How to choose the right sunscreen?

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Be careful when choosing sunscreen!
When choosing a sunscreen, be sure to have a minimum SPF of 30 or higher, a broad spectrum (UVB and UVA-effective) and water-resistant and such products should be preferred. The SPF value on sunscreens is the protection against UVB, which is mainly responsible for sunburn. A product with SPF 30 blocks 95-97% of UVB reaching the skin. Although UVB protection is not significantly increased, a product is considered to have increased UVF protection as its SPF value increases. There is no widely accepted numerical value for protection against UVA. The UVA logo on the product packaging indicates that the product provides adequate protection against UVA.
Chemical and Physical Protectors
Generally, sunscreen products (sunscreen etc.) can be divided into chemical (organic) and physical (inorganic, mineral) preservatives. Chemical preservatives are absorbed from the skin and react with the absorbed sunlight. Some of the chemical preservatives are UVB and some are protective against UVA.
Titanium dioxide and zinc oxide are physical solar filters. They are not absorbed from the skin, they form a thick, white layer on the skin and function by reflecting all of the sun’s rays around. In other words, they provide a wide spectrum of protection against both UVA and UVB. Eye contact or ingestion is not a serious problem, it is safer than other preservatives. They are considered the most suitable preservatives for children.
Although sunscreen creams are not recommended for infants under 6 months of age, physical sunscreen creams may be applied to areas not covered by clothing. Infants and children over 6 months old may be protected by chemical sunscreen creams for children or children. Products in the form of spray are not recommended for infants and children due to the risk of inhalation.

How to use sunscreen?
Sunscreen should be applied 15 minutes before sunbathing, ears and scalp, and application should be repeated every two hours. 2 mg product should be used in each 1 cm² skin area. In practice, the amount required for using the right amount of sunscreen is half a teaspoon for the face and 30g for the body. Expressions such as sonrası waterproof ve, uygulama all day protection c, c resistant to perspiration lan on the products should not be taken very seriously. In other words, sunscreen should not be applied only, but must be driven again and again. In addition, sunscreen products should be used not only to spend more time in the sun but in addition to physical measures to protect against sun damage.
Various speculations in the non-scientific environment about the side effects of sunscreen products have resulted in the emergence of products that claim to be er natural çev or konusunda organic lan in the sunscreen product market, although they are unproven and exaggerated. Many of these products sold with the SPF 50 label have actually been shown to have SPF8 protection. The content and effectiveness of the sunscreen products of reliable dermocosmetic brands sold in pharmacies are controlled by strict inspections and they do not contain the contents which are known to have harmful effects. No adverse effects known to be developed by the use of such products have been shown.

Vitamin D
The synthesis of vitamin D, a hormone-vitamin with a wide range of important functions in our body, is carried out by the absorption of UVB rays from the skin. It is known that it has a protective effect on the development of various diseases as well as its positive effects on the skeletal system. On the other hand, the current approach to meeting the need for vitamin D is to provide with dietary or daily food supplements instead of getting it from the sun and skin.
Although it is thought that the vitamin D synthesis in the skin will be prevented by the use of sunscreen products, it has been shown that sufficient amount of vitamin D is produced in the individuals who use the protective products regularly from the sun. Only the face and arms exposed, 3 times a week, 10-15 minutes to stay in the sun with an adequate amount of vitamin D is synthesized. By exposure to the sun above these times, no more vitamin D synthesis occurs. In addition, since the UVB cannot pass through the skin in people who have dark skin or bronzed, vitamin D synthesis cannot be performed sufficiently.
In order to increase the synthesis of vitamin D, it should be avoided under long periods of unprotected sun. The American Academy of Dermatology considers that the need for vitamin D should be met by foods rather than the sun, and that nutrients should be taken with nutritional supplements.

Why Use Sunglasses?

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Sun is a life source for people as well as all living things in nature. Sunglasses should be used to protect the eyes from ultraviolet or other ultraviolet rays that are emitted by the sun and from serious eye diseases.
The use of sunglasses has become an important requirement for the preservation of the eye health due to the increase in the temperature during the summer.
Why use sunglasses?
The sunglasses help enhance the contrast sensitivity, which is one of the visual characteristics. Thus, the eye is seen much more clearly and improves the visual quality of the eye. At the same time, it helps the eye to see well in the dark and increase eye adaptation. The sunglasses ensure that the object or image being viewed is clear, while at the same time preventing it from being dispersed. Another benefit of using sunglasses is the absorption of ultraviolet rays.

