Showing posts with label gluten free. Show all posts
Showing posts with label gluten free. Show all posts

Friday, April 22, 2011

Eating for healing:Where do I start?

Have you heard the expression change begins with the first step? Well, the last post (found here) discussed several strategies relating to eating for healing.  Did you feel empowered enough to try any of them? If you did, than congratulations! You just took the first step toward a lifestyle that promotes wellness.  On the other hand, if you read the post and said, "where do I begin," or, "I can't do this," please don't throw in the towel.  I'm sure you're not alone, because I felt overwhelmed, somewhat intimidated and a little frustrated when I first contemplated the eating for healing information I received. Respect yourself for where you are right now on your path to wellness. Obviously you're on the right road, or you wouldn't be reading this. So, let's get started.

Eating for healing - Let's get started
As I mentioned before, this lifestyle isn't just for people coping with illness. It's for everyone who wants to support their body as it attempts to deal with the daily assaults of living.  All that said, where does one begin? Well, I find it's easiest if I have a meal plan and a shopping list. Here are the main things I consider when planning my menu:
Roberta Larson Duyff "Complete Food and Nutrition Guide"
  1. Get colorful - This is so important. There is no doubt that the phytonutrients, (organic chemical substances), found in plants are fundamental to the health of those that consume them (1). That's why it's imperative that we strive to eat a variety of fruits and veggies every day. By doing this you are providing your body with more of the vital phytonutrients it needs for healing.  According to Roberta Larson Duyff, American Dietetic Association, of the thousands of known phytonutrients, only a few hundred have been studied. It has been discovered that each fruit or vegetable has different amounts and types of phytonutrients. An orange, for example, has "more than 170 different phytonutrients" (1). Of the thousands of  known phytonutrients, "more than 2,000 are plant pigments"(1). It's now understood that the colors of the plants reveal a little about their health benefits. You may be familiar with the best known phytonutrients: carotenoids, flavonoids, and isoflavones. The table above outlines what they do and the foods that provide them. 
  2. Choose functional foods - Researchers are also beginning to understand that phytonutrients work in concert with other nutrients and fiber in our diets, and as a result effect changes in our health (1). The foods that are capable of doing this are called functional foods because "they may provide a health benefit [or function] beyond basic nutrition" (2). The International Food Information Council Foundation has a useful listing of the top functional foods found here.
  3. Buy or grow organic food -  Research shows that organic food contains "substantially higher levels of vitamins, minerals, and phytochemicals than non-organic food" (3). "For example, you would need to eat 4 conventionally grown carrots today to get the same amount of magnesium that you could get from one carrot in 1940" (3).  Organic foods are more nutritious. They also aren't exposed to conventional growing practices that utilize pesticides, herbicides, fungicides and fertilizers.  These chemicals contain heavy metals, like lead and mercury, which have been found in conventionally grown produce. Granted, buying organic can be slightly more expensive than commercially grown foods, but the benefits are definitely worth it. However, if budget prohibits, the Environmental Working Group has compiled a list of what they call the "Dirty Dozen." You can find a list of these foods here. The Dirty Dozen are the top 12 most pesticide contaminated fruits and vegetables in America. It seems prudent to focus on purchasing these as organic. 
  4. Select whole foods - What's a whole food? These are foods that are "as close to their whole or natural state as possible" (3).  Examples of whole foods include fresh fruits and vegetables, nuts and seeds, whole grains and dried beans.  Whole foods are free of additives, preservatives, dyes, flavorings and are unprocessed. In addition, because they are in their 'whole' state, whole foods "retain all of the nutrients to properly digest and metabolize themselves" (3).  As a result, we have the potential to get more nutrients when we consume these foods.
  5. Eat nutrient dense vs. energy dense foods - If you're eating whole foods, than this is really a moot point, because whole foods are typically nutrient dense foods. However, the point still bears repeating and I dedicated a prior post to this topic here. The bottom line is that eating nutrient dense foods like fruits, vegetables and whole grains aids in weight loss.  This is because energy dense foods like fast foods, cakes, and chips not only have less nutrients and fiber, they also typically have more calories. Obviously when it comes to weight loss, less calories is the goal.  Another down side of eating  foods categorized as being more energy dense is the greater fluctuations in insulin levels. If that's not enough, another negative of energy dense foods is that they also typically lack fiber.  Whole, nutrient dense foods containing fiber provide the added benefits of increasing satiation, as well as aiding with elimination.
What to eat? One week of eating for healing -

