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Understanding the True Cause - Acid Reflux Information You Can Really Use

Posted in Health & Fitness on October 10th, 2008

Acid reflux is really just a symptom of an underlying condition. However, many conditions can cause acid reflux, which often makes it harder to treat.  Among the contributing potential causes can be: hiatal hernias, pregnancy, defective lower esophageal sphincters, insufficient digestive enzymes, asthma, and lifestyle.

So, let’s take a look at few of these…

A hiatal hernia can cause acid reflux as a result of impairing the function of the lower esophageal sphincter.  Hiatial hernias are a condition that occurs when the upper part of the stomach ‘pokes’ through into the chest cavity via a small opening in the diaphragm. 

The diaphragm is the muscle separating the chest from the stomach. This condition is usually the results from severe cases of vomiting, coughing, straining, or a sudden exertion.  Obesity, pregnancy and advancing age also increase the risk of hiatal hernia. When hiatal hernia and acid reflux occur at the same time, symptoms of both tend to be more severe.

Pregnancy can cause acid reflux within the last trimester because as the baby grows, it puts pressure on the stomach, forcing some of the contents back up into the esophagus.  In this case, antacids and other similar medications will not help to provide relief to heartburn symptoms.  Instead, it is recommended that pregnant women eat smaller, more frequent meals so that there is never too much in the stomach.  Once the baby is born, the symptoms will typically stop.

For similar reasons to pregnancy obesity can also cause acid reflux as the stomach becomes constricted by the excess weight.

Another cause of acid reflux is a defective lower esophageal sphincter (LES). This can easily cause acid reflux, due to a malfunctioning esophagus that does not effectively seal off the stomach from the lower esophagus, allowing stomach contents to rise up.  A defective LES can mean that it is not strong enough to keep food in the stomach, or it may relax once food has passed through, allowing it to come back up again, causing the burning sensation and acidic taste.

Insufficient levels of digestive enzymes can also cause acid reflux as without sufficient volumes, digestion can become delayed. This results in food remaining in the stomach for longer, allowing stomach acids to build up and leading to a higher risk of acid reflux.

Even asthma is linked to acid reflux – with there being evidence that asthma is both a cause and also a possible effect of acid reflux.  The theory of asthma causing acid reflux, it can be explained by the coughing, sneezing, and other forceful respiratory events associated with asthma, pushing acid from the stomach into the esophagus.  Some asthmatic drugs also list acid reflux as a potential side effect.

Of course, lifestyle can also have a tremendous impact on acid reflux.  Your lifestyle choices can cause acid reflux through overeating, smoking, stress, and even the foods you eat such as salty or fatty foods.  Solutions can range from changing your lifestyle, losing excess weigh, taking typical antacids that you see at the convenience store or drug store to more long term lifestyle changes.

Although this article has only touched on some of the underlying conditions and factors that cause acid reflux, it shows the diversity of potential triggers. Many treatments look at resolving the symptoms without tackling the underlying cause, which in the end will never solve the problem for good.

Grab your free copy of Kathryn Whittaker’s brand new Acid Reflux & GERD Newsletter - Overflowing with easy to implement methods to help you find out about the various acid reflux causes and for information on acid reflux relief please visit Stop Acid Reflux Now

Weight Loss for Gout Part 2 How to Lose Weight with Gout Reducing Diet and Exercise

Posted in Health & Fitness on September 5th, 2008

There are literally hundreds of weight loss plans and programs available, but none of them have been created to be a gout reducing diet as well as weight reducing. As if losing weight on its own wasn’t hard enough, the issues presented by gout such as the foods you can eat without increasing the risk of a gout attack, and the attacks themselves can make things weight loss that much harder.

However, although it may be harder, it’s certainly not impossible and I’m here to help you get started. First you’ll first need to clarify a couple of points with yourself. Including, what your goal weight is, how much weight you need to lose, and how quickly do you need to lose that weight.  Once you know the answer to these questions, you’ll be much better prepared to start making decisions regarding your gout weight loss plan.

