The Hemp Connection:
happy

The last time I wrote about marijuana it brought enough traffic to this blog with the search words,"PCOS" and"marijuana" I figured the subject should be addressed in more detail.

Did you know that our bodies naturally make their own cannabinoids? They are compounds that are needed for a variety of processes, ranging from appetite to pain sensation to mood to memory.

Cannabis, an external cannabinoid, affects these functions as follows:

1. Interferes with both long and short term memory. If you're smoking pot and experiencing brain fog, there just might be a connection.

2. Increases appetite (like I had to tell you that!) When your internal (endo) cannabinoid system is out of balance, it too affects appetite. Leptin and endocannabinoids antagonize each other, and when the latter levels become higher, obesity is more likely. Just as cannabis intensifies cravings for sweets, so do high levels of endocannabinoids.

3. Affects fertility. In both directions. Cannabinoids can increase or decrease the probability of an embryo implanting in the uterus. My guess would be that if you're a person who is craving sweets and struggling with weight, you layer smoking pot on top of that…you're pushing that baby farther away from reality, rather than in the positive direction.

What is fascinating is that omega-3 fatty acids, the ones you see all the time mentioned in this blog, are crucial for good endocannabinoid function. If you're omega-3 deficienct, you're more likely to make it harder for your body to respond to its own naturally produced cannabinoids. So that craving for pot may have a valid foundation. The problem is, it's not the lack of cannabinoids that's causing the problem. It's that they are there, all dressed up, ready to help regulate memory, mood, appetite, and hormone function, but the body has lost the ability to understand what those chemicals are trying to tell them. Flooding your system with more of those chemicals holds potential to create an even worse imbalance, even worse cravings, a vicious cycle that it can feel impossible to break out of.

In addition, omega-3 fatty acids help to be sure that when it comes to maintaining muscle mass and reducing fat mass, the endocannabinoids push that relationship in the right direction.

Why not try improving how your body uses these chemicals and see if it helps reduce your need for the external stuff?

1. Work really, really hard on getting those omega-6 fatty acids out of the diet. They are likely to be found in baked goods, chips, all the stuff you tend to want to eat when you have the munchies. So it seems like a really important strategy is to not bring your munchie foods into the house. Fill your kitchen with fruits, vegetables, crackers made with olive oil, etc., to turn to while you're transitioning to a better hormone balance. Remember, the oils you want to stay away from begin with the letters"s" and"c"--safflower, sunflower, soybean, sesame, corn, cottonseed. Canola is ok.

2. Get as many omega-3 fatty acids as you can in your diet. If you supplement, start with a dose of 500 mg DHA per day. If, combined with #1, you don't see a change within 2 weeks, add 500 mg more DHA. I've seen some cases where titrating up like that, over time, the end dose was 1000 to 1500 mg per day. Hang in there. If you're diligent, it works.
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Fast food. We all know it's not great, but when we're in a hurry, without time to cook, it's what we think of.

That's a great marketing success for those companies who have conditioned us to mentally end that two word phrase with the word"restaurant". It's as if it doesn't come from a commercial kitchen with fryers and a drive-through window, it isn't fast.

The irony of that is that these restaurants are not really so fast! Next time you pull into the drive-through, time yourself from beginning to end. Multiply that by the estimated number of visits per week that you go, then by 52, and you'll have the grand total of minutes you spend in line waiting for food you know you shouldn't be eating anyway. What else could you be doing with all that time?

What if we trained our brains to disconnect the words"fast food" from"restaurant"? A whole host of"fast food" options become opportunities.

Since grocery stores are often as geographically convenient as fast food restaurants, I did an experiment awhile ago. I pulled into the parking lot of my neighborhood Safeway, walked in, picked up an apple, two pieces of string cheese, and a mineral water, for an afternoon snack, and checked out. I used four minutes between the time I left my car to the time I returned to it. Keep in mind, not all are perfect, but they're better than the fast food alternative. It's all about perspective.

So that is my first choice on the list of favorite fast foods. What else can you find in the grocery store that is fast and more hormone-friendly than burgers and fries?

1. Apple and string cheese.
2. Turkey sandwich from the deli section
3. A box of sushi (I like the Trader Joe's brown rice California rolls)
4. Greek yogurt (I prefer unsweetened) with chopped or dried fruit stirred in.
5. Ready made salad (minimize the total amount of premade dressing you use)

At home:

6. Peanut butter and apple sandwich
7. Quesadilla piled with precut veggies, made with low carb tortilla and lowfat cheese
8. Hummous and vegetables (this is also a great option at the grocery store)
9. Rice bowl from Organic Bistro
10. Can of lentil soup or bean soup and a piece of fruit

I'm all for local eating. But another endeavor I enjoy is helping other cultures find worthwhile products to produce that encourage preservation of the rainforest and farming of products other than coca. So I was excited to see the country of Peru have such a beautiful and informational pavilion at Expo West.

We all know about quinoa and I've written about purple corn…here are some other foods you might be seeing more of that could be fun to try!

Maca Most of us think of maca as a supplement to enhance sexual prowess. It's actually been studied in the laboratory and been found to enhance libido and semen quality. It may also help alleviate sexual dysfunction related to antidepressant use. It may also help reduce enlarged prostate glands.

That being said, Americans have a really bad habit of taking something they think is"good", grinding it up, concentrating it, and using it in larger quantities than would be possible in nature. In this case, there is some thought that excessive maca consumption may negatively affect thyroid function. In addition, there are several varieties of maca, and only the red was found to have significant hormonal effect. Labeling on supplements may not contain this information and you may be wasting your money.

Bottom line, if you see it on a restaurant menu or a fun international market, take it home and cook it like a turnip! Be careful, however, about the supplement version.

Amaranth Gluten-free enthusiasts love this grain, but like quinoa, it's not actually a grain…it's a seed. It can be toasted and eaten like popcorn, or cooked like a grain. Here is more information on how to use amaranth in your kitchen. In other parts of the world, such as Asia and Africa, amaranth leaves and roots are also culinary specialties.

Regular consumption of amaranth seed may help regulate hypertension and cholesterol, and the leaves and roots are very high in vitamins and minerals, including calcium, iron, magnesium, phosphorous, potassium, zinc, copper, and manganese.

Both Bob's Red Mill and Arrowhead Mills sell amaranth flour, but if you can't find it in your store, here are amaranth options on amazon.com.

Aguaymanto This fruit is related to one of my local favorites, the tomatillo (you can see the similar husks in the photo). It is currently being researched for its potential as an antioxidant source, and it has been found to contain melatonin.

Locals like to use it in jams, syrups, and pastries, but it is also seen in fruit salads and salsas.

Lucuma, or eggfruit, if you Google it, will pop up quite frequently as the next big superfood, and ground powders are available online. (As with maca, I am not providing links, as I am not telling you about these foods to encourage a superfood or supplement mentality.) This fruit tree can grow in warmer US climates such as Florida or Arizona. It's a Peruvian favorite, as illustrated by the blog Peru Food. It is described as tasting a little bit like maple syrup ice cream.

