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)|y;Dpy^梨9G5"Dv[@R endstream endobj 31 0 obj << /Type /StructElem /S /Part /P 9 0 R /Pg 7 0 R /K [33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R] >> endobj 32 0 obj << /Type /StructElem /S /Part /P 9 0 R /Pg 8 0 R /K [48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R] >> endobj 33 0 obj << /Type /StructElem /S /Figure /P 31 0 R /Pg 7 0 R /K [0] >> endobj 34 0 obj << /Type /StructElem /S /Figure /P 31 0 R /Pg 7 0 R /K [1] >> endobj 35 0 obj << /Type /StructElem /S /H1 /T (Diet and Cancer) /E (Diet and Cancer) /Pg 7 0 R /K [2] >> endobj 36 0 obj << /Type /StructElem /S /H2 /T (After your diagnosis, you may have lots of questions around diet and cancer. On the other hand, you may have had no time to think about how and what you are eating. This leaflet aims to provide an overview of dietary advice tailored for people with cancer. It is important to eat well and keep active after a cancer diagnosis. Eating a healthy and balanced diet means eating a wide variety of foods in the right proportions. The food groups below will help you to include the foods that your body needs.) /E (After your diagnosis, you may have lots of questions around diet and cancer. On the other hand, you may have had no time to think about how and what you are eating. This leaflet aims to provide an overview of dietary advice tailored for people with cancer. It is important to eat well and keep active after a cancer diagnosis. Eating a healthy and balanced diet means eating a wide variety of foods in the right proportions. The food groups below will help you to include the foods that your body needs.) /Pg 7 0 R /K [3] >> endobj 37 0 obj << /Type /StructElem /S /H3 /T (Starchy Carbohydrates: Examples include cereals, bread, chapattis, rice, potatoes and yam. Over a third of our diet should be made up from starchy carbohydrates. They can provide your body with energy, fibre and some vitamins and minerals. ) /E (Starchy Carbohydrates: Examples include cereals, bread, chapattis, rice, potatoes and yam. Over a third of our diet should be made up from starchy carbohydrates. They can provide your body with energy, fibre and some vitamins and minerals. ) /Pg 7 0 R /K [4] >> endobj 38 0 obj << /Type /StructElem /S /H3 /T (Dairy or Alternatives: Examples include milk, cheese, cream, butter and alternatives made from soya, oats and other plant based sources. Dairy and fortified alternatives provide protein, calcium and some vitamins. They should make up a small part of a regular diet.) /E (Dairy or Alternatives: Examples include milk, cheese, cream, butter and alternatives made from soya, oats and other plant based sources. Dairy and fortified alternatives provide protein, calcium and some vitamins. They should make up a small part of a regular diet.) /Pg 7 0 R /K [5] >> endobj 39 0 obj << /Type /StructElem /S /H2 /T (Fruits and Vegetables:) /E (Fruits and Vegetables:) /Pg 7 0 R /K [10] >> endobj 40 0 obj << /Type /StructElem /S /H2 /T (Examples include apples, peppers, tinned tomatoes, frozen peas, carrots and bananas. Over a third of our diet should be made up from fruits and vegetables. They are a source of vitamins, minerals and fibre. Aim for at least 5 portions a day. ) /E (Examples include apples, peppers, tinned tomatoes, frozen peas, carrots and bananas. Over a third of our diet should be made up from fruits and vegetables. They are a source of vitamins, minerals and fibre. Aim for at least 5 portions a day. ) /Pg 7 0 R /K [11] >> endobj 41 0 obj << /Type /StructElem /S /H2 /T (Meat, Fish, Eggs, Beans or Meat Alternatives:) /E (Meat, Fish, Eggs, Beans or Meat Alternatives:) /Pg 7 0 R /K [6] >> endobj 42 0 obj << /Type /StructElem /S /H2 /T (Examples include chicken, beef, pork, eggs, chickpeas, baked beans, or alternatives, such as Quorn or Tofu. These foods can provide protein, vitamins and minerals. Aim to eat less than 2 portions of red and processed meat a week. Try to include 2 portions of fish, preferably oily, a week.) /E (Examples include chicken, beef, pork, eggs, chickpeas, baked beans, or alternatives, such as Quorn or Tofu. These foods can