WASHINGTON, D.C. - March 30, 2010 - Senator Tom Harkin (D-IA), Chairman of the Senate Health, Education, Labor and Pensions Committee (HELP), today congratulated Dr. Andrea McGuire of Iowa on being appointed by the Secretary of Health and Human Services Kathleen Sebelius to the National Advisory Council for Healthcare Research and Quality.  Dr. McGuire is the Chief Medical Officer and Vice President of Medical and Network Management/Risk Selection at American Enterprise Group in Des Moines.

"Dr. McGuire's passion for patient advocacy coupled with her experience in research, disease management, and quality improvement will greatly benefit the Advisory Council," said Harkin.  "She understands the economics of healthcare and the impact that quality and research have on these economics.  In addition, she has dedicated much of her career to the improvement of the quality of care of patients with chronic disease.  I congratulate Dr. McGuire on this appointment."

The 21-member panel is comprised of private-sector experts who contribute a varied perspective on the health care system and most pressing needs of research to promote improvements in the quality, outcomes, and cost-effectiveness of clinical practice.  Members are appointed by the Secretary to serve 3-year terms.

March 30, 2011

Iowa City, Iowa - The fight against diabetes takes another monumental step April 1 as The Fraternal Order of Eagles and The University of Iowa unite for the official naming of The Fraternal Order of Eagles Diabetes Research Center.

World renowned entertainer Tony Orlando and comedian Tom Parks, who is an insulin-dependent diabetic, will be on hand to celebrate the occasion.

Who: Representatives of The Fraternal Order of Eagles, the University of Iowa, UI Foundation, entertainer Tony Orlando and comedian Tom Parks.

What: Rally Against Diabetes at Iowa City Eagles Aerie #695, followed by the dedication of The Fraternal Order of Eagles Diabetes Research Center at the University of Iowa. The ceremony is part of a five-year, $25 million pledge made by the Eagles to help fund diabetes research.

When: Friday, April 1. The Rally Against Diabetes will run from 1-3 p.m. with the Naming Event beginning on campus at 4 p.m.

Where: The rally takes place at Iowa City Aerie #695, located at 225 Highway 1 West in Iowa City. The naming event will be held in the atrium of the Medical Education Research Facility (MERF) on the UI campus. (Parking is available in the Newton Road Ramp.)

Many anxious patients and readers have called or written in the last week to ask about the health threats of radiation from the nuclear reactor meltdown in Japan. Here are answers that address your radiation questions, relating to both the reactor meltdown and general exposure in everyday life.

Q: How much does the radiation from Japan affect us in the U.S.?

Radioactivity from Japan has little impact on people in the U.S. Thus far, the news is reporting that the four reactors in partial meltdown spewed radiation as high as 500 meters or 1,640 feet, according to John Beddington, U.K.'s Chief science officer. Compare with the Chernobyl blast, which sent radioactive particles 30,000 feet high for months. While its true that reports from last week stated that minute radiation was detected in Sacramento, the amount was extremely minor -- one-millionth of what people get from natural background radiation, and health officials have assured us that it posed no threats to residents on the west coast of the United States.

You should avoid foods grown or raised near the fallout zone. Spinach and dairy produced within Japan's radioactive zone were found to have vastly elevated radioactivity. Radioactivity was also found in Pacific waters, just off the northern coast, near the nuclear plant. For now it would be wise to avoid seafood from Japanese waters. Over time, this radioactivity should dissipate as the reactor is cooled and ceases to spew particle ash and dust. Other than avoiding potentially contaminated food, there should be no concern for residents of the American continent.

Q: What is radiation? Is all radiation bad for our health?

There is a lot of misinformation about radiation that I would like to attempt to clarify. First of all, we live with radiation all around us: the sun and stars, rocks, earth, and even our own bones emit natural background radiation. Radiation also comes from television, smoke detectors, and microwave ovens. There are two types of radiation: electromagnetic and particle radiation.

