Being in your 40s can mean juggling a lot of commitments and eating on the fly. An irregular eating schedule can undercut your metabolism. Research from John Moores University in Liverpool found that women who fluctuated between eating low- and high-calorie meals were less happy with their bodies than those whose plates contained a similar number of calories from meal to meal. But it’s not just fluctuating meal size that can derail your weight-loss goals. A Hebrew University study from 2012 found that mice that were fed high-fat foods sporadically gained more weight than mice that ate a similar diet on a regular schedule. Your move? Figure out how many calories you need to achieve your desired weight, and evenly divide that number by the three, four or five meals and snacks you eat per day. Aim for each of your meals to be roughly that size and eat them at about the same time each day.
Spreading your meals throughout the day might keep you from getting too hungry and overeating. If so, it is a good idea. Athletes perform better when they eat more often in smaller amounts. If you are someone who has a hard time stopping once you start eating, 3 meals a day may make it easier for you to stick to an appropriate intake than lots of little snacks.

Even if you're sitting or lying down while reading this article, your body is still burning calories; the rate at which it does so is called your resting metabolic rate. As you age, your metabolism tends to decelerate by about 5% for every decade of life past age 40, so that if your resting metabolic rate is, say, 1,200 calories per day at age 40, it will be around 1,140 at age 50.


THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911. Fit and Fabulous at 50: My Amazing Body Transformation. BEFORE & AFTER Weight Loss INSPIRATION!

Everybody seemed to want to tell their younger self that the person they’re agonizing over and waiting on will almost certainly not be The One. If someone is giving you the run around, it’s because they’re not moving towards you. Let them go, and concentrate on yourself. It’s easy to get caught up in the drama of it, but if someone is making you feel small, unimportant, or messing with your head, they’re demanding too much from you and not giving back. DUMP HIM. OR HER. Required Nutritious Diet Plan After 40 In Hindi


At the Cut we’re both fascinated and disturbed by the lengths celebrities will go to look the way they do: We’ve analyzed the science behind Pippa Middleton’s SirtFood diet, discovered that Jennifer Aniston considers kale chips a cheat-day snack, and balked at the fact that Kate Bosworth’s only indulgence is ketchup. We’ve also tried many celebrity diets ourselves. Our own Rebecca Harrington has attempted to eat like Beyoncé, Rihanna, and Taylor Swift — all in the name of journalism. Here, for your reading pleasure, is a guide to what we’ve learned along the way.
Wondering why the same tried-and-true tricks you used to lose weight back in your teens and twenties no longer work after 40? From a biological point of view, the answer is pretty simple: If we maintain the same diet and exercise habits we began in our twenties, most of us will inevitably put on some weight — and the process of losing weight becomes much more difficult in middle age. Why is this? Our body composition, dietary needs, and hormones all shift, beginning for some as early as the mid-thirties. In order to maintain a healthy weight, certain lifestyle habits must be developed to counteract those changes. Here are five things you need to know about losing weight after 40:

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There’s a lot of advice out there, but having a go-to mantra that gives you strength can be a powerful weapon in your weight loss arsenal. “There will always be another meal” is just one of the 25 Weight Loss Mantras Nutritionists Swear By and The Nutrition Twins explain that they came up with it because people all too often eat as if they’ll never have their favorite foods again. Find your mantra and make it work for you! Truth About Building Muscle For Older Guys
IN ALL MY YEARS counseling clients – including many celebrities and dignitaries who must remain unnamed – I've never recommended celebrity-endorsed quick fixes like cleanses over common sense. But whether I like it or not, celebrity fad diets are often mimicked by their fans of all ages, who may be vulnerable to eating disorders and unrealistic expectations about how these eating plans will actually change their lives (or not). Fortunately, there are a few celebrities whose eating, exercise and lifestyle habits my colleagues and I applaud. Here are a few famous folks you can follow with a clear conscious (for now, at least):

