I've recently been helping clients with skin issues such as psoriasis and eczema. These problems are annoying both cosmetically and comfort-wise, so it's super important to me, that my advice helps increase their comfort.
What we do is work from the inside out as well as outside in.
From the inside, the same diet you see me write about here, for infertility, is excellent for reducing the inflammatory process that is the root cause of these diagnoses. In fact, it was because women who were both infertile and suffering from eczema and psoriasis started telling me their redness and itchiness was gradually relieving after implementing dietary changes, that I realized there was a connection.
From the outside in, and this is important because no one wants to be red and itchy for a few months while they wait to feel better, simple oils from your kitchen can be very healing. If you've got olive oil, try that.
I'm partial to virgin coconut oil. It's already in many of your skin products and has a lot of healing properties. It moisturizes and heals and doesn't seem to cause acne like other products I've tried on my own skin.
Your skin tells you a lot about your internal inflammatory process. Hang in there! If you're making positive changes, you should soon experience positive feedback for the effort.
My blogger name is hormonewoman; I chose that for a reason. When hormones get out of balance, and out of balance is where they are when we don't take care of ourselves, that's when chronic diseases like PCOS become common…not to mention troublesome.
A relatively new hormone (well, it's been around as long as there have been humans but it's new as far as us scientists knowing it and understanding it) is adiponectin. This hormone helps to combat heart disease and diabetes. And it is apparently sensitive to the kinds of fats we choose to eat.
A population of mice was divided into four groups, each one receiving one of the four following fats: soybean oil, fish oil, coconut oil, or lard. Their biochemical response was measured after 2 days and 60 days on this diet. With every type of fat, except fish oil, adiponectin levels were reduced. Soybean oil and coconut oil produced the most significant reductions.
We're just not going to get around it, are we? Some kinds of fats just aren't health-friendly. Some food options, just need to be passed by.
Bueno AA, Oyama LM, de Oliveira C, Pisani LP, Ribeiro EB, Silveira VL, Oller do Nascimento CM. Effects of different fatty acids and dietary lipids on adiponectin gene expression in 3T3-L1 cells and C57BL/6J mice adipose tissue. Pflugers Arch. 2008 Jan;455(4):701-9. Epub 2007 Aug 24.
My clients' food diaries tell me a whole lot about current trends in diets in general, as well as what's being said about PCOS. More and more, I'm seeing women report eating coconut oil by the tablespoonful. So I thought I'd dissect the information and evaluate whether or not this is advisable.
Overall, the recommendations for a heart healthy, low glycemic diet, are to eat 30-35% of your calories as fat, equally distributed between saturated, polyunsaturated, and monounsaturated. Here is how that works out for most calorie levels you're likely to be on. First row is 30% of calories, second is 35% of calories.
One teaspoon of coconut oil contains 5 grams of saturated fat. Assuming that most fat that is found in milk and dairy is also saturated, let's work backwards and see on each of these calorie levels, at the two percentages, at any calorie level, you would not have any saturated fat left to allocate to your major sources of protein, calcium, and vitamin D. Keep in mind, women who consume at least one serving of fat-containing dairy a day are significantly more fertile than those who do not.
In the other direction, if you are eating entirely lean sources of protein (fish, poultry, lean red meat), and one serving of dairy a day, you should assume that about 23 grams of saturated fat will come from those sources. Again, even if you are aiming for 2000 calories a day, that leaves you room for 2.9 grams, or half a teaspoon of coconut oil per day.
Let's say you choose to switch out your unsaturated fat (where your pro-inflammatory omega-6 oils are found), for coconut oil. If, and only if, you had absolutely no other fats from these oils, you could include this much coconut oil in your diet.
Even at the highest level I calculated, there is not enough room for 2 tablespoons of coconut oil in your diet. The excess calories will eventually set you up to gain weight. All oils, even healthy oils, in excess, promote weight gain.
There is some evidence to suggest that this proportion of saturated fat to monounsaturated fat may be too high, because fluidity of neuron membranes is important for healthy brain and nervous system function…and too much saturated fat of any kind, is correlated with rigid (undesirable) membranes.
I double checked peer-reviewed references in Pub Med and was not able to find any articles describing studies that would have been the source for this dose. I did find some cautionary information, however.
A high-fat diet, when the fat is coconut oil, in one study, was associated with lower bone density than high-fat diets based on either flaxseed (omega-3) or safflower oil (omega-6).
