PEOPLES Health Helping People Live Better Lives
WHAT YOU NEED TO KNOW ABOUT CHRONIC OBSTRUCTIVE PULMONARY DISEASE OR
COPD
HEART HEALTHY LIFE HELPFUL TIPS FOR A
OSTEOPOROSIS LEARN WAYS TO PREVENT
CHILLIWACK & CHETWYND SPOTLIGHT ON
COMPANY’S COMING RECIPE
PEOPLES DRUG MART • PEOPLES PHARMACY
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Peoples Pharmacists provide a wide range of health services. Ask about disease state management, on-site vaccinations, and in-depth medication reviews.
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ALEVE PAIN RELIEF 12 hour relief. Liquid Gels 80's or Soft Grip Arthritis Cap 220mg 125’s
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GASTRO OR PEDIATRIC Electrolyte Helps restore fluids. 8 X 4.9g, 1 Litre or 16's
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PEOPLES Health 4
14 February 2017
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COPD
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Chronic Obstructive Pulmonary Disease is a group of progressive lung diseases. Learn what COPD can look like and what can be done to help.
Sale priced vitamins and supplements for optimal health & wellness.
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SPOTLIGHT ON OUR COMMUNITIES
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A look at Chilliwack and Chetwynd, two B.C. communities that Peoples is proud to be a member of.
HEALTHY SAVINGS
Great selection of quality health and wellness products from Peoples Pharmacy
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A HEART HEALTHY LIFE
Darlene Booth provides helpful tips on preventing heart disease, a disease that touches the lives of 1.3 million Canadians.
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MEATLESS MOUSSAKA
Feature Recipe From Company’s Coming 400-Calorie Slow Cooker
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OSTEOPOROSIS
Osteoporosis is a disease that causes bones to lose mass and become thin and brittle. Read on how you can prevent this crippling disease.
Healthy Choices
Page 7
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.
COPD - CHRONIC OBSTRUCTIVE PULMONARY DISEASE What is Chronic Obstructive Pulmonary Disease (COPD)? COPD is not a singular disease, but a group of progressive lung diseases. The number one symptom is increasing breathlessness. Although it can occur at any age, it most commonly occurs in people over the age of 40. In 2011, 4% of Canadians between the ages of 35 to 79 self-reported having COPD, but 13% of Canadians had a lung function score indicative of COPD. Unfortunately, symptoms of COPD usually become noticeable when significant lung damage has already occurred. This month we will learn what COPD can look like and what can be done to help. What are the symptoms of COPD? The major symptoms include: shortness of breath, wheezing, and chronic cough with mucus and phlegm, especially in the morning. Other symptoms can also include: barrel chest, frequent lung infections, chest breathing (as opposed to from the stomach), problems sleeping and skin and nails with blue coloured hue. Some sufferers experience anxiety which can develop from the unease caused by laboured breathing. Morning headaches can also occur. It is thought that these headaches may be caused by a lack of oxygen due to laboured breathing through the night. Weight loss can also occur, as it is hard to eat when your chest feels tight. Lastly, a lack of energy and the inability to engage in everyday activities, can occur as you lack an adequate oxygen levels to function normally. If you are wondering if COPD may be affecting you, talk to your doctor. COPD is diagnosed by a demonstration of airflow obstruction through spirometry. Spirometry measures the volume of inhaled and exhaled air and how long it 4 PEOPLES Health
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takes a person to fully empty their lungs. Remember you can always talk to your Peoples Pharmacist or Doctor about this or any other health issues. Emphysema and chronic bronchitis are the two most common forms of COPD. Chronic bronchitis happens when the bronchial tubes of the lungs become inflamed making it hard to breathe. It is hard to move air through a very small tube. Emphysema is the result of the damage and destruction to the alveolis, the small air sacs in the lungs. These conditions are usually the result of smoking or exposure to other toxic gas. Although not as common, refactory (non-reversible) asthma and some forms of bronchiectasis also fall under the umbrella of COPD. Some medical researchers feel that COPD is a disease caused by a genetic defect. Recently, test has been developed which detects a protein in the blood called Alpha-1 Antitrypsin (AAT). AAT is a protein which helps to protect the lungs and to a lesser extent the liver. People suffering from an AAT deficiency have higher rates of lung diseases, which often happen at younger ages (30 to 40 years old). AAT deficiency is commonly called “genetic COPD�, but it is quite rare. Although Alpha-1 lung disease is incurable, it can be helped by the same drugs used by other COPD suffers. There are also treatments specifically designed to help treat people with AAT. Currently, there is no cost to test for AAT deficiency in Canada. If you feel this could be an issue discuss it with your doctor or visit www.alpha1canada.ca for more information. Like most airways diseases, COPD can have symptom flair ups This is known as COPD exacerbation and is the abrupt worsening of the symptoms of Continued On Page 11
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Health & Wellness Peoples Pharmacists not only have years of training for medications, but also about the conditions they treat. Talk to Peoples Pharmacist about your health and wellness.
