip may be a little slit or a large hole extending from the lip to the nose. A cleft lip can develop on one or both sides of the lip. But, although rarely, it may also form in the centre of the lip. Children with a cleft lip are also susceptible to having a cleft palate. Fact 3: There Is No One Cause Of Cleft Lip And Cleft Palate In the majority of cases, the reasons for orofacial clefts are unknown. Some children are born with a cleft lip or cleft palate due to alterations in their DNA. It is a common belief that cleft lip and palate comprise a mix of genes. Other circumstances may also contribute to cleft formations: Immediate surroundings. Food and drinks consumed during pregnancy. Specific drugs she takes during pregnancy. What Increase The Risks Of Having A Child With An Orofacial Cleft? Smoking: Smoking during pregnancy enhanced the likelihood of orofacial cleft development. Diabetes: Diabetic mothers may be more susceptible to having babies with a cleft lip or palate. Epilepsy Treatment: The following epilepsy medication may be unsafe during the first trimester: Topiramate Valproic acid Taking these medications may increase the dangers of cleft lip or palate in babies. Genetics: Parents with a family history of cleft lip or palate have a higher likelihood of having a child with a cleft. Obesity: Obesity during pregnancy may lead to an increased risk of cleft lip and palate in infants. Gender: Boys are more likely than girls to have a cleft lip with or without a cleft palate. Fact 4: An Ultrasound May Not Always See Cleft Lips and Cleft Palates. During pregnancy, a regular ultrasound can identify orofacial clefts. More specifically, cleft lip with or without cleft palate. Doctors may also see them only after birth, particularly cleft palates.  Even so, cleft palates may be unidentifiable until later in life. That would include: Submucous cleft palate Bifid uvula Fact 5: Surgery Is Often The Best Course Of Treatment For Cleft Lip And Cleft Palate Services and treatment for children with orofacial clefts might range according to severity. Their age needs and medical history will determine the best course of action. Surgery to correct a cleft lip occurs within the first few months of life. Doctors might also prefer to resolve it within the first year. Cleft palates may need surgical repair within the first 18 months of life. As children age, they will often need more surgical treatments. Surgical correction can enhance facial appearance. It can also enhance breathing, hearing, and language development. Children born with orofacial clefts may need more treatments and services. Examples of treatment include speech therapy or orthodontic care. “Children with orofacial clefts can lead healthy lives. Therapy gives them the tools they need to recover,” says Murray Hewlett, CEO of Affinity Health. “Children with orofacial clefts may have self-esteem difficulties. They may be self-conscious about their visual differences from other youngsters. Families of infants with orofacial clefts may find support through parent-to-parent groups beneficial.” Cleft Friends is the only organisation in South Africa made up of parents of children with cleft lip and/or palate. Speaking from experience, they encourage new parents to celebrate their babies and seek help from the medical professionals available through Smile Foundation. For more information on Cleft Friends, click here.

August 23, 2022
Bonitas – innovation, life stages and quality care

Essential check-ups for women

Non-communicable diseases (NCDs), known as lifestyle diseases, pose some of the biggest threats to the health of South Africans. They are a result of the way we live, combined with genetic, physiological, environmental and behavioural factors. The most common are hypertension (or high blood pressure), diabetes and obesity. It is imperative to have regular or annual check-ups.  Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, offers advice about these tests and others specifically for women.  Weight and BMI Almost 70% of women in South Africa are overweight or obese. The Body Mass Indicator (BMI) is used to check if you are a healthy weight. To calculate your BMI: Divide your weight in kilograms (kg) by your height in metres (m) Then divide the answer by your height again  Good to know Underweight <than 18.5 Normal weight 18.5 to 24.9 Overweight 25 to 29.9 Obese 30> Diabetes With over 4.6 million people in South Africa living with diabetes, it’s important to check your blood glucose. There are two main types of diabetes: Type 1 and Type 2. They are different conditions but are both serious and need to be treated and managed properly. One of the biggest problems with diabetes is when it remains undiagnosed. This can lead to blindness, heart attackstroke, kidney failure, impotence and amputation so it’s vital to be checked. Blood pressure Hypertension (high blood pressure) is when blood pressure stays elevated over time. It is often referred to as the ‘silent killer’ since nearly 33% of people who have it, don’t know it.  If your blood pressure is too high, it puts extra strain on your arteries (and your heart) and if it’s not treated, hypertension can cause kidney failure, eye problems and heart disease. Good to know   Range Normal 120/80 to 129/84 Upper end of Normal 130/85 to 139/89 Mild hypertension 140/90 to 159/99 Moderate hypertension 160/100 to 179/109 Severe hypertension More than 180/110 Besides testing for these three main NCDs, Dr Mkhatshwa also advocates specific checks for women. A Mammogram From the age of 18 you should do regular self-examination of your breasts, if you see or feel any changes, consult your doctor immediately. Early detection increases the chance of survival and can save your life.  Some doctors recommend having a mammogram, every two years from the age of 40, others believe you only need to start at 50 years of age. A mammogram is a low-dose X-ray which radiologists analyse to look for changes in breast tissue.  Although the greatest risk for breast cancer is age, women can get breast cancer from a very early age.   Cervical cancer South Africa has a high rate of cervical cancer, this has been attributed to the fact that not enough women are screened regularly. Screening can detect early changes in the cervix which can be treated and save your life.  Screening includes:  Pap test (pap smear) which looks for cell changes (pre-cancers) in the cervix that may progress to cancer if not treated.  The Human Papillomavirus (HPV) test. Looks for the virus that causes most cervical cancers It is recommended that between the ages of 21and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test can be done every 5 years A vaccine has been developed to protect women from getting HPV. It is administered free of charge, annually, to girls between Grade 4 and 7 (9 to 12 years of age) in all government schools. The HPV vaccination can be a cost-effective strategy in lowering the cervical cancer risk among women in South Africa. Bone Density As you age, your bones become thinner and weaker. Over time this can lead to a condition called osteoporosis. If you’re aged 65 or older a bone density test is recommended.  Called a DEXA scan, the frequency of this screening varies depending on your bone density and other risk factors. Your doctor may suggest you have this test earlier if you: Broke a bone in the past Have taken steroids for a long time Have rheumatoid arthritis Are underweight  Have a parent who has broken a hip after a minor injury Treatment for osteoporosis is available – usually the first choice is Bisphosphonates. Colorectal Cancer Screening These tests look for cancer in the colon or rectum by checking for tissue growths, called polyps. If you don’t have an elevated risk for cancer, then you should start having these tests when you turn 45. A colonoscopy, where the doctor looks at your entire colon, should be done every 3-10 years depending on what is found during your exam.  A Faecal Immunochemical Test (FIT) should happen annually. The FIT is also a screening test for colon cancer which tests for hidden blood in the stool, which can be an early sign of cancer.  Skin Checks Skin cancer is caused by the abnormal growth of skin cells – usually on the skin that has been exposed to the sun but not always. There are three major types of skin cancer: Basal cell carcinoma, squamous cell carcinoma and melanoma.  Examine your skin carefully at least once a month and, if you are prone to getting lots of moles, go to a dermatologist and have the mole ‘mapped.’  If skin cancers are found early and treated, they are almost always curable.   If you have a history of skin cancer in your family have your skin checked regularly by a doctor.  Remember early detection of any of these conditions can save your life, so remember to go for regular check-ups with your doctor. 

August 19, 2022
Squish

Goodness-packed lunchbox fillers

A nutritious and delicious lunchbox is essential to see your little one through the day. These quick and easy prep-ahead snacks are packed with Squish goodness and will take the hassle out of filling your child’s lunchbox every morning. Add a Squish 100% Pressed Juice box to their lunch bag to help keep your toddler hydrated as they go about their busy day. SQUISH BAKED BREAKFAST BARSSQUISH BAKED BREAKFAST BARS These breakfast bars store really well in a sealed container, which means if you bake a batch on the weekend, they should see you through the week. We’ve used Summer Berries in this recipe, but it works just as well with any of the many Squish flavours. Try Pear + Prune; Pear, Butternut, Yoghurt + Mango with Cinnamon; Apple + Guava; or Fruit Salad. Squish 100% Fruit and Veg Purees are made used quality ingredients and are free from preservatives, flavourants and colourants. Ingredients 1 x 110 ml Squish 100% Summer Berries Puree 750 ml (3 C) quick oats 125 ml (½ C) sugar 2.5 ml (½ tsp) salt 5 ml (1 tsp) baking powder 5 ml (1 tsp) ground cinnamon 125 ml (½ C) butter, melted 2 eggs Method Place the dry ingredients into a large bowl. Mix together the puree, butter and eggs. Add the puree mixture to the dry ingredients and stir until well blended. Line a baking tray with baking paper and spoon in mixture. Flatten with the back of a spoon. Bake in an oven that has been preheated to 180°C for 25 minutes or until firm to the touch. Leave to cool slightly then cut into fingers.  TIP: These breakfast bars are also delicious crumbled over some natural yoghurt and topped with Squish 100% Fruit Puree.  SQUISH FRUIT AND SPICE LOAF This moist tea cake stores well in the fridge so you can simply slice off as you need. The loaf is packed with grated carrot too, which is high in fibre, Vitamin A and beta-carotene. Ingredients 1 x 110 ml Squish 100% Pear, Butternut, Yoghurt + Mango with Cinnamon Puree  125 ml (½ C) Squish 100% Apple Juice 440 ml (1¾ C) cake flour 250 ml (1 C) sugar 5 ml (1 tsp) cinnamon 2.5 ml (½ tsp) baking powder 5 ml (1 tsp) bicarbonate of soda 125 ml (½ C) grated carrot 2 eggs 125 ml (½ C) sunflower oil Method Sift the flour, sugar, cinnamon, baking powder and bicarbonate of soda into a large bowl. Add the grated carrot. Mix together the eggs, oil, juice and puree. Add to the dry ingredients and beat well to mix. Pour the batter into a loaf pan that has been sprayed with non-stick spray. Bake in an oven preheated to 180°C for 35 minutes or until the loaf is well risen and a wooden skewer inserted into the middle comes out clean. Turn out and leave to cool. TIP: Use a frozen Squish 100% Pressed Fruit Juice box as a lunchbox cooler. Your child can then enjoy it later in the day once it has melted. CHEESY VEG BALLS These tasty little balls are so moreish, and they’re packed full of healthy veg! They’re a great way to use up half-empty Squish 100% Veg Purees you might have in your fridge – just make the quantity up to 110ml. All Squish Puree pouches come with a resealable screw-on lid, helping you cut back on food waste. Just use what you need, then pop in the fridge for later.  Ingredients 1 cup cheese  1 x 110ml Squish 100% Mixed Veg Puree (or any flavour you please) ¼ small onion, finely grated 2 cups breadcrumbs (simply put several slices of bread into your processor and blitz) ½ cup wholewheat flour 2-3 large courgettes, finely grated 2 large carrots, finely grated ½ clove garlic grated, finely grated 2 Tbsp olive oil/coconut oil 1 tsp dried herbs Method Combine all the ingredients then leave to rest for 20 minutes. Roll into small balls. Place on a baking tray lined with baking paper and bake in a preheated oven at 180 °C for 20-25 minutes.  For a dipping sauce, simply mix some full-cream plain yoghurt with Squish 100% Veg Puree. TIP: These can also be cooked in an air-fryer – 10 minutes tops. • Looking for more toddler-friendly lunchbox inspiration? Click here.

August 17, 2022
RediscoverDairy

Everyone snacks, but not everyone thinks before they snack!

