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Navigating Thanksgiving with heart disease: What to eat and what to avoid

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Navigating Thanksgiving with heart disease: What to eat and what to avoid

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This week, many American families will sit down to enjoy a traditional Thanksgiving meal together — but those who live with a heart condition may need to put some extra thought into what goes on the plate.

Nearly half of U.S. adults live with some type of cardiovascular disease, according to the American Heart Association — and diet has a major impact on the risk of heart attack and stroke.

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“Thanksgiving is a holiday that often results in overindulgence of food and alcohol, which can pose a risk to individuals with known or unknown heart disease,” Dr. Philip Nimoityn, clinical assistant professor of medicine at Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia, Pennsylvania, told Fox News Digital.

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Dr. Sam Setareh, a cardiologist at Cedars-Sinai Medical Center in Los Angeles, often sees the effects of that overindulgence. 

Doctors offer tips on Thanksgiving foods to embrace and foods to avoid for people with heart disease. (iStock)

“Every year after Thanksgiving, I see patients that present to the emergency room or my clinic with heart failure exacerbation, hypertensive emergency or diabetic crisis,” he told Fox News Digital.

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Foods to avoid 

Salty, high-sodium foods are the main cause of congestive heart failure exacerbation and high blood pressure, according to Setareh. 

“Canned gravies, processed meats (such as ham and sausage stuffing), and salty snacks can lead to fluid retention and elevated blood pressure,” he said. 

Instead, he recommends opting for homemade alternatives with no added salt.

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Trans fats and saturated fats can raise LDL (“bad”) cholesterol, Setareh said.

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To prevent that, he recommends avoiding buttery mashed potatoes, heavy cream-based casseroles, gravy and store-bought baked goods.

When it comes to meats, Nimoityn suggests avoidingfo the fattier choices.

“Thanksgiving is a holiday that often results in overindulgence of food and alcohol, which can pose a risk to individuals with known or unknown heart disease.”

“Dark turkey meat from the thigh and leg contains significantly more fat than white meat, and ham contains significantly more sodium than turkey,” he said.

Also steer clear of store-bought cranberry sauce, advised Dr. Alan Rozanski, a professor of medicine at the Icahn School of Medicine and director of nuclear cardiology at Mount Sinai St. Luke in New York City.

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“They’re often packed with added sugar,” he warned.

“Traditional pies and sugary drinks can spike blood sugar and contribute to weight gain,” a doctor cautioned. “Choose desserts made with less sugar or natural sweeteners.” (iStock)

When it comes to beverages, Nimoityn recommends avoiding or limiting alcohol because of its direct effects and additional calories, as well as apple cider, which contains a significant amount of sugar. 

Sugary desserts are another culprit to avoid. 

“Traditional pies and sugary drinks can spike blood sugar and contribute to weight gain,” Setareh cautioned. “Choose desserts made with less sugar or natural sweeteners.”

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Heart-healthy foods

For those with a heart condition, Setareh recommends choosing lean proteins.

“Turkey (without the skin) is an excellent source of lean protein,” he said. “Avoid deep-fried preparations.”

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When choosing sides, the doctor recommends fiber-rich options.

“Focus on vegetables like roasted Brussels sprouts, green beans and sweet potatoes (baked or mashed without added sugar),” he said. “Whole-grain stuffing is also a better choice.”

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For a flavorful, nutritious side, a doctor recommends roast green beans, asparagus or carrots with olive oil and herbs. (iStock)

For heart-healthy fats, Setareh suggests incorporating ingredients like walnuts, almonds and olive oil into recipes. 

“These provide omega-3 fatty acids and support heart health,” he said.

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For dessert, fresh fruit salads or baked apples with cinnamon are heart-healthier alternatives to traditional pies.

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“Taking larger portions of the healthier foods will result in having smaller portions of the foods that are higher in fat, carbohydrates and sodium,” added Nimoityn.

6 healthy twists on traditional faves

Rozanski believes people with heart conditions can still enjoy Thanksgiving favorites by giving them a heart-healthy twist. 

“Dark turkey meat from the thigh and leg contains significantly more fat than white meat, and ham contains significantly more sodium than turkey,” an expert said. (iStock)

Below are some of his tips.