One-button fully automatic operation that can detect irregular heartbeats. The monitor stores up to 4 users with 60 readings each in memory.
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Talk to a Peoples Pharmacist about the benefits of a pneumococcal vaccination which is free for eligible B.C. residents.
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OSTEOPOROSIS
What is osteoporosis?
Osteoporosis is a disease that causes bones to lose mass and become thin and brittle. Weaker bones mean there is more risk of breaks, which can result in pain, deformity, and other serious consequences. As people age their bodies start to re-absorb calcium from their bones, leading to some loss in bone density. Osteoporosis occurs when the bone loss is excessive. Fractures from osteoporosis are more common than heart attack, stroke and breast cancer combined. At least 1 in 3 women and 1 in 5 men will suffer from an osteoporotic fracture during their lifetime and over 80% of all fractures in people older than 50 are caused by osteoporosis.
What are the symptoms of osteoporosis?
Osteoporosis is sometimes called the “silent disease” because many people do not notice symptoms until they break a bone. Symptoms for older people may include: • fractures of the hip, wrist, or vertebrae (back bone) • back pain • loss of height • vertebral collapse, which shortens and curves the spine
What are the risk factors for osteoporosis?
Osteoporosis affects about one in four women over the age of 50 and one in eight men over 50. You are more at risk of osteoporosis if you: • are 65 years or older • are of Caucasian or Asian descent 6 PEOPLES Health Join us on
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• have a history of osteoporosis in your family • have a thin (small-boned) frame and low body weight • do not have a period for more than three months (unless you are on birth control pills) • started menopause before age 45 You have an increased risk for osteoporosis if you: • eat lots of high-protein foods • drink a lot of alcohol or caffeinated beverages • smoke • do not get enough calcium or vitamin D • do not do much weight-bearing exercise Certain drugs or other products may also increase your risk of osteoporosis. If you are taking medications, ask your Peoples Pharmacist about risks. Diseases that may increase risk Your risk for osteoporosis may increase if you have: • rheumatoid arthritis • hyperthyroidism • bulimia or anorexia nervosa • chronic kidney or liver disease • chronic depression • chronic obstructive lung disease
How is osteoporosis diagnosed?
Talk to your doctor if you have risk factors for osteoporosis. There are several ways to determine how much bone mass you have lost. Your doctor may recommend a heel ultrasound, bone density scan, or other tests.
How can I prevent osteoporosis?
You can reduce your risk for osteoporosis by making healthy choices about what you put into your Continued On Page 8
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Osteoporosis..Continued From Page 6
body. Follow these basic guidelines: • Eat plenty of fruits and vegetables — at least 5-10 servings a day. This will give you nutrients that help keep your bones strong and prevent fractures. • Limit your daily salt intake to less than 2100 mg. • Limit your daily alcohol intake to two beverages or less. Maximum weekly intake should be 9 alcoholic beverages for women and 14 for men. • Limit your daily caffeine intake to three cups of coffee, tea, or soda. • Quit smoking. Other things you can do to help prevent osteoporosis include getting enough calcium, getting enough vitamin D, and staying physically active. Get enough calcium Ask your Peoples Pharmacist about calcium supplements if your diet does not provide enough calcium. Your body will absorb calcium better if you get enough vitamin D.