Our on-the-go lifestyle has made snacking a way of life for adults and kids. When it comes to snacking, you want to satisfy your child’s hunger and taste buds, but still help them make smart choices, shifting the focus to mindful snacking. Mindful snacking means being conscious of meeting nutritional needs; adding functional benefits like increasing energy, controlling appetite and getting the nourishing goodness from fibre, protein, vitamins, minerals and probiotics; but still providing guilt-free pleasure and indulgence. Dairy is a very accessible and affordable snacking option to include. There are a variety of dairy products available that make ideal snacks, like yoghurt, cheese and flavoured milk. Here are five reasons to choose dairy as a snack: Dairy products are convenient, tasty and versatile snacks that are ideal for any time of day, especially when you are rushed. Dairy products are a source of key nutrients. You need nutrients every day to keep your body healthy. Children love the taste of dairy. Include it in their lunchbox.  Dairy products contain lots of nutrients in a single product, which is money well spent. Milk and flavoured milk are ideal thirst quenchers after school sport. Maretha Vermaak, registered dietitian at Rediscover Dairy says: “Choose maas, milk, flavoured milk or drinking yoghurt as a beverage; add cheese to any sandwich or serve crackers and cheese as an afternoon snack; eat yoghurt in between meals and freeze the yoghurt in summer for a yoghurt lolly; and don’t forget to add fresh fruit to your yoghurt snack.” Planning for your weekly snack allocation will ensure that there is always a healthy snack available and will save you from those ‘I’m so hungry’ stops at stores and unplanned snack spending.  Follow Rediscover Dairy on Instagram and Facebook for more dairy ideas, tips and recipes.

August 17, 2022
Parenting Hub

How Does Juvenile Arthritis Affect Children?

Affinity Health, a leading provider of high-quality healthcare, highlights Juvenile Idiopathic Arthritis (JIA). What Is Juvenile Idiopathic Arthritis? Juvenile idiopathic arthritis (JIA) is also known as juvenile rheumatoid arthritis. It is the most frequent form of arthritis in children. “The condition can result in lifelong joint damage. It makes daily living difficult for children,” says Murray Hewlett, Affinity Health CEO. “Some children with arthritis experience lifelong remission. The illness may no longer be active despite the absence of a cure. But others suffer from persistent pain, stiffness and joint swelling. Recurring symptoms may last days, weeks or longer.” What Are The Symptoms And Indicators Of Juvenile Arthritis? Symptoms may fluctuate over time. There may be periods when symptoms worsen, referred to as flares, and times when they improve, referred to as remission. Among the symptoms are:2 Pain Joint discomfort Swelling  Lymph node enlargement Fever Rash  Tiredness Loss of appetite Irritation of the eyes What Causes Arthritis In Children? Arthritis can affect children of various ages, races, and ethnicities. Experts are still undecided on the exact cause of juvenile arthritis. Individual cases of juvenile arthritis are likely caused by genetic factors, environmental exposures, and the child’s immune system. How Is Arthritis In Children Diagnosed? A physical examination diagnoses arthritis in children, combined with X-rays and laboratory testing. If you suspect your child has arthritis, your family health care practitioner may refer you to a rheumatologist who specialises in childhood arthritis and associated diseases. A physical therapist to preserve your child’s joint flexibility, range of motion, and muscle tone. “It’s important to note that there is currently no cure for juvenile arthritis, but with early diagnosis and aggressive treatment, remission is possible,” adds Hewlett. “The focus of treatment is on reducing pain and inflammation, enhancing function, and preventing further harm.” The Different Types Of Arthritis In Children Juvenile arthritis can affect a single or several joints. There are various subtypes of juvenile arthritis, although systemic, oligoarticular, and polyarticular are the most common.3 Symptoms determine the type of arthritis your child has, the number of joints affected, and if fever and rashes are present. Complications  Juvenile arthritis is associated with several severe consequences. However, keeping a close eye on your child’s condition and obtaining proper medical treatment can significantly lessen the likelihood of these complications: Eye issues: Some types can induce irritation of the eye. This illness can lead to cataracts, glaucoma, and possibly blindness if left untreated. Eye inflammation commonly occurs without symptoms; hence children with this disorder must get regular ophthalmologic examinations. Growth issues: The onset of juvenile arthritis might hinder your child’s growth and skeletal development. Some therapeutic medicines, primarily corticosteroids, can potentially decrease development. Lifestyle And Natural Treatments Parents and caregivers can assist children in learning self-care strategies that reduce the severity of juvenile arthritis. Techniques include: Regularly engaging in exercise: Physical activity is essential because it increases muscular strength and joint mobility. Swimming is a fantastic option since it causes minimum joint stress. Hot or Cold Applications: Many youngsters with juvenile arthritis have morning stiffness. Some youngsters respond to cold packs, especially after physical exercise. But, most youngsters prefer warmth, especially in the morning, such as a hot pack, bath, or shower. Healthy Eating: Some children with arthritis have low appetites. Others may get weight because of drugs or inactivity. A nutritious diet can aid in maintaining a healthy weight. So, adequate calcium intake is essential. Children with juvenile arthritis are at risk for developing the following conditions: Brittle bones due to the use of corticosteroids. Limited physical activity. Excessive weight-bearing.

August 16, 2022
Bonitas – innovation, life stages and quality care

ASTHMA

Asthma is one of the most common chronic illnesses, affecting over 339 million people worldwide.  According to the World Health Organisation (WHO), asthma kills around 1 000 people every day and the prevalence is rising.  South Africa is ranked 25th worldwide for asthma prevalence and is ranked fifth for asthma mortality. The lack of appropriate diagnosis, treatment or access to care may be important considerations in tackling asthma morbidity and mortality in South Africa.  What is asthma? Asthma is one of the most common respiratory complaints in the world where your airways – known as bronchial rubes – become inflamed. This swelling or inflammation makes the airways extremely sensitive to irritations and increases their susceptibility to an allergic reaction. In an allergic reaction, the airways swell and the muscles around the airway tighten, making it difficult for air to move in and out of the lungs. It affects approximately one in 10 children (10%) and one in 20 adults (5%) and can occur for the first time at any age, even in adulthood. Although asthma usually begins before the age of five, a few children affected will ‘outgrow’ it during their teenage years but it usually persists if contracted in adulthood. Asthma tends to run in families, as do related allergic conditions like hay fever and eczema Signs and symptoms Asthma is often under-diagnosed and under-treated.  If you fail to recognise and avoid triggers that lead to your tightened airways, you may have an asthma attack, feel respiratory distress or experience a life-threatening situation.  So, it’s important that you know how to avoid the triggers and recognise the signs of this condition to enjoy a better quality of life.   Symptoms can range from mild to more serious depending on the severity of the illness but include: Coughing that does not subside and gets worse at night Wheezing Shortness of breath Tightness or pain in the chest What causes asthma? The exact cause of the asthmatic process is not well understood but it is thought to be triggered off by an allergy or when the lungs are irritated by something in the air. Research shows that the risk facts are a combination of genetic predisposition and environmental exposure to inhaled substances and particles that may cause allergic reactions or irritate the airways.  These include indoor allergens – such as dust mites and pet dander in the home, outdoor allergens – such as pollen and mould as well as tobacco smoke and air pollution. Other triggers can include cold air, stress or physical exercise. Certain medications, such as aspirin and other non-steroid anti-inflammatory drugs and beta-blockers (which are used to treat high blood pressure, heart conditions and migraine) can also set off an asthma attack.  Factors associated with asthma prevalence or disease severity in South African children include the adoption of an urban lifestyle, atopy (a genetic predisposition),obesity, respiratory infection, or exposure to industrial pollution or tobacco smoke.  Treating asthma Asthma can be life threatening when left untreated and cannot be cured but, with the right treatment most asthmatics will lead completely normal lives. The aim of treatment should be to make the lungs and breathing tubes as normal as possible so that there are minimal symptoms and as little disruption to ordinary life as possible. Get help Bonitas Medical Fund says, ‘If you are experiencing asthma symptoms or think you might have asthma, it is important for you to talk to your GP.  This will help you establish if your symptoms are linked to asthma or whether something else is causing them.’

August 8, 2022
Parenting Hub

Natural organic oils vs mineral oils

Here’s why knowing the difference could have major benefits for your skin. With such a big variety of oils on the market these days that it’s important to gain an understanding of what each type of oil is, and what it does, so that you can use it to your advantage. After all, not all oils are created equal, so it’s important to know what you’re putting on your skin. Two of the most common oils used in cosmetic products are natural organic oils and mineral oils. Different in their make-up and origin, they’re often put up against one another in the quest to find the best skincare treatments. Understanding the differences between them will help you make an informed decision – and it could save the health of your skin! Natural organic oil What is it? The term “organic” is often misused in the beauty industry, leading to confusion and misinformation. An ingredient or product is “organic” if it adheres to certain standards and requirements during the sourcing, production and processing phases. This includes practices like avoiding the use of prohibited substances (for example pesticides) and other potentially harmful additives.  Natural organic oils are oils sourced organically, from organically-grown plants, fruits, nuts, flowers, bark, leaves, roots and stems. These oils are highly concentrated and filled with natural nutrients. Pros These oils absorb into the skin quickly and can actually penetrate the skin through pores and the intracellular matrix. Natural organic oils offer a wide variety of skincare benefits. They may be moisturising, antimicrobial, soothing, clarifying, detoxifying, balancing and rejuvenating.    Natural organic oils are free from potentially harmful chemicals and additives and are safe to use on skin.  Many of these oils have been used for centuries, providing us with the peace of mind that their long-term use is safe and beneficial.  Organic farming practices are eco-friendly; they help restore soil health and prevent harmful chemicals from entering water sources and soil.  Cons Natural organic oils may be more expensive than other oils. In a very small percentage of people, the use of certain natural oils may lead to skin sensitivity or irritation.  The terms “natural” and “organic” are not well-regulated, and are often used in misleading ways. When purchasing natural organic oils, make sure you are buying from a reputable brand that’s transparent about the source of the ingredients.  Mineral oil What is it? Despite being a popular ingredient in cosmetic products, mineral oil is known to arouse quite a bit of suspicion. It is, essentially, a derivative of petroleum (as in crude oil). But unlike untreated crude oil, mineral oil is highly refined and stripped from potentially harmful carcinogenics like polycyclic aromatic hydrocarbons before it is used in cosmetics (mineral oil is popularly used in antiperspirants and moisturisers). Despite being refined, there is still a lot of concern over the trace amounts of chemicals present in mineral oils, and their potential to pose health risks.  The pros Mineral oil has the ability to protect the skin’s natural barrier and to lock in moisture.  It has hydrating, softening and smoothing properties. It is well-tolerated and inert, and while some plant-based oils may cause irritation, mineral oil is unlikely to trigger sensitivity or irritation.    It is inexpensive. The cons Depending on its level of refinement, mineral oil may be comedogenic, meaning it can clog pores, causing blackheads and breakouts. It is highly occlusive, which has led to concerns that it may prevent toxins from leaving the body through the skin. There are concerns over the trace amounts of chemicals present in mineral oil, which are present despite the refinement process. It is derived from a non-renewable resource.  While it is effective at forming a thin barrier on top of the skin to prevent moisture loss, it can leave a heavy feel on the skin, so it needs to be combined with other ingredients to improve its cosmetic appeal.  While we know that mineral oil goes through a refinement process, some companies use more refined mineral oil than others, and as a consumer, it is very difficult to know how refined the oil in your product is. If not highly refined, it may include polycyclic aromatic hydrocarbons (PAHs), which are carcinogenic. Typically, mineral oils used in the USA are not as refined as those used in Europe. Medical News Today recommends*, “People should avoid buying products that contain mineral oil unless the label states that it is fully refined as white petrolatum or white mineral oil. White mineral oil is highly purified and meets specifications to ensure that it is safe to use in over-the-counter products.” Considering both the pros and the cons of natural organic and mineral oils, it is clear that natural organic oils are not only better for your health, but also for the environment.   Looking for top quality natural organic oils to nourish and protect your skin?  BaoCare is a proudly South African skincare brand that harnesses the power of organic baobab oil to offer consumers 100% natural healing baobab oil serums suitable for the whole family. Why baobab oil? The baobab tree is known for offering an abundance of treasures, with almost every part of the tree (roots, leaves, fruit etc) being utilised by people living around it. The discovery of the beauty benefits of baobab oil has led to this natural oil gaining international recognition and popularity in the beauty industry. A lot of lotions and moisturisers on the market are water-based, which means that they require added stabilizers, synthetic preservatives, performance enhancers and fragrances to keep them stable and improve the user’s sensorial experience. Natural organic oils rarely need any of these additives, and baobab oil in particular is a very stable oil that does not require preservatives (it has a natural shelf-life of two years or more!).  Baobab oil is a naturally light oil made up of very small molecules and therefore absorbs quickly and easily into the skin. It leaves your skin with a soft satiny finish without clogging pores or leaving a greasy residue. It’s one of