It is a favorite of raw food enthusiasts. They promote it as low-glycemic, though I was not able to find the actual scientific reference for it in my search; most references circle back to the same video. If anyone out there can direct me to that, I'm happy to post for everyone.

Nutritionally, lucuma is high in fiber, iron, and as you might guess from its beautiful color, beta carotene.

Sacha Inchi, or the Peruvian peanut, comes from the rainforest. I actually tried this at Expo West; it was prepared like corn nuts and there was also a version coated with fair-trade chocolate (isn't that the best way to get Americans to try anything new and different?) It's pretty high protein, and it contains ALA, the vegan omega-3 fatty acid. (With respect to the omega-3's it's an option to flaxseed.) In Peru, its oil is used for cooking so I imagine some day it will show up in US markets as well.

Again, American marketing reps are trying to capitalize on the superfood craze when selling this food. It's fine to eat, and its nutritional value is nice, but no need to abandon everything else you're doing for it. Try it when you can, enjoy it when you find it, and know it fits well into a hormone-friendly lifestyle.

One of the reasons I put this blog post together is to illustrate why closing out food choices can deny you some food fun, not to mention nutrition! If you're locked into a top ten list of foods, you may miss some great culinary experiences…that can be healthy as well! Sometimes when you're focused on"fixing" a disease it can take the fun out of food. The more enjoyable it is, the more likely it is you'll have a healthy relationship with it. Every culture has its gems, even if they're not salmon, blueberries, and broccoli!

I admit, I had a personal reason for writing this blog post. My Peruvian friend Denise has told me she wants to share her favorite local Peruvian restaurant with me sometime soon. I wanted to be sure I knew what I would be seeing when I looked at the menu. Now that I've done my homework, I'm hungry and looking forward to what the menu has in store.

Gonzales GF, Miranda S, Nieto J, Fernández G, Yucra S, Rubio J, Yi P, and Gasco M. Red maca (Lepidium meyenii) reduced prostate size in rats. Reprod Biol Endocrinol. 2005; 3: 5.

Dording CM. Fisher L. Papakostas G. Farabaugh A. Sonawalla S. Fava M. Mischoulon D. A double-blind, randomized, pilot dose-finding study of maca root (L. meyenii) for the management of SSRI-induced sexual dysfunction.

Czerwiński J, Bartnikowska E, Leontowicz H, et al. Oat (Avena sativa L.) and amaranth (Amaranthus hypochondriacus) meals positively affect plasma lipid profile in rats fed cholesterol-containing diets". J. Nutr. Biochem. 15 (10): 622–9, 2004.

Wu, SJ; Tsai JY, Chang SP, Lin DL, Wang SS, Huang SN, Ng LT (2006). Supercritical carbon dioxide extract exhibits enhanced antioxidant and anti-inflammatory activities of Pysalis peruviana. J Ethnopharmacol 108 (3): 407–13

Kolar J., Malbeck J. Levels of the antioxidant melatonin in fruits of edible berry species. Planta Medica 2009 75:9

If you've been following the blog over the last week, I've been reporting about interesting products and things I learned at the 2011 Natural Products West Expo. It's a huge exposition where food companies hoping to connect with buyers for health food stores have a chance to showcase their products. There were about 2,000 exhibitors there, and in 3 days I didn't get a chance to see and talk to everyone I wanted to. You can imagine, on the exhibitor end, the pressure there is to create a product, packaging concept, and booth display that catches the eye of the people you came to meet!

Unfortunately, not all concepts were on target. I'm sharing one that is a common example of how omega-3 marketing is not always accurate. It's still not regulated well, so there are lots of variations in how facts are presented that can be confusing to the person who knows they want to eat well but doesn't understand all the facts.

Yesterday I pulled a fish oil bottle out of my sample bag and noticed on the label that it was"extra-virgin" fish oil. This is a concept that I'm familiar with when it refers to olive oil, and it means that it is the olive oil from the first press of olives. It's a stronger oil, with a lower smoke point, and more appropriate for recipes where the oil is not heated. But it's not really a concept that has any relevance to fish. (I joked with my Facebook friends about whether or not it really mattered what the fish were doing before we caught them!) This particular product's label was also busy with breakdowns of omega-3's, 5's, 6's, 7's, and 9's, promoting a"perfect complement of 16 omega's". It all sounded very official, but to the average consumer who is still confused about 3's, 6's, and 9's, it only serves to make shopping for fish oil tedious and painful.

One of the reasons for all of this confusion is that fish oil is Mother Nature's patent. Consumers want their foods and supplements to be as unrefined as possible, but the only way to patent and protect a manufactured product, is to alter it. So it is very difficult for fish oil companies to create products that distinguish themselves from other competing products while keeping their customers happy. What is left to distinguish a product is where the fish is caught, what species the fish is, and the total amounts of omega-3 fatty acids. And lots of pretty, irrelevant marketing words.

Even with all my knowledge and training, I can spend hours in the health food store looking at labels on fish oil supplements and keeping up with new and different products. From my perspective, it's the total amount of omega-3's that matters. If you have a hard time with the flavor or the burps, there are several flavored options and packaged forms that can get you around that problem.

Here is my advice to you.

1. First of all, before you spend a lot of money and time, try taking fish oil to see if it works for the problem you're trying to solve. Be sure you take enough of it. For the degree of inflammation seen with PCOS, you're going to need to take the equivalent of 1000 mg DHA. That can be 2 to 3 times the recommended dose on the bottle. Be sure you do your math. It can even be the Costco brand. That is actually my first recommendation to clients. I'm more interested in whether or not adding DHA to the diet is helpful, not where the fish was caught, what the flavor of the fish oil is, yadayadayada. I just want to establish if there is a DHA deficiency.

2. Make a list of the problems that you have that you're looking for relief with that you know are related to omega-3 imbalance: memory, concentration, mood swings, carbohydrate cravings, skin problems, menstrual irregularity. Keep this list in a handy place.

3. If memory problems are on your list, be sure you have a mechanism for remembering to take the fish oil! I swear, this is one of the biggest barriers to PCOS, memory and forgetfulness keeping you from remembering what it is you need to do! If you need to engage your significant other, or set up an alarm on your phone, or a Google calendar reminder…do whatever it takes to be consistent. If you didn't take it, and it didn't work, it didn't work because you didn't take it, not because it's not the issue.

4. Be diligent about reducing your omega-6 intake: soy, safflower, sunflower, sesame, corn, cottonseed. The less of these oils you have in your diet, the better chance omega-3's have of doing the job.

5. Be sure you're reading the dose right on the label. One of my biggest issues I have with one of the most popular brands of fish oil is that their dose is two capsules, not one. Most people never read the fine print, assume a dose is one pill, and end up taking half of what they were thinking they were taking.

6. At the end of your trial period, look at your list and see what improved. Did it work? NOW, and only NOW that you've established whether or not you were DHA deficient, consider if the type of fish oil you take. Would you prefer a flavored, a gel, a capsule, a liquid? All of them are going to give you what you want, you're just deciding which one fits best with your personal taste and texture preference.

Pretty packaging and fancy words are not what are going to help you to feel better. It's what's inside the package, and in what concentration, that you need to focus on!

