Karela, or bitter gourd, is undoubtedly one of the most hated vegetables in the world. Called momordica charantia by the scientific community, this vegetable is infamous for its bitter taste and is used in Asian, African and Carribean cuisines. Lesser known is the fact that for centuries, it has been cherished in traditional medicine due to its powerful effects on the body. Interestingly, this vegetable traces its origin to India.

While its health benefits are known across the world, there is empirical evidence to testify that drinking its juice every day can help people control diabetes. Bitter Gourd contains compounds such as charantin and polypeptide-p that mimic insulin activity. These properties can contribute to improved blood sugar regulation. The vibrant green veggie is also rich in antioxidants, which help combat free radicals and may reduce oxidative stress.

A study published in the International Journal of Molecular Science in February 2023 suggests that it contains bioactive compounds with hypoglycemic properties that help regulate blood sugar levels in individuals with type 2 diabetes. These compounds may work through multiple mechanisms, such as improving insulin sensitivity and reducing glucose absorption.

There are other studies to support the same. However, these studies on the effects of bitter gourd have limitations, including small sample sizes and inconsistent methodologies. More rigorous clinical trials are needed to confirm its effectiveness and safety. Despite this, bitter gourd remains a promising natural and cost-effective.

However, many studies on the effects of bitter gourd have limitations, including small sample sizes and inconsistent methodologies. More rigorous clinical trials are needed to confirm its effectiveness and safety.

What Are Other Benefits Of Bitter Gourd?

One of the most well-known benefits of bitter gourd is that it is rich in dietary fibre, which aids digestion and slows the absorption of sugar in the bloodstream. This helps to prevent spikes in glucose levels after meals. Bitter gourd is also rich in antioxidants like vitamin C, which help combat oxidative stress and reduce inflammation in the body. This can be particularly beneficial in preventing chronic diseases such as heart disease and certain types of cancer. Additionally, the vegetable's high fibre content aids in digestion, promoting regular bowel movements and helping to cleanse the digestive tract. It can also help with weight management by providing a feeling of fullness and reducing overall calorie intake.

The bitter compounds in bitter gourd, particularly momordicin, have also been shown to support liver health by enhancing the production of bile, which is essential for digesting fats. This detoxifying effect can improve liver function and overall metabolic health. Moreover, bitter gourd has been found to have antimicrobial properties, which can help fight off infections. It also boosts the immune system, making the body more resilient against illness.

Every aisle in the modern supermarkets reflects the convenience that comes with food these days—frozen meals, packaged foods, instant drinks—all designed to fit right into the busy lives of people today. Yet behind the ease and the flavor lies a growing volume of scientific evidence sounding an alarming warning, ultra-processed foods may be quietly speeding up the risk of early death.

The fascination and attraction of fast, easy, and very tasty foods commonly masks a dark truth. An international research published in the American Journal of Preventive Medicine indicates that heavy consumption of ultra-processed foods (UPFs) dramatically raises the risk of premature mortality. This new proof revives widespread demands for global food reforms since UPFs currently make up the majority of diets in most nations, including the United States.

What Are Ultra-Processed Foods?

Ultra-processed foods, also known as UPFs, are industrial products often made of ingredients that are not typically used in home preparation preservatives, emulsifiers, artificial sweeteners, colorants, and hydrogenated oils. Some of these foods are ready-to-eat products such as sugary beverages, pizzas, burgers, chicken nuggets, chocolates, and snack foods.

Ultra-processed foods, engineered with additives, preservatives, and artificial ingredients, now comprise over half the average American diet, based on data from the U.S. Department of Agriculture. Their ubiquity and intensive marketing have made them seem inevitable, but accumulating evidence indicates that the health toll is much more serious than realized.

Under the NOVA food classification system, UPFs are defined by their intensive industrial processing, which is typically used to produce hyper-palatable and highly profitable foods. Yet, the convenience comes with an increasingly large body of evidence showing that these foods contribute to a variety of chronic diseases, including cardiovascular disease, obesity, diabetes, depression, and various forms of cancer.

How Ultra-Processed Foods Are Linked to Early Death Risk?

The new study by Eduardo Augusto Fernandes Nilson of the Oswaldo Cruz Foundation in Brazil compared dietary and mortality data from eight nations. Their results are chilling:

In the United States alone, UPFs contribute to 124,107 avoidable early deaths each year.

England has around 17,781 premature deaths each year due to UPF consumption.

Similar trends are seen in other nations: 25,000 early deaths in Brazil, 17,000 in Mexico, and 7,700 in Canada.

It is discovered that a 10% increase in consumption of UPFs increases the probability of death by age 75 by 3%. In the U.S. and U.K., where UPFs account for over half of total dietary energy (54.5% and 53.4% respectively), the consequence is particularly sinister.

