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

Intermittent fasting and pregnancy, is it dangerous?

Your baby’s health during your pregnancy solely depends on you – what and when you consume is important to both of you. Intermittent fasting is a diet that many turn to to lose weight and improve health. This is a time restricted form of fasting and you may wonder if it’s healthy to keep up this kind of eating while trying to get pregnant or when you are pregnant. Is it safe to fast while I am pregnant?  Fasting during your pregnancy is not recommended. While there is research that shows this may be a good way to help with weight loss and potentially reduce the risk of type 2 diabetes, this is not ideal when your body needs more calories than normal.  While pregnant your nutritional focus should be to make sure that your baby is getting all the right vitamins and minerals. While in the initial stages of pregnancy you might not need more calories than normal, as your pregnancy progresses you will need to eat more – making fasting a less viable option. However, if you are struggling with morning sickness (most prevalent in the first trimester), you’ll find that eating bland foods little and often can help ease the nausea, which isn’t compatible with fasting for hours at a time. Not only will snacking help keep the nausea at bay, but it’ll also keep your blood sugar stable. While there aren’t studies that look at intermittent fasting throughout pregnancy, it has been found that moms-to-be with lower glucose levels had lower fetal movement, which can be a warning sign of potential issues during your pregnancy. Can I start intermittent fasting straight after birth? If you’ve decided to eat regularly during your pregnancy, you may wonder if you can return to your old lifestyle after having your baby. However, while you are breastfeeding it’s best to stick to a regular eating schedule. Even after birth your body will be needing extra calories for breastfeeding – restricting these can lead to reduced milk supply

Bonitas – innovation, life stages and quality care

Handling Childhood Illness Effectively

Most parents know that during the course of raising a child you will have to deal with different bouts of illness. Here is some information, from Bonitas Medical Fund, which should help you to manage common early childhood illnesses successfully.

Bonitas – innovation, life stages and quality care

Bonitas Medical Fund: 2023 Product Launch round up

At a glance: 340 119 Principal members 709 881 Total beneficiaries  190 000 new members over the past 36 months Average age of beneficiary: 33.9 Average age of new members is 15 years younger than existing members R7.4 billion in reserves   36.5% solvency ratio AA Credit rating  Plans Bonitas offers a wide range of plans that are simple and easy to understand. There are 15 options in five categories: Savings, traditional, hospital, Edge (virtual) and income-based. Increases  A three-month price freeze will apply in 2023: From January to March contributions remain the same as 2022 The average increase, across all plans, is 5.9%. However, factoring in the three-month price freeze, the average increase drops to 4.8% Plan increases range from 0% to 9.4% BonStart has a 0% increase By applying very low contribution increases since December 2020, the Scheme has effectively passed R1.4 billion in savings back to members Nine plans are priced under R3 000 per main member’s monthly contribution The most popular plans, with newer members, include Primary, Primary Select, BonFit, BonEssential, BonEssential Select, BonStart and BonStart Plus Note: Contributions from April 2023   What’s new? Bonitas has introduced a mental health app – in partnership with Panda. It’s a free to download mental health and wellness mobile app that uses scientifically validated assessment tools and appropriate treatment to provide the right care at the right time. Panda will be available from October 2022 The Hospital-at-Home initiative has been successful and the offering is being extended to include: A programme for re-admissions Screening and disease prevention Alternative to stepdown facilities Kidney dialysis at home An improved programme for chronic kidney disease Restructured benefits are unlimited for PMB cancers across all plans. With a set Rand amount where non-PMB cancer cover is available. Once the Rand limit is exhausted, a 20% co-payment will apply  Cover for two doses of the vaccine Human Papillomavirus (HPV) for girls aged between 9 -14 years, on BonComprehensive, BonClassic, BonComplete, Standard and Standard Select Introduction of one booster vaccine for Pertussis or whooping cough, per beneficiary aged between 7 and 64 years on Standard, Standard Select, BonComplete, BonClassic and BonComprehensive. The savings component across the savings plans have been increased from between 5% to 9.4% and amended rules allow members to use their savings as they deem fit for the new year  The Benefit Booster – introduced in 2022 which unlocked R446million in additional benefits  – has been adjusted according to utilisation Footprint and networks Our footprint extends across all 9 provinces, with our membership concentrated in Gauteng, KwaZulu Natal, the Western Cape and the Eastern Cape. A GP network of over 4 400  An extensive Pharmacy network, with around 2 500 practices located in all nine provinces to dispense chronic, acute and over-the-counter medicine through Scriptpharm Dental network, through DENIS, provide access to around 3 000 practices across SA Optical network through PPN gives members access to over 2 300 practices 

Bonitas – innovation, life stages and quality care

PUTTING YOUR KIDS ON A PATH TO GOOD NUTRITION

For many parents, nothing is as stressful as getting your kids to eat all the food on their plate, especially when it comes to veggies. Eating a variety of healthy foods is essential for your children’s wellbeing. Here are some tips on how to get your kids to eat better.

Bonitas – innovation, life stages and quality care

Don’t misjudge generics

Even though generic drugs have been around for more than half a century, many patients in South Africa are unreasonably suspicious of what is. In essence it’s a ‘carbon copy’ of the original brand of drug or medicine. Bonitas Medical Fund believe it may be because consumers think that if they are cheaper they must be inferior. This lack of understanding costs consumers and medical aids millions of Rands each year.

Bonitas – innovation, life stages and quality care

Mental health post pandemic

The Covid-19 pandemic and the resultant lockdowns affected people across the world – mentally, emotionally and physically. These included feelings of isolation, work stress, frustration at rules and regulations, fear for close family and friends and a loss of control over your life.  So, it is not surprising that we have seen an increase in mental health related issues. 1 in 6 South Africans suffer from anxiety, depression or substance use disorder. Over the last two years the prevalence of anxiety and depression disorders has increased by 36.4% and 38.7% respectively. 970 million people worldwide have a mental health or substance abuse disorder. A study by the Global Happiness Council (GHC) shows that mental illness is the main ailment among people of working age.  Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund says, ‘This has a massive effect on employers as they try to cope with keeping their businesses going, preventing job losses and maintaining a happy and motivated workforce. The economic uncertainty, political instability and poor socio-economic conditions in South Africa have also added to the burden of mental health issues in South Africa.’  To make matters worse, according to South Africa’s National Mental Health Policy Framework, ‘up to 80% of South Africans who need mental health support are unable to easily access it’.  In addition to a comprehensive mental health programme, Bonitas is the first medical aid to offer Panda to its members. It’s a free to download mental health and wellness mobile app that provides scientifically validated assessment tools to enable users to objectively measure their mental wellbeing. A gamified tracking tool allows you to document and monitor the progress you’re making on your personal mental health journey. This includes: Engaging in interactive, audio-only sessions with peers and mental health experts in the ‘Bamboo Forest’ Learning new skills through assignments and videos to help you live a more fulfilled life Tracking your mental health progress to measure how you are feeling Getting text-based chat support from an accredited wellness counsellor Booking 1:1 virtual consultations with accredited and registered counsellors, social workers, psychologists and other mental health professionals ‘The level of support depends on the degree to which you need help,’ says Dr Mkhatshwa.  ‘This ranges from level one, where there is an easy access point to community, information and support, through to level 5 where Panda will notify you to contact emergency services. We know how tough it can be to go through difficult times all by yourself, but with Panda, you will be able to find the support and resources that you need. In a nutshell: The right care at the right time for a healthy mind, using your phone.’   What is mental illness? Mental illness is defined as ‘any behavioural or mental pattern that causes significant distress or impairs normal functioning’. It can occur as a once off, be persistent or recur. The common denominator being the debilitating nature of the condition. It is a medical condition A mental illness affects the way a person experiences and behaves in the world around them. It is a recognised medical condition in the same way as chronic diseases, such as diabetes and high blood pressure and can affect anyone, regardless of race, religion, income or age. It is not a sign of weakness or madness and is nothing to be ashamed of. The good news is, it’s a condition that that can be managed and treated successfully.  Anxiety disorders and depression are the most common mental health problems but others include eating disorders, Post-Traumatic Stress Disorder (PTSD), obsessive compulsive disorder (OCD), bipolar mood disorder as well as psychotic disorders such as schizophrenia and personality disorders. Substance abuse, such as drugs and alcohol, is also classified under mental illness. Battling the stigma The Mental Health Society acknowledges, ‘The social stigma attached to mental ill-health and discrimination exacerbates patients’ condition. It often prevents people from seeking treatment. And, if they do, makes it harder to recover.’ Dr Mkhatshwa says, ‘Fortunately, increasingly well-known and influential people who are suffering from or have overcome mental illness, are being more open about it. This will go a long way to debunk myths, negativity, discrimination and judgement’.  Recognising the signs These can vary but, in general, these include:  Being frequently sad, depressed and gloomy for long periods and feeling overwhelmed by life’s problems Major changes in eating habits, resulting in weight loss or gain Struggling to concentrate and make decisions Loss of energy and lack of motivation Constant stress and anxiety over work, finances, life, friends and family Emotionally distant Frequently tearful Having difficulty sleeping or sleeping more than usual Loss of interest in activities Easily irritated and more aggressive than usual Having thoughts of death or suicide Drug or alcohol abuse may also be a sign of underlying mental illness Help is at hand There are specialised mental health programmes in place through most medical aids and most mental illnesses can be effectively treated by health professionals and community-based services or NGOs. This may include access to medication, therapy and counselling.   The Mental Health Programme (MHP) from Bonitas, which forms part its Managed Care initiatives, is aimed at improving quality of life and empowering people with mental health issues to manage their condition. It is education driven and offers support for loved ones too. ‘The introduction of Panda will dovetail neatly with our MHP,’ says Dr Mkhatshwa. ‘Mental illness cannot be wished away,’ says Dr Mkhatshwa. ‘We can’t expect someone to ‘pull themselves together’, they simply can’t. But with the right support and help, symptoms will be relieved and the recovery rate is encouraging with patients getting back to being happier, more productive members of society.’

Advice from the experts
Parenting Hub

Have you had your Vit D3 sunshine shots?

Here’s a winter health fact. Our bodies need Vitamin D for many important processes including supporting the immune system, bone and muscle building, and to promote better sleep and mood.  We can even produce enough vitamin D ourselves. That’s if we bare our arms, legs, back, chests or faces to the sun for a limited period of time, because the sun’s UV rays produce Vitamin D in our bodies. Scientists reckon that five to 15 minutes, or five to 30 minutes for darker skinned people, of sun exposure two or three times a week will do it.  But during winter, just when we need this immune boosting and stress relieving sunny gift to help us through the season of colds and ‘flu, the days are short, we stay indoors, and are usually covered up head to toe for much of the time. But, fun tip ladies: if you wear a cami under your warm clothing, you can head for a sunny spot at a warm time of day, strip off the top layers and you’re all set for a short spot of winter sunbathing. You may not wish to try this at the office! For those of us who can’t do the sun thing, vitamin D is also available in some foods, mainly in fatty fish like pilchards, tuna and salmon. Milk, yogurts and cereals are often fortified with Vitamin D too. Still, there are good reasons why many of us can’t get enough Vitamin D from sun or food (being elderly, covered up clothing for religious reasons, no time to go outside, being darker skinned…). In those cases, a one-a-day Nativa Complex® Vitamin D3 https://www.nativacomplex.co.za/immune-health/#nativa-complex-vitamin-d3 can fill the gap. It’s the newest addition to the well-established Nativa Immune Complex® range.  Nativa Complex® Vitamin D3 supplies 1000 IU of Vitamin D and can be administered from 6 years of age. Cost is around R100 for a month’s supply, from Takealot, Dis-Chem, Clicks and selected pharmacies nationwide. Read about this well formulated immune boosting range at https://www.nativacomplex.co.za/immune-health/#immune-complex-product, and then enter our competition for a chance to win one of two R750 vouchers from Cotton On . Their stylish men’s, women’s and kid’s clothing can see you through winter, and (yay) into Spring.   #VITAMIN D3  #sunshine vitamin

