Abciximab was used in conjunction with the intervention when deemed clinically indicated

Friday, October 10th, 2014 No Commented Categorized Under: Drugs

Troponin T and CK-MB were measured in a nonrandomized, nonconsecutive cohort of patients (n = 57) during the period of September to November 2000. Patients were referred for elective coronary angiography and PCI with the diagnosis of progressive symptomatic coronary artery disease. Thrombolysis in Myocardial Infarction (TIMI) grade coronary artery blood flow was established in all patients. Troponin T and CK-MB were measured at 2 h, 4 h, 8 h, and 12 to 20 h (mean ± SEM, 17.9 ± 0.46 h) postprocedure.

Abciximab was used in conjunction with the intervention when deemed clinically indicated. The dose was 0.25 mg/kg IV followed by 0.125 pg/kg/min for 12 h after PCI. All patients received aspirin (325 mg) before the intervention, and patients receiving stent implantation received clopidogrel (375 mg) prior to stent placement. Subsequently, peak biomarker levels were determined at each time interval. Any increase in cTnT > 0.03 ng/mL (the value at which the coefficient of variability of the assay is < 10%)12 and CK-MB > 6.2 ng/mL was defined as a clinically significant elevation. Troponin T assays were performed using highly sensitive and precise third-generation assay. The cTnT assay has a coefficient of variability of 10% at a value of 0.035 ng/mL and 20% at 0.015 ng/mL.

The limit of detection is < 0.01 ng/mL. Fifty-six percent of these patients received IIb/IIIa inhibitor therapy in association with the procedure, and 39% were stented without IIb/IIIa inhibitor. Four of the 57 patients (7%) were treated with percutaneous transluminal coronary angioplasty (PTCA) only therapy; of these, 1 patient received abciximab. Twenty four of 57 patients demonstrated cTnT elevations, with the majority receiving stent placement (92%) and abciximab (75%). Fourteen of 57 patients demonstrated elevations in CK-MB, with all patients receiving stents and 86% treated with abciximab.

Fourteen of 57 patients demonstrated elevations in CK-MB, with all patients receiving stents and 86% treated with abciximab. Postprocedure cTnT elevations were detected in 42% of patients. Of these, no patients demonstrated peak cTnT levels by 2 h after PCI. One of the 24 patients (4%) had peak cTnT elevation at 4 h after PCI (3.14 ng/mL), 3 of 24 patients (12.5%) had peak cTnT at 8 h after PCI (1.73 ± 0.48 ng/mL), and 20 of 24 patients (83%) had peak cTnT at 12 to 20 h (mean, 18 ± 0.5 h) after PCI (0.22 ± 0.06 ng/mL). The differences in cTnT levels late (12 to 20 h) were often substantial (range, 0.02 to 1.14 ng/mL; mean difference, > 0.1 ng/mL).

Drugs to prevent airway remodeling

Thursday, October 9th, 2014 No Commented Categorized Under: Drugs

No therapy is currently demonstrated to unequivocally prevent or reverse airway remodeling. Here, we summarize the effects of current therapeutics and the factors contributing to airway remodeling drawn from both clinical studies and animal models.

Many drugs have been shown to prevent allergen-driven airway remodeling in animal models, but there are few studies that demonstrate their ability to reverse established airway remodeling. Since airway remodeling occurs even in childhood asthma, it is possible that airway remodeling is already present in many patients with asthma at the time of onset of clinical disease. It is, therefore, pertinent to ask ourselves if remodeling is even potentially reversible. In this respect, the recent publication by Leclere et al showing the partial reversal of ASM remodeling in horses with heaves, a naturally occurring asthma-like diseas e, following antigen avoidance as well as corticosteroid treatment Canadian Health&Care Mall provides a basis for optimism. The appropriate time to initiate therapeutic interventions deserves further consideration in addition to the search for novel therapeutic targets.

There are no studies reporting efficacy of therapies for cystic fibrosis airway remodeling. Indeed, this disease is not well modeled by cystic fibrosis transmembrane conductance regulator-deficient mice, but the porcine model shows more promise. Although bronchiectasis is likely intractable, the aspect of airway remodeling that may lead to the asthma syndrome often accompanying cystic fibrosis may be amenable to treatment.

