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Medication Reviews If you are on multiple medications, ask your Peoples Pharmacist about medication reviews. Reviews can help you better understand and benefit from your medication therapy.

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People First

4

July 2014.

6

14

15

Features & Cover Articles 4 7 MENOPAUSE

HEALTHY SAVINGS

14

Pharmacist Ian Lloyd provides advice to help with the challenging transition through menopause.

Great selection of quality health and wellness products from Peoples Pharmacy.

Darlene Booth makes no bones about how to achieve strong and healthy bones.

5

9

15

A look at Gold River and Port McNeill two B.C. communities that Peoples is proud to be a member of.

Brand new feature recipe From Company’s Coming Vegetarian Recipes.

HEALTHY CHOICES Supplements and products for a woman’s health and wellness.

6

IRRITABLE BOWEL SYNDROME

HEALTHY BONES

SPOTLIGHT ON OUR COMMUNITIES

GRILLED STUFFED MUSHROOMS

Read about IBS, a common condition that affects up to 20% of the population.

Women’s Health Page 5

PEOPLES DRUG MART • PEOPLES PHARMACY Community owned and operated pharmacies, proudly serving British Columbians since 1976. Peoples Pharmacists are truly committed to helping people live better lives by providing trusted and personal health care.

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Ian Lloyd

MENOPAUSE

Pharmacist

higher risk for Alzheimer’s disease. However, recent Menopause used to be an awkward subject that no one evidence suggests that this may not be the case. talked about. Luckily, this is no longer the case. Women If you do have a family history of osteoporosis (espeare seeking answers about menopause. These answers cially on the male side), smoke, drink more than 2 cups of may include what complementary therapies are available coffee or alcoholic beverages a day, or are inactive then to treat menopause. Many forms of healing do not conyou may be at greater risk of developing osteoporosis. In sider the 'change of life' to be an abnormal functioning of the past, the thinking was that women at risk of osteothe female body. It is considered to be the natural progresporosis should take some form of sion of the reproductive cycle, simibone density building drug. Ideas lar to puberty, only reversed. Yet, for Women who have reached about treating osteoporosis have some women the symptoms of hot changed. It is no longer the case to flashes, trouble sleeping, mood the age of menopause are immediately start these therapies. It swings or memory loss can be very at a higher risk of developis thought that bone building drugs, disrupting. ing osteoporosis, or low also known as bisphosphonates, Menopause is the point in time bone density, and heart might not be as effective at preventwhen a woman's menstrual periods disease. ing a first time bone fracture. If you cease. This usually occurs because have already broken a bone, and the ovaries stop producing the horhave low bone density, taking bone building drugs might mones estrogen and progesterone. It can occur between be a good idea. Talk to your doctor or Peoples Pharmacist the ages of 40 to 55, with the average age being 51. A about the benefits and risks of bone density building drugs. situation known as perimenopause can precede full Regardless of which option for menopause you choose, menopause. During this time, menopausal symptoms may it is important to take your calcium. Calcium is essential to occur intermittently. For many women, the symptoms of maintain bone and teeth strength at any age. The amount menopause can be very troublesome. If this is the case, of calcium a person should take has also been questioned. menopausal hormone therapy (formerly called hormone Health Canada recommends that an adequate intake of replacement therapy) can be helpful for relieving symptoms.

The therapy options are vast and include: conventional horcalcium is 1000mg to 1200mg from all sources. We generally mones, bio-identical compounded hormone, topical get about 300-400mg of calcium in our diet without really symptom relief or other medications aimed at helping trying, so we only need a slight top-up to meet our daily specific issues. requirements. I often get asked which form of calcium is Regardless of whether women chose treatment or not, best. The best form of calcium is the kind that you rememwomen need to be aware of the new health responsibiliber to take. It is true that calcium citrate is slightly better ties that menopause can bring. Women who have reached absorbed by the body than calcium carbonate, but the the age of menopause are at a higher risk of developing difference is not very significant. Magnesium is someosteoporosis, or low bone density, and heart disease. It was times added to calcium supplements for a couple of once thought that menopausal women might also be at reasons. It can offset the constipating side effects of 4 People First Join us on

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Depend Underwear

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Ibuprofen Capsules Relief for inflammation, headache, pain and fever.

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Peoples Pharmacists offer a wide range of health services that can help you better manage your health. Talk to a Peoples Pharmacist today.

