Why would a Physical Therapist care about gluten consumption?

I’m a PT through and through. My dad is an orthopedic surgeon. I grew up playing with skeletons and looking at anatomy books, and coloring books with pictures of muscles.
I’ve practiced as a PT for 20 years, I became board certified in orthopedics, and I’ve logged 1000’s of hours of continuing education on muscles, bones, and movement.

 

So why do I ask if my patients consume gluten, dairy, and grains?

 

Many of my patients get better with manual treatment and exercises. BUT there is a population that doesn’t heal as fast or to the level they want.
It comes down to inflammation and repair.

With injury the normal process is inflammation that signals the body to repair. Often time the inflammation process goes haywire. The repair process is diminished, and the pain and dysfunction continue.
I was getting most of my patients better, the ones I couldn’t nagged me.  Several years back, I had an injury that tore the disks in my neck, and for years after, I would wake up in the morning, and moving my neck felt like shards of glass grinding together.

I eventually changed my diet for multiple reasons. One of the unexpected outcomes is my neck pain is gone.

I went on to study functional medicine and holistic nutrition. There are many studies linking gluten to muscle, joint and nerve pain.

 

http://www.arthritis.org/living-with-arthritis/arthritis-diet/anti-inflammatory/gluten-free-diet.php

http://hypothyroidmom.com/12-shocking-symptoms-of-gluten-sensitivity/

https://health.usnews.com/health-news/blogs/eat-run/2013/09/17/surprising-signs-of-gluten-intolerance

https://chriskresser.com/50-shades-of-gluten-intolerance/

https://chriskresser.com/the-gluten-thyroid-connection

https://www.youtube.com/watch?v=e1Ewj3VN_Ck

https://essmc.com/er-cat/7-gluten-sensitivity-symptoms-that-you-should-never-ignore/

Furthermore, there are studies with growing evidence that gluten can promote more inflammation throughout the body.

Think of inflammation as a wild fire. If I am working on a chronic (long term) swelling at a shoulder tendon (small fire) and the rest of the body is fighting big fires in the gut and the brain, then the body does not have enough resources to put out the fire at the shoulder. No matter how many exercises and hands on work is done at the shoulder, the body will continue to be inflamed.

By providing the body with anti-inflammatory nutrition, and decreasing the inflammatory foods, the internal fires can be fought, and repair can begin.

Tips to change inflammation

  1. Remove gluten containing grains https://celiac.org/live-gluten-free/glutenfreediet/sources-of-gluten/
  2. Focus on foods that are naturally gluten-free: clean proteins (fish, organic free-range poultry, pasture raised grass-fed beef, bison, venison, pork)
  3. Add lots and lots of veggies dark leafy greens, onion, beets, broccoli, cauliflower, sweet potatoes/yams, squashes
  4. Experiment with spices and herbs: basil, garlic, Himalayan salt, turmeric, ginger, cinnamon, sage, thyme

 

 

 

Here are a few of my favorite online resources for recipes and ideas to get you going.

https://balancedbites.com/practicalpaleo/

https://againstallgrain.com/

https://www.thepaleomom.com/

https://sarahfragoso.com/recipes/

Jazz Fest Gastronomic Adventure

Jazz fest New Orleans. This was my 8th or 9th time to the festival, truly can’t remember but that is how NO visits go. ?

New Orleans is known for drinks, butter, cream, fried everything. That is the culture, and it’s GOOD! So how does a girl on an AIP diet survive there?

I was so anxious about my return to the city I loved to eat in. My memories of the fest always included crawfish monica (pasta and cream sauce) crawfish bread, bread pudding and sweet potato pie. It was a gastronomic adventure with my friends, and the goal was to taste it all! I always felt horrible for days after my trips.

This trip I prepped in advance, frozen broth to take on the plane, homemade sausages, zucchini apple muffins, sauerkraut, homemade beef jerky.  Crossing my fingers, I got on the plane.

I found a new gastronomic adventure.

We started with raw oysters on a half shell, fresh grated horseradish.  We found amazing quality restaurants. We met the wait staff and the chefs. I told the staff at each restaurant my plight, what I could and could not eat. The southern hospitality was amazing. Often the waiters would spend 5-10 minutes with me to make sure I was getting a meal that was prepared correctly. I would apologize for being difficult. Most of the time they would tell me it was not a problem, they were happy to accommodate me.

One restaurant, I met chef Frank he spent 15 min with me going through the menu to make sure “Miss Danielle has a good lunch” I felt so fortunate! The Duck confit was amazing something I would have never tried in my SAD days.

Anna was a hostess who had organically grown muslin (a vegetable I had never heard of) She spoke to the chef for me and they were able to specially sautée the veggies in avocado oil which paired perfectly with baked oysters.

At the festival, my favorites were off limits so I found crawfish, cracklin’ and sweet potato chips.