I'm pretty good at regular exercising. But I have to admit, I can get into ruts. I run because it's easy and convenient and efficient on a busy day. I use the elliptical if I'm near the gym while I'm out. And I love, love, love to swim! But even that is a little routine, focusing on the same muscle groups while ignoring others.

I was reminded the other day of why I might benefit from mixing it up a little bit. inCYSTer Ivonne Ward invited me to join her at a NIA dancing class. (More on NIA in a future post.) I remembered how much I loved dance when I studied it way back in high school, and how much I love to move to music. I also came home well aware of muscles I haven't been using despite my strenuous workouts, and muscles that were tight from being overly focused on. I felt sore, but wonderfully so!

I'm trying something new this year, trying to mix up my exercise so that no two sessions involve the same activity. Trying to mix it up a little bit more so that my fitness is more well-rounded.

Today, the weather is so beautiful, I'm going to get out the Rollerblades and spin around my neighborhood. I love the rhythm of skating, I find it calming and meditative. And I love how the blades use my legs in different ways than does running. And those boots are heavy enough that it's like a ton of weight lifting for the butt muscles--never a bad thing!

I've been communicating with a very nice woman in Santa Monica who is helping me to figure out how I can add tennis lessons to my work trips over there. I've always wanted to learn tennis, so why not this summer when I will surely have time in a place with great weather?

inCYSTer Dr. Gretchen has been talking about her surfing lessons with such enthusiasm that I am going to make time for some of those as well. I will definitely have to get over my shark phobia for this one, but it looks like so much fun!

Both of these activities will challenge my upper body more, which as I get older is definitely something I need to encourage a strong, healthy spine. Plus, I love having new things to learn. My tennis contact shared with me that something she loves about tennis is that every time you play, you're with a different person who challenges you differently, so it's never the same game. I think I'll like that. Sometimes the runs do get a little tedious.

I was also thinking during NIA yesterday that my dance training may come in handy in a sport requiring coordinated footwork, and vice versa. I will be more motivated to swim if I know it will help me to better enjoy my surfing time.

Tennis and surfing require mindfulness as well. Unlike running, and the other activities I do, where you can kind of zone out and be in another world, you have to be mentally PRESENT, aware of your place in space as well as your surroundings, in order to effectively participate.

It's why I hate the question about what the ultimate exercise is. There isn't really ONE, it's what you'll do most regularly. And I think you'll exercise most regularly if you're interested in what you're doing.

Maybe if you're bored with what you're doing, or only exercise for a few weeks before it drops off again, it's because you're not mixing it up enough. Exercise because it gets you away from the computer, stretches your back, allows you to be social, gets you in touch with nature, helps you sleep…and you are guaranteed to strengthen muscles and bones, and maybe lose weight.

Exercise just to lose weight and well…if that's what you've been doing, maybe that's why you've read this blog post all the way to the end.: )

My friend Steven recently returned from a vacation to Australia. He shared this photo of vegemite ice cream! It reminded me that our friends Down Under have a culinary love affair with a food our vegan readers should become better acquainted with. That is, brewer's yeast.

Vegemite (also known as Marmite if it is produced in the UK, New Zealand, or South Africa, and Cenovis if made in Switzerland) is a dark paste made from brewer's yeast leftover after the brewing process. It's most commonly eaten as a spread on bread, as shown in this photo.

Some of the more common descriptions of Vegemite's taste include: salty, bitter, like beef bouillon. One friend described as"Australian miso". It's never really taken off in the United States, but my friends from places where it is common do seem to"Jones" for it when they've gone awhile without a fix.

Nutritionally, Vegemite is an incredible powerhouse! It is very high in thiamine, riboflavin, niacin, and folic acid, all vitamins which women with PCOS need more of. Kraft, maker of Vegemite, has a website with some interesting recipes for the adventurous reader, including this one for a roast pumpkin and leek risotto. I may have to buy some myself just in the name of trying that one!

One of the things I like about Vegemite is that it is actually made from the leftovers of the beer-making process. In short, leftover yeast cells are processed and combined with salt, celery extract, and onion extract to make the popular black paste. So it's green as well as nutritious, meaning everyone wins!

If you happen to be reading this from Vegemite's home turf, be on the lookout for a new product released just last month. My First Vegemite, actually designed for children, is 50% lower in sodium. It's also fortified with vitamins B6 and B12, which makes it even more attractive to vegans, who have a hard time finding sources of vitamin B12 that are compatible with their food philosophy.

While nutrition purists may insist that Vegemite is too salty, I maintain that in moderation, and used in other recipes, it has its benefits. Amazon.com has not yet picked up this new product but I did find it on eBay.

I'm not an expert on this food, but I'm told Vegemite's cousin Marmite, which is actually available at the local Fresh and Easy, is milder in flavor and also contains vitamin B12 which the original Vegemite does not. That IS available on amazon.com if you're not close to Australia, Fresh and Easy, or other store catering to expat Aussies.

I'm still wrapping my head around vegemite ice cream…though my adventures with jalapeno beer (local), reindeer sausage (on a trip to Alaska), and elk steak (on a ski trip to Steamboat Springs) were far from disappointing. Hmmmm…may I'll have to scheme a business trip to Australia and do some in-depth journalism…

To our many Aussie readers, thank you for your visits! I see you on our stats and I appreciate your visits. I've actually been timing new posts to show in concert with YOUR early evenings, not ours. I hope you find us helpful, mates…be sure to ask questions when you have them! And if you have ideas for how to use your food that we newbies might appreciate, please share!

To our vegan readers, stay tuned. More on brewer's yeast tomorrow. You REALLY need to become friendly with this nutritional gem.

I was asked to clarify some comments I recently made about chia, as they were questioned for their accuracy. I'm all for revisiting and making sure my information is accurate, so here is my response.

First of all, while the information on this blog should be helpful to anyone regardless of whether or not they have PCOS, it IS targeted toward women who have this hormone imbalance. So some of the information I provide is more geared toward their specific nutritional needs and not the apparently healthy population. This should always be kept in mind when reading what I write.

One of the questions about my post was that I stated that taurine is an essential amino acid. There is actually some debate about this. Some experts say no, we can synthesize it. Others call it a conditional amino acid, meaning in some situations it may be essential.

Women with PCOS seem to have something going on in their brain and nervous systems that interferes with everything from mood and appetite regulation to speech and language function. (Simply read the responses to my question last week about the symptoms I listed and you will see what I mean.) Much of the dietary protocol we have developed is actually derived from epilepsy research at Johns Hopkins University, with the premise that calming nervous system excitability makes it easier for the brain and nervous system to function as they should when not under duress. Taurine is an amino acid showing promise as an anti-seizure compound, which makes me wonder whether or not a hyperexcitable brain blows through available taurine much more quickly than a brain that does not have to live under these conditions.

That being said, I am more comfortable with the premise that for the population for whom this blog is written, as well as anyone living with any kind of condition that places stress on the brain (migraines, epilepsy, OCD, anxiety disorder, bipolar disorder, PTSD, schizophrenia, etc.), taurine may actually be an essential amino acid. Research to support my claim still needs to be done, but I am more comfortable being conservative on this one, especially given the responses to last week's questionnaire and the severity of some of the diagnoses I just listed. Better to be safe than sorry.

