Sunday, October 27, 2019

How to Adjust to the Fall Time Change




It’s that time of year again – time to fall back and set our clocks back one hour.      Resetting clocks in devices is simple.    Unfortunately, your body clock is not nearly as easy to reprogram.    This comes with some serious health consequences.  An hour time shift does not seem like a lot, but your body runs on a tight schedule and this one-hour change throws us off.
Scientists have documented that the shift to daylight saving time in the spring, when we lose an hour of sleep, is linked to an a much higher rate of attacks and car accidents.  Although we gain an hour to sleep – the change throws off the sleep cycle and that is where all the problems come from.

Over the last 20 years, scientists have documented that, in addition to the master clock in our brains, every cell in our body has a circadian rhythm and time-keeping mechanism. The body and cell’s circadian rhythm help regulate important functions such as sleep and metabolism. And increasingly, there's evidence that when our habits — such as when we eat and sleep — are out of sync with our internal clocks, it can harm us.

When we disrupt our routines with erratic sleep or eating habits, it can increase the risk of metabolic disease. For instance, overnight shift workers are at much higher risk of developing diabetes and obesity. Research also shows that kids who don't have set bedtimes and mealtimes are also more likely to become overweight.

As days get shorter with less daylight, it's easy to fall into bad habits, and light exposure is key to regulating circadian rhythm.     It is the primary signal to turn on the body’s metabolic processes for sleep and rest to active and alert.
How to prepare for the dark days
Go to bed an hour or so earlier and get up 8 hours later. Maximize your exposure to daylight in the morning hours, since it gets dark so early in the evening.

Minimize Nighttime light

Exposure to light and electromagnetic fields from computers, phones, tablets, and T.V.’s all act as a stimulant, so it is important to minimize nighttime light exposure and blue light exposure in particular.  Blue light comes from artificial lighting.   Blue wavelengths – which are beneficial during daylight hours because they boost attention, reaction times, and mood – are disruptive at night.   Energy efficient lighting is packed with blue light as our electronics.

So try to turn off lights and if you must use a computer get a blue light filtering program that will adjust the amount of blue light emitted by your computer, phone, and tablets such as flux – https://justgetflux.com and the Twilight app for your phone.   Both allow you to set times and adjust blue light output of your devices automatically based on time of day!  You can also buy blue blocking glasses to use in the evening.   This may seem gimmicky but there is very well done research supporting the effectiveness of reducing blue light in the evening through these and other measures!

Sunday, October 20, 2019

Is Diet Soda Really Worse For You than Regular Soda?


A recently published study looked at this question and was all over the media.     What did the study conclude?  It concluded that drinking 2 or more sodas per day (of any type of soda) was associated with a 17% increase in mortality.    Further the study concluded that regular (non-diet) soda drinkers were 8% more likely to die at follow-up than those that consumed less than one glass per day.

Those people that drank two or more artificially sweetened sodas were 26% more likely to die at follow up than those who drank less than one diet soda per day.   Seems pretty simple right – clearly diet soda is WAY worse than regular soda and all soda is bad, but is that really the story?

When we look at the study itself in more detail the picture is not so clear!    First of all, the study involved giving people ONE questionnaire on their average daily soda intake at the beginning of a 16-year study.       This is a big problem because self-reported intake is notoriously inaccurate and assuming that people kept their soda intake fixed for 16 years is a whopper of an assumption as well.

Another problem is that the study cannot account for what are known as “confounding variables” meaning things like smoking and alcohol use or other unhealthy behaviors.   The study attempted to “guess” at the levels of these unhealthy behaviors by using statistics, but the fact is that no one knows who did what in the observational study.     

This is a big problem because it may in fact be the case that most people drinking soda were engaged in unhealthy behaviors like smoking, high alcohol consumption, and/or lack of activity.     So, it could be that people who drink sodas tend to have more unhealthy behaviors and the increased death rates may have nothing to do with soda!