Parenting Hub

Five signs that you are Collagen Deficient

With winter on its way, is your body sending you the sign’s that it’s collagen-deficient? If your neck is drooping, your hair is drying out and your joints ache, these are all warning signs that you may be collagen-deficient. And the worst is yet to come.  Catherine Clark, the Owner and Founder of Harvest Table says that while there is no way to measure the amount of collagen in your body, you can generally tell when your body doesn’t have enough.  “Collagen deficiency strikes nearly everyone over the age of 30. As you age, your body naturally begins to manufacture less collagen. But this is the glue that holds your body together and without it, your body literally starts falling apart. So if you have any of the signs that you may have a collagen deficiency, it’s time to act,” Catherine explains.  Catherine shares five of the key signals that you could be collagen deficient. Wrinkling It’s not just your imagination, winter really is harder on your skin as cold air and wind strip away the skin’s hydration. That’s why you will often see more wrinkles appearing in the colder months, especially on your face. The great news is that collagen will keep your skin strong and elastic. Collagen aids in the skin’s hydration and helps wound repair and stretch marks by improving skin elasticity. It will also help your fingernails and hair grow and keep your teeth strong.  You lose flexibility If your collagen stores are running low, you may lose some flexibility and find that your tendons and ligaments are stiffer. Whether you head indoors during winter or brave the cold outside, collagen can aid in exercise recovery and muscle growth. Glycine and arginine, two of the most important amino acids found in collagen, play a role in helping to form and repair muscle tissue, healing injuries, sparing tissue wasting, boosting the metabolism and aiding in muscle development.  Joint pain Another all too common problem you may experience is joint pain. Though we often assume this is a natural part of ageing or caused by over-exercising, it can actually be due to a collagen deficiency. Cartilage is the buoyant, rubber-like tissue that covers the ends of long bones at the joints and it’s mostly made up of collagen. A collagen deficiency leads to more bone-on-bone movement, which can cause excessive friction that will lead to inflammation and may eventually progress to arthritis. Collagen will assist your body in preventing joint stiffness, swelling and pain. Cellulite A collagen deficiency can also result in worsening cellulite. When the fatty tissues underneath your skin push upward against your body’s connective tissues, the skin at the surface begins to pucker, resulting in cellulite. As your levels of collagen reduce, your skin becomes less firm, grows thinner and becomes more vulnerable to damage. The result is the all too familiar “orange peel” look that worsens with age. Collagen will boost your cell renewal and the skin’s suppleness and will reduce the all too obvious signs of cellulite.  Digestive problems Uncomfortable bloating and other gut symptoms can be an indication that your body needs more collagen. A lack of collagen in the gut can lead to intestinal permeability or “leaky gut syndrome” and symptoms include constipation, diarrhoea, brain fog, fatigue and an impaired immune system. Again, this is easy to reverse if you boost your body’s collagen levels.  Catherine says that the easiest and most efficient way to address a collagen deficiency is to look after your body with the right diet and supplements.  “While we often think of wellness in terms of what we can see and apply on the outside, there’s a lot that can, and should, happen on the inside,” Catherine explains. “By supplementing your diet with collagen and making it part of your daily routine, you can vastly improve your skin and boost immune, cardiovascular and digestive health. Healthy winter skin and joints are only one scoop away.”  Harvest Table has a wide range of collagen products that are available from www.harvesttable.co.za. Follow Catherine on Instagram: @whole_healthy_me.

RediscoverDairy

The dairy solution to lactose intolerance

“Lactose intolerance is not a milk allergy, but a gastrointestinal disturbance that happens after consuming more lactose than the body can handle”, says Maretha Vermaak, registered dietitian at Rediscover Dairy. “It is merely the inability to digest the sugar naturally found in milk and milk products, called lactose.”  Lactose consists of two sugar components, namely glucose and galactose, bound together. During normal digestion, the body produces an enzyme called lactase to separate these two sugar components, so that they can be absorbed into the blood. If the body does not produce enough of the enzyme lactase, the two sugar units cannot be separated. The milk sugar then starts to ferment, which can lead to uncomfortable symptoms such as bloating, gas, loose stools and stomach pain.  Most people who are lactose intolerant can tolerate up to 12 g of lactose in a single dose and experience few or no symptoms. A cup of milk (250 ml) typically contains 12 g of lactose. Dairy foods such as milk, maas, yoghurt and cheese provide important nutrients such as protein, calcium and potassium. Everyone – young and old – needs these nutrients for good nutrition.  Lactose intolerance should not prevent you from having a healthy, balanced diet including milk and dairy products. Here’s how you can tolerate lactose better: Consume small amounts of milk and dairy at a time and space your intake throughout the day. Full-cream milk is tolerated better than low-fat or fat-free milk. Use milk and dairy foods combined with another food. For example, have milk with cereal or pap, stir plain yogurt or amasi into soup or have cheese on bread. Eating lactose-containing foods such as milk and other dairy products with other types of food slows the digestion of lactose and so helps to ease possible discomfort. Cheeses such as Cheddar, Gouda and Mozzarella contain very little lactose (less than 1 g lactose in a portion of 40 g) and are generally tolerated well. In fermented dairy products such as yoghurt and amasi some of the lactose is already broken down. As the live cultures in fermented dairy also improve lactose digestion, yoghurt and amasi are ideal choices if you are lactose intolerant. You can also try lactose-free dairy products. Dairy products help to build strong bones and teeth and contribute to good overall health. So, don’t miss out! You can benefit from the nutrients in dairy even if you are lactose intolerant.  For any other questions about dairy, please visit: www.rediscoverdairy.co.za/askdairy/

Squish

“No One Can Live on Just One Food”. Toddler: “Challenge Accepted!”

Is your toddler going through a [insert latest favourite food craze here] phase? Think about how they want to hear the same song on repeat and play with the same toy, all day, every day. Eating the same foods every day is just another version of this. So, while we can helplessly blame this on a toddler’s love for routine and repetition, as parents, there are few things we can do to make these phases as healthy as possible. Up the Nutrition Bread, cheese, potatoes: whatever the food, be sure to always offer up the most nutritious option or version of that food. For example, leave the skin on the potatoes, a valuable source of nutrients and fibre, offer up wholewheat pasta or whole grain bread, or choose sugar- and salt-free peanut butter (may contain allergens). A good tip for starches like pasta, bread or cereal is to be guided by the food label. Aim to choose a starch product that has more than 6g of fibre per 100g, as this is defined as a high fibre food. Feeding your little one Squish 100% Fruit and Veg purees you can rest assured you are giving your little one the best. Squish is preservative-free, colourant free, flavourant free and contains no added starch, what’s more, they come in a convenient pouch perfect for meal-times or on-the-go-snacks. Texturize It is a good idea to offer up the favourite food in a variety of textures, as and where possible. This will at least allow for your little one to be exposed to various textures of foods at this time, which is important for motor and oral development. For example, bread can be toasted and cut into fingers or triangles or offered as a softer, round bread roll. Potatoes can be cut into chunks or mashed, and you can mix small, diced pieces of banana or strawberries into yoghurt. Try adding a Squish 100% Fruit and Veg Puree to a small dish and get your little one to dip their finger foods into it.  Good news for moms with slightly older babies and toddlers – Squish 100% fruit and yoghurt purees now come in a new, bigger toddler-friendly 200ml pack for growing babies with growing appetites. The bigger pouch size means you can serve your toddler a full meal or snack in one handy serving, as their appetites increase, in a convenient pouch format.  The Squish 200ml bigger pouch range comes in 6 delicious fruit and yoghurt flavours, are free from colourants, flavourants and preservatives, and are ideal for your little one’s growing needs. Flavour Focus Focus on a variety of flavours with this food, both to challenge the taste buds and offer a nutrient variety. For example, if the bread is your toddler’s current favourite you could dip in egg to up the protein and make French Toast or serve up peanut butter and banana sandwiches with added healthy fats. You can mix pureed veg like carrot into mashed potato or try different types of cheese, from softer Mozzarella to stronger Cheddar. Make them scrumptious fluffy and warm breakfast flapjacks filled with sweet, hidden fruits and yoghurt: https://squish.co.za/quick-easy-recipes/sweet/apple-banana-flapjacks/  Patience makes Perfect Throughout this time, keep presenting your toddler with other healthy foods at mealtime, as well as the favourite food.  According to research, between 8 and 10 exposures to food may be needed before a child is willing to try it. This means that patience is key when getting through these phases of food obsessions.  Like all things, it is comforting to know that this too shall pass, and it is unlikely that your little human’s current food obsession will have any long-term negative health effects. If you are concerned, speak to a registered dietitian or pediatric nurse for more helpful advice.

ChildSafe

Keeping children safe from burns this winter

Winter is the time when children are most at risk of burns. There is a lot more hot food and drink around and generally trying to stay warm with heaters and fires. All these are potential risks for burns in children. Young children can be burned very quickly, and this often happens even when an adult is present, so it is important to be alert around children. Last year, the Red Cross War Memorial Children’s Hospital alone, treated 871 children for burns, the most common (733 children) was caused by hot liquids (such as hot water, drinks and food), followed by flames (48 cases), which are caused by fires. A further 43 children were treated for touching or coming into contact with very hot surfaces such as heaters and hotplates on stoves. “Most burn injuries can be avoided. As most of the burns happen in the home, specifically the kitchen. Make sure that the entire house is installed with smoke alarms. Children are not always able to know when something is dangerous, so parents can start by checking every room in the house for possible burn risks to children. In the kitchen e.g making sure that hanging kettle cords are properly secured and out of a child’s reach. Kettles are a major cause of hot water burns, which is traumatic and can be debilitating for the child.” said Yolande Baker, Executive Director of ChildSafe. Here are a few ways to keep ourselves and our children safe from burns during the winter season. Kitchen area  Turn pot handles away when cooking Keep kettle cords and other electrical wiring out of children’s reach Place matches and lighters out of children’s reach Never hold a child while cooking at the stove Never store things like paraffin, which are highly combustible near any heat Living room  Always check the temperature of food and drink before serving to young children Always place hot liquids and food in the center of the table, using place mats instead of tablecloths which are easy to pull Keep all heaters out of reach of children Install smoke alarms to detect fires in home early Blow out candles before you leave the room or before you go to sleep – we recommend the Candle-in-a-jar Avoid illegal electrical connections and that multiple plugs are not overloaded, as these can overheat causing sparks and fires Never pass hot liquids and food over a child’s head Bathroom Run cold water before hot water Outside the home Never leave open fires unattended and in case of a fire, put the fire out with water When there is a fire inside your home: Warn people inside the house to get out safely. Help people to get out and stay out of harm’s way. If there is a lot of smoke, crawl out below the smoke to escape the fire. Where possible, have more than 1 exit from your house, with clear routes to the door. What to do in case of a burn injury: For more information on the prevention of burns, please visit www.childsafe.org.za

Parenting Hub

How Fresh is Frozen? Frozen vegetables are fresher than you think

There’s no denying that frozen foods are a lifesaver for quick meal solutions and come out tops from a convenience, lifespan, and waste-reduction point of view. But some may question the quality and nutritional value of frozen foods, not to mention the fear of preservatives. We got some insights from McCain, a leader in the frozen foods category, to dispel some of the common misconceptions when it comes to frozen vegetables and potato products. It’s fresh: “Our produce is sustainably sourced from local farmers, harvested at its peak and snap frozen within hours to maintain freshness and lock in nutrients,” says Catharina Bester, Marketing Manager: Foodservice & Retail at McCain. Freezing is a safe and natural way of preventing bacterial growth and enzyme activity and eliminates the need for undesirable chemical preservatives It’s convenient: There’s no way around it, frozen vegetables are a win on a busy weeknight.  The cleaning and chopping have all been done for you, so all you need to do is take it out of your freezer, cook according to the on-pack instructions, and serve. It’s healthy: Contrary to popular belief, freezing causes very little nutrient loss and preserves the vitamins and minerals in food – so all those fantastic nutrients end up on your dinner table, meaning you get a nutritional meal every time. Frozen produce is packed with nutritional value and provides the easiest way for you and your family to get your daily nutrition. It’s reliable: We all know the feeling of reaching for some veggies in the fridge, only to find that it’s expired or heading to the shops to get a specific ingredient, and not being able to find it. By keeping your freezer stocked with frozen vegetables and potato products, you know you’ll have what you need, ready to go, when you need it. It’s affordable: Frozen foods have a much longer shelf-life than fresh produce and you only use what you need so there’s less wastage. Meaning you get more broccoli for your buck, and not to mention less frequent visits to the store. It’s versatile: The meal options are endless – from quick snacks, tasty potato chips and wedges, stir-fries, pasta sauces and toppings and even baking. You can even create your very own personalized McCain Family Cookbook, which is easy and can be completed in just a few steps. First off, give the book a name and personalise it with a special message. Then, upload six family recipes accompanied by photos, to give it that personal touch. Then, tailor the rest of the book using easy, pre-made recipe categories curated by McCain and chosen by you. According to Danielle De Villiers, Senior Brand Manager at McCain “This cookbook is a continuation of our mission to help families grow and thrive. You can now not only receive mouth-watering, easy-to-follow and accessible recipes that the whole family will love, but also pass on your own recipes to the next generation.” Included in your cookbook will be your personalised recipes, a selection of Food24’s most popular recipes, and family-friendly meal ideas using McCain products. The cookbook will also feature Food24 editorial packed with tips, cheat guides, storage suggestions and other fun food snippets from the team, making this cookbook the perfect addition to any kitchen. Once your personalised cookbook has been completed, check out, and you will receive a digital copy in your inbox and a printed copy delivered to your door. Check out McCain’s extensive range of proudly farm to freezer products, including gluten and preservative-free chips, ready-made creamed spinach, diced beetroot, Hawaiian stir fry mix and a firm kids favourite, Smiles.Follow the #MadeWithMcCain conversation on McCain Facebook or McCain Instagram or visit their website https://www.mccain.co.za/   for more information.