Electromagnetic (EM) waves range from low energy to high energy. Low energy EM includes electrical, infrared, visible light, and ultraviolet (UV). These, with the exception of UV are relatively harmless and are sometimes even therapeutic, such as the far infrared wave. At the high energy end of EM are the diagnostic x-rays like gamma rays. As these are more powerful, exposure must be carefully monitored and limited. Particle radiationincludes electron, proton, and neutron beams produced from splitting unstable atoms from the likes of plutonium and uranium -- as in a nuclear reactor or bomb. High exposure to these types of radiation can cause cancer, genetic defects, and death. For example, a 2009 New York Academy of Sciences report on the death toll in the European fallout zone of the Chernobyl accident indicated that from 1986 to 2005 one million people died from genetic damage caused by the radioactive fallout, and numerous people suffered from thyroid cancer and leukemia.

Q: How much radiation exposure comes from medical diagnostic tests?

The annual average of acceptable exposure from natural and equipment radiation is approximately 1 millisieverts or mSv. To put this data in context: If the average acceptable exposure for each person is 1 mSv per year -- which, for illustrative purposes, we'll say is equal to 1 truckload -- then a simple chest x-ray is about 0.03 truckload. Said another way, it will take about 33 chest x-rays for an individual to reach their yearly radiation allowance. While a chest x-ray leaves you open to a small amount of radiation, an upper GI x-ray is equal to about 3 truckloads, and a CT scan is about 4 truckloads. These numbers may sound alarming, but if you had a condition requiring diagnostic imaging, to avoid it would be foolish and could delay treatments that could potentially save your life.

Q: What are some natural ways to reduce radiation load in the body?

Start by consuming more chlorophyll-rich foods, such as seaweed, kelp, blue-green algae, spirulina, and chlorella. These plants contain rich minerals, such as iodine, that bind up the receptors site in your thyroid, so that any radioactive iodine you are exposed to will be unable to harm your thyroid. Also, these foods contain selenium and other potent antioxidants that prevent destructive free radical activity and cancerous growth, as well as chelating agents that bind to toxins and eliminate them from your body. Also, eat antioxidant-rich foods of every color, especially cherries, blueberries, pomegranates, yams, and sweet potatoes. The variety of antioxidants found in these foods help your body to mop up free radicals and toxins. Drink 6 to 8 glasses of filtered water every day.

On the supplement front, increase your intake of vitamin C, E, and D to help antioxidant actions within your body. You may also take alpha lipoic acid, a nutrient that protects cells from radiation damage. Herbs like dandelion, peppermint, and chrysanthemum help the body detoxify. Undergoing a medically supervised detox program, like the Tao of Wellness Detox Retreat, can also support your body's cleansing function.

If you find yourself in the unlikely situation of excess radiation exposure, there are medically supervised chelation treatments using EDTA and other treatment methods.

I hope these answers help to clarify radiation's impact on your health and that you will use this information to live long, live strong and live happy.

-Dr. Mao

MADISON, Wis.?Facebook could be valuable at helping identify people who may be depressed and perhaps on the verge of suicide, according to research by the University of Wisconsin School of Medicine and Public Health and School of Pharmacy.

However, the findings also stress that Facebook should not be used as a substitute for clinical screening and medical treatment for people who are depressed or suicidal.

The study is the first of its kind to determine a connection between social-networking sites and identification of mental-health issues.  The investigators analyzed the Facebook profiles of 200 college sophomores and juniors.

Results showed that 25 percent of the students displayed one or more references to depression symptoms.

These references included decreased interest or pleasure in activities, change in appetite, sleep problems, loss of energy, and feelings of guilt and worthlessness.  None of the students in this study expressed suicidal thoughts.

According to Dr. Megan Moreno, a pediatrician, assistant professor at the School of Medicine and Public Health and lead author of the study, many of these students received encouragement from their Facebook friends on the Facebook page, who asked how they could help resolve their problems.

