The Hemp Connection:
nutrition

  • Quinoa, the “Mother of Grains”

    Quinoa, the “Mother of Grains”

    Many of you remember Amber, who had been recording her journey with us here and who helped us out with a segment for ABC-LA. Well, since that time, she has gone back to culinary school. (Go Girl!) She recently shared a report that she wrote about quinoa, and has agreed to let me post it as a guest blog. So excited to see someone with PCOS working in a place where she can have a significant impact!

    This ancient grain has many nutritional properties, as it also possesses many universal uses as stated by, Daniel Fairbanks, Ph. D., a professor of plant and animal sciences at Brigham Young University.

    “It has about twice the protein of regular cereal grains, fewer carbohydrates, and even a dose of healthy fats.”(D.Fairbanks)

    Plus"it is considered a 'complete' protein, which means that, like meat, eggs, and dairy, it packs all of the essential amino acids your body needs
    to build muscle.”(Matt Goulding Men’s Health 2007)

    Despite its many qualities, until recently, the last fifteen years or so, it has not been a popularly widespread grain. “It has been cultivated in the South American Andes from around 3000 B.C.” (K. Railey) and is claimed to be a staple food, like corn, or rice. “Quinoa is not specifically a true grain, but rather a seed of the Chenopodium or sometimes called the Goosefoot plant.” (D. Johnson, S. Ward) What classifies this as a grain is its culinary use, or the cooking technique used to prepare it. “The Incas believe quinoa to be a sacred grain, planting it each year is done first by the chief with a solid gold shovel.” (K. Railey)

    Quinoa grows best in cool arid climates at higher elevations. The plant grows six to eight feet in height and has several angled branches; the flower produces clusters of seeds at the end of a stalk. The greens of the plant resemble that of a goose’s foot, hence the name"goosefoot," and are edible, similar to spinach greens. The seeds or quinoa, are very small, only about a quarter of the size of one grain of rice. They vary in color they can be red, brown, white, or pink and have a nutty flavor when properly cooked.

    Attempting to cook the quinoa for the first time it became clear that this little seed is relatively unique in such a way, that when cooking it, the seed’s outer casing peels outward forming into a tail shape. The grain itself is a lot like rice, but the tail creates a crunchy and unique texture. Upon further research of this super grain, I became aware that “the seed when picked has a resin like coating; called saponin” (botanical.com) that rinses off easily. This outer resin'like “coating is of use as a detergent and a topical antiseptic in South America.” (K. Railey)

    “The protein in quinoa about 12% to 18% about one cup a day could provide you with the proper amount of protein daily.” (D. Fairbanks) It also contains calcium, and iron and a substantial amount of vitamin E, and several of vitamin B complex, however it does contain a 6% to 7% o fat ratio (considered healthy fats). It has lower sodium content; it contains albumen, is gluten-free and it contains eight essential amino acids. Other grains come close to containing as much protein as that of quinoa but it is only about half the protein levels.

    In conclusion, in my research of quinoa, I have found that it truly lives up to its superior qualities in that it has amazing protein levels, vitamin complex, and amino acids all packed into a rather small package. I love that you can use the whole plant, not just the seed and that it possesses medicinal qualities. It has replaced rice, and flour in my home due to its many benefits, and its universal cooking techniques. Since it contains higher amounts of fat and oil, it is necessary to store quinoa, in glass jars in the refrigerator in seed form it can store for up to one year, flour about three months. This super grain can be found at local health food stores, and on – line.

    Recipe courtesy of epicurious.com

    Yield: Makes 4 servings
    Active Time: 5 minutes
    Total Time: 30 minutes

    Ingredients:
    1 cup quinoa (all red or a mix of red, white, or black)
    1 1/2 cups water
    2 cinnamon sticks
    1/4 teaspoon salt

    Accompaniments:
    Broken or chopped walnuts, pure maple syrup or honey, milk, and flaky sea salt

    Wash quinoa in several changes of water in a bowl, rubbing grains and letting them settle before pouring off water (if quinoa does not settle, drain in a large fine-mesh sieve after each rinse), until water is clear. Drain washed quinoa well in a large fine-mesh sieve. Combine all
    ingredients in a heavy medium saucepan and bring to a boil, covered. Reduce heat to low and cook, covered, until water is absorbed and quinoa is tender, about 20 minutes. Remove pan from heat and let stand, covered, 5 minutes. Fluff with a fork and keep covered to keep warm. Remove
    cinnamon sticks. Divide quinoa among bowls and top with walnuts, maple syrup or honey, milk, and sea salt.