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To begin, you need to figure out your metabolic rate based on your age, height, weight and activity level. This data will help determine how may calories your body can consume before you actually start putting on weight. Then you’ll learn how to adjust that number so you can boost your metabolism and start losing pounds. Click here for a Metabolism Calculator.  My Weight | Gaining & Losing 40 lbs (with pictures)
Refined carbs, such as bagels, white bread, and potatoes, create a surge in insulin that in turn promotes storage of fat and may drive down your metabolic rate, says Louis Aronne, M.D., an obesity specialist at New York Presbyterian Weill Cornell Medical Center, who recommends high-fiber carbs instead. "It's important to keep carbohydrates in your overall diet, but focus on vegetables, fruits, and whole grains, which have less of an impact on insulin levels," he explains.
Slimming down over 40 doesn’t have to mean meager meals. In fact, eating a big breakfast might just help you reach those goals. In fact, a 2013 study reveals that women who ate the bulk of their calories at breakfast lost more than twice as much weight as those who had the majority of their calories later in the day. And for more health news, check out the 30 Weirdest Things You Do in Your Sleep.

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Not only are they a great source of non-animal derived protein, they’re also packed with both soluble and insoluble fiber. The process of digesting the fiber and proteins in beans burns extra calories, and both types of fiber help lower insulin levels after digestion and cause your body to store less fat. Those are just a few of the reasons that beans are one of the 8 Superfoods You Should Eat Every Day! My 3 Ways For Men Over 40 To Help Lose Weight


Not getting enough quality shuteye has also been shown to slow metabolism in both men and women; this also may have to do with the brain’s secretion of cortisol when the body is under stress, says Celi. And even if you hit they hay early, that may not be enough. Research has shown that broken sleep (when you’re woken up frequently throughout the night) isn’t nearly as restorative as seven consecutive hours. So on top of crawling under the covers early, be sure to give yourself enough hours to get the rest and recovery your body needs.

Frustrating? Of course. Impossible? Hopefully not. “You just need to be a little more savvy and prepared,” says Larson. “Be in the best physical and mental health possible right now, so you can move gracefully into the next decade of your life.” Most important, maintaining a healthy weight helps you avoid scary diseases, so you can enjoy a long and happy life—and play with your grandkids.  
Here’s how to rock a Wild Workout: Warm up with light cardio, mobility, and dynamic stretching (at least 60 seconds).  Work out and get your blood pumping for 20 seconds, followed by 10 seconds of rest.  Repeat 10 times for a total of 5 minutes. You can do simple exercises like jumping rope or pedaling as hard as you can on a stationary bike. If you’re more athletic, try burpees or hill-sprints.  Do whatever full-body movement is best for you—but do it as hard as you can and don’t forget the 10 second rests (hint: if you’re doing it right, you definitely won’t forget to rest between sets!). 
22. You’re not doing the right exercise – are you’re going to the gym or doing your exercise classes, and wondering why the weight isn’t falling off? Firstly, exercise alone won’t make much difference to your weight. You need to eat right too. Secondly, your body gets used to long slow cardio, so it’s important to mix it up with some resistance training, burst or high intensity training and core work or stretching. These types of exercise help to maintain muscle, and stimulate growth hormone and testosterone, which increase your metabolism and help you burn fat.
Weight Watchers is all about sustainable results rather than yo-yo dieting or quick fat loss that results in even more weight gain down the line — and that’s one of the reasons it’s regarded as one of the best diets available today. And the best part about Weight Watchers is that you can eat whatever you want as long as you stick to the “Points” system.
If you’re doing all the right things and your weight remains the same, make an appointment with a registered dietitian, who will help you create a customized plan to reach your goals. And if moving more and eating a healthy diet doesn't work, Goddard recommends consulting a physician who specializes in weight loss to treat insulin resistance and pre-diabetes. After all, the battle of the bulge can only get harder to win with age — even for Charlize Theron.
It’s like butter that grows on trees. But instead of the cholesterol, trans fats, and saturated fats in real butter, avocado contains metabolism-enhancing monounsaturated fat. And that’s not all. Each creamy fruit is also packed with fiber and free-radical-killing antioxidants. Free radicals are destructive rogue oxygen molecules—natural byproducts of metabolism—that trigger various chain reactions in the body that destroy cells and DNA, causing all kinds of health problems. Antioxidants in fresh fruits and vegetables can help neutralize some free radicals, but they can’t reach the mitochondria—the base camp for the free radical army—and that’s a problem. When your mitochondria aren’t working properly, your metabolism runs less efficiently. Enter: Avocado. New research conducted in Mexico found that monounsaturated-rich oil pressed from the fruit can help mitochondria become more resilient. Researchers say the results jive with low-disease rates in Mediterranean countries where olive oil—nutritionally similar to the avocado—is a diet staple. How I Got a Flatter Stomach ... After 50! My 5 Top Tips for a Flatter Belly, Whatever Your Age!
Until this point, you've treated annual physicals as optional, but now you need to get serious. Blood pressure, cholesterol, and sugar levels all need routine checks, especially if you know there is a family history of troubles. The ache you feel today could be nothing -- then again, it may have been caused by too much or too little exercise, a diet deficiency, or something more serious. The sooner you catch it, the less damage done. If your knees ache, your back hurts, or you suffer from persistent headaches, see your doctor. Wouldn't you be hesitant to pilot a plane that didn't receive regular maintenance and service?