Sample Menu
Day 1
  • Breakfast -
    • hot buckwheat cereal made with homemade almond milk, ground flax, organic mashed apple, dried cranberries, walnuts, fish oil, turmeric and cinnamon; 
    • matcha tea (Dr. Weil discusses the benefits of this tea on his website here).
  • Lunch - 
    • quinoa fiesta salad - made with chopped red, yellow and green peppers, black beans, jicama, grape tomatoes, spinach and cumin seed, with a lime cilantro dressing. I love the variety of colors in this salad and it is very satisfying. Don't let my pitiful food photography put you off. This tastes even better than it looks.
    • fruit smoothie - frozen organic cherries, peaches, mixed berries, coconut water, 2 small spoonfuls of vanilla goat yogurt
  • Dinner
    • Grilled Seared Tuna Steak on a bed of red cabbage, chopped apple, celery, and green onion  with ginger sesame dressing
Day 2
  • Breakfast
    • Homemade granola (organic oats, pumpkin seeds, sunflower seeds, prunes, raisins, dried cherries and blueberries and nuts) in goat yogurt with diced pear, ground flax and fish oil.
    • matcha tea
  • Lunch
    • leftover quinoa salad on bed of lettuce, sliced apple
  • Dinner
    • Spinach Frittata
    • mixed green salad
Day 3
  • Breakfast
    • leftover spinach frittata
    • matcha tea
  • Lunch
    • Asian sunshine salad - chopped green cabbage, tangelo, navel orange, mango, cashews, green onion, bok choy, chopped carrots, mixed micro greens and black rice with Asian ginger dressing
    • fruit smoothie
  • Dinner
    • Quinoa polenta vegetable lasagna.  This is my husband's delicious and ever evolving dish. We use organic quinoa polenta found at our local grocery store, but he has made his own organic corn polenta from scratch.  The polenta is the base layer and then you put fresh basil, Mexican oregano, onion, garlic, sliced green or red peppers, heirloom tomatoes, spinach (from my friend's bountiful garden, thanks Ann), diced kalamata olives, and top it with a little goat mozzarella on top. This is a satisfying and tasty dish.
    • micro greens salad
Day 4
  • Breakfast
    • Sweet potato hash with pastured eggs over easy
    • fruit bowl
  • Lunch
    • leftover Asian salad
    • piece of fruit
  • Dinner
    • Chicken soup
    • homemade gluten free bread (the best recipe I've found so far for a tender white bread is from the back of Bob's Red Mill's Potato Starch bag, but you can view it here).  It's a bread machine recipe and it comes out consistently tasty.  I substitute powdered goat's milk and brown rice flour.
Day 5
  • Breakfast
    • Hot buckwheat cereal 
    • matcha tea
  • Lunch
    • Quinoa polenta vegetable lasagna leftovers
    • mixed greens salad
    • fruit smoothie
  • Dinner
    • Soba noodle stir fry with shitake mushrooms, bean sprouts, green onions, carrots, celery, bok choy, peas and ginger in a tamari sauce topped with cashews
    • dessert of fresh blueberries over coconut macaroons
Making the change
I hope this menu gives you a bit of an idea of how to begin eating for healing.  You can find more ideas, as well as recipes from the Whole Life Nutrition Kitchen site here. Side note: Because I receive food from my local food coop I have found that I make meals based on what is seasonally available.  This is a good rule of thumb. Foods that are grown locally will be fresher and are less taxing to the environment because they weren't shipped from distant places. Having said that, I confess to buying foods that aren't locally grown. 