Last but not least lets take a look at “absolute risk” rather than relative risk which is ALWAYS important.     Here is how that works.    In the study out of 225,543 people who reported less than a glass per month of artificially sweetened beverages at baseline, there were 21,032 deaths at follow-up.  In other words, 9.3% died.    For the 6,292 people that reportedly drank two or more glasses of Artificially Sweetened Beverages per day at baseline, there were 737 deaths at follow-up.    So in this group 11.7% died.

This works out to a RELATIVE risk increase of 26% calculated as follows: subtracting the lower death rate of 9.3% from the higher death rate of 11.7% (11.7% - 9.3% =  2.4%).   Then dividing the 2.4% absolute difference by 9.3% (2.4% divided by 9.3%= 26% difference in RELATIVE risk).

Sounds like a big deal right?   Not so fast – lets take a look at the ABSOLUTE risk or raw numbers.  The absolute risk is the difference between 11.7% of the heavy soft drinkers died vs 9.3% of those who drank less than one per day.   As above 11.7% - 9.3% is 2.4%.   So the ABSOLUTE risk is only 2.4%.     Pretty insignificant isn’t it?

So long story short soda should probably be treated like other lifestyle issues – in moderation!     By the way calories DO count and sugar has real calories, but diet soda does not.    Is this a license to drink lots of diet soda – NO!

Saturday, October 12, 2019

Quercetin for Allergies and Viral Infections


For much of the country allergy sufferers are at their peak of suffering, but the good news is that there is a well-proven nutritional supplement that can help mitigate allergy symptoms without the side effects of over the counter (OTC) antihistamines.    Unfortunately these OTC drugs are not without issues including being linked to the progression of dementia (https://www.health.harvard.edu/blog/common-anticholinergic-drugs-like-benadryl-linked-increased-dementia-risk-201501287667)

Research on Quercetin

Quercetin is an flavanol found in apples, plums, red grapes, green tea, elder flower, and onions to name a few.   In addition to acting as an effective antihistamine quercetin is proven to be highly effective for the treatment and prevention of viral infections such as the common cold and the flu. 

In fact, a 2007 study from Appalachian State University researchers did a study funded by the Department of Defense.   The study used had 40 cyclists divided into two groups with one group receiving 1,000 mg per day along with vitamin C and niacin while the other group got a placebo.
They had the athletes ride a bicycle for three hours per day, three days in a row.    45 percent of the placebo group contracted a viral illness after the physical stress compared to just 5 percent of the quercetin supplement group.

In a 1985 Study, researchers found that quercetin reduces the infectivity and replication of Herpes Simplex Type 1, Polio-Virus Type 1, and parainfluenza type 3 along with respiratory syncytial virus.

A 2016 Study found that quercetin inhibited a wide range of influenza strains including H1N1, H3N2, and H5N1. 

How Quercetin inhibits viruses:

Inhibiting a virus’s ability to infect other cells (viruses literally infect your cells then take control of them and make them produce more virus!)

Inhibiting replication of already infected cells

Reducing infected cell’s resistance to treatment with anti-viral medication

Quercetin Supplements

In collaboration with the Defense Advanced Research Projects Agency (DARPA) a supplement called “Q-Force” was developed that is proven to:

Increase Mental Alertness
Strengthen the Immune System
Provide Sustained Energy
Reduce Oxidative Stress and Muscle Soreness Post Exercise

Q-force is available at www,qforce.com and Quercetin Supplements combined with Vitamin C are available at all health food stores.   



Sunday, October 6, 2019

The Power of Vertical Training


Vertical training allows low impact, unloading and decompressive exercises and can reduce the frequency of chronic joint symptoms.      There is also strong evidence that range of motion is improved with reduction in pain.

Vertical training is also extremely effective for burning fat, and a study proved that vertical training has the highest caloric expenditure of just about any other workout along with an extremely high post-exercise increase in metabolic rate resulting in an average afterburn of an additional 489 calories burned over the 24 hours following a Vertical High Intensity Interval Training Workout.

What is Vertical Training?

Vertical training was initially developed, tested and validated by a company called Fitwall (www.fitwall.com).   Fitwall equipment includes a ladder/step like device hooked to the wall that exercises are done on.   However other simpler ladder type devices attached to the wall like the exercise ladders used for gymnastics and Barre Classes have been developed.