Secondly, even if the amino acid profile of chia is complete, the total protein content of chia is relatively low. So if we're advocating for a 30% protein diet in a woman who is being advised to consume 1500 calories a day, she is going to need to consume about 113 grams of protein. That translates into your needing, at this protein level, to consume 700 grams of chia per day, just to get your protein needs. That is also 3,430 calories' worth of chia, more than twice your daily calorie needs. And while its amino acid profile is nearly complete, its nutritional profile is not. It contains no vitamin A, vitamin C, vitamin D, vitamin K, thiamine, riboflavin, niacin, vitamin B6, folate, or iron, to name a few.

From an omega-3 standpoint, I did invert the numbers. There is no consistent order by which omega-6 and omega-3 ratios are reported, and though I usually check to be sure I did not flip them, I did not this time. I do apologize for that.

According to http://www.nutritiondata.com/, chia seed contains an omega-6 to omega-3 ratio of 3.03, which is actually quite good.

The caveat is that the omega-3 this food contains is alpha-linolenic acid (ALA), not EPA or DHA. Most omega-3 experts will contend that in the most perfect of conditions conversion of ALA to DHA is at best 5%. Again, the women this blog serves seem to need a much higher level of DHA than average for a variety of reasons. We find that they seem to do best on 1000 mg DHA daily, the level recommended by Dr. Artemis Simopolous for treating depression. Calculated out, if you are depending on chia seed to get all of your omega-3 fatty acids, from ALA through EPA and DHA, you're going to need to consume about 115 grams of chia seeds per day. Just be forewarned.

Bottom line, I actually think chia is a healthy food--as part of a varied diet. I especially think that for vegans reading this blog it can be a great addition to your diet. However, I do not believe in superfoods. There seems to be a trend toward wanting to find one perfect food that has it all. I have yet to find it. It's understandable when we're surrounded by a lot of confusing information and we live in a culture where over 10,000 new products hit the grocery shelves each year (I saw half of them in Anaheim last month and it was overwhelming!) that we'd want to have just a few foods and a small nutritional comfort zone. Unfortunately that is not really how human nutrition works.

This is an especially important philosophy to stick to on this blog, given the fact that we're learning that a very high percentage of the women we're helping have some kind of history of"veganism gone wrong"…in other words, overzealous veganism with a focus on eliminating foods rather than on learning how to eat to be nutritionally complete with no animal products on the menu. We discourage fanaticism and encourage food curiosity and variety!

We were designed to be omnivores and to eat a variety of foods from a variety of sources. I encourage you, rather than arguing for why you should narrow your choices down to feel more comfortable around food, to learn to negotiate a wider variety of foods you are willing to include in your diet.

Gaby AR. Natural approaches to epilepsy. Altern Med Rev. 2007 Mar;12(1):9-24.

And what the heck is smoke point in the first place? If you're a well-intended but not always great chef like me, you've heated oil in the pan to the point where it starts to create a smoke that really excites your smoke alarm. This is the point where the oil has started to break down nutritionally. It is also thought that at this point, more free radicals are present in the oil, and the cancer-causing potential of that oil increases.

When you're using oil to fry a food, it's best to use oils with higher smoke points. You can get a nice flavor on the outside, more quickly, with a higher temperature, while the oil is hot but not past its prime.

Here is a list of smoke points for oils, from least desirable for frying to most desirable. (e.g., the ones least likely to drive your downstairs neighbor batty when you're making dinner.) Note that two of the best 3 oils for frying, soybean and safflower oil, are also two of the oils we encourage you to decrease your intake of because they are pro-inflammatory and high in omega-6 fatty acids. Oils with lower smoke points are good choices for preparation methods not requiring heating.

All of these numbers, except for camellia oil, were obtained from the website, Cooking for Engineers. Camellia oil information was provided by Steven Frenzl of Bien Padre Foods.

So when you fry, consider avocado and camellia oil. I've started to see more avocado oil in stores and markets, so keep your eye out. Camellia oil is relatively new to the market and for now a little challenging to find. If you'd like to try it for yourself, here's a website where you can order it.

Unrefined canola oil 225°F
Unrefined flaxseed oil 225°F
Unrefined safflower oil 225°F
Unrefined sunflower oil 225°F
Unrefined corn oil 320°F
Unrefined high-oleic sunflower oil 320°F
Extra virgin olive oil 320°F
Unrefined peanut oil 320°F
Semirefined safflower oil 320°F
Unrefined soy oil 320°F
Unrefined walnut oil 320°F
Hemp seed oil 330°F
Butter 350°F
Semirefined canola oil 350°F
Coconut oil 350°F
Unrefined sesame oil 350°F
Semirefined soy oil 350°F
Vegetable shortening 360°F
Lard 370°F
Macadamia nut oil 390°F
Refined canola oil 400°F
Semirefined walnut oil 400°F
High quality (low acidity) extra virgin olive oil 405°F
Sesame oil 410°F
Cottonseed oil 420°F
Grapeseed oil 420°F
Virgin olive oil 420°F
Almond oil 420°F
Hazelnut oil 430°F
Peanut oil 440°F
Sunflower oil 440°F
Refined corn oil 450°F
Refined high-oleic sunflower oil 450°F
Refined peanut oil 450°F 232°C
Refined Safflower oil 450°F
Semirefined sesame oil 450°F
Refined soy oil 450°F
Semirefined sunflower oil 450°F
Olive pomace oil 460°F
Extra light olive oil 468°F
Camellia (green tea) oil 485°F
Soybean oil 495°F
Safflower oil 510°F
Avocado oil 520°F

Our Chicago network member Lesli Bitel-Koskela sent me this great article about myoinositol, a nutrition supplement that was recently studied in comparison to metformin for its effect on anovulation and infertility.

In a study with 120 women who were required to have both a PCOS diagnosis and confirmed 14 to 16 months infertility prior to starting the research protocol, half were randomly assigned to a regimen of 1,500 mg metformin daily, while the rest were assigned a combination regimen of 4 grams myoinositol and 400 mcg folic acid. Here's how their stories played out.

Metformin 50% restored spontaneous ovulation, and 18.3% of those who did, achieved pregnancy. Total pregnancies for the 60 women: 5.

Myoinositol 65% restored spontaneous ovulation, and 30% of those who did, achieved pregnancy. Total pregnancies for the 60 women: 12.

My thoughts:

1. Myoinositol is a metabolic intermediate, and it's relatively inexpensive (looks like about 78 cents per 4 g dose as described above).

2. It certainly makes sense to try this first before moving into metformin.

3. If it doesn't succeed in achieving ovulation and pregnancy on its own, it certainly wouldn't hurt to use it in conjunction with metformin, hopefully achieving more effects with metformin on lower doses less likely to cause the horrible side effects our readers consistently complain about.

4. If you choose to try this regimen, be sure to include both the myoinositol and the folic acid, as it was not clarified which of the two is the most active one, or whether they work in conjunction.