"People are getting support from other Facebook users when they display these comments, so it may be used as a mini-support group for depression," she says.  "Given the frequency of depression symptoms displayed, it's possible that depression disclosures on Facebook may actually help to reduce the stigma around mental illness."

The findings also indicated that 2.5 percent of profiles displayed enough information to merit screening for depression.

Moreno adds that while Facebook should not be used to formally diagnose depression, it may be valuable in identifying students who are contemplating suicide and help them receive needed treatment.

"Recent media reports indicated planned suicides that were displayed on Facebook before being carried out," she said.  "This highlights the urgent need to understand how often depression is displayed on Facebook and what this may mean.  Early identification of depression may be easier now if you see repeated references on Facebook."

The findings come on the cusp of a clinical report released today by the American Academy of Pediatrics that recommends pediatricians and parents take a more active role in monitoring their children's use of social-networking sites and ask questions concerning displays of sexual innuendo, drug and alcohol use, bullying, depression and social anxiety.  The report also suggests pediatricians increase their knowledge of digital technology so they can properly diagnose issues involving risky behaviors shown on social-networking sites.

 

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MILWAUKEE, WI - Supermarket shelves abound with "value-added" foods, offering innovative twists on traditional products. Cereals that make you lose weight, yogurt that eases digestion, and chocolate calcium chews that replace milk - the options can seem endless and overwhelming. The difficulty with value-added foods is that, much of the time, they actually aren't all that valuable, according to TOPS Club, Inc. (Take Off Pounds Sensibly), the nonprofit weight-loss support organization.
"You may find yourself purchasing foods that offer a very slight nutritional advantage that's not worth the extra money or indulging in a perceived health benefit that has not proven to be effective," says Katie Clark, M.P.H., R.D., C.D.E., Assistant Clinical Professor of Nutrition at the University of California - San Francisco and nutrition expert for TOPS.
Here are a few value-added food industry favorites - and what they do or don't do:

Juice with Added Fiber
While whole fruit is a great low-calorie source of fiber and nutrients, fruit juice packs in the calories and forgets the fiber in the discarded pulp. Fiber-enhanced fruit juice is essentially pulverized fruit with its fiber removed, with a different type of fiber added back in. One cup of orange juice with fiber can boast three grams of dietary fiber per 120 calorie serving. But one orange has four grams of fiber and only 70 calories - a lower-calorie, cheaper option with no processing needed.

Drinks with Vitamins
In 2008, the most popular diet soda in the U.S. released its "plus" product, a diet cola with a small amount of water-soluble vitamins added.
Other vitamin-enhanced drink and waters have taken off in recent years, although, according to Clark, "Many are merely overpriced, sugar-sweetened waters with a tad of vitamins thrown in for good measure. Despite the fact that you can get 100% of all the vitamins and minerals you need in a well-balanced diet, a generic multivitamin only costs about four cents a day. Why spend nearly $3 on a special vitamin drink when water is free and a more comprehensive multi-vitamin is substantially cheaper?"

Immunity-Boosting Foods
Lately, there has been a wealth of foods on the market touting "immune enhancing" or "pro-immunity" benefits - from yogurts to cereals, drinks, and even frozen vegetable blends. While there is ample data to support the notion that a diet with insufficient nutrients compromises immunity, the opposite does not hold true: eating more nutrient-laden foods has not been proven to increase immunity.
Clark notes, "By eating a well-balanced diet and exercising regularly, you are already maximizing your immune-enhancing behavior!"

