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    #222 Nitric Oxide, Nitrates and Nitrites in Food with Dr Rupy Aujla

    enNovember 15, 2023

    Podcast Summary

    • Nitrates, Nitrites, Nitrosamines, and Nitric Oxide: A Complex Connection to Our HealthConsume nitrate-rich vegetables daily for cardiovascular, brain, and exercise performance benefits. Focus on beets and dark green leafy vegetables for internal nitric oxide production support.

      Key takeaway from this episode of Doctor's Kitchen podcast is that understanding the context of nitrates, nitrites, nitrosamines, and nitric oxide is crucial for appreciating their role in our health. Nitrates found naturally in vegetables and plants are beneficial as they get converted into nitric oxide, which is essential for various physiological functions. However, artificially added nitrates in meat products can lead to harmful compounds. The podcast emphasizes the importance of consuming nitrate-rich vegetables daily for cardiovascular, brain, and exercise performance benefits. If you want to support nitric oxide production internally, focus on eating a daily portion of beets and dark green leafy vegetables.

    • Maintaining a healthy aura microbiome and lifestyle choices for nitric oxide productionLifestyle choices like daily sun exposure, exercise, nasal breathing, and avoiding processed meats can boost nitric oxide production. Nitrates and nitrites are distinct compounds in the nitrogen cycle, with nitrates being stable and nitrites reactive. Obtained primarily from plants, nitrates promote health when understood correctly.

      Maintaining a healthy aura microbiome and making lifestyle choices, such as avoiding processed meats and focusing on daily sun exposure, exercise, and nasal breathing, can help increase nitric oxide production in the body. Nitrates and nitrites are two different compounds in the nitrogen cycle, with nitrates being a stable form used by plants and animals, and nitrites being a more reactive intermediary. Nitrates are primarily obtained from plants, while our bodies can also produce them internally. Understanding the context and nuances of nitrates and nitrites, rather than viewing them as simply "good" or "bad," is essential for promoting optimal health.

    • Nitrates and nitrites: Natural vs. ProcessedNitrates and nitrites from vegetables have health benefits due to plant compounds, but processed meat's risks outweigh potential benefits.

      Nitrates and nitrites, which have a bad reputation due to their association with carcinogenic compounds when used as food additives, can also have beneficial effects when consumed naturally, particularly from vegetables. The key difference lies in the presence of other compounds, such as polyphenols and vitamins, found in plants that help prevent the formation of harmful nitrosamines and promote the production of nitric oxide, a crucial molecule for human health. The context and frequency of consumption are also important factors to consider. The WHO's classification of processed meat as carcinogenic has sparked debate, but it's essential to remember that the risks and benefits depend on the specific context and the overall diet.

    • From Nitrates to Nitric Oxide: A Crucial Pathway for HealthNitrates in whole foods contribute to nitric oxide production, a vital signaling molecule, through a multi-step process involving oral bacteria and various tissues.

      Nutrition is more complex than we think, and the focus should be on whole foods rather than individual compounds or chemicals. Nitrates, for instance, are often vilified for their potential harmful effects, such as the formation of nitrosamines. However, they also serve as a substrate for the production of nitric oxide, a vital signaling molecule involved in various physiological functions, including vasodilation, neurotransmission, and immunity. After consuming nitrate-rich foods like dark green leafy vegetables, oral bacteria convert nitrates to nitrites, which are then converted to nitric oxide in the stomach and other tissues. This nitrate-nitrite-nitric oxide pathway is crucial for maintaining homeostasis in the body. Nitric oxide's role in transmitting information between cells is essential for various physiological functions, including blood pressure control and neurotransmission. It's important to note that a largely vegetable-rich diet doesn't worsen low blood pressure, and ensuring adequate nitric oxide production is crucial for overall health.

    • Nitric oxide's functions in the bodyNitric oxide is a crucial molecule for cardiovascular health, blood sugar regulation, and brain function. Consume green veggies and maintain oral health for optimal production.

      Nitric oxide is a vital molecule in the body with numerous functions, including cardiovascular health, blood sugar regulation, and brain function. Nitric oxide activates signaling pathways that increase cGMP, leading to smooth muscle relaxation and blood vessel relaxation, reducing blood pressure. It also modulates insulin secretion and glucose uptake in various tissues. Nitric oxide's importance is further emphasized by its impact on brain function, energy homeostasis, and movement. To support balanced nitric oxide levels, avoid reducing nitric oxide production, such as using antiseptic mouthwash, which disrupts the oral microbiome and reduces nitrite concentrations, leading to increased blood pressure. Instead, focus on increasing nitric oxide production through lifestyle factors, including consuming green leafy vegetables and maintaining a healthy oral microbiome.

    • Mouthwash use could disrupt nitric oxide pathwayUsing mouthwash for a week may alter oral microbiome, potentially impacting nitric oxide production and blood pressure

      The use of antiseptic mouthwash for as little as a week could potentially disrupt the nitric oxide pathway, leading to an adverse effect on blood pressure. This is based on a study that showed a shift in the oral microbiome, with a greater abundance of firmicutes and proteobacterial species and a lower abundance of bacteroides and fusobacteria. However, it's not clear how long it takes for the oral microbiome to restore its baseline function after using mouthwash for months or years. While there is some evidence that nitrate reducing function may be restored 3 days after mouthwash use, it's important to note that antibiotic use and low stomach acid can also disrupt nitric oxide formation. Therefore, it's crucial to consider the potential risks and benefits before using mouthwash or other medications that could impact nitric oxide production. Additionally, it's essential to consult with healthcare professionals before making any significant changes to your health regimen.

