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IgG4-Related Disease (IgG4-RD): Canadian Academy of Sports Nutrition IgG4 Related Disease 1Immunoglobulin G4 (IgG4)-related disease is a chronic inflammatory condition recognized as a systemic disease recently. It is characterized by dense infiltrates of lymphocytes and IgG4-secreting plasma cells in different tissues in the body. IgG4-RD is associated with an increased level of IgG4 in the blood in about 60-70% of cases especially during the acute phase.

The exact mechanism by which the IgG4-RD occurs is poorly understood. However, it has been postulated to be an autoimmune in nature. This condition could affect any organs in the body. The many faces of IgG4-RD requires that all health care professionals to get to know this newly proposed clinical-pathologic entity.

IgG4-RD has a relapsing-remitting nature associated with a tendency to form a destructive mass in the affected organs. In fact, the initial inflammatory infiltrates will be replaced by fibrotic lesions followed by forming pseudo-tumors in the affected organs, often leading to biopsy or excision for fear of true malignancy.

Several different diseases that have been known in medicine for many years are Canadian Academy of Sports Nutrition IgG4 Related Disease 2now considered to be the manifestations of IgG4-RD. This disease could affect one or multiple sites in the body such as salivary glands, thyroid, kidneys, pancreas, lungs, bile ducts, eyes, sinuses, mediastinum, skin, nerves, lacrimal and pituitary glands, prostate and cardiovascular system. Interestingly, IgG4-RD does not have much musculoskeletal involvements and manifestations.

There are no specific criteria to diagnose IgG4-RD clinically, and its definitive diagnosis requires histopathologic analysis. However, an increase in inflammatory markers in the blood and an elevation of IgG4 should make a health practitioner be suspicious of this culprit!

Once it is correctly diagnosed, IgG4-RD responds well to corticosteroid therapy. Natural adjuvant therapies for this disease are chelation of heavy metals, anti-inflammatory diets and immunity-targeted nutraceuticals.

Abazar Habibinia, MD, DFN

Executive Director of the Canadian Academy of Sports Nutrition

published on April 26, 2017

What Are Functional Foods and Novel Foods?

Functional Foods:

Functional food is a food that has been modified to offer an additional function by adding a Canadian Academy of Sports Nutrition functional foods 1new ingredient or more of existing ingredients. Functional food is created with the hope of improving the health benefits the nature has already provided. They are usually enriched with some "bioactive compounds". Functional foods are usually confused with nutraceauticals and novel foods.

Example of functional foods are:

- Eggs with Omega-3 fatty acids.

- Calcium-enriched orange juice.

- Potatoes enriched with anthocyanin.

- Tomatoes enriched with lycopene.

- Cereals fortified with vitamin B12.

Even though the claimed benefits of functional foods have already rendered them quite appealing, whether they can truly affect human health positively or negatively has made them be highly controversial and debateable.

Novel Foods:

Any food that meets any of the following three definitions is called "novel food": Canadian Academy of Sports Nutrition functional foods 2

a) A food or product that does not have a history of safe use as a food.

b) A food that results from a process that has not been previously applied to food.

c) A food that has been modified by genetic manipulation. It is also known as genetically modified foods (GMO foods). GMO foods are also called "Frankenfoods".

Example of novel foods:

a) Foods or products with no history of safe use:

- Eggs with increased levels of lutein

- Camelina oil

- Phytosterols

b) Foods prepared by never-before-applied processes:

- Meats prepared under high hydrostatic pressure.

- Ultraviolet light treated Apple Cider.

c) GMO:

It is estimated that up to 70% of all those products that are currently sold in grocery stores in the USA to have some GMO ingredients. More than 50 GMO crops have been approved for sale in the USA. Even though producing GMO foods facilitate their mechanical harvesting and make them resist insects and pesticide sprays, two major concerns regarding GMO foods are their decreased nutritional values and their potential negative effects on cancers.

Top 12 fruits and vegetables/plants that are highly possible to be GMO:

1) Alfalfa.

2) Beets.

3) Canola.

4) Corn (about 90% of them are GMO).

5) Papaya.

6) Potatoes

7) Soybeans (about 90% of them are GMO).

8) Squash.

9) Sunflower.

10) Tomatoes.

11) Watermelon (seedless).

12 ) Zucchini.

Abazar Habibinia, MD, DFN

Executive Director of the Canadian Academy of Sports Nutrition

published on April 22, 2017

Complementary CAASN Certification:

The Canadian Academy of Sports Nutrition (CAASN) has been Canadian Academy of Sports Nutrition Canada China Forum 4actively involved with many health, sports and nutrition-related events. It was an honor to be invited to be among the Canadian delegation during the 2nd Canada-China Forum on Nutrition and Health Care, which was held in Ryerson university in Toronto on October 08, 2016.

The 2nd Canada-China Forum on Nutrition and Health Care at Ryerson university went well, and we were extremely happy that attendees liked the lecture presented by CAASN regarding "Practical Approach To Weight Management". The forum was a great opportunity to exchange knowledge and academic findings between Canada and China.

After the Forum, Mrs Ping Li, deputy secretary general of China Health Care, personally invited CAASN to China to offer presentations and workshops about sports nutrition and weight management! This meant a lot to us! This meant that health officials and sports-governing bodies had started noticing our visions, missions and new approach to some global health concerns!