Tips -
  • Plan your menu and have a shopping list
  • Make more food at one time- It might seem like a lot of cooking, but I usually make enough to get at least two meals out of what I've prepared and then eat those on days I'm pressed for time or don't feel like cooking
  • If you make a pot of soup or a casserole, freeze some for later
  • Snacking - I didn't list snacks in my menu suggestions because you may find that you don't want a snack every day.  The foods you're eating are more nutrient dense and satisfying.  However, if you do find yourself craving a snack, one of my favorite snacks is fruit, but when I want something crunchy I pop up some popcorn or I have an organic brown rice cake, spread with almond butter, topped with sliced dates, and sprinkled with coconut on top.  Yum. 
Final thoughts
Change can be challenging, especially if you're dealing with long standing habits. I encourage you to take things slowly. Begin by looking at your pantry.  Clean out what isn't healing. Try making one new dish a week. By the end of 7 weeks you'll have a bevy of eating for healing recipes and you'll have revamped your eating habits too. It's important to note that eating for healing will require an awareness on your part of not only the foods you find nourishing, but also those that make you feel healthier and more energized.  In this case your gut will literally tell you what it prefers. It's important to listen to your body.  Follow your intuition and begin with small changes. As I said in the last post, you really have nothing to lose, except for maybe a few unwanted pounds. Go ahead. Take that first step!


Sources
(1) Duyff Roberta, Complete Food and Nutrition Guide, American Dietetic Association, 2006
(2) International Food Information Council Foundation - Functional Foods PDF http://www.foodinsight.org/Content/6/FINAL-IFIC-Fndtn-Functional-Foods-Backgrounder-with-Tips-and-changes-03-11-09.pdf
(3) Segersten, A. Malterre, T., The Whole Life Nutrition Cookbook 2nd ed., Whole Life Press 2010

    Saturday, August 21, 2010

    The TLC way to health and weight loss

    What comes to mind when you hear the acronym TLC?  If you were thinking of the expression: tender, loving care, you're right.  I would also like to suggest the following additional meaning for the TLC acronym: True Lifestyle Change. I think both of the meanings of TLC are appropriate in this case because when it comes to our health we should treat ourselves with tender, loving care. When it comes to weight loss the only way to long term success is through true lifestyle change.

    I wish I could say that true lifestyle change happens quickly and easily, but I can't. What I can share is what has worked for my husband and me. We've made lifestyle changes that resulted in our losing weight and reducing our percentage of body fat significantly. More importantly, we feel better! The surprise for us was that weight loss wasn't our intended goal when we began changing our eating habits. Yet, that has been one of the results of our TLC. So, if this has you a little intrigued, please read on.

    It's import to note that the first part of this plan actually is a relatively well-known diet.  However, I  can't stress enough the importance of viewing this initial diet phase as the beginning of a larger commitment to establishing healthy exercise and eating habits for the long term. Perhaps, the very words habit, commitment and long term may feel a little intimidating at first.  After all, a diet implies doing something finite, maybe for several weeks. However, a lifestyle commitment is a permanent change, and this can seem overwhelming even to the most determined and well-intentioned of us. That being said, the only way to keep weight off permanently is to make permanent changes.



    My oncologist and functional medicine physician, Carolyn Matthews, recommended that I do the Comprehensive Elimination Diet. Perhaps you've heard it called the Detox Diet, or the Anti-inflammation Diet. They are all similar. She explained that current research suggests that bolstering the immune system could be beneficial in fighting cancer.  According to the National Cancer Institute, "patrolling cells of the immune system provide continuous bodywide surveillance, catching and eliminating cells that undergo malignant transformation. Tumors develop when this immune surveillance breaks down or is overwhelmed."

    So, what does the immune system have to do with the Elimination Diet? Experts are recognizing that sensitivities in some people can cause them to react poorly when they consume or are exposed to certain foods and chemicals. This is different from an allergy or an intolerance. The top 6 food sensitivities are: gluten, dairy, yeast, eggs, corn and soy.

    A food or chemical sensitivity can cause the body's immune system to kick in. When the immune system is overstimulated, or is in a state of chronic response, a variety of adverse health conditions can occur (Linus Pauling Institute).  One or several of these conditions might be familiar to you: constipation, GERD, asthma, sinus problems, irritable bowel, psoriasis and eczema, just to name a few (Tom Malterre, MS, CN).  The Elimination Diet helps detect what foods might be irritating the body and causing an immune response, through a process of removing specific foods and food categories from the diet.