The key to a gout reducing diet is to remember that you’ll need to be flexible enough to “work-in” only the foods that won’t increase the risk of a gout attack, and understand that there will be times that your plan will need to allow for appropriate exercise and other key lifestyle changes. This effort will require commitment, dedication, and willpower on your part.

To be sure that you’re ready for this, and to remind yourself of what is truly involved, ask yourself the following questions.  Not only can you ask these questions before you even get going, but you can also print them out and keep them handy so that you can re-motivate yourself if you find that your drive to stick to it is slumping.

1. Do you understand your reasons for wanting to lose weight? 
Are you losing weight because your doctor told you to, or are you trying to lose weight because you know that it’s right for you and you’re ready? Try making a list of all of the reasons that you want to lose weight and make a list of all of the reasons that you are happy with your current weight.  Study them carefully and put the points in order of priority.  When you see how important your gout reducing diet truly is to your health and your gout control, you’ll convince and motivate yourself much more.

2. Have you ever successfully lost weight in a way that you were able to maintain? 
If you’re like the majority of people, you’ve tried to lose weight, and you were either unsuccessful at your attempt, or you were successful but you gained the weight back again.  You’re going to have to decide to change your lifestyle so that you have control over your gout and your weight, and they don’t control you.  For this reason, you’ll want to make sure that you are ready to create a plan and then stick to it.  This may mean speaking to your doctor and possibly a nutritionist or a physical trainer. 

3. Is there anyone else in your life who is willing to lose weight with you? 
If not is there someone you can depend on to support you throughout the entire process?  The more support you can get, the better.  People who lose weight alone need to have a great deal more drive and willpower than those who have others on their side do.

4. Do you know all of the different ways that you’ll benefit from a gout reducing diet? 
Minimizing your gout symptoms is only the beginning.  Losing weight will help you reduce the risk and severity of cardiovascular disease, high blood pressure, diabetes and other life threatening conditions, as well.  You’ll also reduce your risk of many forms of cancers.  Furthermore, you’ll look better, feel better, and have a great deal more energy than you had when you were overweight.

By asking yourself these questions, you’ll get to know why you’re starting your gout reducing diet, what your goals are, and gain more motivation to take the actions needed to reach your desired goals.  Next, you’ll be able to start to develop your own specific diet including the right foods and recipes.

Grab your free copy of Lisa McDowell’s brand new Gout Newsletter - Overflowing with easy to implement methods to help you find out about gout reducing diets and for information on why losing weight for gout can mean the difference between freedom from gout pain or being stuck with frequent painful, debilitating gout attacks please visit Cure Gout Now

How to Lose Weight and Get Rid of Gout

Posted in Health & Fitness on August 27th, 2008

For many gout sufferers keeping their weight in check can be challenging – but it is worth the effort. Studies providing information on gout have shown that being overweight or obese increases the risk of suffering from gout and by losing weight that risk can be reduced.

Carrying extra pounds effects gout in a number of ways including:

- According to various studies carried out, the levels of uric acid in the blood were significantly higher in overweight people compared with those of normal weight
- Extra weight puts further pressure on the joints which increases the pain during a gout attack increasing the risk of more permanent joint damage. 
- Damaged joints are more likely to accumulate increased levels of uric acid crystals, and so make a gout attack worse.

So losing excess pounds and staying fit and healthy are important gout prevention steps.

However, it isn’t always easy to stay fit, and that challenge becomes even more trying when you are suffering from gout.  After all, when you’re suffering from a painful gout attack in one of your joints, the last thing you want to do is get up and be active.  It’s tempting to give in to fad diets and weight loss pills, but deep down we all know that those aren’t long term solutions.  The best information on gout that you can receive is one that recommends healthy eating, exercise, and proper rest to let you achieve and maintain your ideal weight. 