RediscoverDairy

Why sMOOthies can make your breakfast seamless

About one in three people tend to skip breakfast. Breakfast is undeniably one of the most important meals of the day and smoothies are a quick and easy way to provide you with all the important nutrients you need to start your day. Why smoothies for breakfast? They can be prepared with as little as three simple, nutritious ingredients that are part of a healthy eating pattern. MILK contains a powerful combination of 9 important nutrients, such as high quality protein, calcium, potassium, vitamins A, B12 and B2, as well as magnesium, phosphate and zinc. Milk is a versatile ingredient, because in a single product you get a variety of nutrients, that are easily absorbed and ready to be used. YOGHURT, like milk, is a source of high quality protein, which helps to keep you satisfied and at the same time builds and maintains your muscles. Yogurt is a fermented dairy product that is a vehicle  of friendly bacteria and contributes to good intestinal health. These friendly bacteria are used during the manufacturing process to acidify the milk. Similar bacteria also occur naturally in the human digestive system to ensure that nutrients are absorbed efficiently from food. By eating yogurt, you help maintain the bacterial population in your intestinal tract so that you can get the best possible nutritional value from food. FRUIT is packed with important nutrients, which complement milk and yogurt. It is a rich source of folic acid, vitamin C and fiber. Together with milk and yoghurt, it makes a perfect combination for your smoothie. You can also add nuts, seeds, peanut butter, vegetables or oatmeal for texture and flavor. Smoothies are so easy to make! Try this delicious Peanutbutter Whip With Apples smoothie created by the team at Rediscover Dairy. Make it at home with a regular whisk or in a food processor. You can make it in advance and freeze it and then use it to keep your lunch box cool. It is advisable to use plain, unflavoured yoghurt because in this way you can limit unnecessary sugar. Milk and yoghurt are also available in different options. From full-cream, low-fat, medium-fat to fat-free milk which means there is an option for everyone. Alternate the type of fruit and vegetables you add to ensure variety and to give it a new, interesting flavor every day. Smoothies are a quick, easy and “trendy” breakfast option, packed with nutrients. They are a delicious, easy grab-and-go meal. Make sure you give your body the support and nutrients it needs. Try to include 2-3 servings of milk and dairy in your diet daily. Milk and dairy are good for the whole family – young and old! For more dairy tips and recipes visit the Rediscover Dairy Facebook page.

Squish

What Your Toddler Wants You to Know About Their Eating Habits

As a first-time parent, you may have thought that the most challenging part of parenting would be the newborn stage. Little did you realize the trials you would face as you enter the toddler years. Little personalities coupled with big emotions and an inability to express themselves makes it feel like you are having a conversation in an exotic language. But while our toddlers may not be able to speak to us (yet), if we pay attention, they are particularly good at communicating, especially when it comes to their eating habits. As babies become toddlers the parenting role of nourishing growing tummies continues – it’s still about the need to provide tasty, healthy meals and snacks that are nourishing, filling and simple to get into little people. With growing appetites comes growing independence and it’s exciting and liberating when little people can eat and enjoy snacks and meals by themselves.  It is normal to be a picky eater It helps to know that you are not alone in the dinnertime struggles with your toddler. According to research, fussy eating is quite common in young children, peaking at 20 months and gradually fading away by 5 – 8 years of age. This frustrating toddler habit is also about the need to express their independence as they figure out this new and exciting world. Like all things, this too shall pass. Great news for parents of picky eaters, there is a new Squish 200ml 100% fruit and veg puree offering, available in 6 delicious flavours specially made for growing kids with growing appetites. The Squish purees are preservative-free, colourant free, flavourant free with no added starch and come in a convenient pouch, perfect for meal-times, snack-times or on-the-go. “My appetite is never the same” Your child may eat breakfast like a king yet they will barely taste their dinner. It is very normal for your toddler’s appetite to change from day to day, and even from meal to meal. Every toddler is different. Some wake up very hungry to eat a lot at breakfast, while others have bigger appetites at dinner when eating with the family. Teething babies and toddlers are often not extremely interested in food, while growth spurts may mean you cannot keep up with what is on offer. Be guided by the interest your toddler expresses in food rather than assuming they will eat the same amount at each mealtime. “I’ll tell you when I am full” Babies and toddlers are particularly good at listening to their bodies and eating when hungry and stopping when full, unlike adults. Pay attention and you will quickly learn when your little one has had enough to eat. The pace of eating slows down and your toddler will purse their lips closed. They may turn their head in defiance, push food away, and even throw the food to the floor. If you don’t notice these initial signs, your toddler might get rather irritable and demand to leave the dinner table or exit the feeding chair. “Please can I feed myself” With good intentions, many parents will feed their toddlers at mealtimes. However, stepping back and letting your toddler feed themselves is a vital part of their development. The practice of self-feeding stimulates hand-eye coordination and is also important to encourage them to learn to listen to their fullness cues. From about 8 – 9 months you can start offering your baby age-appropriate finger foods like scrambled egg, small soft chunks of butternut, or grated cheese, and toddler-friendly utensils can be used from 15 – 18 months. If you are nervous, serve some meals that allow your toddler to eat on their own and others that you guide.

Nintendo

Losing weight and getting fit with a video game!

Exercise and video games seem a bit odd at first glance. Sitting on your couch with a controller or a handheld device doesn’t seem like the best way to get up and active. Over the years there have been a few games and consoles focused on getting its players up and moving, to varying degrees of success. For the current generation however, one of these is a game I was at first a bit skeptical about – Ring Fit Adventure.  At first glance I figured it was like every other gimmicky peripheral, but if you’re looking for something to get both you and your kids off the couch and moving about, then this might be what you’re looking for.  It’s not a straight exercise game, unlike some other releases in the market, but rather the entire premise is set in a hero ‘saves the world’ narrative, by completing challenges and – you guessed it – exercising while doing it.  It comes with the gaming equivalent of a Pilates ring, in which you dock one of the motion sensitive Joy-Cons. The other Joy-Con is strapped to your leg, and this monitors your movement as you quite literally run (on the spot in real life) around the environment collecting items and defeating enemies.  The Joy-Cons are surprisingly sensitive for this kind of work, and the game will tell you to correct your form if you’re holding the ring incorrectly so you can get the most out of your workout.  When we first got it, my kids were quite enamoured with the game, which gets you to complete a series of challenges that get progressively harder. It also consistently monitors your movement and heart rate, feeding back on how hard you’ve worked in each session. As a parent I was pleased that they were up and moving around, and then a part of me figured, “Hey why don’t I give this a try?”  I can honestly say that I was breathing hard and sweating by the time I finished a couple of levels, which meant that I could use it (and did) to exercise on my own as well. Apart from the fact that you can set the difficulty level, each exercise is designed to work different parts of your body, so you’re working your core, your legs and arms, as well as getting some cardio in there.  The game narrative itself is quite basic, but it does keep you coming back, even if it’s just because you feel like you’re accomplishing something as you progress.  If your kids are more inclined to play video games than run around outside, this is a great way to get them moving and perhaps more interested in exercise overall. Being able to see real world fitness results from a video game is a big draw card in my book!  If you’re a parent looking to give their kids some motivation, or perhaps looking to fit in a quick workout of your own without leaving the house when you have a few minutes, I can highly recommend giving this a try. To find out more about Ring Fit Adventure, visit the Nintendo Online Store South Africa and maybe even take advantage of the current promotion to save R1000 on the Ring Fit Adventure set which includes the Nintendo Switch console. By Pippa Tshabalala on behalf of Nintendo Distributor SA

Bonitas – innovation, life stages and quality care

Toddler Milestones

The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Growing children Children grow and learn at their own pace. It is normal for your child to be ahead in one area, but behind in another.  Learning what is normal for each age group can help you feel comfortable with where your child is at and spot any problems early on. Milestones: age 2 Milestones for age 2 include: Walking by themselves; this usually takes place between 9-17 months with the average being 14 months Running: about 6 months after learning to walk Climbing stairs and onto furniture Kicking a ball Ability to scribble with crayons, pencils or markers Imaginative or make-believe play Communication includes using real words by 15-18 months and simple phrases by 18-24 months Milestones: age 3 Milestones for age 3 include: Improved balance: can stand on one foot for a short time, can petal a tricycle and can walk upstairs without holding the railing All baby teeth have come through Potty trained during the day 20/30 vision Communication includes increased vocabulary (hundreds of words), uses short sentences, uses plurals and pronouns and asks many questions Can dress self with exception of laces, buttons, etc. Knows their name, age and gender Learns to share Milestones: age 4 Milestones for age 4 include: Hops on one foot well Throws a ball overhand well Uses scissors to cut out a picture Communication includes increased vocabulary (thousands of words), uses longer sentences, uses past tense and asks even more questions than ever Learns simple songs Starting to understand time better Milestones: age 5 Milestones for age 5 include: 20/20 vision Increased coordination: skipping, jumping and hopping well Learning to use writing utensils well Communications includes increased vocabulary (over 2000 words), uses sentences with 5 or more words and uses all parts of speech Knows the primary colours Learning to understand math Learning to behave with more responsibility and less aggression

Parenting Hub

Infertility challenges during COVID-19? Help is available!

