The Hemp Connection:
protein

  • 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

  • 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.

  • 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.

  • Milk alternatives: How do they fit into a PCOS diet?

    Milk alternatives: How do they fit into a PCOS diet?

    Continuing on with yesterday's theme, I wanted to summarize options for anyone who, for whatever reason, chooses to drink milk alternatives instead of cow's milk.

    The primary problems with these alternatives are:

    1. They almost, without question, do not provide equivalent amounts of protein and raise your diet's carbohydrate to protein ratio.

    2. They are often sweetened, increasing your simple carbohydrate to complex carbohydrate ratio.

    3. Most of the alternatives, except for coconut milk, do contain vitamin D. However, check your label just to be sure.

    If you choose to use these, in general, you are not substituting milk alternatives for milk. You are drinking a beverage that creates a need for you to increase your protein, vitamin D, and complex carbohydrates in the foods you also choose, in order to make up the deficiencies this switch inevitably creates. If you do not know how to do that, a consultation with one of our inCYSTers might be helpful. Many of them offer Skype consultations if you do not see on our list below and to the right who lives near you.

    Here's the rundown. For comparison, per 8 ounces, 1% milk contains:
    110 calories
    8 grams protein
    5 grams fat
    12 grams carbohydrate
    0% added sugar

    One bias I do have which is reflected below, is toward soy milk. Too many women with PCOS have thyroid problems, for me to feel responsible presenting it as an option. So I have omitted it.

    All information is for an 8 ounce serving.

    ALMOND MILK
    This one appears to be the most popular. One benefit to almond milk is that since almonds are naturally sweet, there is not as much of a need to add sugar in order to make them palatable. The disadvantage to almond milk is that, consumed in large enough quantities, it may increase your omega-6 intake enough that you promote, rather than reduce, inflammation (almonds, while beneficial in moderation, are the only nut that contain absolutely no omega-3's and for that reason should not be the only nut you exclusively eat).

    Almond Breeze Brand
    45 calories
    2 grams protein
    3.5 grams fat
    3 grams carbohydrate
    0% of carbohydrate is added sugar
    Pacific Foods Vanilla Almond

    45 calories
    1 gram protein
    2.5 grams fat
    3 grams carbohydrate
    0% of carbohydrate is added sugar

    FLAX MILK

    I do like flax milk's omega-3 fatty acid content. It's sweetened, but not to the same degree as many of the other milks. I could see using this in cooking, in any recipe that called for cream, or as coffee creamer, as a way to enhance your diet's overall omega-6 to omega-3 ratio. It still comes up short in the protein department.

    Flax USA Flax Milk

    50 calories
    0 grams protein
    2.5 grams fat
    7 grams carbohydrate
    100% of carbohydrate is added sugar

    HEMP MILK
    One benefit to hemp milk is its omega-3 content. However, it is sweetened pretty significantly so consumers will drink it.

    Living Harvest Hemp Milk

    130 calories
    4 grams protein
    3 grams fat
    240 grams carbohydrate
    75% of carbohydrate is added sugar
    Manitoba Harvest Hemp Bliss

    110 calories
    5 grams protein
    7 grams fat
    7 grams carbohydrate
    86% of carbohydrate is added sugar

    OATMEAL MILK

    Highest in calories, partially because it's sweetened. Eating the real oatmeal will give you better benefits.

    Pacific Foods Oatmeal
    130 calories
    4 grams protein
    2.5 grams fat
    24 grams carbohydrate
    79% of carbohydrate is added sugar

    HAZELNUT MILK

    The fat in hazelnuts is primarily monounsaturated, making the fat here healthy, but again, low protein and high added sugar are problematic

    Pacific Foods Hazelnut Milk

    110 calories
    2 grams protein
    3.5 grams fat
    18 grams carbohydrate
    78% of carbohydrate is added sugar

    COCONUT MILK

    I love this milk, but consumed in place of milk, the saturated calories will add up. Yes, the fat in coconut milk is different than the fat in meat, but even so, your overall intake of saturated fat, regardless of the source, should be no more than 10% of total calories. So I say save this one for cooking (as in Thai curries) or used sparingly on breakfast oatmeal or quinoa. It's not really the best choice for drinking by the glass.