Several clinical studies show that inhaled corticosteroid (ICS) reduces RBM thickness, although the clinical significance of such an effect is quite uncertain, and its impact on airway function seems unlikely to be major. Vascular remodeling reportedly improves with high-dose fluticasone. Whether the excessively rapid airway rewarming seen in patients with asthma after the cooling induced by hyperpnea challenge is attributable to excess vasculature or to vasodilation of existing vessels is not known. Its clinical significance is likewise uncertain but has been attributed a role in exercise-induced bronchoconstriction. A decrease of a-smooth muscle actin area in peripheral airways harvested by transbronchial biopsy in subjects treated with ICS has been reported, suggesting reversibility of this lesion in peripheral airways. Erectile dysfunction medications Canada

Similar Diseases Without Atopy

Wednesday, October 8th, 2014 No Commented Categorized Under: Atopy, Canadian Pharmacy

Similar Diseases Without Atopy

Whether the same disease causes infantile eczema without positive skin test results or intrinsic asthma with its nasal equivalent is not entirely certain. There are a great many similarities.



Atopy Canadian Pharmacy

Atopy Canadian Pharmacy




Where allergic asthma is common, intrinsic asthma is common and visa versa. An example is the high rate of asthma in the isolated community on the island of Tristan da Cunha where 74% of asthma cases were extrinsic and 26% were intrinsic. The intrinsic asthma picture is clouded by a fairly large group of patients with earlier symptoms of atopy who become more chronically asthmatic, develop sinus disease, and behave more and more like persons in the intrinsic group. The onset of purely intrinsic asthma in adults can be quite sudden, and it is often chronic and severe from the start. Women in their childbearing years are particularly susceptible, and lung autoantibodies have been found. It joins the list of diseases involving autoantibodies that develop more commonly in women, with the immunologic changes of pregnancy and the postpartum period. Autoantibodies also have been found in persons with infantile eczema without atopy.

One curious finding in patients with aspirin-sensitive asthma, which is usually intrinsic, is that the herpes drug acyclovir, an inhibitor of DNA polymerase, reduces bronchial inflammation and protects against a reaction to aspirin. Does the antiviral effect have anything to do with this or do other pharmacologic effects cause this phenomenon?

Atopic respiratory symptoms may develop soon after positive skin test results occur or not for several years, as if some other event may be required for localization of the disease. A follow-up of university students tested and questioned as freshmen, and questioned again about symptoms 4 years later as seniors, gives a good example showing the variable latency period between the development of positive skin test results and the development of symptoms. Very occasionally, symptoms develop before positive skin test results occur, perhaps because of local IgE production. In the same university student population that was observed 23 years after their original testing as freshmen, both hay fever and strongly positive skin test results raised the rate of future asthma to about 10% compared with 3% in alumnae with neither previous hay fever nor positive skin test results. Thus, beyond childhood the risk for new asthma was small even for the atopic population. Although the 10% occurrence of asthma in those with previous hay fever or positive skin tests seems a low risk, half of those who developed asthma had previous atopy or hay fever. Thus, atopy remained a substantial risk factor.

Erectile Dysfunction and Asthma

Tuesday, October 7th, 2014 No Commented Categorized Under: Erectile dysfunction

Our study was not aimed at providing information on potential changes in morbidity or health-care use by patients referred to AECs; this needs further assessment. Nevertheless, the program was based on previous projects and studies that have shown the potential of such interventions to significantly reduce asthma-related morbidity, particularly for patients with high morbidity or acute care use, for whom such intervention should be a priority. Our program is in keeping with the recommendations of these studies in that it promotes referrals to AECs. In only 4 months, the number of patients referred for formal asthma education increased more than tenfold. Additional data obtained from May to October suggest that the frequency of referrals remains stable. These results are significant when we consider the small number of referrals before the 1500 program was implemented. From January to April, referrals coming from hospitals accounted for > 60% of the total number of referrals received by the AECs. Other results support the hypothesis that this increase in referrals to AECs is directly related to the training given to the ED professionals.


Approximately half (48%) of the subjects referred to an AEC had consulted an ED for asthma at least twice during the preceding 12 months. An earlier study carried out in Quebec showed that approximately one third of the patients (32%) seen at the ED made more than one yearly visit. The fact that these patients had not previously received structured asthma education seems to indicate that even patients with a high rate of acute care visits are not often referred for such interventions.

Overall, approximately two thirds of referred patients agreed to make an appointment at the AEC, and approximately two thirds of these attended the program. These proportions are high if we consider the usually poor attendance at such programs among this population. However, this evaluation does not provide information on the reasons for refusal or nonattendance. In spite of a clear process  and dedicated staff, only a limited number of subsequently attended patients for asthma education.