Recommended Daily Intake Levels For Calcium Age
Daily intake level (from all sources)
women and men
over 50 years
1500 mg
women and men
19–50 years
1000 mg
pregnant or lactating women
18 years or older
1000 mg
adolescent children
9–18 years
1300 mg
prepubescent children
4–8 years
800 mg
Get enough vitamin D Your body manufactures some Vitamin D when exposed to sunlight. You should also include vitamin D in your diet, particularly if you’re over 65. Vitamin D sources include oysters, fish oils, and fortified foods Continued On Page 10
PEOPLES Medication Manager Tells you exactly when to take your daily medications and helps in monitoring/controlling usage. Peoples offers a medication compliance program called “Medication Manager.” This medication compliance card conveniently organizes medications for a full week, and helps easily identify what medications are to be taken at what time of the day. This program provides comfort and some assurance to family and the health care team that medications are being taken as directed.
Speak to a Peoples Pharmacist today about the convenient and safe Medication Manager program.
PEOPLES Medication Disposal Make your home safer by bringing your unused and expired medications to Peoples for environmentally safe disposal. By bringing your unused or expired medications to Peoples for disposal, you are removing the risk of accidental poisonings and potential abuse.
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Spotlight
On Our Communities
Chilliwack For those who love to play outside all day, Chilliwack offers the freedom to do just that. For those who savour urban comforts and historical curiosities, the city also has some hidden gems. And Chilliwack is only an hour and 15 minutes east of Vancouver. All across this rural Fraser Valley community, visitors can stroll through parks amid wildlife and birds, participate in and watch a variety of sports, shop at unique stores, farms, and artisan workshops. Visitors can also hit the water for fishing and thrilling river rafting. Chilliwack offers some of North America's best fishing. Catch enormous sturgeon on the Fraser River or angle for salmon and steelhead on the Chilliwack/Vedder River.
Photos Courtesy Tourism Chilliwack
Photos Courtesy Yinger Fotokrafie
Photos Courtesy Tourism Chilliwack
Chetwynd When not hard at work, the people of Chetwynd enjoy an excellent recreation complex with a wave pool, team-sized hot tub, sauna, six-sheet curling rink, ice arena and library. The four seasons combined with virgin forests, rolling hills, snow-capped mountains, undulating fields and crystal clear lakes and rivers make Chetwynd a playground for the nature lover and outdoor enthusiast. In Chetwynd, enjoy leisurely river fishing or a camping trip, go hiking or try boating. Actionadventure activities in the Rocky Mountain foothills are within easy reach of Chetwynd, and include mountain biking, rock climbing, and snowmobiling.
Photo courtesy Picture BC
Photo courtesy Picture BC
$1000 was donated to the Chetwynd And District Hospital Foundation. The foundation will use the funds to purchase medical equipment for the hospital.Picture: left to right. Wendy Martin, Store Manager, Venessa Weightman, Chetwynd And District Hospital Foundation, and Sharon Rice, Assistant Manager. 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 corporate fundraising. peoplesdrugmart.com People First
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Osteoporosis..Continued From Page 8
such as butter, cow’s milk, and cereals. Ask your Peoples Pharmacist about Vitamin D supplements if your diet does not provide enough.
• Health Canada’s Web site www.csep.ca/CMFiles/publications/parq/par-q.pdf
Recommended Daily Intake Levels For Vitamin D
Osteoporosis treatment may include lifestyle modifications, supplements, medications, or a combination of these approaches. Lifestyle modifications Consider the following lifestyle modifications to help manage your osteoporosis: • Reduce your caffeine and alcohol intake • Quit smoking • Exercise regularly • Avoid medications that make you drows • Rearrange your furniture to reduce your risk of falls and fractures Supplements Your doctor or Peoples Pharmacist may recommend the following daily supplements: • 800–1200 mg of calcium • 400–800 IU of vitamin D • 400 mg of magnesium Medications If you are taking medication for your osteoporosis, use it as instructed. Talk with your doctor or Peoples Pharmacist if you have concerns or notice side effects.