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Marilyn Monroe was known most notably for her breakfast selection: two raw eggs whipped in warm milk. She also skipped lunch regularly, and ate either liver, steak, or lamb for dinner. Her one indulgence was a hot-fudge sundae. When she wasn’t creating her own eating plan, Monroe followed the diuretic diet. It features foods with high potassium and diuretics, and is used to decrease fluid retention.
Why? Because muscle doesn’t actually burn that many more calories than fat. “Previous data suggests about six calories per pound of muscle, versus two calories per pound of fat mass,” says Sharp. “When you do the calculations, it's not a significant amount of calories.” [AGAIN, WOULD LOVE IF WE COULD STRIKE A MORE OPTIMISTIC TONE HERE SINCE THIS REALLY CAN ADD UP OVER TIME AS WE SAY BELOW...DON'T WANT TO MAKE IT SEEM LIKE ALL THESE BENEFITS ARE TOTALLY INSIGNIFICANT]
Your go-to fast food joints achieve perfectly crispy fries by frying the spuds in oil that has been reused over and over again. A study in the Canadian Journal of Dietetic Practice and Research found that heating oil to the smoking point during stir-frying may decrease the amount of polyunsaturated fatty acids because of oxidative degradation. Those are the heart-healthy fats that nourish your skin and joints. Instead of grabbing a bag of fries at the drive-thru, opt for baking your own at home with a brush of olive oil and fresh herbs. How To Lose Belly Fat After 40
“Obviously all of your leafy greens are going to be really high in antioxidants, which is important for anti-aging,” says LeVeque. “But I would never have something deep in color without fat because most fat-soluble vitamins and antioxidants are 300 percent more bioavailable in the body when eaten with fat.” Now, LeVeque doesn’t mean to add a plate of fatty French fries to your daily lunch so that you're veggies will absorb better, but rather to add foods with good-for-you fats into your already good-for-you salad.  “Add avocado to a leafy green salad or order a green salad and add olive oil to fill up on those antioxidants.”
Hormone imbalance can also wreak havoc on your weight. Keep in mind that perimenopause and other hormone changes can start when you are in your 40s. Estrogen dominance will definitely interrupt weight loss but so will the imbalance of  cortisol, leptin and insulin. We have a great article that covers, in great detail, how these hormones affect your body. Check out Balance These 4 Hormones If You Want To Lose Weight for more information!

In one study published in the American Journal of Epidemiology, volunteers who got 22 to 55 percent of their total calories at breakfast gained only 1.7 pounds on average over four years. Those who ate zero to 11 percent of their calories in the morning gained nearly three pounds. In another study published in the same journal, volunteers who reported regularly skipping breakfast had 4.5 times the risk of obesity as those who took the time to eat.

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Feel like your metabolism is stuck in slo-mo? Coaxing your body to burn calories more efficiently doesn't require daily Spinning sessions or hours at the weight rack (though being in shape and building more muscle definitely helps). From adding an extra ingredient to your smoothie to watching a funny YouTube video, you can fan your metabolism's flames in just minutes a day by adopting these research-backed habits.
As well as having many acting achievements under her belt, Ashley Judd is a passionate advocate of the #metoo campaign. The 50-year old actress was one of the first to open about her sexual harassment by Harvey Weinstein and has been incredibly vocal with her support for others. The stunning brunette recently appeared in Twin Peaks and is more recently known for her lead role in the Divergence series.