    Bibliography

    http://www.botanical.com/botanical/mgmh/c/chenop53.html. (2012, March 7). Retrieved March 7, 2012, from http://www.botanical.com: http://www.botanical.com/botanical/mgmh/c/chenop53.html

    http://www.menshealth.com. (2012, March 6). Retrieved March 6, 2012, from http://www.menshealth.com: http://www.menshealth.com/nutrition/quinoa

    Johnson, Duane L. and Ward, Sarah M."Quinoa". (2012, March 7). http://www.hort.perdue.edu/newcrop/proceedings1993/v2-222.html. Retrieved March 7, 2012, from http://www.hort.perdue.edu:
    http://www.hort.perdue.edu/newcrop/proceedings1993/v2-222.html

    Railey, K. (2012, March 8). http://www.chetday.com. Retrieved March 2, 2012, from http://www.chetday.com: http://www.chetday.com/quinoa.html

    www.epicurious.com. (2012, March 7). Retrieved March 7, 2012, from www.epicurious.com: http://www.epicurious.com:80/recipes/food/Cinnamon-Scented-Breakfast-Quinoa

  • What do PCOS, marijuana, and carbohydrate cravings have in common?

    What do PCOS, marijuana, and carbohydrate cravings have in common?
    marijuana

    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.

    hemp

    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.
    Lafourcade M, Larrieu T, Mato S, Duffaud A, Sepers M, Matias I, De Smedt-Peyrusse V, Labrousse VF, Bretillon L, Matute C, Rodríguez-Puertas R, Layé S, Manzoni OJ. Nutritional omega-3 deficiency abolishes endocannabinoid-mediated neuronal functions. Nat Neurosci. 2011 Mar;14(3):345-50. Epub 2011 Jan 30.

    Watkins BA, Hutchins H, Li Y, Seifert MF. The endocannabinoid signaling system: a marriage of PUFA and musculoskeletal health. J Nutr Biochem. 2010 Dec;21(12):1141-52. Epub 2010 Oct 8.

    Kirkham TC, Tucci SA. Endocannabinoids in appetite control and the treatment of obesity". CNS Neurol Disord Drug Targets 5 (3): 272–92, 2006.

    Ryusuke Y. Endocannabinoids selectively enhance sweet taste. PNAS 107 (2): 935–9, 2010.

    Das SK, Paria BC, Chakraborty I, Dey SK. Cannabinoid ligand-receptor signaling in the mouse uterus. Proc. Natl. Acad. Sci. U.S.A. 92 (10): 4332–6, 1995.

    Paria BC, Das SK, Dey SK. The preimplantation mouse embryo is a target for cannabinoid ligand-receptor signaling. Proc. Natl. Acad. Sci. U.S.A. 92 (21): 9460–4, 1995.

  • From Peru with love: maca, amaranth, aguaymanto, lucuma, and sacha inchi

    From Peru with love: maca, amaranth, aguaymanto, lucuma, and sacha inchi

    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

  • Potential effect of in-vitro fertilization on overall/long term health

    Potential effect of in-vitro fertilization on overall/long term health
    Potential

    One of the most difficult parts of working with PCOS is how hard it is to help cysters understand the widespread effects of their diagnosis. The tendency is to focus on the symptom causing the most distress in the moment, and to look for relief from that distress, even if it isn't helping the core issue.

    So, for example, women who are focused on infertility, tend to be caught up in ways to have a child, and to not think about what it's going to take to keep that pregnancy, how to nurse the child, and how to stay healthy until that child grows up to produce grandchildren.

    One very nice woman I worked with who had PCOS was only willing to work with me for one appointment. It seemed, as we worked through my assessment questions, that she was realizing that what was going to result from our time together, was that she would need to address her binge eating behavior in order to reduce her carbohydrate intake and manage her blood glucose. She politely told me that she had decided that she would be better off pursuing in vitro fertilization (IVF), and if she developed gestational diabetes, she would call me to schedule another appointment.

    I felt very sad about this, because this woman was not young, and fertility was not something to take for granted. And it seemed to me that the bigger picture here was that if the binge eating was not addressed, she may never get to the point where she was pregnant and in need of my help! But I couldn't tell her that. My job is to accept my clients where they are at and maybe plant a seed or two that encourages seeing things in new and different ways.

    Which brings me to my topic for today.

    Serum C-reactive protein (CRP) is a blood marker of inflammation, a degenerative process that has been identified in women with PCOS.

    In a study of 63 women receiving IVF, it was found that CRP increased in conjunction with this treatment. Even if the women were taking metformin.