Yes, a diet that is 10% coconut oil, as described above, has been reported to improve metabolic parameters. However, when the amount of fat is increased, to 25%, increased blood free fatty levels, insulin resistance, and hypertension, all increase as well. The incidence of atherosclerosis in this study also doubled.
It looks to me like what may be going on here, is that one study was taken out of context and used as a promotional piece of information by companies with much to gain if their sales of coconut oil increase. When you're looking for good information, go to the source. Websites primarily intended to sell a product, even if they provide references, are not"the source". Chances are, they will omit any references that encourage any kind of limitation of use of their product.
I have more information on coconut oil in future posts. I don't think it's bad, I just think it's being over-hyped and misused, in a way that can be especially problematic for women highly at risk of metabolic and hormonal disorders.
Lau BY, Fajardo VA, McMeekin L, Sacco SM, Ward WE, Roy BD, Peters SJ, Leblanc PJ. Influence of high-fat diet from differential dietary sources on bone mineral density, bone strength, and bone fatty acid composition in rats. Appl Physiol Nutr Metab. 2010 Oct;35(5):598-606.
Waqar AB, Koike T, Yu Y, Inoue T, Aoki T, Liu E, Fan J. High-fat diet without excess calories induces metabolic disorders and enhances atherosclerosis in rabbits. Atherosclerosis. 2010 Nov;213(1):148-55. Epub 2010 Aug 11.
These days it seems that all a product has to do is contain something from a coconut…and the immediate assumption is that it is healthy, no matter how much of it is consumed.
I'm not sure where this false idea comes from, given the statistics of diabetes prevalance in Pacific Island peoples: --Native Hawaiians, in Hawaii, have higher diabetes mortality rates than any other ethnic group, and Hawaiians with diabetes are more likely to be eating at least 5 servings of fruits and vegetables than any other ethnic group. --Indonesia has the second highest prevalence of diabetes of all of the countries in the world.
Of course, modernization of all cultures has significantly affected these statistics. However, as you can see in these historical photos of King Kamehameha and Queen Liliuokalani, native Pacific Islanders weren't skinny minnies when they first met the missionaries, when white rice and SPAM were not even concepts in the islands.
By no means am I intending to insult my friends in Hawaii. I'm simply trying to illustrate the potential harm that can occur when nutrition misinformation is parroted, repeated, and distributed without checking facts.
Coconut products definitely have their place in healthy diets; however, only if used with knowledge and respect and without the concept that somehow coconut products have magical, supernatural, and/or anti-caloric properties. I put together a summary of the coconut products currently in vogue, as a reference for those of you with questions about whether or how you should be using them.
Coconut Flour 1 cup contains 480 calories, 12 grams of fat, 80 grams of carbohydrate (32 net, 48 dietary fiber), 16 grams protein
This product is a byproduct of the coconut oil industry, so provided you've purchased your flour from an origin where the coconuts are sustainably produced (not making coconut sugar), it is sustainable. You can see however, it is not smart to assume that because coconut oil has been pressed out of coconut meat…that it does not contain fat or calories. It is gluten-free. Not listed in the Nutrition Data database so inflammatory index is unknown.
Coconut Sugar 1 cup contains 160 calories, 40 grams of carbohydrate, lower glycemic index than regular sugar.
According to Tropical Traditions, coconut sugar is obtained by collecting sap from the trees that produce coconuts, rendering them incapable of producing those coconuts. Because Americans have such a sweet tooth and the demand for the ultimate alternative sweetener seems to have no upper price point, coconut farmers are sacrificing their coconut crops to cash in on this craze while they can. Coconut sugar is NOT a sustainable product and if supported, may reduce the availability of coconut oil.
Coconut Milk, canned 1 cup contains 445 calories, 48 grams of fat, 6 grams of carbohydrate Rated as strongly inflammatory
Coconut Milk, raw 1 cup contains 552 calories, 57 grams of fat, 13 grams of carbohydrate Rated as strongy inflammatory
Coconut Water 1 cup contains 46 calories, 9 grams of carbohydrate (6 net, 3 fiber) Rated as mildly inflammatory
Ahem…inflammatory? Aren't sports recovery drinks supposed to be ANTI-inflammatory?
Coconut Oil 1 cup contains 1879 calories, 218 grams of fat Rated as strongly inflammatory
Lauric acid content is high in coconut oil, but there is absolutely no research to prove that it erases the calorie content. Use as your cooking oil in healthy proportions and you should benefit. Eat by the tablespoon and you could be causing more problems than you solve.