Watch out when buying sunglasses!
The sunglasses must be made of a quality material to filter the ultraviolet rays. For example, in the case of the plastic pine tree with organic materials, sunglasses prevent harmful rays from entering the eye. The sunglasses with plastic glass prevent ultraviolet rays from entering the eye and damaging the harmful rays and preventing damage to the eye. When choosing sunglasses, it is important to have more functions than to be equipped with more aesthetics. Make sure that the frame of the sunglasses is sufficiently wide and at the same time as close as possible to the eye. For those who will undergo cataract surgery, artificial lenses with UV filters should be recommended.
From temporary blindness to permanent blindness, we must protect our eyes from the sun’s rays that cause serious problems!
When buying sunglasses for your child Ç
Children from 2-3 years of age can use sunglasses and ultraviolet and polaroid coated glasses for children should be preferred.

What if we don’t use sunglasses?
Sunglasses help increase contrast sensitivity. There are UV (ultraviolet) and infrared (IR) rays that can negatively affect the eyes in the sun. Ultraviolet rays are located in the invisible wavelength of the sun’s rays and are divided into three groups as ultraviolet A (UVA), ultraviolet B (UVB) and ultraviolet C (UVC).
Ultraviolet A and especially ultraviolet B rays are among the species that can harm the eye. In case of prolonged exposure to sunlight, the negative effects on the short term may be similar to the sun burns on the skin.
Corneal layer on the surface of the eye, dryness, itching, stinging, burning, pain or blood, such as discomfort occurs. That’s why we should always use sunglasses. Ultraviolet rays can cause cancer formation in the skin covering the eyelids as well as other parts of the body, cancer formation in the conjunctiva layer and degenerative growth in the pitogenum, painful photokeratitis corresponding to the sunburn in the skin (transparent layer), and corneal surface deterioration in the long term.
If the eye is exposed to harmful ultraviolet rays from the sun for a long time, the ground is prepared for cataract disease. Rays may disrupt the proteins in the lens located in the eye and cause cataract disease. At the same time, the near vision weakness begins five years before the normal process because the rays in some regions disrupt the lens of the eye. From this, it is possible to say that people living in tropical regions can use glasses close to five years earlier than people in other regions.
UVA rays cause the skin to burn and age. While the ratio of UVA rays falling to earth is 97 percent, UVB rays are 3 percent. The UV-A rays mostly affect the macula (yellow dot), retina and damage to the back of the eye. Yellow spot degeneration occurs and vision decreases. UV-B rays are more dangerous. The cornea in the anterior part of the eye affects the lens and conjunctiva. It is thought to cause turbidity in the cornea, cataract in the lumen, and ocular growth in the eye and impair vision. The use of sunglasses is also important for eye health at this point. As long as the sunglasses are high quality and healthy, they protect their eyes from these harmful rays.

What are the degrees of protection of sunglasses?
Professor Dr. Orkun Müftüoğlu stated that his sunglasses were divided into 3 groups according to the degree of UVA and UVB protection;

Cosmetic Sun Glasses: It prevents 70 percent of UVB light and 60 percent of UVA light. Persons at risk of cataract should not use these glasses.
General-purpose sunglasses: Eliminate at least 95 percent of UVB light and at least 60 percent of UVA light.
Special-purpose sunglasses: at least 99 percent of UVB light and at least 60 percent of UVA light.

Attention to Child Diseases in the Summer!

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Parents Beware!
Have you taken the necessary measures to ensure that your children have a healthy summer?
Pediatric diseases frequently seen in summer:

Solar strikes,
Burns,
Fluid intake deficiencies,
Infections related to water pollution,
Infections that can pass through the pool and sea,
Traumatic conditions such as falling,
Skin infections including sclerosis and fungi.

Solar impacts affect younger children at a higher rate, so sun burns in children exposed to unprotected outdoors during sunlight may cause sunstroke due to increased heat.
Due to the sensitivity of children’s skin, they are also exposed to UV rays that will cause skin cancer in the long term. In order to avoid such situations, you should prefer to go out in the morning or afternoon sun when the angle of the sun comes inclined.
When taking your children to the sun, you should use a hat and sunscreen and all precautions should be taken to protect from the sun. Sun creams should be applied before sun exposure. It should not be forgotten that children are exposed to sunlight in the water during the summer.