To know where your weight stands in terms of your health, you will want to determine your body mass index (BMI). This system for determining your ideal weight is not without flaws, but it will give you a good overall indication of which direction your weight should be heading: up, down, or staying as it is.  In general, a healthy BMI is considered to be within the range of 18.5 and 25.

To calculate your BMI, you only need a couple of measurements.
1. Your height in metres (1 inch = 2.54 cm)
2. Your weight in kg’s (1 kg  = 2.2 kg)

Once you have these measurements, you can work out your BMI with the help of a calculator and the following calculations:

1. Your weight in kg divided by your height in meters= X
2. X divided by Your height in meters = your BMI

e.g If you weigh 85kg, and you are 1.80 metres tall, them your BMI would be 26.2 (85/1.8 = 47.2,  50/1.8 = 26.2)

Although there are a number of exceptions, which I will mention in a moment, the recognized scale for BMI is:

- BMI of less than 18.4 then you are underweight for your height
- BMI between 18.5 – 24.9 then you’re an ideal weight for your height
- BMI between 25 – 29.9, you’re overweight for your height
- BMI between 30 – 39.9, you’re obese
- BMI greater than 40, you’re very obese.

There are some people for who the BMI should not be considered as an accurate measure, these include those that have a large ratio of muscle to body mass, like body builders and some athletes.  Also, people over the age of 60 should be aware that the BMI measure becomes less effective as bones weigh less as you get older if resistance exercise is not carried out.  Finally, the BMI measurement is not accurate for children.

When a gout attack strikes, it is natural that you won’t want to exercise very much as the inflamed joint is likely to be painful and moving it will only cause it to hurt more. In fact, if you exercise a joint that is already inflamed with a gout attack, you may risk prolonging the attack and cause damage to the joint.  However, it’s important to know how to exercise when the joint isn’t inflamed as this will help to maintain a healthy weight and to prevent further attacks. 

Even when you have an inflamed joint due to gout, you can work on other areas of the body and gently move the joint through its natural range of motion to help prevent further stiffness.  You will also likely want to use ice or cold applications on the joint to help limit the inflammation to allow for greater mobility and decreased discomfort.

Though exercise doesn’t help to break up any uric acid crystals in the joints that have already built up, it will help to strengthen the joint and allow for greater muscular movements around it.

As well as exercising, eating a healthy diet of gout-friendly foods in portions that will allow you to achieve your healthy body weight is important.  It’s interesting to note that gout sufferers typically have a metabolism that is slower than people without gout (which helps to explain why the uric acid is not flushed from your blood as easily as it is in other people, allowing it to build up in crystals against your joints), so you will need to make sure that you are eating accordingly.

Information on gout shows that weight loss for gout sufferers doesn’t just involve a crash diet and a period of exercise.  Instead, it means developing a lifestyle to adjust your eating and activity habits. 

Managing Irritable Bowel and GERD With Herbs

Posted in Health & Fitness on August 8th, 2008

If there’s anything more frustrating than suffering from GERD, it’s suffering from irritable bowel and GERD at the same time.  If you do suffer from both conditions, you are likely very aware of how important it is to eat properly with your conditions in mind.  However, you may not yet know how to treat your conditions with herbs that will benefit them both.

This being said, before you begin treatment for any condition with herbal remedies, you should always talk to your doctor, first.  Though irritable bowel and GERD do cause a great deal of discomfort, and natural herbal remedies are very tempting, you need to remember that they are serious medicines and may cause reactions or medication conflicts that you weren’t expecting. 

As irritable bowel and GERD are both forms of digestive upset, it means that many herbs that help one will also help the other.  Consider discussing the following herbs with your doctor the next time you’re in for a checkup, or if you are headed there to discover new ways to keep your irritable bowel and GERD in check. 