Turkey: Use whole grains, fresh vegetables and low-sodium broth for a healthier stuffing — and go easy on the gravy, he advised.

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Non-starchy vegetables: For a flavorful, nutritious side, Rozanski recommends roast green beans, asparagus or carrots with olive oil and herbs. “Classics like sweet potatoes with marshmallows and brown sugar, buttery mashed potatoes, creamy green bean casserole, and glazed carrots often come with loads of added fats and sugars,” he cautioned.

Salad: “A fresh, leafy green salad with nuts, seeds and a light vinaigrette adds a vibrant, healthy option to your table,” he said.

Mashed Potatoes: Swap traditional mashed potatoes for mashed cauliflower as a lighter alternative, Rozanski suggested.

Dinner Rolls: The doctor recommends choosing whole-grain rolls over refined ones.

Desserts: “Enjoy pie in moderation or try healthier treats like fresh fruit, dark chocolate or air-popped popcorn with light seasoning,” Rozanski suggested.

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6 more heart-healthy tips

The doctors shared some additional Thanksgiving health tips for those who have heart conditions.

1. Cut out the “high-ticket” items

Nimoityn recommends avoiding some of what he calls the “high-ticket” items that are often added at the table, such as butter, salt and sauces.

“This can markedly decrease the amount of these components in your meal,” he said.

Patients with heart conditions should consult with their doctors for specific dietary guidance. (iStock)

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2. Start small

“Serve modest portions for your first plate,” Rozanski advised. 

“Long meals often encourage seconds, so keeping your initial serving manageable is key.”

3. Eat mindfully

“Eating slowly and taking a break to enjoy the company of family and friends before rushing to fill a second plate can help to prevent overeating,” Nimoityn suggested.

“Give your body 10 to 15 minutes to recognize fullness before refilling your plate.”

Rozanski echoed that advice, encouraging people to “savor every bite.”

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“Put your fork down between bites, chew thoroughly and focus on the flavors to help prevent overeating,” he recommended.

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Before going for seconds, Rozanski said it’s best to pause.

“Give your body 10 to 15 minutes to recognize fullness before refilling your plate,” he advised.

Experts recommend taking a brief walk after eating the Thanksgiving meal. (iStock)

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4. Walk it off

Experts recommend taking a brief walk after eating the Thanksgiving meal.

“A post-meal walk can aid digestion, lower blood sugar and support heart health,” said Setareh.

5. Adhere to medications

“Ensure that you take all your prescribed medications as usual and avoid foods or beverages that may interact with them, such as excessive alcohol,” Setareh advised.

6. Make nutrition a habit

“Having a heart-healthy diet throughout the year — combined with comprehensive screening by a physician for future cardiovascular risk, including evaluation of lipid and vascular inflammatory markers — may help to prevent adverse cardiac events in the future,” Nimoityn said.

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Patients with heart conditions should consult with their doctors for specific dietary guidance, he added.

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Simple daily habit could help people with type 2 diabetes manage blood sugar

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Simple daily habit could help people with type 2 diabetes manage blood sugar

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Sitting next to a window may help people with type 2 diabetes control their insulin levels, according to new research.

The study, published in Cell Metabolism, found that exposure to natural light — even indoors next to a window — changes how the body processes glucose and uses energy.

People in Western societies spend 80% to 90% of their time under artificial lights, which are much dimmer and less dynamic than sunlight, the researchers noted. Natural daylight is a powerful cue for the body’s internal clock, also known as the circadian rhythm.

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The body’s internal clock influences many processes, including digestion, hormone release and metabolism, according to research. When it gets out of sync, it can worsen insulin resistance and blood sugar control, which are two of the main issues caused by type 2 diabetes.

Typical lighting in homes and offices is much dimmer and lacks the biological signals provided by natural daylight. (iStock)

To test the effects of daylight on blood sugar, scientists recruited 13 adults with type 2 diabetes. Each person spent two separate 4.5-day periods in a controlled office setting, according to a press release.

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In one period, they worked in front of large windows with natural daylight streaming in. In the other period, participants worked in the same room with the windows covered and were exposed only to typical indoor lighting.

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Daylight isn’t a replacement for medication or traditional management strategies like diet and exercise, the researchers noted.