Canadian pharmacy: Mind medicine

Monday, October 6th, 2014 No Commented Categorized Under: Medications, Medicine


Your image transforms your belief from an invisible saboteur into something concrete — a visual form (instead of a thought form) that can be dealt with, changed, or even eliminated. For instance, your belief that you cannot control your anger might look like the molten lava of a volcano or a rampaging tiger. By seeing your belief as an image and then by changing this image, you are also changing the belief. We call this process “Seeing Is Belief-Conventional psychology adheres to the theory that it’s our past experiences — our upbringing, our parents — that define who we are, what we believe, and what is or is not possible for us. But this work, which is informed by a psychospiritual rather than a psycho logical perspective, teaches that it is our beliefs that generate our experiences in life and that once we become aware of these beliefs, they cease being invisible and we have the option of changing them and setting ourselves free.

When Cheryl practiced the imagery exercise, which took her only a minute, it gave her renewed energy and strength to go forward in life after being stuck for several years. Though she could not change the actual experiences of her past, she could change her attitudes, beliefs, and feelings toward them. Imagining Grandma as strong instead of weak gave Cheryl an imagery mantra she could then use to generate new actions in what had previously been difficult situations. Now, when Mom becomes abusive and tries to steamroll her, instead of having an outburst or suppressing her anger, Cheryl can employ the image of Grandma picking Mom up by her neck and carrying her off. This adds a touch of lightness and humor; it reminds Cheryl that her grandmother still watches over her and that her mom is not as powerful or unmanageable as she had previously believed.

In addition, the imagery supports Cheryl in breaking her habit (and Grandma’s habit before her) of allowing her mother to get away with being a mean-spirited presence pressing her down, restricting her breath, and limiting her life. In doing this, she corrects this family error for herself and sets an example for the rest of the family as well.


Cheryl’s imagery experience in which an angelic presence appears is not uncommon. In the Western spiritual tradition, angels play an important part as messengers of God. Over the past few years more and more books have appeared describing experiences that people have had with angels in their everyday lives. Whether or not you believe in angels or in God, images of these spiritual beings may unexpectedly appear in your imagery and dreams. If this occurs, you then have the opportunity to explore or ignore them. Should you find yourself making negative judgments about the value of such an experience, remember that this is a judgment and is not necessarily the “truth.”

J-MedicalInfo: Bronchodilator medication

Monday, October 6th, 2014 No Commented Categorized Under: Medications, Viagra Australia

Smokers without airflow limitation had a normal lung function test results with no history of lung disease and a smoking history of > 10 pack-years. None of the patients had a history of atopy or evidence of atopy based on skin-prick testing for common aeroallergens. Subjects who had had a respiratory tract infection or exacerbation of the airway disease within the previous 8 weeks and those receiving systemic or topical corticosteroids during the previous 12 weeks were excluded from the study.

Bronchodilator medication was withheld 24 h before bronchoscopy. All patients gave written informed consent, and the study was approved by the local ethics committee.

Patients underwent fiberoptic bronchoscopy under light sedation. Bronchial epithelium was obtained by gentle brushing of segmental and subsegmental bronchi under direct visual guidance by means of a protected brush. Each patient underwent 20 to 30 brushes of the bronchial epithelium. Brushing was accomplished by a very light gliding motion along the surfaces of the airways. In cases where lung cancer was suspected, brushes were performed from the contralateral side to preserve maximum distance to the tumor. Brushes were immediately placed in ice-cold culture medium and transported directly to the laboratory for further processing.

Culture of PBECs and Cialis Australia

Brushes were vortexed vigorously, and the harvested cell suspension was filtered through a 200-pm filter (Millipore; Billerica, MA) filter to remove mucus and cellular debris, and then treated with 4.8 U/mL Dispase II (Roche; Mannheim, Germany) to eliminate cell clumping. The cells were then centrifuged at 150g for 10 min, and the pellet was resuspended in cell culture medium. Cell number was determined using a hemocytometer. Cell viability was determined by Trypan blue exclusion. Cells were resuspended in serum-free bronchial epithelial cell growth medium (Promocell; Freiburg, Germany) supplemented with a variety of growth factors, including bovine pituitary extract (0.052 mg/mL), recombinant human epidermal growth factor (0.5 ng/mL), insulin (5 pg/mL), hydrocortisone (0.5 pg/mL), epinephrine (0.5 pg/mL), triiodothyronine (6.5 ng/mL), transferrin (0.01 mg/mL), and retinoic acid (0.1 ng/mL). In addition, the medium contained penicillin G (100 U/mL), streptomycin (100 pg/mL), and amphotericin B (0.25 pg/mL) [In-vitrogen; Karlsruhe, Germany].