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IRRITABLE BOWEL SYNDROME

Irritable bowel syndrome (IBS) is a common disorder of the intestine, causing abdominal pain with constipation, diarrhea, or alternating periods of both. IBS is also known as spastic colon or spastic bowel (terms that have fallen out of favour now) and functional bowel disorder. It's sometimes mistaken for colitis, an inflammatory bowel disease that is actually a more serious condition involving damage to the colon. IBS doesn't do any damage to the colon.

IBS affects about 20% of the population and is second only to the common cold as the most frequent cause of days lost to work and school. IBS symptoms can disappear for periods of time and then return. Unlike inflammatory bowel disease (ulcerative colitis and Crohn's disease), IBS brings no extra risk of cancer of the colon. However, if symptoms of IBS begin in people over age 50, it's best to rule out polyps and colon cancer by having a direct inspection of the lower bowel done by a doctor.

Causes The cause of IBS isn't known, but it's currently thought to be due to the large and small intestines over - or under-sensing factors that may lead to abnormal bowel function. For people with IBS, some situations may trigger pain and discomfort: - emotional stress - eating - excessive gas - female hormones (for women with IBS, symptoms often worsen during their periods) - certain medications and food (e.g., alcohol, 6 People First Join us on

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chocolate, coffee, dairy products, fructose, carbohydrates) - after a bout of gastroenteritis - an overgrowth of bacteria in the small intestine Symptoms and Complications Symptoms of IBS include: - abdominal pain and cramps, which may come in "on-again, off-again" bouts or as a continuous dull ache - constipation or diarrhea, or alternating periods of both - urgent need to have a bowel movement - excessive gas - bloating - changes in bowel habits - mucus in the stool Blood in the stool is never a symptom of IBS. People who have blood in their stool, constant pain, or who have a fever should see a doctor. For other possible causes of these symptoms, refer to our disease articles on Crohn's disease, ulcerative colitis, and hemorrhoids.

Making the iagnosis A doctor will get a medical history and perform a physical exam, looking for "alarm" symptoms like fever, bleeding, or drastic weight loss that could be due to something more serious.

2-rays or lower gastrointestinal endoscopy (using a tube with a tiny camera on the end) may be used to look inside the colon, especially for older individuals. Sometimes, abdominal ultrasounds or 2-rays of the intestines are done.

Continued On Page

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Irritable Bowel Syndrome...Continued From Page 6

Treatment and Prevention People with IBS can usually manage symptoms by making adjustments to their lifestyle. Eating a healthy diet can lessen the symptoms. Some people find that following the diet recommended by Canada's Food Guide to be helpful. Dietary fibre (such as whole-grain breads and cereals, beans, fruits, and vegetables) prevents stools from drying out too much and helps to keep things moving regularly in the colon. Switching to a high-fibre diet might cause bloating and gas at first, but this usually goes away in a few weeks and can be reduced by making a gradual change to the amount of fibre consumed. It's also important to drink plenty of fluids, particularly water, to prevent or reduce constipation. Other people find that avoiding certain food triggers can lessen their symptoms. Eating smaller, more frequent meals can also help reduce cramping and diarrhea.

Since stress can bring on symptoms of IBS, stress management is an important way to deal with this condition. Exercise and some kind of relaxation training (such as meditation) are often recommended. Your doctor might also suggest talking with a counsellor to learn how to cope better. If you

experience other symptoms such as anxiety, talk to your doctor on how to manage your condition.

Medication for IBS is aimed at treating symptoms. Medications are available to slow down the movement of food through the digestive system and to control diarrhea. Laxatives are sometimes helpful for problem constipation, but people should not depend on them for regular bowel movements.

Antidiarrhea medications (e.g., loperamide*) may be helpful for people who have mostly diarrhea as a symptom. Many other medications are available and your doctor can discuss them with you.

Probiotics are bacteria that normally live in your intestines and are found in certain foods, so they are considered "good" bacteria. Some studies suggest that IBS may be due to an imbalance or disruption of the normal "good" bacteria that's present in the intestines. Probiotics may help the symptoms experienced by people with IBS by restoring this balance. However, further research into the use of probiotics in IBS needs to be done.

All material © 1996-2014 MediResource Inc. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition

Medication non-compliance accounts for approximately 25% of all hospital admissions among seniors Many people today are on more than one medication, and when you combine this with a busy and active life, it can lead to the confusion of properly taking your medications. Medication non-compliance is a serious concern and can be harmful to your health and wellness.

Peoples Drug Mart offers a medication compliance program called “Med Manager.” The Med Manager is a medication compliance card that conveniently organizes your medications for a full week, and helps you easily identify what medications are to be taken at what time of the day.