Dinner with my husband at an Italian restaurant we had duck liver pate with cucumber slices and pickled fennel OMG! AMAZING, again, something I would have never tried when I ate the standard American diet.  My fears continued to disappear with each incredible meal. I had a new adventure, and this process gave me a new understanding of Louisiana cooking and an appreciation of the kind service oriented people that cared for me while in their establishments.

I am grateful for the opportunity to meet the wonderful servers and chefs I would have never met. On top of it all, I spent 5 days on vacation where I was unable to cook for myself and I felt great! No flare-ups no icky tummy and great energy for the entire vacation.

It showed me that I can travel, I can be away from the kitchen, and I can have an amazing trip with my family and friends. Being AIP is tough but it will not stop me from living my life to the fullest!

butter nut squash

Healthy Butternut Squash Soup for a Healing and Immunity

As wintery storms continue to blow through the Sierra Nevada, warm, comforting foods are becoming more and more appealing. In the winter months it can be tempting to reach for rich or heavy foods. However, these may not always be the healthiest options.

For cold days, here’s one of my favorite recipes taken from  The Heal Your Gut Cookbook, which is a great cookbook for people managing illnesses that stem from the gut.

This recipe includes many healthy ingredients like Bone Broth which has collagen and amino acids which helps healing and immunity. Butternut squash has great healthy clean yummy carbs and the leeks are good for natural anti-viral and anti-bacterial support.

Healthy Butternut Squash Soup for Healing and Immunity

Butter Nut Squash Soup

Ingredients:
2 quarts chicken stock
2 tablespoons animal fat, coconut oil, or ghee
3 leeks, sliced in half, and sliced again into half-moons (or 2 onions, chopped)
1 butternut squash, peeled, seeded, and cut into chunks
1 boquet gardni
Sea salt to taste

Optional Garnishes:
Homemade Yogurt or organic cultured cream
Chopped fresh herbs
Soaked and sprouted pumpkin seeds

Cooking Instructions:
First, add the stock and fat to a pot. Next, add the vegetables and bring the entire pot to a boil. Once you reduce the heat to a simmer, add the bouquet garni and cook covered for 30 mins. Let it cook until the vegetables become soft and the squash is palatable. Once cooked, take out the bouquet garni and remove the soup from the stove. Use an immersion blender to puree the soup until smooth. Add salt and garnishes to taste. Serve and enjoy!

I hope you enjoy this soup on a cold winter day. For busier schedules, batch cooking is one of my favorite things to do. Making a big pot of soup for dinner can also make great leftovers for lunch the next day.

Happy Cooking!

Family Photo

The Myth of it Being Easy and Having It All

17 extraordinarily simple tips for families on the go, that you have never heard of, your kids will love and make your family healthier than ever before!

Read all the way to the end to get my gift!!!

A unicorn that will also scrub your toilets.

The Myth of it Being Easy and Having It All: by Danielle Litoff, a MOM

Battle Born Health Family Photo

At the beginning of the year my business partner, our social media expert advisor, and I were planning our upcoming blogs for the next few months.

You know – starting the year healthy, new year’s resolution…blah blah blah. My non-mom partners (no offense meant, they are amazing!!!) said, “Danielle how about a blog listing simple tricks on how to be healthy for your family on the go. I said, in my people pleasing way, “Of course I can do that!”

I then proceeded to sit on that for a few weeks. I wrote down ways I try to keep my crazy busy family healthy, active and eating well, despite school, homework, sports, choir, social events and both parents working full time. Sure, this is a piece of cake – everyone can do this… I call BS!! I just couldn’t write the piece as we had discussed because it isn’t easy, and those “simple tips” aren’t so simple.

A few days later I was lamenting to my Mom friends who are all successful, amazing, health care professionals. I told them my dilemma and they all laughed and said, “You mean the “myth of doing it all, dressed to the 9’s with a F’in sexy smile???”

Family Photo

With that preface, here is what I do to tip the scales towards keeping my family healthy on the go in this insane world of 2017.

Set YOUR priorities… are they to work out? Are they to eat home cooked paleo meals? Are they to have your dishes done before bed? Be realistic- no one can do it all. My priorities revolve around food and exercise… my bed is not made and my dishes are done when they get done.

  1. Plan ahead… there is no way around this one. In a pinch, you will have to make due and that often ends up being fast food. You can do better than that.
    1. Take 4 hours of a day and prep for the week. Or two different days – one to shop and one to prep. Buy the veggies, fruit, healthy meats.
    2. Have an idea of your week’s schedule… i.e. soccer from 5:30-7 pm on Tues and Thursday, piano on Wed from 3-4:30.