provide protein, vitamins and minerals. Aim to eat less than 2 portions of red and processed meat a week. Try to include 2 portions of fish, preferably oily, a week.) /Pg 7 0 R /K [7] >> endobj 43 0 obj << /Type /StructElem /S /H2 /T (Foods High in Sugar and Salt, or Ultra-Processed Foods:) /E (Foods High in Sugar and Salt, or Ultra-Processed Foods:) /Pg 7 0 R /K [12] >> endobj 44 0 obj << /Type /StructElem /S /H2 /T (Examples include takeaway foods, pre-made biscuits, cakes, crisps, condiments and soft drinks. Reduce your intake of these foods, as they are energy dense but provide very little nutritional worth.) /E (Examples include takeaway foods, pre-made biscuits, cakes, crisps, condiments and soft drinks. Reduce your intake of these foods, as they are energy dense but provide very little nutritional worth.) /Pg 7 0 R /K [13] >> endobj 45 0 obj << /Type /StructElem /S /H2 /T (Fluids:) /E (Fluids:) /Pg 7 0 R /K [8] >> endobj 46 0 obj << /Type /StructElem /S /H2 /T (Fluid is important in many bodily functions. All fluid counts, but alcohol and coffee can be dehydrating. Aim to drink 6-8 glasses of fluid a day, not going long periods without topping up. ) /E (Fluid is important in many bodily functions. All fluid counts, but alcohol and coffee can be dehydrating. Aim to drink 6-8 glasses of fluid a day, not going long periods without topping up. ) /Pg 7 0 R /K [9] >> endobj 47 0 obj << /Type /StructElem /S /P /ActualText (@hdft2023) /Pg 7 0 R /K [14] >> endobj 48 0 obj << /Type /StructElem /S /H1 /T (Questions people sometimes have:) /E (Questions people sometimes have:) /Pg 8 0 R /K [15] >> endobj 49 0 obj << /Type /StructElem /S /H2 /T (Fibre) /E (Fibre) /Pg 8 0 R /K [6] >> endobj 50 0 obj << /Type /StructElem /S /H4 /T (Fibre helps your gut to work normally. It increases good bacteria which supports your immunity against inflammatory disorders and allergies. It also helps to keep bowel movements healthy and regular. Most people should aim to increase their fibre intake - good sources of fibre include fruits, vegetables, wholegrain bread, wholegrain pasta, cereals and brown rice.) /E (Fibre helps your gut to work normally. It increases good bacteria which supports your immunity against inflammatory disorders and allergies. It also helps to keep bowel movements healthy and regular. Most people should aim to increase their fibre intake - good sources of fibre include fruits, vegetables, wholegrain bread, wholegrain pasta, cereals and brown rice.) /Pg 8 0 R /K [4] >> endobj 51 0 obj << /Type /StructElem /S /H3 /T (If your cancer team or doctor advises to limit your fibre intake, please adhere to this guidance. If you are unsure please contact your cancer team and they can clarify. ) /E (If your cancer team or doctor advises to limit your fibre intake, please adhere to this guidance. If you are unsure please contact your cancer team and they can clarify. ) /Pg 8 0 R /K [5] >> endobj 52 0 obj << /Type /StructElem /S /H2 /T (Alcohol:) /E (Alcohol:) /Pg 8 0 R /K [12] >> endobj 53 0 obj << /Type /StructElem /S /H4 /T (Alcohol is linked to some cancers and diseases. The national guidance states men and women should have no more than 14 units a week. 1 unit is half a pint of beer, 1 small glass of wine or 1 measure of spirit. Intake should be spread out over a few days, and we should aim to have alcohol free days every week.) /E (Alcohol is linked to some cancers and diseases. The national guidance states men and women should have no more than 14 units a week. 1 unit is half a pint of beer, 1 small glass of wine or 1 measure of spirit. Intake should be spread out over a few days, and we should aim to have alcohol free days every week.) /Pg 8 0 R /K [13] >> endobj 54 0 obj << /Type /StructElem /S /H2 /T (Movement and Exercise) /E (Movement and Exercise) /Pg 8 0 R /K [7] >> endobj 55 0 obj << /Type /StructElem /S /H4 /T (Eating Before Exercise:) /E (Eating Before Exercise:) /Pg 8 0 R /K [10] >> endobj 56 0 obj << /Type /StructElem /S /H4 /T (Eating a low-fat, high carbohydrate meal 90 minutes to two hours before exercising will help your energy levels before the activity. Examples can include