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Category Archives: food as medicine

My body is hurting – A true confession.

sometimesFor those of you who don’t know, I was “diagnosed” with what’s considered “chronic Lyme” and two autoimmune diseases several years ago. I am putting “diagnosed” in quotation marks because I do not own that diagnosis, nor do I necessarily believe what I’ve been told—that they are not connected. I think they may be, and that the Lyme is either a trigger for the autoimmune, or at least exacerbates it.

I’ve already healed my body in many ways, through dietary and lifestyle changes, as well as acupuncture, herbs, and supplements. I take no prescription or OTC medication whereas before, I was living on anti-inflammatory medications and was offered prednisone and other pain killers by doctors. I used to walk like an 80 year woman, and now I’m taking soul cycle classes. When I was at my peak in the last few years, I felt phenomenal.

However, over the course of the last few months, the pain has begun to creep back into my body and I’m not happy about it.

I want to share my story with you for two reasons. One, to demonstrate no matter how much you know about nutrition, health, and illness, you can still make bad decisions, albeit subconsciously. Two, everyone is human and we have to love ourselves out of a situation we want to change. Even though our decisions may be objectively a little less than smart, I’m not mad at myself and I’m not hating on myself (although, maybe a little bit on my body!).

Here’s what’s going on:

Even I can lose sight of the big picture when my nose is to the grindstone. Result?

Recently my body has felt as if it’s deteriorating – at first subtly and then more profoundly.

I am pretty much a machine. That means I plow through things knowing I can usually handle a lot. I work hard and play hard. Don’t get me wrong, I do take time for myself. But, when pain begins to regularly wake me up in the middle of the night or when I do some simple gardening and hurt for a few days like I just ran a marathon, that’s a major red flag. A little self-care here and there helps. I had myself convinced I was doing enough, but guess what? I was kidding myself.

So, I sat down and had little talk with myself. I pondered some important questions:

What is causing the pain?

Why is it happening now?

What’s different now compared to when I was feeling great?

Where am I letting myself off the hook?

After ridding myself of convenient distractions and excuses, I realized I’d been letting my diet slip. Sometimes pretty seriously. I wasn’t sleeping enough… and I wasn’t taking enough down time.

I had done a pretty serious elimination diet for a long time – and felt great. But I also began to miss many foods – normal, right? I also believe that reintroducing foods when possible is good for your body.

I began introducing some grains, and that seemed okay. I was careful to avoid gluten from the offensive sources (gluten, btw, is in most grains, not just wheat, rye, and barley). I began having eggs once a week (even though I knew protein in eggs can mimic the protein in gluten). Seemed fine. Then I started with dairy. First, a little kefir – fermented, thus very little lactose. Did fine. Then I added goat cheese. Fine again. I thought, “Woohoo, I’m golden! I fixed that leaky gut!” But then, here’s what happened.

I returned to my cup of coffee every morning. I started adding organic cream to the coffee. Then, I added more cheese. My husband loves to cook and he was so happy that I’d reintroduced foods we both loved and loved to share, so he brought out the cheeseboard again for appetizers. Then there was the wine with the cheeseboard on Fridays after work – a deadly combination cuz guess what? Like you, I have a glass of wine, and suddenly I can rationalize eating more cheese than I should. Now, they were organic, raw milk cheeses – but come on – too much of a good thing is still too much!

I started to get hot flashes again, which I thought was causing part of the problem. My loss of sleep due to hot flashes and pain seemed easier to rationalize. I chalked it up to my being of menopausal age, and pretended my diet had nothing to do with it (ah, the stories we tell ourselves, eh?). I finally found a Chinese herbal formula that worked like a charm and after months of not sleeping due to said raging hot flashes, I thought I was good again.

Then some elbow pain got pretty excruciating (having no apparent cause and on both lateral and medial tendons). Then the knee on day, the wrist the next. Then my thumb. Then my hip.

Then, a very annoying eye tick came back and didn’t go away.

Damn. It’s happening again. I’m having a Lyme flare.

But what’s causing it? I’m pretty sure you realized by now that it had a lot to do with my diet. If I’m hosting a bacteria and am making my environment hospitable to its growth, then guess what happens? It multiplies. (There are MANY expletives that want to come onto the page at this moment!)

What happened was that I started thinkig my body was betraying me. I asked myself all kinds of whiney questions (for 5 minutes):

Why me?
Why again?
Why can’t I beat this? – I mean, I do this for a living, for God’s sake!
Why is my strong body broken?

Here’s the truth. I need to love myself out of this. Attacking myself is only going to make it worse. If I do, I’ll continue eating in ways that aren’t good for me. I’ll continue working too much with not enough down time. I won’t sit in meditation daily. I’ll ignore the symptoms I keep telling my patients to stop ignoring. and yes, I know… we teach what we need to learn.

There’s no magic pill (dammit.)
There’s no one to blame (dammit.)