How Ultra-Processed Foods Harm Your Health?

It's not only the high contents of unhealthy fats, salts, and sugars that render UPFs harmful. The very industrial processing itself — and the multitude of artificial additives such as colorants, emulsifiers, and sweeteners — seems to have negative impacts on human health. As Nilson says, these foods impact health outside of the conventional nutrient content by changing the foods at the molecular level.

This insight changes the story: it's not so much about calories or macronutrient mix, but the chemical and structural changes foods go through when processed.

A number of studies, including a February 2024 study, have established a clear "dose-response" between UPF consumption and adverse health outcomes. Even modest increases in UPF intake — a mere serving per day — have been linked to:

• 50% greater risk of death due to cardiovascular disease
• 53% higher risk of anxiety
• 55% increased risk of obesity
• 40% increased risk of the development of type 2 diabetes
• 41% increased risk of sleep disorders
• 20% higher risk of depression and premature death from all causes
• Adding only an additional 10% more UPFs onto a previously optimal diet was also associated with increased rates of cognitive decline, stroke, and upper gastrointestinal tract cancers.

Preventable Deaths Across Continents Due to Consumption of UPF

Nilson and his group approximated preventable premature deaths resulting from UPF consumption to range by country:

• 4% in Colombia
• 5% in Brazil
• 6% in Chile
• 10.9% in Canada
• 13.7% in the United States
• 13.8% in England

The statistics highlight that UPF death rates are highest in countries where such foods are prevalent in diets. Although the leading consumers are high-income nations, middle-income countries such as Brazil, Mexico, and Chile are rapidly closing in, sparking fears of an emerging global health epidemic.

Why Are UPFs So Dangerous?

Aside from the additives and processing, UPFs interfere with proper metabolic functions. They make their way into systemic inflammation, interfere with the gut microbiota, affect satiety signals, and are highly addictive. These actions individually boost the risk of chronic disease and early death.

Heart disease, stroke, type 2 diabetes, colorectal cancer, dementia, and obesity are all part of the expanding list of conditions associated with excessive UPF consumption.

Steps to Cut Down Consumption of Ultra-Processed Foods

Although it might not be feasible for everyone to completely eliminate UPFs, making slow, sustainable changes can make a big difference in health outcomes:

Prioritize whole foods: Whole grains, fresh fruits and vegetables, lean proteins, nuts, and seeds should be the staple of your diet.

Read labels carefully: Be wary of lengthy ingredient lists with unknown additives.

Cook at home: Cooking yourself provides more control over ingredients and cooking techniques.

Make gradual transitions: Rather than an all-or-nothing method, gradually decrease dependence on ultra-processed foods.

Prioritize balance: Opt for half the plate to consist of fruits and vegetables at each meal.

Educational campaigns and supportive policies may also assist consumers in making educated decisions and transitioning away from ultra-processed diets.

As the racks in our supermarkets become heavier with brightly colored packaging, experts are calling on Americans to change their diets not tomorrow, but today. Ultra-processed foods—think packaged snack foods, ready-to-eat meals, sweet cereals, and even some so-called "health" bars have quietly insinuated themselves into our daily lives.

Many people consider breakfast the most important meal of the day, making sure they have a good spread of tasty food. However, it is very easy to overindulge, causing you to feel bloated and uncomfortable early in the morning. One of the best ways to tackle this is by eating a meal filled with fiber and other nutrients.

While many people go for meals like chocolate flakes or cereals, foods that are marketed as breakfast meals, they are not as good for your health. They are filled with processed sugars, flour and lack fiber. According to the Cleveland Clinic, a low sugar meal early in the morning is essential to avoid feeling sluggish and tired. They also recommend that adults should have 25 to 35 grams of fiber each day, so beginning with a fiber-rich breakfast is a good option. Not only will it help you slow down digestion, but it will keep you fuller for longer.

However, looking for fiber-rich meals and preparing them can be a hassle, especially for people who have early mornings, Dr. Karan Rajan has a simple answer to that. Dr. Karan Rajan, NHS Surgeon, who is known for his educational videos on social media shared his fiber filled breakfast recipe for people looking to boost their fiber intake with healthy and light foods.

What Does A Fiber-Packed Breakfast Looks Like?