As long as we don't eat too much coconut sugar, this industry can be sustainable.
Coconut vinegar 1 cup contains 80 calories
Used wisely, coconut products are a great way to vary your diet, especially if you're gluten-free. However, in excess, as with any food, they lose their health benefit. It is not a magic, calorie-free food, by any stretch of the imagination.
If coconut is your food religion, it's likely these numbers won't matter. But I wanted to write about them nevertheless. In order for your choices regarding coconut products to be informed, you need more information than that which comes from people who also practice coconut-ism or want to profit from your lack of adequate information.
Yesterday I shared some information about coconut oil.
Now I'd like to encourage you to put it into action!
I'd like Tropical Traditions to have more savory recipes using coconut oil in their library, recipes that incorporate the concepts we teach at inCYST.
Tropical Traditions has graciously offered a free 32 oz. jar of their Gold Label Virgin Coconut Oil to the winner of this giveaway. So this is what you'll need to do.
1. Create a SAVORY recipe using coconut oil. That means main dish, no baked goods, pancakes, sweets, etc.
2. The total fat content of your dish cannot exceed 30% of total calories. You can run your recipe through an analysis program such as http://www.fitday.com/ to be sure.
3. The total saturated fat content of your dish cannot exceed 10% of total calories.
4. Total calories for your dish, per serving, cannot exceed 500 calories.
5. To be fair, members of the inCYST Network cannot participate in this challenge. Anyone else is eligible.
6. Submit your recipe, along with your calorie and fat contents, on or before June 30, 2011, to marika@google.com in order to be considered.
7. The winner will be randomly drawn from the submissions, and all recipes will be posted here as well as forwarded to Tropical Traditions.
If you'd like to purchase the product I've been writing about, here is a link to do so.
I was recently graciously shipped a jar of Tropical Traditions Gold Label Standard Virgin coconut oil for review. First of all, thank you to Tropical Traditions for their generosity! I use coconut oil twice a day on my skin and I love the noticeable difference it makes. I'm also learning to cook with it, and am happy to have this to work with.
This is a long, drawn out post. I'm putting my conclusion at the very beginning so you can decide if you want to sit through the rest:
I love coconut oil, I use it myself, both in cooking and on my skin. I love this particular brand and product, and it's clear that the company is very proud of the attention they devote to quality and sustainable practices. If you choose to incorporate coconut oil into your cooking, and I hope that you do, please consider supporting a company that works so hard on behalf of integrity.
My intention is to encourage more people to use coconut oil than currently do. It wasn't long ago that we discouraged coconut oil consumption and I still encounter people who think it's unhealthy. I'd also like to encourage those who may be creating problems with excessive use, to understand why that may not be a good choice.
My only reservation is that there is somewhat of a health halo hanging over coconut oil that encourages its use in quantities that potentially do not support improved health.
I'll be addressing those issues in this post. A little bit of feedback on the coconut oil information I found on the website.
In the FAQ section, there is no peer-reviewed reference provided to support the following statement:
The benefits of coconut oil are mainly from the nutrient value of medium chain fatty acids (MCFAs). The best comparison in nature as to the percentage of MCFAs being consumed in a diet is human breast milk. To equal the amount of MCFAs a nursing infant would receive in one day, an adult would need to consume about 3.5 tablespoons of coconut oil a day according to researchers.
1. With regards to fat, what an infant needs, nutritionally, is far different from what an adult needs.
For example, nutrition experts recommend 2% milk for children up to to years of age, then a drop to 1% or skim. The reason for this recommendation is that the extra fat is needed during the first 2 years of life to help fuel the rapid growth occurring during that time. As growth and development slow, so do needs for dietary fat.
Arachidonic acid (ARA) is an essential fatty acid for infants. The only place they can get it is milk, so if an infant is formula fed, ARA needs to be added to that formula. When that infant is weaned, however, and can get this fatty acid elsewhere, it no longer needs to be added to the diet.
It simply has not been proven that nutritional needs for infants are the same as nutritional needs for adults. Or that what you would feed an infant is even healthy for an adult. So I'm not entirely convinced that the extrapolation from an infant's saturated fat intake in breast milk, to a recommendation for adults of 3.5 tablespoons per day is a logical or healthy leap. (I am happy to adjust my stance if peer-reviewed research supporting the higher level becomes available. Our readers are in large part pursuing fertility and possibly in the midst of infertility treatment. I owe it to these high-risk situations to lean toward the skeptical and conservative. I don't want to heap more expense, stress, and/or disappointment on women who take our advice so seriously.)