CAASN Sports Nutrition Certification:

Our certification program is a unique program and the best complementary program for health care professionals, allowing them to combine the knowledge and skills in sports nutrition to enhance the quality of the services they offer. Accepting students from throughout the world, we have already Canadian Academy of Sports Nutrition Canada China Forum 2students from Canada, the USA, Iran, Brazil, Ukraine and China. For more information about our certificate program and curriculum, you may go to

Also we are pleased to announce that the Canadian Academy of Sports Nutrition (CAASN) has reached a partnership deal with the following fitness clubs, wellness and health centres:

1) Ergo Tech Nutrition, North York

2) Arian Health Centre, Thornhill

3) Ultra Fitness, North York

4) Durham Ultimate Fitness, Bowmanville

5) Durham Ultimate Fitness, Canadian Academy of Sports Nutrition Canada China Forum 3

6) Quad Fit Club, York Mills

7) Alka`s Total Fitness, Thornhill

8) Junction Health, Toronto


 Published on October 15, 2016

FODMAPs Diet for IBS:

Irritable bowel syndrome (IBS) is a functional bowel disorder of the GI system with Irritable bowel syndrome Canadian Academy of Sports Nutrition sports nutrition 77unknown cause. It is usually characterized by recurrent abdominal pain or discomfort and changes in bowel habits. IBS affects women up to three times more than men.

The symptoms of IBS tend to come and go over time, and they include abdominal pain or discomfort, changes in bowel habits as alternating periods of constipation and diarrhea, bloating, belching, nausea, and heartburn. To be labelled with IBS, recurrent abdominal pain or discomfort should be present for at least 3 days in a month for at least 3 months. Abdominal pain or discomfort usually subsides with defecation.

Potential causative and contributing factors:

1) Disordered GI motility.

2) Increased sensitivity of the GI system.

3) Poor stress-managing mechanisms.

4) Infections.

5) Poor anxiety-controlling systems.

6) Overactive immune system.

7) Imbalances in normal flora (dysbiosis).

8) Dysregulation of serotonin in the GI system.

9) Food allergies.

10) Candida overgrowth.

Medicinal Nutrition in IBS:

Patients with IBS and their treating health professionals are often get frustrated in easing the signs and symptoms of IBS. However, dietary changes may ease the signs and symptoms if the patient sticks to it meticulously. There is no special diet that would work for everyone. FODMAPs diet has been introduced by Australian researchers to relieve symptoms of IBS. FODMAP stands for Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols.

People with IBS should avoid high FODMAPs food. Few studies indicate that up to 75% of people with IBS have their symptoms eased by FODMAPs diet.

High FODMAPs Food (Banned Food in IBS):

Fruits: apples, apricots, blackberries, cherries, dates, figs, Goji berries, grapefruit, guava, lychees, mango, nectarines, pears, peaches, pineapple (dried), pomegranate, plums, prunes, raisins, tamarillo, watermelon, dried fruits and canned fruits.

Grains, grain-related and gluten-containing food: wheat, barley, rye, biscuits, croissants, cakes, muffins, pastries, wheat germ, couscous, muesli, semolina, spelt and granola bars.

Dairy products: milk, cheese, cream cheese, yogurt (including Greek yogurt), Irritable bowel syndrome Canadian Academy of Sports Nutrition sports nutrition 78cream, ice-cream, custard and kefir.

Nuts: cashews and pistachios.

Legumes: lima beans, kidney beans, chick peas, and lentils (in higher quantities).

Sweeteners: fructose, sorbitol, xylitol, mannitol, maltitol, and high fructose corn syrup.

Sweets: chocolates, honey, and jam.

Vegetables: artichokes, asparagus, avocado, beets, broccoli, Brussels sprouts, cabbage, chicory, cauliflower, fennel, garlic, leeks, okra, onions, peas, radicchio, mushrooms, snow peas, soy beans and split peas.

Processed meats and sausages.

Drinks: beer (more than 12 oz a day),caffeinated beverages, coconut water, coffee, energy drinks, soy milk, strong teas (black, chai, herbal and chamomile) and wine (more than a one glass a day).

Low FODMAPs Food (Allowed Food in IBS):

Fruits: banana, blueberries, cantaloupe, cranberry, Clementine, grapes, orange, honeydew melon, kiwi, lemon, lime, papaya, pineapple, tangerine, strawberries, and raspberries.

Vegetables: alfalfa, basil, bell peppers, Bok Choy, carrots, celery, chives, cilantro, collard greens, coriander, corn, eggplant, green beans, lettuce, cucumber, kale, parsley, parsnips, potato, pumpkin, radish, spinach, squash, Swiss chard, tomato, turnip, sweet potatoes, yam and zucchini.

Drinks: rice milk, almond milk, protein supplements, peppermint tea, weak teas and water.

Seeds: flaxseeds, chia seeds, hemp seeds, poppy seeds, pumpkin seeds, sesame seeds and sunflower seeds.

Lean proteins: fish, turkey, lamb, chicken, canned tuna, eggs and lactose-free dairy products.

Seafood: crab, lobster, mussels, oysters, and shrimp

Nuts: almonds, Brazil nuts, chestnuts, hazelnuts, peanuts, pine nuts and walnuts.

Cereals, grains, grain-related and gluten-free food: amaranth, buckwheat, bulgur, corn, millet, quinoa, rice, maize and sorghum.

Spices: black pepper, cardamon, chilli powder, cinnamon, saffron, turmeric, ginger and sumac.

It is not easy to stick with FODMAPs diet! However, if an IBS patient follows the diet carefully and takes IBS-supporting supplements, the symptoms of IBS should start easing down in few weeks!

Abazar Habibinia, MD, DFN

Executive Director of the Canadian Academy of Sports Nutrition.

Published on June 13, 2016