^ Volta U, Caio G, De Giorgio R, Henriksen C, Skodje G, Lundin KE (Jun 2015). "Non-celiac gluten sensitivity: a work-in-progress entity in the spectrum of wheat-related disorders". Best Pract Res Clin Gastroenterol. 29 (3): 477–91. doi:10.1016/j.bpg.2015.04.006. PMID 26060112. A recently proposed approach to NCGS diagnosis is an objective improvement of gastrointestinal symptoms and extra-intestinal manifestations assessed through a rating scale before and after GFD. Although a standardized symptom rating scale is not yet applied worldwide, a recent study indicated that a decrease of the global symptom score higher than 50% after GFD can be regarded as confirmatory of NCGS (Table 1) [53]. (…) After the confirmation of NCGS diagnosis, according to the previously mentioned work-up, patients are advized to start with a GFD [49].
Think smaller portions. Serving sizes have ballooned recently. When dining out, choose a starter instead of an entree, split a dish with a friend, and don’t order supersized anything. At home, visual cues can help with portion sizes. Your serving of meat, fish, or chicken should be the size of a deck of cards and half a cup of mashed potato, rice, or pasta is about the size of a traditional light bulb. By serving your meals on smaller plates or in bowls, you can trick your brain into thinking it’s a larger portion. If you don’t feel satisfied at the end of a meal, add more leafy greens or round off the meal with fruit.
From a psychological and cultural perspective, a healthier diet may be difficult to achieve for people with poor eating habits.[48] This may be due to tastes acquired in childhood and preferences for sugary, salty and/or fatty foods.[49] In the UK, the chief medical officer of the government recommended in December 2018 that sugar and salt be taxed to discourage consumption.[50]
You likely don’t pay much mind to sesame seeds, but research shows that the crunchy little buggers may play a crucial role in weight maintenance. So, you should seriously consider tossing them into a salad or whole wheat noodle dish. Researchers suspect its the lignans—plant compounds—found in sesame seeds (and flax seeds) that makes them so special. In a 2015 study, women who consumed high levels of lignans tended to weigh less and gain less weight over time when compared to women who didn’t consume these compounds in high amounts.
Here’s more reason to add avocado to everything. “Most of the carbohydrate content in avocados comes from fiber (1/3 of an avocado provides 11 percent of our daily fiber needs), and it also contains monounsaturated fat, which is known as a ‘good’ fat and [is] important for heart health,” says Zigler. Together, the healthy fats and fiber will keep you full to avoid mindless munching throughout the day.
These foods—notably vegetables, fruits, legumes, and whole grains—should supply about 20 to 35 grams of dietary fiber a day, depending on your calorie needs. (Aim for 14 grams of fiber for every 1,000 calories, as advised by the  Dietary Guidelines for Americans.) Fiber slows the absorption of carbohydrates, so they have less effect on insulin and blood sugar, and it provides other health benefits. Try to fill three-quarters of your plate with produce, legumes, and whole grains—leaving only one-quarter for meat, poultry, or other protein sources.
For a 2,000-calorie daily diet, aim for 2½ cups of vegetables and 2 cups of fruit a day. If you consume more calories, aim for more produce; if you consume fewer calories, you can eat less. Include green, orange, red, blue/purple, and yellow vegetables and fruits. In addition to the fiber, the nutrients and phytochemicals in these foods may help protect against certain types of cancer and other diseases. Legumes, rich in fiber, can count as vegetables (though they have more calories than most vegetables). For more fiber, choose whole fruits over juice.
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