- Ginger – for thousands of years, ginger root has been used for treating stomach distress and as a digestive aid.  It is also one of the most effective GERD herbal treatments.  It is easy to obtain in many forms and can be used in its purest varieties.  Ginger works well for treating acid reflux due to its natural anti-inflammatory, anti-bacterial, and analgesic properties.  You can use fresh ginger in your cooking, as a garnish to a meal, in powdered form in recipes, or even in teas.  You can safely ingest moderate amounts of ginger on a daily basis without any undesirable side effects.  However, be aware that large amounts can lead to heartburn.

Similarly, ginger is very effective for treating IBS, including its symptoms of diarrhea, cramping, and nausea (even at its most severe).  In fact, its effect can be equally or more effective for treating these symptoms than some IBS drugs.

- Slippery Elm – elm bark is an herb that is considered both gentle and nourishing.  It works to coat and soothe the stomach’s mucus membranes as well as those of the gastrointestinal tract.  This effectively absorbs excess stomach acids and assists in the mixing of foods with stomach acids while minimizing irritation throughout the length of the digestive tract. 

For IBS sufferers, the benefits go one step further as slippery elm is also a very mild fiber supplement which can help to reduce cramping, gas, and pain.

- Fennel – fennel is well recognized as an herb that settles the stomach and eases digestive discomforts.  By choosing a fennel tea instead of coffee after dinner, its carminative properties should help to minimize any potential GERD symptoms that would arise from the meal.

Fennel is also good for reducing the bloating and gas associated with IBS. 

Of course, to make sure that these herbs can work their very best, you’ll want to make sure you watch your diet and eat foods that are friendly to both irritable bowel and GERD.

Grab your free copy of Kathryn Whittaker’s brand new Acid Reflux & GERD Newsletter - Overflowing with easy to implement methods to help you find out about irritable bowel and GERD and for information on following a diet for gerd and acid reflux please visit Stop Acid Reflux Now

That Lump in Your Throat May Be Acid Reflux

Posted in Health & Fitness on July 18th, 2008

There is a very common condition called globus pharyngis that is best described as feeling like there is a lump in your throat.  Though this condition can be caused by many different factors, acid reflux is one of the leading causes of globus pharyngis. 

Forty five percent of the population will experience globus pharyngis at some time or another in their lives.  It can feel either like a solid lump or ball in the throat, or as fullness in the throat, close to the area of the cervical esophagus.  The strange thing about gobus pharyngis is that though there is a specific, definable sensation to the individual sufferer, there is no detectable abnormality in the throat when examined by a doctor. 

Currently no single explanation has been accepted as actually causing the globus sensation, however, GERD or acid reflux is among the leading factors attributed to its existence.  Other suspect conditions are hypertensive upper esophageal sphincter pressure, sinusitis, overclosure of the bite, anterior cervical osteophytes, and certain psychological disorders. 

Therefore, to treat globus pharyngis, doctors must systematically eliminate each of the potential causes through several forms of examination.  This often includes a thorough ear nose and throat examination using an esophagoscopy (a small instrument with a light and camera that is inserted into the throat).  It may also require a Barium swallow or counseling services.

In the case of acid reflux causing globus pharyngis, it is much more common in women than in men (though it is not unusual for men to experience it), and usually occurs between the ages of 40 and 60.  Men who do suffer from globus pharyngis will often also have a mild case of dysphagia, which is the feeling of food getting stuck in the throat.  More rarely, men will present with a severe case of dysphagia along with the globus pharyngis.  Young men are more likely to suffer from both conditions at the same time.

Among the most effective treatment for the globus pharyngis condition are counseling – to let the patient know that everything is alright and that they’re not choking and their lives are not in any danger.  Furthermore, treatment with rigid esophagoscopies will often ease if not eliminate the sensation.

To prevent the recurrence of globus pharyngis, treatment of GERD is recommended, as it is likely to be the cause in the first place.  Speak to your doctor about your acid reflux and globus pharyngis symptoms to create a practical prevention strategy that can be worked into your lifestyle. 