    There is such a mentality in our country that we are entitled to have access to medical treatments for whatever ails us, and that we should expect that these treatments are risk free. That simply isn't the case. IVF produces many beautiful babies, but that doesn't mean it isn't without its issues.

    What isn't even considered here…is the effect of an active inflammatory process on the developing fetus who has no choice but to live in that environment for nine months?

    Is it just me…or doesn't it seem that if you want a baby that badly, that this baby deserves the absolute best possible environment in which to live and thrive from day one in utero? Which means taking a serious inventory of all of the nutritional and lifestyle choices we make that interfere with that on behalf of the new life that we want to create? And making some sacrifices in that department?

    Just a little something to think about.

    Kjøtrød SB, Romundstad P, von Düring V, Sunde A, Carlsen SM. C-reactive protein levels are unaffected by metformin during pretreatment and an IVF cycle in women with polycystic ovary syndrome. Fertil Steril. 2008 Mar;89(3):635-41. Epub 2007 Jun 4.

  • A tribute to our Aussie and vegan readers — a little bit about brewer's yeast!

    A tribute to our Aussie and vegan readers — a little bit about brewer's yeast!

    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.

  • Revisiting chia

    Revisiting chia

    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.

  • Been heapin' hemp on your breakfast cereal? Be sure you know what you're doing!

    Been heapin' hemp on your breakfast cereal? Be sure you know what you're doing!
    hemp

    We get many questions about hemp, and its value as a protein and omega-3 source. Time to learn some more.

    Here are the basic nutrition facts about hemp, calculated for a 1 tbsp serving.

    Calories: 80
    Fat: 5 grams
    Carbohydrate: 3.5 grams
    Protein 5.5 grams

    POSITIVE: To put that into perspective, a tablespoon of hemp seed has about the same amount of fat as a teaspoon of butter or oil, plus slightly less protein than an ounce of meat. So as far as fat choices, it's going to give you more nutritional bang for your buck than a pure fat source. That protein is also a complete protein, too!

    WARNING: Beware of those calories, though! Someone who commented on the Livestrong.com website where I got this information shared that he puts 3 tablespoons of hemp seeds on his cereal every morning. That is 240 calories, which if not removed from elsewhere in the diet, is the equivalent, over a year, of 25 pounds' worth of calories. If you ADD hemp to your diet, be sure you've accounted for it by REMOVING less calorically dense/nutritious food choices.

    POSITIVE: With respect to fatty acid profile, the omega-6 to omega-3 ratio of hemp averages 3:1. This is favorable, as it is lower than the recommended total dietary ratio of 4:1.

    WARNING: As hemp is a vegetarian source of omega-3, it provides ALA. It does not contain EPA or DHA, which are primarily found in seafood. Some of the ALA found in hemp will be converted into EPA and DHA, but not in the quantities we have found to be of therapeutic value for PCOS. If you want to use hemp in your diet, it is certainly beneficial, but it does not replace the need for the other omega-3's.

    POSITIVE: Hemp contains gamma-linoleic acid (GLA), which can be helpful for some skin conditions, including atopic dermatitis.

    WARNING: GLA tends to work best when it is not overwhelmed with omega-6 fatty acids. In other words, if you have a skin condition, and you want to try GLA as a remedy, you are most likely to achieve good results if you cut back on your total omega-6 fatty acid intake (safflower, sunflower, soybean, sesame, corn, and cottonseed oil).

    You could say the bottom line with hemp, as with any other food, is that if it is used judiciously and respectfully and not layered onto an unhealthy diet that needs some tuning up, it can be a tool toward better hormone balance.

    But it is not a miracle food that will allow you to continue with unhealthy dietary indiscretions without consequence.

    For those who are concerned about the THC content of hemp: in order to ingest enough industrial hemp to get 'a buzz', you would have to consume the the equivalent of 2-3 doses of a high-fiber laxative. Thanks to the North American Industrial Hemp Council for that little tidbit!

    For starters, here is a recipe for hemp pancakes. As you can see, the oil has been removed and replaced with hemp seed. That is the way hemp should be used; as a fat alternative, not as an additional fat. It could probably be used in many recipes where you are using ground flax seed, with similar results.

    Here are some sample hemp food products available at amazon.com

    For more information about the history, politics, and nutritional analysis of hemp, beyond the direct pertinence of hemp to PCOS, try this article on Dr. Bronner's website.

  • Why should you care about an oil's smoke point?

    Why should you care about an oil's smoke point?