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1.  Eat less added sugar, processed food and refined grains (white bread, bagels, pasta, white rice, you know the drill). A lot less.  According to the sugar science department at UCSF, added sugar is hiding in 74% of all packaged food.  And, the majority of carbohydrates in the typical American diet is made of refined grains.  This means reading labels folks and knowing how many different names there are for sugar.  Just because it’s called “agave nectar” or “cane juice crystals” doesn’t mean it’s any better for you than the white granulated stuff.  Your body doesn’t know the difference and once you eat it, it’s all the same to your pancreas (the organ that produces insulin in response to sugar).  Click this link to see 61 different names of sugar then run to your pantry and read the ingredients on your packaged food.  Prepare for a rude awakening!

They say that idle hands are the devil’s playthings, and that’s certainly true when it comes to weight loss. Keeping your hands busy with activities like knitting, origami, or even those dreaded fidget spinners, can help you from reaching for the closest fatty or sugary snack. Research also suggests that using your hands to fidget throughout the day can burn upwards of 300 calories, making it easier to slim down in an expeditious manner.
Muscles are what keeps our metabolism high and as we age, our muscles slowly start to get smaller, therefore allowing our metabolism to slow down. To counteract this, Shapiro recommends that we start lifting weights. “No, you won’t get big and bulky. In fact, you’ll stay lean,” she says. That’s because weight training causes you to burn more calories per workout than cardio sessions, and you continue to burn them post workout. And that’s not all—click here to discover 40 Ways to Lose 4 Inches of Body Fat!
While most Americans consume plenty of protein, research shows that some women begin skimping on the muscle-sustaining nutrient as they age, consuming less than the RDA. Calorie-conscious dieters also tend to cut back on protein, when they should be doing the opposite. "Cutting back causes your body to rob your muscles for energy, leaving you thinner but also flabbier and weaker," says Dr. Apovian. "Not only does losing muscle make your clothing fit poorly, but you begin to burn fewer calories, so even if you're eating the same amount, you can easily regain the weight you shed." Having less muscle mass also makes you weaker, making it harder to do simple activities, so you become more inclined to crash on the couch. Eventually, the scale climbs back up and you start all over again, chipping away at muscle mass and putting the chill on your metabolism with each diet you try.
Not only are they a great source of non-animal derived protein, they’re also packed with both soluble and insoluble fiber. The process of digesting the fiber and proteins in beans burns extra calories, and both types of fiber help lower insulin levels after digestion and cause your body to store less fat. Those are just a few of the reasons that beans are one of the 8 Superfoods You Should Eat Every Day!
“Your 30s are an awesome time,” says Larson. “This is the decade you want to get and stay physically fit, and focus on maintaining.” In your 20s, you could binge on pizza and wine and work it off quickly, but in your 30s, it takes a little longer. As your muscle mass and metabolism dip, you lose the margin for error. You’re also leaning into your career, experiencing more stress. And women are having babies, losing sleep, and get into irregular eating patterns. “Don’t wait to lose the baby weight,” says Larson. “You don’t want to take 5 to 10 pounds with you into the next decade.”
"How can I eat this much satisfying food and still lose weight?" Brenda asked during our second meeting. For fat-phobic patients (especially those who lived through the low-fat brainwashing in the '80s), ketogenic diets—which are about 80 to 90 percent fat—can initially seem unbelievably decadent. Yes, that’s a lot of fat, but you’ll focus on filling, healthy sources like avocado, wild-caught fish, nuts, and seeds. Yay for foods that we love!
"So it's extremely important to know that muscle is very metabolically active and that you don't want to lose it. That being said, a typical can man can lose over the course of the age of 30 through the age of 50 anywhere between 5 and 10 pounds of muscle mass. A woman could definitely lose that -- that's a given because she, through repeated dieting and decreased physical activity, will lose that," Peeke says.
I was the type of person who up until my late 30s could eat whatever I wanted and never work out and rarely gained a pound. If I wanted to “loose” weight meaning the five pounds of holiday weight I had put on all I had to do was start exercising doing some cardio and it fell off. Then all the sudden that stopped and now I am 20 pounds over weight and almost 41 years old and the only way for me to loose weight is to starve. I have been tested for medical conditions, I do not take any medications. I have been to a nutritionist, several actually. I have revamped my diet, I have done weight watchers, I hired a trainer and I work out 6 days a week. I have been told work out less you will be less hungry, did that nada. Cut carbs, cut diary, tried that too. The conclusion I have come to is that due to my small frame (I am only 5’1) I have to work out daily and not eat more than 1200 calories a day if I want to lose weight. I cannot do that, it makes me utterly miserable and angry. I had my metabolism tested via one of those breathing machines and it was so slow. Doctors will never admit that anyone should eat less than 1200 but my doctor looked at me and basically said 1200 is the maximum you can eat. I have never yo yo dieted, in fact I was never on a diet until I was 38, never needed to be. My Mom had the same exact thing happen to her. At this point I have two choices, be miserable and hungry all of the time, or be 20 pounds over weight and be happy, I chose the latter. Trying to live and eat 1200 calories a day every single day, is not reasonable and is a recipe for failure. I compare this to men who don’t want to admit that as they age they need Viagra. All of them say oh no I have sex like a 20 year old, no you don’t. And they don’t talk about their struggles with each other they just boast. For women I think we may just need to accept that extra 20 pounds that comes along with age, rather than fighting a loosing battle and being miserable.
Ready to get serious about managing your money and planning for retirement but don’t want to listen to boring financial advisers toss around money and stock jargon you don’t even understand? Good, because Jill Schlesinger is ready to help with informative interviews and financial advice, all crafted with easy-to-understand concepts for those not so financially savvy.
Women in their 40s should be picky about their haircuts with due regard to the face shapes – otherwise, they may miss a nice chance to balance facial features and to get the desired rejuvenating effect. "A lot of women get hung up on long hair making their face look slimmer but a lot of the time that's not the case," says Jen Atkin. Indeed, while round face shapes do strive for slimming, narrow faces will hardly benefit from it.
Conclusion: I wouldn’t recommend exclusively eating smoked salmon and capers any longer than one day, as scurvy is a very real and serious affliction (you know, among other things). But if you love smoked salmon and capers and want to get your lifetime supply of Omega-3s in one fell swoop, this diet plan is for you. Just make sure you don’t have any plans to socialize during the day because it’s sort of awkward to bring a pack of smoked salmon along on, say, a date. Awkward, yes … but not unheard of. Another story for another time.
Whether due to the night-waking of young children or hot flashes from the onset of perimenopause, middle-age is when sleep quality goes downhill for many women. Lack of sleep has long been linked to an increased risk of obesity and diabetes, because it’s harder for the body to regulate glucose leading to something called insulin resistance, which can cause weight gain.