5. This is a different compound from d-chiro-inositol, a popular supplement with women who have PCOS. Both appear to have benefit, as research evolves, we'll understand the particulars.

Lesli, I can guarantee you made a lot of readers happy by sharing this!

Readers, if you do experience success with this, please come back and share with us so those coming along behind you can benefit.

If you're REALLY interested in this, over the weekend I'll talk about where you can find myoinositol in food.

Raffone E, Rizzo P, Benedetto V. Insulin sensitiser agents alone and in co-treatment with r-FSH for ovulation induction in PCOS women. Gynecol Endocrinol. 2010;26(4)275-280.

Statistics say, a diagnosis of infertility is as stressful as a diagnosis of HIV or terminal cancer. So I'm always on the lookout for ways to help keep that stress from interfering with your hormone balance.

Recently, I've been researching L-theanine, a compound found in green tea, which is also used in supplement form. It's got some interesting benefits, including reduced blood pressure, reduced heart rate, antitumor activity, increased serotonin and dopamine levels in the hippocampus, hypothalamus, and striatum, neuroprotection, weight loss, stroke protection, improved learning and memory, reduced neuron excitability, reduced insulin concentration, suppressed food intake

Of course, the caffeine and polyphenols in green tea have enough benefit themselves that for the most part, I'd prefer to see green tea consumed whole instead of parsed into its separate parts. However, given the fact that this anxiety we see with our audience can stretch into the extreme zone, there may be benefit to L-theanine in addition to whole green tea in your daily program. I am also intrigued by the beneficial effects on learning and memory, given the number of you reporting the problems you're having in that department.

I'm running a little theanine experiment here with myself as the subject. Not that it's all that scientific, but I do like to test things I'm writing about, when I can, so I've got a personal as well as an evidence-based perspective. Stay tuned for some followup reports on how my study is coming along!

Yokogoshi H, Kato Y, Sagesaka YM, Takihara-Matsuura T, Kakuda T, Takeuchi N. Reduction effect of theanine on blood pressure and brain 5-hydroxyindoles in spontaneously hypertensive rats. Biosci Biotechnol Biochem. 1995 Apr;59(4):615-8.

Sadzuka Y, Sugiyama T, Miyagishima A, Nozawa Y, Hirota S. The effects of theanine, as a novel biochemical modulator, on the antitumor activity of adriamycin. Cancer Lett. 1996 Aug 2;105(2):203-9.
Yokozawa T, Dong E. Influence of green tea and its three major components upon low-density lipoprotein oxidation. Exp Toxicol Pathol. 1997 Dec;49(5):329-35.

Yokogoshi H, Kobayashi M, Mochizuki M, Terashima T. Effect of theanine, r-glutamylethylamide, on brain monoamines and striatal dopamine release in conscious rats. Neurochem Res. 1998 May;23(5):667-73.

Terashima T, Takido J, Yokogoshi H. Time-dependent changes of amino acids in the serum, liver, brain and urine of rats administered with theanine. Biosci Biotechnol Biochem. 1999 Apr;63(4):615-8.

Kakuda T, Nozawa A, Unno T, Okamura N, Okai O. Inhibiting effects of theanine on caffeine stimulation evaluated by EEG in the rat. Biosci Biotechnol Biochem. 2000 Feb;64(2):287-93.

Kakuda T. Neuroprotective effects of the green tea components theanine and catechins. Biol Pharm Bull. 2002 Dec;25(12):1513-8.

Zheng G, Sayama K, Okubo T, Juneja LR, Oguni I. Anti-obesity effects of three major components of green tea, catechins, caffeine and theanine, in mice. In Vivo. 2004 Jan-Feb;18(1):55-62.

Egashira N, Hayakawa K, Mishima K, Kimura H, Iwasaki K, Fujiwara M. Neuroprotective effect of gamma-glutamylethylamide (theanine) on cerebral infarction in mice. Neurosci Lett. 2004 Jun 3;363(1):58-61.

Kimura K, Ozeki M, Juneja LR, Ohira H. L-Theanine reduces psychological and physiological stress responses. Biol Psychol. 2007 Jan;74(1):39-45. Epub 2006 Aug 22.

Yamada T, Nishimura Y, Sakurai T, Terashima T, Okubo T, Juneja LR, Yokogoshi H. Administration of theanine, a unique amino acid in tea leaves, changed feeding-relating components in serum and feeding behavior in rats. Biosci Biotechnol Biochem. 2008 May;72(5):1352-5. Epub 2008 May 7.

One of my goals with inCYST is to create a new paradigm for treatment of inflammatory disorders such as PCOS. Rather than debate over whether Western medicine, Eastern medicine, or Naturopathic medicine is THE modality of choice, I'd like to put the best minds from each specialty together to create new ways of thinking and helping.

Our latest webinar by Susan Lundgren, NMD (naturopathic medical doctor), is an excellent start in that direction. Dr. Lundgren has put together a great presentation which explains in detail her qualifications as a healer, how she is trained to think that looks at PCOS through a unique set of lenses, and some of the modalities she uses in helping her patients.

If you've been thinking about working with a naturopath, consider registering for this session. (We had a slight glitch with the audio on our first try so we are re-recording it next Thursday, May 5, 2011, 8 pm Eastern time.) This webinar is part of our 2011 PCOS Professional Training package; if you'd like to get your toes wet, you can register for just this lecture; if you decide before December 31, 2011 to enroll in the entire series and join our network, you can apply the $40 you paid for this class toward that total.

Dr. Lundgren has also recently started a blog you might enjoy, http://www.drlundgren.wordpress.com/. Phoenix cysters, take note! She is part of a medical practice you can learn more about at http://www.naturecurehouse.com/.

I'm really grateful to have met Dr. Lundgren, and for her generosity and enthusiasm about what we're doing. I'm very much looking forward to many fruitful collaborations, and to learning more about her passion for naturopathic medicine!

Last week I had the opportunity to hear James May, the founder of Wisdom Natural Brands, based here in Phoenix, tell his story of how he became involved with developing the stevia industry. Below is a white paper he shared with us that is referenced and provides a lot of very interesting information. This is a business paper, not a scientific publication, but it does contain references that can get you started if you're looking for more information.

It's not just a sweetener, apparently it has some endocrine and appetite effects as well (may decrease your appetite for sugar), and a new study suggests it may help to improve memory.

Also, I'm providing a link to a brand new website, Stevia University, which is a resource for all things stevia. Be sure to bookmark it!

