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Living Well : Nutrition

All About Vegetables

Eating vegetables is a low-calorie way to get essential vitamins into your everyday diet—with plenty of additional health benefits

EAT VEGETABLES. BE HEALTHY. LOSE WEIGHT.

Vegetables are tasty and a great source of vitamins A, C, and folate. In addition, vegetables contain important minerals, including iron and magnesium. They are also an excellent source of complex carbohydrates and are low in dietary fat. This is good news for people trying to lose weight.

Vegetables provide important vitamins and nutrients for a healthy body. Eating vegetables has many health benefits, such as lowering your risk for some types of cancer, type 2 diabetes, stroke, and heart disease. A diet that includes vegetables rich in potassium, like leafy green vegetables, may also lower the risk of kidney stones and help prevent bone loss as you get older. Finally, vegetables can be a low-calorie way to fill yourself up.

RECOMMENDED AMOUNTS

Women are recommended to eat 2 to 2½ cups of vegetables each day; men are recommended to eat 2½ to 3 cups daily.

Try to eat a variety of vegetables. For example, try to eat vegetables from each of these groups:

  • Dark green vegetables like broccoli, spinach, kale, collard greens, and romaine lettuce
  • Red and orange vegetables like carrots, butternut squash, tomatoes, and sweet potatoes
  • Beans and peas like black beans, black-eyed peas, chickpeas, kidney beans, pinto beans, soy beans, and lentils
  • Starchy vegetables like corn, green peas, and potatoes
  • Other vegetables like artichokes, asparagus, green beans, mushrooms, zucchini, and eggplant

You can buy your vegetables fresh, frozen, canned, or dried/dehydrated. You can serve them raw or cooked, whole, cut-up, or mashed—see what your healthcare provider recommends, and enjoy!

SERVING TIPS FOR VEGETABLES

With a little creativity and planning, vegetables can become a fun and enjoyable part of your everyday diet. Here are some serving tips that you may find helpful:

  • Fresh vegetables are great snacks; celery, carrots, cauliflower, green peppers, cucumbers, and broccoli can be good choices
  • Steaming vegetables can be fun and can add variety to your meals. Best of all, it is easy to do and does not leave a big mess. While steaming the vegetables, you can add herbs or other seasonings for more flavor or serve the steamed vegetables with a splash of lemon
  • Think of different ways to add vegetables to the foods you already enjoy. Adding a slice of tomato, 2 large leaves of lettuce or spinach, and a pickle on the side can turn a sandwich into a meal that includes one serving of vegetables. You can also mix mushrooms into a marinara sauce, fill your omelet with spinach, or add chopped celery or radish to tuna salad
  • If you eat fast food, be creative. Some fast-food restaurants now offer vegetable options instead of French fries, so you can try a garden salad or baked potato next time—but be careful with dressings and toppings. Make sure they are low fat and remember to watch out for those hidden calories

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INDICATION

Qsymia® should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:

  • 30 kg/m2 or greater (obese) or
  • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol

Limitations of Use:

  • It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke
  • It is not known if Qsymia is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products

It is not known if Qsymia is safe and effective in children under 18 years old

IMPORTANT SAFETY INFORMATION

Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.

Qsymia can cause serious side effects, including:

Birth defects (cleft lip/cleft palate). If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant. Women who are pregnant must not take Qsymia. Women who can become pregnant should have a negative pregnancy test before taking Qsymia and every month while taking Qsymia and use effective birth control (contraception) consistently while taking Qsymia. Talk to your healthcare provider about how to prevent pregnancy. If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to FDA MedWatch at 1-800-FDA-1088, and the Qsymia Pregnancy Surveillance Program at 1-888-998-4887.

Increases in heart rate. Qsymia can increase your heart rate at rest. Your healthcare provider should check your heart rate while you take Qsymia. Tell your healthcare provider if you experience, while at rest, a racing or pounding feeling in your chest lasting several minutes when taking Qsymia.

Suicidal thoughts or actions. Topiramate, an ingredient in Qsymia, may cause you to have suicidal thoughts or actions. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; attempts to commit suicide; new or worse depression; new or worse anxiety; feeling agitated or restless; panic attacks; trouble sleeping (insomnia); new or worse irritability; acting aggressive, being angry, or violent; acting on dangerous impulses; an extreme increase in activity or talking (mania); other unusual changes in behavior or mood.

Serious eye problems, which include any sudden decrease in vision, with or without eye pain and redness or a blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma). These problems can lead to permanent vision loss if not treated. Tell your healthcare provider right away if you have any new eye symptoms.

Possible side effects of Qsymia include:

Mood changes and trouble sleeping. Qsymia may cause depression or mood problems, and trouble sleeping. Tell your healthcare provider if symptoms occur.

Concentration, memory, and speech difficulties. Qsymia may affect how you think and cause confusion, problems with concentration, attention, memory or speech. Tell your healthcare provider if symptoms occur.

Increases of acid in bloodstream (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Metabolic acidosis can happen with or without symptoms. Sometimes people with metabolic acidosis will: feel tired, not feel hungry (loss of appetite), feel changes in heartbeat, or have trouble thinking clearly. Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with Qsymia.

Low blood sugar (hypoglycemia) in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus. Weight loss can cause low blood sugar in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus (such as insulin or sulfonylureas). You should check your blood sugar before you start taking Qsymia and while you take Qsymia.

High blood pressure medicines. If you are taking medicines for your blood pressure, your doctor may need to adjust these medicines while taking Qsymia.

Central Nervous System (CNS) side effects. The use of prescription sleep aids, anxiety medicines, or drinking alcohol with Qsymia may cause an increase in CNS symptoms such as dizziness and light-headedness. Do not drink alcohol with Qsymia.

Possible seizures if you stop taking Qsymia too fast. Seizures may happen in people who may or may not have had seizures in the past if you stop Qsymia too fast. Your healthcare provider will tell you how to stop taking Qsymia slowly.

Kidney stones. Drink plenty of fluids when taking Qsymia to help decrease your chances of getting kidney stones. If you get severe side or back pain, and/or blood in your urine, call your healthcare provider.

Decreased sweating and increased body temperature (fever). People should be watched for signs of decreased sweating and fever, especially in hot temperatures. Some people may need to be hospitalized for this condition.

Common side effects of Qsymia include:

Numbness or tingling in the hands, arms, feet, or face (paraesthesia); dizziness; changes in the way foods taste or loss of taste (dysgeusia); trouble sleeping (insomnia); constipation; and dry mouth.

Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects of Qsymia. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to VIVUS, Inc. at 1-888-998-4887 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please read the Qsymia Medication Guide and Full Prescribing Information.

The Q and Me Patient Resources and Education site is based on the LEARN® Program provided under copyright license (September 15, 2010). All rights reserved.

IMPORTANT SAFETY INFORMATION

Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.

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