Tag Archive for 'pregnancy health'

Diet matters for a Healthy Pregnancy

A recent study led by Englund-Ögge with the Department of Obstetrics and Gynecology at the Institute of Clinical Sciences at the Sahlgrenska Hospital in Gottenburg, Sweden showed the diet was very important for a healthy pregnancy and for lowering the risk of a preterm birth. Dr. Linda Englund-Ögge told Reuters Health in an email.

“Diet really matters when it comes to preterm delivery and it is very important for pregnant women to choose or to increase the intake of an overall healthy diet consisting of fresh and raw vegetables, fruit, whole-grain products, certain fish and to drink water.”

In recent years there has been more interest and more research done concerning maternal diet how it affects the risk of preterm delivery. In this study 66,000 Norwegian women participated between 2002-2008 to study the effects of diet and maternal health. Those who had a “Prudent Diet” consisting of cooked vegetables, salad, onion/leek/garlic, fruit and berries, nuts, vegetables oils, water as a beverage, whole grain cereals, poultry and fiber-rich bread had the lowest instance of preterm birth. Those with a “Western Diet” which included more salty snacks, sweets and chocolates, French fries, white bread, ketchup, sugar-sweetened drinks, pasta and processed meat products had a much higher instance of preterm birth.

There were a total of 3,505 preterm deliveries. The researchers found that women who adhered most closely to the Prudent Diet were 11 percent less likely to have preterm deliveries compared to women who didn’t follow the diet as closely.

“We would like for doctors, midwives and all others who work with pregnant women to reinforce the important message that pregnant women should be encouraged to eat a balanced and healthy diet,” Englund-Ögge said.

“There are modifiable risk factors that people can address to enhance their pregnancy outcomes,” Dr. Louis Muglia told Reuters Health.

Based on this study, he said, a balanced diet with more foods rich in vitamins and other micronutrients probably facilitates a full-term pregnancy. Additionally women that followed the prudent diet were also more likely to have other beneficial lifestyle habits which would contribute to good pregnancy outcomes. These women were more likely to maintain a healthier weight, smoked less and avoided alcohol.

“So I think there are a lot of things that go along with that prudent lifestyle that increases the likelihood of having a healthy pregnancy and reduces the likelihood of a preterm birth as well,” Muglia said.

This research is helpful in relying the message that we assumed for years, that as expecting moms we can positively affect our developing baby’s health by eating healthy foods during pregnancy and following a healthy lifestyle. The research noted that even the women in the “Prudent Diet” category did indulge in Western eatting from time to time and did indulge in sweets sometimes as well, but it’s the overall diet pattern that mattered the most. This is good news for all of us as it’s impossible to be perfect in pregnancy or anytime!

6 Tips for a Healthy Pregnancy

1. Eat 5-6 well-balanced meals each day. Morning sickness is actually lessoned when you don’t let yourself go too long between meals, symptoms can actually get worse on an empty stomach. Meals do not have to be big, but try and vary your food choices and stick to healthy snacks and meals.

2. Drink plenty of fluids throughout the day. Sometimes with morning sickness it’s easier to not drink as much with a meal and drink more between meals. Aim for 8-10 glasses a day while avoiding or limiting caffeine.

3. Exercise – it’s important to stay active during pregnancy, just stay cognizant of your exertion level and  hydrate frequently. Remember your ligaments and tendons are looser, so wear supportive athletic shoes to exercise and use good judgment in choosing your exercise– no wind sprints or downhill skiing! Also, take more breaks and keep in mind that your center of gravity is also shifting. Staying fit during your pregnancy will improve your overall health and make your postpartum recovery much easier.

4. Don’t drink alcohol or smoke. Also be careful about exposing yourself to second hand smoke. The jury is still out how much alcohol is safe during pregnancy. It is better to abstain drinking alcohol altogether than risk your baby’s health. There will be plenty of times for Happy Hours when your baby is older!

5. Wear comfortable clothing that you can move around in and that does not restrict blood flow. Non restrictive shoes are particularly important as you approach your third trimester. During this period of your pregnancy it is typical for feet to accumulate fluid and swell. Remember to prop up your feet during the day whenever possible to reduce any swelling.

6. Consult your doctor before taking any medications, even seemingly benign over the counter medications such as Tylenol have been found to be risky during pregnancy. Also consult your doctor for herbal remedies as these too can be risky for your baby’s development.

