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Bucharest nightlife… ahoy there! (updated for 2015 – so go for it and HAVE FUN!)
For those lucky souls who managed to experience the magic of Eastern European nightlife, I say to you, congratulations. And for those who got to experience the Bucharest nightlife, congratulations twice.
Why? Well, to those of you who did experience it, there's no need to answer that question. But if you didn't, well, you missed out on some of the best parties on this planet.
You're just saying that because you're from Romania!
Yes…and No. Sure, every corner of this world has special places to enjoy your Saturday night party with your best buddies but most of the foreigners I met love to party in Bucharest. And Romania in general. Often I wondered why, what makes this place so special and why do the foreigners love it so much. I have friends who regularly return to Bucharest to enjoy the city, have a great time and try to remember the next day who were the girls (or boys) with the numbers in their phones.
So what makes it so special? Why is Bucharest nightlife worth coming back?
Let's start off with the most obvious – clubs. You will only find Bamboo and Le Gaga listed in the Finest Clubs in The World shortlist, but these two aside, there's plenty of other good places were you can enjoy a regular Bucharest nightlife party. You say there's plenty of clubs anywhere, why is this place special?
The people.
Yes, the people make it truly special. The clubbers who make it worth laughing at 5:30AM when most of the partygoers are drunk and dancing out of inertia rather than personal desire. The places are raving even when a regular work day starts, and it's not necessarily because it finishes so late, it's because during that window of time you're always dancing, laughing, talking to gorgeous girls (or guys) and enjoying a really good selection of music.
Oh and yeah, about the music, every taste is covered, and top DJs come around regularly. They know good fun when they see it. 😉
But there's a certain "je ne sais quoi" attached to every night out in Bucharest, a certain limited craziness that makes it very much worth it to go out quite frequently. It makes it twice as fun when you see people in all four corners of the place you went to rave, shout and laugh for pretty much most of the night. Yes, that's everywhere, but no, you'd be hard pressed to find it at this level.
Let's be honest over here – when was the last time you saw a dinosaur in a club?
Themed parties are quite common around these areas, particularly in some of the more fashion oriented places, so having a dinosaur around is part of the usual spectacle. 😀
So where do I go when I'm in Bucharest?
Best clubs in Bucharest
- Fratelli
- GAIA Boutique Club (the fashion place)
- Bamboo Club and Le Gaga – members of the Finest Clubs in the World
- BOA – Beat Of Angels
- The ONE
- LOFT (all right, not really a club, but more of a refined dining-partying experience)
- TAPO / AGO (same as LOFT – dinner turned partying experience)
But you say you don't want a club. You want something that's more relaxed.
You have the other obvious choice in this case – Lipscani. Also known as the Old Town of Bucharest. Only a pedestrian zone, the cluster of old houses built in 1920's architecture is now literally an open party, with pubs, bars, small clubs and party-goers-know-what-else every other step you take. You can eat on the street, on the steps of the Romanian National Bank, have a beer (or too many), party, rave, scream, yell… As long as it's within the law, you can do it. And you can do it until you wish.
What makes it so special? Probably most of the people around you will cheer you on. Lipscani is bustling with activity even at 4 or 5 am when usually everyone takes off for home. Traffic jams around the area are common at 10 pm and at 6 am in the morning, so be prepared. The same concept applies here as well – the people make it worth it, so don't be afraid to dance on the bar. You will get cheered on if you're doing a good job!
Places to go to in Bucharest
Caru' Cu Bere – the traditional Romanian restaurant, housed in a historic landmark built in the 19th century
Vintage Pub / Club Bound / Old City Pub / Mike's Pub – Bars and pubs to enjoy a good party
Van Gogh Cafe – Cosy cafe atmosphere (Top Tip – Go when Holland is playing football, the Dutch embassy sometimes gathers to watch the match and it turns the whole place into one big orange)
Biutiful – Classy cafe, excellent burger, refined and very very crowded
Mojo – Sing, sing, sing, and bring your friends so you can sing together karaoke
Salon Golescu / M60 / Journey Pub / Gradina Verona – Coffee, tea, cocktails… drink whatever you like, surrounded by friends
Funky Lounge / Biutiful by the Lake / Isoletta – It's summer, it's incredibly hot, and you need a good drink and a proper view
But you don't want to club, or to go to Lipscani where all the pubs and bars are. You want something else.
In that case it very much depends on your style, your budget… and what you want to do. There's plenty of places to go to, such as arguably the best Romanian restaurant, Locanta Jaristea. Or you can try another small gem brimming with excellent Romanian food – Zahana Zexe. There's also the "top spot", literally, the 18 by Embassy, perched atop an 18 storied tower that gives you a great skyline view of Bucharest.
For the posh group, there's Casa Di David, TAPO and AGO Restaurant in the north of Bucharest to suit your needs. If delicious steaks are your thing, OSHO Primaverii and Vacamuuu serve the best steaks in the whole city. You want no fuss? Trattoria Buongiorno and the La Mama restaurants should be good enough for a quiet, relaxed evening.
And if those are not to your taste, then I suggest you go explore – Bucharest is a safe city, so exploring is definitely your best bet to find a restaurant, pub, bar or club that's good for you!
Happy partying 😀
Source (first picture) – www.facebook.com/FratelliSocialEvents


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Download KNOW YOUR STUFF! - Get to work (6/16) video
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What's in a cup of coffee? It's time to find out.
Part 6: Wen tries her hand at coffee farming with Félix and his workers. Weeding, fertilizing, spraying, digging -- it's not easy!
Using a combination of live-action and animation, KNOW YOUR STUFF! follows Wen Lee as she zips off to Costa Rica in search of a coffee adventure. She tries her hand at coffee farming, chats with local farm workers, visits a coffee mill, and makes some astounding discoveries about the environmental, social, and economic impacts behind the coffee industry. It's amazing how such a simple drink can really be so complicated!
DVDs available for sale.
Questions? Contact WenTVinfo[at]gmail.com
Watched the whole show and still want to learn more about coffee? Go to the end credits (Part 16) for a list of recommended resources:
(click on "more info" in the description box)
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subset: commoncrawl


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Panama City Beach city officials have received another anonymous letter complaining about the behavior of some of the city's police officers.
The letter was sent to beach City Manager Richard Jackson. It was dated July 3.
It was sent about a week after the first letter turned up in city council members mailboxes at city hall.
The writer of the newest letter claims to be a relative of a beach police officer and claims to have knowledge of officers drinking and having sex while on duty.
There are also allegations of stealing, speeding and having sex while on duty.
The first letter earlier this month, also sent anonymously, was possibly written by a beach police officer.
At that time the city said it would look into the allegations but would probably take them more seriously had the letter not have been sent anonymously. The second letter criticizes Mayor Lee Sullivan for that comment, claiming people are afraid of police retaliation. It calls for an outside investigation.
City Manager Richard Jackson is looking into the complaints, but did not want to comment on the case.