This will include instructions regarding changes to your diet both when you’re preparing your foods at home and when you’re eating out at restaurants, cafes, etc.  You will likely be required to include some new foods into your diet, while reducing others that cause acid production to increase in your stomach, such as alcohol.  You will also benefit from eating frequent, smaller meals throughout the day, instead of fewer large meals which cause your stomach to fill up and more acid to be produced, increasing the risk of reflux.

Grab your free copy of Kathryn Whittaker’s brand new Acid Reflux & GERD Newsletter - Overflowing with easy to implement methods to help you find out how to remove the feeling of a lump in the throat and for information on other possible cause of acid reflux please visit Stop Acid Reflux Now

Is Sleep Apnea One of the Causes of Gout?

Posted in Health & Fitness on June 13th, 2008

There are many different potential triggers for gout that you should be aware of if you suffer from the condition.  One of the potential triggers that we’ve been asked about recently is sleep apnea.  It may seem as though these two conditions are completely unrelated, but in reality, they are connected.  The connection was first noticed when sleep apnea patients received treatment for their disorder and they noticed their gout symptoms simultaneously improved.

The reason for this link is believed to be the reduction in blood oxygen during apnea episodes, causing cell disintegration in the body and the generation of uric acid in the bloodstream.  The cause of gout is, after all, the presence of uric acid crystals in the joints.  Furthermore, during apnea there is an increase in the carbon dioxide percentage within the blood, making the blood’s acidity level higher and increasing the risk of uric acid precipitation as monosodium urate.  This can collect in the joints and can even lead to an increased risk of developing kidney stones.

This effect is very similar to what happens within the cells when excess alcohol is consumed. And it should be noted that drinking alcohol can cause sleep apnea to become more pronounced.  Therefore, gout sufferers with sleep apnea have two major reasons to avoid drinking alcohol. 

Other links between sleep apnea and gout include show up in the fact that not only are primary gout sufferers demographically the same as the primary sleep apnea sufferers (middle-aged, overweight men), but sleep apnea and gout are also both much more common among women who have been through menopause.  Also, both gout and sleep apnea are associated with people who have a larger neck circumference. 

Most notably, though, is that gout attacks are the most common while asleep, indicating that sleep has an impact on gout attacks and sleep disturbances and conditions may also influence the causes of gout attacks.

Until recently, gout and sleep apnea have been treated separately.  However, many sleep apnea patients who implement treatments for that condition find that their gout improves at the same time.

The treatments for sleep apnea include preventative actions, such as avoiding sleeping on one’s back.  When sleeping on the back, the airway can become constricted and is more likely to close, causing the oxygen levels in the blood to be lower than in other sleeping positions. Therefore, changing the way you sleep can help to prevent gout attacks simply by increasing the overall blood oxygen level. Other sleep apnea treatments can include a pressurized CPAP mask or surgery. 

No matter the final remedy, improvements to a patients sleep apnea problem ensures that blood oxygen levels remain high, minimizing uric acid and monosodium urate precipitation and therefore gout flare ups.

So, if you’re suffering from gout, you may want to check to make sure that you are not also suffering from sleep apnea, as it may be one of the causes of gout aggravations in your body. Then you will be able to look into both sleep apnea treatments and remedies for the gout itself. Speak to your physician about undergoing a sleep study to determine if you have sleep apnea or not.
If you’ve suffered from a gout attack or two now is the time to take action to stop the attacks in their tracks and discover effective preventative steps before your uric acid levels get out of hand.

Grab your free copy of Lisa McDowell’s brand new Gout Newsletter - Overflowing with easy to implement methods to help you find out about sleep apnea and gout and for more information on what causes gout please visit Cure Gout Now

The Signs and Symptoms of Silent Acid Reflux

Posted in Health & Fitness on May 19th, 2008

Choking often occurs with night time acid reflux, but silent acid reflux can also cause choking, coughing, and other throat related issues.  Although commonly referred to as silent reflux, the actual term for this particular form of acid reflux is Laryngopahryngeal reflux (LPR).