beans on toast, jacket potato or a bowl of pasta.) /E (Eating a low-fat, high carbohydrate meal 90 minutes to two hours before exercising will help your energy levels before the activity. Examples can include beans on toast, jacket potato or a bowl of pasta.) /Pg 8 0 R /K [8] >> endobj 57 0 obj << /Type /StructElem /S /H4 /T (Eating After Exercise:) /E (Eating After Exercise:) /Pg 8 0 R /K [11] >> endobj 58 0 obj << /Type /StructElem /S /H4 /T (Eating a higher protein snack after an exercise will help to rebuild and repair muscles and replenish your energy stores. Examples can include egg on toast, hummus and pitta, or a yoghurt pot.) /E (Eating a higher protein snack after an exercise will help to rebuild and repair muscles and replenish your energy stores. Examples can include egg on toast, hummus and pitta, or a yoghurt pot.) /Pg 8 0 R /K [9] >> endobj 59 0 obj << /Type /StructElem /S /H2 /T (For More Information) /E (For More Information) /Pg 8 0 R /K [16] >> endobj 60 0 obj << /Type /StructElem /S /H3 /T (If you wish to speak to someone in person about any dietary concerns, please contact your cancer team or the cancer information services at the Sir Robert Ogden Macmillan Centre. They can make the right referrals to support you in the best way they can. You may be referred to a Dietitian if you are underweight, find it difficult to maintain a healthy weight or have problems with symptoms and side effects when you eat or drink.) /E (If you wish to speak to someone in person about any dietary concerns, please contact your cancer team or the cancer information services at the Sir Robert Ogden Macmillan Centre. They can make the right referrals to support you in the best way they can. You may be referred to a Dietitian if you are underweight, find it difficult to maintain a healthy weight or have problems with symptoms and side effects when you eat or drink.) /Pg 8 0 R /K [14] >> endobj 61 0 obj << /Type /StructElem /S /H5 /T (Nutrition and Dietetics 51 Contact number: 01423 553329 Email: hdft.dietitians1@nhs.net) /E (Nutrition and Dietetics 51 Contact number: 01423 553329 Email: hdft.dietitians1@nhs.net) /Pg 8 0 R /K [3] >> endobj 62 0 obj << /Type /StructElem /S /P /ActualText (The Sir Robert Ogden Macmillan Centre) /Pg 8 0 R /K [0] >> endobj 63 0 obj << /Type /StructElem /S /P /ActualText (Contact number: 01423 557317) /Pg 8 0 R /K [1] >> endobj 64 0 obj << /Type /StructElem /S /P /ActualText (Email: hdft.cancerinformation@nhs.net) /Pg 8 0 R /K [2] >> endobj 65 0 obj << /Type /StructElem /S /H5 /T (Produced : November 2023) /E (Produced : November 2023) /Pg 8 0 R /K [17] >> endobj 66 0 obj << /ca 1 /BM /Normal >> endobj 67 0 obj << /ca .7 /BM /Normal >> endobj 68 0 obj << /ca .1 /BM /Normal >> endobj 69 0 obj << /Length 293 /N 3 /Filter /FlateDecode >> stream x}JԂ(28hiRpi"VSAOHStspu+.c(#ARx@?F[V[G@`*dK$O.K o@6`O,f'˘O asx0A6vf 8{c7%opZ:u Q 0Q٣F *Ԑ(SDGACAajgrx]s PxM cvhO> stream xwR<EjDPA5р> {C|KQ41B,bSQ,p&om3;ߙݻݽ|;)             Y aVe!c֑ KB~05`2%yvՉ 2847#dϬBaăn!CB:=j|U^L|}"HF4J5>븐^utHEX;iAUFvzo_" EQ ~A' QWi^80ĩ(ݳc`EJUn٫:EZJ( )]i̖=7dSiS@MJEZ( H t=pgƷDv$!Qpjyց#o#UIXz:t2)Zz; i34ꦒ2ڊGg>Ri uE%6ԡKS.=ϒ%ԥާϷշW?$˽O㬛9<ʙO&Frغ2ivg8nXoʦHI"K{Cwݠ͆jj8g%%!_{hV<#ĺ$d!&Udr$Ϥ K%ĊMZ{tI2YRGz^nʪHIʭ lZdn$לXwuc*ɪHIGh櫣 HӄI)+M(1\iI&K9}Je-55Tx_Ho.D%̑)W;' y"sB@K?4f*m夫WQqOu|QyU*Qq)!+Y&˲ Z_Qm-S:p,-#|33Y_dШF x+CLNsQe)[y՛8&.Y8+͡fB(K+Ygl \ÉP+Ҋut}f*qNL9իl 1'ԉty>3H2nf:w0?'T o<.}2k7UU_WL{L2׭l%@n׼օW^3[Y{ylVeQg*qpWbg36݌\jg|s ,MF,Rkp_ǃjT`Fw)o, 3 S5Yלנ ^O.W6fj+"weAY6Wtp\ezWe!K҂dYSei |`#eN\E &l4wl6crwI]h Br[PLVe,?sx~jyE|~j0%NKy d98ʐ+\d2$ŲqI[,mӳy4zd$Ё^1R}YmRKQ奶FeK[,-kvzW,}&%8*:SkR/^EYJG.mYZem^#ps hV:ިT]Y\+gľvY&Bֺei5j YȬZwJn-IWq]YjgGte9[Һei%^ʇ,]ԼB{#P7.N[Y4e1@4ʒHZW ^kρ,OCVMdvhwʞ:eY[W|r΢ɧ&zoM|ד%.LJ{fc)IցnM>di N36U2hR셿roJ+H_+u[b&KѮ&'kpX{tslu{BʭeI ,;oo/Ie5jkxoY\Ƕ߅se2w g>g"O4Rl _'.+;j>E+#YRE?jԽnk\^7P{*wWPn, ћKH3"]s M>B3H}|rW鷹2p5 Q¸pTe⽵2J:%dYjqN#G 1+s™cC Y,o\.n\eܞ[6QJQdQK,PÕet6[<)deިUKhIgV%K1&~_CK/?mV$%䜈ۙ~.O<(Z FU%naHdSeFYFz܀Ĥ1q8"lq6Y+Z1.[|u$K}~d8jM&w2S'tF?1-xQAj֑,Ů:9ʊR4?Yq׌,jSnY\\R|ߟ#YOݢM:2384Lj#`\]ud|uI-F*_Dl%^XŖ噂yJtEInG˟.UeT3YQvy4@18#KD eB6A,+Wp"b\5ؔf!.FPP˲\lƜ p9UOp3Yyrd SN}T? 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