There seems to be a lot of “be careful” advice and “don’t do’s” during pregnancy which can sometimes feel overwhelming. For the most part you can use common sense and listen to your body about what is and is not a healthy choice during this time. Now your get to eat, drink and think for two, not just yourself which is an adjustment for most of us.  It is an incredibly important time during your baby’s development so although you don’t need to guilt yourself over every slip up you also want to use your best judgment for your baby’s optimal health and development. You owe it to yourself and your baby to be the best expecting mom you can be! Motherhood starts during pregnacy, so now is a great time to adopt healthy habits.

Folic Acid during Pregnancy may reduce Baby’s risk of Autism

Most of us have received the news flash that we should take our prenatal vitamins and in particular we should take our folic acid when we are pregnant. Folic acid is an important vitamin for helping prevent neural tube defects in babies. However, did you know that it may help reduce autism?

Now this is even more relatable a reason for most of us as autism is almost always in the news, seemingly on the rise or at least on the rise in terms of diagnosis and is surrounded by a shroud of mystery and debate over how a child can get it or be born with it.

A new study in Norway found a very strong correlation between a reduction in autism and women who took folic acid supplements four weeks before their pregnancy and through at least the 8th week of their pregnancy. Women who took Folic Acid daily during this time period saw a 40% reduction in autism in their children (when they were tested about 8 years later) as compared to the children of the pregnant women in the group who did not take folic acid for this time period. This is a huge reduction in autism!

Apparently timing does matter. The earlier you can start supplementing with folic acid prior to conception, the better. The study found that in terms of autism risk that the folic acid supplements did not seem to have any impact beyond the 22nd week of pregnancy. The crucial time interval was from four weeks before conception to eight weeks into the pregnancy.

Of course it does not hurt to continue on with folic acid throughout your pregnancy and who knows, maybe there’s further benefits or risk reductions that are yet to be uncovered from continuing with folic acid beyond the first trimester. However, what researchers have uncovered so far is enough evidence to start any woman even thinking about having a baby to be popping a folic acid supplement right away.

So what is folic acid? It is the B vitamin that helps with the construction and repair of DNA molecules which is the genetic code that controls all of the body’s cells, including the brain cells. It is especially important to take it early in pregnancy during the development of the baby’s spine and nervous system to prevent neural tube defects, including spina bifida. Doctors typically recommend that all women who are planning on getting pregnant to take 400 micrograms of folic acid daily from a multivitamin and continue taking this amount throughout their early pregnancy.

Now with 1 out of 88 children diagnosed with autism we hope that this research will help us reduce the risk of childhood autism and increase awareness of our ability to potentially prevent this disability by supplementing with Folic Acid early in our pregnancy and even before. Knowledge is power so let’s empower ourselves and those we know with this scientific knowledge and preventative health measure of supplementing daily with Folic Acid if we are pregnant or hope to become pregnant. It’s an easy lifestyle adder that can reap benefits in our child’s health and well-being for a lifetime.

Lifestyle Factors you can Change to avoid Miscarriage

Obviously during pregnancy, the last thing you want to worry or even think about is a miscarriage. I know for me it was almost a feeling that if you don’t think it, it won’t happen, just stay positive, right? Obviously stress is something that you want to lesson to make your pregnancy journey safer and better overall. However, there are times I believe reliable information about what we fear, may actually be helpful and allow us to be more empowered to make better health and lifestyle decisions during our pregnancy. This is why I would like to share some research by scientists in Denmark recently published in International Journal of Obstetrics and Gynecology on miscarriage and how we can avoid it.

In this study it was determined that miscarriages during pregnancy could be lowered by as much as 25% by modifying or avoiding high risk behaviors duing pregnancy. These risk factors included factors including lack of exercise or too vigorous (or risky) exercise, too much alcohol consumption, smoking(at all), drinking coffee, overtime and evening work schedules, regular heavy lifting, weight gain, and advanced maternal age. Of course if you are already pregnant and at an “advanced maternal age” there’s not much you can modify about that factor but there are plenty of other risk factors we can affect in our lifestyle to reduce our risks and improve our pregnancy health and our baby’s health.