    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

  • HOW inCYST does business is equally as important as what kind of business it does or how much it knows

    HOW inCYST does business is equally as important as what kind of business it does or how much it knows

    I wanted to post a testimonial from a client. He volunteered to do this, I did not ask him for it. My sincere hope, in training inCYST professionals, is that this is the experience each and every woman has when reaching out and asking for help. We understand that you are not just patients or lab values, but rather individuals with your own sets of experiences, anxieties, and hopes, that must be respected and accommodated in our work together. The photo is of me at this baby's baptism.

    B, thank you for the testimonial. I am not sure who benefitted most from our time together, as I learned an incredible amount from this collaboration! Being asked to come to the hospital to see baby Brianna, and to attend her baptism, was such an honor. I will never forget how it felt to look at her, and hold her, and tangibly experience the value of this work.

    I have asked the other members of inCYST's network to share testimonials as well. They do wonderful work, and I want to use this forum to share their passions and how they benefit those who work with them for better health. I look forward to sharing their stories!
    Monika

    It was two years ago when we first met Monika. I remember it like yesterday. We were desperate but also tired of the empty promises.

    In the previous 18 months, my wife and I had been on an emotional rollercoaster. My wife had been tested for thyroid issues, infertility, hormone imbalances. Each doctor was confident they knew what was wrong and it was a simple fix. Take this prescription and diet. When that did not work it was go to this specialist or that one. Even at the mighty Mayo Clinic we were disappointed. During this time we had our first miscarriage. I remember the night vividly. We went to the emergency room knowing something was wrong. We were first triaged by an RN, she ordered a pregnancy test, a UA, ultrasound and every blood test she could think of. After six hours we were scared to death and still had not seen the ER physician. My wife’s pain was increasing. My wife started to bleed. We were reassured the doctor would be with us soon. She ended up miscarrying in the restroom of the ER. We finally had the ultrasound. We finally saw that doctor; he was abrupt and in a hurry. He spent five minutes with us explaining that we had miscarried and gave us a booklet for grieving. We were also to follow up with our OB/gyn for a D&C. In addition to a 3,000 dollar bill.

    It took a few days for my wife’s physical pains to subside, but the emotional ones were just beginning. It almost tore us apart. She had the feeling that she was broken and tried to push me away. Everything reminded us of our loss. It is amazing how many sad stories you see about abused or abandoned children when you can not have one. Several months had passed and our OB diagnosed my wife with PCOS. Though the ultrasound showed no cysts, all the other symptoms were there. My wife was placed on metformin. This was to stabilize her insulin. She started the medication but her mood swings and frustration increased. She exercised two to four hours every day for four months. She was obsessed with losing weight and returning to “normal”. The weight did not come off and she was giving up. I decided to spend my spare time researching PCOS. The research was inconclusive as to the correct treatment course. Most suggested controlling insulin through diet and medication. There were several online programs and institutes which promised to have the answer. We were sucked in and for another few months we tried some different approaches. None seemed to be very effective. We had given up on the idea of having children and I just wanted my wife back. With every new promise was a disappointment. Unfortunately my wife was becoming frustrated with herself. We stopped spending time with friends and calling family. The thing most people do not understand is that it is not just your disappointment as a couple, but explaining to your friends and families that is devastating. I decided to continue my diligence with my research and found several dieticians and nutritionists who were publishing and focusing on PCOS. This is how we came to know Monika Woolsey. I did not even tell my wife about Monika at first. I did not want another false hope. Once I hung up the phone with Monika, I felt that she might be able to help. She did not promise results of pregnancy or a magic pill to fix everything. She said simply that every woman is different as is the approach. She continued to ask question after question. Throughout this entire rollercoaster I finally felt we found someone who is sincerely interested in helping us. We were not just another case. I did not know Monika’s intentions or if her ideas would work but we had a glimmer of hope. Monika surprised us a little when she wanted to visit our home. I did not understand but we agreed. When Monika arrived she was not what I expected she was “down to earth” and seemed very easy to talk with. She also was very knowledgeable about the disease process. I found her caring and very sensitive to what we have gone through. Though she was very nice I was not looking for a friend but a knowledgeable professional. I was put in my place very quickly after challenging her on a few topics. She had read all that I have and more. She has done her homework. She described this as a journey of trials and seeing what works because each woman is different and has different symptoms. Though our time was up she was truly invested and stayed an additional two hours. Till the time our questions were answered.