    • Eating nitrate-rich veggies and supporting oral health for nitric oxide productionConsume nitrate-rich veggies like beets and greens with vitamin C, E, and polyphenols for nitric oxide formation. Support oral health by avoiding mouthwash and consuming probiotics.

      Maintaining a healthy production of nitric oxide in the body is crucial for digestion and overall health. However, habits like frequent use of antacids or PPIs can inhibit stomach acid production and subsequently reduce nitric oxide release. To promote nitric oxide production, eating a diet rich in nitrate-containing vegetables like beets and dark green leafy greens is recommended. These vegetables, when consumed with vitamin C, vitamin E, and other polyphenols, contribute to the formation of nitric oxide rather than harmful nitrosamines. Additionally, supporting a healthy oral microbiota by avoiding mouthwash and consuming probiotic-rich foods can also enhance nitric oxide production. Preclinical evidence suggests that moderate sunlight exposure, exercise, and nasal breathing can also improve nitric oxide production. Overall, incorporating these dietary and lifestyle habits can contribute to optimal nitric oxide production and support overall health.

    • Health benefits of getting outside and consuming nitrate-rich foodsGetting outside for 30 minutes daily during midday sun can boost vitamin D production, improve circadian rhythm, and benefit elderly, hypertensive individuals, and those with impaired nitric oxide function. Consuming nitrate-rich foods like beetroot, lettuce, and spinach daily can enhance cardiovascular health and athletic performance.

      Getting outside for 30 minutes each day, ideally during midday sun, can have numerous health benefits beyond nitric oxide production. This includes vitamin D production, improved circadian rhythm, and potential benefits for elderly, hypertensive individuals, and those with impaired nitric oxide function. Consuming nitrate-rich foods, such as beetroot, lettuce, and spinach, is a simple and cost-effective strategy for cardiovascular protection and can improve athletic performance. The exact dose for these benefits is not clear, but incorporating at least one portion of high nitrate vegetables daily is recommended. The International Olympic Committee also recognizes the potential benefits of dietary nitrate for athletic performance.

    • Eating Nitrate-Rich Greens for Better HealthIncorporate nitrate-rich greens into daily meals for optimal health, aiming for 260mg/day for a 70kg adult. Dark leafy veggies like beetroot, spinach, rocket, lettuce, and celery are top sources, but cooking methods matter. Reach daily intake through consumption or supplements.

      Incorporating nitrate-rich greens into your daily meals is a health recommendation based on substantial evidence. The World Health Organization suggests a maximum of 260 milligrams per day for a 70 kilogram adult, but some sources suggest almost double that amount. Dark leafy vegetables, such as beetroot, spinach, rocket, lettuce, and celery, are the top nitrate-containing foods. However, it's important to note that the nitrate content of foods can be affected by cooking methods. To reach the recommended daily intake, you would need to consume a significant amount of these vegetables, or consider whole food supplements. Keep in mind that a balanced diet with a variety of vegetables can still provide some nitrates even if they are not traditionally considered high in nitrates.

    • Eating Dark Green Vegetables is Better Than SupplementsEat dark green leafy veggies daily, limit processed meat, combine meat with veggies, avoid daily antiseptic mouthwash, and practice activities boosting nitric oxide production.

      Consuming nitrate-rich green powder supplements may not be as beneficial as consuming whole foods rich in nitrates, such as dark green leafy vegetables. The entourage effect of the polyphenols and vitamins in whole foods can mitigate against potential negative effects. Here are five practical takeaways from the discussion: 1. Eat at least one portion of dark green leafy vegetables daily, such as spinach or arugula. 2. Swap out processed meats like ham, bacon, and sausages for other protein sources and limit consumption of meats with added nitrates. 3. If you do eat processed meat, combine it with vegetables to potentially mitigate the nitrosamine effect. 4. Avoid using antiseptic mouthwash daily, as it can disrupt the oral microbiome important for nitric oxide production and overall oral health. 5. Practice nasal breathing and other activities that increase nitric oxide production, such as sunlight exposure and breathing practices.

    • Improve health through nasal breathing, UV exposure, diet, and lifestylePracticing nasal breathing, getting enough UV exposure, assessing antacid use, and focusing on diet and lifestyle can boost cardiovascular, metabolic, and brain health, and enhance nitric oxide production.

      Incorporating nasal breathing as a daily practice, getting adequate UV exposure, assessing the use of antacids or PPIs, and focusing on diet and lifestyle factors can have positive impacts on various aspects of health, including cardiovascular, metabolic, and brain health. These practices may also contribute to improved nitric oxide production, which is essential for overall wellbeing. Additionally, understanding the sources and functions of nitrogen and its derivatives, such as nitrates, nitrites, and nitrosamines, can provide valuable context for making informed choices about diet and supplementation. Remember, it's always important to consult with healthcare professionals for personalized advice and recommendations.

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