August 4, 2022
Squish

Turn leftovers into tasty toddler suppers

With a little culinary creativity, last night’sleftovers can be transformed into a quick and easy supper for your little one. These recipes will help you make tasty suppers in a flash – and help you cut back on food waste (and your grocery spend) too. It’s a win-win for everyone! CREAMY TUNA PIE This dinner is so delicious and easy, it is worth cooking a little extra mash each time you make it so that you have leftovers for this toddler-friendly fish pie. We used Squish 100% Mixed Vegetable Puree, but it will be as yummy with Squish 100% Butternut + Carrot. Squish 100% Fruit and Veg Purees allow you to conveniently add natural goodness to your toddler’s mealtimes. They’re made using quality fresh fruit and veg and contain no preservatives, colourants or flavouring, so they’re as good as homemade, just minus the fuss! Ingredients 1 cup mashed potato 1 x 110 ml Squish 100% Mixed Vegetable Puree 1 x tin tuna, drained 2 Tbsp milk 1 Tbsp grated cheddar, for topping Method Stir drained tuna, and Squish Puree into leftover mashed potato, mixing gently. Add milk to make the mixture more creamy. Place mixture in ramekins and top with grated cheese. Bake in the oven at 180° for around 15 minutes until heated through. TIP: Got a little leftover cooked chicken in the fridge too? Switch the tuna for shredded chicken and follow the same method. VEGGIE SAUCE Leftover cooked pasta loves this sauce – and so does mash! This is also a great way to use up the leftover Squish 100% Fruit and Veg Purees you may have in your fridge too. You can use a mixture of them to make up the required amount – this recipe is forgiving so you could use a little more or a little less too. All Squish Purees come with a convenient resealable screw-on lid, so you don’t need to waste a drop. Just use what you need then pop it back in the fridge for later. Ingredients 2 Tbsp olive oil 1 medium onion, finely chopped 1 clove garlic, crushed 1 x 410 g can Rhodes Quality Chopped & Peeled Tomatoes 1 x 110ml Squish 100% Butternut + Carrot Salt and pepper 2 Tbsp basil leaves, finely chopped Method Heat the oil in a medium saucepan. Add the onions and fry until softened. Add the garlic and fry for a few minutes more. Add tomatoes and Squish Puree. Simmer over low heat for 15 minutes or until thickened. Remove from the heat, season to taste and stir in the fresh basil. TIP: This sauce freezes well. Make a batch and divide into meal-size portions so you can just grab out of the freezer and use when needed. CHICKEN AND VEG RICE The convenience of Squish 100% Fruit and Veg Puree means you can always serve your child a nutritious meal, no matter how little time you have – especially when you have other tasty leftovers on hand too! This recipe uses cooked rice and chicken.  Ingredients 1 cup cooked rice 100g chicken, shredded 1 x 110 ml pouch Squish 100% Apple, Sweet Potato + Sweetcorn Method Heat a small saucepan over medium heat, adding a dollop of butter. Add rice and chicken and fry briefly. Add Squish Puree and continue stirring until heated through.  TIP: Having ready-cooked chicken breasts in your fridge is the key to easy suppers. Steam a batch on Sunday night so you’re prepped for the week. You can add to leftover rice, mash or pasta and stir through a pouch of Squish 100% Veg Puree.  

August 3, 2022
Parenting Hub

Reducing childhood mortality through local vaccine manufacturing

Vaccines remain one of the most cost-effective and critical medical interventions to successfully eradicate vaccine-preventable diseases while reducing the burden of disease and mortality from diseases such as pneumonia and other associated pneumococcal diseases1, writes Professor Prakash Mohan Jeena, paediatric pulmonologist and head of the paediatric intensive care and pulmonology department at the University of KwaZulu-Natal. Vaccines have proven effective in eradicating and eliminating preventable diseases, with smallpox caused by the variola virus (VARV) and rinderpest from the rinderpest virus (RPV) now eliminated, thanks to vaccine intervention initiatives2.  Similar benefits are now being realised with the implementation of pneumococcal conjugate vaccines (PCVs), with PCV7 being introduced in 2009 and the more advanced PCV13 emerging in 20113. PCVs have had a resounding impact, and have averted as many as 175 million cases and 624,000 deaths associated with pneumococcal disease4.  While statistics from the World Health Organization (WHO) confirm that medical interventions such as vaccinations are needed to tackle the plight of preventable diseases such as pneumonia, more needs to be done, particularly when considering that over 740,180 children died from pneumonia in 2019. The disease remains the single most infectious cause of mortality in children worldwide and accounts for up to 14% of deaths in children under the age of five5.  Reducing disease incidence in South Africa The South African Department of Health’s Expanded Programme on Immunisation (EPI) recommends that children receive three doses of the PCV13 vaccine6 to protect against potentially serious and even deadly infections7 caused by pneumococcal disease. This includes Streptococcus pneumoniae – a leading cause of bacterial pneumonia and Invasive Pneumococcal Disease (IPD) such as pneumococcal meningitis8. While PCV7 had little effect on lowering meningitis incidence, global studies have indicated that PCV13 has proven effective in reducing the impact of this disease by as much as 48%9. When considering the burden of pneumococcal disease in children between 0 and 59 months, the number of infected children with pneumococcal disease drastically declined from 107,600 cases per year between 2005 and 2008 to an estimated 41,800 between 2012 and 2013. While several interventions such as HIV care and prevention initiatives were in place during this time, this reduction can be largely attributed to the introduction of effective PCV medications10.  More needs to be done to increase childhood immunisation in SA Vaccines save lives, and the repurposing of Clairwood Hospital in Durban is a good example of this. Once a healthcare facility that dealt primarily with infectious diseases, the hospital has had to adapt its practices in recent years as infectious disease wards remained empty.  South Africa’s immunisation coverage rate is lower than the 90% coverage rate set forth by the Global Vaccine Action Plan11, with the country recording 83.9% in 2020, according to the EPI National Coverage Survey Report 202012. While these figures are up from the 81.9% recorded in the 2018/2019 period12, more needs to be done to increase South Africa’s childhood immunisation rate to prevent future disease outbreaks13.  What’s holding South Africa back? While there are several factors that lead to low immunisation coverage rates, including the impact of COVID-1914, the Academy of Science of South Africa’s Root Causes of Low Vaccination Coverage and Under-Immunisation in Sub-Saharan Africa consensus study report suggests that the overarching reasons include education, low trust, difficulties in accessing reliable immunisation services, and poor vaccine stock availability15.  As such, Community Healthcare Workers (HCWs) need to be more involved in the mission of the EPI programme as they are instrumental in raising awareness of the dilemma and driving educational community-based vaccination campaigns12.  While South Africa’s EPI is successful, there continue to be challenges related to human resources capacity. Apart from the real-time collection, collation and analysis of data, the programme needs to invest in a robust health facility network and community-based interventions to drive immunisation coverage across all districts in the country, including tapping into the power of mainstream and social media to do so12.   The Global Alliance for Vaccines Initiative (GAVI) has also come to the party to provide access to vaccines for children in low-income countries, and to date, has helped with the vaccination of nearly half of the world’s children against deadly and debilitating infectious diseases16.  Since South Africa falls under the middle-income category, it does not have access to the subsidized vaccine benefits of its low-income counterparts. However, manufacturing affordable vaccines locally will be greatly beneficial to the country, offering several advantages.  The many benefits of local vaccine manufacturing  Manufacturing vaccines locally will increase South Africa’s health security, ensuring a seamless and adequate supply of vaccines for its citizens. It will also stimulate the economy by increasing the GDP, creating additional employment opportunities and growing the local sector’s technological expertise17.  Manufacturing vaccines locally will reduce the country’s dependency on importation and reliance on foreign trade, and make life-saving vaccine interventions more affordable to meet South Africa’s needs17.  Notably, the Biovac Institute and other local manufacturers have been instrumental in the packaging and manufacturing of vaccines to enable the country to respond to regional epidemics and vaccine-preventable diseases. As a result of a partnership with the government, the ongoing success of the institute is key to the provision of affordable vaccines for national health management and vaccine security18. The benefits of local vaccine manufacturing are plentiful and will continue to ensure that, apart from the economic benefits, more South African children will have access to affordable interventions that will ensure they live healthy and productive lives, and become integral members of our future society. References: 1. Immunization against vaccine-preventable diseases is essential to protect children [Internet]. [cited 2022 Jun 19]. Available from: https://www.unicef.org/southafrica/stories/immunization-against-vaccine-preventable-diseases-essential-protect-children 2. dev-site. 8 Diseases (Almost) Eradicated from Existence Thanks to Vaccines [Internet]. Makati Medical Center. 2021 [cited 2022 Jun 21]. Available from: https://www.makatimed.net.ph/blogs/8-diseases-almost-eradicated-from-existence-thanks-to-vaccines/ 3. Kleynhans J, Tempia S, Shioda K, von Gottberg A, Weinberger DM, Cohen C. Estimated impact of the pneumococcal conjugate vaccine on pneumonia mortality in South Africa, 1999 through 2016: An ecological modelling study. PLoS Med. 2021 Feb 16;18(2):e1003537. 4. Ten year public

August 3, 2022
NutriPure

It’s cold and flu season once again- here’s how to attain winter wellness with Nutripure

During the course of the Covid-19 pandemic, seasonal colds and flu performed somewhat of a vanishing act. And while it seemed perplexing at the time, it made complete sense: We stayed at home, wore face masks when we went out, washed and sanitised our hands, and practiced social distancing. Think about how quickly a cold or flu passes through the office or school classroom… Many of us worked and taught our kids from home.  When lockdown restrictions were at the toughest, we didn’t have the opportunity to pass germs around, and as a result, it was not just the spread of Covid-19 that was limited, but also the spread of other viruses, including that of the common cold and flu.  Now that South Africa and the rest of the world have eased lockdown restrictions, and many parts of life have returned to normal, there seems to be a resurgence in winter colds and flu, with many of us getting the sniffles for the first time since the start of the pandemic.  But getting sick in winter is not inevitable. One of the most important things you can do to protect yourself against viruses is to boost your body’s immune system. The immune system protects the body from potentially harmful substances by recognizing and responding to antigens (these are substances, usually proteins, on the surface of cells, viruses, fungi, or bacteria).  When your immune system is strong, you are less likely to get sick, and when you do get sick, you are likely to get well quickly. When your immune system is weak, your body struggles to fight off viruses and bacteria, which may lead to more serious illnesses and pose long-term health risks. Our immune systems are influenced by various factors and a healthy lifestyle is one of the most important things to build up strong immunity: Get enough rest Getting enough good quality sleep can boost the immune system and increase immune system function, so be sure to get your eight hours! Exercise Regular physical activity is vitally important for a healthy body. When you exercise, it gets your body’s immune cells moving, via white blood cells, to other locations in the body where viruses and bacteria may be identified.   Stay hydrated Drinking adequate water (about 6 – 8 glasses per day) helps to carry oxygen to your blood cells and helps to remove toxins from the body. This prevents a build-up of toxins which may negatively affect the immune system. Consume the right nutrients While we need to take a holistic approach when attempting to increase our immunity in winter, it is important to note that diet and nutrient intake is one of the most important factors to consider. If your body does not get the right vitamins and minerals, your immune system could be compromised. In terms of diet, that means consuming plenty of fresh fruit and vegetables (especially those that are brightly-coloured as they are rich in antioxidants!), lean protein, fibre, and healthy fats. It also means limiting your salt and sugar intake. However, the truth is, that even when we follow a healthy diet, we might still lack essential nutrients. Modern farming methods and the use of pesticides as well as the use of GMO practices mean that a lot of our fresh foods may not be as nutrient-dense as they used to be. Some water-soluble vitamins are also lost in the cooking process.  To ensure our bodies get all the nutrients we need to build up a strong immune system, it is recommended to take a good quality supplement daily. For adults, we recommend: NutriPure Immune Support (R135.00) has been carefully formulated with 6 essential vitamins and minerals: Vitamin C, Vitamin D, Vitamin B6, Vitamin B12, Zinc, and Selenium. Together, these vitamins and minerals play a critical role in the maintenance of good health. NutriPure Multivitamin Complete (R135.00) has been specially formulated for adults. Each NutriPure Multivitamin gummy contains a balanced dosage of 12 essential vitamins and minerals. NutriPure Vitamin D3 (R135.00) helps maintain strong bones and teeth, It is also great for the immune system and is known to aid in the fight against viruses. For the kids, we recommend: NutriPure Kids Immune Support+ (R110.00) contains a unique blend of 6 essential vitamins and minerals that all contribute to the normal function of the immune system.  NutriPure Kids Multi Vitamin Complete (R110.00). Multivitamins contribute to the normal function of the immune. Each NutriPure MultiVitamin gummy contains 11 Essential Vitamins & Minerals. NutriPure Kids Vitamin C (R110.00). Vitamin C contributes to the normal functioning of the nervous system, normal energy-yielding metabolism, and the reduction of tiredness and fatigue. One NutriPure gummy contains 80mg of Vitamin C which is 100% of the daily recommended allowance. Why NutriPure? NutriPure gummies are made with real fruit juice, making them extra soft and juicy.  Gluten-Free No Artificial Flavours No Artificial Colours No Milk, Wheat, Eggs, Nuts No Artificial Sweeteners No GMO ingredients No Preservatives NutriPure products are available at Clicks, Dis-Chem, Takealot.com, Faithful to Nature, selected Spar and Pick n Pay stores. Website: www.nutripure.co.za