    Regular Canned Coconut Milk

    445 calories
    5 grams protein
    48 grams fat
    6 grams carbohydrate
    0% of carbohydrate is added sugar
    Trader Joe's Light Coconut Milk

    150 calories
    0 grams protein
    12 grams fat
    12 grams carbohydrate
    0% of carbohydrate is added sugar

    So Delicious Coconut Milk (carton)
    50 calories
    1 gram protein
    5 grams fat
    6 grams carbohydrate
    86% of carbohydrate is added sugar

    Silk Coconut Milk (carton)
    90 calories
    1 gram protein
    5 grams fat
    10 grams carbohydrate
    90% of carbohydrate is added sugar

    RICE MILK

    Until recently, rice milk was also an option that fell short in protein and in which sugar was added to sweeten and flavor. The first example here illustrates that point. The second option, which has recently come on the market, is a great advancement as far as milk alternative options go.

    Both brands are made with brown rice, and both contain vitamins D and B12. However, safflower oil, one of the pro-inflammatory omega-6 fatty acids we encourage you to limit, is also listed as a Rice Dream ingredient. Just wanted to cover that base.

    For women with PCOS, the addition of stevia by Growing Naturals is an added plus, as research is suggesting that regular consumption of stevia may help to improve pancreatic function, reduce cravings for sweets, and improve memory. All of those are chronic issues which make it hard to make the choices promoting hormone balance. In addition, Growing Naturals DOES contain vitamin D (in the vegan D2 form), and vitamin B12, often deficient in vegans.

    Rice Dream Rice Milk

    120 calories
    1 gram protein
    2.5 grams fat
    23 grams carbohydrate
    43% of carbohydrate is added sugar
    Growing Naturals Brown Rice Milk

    110 calories
    8 grams protein
    1 grams fat
    17 grams carbohydrate
    0% of carbohydrate is added sugar
    So by now you know my bias, but now you also know why it exists. I use all of these milks in my kitchen. But I do so in different ways. Some as condiments and even coffee creamers, as I do enjoy their flavors, but not as a beverage choice I drink by the glass. The two I drink by the glass are cow's milk and Growing Naturals. Hopefully I've provided you with enough information to de what combinations are most hormone-friendly for you.

    If you're interested in trying/using Growing Naturals yourself, and it hasn't arrived at your local store, here is information for ordering.

  • 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

  • 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.

  • L-theanine and anxiety

    L-theanine and anxiety

    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.

  • Be informed before you get too juiced!

    Be informed before you get too juiced!

    I've been getting a lot of questions about juicing lately, so it's clearly a popular trend right now. I love the fact that juicing gets more vegetables into people who normally wouldn't get them. However, there are some important things to know about juicing if your intent is to use it for a healthier diet.

    1. Juice contains calories! Ounce for ounce, juice and soda are similar calorie-wise. 8 ounces of either is about 120 calories. Some of the sweeter juices are even more calorically dense. Don't get caught up in the false assumption that because it's juice, it's lower in calories, or that unlimited quantities are permissible.

    2. When you juice your vegetables, you remove the fiber. In researching this blog post, I learned that many juicer companies actually sell this point, claiming that without the fiber, the nutrients that are left are more easily absorbed. The fiber itself is an important nutrient! Especially if you're someone who has trouble regulating energy or blood glucose levels. If you're counting on your juice as your source of all of your vegetables, you could be cutting yourself short on fiber.

    3. If carrots are what you're juicing, be aware that you can overdose on vitamin A. I've seen this actually happen, it's not just a myth. If the pads of your hands and feet start to get an orange-ish tinge, and you've recently fallen in love with juicing carrots, you might want to think about the connection. Be sure to vary your juice ingredients.