    My wife started with fish oil and flaxseed oil in addition to a session of acupuncture. We also were educated on reading labels and identifying pure foods. I am in the medical field and did not put much stock in this approach. To put it mildly I was a skeptic. However after spending two months on the program my wife was getting back to her typical self and feeling much better. Some evenings we would call or e-mail Monika with questions. She was never to busy to take time for us. We were perfectly content with our changes. My wife’s moods were stabilizing and her menstruations were becoming more regular. Out of the blue we found out that we were pregnant. This was not expected or planned. Monika never promised or led us to believe that pregnancy would be the result. Her plan was simple. Make my wife feel better and regain control.

    When Monika found out she was very happy for us but she did not seem to be surprised. She mentioned that this has happened with several couples that were told they would never have children. I can say that my wife will always have PCOS but at least we have the knowledge to control it. We had our beautiful daughter on July 21 2009. It was an amazing day. We have included a picture of Monika and our daughter Brianna. God gives us trials in life and we have had our fair share. In saying that I would not change a thing.

    Monika, thank you for all you have done for us

    Sincerely B & I.

  • You're not crazy — your appetite may NOT be normal

    You're not crazy — your appetite may NOT be normal

    One of the pieces of PCOS that I find intriguing, but which really is not well studied, is what is happening with appetite. This is such a crucial piece of the picture, because it doesn't really matter what ANY expert, medical, nutritional, whatever…tells you that you SHOULD be eating, if your appetite hormones are not supporting the advice.

    In order for us to better understand what is happening, and therefore derive effective solutions for this problem, we need to toss a couple of assumptions we have about women with PCOS.

    It may not be valid to assume that women with PCOS overeat simply because of emotional issues. (Note: I did NOT say there is NO emotional eating, but I suggest that it may be but one of the pieces of the puzzle.) It seems that the primary assumption on the part of many professionals is that once you lose weight, it is a sign that your appetite and intake are back in balance.

    As I interview more women with PCOS, I'm learning that even lean women with PCOS struggle with appetite. A very common scenario, it seems, is to do everything right--eating, activity, sleep, stress management…and some days, despite all the effort, appetite seems to take on a life of its own.

    If the experts aren't acknowledging this, some of the more strong-willed cysters may be able to learn to ignore these inappropriate hunger and fullness signals. In other words, the only tool they have to combat obesity is detached, restrictive eating. And if they own up to that with their caregiver, they may be diagnosed with an eating disorder.

    Nowhere in there is there room for a physiological explanation.

    Leptin, ghrelin, insulin, cholecystokinin, and endocannabinoids…all hormones affecting appetite, have been found to be out of balance with PCOS.

    Given this and the stories that are accumulating in my files, it simply does not seem appropriate to advocate for an intuitive eating model as the therapy or the goal. It may be achievable over the long run, but it is not fair to recommend a paradigm that assumes that appetite mechanisms are intact, when in fact they are not.

    I encourage you to share your observations with whoever is helping you. I have some work to do to collect more of the references and write about this phenomenon, so you have more science to support your advocating for yourself. It is coming.

    For today, I just wanted to introduce the thought and encourage the dialogue. The more we hear from you, the more we can look for explanations and solutions.

  • Food of the Week: Pistachio Pesto

    Food of the Week: Pistachio Pesto

    Just a few weeks ago, I was talking with my husband about the amount of money I spend buying healthy food every month. I often wonder why the foods that are the most damaging to our nutrition are so much less expensive than foods that protect and nourish our bodies in so many different beneficial ways. Then again, when I wander through specialty organic grocery stores, I wonder why some of the prices are so outrageous; however, every once in a while you stumble upon a food item that you just can’t resist trying, even if it more than you usually spend on good nutrition.

    Since watching my weight is my third “full time job,” I’m always looking for foods to add to my list of staples, as well as adding some variety to my vegetable and protein intake. I’ve never been one to experiment with exotic foods, but in the last two months, I’ve found myself drawn to organic nut, seed, and coconut oil based products. With this new quest, I came across a wonderful product, Pistachio Pesto, made by Living Tree Community Foods. You’ve probably read on this very blog about the health benefits of pistachios, a powerful and protective nut that is a great addition to your diet. Check out the following link if you want to read up on the pistachio. http://www.incyst.com/2009/04/food-of-week-pistachio-nuts.html

    While I’ve never been a fan of pesto, I couldn’t resist giving the Pistachio Pesto a try, particularly after reading the list of all organic ingredients, which includes sun-dried tomatoes, sun-dried black olives, raw sesame, and olive oil. So far I have tried the pesto on a high fiber cracker, which was delicious, and I’m sure I’ll experiment with this as a topping for vegetables very soon. If you would like more information on this product, you can visit http://www.livingtreecommunity.com/.

