Natural Grocers, America's Nutrition Education Expert, surveyed more than 70 of the company's nutrition experts and pored over the latest research to identify the expected top 10 breakout trends in nutrition and health in 2019.

1. Mitochondrial optimization will keep healthy fats in focus

Five years ago, the buzzword was microbiome. This year it is mitochondria. Mitochondria are our cells' "power plants," converting oxygen and food into the energy our body needs to stay alive and thrive. When your mitochondria are dysfunctional, not only will your energy reserve decrease, resulting in fatigue and brain fog, but you can also become vulnerable to degenerative diseases like heart disease, diabetes and neurodegenerative diseases. The best way to support healthy mitochondria function is to eat more fat! Healthy fat, that is. Mitochondria function at their best when fueled by fat, not carbs. One tool to support mitochondria is the trending ketogenic diet. In 2019, expect to hear more about mitochondrial health and look to see brands embracing more high-fat focused and ketogenic products to support optimal mitochondrial function. Try our trend: Test the benefits for yourself—roll your own keto energy bombs and make Natural Grocers brand coconut oil a staple in your pantry.

2. Collagen and bone broth are easier than ever

Scoop by healthy scoop, collagen has gained mainstream interest over the past year as everyone adds it to their smoothies, matchas and lattes in the quest for glowing skin, healthy joints and gut healing. In 2019, as more collagen and bone broth products enter the market, so will convenient opportunities for consumers to take collagen on a daily basis. Supplement companies will continue to offer an array of collagen products, including collagen powders, gummies and drinks; marine collagen powders; and even vegan-friendly collagen precursors. Bone broth is one of the richest food sources of collagen, and it will continue its expansion into the mainstream as well. Companies are looking for unique and simple ways for consumers to try out bone broth, including bone broth protein bars, pre-made soups and even bone-broth infused coffee! Try our trend: Bonafide Provisions offers pure bone broths made from grass-fed and pasture-raised bones. Try a thermos of hot bone broth to warm up on a cold winter day.

3. Sorry sugar, we're breaking up with you

In 2019, consumers will continue to become aware of how much sugar is insidiously added to almost everything we eat. Look in your pantry and refrigerator and you're likely to find the major culprits— ketchup, barbecue sauce, flavored yogurts, coffee creamers, chips, breads, cereals, spaghetti sauce, fruit juice, sports drinks and even bacon! This year, learn how to break up with sugar. Once you become a savvy monitor of added sugar, it will become easier to for you to avoid it and enjoy the health benefits you're bound to experience. Try our trend: You'll find no added sugar in the new Natural Grocers' brand pasta sauce, Pederson's Natural Farm's No Sugar Hickory Smoked Bacon and Birch Benders' Paleo Frozen toaster waffles.

4. The shroom boom

In the last several years, the amount of scientific research published on mushrooms has exploded. Turns out, mushrooms hold the power to support the immune system, blood sugar balance, brain health, liver health, respiratory health, hormone balance and can even boost energy levels. In response to the growing mountain of research promoting the health benefits of mushrooms, the supplement, grocery and even body-care industries are introducing more ways to try out these fungal superheroes. Supplement companies are turning out a variety of mushroom-centric supplements, geared toward everything from brain health to immunity. The stunning benefits of mushrooms are influencing new grocery products as well. We'll continue to see the category grow, with more mushroom teas, tonics, broths and coffees making an appearance in 2019. Try our trend: Rebbl drinks continue to fly off the shelves with reishi chocolate (a drinkable dark chocolate with a mushroom upgrade) and reishi cold brew – mushroom powered coffee!

5. Nootropics + neuroplasticity

Neuroplasticity is the now proven principle that we can change the structure and function of our brains throughout our lives and that our thoughts, emotions and behavior are the primary means of doing that. Supplements help too. Best. News. Ever. Right? The discovery of neuroplasticity has led to the explosion of natural nootropics. Nootropics are substances that can be taken to improve mental performance in healthy people (one of the most well-known nootropics is the caffeine found in the beloved cup of morning coffee) and they are most often used to boost memory, focus, creativity, intelligence and motivation. Nootropics may also reduce age-related declines in brain function. Look for more brain-boosting formulas on the supplement shelves in the coming year. Try our trend: Himalaya Bacopa and Country Life's Sharp Thought contain nutrients that support cognition, memory, attention, a calm mood and more!