Fat is fat, no matter where it comes from, it still contains calories, and the recommendations are still to keep saturated fat intake to about 10% of total calories. Regardless of the source of the saturated fat.
I did a long blog post calculating dietary amounts for different calorie levels that this translates to not too long ago if you want more specifics. I do think that when possible, saturated fat from coconut oil is better than saturated fat from meat, so the focus needs to be learning how to make that switch. (See the recipes I posted below.)
2. In moderate quantities, coconut oil can definitely be beneficial. A 2009 Brazilian study providing 1 tbsp per day of coconut oil to a group of women with abdominal obesity found that compared to 1 tbsp of soybean oil, the coconut oil group had higher HDL, a lower LDL/HDL ratio, and a reduced waist circumference. It cannot be determined from this study design if the change was due to the absence of soybean oil, the presence of coconut oil, or a little of both, but it does illustrate that when used in moderation, coconut oil can be part of a hormone-friendly eating program.
3. What IS showing up in the literature is that too much coconut oil can be metabolically deleterious. Individuals at risk for diabetes (and if you have PCOS that means you) need to use coconut oil with care. One recent study in particular (done with calves) compared coconut oil to a non-medium-chain triglyceride (MCT) diet as well as to another MCT, caprylate oil. The coconut oil-fed calves weighed pretty much the same at the end of the study, contradicting claims that coconut oil promotes weight loss. In addition, the coconut oil calves had heavier, fattier livers and contained 15% more fat than the livers of the other calves.
Bottom line, used respectfully, coconut oil has many health benefits and I do encourage its use. What I DO discourage, is using this product indiscriminately with the belief that it has any kind of magical quality that counteracts dietary indiscretions or which somehow allows you to ignore other important rules of nutritional balance.
4. I spent a long time on the company's companion website, http://www.freecoconutrecipes.com/ to see how others were using coconut oil in cooking. Most of the recipes were for baked goods and sweets, the use of which, due to the insulin resistance issue the readers of this blog deal with, should be limited. Cakes, cookies, etc., are not nutritionally dense and cannot be eaten in large quantities just because of the oil they were made with.
I did find a great recipe for coconut oil vinaigrette coleslaw, which nicely combines the concept I've been writing about recently, consuming a bit of vinegar before meals, with a nice, moderate use of coconut oil. I would so love to see more savory recipes like this, as it would help the readers inCYST most often works with, to use this oil to their benefit.
I did my best to walk the walk, as well, and asked the members of our Facebook fan page to share any savory recipes they might have using coconut oil. Here are a few provided by culinary school graduate Alyssa Fritts.
Coconut Green Beans Blanch fresh green beans by dumping them in boiling water for about 20-30 seconds. Strain them out and put them in ice water to s top the cooking. Melt a tsp or less of coconut oil in a pan. Add 1/2 clove of garlic and the strained green beans, toss around a few times. Add chopped almonds and salt and pepper to taste.
Coconut Pork Chops Put a little bit of coconut oil in a pan, salt and pepper pork chop with all fat trimmed Brown on both sides. Remove chop, add garlic, and chopped onion. Saute until garlic is fragrant. Add veggie or chicken stock and a LITTLE bit of apple jui ce. Put chop back in and let it reduce down by about half. Remove chop and place on plate. Add a scoop of stone ground mustard, and a sprig of fresh rosemary. Let it thicken. Finish with a swirl of coconut oil to give it the smooth fullness butter would. Pour over your chop.
Miso-Ginger Salmon 1/2 tsp coconut oil 1 clove minced garlic 1/8 in piece peeled ginger in matchsticks 1 tbs chopped onion 1 tsp miso paste 1/4 cup white wine 1/4 cup veggie stock or water 1/4 tsp coconut oil
Melt 1/2 tsp coconut oil in pan. Salt and pepper salmon. Place in pan skin side up. Brown on both sides. Set aside on a plate. If needed as a tiny bit more coconut oil. Add ginger and garlic. Add onion and sautee for a few seconds. Add wine and stock. Add salmon back to pan and cook for about 5 min. Remove salmon and turn heat up to high. Add miso and reduce down until thick. Swirl in a tiny bit (up to 1/4 tsp) of coconut oil and pour over salmon.