    Stacey Frattinger, RD, CHFS
    Owner of Formula FUEL
    http://www.formulafitt.com/
    Contact me @ formulafuel@hotmail.com

  • Got PCOS and infertile? Watch out metformin, myoinositol is gaining notice!

    Got PCOS and infertile? Watch out metformin, myoinositol is gaining notice!

    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.

  • Food of the week: What you are moved to create

    Food of the week: What you are moved to create

    I promised Ivonne I would post a recipe here, but my format will be a little bit nontraditional.

    See, so many people have this perception that if you have a nutrition degree, or work in the fitness and counseling worlds, you are somehow this magic creator of 3 gourmet meals a day. They're all perfectly balanced, exactly the necessary number of calories with perfect ratios of carbohydrate, protein, fat, zinc, antioxidants, omega-3's, yadayadayada.

    NOT.

    I think sometimes these blogs and websites with all these people who'd like you to think it's perfect in foodieland are downright intimidating. I want you to HAVE FUN with food, and I want you to have the confidence to experiment.

    So here's a look inside my kitchen and my head when I recently improvised on a popular recipe, Morning Glory Muffins.

    Here is the original recipe as I found it on the Internet:


    1 1/4 cups sugar

    2 1/4 cups unbleached all-purpose flour

    1 tablespoon ground cinnamon

    2 teaspoons baking soda

    1/2 teaspoon salt

    1/2 cup shredded, sweetened coconut

    3/4 cup Earthbound Farm Organic Raisins

    1 large organic apple, peeled and grated

    1 cup (8 ounces) crushed pineapple, drained

    2 cups grated carrots

    1/2 cup coarsely chopped pecans or walnuts

    3 large eggs

    1 cup vegetable oil

    1 teaspoon pure vanilla extract

    Now let's see what actually happened when I rolled up my sleeves and baked them.

    1. "Where is the sugar? Dang! I forgot I was almost out and I only have half as much…OK, in food chem class we learned that while some sugar is necessary not all of it is. Maybe I can make do." Half the sugar is used.

    2. Time to add the pineapple. "Hmmmm…I still have a dozen of those 400 oranges that I picked taking up space in the refrigerator…they're acidic, wonder what would happen if I replaced pineapple with chopped oranges?" Oranges are used in place of pineapple.

    3. I used omega-3 eggs in place of regular eggs.

    4. Now for the vegetable oil. "Wonder if I could use olive oil? That olive oil pastry I had on the cruise a few years ago was pretty good." So olive oil it is, and 2/3 of the recipe's original amount.

    5. Home stretch…time for vanilla…"Oh, MAN! I could SWEAR I had vanilla!" Time for a little trick my mom taught me years ago…extracts are alcohol based, so you can exchange the vanilla for anything you might have that is a liqueur. "What's in my liquor cabinet? Banana liqueur, hazelnut liqueur…" Hazelnut wouldn't open (it was crystallized shut from disuse), so banana it was.

    And there you have it. I would be a disaster on a cooking show, but my mad-science-hmmm-let's-see-if-this-works approach turned out some pretty darned good muffins.

    Which, at this point, are no longer Morning Glory Muffins. Given the fact that I used local oranges and pecans, our local tree nut, they have been renamed Arizona Sunrise Muffins. Here's the recipe as it ended up:

    Arizona Sunrise Muffins

    5/8 cups sugar

    2 1/4 cups whole wheat flour

    1 tablespoon ground cinnamon

    2 teaspoons baking soda

    1/2 teaspoon salt

    1/2 cup shredded, sweetened coconut

    3/4 cup Earthbound Farm Organic Raisins (chopped dates would make it even more local)

    1 large organic apple, peeled and grated

    1 cup oranges or other citrus, peeled and chopped (probably need more sugar if you use grapefruit)

    2 cups grated carrots

    1/2 cup coarsely chopped pecans

    3 large omega-3 eggs

    2/3 cup olive oil

    1 teaspoon banana liqueur

    Position a rack in the lower third of the oven and preheat to 350 degrees F.

    Sift or whisk together the sugar, flour, cinnamon, baking soda, and salt into a large bowl. Add the coconut, raisins, apple, pineapple, carrots, and nuts, and stir to combine.

    In a separate bowl, whisk the eggs with the oil and vanilla. Pour into the bowl with the dry ingredients and blend well.

    Spoon the batter into muffin tins lined with muffin cups, filling each to the brim. Bake for 35 minutes or until a toothpick inserted into the middle comes out clean. Cool muffins in the pan for 10 minutes, then turn out onto a rack to finish cooling.