Ask yourself these questions:

  1. “Can I come home and cook or do I need to stay during the practice?”
  2. Is the practice near the store that could be my designated shopping time?
  3. Should I cook on Sunday so I can just reheat on those days?
  4. Can I carpool, that way I can skip one direction and take that time to cook or prep?
  1. USE A CROCK POT!!!! After late night practices, you will have hot food ready at home instead of going to McDonalds or QDoba?
    Weeknight Pot Roast Recipe 
  2. Find some simple recipes that your family likes. Memorize them so you can easily throw them together as you do something else. I will frequently on Sunday (Sundays just seem to be my freest day – you find yours) cook 3-4 staples so we have it all week.
    Rosemary and Roasted Chicken 
    Crock Pot Chili Recipe 
    Stacys Soups 
  3. Pack a picnic everywhere you go. Have a great lunch box cooler, put snacks in there before you go (avocado, thermos of soup, epic bars) have a knife, fork and spoon in the box.
    Thermos Stainless Folding Spoon
    Aluminum Insulated  Lunch Box 

I pack my own oil with me so I don’t have to use the yucky pre-made salad dressings at the store.

  1. Easy store grabs: box of lettuce, avocado, lemon, wild caught cooked shrimp meat (from the fish section), olive oil and or coconut aminos. All into the box of the lettuce and voilà – shrimp salad in the car. (Remember your knife fork and spoon are already in your new cool lunchbox in your car.) Instead of shrimp, you could use Applegate turkey or ham.
  2. Find a good natural grocery store in town or a Whole Foods with a food bar for the days you don’t have it together (because it is impossible to have it all together all the time). Persuade your amazing little monkeys to get some roasted chicken and veggies vs the pizza or mac-n-cheese.
  3. Buy a roasted chicken from Whole Foods. YES, it’s pricier, but it is so much better for you, that it’s worth the extra. And for a family of 4 its cheaper than a meal at Chilies or Mexican or Chinese takeout.

Volleyball Photo

Think nutrient density- not just calories… pasta, potatoes, rice chips, pb&j. That is substance, not nutrients. You want all your calories to count towards improving your heath. A calorie is just a unit of energy. We are fortunate in that we don’t need calories but you and your kids need nutrition. You want not the calorie but the nutritional value of what you are eating. Don’t just get the kids or yourself something -get something that will do good for your body (veggies, clean meats, fruits, good fats see blog on nutritional density).

Let me reiterate… this is not simple and this will not save you time, but this will save your family’s health. I hope some of this can help you or at least make you stop and think of ways you can make changes very intentionally, not simply, that will benefit the health of your family.

Make this Year’s Resolutions Stick…for Good

We’ve all said it before, “Starting January 1st I’m going to get healthy!” or “I’m going to drop 20 pounds by March!” Unsurprisingly, the top New Year’s resolution is some variation on getting fit or losing weight, what’s notable is how much doesn’t stick.

  • Fewer than 8% of resolutions are kept past March
  • Thousands of pounds are lost, yet 90-95% gain the weight back plus some
  • People spend upwards of $60 billion annually trying to lose weight through diet and gyms

So, how are you going to make this year different?

First, look at the big picture of health – weight loss should be viewed as a positive side effect of a healthier life. You don’t need to lose weight to get healthy, once you are healthy you will lose weight. This means lifestyle changes must happen to achieve overall health and I’m not talking about drastic, overnight changes. In my 25 years of experience with fitness injury, every January is exactly the same. People are pumped up and start like a bat outta hell. They take on huge diet restrictions (no fat or sugar and fewer than 1500 calories a day) and add intense exercise all while maintaining family and life responsibilities on 6 hours of sleep.

This is a recipe for disaster on so many levels because the changes are unsustainable. I know this because my office is quiet in January and February, but by March there’s a waiting list full of tendonitis’s and back injuries.

First it’s imperative to understand the physiology of the body parts you aim to change: for strength it’s muscle, for weight loss it’s metabolism, for energy it’s cardiovascular fitness. Also understand that all of these systems work together. Metabolism, is an especially tricky system that is different for everyone and finding the unique balance will lead to success.

We must consider what makes your body work? Where is your tipping point? What’s the quality of the food you eat? Are you sleeping well or enough? Are you exposed to excessive environmental toxins? Are you not exercising enough to stimulate change, or are you exercising too much?

Imagine a wheel. The image on the left has the some of the big factors we need to focus on for a successful fitness program. The wheel on the right shows the imbalance of the pieces in the wheel. Rate your wheel in this manner are all the pieces balanced? Will your wheel roll or is it more like a stone, edges all jagged?

Health Wheel Health Wheel

When all the factors of the wheel are out the balance, wheel (or in this case the body) doesn’t roll right.
We need to factor all the systems together to find what fits for our own individual bodies (not your spouse or your neighbor or the MD on Dr. OZ)

Cortisol is the hormone that regulates stress. Cortisol is what stimulates the Biochemical processes for us to run from a tiger (Flight or fight). Starting or changing an exercise program will increase cortisol production. When this system is stimulated appropriately weight will fall off, we will sleep well, we eat normally, cravings will disappear, need for caffeine and sugar decreases.
If we over-stress (which 80% of Americans do) the stress modulating system becomes over taxed and the body will spike cortisol levels for a certain amount of time. Unfortunately, the body can’t keep up the production of cortisol resulting in a sharp decrease in the production of cortisol, or a crash.