What Alyssa is illustrating, beautifully, is that one of the best ways to use coconut oil is to switch out other oils for coconut oil in your regular cooking, being careful with quantities just as you would any other fat. It adds a nice flavor while it helps your metabolism.
If any of you use Tropical Traditions Coconut Oil, and you've developed some savory, hormone-friendly recipes you'd like to share with our friends at Tropical Traditions, I would love if you would do that. I'd like their customers to see just how much potential this oil can have in the kitchen. I'd really love to see this company, which clearly has a heart for wanting to do something good, succeed at that goal. I'm in love with the creativity of inCYST fans, and encourage you all to step up and share it in a way that can have benefit far outside of this blog post.
Bottom line: Used intelligently and respectfully, Tropical Traditions gets a thumbs up. Stay tuned, as tomorrow we're going to announce a giveaway encouraging you to think about and incorporate the concepts presented in this blog post!
Assunção ML, Ferreira HS, dos Santos AF, Cabral CR Jr, Florêncio TM. Effects of dietary coconut oil on the biochemical and anthropometric profiles of women presenting abdominal obesity. Lipids. 2009 Jul;44(7):593-601. Epub 2009 May 13. Talbott, Shawn M. and Kerry Hughes. (2006). The Health Professional's Guide to Dietary Supplements. Lippincott Williams & Wilkins. pp. 60–63. ISBN 9780781746724.
Mills JK, Ross DA, Van Amburgh ME. The effects of feeding medium-chain triglycerides on the growth, insulin responsiveness, and body composition of Holstein calves from birth to 85 kg of body weight. J Dairy Sci. 2010 Sep;93(9):4262-73.
I don't have the skin issues common to PCOS, but I have lived most of my life in Arizona, much of it before we were educated about the importance of sunscreen. Being blue-eyed and fair-skinned, I'm more than a little paranoid about what that is eventually going to mean with regards to the condition of my skin.
One night I started researching what common natural ingredients I could use to help my skin be as healthy as I could be. My three favorites so far:
1. Fish oil. I know, you're sick of hearing about it! But healthy skin is dependent on healthy fats in the diet. Fish oil is great for skin health…I've noticed in the years since I've been taking it, some prominent scarring I got from a second degree sunburn on a Costa Rican vacation, has lessened.
2. Coconut oil. Coconut oil is a mild exfoliant, and it also encourages collagen growth. If you look at many of your skin care products they already contain coconut oil. Why not go to the source? I just use the virgin coconut oil most people buy for cooking. I've noticed that it has started to fade some of my sun spots in the 4 months I've been using it…here are before and after pics.
3. Camellia oil. This is also known as green tea seed oil, and that is exactly what it is. It is especially high in EGCG, the antioxidant green tea is famous for, and EGCG helps to prevent collagen breakdown. I will be writing more about this oil in a future blog post. I was provided a bottle of this oil to experiment with in both cooking and skin care. I figured with one item promoting collagen production and the other preventing its breakdown, I had a nice combination.
I notice that in the month that I've been using camellia oil, the wrinkles I've accumulated from years of laughing and assertively expressing myself (Ha! If you know me you're thinking that due to my personality I should look like a California raisin!) It's kind of fun to look in the mirror in the morning and see some of the new changes. It also seems to stimulate blood flow (which EGCG does in other parts of the body as well), as I get a nice rosy hue to my skin almost immediately on using it. These are before and after shots after just two weeks of using Camellia oil twice a day on my skin.
Speaking of coconut oil, my friend Denise recently rescued a Sharpei mix from the local animal shelter. Phillip Bruno was scheduled to be euthanized because his mange was so horribly out of control. After learning that coconut oil can be useful for mange as well, as it is a nontoxic oil that is absorbed by the skin and helps to suffocate the responsible mites that can make this disease very tough to eradicate, she decided to try coconut oil on PB as well. Here are pictures of him on his first day being rescued and a week after being treated with various medications and coconut oil. On day one his skin was so scabbed over he couldn't even open his eyes, now he's making eyes at the camera! (I told Denise if we're not careful it may work so well it will de-Sharpei him!)
By the way, PB is so popular he has his own Facebook fan page where you can watch his progress. He's a real charmer! If you're interested in camellia oil, here is the link where you can find it online. I'll post updates of both myself and PB as we have them!