    I must add an important disclaimer here. Not all my experimenting succeeds. I have some serious flops. The thing that matters is that I learn from each experiment, I don't aim for perfection, and I have FUN.

    That's what I encourage all of you to do, too, when you step into your kitchen.

  • Getting familiar with Stevia

    Getting familiar with Stevia

    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.

  • How do I know if I'm hungry, craving, or just have a"taste" for something?

    How do I know if I'm hungry, craving, or just have a"taste" for something?

    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/!

  • Finally, vitamin D and Greek yogurt in the same food!

    Finally, vitamin D and Greek yogurt in the same food!

    I recently blogged about Greek yogurt, and how most major brands contain no vitamin D. Given the realities that many women consider yogurt to be a nutritional equivalent to milk, and vitamin D is increasingly being recognized as a factor in PCOS and other health issues, this is a really important thing to know. I have become increasingly frustrated with the amount of nutritional advice encouraging Greek yogurt consumption without mentioning this.

    Last night I noticed that Yoplait has come out with its own Greek yogurt, containing twice the protein of regular yogurt and 20% of the recommended Daily Value for vitamin D. I would strongly recommend going with the plain version and adding fruit to sweeten it, to avoid excessive added sugar, but otherwise, it's probably the best Greek yogurt out there for anyone who is concerned about their vitamin D levels.

    If you go to the link above, you can get a coupon you can use when you try it, too!

    Enjoy!

  • Food of the week: Zing Bars

    I am mostly a purist. I like real food from the source. But I am also a realist. And I understand that not everyone can cook, or even likes to cook. And that there are times when you are hungry when there's not a kitchen in sight. So I wanted to share a new product with you that I really like.

    I have 3 friends in Seattle, all nutritionists, who partnered with a fourth friend, to create an all-natural, wheat-free, gluten-free, soy-free, low-glycemic energy bar that is just perfect for someone with PCOS. It's got the right kind of fats, and its protein source is whey protein powder, which is great too. Currently available flavors are: chocolate peanut butter, blueberry almond, and oatmeal chocolate chip. I especially like the fact that nutritionists understand that it's much easier to get people to try something healthy if you throw in a little chocolate!

    I am really excited about this product, because it's not easy for me to come up with grab-and-go ideas for women with PCOS, and this one fits the bill.

    It takes a lot of work and sacrifice to take an idea you have over coffee…"There's nothing out there I can recommend to my clients…hey, why don't I create my own?"…into a reality…and I am really excited that my friends stuck with their idea to the point where I can promote it to people like you. Which is the other reason I'm telling all of you about them. I'd really like them to be rewarded for what it took to go into a business that provides a much-needed service for women like you.

    Currently, Zing Bars are primarily available on the West Coast (there is a store locator on the website), but you can order them online by the box. If you like them, be sure you encourage your local stores to stock them.

    For more information, visit www.zingbars.com

  • HMO's and Insurance Companies…Who's In YOUR Wallet?

    First of all…it's great to be back! I was traveling, and while it's kind of fun to say I saw both the Atlantic and Pacific oceans in the period of a week, I do like my base camp and I really missed reading research. I'm looking forward to getting back into my daily groove.

    Last week, I read an article in the New York Times about insurance companies, and how they are starting to ask consumers to absorb the cost of medications by asking that these medications be paid for not by flat copayment, but proportionate to the cost of the medication.

    Nice. First we're convinced that we absolutely need all these drugs, and that we can get them for cheap, then once we're dependent on them…we're thrown under the financial bus.

    Right now, the medications that are being sold under this new proportionate plan are not any of the medications that I focus on with this blog. However…since several of the medications you readers are on, are some of the most popular medications out there, I suspect it won't be long before these insurance companies start to see dollar signs in terms of the quantity of people they can expect to help finance this venture. Categories of medications like antidepressants…and insulin sensitizers and statins, which are commonly prescribed when the antidepressants start to mess with hormone balance.

    That's the bad news.

    The GOOD news is, I finally felt vindicated for having sat through this scenario for the last 25 years, wishing people would see what I have always seen…that when you take responsibility for your own health, and don't depend on people who make money off of you to help you, you have a good chance of getting better results. Think about it. Why would a drug company spend millions and millions of dollars to develop a product that you eventually wouldn't need once you started using it?

    My goal, ever since I started what I do, is to put myself out of business. I started learning to play golf last year and it has been very frustrating to have to put it aside to attend to the demands of my growing business. I have a children's story I'd like to publish. And there are a couple of screenplays roaming around in my head that I'd love to get into theaters.