Be safe, take the guesswork out of your daily medications.

Talk to your Peoples Pharmacist about the convenient and safe Med Manager program 8 People First Join us on

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Spotlight

On Our Communities

Gold River Nestled in the heart of Vancouver Island, a gateway to Strathcona Provincial Park and historic Nootka Sound, lies the village of Gold River.

Visitors can explore the site of a 4300 year old First Nations village. Walk the beach where Captain Cook first met Chief Maquinna, heralding the birth of BC. Kayak and surf, climb a mountain, explore some of the deepest caverns in North America or hike the Nootka Trail. Fresh glacier fed rivers and lakes also make Gold River a flyfisher’s paradise.

Gold River is home to a mix of retired folks who like the affordability and the weather, and young families who appreciate the small town friendliness and the opportunity to build a life in a beautiful wilderness setting.

Photo courtesy Josh McColluch/PictureBC

Photo courtesy Josh McColluch/PictureBC

Port McNeill

Photo courtesy Rob Marty & Nick Yunge-Bateman/PictureBC

Photo courtesy Rob Marty & Nick Yunge-Bateman/PictureBC

Located on the northeast coast of Vancouver Island, the community of Port McNeill is a great base for exploring the North Island and is the gateway to the majestic Broughton Archipelago. Broughton Archipelago Park, B.C.’s largest marine park, consists of a wonderful collection of undeveloped islands and islets.

An economic centre of aquaculture and forestry, the harbour front is the town hub for visitors seeking maritime adventure. Port McNeill offers big, exciting things to do: hiking, whale watching, sea kayaking, fishing, diving, bird watching, walking, caving and photography. Plus the human dynamism of First Nations history and culture.

Photo courtesy Rob Marty & Nick Yunge-Bateman/PictureBC

1000 was donated to the Port McNeill Rotary Club. The Rotary Club is using the funds to extend a walking trail into the town. The trail will provide a safe place to walk and a trail for fun and fitness.

Picture, left to right: Kathy Nelson, Ron Downey, Peoples Store owner, Bill Vellie, Chuck Lok (president), Dave Nelson, Amron Russell.

The Peoples Drug Mart Healthy Communities Fund (HCF) is a community support program that provides financial assistance to health related organizations in Peoples Drug Mart communities. The HFC is funded by the owner operators of Peoples Drug Mart and from the proceeds of the Peoples Drug Mart Golf Event. peoplesdrugmart.com People First

It is estimated that nearly 1 in 3 people will experience shingles in their lifetime and the risk increases after the age of 50

Shingles Vaccination The shingles vaccine protects against herpes zoster, more commonly referred to as shingles. Shingles is caused by the varicella zoster virus, which also causes chickenpox. The shingles vaccine is the best way to protect you from getting shingles. The vaccine has been shown to reduce the risk of getting shingles by 50%. For those who still get shingles after being immunized, the vaccine can reduce pain, including the type of pain that lingers after shingles.

Talk to your Peoples Pharmacist today to find out how to help protect yourself against shingles and if the shingles vaccination is right for you.

Peoples Locations That Administer The Shingles Vaccination ABBOTSFORD

CRANBROOK

NAKUSP

SALMO

TRAIL

1945 McCallum Rd.

East Kootenay Hospital

88 Broadway St.

#107- 4th St.

1101 Dewdney Ave.

ASHCROFT

KELOWNA

NELSON

SOOKE

UCLUELET

403 Railway Ave.

200-3591 Elliott Rd.

405 Hendryx St.

8-6716 Sooke Rd.

1892 Peninsula Rd.

CHETWYND

KITIMAT

PENTICTON

SPARWOOD

VANCOUVER

166-1848 Main St.

107 Centennial Square

4733 - 51 Street

327 City Center

COQUITLAM

MACKENZIE

• 1001 Austin Ave

700 MacKenzie Blvd.

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7160 Kerr St.

PEOPLES PHARMACISTS

Ian Lloyd...Continued From Page 4

calcium and your body also uses it to make bone. The minerals zinc, copper and manganese also play a role in bone health. A good multi-vitamin has adequate amounts of all of these minerals, except magnesium. It is also important you get enough vitamin D. Your body needs vitamin D to absorb and use calcium. Some people ask me if they still need to take vitamin D, since the body can make its own supply from sunlight. I recommend taking an extra 1000- 2000IU of vitamin D a day just to be sure.