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Making an omelet? Forget separating the white from the yolk and embrace the whole egg! The healthy fats within the yolks can help you feel fuller longer and curb cravings, explains Kayleen St. John, RD. Not to mention, choline—a belly fat-blasting nutrient—is only present in the orange part of the egg, rather than the whites, that most dieters tend to avoid. Next time you’re whipping up a scramble, crack the whole egg, yolk and all, into the pan.
The more muscle you have, the more calories you burn—no matter what you’re doing. Hitting the gym helps you build muscle but eating protein keeps your gains from breaking down and slowing your metabolic rate as a result. Protein needs differ by individual, but typically consuming 0.8 to one gram of protein per kilogram of body weight per day should be sufficient enough to fuel weight loss, says Leah Kaufman, MS, RD, CDN, a New York City-based Dietitian. For a 130-pound (59 kilograms) person, that would equal between 46 and 58 grams of protein. Research has found that because protein is more difficult for the body to break down and digest than other nutrients, it can increase post-meal calorie burn by as much as 35 percent. Aim to incorporate some protein into every meal and snack throughout the day. Super proteins are also a major component of The Super Metabolism Diet to build muscle and help burn energy.

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Unless you’re spiking your home-baked goods with hidden veggies and swapping sugar for stevia, you should actively avoid these sweets. Store-bought muffins and cupcakes make our list of foods that age you because they can contain a full day’s worth of added sugar—and the effects of the sweet stuff on aging are quite bitter. A report in Clinics in Dermatology states that glucose and fructose can compromise the collagen and elastin that support your skin’s elasticity, so avoiding baked goods with added sugars is a sure-fire way to keep wrinkles at bay. Men Over 40 Workout - How to Build Muscle at 40+ Years Old
19. You’re eating too many ready meals – it’s so easy to get home from a busy day at work and pop a ready meal in the microwave. Trouble is, this won’t help you lose weight. Why? Because a/ processed foods are mostly made with vegetable oils that turn in to trans fats in the manufacturing process (trans fats encourage weight gain) and b/ the nutrient value is likely to be much lower than a meal cooked with food from scratch (see no. 12). 