What should you do if your child has a sunburn?
If your child has sun burns, they should be used with cool treatments and creams that help to heal wounds. It should be kept in mind that the burned skin will be open to infections and care should be taken to clean the area. If a burned area is collected, a doctor should be consulted.
Measures to be taken in the summer period to prevent child diseases:

Pool and sea cleaning should be paid attention to in the preferred accommodation places during the summer holiday.
The child should not be allowed to swallow water or stay in wet clothing.
It should be noted that chlorine in the ponds is not well adjusted and may be irritating or allergic to the skin.
Itching, skin discoloration or skin lesions may occur. Your child should take a shower every day and maintain mild moisturizers.
As a result of contact with contaminated water, urinary tract infections and susceptibility to cystitis may increase in children. Vaginitis may be seen in girls presenting with discharge. Care should be taken to change the laundry frequently.
When urinating, burning, pity, urinary incontinence, blood in the urine, abdominal pain, fever, vomiting should definitely seek a doctor.
Your child’s mouth is dry, the tears are reduced, the urine is dark and the lesser are the warning signals about the thirst. In such a case, you should consult with your doctor after you have supplemented with fluids and given antipyretics.

Be careful against insects, bees and tick bites in picnic areas or open spaces, should be dressed in appropriate closed clothing, and the child’s body should be checked by peeling.
The bed should be placed in the mosquito net, the bed should be noted above the floor. Chemical fly repellents should not be applied to the child’s skin excessively.
Children with bee venom allergy should take the necessary precautions and open air.
It should be remembered that the child should be in the presence of watery, buttermilk or fruit juice and to be encouraged for fluid intake.
One of the most frequently affected organs during exposure to polluted water is the eye. Allergic infective conjunctivitis can be observed. Visual blur, pain in the eyes, burning and stinging sensation, redness, inflammatory discharge occurs. The ear can also be affected frequently, causing middle and external ear infections.
Hearing or loss of hearing, feeling of fullness, itching, discharge and fever may occur.
There may be an increase in summer diarrhea after ingestion of the child’s water, the contamination of water sources in summer or the ingestion of spoiled and infected foods kept in the room air. Vomiting and diarrhea may be accompanied by fever.

Happy peaceful and healthy holidays, taking all the precautions for your child and yourself!

This article Prepared by Hacer Efnan Okuyan.
You can contact our Pediatrics Department for more information.

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What is uterine fibroids and what complaints?

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Myomas are benign masses originating from the muscle layer in the uterine wall. Over time they are not thought to turn into cancer. On the other hand, it can be difficult to distinguish whether some masses from the uterus or myoma or cancer cells.
Myomas are quite common. It is seen in 20-43% of the women of reproductive age, and this frequency increases with age. On the other hand, most women continue their lives without complaints related to fibroids.
It is not known why uterine fibroids occur.
It is known that myomas are related to hormones such as estrogen and progesterone, they can show genetic or familial tendencies, they can be affected by nutrition or environmental factors. It is also among the risk factors to start menstruation at an early age, to have a family history and to have no birth.
What complaints do myomas cause?

Most of the myomas do not cause any complaints. Their complaints include:

Severe and / or long-term menstrual bleeding,
Pain and / or pressure sensation in the lower abdomen
No urination or difficulty in having children
Long or severe menstruation, anemia

It can also have a negative impact on one’s daily life. The frequency and severity of the complaints are generally related to the location, number and size of the fibroids. The uterine fibroids may be limited to the uterine wall, or they may be embossed in or out of the uterus.
Myomas do not prevent children in general. However, the removal of the fibroids extending to the intra-uterine cavity or pressing here may increase fertility. On the other hand, there is no known negative effect on the growth of uterine fibroids outside of the uterus or conception of pregnancy.
Most pregnancies can progress smoothly in the presence of myomas. In addition, growth is common in this period due to hormonal stimuli. Occasionally there may be pain due to myomas. Rarely, the size and location of myomas may be difficult depending on the location.
Take a look at our article to learn more about the treatment of uterine fibroids.

This article Prepared by Engin Türkgeldi.
For detailed information, please contact our Obstetrics and Gynecology Department.