Stevia Rebaudiana Bertoni Prepared by James A. May and provided as an educational service by Wisdom Natural Brands
Stevia has been correctly framed as the promised sweetener that can help resolve many of the world's sweetener, obesity, and diabetes concerns. Stevia can also solve much of the poverty of the farmers in third world countries by giving them a cash crop to grow, even improving the productivity of their soil and the quality of their other crops.
Stevia can be the next generation of the world's most preferred steetener. Consumers are becoming even more excited as they learn that stevia extract was not originally a chemical invention targeted for a totally different purpose, such as a drug or insecticide, which, after it was tasted, became an artificial sweetener (1).
Stevia, in its various forms has always been a natural sweetener that also offers numerous health benefits. In its natural forms it has been in use in parts of South America for more than 1500 years and, as a high intensity sweetener, in Japan and Asia for over 35 years. (2) Millions of people have ingested stevia daily and there has never been a documented adverse reaction reported (3).
Modern consumers have joyful anticipation for increased use of this sweetener that does not cause fat storage, does not adversely affect blood sugar or blood pressure, reduces caries and gum disease, does no harm, is good for the human body and — can taste great — depending on the extraction methods utilized.
The Joint Expert Committee on Food Additives (JECFA) of the World Health Organization has studied and approved 9 of the numerous naturally occurring glycosides residing in stevia leaves to be safe for human consumption in high intensity sweeteners. They are: stevioside, rebaudioside A, rebaudioside B, rebaudioside C, rebaudioside D, rebaudioside F, dulcoside A, rubusoside, and steviolbioside. Any combination of these glycosides totaling a minimum of 95%, the balance being other components of the stevia leaf, meets the standard set.
HECFA refers to steviol glycosides rather than stevia glycosides in determining acceptable daily intake (ADI) amounts of 4 mg per kilogram of body weight. This provides a 100-fold safety factor, meaning the human body can handle 100 times this amount and still be within the safety limits. However, steviol is one of three metabolites (i.e. the breakdown aglycones being steviol, isosteviol, and a unit of glucose) of the stevia glycosides, therefore, this related to 12 mg of the naturally occurring stevia glycosides per kilogram of body weight. Stevia glycosides are broken down into the three metabolites by bacterial action in the intestinal tract. It is well documented that steviol and the other metabolites are entirely excreted from the body.
In a presentation of the recent science regarding stevia at the 2009 annual meeting of the Calorie Control Council, Claire C. Kruger, PhD, DABT, CEO of Spherix Incorporated, a biopharmaceutical company, reported that"Stevia glycosides have very low toxicity in animals and there is no evidence of risk in humans, including repeat dose systemic toxicity, carcinogenicity, developmental, or reproductive effects. The weight of evidence indicates that steviol glycosides are not genotoxic." She also reported that"Stevia extracts and steviol glycosides show no DNA damage in a broad array of in vitro and in vivo assay," and that the"safety of ingestion of steviol glycosides in hmans has been corroborated in clinical trials; measures of tolerance, body weight, clinical chemistry, hematology and urinalyis did not show any evidence of untoward effects." She reported that critical newly published studies (5) resolve questions about any untoward effects after long term repeated exposure to steviol glycosides.
The Proceedings of the 3rd Stevia Sumposium 2009, held in Belgium reported recent scientific studies that found that,"Stevioside (i.e. the combination of Stevia glyucosides- lowered glucose, insulin and cholesterol. It had no effect on triglycerides or glucose tolerance," and that it"inhibited atherosclerosis by reducing macrophage, oxidized LDL and lipids. Furthermore, stevioside treatment increased the smooth muscle area of the plaque. This increase, together with the reduction of macrophages resulted in an increase of the smooth muscle cell-to-macrophage ratio". The scientists concluded by stating that"this is the first report showing an association between stevioside treatment and increased adiponectin and insulin sensitivity, improved antioxidant defense and reduced atherosclerosis. The decrease of oxidized LDL by stevioside is particularly important in view of our recent observation that LDL is associated with metabolic syndrome components." (6) No allergic reactions to stevia have been reported (7).
A patent application submitted to the US Patent Office, dated February 17, 2011, makes several significant claims, as a result of their scientific research, pertaining to stevia and brain function."Thus to summarize, stevia extract enabled improved learning and memory performance, to a similar, or better, extent as a natural reference substance, ginkgo biloba, and a pharmaceutical positive control compound, rolipram. These data showed that stevia-treated mice not only learned better than other groups but also retained their memory for a longer time period." When the product was given to human subjects they reported that,"Cognitive function, alertness and the ability to focus on work are seen to improve." The product they used was make by cooking leaves in water and is basically the same product sold by SweetLeaf (R), as stevia concentrate, since 1982.
SweetLeaf Stevia Sweetener is the only commercially available stevia extract that is made with a revolutionary new technology that uses only cool purified water and a series of filters. All other brands, currently in the market, utilize old technology that incorporates various chemicals, solvents and alcohols, including ethanol and methanol. Because stevia extracts can be between 200 and 300 times sweeter than sugar, they must be blended with other ingredients utilized as a carrier to make them palatable as a table-top sweetener. While all other brands use a sugar product, SweetLeaf(R) uses inulin, extracted from chicory root, which is a natural soluble fiber and prebiotic, thus creating a sweetener that improve health and vitality. SweetLeaf (R) wass the first stevia brand in the United States to acienve the FDA GRAS (Generally Recognied As Safe) designation.
REFERENCES
1. Aspartame was developed in 1965 by GD Searle, a pharmaceutical company, to be a prescription only drug for peptic ulcers. After it was tasted the company began the process to obtain FDA acceptance as a sweetener,which was achieved in 1981. According to Discover Magazine, 20 Things You Don't Know About Sugar, Sucralose (Splenda) was originally developed to be an insecticide (Oct. 2009, 121).
2. May, James A, The Miracle of Stevia, Kensington Publishing Corp. New York City, NY, 2003, 7, 32-42.
3. Geuns, Jan MC. Review: The Safety of Stevioside Used as a Sweetener, Proceeding of the first symposium: The Safety of Steviiside, KULeuven, 2004, 112.
4. http://www.steviauniversity.com/. Health and Healing Benefits of Stevia.
5. Ferri et all 2006; Jeppesen et al 2006; Barriocanal et al 2008; Maki et al 2008.
6. Gerraert, Benjamine et a, Natural Sweetener Stevioside Inhibits Atherosclerosis by Increasing the Antioxidant Defense in Obese, Insulin Resistant Mice, Atherosclerosis and Metabolism Unit, Deptarmtne of Cardiovascular diseases and Leuven Food Science and Nutrition Research Center Laboratory of Functional Biology, Katholieke University, Leuven, Belgium.
7. Geuns, op cit p. 85.

If you've ever troubled yourself over these issues as you try to eat more healthfully, take a half hour and listen to today's radio interview with Lesli Koskela, RD, LD, registered dietitian and certified Wellcoach. Lesli is also a licensed facilitator for a group called"Am I Hungry?" (inCYST's only such qualified member), that she conducts in the northwest Chicago suburbs. She shared a lot of information about how the kind of work she does can help you to tease apart the differences, and what to do to address each. Many women with PCOS struggle with this and their hormone imbalances can make it challenging to figure out how to start putting the pieces together in a cohesive and doable fashion. That is what Lesli loves to do!

If you like what Lesli has to say, she is also available to work with via phone or Internet.

Check out her website at http://www.harmonicnutrition.com/!

We know that most of you who originally come to inCYST are looking for help with your infertility, your acne, your weight, and/or your depression. We take that seriously and we hope you find our information helpful, meaningful, and relevant.

That is our immediate goal.