    According to the information Dr. Matthews provided me:
    "The main rationale behind the diet is that these modifications allow your body's detoxification machinery, which may be overburdened or compromised, to recover and begin to function efficiently again. The dietary changes help the body eliminate or 'clear' various toxins that may have accumulated due to environmental exposure, foods, beverages, drugs, alcohol, or cigarette smoking ...this process is generally well tolerated and extremely beneficial." 

    I'm not going to sugar coat it.  The first 21 days are challenging. That's why I suggest that you might want to consider discussing this with your family, or enlist the help of someone who can be your buddy. It will definitely improve your chances of success. I couldn't have done it without my buddy. It's also recommended that the timing of when to start the diet be carefully considered, because dining out or traveling during the first 21 days can increase the difficulty.  

    Another important point to mention is calorie consumption. Remember: for weight maintenance the formula is calories in = calories out. We haven't intentionally restricted our calories.  Still, my husband has lost 28 lbs and counting!  This is occurring because we are now eating more nutrient dense foods and feel fuller, so sometimes we consume less calories than we need for weight maintenance. Just the elimination of empty liquid calories will allow you to consume calories from more nutritious and filling foods. You can calculate your caloric intake needs at the Mayo Clinic's site here. Last, but not least, everyone is different so your response to this program will be unique to you. Remember, before beginning any new diet or exercise program you need to check with your physician.

    I hope I haven't discouraged you by discussing the above details. I can assure you that if you stick with the first 21 days you will feel better. I know I do. After the three weeks of elimination are complete, you will be well on your way to a True Lifestyle Change that will lead you to permanent weight loss and improved health.  So, are you ready to begin? The link to the Comprehensive Elimination Diet my doctor gave me is here.  The University of Wisconsin School of Medicine and Public Health also has a 6 page handout here, with very user-friendly tables of information.


    Final thought: Don't you deserve a little TLC? I look forward to hearing your success stories!

    Update to this post 9/12/10 - Once you've completed the initial elimination phase you will begin the process of adding foods back into your diet. This is where the TLC really kicks into gear.  If you're in need of further direction, check out the Eat More, Weigh Less post here that discusses a nutrition plan recommended by the Centers for Disease Control.  This plan is basically a continuation of what you have already begun in the Elimination Diet with the exception that you will begin adding grains, dairy etc. back in if you had eliminated them from the start.  It outlines the steps and strategies that will help guide you through the process of choosing foods that are less energy (calorie) dense, but more nutrient rich.This type of nutrition plan is a win/win.  Here's to improving our health through good nutrition! 

    Sources
    National Cancer Institute, Immunity and Cancer - http://www.cancer.gov/cancertopics/understandingcancer/immunesystem/Slide32
    Zar, S., Food Hypersensitivity - http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2036.2001.00951.x/full
    http://www.sciencemag.org/cgi/content/short/307/5717/1920 \
    Linus Pauling Institute - http://lpi.oregonstate.edu/ss07/inflammation.html
    Malterre, Tom, MS, CN, The Whole Life Nutrition Cookbook
    Mayo Clinic calorie calculator - http://www.mayoclinic.com/health/calorie-calculator/NU00598
    http://www.holisticmd.org/downloads/CompleteEliminationDiet.pdf

    Thursday, July 1, 2010

    No wheat - whole grain bread

    I'm discovering a whole new way of approaching food. Rather than thinking of it as just sustenance for my body, I'm looking at food as medicine. In an effort to reduce inflammation, I'm trying the elimination diet which was suggested by my doctor.  This diet is where certain foods aren't eaten for a period of time.  Then the eliminated foods are added back into the diet one at a time. Adding foods back into your diet this way allows you to see specifically which food triggers any allergy symptoms. Then you can better pinpoint the food most likely causing problems.

    Experts have found that increasing numbers of people have a sensitivity to the gluten that is found in wheat. Interestingly, this may be ocurring as a result of the farming techniques used to produce wheat in our country. Pesticides, fungicides, and chemical plant growth regulators are being used to grow wheat. Then the wheat is altered further when it is processed into white flour. Many prepackaged foods, and of course, white bread, are all made with this refined, nutrient stripped white flour. The Weston A. Price Foundation has a fascinating article that discusses what happens to wheat from seed to storage here. The article was an eye opener for me.