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So you probably heard the news: Electronic Arts sucks as a company ... at least in the minds of gamers.
For the second year running the publisher of Dead Space 3 and SimCity has been voted the worst company in America in a poll conducted by the Consumerist, trumping the folk at Bank of America.
Putting aside the typical anti-capitalism sentiment probably steaming from anyone that voted in the poll, let's consider for a second that, at the very least, Electronic Arts is a bad -- but not necessarily the worst -- video game publisher in the world: where has it gone wrong?
Video game publishers don't receive a cent from used game sales, which led to the creation of EA's online pass, a one-off fee needed to unlocked a used game's features. The pass is free for people that buy a title brand new, but anyone buying a used version will need to purchase the pass from within the game.
Should we really care?
The issue with used games is a double-edged sword. On one side we have a retail sector basically leeching off consumers on games with high consumer awareness: they buy back a fairly new game at well below the price they eventually re-sell it for. Sure, places like EB Games are essentially making a profit on a game sale thanks to a publisher's marketing budget, but they're well within their right to sell used products.
On the other hand, publishers are losing out big time ... but are we really supposed to care about that? Why do game publishers feel they're more entitled to benefit from a used game sale then, say, a car manufacturer? Used cars are big business.
Publishers appear to be actively trying to bury the used games market, while crippling the retail sector at the same time ... yet they rely on retailers to sell the hardware their games are played on.
EA uses microtransactions — in-game sales for new features and skills — in all of its mobile games and some of its blockbuster console games, the most recent being Dead Space 3. Gamers hit out at the company after retro classic Theme Park was rebooted with expensive in-game purchases, including $60 virtual theme park rides.
When microtransactions work, they work well. League of Legends is a good example. When they work bad, they really, really screw over the player, and can potentially ruin the experience.
Dead Space 3, for example, has a tediously complicated weapon crafting system that makes the game's in-game microtransactions seem like a viable alternative to the grind; they make you feel like you need to make the transaction, or that the transaction is better than the grind.
tl;dr summary
We should care when publishers actively seek to make an in-game transaction seem like the only viable option for progression in a game that wasn't free to begin with.
In an attempt to trump Activision's dominating Call of Duty franchise, EA upped its marketing budget for 2011's Battlefield 3. It also hit out at its competitor, with ex-CEO John Riccitiello calling Call of Duty "rotten to the core" before saying Battlefield 3 was the more "authentic product". Gamers and critics disagreed.
If you're going to throw dirt in someone's face, you have to be prepared for it to be thrown back at you. In the case of EA's "mudslinging" and total disregard for gamer intelligence, consumers were made to feel like fools when the self-proclaimed prophecy that was Battlefield 3 was released to solid acclaim but was ultimately, as expected, trumped by Call of Duty on all fronts.
The ugly rhetoric was not good for gamers: and it wouldn't have done well to win over players that were looking for a Call of Duty alternative. There's mocking your competitor — we all saw that with the "Sega does what Nintendon't" era — and then there's straight-up "mudslinging".
If you're going to talk your game up and throw dirt at your competitor, you better hope you have something to show for it.
In 2007 ex-CEO John Riccitiello said "drastic measures" needed to be taken to save the company, including making their games less expensive. The company experimented with different pricing models — microtransactions led the way — but its blockbuster games like Dead Space 3 cost more on its digital retail service Origin then they do in stores.
I've been a long-time advocate of digital distribution. I understand that parts of the world are not up to scratch with their internet — Australia included — but that's not the only thing holding it back: there is a distinctive lack of competitiveness in that sector of the industry.
EA entered the fold with Origin, only problem is the service is garbage. People don't see it as a distribution service or as a community for their games, and only use it if they dare play an EA game on their PC because it won't be available anywhere else.
The company clearly takes advantage of their digital monopoly, and jack up their digital prices to counter this. To suggest that you'll be dropping game prices, only to have games charged on your own service for more than retail cost is sheer hilarity.
We need game prices to be competitive online. Hopefully the PS4 will lead the way in this regard for console gamers, but Valve succeeds for a reason. EA clearly has no clue what its customers want.
SimCity launched in March to promising reviews, but gamers were scathing after crippling server issues rendered it unplayable. At the core of the disastrous launch was an anti-piracy measure —"always on" digital rights management — that requires the game be connected to the internet to play.
Anti-piracy measures are especially controversial at the moment. Ubisoft plans to drop DRM from all of its future games, but EA seems intent on maintaining things like its online pass and "always on" DRM measures.
If rumours of Microsoft's next Xbox requiring an "always on" internet connection, EA certainly isn't alone in their implementation of the measure. However, it clearly hurt the launch of SimCity.
That said we all quickly moved on from that debacle, and now we can all enjoy the worst SimCity game yet without internet issues.
Just remember: none of the cities are yours.
Always on DRM sucks.
Mass Effect 3 was blasted by gamers because of its disappointing ending. EA released free downloadable content (DLC) shortly after the game's release, which some believe was damage control to stem gamer criticisms. The game's developer refuted this claim, with BioWare's Michael Gamble saying in a statement the DLC was always going to be free.
While gamer entitlement was on display with the outcry over the ending — which was OK, not bad, but not great — the whole debacle was admittedly quite a kick in the butt for longtime fans and players of the series.
It's not that the ending was terrible: it just didn't even come remotely close to living up to a series that takes about, oh, I don't know, 100 hours to complete! Understandably, that pissed a lot of people off.
The ending of Mass Effect 3 hardly epitomises EA's problems, but you can't ignore the gamer backlash.
By Gaetano Prestia
What do you think about EA's "win"? Do you think it's the worst American company?
Viper593 said: We should all go outside their studio with pitch forks.
Gryllis said: People just like to hate on massive companies.
Happens with Activison as well just because they're the biggest.
They do stupid stuff -- yes all these things are ridiculous -- but it's hardly worst company ever type stuff. It's just trying to maximise profit.
Guyver said: Love the tl;dr bits of the article
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What a terrible loss for music. 🙁
Some of his best:
His last two:
Via NYT:
David Bowie, the infinitely changeable, fiercely forward-looking songwriter who taught generations of musicians about the power of drama, images and personas, died on Sunday, two days after his 69th birthday.
Mr. Bowie's death was confirmed by his publicist, Steve Martin, on Monday morning.
He died after having cancer for 18 months, according to a statement on Mr. Bowie's social-media accounts.
"David Bowie died peacefully today surrounded by his family," a post on his Facebook page read.
His last album, "Blackstar," a collaboration with a jazz quartet that was typically enigmatic and exploratory, was released on Friday — his birthday. He was to be honored with a concert at Carnegie Hall on March 31 featuring the Roots, Cyndi Lauper and the Mountain Goats.
He had also collaborated on an Off Broadway musical, "Lazarus," that was a surreal sequel to his definitive 1976 film role, "The Man Who Fell to Earth."
Mr. Bowie wrote songs, above all, about being an outsider: an alien, a misfit, a sexual adventurer, a faraway astronaut. His music was always a mutable blend: rock, cabaret, jazz and what he called "plastic soul," but it was suffused with genuine soul. He also captured the drama and longing of everyday life, enough to give him No. 1 pop hits like "Let's Dance."
Others: No More Mister Nice Blog, Outside the Beltway, Comicbook.com, Scared Monkeys, Shakesville, CBS New York, ABC News, Patterico's Pontifications, 89.3 KPCC,Guardian, Lawyers, Guns & Money, Mashable, The Verge, Liberal Values, Wall Street Journal, NBC News, Althouse and Refinery29


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Back to School
By Tim Dexter-Oracle on May 20, 2008
Theres a new version of the Enterprise release training now available, its a 3 day instructor led course, looks pretty good if you're just starting out with BIP.
Oracle BI Publisher 10g R3: Fundamentals (Data Warehousing and Oracle Business Intelligence)
There is also the 5 day E Business Suite course being run all over the place, fancy a trip to Alaska? I hear Anchorage is a great place to visit. Alternatively pack the kids and get to Orlando, they can check out the mouse while you use your nouse!
11i Oracle XML Publisher Fundamentals (NAMER) (E-Business Suite)
There is also the PeopleSoft training course for XMLP
XML Publisher for PeopleSoft Enterprise PeopleTools Rel 8.48 (PeopleSoft Enterprise)
Its a one day affair but boy do they pack stuff in for it - I mentioned it in more detail here. You can also study from the comfort of an armchair at home using the CD-ROM option.
Last but not least is the JD Edwards training
EnterpriseOne Embedded BI Publisher Rel 8.97 - RWC (JD Edwards EnterpriseOne)
Its a self study course rather than instructor led but again looks to be good. I have also heard rumor of hands-on labs for JDE XMLP at OpenWorld this year - more news as I get it.
All the courses are introductions to the various flavors of XMLP/BIP, I have no doubt that there will be a Siebel CRM course coming soon. But thats it, introductions to get from a 'noob' to an intermediate but no further, after that its time to hit the docs and the forums for answers. I did enquire as to the possibility of an Advanced class but its a no no ... historically they have not been worth it for OU, just could not get the numbers of folks to fill the classes.
I have talked about doing a regular 'public' session on XMLP/BIP where we can take things a bit further and look at more advanced features, case studies, etc but you guys are just too quiet - I got maybe one or two emails saying 'yes please!' - any one else out there interested?
If you cant email then get over the mix.oracle.com and click - they are currently allowing you to vote for or suggest sessions for OOW08. I have posted the idea of providing an 'Advanced Publisher Techniques' session but its currently languishing in 50-60th place - get over there and vote for it - https://mix.oracle.com/ideas/27984-advanced-techniques-for-bi-publisher
Even if we dont get to the top we can maybe do a session in the 'unconference' on some of the more advanced stuff or maybe one of you could, I'll stand at the back and clap and cheer loudly!


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Grammy Award winner Todd Coolman conducts the Purchase Jazz Orchestra featuring guest artist, trumpeter Ambrose Akinmusire at the Performing Arts Center at Purchase College on April 20 at 7 PM. Tickets 914-251-6200 or www.purhcase.edu.
Ambrose Akinmusire is a Blue Note recording artist who has been named one of the Faces to Watch in 2011 by the Los Angeles Times. He will perform The Touch of Your Lips, Secret Heart, Isotope and other selections. His music, according to the Los Angeles Times is "remarkably fluid, adventurous…and hard-wired with the sound of something new."
Conductor Todd Coolman is Professor of Music and Director of the Jazz Studies Program at Purchase College. A two-time Grammy winner, he has recorded and performed with many of the greatest jazz artists and recorded three CDs as a leader. He performed as bassist with the late James Moody for 26 years and travelled the world with him. He performed on the James Moody album "4B" which won a Grammy this year for "Best Jazz Instrumental Recording of the Year." Coolman is an educator, author, and an in demand clinician and lecturer at universities throughout the world.
The Purchase Jazz Orchestra performs classics from the Big Band era of the past 50 years featuring musicians from the Jazz Studies program of the Music Conservatory of the Purchase College School of the Arts. They train with the finest musicians to become tomorrow's leading Jazz Masters.


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Just to be clear, I'm talking about men who don't know that much about cooking, not the ones that are chefs or who like to cook and can whip up a gourmet meal at the drop of a hat. I mean the guys whose idea of cooking a meal is cooking ramen in the dorm popcorn popper and bragging to everyone that they made lunch.
I can think of a lot of reasons that men should stick to eating raw, but here are just a few:
1. It's safer. Guys are not that concerned about washing things before they eat them. I've seen guys drop food on the floor and pick it up and put it right in their mouths without batting an eyelash. I'm talking about their floor, which was last mopped six months ago and has been swept roughly four times since then. Given their lack of germ phobia, they're better off eating an unwashed carrot than an unwashed chicken breast from a chicken crammed into a factory farm with a million other chickens and all of their excrement, E. coli, and other things we are better off not knowing about.
2. It's safer. Guys have only a vague idea of how long food can "sit out" before it's no longer safe to eat. One guy I knew—upon his return from having his stomach pumped out at the hospital—told me that he had eaten a leftover chicken breast after it sat all night on top of the fridge. When I asked why he did this, he answered, "It was cooked," i.e., once it's cooked it can never spoil again.
3. It's safer. Raw food, by definition, is not cooked. This means that there is really no opportunity to mess it up by cooking it wrong. For every right way to cook something, there are a million wrong ways, and men love to invent these while imbibing spirits that cloud their judgment.
4. It's safer. Those stains you see on your boyfriend's kitchen wall and ceiling—those are the remains of things that have exploded due to his cooking techniques. Splotches on the ceiling are often from boiled eggs that blew up, and tomato-y drips are from overheated spaghetti sauce that bubbled and splattered onto the wall. The inside of the microwave, which looks like something was detonated in there, could be virtually anything. Better not to ask.
Men seem to do better with cooking as they get older, or maybe it's just that they eventually get married and learn from their wives (yes, I know, another gender stereotype). This is another indication that getting older can be a good thing.
I realize that's highly debatable, but check out my essay, "Age Is Relative," in the contest this week at midlifecollage.com and see if you agree. If you enjoy it, I'd appreciate your "liking" it and leaving a comment. Cheers!