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How is myoma treated?

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How is the diagnosis of myoma?
The diagnosis of uterine fibroids is usually performed by manual examination and ultrasound. Occasional magnetic resonance imaging (MRI) may be used. Blood tests have no place in the diagnosis of myoma.
It is not possible to eliminate or significantly reduce myomas by medical treatment methods. Medical treatment methods mostly aim to relieve the patient’s complaints. Patients with pain complaints are likely to benefit from painkillers, iron supplements from patients with anemia, various hormone preparations from patients with severe bleeding, hormone-containing spirals, or some medications that reduce bleeding.
How are myomas treated?
The definitive treatment of myomas is surgery. Laparotomy (open surgery), laparoscopic (closed surgery) or hysteroscopic (access to myomas in the intrauterine cavity through the vagina and a telescope entering the cervix) are available for surgical treatment. On the other hand, surgical treatment is not recommended for everyone. Patients who have a negative effect on their daily life and health and who do not respond to medication, are thought to be associated with the fibroids of pregnancy or having difficulty in having a child, or patients with suspicion about the possibility of cancer may be candidates for surgical treatment.

In surgery, only the fibroids are always taken, the rest of the uterus is not touched. However, it may be advisable to take the uterus in patients who do not intend to have a child, who have advanced age, or who have a difficult / impossible myomectomy.
Does the removal of myomas prevent the formation of the myomas again?
Once received, myomas do not guarantee that they will not occur once again. A new fibroid may occur again in another or nearby place.
Apart from these, with the help of an interventional radiological method called-uterine artery embolization ın, it can be ensured that the myoma can be reduced by the obstruction of the veins leading to the fibroids. This method can be applied to a group of patients with specific characteristics. It is not recommended for patients planning pregnancy.
Myomas are seen in very different place, size and shape. Similarly, each patient’s complaints, expectations, lifestyle and future plans are different. You can determine the most appropriate treatment by talking to your doctor.
This article Prepared by Engin Türkgeldi.
For detailed information, please contact our Obstetrics and Gynecology Department.

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A long life with a single kidney awaits you!

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Organ transplantation is not only an operation-related procedure. The center that will be selected for the organ transplant follow-up and post-transplant follow-up; It is very important to have high level quality of all departments from operation rooms to laboratories, from imaging units to intensive care, from inpatient stages to other branches.
Foaming in urine can herald kidney disease
The most insidious diseases of our age and that can occur without any symptoms of renal failure is rapidly becoming widespread with each passing day. Diabetes, high blood pressure and inflammation of the kidney (nephritis) are the most important causes of chronic renal failure. When you wake up in the morning, swelling under the eyelids, mild edema in the hands and feet, fatigue and urination are the most important signs of excessive bubbling.
From 7 months to 70 years, every patient can undergo kidney transplantation!

Since the necessary precautions are not taken, rapidly progressing disease disrupts the function of kidney that can work properly for 10-20 years within 2-3 years. When the rate of filtration function falls below 10, patients with chronic renal failure become more difficult to survive without a supportive treatment. Renal transplantation is generally recommended for patients with no treatment other than dialysis and transplantation in order to improve quality of life and to achieve permanent improvement in a short time. With the help of advanced medical facilities, doctor experience, children under the age of 5 and patients over 65 years of age can also be transported.
Children don’t stay petite after kidney transplant
Renal failure in childhood is usually caused by congenital causes. Kidney failure in children is seen in 10-15 percent of million population. Therefore, there is a serious child patient group requiring dialysis and transplantation after delivery. Children with renal insufficiency cannot complete their physical development according to their peers due to growth retardation, and their lives are negatively affected by low weight and short stature problems.
Therefore, especially children under 5 years of age with chronic renal failure must be transported. In the past, low weight of children, short length of kidney transplantation while hindering the development of technology, alternative medicines production and surgical experiences thanks to the kidney transplant can be done to children no longer 6-7 kilos. The first year after transplantation is very important for children with developmental problems. Children who spend one year after transplantation in a healthy way begin to grow like their peers and continue their school and sport.
Moments after the transplant can be parents!