Age
Daily intake level (from all sources)
women and men
over 50 years
800 IU
women and men
19–50 years
400 IU
pregnant or lactating women
18 years or older
400 IU
Stay physically active You can help prevent osteoporosis by doing some weight-bearing physical activity most days of the week — exercise at a light to moderate intensity for at least 30–60 minutes. Weight-bearing activities include walking, low-impact aerobics, and dancing. Weight training and other resistance exercises can help maintain bone density as well. Before starting regular exercise, fill out a Physical Activity Readiness Questionnaire (PAR-Q). Talk to your doctor if you are over 69. The PAR-Q is available from: • most fitness centres • your local Peoples Drug Mart
How can I treat osteoporosis?
*The contents of this article provides basic information, but is not a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition
If you’ve had chickenpox, you’re at risk for shingles.
1in3 Will have shingles in their lifetime
1in2 By age 85, 1 in 2 will have had shingles
Talk to a Peoples Pharmacist about the benefits of a shingles vaccination. 10 PEOPLES Health
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COPD...Continued From Page 4
COPD. Often an increase in shortness of breath and change in mucus and phlegm production. Flare ups are often be triggered by an infection or exposure to an airborne environmental pollutant. Inhalers are often used to treat COPD exacerbation. These inhalers contain a single type or combination of medications, which can include bronchodilators, corticosteriods or both. Bronchodilators open your airways and help to increase airflow. Corticosteriods help to reduce airway inflammation. You and your doctor can work together to figure out which type of inhaler will work best for you. There are also Pharmacists that have taken extra training to help their patients with asthma and COPD. An important part of COPD treatment is the proper use of your inhaler. According to the American College of Chest Physicians, one in three patients with asthma or COPD misuse their inhaler. The good news is that your Peoples Pharmacist can teach you how to use your inhaler properly. A study in the Annals of the American Thoracic Society, found that patients become proficient inhaler users when offered interactive, hands-on instruction. The study tracked 120 asthma patients after they were discharged from hospital. After 90 days, only 11% of the group who received training misused their inhalers, while 60% who were given only brief instructions misused their inhalers. Even more significant was the fact that only 17% of those who received training had asthma emergencies or needed acute care, while 36% of the other group did. These findings highlight the fact that patients with COPD, just like those with asthma, need to know how to effectively use their inhaler. Make an appointment with your Peoples Pharmacist to get some hands-on training and to get the most out of our inhaler. A newer, non-drug treatment option to help with COPD symptoms is the Aerobika, which is an oscillating positive expiratory pressure therapy system. When you are suffering from COPD your airways can become plugged with mucus. As we know air can't flow through a blocked tube. The Aerobika holds the airways open with air pressure, this device creates little pulses of air which help to thin and loosen the mucus, thus leading to a clearer airway. This again is where your People Pharmacist can really COPD...Continued on Page 13
Helping People Live Better Lives
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.
David Lafreniere
Pharmacist & Owner, Revelstoke
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.
Stephanie Yeboah
Pharmacy Manager, Sooke
We Can Help With Medication Blister Packaging. The Med Manager blister pack program takes the guesswork out of your daily medications. This convenient and easy to use blister card is ideal if you are on multiple medications.
Jared Siemens
Pharmacy Manager, Chetwynd
peoplesdrugmart.com PEOPLES Health 11
Focus On Calcium & Vitamin D Helps Reduce Risk Of Osteoporosis Osteoporosis is a disease that causes bones to lose mass and become thin and brittle. Weaker bones mean there is more risk of breaks, which can result in pain, deformity, and other serious consequences. As people age their bodies start to re-absorb calcium from their bones, leading to some loss in bone density. Osteoporosis affects about one in four women over the age of 50 and one in eight men over 50. You can reduce your risk of osteoporosis by quitting smoking, limiting daily alcohol to two beverages or less, reducing caffeine intake and getting enough calcium, getting enough vitamin D, and staying physically active. Talk to a Peoples Pharmacist about the benefits of calcium and vitamin D supplements.