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"Nutrition and physical activity guidelines for cancer survivors." has been saved, and will be accessible from the My NGC page.
Go to My NGC
Alert me when this guideline summary is updated.
This is the current release of the guideline.
This guideline updates a previous version: Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B, McTiernan A, Rock CL, Thompson C, Gansler T, Andrews KS, The 2006 Nutrition, Physical Activity and Cancer Survivorship Advisory Committee, American Cancer Society. Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin 2006 Nov-Dec;56(6):323-53.
Cancer, including:
Cancer survivors
Note: The trajectory of cancer survivorship is marked by 3 general phases: 1) active treatment and recovery; 2) living after recovery, including survivors who are disease free or who have stable disease; and 3) advanced cancer and end of life.
Counseling regarding nutrition and physical activity-related lifestyle modifications for cancer survivors:
The literature search dates for this update were 2005 to August 2010. Reviewers were given the following suggested review procedures:
While conducting systematic literature reviews in all the relevant areas seems impractical, these procedures attempt to provide general guidelines to make the reviews in the different areas somewhat systematic, and standardize methods across cancer sites. Thus, each review should be based on recent literature, systematic reviews and/or meta-analyses since the year 2005 (just prior to the publication of the most recent American Cancer Society [ACS] Guidelines). The goal is to focus on the top papers in each assigned topic area (e.g., "top 10"), rather than an exhaustive review of all literature.
Recommended review procedure for assigned topic(s):
Not stated
Not applicable
Reviewers were asked to consider the following criteria when synthesizing findings:
The American Cancer Society (ACS) convened a group of experts in nutrition, physical activity, and cancer to evaluate and synthesize the scientific evidence and best clinical practices related to nutrition and physical activity after the diagnosis of cancer.
Reviewers were asked to compare results from the literature reviews to 2006 ACS Nutrition and Physical Activity Guidelines or the Guide to Informed Choices. They were asked whether new evidence appeared strong enough to warrant changes, and if so what they would recommend. They were asked to consider whether the recommendations were consistent with other Guidelines.
Reviewers were asked to provide a brief document – no more than two pages – that examined what the current ACS Guidelines or Guide to Informed Choices say about the reviewed topic, suggested modifications (ranging from suggestions for no modification, to dropping any language, to adding completely new sections, to reversing what may have been said previously), and supported these suggestions based on their review of the literature.
Prepared summaries were circulated among Committee members in advance of the August 2011 meeting. Reviewers were asked to be prepared to discuss all summaries. The aim of the meeting was to end with a good consensus of what the 2011 revisions should say, with clear guidance to a writing group.
The writing group then prepared a draft of the next version of the Guidelines and Guide to Informed Choices, which was distributed to Committee members for their comments and editing.
A formal cost analysis was not performed and published cost analyses were not reviewed.
Nutrition and Physical Activity across the Continuum of Cancer Survivorship
The continuum of cancer survivorship includes treatment and recovery; long-term disease-free living or living with stable disease; and, for some, living with advanced cancer. Survivors in each of these phases have different needs and challenges with respect to nutrition and physical activity.
Nutrition during Cancer Treatment and Recovery
Consuming enough calories to prevent additional weight loss is vital for survivors at risk of unintentional weight loss, such as those who are already malnourished or those who receive anticancer treatments affecting the gastrointestinal tract.
Nutritional assessment for survivors should begin as soon after diagnosis as possible and should take into consideration treatment goals (curative, control, or palliation) while focusing on both the current nutritional status and anticipated nutrition-related symptoms.
During active cancer treatment, the overall goals of nutritional care for survivors should be to prevent or resolve nutrient deficiencies, achieve or maintain a healthy weight, preserve lean body mass, minimize nutrition-related side effects, and maximize quality of life. Suggestions for finding an oncology nutrition expert to provide dietary counseling are provided in the Table below.
Table. Suggestions for Locating Specialized Nutrition Counseling
RD indicates registered dietitian; CSO, certified specialist in oncology.
Providing individualized nutritional advice can improve dietary intake and potentially decrease some of the toxicities associated with cancer treatments. Examples of situations that may benefit from seeking individualized advice include the following:
The use of vitamins, minerals, and other dietary supplements during cancer treatment remains controversial. With compelling evidence against the use of select supplements in certain oncology populations, health care professionals and survivors need to proceed with caution. If interested in supplementation, individuals should first assess whether they are nutrient deficient, avoid ingesting supplements that exceed more than 100% of the Daily Value, and consider limiting dietary supplement use to therapeutic interventions for chronic conditions such as osteoporosis and macular degeneration, for which scientific evidence supports the likelihood of benefits and low risk of harm.
Exercise during Cancer Treatment
Existing evidence strongly suggests that exercise is not only safe and feasible during cancer treatment, but that it can also improve physical functioning, fatigue, and multiple aspects of quality of life.
The decision regarding when to initiate and how to maintain physical activity should be individualized to the patient's condition and personal preferences. Exercise during cancer treatment improves multiple posttreatment adverse effects on bone health, muscle strength, and other quality-of-life measures. Persons receiving chemotherapy and/or radiation therapy who are already on an exercise program may need to exercise at a lower intensity and/or for a shorter duration during their treatment, but the principal goal should be to maintain activity as much as possible. Some clinicians advise certain survivors to wait to determine their extent of side effects with chemotherapy before beginning an exercise program. For those who were sedentary before diagnosis, low-intensity activities such as stretching and brief, slow walks should be adopted and slowly advanced.
For older individuals and those with bone metastases or osteoporosis, or significant impairments such as arthritis or peripheral neuropathy, careful attention should be given to balance and safety to reduce the risk of falls and injuries. The presence of a caregiver or exercise professional during exercise sessions can be helpful. If the disease or treatment necessitates periods of bed rest, then reduced fitness and strength, as well as loss of lean body mass, can be expected. Physical therapy during bed rest is therefore advisable to maintain strength and range of motion and can help to counteract fatigue and depression.
Recovery Immediately after Treatment
After cancer therapy has been completed, the next phase of cancer survivorship is recovery. In this phase, many symptoms and side effects of treatment that have affected nutritional and physical well-being begin to resolve. Survivors may require ongoing nutritional assessment and guidance in this phase of survival. For those who emerge from treatment underweight or with compromised nutritional status, continued supportive care, including nutritional counseling and pharmacotherapy to relieve symptoms and stimulate appetite, is helpful in the recovery process. After treatment, a program of regular physical activity is essential to aid in the process of recovery and improve fitness.
Long-Term Disease-Free Living or Stable Disease
During this phase, setting and achieving lifelong goals for an appropriate weight, a physically active lifestyle, and a healthy diet are important to promote overall health, quality of life, and longevity. While cancer survivorship is a relatively new area of study and much needs to be learned regarding the optimal diet and physical activity practices for cancer survivors, current evidence supports recommendations in three basic areas: weight management, physical activity, and dietary patterns. These guidelines are featured in the table below.
Table. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Survivors
Because individuals who have been diagnosed with cancer are at a significantly higher risk of developing second primary cancers, and may also be at an increased risk of chronic diseases such as cardiovascular disease, diabetes, and osteoporosis, the guidelines established to prevent those diseases are especially important for cancer survivors. Because family members of cancer survivors may also be at a higher risk of developing cancer, they should also be encouraged to follow the American Cancer Society (ACS) nutrition and physical activity guidelines for cancer prevention.
Achieving and maintaining a healthy weight, as well as consuming a nutrient-rich diet and maintaining a physically active lifestyle, are important to improve long-term health and well-being.
Exercise has been shown to improve cardiovascular fitness, muscle strength, body composition, fatigue, anxiety, depression, self-esteem, happiness, and several components of quality of life (physical, functional, and emotional) in cancer survivors. In addition, exercise studies have targeted certain symptoms particular to specific cancers and the adverse effects of specific therapies (e.g., lymphedema in survivors of breast cancer) and shown beneficial effects that are more cancer-specific.
At least 20 prospective observational studies have shown that physically active cancer survivors have a lower risk of cancer recurrences and improved survival compared with those who are inactive, although studies remain limited to breast, colorectal, prostate, and ovarian cancer, and randomized clinical trials are still needed to better define the impact of exercise on such outcomes.
Living with Advanced Cancer
For individuals living with advanced cancer, a healthy diet and some physical activity may be important factors in establishing and maintaining a sense of well-being and enhancing their quality of life. Although advanced cancer is sometimes accompanied by substantial weight loss, it is not inevitable that individuals with cancer lose weight or experience malnutrition. Many patients with advanced cancer need to adapt their food choices and meal patterns to meet nutritional needs and to manage cancer symptoms or treatment side effects such as fatigue, bowel changes, and a diminished sense of taste or appetite. For persons experiencing anorexia, negative changes in weight, or difficulty in gaining weight, convincing evidence exists that some medications (e.g., megestrol acetate) can help to enhance appetite.
Additional nutritional supplementation such as nutrient-dense beverages and foods can be consumed by those who cannot eat or drink enough to maintain sufficient energy intake. The use of enteral nutrition and parenteral nutrition support should be individualized with recognition of overall treatment goals (control or palliation) and the associated risks of medical complications and/or ethical dilemmas. Both the American Society for Parenteral and Enteral Nutrition and the Academy of Nutrition and Dietetics position papers recommend that nutrition support be used selectively and with clear purpose.
The evidence of a benefit from exercise for survivors of advanced cancer is insufficient to make general recommendations. Recommendations for nutrition and physical activity in those who are living with advanced cancer are best based on individual nutrition needs and physical abilities.
Selected Issues in Nutrition and Physical Activity for Cancer Survivors
Body Weight
Increasing evidence indicates that being overweight increases the risk of recurrence and reduces the likelihood of disease-free and overall survival among those diagnosed with cancer. Such data suggest that the avoidance of weight gain and weight maintenance throughout treatment may be important for survivors who are normal weight, overweight, or obese at the time of diagnosis, and that intentional weight loss following treatment recovery among those who are overweight and obese may be associated with health-related benefits.
It is hypothesized that improvements in cancer-related outcomes are possible, and likely probable, through intentional weight reduction. Evidence exists that weight loss that results from intentional exercise and caloric restriction can improve the hormonal milieu and quality of life and physical functioning among survivors who are obese or overweight. It may be difficult for individuals to pursue a host of new dietary, exercise, and behavioral strategies to reduce body weight through reduced energy intake and increased energy expenditure while at the same time balancing the demands of daily life during initial treatments. Thus, for many, active efforts toward intentional weight loss may be postponed until surgery, chemotherapy, and/or radiation treatment is complete.
However, for cancer survivors who are overweight or obese and who choose to pursue weight loss, there appears to be no contraindication to modest weight loss (i.e., a maximum of 2 pounds per week) during treatment, as long as the treating oncologists approve, weight loss is monitored closely, and it does not interfere with treatment. Safe weight loss should be achieved through a nutritious diet that is reduced in energy density and increased physical activity tailored to the specific needs of the patient.
After cancer treatment, weight gain or loss should be managed with a combination of dietary, physical activity, and behavioral strategies. For some who need to gain weight, this means increasing energy intake to exceed energy expended and for others who need to lose weight, reducing caloric intake and increasing energy expenditure via increased physical activity to exceed energy intake. Reducing the energy density of the diet by emphasizing low-energy dense foods (e.g., water- and fiber-rich vegetables and fruits) and limiting the intake of foods and beverages high in fat and added sugar promotes healthy weight control. Limiting portion sizes of energy-dense foods is an important accompanying strategy. Increased physical activity is also an important element to prevent weight gain, retain or regain muscle mass, promote weight loss, and promote the maintenance of weight loss in patients who are overweight or obese.
For survivors who are severely obese and have more pressing health issues, more structured weight loss programs or pharmacologic or surgical means may be indicated. It should be noted that among those who need to lose weight, even if ideal weight is not achieved, it is likely that any weight loss achieved by physical activity and healthful eating is beneficial, with weight losses of 5% to 10% still likely to have significant health benefits. Although most evidence related to these weight management strategies does not come from studies of cancer survivors per se, it is likely that these approaches can apply in the special circumstances of the cancer survivor.
Throughout the cancer continuum, therefore, individuals should strive to achieve and maintain a healthy weight, as defined by a body mass index (BMI) (see Table 3 in the original guideline document) between 18.5 kg/m2 and 25 kg/m2. Some cancer survivors can be malnourished and underweight at diagnosis or as a result of aggressive cancer treatments. For these individuals, further weight loss can impair their quality of life, interfere with the completion of treatment, delay healing, and increase the risk of complications. In survivors with these difficulties, dietary intake and factors affecting energy expenditure should be carefully assessed.
For those at risk of unintentional weight loss, multifaceted interventions should focus on increasing food intake to achieve a positive energy balance and therefore increase weight. Physical activity may be useful to the underweight survivor when tailored to provide stress reduction and to increase strength and lean body mass, but exceptionally high levels of physical activity make weight gain more difficult.
Physical Activity in Cancer Survivors
Despite the many benefits of exercise for cancer survivors, particular issues may affect the ability of survivors to exercise. Effects of treatment may also increase the risk of exercise-related injuries and adverse effects, and therefore specific precautions may be advisable, including:
After consideration of these and other specific precautions, it is recommended that cancer survivors follow the survivor-specific guidelines written by an expert panel convened by the American College of Sports Medicine (ACSM). The ACSM panel recommended that individuals avoid inactivity and return to normal activity as soon as possible after diagnosis or treatment. For aerobic physical activity, the ACSM panel recommended that survivors follow the U.S. Department of Health and Human Services 2008 Physical Activity Guidelines for Americans. According to those guidelines, adults aged 18 to 64 years should engage in at least 150 minutes per week of moderate intensity or 75 minutes per week of vigorous intensity aerobic physical activity, or an equivalent combination of moderate and vigorous intensity aerobic physical activity (see the Table below). Some activity is better than none and exceeding the guidelines is likely to provide additional health benefits. Activity should be done in episodes of at least 10 minutes per session and preferably spread throughout the week. Furthermore, adults should do muscle-strengthening activities involving all major muscle groups at least two days per week. Adults aged older than 65 years should also follow these recommendations if possible, but if chronic conditions limit activity, older adults should be as physically active as their abilities allow and avoid long periods of physical inactivity. Cancer type-specific recommendations will be discussed in the individual cancer sections below.
Table. Examples of Moderate and Vigorous Activities
Supporting Exercise Behavior Change
Unless behavioral support interventions are provided, the majority of cancer survivors will not benefit fully from regular physical activity. Behavioral support interventions to assist cancer survivors in adopting and maintaining a physically active lifestyle have been reviewed elsewhere. Some successful strategies include short-term supervised exercise (e.g., 12 weeks), support groups, telephone counseling, motivational interviewing, and cancer survivor-specific print materials. The key point for cancer care professionals is that cancer survivors have unique motives, barriers, and preferences for physical activity.
Diet Composition
Protein, carbohydrate, and fat all contribute energy to the diet, and each of these dietary constituents is available from a wide variety of foods. Because many cancer survivors are at high risk of other chronic diseases, such as heart disease, the recommended amounts and types of fat, protein, and carbohydrate to reduce cardiovascular disease risk are also appropriate for cancer survivors, particularly if they are at or above their recommended body weight.
The Institute of Medicine and current Federal Guidelines, as well as the American Heart Association (AHA), recommend a spectrum of dietary composition for the adult population: fat: 20% to 35% of energy (AHA: 25%-35%), carbohydrate: 45% to 65% of energy (AHA: 50%-60%); and protein: 10% to 35% of energy (at least 0.8 g/kg).
A few observational follow-up studies of diet and survival after the diagnosis of prostate cancer have also been reported. In one of these studies, a higher saturated fat intake predicted shorter disease-specific survival and in another, greater monounsaturated fat intake predicted longer survival. Given that men with prostate cancer are at a significant risk of death due to cardiovascular disease, these heart-healthy recommendations appear prudent not only for cancer prevention but also for competing causes of death.
Including foods that are rich in omega-3 fatty acids (e.g., fish, walnuts) in the diet of cancer survivors should be encouraged, because this is associated with a lower risk of cardiovascular diseases and a lower overall mortality rate.
Adequate protein intake is essential during all stages of cancer treatment, recovery, long-term survival, and living with advanced disease. The best choices to meet protein needs are foods that are also low in saturated fat (e.g., fish, lean meat, skinless poultry, eggs, nonfat and low-fat dairy products, nuts, seeds, and legumes).
No direct evidence has helped to determine whether consuming a vegetarian diet has any additional benefit for the prevention of cancer recurrence over an omnivorous diet high in vegetables, fruits, and whole grains, and low in red meats.
Healthy carbohydrate sources are foods that are rich in essential nutrients, phytochemicals, and fiber, such as vegetables, fruits, whole grains, and legumes. These foods should provide the majority of carbohydrate in the diet.
Limiting the consumption of products with added sugar is recommended.
Current public health recommendations for adults are to eat at least 2 to 3 cups of vegetables and 1.5 to 2 cups of fruits each day. Colorful choices such as dark green and orange vegetables are good sources of nutrients and potentially healthful phytochemicals. Fresh, frozen, canned, raw, cooked, or dried vegetables and fruits all contribute nutrients and other biologically active constituents to the diet. Cooking vegetables and fruits, especially with methods such as microwaving or steaming in preference to boiling in large amounts of water, preserves the bioavailability of water-soluble nutrients and can improve the absorption of others. For example, carotenoids are better absorbed from cooked vegetables than from raw vegetables. There is no evidence that organically grown vegetables and fruits are superior in their content of potential cancer-preventive constituents.
Dietary Supplements
The current body of evidence regarding supplement use by cancer survivors suggests that some general guidance should be considered:
Open dialogue between patients and health care providers should occur regarding dietary supplementation to ensure there is no contraindication in relation to the prescribed cancer therapy or for longer term health effects. In turn, health care providers should make an effort not only to provide time to review dietary supplement decisions with patients, but also to stay abreast of recent research in this area, particularly that related to potential drug interactions. It is most prudent to encourage cancer survivors to obtain the potentially beneficial compounds from food.
Substantial observational evidence indicates that alcohol intake has both positive and negative health effects. For this reason, it is important for the health care provider to tailor advice on alcohol consumption to the individual cancer survivor. The cancer type and stage of disease, treatment, treatment-related side effects, risk factors for recurrence or new primary cancers, and comorbid conditions should be considered in making recommendations.