Omega-3-Enhanced
Omega-3 fatty acids are found primarily in fish, fish oil, and, to a lesser degree, in flax and flaxseed oil, canola and soybean oils, and walnuts. Omega-3s have numerous heart-health benefits, including reducing cardiovascular disease risk, lowering blood triglycerides, and lowering blood pressure. The American Heart Association recommends a daily intake of 1,000 mg of EPA + DHA (two types of omega-3 fatty acids) for people with documented heart disease, equivalent to eating two to three servings of fish per week. Because many people don't eat as much fish as they should, omega-3-fortified foods, like eggs and butter, can seem appealing.
"These foods contain such small amounts of the beneficial fatty acid that you'd have to ingest many portions per day to get the recommended amount," cautions Clark. "You actually end up losing, calorically."
The Nutrition Facts panel on one such enhanced omega-3 butter spread reveals it contains only 32 mg of EPA + DHA per each one tablespoon serving.
"If you were to get all of your recommended 1,000 mg EPA + DHA omega-3s from this butter, you would have to eat 31 tablespoons of butter per day (one entire tub), consuming 2,480 calories," says Clark. "Incorporate more fish into your diet for an effective, comprehensive way to consume more omega-3s."
TOPS Club Inc. (Take Off Pounds Sensibly), the original, nonprofit weight-loss support and wellness education organization, was established more than 63 years ago to champion weight-loss support and success. Founded and headquartered in Milwaukee, Wisconsin, TOPS promotes successful, affordable weight management with a philosophy that combines healthy eating, regular exercise, wellness information, and support from others at weekly chapter meetings. TOPS has about 170,000 members in nearly 10,000 chapters throughout the United States and Canada.
Visitors are welcome to attend their first TOPS meeting free of charge. To find a local chapter, visit www.tops.org or call (800) 932-8677.

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Lawmaker authored the 2002 pilot program and then expanded it in 2008 farm bill

WASHINGTON, D.C. - Senator Tom Harkin (D-IA) today released the following statement on a USDA announcement that it will expand assistance to state agencies for schools participating in the Fresh Fruit and Vegetable Program.  This year, USDA will provide $158 million nationwide to state agencies - over $2.3 million to Harkin's home state of Iowa - who in turn provide the funding to schools participating in the program.  As the former Chairman of the Senate Committee on Agriculture, Nutrition and Forestry, Harkin authored the Fresh Fruit and Vegetable Program in the 2002 farm bill as a pilot program to bring healthy foods to children at school.  Because of the rapid success of the program, in the 2008 farm bill (the Food, Conservation, and Energy Act), Harkin was able to expand the program nationwide with a focus on elementary schools with a high proportion of low-income students. When the 2008 bill's Fresh Fruit and Vegetable Program is fully implemented, it will reach as many as 3 million elementary school children nationwide.

"As our nation works to ensure the health and nutrition of our children, one of the simplest things we can do is provide students with healthy, delicious alternatives to unhealthy snacks," said Harkin.  "The Fresh Fruit and Vegetable Program does just that by bringing fresh produce into schools - particularly to low-income students who may not otherwise have access to these nutritious foods.  The program has shown to be a tremendous success.  Both teachers and parents notice a change in student behavior and attentiveness, and kids love the great-tasting snacks.  At the same time, we are reducing long-term health care costs by raising a generation of children less likely to get sick or develop a chronic illness such as diabetes.

"I commend Secretary Vilsack for his hard work in implementing the Fresh Fruit and Vegetable Program, and for his tireless efforts to promote the health of America's children.  As we begin initial discussions on the next farm bill, it is my hope that we will be able to expand this program even further and that we continue to work on other programs that increase the health and well-being of our nation's children."

Harkin has been a senate leader for over a decade in efforts to fight childhood obesity.  Information on these efforts can be found here.

Minimally-Invasive Treatment for Barrett's Esophagus Now Available in the Quad-Cities

Shown Effective in Treating Pre-Cancerous Condition

QUAD-CITIES - March 15, 2011 - Quad-City area patients affected by a common pre-cancerous condition of the esophagus now have access to an effective new minimally-invasive treatment that could prevent them from developing cancer of the esophagus.  HALO Radio Frequency Ablation is among a class of treatments recently cited by a leading medical group as the 'gold standard' for treating Barrett's esophagus.   Gastroenterology Consultants (GI Consultants) was the first Quad Cities clinic to use the BÂRRX Halo RF Ablation System to treat Barrett's esophagus.  GI Consultants has treated nearly 100 patients successfully as of this month, since its first treatment in September.  Barrett's is a pre-cancerous condition that can result from years of chronic gastro esophageal reflux disease or GERD.