Going Away For Spring Break? Some immunizations for international travel require a series of vaccinations that are administered over a 2-3 month period.
Make Peoples Your First Destination For Travel Health Most Peoples locations conveniently administer travel vaccinations on-site. Talk to a People Pharmacist if you're travelling to a tropical destination and discuss the following common illnesses: cholera, hepatitis A, hepatitis B malaria, traveller's diarrhea typhoid fever Talk to a Peoples Pharmacist who can advise you on the medications, vaccinations and health supplies that you'll need for a safe and healthy trip.
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COPD...Continued From Page 11
help. Correct use of any device is the key to its effectiveness. Ask your local Peoples Drug Mart Pharmacist to show you the proper technique to use this device and for any helpful tips. So what can you do to help with your COPD symptoms? Smoking cessation is the single most important thing you can do to help with COPD. The good news is there is help available. The B.C. government will pay for the cost of nicotine replacement therapy (NRT) products or might contribute to the cost of some smoking cessation prescription drugs for eligible B.C. residents. Each calendar year, eligible BC residents can receive a single continuous treatment of NRT for up to 12 weeks in a row. All you need to do is visit your Peoples Pharmacy and determine what NRT is best for you. You would have to visit your doctor for a prescription if you want to try a smoking cessation drug. With the support of your pharmacist, the appropriate medication and sites like QuitNow.ca, you greatly increase your chances of quitting. QuitNow.ca supplies one-on-one support and many resources to help you quit smoking. Get started today. Visit your Peoples Pharmacist to create a personalized smoking cessation plan you can follow. Another avenue to try to help to alleviate COPD symptoms is pulmonary rehabilitation. This is an exercise program available for people with COPD. To be most effective it must be done 3 times a week for a minimum of 8 weeks. It includes endurance exercise, like biking and walking, as well as strengthening exercises, like weight lifting. With all of the possible positive effects of exercise, like elevated mood and a stronger body, this program is worth trying. Talk to your doctor about getting a referral to a pulmonary rehabilitation program. As with any disease education is paramount. Talk to your doctor or Peoples Drug Mart Pharmacist if you believe that you, or someone you care about, may have COPD. Educate yourself on the proper use of your inhaler. Quitting smoking is always a good idea, but for those with COPD it can bring great relief. Remember you are not alone, your Peoples Pharmacist can help you navigate the road to help manage your COPD. *The contents of this article provides basic information, but is not a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition
PEOPLES PHARMACISTS Helping People Live Better Lives
We Can Help With Menopausal Hormone Therapy. Select Peoples locations provide menopausal hormone therapy to help people transition through menopause more comfortably. Talk to a Peoples Pharmacist about this health service.
Tarek Mahmoud
Pharmacist & Owner, Hope
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
Paul Sherman
Pharmacist & Partner, Kitimat
We Can Help With Shingles Vaccinations. About 1 in 3 people will get shingles in their lifetime. Select Peoples locations offer convenient on-site shingles vaccinations that can prevent or reduce the severity of shingles.