Everyone ate similar meals, followed the same schedule and continued their usual diabetes medications in both conditions.

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While average blood sugar levels didn’t differ drastically between the two conditions, people spent more time in the healthy glucose range when they were exposed to natural daylight — their blood sugar fluctuated less and stayed within a desirable range for a greater portion of the day.

Participants who were exposed to daylight burned more fat and fewer carbohydrates, a metabolic pattern linked to better blood sugar regulation. (iStock)

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Exposure to natural light also affected metabolism. In daylight, participants burned more fat and fewer carbohydrates for energy.

Muscle biopsies and laboratory tests further showed that the genes responsible for the body’s cellular clocks were more synchronized under natural light conditions, the study revealed.

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Better alignment of these genes can improve nutrient processing and how cells respond to insulin, the researchers concluded.

Sitting near windows or spending more time outdoors could support diabetes management alongside standard treatments, researchers say. (iStock)

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However, daylight isn’t a replacement for medication or traditional management strategies like diet and exercise, according to the team.

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The study did have some limitations, including that the group of patients was small. The researchers cautioned that larger studies are needed to confirm these results and determine how much natural light exposure is optimal.

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“This study also highlights the often unnoticed impact of the built environment on our health, and raises further concerns about the prevalence of office environments with poor (natural) daylight access,” the researchers noted.

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Frequent heartburn may be a warning sign of a more dangerous condition, doctor says

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Frequent heartburn may be a warning sign of a more dangerous condition, doctor says

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For most people, heartburn is an occasional annoyance and source of temporary discomfort. But for some, chronic heartburn can lead to more dangerous conditions — potentially even pre-cancerous ones.

About 10% of people with chronic gastroesophageal reflux disease (GERD) will develop Barrett’s esophagus, a condition where the lining of the lower esophagus is replaced with abnormal cells that are more prone to cancer, according to medical experts.

Some studies have shown that among those with Barrett’s esophagus, between 3% and 13% will go on to develop cancer, but most will not.

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When acid reflux becomes dangerous

“Your stomach is designed to handle acid. Your esophagus is not,” Dr. Daryl Gioffre, a Florida-based gut health specialist and certified nutritionist, told Fox News Digital.

About 10% of people with chronic acid reflux will develop Barrett’s esophagus, a condition where the lining of the lower esophagus is replaced with abnormal cells that are more prone to cancer. (iStock)

“With reflux, the danger is not the burn in the chest or throat — the real danger is the constant backflow of acid traveling the wrong way.”

In most people, the lower esophageal sphincter — which Gioffre refers to as the “acid gate” — keeps acid in the stomach, which is lined with thick mucus and specialized cells designed to protect it.

“With reflux, the danger is not the burn in the chest or throat — the real danger is the constant backflow of acid traveling the wrong way.”

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“But when the gate gets weak, it relaxes or stays slightly open, and acid slips back up the wrong way,” he said. This “gate” can weaken with magnesium deficiency, high stress, alcohol, poor sleep, dehydration and late-night snacking, all of which can disrupt healthy digestion.

When acid hits the esophagus, it irritates tissue that was never designed to withstand it, according to the doctor.

“Every time acid comes back up the wrong way, it injures the lining like a slow chemical burn,” said Gioffre, who is also the author of “Get Off Your Acid” and “Get Off Your Sugar.” Over time, that irritation erodes the lining, drives inflammation and can change the cells.

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“These new cells are no longer normal esophageal cells — they begin to shift into cells that look more like stomach lining, because those cells can tolerate the acid,” the doctor said. “That change is called metaplasia, or Barrett’s esophagus.”

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Once the cells start changing, the risk of further mutation goes up. If that process continues, Gioffre warned, it can progress to dysplasia, which is the stage right before esophageal cancer.

Some studies have shown that among those with Barrett’s esophagus, between 3% and 13% will go on to develop cancer. (iStock)

“So the real danger is not the heartburn you feel,” he summarized. “It is the repeated acid exposure forcing the esophagus to adapt in ways it was never designed to. Fixing reflux at the root stops this entire cascade before those cellular changes begin.”

Men at higher risk

Men generally have a higher risk because they burn through magnesium faster, tend to carry more visceral fat pushing upward on the stomach, eat heavier meals and snack late at night, Gioffre cautioned. These activities all weaken the acid gate and shut down healthy digestion. 