August 2, 2022
Squish

Nutritious packed snacks and lunches for a day out with your toddler

With a little careful planning – and an extra change of clothes! – heading off for a day out with your toddler in tow needn’t be daunting. Packing a variety of nutritious single-serve snacks and treats is essential to keep hunger at bay. These recipes are tasty and packed full of natural goodness – your little one will love them! FRUIT CRUNCHIES These treats are full of sweet fruit which means less cane sugar. We used Squish 100% Apple Fruit Puree in the recipe, but you can switch it for any flavour you choose, or use a combination of leftover Squish Purees from your fridge. All Squish 100% Fruit and Veg Purees have a screw-on lid, which means you can just pop the lid back on and save leftovers for later.  Ingredients: 230 g (1 cup) rolled oats 60 g (½ cup) desiccated coconut or ground almonds 125 g (¾ cup) cake flour 2.5 ml (½ tsp) baking powder 1 ml (¼ tsp) bicarbonate of soda 60 g (⅓ cup) dried apricots, finely chopped 65 g (¼ cup) butter 55 g (¼ cup) brown sugar 1 x 110 ml Squish 100% Apple Fruit Puree Method: Place the oats, coconut (or nuts) and cake flour into a bowl and stir to mix. Add the baking powder and bicarbonate of soda. Add the apricots. In a small saucepan melt the butter and the sugar together. Whisk in the Squish Puree and leave to cool. Add the apple mixture to the dry ingredients and stir well until evenly blended. Press the mixture into a baking pan that has been sprayed with non-stick spray and lined with baking paper. Bake in an oven that has been preheated to 160°C for 30 minutes or until golden brown. Remove from the oven and slice into bars in the pan. Leave to cool. TIP: Use a frozen Squish 100% Pressed Fruit Juice as an ‘ice pack’ in your cooler bag. Your little one can drink it later in the day once it has melted. CREAM CHEESE DIP AND CRUDITÉS This snack is so quick and easy to make and travels well. Plus, it provides a perfect combo of protein, dairy and healthy fruit and veg. Squish 100% Fruit and Veg Purees are made from quality fresh fruit and veg and are free from preservatives, colourants and flavouring, which means they’re just like homemade. And there is no added sugar or starch. Ingredients ½ cup plain cream cheese  ½ pouch of Squish 100% Fruit and Veg Puree  Fresh veggies or fruit, for dipping. Method Place cream cheese in a bowl and add your child’s favourite Squish 100% Fruit + Vegetable Puree. Stir well to blended. Serve with washed and cut fruit and vegetables. TIP: Switch the cream cheese for cottage cheese for a different taste and texture.  POTATO POPS These filling and delicious pops are mess-free and easy to serve. You can switch the regular potatoes for sweet potato if you like.  Ingredient 500 ml (2 cups) mashed potato 1 x 110 ml Squish 100% Veg Butternut + Carrot Puree  250 ml (1 cup) grated cheddar cheese 1 egg 295 ml (1 cup + 3 Tbsp) breadcrumbs salt and freshly cracked black pepper 30 ml (2 Tbsp) sunflower oil Method In a large bowl, combine the mash, Squish Puree and cheese. Add the egg and 45 ml (3 Tbsp) of breadcrumbs and mix well. Season to taste. Shape into balls and roll in breadcrumbs. Heat the oil in a non-stick frying pan. Fry the potato pops in batches for 3 to 4 minutes until golden brown. These can also be cooked on a baking tray in the oven at 180°C for 15 minutes.  TIP: These pops freeze well. Make a double batch and keep a stash in the freezer for lunchbox fillers.  For more delicious delicious toddler-friendly recipes, visit www.squish.co.za

July 25, 2022
Parenting Hub

Did you know?

Pain can be hard for a child to describe, especially if your tot’s vocab is limited to “mama”, “dada”, “woof”, and “nana”. However, fever and pain occur together frequently in childhood conditions.1 Panado® Paediatric Syrup, Peppermint 5 ml Sachets, contain paracetamol, an effective option for treatment of pain and fever in children.2  The Panado® Paediatric Syrup, Peppermint 5 ml Sachets, are great for on-the-go parents and super convenient for when you’re travelling! Make pain and fever care easy by shopping for Panado products from independent pharmacies and selected Clicks, Dis-Chem, and Pick ‘n Pay stores. For more information, visit https://panado.co.za/ and join the conversations onFacebook. #Panado #ADoseOfCare 2022042510198726 References: 1. Clinch J, Dale S. Managing childhood fever and pain – the comfort loop. Child Adol Psych Mental Health 2007;1:7. doi:10.1186/1753-2000-1-7. [Cited 2022 March 29]; Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1971248/ 2. De Martino M, Chiarugi A. Recent advances in paediatric use of oral paracetamol in fever and pain management. Pain Ther 2015;4:149–168. DOI 10.1007/s40122-015-0040-z. [Cited 2022 March 29]; Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1971248/

July 15, 2022
RediscoverDairy

Value of flavoured milk for children – choose smartly!

Think about the role of your milk children’s diet. Are they getting enough of the essential nutrients needed to grow and stay healthy? When choosing a drink for your child, you should consider both hydration and nutrient content. A sweetened drink that provides nine essential nutrients, like flavoured milk, is a wiser option than a high sugar, low nutrient beverage. Flavoured milk is a tasty, nutrient­ rich choice for a growing child! Did you know?  Flavoured milk contains the same essential nutrients as unflavoured milk, including calcium, potassium, phosphorus, protein, vitamins A and B12, riboflavin and niacin. Flavoured milk is liked by children and helps them achieve the requirement of three dairy servings daily.  Studies have shown that consuming low-fat or fat-free flavoured milk can boost adolescents’ intake of nutrients without adding unnecessary energy to their diets. Flavoured milk helps meet nutrient needs: Maretha Vermaak, registered dietitian at Rediscover Dairy, says: “During adolescence, children often decrease their milk consumption while increasing their intake of soft drinks. Scientific evidence shows that bone fracture risk is three times higher in girls who drink carbonated beverages and seven times greater in physically active girls who consume both carbonated and non­carbonated drinks.”  Some parents are reluctant to offer children flavoured milk because it is sweetened.  However, according to the American Dietetic Association increasing the palatability of nutrient­dense foods and beverages by sweetening can promote diet healthfulness. Flavouring and sweetening milk does not take away its nutrients.  When you compare a glass of low-fat milk to that of flavoured milk, the nutrients are still present and the differences between the two are not significant: Comparison of low-fat flavoured and unflavoured milk Facts Flavoured milk is rich in nutrients, meaning it contains many nutrients in relation to its energy content. Although it is sweetened, it does not add empty kilojoules to the diet. Milk – flavoured or unflavoured, full-cream, low-fat or fat-free, provides three of the five nutrients that fall short in children’s diets, namely calcium, potassium and magnesium. Studies showed people who drank flavoured milk had higher calcium and nutrient intakes compared with those who did not drink flavoured milk. Flavoured milk can increase children’s overall milk consumption. The protein in flavoured milk increases satiety, contributing to the feeling of fullness. Research has shown flavoured milk to be a good rehydration and recovery drink after sport. For more information visit www.rediscoverdairy.co.za or follow Rediscover Dairy on Instagram (rediscoverdairy) or Facebook (RediscoverDAIRY)

July 13, 2022
Good Night Baby

When the ENT comes to the rescue

Sleep is so essential for our children’s overall development and health, but we cannot address sleep habits if there are medical reasons for a child’s restless nights.  There are a few ear, nose and throat (ENT) related conditions that can contribute to poor sleeping – let’s look at the two most common causes amongst infants and toddlers: Adenoid hypertrophy or enlargement Any form of a blocked nose causes difficult, uncomfortable and noisy breathing while sleeping.  The most common cause for a chronically blocked nose that an ENT specialist diagnoses are enlarged tonsils and adenoids. Adenoids are lymphoid glands that form part of your immune system.  They are located behind the nasal cavity where they trap viruses and bacteria or allergens that try to enter and infect the upper respiratory tract.  When they are constantly exposed to viruses or bacteria (for example at creche or school) or even to allergies, they enlarge and block the passage where air needs to pass from the nose to the airway.   Adenoids are often enlarged in children, but shrink as we grow older and our immunity improves.  Adenoid hypertrophy causes snoring, a blocked and runny nose, nasal voice, mouth breathing and postnasal drip with night-time wet coughs. Severe cases can even lead to obstructive sleep apnoea where your child stops breathing for a few seconds at a time.  Your child will snore loudly and wake sporadically during the night due to these pauses in breathing and will not be able to enter the deeper part of sleep. In the long run this is detrimental to their sleep and overall health as essentially, they are not getting enough oxygen to their bodies and their hearts and lungs must work extra hard.  It can lead to failure to thrive and poor growth, behavioral problems, poor school performance due to lack of concentration, enuresis (bed wetting) and even heart failure.   Middle ear infection or effusion The middle ear has a natural drainage pathway to the back of the nose called the eustachian tube.  Any fluid build-up in the ear from inflammation or an ear infection is supposed to drain naturally via the eustachian tube.  When the adenoids are enlarged and block the eustachian tube’s opening, this cannot occur and fluid builds up and becomes stagnant in the middle ear.  This leads to recurrent infections or chronic fluid build-up called an effusion.   You know the feeling you get when your ears need to pop when landing in an aeroplane?  That is the pain a child has almost constantly when there is pressure build up in their middle ear, especially when lying down and there is increased blood flow to the head.  That is enough to keep anyone awake at night.  Not only is it painful for children, but it can cause difficulty in hearing and eventually delay their speech development because of the muffled sounds.  In severe cases it can even affect their balance.  Some mothers notice how their infants walk differently when their ears are acting up. These conditions are very common in infants from around 6-8months of age into toddlerhood and if the above symptoms are present, it’s best you visit an ENT specialist.  There are certain medications that can be prescribed if caught early to try and reverse the inflammatory process and essentially shrink the adenoids, but often it requires surgery.  The surgery is a low-risk, quick procedure where the adenoids are removed through the mouth (often combined with a tonsillectomy) and grommets can be inserted into the eardrums to drain the fluid. Once these medical conditions have been resolved there will be a marked improvement in their sleep and a child that already had well-stablished sleep habits, will often return to sleeping well once they are feeling better. What can you expect from their sleep once they have been treated? Waking early: Suffering from any of these conditions affect both the quality and quantity of your child’s sleep. Some children become so accustomed to poor quality sleep that once they finally get helped, they find themselves waking up at the crack of dawn refreshed and ready for the day. They’ve never slept so soundly before, and it can take your child a while to adjust to sleeping more appropriate hours. White noise: Once ears are cleared of fluid, some children become hyper-sensitive to the white noise in their room. You can temporarily reduce the volume and remember to never exceed 50 dB once you turn the volume back to normal. Discomfort: This will need to be addressed and you should offer your child comfort and reassurance. Once they are feeling better go back to your plan and ensure that they don’t become reliant again on any unsustainable sleep associations. Short term-use is often not the problem, it is allowing the bad habits to creep back in permanently that becomes an issue. Once your child is feeling better and has recovered, go back to their normal routine. Often sleep concerns after a procedure are easily resolvable and your sleep-trained child will undoubtedly surprise you with how well they bounce back. If your child slept poorly prior to the procedure, look at contacting a sleep consultant for some assistance. Quality sleep is vital to your child’s health and well-being and they certainly deserve a good night’s rest after what they’ve been through. By Dr Nina du Toit – ENT and Tammy Buitendach – Good Night Consultant www.drninadutoit.co.za