Navi Bal
Pharmacist & Owner, Kelowna
peoplesdrugmart.com PEOPLES Health 13
Darlene Booth
A HEART HEALTHY LIFE According to the Heart and Stroke foundation, heart disease touches the lives of about 1.3 million Canadians. It may be characterized by abnormal heart rhythms, abnormal blood pressure, blood vessel disorders or problems with the function of heart muscle itself. Not all symptoms of heart disease are clear-cut and some may be ignored or attributed to other factors. Symptoms may include but are not limited to chest discomfort, pain that radiates to jaw, back, throat or arm, sweating, fatigue, dizziness, nausea, indigestion and more. Consult your doctor if you experience new symptoms or they become severe or frequent. The good news is that through dietary and lifestyle strategies, your risk factors for heart disease can be greatly reduced. Much awareness around good reasons to quit smoking focuses on cancer prevention but smoking also drastically undermines hearth health. The chemicals in tobacco can damage heart and blood vessels and inhaling carbon monoxide in cigarette smoke competes with vital oxygen in the blood supply. If you smoke, do your heart a favour and breathe a sigh of relief as your risk factors begin to drop significantly after 1 year as a non-smoker. Move your body 30 minutes every day and you strengthen your heart, reduce stress, boost metabolism, lower blood pressure, manage weight and get a better nights sleep. Each one of these by-products of exercise supports a healthy heart. A gym membership is not the only way to exercise. Move your body through walk, dance, housework, stair climbing, cycling and driving less. Finding a variety of ways to increase activity is optimal as moderate daily exercise is one of the best medicines we have in the pursuit of optimal health. Check with your doctor before embarking on an exercise program and start slow. Gradually increase duration, frequency and intensity as endurance builds. Your diet is frontline in preventative strategies. You will find most of your heart healthy foods in the outside aisles of the supermarket but just because it is there, does not automatically deem it healthy. Keep the following nutritional tips in mind when aiming to nurture your cardiovascular system: 1. Put the saltshaker away and keep your sodium intake
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R.H.N., B.S.W.
under 2,300 mg daily. If you are in a high-risk group for heart disease, your doctor may suggest a much lower sodium intake than the RDA. Sodium is prevalent in processed foods as a preservative and flavour enhancer. Eat fresh, unprocessed foods and you have more control over your sodium intake. Use fresh herbs and spices to jazz up your recipes. If you are used to and enjoy the taste of salt, you will have to give yourself time to adapt as food may taste bland at first. Try using a squeeze of fresh lime or lemon juice if you need a little zing. 2. Limit unhealthy fats and avoid trans fats. Trans fats are created in the process of hydrogenation, which takes a liquid fat and turns it into a solid. Hydrogenating fat is a popular practice adopted my many food manufacturers to create a longer shelf life on their products. Fats to be eaten in moderation are generally saturated; saturated fats are solid at room temperature and found mostly in animal products. Coconut oil is also a saturated fat but with a very low melting point. Saturated fats have long been deemed evil in the world of nutrition but new studies suggest we may need to rethink this. In the meantime, keep in mind that nuts, seeds, avocados, fish oils, olives, olive oil and high quality cold pressed vegetable oils are your heart healthy options. Avoiding fats heated at high temperatures is also good practice. 3. Build menu plans using plenty of nutrient rich fresh fruit and vegetables. These foods are high in phytonutrients, antioxidants, vitamins, minerals and fibre. They provide bulk and are low in calories. Limit fatty cuts of meat and get your protein from leaner sources like fish, poultry, tofu, beans, legumes, eggs and low fat dairy. Choose fibre rich whole grains and don’t limit grains to just wheat. Quinoa, brown rice, oats, wild rice, barley, corn and bulgur are packed full of good nutrition. Obesity increases risk of heart attack and stroke as well as other conditions that may contribute to an increase risk of heart disease. Keep sugar to a minimum, watch your portion size and keep an eye on the scale. Your heart does not have to work as hard if you are maintaining a healthy weight. Eat well, exercise often and your heart will benefit! Good Health to You!
Meatless Moussaka Lentils take the place of meat in this comforting Greek dish, and we’ve replaced the traditional béchamel topping with a sprinkle of creamy goat cheese. 19 oz. (540 mL) cans of lentils, rinsed and drained Tomato pasta sauce Ground cinnamon Salt, to taste Pepper, to taste Medium eggplants (with peel), cut into 1⁄4 inch (6 mm) slices Goat (chèvre) cheese, crumbled
2
2
3 cups ⁄4 tsp.
750 mL 1 mL
2
2
8 oz.