Apparently weight was an important factor for pregnancy viability and pregnancy health as well as the baby’s health. If you were overweight before you were pregnant then you do not need to gain the recommended 25-35 pounds during pregnancy. You can gain far less but you will need to be extra vigilant about healthy calories so that your baby (and you) get the nutrients you need. Talk to your doctor about your weight and do not avoid the subject or wait for them to bring it up. New research shows that doctors in the United States are less likely to bring up a pregnant woman’s weight gain if she is gaining too much than they did in previous years. Obviously it is not always a popular subject and one that is often the last thing mentioned before the end of the visit if at all. As a result of less emphasis on our weight gain and pregnancy diet, our pregnancy obesity rates have skyrocketed in recent years and this factor is affecting rates of healthy pregnancies overall. These health risks include stillbirth rates, high blood pressure (preeclampsia), gestational diabetes (leading to higher weight babies and childhood obesity), more complications during labor and delivery and a harder time losing the weight after pregnancy. Instaed of feeling guilty, we need to address the problem directly with our doctor and admit if we are having problems with our pregnancy weight and ask for help.

As a mom of three I understand the problems with weight gain during pregnancy. I had severe morning sickness with all three of my babies yet I gained more than the recommended weight with my first two pregnancies, particularly the first. It seemed high carbs and sugars were the only thing my body could keep down or that seemed appealing whenever the sickness would subside. Even though I stayed active during my pregnancies it seems that food choices and quantities would really drive my weight gain more than I could offset those calories with exercise. I also admit that I was guilty of over indulging in sweets as all my forgiving stretchy pregnancy clothes seemed to hide the extra pound or two that was rapidly creeping on. On the other side, you definitely do want to gain enough weight if you are underweight or not gaining enough to support your pregancy and development of your baby. It is a delicate balance and seems unfair that pregnancy is a time we should need to worry about our weight at all. My recommendation is to be proactive in talking to your doctor and even getting a dietician referral if you have any difficulties or questions with your weight. It is never too late to be proactive about your pregnancy health.

Obviously exercise is good for us during pregnancy and promotes a healthy pregnancy, so it is important to keep a regular safe exercise regime that your doctor approves and to be flexible in adjusting your routine during each stage of your pregnancy. Pay attention to your body and make sure you are not over straining it by lifting too heavy of a weight (and this includes childcare routines where children 40 pounds or more are lifted and carried). Also make sure that you hydrate regularly as your body requires more water and you may need to take more frequent breaks, particularly if you feel you are overheating or your heart rate is too high. If an exercise involves more balance, like tennis, be extra careful as your center of gravity is constantly shifting and your ligaments and tendons are looser during pregnancy. This is maybe a time to just “practice” a safe sport and not compete if you are the competitive type!

If you smoke, then pregnancy is an excellent time, reason and motivation to quit.Alcohol and coffee consumption have long been a hot topic in pregnancy circles. Although some doctors say a small amount of alcohol or caffeine is OK during pregnancy, no one seems to know exactly how much is OK. If you want to err on the safe side it is probably best to tee-total on both alcohol and caffeine or at least to strongly limit your intake. You will have plenty of time to enjoy a cocktail or two as well as extra mochas in years to come. There are always other options to choose from for beverage choices such as an alcohol free beer or decaf latte or tea.

Work schedules and stress are not always easy factors to control. One major way to reduce the risk of miscarriage is to pay attention to our physical and emotional stress level and get the sleep we need. The study did find that night and overtime schedules increased women’s health risks during pregnancy as well as heavy lifting jobs. If these factors are a issue for you then you might want to check out your company’s pregnancy, health and maternity leave policies as there may be allowances for you to alter your high risk job demands during pregnancy, especially with your doctor’s permission. Sometimes you can work directly with your manager to work out a flex-time schedule or work at home schedule that allows you to take more rest. Or, you may need a doctor’s note to excuse you from certain tasks, such as heavy lifting on the job, or to get an early maternity leave. If you cannot, then you may need to re-assess if the job and its hours and determine if it is worth the risk of your pregnancy health.

Pregnancy is a time to be selfish about your health and your baby’s health and not a time to be “tough” about taking on undo physical and emotional challenges that could challenge you and your baby’s health. Your body is making a baby which takes a huge amount of energy and strength and affects not only your hormone levels but your physical abilities and needs. You will need more sleep as well as better nutrition, and more friendly work hours. Do not be afraid to speak up for what you need at home or at work, even if you feel like a wimp asking for extra time off or permission to get out of a physically demanding job. You can make it up when you are not making a baby. As everyone knows, pregnancy is not for wimps!