What is LPR?  Laryngopharyngeal reflux is similar to gastroesophageal reflux disease (GERD) in that it occurs when the lower esophageal sphincter (LES) weakens and opens, allowing acid to reflux into the esophagus.  However, the main difference is that the primary symptom of GERD is heartburn, while the primary symptoms of LPR typically occur in the throat.

Most people are aware that acid reflux usually occurs when the LES, the lower sphincter in the esophagus located between the esophagus and stomach, malfunctions.  However, what is not as commonly known is the esophagus actually has another sphincter called the upper esophageal sphincter (UES).  The UES is located where the esophagus meets the throat.  When both the LES and UES fail, silent acid reflux is the result.  

What is the difference between LPR and GERD?  As was previously mentioned, LPR results when stomach acid makes it past both of your sphincters and pools in your throat, or reaches your mouth or the back of your nose.  GERD is when acid makes it past the LES and remains in the chest and does not pass through the UES.

The most common symptom of GERD is heartburn, which occurs after a person has experienced repeat episodes of reflux, and the acid has burned away the protective lining that coats the esophagus.    Although some LPR sufferers experience heartburn, this isn’t a common symptom, because the refluxed digestive juices do not remain in the esophagus long enough to cause damage.  This is often why LPR is referred to as silent acid reflux, because most people don’t associate the symptoms they experience from laryngopharyngeal reflux with acid reflux.

What are the symptoms of LPR?  Symptoms almost always occur in the throat and are usually felt because, unlike the esophagus, there is no protective lining in the throat.

Common symptoms that may be experienced include:
- Chronic cough
- Asthma-like symptoms
- Regurgitation
- Sour or bitter flavor in the mouth
- Frequent need to clear the throat
- Consistent mucous in the throat
- Burning sensation or pain in the throat
- Sore throat
- Hoarseness and possible loss of voice
- Difficulty swallowing
- Post-nasal drip
- Pain in the ear and/or consistent ear infections
- Nausea
- Heartburn

A silent acid reflux sufferer may experience some or all of these symptoms.

What should I do if I think I have LPR?  If you think you may be suffering from laryngopharyngeal reflux, you should visit your doctor for an examination and diagnoses.   Your general practitioner (GP) may send you to an otorhinolaryngologist (a medical professional who specializes in diagnosing and treating ear, nose and throat disorders, also known as an ENT specialist).

You can expect to have different tests done, such as a fiberoptic endoscopy, a special test that is designed to visualize the full length of your throat, and is often used to diagnose LPR.  Other tests you may experience for further diagnosis include barium swallow or dual pH probe studies.  It is imperative that you have LPR diagnosed and treated, because it can cause just as serious damage as untreated GERD. 

How is LPR treated?  Silent acid reflux is primarily treated with the same methods as GERD.  The reason is because the goal is to reduce acid to treat symptoms and prevent acid reflux from occurring.  Thus, treatment typically involves lifestyle changes (I.E. eliminating foods and beverages that trigger acid reflux, quitting smoking, losing excess weight, not eating before bed, etc.), and may include antacid medication or surgery depending on the severity of LPR and the frequency of acid reflux attacks.

Remember that you should always consult your doctor first before starting any method of treatment.  Do not self-diagnose silent acid reflux, because the symptoms you are experiencing may be related to another condition altogether.  Always seek a professional diagnosis.