"We have had very positive results so far in the Halo treatments we have administered so far." Said Rao Movva, MD gastroenterologist and founder of GI Consultants. GI Consultants is the first Quad-Cities clinic to offer the full range of BÂRRX treatments using radio frequency ablation.  Dr. Movva added, "Cancer of the esophagus is one of the only forms of cancer still on the rise.  By destroying precancerous tissue before it turns to cancer, Halo can do for esophageal cancer what colonoscopy is doing for colon cancer, preventing cancer before it occurs."

Just last week the American Gastroenterological Association (AGA) issued guidelines recommending the removal of precancerous cells in patients with confirmed high-grade Barrett's esophagus utilizing endoscopic eradication therapy.  Such position papers set the 'gold standard' for treatment, because they are the result of extensive reviews of peer-reviewed literature, and input from not just GI physicians, but health plan representatives and consumer/patient advocates.  HALO uses an endoscope to administer RF waves directly to the pre-cancerous tissue.  The alternatives to RFA treatment include waiting and watching for further changes and followed by surgical removal of part of the esophagus if further signs are identified that cancer may be developing.

BÂRRX Medical President and CEO, Greg Barrett said, "We are extremely pleased the AGA Medical Position Statement confirms the usefulness of radiofrequency ablation for Barrett's patients with dysphasia. "  The AGA also says that high-risk Barrett's patients without dysphasia should also be considered for treatment.   Barrett added, "These guidelines validate what has been demonstrated in over 75,000 RFA procedures and 55 peer-reviewed published papers: pre-cancerous Barrett's tissue can be safely eliminated without surgery.  The AGA Medical Position Statement is a rigorously constructed publication that will assist BÂRRX and treating physicians in addressing payer policies so that RFA procedures are uniformly recognized as medically necessary services."

The AGA's new opinion follows similar clinical practice guidelines published in 2010 by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) addressing the management of patients with gastro esophageal reflux disease and Barrett's esophagus.

Barrett's esophagus is a precancerous condition of the lining of the esophagus caused by gastro esophageal reflux disease (GERD). Left untreated, backward flow of stomach contents such as acid and bile into the esophagus can lead to injury and chronic inflammation of the esophagus lining. A proportion of GERD patients are thus at risk of developing Barrett's esophagus, which can lead to esophageal adenocarcinoma, a lethal cancer with a five-year survival rate of approximately 15%.

Gastroenterology Consultants is affiliated with Heartland Clinic, a collaborative between Valley Laboratories, Valley View Anesthesia, Midwest Clinical Research and Regional Surgicenter. This family of healing partners is committed to providing the highest quality testing and care available in the Quad-City region.  Learn more at www.gastroconsultantsqc.com.  GI Consultants is one of the founding participants of Colon Cancer Free QCA (CCFQCA), a consortium of competing gastroenterology practices committed to increasing the awareness of colon cancer and its risks.   Learn more about the initiative at www.coloncancerfreeQCA.com.

By: Sen. Tom Harkin
March 14, 2011 04:30 AM EDT

One year ago this week, President Barack Obama signed the Patient Protection and Affordable Care Act into law, ensuring quality, affordable health coverage to all Americans, cracking down on the worst abuses by health insurance companies and placing a new emphasis on wellness and disease prevention.

Yet today, there is a misguided effort to repeal the law. The fight to provide access to quality, affordable health care for all has only just begun.