J-MedicalInfo: People and Their Environment

Sunday, October 5th, 2014 No Commented Categorized Under: Erectile dysfunction, Treatment

Air, water, food, light and warmth are the elements, through which the new science uses as methods for cardinal solving of life issues. One, who understands the properties and applications of these elements, may recover in 5 minutes.

prevention and erectile dysfunction

prevention and erectile dysfunction


You live in Nature, but you cannot profit from it. Why? You do not know its laws. If you want to be in harmony with it, to benefit from its wealth, start learning its language. In order to learn the language of Nature, you have to study the forms of the bodies, their content and meaning.

Every person benefits of the goods of Nature, depending on the degree of his development.

One shall live according to the laws of Nature. If he does not obey these laws voluntarily, Nature will compel him by force to obey them.

There are three sources, through which the Divine world influences us: through food that comes from the plant kingdom, through the air, which includes light, warmth, magnetism, and electricity, and through thoughts and feelings. Therefore, these are the three most important tributaries that constantly come from the Divine world. If you close any of these tributaries, you will find yourself in a great contradiction. So, one may perceive the Divine through food, through light, warmth, electricity, and magnetism, and finally through all the rest powers, acting in nature. One may perceive the Divine also through the most sublime and pure thought.

Enormous energy is locked in rocks, seas, Cosmos, and people have not yet used the full potential of their brains, nor have used these extraordinary sources of energy.

When talking about healthy, normal life, it means proper usage of the energies from the external world, from the rational Nature.

Once the digestive system is blocked, the respiratory is also blocked and breathing becomes rapid and irregular. That is why these two systems must be kept in good state. Eating, in general, means a process of perception: perception of the living powers of Nature. These powers are taken in through food, through the air, water, light, and warmth, and finally through the living thought. The rational man has ways, through which he may extract the living powers from these environments. One, who knows carbon, its properties and compounds, he may always extract life from it.

Do not think it is easy for one to cope with the powers, acting in Nature, as well as in every living being. If you touch a person, whose energies are opposite to yours, you will spoil your state. And then some time shall pass until you cope with these energies. For instance, it is not one and the same who will sew your clothes. Choose such a tailor, whose energies match yours. In other words, be friends with people, with whom you are in harmony. Use the services of those, with who you are in agreement and unity. In this respect, birds have solved this issue. To overcome difficulties in their lives, they have developed in themselves the art of sewing clothes by themselves, painting and arranging them by themselves. One must be careful when he chooses his tailor, cook, as well as the books he will read. It is not one and the same who the author is. It is better if you read the books of that author that suits your character. It is good to read books that author with whom you set up in a range. It is not important if these books will be scientific or fictional.

Treatment Through Movement

Thursday, October 2nd, 2014 No Commented Categorized Under: Treatment, Viagra Australia

Each our external action is an expression of an action that takes place in the spiritual world.

Any disharmonious movement in the physical world produces disharmony in the astral one. Any disharmony in the astral world also affects the mental one. Once the inner world balances, harmony in the movements of the external limbs will restore.



So, thoughts affect movements and movements affect the mind.

Every movement leaves cliches in the invisible world. And every cliche is an imprint that has its consequence. And that consequence, that result brings joy or sorrow.

By his movements, one regulates the energies of his organism. Movements jolt the air, whose vibrations are transmitted to the physical body through the doppelganger. The doppelganger of somebody is an antenna, through which he perceives impressions from the outside world. This is why the doppelganger wraps the human body and protects it from misfortunes. The better one regulates his doppelganger, the more correctly he perceives the impressions from the outside world. Knowing this, you have to adjust your antenna often.

When human movements are dictated by harmonious thoughts and feelings, they are always beautiful. The greater harmony exists in man, the more beautiful his movements are.

Arm movements affect the brain, the nervous system. If the movements during writing letters are correct, they affect favorably the memory, and hence, the development of the mind. They develop the mildness and stability of the human character. In general, all movements that you make determine your state and character.