Reaching 40 means that you’ve had four decades to accumulate toxins from food and drink, which can lead to obesity. Many of those come from pesticides and hormones in produce and meat. Choose organic fruits and vegetables and hormone-free meat. Speaking of meat, you can lose weight eating at McDonald’s, if you use this list of Every Menu Item at McDonald’s—Ranked!. 7 Best Ways To Lose Weight After Menopause
Long-term stress can make you fat, studies have found. "When you're chronically stressed, your body is flooded with stress hormones, which stimulate fat cells deep in the abdomen to increase in size and encourage fat storage," says Peeke. "I call this toxic weight, because fat deep within your belly is more likely to increase your risk for heart disease, diabetes, and cancer." And stress hormones spark your appetite, making you likely to overeat. 3 Simple Steps That Shrink & Incinerate "Over 40" Belly Fat
Christy Brissette, MS, RD is one of North America's top dietitians and a leading nutrition and food communications expert. She is the President of 80 Twenty Nutrition, a nutrition and food media company. Her mission is to end food confusion and dieting once and for all. Christy appears on national TV and is interviewed for international magazines, radio and websites. She empowers her clients to look and feel their best with the healing power of healthy, delicious food. She helps clients achieve results through cutting-edge, creative and fun meal plans and recipes. You can still enjoy your favourite foods and have the body of your dreams!
Even though Beyoncé's known for her curves, she once made headlines for the Master Cleanse liquid diet that she used to lose weight for Dreamgirls. Known as the "Lemonade" diet, the Master Cleanse recommends an elixir consisting of water, lemon juice, maple syrup, and cayenne pepper. For now, she seems to have sworn off juice cleanses in favor of temporary veganism, which eliminates all animal products from your diet.
While meat packs a lot of protein in one shot, getting your protein only from animal sources could actually speed muscle loss, according to a 2012 review by the International Osteoporosis Foundation Nutrition Working Group. Why? Meats, as well as grains like wheat and corn, are acid-producing foods that stunt muscle-protein synthesis. The good news: Fruits and vegetables are alkalizing and can help offset some of the muscle-robbing effects of meaty, starchy meals. "Plus, there are a lot of delicious vegetarian sources of protein," says Dr. Gerbstadt. "Try experimenting with tofu, lentils, or beans. They taste great and tend to be lower in calories." When you opt for animal protein, avoid high-fat sources such as regular ground beef, bacon, whole milk, or full-fat cheese. Fit and Fabulous at 50: My Amazing Body Transformation. BEFORE & AFTER Weight Loss INSPIRATION!

Hate cooking your meals? If you don’t mind totally forgoing processed foods, the raw diet may be for you. Healthline explains when you’re on a raw diet, all foods you’re consuming must be unrefined, unpasteurized, not heated above 104-118 degrees, and not treated with any chemicals or pesticides. Other preparation methods, like juicing, blending, dehydrating, and soaking, are favorable. And while most folks who use the raw diet are vegans, some do consume unprocessed dairy and raw eggs for protein.

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If you’ve never added this delicate green to your salads, now is definitely the time to start. A study in the American Journal of Clinical Nutrition suggests that consuming 85 grams of raw watercress (about two cups) could reduce DNA damage linked to cancer by 17 percent. What’s more, the leafy green is teeming with beta-carotene and vitamin A, two compounds essential for youthful skin. No wonder why watercress is our #1 best superfood healthier than kale!
SOURCES: Madelyn Fernstrom, PhD, director of the University of Pittsburgh Medical Center Weight Management Center and associate director of the UPMC Nutrition Center in Pittsburgh. Pamela Peeke, MD, assistant clinical professor of medicine at the University of Maryland School of Medicine in Baltimore. Michi Yukawa, MD, MPH, acting instructor, department of medicine, division of gerontology and geriatric medicine at the University of Washington in Seattle.

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