The good news is that this time around, the debate dynamics have shifted. As people learn more about the long-overdue reforms in the Affordable Care Act ? including benefits and consumer protections now guaranteed by law ? support for health care reform is growing steadily.

A year ago, we were bogged down in the messy, frustrating politics of passing the bill. Now, what's at stake is crystal clear: Are we going to put health insurance companies back in the driver's seat to discriminate based on pre-existing conditions and return to the abuses and discriminatory practices of the past? Are we going to revoke access to health insurance for more than 30 million Americans? Are we going to add hundreds of billions of dollars to the deficit by wiping out the savings in the Affordable Care Act? The nonpartisan Congressional Budget Office estimates the law will reduce the deficit by $210 billion in the first decade and by more than $1 trillion in the second decade.

The law's jewel in the crown is ending denial of coverage due to pre-existing conditions. It is a sobering fact that nearly half of nonelderly Americans have some type of pre-existing condition ? like high blood pressure, arthritis or heart disease. Similarly, the law bans the outrageous practice of canceling policies when people get sick. Gone are the days when the largest health insurer in California could use technicalities to cancel the policies of women who get breast cancer.

The law also prohibits insurers from imposing lifetime limits on benefits, and it allows parents to keep their children on their policies until age 26.

Americans will not allow these hard-earned protections and benefits to be taken away.

Conservatives attack the provision of the law requiring people to purchase health insurance. They claim it is an "assault on freedom." Well, it is an assault on freedom for people to go without insurance, seek treatment in emergency rooms and stick other Americans with their health care bills. Uncompensated health care adds an estimated $1,100 a year to every family's health insurance premiums.

The individual mandate is just common sense ? that's why so many Republicans supported it in the past. Indeed, as governor of Massachusetts, Mitt Romney put an individual mandate at the center of his state's health reform law. By eliminating free riders and putting everyone in the risk pool, we keep rates down for everyone. This is the only way people with pre-existing conditions are not denied affordable coverage.

When we join together, we have more freedom. When everyone is covered and no one is left out, we enhance liberty. Health reform is all about freedom. Freedom from the fear that if you get sick, you won't be able to afford a doctor. Freedom from the fear that a major illness will lead to financial ruin. These are the practical freedoms that matter to Americans.

With this landmark law, we are beginning to replace the current sick care system with a genuine health care system ? focused on wellness and prevention. We are beginning to reward health care providers for the quality of care they provide, not just the quantity.

The Affordable Care Act is not perfect. It is not like the Ten Commandments, chiseled in stone. It's more like a starter home ? suitable for improvement.

I look forward to working with my colleagues to make sensible changes as we continue to implement the law. I invite them to bring their tool kits, rather than their sledgehammers, so we can work together to improve the law.

The choice is to go forward or be dragged backward. The great majority of people wants to go forward to build a reformed health care system that works not only for the healthy and wealthy ? but for all Americans.

Sen. Tom Harkin (D-Iowa) is chairman of the Senate Committee on Health, Education, Labor and Pensions.

Quad Cities, USA (March 7, 2011) - March is Colon Cancer Awareness Month and gastroenterologists  and other healthcare professionals from around the Quad Cities are joining forces to spread the word about how colon cancer can be prevented.  Colon Cancer Free QCA is a coalition of physicians and staff from The Center for Digestive Health, Gastroenterology Consultants and Trinity Medical Center.  Colon Cancer Free QCA is coordinating efforts to raise public and clinical awareness of the role that colonoscopies play in the prevention and early detection of colon cancer.  Physicians from these practices will address groups in the area about why colonoscopies are so important.  Others will be talking with family physicians about the importance of patients receiving colonoscopies early in life.  Colon Cancer Free QCA will also publish public service announcements throughout March.