The fact is you can easily reap the same benefits just performing the exercises on a 
ladder attached to a wall.    The key is being vertical – not just up-sloping. 

What are Vertical Training Exercises?

Vertical Training Exercises occur with either 3 or 4 anchor points on the vertical access which causes a strong activation of the trunk stabilization muscles).

To get a feel for this programming check out this video of a Vertical HIIT Class:  https://www.facebook.com/balancedathletefitnessstudios/videos/1775624019356609/ 

and this video showing a great series of simple, yet highly effective vertical training exercises:  https://www.youtube.com/watch?v=Dd9jj9NImRQ

Saturday, September 28, 2019

Is Animal Fat Really Bad for You?


When people think of animal fat – they tend to fall into one of two camps:

Animal Fat is Artery-clogging and the cause of all problems with diets.

Animal Fat is the key to managing weight and having a healthy diet

The facts about plant and animal fats
Like many aspects of diet and nutrition the facts behind animal and plant fats and effects on health and weight management are much more complex than the two points of view expressed above.

Fat is not just for insulation and energy storage, it’s also for nutrient absorption, cell signaling, immune function, and many other critical processes. Many people think the main difference between plant and animal fats is that animal-sourced foods contain more saturated fat, but that is NOT the case – nor is it is a sample as saying saturated fat is bad.    Here are some key facts about fat that may surprise you:

1. All whole plant and animal foods naturally contain a mixture of saturated and unsaturated fats.

2. Some plant foods are higher in saturated fat than animal foods, with coconut oil topping the charts at 90 percent saturated fat. That’s more than twice the saturated fat found in beef fat (tallow).

3. The primary type of fat found in pork is a monounsaturated fatty acid called oleic acid, the exact same fat found in olive oil.

Essential Fatty Acids
There are essential fatty acids that humans cannot manufacture and therefore must be obtained from your diet and they fall into three categories:

·       Omega 3 Fatty Acids – in plants the Omega 3 fatty acid is called Alpha-Linolenic Acid (ALA for short).

·       In fish and animals the Omega 3 Fatty Acids come in the form of EPA/DHA


·       The essential dietary omega-6 is called Linoleic Acid (LA for short).

What often goes unsaid is that both ALA and LA are found in a wide variety of both plant and animal foods, so it is rather easy to obtain both of these fats, regardless of your dietary preferences, so long as you are including enough fat in your diet.

But here’s the rub: Our bodies cannot use ALA and LA in our cells. ALA and LA are considered upstream/”parent” fatty acids, because they are used to manufacture the form of Omega 3 and 6 fatty acids our cells can use: EPA, DHA, and AA—none of which exist in plant foods!.

EPA (eicosapentaenoic acid) is an omega-3 that serves primarily anti-inflammatory and healing functions.

AA (arachidonic acid) is an omega-6 often thought of as a “bad” fatty acid, because it promotes inflammation. But inflammation is an important and necessary part of a healthy immune response and AA has many other crucial responsibilities, and even promotes healing.

DHA – (docosahexaenoic acid) is an omega-3 that has many important functions – particularly in our brains.    Our brains are extremely rich in fat. About two-thirds of the human brain is fat, and a full 20 percent of that fat is DHA.

Among many other functions, DHA participates in the formation of myelin, the white matter that insulates our brain circuits and nerves. It also helps maintain the integrity of the blood-brain barrier, which keeps the brain safe from unwanted outside influences.

DHA is critical to the development of the human cortex—the part of the brain responsible for higher-order thinking. Without DHA, the highly sophisticated connections necessary for sustained attention, and decision-making do not form properly     

DHA and Fetal/Neonatal Brain Development and Health
The most rapid phase of development of the infant cortex takes place form the third trimester of pregnancy through Age Two.  If there is not enough DHA available during this time, there can be severe and irreversible consequences. For example, a higher likelihood of psychiatric disorders including those that tend to show up early in life like Autism and ADHD.