    4. Spinach, another common vegetable to juice, eaten in high quantities, is high in oxalates. This compound can prevent the absorption of iron, calcium, and magnesium. It can also promote the development of kidney stones. Oxalates leach out of spinach when it is cooked, but if you're using the juicer for convenience, this extra step may not be useful. Other foods high in oxalates, in case you're using them in your juicer, include rhubarb, beets and sorrel.

    5. Juice contains little to no protein. You may find that when you switch to a juice-heavy diet, your craving for sweets increases. What I recommend to people who ask about juicing, is to make a smaller amount of juice and blend it in with milk, yogurt, or protein powder. I actually like to use 1 cup of plain yogurt, a ripe banana, one other piece of a different fruit, plus a handful of veggies and some ground flaxseed. I always vary the fruit and the vegetable to be sure I don't overload on any one food. And I keep the fiber and protein in my breakfast.

    If you make those simple adjustments, the possibilities and combinations are endless. Enjoy!

  • Vegan? Need protein? Have you tried pea protein?

    Vegan? Need protein? Have you tried pea protein?

    I have really been stressing the protein in recent consultations. I am finding that most of you who are struggling with weight loss…are not eating nearly enough. And if you are vegan, the challenge becomes even more difficult.

    Over the weekend, I visited the Gluten-free Expo here in Phoenix, and our friends at Growing Naturals gave me some of their pea protein powder to try. It has 15 grams in a serving, which is 30% greater than a glass of dairy milk. Here is its ingredient list: Vegotein P® (raw non-GMO yellow pea protein), organic coconut sugar, organic whole grain brown rice, organic vanilla flavor, and organic stevia.

    I'll be honest, I have never really embraced the idea of pea protein, because it conjures up a mental picture of drinking split pea soup…and vanilla flavored? But I tell you what, I really like this product! I've been trying it daily to truly evaluate what I think you all would think. I really think you should give it a shot.

    If you haven't seen Growing Naturals products in your store yet, write them at info@growingnaturals.com. They can either help you find a store near you, or if there isn't one, help you place an order online. Until August 1, 2012, if you have never tried Growing Naturals, you can receive 30% off of your first order with the coupon code GFAZ30.

    Why not?

  • 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

  • It's on the grocery shelves! Flax milk!

    It's on the grocery shelves! Flax milk!

    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.

  • 300 calories is not a magic number for a meal, and in fact for most of you, is likely too low!

    300 calories is not a magic number for a meal, and in fact for most of you, is likely too low!

    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

  • Add this to your recipe book--kale romaine caesar salad

    Add this to your recipe book--kale romaine caesar salad

    I have a new favorite recipe that I thought you would like! If you use the anchovy paste, you'll get additional omega-3's; if you're vegan it's fine to use soy sauce. I use lite soy sauce to cut the sodium content. I have also cut the oil in half from the original recipe; feel free to add more if you need it. Just remember that it is the fat in the Caesar that can throw the calories out of whack.

    Add chicken or salmon…or even canned tuna…for protein…and you've got a tasty, hormone-friendly meal!

    Kale and Romaine Caesar Salad

    Ingredients

    - 2 T fresh-squeezed lemon juice
    - 1 T anchovy paste from a tube (or substitute soy sauce)
    - 1 tsp. minced garlic
    - 1/2 tsp. Dijon mustard
    - 3 T olive oil
    - 2 T + 2 T freshly grated Parmesan cheese
    - sea salt and fresh ground black pepper to taste
    - 4-5 oz. romaine lettuce, thinly sliced, washed and dried
    - 4-5 oz. dark green kale, washed, dried, and thinly sliced

    Preparation

    Blend the lemon juice, anchovy paste (or soy sauce), garlic, and Dijon in a food processor and pulse together a few times. Add the olive oil one tablespoon at a time, pulsing for a few seconds after each tablespoon is added. Stir in 2 tablespoons of freshly grated Parmesan and season the dressing with sea salt and freshly ground pepper. Put dressing in the fridge and chill until ready to use, or if you want to make the salad right away, chill it in the freezer for 10 minutes or so.
    Thinly slice romaine lettuce and kale into 1/2 inch strips. Wash, then spin dry or dry with paper towels.