June is World Infertility Awareness Month, a time dedicated to heightening awareness about infertility – a medical condition often not widely spoken about yet something which affects a surprisingly large number of couples around the world.1a “Infertility is when you cannot get or stay pregnant after trying for at least a year and you are under the age of 35, or if you are over the age of 35 and are unable to get or stay pregnant for six months,” says Dr Sulaiman Heylen, President of the Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SASREG).” In the past few years, the number of couples seeking treatment for infertility has dramatically increased due to factors such as postponement of childbearing in women, and lifestyle factors such as stress, smoking and body weight.1b However, an additional recent stumbling block has been the fear of contracting COVID-19 which has had an impact on delaying people’s fertility journeys. For those already undergoing fertility treatment, when COVID-19 hit, there was a suspension of treatment worldwide and the subsequent delay of fertility treatments has resulted in much psychological distress for many patients.2a The month of June therefore aims to highlight why it’s so important not to let the pandemic ruin one’s fertility plans. “In addition to psychological issues, there are the physiological ones too,” says Dr Heylen. “Delaying fertility treatment due to fear of COVID-19 can further reduce your chances of successful treatment outcomes, with studies showing a reduction in live birth rates in patients who have postponed treatment.” “Treatment was suspended during the hard lockdown, but clinics are open once again, and particularly ‘high risk’ patients whose chances of falling pregnant would be further reduced by delaying treatment are encouraged to seek assistance,” says Dr Heylen.  Dr Heylen says that infertility is a disease as defined by the WHO that can lead to disability (loss of function). “Section 27 of the constitution entrenches the fundamental right to access healthcare services and specifically includes reproductive health. SASREG feels that fertility services are an essential service and should therefore not be withdrawn for patients for whom delay in treatment would affect their prognosis.” “It’s very important to stress that assisted reproductive technology (ART) clinics are safe and have taken precautions to ensure the health and safety of patients and staff, while we await the availability of the vaccines,” says Dr Heylen. “There is minimal risk of exposure to the virus at these clinics and there is therefore no need to wait for a vaccine to reach out to receive fertility treatment.” Dr Heylen also notes that there has been much misinformation circulating online about the potential negative impact the COVID-19 vaccine might have on fertility, which has been causing patients to delay treatment while deliberating whether to have the COVID-19 vaccine or not.2b With COVID-19 vaccines now available globally, the British Medical Journal (BMJ) has stated that there is “absolutely no evidence” that these vaccines can affect the fertility of women or men.3a “Patients undergoing fertility treatment should be encouraged to receive a COVID-19 vaccine when it becomes available to all South Africans,” says Dr Heylen. “There’s no evidence that vaccination before or during fertility treatment will impact the outcome of treatment in any way. As the vaccine does not contain any actual virus, there is also no reason to delay pregnancy attempts after vaccination.” People undergoing fertility treatment (in vitro fertilisation (IVF), frozen embryo transfer, egg freezing, ovulation induction, intrauterine insemination, or using donated gametes) can be vaccinated during treatment but may wish to consider the timing given the potential side effects in the few days after vaccination.3c People may start their fertility treatment immediately after being vaccinated, unless they wish to have a second dose before pregnancy.3d Those who are donating their eggs or sperm for the use of others can also still have a COVID-19 vaccine.3e Don’t delay fertility treatment One in every four couples in developing countries is affected by infertility4a, while one in six couples worldwide experience some form of infertility problem at least once during their reproductive lifetime.1a The current prevalence of infertility lasting for at least 12 months is estimated to affect between 8 to 12% worldwide for women aged 20 to 44.1a “More than 50% of patients who visit a fertility centre are 35 or older,” says Dr Heylen. “It is very important for people not to wait too long when they consider having children. Young women need to be aware that there is a slow decline in fertility from their 20s until the age of 35, after which it starts to decrease rapidly until the age of 45. About half of infertility cases can be linked to the male. It’s therefore extremely important to investigate your fertility options and fertility preservation earlier in life, rather than leaving it too late. A woman who is not ready to have a child can choose to freeze her eggs to try to preserve her ability to have a child later on should she wish to.” Treatment options It is now estimated that more than 9 million babies have been born worldwide since the first IVF baby was born in the last 70s.1c The most common fertilisation treatment is intracytoplasmic sperm injection (ICSI)1e. This accounts for around three quarters of all treatments globally while conventional IVF accounts for around one quarter.1e Success rates from frozen embryo transfer are increasing too.1e “The good news is that over the last decade the advances that have been made in the field of assisted reproduction are massive and there is hope for those who might be suffering from some form of infertility,” says Dr Heylen. “You are not alone and there are many options available to help you realise your dream of having children.” Visit a fertility clinic near you to speak to a doctor about the options available to you and your partner. For more information, visit www.merckfertilityjourney.co.za #WorldInfertilityMonth #DontDelay #Merck

Baby Tastes

Baby & Kiddies Tastes makes meal time lekker for the little ones

Many South Africans live demanding lives where time is of the essence and nobody feels their pressure more than the moms and dads who, after a long day still need to ensure that the little ones have a nutritious meal when needed. Thankfully Baby & Kiddies Tastes can relieve you of that task. What is Baby & Kiddies Tastes? Baby & Kiddies Tastes trusted meal supplier for the little ones between the ages of 6 to 12 months, then up to 6 years old. The company was started by Vanessa Crichton, a dedicated mother, wife and entrepreneur who also knows her way around the kitchen, trained as a chef in London. Having started many other successful culinary companies such as Exquisite tastes catering, Vanessa, who has eleven years’ experience in making children’s food has turned her attention to helping moms and dads when it comes to mealtime for their young kids. What does Baby & Kiddies Tastes offer? Baby & Kiddies Tastes offer nutritionally tested fully textured, natural and healthy frozen meals for children between the ages of 6 to 12 months for children up to the age of 6 years old. Meals are made using the best ingredients that are also packed with flavour. Vanessa has meticulously crafted up to 50 different flavour combinations ensuring that every meal is a great experience for your child. What are the benefits of using Baby & Kiddies Tastes? Baby & Kiddies Tastes takes away the stress of having to prepare a meal for your young ones and ensures that every meal is jam-packed with essential nutrients that children need. It is also easy to prepare as the meals are cooked and frozen with a 2-month freezer life. It is also worth noting that our meals contain no additives or preservatives and no added salt or sugar, due to this, we do not suggest freezing for longer than 2 months. What other advantages can moms and dads benefit from? We know that convenience is key when it comes to mealtime, as mentioned our meals are packed with flavour and full of nutrients but they also offer added benefits. These include innovative modular packaging which limits food wastage. We know that kids can get a bit inquisitive and might make an unwanted mess. For this reason, we provide tamper-proof Kiddies Tastes tubs for those who are slightly older. Our packaging is also recyclable. Are there currently any special offers? We have a allergen range, “Local is Lekker” options, as well as vegetarian meals.  Free delivery is offered for monthly orders. How do I get Baby & Kiddies Tastes meals? Baby & Kiddies Tastes offers free delivery on all monthly orders and we deliver to Johannesburg and Pretoria based areas. Ordering is quick and easy, just head over to www.babytastes.co.za where you will find a list of our meals. Customers can order individual meals or place a monthly order. Alternatively, contact us via info@babytastes.co.za and your order will be delivered within 3 to 5 days.  Baby & Kiddies Tastes brings the freshness and goodness of local South African ingredients to your freezer, ready for your child’s meal time, anytime. 

RediscoverDairy

“Milk, what a winner! “

“Cow’s milk is a versatile and convenient source of essential nutrients for everyone. It is one of the top food sources of calcium and also contains a unique combination of valuable nutrients, of which some are typically lacking in many South Africans’ diets,” says registered dietitian at Rediscover Dairy, Maretha Vermaak. These include calcium, potassium and vitamin A. Milk is also an affordable source of good-quality protein, and its overall nutritional value stems from more than just the sum of its individual nutrients. What’s more is that milk is a filling food item, ready to be enjoyed just as it is or as a base in other dishes. Here’s what you should know when choosing the best milk options for everyone in your family. Your milk choices  The only difference between full-cream, low-fat and fat-free milk is the amount of fat per serving, which is also reflected by the energy value (kJ). A 250 ml serving full-cream milk contains 8 g fat and 640 kJ compared with 4 g fat and 518 kJ in low-fat milk. Fat-free milk contains 0.5 g fat and 362 kJ per 250 ml serving. You can also choose to buy fresh (pasteurised) milk or milk that keeps for longer, such as long-life or powdered milk. It doesn’t matter which one you choose – each offers you all the goodness of cow’s milk. Always keep fresh milk in the fridge. Long-life milk can be stored in the cupboard until you need it, but put it in the fridge once it has been opened. Powdered milk is convenient because you can prepare only as much as you need at one time. Know what’s in your basket Be sure that what you buy as powdered milk is made from real cow’s milk. The list of ingredients will be short and the first item will always be full-cream or fat-free (cow’s) milk. If not, it’s not real milk. Don’t be fooled: coffee creamer is not cow’s milk! Coffee creamer is made from unhealthy plant fats and contains very little protein (0.1%) and no calcium or any of the other important nutrients of milk. Coffee creamer is not a substitute for milk and can never replace milk or formula milk in the diet of children or babies. Take your pick: you’ll get the same unique combination of nutrients and the taste you love whichever milk option you choose!  Did you know?  Want to use milk later? Simply freeze it in smaller containers, and then let it thaw in the fridge before use. A quick shake once thawed and it’s ready to drink or use in your favourite recipes.   Do you have any questions about dairy? Rediscover Dairy has your back, just visit the AskDAIRY page and find an answer to any of your questions. We now have more than 100 questions and answers listed: https://www.rediscoverdairy.co.za/ask-dairy/

Mums Support Network

The silent victims of PND

One in three women suffer from Perinatal Distress (PND) in our country, according to the South African Depression and Anxiety Group (SADAG). But the terrifying truth is that it’s not just the women who suffer; it’s often their partners who take strain, even to the point of being diagnosed with PND themselves.  Hubby’s hormones Women’s hormones undergo major changes during and after pregnancy, but they’re not the only ones. The lack of sleep and increased stress that new fathers experience can also take a toll on their bodies, creating real hormonal shifts that are often overlooked. Craig*, whose wife Claire* was diagnosed with PND soon after the birth of their first child, began to feel off kilter around the same time, but “everyone was so concerned with Claire, nobody even asked me how I was doing.” Because Claire wasn’t coping, Craig felt added pressure to take on extra duties with the baby and around the house – on top of maintaining a full-time job. He “somehow muscled through” those first few difficult weeks, which turned into months before he realised how severely it had affected him.  Real men do cry At the end of his rope, Craig realised he had to do something about his situation. He reached out to a friend, who suggested he see a doctor. Through a combination of medical support, psychological therapy, and practical assistance (in the form of family, friends and a night nurse), Craig made a full recovery and is the happy husband and father he always dreamed of being. “It was the darkest and scariest period of my life,” he confesses. “Sometimes I’m not even sure how I made it through, but I am so glad that I did.” Not only is it unhelpful to bottle up emotions instead of working through them in a healthy way, it also sets an unrealistic and unhealthy example for older children and others who look up to you as a male role model. Like all humans, men experience a range of feelings triggered by both hormones and environmental factors, and by reaching out for help, you are doing the best thing for yourself, your family, and for society in general.  Risk factors Each father is an individual, but there are broad factors that may place someone at added risk of developing PND. These include a personal or family history of mental illness, a strained relationship with the mother of the child, or difficulties with the child – this could be anything from colic to serious medical conditions that induce additional stress and/or concern. Financial pressure, problems at work and feeling unsupported (not having a circle of family or friends to confide in) can also increase the risk. Single fathers are also at added risk.  However, perhaps the biggest risk factor is that so many cases of paternal PND go undiagnosed (or are diagnosed too late, once major damage has already been done) because the condition is not acknowledged or accepted as a legitimate illness. “Let me tell you, it is real!” implores Craig.  It’s essential that every new and expectant dad ensure he has the support of at least a few key friends or family members who can be a shoulder to lean on and, occasionally, a pair of hands to hold the baby. Further, we as a society need to update our mindset when it comes to supporting new and growing families. “People always ask how the baby is,” Craig points out. “Sometimes they ask how the mother is doing. But nobody ever asks the dad.” A family affair Treatment of the mother is important but should not be in isolation from treatment of the family as a unit. Some doctors are reluctant to include fathers in the treatment plan for PND or even to talk to them about it, because of concerns about breeching doctor-patient confidentiality. This further disempowers fathers from helping to heal the family unit as a whole. It’s crucial to find a healthcare practitioner that sees and treats new and expectant families together (this, of course, includes a broad range of family structures including unmarried partners, same-sex families, adoptive parents and single-parents with their own unique support structures).   Don’t live in denial  Craig’s advice for dads struggling with PND? “It doesn’t matter how you got here. It doesn’t matter what you think of mental illness. It does matter that you are here. It does matter that your partner needs kindness and the way to provide that is to accept that you are here. Then act.” You heard the man! Make that call. Take that first step. You – and your family – deserve it.  *Names have been changed to protect identities.