July 11, 2022
Bonitas – innovation, life stages and quality care

Dealing with Postpartum Depression – plus ways to deal with mental health after pregnancy

As a new mom, the birth of your baby is a beautiful and exciting time, but there is a darker side to childbirth. Postpartum depression affects about 15% of moms after delivery, and while it is a serious disorder it can be overcome through treatment. What is Postpartum depression? Feelings of anxiety, sadness and fatigue are common after birth and are often referred to as the ‘baby blues’ and should subside within the first two weeks. However, if these feelings stick around for longer, you could be experiencing postpartum depression. Restlessness, mood swings, insomnia, irritability, disconnection from your baby and feeling of worthlessness are all red flags for postpartum depression. Some moms feel guilty or ashamed to be feeling this way, however PPD can affect any woman. Don’t be afraid to reach out for help, as PDD is treatable through both medicated and unmedicated options. What should I do if I have the symptoms of Postpartum Depression? The good news is that PPD is treatable. There are a variety of common types of treatment, which depend on the type and severity of symptoms. Treatment can include counselling, therapy groups, antidepressants and hormone therapy. Self-help groups can be helpful, as it allows you to connect with others who have experienced similar problems and stop feelings of isolation. Recovery time will also vary from mother to mother, but untreated the disorder will last much longer and can interrupt mother-child bonding. Getting help does not mean you are a bad mother, it is important to reach out if you are feeling depressed. Postpartum Psychosis In rare cases moms can develop postpartum psychosis. This should be treated as a medical emergency, and it is essential that you receive help right away.  Symptoms include paranoia, delusion and erratic/disorganised behaviour.        How to deal with mental health after pregnancy  Your mental health is critical to you and your child’s well-being. If you are worried about PPD it is important to get professional help. However, you can help your mood by slowly getting back into exercise, setting aside time for yourself and leaning on those around you for support. It is important to stay connected to family and friends so that you don’t feel alone.

July 8, 2022
Bonitas – innovation, life stages and quality care

A partnership to bring help to those who need it most

When you’re looking for positive, purposeful, swift action in a time of crisis there’s one organisation you know you can rely on. The Gift of the Givers Foundation is always ready to step in when needed, getting on with the job at hand with the minimum of fuss but with maximum results.  ‘The Gift of the Givers needs no introduction,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund.  ‘The organisation continues to go beyond the call of duty to bring humanitarian aid where needed.  It has built its reputation on the principles we, as a corporate citizen, also value: Respect, care, professionalism and dedication. Their swift and problem solving response in the face of any disaster – be it a pandemic, fire, flood, earthquake, tsunami or war – is to be highly commended.  And we are proud to announce that Bonitas will be partnering with them for the year ahead.’  For 30 years this extraordinary, non-governmental disaster response organisation has been responding to global challenges, in an effort to bring hope, life and restore dignity to the most vulnerable of people. Gift of the Givers primary focus is disaster response but other key areas of assistance include hunger alleviation, water provision, healthcare, education and social upliftment. Headed up by medical doctor, turned humanitarian, Dr Imtiaz Sooliman, Gift of the Givers has repaired and restocked hospitals, run clinics, sunk boreholes, dug wells, provided food and shelter to millions … and so much more. And, more recently, during the Covid-19 pandemic, KZN riots and water shortages in the Eastern Cape, the NGO brought relief to those who needed it most.  ‘Our association with Gift of the Givers goes back a few years when we supported various projects on an ad hoc basis.  However, recently we reassessed and realigned our CSI strategy to be in sync with our mantra: ‘A Medical Aid for South Africa’,’ says Callakoppen. ’This means us investing in the social upliftment of South Africans. And who better to partner with than this leading philanthropic organisation. The Bonitas values align with that of the Gift of the Givers and we look forward to working with them to provide relief to the most vulnerable and marginalised communities, specifically in the field of healthcare interventions.’ ‘We joined Bonitas as our medical scheme in 2019,’ says Dr Sooliman. ‘We worked with our financial advisors to find the most appropriate scheme and plan for our staff and have been impressed with their service, professionalism and how the member always comes first. As a paypoint for the Fund, we interact with the team regularly and, through these interactions, have realised there is synergy in our ethos. This led to us working alongside them on selected projects but we are thrilled they are formalising a partnership with us.’  Sooliman says the private sector plays a vital role in helping the organisation fulfil its humanitarian vision. ‘By working in partnership with like-minded and committed corporate partners, we have the ability to make a real difference in the lives of some of the most vulnerable people across South Africa, throughout Africa and the world.’ ‘We have handed over an initial R500 000k that will be used for healthcare related disasters,’ says Callakoppen, ‘However, additional funding has been set aside for specific healthcare related projects, such as hospital revamps, that are close to the hearts of both the Fund and Gift of the Givers.’  ‘I have been fortunate to meet Dr Sooliman on a few occasions and he has engaged with our Bonitas Board,’ says Callakoppen. ’It was humbling to learn more about the healthcare interventions they have put in place, the impact these have had and also just how much they can achieve in a day. He is passionate about the work they do and has a solid belief in the common humanity that unites us. This resonates throughout the organisation, leading with integrity and honesty. We look forward to the lessons we will learn while working alongside them on future projects.’

July 7, 2022
Squish

Veggie-loaded lunchbox fillers

On busy mornings the last thing you want to be stressing about is what you’re going to put in your little one’s lunchbox. These simple recipes can be prepped ahead so that you always have snacks packed with natural goodness ready to go.  CHEESY VEG BALLS These little balls of deliciousness are filled with veggies, including baby marrows, carrots, and Squish 100% Veg Puree – you can choose whichever flavour you like or use up your leftover Squish pouches. Our pouches come with resealable screw-on lids, making them super-convenient and cutting back on waste. You can just use what you need, then pop the leftovers back in the fridge to use later. These veggie balls freeze well, so you can make ahead and freeze then just grab what you need each day for your child’s lunchbox. Ingredients 1 cup cheese  1 x 110ml Squish 100% Veg Puree of your choice  ¼ small onion, finely grated 2 cups breadcrumbs (simply put 3 or 4 slices of bread into your processor and blitz) ½ cup wholewheat flour 2-3 large baby marrows, finely grated 2 large carrots, finely grated ½ clove garlic, finely grated 2 tablespoons olive oil or coconut oil 1 teaspoon dried herbs Method Combine all the ingredients and let the mixture rest for 20 minutes. Roll into small balls. Place on a baking tray lined with baking paper and bake in a preheated oven at 180°C for 20-25 minutes. (If you have an Air-fryer, 10 minutes tops.) For a dipping sauce, mix some full-cream plain yoghurt with a little Squish Veg Puree. TIP: Double the recipe. If you have older children, they’ll love these in their lunchbox too. Just roll up in a wrap or pita. BEANY DIP Beans are an excellent source of protein and are packed with calcium, potassium, magnesium, folate, iron, and zinc. In other words, they’re an excellent addition to your child’s diet. We used Squish 100% Pear + Sweet Potato Puree in this recipe, but you can switch up the flavour by picking a different Squish Puree flavour, like Apple, Beetroot + Guava or Butternut + Carrot.  Remember, Squish 100% Fruit and Veg Purees are completely free of added nasties like flavourants, colourants and preservatives – and there is no added cane sugar or starch. Pack along with mini pitas or fresh veggie sticks. Little ones always enjoy dipping!  Ingredients 1 x 410g can of Rhodes Quality Butter Beans  ½ clove of garlic  1 x 110ml Squish 100% Pear + Sweet Potato Puree  1 tbsp fresh herbs of your choice and a pinch of salt Method Drain butter beans and place into a food processor – or you can use a stick blender.  Add garlic and Squish Puree. Add fresh herbs and a little salt. Puree until well blended. TIP: Keep leftover dip in a well-sealed container in the fridge and use within 3-4 days. FRUIT AND SPICE LOAF It is always nice to include a ‘treat’ in your toddler’s lunchbox, but that doesn’t mean you need to rely on shop bought snacks which are often full of preservatives and other additives. This home-baked loaf is bulked up with grated carrots – which are high in fibre, Vitamin A, and beta-carotene – and Squish 100% Pear, Butternut Yoghurt + Mango with Cinnamon Puree. It also contains a box of Squish 100% Apple Juice. Squish juices come in four flavours and are made from top quality 100% pressed fruit and vegetables and are preservative free. Remember to put one in your child’s lunchbox too, to keep them hydrated during their school day. Ingredients 1 x 110 ml Squish 100% Pear, Butternut, Yoghurt + Mango with Cinnamon Puree  125 ml (½ C) Squish 100% Apple Juice 440 ml (1¾ C) cake flour 250 ml (1 C) sugar 5 ml (1 tsp) cinnamon 2.5 ml (½ tsp) baking powder 5 ml (1 tsp) bicarbonate of soda 125 ml (½ C) grated carrot 2 eggs 125 ml (½ C) sunflower oil Method Sift the flour, sugar, cinnamon, baking powder and bicarbonate of soda into a large bowl. Add the grated carrots. Mix together the eggs, oil, Squish Juice, and the Squish Puree. Add to the dry ingredients and beat well to mix. Pour the batter into a loaf pan that has been sprayed with non-stick spray. Bake in an oven preheated to 180°C for 35 minutes or until the loaf is well risen and a wooden skewer inserted into the middle comes out clean. Turn out and leave to cool. TIP: This loaf cake is lovely and moist and stores well in the fridge so you can simply slice off as you need.