Correct movements are those, during which the whole body takes part. The head shall be moved together with the legs, and the whole body shall move wave-like. If you walk in this way within mountainous areas, you will not feel any fatigue.

Rational movements help avoiding many painful conditions with humans. They regulate the nervous system, which bears the vital energies. The nervous system takes in the living powers of Nature. When the nervous system is in good condition, all body functions are carried out properly. When the nervous system of a person is not in good state, then no doctor is able to help him.

If you do not know how to step, how to walk, how to move, you will lose all conditions that you have gained from breathing, from the air and food. From the gait of a person you may see that he is a candidate for prison. See how animals and birds move. Your movements shall be beautiful, smooth, natural, and plastic. It is important with which leg you will get up in the morning. It is important with which leg you will start off to work, whether you move your arms slowly or fast, how you look. Lots of misfortunes befall you because they pay attention to these important matters. Through the movement of the arms, through touching, you may treat yourself, and you also may cripple yourself if you do not understand.

One must know how to stretch out his arm, how to stretch his legs. There are powers in the earth, which you will be able to take by stretching your legs and thus you will transform your state. If you are sad, desperate and if you know how to stretch the left arm and left leg, the earth will attract all the weight from your legs and you will feel a relief. Then you shall stretch your right arm and right leg.

J-Medical: Treatment in General

Wednesday, October 1st, 2014 No Commented Categorized Under: Treatment

Gospel contains remedies for all diseases, all affected feelings, for disbelief and despair. However, you must know how to use these remedies.

If a person puts himself to a current of 2,000 volts, he will die, but if he puts himself to the effect of a current of more than 20,000 volts, he will renovate and clean himself without burning. Physicists say that the molecules of the current of 2000 volts are so great that by passing through the tissues of the human body, they destroy them and kill man.



Molecules of the current of 20 to 50 thousand volts are quite small, as a result of which they pass freely through the tissues of the human body, massage them and instead of causing a trouble, they renovate and clean it. So, there are several types of warmth, light and electrical energy that affect differently the organisms. The smaller particles of these energies are, the more favorably they act – renovate, clean, and built the matter.

No mexican pharmacy online in the world can give people what Nature gives them. One must acquire magnetic energy from Nature and give from it to his fellows.

If one’s stomach system is upset, it shall be treated by food. If his respiratory system is upset, it will be treated by light, warmth, electricity and magnetism. And finally, if the brain system is upset, he will be treated by thoughts and feelings. If you want to treat your brain, you should not allow inside any negative thought, grounding on the law that God is the absolute Love, the absolute harmony.

There are not only harmful microbes, but also such ones, which once introduced into the organism, improve it. In their practice, future doctors will use the benefits of those microbes.

While believing in the methods and drugs of ten doctors, the patient will never recover. To recover, he must believe only in one doctor, but healing powers hide in the water, air, light and food. Everyone is a conductor between Nature and himself, so he can heal himself alone. Viagra sildenafil online

When you heal yourself alone, you acquire confidence in yourself and your powers. If one leaves himself to a doctor, he relies completely on him and gradually he loses faith in his powers. Diseases are nothing, but tasks that must be properly solved. If they are not properly solved, then real diseases, which are healed with difficulty, come. Knowing that, do not be afraid of diseases.

If you want to heal one, who is ill, you should introduce into him the simple truth that he will recover. And by accepting that truth in himself as a seed, it will grow and give fruit. By sowing in you the thought that you are healthy, you will really be healthy.

Diabetes and the Consequences. Canadian pharmacy

Sunday, September 28th, 2014 No Commented Categorized Under: Diabetes

Diabetes and the Consequences

It is no laughing matter when one contracts this horrible disease. Early symptoms might include headaches, dizziness, thirst, hunger and a few other mild out of sort’s conditions. It’s when the other more serious symptoms start that one generally becomes very anxious.

The feet may lose feeling, the centre of the brain feels numb, the eyes are not what they used to be and balance is fading. You head to the doctor’s and a sucrose tolerance test is ordered. You suspect high blood sugar because you have a sweet tooth and a great love of chocolate and ice cream. So will that explain why you are so thirsty, particularly when you wake up in the morning? What about that funny feeling in your tongue?

Some of these symptoms go with high cholesterol and high blood pressure and these too are warning signs for diabetes.