It is reasonable to recommend that alcohol intake should be avoided or limited among survivors with mucositis and among those beginning head and neck radiation therapy or chemotherapeutic regimens that put them at risk for mucositis.
The link between alcohol intake and risk of some primary cancers has been established, including cancers of the mouth, pharynx, larynx, esophagus, liver, and breast and, for some forms of alcohol beverages, colon cancer. In individuals who have already received a diagnosis of cancer, alcohol intake could also increase their risk of new primary cancers of these sites; moreover, a long-standing literature in patients with head and neck cancer suggests that continued alcohol consumption (as well as smoking) leads to lower survival rates, thus supporting the need to limit alcohol consumption in this population.
Food Safety
Food safety is of special concern for cancer survivors, especially during episodes of treatment-related immunosuppression that can occur with certain cancer treatment regimens. Survivors can become susceptible to developing infections due to treatment-induced leukopenia and neutropenia. During any immunosuppressive cancer treatment, survivors should take extra precautions to prevent infection, and they should be particularly careful to avoid eating foods that may contain unsafe levels of pathogenic microorganisms. By following safe food practices, cancer survivors and their caregivers can reduce the risk of foodborne illness. General guidelines for food safety, as shown in the table below, should be followed.
Table. General Guidelines for Food Safety
Nutrition and Physical Activity by Selected Cancer Sites
Breast Cancer
For a woman diagnosed with breast cancer, achieving or maintaining a desirable weight may be one of the most important lifestyle pursuits.
Although it must be considered that unexplained weight loss may be a symptom of recurrent disease and should be monitored closely, there is a vast difference between weight loss that is intentional or purposeful versus that which is unexplained or a consequence of disease. Indeed, given accumulating data to suggest that overweight and obesity adversely influence not only cancer-specific outcomes but also overall health and quality of life, weight management is now considered a priority standard of care for overweight women diagnosed with early stage breast cancer.
Research suggests that interventions should be aimed at not only curbing weight gain during treatment but also at preserving or rebuilding muscle mass. Moderate physical activity (especially resistance training) during and after treatment may help survivors maintain lean muscle mass while avoiding excess body fat.
Even with the increased use of sentinel lymph node dissection, lymphedema remains a concern among breast cancer survivors. However, aerobic physical activity and resistance training appear to be both safe and effective in reducing the incidence of lymphedema among survivors at high risk of this condition, and in improving the symptoms and severity of lymphedema for those in whom the condition was preexisting. Progressive resistance training under the supervision of a trained exercise therapist and using appropriate compression garments is recommended. In addition, because obesity is a major risk factor for lymphedema, weight loss is recommended among survivors who are overweight or obese.
For breast cancer survivors, the decision to drink alcoholic beverages at moderate levels is complex because they must consider their levels of risk for recurrent or second primary breast cancer as well as cardiovascular disease.
It is important to remember that nutrition and physical activity recommendations to reduce the risks of a second primary breast cancer and heart disease are especially important for breast cancer survivors. Diets should emphasize vegetables and fruits, have low amounts of saturated fats, and include sufficient dietary fiber. Most importantly, breast cancer survivors should strive to achieve and maintain a healthy weight through eating a well-balanced diet and regular exercise. In addition, regular physical activity should be maintained regardless of any weight concerns.
Colorectal Cancer
Colorectal cancer survivors should be advised to maintain a healthy weight, participate in regular physical activity, and eat a well-balanced diet consistent with guidelines for cancer and heart disease prevention. Colorectal cancer survivors with chronic bowel problems or surgery that affects normal nutrient absorption should be referred to a registered dietitian to modify their diets to accommodate these changes and maintain optimal health.
Endometrial Cancer
No studies have reported on the role of dietary factors and physical activity in the prognosis of endometrial cancer. Although the role of obesity in endometrial cancer prognosis is not completely understood, studies have shown that a higher BMI and a sedentary lifestyle are associated with a poorer quality of life among endometrial cancer survivors.
Ovarian Cancer
While the current evidence is limited and inconclusive, it points to a possible role of dietary factors, physical activity, and body size and weight changes in modulating ovarian cancer survival, and for physical activity in improving the quality of life among ovarian cancer survivors. Further studies are needed before public health recommendations can be made.
Hematologic Cancers and Cancers Treated with Hematopoietic Stem Cell Transplantation
Systematic reviews of adult interventions have reported that physical activity can improve body composition, cardiorespiratory fitness, fatigue, muscle strength, physical functioning, and quality of life.
The conditioning regimen of intensive chemotherapy, often in conjunction with total body irradiation, is associated with several specific side effects that have significant adverse nutritional consequences such as nausea, vomiting, diarrhea, oropharyngeal mucositis, and esophagitis. Total body irradiation damages the gastrointestinal mucosa, resulting in malabsorption and diarrhea because these epithelial cells are highly susceptible to the effects of radiation. Nutritional problems also result from adverse effects of various drug therapies, such as oral immunosuppressive agents and antibiotics that may be necessary for posttransplant management. Finally, the common complication of graft versus host disease (in patients who receive an allogeneic transplant) results in abdominal pain, nausea, severe diarrhea, malabsorption, and substantial nitrogen losses. Patients who do not receive specialized nutritional support typically eat poorly for a prolonged period and are at high risk of poor nutritional status.
As an infection prevention strategy, low-microbial diets are often prescribed for transplant recipients. A low-microbial or low-bacteria diet is primarily a cooked-food diet, because the major limitation imposed is on fresh or uncooked food items. Because many food restrictions are imposed with this strategy, the nutrient adequacy of the actual food intake of patients who are prescribed the low-microbial diet should be monitored. Prevention of malnutrition and correction of energy and nutrient inadequacies has been incorporated into the standardized posttransplant treatment at most transplant centers.
Lung Cancer
During treatment and the immediate recovery period, lung cancer survivors may benefit from eating foods that are energy-dense and easy to swallow. Small, frequent meals may be easier to manage than three large meals per day. Medications and nutritional support via energy-dense nutritional supplements or enteral nutrition may be helpful for those experiencing weight loss. If nutrient deficiencies are present or survivors cannot eat enough to adequately meet micronutrient needs, a multivitamin-mineral supplement is advisable, either in pill or liquid form.
Recommendations for nutrition and physical activity for individuals who are living with lung cancer are best made based on individual needs. Striving toward a healthy weight by adjusting food intake and physical activity is a reasonable goal, as is ensuring that nutritional needs are met with a nutritious diet and a multivitamin-mineral supplement, if needed, to achieve adequate levels of intake.
Prostate Cancer
Although benefits to prostate cancer risk and progression from vegetables and fruits are far from certain, a diet high in these foods has been found to reduce the risk of cardiovascular diseases. Therefore, it is probably beneficial for prostate cancer survivors to eat plenty of micronutrient- and phytochemical-rich vegetables and fruits.
It would seem prudent for men to adopt a diet that provides at least 600 IU of vitamin D per day and to consume adequate, but not excessive, amounts of calcium (i.e., exceeding 1,200 mg/day), as well as to pursue active lifestyles that include routine weight-bearing exercises.
Men in whom prostate cancer has been diagnosed should strive to achieve and maintain a healthy weight, pursue a physically active lifestyle, and consume a diet that is rich in vegetables and fruits and low in saturated fat, with reliance on dietary sources of calcium that are within moderate levels. Such dietary suggestions, however, need to be considered within the context of an increased risk of fractures from antiandrogen therapy and physical activity patterns. Although the evidence relating these recommendations to prostate cancer recurrence is limited, there are likely substantial other benefits, most prominently decreasing cardiovascular disease risk, which is the major cause of death in prostate cancer survivors.
Upper Gastrointestinal and Head and Neck Cancers
Head and neck cancers can directly compromise food intake, and a high percentage of patients have lost weight or are malnourished at the time of diagnosis. Comprehensive care of these survivors includes appropriate nutritional assessment and support, and physical activity and physical therapy to improve overall health before, during, and after treatment. Poor nutrient intake can stem from difficulties in biting, chewing, and swallowing at diagnosis or after surgery and from xerostomia, mucositis, and taste alterations resulting from radiation therapy or concurrent chemoradiation therapy. Many long-term survivors of head and neck cancers will experience at least some degree of aspiration associated with substantial weight loss, diminished swallowing efficiency, and lower quality-of-life scores.
During and immediately after treatment, the texture, temperature, consistency, nutrient content, and frequency of oral feedings often need to be modified. Acidic, salty, or spicy foods and foods at extreme temperatures may not be well tolerated. Sugar-free gums and mints as well as the use of commercial oral rinses and gels and the consumption of water may provide limited relief of symptoms and enhance appetite. Pureed or blenderized foods may be better tolerated during treatment and recovery.
Chemoradiation may have a significant effect on a patient's ability to eat, which should improve by 12 months after treatment. Health care providers may offer alternate approaches to meeting nutrient requirements if eating and drinking by mouth cannot support these needs. Gastrostomy tubes are commonly placed prophylactically to support the patient through treatment and the period of time immediately after treatment.
Patients are encouraged to eat soft, moist foods throughout treatment to maintain their swallowing function. Patients with esophageal and gastric cancers may need support through treatment as well. This population may require placement of either a gastrostomy tube or a jejunostomy tube, depending on anticipated or performed surgical interventions. When tube feeding is started immediately after surgery for esophageal or gastric cancer, it may reduce both the duration of intensive care unit treatment and total hospital stay.
Patients with esophageal or gastric cancer may have symptoms such as early satiety, dumping syndrome, or malabsorption that affect food and nutrient intake, as well as absorption and digestion; the effects of treatment may result in long-term or permanent nutritional complications. Survivors with esophageal cancer can experience temporary or long-term dysphagia, odynophagia, gastroesophageal reflux, and early satiety. Diet modifications determined with the assistance of an oncology-certified registered dietitian can help to manage some treatment-related conditions of esophageal or gastric cancer, help regain or maintain a healthy weight, and restore some quality of life.
The nutritional management of patients with gastric cancer is based on determining the portion of the stomach involved with disease or the condition after surgical resection. If either the esophageal or pyloric sphincter has been affected, diet modifications will involve small, more frequent meals/snacks, no concentrated sweets, and the consumption of fluids between meals due to early satiety. In addition, the patient is advised to stop eating 3 hours before bedtime or going to bed to avoid aspiration.
There is a significant risk of micronutrient deficiencies in this patient population due to the alteration of the digestion process and absorption of minerals such as iron and calcium and vitamins such as vitamin B12. If possible, a patient's status should be tested pretreatment and followed through the treatment and long-term survivorship period.
In the case of pancreatic cancer, there is increasing evidence that supplementation with omega-3 fatty acids has a favorable effect on short-term weight status, performance status, or related factors. Weight loss is common at diagnosis in this population, and these patients often experience profound exocrine dysfunction, in addition to endocrine dysfunction, throughout the course of their cancer treatment. Pancreatic enzymes can be very helpful, along with diet modification, to manage disease symptoms and treatment side effects. Consultation and close follow-up with a registered dietitian for an individualized dietary prescription is recommended.
In the absence of more definitive information, survivors of head and neck and upper gastrointestinal cancers should follow, to the extent they are able, the ACS nutrition and physical activity guidelines for the prevention of cancer.
Common Questions about Diet, Physical Activity, and Cancer Survivorship
Cancer survivors often request information and advice from their healthcare providers about food choices, physical activity, and dietary supplement use to improve their quality of life and survival. Health professionals who counsel patients should emphasize that no one study provides the last word on any subject, and that individual news reports may overemphasize what seem to be contradictory or conflicting results because they seem to be new, different, or challenge conventional wisdom.
The best advice about diet and physical activity is that it is rarely advisable to change diet or activity levels based on a single study or news report. See the original guideline document for questions and answers that address common concerns of cancer survivors regarding diet and physical activity. The following questions are addressed:
None provided
The type of supporting evidence is not specifically stated for each recommendation.
Appropriate nutrition and physical activity during and after cancer treatment to improve treatment outcomes, quality of life, and overall survival
Particular issues for cancer survivors may affect or contraindicate their ability to exercise. Some effects of treatment may also increase the risk of exercise-related injuries and adverse effects. For example, survivors with severe anemia should delay activity until the anemia is improved, survivors with compromised immune function should avoid gyms and other public places until their white blood cell counts return to safe levels, and survivors undergoing radiation should avoid swimming pools because chlorine exposure may irritate irradiated skin.
An implementation strategy was not provided.
Not applicable: The guideline was not adapted from another source.
American Cancer Society
American Cancer Society 2011 Nutrition, Physical Activity, and Cancer Survivorship Advisory Committee
Authors: Cheryl L. Rock, PhD, RD, Professor, Department of Family and Preventive Medicine, School of Medicine, University of California, San Diego, La Jolla, CA; Colleen Doyle, MS, RD, Director, Nutrition and Physical Activity, Cancer Control Science, American Cancer Society, Atlanta, GA; Wendy Demark-Wahnefried, PhD, RD, Professor and Webb Endowed Chair of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL; Jeffrey Meyerhardt, MD, MPH, Associate Professor of Medicine, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA; Kerry S. Courneya, PhD, Professor and Canada Research Chair in Physical Activity and Cancer, University of Alberta, Edmonton, Alberta, Canada; Anna L. Schwartz, FNP, PhD, FAAN, Affiliate Professor, University of Washington, Seattle, WA, Associate Professor, Idaho State University, Pocatello, ID; Elisa V. Bandera, MD, PhD, Associate Professor, Department of Epidemiology, The Cancer Institute of New Jersey, New Brunswick, NJ; Kathryn K. Hamilton, MA, RD, CSO, CDN, Outpatient Oncology Dietitian, Carol G. Simon Cancer Center, Morristown Memorial Hospital, Morristown, NJ; Barbara Grant, MS, RD, CSO, LD, Oncology Nutritionist, Saint Alphonsus Regional Medical Center Cancer Care Center, Boise, ID; Marji McCullough, ScD, RD, Nutritional Epidemiologist, Epidemiology and Surveillance Research, American Cancer Society, Atlanta, GA; Tim Byers, MD, MPH, Associate Dean for Public Health Practice, Colorado School of Public Health, Associate Director for Cancer Prevention and Control, University of Colorado Cancer Center, Aurora, CO; Ted Gansler, MD, MBA, MPH, Director, Medical Content, American Cancer Society, Atlanta, GA
Volunteer Members: Rachel Ballard-Barbash, MD, MPH (Associate Director, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD); Elisa V. Bandera, MD, PhD (Associate Professor, Department of Epidemiology, The Cancer Institute of New Jersey, New Brunswick, NJ); Tim Byers, MD, MPH (Associate Dean for Public Health Practice, Colorado School of Public Health, Associate Director for Cancer Prevention and Control, University of Colorado Cancer Center, Aurora, CO); Kerry S. Courneya, PhD (Professor and Canada Research Chair in Physical Activity and Cancer, University of Alberta, Edmonton, Alberta, Canada); Wendy Demark-Wahnefried, PhD, RD (Professor and Webb Endowed Chair of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL); Barbara Grant, MS, RD, CSO, CD (Oncology Nutritionist, Saint Alphonsus Regional Medical Center Cancer Care Center, Boise, ID); Kathryn K. Hamilton, MA, RD, CSO, CDN (Outpatient Oncology Dietitian, Carol G. Simon Cancer Center, Morristown Memorial Hospital, Morristown, NJ); Laurence N. Kolonel, MD, PhD (Deputy Director, Cancer Research Center of Hawaii, Honolulu, HI); Lawrence H. Kushi, ScD (Associate Director for Etiology and Prevention Research, Division of Research, Kaiser Permanente, Oakland, CA); Marilyn L. Kwan, PhD (Research Scientist, Division of Research, Kaiser Permanente, Oakland, CA); Marıa Elena Martınez, PhD (Associate Professor of Public Health, Arizona Cancer Center, Tucson, AZ); Jeffrey Meyerhardt, MD, MPH (Associate Professor of Medicine, Dana-Farber Cancer Institute and Harvard Medical School, both in Boston, MA); Marion Morra (President, Morra Communications, Milford, CT); Marian L. Neuhouser, PhD (Cancer Prevention, Fred Hutchinson Cancer Research Center, Seattle, WA); Cheryl L. Rock, PhD, RD (Professor, Department of Family and Preventive Medicine, School of Medicine, University of California, San Diego, LaJolla, CA); Anna L. Schwartz, FNP, PhD, FAAN (Affiliate Professor, University of Washington, Seattle, WA; Associate Professor, Idaho State University, Pocatello, ID); Stephanie Smith-Warner, PhD (Associate Professor of Nutritional Epidemiology, Harvard School of Public Health, Boston, MA)
American Cancer Society Staff Members: Terri Ades, DNP, FNP-BC, AOCN (Director, Cancer Information); Kimberly Andrews (Senior Cancer Control Researcher); Colleen Doyle, MS, RD (Director, Nutrition and Physical Activity, Cancer Control Science); Ted Gansler, MD, MBA, MPH (Director, Medical Content); Susan Gapstur, PhD, MPH (Vice President, Epidemiology Research Program); Marji McCullough, ScD, RD (Strategic Director, Nutritional Epidemiology, Epidemiology and Surveillance Research); Alpa V. Patel, PhD (Strategic Director, Cancer Prevention Study-3); David Ringer, PhD, MPH (National Vice President of Extramural Grants, Research); Michael Thun, MD (Vice President Emeritus, Epidemiology and Surveillance Research)
The authors report no conflicts of interest.
Electronic copies: Available from the CA: A Cancer Journal for Clinicians Web site .
Print copies: Available from the American Cancer Society, 250 Williams St., Suite 600, Atlanta, GA 30303; Web site: www.cancer.org .
The following is available:
In addition, a continuing medical education activity is available with the original guideline document .
A variety of resources for patients and caregivers are available from the American Cancer Society Web site or by calling 1-800-227-2345.
Please note: This patient information is intended to provide health professionals with information to share with their patients to help them better understand their health and their diagnosed disorders. By providing access to this patient information, it is not the intention of NGC to provide specific medical advice for particular patients. Rather we urge patients and their representatives to review this material and then to consult with a licensed health professional for evaluation of treatment options suitable for them as well as for diagnosis and answers to their personal medical questions. This patient information has been derived and prepared from a guideline for health care professionals included on NGC by the authors or publishers of that original guideline. The patient information is not reviewed by NGC to establish whether or not it accurately reflects the original guideline's content.
This NGC summary was completed by ECRI Institute on February 1, 2008. The information was verified by the guideline developer on February 29, 2008. This NGC summary was updated by ECRI Institute on August 13, 2012. The updated information was verified by the guideline developer on September 10, 2012.
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new news coming out later today. The smart guys (believe it or not, the shorts) already know what it is and are trying to do some controlled covering this morning.hint hint: can you say special divie?
28 per share today!!! Shorts are covering as we anticipate announcement of special dividend. We're up 20 percent from low of 23 per share in August. I wish I would have purchased more at 23-24 per share in August, but didn't want to overweight my portfolio with this stock. I am way overweight on Berkshire Hathaway, but I consider that similar to a value-style mutual fund. BKE is the only retail stock that I own in my portfolio. ARO is starting to look attractive, but not sure I will go there.
Were going to 30 before announcement of Special Dvd!
I vote special dividend, but not sure news will be out today. Last year, special dividend of $1.80 was announced on Sept. 22. I expect special to be in range of $1.10 to $1.50 -- not as much as last year's special, but pretty damned good anyway. We may see $32 per share.
Nobody knows for sure... the market is up 100 points and this popped last year at this time. Nothing more nothing less than that.