    Place the kale strips in a salad bowl, and pour in salad dressing. Massage dressing into kale with your hands until the leaves change color. Add romaine and toss to coat with dressing. Add the remaining 2 T of freshly grated Parmesan to the salad and toss again. Serve right away.

  • Having trouble getting enough vegetables into your diet? Try veggie (crust) pizzas!

    Having trouble getting enough vegetables into your diet? Try veggie (crust) pizzas!

    We all know we should more veggies. But it doesn't often work out that way. I think a big part of it is the part of our brain that decides how to prepare them, gets locked into thinking they either have to go into salads, or they are steamed on the side (like the ubiquitous broccoli I mentioned in my recent restaurant review). Juicing is ok…but for our group, the high carbohydrate to protein ratio is not really hormone-friendly.

    I also think, this same part of the brain that persists in thinking vegetables are bland and boring, is the one that also has us believing that if we are"good" and we eat veggies, we are giving up things we like to eat.

    If that is not the worst marketing for a great concept I have ever seen!

    Why not…make something you like with new and different ingredients? (slaps forehead)

    Here is a collection of links to recipes for pizzas, in which the crusts are made of vegetables instead of flour. Majorly simple way to healthify your dinner without compromising taste.

    Have fun, readers!

     Cauliflower Crust Hawaiian Pizza

    Kale-Crust Pizza

    Kale Pizza with Sweet Potato Crust

    Carrot Crust Pizza

    Turnip Crust Pizza

    Zucchini Crust Pizza

    Beet Crust Pizza

    Spaghetti Squash Pizza

  • A nutritional option for fatty liver

    Fatty liver is a common problem in women with PCOS. In this study, EPA, an omega-3 fatty acid and a fish oil, was shown to improve the symptoms of nonalcoholic steatohepatitis (fatty liver). EPA is the fish oil that you cannot get when you rely on vegan sources of omega-3's--it's not in flax, and it's not in marine algae. Some research shows that when you've eaten enough marine algae to completely saturate your tissues, what's left can be used to make EPA, but it's not the way of getting it that the body prefers.

    This is important to understand, because the vast majority of foods that are labeled as supplemented with omega-3 fatty acids either contain ALA (primarily in the form of flax) or DHA (primarily from marine algae).

    The other advantage to eating fish is, that if you've put a fillet on your plate, you've likely removed another (fattier) kind of protein. That's the positive double whammy you get in seafood choices.

    In my training I was always encouraged to develop good negotiation skills. In other words, if a client didn't like a certain food, to have a few other options up my sleeve that would provide equivalent nutritional value. Only when I got into omega-3 chemistry, inflammation, and PCOS, did I realize that in this one crucial area, I would have to dig my heels in and advocate that this essential nutrient was simply non-negotiable: if you don't eat fish, you miss out on total health.

    Over the weekend I had an animated discussion with another dietitian who was adamant that her clients (mainly with eating disorders) simply were not going to accept this. I told her they simply would not achieve total health…and possibly total recovery. I got some resistance, but hopefully at some point this colleague will come to understand that we're here to guide our clients where they have the potential to go. We're not here to tell them what they want to hear, with the hopes that somehow health will just magically appear.

    Tanaka N, Sano K, Horiuchi A, Tanaka E, Kiyosawa K, Aoyama T. Highly Purified Eicosapentaenoic Acid Treatment Improves Nonalcoholic Steatohepatitis. J Clin Gastroenterol. 2008 Apr;42(4):413-418.

  • Need a go-to place to eat out? Consider Chili's

    Need a go-to place to eat out? Consider Chili's

    I had the opportunity to use a gift card today sent to me by Chili's Restaurant.* This popular restaurant recently launched a new line, Lighter Choices, and they wanted people in the food industry to try it on for size. So I met my friend Ivonne for lunch, and we tried out a couple of the items.

    I ordered the margarita grilled chicken.

    Ivonne ordered the steak.