Here’s a reality check:

I am responsible for where I am. And I’m not content to feel “better than where I started.” I want to go back to feeling really fantastic!

So, I have a choice again, don’t I?

Yes, I do. And I’m holding myself responsible by plastering it all over the internet! (Eeek!)

I will return to my elimination diet (I already have.) – reminding myself how miraculous that was for me.
When I reintroduce, I will do it very very carefully.
I will love my body back to health.
I will allow myself the process of understanding what’s going on through daily journal writing.
I will practice what I preach.
I will fall… and pick myself back up.
I will pay attention.
I will seek help when I need it, whether from health-care providers or emotional and physical support.

So, there you have it. No one is super human. The internet is full of people who pretend to have it all figured out. Who show only the good, the perfect, and the holier than thou. I don’t believe in that. I believe in sharing reality.

I have a good attitude, I know what to do, and I’ll find help where I need it.

This morning my soul cycle teacher asked us:

Where are you letting yourself off the hook?
Where are you settling for mediocrity?
Where can you be more authentically you?

Those sound like the questions I asked myself now that my body is hurting, and questions I ask my patients every day. So here we go, let’s try it:

Where are you letting yourself off the hook?

Would love your feedback!

Let’s Talk Fat! The Super Healthy Avocado

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Synergistic food medicine: Kale and Avocado

Fat gets such a bad rap, doesn’t it? I know that at least 80% of you who responded to my recent survey mentioned that weight control was a concern. So what’s the truth about avocados? Many of us have heard over the years that they are “high in fat”—so even though they seem so healthy, maybe we’ve avoided them.

Don’t do that! Avocados are full of healthy, raw, monounsaturated fat—something Americans tend to be deficient in. And for those of you (like me) who came to maturity in the era of “fat is bad”— the new studies that are out there may have you confused. But the news is good! These studies show that we should be eating a diet that is between 40-70% fat. Good fat, that is. Not unhealthy, poor quality fat, but monounsaturated fats like avocado, olives and the like, and it’s especially helpful if you replace unhealthy proteins and carbs with fats.

Technically a fruit, avocados are high in monounsaturated fats which don’t raise cholesterol levels. Instead they actually help lower cholesterol, and aid in weight loss! (I wouldn’t recommend eating 6 a day, but eating 6 of anything a day might be an issue.) These “good fats” can also help you decrease your risk of heart disease, especially when you replace saturated fats with monounsaturated fats. Monounsaturated fats are also burned easily as fuel, which is key to the weight issue.

Lipids (and their derivatives) are fatty acids. They’re not just one of our “macro” nutrients of fat, carbs, and protein. Science has discovered that lipids play a crucial role in cell-regulating tasks at the molecular level. They are crucial to the body’s communication system (like helping hormones communicate).

Avocados are high in vitamins C, E, K, and the B vitamins of B-6, folate, thiamine, riboflavin and pantothenic acid. They’re also a good source of essential minerals, including potassium and magnesium.

Remember last week when I talked about the little-known Vitamin K? (If not, check out last week’s newsletter here) Avos contain 36% of the RDA of K, as well as 30% of your folate, (and remember the folate/B6 combo talked about in the previous article?), 9gm of fiber, are high in pantothenic acid (B5) which helps us break down carbs, B6, Vitamin C and E. WOW.

Having twice the amount of potassium as a banana—that’s important because potassium (as part of the “sodium potassium pump”) is crucial to lowering blood pressure and preventing stroke—the avocado also has a fair amount of Vitamin E, niacin and riboflavin, great energy substrates for the mitochondria of our cells. In addition, avocados enable the human body to more efficiently absorb fat-soluble nutrients, mentioned above.

By now you are probably writing “avocado” on your grocery list. Write “kale” there too, and you can make this great recipe that combines two nutrient-rich superfoods!

Kale Salad with Avocado Tahini Dressing
Kale Salad with Avocado Tahini Dressing

RECIPE

Kale Salad with Avocado Tahini Dressing

Avocado Tahini Dressing
Avocado Tahini Dressing

For the dressing:

I ripe avocado
1-2 TB Tahini (sesame paste)
1 TB apple cider vinegar (or 1-2 TB lemon juice)
1 TB olive oil
enough water to emulsify mixture, usually 1-2 TB
1/4 tsp of cumin
salt and pepper to taste

For the salad:

1.5 -2 cups chopped kale*
1 cup julienned carrots
¼ cup julienned radishes
chopped cilantro (or basil/parsley) to taste, about 1/4 cup
1/2 cup chopped hearts of palm (optional – but one of my favorite things)
1/2 cup toasted pine nuts or sesame seeds

Massage your vegetables?

Yikes! I know it sounds weird, but kale can be a bit bitter if raw, and especially if you use larger leaves. In order to soften and break it down, chop it up and sprinkle some salt on it. Have another bowl handy, and just grab bunches and massages it by rubbing it between your fingers until it feels softer. (You don’t have to use the other bowl — it just makes sure you get it all!) This is also not mandatory if you’re in a rush!