6. Promoting the body's ability to heal itself

We will see companies meet the demands of consumers who want to swap their use of over-the-counter (OTC) meds and prescription drugs for natural remedies that support the body in healing. Instead of opening the medicine cabinet, people will use a combination of lifestyle choices, herbal remedies and vitamin supplementation to support the body in times of discomfort. Immune support remedies like mushrooms, elderberry, manuka honey throat sprays and natural zinc lozenges will dominate. Additionally, we'll see more alternatives to common OTC remedies and prescription drugs for digestive discomfort and general pain management. 2019 will be the year of supporting the structure and function of the body in a multitude of ways with beneficial natural remedies. Try our trend: Our customers' favorite natural remedies include Gaia Herbs' elderberry syrup and Manuka Guard's manuka honey throat and chest syrup.

7. Green beauty boom

A recent study revealed that the products we slather on our bodies daily, like shampoo and deodorant, can create plumes of petrochemical emissions. The researchers, who originally set out to record emissions around the city of Boulder, Colorado, discovered strange spikes in the data, especially during the morning commute, that weren't coming from cars. Instead, the compounds were from personal care products that emit D5 siloxane, a chemical emollient found in certain body care products. That's right, your deodorant and lotion are potentially as toxic as your vehicle's tailpipe! Consumers are becoming more aware about the slew of chemicals that come from body care products, including ubiquitous endocrine disruptors, and are looking for products with ingredient lists that don't require a chemistry degree to understand. In 2019, expect companies to offer a wide variety of clean body care products with simple, natural ingredients that work! Try our trend: To participate in the green beauty craze, try Dr. Bronner's sugar soaps and body lotions, Thayer's Witch Hazel Rose Water Toner and Lone deodorant.

8. Ingredient lists over nutrition facts

We've likely all grappled with counting calories and grams of fat, but in 2019, a new paradigm is bound to free us from some of the struggles we've formed around food, nutrition and our everyday health. Nutrition labels will be demoted and instead, consumers will read and make food choices based on ingredient labels. The days of counting every single calorie are nearing an end. Rather than glorifying macronutrient logs and adhering to extremely strict dietary guidelines, 2019 will foster a friendlier relationship with food that focuses on simple, clean ingredients in products made with whole, real foods. Try our trend: Ah Cacao chocolate bars offer a different kind of indulgence, with just a few simple ingredients — and Natural Grocers is the only place in the US where you will find them. Simple Mills Fine Ground Sea Salt Almond Flour Crackers are a favorite with a simple ingredient list that carries a nut and seed flour blend, tapioca, cassava, organic sunflower oil, salt and herbs.

9. Lutein reigns supreme over blue light

Blue light—from our smart phones, tablets, computers, TVs and even light bulbs—has become ever-present, and a growing body of research is showing that all of this blue-light exposure can damage the retina of the eye and can lead to age-related macular degeneration1 (i.e., the leading cause of blindness in older adults).i Excessive blue light also disrupts the circadian rhythm, which plays many roles in health, including regulating the sleep-wake cycle, hormone balance, digestion and body temperature.2 Enter lutein. Lutein preferentially accumulates in the macula, the part of the retina responsible for central vision, where it filters damaging blue light and increases macular pigment density.3 And because the health of the retina is directly related to how well our brains age,ii lutein also benefits the brain (see nootropics above). In 2019, lutein will solidify its role as protector of the eyes and the brain. Try our trend: Try Jarrow Formulas Lutein, it supports visual function and macular health!

10. Love your liver

While it shouldn't be "trendy" to have fatty liver disease, unfortunately the disease is trending. In 2018 we were shocked to learn that millennials are getting fatty liver disease faster than any other age group. According to the National Institutes of Health, up to 40% of US adults have non-alcoholic fatty liver disease.4 We believe that loving your liver will be a trend in 2019. Consumers will clean up their diets, ditching culprits like high fructose corn syrup and vegetable oils and will embrace "mocktails" to reduce alcohol consumption. We also predict an increase in sales of herbal supplements that support liver health, like milk thistle and berberine, as well as MCT oil, which has been shown to reduce fat in the liver.iii Try our trend: Try Natural Grocers brand Milk Thistle to support detoxification, healthy levels of fat in the liver and overall liver health!

1 Eye (Lond). 2018 May;32(5):992-1004. doi: 10.1038/s41433-018-0044-0. Epub 2018 Mar 26. What do we know about the macular pigment in AMD: the past, the present and the future. Arunkumar R, Calvo CM, Conrady CD1, Bernstein PS.
2 Mol Vis. 2016 Jan 24;22:61-72. eCollection 2016. Effects of blue light on the circadian system and eye physiology. Tosini G, Ferguson I, Tsubota K.
3 Nutrients. 2013 May; 5(5): 1823–1839. The Role of Lutein in Eye-Related Disease. Keyvan Koushan, Raluca Rusovici, Wenhua Li, Lee R. Ferguson and Kakarla V. Chalam.