July 4, 2022
RediscoverDairy

Add “Cheesy Breakfast Cups with Amasi” to your weekly meal plan

Planning ahead for the week’s breakfast meals and school lunchboxes helps to keep healthy eating on track and is much easier on the grocery budget than daily tuck shop money or those last-minute runs to the local store for emergency lunchbox items. Planning also helps to ensure that these meals include nutrient-rich whole foods and fresh, seasonal produce. This Rediscover Dairy “Cheesy Breakfast Cups with Amasi” recipe, created by food stylist and busy mom Leila Saffarian, can be a healthy, nutrient-rich breakfast (or breakfast-on-the-run) or a great addition to the school lunchbox, together with a yoghurt, some biltong and fresh fruit.  They are a popular because: They are easy to make They can be made on a Sunday for the week ahead The kids can get involved in choosing their favourite ingredients  The recipe can be adapted to include veggies They are a great protein boost including egg and dairy Amasi, milk or yoghurt can be used They are great for portion control – two of them are perfect for a fast-growing tween and contribute towards the daily protein and calcium requirements. They are versatile and can be used as a post-sport snack or for those ‘I’m hungry’ before supper is done moments. See here how to make the “Cheesy Breakfast Cups with Amasi”: Ingredients 3 Tbsp (45 ml) softened butter 2 Tbsp (30 ml) olive oil 1 small onion finely chopped 1 small red pepper deseeded and diced 100 g baby/ cocktail / Rosa tomatoes halved 200 g sliced button mushrooms Salt and pepper to taste 4 Tbsp roughly chopped fresh basil For the egg custard: 8 large eggs ¼ cup (60 ml) Milk or amasi or double cream yoghurt Salt and pepper to taste ½ cup (125 ml) grated cheddar cheese Instructions Preheat the oven to 200°C. Grease a silicone or 12-hole muffin tin with 3 Tbsp (45 ml) softened butter, place on a baking tray and set aside. Add 2 Tbsp (30 ml) olive oil to a medium, non-stick frying pan over high heat. Add the onion and fry for 1-2 minutes to soften. Add the red pepper and tomato halves and continue to cook for a further 5 minutes until softened, stirring every few minutes. Add the sliced mushrooms and cook for a further 5 minutes. Season with salt and pepper to taste. Remove from the heat and stir in the basil. For the egg custard, in a medium bowl, combine the eggs, milk / or Maas/ or yoghurt, season with salt and pepper and add the grated cheddar cheese. Whisk well to combine. Add the cooked vegetables to the egg custard, whisk well and divide the egg mixture between the muffin tin. Place the muffin tin into the oven to bake for 25-30 minutes, or until the egg mixture is set and golden on top. Remove from the oven and allow to cool in the tin before unmoulding. Nutrition Facts Per Cheesy Breakfast Cup Serving Size: 150 g Amount per Serving Energy:  1009 kJ Fat: 19.4g Protein: 11.5g Calcium: 118 mg Visit https://www.rediscoverdairy.co.za/resources-and-tools-2/recipes/

July 4, 2022
Parenting Hub

HOME CARE TIPS TO MANAGE YOUR CHILD’S FEVER…

Loving our kids is easy… keeping pain and fever at bay? That’s harder. But here’s the secret: It doesn’t have to be!When your baby or infant has a fever, turn to conveniently packaged Panado® Paediatric Syrup, Peppermint 5 ml Sachets. Parenting is a rollercoaster. One minute you’re pacing from room to room in the wee hours with a crying baby – the next, you’re at their bedside, waiting anxiously for them to wake up. Your concern level can rise when you add a fever to the mix. Feeling your child’s forehead, looking for a thermometer, and seeking advice from relatives and friends can be daunting. Fever and pain occur together frequently in childhood conditions.1 If you’re a new parent, it can be scary when your child is burning up with a fever. Even if you’re not a rookie parent, fevers can still cause worry for parents of older kids.  Pain can be hard for a child to describe, especially for children under two whose vocab is limited to “mama”, “dada”, “woof”, and “nana”. It’s often up to parents to watch their child for signs of distress, such as behaviour changes, facial expressions, and body movements.1 The good news is that Panado® Paediatric Syrup, Peppermint 5 ml Sachets, contain paracetamol, which is an effective option for treatment of pain and fever in children.2 How do you know your child has a fever? Fever is one of the most frequently cited reasons parents or caregivers seek medical help for their children. It is often a source of concern for parents and healthcare practitioners, who believe it may be linked to a greater risk of morbidity.3 Additionally, there is often uncertainty regarding how to manage fever. A fever is defined as a body temperature of more than 38 degrees Celsius.3 A child’s temperature should be taken using an infrared thermometer placed in the ear or with a standard thermometer placed under the arm (in the armpit or axilla). A child’s temperature should not be taken in their mouth with a thermometer.3 Home Care Tips To Manage A Fever.  Just like adults, babies, toddlers, and children can suffer fever or pain associated with a common cold and symptoms can include a sore throat, running nose, body aches and headaches.4 Here are a few easy-to-digest tips for treating your child’s pain and fever at home.3 Panado® Paediatric Syrup, Peppermint  5 ml Sachets, which are conveniently packaged,  can be safely administered to infants and children to relieve pain and fever. Always administer using a medicine measure or a syringe Do not over-dress or underdress your child or wrap your child in heavy blankets Check your child during the night, but do not wake your child up just to administer medication for a fever Encourage your child to drink fluids regularly (breast milk is best for breastfeeding children) Seek medical advice if the fever does not get better within 48 hours or if your child’s condition worsens Alwaysgive the dose written on the bottle or sachet according to your child’s weight to ensure that you are using the correct medication at the right dose. If you’re unsure, speak to your doctor or pharmacist before administering medicines for fever. Other Panado® Products Suitable For Your Child   In addition to Panado® Paediatric Syrup, Peppermint 5 ml Sachets, Panado’s range for children includes Panado® Paediatric Syrup, Strawberry (50 ml | 100 ml),5 Panado® Paediatric Syrup, Peppermint Alcohol and Sugar-Free (50 ml | 100 ml),6 and Panado® Infant Drops 20 ml.7 Make pain and fever care easy by shopping for Panado products from independent pharmacies and selected Clicks, Dis-Chem, and Pick ‘n Pay stores. For more information, visit https://panado.co.za/and join the conversations onFacebook. #Panado #ADoseOfCare 2022042510198726 References: 1. Clinch J, Dale S. Managing childhood fever and pain – the comfort loop. Child Adolesc Psychiatry Ment Health. 2007; 1:7. [Internet]. 2015 [Cited 2022 March 29]; Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1971248/ 2. Acharya B, Thapa K. Indoor staying during winter season makes people more susceptible to fu. J Nepal Health Res Counc. 2016 Jan; 14(32):69-70. PMID: 27426715. [Cited 2022 March 29]; Available from : https://pubmed.ncbi.nlm.nih.gov/27426715/   3. Green R, Jeena P, Kotze S, Lewis H. Webb D, Wells M. Management of acute fever in children: Guideline for community healthcare providers and pharmacists. S Afr Med J.  2013;103(12):948-954. DOI:10.7196/SAMJ.7207 4. CDC Centres for Disease Control and Prevention. Common Colds: Protect Yourself and Others [Internet]. 2021 [Cited 2022 March 29]; Available from : https://www.cdc.gov/features/rhinoviruses/index.html 5. Panado® Paediatric Syrup Strawberry (Syrup). Approved package insert, March 2002. 6. Panado® Paediatric Syrup Alcohol and Sugar-Free / Panado® Paediatric Syrup. Approved package insert, April 2010. 7. Panado® Infant Drops (Drops). Approved package insert, August 1990.

July 1, 2022
Bonitas – innovation, life stages and quality care

Stretching your medical aid benefits

Everyone is feeling the pinch and looking for ways to stretch their budget. This is true of healthcare too, especially when it comes to medical cover.  It’s important to manage your medical expenses if you want your benefits to last. The smart move is to know what your plan offers and what you can do to avoid unnecessary out-of-pocket expenses.  That way you can save money while managing your health. Lee Callakoppen, Principal Officer of Bonitas Medical Fund, give us some tips on how you stretch your medical aid benefits. Understand your plan and what it offers  Knowledge is power and when it comes to medical aid this is especially true. Firstly, it’s important to make sure you have chosen the right plan for your healthcare needs.  If you’re battling to make a decision, consult an independent broker. Brokers are accredited by the Council of Medical Schemes so are qualified to offer advice and support and there’s no extra charge for this service. Then, read through the plan you’ve selected and understand all the benefits, limits as well as any additional rules, regulations or added value benefits.  Use DSPs or networks Using network doctors, specialists, hospitals or Designated Service Providers (DSPs) is essential if you want to make your medical aid last longer. It means you won’t be charged more than the negotiated preferential rates. Remember this includes knowing your scheme’s key providers, such as which ambulance to call in an emergency.  Not using a DSP can result in a co-payment or non-payment for the service. Ask your pharmacist Consult your pharmacist for advice on over-the-counter medicine and/or switching to generic medicines.  Using generic medicine, which has the same active ingredient, strength and dosage as the original brand but is less expensive, helps save costs.  In addition, consider using a clinic or nurse practitioner to get your blood pressure screened, for your flu vaccination and other primary healthcare concerns – this saves on the consultation fee charged by your GP. Managed Care benefits Most schemes offer programmes to help you manage chronic conditions such as cancer, diabetes, HIV/AIDS and back and neck problems.  These programmes are usually covered from the risk portion of your medical contribution and are not funded from your savings account. They help you use your benefits to maximum advantage while ensuring you receive quality care by using specific providers. Other benefits – such as maternity consultations, wellness benefits, preventative care and dentistry – are also paid from risk by some schemes. Again giving you more value for money and are in addition to your savings and day-to-day benefits.  Boosting your benefits  Carefully read through what your plan offers – especially when it comes to enhanced benefits – and choose wisely.  Remember, not all additional benefits are equal. For example does your plan cover childhood vaccines from risk?  If so, this is a saving of thousands of Rands, especially in the first 18 months of life  This year, Bonitas invested R446 million in additional benefits through a benefit booster which is available on all plans, including the hospital plan (but excluding BonCap). Members tap in by completing a wellness assessment (which can be done online) and then have access to additional benefits which range from R940 and R2 730 (depending on the plan) to cover expenses such as: GP and specialist consultations Acute and over-the-counter medicine Biokineticist and physiotherapist consultations and treatment  Paramedical services  Alternative healthcare  X-rays Blood tests Go virtual Look out for telemedicine or virtual consultation options which are around 60% cheaper than an average consult.  A doctor will engage with you in a virtual video consultation on a medical issue and advise you on the most clinically appropriate steps for further care.  Be inquisitive, ask questions Ahead of any procedure, in or out of hospital, ask the right questions. Check that your healthcare provider is on your scheme’s network in order to secure a better rate. Unless the procedure is an emergency, you will need to get pre-authorisation. At the same time, request a quote so you know, upfront, what the costs will be and whether you will be covered or if you are being expected to make a co-payment. If so, negotiate.  Stay healthy With Non-Communicable Diseases (NCDs) or lifestyle disease fast becoming a pandemic in South Africa, it’s important to take care of your health by eating correctly, getting enough sleep, exercising and reducing your stress levels.   ‘Health is the new wealth,’ says Callakoppen. ‘Your health is important, as are your finances, don’t take either for granted.  When it comes to healthcare cover, invest time in researching and understanding the medical aid plan you’ve selected.  Read the information sent to you, including the fine print to understand the Scheme Rules. If in doubt, phone the call centre, your broker or financial advisor. This will go a long way in helping you know your rights and making the most of your benefits.’