On Saturday, March 5th, as part of Colon Cancer Free QCA, free colonoscopies were provided to 15 uninsured patients identified as high-risk by the Good Samaritan Clinic in Moline.  Nurses and support staff from Trinity Regional Health System - along with Drs. Ahmad Cheema, Sreenivas Chintalapani, Arvind Movva, Shasinath Chandrashasegowda and Poonput Chotiprasidhi,  gastroenterologists from competing practices -- volunteered their service.  The exams were performed free-of-charge for the high-risk patients, who were identified as being high-risk by the Good Samaritan Clinic.  Anesthesiologists from Western Illinois Anesthesiology participated in the free clinic.  Lab and pathology services were donated by Metro Lab.  A grant from Trinity Health Foundation helped fund part of the clinic's costs.

Excluding skin cancer, colon cancer is the third most common cancer diagnosis in the United States.  It remains among the top three cancer killers, even though it is also the most preventable form of deadly cancer. The most effective means of preventing colon cancer is a colonoscopy, where pre-cancerous polyps are removed before they turn to cancer and early cancers are seen and biopsied, often before they cause symptoms.  If the cancer is detected early, before symptoms appear, a person's chance of survival is about 90 percent. People with an average risk for colon cancer should be tested at age 50.  However, screenings should begin at age 40 if you have a family history of colon cancer.   Colon cancer affects men and women equally, crossing all socio-economic lines.

Among those serving on Colon Cancer Free QCA committee are several who've been personally touched by colon cancer.   Committee member Courtney Boothe is a Moline native and the daughter of Frank Boothe, a colon cancer survivor, "This coalition is doing something that is much needed in today's world, I hadn't really heard of colon cancer until my father was diagnosed with it. Last year when I heard about Colon Cancer Free QCA, I wanted to do anything I could to help raise awareness."  Booth hopes her participation in CCFQCA inspires others to take a step that could save their lives.

For more information about Colon Cancer Free QCA visit www.coloncancerfreeqca.com.

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MILWAUKEE, WI - Whether you're trying to lose weight or just maintain a healthy lifestyle, it's important to include a variety of vegetables in meal planning. The health benefits of eating vegetables are many and include reducing the risk of stroke, type 2 diabetes, coronary heart disease, and certain cancers, such as mouth, stomach, and colon cancer.
It can be a challenge to include a sufficient amount of this tasty and beneficial food group to menus. These tips from TOPS Club, Inc. (Take Off Pounds Sensibly), the nonprofit weight-loss support organization, offer some creative ways to eat more vegetables:
1. Make a "pasta" dish with spaghetti squash instead of noodles.
2. Puree cooked vegetables and add them to stews, gravies, and soups.
3. Add raw spinach leaves and an extra-ripe banana to a fruit smoothie. It may sound strange, but the sweetness of the banana masks the taste of the spinach.
4. Baking? Add shredded carrots to muffins or bread.
5. Instead of cheese and meat, pile your morning omelet with onions, mushrooms, and red and green peppers. Chop vegetables the night before to save time in the morning.
6. Add chopped spinach to meat when preparing meatballs or hamburgers.
7. Try mashed cauliflower instead of mashed potatoes. Experiment with different flavorings such as garlic, a dab of butter, and Parmesan cheese.
8. Add salsa to a breakfast burrito, pile it on a veggie burger, or use it in place of high-fat, creamy vegetable dips.
9. Puree pasta sauce with vegetables such as winter squash or chopped broccoli.
10. Add chopped carrots to casseroles or meat loaf.
TOPS Club Inc. (Take Off Pounds Sensibly), the original, nonprofit weight-loss support and wellness education organization, was established more than 63 years ago to champion weight-loss support and success. Founded and headquartered in Milwaukee, Wisconsin, TOPS promotes successful, affordable weight management with a philosophy that combines healthy eating, regular exercise, wellness information, and support from others at weekly chapter meetings. TOPS has about 170,000 members in nearly 10,000 chapters throughout the United States and Canada.
Visitors are welcome to attend their first TOPS meeting free of charge. To find a local chapter, visit www.tops.org or call (800) 932-8677.

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