Breastfeeding Tips from Bravado!

Breastfeeding is the best nutrition and antibodies you can provide your baby during it’s first year of life and particularly for it’s first 6 months of life. According to a new Study published by Bravado! designs, our top nursing bra brand, breastfeeding is on the rise in North America.

In 2012 77% of new moms nursing their newborn, up 6% from 12 years ago in 2000 in the United States. In Canada breastfeeding rates also continued to rise with 89% of mothers breastfeeding their infants, up 4% from 2003. This is super news for both babies and new mothers as breastfeeding can improve the bond between mothers and their infants and even improve materal health and aid with postpartum weight loss.

Here is Bravado’s List of the Top 7 Benefits of Breastfeeding:

1) Breastmilk contains the right balance of nutrients for your baby.

2) Antibodies in Breast Milk boost your baby’s immune system.

3) Breastfeeding can protect your baby from developing allergies.

4) May lower baby’s risk of SIDS.

5) May protect your child from obesity.

6) May boost your child’s intelligence.

7) May reduce your stress level and risk for post-partum depression.

Although breastfeeding can seem a like perfectly natural thing to do, it may not always feel natural or be easy in the beginning. For many moms (and babies) it can take some time catching onto, breastfeeding every baby can be a different experience. Do not hesitate to get the help you need to get you and your baby on the right track with breastfeeding. Hospitals provide nurses and lactation consultants to guide you in feeding your baby. You can also to nursing support groups, La Leche Leagues and local Moms groups to seek out the help you need for breastfeeding.

Here are some Basic Breastfeeding Tips (as provided by Bravado!)

1) Ask for help right away

The first time you breast-feed your baby – preferably within a few hours after delivery, ask for help. The maternity nurses or a Lactation Consultant can offer breastfeeding tips, stating with how to position the baby on the breast and make sure he or she is latching on correctly.

2) Let your baby set the pace

For the first few weeks, most newborns feed every two to three hours around the clock. Watch for signs of hunger such as restlessness, sucking motions with lip movements.

3) Give it time

If breastfeeding is tougher than you expected, don’t get discouraged. Don’t let a rough start turn you off from breastfeeding. The more your breastfeed your baby, the more milk your breast will produce and the better you will get at it. But do  not hesitate to get the help you need if you do hit a rough patch (back to Step 1 when all else fails!) You will get there with time, patience and practice.

Breastfeeding is a job, but it is so worth it for your baby. It can be exhausting feeding your baby around the clock, so make sure you are getting the nutrition and support you need from friends, relatives, neighbors and anyone else who offers to cook you a meal, help with baby or household chores! Be sure to pat yourself on the back for doing a very good deed for your baby that will reap rewards for your both now and for years to come.

 

 

 

 

 

 

 

 

 

 

 

Selfies of Uber-fit Moms who show off bodies after Birth are Selfish

Personally I am tired of these moms coming out of anonymity to show off post baby ultra-fit bodies by posting selfies on Facebook while scantily clad to put the rest of us normal people to shame. Really, is there not any decorum and decency left? Of course I say “good to you” if you can find the time, means and let’s not kid ourselves, genes, to drop all your baby weight in mere days after giving birth and reveal something like a set of six pack abs. But in my opinion these photos reveal more about vanity than muscles.

However it does give me pause to wonder if they are forgetting about the baby or were more focused on their own body weight than a healthy pregnancy. If you are nursing postpartum, which is a fulltime job in itself, you should be consuming an additional 500 calories a day for a total of approximately 2500 calories a day to support milk production.

Many nursing women find that over time nursing does help them burn off a lot of the baby weight while continuing to eat a healthy 2500 calorie a day diet, particularly as the baby gets older and eats more. Personally I think nursing fulltime should be redefined as something of a contact or endurance sport as it does take a high level of skill, patience, strategy, quick reaction time and limitless energy to get it right. Of course the long-term benefits to your baby and to your own health are infinite and priceless (and yes it does save you money). However, any sort of weight drop from nursing is usually gradual and generally does not kick in for several months as the early day and weeks postpartum are really about revving up your milk supply and learning how to feed your baby successfully (and around the clock while trying to steal catnaps whenever possible and feel vaguely human).