    One of the symptoms of gluten sensitivity is that it causes the immune system to respond with intestinal inflammation. So for now, I'm temporarily eliminating wheat products. It's just that... I really enjoy eating whole wheat bread.  I wondered how I was going to get my bread fix? Well, I found the most amazing honey, whole grain bread recipe in the Whole Life Nutrition Cookbook by Alissa Segersten and Tom Malterre, MS,CN, and it contains no wheat!

    Bob's Red Mill Whole Grains
    Although the recipe doesn't suggest it, I made a loaf in the bread machine on the whole wheat cycle. After I proofed the yeast mixture, I put it into the bread machine first, then added the dry mixture and let the machine do the work. Even though the bread machine's whole wheat bread cycle goes through several series of rising and punching down, it still came out deliciously. I did take the pan out of the bread machine after about 35-40 minutes.

    Don't let the dough put you off. It's not the usual wheat or white bread dough consistency. I found it to be rather slick, shiny and a bit runny by traditional dough standards.  However, it baked up into a wonderfully moist, dense, crusty and very tasty loaf of bread.

     Some, if not all, of the grains required in the recipe you can get from Bob's Red Mill online, or at Whole Foods or Central Market (in the Dallas area).  The recipe suggests for a slightly sweeter tasting bread, you can replace the amaranth and buckwheat flours for equal amounts of sorghum flour if desired. I thought the bread was sweet enough without substituting, but more sweetness might be a nice change for a breakfast bread. If you can't find some of the flours, I used whole grains and ground them into a flour in my Vita-Mix.  I'm sure a food processor would work just as well too. Here's the recipe:

    Honey Whole Grain Bread
    • 1 1/2 cups warm water (100 to 110 degrees F)
    • 1 tsp whole can sugar
    • 1 package active dry yeast (2 1/2 tsp)
    • 1/2 cup honey
    • 2 Tbs extra virgin olive oil
    • 1 Tbs apple cider vinegar
    • 1/2 cup arrowroot powder
    • 1/2 cup tapioca flour
    • 1/2 cup brown rice flour
    • 1/2 cup sorghum flour
    • 1/2 cup teff flour
    • 1/4 cup buckwheat flour 
    • 1/4 cup amaranth flour
    • 1 1/2 tsp xanthan gum
    • 1 tsp sea salt
    • 1/2 tsp baking soda
    1. Preheat oven to 200 degrees F and oil a 9x5 inch loaf pan.  Place the warm water and tsp of sugar into a small bowl.  Make sure the water is the right temperature.  If the water is too cold the yeast will not become active and if the water is too hot it will kill the yeast.  Add the yeast and stir.  Proof the yeast by allowing it to stand for 5 to 10 minutes. It should become bubbly, if not start over with fresh yeast and water. Then add the honey, oil, and apple cider vinegar. Stir well with a fork or wire whisk. 
    2. In a large bow, add the arrowroot powder, tapioca flour, brown rice flour, sorghum flour, teff flour, buckwheat flour, amaranth flour, xanthan gum, sea salt and baking soda.  Combine the flours with a wire whisk.  Pour the wet ingredients into the dry and whisk them together as you are pouring to avoid lumps.  Continue to whisk for another 30 to 60 seconds or so, or until the batter thickens and becomes smooth.
    3. Transfer batter to the oiled loaf pan and gently spread out with the back of a spoon.  Place pan, uncovered, into the 200 degree oven.  Let rise for 30 to 35 minutes with the oven door cracked open.  After it has risen, close the oven door and turn the oven temperature up to 375 degrees F.  Bake for 30 minutes. Loosen sides with a knife and place onto a wire rack to cool. 

    Enjoy with some almond butter. I'd post a photo, but it's already gone! Yum.  Feel free to share any gluten free bread recipes that you've savored.
      
    Sources
    Whole Life Nutrition Cookbook, 2nd edition, Alissa Segersten, Tom Malterre, MS,CN