After kidney transplantation, the obstacles that used to limit the life of the patient were used. It was recommended that patients stay away from home or even from the room, and to stay away from social life.
With the use of modern methods and increased medical experience, there is no need for any of these. Experience shows that the transplant provides the patient a comfortable life. No restrictive measures are taken now, stating that patients should live in the same way after transplantation, no matter how they live. After the transplant, no restriction is applied to the patients except for the drugs they will use.
People with kidney transplants can have children at the right time, and mothers can breastfeed their children. Improvements in sperm parameters occur after transplantation of male patients with reduced sperm quality during the disease. Since the reproductive functions of women return to normal, they can easily become pregnant after 1-2 years.
Organ transplantation from the live donor is now much easier!

In spite of all the efforts made around the world, cadaveric transplants from brain-dead people have remained a number of times, and these numbers have been increasing very slowly over the years. Therefore, transplants from living donors come into question as a solution to organ failure.
Live kidney donors can return to routine life in a short time with closed surgery!
Considering the health and postoperative comfort of living kidney donors, taking the kidney with closed method (laparoscopic method) is now the gold standard and renal transplantation operations are performed in our center with closed methods. In closed kidney donor surgery, patients experience much less pain after surgery than in open surgery, stay in hospital for a shorter period, return to their normal lives and work earlier.
A long life with a kidney
When you have one kidney left with one of your kidneys, you will have no problems after transplant. You can spend the rest of your life in a healthy way with a single kidney without any medication or diet.
This article Dr. Prepared by Burak Koçak.
For more detailed information see Organ Transplant Center or Nephrology Section …

Air conditioning shock not a nightmare!

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What is Air Conditioner Shock?
In order to get rid of the effect of hot air in summer months, air conditioners we use in our homes, cars and workplaces can cause serious health problems when used unconsciously. Especially people who are constantly in closed environments may have problems in their bodies when they come into contact with hot air from cold to hot weather. The most common of these problems, especially in summer, is the air conditioning crash.
What are the symptoms of air conditioning shock?

Weakness,
Unwillingness,
Nasal congestion,
High fever,
Common muscle and joint pain.

By taking certain precautions, it is possible to be affected as little as possible from the negative effects of air conditioner.

What to do to prevent air conditioning crash!

Do not enter into air-conditioned environments when sweaty,
Do not direct the fan of the air conditioner directly to your body,
Periodically perform the necessary maintenance and cleaning of the air conditioner,
Keep the room temperature at 23-24 ğ C in summer,
Keep the air conditioner humidity between 40-50%,
Ventilate the room periodically.

Despite all the precautions you have taken, when your body begins to show signs of air conditioning shock;

Perform stretching exercises for muscle aches,
Drink plenty of fluids,
Take a warm shower.

If you continue to complain about these simple solutions at home, or if you have serious complaints such as cough, sputum, and shortness of breath, you should contact your nearest health facility.
This article Prepared by Burçin Sağlam.
You may contact the Department of Internal Medicine for further information.

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Endless benefits of sports: Cycling

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Regular sports makes our daily life easier!
Regular sports is the door to a healthy life and provides us with a lot of convenience in our daily lives. For example, our blood circulation is accelerated and then regulated, our respiratory rate increases, positive changes in our hormones, psychological comfort provided by endorphins, etc.
In addition to all of these, it is observed that those who regularly do sports are more comfortable in their daily lives. Stairway exit, catching a bus to be missed, the market return of the weight of the bags to be crushed, a shorter time to finish household chores.
The benefits of cycling to our body does not stop counting!

Biking, obesity, stress, metabolic diseases, back pain, high blood pressure, such as eliminating the negative effects of the body, a healthier and happier people have emerged in many studies. However, our strength is to increase our strength, to help us to cope with stress, fat burning after strength development and therefore to control our weight, to strengthen our joints, back, leg, abdominal and arm muscles to operate and ultimately increase our condition.
In particular, it is possible to stay fit with the bicycle that moves the leg and back muscles. Experts, especially those who complain about excess weight, this sport is recommended. The bike is one of the most enjoyable sports that men who want to do muscles will do without spending a lot of time and fun.
Biking reduces the risk of bone resorption!

Although women do not pay as much attention to cycling as men, it should not be overlooked. In particular, regular cycling increases the bone density and reduces the risk of females getting osteoporosis. In the treatment of osteoporosis, exercise prescription is given as part of the treatment, regardless of the age of the woman, and the bike is suitable for the middle age group because of less wear on the joints and less stress than other sports unless they are intense.
Walking is also useful as a bike ride
Walking and cycling system, respiratory system, muscles work, strength and condition increase, weight and cholesterol control as well as endorphin increase after 30 minutes of exercise, have very beneficial effects on stress control.
The aim is to maintain a paced walking time of 150 min.