So my message to the exhibitionists who are looking for instant fame and recognition through a viral Instagram or u-tube videos for their abnormal postpartum weight loss is, please keep it to yourself or between you and your husband. We may gawk at your photo and send encouraging messages, but really you are shaming the rest of us normal people with actual human bodies that do not react like yours.

Redirect the focus to your postpartum health and that of our baby and less on vanity. These early days with your new baby are a precious bonding experience which can set the tone for your relationship with your child for life. Savor them, expect them to be heartwarming as well as challenging steeped in sleep deprivation. Be sure to rely upon the kindness of friends and family who offer to help and cook a meal or watch the baby while you take a break or rest.

Remember to give yourself a pat on the back for successfully bearing a child, managing your life and body through 9 months of pregnancy and having the guts to care for a newborn who does not always follow an instruction manual and seeking to make that new baby a priority in your life in the days, months and years to come. That’s the important stuff, six pack abs can wait.

Exercise During Pregnacy to Make your Baby Smart!

As Holiday Season approaches many of us find ourselves munching on more cookies, eating more pie and indulging in bigger meals. It’s easy to do as the weather is cooler and you may be surrounded by friends and family and lots of yummy goodies. Although pregnancy is not a time to diet, it is perfectly ok and even recommended to exercise, especially when you need to offset some extra helpings of stuffing or pumpkin pie.

Not only is exercise good for maintaining a healthy pregnancy weight, it’s also good for your brain, nerves and self-esteem. More recently researchers are uncovering new benefits of exercise to the developing fetus. Two studies presented a few weeks ago at the Society of Neuroscience suggest that exercise during pregnancy gives unborn children a neurological advantage with “more mature and effective brain patterns.” Dave Ellemberg, a neuroscientists at the University of Montreal says active moms can give their kids “a kickstart even before they are born.” He continues, “What we found is that there’s this amazing transfer from what the mother does onto her child.”

What better motivation is there to exercise since not only are you improving your own body and mind during pregnancy but that of your unborn child’s at the same time. Another recent study performed at Dartmouth University found similar results with the potential for exercise to leave “long-lasting effects on the behavior and cognitive function of the offspring.”

Even as little as thirty minutes a day of moderate exercise can help with weight gain, mood and prepare mothers for labor, says Laura Riley, Director of labor and delivery and obstetrics and gynecology at Massachusetts General Hospital. She continues, that pregnant women who exercise are more mobile throughout their pregnancy and report less aches and pains during pregnancy.

How much you exercise and the type of exercise you choose to do should depend on your fitness level. In general it is recommended that women should continue the exercise they already do and just adjust the level to their weight and abilities as the pregnancy progresses. Even just walking will do wonders for your body and your baby.

There are obvious safety precautions such as staying clear of contact sports or those that require advanced coordination, such as biking (maybe consider a stationary bike). Also steer clear of exercise that involves flat on the back positions that can cause back strain or cut off the blood flow. Also you should not do abdominal work since those muscles are stretched to support your baby.

Most importantly stay in tune with your body and take more frequent breaks. Also, be sure to hydrate more often as your body will need more liquids when you are pregnant. Finally be sure to be in close communication with your doctor on all exercise you pursue to make sure it is recommended and safe.

Oreos are More Addictive than Drugs

Did you ever find yourself opening a new package of Oreo Cookies just to find that you simply could not stop eatting them? One to two Oreos turned into 5-6 and then some and the desire to eat more just increased? Well turns out you are not alone and it turns out there is good scientific data out there to explain why.

A new study by students at Connecticut College found that when rats ate Oreo cookies they activiated more neurons in the rats’ brain (in their pleasure centers) than hard addictive drugs such as cocaine or morphine.

Neuroscience Professor Joseph Schroeder said in in a school press release, “Our research supports the theory that high-fat/high sugar foods stimulate the brain in the same way that drugs do.” He continued, “It may explain why some people can’t resist these foods despite the fact that they know they are bad for them.”

Jamie Honohun, the student behind the research, said she was interested in exploring how foods with high fat and sugar content contritube to obesity that in prevalent in low-income communities. She concluded that the risk was higher because of there low price point.

“Even though we associate significant health hazards in taking drugs like cocaine and morphine, high-fat/high-sugar foods may present even more of a danger because of their accessibility and affordability, said Jamie Honohun.

