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Can Processed Foods Be Healthy?

We see a lot of dietary guidance emphasizing whole foods—and for good reason. When you think of generically “unhealthy” food, calorie-dense foods such as a fast food cheeseburger, a frozen TV dinner, or a pre-packaged snack cake may pop into your mind. 

Not only are these types of foods high in calories, sugar, and fat, but they are all considered processed foods as well. Recently there has been much discussion around processed foods, and ultra-processed foods in particular. Studies have shown a diet primarily made up of these types of foods can be associated with negative health risks like developing diabetes or obesity. 

With 70% of packaged foods in the United States being considered ultra-processed, many of us are eating this way. But what is classified as “processed” may surprise you. 

What’s Considered “Processed”
Imagine you’re at the grocery store looking to buy foods that support your healthy eating goals. You grab your favorite flavor of hummus (garlic), a loaf of whole-wheat bread, a jar of organic almond butter, and some rice cakes. Satisfied with your choices, you check out and head home to enjoy what you just paid for—a new collection of ultra-processed foods. 

But wait, aren’t all processed foods unhealthy? Is hummus really on the same level as a bag of chips? What if the hummus is homemade and not store-bought? There’s a lot going on here with processed foods for us to unpack.

In order to classify the many, many food and drink items available at the grocery store these days, researchers and government experts use a system known as the NOVA classification system. Developed by Brazilian researchers, The NOVA system groups based on four levels of processing:

  • Group 1: Unprocessed or minimally processed foods

Includes natural foods such as fruits, vegetables, fungi, flour, (dairy) milk, and meat 

  • Group 2: Processed culinary ingredients 

Includes ingredients you need to cook at home, such as sugars, oils, butter, and salt

  • Group 3: Processed foods

Includes prepared foods you can buy at the store, such as cheese, bread, and salted nuts, plus at-home meals cooked with ingredients from groups 1 and 2

  • Group 4: Ultra-processed foods

Includes packaged foods such as breakfast cereal, chicken nuggets, frozen pizza, and powdered meal replacement 

Deciding what is considered an ultra-processed food often comes down to ingredients you wouldn’t have seen in your grandmother’s pantry—such as high-fructose corn syrup, hydrogenated oils, artificial flavors, preservatives, and other additives. If you can’t whip it up in the kitchen, it’s probably an ultra-processed food.

When you take a look at the NOVA classification system, you may notice that, well, almost everything you eat on a daily basis is considered to be processed food on some level. You may also notice that there’s nothing in here about the actual nutrients in the foods. NOVA is all about the process. 

Do Ultra-Processed Foods Have a Place in a Healthy Diet?
Of course, not all food manufacturing processes produce unhealthy food items. Processing foods can help make them safer, cheaper, and more convenient for the end user. Canned chickpeas or microwavable brown rice are both technically processed but otherwise can be considered healthy ingredients.

At the end of the day, when deciding whether a processed food item is healthy, check the ingredients list. If it’s full of ingredients whose names you can’t pronounce (excluding spices and herbs)… maybe put it back on the shelf. When in doubt, turn to whole (natural) foods or make your own versions of common store-bought or takeaway food items.

Of course, there are times when you need to eat a granola bar for quick energy or want to get some extra protein in your diet with a supplementary powder—and that’s okay. Frozen meals may help you meet your calorie goals—and that’s okay. It’s all about creating a balance of foods that make it possible to stick to your healthy eating goals.

If you want to know more about ultra-processed foods and their potential impact on your health, talk to your healthcare provider or consult a registered dietician.

 

CON-1808-001 11/23

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Important Safety Information
What is CONTRAVE?
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CONTRAVE can cause serious side effects including:

Suicidal thoughts or actions: One of the ingredients in CONTRAVE is bupropion. Bupropion has caused some people to have suicidal thoughts or actions or unusual changes in behavior, whether or not they are taking medicines used to treat depression. Bupropion may increase the risk of suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. If you already have depression or other mental illnesses, taking bupropion may cause it to get worse, especially within the first few months of treatment.

CONTRAVE is a prescription weight-loss medicine that may help some adults with a body mass index (BMI) of 30 kg/m2 or greater (obese), or adults with a BMI of 27 kg/m2 or greater (overweight) with at least one weight-related medical problem such as high blood pressure, high cholesterol, or type 2 diabetes, lose weight and keep the weight off.

Important Safety Information
See More
CONTRAVE can cause serious side effects including:
Suicidal thoughts or actions: One of the ingredients in CONTRAVE is bupropion. Bupropion has caused some people to have suicidal thoughts or actions or unusual changes in behavior, whether or not they are taking medicines used to treat depression. Bupropion may increase the risk of suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. If you already have depression or other mental illnesses, taking bupropion may cause it to get worse, especially within the first few months of treatment.
What is CONTRAVE?
See More
CONTRAVE is indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:
Important Safety Information
What is CONTRAVE?
See Less 

CONTRAVE can cause serious side effects including:

Suicidal thoughts or actions: One of the ingredients in CONTRAVE is bupropion. Bupropion has caused some people to have suicidal thoughts or actions or unusual changes in behavior, whether or not they are taking medicines used to treat depression. Bupropion may increase the risk of suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. If you already have depression or other mental illnesses, taking bupropion may cause it to get worse, especially within the first few months of treatment.

While taking CONTRAVE, you or your family members should pay close attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. This is very important when you start taking CONTRAVE or when your dose changes.