Plant foods contain absolutely no DHA
For those who choose vegan diets, it is important to know that plant foods contain no DHA. The omega-3 fatty acid found in plant foods like flax, walnut, and chia is alpha-linolenic acid (ALA). Unfortunately, it appears to be rather difficult for the majority of adults to make DHA out of ALA, with most studies finding a conversion rate of less than 10%.    Quite a few studies show ZERO conversion, and there are genetic variations that allow a small percentage of people to convert very well while for the majority there is little to no conversion.

Indeed, it appears that the fewer animal foods we eat (fish IS an animal for this discussion), the lower our DHA levels tend to be    DHA levels are on average 31% lower in vegetarians and 59% lower in Vegans compared to Omnivores.

When it comes to children under 2, the science is clear that the conversion pathway from ALA to DHA cannot and should not be relied upon to keep pace with the DHA demands of the rapidly growing body and brain. Therefore, most experts agree that caretakers should provide infants and very young children with dietary or supplemental sources of DHA, as ALA alone is not sufficient to support healthy infant development.

It has been estimated that as many as 80 percent of Americans have sub-optimal blood levels of DHA.

Include animal-sourced DHA foods in your diet if you can

The easiest way to obtain DHA is to include some fatty fish in your diet, but as you can see from the list below, there are other options.   

Sardines – 2,205 mg per serving
Wild Salmon – 1,800 mg per serving
Oysters – 613 mg per serving
Herring - 3,181 mg per serving
Anchovies – 951 mg per serving
Cavier – 1,906 mg per serving
Mussels – 506 mg per serving
Egg – 60 mg per egg yolk (only in yolks!)
DHA Fortified (chickens fed fish feed) – 168mg per egg
Chicken Meat Roasted – 30 mg per serving
Turkey Breast Roasted – 30 mg per serving
Lamb Roasted – 10 mg per serving
Shrimp cooked – 10 mg per serving

Minimize consumption of vegetable oils
Nearly all processed foods, prepared hot foods, packaged snacks, and convenience foods are made with refined vegetable oils, such as soybean or sunflower oil. Most vegetable oils are extremely, unnaturally high in LA (linoleic acid), an omega-6 fatty acid that reduces the production and effectiveness of DHA within your body. Excess linoleic acid drives systemic inflammation. Your best plant oil choices are olive oil, avocado oil, coconut oil, or red palm oil.  

Lowering your vegetable oil intake increases the availability of DHA in your body, decreasing your need for dietary and/or supplemental DHA. The presence of high amounts of linoleic acid in the typical modern diet may help to explain why so many people appear to have low DHA levels even though most people do include animal foods in their diet already.

If you choose a plant-based diet, supplement properly
Thankfully, vegetarian and vegan-friendly DHA supplements extracted from algae are available. These supplements are more expensive and contain lower concentrations of DHA than fish or krill oil supplements (meaning higher doses are recommended), but may be important for maintaining healthy DHA levels, particularly in mothers and babies during pregnancy and while breastfeeding. All baby formula in the U.S. is supplemented with DHA already to mirror human mother's milk, which naturally contains DHA. If weaning your child before age 2, be sure to include DHA in your child’s diet as food or supplements.

If you have psychiatric symptoms, consider supplementation
As pointed out already, taking a decent dose of DHA without also lowering your linoleic acid consumption (by avoiding vegetable oils) may not be very helpful. However, supplementation is widely viewed as safe, and some studies noted modest benefits at doses of (combined EPA+DHA) of 1,000 to 2,000 mg per day, particularly for people with depression. 

The bottom line about DHA
Minimize refined vegetable oils and other processed foods, and either include some animal foods in the diet or supplement appropriately to avoid issues with inadequate availability of the Omega 3 Fatty Acids DHA and EPA.