Bonitas – innovation, life stages and quality care

Infant Milestones: the first year

The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Milestones: 1-3 months Milestones for months 1 to 3 include: Ability to raise head and chest when laying on stomach Stretches arms out and kicks when laying on back Smiles purposefully Enjoys playing with other people Can follow a moving object with eyes Ability to open and shut hands and bring hands to mouth Ability to grasp and shake a toy Communication includes facial expressions and body movement, coo’s and babbles Begins to imitate some sounds and expressions Begins to recognize toys and people from a distance Hand-eye coordination improving Milestones: 4-7 months Milestones for months 4 to 7 include: Uses hands and mouth to explore Can find a partially hidden object Attempts to get objects that are out of their reach Can roll from back to tummy and tummy to back Can sit by self for a short time, with or without hands and sit in a highchair Ability to transfer toys between hands, point and reach for objects Communication includes using more variety of sounds and pitches; uses sound to reflect moods, babbles to get attention and can imitate sounds better Play becomes more intentional Milestones: 8-12 months Milestones for months 8 to 12 include: Can move to a sitting position and crawling position on his/her own Crawling Sitting independently Pull up, stand and walk while holding onto furniture; may even take a few steps independently Grasp objects with thumb and first finger; can finger feed themselves Place toys into containers and take them out; find toys that are hidden Communication includes saying mama and dada, oh-oh, shaking head yes or no and imitating other sounds; may even say their first word Uncomfortable around strangers and cries when mom or dad leaves

RediscoverDairy

World Milk Day reminds us why milk is great for busy parents and families

There’s little doubt that our pandemic experience over the past year, has increased our focus on our family’s health and well-being.  The trend towards ‘functional foods’, those with benefits beyond simple nutrition, has been accelerated and is likely to carry through into our post-Covid lifestyles. In this quest for healthier eating, many of us are discovering more about some of the foods that have been our favourites since childhood.  Milk is a good example.  It’s a whole food with a unique combination of nutrients that contribute to health at all stages of life. 1 June is the celebration of World Milk Day, and it highlights that dairy offers the family multiple benefits, from meeting our daily energy requirements and promoting gut health, to helping us get a good night’s sleep and strengthening our immune systems.  As a parent, dairy has your back Dairy gives everyone in your family nutritional support to help cope with busy and demanding days. Always delicious and amazingly versatile, it’s a favourite kids’ food. That’s such a blessing because dairy is a powerful daily nutritional boost, ideal for growing bodies.  Registered dietitian at Rediscover Dairy, Maretha Vermaak says, “Milk is a source of valuable nutrients such as good quality protein, naturally occurring sugars, and micronutrients such as vitamins and minerals and an array of different fats. This one-of-its-kind nutritional profile offers a range of benefits from building bones and strengthening teeth, to supporting digestion and the immune system.” It’s so convenient to use, any time of the day, and in so many different ways. Dairy can easily be part of every meal, breakfast, lunch and dinner, as well as snacks and lunchboxes.  Including milk, maas, yoghurt or cheese in your family’s diet three times a day will help to ensure that your body gets what it needs.  Check out these family-focused dairy ideas from Rediscover Dairy.   Energy to get your family through the day – Dairy foods deliver a package of naturally occurring nutrients that are easily absorbed by the body while also providing energy. Vitamin B12 helps with energy metabolism and also keeps both adults and kids mentally alert throughout the day.  The protein in dairy is complete, which means it provides all the essential amino acids needed to build and repair body tissues. Essential amino acids cannot be made by our bodies and need to be taken in from protein-rich foods. Milk protein also makes you feel fuller for longer and can help to prevent unnecessary snacking. For the active family, milk and flavoured milk also offers a good rehydration option after high energy games, sports and outdoor family fun, while also helping with muscle recovery and repair.  Gut health for overall wellbeing – Young or older, a healthy gut microbiome – your intestinal community of microorganisms – supports overall health and wellbeing. Fermented dairy foods such as yoghurt, maas and kefir provide probiotics, which are active bacterial cultures that benefit the gut microbiome and impact on overall health. Adequate, daily portions of yoghurt, maas and kefir in your family’s eating regime helps to promote the diversity of the gut microbiota.  Strong immunity supports a productive and active lifestyle – We are all concerned about keeping healthy and warding off infections and illnesses that may impact on our family’s wellbeing. Eating a balanced diet that includes foods from all the different food groups will help build a strong immune system, so that each member of the family can lead a productive and active lifestyle. The protein, vitamin A and zinc provided by milk are especially beneficial in keeping immune systems strong, and the probiotics provided by fermented dairy products give extra support. A good night’s sleep – It’s true, a glass of warm milk at night will help you and your children sleep more peacefully. Elevated stress levels often interfere with our ability to get a good night’s rest. Milk contains the amino acid tryptophan and our bodies use tryptophan to produce the ‘feel-good’ hormone serotonin, which aids relaxation.  Dairy is affordable all-round nutrition Milk and dairy are nutrient rich, packed with many essential nutrients, and are definite nutritional value for money. By just adding milk, maas or yoghurt to a meal, you can make healthy food choices and give your family much-needed nutrients to stay strong and healthy.  Celebrate World Milk Day  Milk and dairy are worth celebrating indeed! Join in on 1 June this year and be part of World Milk Day. Connect with Rediscover Dairy on Facebook and Instagram and tap into all the great ways to include dairy in your family’s healthy lifestyle.

Bonitas – innovation, life stages and quality care

Boosting your immune system

The global pandemic has highlighted more than ever the need to stay healthy and keep our immune systems as strong as possible.  It is well documented that people with  co-morbidities and poorly functioning immune systems are at the highest risk of getting really ill from Covid-19.  Although you cannot suddenly reverse a co-morbidity or instantly boost your immune system, now is a good time to make your health and natural defences a priority.  Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund offers some input as to how to boost our immune system and keep it that way.  What is the immune system? The immune system is a complex network of cells and proteins that defend the body against infection.  It also keeps a record of every germ (microbe) it has ever defeated, so it can recognise and destroy the microbe quickly if it enters the body again. Dr Mkhatshwa stresses the fact that Covid-19 is a novel (new) pathogen which means our bodies don’t have any existing antibodies to mount a defence. For that reason, it remains imperative to continue wearing masks and practising social distancing, hand hygiene and cough etiquette. Can over-the-counter vitamins and supplements help?   There is no magic pill that will instantly boost your immune system. However, together with a healthy lifestyle habits, various supplements can boost your immune system and give you a fighting chance.  What are considered useful vitamins and supplements to take? The recommendation for general health is a combination of 5 essential vitamins and minerals to keep your body healthy. These include: Vitamin C:  Supplementing with Vitamin C has been shown to reduce the duration and severity of upper respiratory tract infections, including the common cold. This vitamin can also be found in oranges, grapefruit, broccoli, strawberries, red bell peppers and tomato juice. Vitamin D: Also fights off infections and maintains strong bones. Vitamin D has been highly researched in connection with Covid-19 because of its effect on the immune system. – it is found in salmon, mushrooms, milk, cereals and breads. Studies have shown that Vitamin D can expedite healing and stall inflammation in the respiratory system but there has not been robust clinical evidence to prove its use against Covid-19. Vitamin A:Helps regulate the immune system and protects against infections by keeping your tissues and skin healthy – it can be found in sweet potatoes, carrots, apricots and spinach. Vitamin E: Is an essential antioxidant that helps fight cell damage. Nuts and peanut butter are filled with Vitamin E. Zinc: Works as an antioxidant and boost the metabolism along with healing wounds.  Meat, shellfish, beans/legumes and nuts/seeds are high zinc foods. Zinc is needed for immune cell development and communication and plays an important role in inflammatory response. A deficiency in this nutrient significantly affects your immune system’s ability to function properly, resulting in an increased risk of infection and disease. It has also been highly researched in the fight against Covid-19 but sadly has not shown any proven clinical results. Taking a deep breath – the science behind breathing and the immune function Your mental state influences your physical health. Our immune and lymphatic systems are chemical based so we are essentially a collection of chemicals, from our brains to our bones.  The air we breathe converts into chemicals that we need to fuel our cells. The way we breathe matters and even impacts our body chemistry. The physiological responses to deep, controlled, mindful breathing is so profound that if we could bottle them and sell them as drugs, they’d be worth a fortune.  Learn to exhale, activate your diaphragm, breathe deeply and work on fixing your posture. Simply thinking about better breathing will trigger positive immune responses. Breathing slowly and deeply is one of the most effective things you can do right now for your wellbeing. The immune function and auto-immune disease are complex topics. The state of our health is not black and white, nor can it be affected by one-stop solutions. A holistic approach to health will always win against quick fixes. Once we understand that, improvements in these essential body systems can happen naturally.  Will the flu vaccine help your immunity?  Flu vaccines have been shown to reduce the risk of influenza illness, hospitalisation and death. Not only will flu vaccinations reduce the risk of getting flu but are an important conservation measure for scarce health care resources. This remains a concern with the ongoing the Covid-19 pandemic.  A protective antibody response takes about 2 weeks to develop so should be taken early.  The third wave of Covid-19 in South Africa, as predicted by The National Institute for Communicable Diseases (NICD), has begun and Dr Mkhatshwa recommends doing everything you can to boost your immune system, according to your personal preference.   In terms of Covid-19, it’s especially important to understand that no supplement, diet or other lifestyle modification, other than social distancing and proper hygiene practices can protect you. 

Parenting Hub

Building muscle the healthy whey!

One of South Africa’s leading collagen pioneers, Harvest Table, has recently added to its innovative range of health-boosting products with the launch of its Power Shakes, specially-formulated sports nutrition for athletes of all shapes and sizes. Catherine Clark, the Owner and Founder of Harvest Table, says that as part of a healthy lifestyle, a growing number of South Africans are getting actively involved in sports on a regular basis. At the same time, consumers are becoming increasingly educated about their health and are looking for nutritional solutions that will boost their performance and their health.  “Attitudes towards exercising have changed during the past decade but sports supplements have not necessarily kept pace with the latest research,” Catherine says. “We identified a gap in the market to supply good quality sports nutrition that can help both the race snakes as well as the weekend warriors build muscle, sustain higher levels of activity and minimise injuries.”  So, Catherine and her team put their heads together to formulate a nutritional shake that would benefit athletes’ overall health and wellness. The result is a tasty range of three shakes that pack a powerful combination of grass-fed whey concentrate, collagen and I-glutamine, a unique blend that offers a wide range of health benefits. “Whey is a key ingredient in our shakes as athletes have been using it to build muscle for years. But whey is often over-processed and can be damaging to the digestive system, leading to discomfort and even ulcers,” Catherine explains. “To overcome this, we’ve used a good quality grass-fed whey that delivers the same muscle-building properties but is much gentler on the gut,” Catherine explains. While whey is seen as the prerequisite for building strong muscles, joint maintenance and bone strength are equally important for athletic performance. This is where collagen is recognised as the rising star in sports nutrition. Collagen is a basic building block for strong bones which are essential to support muscle development and help prevent injuries whilst also ensuring faster recovery times. “Collagen is a complex protein that acts like a glue in the connective tissues throughout your body. It has a special combination of 19 amino acids that help to fight inflammation and to repair, maintain and restore muscle mass. In fact, your tendons and ligaments are made up of around 75% collagen so supplementing your diet with collagen will help to reduce potential pain or injury and help you to recover, even after a strenuous workout,” Catherine explains. While injury prevention and quick recovery are important, most sportsmen and women want bags of energy as this is what really makes a massive difference when it comes to physical performance. Again, this is where collagen really is a stand-out. The amino acid glycine is found abundantly in collagen and this is needed to form creatine, which as any athlete knows, promotes healthy muscle growth and produces energy.  “The combination of ingredients in our Power Shakes ensure that you have more energy to move and exercise and more lean muscle on board to keep your metabolism fired up, making it much easier to power up your performance. Whether you’re hitting the road for a gentle five-kilometre training run or gearing up for a 100km bicycle race, you will have the optimal nutritional balance to go out harder and bounce back faster,” says Catherine.  The Harvest Table Power Shake range includes three varieties: Power, Endurance and Repair, each of which provides the nutritional support required to target a specific performance requirement. The Power Shake range can be ordered directly from the Harvest Table online shop at www.harvesttable.co.za Follow Catherine on Instagram: @whole_healthy_me.

Parenting Hub

AMASI is simply amazing!

