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½ hamburger or kaiser bun, or English muffin
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250mL (1 cup) homemade soups made with beans, lentils, barley, and vegetables
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2-4 whole-wheat, low-fat crackers (check the serving size)
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125 mL (1/2 cup) starchy vegetables: corn, sweet potato, yam, cassava
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1 small or ½ medium potato
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125ml (1/2 cup) cooked brown rice, whole-wheat pasta, macaroni, noodles, kasha, barley, bulgur, quinoa
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For cereals, check the Nutrition Facts Label and choose items with more than 15% daily value of fibre and less than 5% daily values of sodium:
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80ml (1/3 cup) Bran Buds with Psyllium
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190ml (3/4 cup) cooked oatmeal
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175ml (2/3 cup) Shredded Wheat
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125 mL (1/2 cup) Kellogg’s All Bran
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Choose less often:
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Salted or high-fat crackers, egg bread, cheese rolls, croissants
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Commercial cakes and cookies, store-bought muffins, doughnuts, Danishes, waffles, pancakes
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Potato chips, corn chips
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Canned soups and dehydrated soup mixes
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Frozen French fries
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Rice and pasta convenience products (such as Kraft Dinner), egg pasta, fried noodles.
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MEAT AND ALTERNATIVES
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Protein foods, including meat and plant-based proteins, are an important part of healthy eating.
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Eat 2-3 servings per day.
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One serving of meat, fish, or chicken is about 3 ounces (90 g) cooked.
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Cheese is high in sodium. Read the Nutritional Facts Label of cheese products before you buy them.
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Have plant-based proteins such as beans, lentils, chickpeas, and split peas often.
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Choose (example of 1 serving):
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Fresh, frozen, and canned low-sodium fish packed in water
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90 g poultry. Choose lean ground chicken or turkey when possible.
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90 g lean cuts of beef, veal, lamb, pork, rabbit, or venison. Choose extra-lean ground beef when possible.
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50 g of 15% M.F. cheese, low sodium
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2 eggs OR 4 egg whites OR 125 ml (1/2 cup) liquid egg whites
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150 mg (3/4 cup) firm tofu
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175 ml (3/4 cup) cooked lentils, soybeans, chickpeas, navy beans, kidney beans
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Choose less often:
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Canned fish soaked in oil
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Battered, fried, creamed, smoked, salted, or pickled fish, caviar, and squid
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Duck, goose, poultry skin, basted poultry
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Luncheon meat, back bacon, ham, sausages, wieners
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Organ meats, spareribs
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Processed cheese, full-fat cheese, cheese spreads.
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PORTION SIZES
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Food portions are increasing. Larger portions might mean that you are eating more and gaining weight. Here are some ways you can eat and serve smaller portions.
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At home:
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Plate the suggested serving size for each person (children, teenagers, and adults) and put away the extra food for another meal
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If you are still hungry, have extra salad or vegetables instead of extra dairy, grains, or meat
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Pack up leftovers for lunch the next day
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When eating out:
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Skip or share the appetizers
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Split the main dish with your companion
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Put half of your plate in a to-go container for the next day’s lunch or dinner before you begin eating
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Order a mini dessert or share a dessert
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Avoid refills of sweetened beverages such as soft drinks, iced tea, and lemonade OR stick to water
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When ordering takeout:
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Order less
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Add a homemade salad to the meal
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Snacks:
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Measure out the amount according to the serving size instead of eating straight from the bag or box.
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Avoiding buying snacks such as cookies, chips, ice cream, store-bought muffins, and cake
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Have healthy snacks, such as fruit, in plain sight
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Groceries:
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Buying in bulk may be budget friendly, but is not serving size friendly
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Use small reusable containers/bags to repackage your snacks according to the serving size
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Re-package bulk purchases into small portions before freezing them.
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It is easy to overeat when you are not paying attention. Don’t eat while watching tv, reading or on your computer
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Using a food diary for a few days can help you pay closer attention to what, how much, and how often you are eating.
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ELIMINATING ALCOHOL
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Alcohol is toxic to the heart. It is recommended that all patients with heart failure completely abstain from alcohol.Consumption of alcohol can lead to increased fluid accumulation, which puts extra strain on your heart (see section on Fluid Restriction). In addition, alcohol can interfere with how some of your medications work. In some cases, excessive alcohol consumption may be the cause of heart failure, and abstinence from alcohol may result in normalization of the heart’s function. If you think that eliminating alcohol is a problem for you, speak to your healthcare provider. They may be able to suggest resources to help you deal with this problem.
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FLUID RESTRICTION
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Heart failure impacts the function of the body’s circulatory system, and can cause fluid accumulation in the legs, ankles, or lungs.
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Your health care provider will talk to you about whether you should restrict your fluid intake, and if so, by how much.
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Remember that fluid intake does not just include water. It also includes any liquids, such as coffee, tea, juices, soups, ice cream, ice cubes, and also some fruit that contain a lot of water (watermelon).
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FLUID ACCUMULATION
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Normally, our bodies eliminate extra fluid by excreting it as urine. People with heart failure can lose the ability to expel extra fluid.
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The heart must then work harder to pump the excess fluid around the body and may not be able to keep up. Extra fluid can accumulate and seep out of blood vessels into tissues, leading to swelling in the lower legs and ankles. Fluid may also accumulate in the lungs, making it difficult to breathe, particularly when lying flat.
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