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Education Information for Veterans
Marlboro College has a proud institutional history of being veteran-friendly, dating back to World War II, and deeply respects the service and sacrifice of our nation's veterans. Marlboro College has signed the Principles of Excellence. All our programs are VA approved, and are designed to accommodate the schedules of working adults: classes meet in-person on weekends, and online in between. Many of our programs would make a valuable compliment to your experiences in the service.
As a veteran, we offer you opportunities to take one course, acquire a professional certificate, or finish your undergraduate education with our bachelor's completion program in Managing Information Systems. If your continuing education is at the graduate level, you would be welcome in our programs for Master of Arts in Teaching with Technology, Master of Science in Management: Health Care Administration, or MBA in Managing for Sustainability. We are happy to speak to any and all veterans and help find them the right class or program that is right for them, whether at Marlboro or another institution. In addition, our undergraduate program is also VA approved and welcomes the experience and perspective of veterans.
Please contact the graduate admissions office for more information (888) 258-5665 x209.
For information about financial aid through your veterans benefits, see our Veterans Benefits Policy.


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Portland's culinary artisans gather for the 27th year to battle child hunger at Share our Strength's Taste of the Nation ® on April 29, 2014 at McMenamin's Crystal Ballroom. Enjoy bites and sips from Oregon's top chefs, wineries, brewers and distilleries designed around the theme of "What My Family Ate."
It's sobering to think that one out of five Oregon families are insecure about being able to put nourishing food on the table. 100% of the ticket sales support Share our Strength's No Kid Hungry campaign. The local beneficiaries include Oregon Food Bank, Partners for a Hunger Free Oregon, St. Vincent DePaul Society, and the Klamath/Lake County Food Bank.
Tickets are available for $85 for general admission, opening at 6:30 pm. VIP admission for $150 allows you in at 5:30 p.m. with extra tastes from Imperial
/ Portland Penny Diner, The Country Cat, Multnomah Whiskey Library, Ox, Paley's Place, Pok Pok, Tasty n Sons / Toro Bravo. General admission includes bites from 24 great restaurants as well as almost 30 wine, beer, distillers, coffee, tea or soft drink sips.
A silent auction, photo booth, games and activities will keep the ballroom rocking until 9 pm.
Tickets are on sale now at http://ce.strength.org/events/taste-nation-portland-or