Symptoms of this crash can include: reduced immune system (colds sinus infections) fatigue, food cravings, joint pain, muscle pain, weight loss plataue/ weight gain( rebound) mood imbalances, anxiety, depression, and brain fog to name a few.
The challenge is to balance enough stress to grow without so much stress we break down. This is the fine line we need to walk when starting a new fitness program.
Hormonal balance depends on:

  • Cortisol regulation: Normal production is based on circadian rhythm and stress response
  • Small stressors are healthy (quick run/exercise burst, learning something new/problem solving, occasional intermittent fasting)
  • Chronic stress this is what does us in (daily 90min commute in traffic, physical pain, fighting with spouse, unhealthy eating patterns, not enough sleep, over exercise)

Calorie restriction is a huge factor in metabolism. You need to be aware of how much you are consuming, but excessive restriction will make matters so much worse. Looking at the nutrient value of what you are eating will continue to fuel your body for the new activities you are asking it to do.

Excessive caloric restriction combined with exercise is a disaster in the long run. Your body will find the nutrients somewhere in the system. Catabolic (breakdown) processes will begin, your body will breakdown muscle tissue and bone to get fuel. Therefore, destroying the results from your workouts.
Realistically you may see weight loss quickly. Unfortunately, continual deficits in nutrient intake is impossible to keep up and the rebound effect of weight gain will be greater than the loss.

Components of a well-rounded fitness program

  • STRENGTH
  • CARDIOVASCULAR ENDURANCE
  • FLEXIBLITY/MOBILITY
  • BALANCE

My least favorite question what is the best exercise? It ranks up with what is the one best food… There isn’t one best. We need a combination of it all. You must be muscularly strong to tolerate the stress of the activity you want to do. You need to be flexible to move safely in to certain positions. You need to be balanced on each side of the joint (biceps to triceps, pectorals to rhomboids) to avoid uneven strain and inflammation.

To be fit the answer is NOT ”Eat less and work out more”.

Benefits of appropriate exercise:

  • Psychological benefits
  • Increased endorphins (only if you like what you do)
  • Increased social interaction
  • Mental clarity
  • Physiological benefits
  • Vanity benefits slim, muscles,
  • Better performance
  • More resistant to injury

Symptoms associated with over training:

  • Fatigue
  • Chronic reoccurring Tendon and muscular injury
  • Weight gain or weight loss resistance
  • Sleep disturbances
  • Increased susceptibility to infection (more frequent colds, respiratory infections and “flu-like” illness
  • Increased food cravings or disordered eating patterns

A balance program needs to incorporate strength training, flexibility and cardiovascular endurance training.
The body respond to variance vs consistency. Meaning that you should start an exercise program but switch it up frequently. Once our bodies learn how to do something the effort is diminished and so are the returns.

Ways to optimize your workouts:

  • Change the intensity,
  • Change the movement,
  • Change the resistance,
  • Change the speed.

Some options are:

  • Strength training, body weight or Olympic lifting, make sure your form is correct!
  • Injury happens when the weight and speed are too much causing form break down.
  • Interval training, such as Tabatas, or HIIT training, this can be as simple as running lines on the basketball court
  • Yoga for mind and body, strength and flexibility

Here are the big do’s and don’ts I have found to help start and stick with healthy lifestyle changes.

DO                                                                                                              DON’T

Eat real food: veggies, organic meats, fruits Rely on Frankenfoods: weight loss shakes and frozen dinners
Eat healthy fats: coconut oil, avocado oil, olive oil, smaltz, tallow, ghee. Eat fake sugars, diet foods, and vegetable oils
Sleep at least 8 hours every night Forgo sleep for extra workouts
Take recovery days:  exercise 2-3 days in a row then take 1-2 days off Workout every day at maximum capacity
Feel good after exercise, feel invigorated Push to exhaustion, feel drained all day after training session
Vary the type of workouts throughout the week: Cardio, strength training, yoga, balance Do the same activity at the same intensity every day.  Your body will react and adjust to change, but doing the same workout will lead to a plateau.
Choose activities you enjoy Exercise you hate will never make you thin and happy
Create realistic short and long term goals for each quarter of the year. Haphazardly begin a program with no structured focus.
Exercise inside and outside. Smell the trees, feel the sun, get dirty – it’s all good for you! Exercise through pain. Muscle burn is ok, but pain is a sign of something wrong

Change is good, and resolutions can be a great way to initiate change. Be mindful of why you want to change and have a plan for executing it in a realistic manner. Make 2017 the first year of your new healthy life!

Check out our blog for recipes and ways to get stronger than yesterday!