To learn more about Saturated Fat and Cholesterol and their relation to heart disease and health check out this previous blogpost to get the facts:  http://workoutanytime.blogspot.com/2016/10/is-saturated-fat-and-cholesterol-really.html

For more information on Essentially Fatty Acids check out this previous blogpost on the subject:  http://workoutanytime.blogspot.com/2016/11/omega-3-fatty-acids-and-health.html


Sunday, September 22, 2019

Incorporating Resilience Based Thinking In Daily Life


Resiliency is a highly prevalent topic in today’s culture, as there is an increased understanding that mindset impacts well-being. Additionally, as work and life demands have increased in our fast paced society, resiliency has become an important part of the solution to decrease stress. 
In the context of this article, resiliency is defined as the ability to bounce back after challenges and cope well with adversity.   It’s also defined as a state of being, and not a set trait. This is an important distinction to make because some individuals inaccurately think resiliency is a permanent trait; you either have it or you don’t.  
The truth is that resiliency is a choice. When stressful situations emerge, we choose how we look at them and if we want to respond in an adaptive way or not.  We have probably all seen individuals respond out of proportion to a small stressor that occurred. Similarly, we have all seen or heard about someone who handled a life crisis with ease.  The common denominator in both situations is mindset, or how a person thinks about and perceives their experiences. When people are resilient, they tend to have a more positive outlook when stressful situations arise; they are open to learning from mistakes and stay committed to continuing forward towards their goals despite obstacles. 
The good news is that resilience-based thinking can be learned. Anyone who might not incorporate this as easily as others can learn how to cultivate more of this type of thinking into their daily life.  By refining this skill over time, individuals can improve how they respond to stress and overcome challenges. Even better news is that the more we practice it, the better we get during times when we need it the most.  The reason this occurs is best explained by author Rick Hanson in his book, “Hardwiring Happiness”. The book educates readers on how they can strengthen different neural pathways and rewire the way they think and respond to stress. 
Personally, I believe that anyone who wants to cultivate more resilience-based thinking needs to make it a daily practice instead of waiting to apply it when obstacles occur.  If we start to practice this skill during small instances in our day-to-day, we will become more skillful at being resilient during larger life challenges.
Listed below are some helpful tips for individuals to consider when stressful situations or obstacles arise. By incorporating these tips, individuals can be more resilient each day to stress.
1. BREATHE AND PAUSE.
Take a moment to take a deep breath. This will allow you to pause for a moment and decide on the best course of action.  As a result, you will be fully aware of all your options, which will help you decide on how you want to respond.
2. CONSIDER ADAPTING.
Ask yourselves the following questions, “How might I adapt to this situation, and/or adjust my thinking to find a solution? Or, “Is there another way to look at this problem?”  Often, when we emote negatively about a situation, it decreases our creativity on finding new approaches or solutions. Before negatively reacting about an obstacle, take a moment to adapt or consider a new approach first.
3. LET GO OF WHAT YOU CAN. 
There are situations in life we can control and those that we cannot. If something comes up that is out of our control, we need to acknowledge that, and let it go.  It does not help us to ruminate and obsess over something whose outcome we cannot change. Resilient individuals recognize what they cannot control and focus their attention on these details. The practice of doing this continues to cultivate and refine that resilience based thinking.
4. TAKE A MOMENT TO SEE THE BIGGER PICTURE. 
We have all been guilty of this at times. A small stressor occurs, and it snowballs into a larger experience where “everything is horrible.”  In moments like these, it is important to keep a long-term perspective. How does this minor stressor or obstacle impact the bigger picture? For example, if you are stuck in traffic and late to work today, will it matter a year from now?  Probably not, so try to keep your response appropriate to the stressor at hand.
5. STAY CONSTRUCTIVE.
Watch out for extreme thoughts as stressful situations arise. If you notice any extreme thinking, reframe and stay constructive about set-backs.  For example, if something goes wrong, acknowledge it and focus on what you learned, and/or will do differently moving forward. Say to yourself, “I learned that ____ from this experience, and I will use this information as I move forward towards my goals”
6. VISUALIZE SUCCESS.
Instead of getting bogged down by an obstacle, keep your eye on the larger goal for yourself. Visualize where you want to be or go, and stay committed to that despite challenges along the way. 
As you start to incorporate more resilience-based thinking in your daily life, know that this is a practice that will take time if it does not come naturally to you. When you find yourself falling into old patterns, take notice of it, acknowledge what could have been done differently, and remember these tips to keep moving forward and upward..
THE AUTHOR
DANA BENDER
Dana Bender, MS, ACSM, CWWS, E-RYT. Dana Bender works as a fitness and wellness Program Manager for Health Fitness Corporation in downtown Chicago. Dana is also a National Board Certified Health and Wellness Coach, an adjunct professor with Rowan University, and an E-RYT 200 hour Registered Yoga Alliance Teacher.