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How is the sacrifice consumed?

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The risk of transmission of diseases such as tapeworm, salmonella, tuberculosis, anthrax to humans is high. For this reason, appropriate cutting conditions and meat storage, preparation, cooking techniques should be considered in accordance with consumption.
Can the victim be eaten as soon as his flesh is cut?
Sacrifice meat must be kept for 24 hours. Meat that is hard because of the new cuts can cause problems in both cooking and digestion. May cause swelling and indigestion.
In which technique and method should the victim be cooked?

Cooking methods such as boiling, steaming, grilling and baking are preferred and cooking with vegetables is suitable. If the barbecue is done, there should be a distance of 15 cm between meat and fire. Cooking techniques such as roasting and roasting should not be preferred.
What are the damages caused by excessive meat consumption?
High cholesterol, which is caused by excessive consumption of red meat, is quite common and its frequency is increasing. As a result of excessive consumption of animal fats, cholesterol accumulates in the vessels and causes cardiovascular diseases. In order to prevent high cholesterol and cardiovascular diseases, it is necessary to pay attention to our meat consumption.
Red meat is very rich in protein. However, if the red meat is consumed too much protein to enter our body is required. For this reason, the liver and kidneys involved in protein digestion need to work harder and this may cause long-term danger. At the same time, the fat content of meat is also high. It can cause overweight problems.

What is the importance of a balanced diet in Eid-Ul-Adha?
The amount and frequency of consumption of red meat during the holiday is increasing, therefore cardiovascular patients, diabetes patients, patients with hypertension and kidney disease are at risk. During the Eid al-Adha, care must be taken to ensure that the basic principles of healthy eating, food selection, portion control and balanced distribution of food groups are taken into consideration. In order to create diversity while consuming an appropriate amount of meat in accordance with the principles of adequate and balanced nutrition, it should be paid attention to consume with other food groups.
It should be cooked in its own water and low heat without adding butter or tail oil into the roast which has become the traditional dish of the Eid. Roasting and red meat should be consumed at lunch, and in the evening meal, vegetables with high pulp content such as dried legume should be preferred. Besides meat, rice is replaced by bulgur, brown rice; buttermilk, yogurt or caci must be consumed instead of acidic, carbonated beverages. In addition, daily (2-2.5 l) water consumption should be considered.

What should be the consumption of acidic and sugary foods?
The consumption of chocolate, sweet and acidic drinks increased during the holidays. This may cause heartburn, intestinal problems, hyperglycemia in diabetes patients and sudden weight gain. In order to meet the dessert, milk desserts or dried fruits should be preferred instead of syrup desserts; In addition to acidic beverages, tea, herbal teas, freshly squeezed fruit juice can be preferred.
Desserts served in festive visits should be eaten in tasting quantities. For dairy desserts, the portion size should not exceed 1 cup. It should not be forgotten that the next visit will be served sweet and therefore its consumption should be taken into consideration. As an alternative to the syrups, milk desserts and dried fruits can be preferred.
In this process, the first sources of consumption more than normal are meat and desserts. Fat and protein intake increases with the consumption of meat. As a result of this intake, in the long term chronic diseases can worsen the course, problems such as high cholesterol and obesity may occur. In the short term, sudden weight gain may be seen. With the consumption of sweet foods, there is extra sugar in the body. In the short term, blood sugar regulation becomes difficult. In the long-term, diabetes and obesity may be the basis for preparing the ground.

What is the importance of fruit and vegetable consumption in this process?
Meats do not contain vitamin C and E. For this reason, it is very important to eat meat with vegetables or to consume vegetables, salads, freshly squeezed fruit juices rich in vitamin C as well as meat. This method increases both nutrient diversity and vitamin C in vegetables, increases the absorption of iron. In this period, the consumption of fruits is restricted to sweet consumption and various vitamins, minerals and fiber purchases are restricted. Therefore, consumption of seasonal fruits is recommended during meals.
This article has been prepared by Dietician Aslıhan Yağcıoğlu.
For more information please contact our Nutrition and Diet Department.