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OpenVZ on Power?
I'm looking for an alternative to BLCR to provide checkpoint/restart functionality for a Linux application on IBM Power hardware. Having seen some mentions that OpenVZ supports Power, I wanted to try it out.
I've tried to rebuild vzkernel-2.6.32-042stab049.6.src.rpm in Mock on an IBM JS-12 blade (Power6) running Fedora 12, and have run into a number of problems. I'll note that we have successfully rebuilt the Fedora12 2.6.32-based kernel from SRPM in the same Mock configuration.
The initial issue was that the patch-042stab049 introduced a single line of invalid syntax into arch/powerpc/include/asm/elf.h:
export struct page *vdso32_pages[1];
Correcting "export" to "extern" resulted in a type-redefinition compile error, since vdso32_pages is defined as IIR "static unsigned int" in the PPC vdso.c.
Removing the extern declaration from elf.h entirely, since apparently the symbol usage in the cpt/cpt_mm.h is ifdef'd by CONFIG_X86 revealed another stumbling block with undefined functions [un]charge_beancounter_fast() due to CONFIG_BEANCOUNTERS not getting defined. I added appropriate no-op definitions to the group already present in the #ifndef CONFIG_BEANCOUNTERS section of kernel/include/bc/beancounters.h, but there appears to be a larger problem in that the contents of config-vz aren't getting reflected in the final kernel config used during the RPM build.
My basic question is whether or not there's any hope of successfully generating a ppc64 OpenVZ kernel. I tried the stable RHEL5 kernel SRPM as well, but encountered a different build failure.
I note that the last e.g. vzctl version that has an RPM download for ppc64 is 3.0.26 from 2/27/2011, and that the next minor release 220.127.116.11 from about a week later has no mention of Power at all. I reviewed the –announce, -user, and –devel list archives from that timeframe, and didn't see any explicit mention of support for Power being dropped.
Is ppc[64] still a supported architecture for OpenVZ? If so, is checkpoint/restart available? How should I go about building a kernel (and, eventually the utilities) for my Fedora12 systems?
Thanks in advance,
-Bryson Lee
_______________________________________________ Users mailing list Users@... https://openvz.org/mailman/listinfo/users