Holiday Diet Implosion

So you’ve been on a “diet” or have made a lifestyle shift in your eating habits. Whether it’s been watching carbs, going gluten-free, eliminating dairy or nightshades, or maybe you’re on the Whole 30. Whatever it is, it really doesn’t matter because what does matter is that you have been feeling great! Now its November and the holiday train is coming right at you. EEK! You try and hang on to your seat (literally!) as it’s can be wild ride, full of temptation.

holiday-coffee

For my issues, I needed to commit to different dietary standards Ie. NO Gluten, soy, dairy, and corn products but I LOVE holiday foods! My mother in-law is an amazing cook! Peach cobbler is her specialty and I have been caught in the kitchen polishing off the baking dish as I was “cleaning up “at Thanksgiving more than once. It took me five holiday seasons of feeling terrible from November until March to figure out that in the bustle of family gatherings, holidays, and parties, that I can’t eat the holiday table “regulars”, and that I can’t cheat. How was I going to get through this?

holiday-diet

At first I stayed pretty committed to a diet with an occasional cheat that I couldn’t resist. The last time I “fell off the wagon” we were on a trip and I had some soda, coffee and ate the icing off the cake, (really just the icing because it was still “gluten-free”) and a few other “cheats” because it was convenient. When I came home from our vacation, I was having difficulty sleeping, anxiety, gastric issues, weight gain, and fatigue. I also noticed a huge change in my workouts. I had been doing great with my spin class prior to the holidays. I was able to get my max heart rate up to 171 and recover quickly.

After that one week trip with a bunch of cheats, my heart rate wouldn’t go over 140. It took me almost 4 months to regulate my digestion, sleep and return to almost the same fitness levels. After that experience, I decided I had to follow a specific diet. I couldn’t cheat, not even on holidays. I found out almost 2 years ago that I have Hashimoto Thyroiditis. I started GAPS almost 2 years ago with success. I am not willing to risk my health for the holiday treats. GAPS, especially in the beginning, is very strict and limiting.

holiday-tree

There were a few months I had to bring my own food with me everywhere. Bar Mitzvah’s, dinner parties, holiday parties, ski days. I am not going to lie, it sucked…Not only can the “diet” aspect be hard, but also the questions, the looks of pity or concern, or that you are crazy! It’s my mom wanting to feed me. My friends inviting me to dinner and trying so hard to cook for me. My family anxious to go grab a bite to eat after a soccer game. As you can see, with the holidays, it’s more than just about the food… yes, there’s, apple pies and Chinese food ( What?! I am Jewish that’s what we eat on Christmas eve) and that all taste great, but its more about being part of the celebration and being included.

Even though I am there, not taking part in the dinner or having to prep my own “special meal” in the corner makes me feel left out. The hardest holiday for me was Passover, I couldn’t have matzo-ball soup… My grandmother and I had made matzo-ball soup many times together when I was a kid, it was very emotional not to eat it with my friends and family. I can’t say I have the holidays 100% completely figured out but have a system that has been working for me.

This tip list has helped me through 5 gluten-free, dairy-free, grain-free holidays and 2 gaps legal holiday seasons.

photo-1470549813517-2fa741d25c92-1

1. Know your WHY. Why are you doing this diet/lifestyle? Is it an allergy, an auto-immune disease, weight loss, or training for a big race? When you have that deep real why, then you can tell yourself that particular food is or is not worth risking it… and sometimes it is worth it (its ok, if its ok).
2. Be PREPARED. If you go to party hungry, you are more likely to eat impulsively what is in front of you. And if your diet is AIP or GAPS (or another limiting diet), most likely there will be nothing you can choose from. Always have food with you.
3. CONTAINERS.Thermos, fork knife spoon set, cute lunch box tote. Find some items you like keep them with you. Looking for something fun?  Try these containers. 
4. REMIND yourself it’s not about the food. It’s about spending time with family and friends. It’s about feeling good the next day, and that a food hangover that stops you from playing with your kids on Christmas morning isn’t worth it.
5. Pick a FOOD PREP DAY. Cook in bulk ahead of time, so during the craziness of the season you can grab some roasted chicken, veggies, lettuce and an avocado to throw in your fun container or tote bag to take with you.
6. Offer to BRING A DISH TO SHARE to the party. Find a dish you really like, that fits your needs and bring it to include in the pot luck. Vegetable tian, roasted chicken, warm cranberry spinach salad (links below) have been great for me.
7. Find someone who can SUPPORT you, either because they eat as you do or they truly believe in what you are committed to. If you can’t find that person look to a health coach that can help you with accountability.
8. Do your best to ENJOY what you are eating. Look for other parts of the holidays that you can be grateful for, that you may have ignored before. Now is the time to embrace new and different.

GOOD LUCK and HAPPY HOLIDAYS!

Here are links to recipes I have used for holiday dinners that have proven popular with most everyone, dieting or not!

http://www.saveur.com/provencal-vegetable-gratin-tian-recipe
I would use a ghee or saturated fat (tallow, duck fat, schmaltz, or avocado oil vs olive oil with this recipe)

How To Get Off The Blood Sugar Roller Coaster

Sugar is a common term used to describe the white stuff on your coffee counter. It is a disaccharide that is broken down into glucose and fructose. “Sugars” are actually carbohydrates that are single saccharides, like glucose, and disaccharides like table sugar. Sugar the simplest form of the carbohydrates1 https://www.britannica.com/topic/sugar-chemical-compound.