    But the drug and insurance industries don't have that goal. Their goal, as is the goal of most corporations, is to increase market share and return on investment. Which means you can (1) increase the dosages of medications you sell to already existing customers, (2) find new customers for your medications by either creating new diagnoses or finding off-label uses for your already developed products, and/or (3) increase the price you charge for the product. Hmmmmm…nowhere in there do I see"helping the patient feel better".

    Of course, I'm not naive. I know some medications are entirely necessary and even life-saving. But I also see so many conditions that could drastically improve with a few judicious lifestyle choices.

    Last week I listened to the husband of a friend tell me what it was like to go through an in-vitro fertilization (IVF) procedure with his wife. He was near tears as he spoke about the trauma, the callousness of the providers, the emotional stress…the expense, and the feeling of failure as a human being when the entire investment of time, emotions and money did not produce the desired result.

    He drove me to the bus stop, and I headed to the airport. As I was standing in line to board my plane, a colleague phoned me. She'd gone through my professional training and had been using my protocol on women with infertility. And she told me, that with just a few nutritional tweaks, these women were getting pregnant! Not only that, their depression was responding with equal profundity. Even the women who'd failed with the same IVF procedure as my other friend and who had given up on ever having children, were seeing results.

    There's something very wrong with a system that promotes a $20,000 emotional and financial (mis)adventure over a $12 bottle of Coscto fish oil…but we as consumers need to shift our expectations for help from those who stand to make money off of our misfortunes and invest in choices, behaviors, and financial purchases that are empowering and affirming. You'll never get a company making money off of you to change how they do things if it means less money. But we can certainly get their attention if, collectively, we start to say"no" to some of their answers to our problems and"yes" to options that make more sense.

    You bet the power of where you pull out your wallet is tremendous. And when groups of thousands of wallets get together…well, that's the vision I have that will finally get these screenplays out of my head!

    Eating well. Physical activity. Adequate sleep. Less stress. It's that simple. It's incredible what prioritizing these four areas can do to your overall health. Not to mention your budget.

    http://www.nytimes.com/2008/04/15/opinion/15tues1.html?hp

  • How vinegar may help your blood glucose

    How vinegar may help your blood glucose

    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.

  • Is this your barrier?"I can't afford to do what I need to do"

    Is this your barrier?"I can't afford to do what I need to do"

    I receive emails and comments from time to time, suggesting that my suggestions for PCOS management are unrealistic because they cost too much money.

    Here is what I think about that.

    I've offered expensive courses…no one came. I've offered free courses…no one came. I've tried every price on the scale…and learned that the resistance was not about price point. No matter what the price, people did not come. I am not the only person trying to help women with PCOS who experience this.

    I recently spent a morning at a local food bank, with people who REALLY can't afford groceries. We are trying to figure out a way, at Chow Locally, to be sure that the wonderful foods we bring to our customers, in some way, also find their way to less fortunate people. We live in a city where 1 in 4 children goes to bed hungry, and improving access to quality food for everyone of our neighbors is important to us. I have donated a free consultation and kitchen makeover to Share Our Strength, a fundraiser devoted to wiping out hunger. I am acutely aware that hunger is a problem in this community. I am a nutrition professional who doesn't just tweet about it, she spends part of each day doing something to help solve the problem.

    The picture above is from the Desert Mission Food Bank here in Phoenix. They have a chef who demonstrates how to make healthy food on a limited budget. All he has to cook with, are a toaster oven and a hot plate. And his food is tasty, nutritious…fabulous.

    I was blown away. Here were people who really, truly, justifiably COULD use money as an excuse to not eat well…and they were doing everything in their power to get good, healthy food, and to learn how to use it well. It is hard for me when I see such a disconnect between people who really, truly don't have access to food, working so hard to have so little, and to know I can only help them a little bit, and then in my work day, negotiate with people who really truly do have breathing room that they either may not be able to or be willing to see, and not succeed in illuminating options.

    If you need help getting food stamps, ask for that help. If you need help finding places where you can find healthy food within your budget, ask. But understand, no matter how much money you have or don't have, there are things you can do.

    If you are eating well, by the way, you are likely spending less, not more money on food. Eating seasonally, eating less fast food, less packaged food, giving up the soda pop…usually adds up to money saved. I'm not asking anyone to eat like kings here. I certainly don't!

    If Chef Ed can create what he does for his food bank patrons, given the restrictions he has, and his students can eat well on little to no money, so can you.

    It is not your situation that is making you sick. It is how you are choosing to manage your situation that makes the difference.

    I believe in you and I work on your behalf. But I can't invest in the changes that will make the difference. If you don't invest in yourself…who will?