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No. 59 Auburn Stuns No. 21 Texas Tech, 5-2
Kenna Kilgo won her singles match in straight sets on Thursday to improve to 12-4 on the season.
February 21, 2013Final Stats
AUBURN, Ala. - No. 59 Auburn stunned No. 21 Texas Tech Thursday in women's tennis at the Yarbrough Tennis Center, 5-2.
"We showed up very flat against a very good team and that combination never ends well," said Lady Raider head coach Todd Petty. "Credit Auburn. They are on their way and they deserved the win today."
The last time an opponent scored five or more points on the Lady Raiders, was when No. 30 Texas A&M recorded a 5-2 win over Texas Tech on Apr. 22, 2011 in College Station, Texas. The Lady Raiders have not lost to a team ranked this low since falling to unranked Kansas State in 2010.
For the first time in 21 matches, Texas Tech lost the doubles point.
The No. 55 Tiger doubles tandem of Plamena Kurteva and Pleun Burgmans topped Samantha Adams and Kenna Kilgo, 8-4 to start the day. Then Auburn's Paulina Schippers and Jen Pfeifler upended Caroline Starck and Elizabeth Ullathorne, 8-5 at No. 3 doubles to secure the point.
The No. 58 Texas Tech duo of Rashmi Teltumbde and Nikki Sanders outlasted Jackie Kasler and Emily Flickinger, 8-7 (7-5).
Auburn quickly jumped out to a 3-0 lead after Burgman topped Adams at No. 1, 6-1, 6-3 and Flickinger dropped Teltumbde at No. 2, 6-2, 6-3.
Kilgo gave Texas Tech its first point of the day with a 7-6. 6-0 win over Michala Kucharova at No. 3, but Kurteva picked up the deciding point with a 6-2, 6-4 win over Sanders at No. 6. It was Sanders' first dual match loss of the season.
Ullathorne continued her winning ways with a 6-1, 4-6, 6-1 win at No. 5 over Pfeifler, while Texas Tech's Sandra Dynka fell to Jackie Kasler, 6-4, 2-6, 1-0 (10-7) at No. 4.
The Lady Raiders have to regroup in hurry as they face No. 8 Alabama on Friday at 5 p.m. in Tuscaloosa.
"The sense of urgency will need to be there from the start and I expect it to be," added Petty. "Alabama is very good and we will need to have a contribution from everybody if we are going to be successful."
#59 Auburn University 5, #21 Texas Tech 2


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Things to Do in Alexandria, VA
Surrounded by the charm and history of Old Town, the Sheraton Suites Old Town Alexandria is close to all of the things to do in Alexandria, VA and Washington, D.C. Closer than any other full-service hotel in Old Town Alexandria to Ronald Reagan Washington National Airport, you have more time to explore Old Town Alexandria and Washington, D.C.
View our Local Area Restaurant Recommendation Guide.
Things to do in Alexandria, VA
|Explore Old Town! (distance 0.8 miles)
We are just a short stroll from the Potomac River Waterfront, where you can enjoy attractions such as The Torpedo Factory or The Lyceum. We are also just a few blocks away from historic King Street in Alexandria, which is home to Gadsby's Tavern, exquisite cuisine, and numerous boutiques and shops.
|Tour Washington, D.C. (distance 5.9 miles)
Our guests have the convenience of being located just a few miles away from Washington, D.C. Hop on the metro and spend the day exploring the Smithsonian museums, Georgetown, The White House, the Martin Luthur King Jr. National Memorial and The National Mall. Don't miss the National Cathedral and be sure to try and catch a baseball game at Nationals Park.
|Take the Ferry to National Harbor (distance 2.6 miles)
National Harbor is just a short ferry boat ride away from Alexandria and offers exceptional dining, shopping, and entertainment options for all!
|Experience Arlington (distance 6 miles)
Arlington is just moments away from Sheraton Suites Old Town Alexandria! Explore the shops and restaurants in Crystal City and be sure to visit the Arlington National Cemetery and the Pentagon.
Capital BikeShare
Potomac Heritage Tours
Whether connecting with old friends or collaborating with colleagues, enjoy a comfortable stay in the nation's capital at Sheraton Suites Old Town Alexandria. Explore additional things to do in Alexandria, VA and nearby, and be sure not to miss out on exciting upcoming events in Alexandria, VA.


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Santander Boss Ana Botin Stands Up to Treasury Select Committee
New Santander U.K. CEO Ana Botin was cool as a cucumber Tuesday giving testimony to the same Treasury Select Committee that a week ago seemed keen on tarring and feathering Barclays boss Bob Diamond.
Just seven weeks in the job, she gave polished responses on U.K. banking's competitive landscape, while outlining some of her priorities for Santander U.K. this year.
It helped that the lawmakers were on their best behavior, after last week's tense session that committee chairman Andrew Tyrie acknowledged had included some "rather intrusive" questions on Diamond's pay and Barclays' tax arrangements.
In contrast, Botin seemed to push all the right buttons, saying Santander U.K. will make a commitment to the government on providing new loans to small businesses, and is working to improve its handling of customer complaints.
She said the bank has no plans to close branches this year and indeed will open new outlets in addition to the 318 branches it picked up from Royal Bank of Scotland last year. In all, Santander U.K. should end 2011 with around 1,700 branches, further cementing its hold on the U.K. high street since its rapid expansion through acquisitions including Abbey, Alliance & Leicester and Bradford & Bingley.
While Santander U.K.'s ambitions are alarming to some smaller players who see the bank as just one more big incumbent with entrenched market share, they were well received by the committee. Tyrie closed the session by saying the Santander experience is in many ways "refreshing" for U.K. customers.
Asked about Santander's bonus plans Botin adeptly squashed the line of questioning, noting that Santander contributed only around 1% of the £3.5 billion raised from the U.K.'s one-time, 50% bonus tax last year, while having something like a 12% share of the retail banking market. She said her bonus last year as CEO of Spain's Banesto was €1.7 million.
Apart from pay, lending to small businesses has been politicians' major bone of contention with banks. Like other bank chiefs, Botin said low demand continues to be an issue, and that reduced liquidity in the financial system would put a further cap on loan volume. But she said Santander U.K. aims to be a "bigger player and a better player" in SME lending, and has added 150 new relationship managers to drive the business.
The appearance was Botin's first major public engagement since taking over as Santander U.K. CEO on Dec. 1. Investors considering buying shares in the bank if it floats later this year are likely to be impressed.


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Q: I've read that there are many things people can do to help manage their arthritis, yet every time I talk to my doctor about my rheumatoid arthritis, he mentions little more than the next medication – or new dosage – he is going to prescribe for me. What are some of the self-help things I can do and how can I get my doctor to involve me more in my own care?
A: The concern that doctors don't encourage patient self-help is, unfortunately, a common one. The problem, in part, is that the medical system itself arose in an era when acute disease predominated. Doctors traditionally have been trained to treat acute illness, which has a clear cause and cure in most cases. The doctor diagnoses the problem, determines the cause and administers the treatment. Then, if all goes well, the disease responds with little or no effort on the part of the patient.
For chronic conditions like the many types of arthritis, for which there may be no cures, patient self-help managing the disease requires a continuing, cooperative relationship between the doctor and patient. In this relationship, you – the patient – are actually the main caregiver. This is a new concept for most doctors.
Certainly your doctor must make the diagnosis, recommend a course of medical treatment, monitor your response to treatment, and adjust that treatment accordingly. But it is you who must follow your doctor's prescription, day in and day out. You are also the one who must monitor your symptoms and call your doctor between visits if you have a problem that needs to be addressed or a drug dose that perhaps needs to be changed.
At office visits, you must honestly describe to your doctor how you are feeling and what you've been experiencing. Your personal accounts, along with lab tests and examination results, help your doctor make important treatment decisions.
Aside from medication-related issues, there is a lot more that you can and should do with the help and support of your physician. For one, you must maintain an overall healthy lifestyle. Proper nutrition and exercise are particularly important for people with arthritis.
If pain is a problem, as it is for the majority of people with arthritis, there are measures – other than medications – that can help you feel better. Exercise can help relieve pain, so can applying heat or cold to affected joints and using relaxation techniques.
Making your home as accessible as possible and using assistive devices – such as reachers to retrieve things from high shelves, or zipper pulls if your fingers are sore or no longer nimble – can relieve frustration, protect joints and help you remain independent.