Amasi (also known as maas) is a well-loved product that forms part of many cultures within South-Africa. Our ancestors traditionally prepared this fermented drink by storing unpasteurised cow’s milk in a calabash or hide sack. This allowed the milk to ferment. Today amasi is made by adding live cultures to full-cream pasteurised cow’s milk. These live cultures help the fermentation process along, which gives amasi its distinct sour taste and additional health effects.  This Mzansi culinary treasure is absolutely great for baking! Amasi is a perfect substitute if you can’t find buttermilk near you. Here is a fabulous, quick and easy Rediscover Dairy scone recipe you can try: You will need: 250 ml amasi (maas) or buttermilk  1 cup self-raising flour  1 cup grated cheddar cheese  ½ teaspoon salt 1 egg Pinch of cayenne pepper (optional)  Some extra goodies you can add to the batter:  Chopped spring onions (or chives) topped with feta Melted butter and a little honey which makes a pouring sauce for the top Directions: 1. Pre-heat oven to 180°C. Spray and Cook a muffin tin. 2. Add all the ingredients to a big bowl and mix until incorporated. Do not overmix, as it could result in dense scones. 3. Spoon the mixture into your muffin pan. Pro-Tip: use an ice-cream scoop to get equal sized scones. 4. Bake until golden brown 15–20 min, or until a skewer inserted into the centre comes out clean.  Take out and rest on a wire rack. Serve and enjoy!    The Rediscover Dairy team loves this recipe because it is quick and easy to prepare and suitable for many occasions from breakfast, snacks, quick dinner served with cheese. It’s made with amasi, but you can use plain yoghurt or milk Amasi is good for the whole family: the live cultures in amasi help to build a strong digestive system and keep the immune system strong  like other fermented milk products, amasi is generally tolerated well by people who are lactose intolerant. it is also a good meal replacement when your household’s meat stores are low.  For better health, make amasi part of your three servings of dairy a day!

Parenting Hub

New delights and a new look for SASKO Bake Mixes

Much loved South African household brand, SASKO, has announced the launch of two new flavour variants in its popular SASKO Bake Mix range, Red Velvet and Sweet Dough. SASKO’s new Red Velvet Bake Mix, a signature cake that should evoke as much excitement as the first slice of cake placed on a plate will now be easy to whip up and bake in the comfort of your home. This delicious and easy to bake mix is versatile and is equally well received as a cupcake or even as a cake pop.  The new SASKO Sweet Dough Mix is an equally tasty and versatile offering. It’s a welcome shortcut for busy cooks who are hankering after vetkoek, doughnuts or delicious juicy koeksisters. This indulgent memory trip in a bite tastes just as good as the fresh doughnuts Ouma used to serve over weekends – or when mom wasn’t watching. In addition to the two new flavours, SASKO Bake Mixes packaging has also received a makeover and features clean lines, with SASKO’s signature Seshweshwe-inspired print, which speaks to our South African Heritage. The SASKO Bake Mix range also features Vanilla Flavoured Bake Mix, Chocolate Flavoured Bake Mix, Bran Bake Mix, Scone Bake Mix, and a very handy Pancake, Flapjack and Waffle Mix. There is something for everyone and thanks to SASKO, it’s simply a case of adding a handful of extra ingredients to satisfy that craving.  For more information on SASKO, visit the website or follow SASKO on Facebook and Instagram for news and inspiration.  ##SASKOBakeMixes  #DeliciouslyEasy RECIPES: SWEET DOUGH RING DONUTS Ingredients: 500 g SASKO Sweet Dough Bake Mix 90 g Butter 2 Extra large eggs 125 ml Milk 125 ml Boiling water 5 ml Vanilla essence 10 g Instant dry yeast Vegetable oil for frying Method:  Add butter to boiling water in a mixing bowl and cool. Add eggs and vanilla essence to the butter mixture and mix. Add milk and mix. Add bake mix, yeast and make a dough. Close the dough with cling wrap and allow to rise for approximately1 hour. Roll into thick coil and cut, shape into donuts and allow to rise again until preferred height. Once oil has heated, place ring donut in oil and fry until golden brown. SWEET DOUGH VETKOEK   Ingredients: 500 g SASKO Sweet Dough Bake Mix 10 g Instant dry yeast 350 ml Lukewarm water Vegetable oil Method Mix bake mix and yeast in a large mixing bowl by hand. Add the lukewarm water and make a dough. Close the dough with cling wrap and allow to rise for approximately 1 hour. Roll into a small round shape or preferred size. Once oil has heated, place vetkoek in oil and fry until golden brown. RED VELVET CAKE POPS Ingredients: 1 x SASKO Red Velvet Baked Cake (see recipe as per above) 200 g White cooking chocolate Cake Pop sticks 75 g Butter / Margarine 1⁄2 tsp Vanilla essence 150 g Icing sugar Method:  Add 1 x 18 cm layer cake to a large bowl and crumble until it resembles fine crumbs. For buttercream: Soften butter and add the icing sugar and vanilla essence. Mix well until all is blended. Add in buttercream a little at a time until cake is moist, still slightly crumbly and can hold a ball shape. Roll into balls. Melt at least 3 blocks of white cooking chocolate in the microwave. Dip the tip of the cake pop sticks into white chocolate and insert into cake balls. Freeze for 20 minutes. Melt the remaining chocolate in a microwave-proof bowl. Carefully dip the cake balls into the chocolate until covered. Swirl and tap gently to let the excess chocolate drip o. Decorate with sprinkles while the chocolate is still soft. RED VELVET CUPCAKES Ingredients: 500 g SASKO Red Velvet Bake Mix 2 Extra large eggs 90 ml Milk 80 ml Water 160 ml Vegetable oil Method:  Preheat oven to 180°C. Beat oil, milk, water and eggs together with a whisk in a mixing bowl. Add the bake mix to the egg mixture. Mix with an electric beater (low speed) or by hand with a whisk for 1 minute. Equally divide cupcake batter into a well-greased mun pan with cupcake holders. Bake for 20-25 minutes. Once cooled down, decorate with desired icing and decorations.

Squish

Squish Launches New 200ml Bigger Pouch for Toddlers

For Growing Kids with Growing Appetites South Africa’s, well-loved, convenient baby food brand, Squish has launched an SA first, a new larger 200ml pouch size especially for toddlers and their growing appetites. The new, bigger 200ml pouch range sees the popular baby and toddler food brand extending its existing range of ready-to-eat 100% fruit and veg and yoghurt purees and pressed juices, giving parents another reason to love the 100% goodness and convenience of Squish. The range includes three yoghurt flavours and three 100% fruit puree flavours packaged in the convenient new, bigger 200ml pouch. “We have created this larger pouch size with our consumers in mind, providing a new, innovative solution for babies and toddlers with growing appetites,” says Tamara Patel, Brand Manager for Squish at RFG. “The bigger Squish 200ml pouch is perfectly sized for growing kids, in a convenient format that parents want, in a size they want.” Patel explains that the latest extension to the Squish product range came after identifying the opportunity to introduce a larger pack-size, “The 200ml Squish range has been developed for parents who have grown to love Squish during their baby’s weaning journey, but are looking for a larger meal for their babies and toddlers as they grow older.” “Like all our Squish products, the utmost care has been taken to ensure that we offer our consumers the best product possible,” she adds. “We do not compromise on quality ingredients, there are no preservatives, colourants, flavourants or starch, and we fully control our supply chain, meaning we can control the quality of raw materials from the fields, right through to the end product.” She says, “Our Squish puree range is made from 100% fruit and vegetables, and is preservative, colourant and flavourant free with no added starch. Our 100% fruit and veg puree with yoghurt range is made with double cream yoghurt, not yoghurt powder, which offers us a notable point of difference.” “With our new bigger pouches, parents can rest assured they are offering their children the same goodness and great taste they have come to rely on from the Squish 110ml range,” she adds. “We understand that parents want the best for their children, but they are often pressed for time. With the extension of this larger pack size, they can feel confident in the knowledge that they are not compromising on the quality of ingredients for baby through to toddler.” “Over the past few years, we have seen a switch in consumer behaviour from jars to pouches. The pouch format offers a safe, hygienic and convenient offering,” Patel explains. “We saw the need to provide a larger pack to parents of older babies and toddlers. Where they would have previously purchased two pouches per meal for their growing little ones, the 200ml pouch is an all-in-one meal for an older baby, or the perfect lunchbox snack for a toddler”. The Squish range now comprises a wide range of purees in 110ml and 200ml pouches, and a 100% fruit and veg pressed juice range ensuring that parents find a range of convenient, quality products to help them on their weaning journey, from starting solids right through to toddlers and beyond. The products are available nationwide at top-end retail, wholesale and specialist chains – find Squish in the baby food section. For more information visit: www.squish.co.za or follow Squish on Instagram: @rhodes_squish

Bonitas – innovation, life stages and quality care

Free Flu Vaccines

Annually, seasonal influenza (flu) kills around 11 500 people in South Africa. Which is why Bonitas Medical Fund offers flu vaccines annually at no cost – to every member and beneficiary. The Fund has announced that the cost of administering the flu vaccine – as well as other vaccines covered from the risk benefit – will also be covered or subsidised for its members. Flu vaccines have been shown to reduce the risk of contracting flu, becoming seriously ill if you do, being hospitalised and even death. Flu vaccinations are also an important conservation measure for scarce health care resources, which remain a concern during the ongoing the Covid-19 pandemic. According to Principal Officer of Bonitas, Lee Callakoppen, the World Health Organization (WHO) has also recommended that high risk groups consider having the flu vaccination in 2021, particularly because of Covid-19. ‘As part of our preventative care benefit, we offer free flu vaccinations annually to our members to help maintain their health and immunity.  ‘Due to the unique circumstances created by the pandemic and our members being financially constrained, we have negotiated with our network of over 60 pharmacy groups – which include Dischem, Clicks and PnP – to cover cost of the flu administration fee, capped at R50. However, should a provider charge more than R50, the shortfall will be for the member’s account.’ He says the Scheme is financially stable and sound and has set aside funds to cover the flu vaccine – estimating around 40 000 doses will be utilised during the 2021 season – along with the administration costs.  Although the flu vaccination is free to all members, the Scheme (guided by WHO and the Department of Health) highly recommends that the following groups consider being vaccinated: Healthcare workers Individuals over the age of 65 years  People with comorbidities like heart disease, diabetes or lung disease  Pregnant women  People living with HIV and AIDS  ‘We believe the best and first form of defence against flu is the vaccine,’ says Callakoppen. ‘And we suggest people get vaccinated soon, ahead of the flu season – which traditionally runs from May to August because the protective antibodies take about two weeks to develop. However, we know that protocols in place for Covid-19 such as social distancing, wearing a mask, handwashing and sanitisation will also go a long way in protecting against us against getting flu.’ In addition to the free flu vaccination and as part of the preventative care benefit, Bonitas also covers the costs of a pneumococcal vaccine for beneficiaries over the age of 65 years once every 5 years and childhood immunisation, this includes the vaccine admin fee. 

RediscoverDairy

Dairy: your bone-building partner throughout life

Most people only think about their bones once they get a fracture or reach older age. Just think about the tears and pain when your child breaks a bone.  When he or she breaks a bone for a second time, you might ask yourself “is there anything I can do to help prevent this?” Bones are the body’s foundation. All muscles anchor itself to our bone structure, providing support and structure, and at the same time it also helps protect our organs. Being proactive and building healthy, strong bones is therefore critical to leading a long, healthy, active and independent life. Bones are living tissue, constantly in a state of renewal, so building and maintaining bones is a lifelong affair. The key to achieving strong bones involves a mix of weight bearing exercise, calcium-rich foods such as milk, cheese and yoghurt and vitamin D from safe sun exposure, foods or a supplement. Not looking after bones can increase the risk of osteoporosis, a disease which sees bones become brittle and at high risk of fracture. In South Africa, osteoporosis affects one in three women and one in five men over the age of 60 years. Worldwide osteoporosis causes more than 8.9 million fractures each year; resulting in an osteoporotic fracture every three seconds! Hip fractures are invariably associated with chronic pain, reduced mobility, disability and an increase degree of dependence. This becomes a real worry if we consider the statistics that in white women (having a higher risk for osteoporosis), the lifetime risk for a hip fracture, is 1 in 6, compared with a 1 in 9 risk of a diagnosis of breast cancer. Bone health is determined by both genetics and lifestyle factors, and adopting a bone-friendly lifestyle at any age can help reduce the risk of osteoporosis. As part of a bone-friendly lifestyle, research confirms that milk and other dairy product remain the number one food source of calcium to support bone health. Childhood presents the best opportunity to build bone strength and ultimately reduce the risk of osteoporosis in later years. Along with the rest of their body, children’s bones are growing rapidly throughout this period, so it’s critical that children receive enough daily calcium to ensure their bones achieve their maximum strength. Teenage years are another massive growth period. Over a period of two years (12-14 for girls and 13-15 for boys) teens’ bodies build one-quarter (25%) of their adult bone mass. Therefore, it’s a critical time for teenagers to exercise and stockpile their bones with calcium from the diet. Between the ages of 12-18 years calcium requirements increase and teens in general need even more milk and dairy products (3 to 4 serves from the dairy each day), where a serving of dairy is typically a cup (250ml) of milk or amasi,  2 tubs (200 ml)of yoghurt, two slices or 2 tablespoons of grated (40g) of cheese, or half a cup (120g) of cottage or ricotta cheese. Building strong bones also requires exercise. Like muscles, bones respond to weight-bearing exercise like running or brisk walking, lifting weights or sports involving jumping. When bones are made to bear more weight than they are used to, they develop increased strength or bone density. After the age of 30 it is important to maintain your bone density by consuming 2 – 3 servings of dairy a day. This is called the maintenance phase. The bone loss phase starts at 52 years for women, and 65 years for men. During the bone loss phase, calcium needs increases again and older people need to consume more calcium rich foods. Registered dietitian at Rediscover Dairy, Maretha Vermaak, says: “Dairy is a valuable source of calcium in the diet. Calcium from milk and other dairy products are easily absorbed, meaning that your body can use most of the calcium effectively to build and maintain strong bones. Calcium obtained from food also enhances the positive effect of physical activity on bone mass during growth.”