Bread, pasta, rice, potatoes are also carbohydrates, as are kale, spinach, celery, tomatoes and fruit. Sugar and all other carbohydrates are turned in to glucose in the body. Glucose is transported by the blood to cells for fuel. All carbohydrates, from sugar to kale, can be categorized on a scale of how much of an effect they have to spike your blood sugar levels.

how to get off the sugar roller coaster live love eat SeptemberWhen we consume carbohydrates our liver converts them into glucose and sends it out into the blood stream. The pancreas responds by releasing insulin. Insulin is the hormone that sends a signal to the cells to open their doors and allow glucose into the cell to be used for immediate energy or storage. The more glucose the liver pumps into the blood, the more insulin the pancreas has to send out.
If the amount of sugar in the blood stream is chronically high the pancreas cannot keep up with the demand for insulin. The pancreas can become burned out and stop producing insulin (this is the beginning of a disease called Diabetes Mellitus type 2).

When there is not enough insulin to shuttle the sugar in to the cells, the sugar is left in the blood stream. The sugar in the blood stream can create major problems which include: Damages to the arteries; sugar acts like a scouring pad on the inside of the artery walls causing arterial damage which leads to plaque buildup and cardiovascular disease. Sugar in the blood suppresses the immune system: 1 tsp of sugar suppresses the immune systemfood by 70% for up to 6 hours (not surprising that flu season follows so closely behind the holiday season. Think about all the parties…sugar consumption and alcohol consumption (which is just concentrated sugar).

With the rage of low carbohydrate diets out there, it is important to note what type of carbohydrates you are consuming. The spikes and crashes in blood sugar not only are bad for us but the highs and lows create stress and inflammation. The roller coaster of blood sugar levels makes us feel crappy throughout the day. If you can maintain your blood glucoses at a consistent level, then you will feel better. By eating lower glycemic carbohydrates combined with good sources of fats and lean proteins, the liver and pancreas will not be as taxed.
Glycemic Index scale measures each food’s effect on blood sugar levels. The glycemic index is a tool to tell us how much 50 g of a certain food will spike blood sugar; the foods are rated from 1- 100 (pure glucose being 100.) The Glycemic Load (GL) tells us how much a normal serving size will spike our blood sugar. GL is combination of GI and serving size. GL tends to be more accurate measure for weight loss and health, for example the GI of watermelon is 70 which is high. Which is measure 50 grams of the food. So for a GI of 70 one person would have to consume one pound of watermelon in one sitting. The GL of watermelon is 4, a low measure as it is based on actual number of carbs consumed with a normal s serving size. Another example of a high GI but low GL are Carrots: GI 71 (high) GL 6 (low) because the GI is based on sugars in 1.5 pounds of carrots. To find out more information on the GI and GL of foods look here http://www.glycemicindex.com /foodSearch.php

Glycemic Index Glycemic Load
High 70- 100 >20
Medium 56- 69 11-19
Low < 55 <10

Low glycemic carbs (basically veggies) fats and proteins are a slow burning fuel sources. Once our body gets accustomed to using fats and protein for fuel the body is able to maintain a steady source of energy to function throughout the day. By using fats and proteins for fuel we are able to decrease cravings, maintain energy for hours and most importantly, feed brain tissues.

Fueling yourself on carbohydrates will keep you satiated for a very short time, you will have to eat much more frequently throughout the day. Your blood sugar and insulin levels will spike and plummet. Your hunger and carbohydrate/sugar cravings are caused by the dependency on an inefficient fuel source. This is most notable around 3 the afternoon, when the cravings for a Frappuccino and a cookie are more than anyone can bear!

GOOD fats are essential for brain health, cell membrane health, heart health and nerve function. Fats are needed for the absorption of vitamins A, D, and K- without which we see immune, mental, bone and cardiovascular health plummet. Using a good quality olive oil to your salads or sautéing your vegetables in coconut oil will increase absorption of vitamins by at least 20%.

The biggest offenders of high glycemic meals are processed foods. Breads, baked goods, processed grains, potatoes all have high GI/GL . To add insult to injury the vitamin density of these foods is lower than other foods.

Here are some comparisons of Glycemic index

Tomatoes, asparagus, avocado, ham or bacon, 2 eggs
Glycemic Index 17
Cheerios 1/2 cup: skim milk, 8oz:
Glycemic Index 106
1 cup: Sweet Potato full of phytonutrients, B6, Manganese, Vit A and C,
Glycemic Load 12
1 cup: Rice minimal nutrients, manganese-mostly added after refinement.
Glycemic load 24-53
1/2 cup: Steel cut oats, slow cook:
Glycemic Load: 6.4
1/2 cup: Instant Oatmeal:
Glycemic Load 13.7

To reduce your glycemic intake, focus on dark leafy green veggies, cruciferous vegetables, organic sources of clean lean animal protein, and healthy fats (coconut, avocado, tallow and olive oils). Even natural sugars such as fruit and honey will still spike insulin and should be consumed in moderation. Here are two great recipe ideas for lower glycemic meals. Links to original web-sites included.