225 g
1
Meatless Moussaka
Combine first 5 ingredients in a large bowl. To assemble, layer ingredients in a greased 5 to 7 quart (5 to 7 L) slow cooker as follows: 1. 2 cups (500 mL) lentil mixture 2. Half of eggplant 3. 2 cups (500 mL) lentil mixture 4. Remaining eggplant 5. Remaining lentil mixture Cook, covered, on Low for 8 to 9 hours, or on High for 4 to 4 1/2 hours. Sprinkle with cheese. Cook, covered, on High for about 10 minutes until cheese is softened. Serves 6. 1 serving: 370 Calories; 10 g Total Fat (2 g Mono, 0 g Poly, 6 g Sat); 15 mg Cholesterol; 52 g Carbohydrate (16 g Fibre, 11 g Sugar); 21 g Protein; 770 mg Sodium
20
%
400-Calorie Slow Cooker Cookbook
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Reprinted from 400-calorie Mains Company's Coming Publishing Limited
PEOPLES DRUG MART & PEOPLES PHARMACY LOCATIONS LOWER MAINLAND
CHILLIWACK • #10-45955 Yale Rd. 604-392-2211 CLOVERDALE • 115-6363 168th St. 604-576-6815 HOPE • 308 Wallace Street 604-869-5654 LANGLEY • 116-5501-204th Street 778-277-0024 NEW WESTMINSTER • #25 - 8th Ave. 604-525-2474 SURREY • 10269-128th St. 604-930-0030 • 10212 - 152nd St. 604-580-7457 • 104-8140 Scott Rd. 604-593-1788
Recipes For Good Health
LOWER MAINLAND
• 7160 Kerr St. 604-434-2656 • 571 West 57th Ave. 604-324-2258
VICTORIA
• 1660 Feltham Rd. 250-590-0557
VANCOUVER ISLAND
COLWOOD • 103-1910 Sooke Rd. 250-474-9331 GOLD RIVER • 375 Nimpkish Drive 250-283-9042 PORT HARDY • 100-8950 Granville St. 250-949-9522
VANCOUVER ISLAND
PORT McNEILL • 1584 Broughton St. 250-956-3126 QUADRA ISLAND • 672 Plaza Road 250-285-2275 • SOOKE 8-6716 West Coast Rd. 250-642-2226
NORTH
CHETWYND • 4733 - 51 Street 250-788-3393 KITIMAT • 327 City Center 250-632-2914 MACKENZIE • 700 Mackenzie 250-997-5460 TERRACE • 101- 4741 Lakelse Ave. 250-635-2206 st
THOMPSON OKANAGAN
ASHCROFT • 403 Railway Ave. E. 250-453-2553 CHASE • 825 Shuswap Ave. 250-679-3553 KELOWNA • 1715 Ellis St. 250-712-2484 • #104 – 330 Hwy. 33 250-491-1999 LYTTON • 531 Main Street 250-455-6685 PENTICTON • 166-1848 Main St. 250-493-7200 SCOTCH CREEK • 3874 Squilax Anglemont 250-955-0601
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KOOTENAYS
CRANBROOK • East Kootenay Hospital 13 -24th Ave. North 250-420-4133 GOLDEN • 1104 -10th Ave S. 250-344-6821 NAKUSP • 88 Broadway St. 250-265-2228 NELSON • 405 Hendryx St. 250-352-3121 REVELSTOKE • 555 Victoria Rd 250-837-5191 SALMO • 107 - 4th St. 250-357-9444 SPARWOOD • 107 Centennial Square 250-425-2015 TRAIL • 1101 Dewdney Ave. 250-364-1993
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The articles published in Peoples Health are for the general information of the reader. While effort is made to reflect accepted medical practice and knowledge, articles should not be relied upon for the treatment or management of any specific medical concern or problem and Peoples Health accepts no liability for reliance on the articles. For proper diagnosis and medical care, you should always consult your family physician promptly. Opinions expressed in sponsored articles are paid editorials and are not necessarily shared by Peoples Drug Mart stores or Peoples Drug Mart (B.C.) Ltd. Some advertised products are not available in all stores. We reserve the right to substitute products or limit quantities. Prices effective while quantities last. Sale in retail quantities only.
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