Stop taking CONTRAVE and call a healthcare provider right away if you or your family members notice any of the following symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; attempts to commit suicide; depression; anxiety; feeling agitated or restless; panic attacks; irritability; aggression, anger, or violence; acting on dangerous impulses; an extreme increase in activity and talking; other unusual changes in behavior or mood; trouble sleeping.

CONTRAVE is not approved for use in children under the age of 18.

Do not take CONTRAVE if you have uncontrolled high blood pressure; have or have had seizures; use other medicines that contain bupropion such as WELLBUTRIN, WELLBUTRIN SR, WELLBUTRIN XL, APLENZIN and ZYBAN; have or have had an eating disorder called anorexia or bulimia; are dependent on opioid pain medicines or use medicines to help stop taking opioids, or are in opiate withdrawal; drink a lot of alcohol and abruptly stop drinking, or use medicines called sedatives (these make you sleepy), benzodiazepines, or anti‐seizure medicines and stop using them all of a sudden; are taking or have taken medicines called monoamine oxidase inhibitors (MAOIs) in the past 14 days; or are allergic to any of the ingredients in CONTRAVE.

Tell your healthcare provider about all of your medical conditions, including if you have: depression or other mental illnesses; attempted suicide; seizures; head injury; tumor or infection of brain or spine; low blood sugar or low sodium; liver or kidney problems; high blood pressure; heart attack, heart problems, or stroke; eating disorder; drinking a lot of alcohol; prescription medicine or street drug abuse; are 65 or older; diabetes; pregnant or planning to become pregnant; or breastfeeding.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

CONTRAVE may cause serious side effects, including:

  • Seizures. There is a risk of having a seizure when you take CONTRAVE. The risk of seizure is higher in people who take higher doses of CONTRAVE, have certain medical conditions, or take CONTRAVE with certain other medicines. Do not take any other medicines while you are taking CONTRAVE unless your healthcare provider has said it is okay to take them. If you have a seizure while taking CONTRAVE, stop taking CONTRAVE and call your healthcare provider right away.

  • Risk of opioid overdose. Do not take large amounts of opioids, including opioid-containing medicines, such as heroin or prescription pain pills, to try to overcome the opioid-blocking effects of naltrexone. This can lead to serious injury, coma, or death.

    Get emergency medical help right away if you take opioids and you:

    • have trouble breathing

    • become very drowsy with slowed breathing

    • have slow, shallow breathing

    • feel faint, very dizzy, confused, or have unusual symptoms

  • Sudden opioid withdrawal. People who take CONTRAVE must not use any type of opioid, including street drugs, prescription pain medicines, cough, cold, or diarrhea medicines that contain opioids, or opioid dependence treatments, for at least 7 to 10 days before starting CONTRAVE. Using opioids in the 7 to 10 days before you start taking CONTRAVE may cause you to suddenly have symptoms of opioid withdrawal when you take it. Sudden opioid withdrawal can be severe, and you may need to go to the hospital. Tell your healthcare provider you are taking CONTRAVE before a medical procedure or surgery.

  • Severe allergic reactions. Stop taking CONTRAVE and call your healthcare provider or go to the nearest hospital emergency room right away if you have any of the following signs and symptoms of an allergic reaction: rash, itching, hives, fever, swollen lymph glands, painful sores in your mouth or around your eyes, swelling of your lips or tongue, chest pain, or trouble breathing.

  • Increases in blood pressure or heart rate. Some people may get high blood pressure or have a higher heart rate when taking CONTRAVE. Your healthcare provider should check your blood pressure and heart rate before you start taking, and while you take CONTRAVE.

  • Liver damage or hepatitis. Stop taking CONTRAVE and tell your healthcare provider if you have any of the following symptoms of liver problems: stomach area pain lasting more than a few days, dark urine, yellowing of the whites of your eyes, or tiredness. Your healthcare provider may need to stop treating you with CONTRAVE if you get signs or symptoms of a serious liver problem.

  • Manic episodes. Bupropion can cause some people who were manic or depressed in the past to become manic or depressed again.

  • Visual problems (angle-closure glaucoma). Signs and symptoms may include: eye pain, changes in vision, swelling or redness in or around the eye. Talk with your healthcare provider to find out if you are at risk for angle‐closure glaucoma and to get treatment to prevent it if you are at risk.

  • Increased risk of low blood sugar in people with type 2 diabetes mellitus who also take medicines to treat their diabetes (such as insulin or sulfonylureas). You should check your blood sugar before you start taking CONTRAVE and while you take CONTRAVE.

The most common side effects of CONTRAVE include nausea, constipation, headache, vomiting, dizziness, trouble sleeping, dry mouth, and diarrhea. These are not all of the possible side effects of CONTRAVE.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

What is CONTRAVE?

CONTRAVE is a prescription weight-loss medicine that may help some adults with a body mass index (BMI) of 30 kg/m2 or greater (obese), or adults with a BMI of 27 kg/m2 or greater (overweight) with at least one weight-related medical problem such as high blood pressure, high cholesterol, or type 2 diabetes, lose weight and keep the weight off.

CONTRAVE should be used with a reduced-calorie diet and increased physical activity.

It is not known if CONTRAVE changes your risk of heart problems or stroke or of death due to heart problems or stroke.

It is not known if CONTRAVE is safe and effective when taken with other prescription, over-the-counter, or herbal weight-loss products.

CONTRAVE is not approved to treat depression or other mental illnesses, or to help people quit smoking (smoking cessation).

Please see Full Prescribing Information, including Medication Guide, for CONTRAVE.