June 30, 2022
Parenting Hub

Their little hearts are at risk too

All parents want their children to be healthy and well, and to have long and successful lives. A healthy heart is vital for living life to the full, no matter the age.  We often do not take stock of the fact that our children are vulnerable to heart disease too. In fact, the risk for heart disease can begin even before a child is born – during foetal development, and increases further during childhood with exposure to unhealthy diets, lack of exercise and smoking. Children can be affected by heart disease in various ways, so let’s take a look at some of the most common causes. Congenital heart disease Some children may suffer from a heart problem they are born with, which is known as congenital heart disease. This is where a child is born with a defect, or abnormality, of the heart or blood vessels near the heart. For most cases the cause of these abnormalities are not known, and so unfortunately cannot be prevented. The majority of children born today with congenital heart disease will survive and with proper treatment be able to lead a normal or near-normal life. Early detection, awareness and treatment are critical. Rheumatic heart disease Many of us aren’t aware of the link between a sore throat and heart disease, and yet rheumatic heart disease (RHD) is the leading cause of acquired heart disease in children and young adults in South Africa, with the poor being particularly vulnerable. RHD is a chronic heart condition caused by rheumatic fever, where damage to the heart valves occurs. RHD ultimately stems from an untreated streptococcal infection, commonly known as ‘strep throat’. If this infection goes untreated, rheumatic fever can occur between 2 and 4 weeks after a strep throat infection, where the child may have symptoms of tiredness, joint pain, fever and a rash, often visible on the chest. With repeated attacks of untreated rheumatic fever, damage to the heart valves occurs and this is known as RHD.  The ironic tragedy is that RHD is very easily preventable. A simple course of antibiotics can treat a strep throat infection, and regular antibiotic injections can prevent rheumatic fever from causing further damage to heart valves. But the sad situation is that in many children strep throat is not detected and they do not receive adequate treatment. It is important for parents and caregivers to be vigilant of a sore throat, and to take their child to a doctor or clinic immediately if they suspect their child has strep throat or rheumatic fever. The symptoms of strep throat parents should watch out for include a sore throat, pain when swallowing and swollen glands, but without other typical flu-like symptoms, such as a runny nose or cough. Lifestyle influences Child malnutrition remains a problem in South Africa, which can affect the growth and development of the baby before birth, resulting in a child born with a low birth weight and poor growth in the early years of life, where a quarter of our children 1 – 3 years old do not reach their full potential height for their age. Poor growth is linked to an increased risk of obesity in adolescence and adulthood, and these children are at a greater risk for developing high blood pressure and insulin resistance at an early age, putting them at a greater risk for heart disease as adults. While some of our children are affected by heart disease through factors that are out of their control, many more are adopting unhealthy habits that place them at risk at an earlier age for obesity, high blood pressure, diabetes and heart disease. Our children are particularly vulnerable and are easily influenced by our unhealthy environment. The picture is concerning. More and more children and youth are taking up smoking, and many are exposed to harmful second-hand smoke. South African children are not moving enough, with a quarter watching more than three hours of TV a day. One in three adolescents eat fast food two to three times a week, and more than half of children don’t take a lunchbox to school, meaning that many are often eating unhealthy foods from the tuck shop or vendors, typically high in unhealthy fats, added sugar and salt. The result is shocking, with up to 23% of children in South Africa being overweight or obese. These children are likely to become obese adults, and are putting their hearts at risk from a younger age. It’s important to be aware that heart disease can affect anyone, at any age. Adopting heart healthy behaviours early in life is the best preparation for preventing heart disease, stroke, diabetes and cancer later in life. It’s crucial for parents and caregivers to be positive role models which can set their children with healthy habits for life. A healthy lifestyle plays an important role in preventing heart disease and strokes, no matter your age.

June 30, 2022
Parenting Hub

Wellness practices should be part of everyday life – here’s why

Up until a couple of years ago, you’d be forgiven for thinking the term “wellness” only referred to lazy afternoons spent at a spa or a wellness retreat. Today, wellness is considered an important part of everyday life. The covid-19 pandemic saw a global surge in self-care practices and mental health awareness. It forced us to stop, breathe and to take a closer look at our health. This led to a major uptake in meditation, yoga and other self-care rituals.  But what exactly is wellness, and how is it different to general health? Wellness is a lifestyle. It’s the act of practicing healthy habits daily to improve one’s overall physical and mental health, and to live a fuller and happier life. Wellness forms part of all aspects of your life, be it your diet (snacking on healthy foods rather than sweets or chocolates), your relationships (spending quality time with loved ones), your downtime (resting and relaxing when you are feeling run-down) or your work (instilling healthy habits like taking a lunch break every day or not checking emails over weekends).  When we incorporate wellness practices into various parts of our lives, it has major benefits for our physical health (a stronger immune system, more energy and better fitness) as well as our mental health (less stress, less anxiety and a happier state of mind). Wellness practices are different for everyone depending on their lives and lifestyles. After a stressful day at the office, one person’s wellness practice might be a run or jog through the neighbourhood. For another, it might be a bubble bath and a good book. The key lies in finding what works for you.  Wellness at work Practicing wellness at work is two-fold: there is the aspect of stepping away, such as taking a lunch break or getting up to stretch every half an hour; and then there is the aspect of incorporating wellness into your work by creating a happy and healthy work space. A clean and tidy desk area is a great start, as is ergonomic seating and plenty of fresh air. Have you ever considered adding a diffuser and some essential oils to your desk? Not only does it leave the room beautifully scented, but the oils can also help benefit your mood. Try the SOiL Inspire Essential Oil Blend, which contains an uplifting and refreshing blend of lime, mandarin and spearmint to energise and inspire. To support a healthier environment, we recommend SOiL Shield Essential Oil Blend, a spicy, citrus, mint blend that creates a barrier against unwanted germs and bacteria to support a healthier environment, immune and respiratory function. Simply add a few drops of these oils to your SOiL Ultrasonic Aroma Diffuser which disperses the essential oils into the air via a fine mist. Wellness at home Not sure where to start practicing wellness at home? It’s easier than you think! Start with a few basics: ensure good ventilation by keeping windows open when possible, keep the space tidy and clean and, importantly, enjoy the space. If you love taking a bath and you have a bathtub, use it regularly to unwind. If you have a room with lovely afternoon sun, take some time out to read your favourite book in there. Try to get the whole family on board with wellness practices, whether it’s a walk to the park after work or a family movie night once a week.  One of the easiest ways to set the mood at home is to light a tea candle in your SOiL Ceramic Aroma Burner, add a few drops of your favourite essential oil and allow the scent to infiltrate the room. The candlelight creates a relaxing atmosphere, and your chosen essential oil does the rest.  If you want to create a peaceful or relaxing atmosphere, add a few drops of the SOiL Sleep Blend to your burner or diffuser while you prepare to go to bed. It contains a blend of soothing herbal extracts: oils of lavender, marjoram and bergamot will help you drift off peacefully in no time. It’s also a great option to add to your bath water. Gently massage some  SOiL Baby Massage Oil into your skin before bed to help your body relax. This blend of chamomile, lavender and olive oil will help keep your skin moisturised and help your mind switch off.  For an uplifting or energetic atmosphere, opt for SOiL Energy Blend, with lavender, bergamot, marjoram and vetiver or SOiL Inspire Blend, which contains a refreshing, uplifting and inspiring blend of lime, mandarin and spearmint. And while we’re on the topic of the home, let’s not forget the importance of keeping supplies on-hand for daily concerns. The SOiL First Aid Essential Oil Trio Box consists of lavender essential oil that soothes and calms the mind, body, and inflamed skin, tea tree essential oil that cleanses the air, mind, and body with antibacterial and antimicrobial properties and eucalyptus essential oil which supports a healthier respiratory function and soothes insect bites. It’s the perfect trio to keep in the home – you never know when you may need it! Making greener wellness choices Wellness is not just about making better choices for ourselves, it’s also about making better choices for the planet. When we use sustainable materials, purchase products that were ethically soured or manufactured and support cruelty-free brands, we help lead the way to a better future: Cleaner air, cleaner oceans and a more diverse animal and plant population. One of the most important things we can do is to ensure the products we buy are fair-trade. This means that fair prices are paid to the producers of products in developing countries, helping to achieve sustainable and equitable trade relationships, and to avoid exploitation. 14 May was World Fair Trade Day. The purpose? To showcase the contributions of small-scale producers and farmers to healthy and sustainable communities around the globe. SOiL is Fair for Life certified, which is an internationally-recognised certification for small businesses that follow fair trade practices. Some of the products made with internationally-sourced fair trade ingredients

June 23, 2022
Bonitas – innovation, life stages and quality care

The common cold in babies

With COVID19 prevalent globally, the thought of your baby catching a cold could be one to send shivers down your spine. But don’t fret, here are the symptoms of the common cold, what is considered normal and what is cause for concern. What is a cold? The common cold is caused by a variety of different viruses, and is an infection of the throat and nose. When a baby is born they have a weaker immune system, which develops as they grow older. Understandably though, this makes it easier for them to catch a cold. Babies do build up antibodies when they are exposed to germs, however, it takes 2 to 3 months for their immunity to fully develop. There are many types of viruses that are the cause of colds, but luckily most colds will help increase your little one’s immunity against other another nasty germs.  What is normal and what can I do to prevent my baby catching a cold? Unfortunately, as the cold is caused by viruses there is no cure for it, but you can try naturally calm your baby’s symptoms. Unfortunately antibiotics won’t work as viruses are the culprit. It is normal for a cold to last 7 to 10 days. Symptoms include a runny nose, cough and low grade fever. Although alarming, fever is your baby’s natural response to the virus. Don’t give over the counter medication to your baby as these can cause dangerous side effects in young children, but extra fluids, saline spray and air humidifiers are all things you can use to help your baby. When a cold causes your baby to have trouble breathing, a high fever or dehydration it is time to consult with a doctor. Additionally, if the cold lasts for an extended period of time without getting better it is also best to seek professional help. Babies often catch the virus from older siblings or daycare, so if you can limit your baby’s exposure to other people this will help prevent them picking up unwanted viruses. Ask visitors to wash their hands before touching your little one and make sure to keep the baby’s utensils and towels separate from the rest of the household. Keeping your baby up to date with vaccinations is also a very important action that can help protect your them. 

June 21, 2022
Bonitas – innovation, life stages and quality care

Making changes to your medical aid

Wherever possible, consumers are tightening their belts and looking at ways to consolidate expenses and save money.  Healthcare is no exception. Traditionally, members of medical aids re-evaluated their medical cover annually, to coincide with increase announcements as well as changes to plans and benefits which come into effect on January 1 each year.  However due to the pandemic, a number of medical aid schemes have deferred or postponed their increase announcements. This new pricing is being introduced at different times during the year and at varying percentages – often above inflation.   ‘This has caused some confusion and challenges,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund – which opted not to defer increases. ‘Members are free to change their options, once a year, during the open period. However, with deferred increases, this often falls out of the open period.  This means members start paying the increased premium after to change options has closed.’  Callakoppen explains that the medical aid industry is highly regulated with specific rules and regulations that could impact changing plans and moving schemes. These include waiting periods, late joiner fees and accumulated savings – that all need to be considered when changing plans   Can you change your membership any time during the year? You can change at any time but usually this happens during open period.  When changing, waiting periods might apply and the savings allocation of the plan may be affected. Make sure you have not already used more than a pro-rated percentage of the benefits or you might have to replay it. This will happen if you have depleted the savings’ portion before the end of the year and switch to another medical aid. What is a waiting period? According to the Medical Schemes Act, medical aid schemes are entitled to impose waiting periods – there are two categories: General waiting period (up to three months) and a condition-specific waiting period (up to 12 months).  This protects other members of the Scheme by ensuring individuals can’t make large claims shortly after joining and then cancelling their membership. When do waiting periods apply? Waiting periods generally apply if you move from one medical aid to another, you or your dependants were not on a medical aid for a period of at least 90 days before you joined, or you have never been a member of a medical aid. Can these be waivered? Waiting periods can be waivered but this depends on the medical scheme.  Do you pay premiums during a waiting period? Yes, you continue to pay your full premium during the waiting period. What if you change from one scheme to another? Your specific details and medical history will be considered, for example pre-existing medical conditions, how long you have belonged to a medical aid, etc., and underwriting may apply. What is a late-joiner penalty? Schemes can impose late-joiner penalties on individuals who join after the age of 35, who have never been medical aid members or those who have not belonged to a medical aid for a specified period of time since April 2001.  Can you move directly from hospital insurance to medical aid? Late-joiner penalties will apply if you are over the age of 35 and move from a hospital insurance to any form of medical aid (including a hospital plan).  Does the late-joiner penal reduce over time?  No, unfortunately not. Once you are paying a late-joiner penalty, it remains in place.  ‘The bottom line is that members need to do due diligence if they are considering switching medical plans or schemes. They need to evaluate the monthly contribution against the benefits being offered and make sure they will cover their healthcare needs,’ says Callakoppen.