Lamelle Pharmaceuticals

Could you have PCOS and not even know it?

Despite being incredibly common, affecting around 1 in 10 women, polycystic ovary syndrome (PCOS) is still one of the most underdiagnosed conditions around. So much so that, of those who have it, only 1 in 3 will be diagnosed. In short, there’s a fair chance you might have it – and a good chance you don’t realise it! PCOS tends to fly under the radar because signs can be easy to miss or attributed to something else. This is why it’s important to be aware of the condition and its symptoms, especially since getting the right treatment can be life-changing.  But first – what is PCOS? PCOS is a hormonal disorder that also affects your metabolism in a way that causes insulin resistance. Ultimately, your body stops listening to insulin’s “instruction” – to convert the sugar in your bloodstream to energy. Instead, after lingering in your blood for too long – essentially raising your blood sugar – the sugar ends up being stored away as fat. This is why those suffering from diabetes as well as PCOS tend to experience weight gain. Another side effect of insulin resistance is that it triggers your ovaries to produce higher-than-normal amounts of androgen, the male hormone. The results manifest invisibly as cysts on your ovaries. The visible signs, however, include acne, excessive hair growth in unwanted places such as your face and irregular or missed periods. If left untreated PCOS can lead to infertility, type 2 diabetes and even cardiovascular disease. In short, if you’ve got it, you really want to diagnose it and treat it. Know the signs The frustrating thing about PCOS is that it’s not always so easy to recognise the symptoms. Life gets busy so we don’t keep track of our periods. Weight gain can be attributed to getting older or skipping out on gym. That recent spate of chin pimples? Perhaps that’s just “maskne” or a stress breakout.  To make things even trickier, not every woman will develop all the signs. After all, it’s not unusual to develop PCOS and never spot as much as a single chin hair, let alone develop a mustache. Other less obvious symptoms include insomnia, fatigue and a craving for carbohydrates as well as anxiety or depression. When you consider that list, it’s easy to see how they could all be overlooked as just the side-effect of a stressful life mid-pandemic and not an extremely common syndrome. So here’s the good news   If you suspect you have PCOS you’ll be glad to know there’s a lot you can do about it but your first step is to visit your doctor or gynaecologist. They’ll be able to ask the right questions and run a simple series of tests to help you get a diagnosis. As far as treatment is concerned, this could include medication as well as making certain lifestyle changes. For example, eating a low glycaemic index (GI) diet and getting regular exercise will help you manage your blood sugar levels.  You can also manage your condition with our brand new ovarian health nutritional supplement – Ovaria by Lamelle Pharmaceuticals. It contains 4000mg of Myo-Inositol, the required dose clinically proven to reduce the symptoms of PCOS of women in their fertile era.  A naturally occurring sugar associated with the vitamin B family, Myo-Inositol helps reduce your androgen levels by normalising your blood’s insulin levels. The result is an improvement in many PCOS symptoms including weight gain, acne and hair growth. In fact, Ovaria is proven to reduce unwanted hair growth by 29% in just 6 months. It can also increase your ovulation rate – improving your chance of getting pregnant – in as little as 16 weeks and help normalise your menstrual cycle. You’re not alone  Ultimately, if you suspect you might be suffering from PCOS, don’t hesitate to chat with your doctor today. An early diagnosis means the sooner you’ll enjoy a better quality of your life while reducing your risk of PCOS-related conditions like diabetes. As far as treatment options go, you’ll have several to choose from and all of them can be enhanced by Ovaria. You’re not alone. Together, we can help put you back on the path to wellness.  Learn more: https://lamelle.co.za/ovaria

Parenting Hub

5 Healthy Rules to Live by (no matter your age!)

Good health does not happen by accident; it’s a result of proactive, preventive, healthy choices that have an impact on your health today, tomorrow, and beyond, and according to Bianca Tromp, FUTURELIFE® dietitian, it is never too early (or too late!) to develop healthy habits. She says, “A healthy lifestyle is not only important during infancy and old age, but is crucial during all stages of life, including childhood, adolescence and adult years. Regardless of whether you are 12 or 75 years old, the impact of a healthy lifestyle should never be underestimated.” She adds that by following a few simple, healthy rules, we are all likely to share a common outcome – ongoing physical and emotional health as we age, “However, it all starts by reforming the simple choices we make each day.” Bianca offers five healthy rules that she believes we should all be living by (regardless of our age!): Rule 1: Watch your portions Why is it that even though you eat perceived healthy foods,  you can still be at an unhealthy weight? The problem often lies with portion control. Even too big a portion of healthy foods can cause unwanted weight gain. And, although you might see your portion sizes as “normal”, it might be time to reassess. So, what is a healthy portion size? For starches, choose low-GI starches, no more than the size of your fist. For lean meat, chicken and fish, have a portion the size and thickness of your palm. Vegetables should fill the rest of your plate, so include about two handfuls while limiting fats to the size of the tip of your thumb. Rule 2: Keep moving The one thing that those who live healthy, long lives have in common is physical activity. And, physical activity is not just good for your physical wellbeing, it also keeps you mentally and emotionally healthy too.  Plus, you don’t need to be a gym ‘bunny’ either. You can walk around the block in the evenings or spend time gardening… whatever you choose – just include at least 150 minutes of moderate physical activity a week. Rule 3: Take care of your gut We often associate gut health with the absence of symptoms like bloatedness, constipation and diarrhoea, but did you know that 80% of your immune cells are in your gut? To support our immune system and keep our gut healthy we need a balance of probiotics (the “good” microorganisms) in our digestive tract.  Including a probiotic supplement can assist in maintaining this balance. FUTURELIFE® Bran Flakes and Barley with Probiotic Capsules is the perfect solution as it combines fibre and probiotics to support the functioning of the gut. Rule 4: Include protein in every meal Not only does protein provide the building block for muscle maintenance and synthesis, protein will also make you feel fuller for longer. This means less cravings and snacking on unhealthy foods. Aim to include a protein source in each meal and snack. Low saturated fat protein options include nuts, nut butters, eggs, soy, lean meat and chicken cuts, fish, beans and legumes. FUTURELIFE® also offers a range of High Protein products – from High Protein breads and bars to a High Protein shake and cereal. Rule 5: A good night’s rest Like breathing, sleep is a fundamental human requirement. And yet, so many of us do not get the required amount of sleep to function properly. Lack of sleep can cause high blood pressure, diabetes, heart attack, heart failure or stroke. Other potential problems include obesity, depression, impairment in immunity and can even affect your appearance! Making sure you get a good night’s rest (every night!) should be a top priority. The National Sleep Foundation recommends seven to eight hours of sleep for people over age 64 and seven to nine hours for ages 18 to 64. Kids need more sleep. “It takes more than five healthy rules to get from one to 85, but this is a great starting point!” Bianca concludes.

Parenting Hub

FROM ZERO TO HERO!!!

There has never been a better time in history to pay special attention and show appreciation to the Exceptional Nurses of our nation. They have been the life boat with ventilators, oxygen and essential medical care to thousands of patients drowning in the rough seas of the Covid Pandemic. In years past, nurses have often felt overlooked and often undervalued. But when the World Health Organization declared 2020 as “The Year of the Nurse” a Global Pandemic was not anticipated.   Since then everything has at last changed! TODAY, AND EVERY DAY, WE HONOUR AND VALUE OUR NURSES!   THANK YOU!!! People have realized that nurses are not only the beating heart of the medical profession but the backbone of every healthcare facility in every country of the world! Making up 70% of the healthcare workersserving on the Covid Frontline, nurses have continuously risked their lives to save others. They deserve to be honored and valued for the selfless work that they do. On this very special day, Florence Nightingale’s Birthday, we express our heartfelt THANKS to all Exceptional Nurses of our nation! WHAT WOULD HAPPEN IF SOUTH AFRICA ‘RAN OUT’ OF NURSES? The Covid Pandemic has shone the spotlight on the critical shortage of professional nurses, not only in South Africa, but all over the world. The national Department of Health now faces the massive challenge of raising more funding, not only to open many more professional nursing posts, but to train more nurses! Patient/ staff ratios are currently high in public healthcare facilities, sometimes reaching 25<1. The South African Nursing Council (SANC) statistics report a decrease of + 9,000 nurses each year (emigration, retirement or death) with only +3,400 newly qualified nurses being added to the SANC Registration and subsequently, the countries Nursing Workforce annually.  The GOOD NEWS is that the Department of Health has appointed Dr. Kobie Marais, an exceptional nurse and Director of Nurse Education and Training, to lead a team of experts to address this urgent issue. The Strategic Plan will be announced soon and we are excited to see Nurse Education, Training and Practice rise to an outstanding level of excellence in South Africa, within the next few years.   THE WORST IS OVER BUT THE BATTLE NOT IS STILL TO BE WON! We are sending a message out to the beautiful people of South Africa:  Let’s keep cheering our nurses on as they bravely endure this Covid Marathon. The journey has been long but we believe the battle is almost done! Let’s keep encouraging them to not to give up until they have crossed the Covid Finishing Line!   FOR THE MONTH OF MAY……     If you or a loved one have been on the receiving end of compassion and kindness from an exceptional nurse, how about expressing gratitude to the all staff at your nearest public hospital or community clinic? A meaningful thank you card, flowers or home-baked treats all go a long way in showing gratitude in a tangible way. Round up your family and friends, mobilize colleagues and your company to help. We need to shout out a huge THANK YOU to our Exceptional Nurses, on behalf of our BEAUTIFUL RAINBOW nation!     THE NIGHT RUN SERIES to honour NURSES/HEALTHCARE WORKERS: Hosted by The Exceptional Nurse Campaign, the exciting 7km Night Runs will take place all over our nation, on every Saturday night of September, 2021. Open to all, not only healthcare workers, the entry fee will be R100 per person. Profits from the Night Run Series will be used towards bursaries for deserving student nurses. For more information please check out our website:  www.theexceptionalnurse.co.za    Contact The Exceptional Nurse Campaign on:  admin@theexceptionalnurse.co.za   We also have a Facebook page. By Sister Tere Basson, Founder of the Exceptional Nurse Campaign

RediscoverDairy

Back to basics with DAIRY!