    We both thought the meals were flavorful and well presented. How did they stack up nutritionally? The meals all live up to Chili's promise. But women with PCOS have some additional needs to attend to, especially the ratio of carbohydrate to protein. Keeping that in mind, 3 of the 7 offerings would fit into a hormone-friendly style of eating: the Classic Sirloin, the Grilled Chicken Salad, and the Grilled Salmon.

    Something that often happens with low-calorie menus is that sodium spikes up. It's there to replace the flavor that taking everything else out, removed. These menu items are no exception; in fact, the lowest calorie item, the Classic Sirloin, has the highest milligrams sodium/calorie ratio, 6.25 to 1. Of the three with the best carbohydrate to protein ratio, your best bet is the Grilled Chicken Salad, at 1.6 to 1. The salmon, which I imagine many of you would gravitate toward hearing me talk so much about omega-3's, is so-so at a 3.3 to 1 ratio. (Calories and milligrams sodium should be roughly the same, any higher ratio than 2 to 1, on a regular basis, especially if you're prone to fluid retention or high blood pressure, can be problematic.)

    Bottom line, if you're traveling, need a business lunch where there are a lot of items for a lot of different tastes, or an occasional family outing, choose any of the three entrees recommended above. If you eat at Chili's regularly, stick with the Grilled Chicken Salad. Since Chili's has a takeout service, this may actually be a better choice for those of you who struggle with what to eat if you don't eat fast food.

    A final word for the Chili's menu designers. My friend and I both noticed that the only vegetable offered on any of these dishes…was broccoli. It would be nice to see a variety of veggies, even carrots, zucchini, sweet potatoes, etc. It's an entire category of beautiful food with a lot of possibilities for enhancing flavor, texture, and presentation.

    I thank Chili's for the opportunity to try the menu, and hope this opens up some options for our readers.

    *As a participant in the Klout program, I occasionally receive Klout Perks, which are offers to try products related to my area of specialty. I am not obligated to blog about or promote them, and if I do, I am not obliged to write only positive comments.

  • What is a food religion?

    What is a food religion?

    I was asked, in reference to my post on Sunday, what religion does not allow canola oil. To clarify, there is no religion I am aware of, that prohibits the use of canola oil.

    What I meant in that post, is that people eat for a lot of reasons other than to obtain nutrients. Some people make food choices because of ethics--like vegans. Others choose to eat raw. Still others prefer paleo. These choices are equally as important, if not more important, than eating to be nutritionally complete.

    Similarly, a lot of people in the business of giving nutrition and fitness advice, are health"evangelists". Their goal is to create a following for themselves, and most of the advice they are giving is about how you can be just like them. It may be good, it may not be good. Degrees and certifications do not separate out the good advice from the evangelists. I have seen some really horrible people with all kinds of degrees and certifications who I have felt did not deserve to be in business, and some of the best advice out there comes from people without all of the degrees.

    When there are food choices in a person's lifestyle that do not have a scientific nutritional basis, dietitians often can jump to arguing about the validity of those beliefs. In the process, they alienate their clients before they have an opportunity to engage and help them.

    I don't want to do that. I want to help you. The best way to do that is to empower you. If I know what your"food religion" is, I can live with that. All I care about is if you eat paleo, vegan, raw…that within the choices you make, you are getting enough vitamin A, protein, etc., and that the balance of all of the foods you eat, points you in an anti-inflammatory direction.

    I mentioned canola and food religion in the same sentence because there are many people in the world who do not believe in eating canola oil. I respect that, and I can live with that. All I care about, is if you choose not to eat canola oil, that you know which oil alternatives are available to you to help reduce your overall omega-6 to omega-3 ratio. I did not want what I said to be interpreted by people who do not like canola oil, as a personal attack on their philosophy. The discussions that would have ensued would quite possibly have been counterproductive and I would have distracted them from learning some things about dietary fat that could have been beneficial within their world dietary view.

    I have no need to have a tribe of people following me. I just share what I know and what I think, and for those who find it valuable, I am happy to have provided the service.

    I hope that clarifies things!