MANGO CABBAGE SLAW

3 Cups Purple Cabbage, Chopped
1 Cup Cucumber, Chopped
1/3 Cup Purple Onion, Finely Chopped
1/2 Cup Green Mango, Diced
3 Tbsp Olive Oil
2 Tbsp Balsamin Vinegar
Cracked Black Pepper to Taste
Mix all ingredients together in a large bowl.

TACO MEAT

1 Lb Grass Fed Ground Beef
1 Tbsp Garlic Powder
1/2 Tsp Black Pepper
1 Tbsp Cumin
1 Tbsp Chili Powder
1/4 Cup Green Salsa

Brown meat, add seasoning and salsa, stir and eat on a lettuce leaf topped with the purple cabbage slaw, avocado and fresh cilantro.

https://sarahfragoso.com/cooking-demo-paleo-tacos-with-purple-cabbage-slaw/

Mustard Rosemary and Thyme Roasted Chicken

Ingredients
  • 2 4-5lb whole chickens
  • 2 Tbsp lard, extra virgin coconut oil, or unsalted butter (I used lard)
  • 2 Tbsp brown or Dijon-style mustard  (check ingredients GLUTEN-FREE )
  • 1 ½ Tbsp chopped fresh rosemary (measure after chopping, or use 1 Tbsp dried)
  1. Preheat oven to 350F.
  2. Remove chickens from packaging, pat dry with paper towels, remove any giblets (save these for making bone broth!) and place on your roasting pan, using the rack insert that comes with the pan.
  3. Melt lard or coconut oil and mix with Dijon and rosemary.  Baste the entire surface of both chickens with the mustard sauce (I just use my hands).
  4. Roast chickens for 20 minutes per pound (or until a meat thermometer reads at least 165F—it’s standard to cook until breast meat reads 180F).
  5. Make pan gravy with the juices if desired.  Carve and serve!

http://www.thepaleomom.com/mustard-and-rosemary-roasted-chicken-21dsd-friendly/

By learning which foods will give you the most nutritional value with the least amount of sugar you can lose weight, reduce your inflammation, and generally feel better fairly quickly. Making consistent small adjustments to your diet will teach your body how to use a more efficient healthier fuel source. If you are used to eating a high glycemic diet which the standard American diet is this way of eating may take a bit of time to get used to. Once you have it down you will see the difference in energy levels, reduction in cravings and improvement in general well-being that will make the effort worth it.

Healthy is Not Always Good for You: Veggies Can Hurt

Summer salads go hand in hand with summer six-pack abs.

“I need to eat lots of veggies to look good in that bathing suit. But when I eat a raw veggie salad, I get bloated and gassy, and that six-pack feels buried.”

Does this happen to you? It seems everything we hear is telling us we need to eat a lot of vegetables, increase our fiber content, and that raw is way healthier because it has all the nutrients unaltered by the cooking process.

Eating a variety of raw and cooked foods is extremely important! Believe it or not there are times when eating raw foods is not “healthy”. Often times, vegetables are difficult to digest. Digestion is a chemical reaction that breaks food down into nutrients that the body can absorb and use. Many people do not produce the necessary enzymes to digest these vegetables.

If the body can’t absorb the nutrients, it doesn’t matter how healthy you eat, because the nutrient value to the body is worthless. What’s even worse, is that healthy foods can increase the inflammatory process in the gut.

If the gut is not healthy enough to produce the appropriate enzymes for digestion, eating a raw veggie platter is about as healthy as going for a run with a broken ankle. I often see my patients forcing themselves to eat large quantities of raw veggies, even when experiencing negative symptoms, because of the notion that “vegetables are good for me.” However, if your gut is irritated when eating these foods, to quote Chris Kresser, “it’s like using a wire brush on a bad burn.”

Frequently, the enzymes are not produced because the intestinal lining is damaged. The cells of the gut are irritated and swollen. When this occurs, the space between the cells grow, allowing the undigested food to slip between the cracks. Akin to when food gets trapped between the garbage can and the lining, it can get nasty.

The intact particles will become food for bad gut bacteria vs. for you. The food particles may also enter the blood stream, which can trigger an immune reaction. This inflammatory process can further increase the damage to the gut lining which reduces the digestive enzyme production. The process can continue to spiral downward. This condition is frequently referred to as intestinal permeability or “leaky gut”.
Leaky gut and poor gut function can begin for a variety of reasons. Increased consumption of processed foods, food sensitivities such as gluten and processed dairy, auto-immune diseases, use of steroids or non-steroidal anti-inflammatory medication, frequent use of antibiotics, and high chronic stress levels are all factors in gut dysfunction.

It is important to identify if you suffer from leaky gut, and if you do, begin the process towards healing it. Just like if your ankle is broken you cast it to facilitate the healing process. You have to remove the stressors and support the healing process. Note, I said process, which indicates active participation over a course of time.

Unlike an X-ray of a bone, testing for leaky gut is not as clear as a picture. Frequently is it is determined by symptoms. For a link to test on-line click here.