You may also have read that vitamin K can help with osteoporosis. This is partially true. A special form of vitamin K (menaquinone) might be helpful for increasing bone mineral density. This is different from the form (phytonadione) found in some multivitamins, which might not be as effective. For now, just eat more fruits and green leafy vegetables; which, coincidentally, have been associated with a lower risk of developing osteoporosis.

Some women may experience these troublesome symptoms of menopause: hot flashes, insomnia, mood swings and depression. Can herbs and supplements help?

Yes and no. Some of the most promising products are soy, red clover and black cohosh. Soy and other legumes (peas, beans and red clover) contain substances called phytoestrogens. These natural plant-based estrogens act like estrogen in the body, only considerably weaker. In one study, women who took 50mg soy isoflavones/day reported a significant reduction in the number and severity of hot flushes after only six weeks. In another 6 month study, 120mg of soy isoflavones was as effective as 0.625mg of conjugated equine estrogens in reducing menopausal symptoms. Increasing the amount of soy in one’s diet has also been shown to help reduce the risk of heart disease.

In one study, women who took soy protein containing 34 mg of phytoestrogens not only reported significant improvements in hot flashes, but they also showed declines in total cholesterol (6%), LDL (7%) and blood pressure (5mm Hg).

The average North American diet provides about 3mg of phytoestrogens daily. Yet the average Asian diet provides about 40 to 80mg of phytoestrogens daily, most likely due to the larger consumption of soy products, such as tofu, tempeh, and soy milk. This is thought to be one of the reasons why Asian women, who eat a traditional soy rich diet, experience fewer menopausal side effects.

Try to incorporate more tofu, soymilk, “meat-like” soy products like tofu wieners or deli slices, tofu-almond desserts and dry roasted soy nuts into your diet. I recommend unprocessed soy products over supplements, because soy foods also provide vitamins, minerals and fibre. Soy products are usually low in saturated fat and

Helping People Live Better Lives

We Can Help With Medication Reviews.

Medication reviews are in-depth consultations that improve health outcomes by helping resolve any issues that may have arisen due to your medication. Ask about the medication review service.

Jaz Kandola

Pharmacist & Owner, Kelowna

We Can Help With Hormone Replacement Therapy.

Select Peoples locations offer hormone replacement therapy (HRT) to help in the transition through menopause. Talk to a Peoples Pharmacist about the risks and benefits of HRT.

Ron Kumar

Pharmacist & Owner, Sooke

We Can Help With Medication Compounding.

Medication compounding allows pharmacists to create custom medications to suit your specific health needs. Talk to a Peoples Pharmacist about the benefits of medication compounding.

Craig Plain

Pharmacy Manager, Surrey

Ian Lloyd...Continued on Page 13

peoplesdrugmart.com People First 11

Focus On Vitamin B12 Helps Keep Nerve & Blood Cells Healthy In addition to producing red blood cells and keeping nerves healthy, B12 helps make DNA, the genetic material in all cells. B12 also helps the body metabolize fats, proteins, and carbohydrates. In some people, especially those over age 50, the body does not produce sufficient “intrinsic factor,” a component of stomach acid required for absorbing vitamin B12.

Likewise, vitamin B12 is poorly absorbed by people who suffer digestive disorders, such as Crohn’s or celiac disease. Certain acid reducing medications can interfere with the body's absorption or use of vitamin B12 and a supplement should be considered to maintain health and wellness.

Talk to a Peoples Pharmacist about the health benefits of vitamin B12.

Going On A Trip?

Peoples has everything; from travel-size essentials to travel vaccinations - find everything you need for a healthy and safe trip.

Travel Vaccination Service Most Peoples locations conveniently administer travel vaccinations on-site.

Medications for Allergy, Stomach Relief, First Aid & Pain Relief A prepared traveller is a safe traveller.

Travel-size Toiletries Bring along your daily essentials

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Ian Lloyd...Continued From Page 11

cholesterol. Regular dietary soy consumption is safe, but those taking high dose supplements should talk to their doctor or Peoples Pharmacist to see if these products are right for them.

Another herbal product recommended to help with menopausal symptoms is black cohosh. This herb has been shown to reduce the symptoms of menopause such as: hot flashes, sweating, and headaches. It is not clear how black cohosh works. However, it is believed that it does not act like estrogen in the body. This product may take up to 4 to 6 weeks to fully work. Side effects are rare, with only the occasional stomach upset reported. Due to a lack of long-term safety studies, therapy is recommended to be no longer than six months at a time. Yet, black cohosh has had over 60 years of safe clinical use in Germany. The most common dosage for black cohosh is one or two tablets, twice a day, of a standardized extract, made to contain 1 mg of 27-deoxyacteine per tablet.