We also have a much bigger picture in mind. One reason we believe you're having so much trouble with your hormone balance, is that you're living on a planet that has been so badly mistreated that it has trouble supporting healthy balance within all of you. Because of that, one of the most important things we hope to communicate through our mission, is that our choices have effects far beyond us, and those choices that best benefit the earth, have the most potential to resolve the more personal concerns that initially introduced you to us.

From the very beginning, I've believed that to the best of our ability, our recommendations for food and lifestyle are consistent with what you might see on a green living website. I've also been very aware that, with PCOS affecting 1 in 10 women, the shopping habits we culture have potential to collectively influence what kind of food is available for everyone on the planet to eat.

Because we are so pro-omega-3, we cannot ignore that the type of seafood we recommend must be sustainable. Earlier in the week a Huffington Post article reported that 40 species of fish (including one that is very popular in sushi) are on the verge of extinction, largely due to overfishing and pollution…reinforcing how what we do at inCYST needs to keep all of you healthy and keep the planet healthy enough so that goal #1 is even possible.

So I was super excited to receive an email yesterday, Earth Day eve, from our inCYST contact in Nashua, New Hampshire. I've come to know Pat Hunter and her counterpart Kristen Rioux through planning events to promote their new PCOS support group.

We had planned an event which was to occur on April 1, but which we have since rescheduled to the fall. The problem was, we had received a generous donation from Australis, producers of the high-omega and sustainably farmed barramundi, which we had intended to serve at lunch so that the women coming to our event would have an opportunity to try this fish. We didn't want to waste the food and we wanted to be sure that Australis was happy with their inCYST experience, so Pat and Kristen arranged to have two barramundi promotions in their employee cafeteria.

We thought Lent might be a nice time to try this, since most people are eating more fish then anyway. But we knew that New Englanders love their cod and wondered if they'd be open to something new and different. (We even joked around that a fun marketing tag line might be"Give up cod for Lent!")

I heard from Pat and Kristen yesterday and it turns out the fish was so well accepted they are now working to make it a regular menu item for their employees.

This is a change with potentially far-reaching effects. Anyone eating barramundi at work is more likely to think of it to prepare at home. The more demand for this fish increases in local stores, the more likely it is to start showing up on restaurant menus. And the more barramundi that is bought, the less stress and strain on other fish populations that may not be healthy enough to provide our demand for more seafood.

So thanks to Pat, Kristen, and especially Australis for making it so easy to give a new audience an opportunity to try a new, sustainable (not to mention tasty) food choice, and encourage its popularity to take hold, we are very enthusiastically celebrating Earth Day at inCYST.

If we've gotten your curiosity up, please check out the Australis website. Farmed seafood has a terrible reputation, but this operation has a whole lot of thought put into it. They have gone to great pains to describe their farm in detail to answer any questions you might have. You might be surprised at what you learn.

Happy Earth Day to all. Be kind to yourselves and the world around you…you depend on each other for survival!

I am so grateful I went to the educational meeting yesterday I almost didn't attend! For the majority of my career, the health benefits of vinegar is something that hasn't been taken seriously by colleagues in my profession. But when I saw the presenter for this topic was respected Arizona State University nutrition researcher Carol Johnston, I figured it was worth going to hear what she had to say.

Turns out, Dr. Johnston, a few years ago, while working on another project, quite by accident, found an obscure research article reporting that vinegar may be helpful in reducing insulin resistance. She decided to pick up on where the study left off, and what she has learned with her work has a lot of pertinence to PCOS.

One of the goals of better insulin function is to reduce a reading known as"postprandial blood glucose"…that is, the blood glucose reading you see after eating a meal. This reading can be important, because high numbers have been associated with heart disease as well as excessive baby weight gain in pregnancy (macrosomia). For those of you who experience the phenomenon of being hungry after eating a meal, part of the reason may be a high postprandial blood glucose.

Dr. Johnston's first study used nondiabetic subjects who were divided into two groups: insulin resistant and non-insulin resistant. None of these individuals were taking diabetes medications. If they were in the test group, they were asked to drink 20 grams of apple cider vinegar, wait 2 minutes, and then eat a (pretty high glycemic) test meal of a white bagel, butter, and orange juice. Both groups tried the vinegar and no vinegar protocols. Blood glucose 30 and 60 minutes later was measured.

They found that when vinegar was consumed before a meal, postprandial blood glucose was significantly reduced. Dr. Johnston proposes that vinegar actually may have activity similar to that of Precose or metformin. While she used apple cider vinegar in her studies, she shared that any vinegar will have the same effect. So whatever your preference, rice, balsamic, wine, or raspberry…get creative in the kitchen!

She also clarified that the difference between the action of cinnamon and vinegar is that cinnamon reduces fasting glucose and vinegar reduces postprandial glucose. So you can use both if you wish, they're not going to replace each others' benefit…they may actually complement each other.

It's important if you choose to try this, and you're on medication, to share this with your physician. The results may significantly affect the dose of medication you need. I can pretty much bet most physicians aren't informed about this, and since I was skeptical until yesterday myself, I'm providing all of the references used to write this article for anyone to download and share. The journals in which they were published are respected ones.

A really important caveat: you can overdo this advice. Large amounts of vinegar over time can cause low grade metabolic acidosis (Dr. Johnston studied this too, knowing the mentality of dieters and people desperate to get off of meds.), which is associated with osteoporosis. This acidosis can be prevented by making sure your diet has a good amount of high-potassium foods. Since those are notably fruits and vegetables, the obvious practical way to use this information is to eat a nice salad with each meal, topped with a vinaigrette dressing. Dr. Johnston recommends a ratio of 2 parts vinegar, 1 part oil, the reverse of what is traditionally used.

Keep in mind too, if you're planning to go to the health food store and buy the vinegar pills…they aren't going to work. Dr. Johnston did three separate studies with them (because she was so surprised they didn't work and she was so convinced they would), and did not get the same results the original vinegar produced.

We had the opportunity to try a new product by Bragg's, a line of vinegar beverages. inCYST intern Sarah Jones and I tried the apple-cinnamon and the concord grape-acai flavors. Both of us felt the drink was a little much to consume as packaged, but they would be fun to use in vinaigrettes, marinades, etc., in the kitchen. I'm going to try some recipes this weekend.

Keep in mind too, that any favorite foods made with vinegar will also be beneficial! Pickles, sauerkraut, Korean kimchi, there are many cultural favorites that can make this fun! Think of ways vinegar can be added to your own marinades and flip the oil to vinegar ratio.

If you're really adventurous, or just want a fun party gag, try these pickle pops we sampled yesterday! Sarah was not so keen on them but I'm German and found it pretty tasty. When I looked this up for you all,, I discovered there is even a jalapeno flavor. That's pushing it even for me, but hey, there's something for everyone.: )

Check back with us too if you're actually measuring your blood glucose after meals and let us know if this was helpful!

The cost of diabetes medications can exceed $6,000 per year, per person. And one of every 8 federal health care dollars, ($79.7 billion annually), is spent on diabetes care. Imagine what we could do to our personal budgets, not to mention that nagging national debt, if we all just walked into Costco and invested in an industrial-sized bottle of vinegar…

Ebihara K, Nakajima A. Effect of acetic acid and vinegar on blood glucose and insulin responses to orally administered sucrose and starch Agric Biol Chem 52: 1311-1312, 1988.