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“Eating within three hours of lying down almost guarantees the stomach does not empty, and that is one of the biggest drivers of nighttime reflux,” he said. “On top of that, men often ignore symptoms, or mask them with PPIs and antacids instead of fixing the root cause.”

All of these factors contribute to a “perfect storm” for chronic inflammation and long-term damage, according to Gioffre.

Warning signs

There are certain red flags that indicate when acid reflux has gone beyond an occasional annoyance and has progressed to constant and chronic. 

“If that burn becomes more frequent or more intense, or starts showing up even when you have not eaten, your body is waving a giant warning flag,” Gioffre said.

Difficulty swallowing, a feeling that food is “stuck,” chronic hoarseness, a constant cough, throat clearing or the feeling of a lump in the throat are all indicators that the acid is moving upward into areas it should never reach. (iStock)

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Difficulty swallowing, a feeling that food is “stuck,” chronic hoarseness, a constant cough, throat clearing or the feeling of a lump in the throat are all indicators that the acid is moving upward into areas it should never reach, according to the doctor. 

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“Ulcers in your throat, or even in your mouth, are another sign that the acid is doing real damage,” he warned. 

“Another major warning sign is when reflux goes from something you notice occasionally to something you feel every day or every night, or when PPIs and antacids stop helping,” Gioffre said. “That usually means the lining is irritated and eroded, and may already be changing on a cellular level.”

Nighttime reflux is the most dangerous because the acid sits on the esophagus for hours, causing deep inflammation and long-term cellular changes, the doctor said. (iStock)

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Unexplained weight loss, vomiting blood and black stools are all serious symptoms that demand immediate attention, the doctor added.

“The bottom line: When reflux becomes consistent, chronic and starts impacting swallowing, your voice, or the tissues in your mouth or throat, it is no longer just a nuisance,” Gioffre told Fox News Digital. “That is the point where the esophagus may be moving toward a precancerous state, and men especially cannot afford to wait on it.”

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3 key ways to prevent reflux

Gioffre shared the following essential steps to preventing acid reflux and improving digestive health.

No. 1: Follow the 3-hour rule

“Stop eating three hours before bed,” the doctor recommends. “When you eat late, the stomach does not empty, pressure builds and the acid gate relaxes, guaranteeing that acid travels upward into your esophagus while you sleep.”

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Nighttime reflux is the most dangerous because the acid sits on the esophagus for hours, causing deep inflammation and long-term cellular changes, he warned. “This one rule alone can dramatically lower acid reflux and cancer risk.”

No. 2: Strengthen the acid gate

When stomach acid is low, the lower esophageal sphincter loses its tone, allowing acid to travel upward instead of staying in the stomach, Gioffre said.

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“The fastest way to tighten that gate is to build your mineral reserves, especially magnesium,” he said.

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The best way to do this is to load up on magnesium-rich foods like avocado, spinach, pumpkin seeds, chia seeds, quinoa and almonds, and consider adding a clean magnesium supplement.

No. 3: Remove or neutralize daily triggers

The fastest way to protect your esophagus, according to Gioffre, is to eliminate or neutralize the foods and habits that weaken the acid gate and push acid the wrong way.

For people who can’t fully eliminate these triggers, certain habits can help neutralize their impact by reducing acid strength and pressure before it reaches the esophagus.

The doctor recommends cutting back on alcohol and caffeine, both of which relax the acid gate and increase the risk of acid reflux. (iStock)

“Drinking most of your water earlier in the day helps, because pounding water at night stretches the stomach and relaxes the acid gate, making it much easier for acid to flow the wrong way once you lie down,” he said.

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He also recommends cutting back on alcohol and caffeine, both of which relax the acid gate instantly.

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Some other major triggers that fuel the reflux cycle include chocolate, spicy foods, garlic, onions, sugar, ultraprocessed foods and heavy nighttime meals, according to the doctor. 

“These foods and habits weaken the lower esophageal sphincter, drive up inflammation and push pressure upward,” he said. “That’s exactly how a little heartburn turns into chronic reflux, and slowly causes the kind of damage that puts the esophagus at risk for cancer.”

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