Saturday, September 14, 2019

Can Seniors Gain Muscle?


The good news is YES – seniors can add muscle mass just like younger folks!   Several studies have proven that even seniors who have never exercised can increase muscle mass.

A study published in August of 2019 compared rates of protein synthesis (the process by which muscle fiber size is increased) between Endurance-Trained Master Athletes to Untrained Seniors.   The results showed there was NO DIFFERENCE in the muscle building response to resistance training between the two groups!

This was a big surprise to researchers who expected the Master Athletes would have an increased ability to build muscle.    As per the lead researcher Dr. Leigh Breen:

“Our study clearly shows that it doesn’t matter if you haven’t been a regular exerciser throughout your life, you can still derive benefit from exercise whenever you start.”

The Benefits of Resistance Training for Older People

Sarcopenia, the loss of muscle with aging, is an inevitable part of growing older and without any intervention you can expect to lose about 15% of your muscle mass between the age of 30 and 80.

This loss of muscle mass is directly related to a person’s ability to maintain an independent lifestyle.     The fact is without adequate muscle mass and the strength it brings people gradually lose their ability to perform activities of daily living including sitting and standing without assistance, walking up and down stairs, and preventing falls when balance is challenged.

So, maintaining muscle mass while we age is VERY important.    Other benefits of resistance training in older folks include:

Improved Walking Ability – a study showed that after 12 weeks of resistance training seniors over age 65 were able to walk 38% further without resting!

Joint Pain Relief – resistance training increases the strength and resilience of muscle, tendons, and ligaments around joints which can take stress off the joints and help ease pain while increasing mobility.

Improved Blood Sugar Control – resistance training also helps to control blood sugar levels in people with Type 2 diabetes.

Improved Mental Health – resistance training also increases your production of key growth factors like Brain Derived Neurotrophic Factor (BDNF).    BDNF is often referred to as “miracle grow” for the brain because of its potent effects on increasing neuron growth.   This helps explain why resistance training helps prevent dementia!


Sunday, September 8, 2019

Important Changes to Nutrition Recommendations


Between 2016 and 2019, The Food and Drug Administration (FDA) introduced new guidelines that changed the Recommended Daily Allowance (RDA) for several nutrients.
Important Changes for Vitamin D
Among the most important changes was an increase in the RDA for Vitamin D.   No single nutrient is more important and has more important and far reaching influence of many aspects of your physiological function. Without it, your body can’t absorb the calcium you need to keep bones and teeth strong. It also plays a role in immune function, supporting a healthy mood, modulating cell growth and much more.

In 2016, the Food and Nutrition Board increased the RDA of vitamin D for most adults from 400 IU (10 mcg) to 600 IU (15 mcg) per day, and 800 IU (20 mcg) for ages 70+.

Some doctors and nutritionists still recommend higher daily vitamin D intakes, especially for those at risk for having low levels.  The Vitamin D Council, an organization dedicated to raising awareness about vitamin D, recommends average adults supplement with 5,000 IU (125 mcg) of vitamin D daily. Talk with your doctor about your individual needs.
Vitamin D Measurements: Micrograms vs. International Units
In addition, vitamin D amounts must now be listed in micrograms (mcg) on supplement facts and nutrition labels instead of international units (IU). Given that IU was a widely-established and recognized form of measurement for vitamin D, during the transition period companies may include both mcg and IU on product labels for clarity.

If you want to convert vitamin D IU to mcg, simply divide the IU number by 40 to get the equivalent mcg, or to convert mcg to IU, simply multiply the mcg number by 40.

Example:
1,000 IU = 25 mcg, since 1,000 ÷ 40 = 25
20 mcg = 800 IU, since 20 × 40 = 800
Changes to Your Vitamin D Supplement
You may have noticed that the daily value percentage on your usual supplement was suddenly lower, which may have led you to believe the product changed.