I’m sure if they did a study on pregnant rats, they would probably find an even higher correlation to addiction to sugar cravings as many pregnant women do once they get past the throws of morning sickness.

On a more comical note, the study did find that the Oreo lab rats would break open the cookie and “eat the middle first” much like we do.

Stay Away from BPA during Pregnancy

As if we don’t have enough to be worried about during pregnancy, we now have new research to reinforce a suspected health danger, BPA. In pregnancy, exposure to high levels of the BPA chemical may increase risk of miscarriage based on findings from a recent study from the American Society for Reproductive Medicine.

This study found that pregnant women who had the highest levels of bisphenol A, or BPA, in their blood were more likely to miscarry (by 80%) than pregnant women with low levels of BPA.

BPA is commonly used in food packaging and it also used to line cans to prevent corrosion. Even more concerning it is found in plastic baby bottles as well as tableware and food storage containers.

Researchers refer to BPA as a “hormone disrupting chemical” which links to reproductive problems including obesity, diabetes and neurodevelopmental delays. All the more reason to be more cautious with your exposure to BPA during pregnancy.

The BPA chemical is currently banned in Canada and the European Union. The United States banned it from baby bottles and sippy cups last July 2010 but has rejected ban of the chemical altogether.

Small levels of exposure to BPA are reported to be safe and the study has not confirmed causality of BPA exposure to miscarriage as there may be other risk factors involved. However the findings are convincing enough that pregnant women should be extra vigilant about BPA exposure.

To be on the safe side, parents should discard plastic bottles and sippy cups acquired earlier than July 2012 as they were made before the BPA ban on these products. Be sure to throw out plastic bottles that have scratches as they may contain bacteria which increases the release of BPA. Also, limit your children’s exposure to BPA products including the plastic food storage containers with BPA that are used for children’s meals.

Is Seafood Safe to Eat During Pregnancy?

Once you’re pregnant, everything you do in your life that affects your health needs to be examined closer to ensure the healthy development of your baby. Nutritional needs top the charts with increased attention to your diet which may be further complicated by morning sickness which, for some women, can last the entire nine months of pregnancy.

It comes as no surprise that lean protein is an optimal source of nutrition for anyone’s diet, but especially an expecting mom. In terms of calories per portion, seafood such as fish, particularly of the salmon variety which packs in those important fatty acids with low calories per portion can be a great choice. However, many pregnant women steer clear from seafood altogether with all the news we hear about mercury levels being dangerously high and a risk for the health of a developing fetus.

While some seafood may be best to avoid during pregnancy, it is not a great idea to cut out seafood altogether as they contain many nutrients that are vital to our baby’s health and development. As the saying goes don’t throw the baby out with the bath water. In the same notion don’t throw all the fish out of your diet with the worries of mercury and contamination, but do choose wisely. There are plenty of great seafood choices that are very beneficial to our developing fetus’ health as well as our own.

For starters, omega-3 fatty acids aid in brain development and provide high levels of lean protein. Fish can serve as a powerful weapon against birth defects when choosing the low mercury varieties such as salmon, sardines, haddock and cod. Seafood which is high in mercury which you should avoid during pregnancy include shark, king mackerel, swordfish and tilefish. In moderation, tuna is not a problem as long as you avoid the albacore and blufin varieties and limit your consumption to a few servings a month.

It is also a good idea to steer clear of fish caught in contaminated lakes or rivers that can carry high levels of polychlorinated biphenyls, or PCBs which could travel to the placenta and affect the development of the fetus. So do be cautious when eating fish from local lakes and rivers.

Raw shellfish and uncooked sushi are also seafood choices you should postpone during pregnancy. Also, make sure that cooked mussels, clams and oysters are actually cooked all the way through so that salmonella is not a threat. Pathogens such as salmonella are destroyed through cooking, otherwise they can cause severe food poisoning in pregnancy and may cross the placenta to the fetus as well.

It is easy to be overwhelmed with all the mercury and food poisoning cautions and simply avoid seafood altogether during pregnancy, but this would be a disservice to your developing baby and yourself as there are so many benefits to safe seafood choices, such as salmon for dinner. Seafood during pregnancy can be a very healthy choice, just choose wisely and space out your seafood meals and portion sizes for moderation.