
無齡診所副院長黃乙絜指出,植物蛋白粉來源不同,胺基酸組成有差異,大豆蛋白品質較高,豌豆蛋白可能有植物味,米蛋白含硫胺基酸較多;提醒注意甜味劑與香料可能引發腸胃不適,乳癌或荷爾蒙相關疾病患者應諮詢醫療團隊。
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許多民眾因蛋白質攝取不足而選擇植物蛋白粉,但對大豆、豌豆、米蛋白的差異了解不足,導致選擇困惑。
〔健康頻道/綜合報導〕不少民眾因為蛋白質吃不夠,傾向選擇植物蛋白粉,然而針對大豆、豌豆、米蛋白的差異則一頭霧水。無齡診所副院長黃乙絜指出,如果你想選單一來源,大豆蛋白通常是簡單選擇;如果你不想選大豆,豌豆蛋白是市面常見選項,但要接受它可能有植物味或粉感。她提醒2件事,有些蛋白粉會加入甜味劑、香料等,恐引發腸胃不舒服風險;正在接受乳癌或荷爾蒙相關疾病治療,仍建議和照護團隊確認。
黃乙絜在臉書專頁「黃乙絜醫師の腸活飲食小學堂」發文分享,有民眾買植物蛋白粉,可是卻困擾於不了解大豆、豌豆、米蛋白到底差在哪裡。大豆、豌豆、米蛋白,不是「植物」兩個字就一樣。換言之,植物蛋白不是同一種東西。
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黃乙絜說明,蛋白質是由胺基酸組成,其中有9種必需胺基酸是人體無法自行製造,需要從食物取得的,不同蛋白質來源的胺基酸組成不一樣,有些胺基酸會相對不足,這就叫限制胺基酸。大豆蛋白的必需胺基酸組成相對完整,是植物蛋白裡品質較高的來源;豌豆蛋白的離胺酸表現不錯,但含硫胺基酸相對較少;米蛋白剛好相反,離胺酸相對不足,但含硫胺基酸相對較有優勢。
她進一步表示,這也是民眾會看到,很多產品將豌豆蛋白加米蛋白放在一起,並非讓產品聽起來高級,重點在於兩者有胺基酸互補的概念。
有關評估蛋白質品質,黃乙絜提及,文獻中常用PDCAAS評估蛋白質品質,它會把必需胺基酸組成和消化率一起考慮,分數最高是1.0。常見資料中,分離大豆蛋白通常接近滿分;分離豌豆蛋白略低;米蛋白通常再低一些。不過,PDCAAS 也不是完美指標,實際產品仍會受到原料、加工、純度和配方影響。
民眾應該如何挑植物蛋白粉?黃乙絜建議,挑植物蛋白粉不要只看「大豆比較好」或「混合一定比較好」。如果民眾想選單一來源、蛋白質品質較完整的植物蛋白,大豆蛋白通常是簡單選擇;如果民眾不適合或不想選大豆,豌豆蛋白是市面常見選項,但要接受它可能有植物味或粉感;如果是豌豆加米蛋白,重點不是固定比例,而是整體蛋白質含量、胺基酸設計、成分表,以及其口感是否合適自己。
黃乙絜提醒,很多蛋白粉為了好喝,會加入甜味劑、香料、乳化劑或增稠劑,這些成分不是看到就代表有害,一旦民眾每天喝,最好看清楚每份糖、鈉、總熱量,以及是否有自己腸胃不舒服的成分。
大豆也常被問到荷爾蒙問題。黃乙絜強調,一般豆腐、豆漿、毛豆等大豆食物,和高劑量大豆異黃酮補充品不是同一件事;目前許多癌症營養資料也認為,一般飲食中的大豆食物多半可以作為健康飲食的一部分。但如果民眾正在接受乳癌或荷爾蒙相關疾病治療,仍建議和照護團隊確認。
黃乙絜總結,蛋白粉的本質是補充工具。民眾選擇時最好確認一天需要多少蛋白質、平常已經吃多少,以及一份蛋白粉究竟能補充多少蛋白質。

A study by the Affiliated Hospital of the University of Traditional Chinese Medicine analyzed 28,803 patients with non-traumatic abdominal pain and found that those who stayed in the emergency room for less than 96 minutes had lower return rates within 72 hours and lower hospitalization rates, indicating that rapid treatment does not increase the risk. Emergency physician Wei Zhiwei pointed out that patients with mild symptoms may feel a sense of disparity after waiting for a long time and being advised to go home. However, quick assessment by doctors is a good thing. He also reminded that it takes time to build trust between doctors and patients, and some conditions are unpredictable.

During the Mid-Autumn Festival holiday, eating a lot of barbecue, hot pot, etc. can cause gastrointestinal discomfort. Chinese medicine practitioners point out that eating too much, eating too fast, and eating too late are the main causes. It is recommended to exercise moderately after meals and pay attention to dietary restraint. If serious symptoms occur, you should seek medical examination.

Cheng Cuifan, director of general surgery at Sun Kong Hospital, pointed out that cosmetics such as foundation and lipstick are frequently used and may be absorbed through the skin or mouth. The transparency of ingredient information should be strengthened so that consumers can fully understand the product ingredients and make choices before purchasing. At the same time, they are reminded to choose products with clear legal sources and complete labelling. She also recommends that the government establish an easy-to-search information platform for cosmetic ingredients and inspections.

Common injuries such as ankle sprains and back pain after exercise should not be cured by just a few days of rest. Wang Junping, director of Runsheng Rehabilitation Clinic, pointed out that insufficient warm-up, sudden increase in exercise intensity and improper posture are the main causes. He also shared five ways to deal with injuries, such as the PEACE principle, stretching activities, ice compression and muscle strengthening, etc., to reduce the risk of injury and promote repair.

The Legislative Yuan proposed a draft amendment to the "Smoking Harm Prevention Law", which plans to implement a lifelong smoking ban for those born after 2009. However, the article points out that this will face problems such as addictive demand, huge profits, excessive law enforcement costs, and the growth of underground markets. It also warns that excessive suppression of tobacco product symbols may erode creative freedom, and advocates that extreme bans should be replaced by health education and harm reduction mechanisms.

Veteran media person Chen Wenqian was diagnosed with stage 4 melanoma at the end of 2024. After one year and seven months of hospitalization, she was discharged and returned home in early July this year. However, only three weeks later, she was admitted to Taipei Rongzong Hospital again due to bacteremia and a high fever of 40 degrees due to the sequelae of immunotherapy. She revealed that she had side effects such as joint pain and deformed fingers, but said that being able to see people is the best thing so far.