Take a closer look at your product label to be sure, but most likely the amount of vitamin D in the product didn’t change at all. The same product simply fulfills a lower percentage of the RDA than it did prior to the change because the RDA is now higher.
Daily Value Changes for Other Nutrients
In addition to the increase in recommended daily amounts of vitamin D mentioned above, the DV for fiber was increased from 25 grams to 28 grams, and the nutrients below have changed for most adults due to updated nutrition science research.
Daily Value Increases
Vitamin C: increased from 60 mg to 90 mg
Vitamin K: increased from 80 mcg to 120 mcg
Magnesium: increased from 400 mg to 420 mg
Manganese: increased from 2 mg to 2.3 mg
Phosphorus: increased from 1,000 mg to 1,250 mg
Potassium: increased from 3,500 mg to 4,700 mg
Calcium: increased from 1,000 mg to 1,300 mg
Daily Value Decreases
Vitamin B-12: decreased from 6 mcg to 2.5 mcg
Vitamin B-6: decreased from 2 mg to 1.7 mg
Biotin: decreased from 300 mcg to 30 mg
Niacin: decreased from 20 mg to 16 mg
Chromium: decreased from 120 mcg to 35 mcg
Chloride: decreased from 3,400 mg to 2,300 mg
Copper: decreased from 2 mg to 0.9 mg
Molybdenum: decreased from 75 mcg to 45 mcg
Zinc: decreased from 15 mg to 11 mg
Thiamin: decreased from 1.5 mg to 1.2 mg
Riboflavin: decreased from 1.7 mg to 1.3 mg
Pantothenic acid: decreased from 10 mg to 5 mg
Newly-Established Daily Value for Choline
Previously, no daily value had been established for choline. Your body produces some choline, but you still require a substantial amount of dietary choline.. Choline is essential for many processes in the body, from cellular structure and messaging to metabolizing fat and promoting nervous system health. It also assists vitamin B12 and folate with functions related to DNA synthesis.  

Perhaps most importantly it is used to produce the neurotransmitter acetylcholine (ACH).   ACH decreases with age, and decreased ACH levels directly reduce cognitive function.   ACH supports alertness, attention, and learning.  ACH levels are critical for memory, and in Alzheimer's patients ACH levels are lowered.   

The newly-established daily value for choline is 500 mg per day. You can get it from choline supplements or foods including eggs (113 mg of choline per egg), beef liver (290 mg of choline per 2.4 ounces), chicken liver (222 mg of choline per 2.4 ounces), cod (249 mg per 85 grams), and more.
ACH levels are also lowered by many common over the counter anti-histamines taken for allergies and sleep such as Benadryl.  These drugs are directly linked to increased dementia risk for this reason.

Adequate dietary choline intake is particularly challenging for vegetarians and even more so vegans because the best dietary sources of choline are from animal products.   It is very difficult to get the 550 mg RDA of choline from purely plant sources.   For this reason it is worth aging Vegetarians or Vegans consider taking a highly bioavailable choline supplement like Alpha GPC.
Folic Acid Supplement Daily Value
Research shows that 70% more folate is absorbed from folic acid supplements than from foods that contain folate, so folic acid supplement labels will be updated to reflect this finding and better align with the dietary folate equivalent. A supplement providing 400 mcg of folic acid previously would have indicated it fulfills 100% of your DV requirements, however now that same 400 mcg supplement will be labeled as fulfilling 170% of your daily requirement.

Many people have a genetic variant in their MTHFR gene which prevents them from converting dietary folate into its active form.   This can cause big problems with many different physiological systems resulting in disorders ranging from severe depression, anxiety to increase homocysteine levels (a serous issue that greatly increases risk of cardiovascular disease) to bipolar disorder to colon cancer to chronic pain and fatigue.

Bottom line you want to get adequate levels of activated folic acid which is simple and safe by taking an activated folic acid supplement like methyltetrahydrofolate (5-MTHF).



To learn more about the MTHFR polymorphism go here:   https://www.healthline.com/health/mthfr-gene#variants and to learn more  about testing for this and other gene variations and what you can do about them go here:  https://youtu.be/bVV2RFEiqN4