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NutriBiotic, Raw Organic Rice Protein, Plain, 3 lbs (1.36 kg)
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- You earn loyalty credit for every order you place at iHerb!
- Loyalty credit is equal to 10% of the value of your order, excluding shipping charges.
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Expiration Date:?Mar 2019
Expiration Date
The length of time for the expiration date or "best used before" date depends on the type of product, as well as the brand.
Perishable items (such as flax oils or certain probiotics) generally have shorter expiration dates. Although our warehouse is fully air-conditioned, these more fragile items are put in cold storage (freezer or refrigeration unit) for maximum freshness.
Our receiving department does its best to verify and then enter the correct expiration dates for all incoming products. However, discrepancies do occur from time to time. This being said, the exceptionally high turnover at iHerb ensures that our inventory is among the freshest in the industry.
Shipping Weight:?3.9 lbs (1.77 kg)
Shipping Weight
The Shipping Weight includes the product, protective packaging material and the actual shipping box. In addition, the Shipping Weight may be adjusted for the Dimensional Weight (e.g. length, width & height) of a package. It is important to note that certain types of products (e.g. glass containers, liquids, fragile, refrigerated or ice packed) will often require protective packaging material. As such, these products will reflect a higher Shipping Weight compared to the unprotected product.
- Product Code: NBC-03001
- UPC Code: 728177030018
- Package Quantity: 3 lbs (1.36 kg)
- Dimensions: 5.9 x 5.9 x 9.9 in, 3.3 lbs (1.5 kg)
- USDA Organic
- Vegan
- 80% Protein
- Certified Organic by CCOF
- Certified Kosher
- Gluten Free
NutriBiotic Vegan Organic Plain Rice Protein is a high quality, low carbohydrate vegetable protein. This easily digestible protein provides an extensive array of naturally occurring amino acids, the building blocks of protein.
Boost your nutrition and energy with this healthy and wholesome, protein rich formula!
NutriBiotic Vegan Organic Rice Protein is produced by means of a unique enzyme process. A proprietary blend of organic plant enzymes are used to separate the fiber and carbohydrates from the protein portion of the organic whole grain, sprouted brown rice. Low temperatures used during processing prevent denaturing of the amino acids. No chemicals are used at any time. Due to this enzyme process, color, taste, and texture may vary.
Suggested Use
As a protein source, add one serving to a shaker bottle or glass. Add water, rice milk, or beverage of your choice. Shake or mix well. You may also add a serving to your favorite smoothie or recipe.
Other Ingredients
Enzymatically processed rice protein from certified organic, whole grain sprouted brown rice.
NutriBiotic Vegan Organic Plain Rice Protein is made without soy, milk, eggs, wheat, corn, nuts, or preservatives.
Made with Pesticides, Herbicides, GMOs, or PCBs
As with any supplement, you should consult your physician before using this product. Keep out of reach of children. If you are nursing, pregnant, or considering pregnancy, you should consult your healthcare practitioner prior to using this product. California Residents: This product contains a chemical known to the State of California to cause birth defects or other reproductive harm.
|Supplement Facts
|Serving Size: 1 Heaping Tbsp. (15 g)
|Serving Per Container: 90
|Amount Per Serving
|%Daily Value*
|Calories from Fat
|Tota Fat
|0 g
|Saturated Fat
|0 g
|Trans Fat
|0 g
|0 mg
|10 mg
|Total Carbohydrate
|2 g
|Dietary Fiber
|1 g
|12 g
|2 mg
|80 mg
|Not a significant source of Vitamin A, Vitamin C, or Calcium
*Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs.
|Naturally Occurring Amino Acids Per 15 g Serving
|588 mg
|818 mg
|Aspartic Acid
|1092 mg
|288 mg
|Glutamic Acid
|2065 mg
|378 mg
|270 mg
|700 mg
|1092 mg
|614 mg
|276 mg
|526 mg
|732 mg
|594 mg
|570 mg
|187 mg
|492 mg
|722 mg
|*Essential Amino Acid
This product is great. I use it every day as part of the "fat flush" diet. I buy all the things i need for this "diet" from iherb. Rice protein,pea protein CLA and blackcurrent seed oil. All of which is helping me loose weight. This rice protein is the best you can get. This is because the rice is germinated AND fermented. All phytates are gone this way. Phytates in grains stop your body from absorbing nutrients. All other rice proteins are not germinated,so the phytates remain and your body gets lots less than it should. Germination then fermentation significantly increase nutrients like the amino acid profile. If you doubt this,compare the label with other rice proteins. I hope this company produces a pea protein using this same method,Germination then fermentation. Allergies to pea would then be gone via this method. The price for the 3 LB is great ! Literally 3lbs for the price of 2lb. The shipping from iherb to Australia is amasing. I buy many items at great prices. Thanks iherb!
The texture of the powder was at first a slight problem, as it seemed that it's not uniform in fineness, meaning some of the coarse pieces stay in the bottom of the glass. Once I got over that the product has been perfect. I use a bigger scoop than the recommended 15g though, but the price-quality ratio is still very good. The taste is neutral, and the powder mixes quite well with water. A mixing tip: If you don't have a mixer at hand, mix only a small amount of water with the powder using a fork until it forms a smooth paste, then dilute the paste into the amount of water you want to drink it with. No clumps and no hassle!


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Press Release: Ensemble Caprice Returns to Houston with "Salsa Baroque"
Download: Press Release: Ensemble Caprice
P. O. Box 271193
Houston, TX 77277-1193
Media contact:
Susan Love Fitts, 936-597-8825
Ensemble Caprice Returns to Houston with "Salsa Baroque"
Houston Early Music features renowned Montreal group in its annual Hispanic Heritage Series
HOUSTON, TX – February 27, 2014 — Montreal's Ensemble Caprice will return to the Houston Early Music series with its acclaimed "Salsa Baroque" program of Spanish and Latin American Baroque music on Friday, April 11, at 7:30 p.m. at Palmer Memorial Episcopal Church.
Presented as part of Houston's annual "Hispanic Heritage Series," the concert highlights the extraordinary musical dialog between the Old and New Worlds during the 16th through the 18th centuries. This was a time when European polyphony fused with traditional African and Amerindian music to create a style that Ensemble Caprice calls "Salsa Baroque."
Prime examples of this unique style are the villancicos of the Bolivian composer Juan de Araujo and the colorful guarachas of his contemporaries. Also on the program are two sonatas by Andrea Falconieri, an Italian composer influenced by the distinctive Latin American style. Other selections include lively dances known as tarantellas, canarios and chaconas.
Ensemble Caprice features five Baroque specialists, co-directed by Matthias Maute and Sophie Larivière, both virtuosos on recorder and flute. Rounding out the ensemble are guitarist David Jacques, cellist Susie Napper and percussionist Ziya Tabassian.
Most of the pieces on the program can be heard on the group's "Salsa Baroque" CD, nominated for Canada's Juno Award in 2011, however the arrangements will be quite different, according to Maute, who won first prize at the 1990 Early Music Competition in Bruges, Belgium.
Noted for its innovative interpretations of Baroque music, Ensemble Caprice was praised in a 2009 article in the New York Times as "imaginative," "powerful" and "top-flight." The group, founded in 1989, is regularly invited to perform at festivals in Belgium, the Netherlands and Germany, and it has toured in Israel and Taiwan. Accolades include a 2009 Juno Award for its "Gloria! Vivaldi's Angels" CD, and a Prix Opus from the Conseil québécois de la musique.
Ensemble Caprice will present "Salsa Baroque" on Friday, April 11, 2014, at 7:30 p.m. at Palmer Memorial Episcopal Church, 6221 Main St., Houston TX 77030. A pre-concert talk with ensemble co-director Matthias Maute will begin at 6:45 p.m.
Tickets can be purchased at HoustonEarlyMusic.org. General admission tickets for "Salsa Baroque" are available for $40; seniors $35; and students with valid student ID cards $20.
For more information, e-mail firstname.lastname@example.com or call 281-846-4222.
As the city's only organization dedicated to covering the large historical span of early music in all of its forms, Houston Early Music epitomizes a movement that has swept the world of classical music.
Officially incorporated in 1969, the nonprofit, funded in part by grants from the Houston Arts Alliance, the Texas Commission on the Arts and The National Endowment for the Arts, provides performance opportunities for up-and-coming and major early music artists from around the world in an annual concert series. The organization's successful and growing educational outreach program introduces future generations to a broad range of music.
Friday, April 11, 2014, 7:30 p.m.
ENSEMBLE CAPRICE – Salsa Baroque
Palmer Memorial Episcopal Church
6221 Main Street
Houston, TX 77030
Attached photo:
As part of Houston Early Music's Hispanic Heritage Series, Ensemble Caprice will present "Salsa Baroque," a program of Spanish and Latin American Baroque music, on Friday, April 11, 7:30 p.m. at Palmer Memorial Episcopal Church, 6221 Main St., Houston TX 77030. For more information, visit HoustonEarlyMusic.org.
Photo courtesy Houston Early Music.
Media contact:
Susan Love Fitts
Susan Love Fitts Communications Inc.


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SouthPark office space in demand
Second-quarter Karnes Report shows lower vacancy rates, higher rents
With vacancy rates well below market norms and above-average rents, this office submarket in south Charlotte continues to be one of the strongest performers in the city. Second-quarter numbers from Charlotte-based Karnes Co., an office-industry analytics firm, show that the SouthPark office market is healthier than it's been since 2009.