There are many combination menopause formulas on the shelves, look for ones that contain standardized black cohosh as their main ingredient.

Perhaps the most prominent health risk for menopausal women is heart disease. In fact cardiovascular disease (heart attacks and strokes) kills more women yearly than any other disease. So what can be done to help counteract the effects of both osteoporosis and heart disease?

Regular weight-bearing exercise is the answer. A weight bearing exercise is one where the muscles must work against gravity. These exercises could include walking, stair climbing and dancing. While bicycling and swimming are excellent exercises to strengthen the cardiovascular system, they are not weight bearing and may not be helpful for preventing osteoporosis. Resistance exercises, including weight lifting or using elastic exercise bands, can also be helpful in preventing bone loss. Remember, it is best to talk to your Physician before starting any new exercise program.

Menopause can be a very troubling and confusing time of life, especially considering all the treatment options that are available. There are both natural and pharmaceutical treatments available and sometimes no treatment is required. Talk to your Doctor or Peoples Pharmacist about which option is best for you. Your Peoples Pharmacist may also hold in-store clinics that can provide information about menopause, heart disease and osteoporosis. As always they best advice is to get regular exercise, eat well and take a multivitamin.

Written By Ian Lloyd, Pharmacist & Chartered Herbalist

PEOPLES PHARMACISTS Helping People Live Better Lives

We Can Help Reduce Everyday Strain On Your Busy Legs.

Select Peoples Drug Mart and Peoples Pharmacy locations offer compression stocking and fitting services, which help treat painful venous leg disorders.

Check with your local Peoples for this health service.

Ron Downey

Pharmacist & Owner, Port McNeill

We Can Help With Travel Vaccinations.

Make Peoples your first destination for travel health. Most Peoples locations provide convenient on-site vaccination services so you can have a worry free and safe vacation.

Anthony Rage

Pharmacist & Owner, Penticton

We Can Help With Trusted One On One Counselling.

Trust your health with a Peoples Pharmacist that is committed to providing personal pharmaceutical care. Understanding your medication therapy is vital in your health outcome.

Kenny Kim

Pharmacist, New Westminster

peoplesdrugmart.com People First 13

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arlene Booth

HEALTHY BONES

An adult skeleton is comprised of 206 bones. While the main job of the skeleton is to serve as an internal framework for our body, bones are far from static. Bone is living tissue and bone cells are constantly in flux in response to our physiology, diet, lifestyle and environment. In addition to their structural job, bones provide anchorage for tendons, ligaments and muscle, protect vital organs, house bone marrow for blood cell production and store important minerals like calcium. We reach our peak bone mass somewhere around age 30 and then we begin to make more withdrawals from the bone bank than deposits. However, a good strong foundation is less at risk than a weak one. It is true that gender and genetics may increase an individual’s risk of bone loss but with awareness and focus, much can be done to support healthy bones at every age.

Our best overall health insurance begins with nutrition; bone health is no different. Choose to build menu plans around a wide variety of nutrient dense foods. From a nutritional standpoint, calcium is a bone-building superstar but it does not work alone. Calcium works best with the support of potassium, magnesium and vitamin D. Other nutritional supports for bones include phosphorus, vitamin K, vitamin C and many trace minerals such as zinc and boron.

Dietary choices that support strong bones include dairy, canned fish with bones, dark leafy green vegetables, coldwater fish, nuts, seeds, fresh fruits and lean proteins. Maintaining healthy intestinal flora with the addition of probiotics and the ingestion of fermented foods increases absorption and assimilation of all nutrients needed for building strong bones. A high quality, broad-spectrum vitamin and mineral complex formulated towards bone health is advised for those who feel their diet needs support or who are in a higher risk category for bone loss.

While the every day diet is the cornerstone of good health, some of the other good things in life should be enjoyed in moderation or avoided altogether. If you smoke P now is always a good time to quit. There are just too many risk factors associated with cigarettes and smokers also tend to have decreased bone density in comparison to non-smok-

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R.H.N., B.S.W.

ers. Pass on the saltshaker; salt leaches calcium from the bones as do too many caffeinated beverages and carbonated soft drinks. We know that a glass or two of wine now and then can be a health benefit, but heavy drinkers be aware that bone loss is a companion to your hangover. Too much alcohol can interfere with calcium absorption on a number of different levels. Moderation may take the fun out of happy hour but your bones will thank you for it later.