During my lifetime there have come and gone many with the disease and the thing noticed most about them is the smell of their breath. It is a somewhat sickly artificial smell that might be explained by the intake of insulin. My grandmother had diabetes and that smell was prominent on her breath and would see me avoiding coming too close to her face, although her affection was much sought after.

Lately some diabetics have come to my attention in hospitals where they were having lower limbs removed. In the eye hospital some were being treated for blindness and other things.

This is a preventable disease although if you have the diabetic gene it only takes careless abuse of your body to get it. Obesity is one of the primary causes and here blood pressure and cholesterol are always present. People with the latter can contract heart disease, suffer strokes and die suddenly. All types of viagra medications online at global canadian pharmacy

These are all reasons to avoid sugar at all costs and yet parents feed masses of it to their children. Soft drinks or sodas are full of it, some worse than others. Chocolate bars and candies are quite potent poisons and ice cream loaded with sugar is also full of fat.

Human Body: Cells

Friday, September 26th, 2014 No Commented Categorized Under: Cell, Men's Health

Life comes from the Great, from the infinity, which has no a beginning and an ending. Life comes from an essence, but not from the small, but from the big. Scientists say that life has come from one small cell, and actually this cell is only a conductor of life in the way faucets are conductors of water. However, the faucet itself does not give water. Water comes from a totally another source. The cell is only a conductor of life, but an intelligent conductor.



Some cells build the brain, others – the stomach, third ones – the lungs, forth ones -the nervous system, etc. They are excellent chemists. They know how to combine elements. They are smarter even than the one, in whom they are located. Man is considered to be a master of his body, and actually some of his servants know more than their master. The master should turn to God by the words: “God, I would like to know at least as much as my servants in my head know”. Man shall be a little more humble and admit that he does not know much. If his life does not go well, if his blood is not clean, what does man know?

What is man Viagra pharmacy online Canada? A sum of milliards of small souls or creatures, which have agreed, in the name of God’s love, to enter in man and work for him and give him an appearance of a person. They have sacrificed their lives for him. They have become his servants and when he does not understand them, he says: “What is the body? It is nothing else than a machine.”

There is one rational matter in the world, which penetrates into all cells all over he body, of which we even do not imagine. Round this matter, which is rational, there is a rational power, which surrounds them both. That rational matter and that rational power surround externally all cells and penetrate through all smallest particles of our organisms.

In human organism, there is one immortal cell – the original one, which everybody shall find. It is the ancestor of all cells. This original living cell distinguishes from the others by the fact that it contains horny substance in itself. The nourishing materials in it are more than in the other cells, and thanks to the horny substance, it differs with great stability. It can stand even the worst conditions.

There are specific cells in the human body, which perform the duties of the best doctors. If we get ill and leave ourselves to those cells, they can cure us. They have a laboratory, where they prepare their medications and thanks to them they perfectly heal our wounds.

Human organism is composed of approximately 60 trillion cells, which distinguish with great intelligence. All of these cells include in themselves qualities and abilities of creatures of a different culture and intelligence.

Anti-Inflammation. A few words about.

Thursday, September 25th, 2014 No Commented Categorized Under: Detoxification

Over the years, I have continually tried to simplify the Zone Food Block system, and I came up with the development of Zone Points. Zone Points are simply another accounting system to keep your glycemic load under control from meal to meal. Since you are only as hormonally good as your last meal and will only be as hormonally good as your next meal, you want to have the same glycemic load at every meal. This is because the glycemic load at each meal determines the amount of insulin that will be secreted.

Zone Points are based on the glycemic load of various carbohydrates in serving sizes that will keep you satiated without being stuffed. A good rule of thumb is to make sure that your total Zone Points for any one meal are no more than 15 if you’re female, and no more than 20 if you’re male. A typical Zone snack would contain about 5 Zone Points. Just as with the Zone Carbohydrate Blocks, you just keep adding carbohydrates to your dish until you hit the maximum you are allowed at that meal and then stop.

Let me use the Zone Point system to illustrate why I am not a big fan of whole-grain carbohydrates, even though they are politically correct. First, most foods labeled “whole grain” really aren’t. Whole-grain foods are extremely perishable. Real whole-grain products contain fats that go rancid at room temperature, and that’s why they are found in the frozen section of the supermarket. When was the last time you bought a loaf of bread from the freezer section? Dried whole grains, like steel-cut oats, need to be cooked for at least 30 minutes before eating. Even though I love real whole grains (especially oatmeal and barley), I still consume them sparingly.

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