Grab your free copy of Kathryn Whittaker’s brand new Acid Reflux & GERD Newsletter - Overflowing with easy to implement methods to help you find out about silent reflux and for information on Laryngopahryngeal reflux (LPR) please visit Stop Acid Reflux Now

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5 Tips for Sticking to Gout Reducing Diets

Posted in Health & Fitness on February 1st, 2008

If you have a gout attack, coffee may be beneficial, but to more effectively treat gout and stop it from occurring, you need to learn how to successfully stick with gout reducing diets.  The following are 5 different tips on how you can create a diet plan that will work for you:

Tip 1 - Know what foods to avoid and what foods to welcome into your diet.  The goal of any gout prevention diet is to stay away from foods that increase uric acid levels, which increase your risk of a gout attack, and stick with those that keep uric acid levels under control. Make a list of foods to avoid, as well as a list of friendly foods, and keep these lists posted on your fridge, and in your organizer/planner, so you’ll never be without them come mealtime, and when making an effective grocery list.   Below are two brief lists:

Foods to avoid:
All alcoholic beverages
Yeast
Red meat
Organ meat (hearts, kidneys, liver, etc.)
Turkey
Meat extracts
Gravies
Anchovies,
Fish roes
Herring,
Mussels
Scallops
Legumes (peas, dried beans, etc.)
Spinach
Asparagus
Cauliflower
Mushrooms
Sweetbreads

Beneficial foods:
Complex carbohydrates (bread, pasta, rice, cereal, etc.)
Dark berries (black berries, blueberries, raspberries, etc.)
Cherries
Bananas
Oranges
Pineapple
Tomatoes
Kale
Cabbage
Parsley
Tofu
Salmon
Flax and flax oil
Olive oil
Water
Fruit juices
Coffee/tea

Tip 2 – Eat a balanced diet – Knowing what foods to limit and increase in your diet will help to prevent a gout attack, but it’s still important to remain healthy by making sure you’re feeding your body a balanced diet.   A balanced diet for gout – according to the American Medical Association - is one that is:

Low in protein - it is recommended that as much as 15% of calorie intake be from sources such as soy, poultry and lean meats, while a maximum of 30% of calories should be from fat.

High in complex carbohydrates (I.E. fruits, vegetables and whole grains)

As a general rule of thumb, it’s a good idea to eat more frequent and smaller meals than fewer larger meals.   This will not only help you better digest your food; it also allows you to limit your portion sizes.  This way, you can ensure that the protein portion of your meal is always the smallest.

Tip 3 - Plan your meals ahead of time – Planning your meals helps to strengthen your will power when it comes to making food choices.  By planning your meals ahead of time, you will avoid giving into your craving for purine-rich foods, which is more likely to occur when you are hungry and haven’t thought about what you are going to eat.  For this reason, it is very important that you take the time to prepare yourself a lunch/dinner for work ahead of time, so you don’t continuously eat out, as most restaurants don’t offer menus with meals that prevent a gout attack.

Tip 4 –Know how to make substitutions when eating out – Everyone eats out from time to time, and just because you are prone to gout shouldn’t stop you from this enjoyment.  Of course, this doesn’t mean you should indulge in any food offered on the menu.  When it comes to eating out, you need to learn how to substitute food to save yourself from a gout attack, while still tantalising your taste buds.  Here are a few suggestions:
Appetizer – Instead of mussels try garlic bread or a veggie salad (Note: make sure to eliminate any veggies that are not conducive to a gout diet)
Entrée – Instead of steak have salmon with rice or a vegetarian dish
Dessert – Instead of cappuccino and cheesecake, go for a cup of tea/coffee and a fruit bowl

Tip 5 – Create and discover different gout recipes – Eating the same foods over and over again, or preparing meals the same way, becomes extremely boring and downright depressing after awhile.  The last thing you want to do is not look forward to eating, because skipping meals or reverting back to an unhealthy and purine-rich diet will only bring back the gout attack.   Take some time to look into gout reducing diets and recipes or started creating some of your own recipes.

Grab your free copy of Lisa McDowell’s brand new Gout Newsletter - Overflowing with easy to implement methods to help you find out about gout reducing diets and for information on gout remedies please visit Cure Gout Now.