Dr. Karan Rajan recently shared his recipe for the "ultimate breakfast," emphasizing its high fiber and protein content. In a step-by-step guide posted on TikTok, he detailed the specific benefits of each ingredient. This breakfast bowl offers a significant contribution towards the NHS-recommended daily intake of 30g of dietary fiber. The ingredients you will need are

• 250g of kefir yoghurt
• A handful of frozen blueberries
• A handful of frozen raspberries
• 2 tablespoons of chia seeds
• 25g of dark chocolate (at least 70% cocoa)

Kefir Yogurt

Dr. Rajan began his recipe with a base of kefir yoghurt, highlighting its impressive nutritional profile. This nutrient-dense yoghurt is recognized for its potential to improve gut health, bolster immunity, and support both heart health and weight management.

He explained that it has 30g of protein but also how it is a good source of lactic acid-producing bacteria as well as yeast which contribute to microbial diversity in your gut. For those unable to find kefir, Dr. Rajan suggested using another yoghurt with live and active cultures.

Blue Berries And Raspberries

These berries contribute "at least 6g of fiber" to the dish and are a rich source of prebiotic fibers. These specific fibers can promote the growth of beneficial gut bacteria, aiding digestion and potentially alleviating constipation.

Dr. Rajan noted "Dark colored plants like raspberries, blueberries and blackberries are a concentrated source of polyphenols, which are plant-based antioxidants." A 2020 study published in the Biomedicine & Pharmacotherapy suggests that diets rich in polyphenols may be associated with a lower risk of heart disease by improving blood flow and potentially lowering blood pressure.

Chia Seeds And Dark Chocolate

To further enhance the nutritional value, Dr. Rajan added pre-soaked chia seeds to his breakfast bowl. This simple addition provides an extra 4g of protein and a substantial 10g of fiber. For all the chocolate or cocoa lovers, he added dark chocolate to his recipe as 25g of dark chocolate (70% cocoa) has at least three to four grams of fiber.

Menopause marks the end of a woman's menstrual cycle, however, the transition is rarely ever straightforward. While this phase brings significant changes to all women, Indian women often face it earlier than others. In fact, as per a 2016 study published in the Indian Journal of Medical Research, titled Natural Menopause Among Women Below 50 Years in India: A Population-based Study, notes: "In India, the range of mean age at menopause reported in different studies appears to be rather young."

The mean age where menopause occurs is between 45 to 55 years of age, whereas, in India, the age range is between 41.9 and 49.42. In fact, as per the National Family Health Survey 3, which was carried out during 2006-06, about 18% of married women in the age of 30 to 49 years had reached menopause.

Based on this data, nutritionist Pooja Makhija delved into the effects of menopause on Indian women and stressed on the importance of midlife health care.

Why Do Indian Women Hit Menopause Earlier?

Makhija highlighted an interesting fact that Indian women experience menopause about five years earlier than their Caucasian counterparts. While the global average age for menopause is around 51, Indian women typically reach this milestone at approximately 46.7 years. Makhija emphasizes the need for women in India to start caring for their midlife health much earlier, given this difference in timing.

As per the 2024 study published in journal Nature, titled, Exploring the triggers of premature and early menopause in India: a comprehensive analysis based on National Family Health Survey, 2019–2021, noted that due to ovarian insufficiency, some women attain early menopause. The study also based its data on National Family Health Survey 2019-21 to reach the results.

The study also quoted a PAN India study by Ahuja (2016) that noted a strong association between early onset of menopause and various factors that contribute it, including poor socio-economic background, being underweight, parity, and age at pregnancy. Women who live in rural areas where access to healthcare and nutrition may be limited, experience menopause earlier. Women who also have more children could experience an earlier menopause.

What Happens When You Hit Menopause Earlier?

As women approach menopause, they face a higher risk of heart disease and a faster decline in bone density. This is particularly concerning for Indian women, as they already tend to have low levels of vitamin D. Makhija points out that while menopause may be a subject of silence worldwide, it is even less discussed in Indian households, which contributes to women suffering in silence.

As per a 2023 study published in journal Nutrients, titled The Importance of Nutrition in Menopause and Perimenopause—A Review, menopause is also associated with an increased prevalence of obesity, metabolic syndrome cardiovascular diseases, and osteoporosis.

The study notes for the importance of a balanced diet and fluid intake and the role of dietary prevention of cardiovascular diseases, role of sleep and the key preventive nutrients in menopause. These are: vitamin D, calcium, vitamin C, B vitamins, and protein intake.

Makhija also urges that midlife care should not be about merely surviving menopause but thriving through it. She advocates for a fresh perspective on how Indian women approach menopause, with a focus on proactive health management.

The post also highlights that Indian women are less likely to seek treatment for menopause symptoms compared to their Western counterparts. Whether it's hormone replacement therapy (HRT), lifestyle adjustments, or dietary changes, informed choices can drastically improve midlife health.

Makhija concludes with a powerful message: "It’s high time we stop shying away from menopause. Let’s take charge of this together." The need for open conversation and proactive care has never been more urgent.