June 21, 2022
Lamelle Pharmaceuticals

Irregular periods? Consider an all-natural solution like Ovaria

When life is busy, weeks fly by like days. Unless you’re tracking your period via an app or pay close attention to the calendar, you might not even notice should you miss a period. Also, if you’re dealing with a spotty cycle or taking birth control to actively “skip” a period, it can be even harder to keep track. Still, once you realise you’re not menstruating the way you expect to, it’s a sign that shouldn’t be ignored. Why is my period irregular? First up, every woman is different and lots of things can affect the way they experience menstruation. However, your period could be considered irregular if the time between them starts to change or the duration begins to vary significantly. In this case, make an appointment to chat with your doctor or gynaecologist. The causes of a period gone astray really do run the gamut and can range from overdoing it in the exercise department to having fibroids (typically non-cancerous muscular tumours) growing in your uterus. Still, one of the most common conditions that can cause an irregular period is an all-too-common hormonal disorder, polycystic ovary syndrome (PCOS). According to the South African Journal of Obstetrics and Gynaecology, it affects as many as 20% of our country’s women in their childbearing years and is linked to 40% of its cases of female infertility. The good news, however, is that it’s very treatable and the negative effect it can have on your fertility can, in many cases, be reversed. It’s all about your hormones To understand PCOS – as well as how to treat and beat it – realise that the root cause is unbalanced hormones. To start, sufferers typically produce more androgen (the male hormone). This causes the ovaries to not release an egg each month and other negative effects include oily skin, an increase in acne and excessive hair growth – often in unwanted places such as on your face! Another hormone that goes haywire when you’ve got PCOS? Insulin. In fact, as many as 70% of PCOS sufferers will also be insulin resistant. In this case, your body starts to produce an excessive amount of insulin because it’s stopped responding to the important message this hormone signals – that it’s time to use the sugar in your blood for energy. Instead, the glucose just languishes in your veins, elevating your bloody sugar levels, and eventually gets stored away as fat. This is why being insulin resistant and struggling to lose weight, particularly around the belly area, go hand in hand. It’s also why suffering from PCOS and not treating it can dramatically increase your risk of developing diabetes. Bring back the balance Clearly, having an irregular period isn’t something you want to ignore so chat with your doctor to get a diagnosis. If it turns out to be PCOS, get onto a treatment plan as soon as possible for the sake of your fertility and your health. This might involve making lifestyle changes, like scheduling more treadmill time and improving your diet, as well as taking prescription medication that will help balance your hormones. A proven all-natural solution Another way you can ease the symptoms of PCOS is via a proven supplement – Ovaria by Lamelle Pharmaceuticals A great tasting powder that can be added to any liquid, Ovaria contains a blend of all-natural ingredients including Myo-inositol. This naturally occurring carbohydrate won’t aggravate insulin resistance. Instead, it helps to regulate your body’s response to it, reducing your risk of developing diabetes as well as other PCOS-related complications. Better yet, when you manage your insulin levels, you’ll reduce your androgen levels. As a result, Ovaria can support weight loss while reducing the severity of acne as well as excessive hair growth. The other great thing about Ovaria is that it’s clinically proven. Studies show it can restore the regularity of your menstrual cycle and increase your ovulation rate to enhance your fertility in as little as 16 weeks! The bottom line If you discover your irregular period is being caused by PCOS, know that you’re not alone. There are lots of ways you can treat it and one of the most natural, non-prescription as well as proven solutions is Ovaria. It’s helped ease the PCOS symptoms of hundreds of woman around the globe so why shouldn’t you be one of them? 

June 17, 2022
RediscoverDairy

Children and dairy: a healthy combination

Encouraging healthy eating patterns in childhood already sets the stage for habits that will endure throughout life. Good nutrition affects children’s health and well-being throughout their development, from conception to adolescence. Children who eat well develop lively minds and strong, active bodies.  Including a variety of foods from all the food groups will give children the energy and nutrients they need. Here are some ideas: Offer plenty of vegetables and fruit every day and include beans and legumes (e.g. baked beans) in meals at least three times a week.  To ensure sustained energy, make unrefined and minimally processed starchy foods part of most meals. These include wholegrain bread, cereals or porridge and root vegetables such as potatoes and sweet potatoes. Include milk, amasi or yoghurt in meals each day and use other dairy products such as cheese and flavoured milk to help children meet their calcium needs. Choose full-cream milk for children. Lean meat, fish, chicken, eggs or alternatives for meat, such as peanut butter or cheese, can be eaten daily. Dairy: a source of essential nutrients for children Dairy products are an important part of a healthy, balanced diet and help to improve overall nutrient status. Children and adolescents should have 3–4 servings of dairy every day. Milk and other dairy foods deliver a unique package of many nutrients important for children’s development. These include high-quality protein, minerals such as calcium, potassium, phosphorus, magnesium, zinc and iodine, and vitamins A, B12 and B2. Dairy products contain vitamin B12, which contributes to good physical and cognitive development.  During childhood and adolescence, bones need good-quality protein, calcium and vitamin D to become strong. Dairy products are considered the best dietary source of calcium and provide good-quality protein at the same time. With 20–30 minutes of sunshine per day children will get all the vitamin D they need. High-quality protein in milk and dairy foods contains many essential amino acids and many bioactive ingredients, which help children grow and develop strong, healthy muscle tissue.  Many observational studies also suggest a positive link between dairy intake and dental health. Eating cheese and yoghurt particularly appears to help protect against dental caries in children. Dairy is for everyone There is a dairy product to suit everyone’s taste and dietary preferences. In fact, dairy complements most meals! Browse our recipe selection for easy mid-week meals and consider these tips to make dairy part of your family’s diet: https://www.rediscoverdairy.co.za/resources-and-tools-2/recipes/    Add milk to cereal at breakfast. Make a fruit smoothie using fresh fruit, plain yoghurt and milk. Cheese and yoghurt are convenient snack options. Offer cold milk, flavoured milk or drinking yoghurt instead of cold drinks or energy drinks. Prepare sauces with milk or amasi or add them to soup. Stir smooth cottage cheese into soup or mashed potatoes. Spread cottage cheese on wholewheat bread or rolls as part of a tasty sandwich filling.  Make a healthy snack platter with fresh vegetables, fruit and cubes of cheese.

June 15, 2022
Squish

Quick meals and treats using pureed fruit and veg

Fruit and veg purees are a quick and easy way to add natural goodness to your toddler’s mealtimes. These yummy recipes all include Squish 100% Fruit and Veg Purees, which means you can simply grab a pouch from your pantry or fridge and get cooking – how convenient is that? Cheesy Veg Balls Little ones love finger foods – and these nutritious and delicious veggie balls are perfect for a meal on their own or as on on-the-go snack when you’re out and about with your child. We made these using a whole sachet of Squish 100% Mixed Veg Puree, but you can switch it up and use any of your child’s favourite Squish flavours, including Butternut + Carrot and Apple, Sweet Potato + Sweet Corn. Squish 100% Fruit and Veg Purees contain no nasties, which means they’re free from preservatives, colourants and flavourants and have no added sugar or starch.  Ingredients 1 cup cheese  1 x 110ml Squish 100% Mixed Veg Puree  ¼ small onion finely grated 2 cups breadcrumbs (simply put several slices of bread into your processor and blitz) ½ cup wholewheat flour 2-3 large courgettes, finely grated 2 large carrots, finely grated ½ clove garlic grated, finely grated 2 tablespoons olive oil/coconut oil 1 teaspoon dried herbs Method Combine all the ingredients then leave to rest for 20 minutes. Roll into small balls. Place on a baking tray lined with baking paper and bake in a preheated oven at 180 °C for 20-25 minutes. (If you have an air-fryer, 10 minutes tops.) For a dipping sauce, simply mix some full-cream plain yoghurt with Squish 100% Veg Puree. Veggie Mac and Cheese The great thing about Squish 100% Veg Purees is that they allow you to add veggie goodness to some of your children’s favourite meals, like scrambled eggs, bolognaise, or this delicious mac and cheese. It’s a good idea to double this recipe so that you can freeze the extra portions and have a whole batch of ready to heat-and-eat meals for those evenings when you’re short on time. And because every toddler loves mac and cheese, they’re great to have on hand when your little one has friends over for a playdate too. Ingredients 1 x 110 ml Squish 100% Butternut + Carrot Puree 250 ml (1 cup) milk Salt and freshly cracked black pepper 250 ml (1 cup) cooked macaroni pasta, drained 125 ml (½ cup) cheddar cheese 65 ml (¼ cup) cream cheese 1 ml (¼ tsp) ground nutmeg 65 ml (¼ cup) breadcrumbs 15 ml (1 Tbsp) butter Method Cook the pasta according to the package instructions. Mix the Squish Puree and milk together, then add the drained pasta.  Add the cheddar and cream cheeses and stir well to combine. Season to taste with salt, pepper, and nutmeg. Spoon into ramekins, top with breadcrumbs and a dot of butter. Bake in an oven pre-heated to 180°C for 20 minutes or until lightly golden and crisp. Allow to cool slightly before serving. Apple, Cinnamon and Rice Pudding This rice pudding is perfect for winter – it’s warm, nutritious, and full of flavour. Add even more fruity goodness by topping with sliced banana and a sprinkling of raisins. You can try different variations on this rice pudding by using a combination of different Squish 100% Fruit Purees – this is a great opportunity to finish up any half-pouches in your fridge. For a dairy-free option, you can use almond milk instead. Remember, even children with special dietary requirements can enjoy Squish 100% Fruit and Veg Purees – they’re free from egg, soya, wheat, nuts, dairy, and gluten. Only Squish 100% Fruit Yogi Purees contain cow’s milk.  Ingredients 750 ml (3 cups) milk  pinch of salt  30 ml (2 Tbsp) coconut sugar or brown sugar (optional) 2.5 ml (½ tsp) vanilla essence 100 g (½ cup) white rice 2.5 ml (½ tsp) ground cinnamon  1 x 110ml Squish 100% Apple + Banana Puree Method Place milk, salt, sugar (if using) and vanilla essence into a saucepan and bring to the boil. Reduce the heat to a low simmer and add the rice and cinnamon. Cook stirring occasionally for 40 minutes or until the rice is tender and the pudding thick and creamy. Remove from the heat and stir in the puree.

June 10, 2022
Lamelle Pharmaceuticals

Struggling with infertility? Prelox for men can improve the health of your sperm

As a man, chances are you’ve spent a period of your life ensuring you don’t impregnate your partner. But what happens when the time is right to make a baby? Only couples trying to conceive without success will know the true frustration of fertility problems. However, they’re definitely not alone. According to the World Health Organization, data suggests that as many as 186 million individuals are affected by infertility. In the eyes of many, infertility is considered a “women’s problem” but this is hardly the case. In fact, global statistics suggest that just as many men experience fertility challenges. Fortunately, many of these issues can be resolved – sometimes with something as simple as making a few lifestyle changes. For example, heavy alcohol use, smoking cigarettes, abusing drugs and being overweight can all negatively impact the health of your sperm. Still, if you’re already living on the straight and narrow without any success in the baby making department, you might want to consider a science-backed supplement that could make a dramatic difference in as little as one month – Prelox by Lamelle Pharmaceuticals. Potent and proven Created by Lamelle Pharmaceuticals, Prelox is proven to deliver significant improvements in male fertility with no negative side effects. It does this by improving the health of your sperm and increasing its number as well as its motility. (The latter is important because it has a long way to travel, so it needs a healthy “tale”, allowing it to journey all the way to the ovaries. Your sperm also needs to have a well-formed head so that it can anchor itself in an egg.) One double-blind clinical trial revealed that, after taking Prelox for just 30 days, men generated a whopping 93% more healthy, well-formed sperm and saw a 55,5% improvement in motility. It also improved the concentration of healthy sperm by an amazing 83%. It’s all about oxidation We all know that consuming a range of antioxidants is vital for good health. This helps neutralise damaging free radicals that negatively affect every cell in our bodies, including those of your sperm. This is why Prelox contains Pycnogenol, a powerful antioxidant that can help you create strong, healthy sperm that’s up to the task of travelling as well as successful implanting. It also contains L-Arginine, an amino acid that stimulates your body to produce more endothelial nitric oxide (e-NOS). Studies have shown that e-NOS can have a significant effect when it comes to stimulating sperm motility. In a way, you could think of it as a pre-race triple espresso for a sluggish sperm! The bottom line In short, if you’ve been struggling with infertility, it’s always a good idea to chat to your doctor as many things can contribute to this all too common problem. However, in many cases, this can be rectified with the simple yet ingenious patented supplement, Prelox. You’d only need to take two capsules a day and there are no negative side effects to worry about – only the proven fact that it improves the health of every cell in your body, including that of your sperm. With nothing to lose and everything to gain – including a precious bundle of joy – it makes sense to want to reap the benefits.  www.preloxrange.co.za 

June 10, 2022
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