Alternatively, steam the chopped kale for literally 2 minutes to get rid of the oxalic acid. It’s more of a side dish this way, or a warm salad. If you’re choosing to do this as a warm salad, you can throw the carrots into the steamer, too. The unstemmed radishes will supply a nice crunch to contrast the softer veggies. I do it both ways, depending on my mood.

Put all veggies into a bowl and add dressing to taste.

*Note: While avocados are considered a pretty safe fruit when it comes to buying non-organic (due to its thick skin), I’d suggest getting organic kale. Greens are often heavily sprayed… and well, we know how good that is for you!

Kale and Avocados: synergistic superfoods (& recipe) PART I

The First Half of the Superfood Duo — Kale

When you eat certain foods together, the whole is definitely greater than the sum of the parts. Kale and avocados create one such perfect marriage. Kale is high in phytonutrients but some of them are fat soluble (like lutein and vitamin K). When you eat fat soluble vitamins WITH a fat, you absorb more of the nutrients. (Think salsa and guacamole). Let’s dive into the health benefits of two of my favorite foods: kale and avos! First, kale.

Kale—Green of the Gods

It is perhaps not a shocker to you that kale is mind-blowingly good for you – a true superfood. Lucky for us these days, it’s everywhere! Let’s talk about WHY this food is a must on your menu.

What’s not to love about a vitamin-loaded green that packs more Vitamin C into one 36 calorie cup than an orange does (without the sugar) and has 5 gm of fiber (yay for improved digestion and the help in eliminating regularly!)? It’s also one of the world’s best sources of Vitamin A –meaning it’s great for skin and hair and helpful in preventing some cancers. Not only that, but your immune system will love you for ingesting lots of kale because it’s packed with antioxidants that ravage free radicals.  That’s not all…. It’s also anti-inflammatory, with over 10% of the RDA of omega 3s — and you know how I feel about that. Inflammation is the cause of most disease.

There is even more about this green of the gods! Kale also contains:

Vitamin B6. Important in red blood cell production, carb metabolism, brain and nervous system function. (For instance, three key neurotransmitters— GABA, dopamine, and serotonin—all require vitamin B6 for synthesis.) Researchers in Japan found that there was a higher risk of depression in those who had low levels of dietary B6. Interestingly, another research study showed this link to be even more powerful when dietary folic acid is inadequate, as well. (PS Folic acid is a nutrient that works with vitamin B6 in the brain and nervous system chemistry and, um, is present in avocados!)

Lutein, a carotenoid (organic pigment in plants), is highly concentrated in the eye—especially the macula. Therefore, lutein is great in helping to prevent macular degeneration. It’s also good for the eyes in general and preventing cataracts. In addition, it is being shown to support brain health and functions like learning and memory.

Iron. You might know that iron helps with the delivery of oxygen to every cell in your body and is a crucial part of blood. But, did you also know it helps our immune system?  It helps build healthier T-cells and aids the ability of the white blood cells to consume bacteria in our bodies, while also helping with muscle function and energy production, as an essential element in hemoglobin.

kale

Chlorophyll. Also fat soluble, this pigment is similar in structure to the heme in hemoglobin! Research is showing that chlorophyll binds to certain carcinogens, and prevents them from being absorbed. Chlorophyll also works as an antioxidant and is considered a natural internal deodorant (that’s always nice!).

Indole-3-carbinol. This is found in all cruciferous veggies and can help protect against several cancers, including colon.

Calcium. Nature’s best delivery system for this vital mineral, kale has more calcium than milk. Considering that milk is inflammatory and kale anti-inflammatory—you do the math. Calcium is used for many bodily functions but for adults, the key benefits are the prevention of osteoporosis, the building of cartilage, and multiple benefits to heart, nerves, and muscles. Oh, and getting back to our concerns with weight? Calcium helps us maintain an optimal body weight.

Allow me to continue just a bit more about this magical green. Honestly the hits keep on coming. So, in addition to all the above, kale also helps detoxify your body as it’s so high in fiber and sulphur (benefits to liver function) and it helps reverse Vitamin K deficiencies.

Vitamin K hasn’t been talked about much in the past, but we are learning more and more about its importance in the body—for instance building bone, helping with blood clotting, and preventing heart disease. K and D work together so if you are deficient in either, the other doesn’t work as well in your body.

It turns out most of us are deficient in vitamin K—and kale can help you out with that. Vitamin K deficiencies have been linked to osteoporosis, cardiovascular disease, varicose veins, brain health problems, tooth decay, certain cancers like prostate, lung, liver, and leukemia, and infectious disease. Because it is a fat soluble vitamin, it’s best absorbed if you eat kale with some fat…. enter, the avocado!

Next week I’ll bring you the glorious avocado and a supercharged recipe combining it with kale!

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