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How a CD Copier Works

Posted in CD Copier on May 4th, 2007

In today’s demanding marketplace, advances in technology are constantly being made. While it may seem like just yesterday when 8-tracks and audio cassette tapes ruled the world of music media, today’s landscape is vastly different. Despite I-Pod style devices experiencing a strong surge in recent years, CD’s (compact discs) have remained the first choice with consumers purchasing music for nearly two decades now. In fact, over $5 billion dollars worth of CD’s were sold in America in the last year. Furthermore, consumers are now able to quickly copy songs from these compact discs onto a blank CD by using a CD copier. Have you ever wondered how a CD copier works? In this article, we’ll take a look at the specifics involved when you take your favorite songs from one CD and copy them to another.

CD copiers, also known as CD burners, are machines that are often included with most desktop and laptop computers. They are also sold as external units, and serve to copy music from one compact disc to another blank compact disc. If you are unfamiliar with how a CD actually works, here is the basic idea. The digital information stored on a compact disc (i.e. music) is interpreted within a standard CD player by a laser that literally “reads” the data on the CD. The laser is actually translating a pattern of “bumps” and “lands” that reaches your ears in the form of your favorite singer or band. While this may seem complex, it is only important to know that when you purchase a CD of your favorite artist, that CD is already encoded with a pattern that will result in the playing of the songs you want to hear. Conversely, a blank CD-R (also known as a CD-recordable disc) does not yet have a pattern of “bumps” and “lands”. That leads us into our next question: How does a CD copier work to transfer one pattern onto another blank disc?

As we just discussed, CD-recordable discs do not have a pattern that can be read by a CD player. What these discs do have, however, is a smooth metal layer that covers a layer of photosensitive dye. This dye is instrumental to the copying process. A CD copier first reads the pattern off the original CD in the same way as a CD player by using an aptly named read laser. It then uses a stronger laser called a write laser, which replicates the pattern of the original CD onto the CD-R. While a read laser is not capable of changing information on a CD, the write laser is strong enough to darken the photosensitive dye, thus altering the surface of the CD-recordable discs. This interaction between a CD copier and a CD-R results in a perfect copy of your favorite compact discs!

CD copiers enable people to replicate music for several reasons. Whether you want to make a copy for your sweetheart, take a copy on that long road trip, or just compile all of your favorites together on one disc, the wonderful technology behind a CD copier works to make it all possible.

Choosing the Best Flower Shop

Posted in Flower Shop on May 4th, 2007

When choosing a flower shop, you first want to look at the quality of the flowers on sale. Make sure they are fresh. When a shop has a garden nearby, this is a good sign, because its flowers will be freshly picked.

Some flower shops even sell roses and other kinds of flowers that are still planted. The best florists will then pick and cut whatever flowers you choose.

If are planning for a flower delivery, make sure the shop delivers fresh flowers on time! Ask about how long the time period is between when the flowers are picked and when they are finally delivered. Even ask about the type of vehicle the florists use.

If you don’t’ know what kind of flowers to buy, browse the colorful shop. There should be tulips, roses, daffodils and everything else you can imagine. And then of course, certain occasions call for certain flowers.

To really find the best flower shop in town, ask friends who have frequently bought flowers in the past (maybe they are in a leadership position and often decorate for special events). You can even scout out a flower plantation to make sure the plants are bred and fertilized well.

Not only are the actual types of flowers important, but so are the arrangements. You will need to find a flower shop that employs clever designers who create elegant, presentable bouquets for any occasion.

You can even research different flower shops online! Many shops can be partially, or wholly, based on the web and they don’t operate much differently than normal markets except that the payment and transaction process is of course markedly different (and more convenient). However, it is best to check up on a shop personally, rather than with the Internet, as your eyes and nose can truly detect the freshness and health of a shop’s flowers.

Another good thing to ask a flower shop employee is if the store offers refunds for damaged flowers. This way, if you receive flowers upon delivery that simply aren’t fresh, you can refuse to pay for them.

After you have looked into the different flower shops, choose your favorite!