Диетолог - Доц. д-р Росица Чамова, д.м

11/04/2026

Your mental health matters. 💙

23/02/2026

🌍 Over 1 billion people are already living with obesity - and by 2035, half the world’s population could be living with overweight or obesity.

This is one of the defining health challenges of our time. But it’s not inevitable.

For World Obesity Day, we’re calling for action to address the systems driving obesity - from food environments and healthcare access to inequality and stigma. But these systems impact all 8 billion of us.

Together, we can build healthier, fairer systems all of us.

👉 Get involved, share your reason, and explore resources:
🔗 www.worldobesityday.org

06/02/2026

Here are some simple facts about everyday food habits that can help you keep safe from preventable foodborne diseases.

19/01/2026

Your body is running a micronutrient-powered energy grid that keeps every cell alive.

Most people think carbs, fats, and protein become energy on their own.
But this diagram shows something far more important:

Without micronutrients, none of your macronutrients can be used at all.

Inside every cell, vitamins and minerals are:
⚙️ Activating enzymes that break down carbs, fats, and amino acids
⚙️ Converting food into acetyl-CoA, the gateway to ATP
⚙️ Driving the Krebs cycle and electron transport chain
⚙️ Recycling lactate back into usable fuel
⚙️ Supporting detox pathways like the urea cycle
⚙️ Protecting mitochondria from oxidative stress so energy stays stable

And all of it is happening continuously. Thousands of reactions per second.

Looking closer at what this single diagram reveals:

🔹 Glucose → Pyruvate → Acetyl-CoA
Every step requires B-vitamins (B1, B2, B3, B5), magnesium, and lipoic acid.
No micronutrients → no carbohydrate metabolism.

🔹 Fatty acids → β-oxidation → Acetyl-CoA
This depends on B2, B3, B5 and carnitine to move fats into mitochondria.
If you’re low here, fat oxidation simply slows.

🔹 Amino acids feed directly into energy pathways
B6, manganese, magnesium, biotin, and iron convert amino acids into Krebs-cycle intermediates and neurotransmitter precursors.

🔹 The Krebs cycle only turns if micronutrients are present
B2, B3, B5, magnesium, manganese, iron, cysteine, glutathione - all essential.
Without them, ATP production drops even with enough calories.

🔹 Electron transport chain = the final step
Requires B2, B3, B5, B6, B7, B9, vitamin C, CoQ10, zinc, iron, copper.
This is where oxygen becomes usable energy - or where it fails if cofactors are missing.

This is why micronutrients influence EVERYTHING:
energy, fatigue, metabolism, mood, focus, exercise capacity, mitochondrial health, aging.

Your macros are fuel.
Your micronutrients are the keys, the wiring, and the ignition system that make that fuel burn cleanly.

You’re not just eating food.
You’re feeding the biochemistry that powers your entire life.

19/01/2026

Мускулите ви изчистват глюкозата по два различни начина след хранене.
Повечето хора използват само един.

Когато седите след хранене, изхвърлянето на глюкозата зависи почти изцяло от инсулиновата сигнализация от панкреаса. Този път работи, но има ограничен капацитет, поради което пиковете на глюкозата след хранене са по-високи и по-дълги.

Когато се движите след хранене, дори леко, паралелно се включва втори път.

Мускулното съкращение независимо активира глюкозните транспортери (GLUT4), позволявайки на глюкозата да навлезе в мускулите, без да чака инсулин. Резултатът е по-бързо изчистване, по-ниски пикове и по-малко натоварване на панкреаса.

Какво се случва „под капака“:

• Мускулното съкращение задейства GLUT4 транслокация
• Глюкозата навлиза директно в мускулите
• Кръвната захар спада по-бързо
• Нуждата от инсулин се намалява, а не се замества

Не става въпрос за изгаряне на калории или „спечелване“ на храна. Става въпрос за използване на физиологията, която вече имате. Ходенето след хранене не отменя инсулина. То добавя още един път за изчистване.

Ето защо времето е важно.

Your muscles clear glucose in two different ways after a meal.
Most people only use one.

When you sit after eating, glucose disposal depends almost entirely on insulin signaling from the pancreas. That pathway works, but it has limited capacity, which is why post-meal glucose spikes are higher and longer.

When you move after eating, even lightly, a second pathway turns on in parallel.

Muscle contraction independently activates glucose transporters (GLUT4), allowing glucose to enter muscle without waiting for insulin. The result is faster clearance, lower peaks, and less strain on the pancreas.

What’s happening under the hood:
• Muscle contraction triggers GLUT4 translocation
• Glucose enters muscle directly
• Blood glucose falls more quickly
• Insulin demand is reduced, not replaced

This isn’t about burning calories or “earning” food. It’s about using the physiology you already have. Walking after meals doesn’t override insulin. It adds another clearance pathway.

That’s why timing matters.

26/09/2025

🎦 Webinar recording available: Menopause & Obesity

Explore how the hormonal shifts during menopause are consequential for clinical obesity management.

Our expert speakers discussed how menopausal symptoms interact with obesity, highlighting the significant role of psychological and emotional factors for patients and indicated approaches for management in clinical settings.

https://easo.org/video/menopause-obesity/

19/09/2025