Working with a Naturopath or a Functional Medicine trained practitioner can make all the difference in determining the right plan for your healing. You can find a functional medicine practitioner here.

There are systematic ways to remove gut irritants and provide a soothing environment for healing. I have found that GAPS and the SCD diet provide a great structure for the healing process.

Both diets are based on the specific carbohydrate diet designed by Elaine Gottschall, initially developed for her daughter with Ulcerative Colitis. It was then further expanded by Natasha Campbell-McBride and used to successfully treat patients with auto-immunity, autism and mental health disorders. To research further check out this website.

The diets both start with six introduction stages to promote healing of the gut lining. Begin by eating foods that are nutritious and non-inflammatory in stages, just like when a baby starts to eat solids. It is recommended to start with what is the easiest to absorb and the most nutritious.

By continuing in a systematic way you can also identify what food triggers that may be continuing to inflame your gut. I highly recommend this book by Hilary Boynton. If you decide this is the right path to take towards healing, this book is your best friend. It breaks everything down in to manageable pieces. And the food is good to boot!

Tips to start healing: Add foods such as bone broth, boiled veggies pureed in the broths for soups, and sauces, sautéed veggies in good heathy fats, sustainably raised grass fed organic meats, boiled and baked. You can also consume small quantities of fermented foods like kimchi, sauerkraut, pickles, homemade yogurts (non-dairy to start) for probiotic support.

Supplementation can be added. Probiotics, digestive enzymes, and good quality vitamins are essential at this time. Remember, your body is not absorbing vitamins and minerals from your food. Therefore, it’s essential that the body gets these minerals for building blocks to heal. Working with a practitioner for a customized plan for your specific needs can truly make the difference in successfully healing.
Avoiding processed foods at this time is critical. Processed grains, canned beans, legumes, sugar, (even natural sugars found in fruits) artificial sweeteners, and processed/pasteurized dairy will all contribute to the gut irritation and inflammation.

As the gut begins to heal, it will start to produce the enzymes needed to break down more fibrous, denser foods. The result is less bloating, gas and digestive discomfort. The body can heal itself if you support it. Give your self-time to repair. Just like the ankle we have to start to walk slowly before you can run a marathon.

Roasted Veggie and Kale Salad

Kale-Salad

 

 

 

 

 

Recipe

  • For the salad:
    1-2 large bunches of kale
    2 large (12 ounces) zucchini, trimmed and cut into 1/2-inch dice
    2 medium (6 ounces) yellow squash trimmed and cut into 1/2-inch dice
    2 cups diced onion
    3 large carrots peeled and cut in to ½-inch dice
    1/2 cup avocado oil (or coconut oil)
    3 teaspoons salt
    1 1/2 teaspoons freshly ground black pepper
  • For the dressing:
    1 cup finely chopped assorted fresh herbs, such as chives, tarragon, dill, chervil, basil, cilantro, and parsley
    1/4 cup extra-virgin olive oil
    2 tablespoons fresh lemon juice
    1 tablespoon chopped garlic
  • Directions:
    Preheat the oven to 350 degrees F.
    Place the vegetables in a large mixing bowl and toss with the olive oil, salt, and pepper, to evenly coat.
    Spread the vegetables in one layer in a large roasting pan, and roast in the preheated oven for 45 minutes.
    Remove the roasting pan from the oven and allow the vegetables to cool for 15 minutes
  • While the vegetables are roasting:
    Prepare kale by cutting tough midrib from the leaves. Stack the leaves and cut into 1/2 inch ribbons. Wash.
    Blanch the kale. To do this set aside a large bowl of ice and water. Bring a large pot of water to a boil. Once the water boils, and working in 3 small batches, place the first batch into the boiling water for 30 seconds, remove to iced water using a slotted spoon or spider. Repeat with the last two batches. Drain the beautifully, bright green and blanched kale, and spin dry in your salad spinner or over tea towels.
    Place all veggies and kale in a large bowl, coat with dressing (remember good fats in the right amounts are soothing for the gut.) this can help with the absorption of nutrients.

Bone Broths soup are also a power house for healing. Thinking of having soup in the summer can be a bit unusual. Here is a link to a summer-time cold nourishing soup:
Chilled Carrot Curry Soup.

Leaky Gut Links: 
http://draxe.com/4-steps-to-heal-leaky-gut-and-autoimmune-disease/
http://www.thepaleomom.com/2012/04/what-should-you-eat-to-heal-leaky-gut.html
http://www.thepaleomom.com/2012/04/what-should-you-eat-to-heal-leaky-gut.html
http://www.livestrong.com/article/49246-cant-digest-raw-vegetables/
https://chriskresser.com/got-digestive-problems-take-it-easy-on-the-veggies/
http://scdlifestyle.com/2010/03/the-scd-diet-and-leaky-gut-syndrome/
https://www.pinterest.com/culturedpalate/gaps-diet-soups/

Contact Battleborn Health for more health related questions.

This article originally appeared in the July issue of Live, Love, and Eat Magazine.