Balance and variety are key to a healthy diet. In recent years, the types of food choices available have steadily increased. As a result, consumers may be confused as to which foods are the best.  Getting back to basics may just be the answer to help consumers to make informed choices. A key message to ensure that your family sticks to the basics of healthy eating is to eat a variety of fresh whole foods daily. Maretha Vermaak, registered dietitian at Rediscover Dairy says: “Whole foods are foods that are unprocessed and unrefined, or processed and refined as little as possible. Examples of whole foods are whole grains, tubers, legumes, fruits, vegetables, and milk.” Milk as a whole food is convenient and versatile Milk has long been a staple food in a healthy diet, and with good reason. Milk is delicious and an important source of many important nutrients, conveniently packed into one product. Use milk as a refreshing drink as is, make a milky coffee (hot or cold),  enjoy it in smoothies, pour it over breakfast cereal or use it in a wide range of cooked and baked dishes. Get the power of milk on your side The South African Department of Health’s food-based dietary guidelines recommend two to three servings of milk, amasi or yoghurt every day. Examples of one serving of dairy are: 250 ml of milk, 200 ml of amasi/yoghurt and 40 g of hard cheese. The wide range of fat-free, low-fat and full-cream milk options remain an important source of nutritional goodness, providing plenty of variety and choice. How the nutrients in dairy work for you: Milk is an excellent source of calcium, good quality protein, and vitamin B12. The nutrients in dairy act as a team and it is this team work that is responsible for its many health benefits.   Good quality protein Provides all the essential amino acids (building blocks) you need Assists in bone health and muscle maintenance Calcium Essential for bone and dental health Vitamin B12 Good for brain health and sharpness Supports a healthy immune system and energy metabolism Vitamin A Supports a healthy immune system Promotes good eyesight, especially in low light Potassium Assists in heart health Helps keep blood pressure in check Phosphorous Important for growth, maintenance, and repair of body cells and tissue Vitamin B2 and magnesium Help in the production of energy Zinc Supports a healthy immune system Promotes skin health 

Parenting Hub

Happy Kids; Healthy meals!

Happy Kids; Healthy meals! (and they’re also super delicious!) Before you say, “My kids will never eat them”, read on because, although mushrooms often seem to be the “not on my plate” vegetable right up there with Brussels sprouts, we’ve got good reasons and great ways to get kids to eat them. Firstly, the great way to add mushrooms: A selection of studies have found that the meaty taste of mushrooms make them easy to blend unobtrusively into any minced protein (beef, chicken, lamb, turkey and even fish work equally well) by chopping them into the same consistency.  Mushrooms then immediately increase the nutritional value of your child’s meal without compromising on the flavour kids would expect from their favourite burger, lasagna or cottage pie. Secondly, the good reason to add mushrooms: By blending mushrooms into their favourite meat or fish options, you are able to decrease their total calorie, fat and saturated fat intake without losing any of the flavour.  In fact, mushrooms have a rich umami flavour profile that actually enhances and deepens the flavour of the meat naturally whilst adding healthful nutrients such as potassium, fibre, minerals, vitamins and antioxidants to every bite. You will also be reducing their sodium intake by 25%! Now that’s good news coming from our favourite Superfood! But as we know with kids, who can be picky eaters, the proof is in the pudding (in this case in the blend!) So, we’ve developed a range of recipes, blending mushrooms into kid friendly favourites for an easier and much healthier way  to dish up delicious options even they will love! SAMFA Chicken, Mushroom & Corn Meatloaf Makes 1 standard sized loaf tin (± 20cm x 10cm) Ingredients: 400g white button mushrooms 2 shallots, diced 2 cloves garlic, minced 1 cup breadcrumbs 1 XL free-range egg, lightly beaten  ½ cup parmesan cheese, finely grated 1 large marrow, grated, salted, degorged & squeezed dry  1 corn on the cob, steamed and cut off the cob ¼ cup parsley, chopped Zest of 1 lemon 1 Tbsp lemon juice ¼ cup spring onions, sliced 2 tsp dried oregano 400g chicken mince Extra virgin olive oil  Salt and pepper, to taste  Pink sauce: 4 Tbsp mayonnaise 4 Tbsp tomato sauce Fresh lemon juice, to taste Method: To make the pink sauce: Mix mayonnaise and tomato sauce together in a bowl.  Add a little squeeze of lemon juice and salt, to taste. Set aside in the fridge for serving.  Preheat oven to 180˚C. Lightly spray a ± 20cm x 10cm loaf tin with non-stick olive oil spray. Using a food processor, pulse the mushrooms until they are finely chopped.  In a large pan sauté the mushrooms with a little drizzle of olive oil until they have sweated off most of their water, about 10 to 15 min. Set mushrooms aside. Add a fresh drizzle of olive oil to the pan and add the shallots.  Cook until soft. Add the garlic and cook until fragrant. Season well and set aside.  In a large bowl combine the cooled mushrooms and shallots and the rest of the ingredients except the chicken, mix very well.  Add the chicken mince and season with salt and pepper.  Mix to combine.  Spoon mixture into loaf tin.  Bake for 30 minutes until browned on top and cooked through.  Remove from the oven and remove from the loaf tin.  Return to the oven on a baking tray for another 10 minutes to brown the sides.  Slice and serve with pink sauce and a side salad.  SAMFA Mushroomy Chicken Burgers  Makes 6 burgers  Ingredients: 500g white button mushrooms 500g free-range chicken mince ½ onion, grated ½ cup breadcrumbs 1 XL free-range egg, lightly beaten 1 ½ tsp salt ½ tsp freshly ground black pepper To build the burgers:  6 burger buns, lightly toasted Tomato slices, for serving Lettuce, for serving Sliced mild cheddar cheese, for serving Mayonnaise, for serving Tomato sauce, for serving Method: Using a food processor, pulse the mushrooms until they are very finely chopped.  In a large saucepan sauté the mushrooms in a drizzle of olive oil.  Sauté until the mushrooms are fully cooked and have lost most of their liquid, 10-12 min.  Set aside to cool. In a large bowl combine the remaining ingredients and the cooled, cooked mushrooms.  Form into 6 equally sized patties. In a hot cast iron pan or on the braai, cook the patties until golden brown on both sides and fully cooked through. 10-12 minutes.  Assemble burgers with all your favourite fixings and serve warm.  SAMFA Mighty Mushroom Bolognese with Hidden Veg Serves 6 Ingredients: 500g portabellini or white button mushrooms 1 onion, finely diced 2 stalks celery, finely diced 1 large carrot, finely grated 1 large zucchini, finely grated  2 cloves garlic, minced 1 tsp dried oregano 2 Tbsp tomato paste 2 x 400g tinned crushed tomatoes 1 cup mushroom or vegetable stock Salt and pepper, to taste  Extra virgin olive oil  350g dried spaghetti Parmesan cheese, for serving Fresh parsley, for serving  Method: Using a food processor, pulse the mushrooms until they are very finely chopped.  In a large saucepan add a drizzle of olive oil and the mushrooms. Sauté until the mushrooms give off all their water and begin to brown.  Remove from the heat and set aside in a bowl.  In the same saucepan sauté the onion in a little olive oil. Cook until soft.  Add the celery, carrot, zucchini, garlic and dried oregano. Cook until the vegetables are very soft. Use your spoon or spatula to mash them in the pan so they break down.  Add the tomato paste and cook stirring constantly for 2-3 min.  Add the tinned tomatoes and stock, bring to a gentle simmer.  Allow to simmer for 30 min until reduced and thickened.  Taste for seasoning.  In a large pot of boiling salted water, boil the spaghetti according to package instructions.  Once al dente, drain the pasta.  Divide the spaghetti between bowls and top with the mushroom bolognese.  Sprinkle bowls with

Bonitas – innovation, life stages and quality care

Gestational Diabetes: Reasons, risks and recovery

Kathy Malherbe speaks to the clinical team at Bonitas Medical Fund to get some insights on Gestational Diabetes (GDM) and tells the story of mother-of-two, Theresa’s (36) experience with Gestational Diabetes. Diabetes is a condition whereby your body is unable, in varying degrees, to produce or respond to the hormone insulin. This causes abnormal metabolism of carbohydrates and elevated levels of glucose in the blood. Diabetes is commonly divided into four types: Type 1, Type 2 (often lifestyle related,) Gestational Diabetes and Diabetes Mellitus. Normally when you eat, your blood sugar rises. The pancreas, a gland deep in your abdomen, releases a hormone called insulin. It helps move sugar from your blood into your cells for energy and storage. In a non-diabetic person, the blood sugar will go back down to normal after eating.   What is Gestational Diabetes? Gestation comes from theLatin gestare, which means ‘to bear’ or ‘give birth to’. Medically speaking it is the period between conception and birth. There are two types of Gestational Diabetes. Women with class A1 can manage it through diet and exercise. Those who have class A2 need to take insulin or other medications. Gestational Diabetes usually goes away after you give birth. But it can affect your baby’s health, and it raises your risk of getting Type 2 diabetes later in life Unlike Type 1 diabetes, Gestational Diabetes is not caused by a lack of insulin but by other hormones produced during pregnancy that can make insulin less effective, a condition referred to as insulin resistance. Gestational Diabetic symptoms disappear following delivery. Why does it develop? During pregnancy, your placenta makes hormones that cause glucose to build up in your blood   and produces a hormone called the Human Placental Lactogen (HPL). HPL breaks down fats from the mother to fuel the growth of the baby. Usually, your pancreas can send out enough insulin to handle it. But if your body can’t make enough insulin or stops using insulin as it should, your blood sugar levels rise and you get Gestational Diabetes. It can lead to insulin resistance and carbohydrate intolerance in the mother.  Who is at risk? About 10% of pregnancies result in Gestational Diabetes. The causes are not known but the risk factors include:  Age-older women  High blood pressure, high cholesterol, heart disease Obesity Not exercising   Immediate family history of diabetes History of Gestational Diabetes in a previous pregnancy Have had a miscarriage or a stillborn baby Polycystic Ovarian Syndrome It is important to note that there is no definitive way to prevent Gestational Diabetes. Even mothers who have had Gestational Diabetes in a previous pregnancy may not get it with a later pregnancy. Warning Signs of Gestational Diabetes Sugar in the urine Unusual thirst Frequent urination Fatigue Nausea Blurred vision Vaginal, bladder and skin infections. When and how is it detected? In most cases, Gestational Diabetes develops in the second or third trimester (from week 14 to the birth) and disappears after the baby is born. A screening or finger prick blood test can be done at a clinic or pharmacy to give you a snapshot of your blood sugar levels. However, a formal diagnosis requires a blood test and sometimes this will need to be repeated. Gestational Diabetes is detected by using an oral glucose tolerance test (OGTT) or a random blood glucose test.  The OGTT test is done by a nurse or doctor taking a blood sample from your vein to test the blood sugar levels.  Then you will drink a glass of water mixed with glucose. An hour later you will have another blood test. Your blood glucose level should rise after you finish the sugary drink, then go back to normal, as insulin moves glucose into your cells. If it takes too long to go back to normal you could have diabetes. What the test shows The blood glucose is measured in milligrams per deciliter (mg/dL). Two hours after you finish the glucose drink, this is what your results mean: Below 140 mg/d: Normal blood sugar  (7.8mmol) Between 140 and 199: impaired glucose tolerance or prediabetes (11mmol) 200 or higher: diabetes (11.1mmol) The random glucose blood test is carried out a couple of times to see if your glucose varies widely.  If initially you are not diagnosed with Gestational Diabetes, the test may be repeated at around 24-28 weeks.  What are the dangers? In many cases it can be controlled with a healthy diet and exercise but at least one in ten women will need their blood glucose levels controlled with medication. If your diabetes is not picked up during pregnancy it can cause risks at birth. The most prevalent is shoulder dystocia which is when the baby’s head gets stuck during the birth.  This can cause:  Fractures to the collarbone and arm Damage to the brachial plexus nerves. These nerves go from the spinal cord in the neck down the arm Lack of oxygen to the body (also called asphyxia). In the most severe cases, this can cause brain injury or even death  It can also lead to babies being large for their gestational age which can result in birth complications How can you help yourself? By adhering to an eating programme that is healthy for you and for your baby including:  Eat protein with every meal Include daily fruits and vegetables in your diet Limit or avoid processed foods Pay attention to portion sizes to avoid overeating Exercise regularly. Aim for at least 30 minutes of exercise 5 days a week. Just remember to speak to your doctor before starting any new exercises  Don’t skip meals. To regulate your blood sugar levels, aim to eat a healthy snack or meal every 3 hours or so. Eating nutrient-dense foods regularly can help keep you satiated and stabilise blood sugar levels. Take your prenatal vitamins, including any probiotics, if they’re recommended by your doctor. Being diagnosed with Gestational Diabetes can be extremely stressful and dangerous to both mother and baby.  It is imperative to have your blood glucose monitored during pregnancy. However, if you are tested regularly, stick to a healthy eating programme and exercise regularly,

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