Johnston CS, Kim CM, Buller AJ. Vinegar improves insulin sensitivity to a high-carbohydrate meal in subjects with insulin resistance or type 2 diabetes. Diabetes Care 2004: Jan 27(1); 281-2.

White AM, Johnston CS. Vinegar ingestion at bedtime moderates waking glucose concentrations in adults with well-controlled type 2 diabetes. Diabetes Care. 2007 Nov;30(11):2814-5.
Johnston CS, White AM, Kent SM. A preliminary evaluation of the safety and tolerance of medicinally ingested vinegar in individuals with type 2 diabetes. J Med Food. 2008 Mar;11(1):179-83.

Johnston CS, White AM, Kent SM. Preliminary evidence that regular vinegar ingestion favorably influences hemoglobin A1c values in individuals with type 2 diabetes mellitus. Diabetes Res Clin Pract. 2009 May;84(2):e15-7.
Johnston CS, Steplewska I, Long CA, Harris LN, Ryals RH. Examination of the antiglycemic properties of vinegar in healthy adults. Ann Nutr Metab. 2010;56(1):74-9.

Just received an e-mail from our friends at Shape Foods (they're the ones coming out with the flavored flax oils we found at Natural Products West). They've got another wonderful product (in conjunction with Flax USA) that's only been on grocery shelves for 9 days…flax milk!

Andrew Lis of Shape Foods provided this interesting information about their product:

The key ingredient comes from our flax oil. Due to the superior quality of our oil and since we remove the impurities that can cause the oil to go rancid prematurely through our proprietary manufacturing process, it was the only flax oil on the market that was able to survive pasteurization without going rancid. That is why we are the exclusive ingredient supplier for this type of product.

This product is available at most Walmart stores, so intern Sarah Jones and I set out to find it. Here is Sarah with the original-flavored version (there is also vanilla-flavored).

This carton, here in Phoenix, is priced at $2.98, and it is in the refrigerator case near the other milks and milk substitutes.

It is a dairy-free, lactose-free, soy-free, and gluten-free product. Even though it's primarily fat-based, 8 ounces of the original flavor only contains 50 calories.

Here's the fatty acid profile on the side of the carton. As you can see, it's got a great omega-6 to omega-3 ratio.

The important thing to keep in mind is that this product is made with an oil, and it contains 0 protein. If you use this in place of milk on your cereal, be sure to add another protein source to that meal to keep your glycemic index in check.

I bet this would be a great substitute for creamer in coffee (you'd be hard-pressed to find another way to get omega-3's into your coffee!).

And if you have a fancy blender that makes ice creams, the vanilla version is likely going to be a nice treat. If anyone tries this in their kitchen, please share how you used it!

This product is available exclusively at Walmart.

I've encountered several websites recently that seem to have the calorie number"300" on a pedestal, as if this is what we should aspire to as a total count for a meal. So much so that a current bestselling book out there has used this premise to get you to buy it.

Let's do some math.

A 30 year old, 5' 5" woman aspiring to be 135 lbs, not accounting for being moderately physically active, can eat about 1800 calories a day. Even if breakfast is only 60% as big as lunch and dinner, that works out to about 400 calories. I've found that having a large breakfast makes it easier to avoid bingeing later in the day, so my preference in this situation would be to recommend 500 calories at each meal, which leaves room for a 300 calorie snack.

If you're not hungry first thing in the morning, it may be that your blood glucose dropped overnight and triggered a blood sugar surge. The best remedy for this is often to be sure that 300 calorie snack comes before bedtime and includes protein. One of the first signs that you're actually resolving your insulin resistance seems to be that you find yourself hungrier, earlier in the morning.

Somehow, somewhere, 300 calories has been some kind of magic number to aim for. But I also see, time and time again, that women who choose this number as their goal, experience more cravings and are more likely to binge.

When it comes to calories, it's not always that less equals more. It's about making sure you have enough calories at the right times of day so that you are not hungry for too many at the wrong times of day.

For most women, a meal size of 500 to 600 is just about right. Try it, even once and see if it makes a difference in your cravings and urges to binge.

Need help finding 500 calorie breakfasts? I did a post awhile back on this topic that is consistently one of our most read. I encourage you to check it out.

http://www.incyst.com/2009/03/four-500-calorie-breakfasts.html

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.

inCYST is looking for women with PCOS who have NOT been supplementing with fish oil to participate in a study helping us to evaluate the baseline omega-3 profile for PCOS. This is our first pilot study! Please contact me at marika@google.com for details if you're interested and ONLY if you've never used any kind of omega-3 supplement.

Thank you!

It's Earth Month 2011, a good time to think about our connection to things much bigger than ourselves. It's easy to become overwhelmed when thinking about a problem as daunting as infertility, and to narrow your focus down to what you need to do to fix your personal problem. Nothing else can seem to matter except your own hormones.

At inCYST, one of our most important missions is to help our readers understand, that the reason many people these days are struggling with infertility, is because our unsustainable lifestyle has changed the balance on our planet. The more respect with which we treat the earth, the better the earth treats us.

I was thinking about this yesterday while running on the canal trail behind my home. I've been waiting several weeks for the baby ducks to come and they finally arrived! My run is so much more enjoyable when I can watch the little fluffballs swimming behind their mother, learning how to swim, how to dive for food, how to preen. I never cease to be amazed at how these ducks just seem to know how to do what they do.

Something that biologists are learning is that other species are having trouble reproducing as well. We've put chemicals in the water they drink, we've put pesticides in the food chain, we've encroached on their breeding grounds…and they're paying a heavy price. The only difference is, they don't have reproductive doctors and nutritionists to guide them to better fertility. Their populations decline and we lose them.

So when I was admiring the fuzzballs I thought a lot about how inCYST is about more than helping all of you. Though that's important!

It's about rallying all of you to adopt lifestyle choices that benefit EVERYONE on the planet, no matter the genus, no matter the species. I hope that this is a value that gradually blends into your pursuit of personal health.

Speaking of sustainable living as a value, we had a wonderful radio chat yesterday with Julia Bucciero of Maxim Hygiene, makers of organic, all cotton, pesticide-free, chlorine and dioxin-free feminine hygiene and personal care products. If you had not thought about the opportunity for hormone imbalance your current personal care purchases poses, it's time you should.

And consider what unnecessary amount of plastic accumulates in landfills and floats down waterways when we make certain choices! You can make a hormone-friendly, 100% biodegradable choice and with that, make a difference.

Maxim Hygiene has created a product that makes personal sense for women with PCOS, and an opportunity for each of us to live more sustainably.

If you can't find these products in your local store, be sure to contact Maxim Hygiene and let them know. They're happy to work with stores to increase their product availability. I found them on amazon.com if you prefer to purchase them online.

It can help to feel less personally picked on when you take a step back and understand how a bigger imbalance may be affecting your personal imbalance. The best way out of that corner, is to collectively start making choices that promote balance outside, as well as within, ourselves.