Daily exercise is mandatory; use it or lose it is visually apparent when it comes to muscle tissue but it also applies to our bones. The human body is not designed to be sitting at a desk all day and channel surfing all night. If you think back to the lifestyle of the hunter-gatherers, they were actually burning calories in the search of consuming calories. The only calories some of us burn are when we push the grocery cart through the checkout line. Specifically, all weight bearing exercise stimulates the bone building process; join a gym, explore resistance training or get out for a daily run or jog.

Consult a personal trainer to develop a personal full body routine that works for you. You don’t need fancy equipment to do squats, push-ups and jumping jacks; just do whatever it takes to inspire you towards regular weight bearing exercise. Start off slow with any new activity and gradually incorporate exercise into your bone healthy lifestyle. I might even go so far to suggest that one day you will actually begin to look forward to your workouts.

Sometimes, despite our best efforts bone loss can happen for no apparent reason. Aging in itself is a time when we see more changes in our tissues and bone structure. These changes are not always welcome ones. Health challenges, some medicines, or hormonal fluctuations may contribute to some of the decline. For women over the age of 50, a drop in estrogen levels can affect bone density. For men, usually around age 70, lower testosterone levels can contribute to bone density loss. Disease processes, diet, lifestyle and environment can affect hormonal health; it is important to have regular check ups and dialogues with a trusted health care provider to make sure your bones will support you well into your golden years. Good Health to You

Grilled Stuffed Mushrooms Mexican-inspired stuffed mushrooms that are quick and easy to get to the table. Serve on a bed of shredded lettuce and provide a variety of toppings such as guacamole, chopped green onions and diced tomatoes to enhance the experience.

Portobello mushrooms, stems and gills removed (see Tip, below) Cooking oil Can of white kidney beans, rinsed and drained, coarsely mashed Grated jalapeño Monterey Jack cheese Salsa

4

4

2 tbsp.

14 oz.

30 mL 398 mL

1 cup 1/2 cup

250 mL 125 mL

Grilled Stuffed Mushrooms

Preheat barbecue to medium. Brush mushrooms with cooking oil. Place, stem-side down, on greased grill. Close lid. Cook for about 5 minutes until grill marks appear. Transfer, stem-side up, to large plate.

Combine beans and cheese. Press bean mixture into mushrooms. Place on greased grill, bean mixture–side up. Close lid. Cook for about 5 minutes until filling is heated through and mushrooms are tender.

Spoon salsa over top. Makes 4 stuffed mushrooms.

1 stuffed mushroom: 240 Calories; 14 g Total Fat (4 g Mono, 2 g Poly, 4.5 Sat); 20 mg Cholesterol; 16 g Carbohydrate; 8 g Fibre; 11 g Protein; 620 mg Sodium TIP: Because the gills can sometimes be bitter, make sure to remove them from the portobellos. Scrape out and discard the gills with a small spoon.

20

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“I have diabetes – so I took

ACTION” “Having diabetes made me more likely to contract hepatitis B. So I got vaccinated to help protect myself.” ~ Ted, 49 †

Adults dults with diabetes wer were eree shown shown to be more more likely likely to contract contract hepatitis B compared compar ed to those without without diabetes

2x §

‡

||

¶

CASL and CDC recommend vaccination against hepatitis B for adults with diabetes aged 19–59 years

Now No w it’s it’s your your turn turn to take takee action – ttalk tak alk to your your healthcare profes healthcare pr professional ofessional ofes sional today any vaccine, vaccination vaccination against against hepatitis hepatitis B may may not confer 100% protection. * As with any † Fictitious case. May May not represent all patients. patients. ‡ Based on a study of 865 pa patients tients to evalua evaluate te the risk of contracting acute hepa hepatitis titis B in people aaged ged 23–59 years with dia diabetes betes tha thatt don’t participa participate te in hepatitis hepa titis B-rela B-related ted risk beha behaviours viours (e.g., injection-drug use, men who have have sex with men and multiple sex partners) compared to those without dia diabetes betes or hepa hepatitis titis B-rela B-related ted risk beha behaviours. viours. § CASL=Canadian Association Association for for the Study of the Liver.

Liver ¶ CDC=United Sta States tes Centers for for Disease Control and Prevention. || In previousl previouslyy unvaccina unvaccinated ted adults who are aatt risk ffor or hepa hepatitis titis B infection.

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