Rethinking Holiday Eating

Some traditions are worth re-thinking. Remember that our ideas of “traditional foods” are not really that old: somehow I don’t think the Pilgrims used marshmallow topping on their sweet potatoes or made cherry Jello molds with canned pears in high fructose corn syrup. When you think about it, holiday feasting is really about our emotional connections with family and friends, much more so than about food. Still, now is a time to celebrate and spoil yourself and each other with the Best you can provide. With that in mind, I encourage you to shop for, prepare and consume the best Quality foods available in your budget. This isn’t a time to focus on quantity. No one needs 2 weeks worth of leftover water-injected, deep fried turkey (which decomposes into histamine-heavy time bombs the longer it sits in your fridge).

Find the freshest produce and whole foods you can and build your menus with these as the focus.

Splurge on meats that were fed and raised as close to the way they would naturally grow, eating what they would naturally eat, and free from genetically modified feeds and hormones.

Instead of high glycemic starchy dishes, emphasize multi-colored rainbows of veggies and fruits the liven up the plate and the palate. Skip the mashed potatoes in favor of roasted cauliflower with balsalmic reduction. Trade up from the marshmallow topped sticky sweet potato mess to a basket of backed sweet potato "fries" tossed with olive oil, salt, pepper and fresh rosemary. Add pomegranate seeds and sheep feta to your green salad. Get creative! I challenge you to find one new vegetable dish to add to your feast.

For desserts, instead of choosing store-bought pies made with high fructose corn syrup, consider making a fruit crumble or tossing frozen berries with whole coconut milk and topping with shavings of the deepest, darkest, most decadent chocolate you can find.

And remember, you’ll feel much better if you stick to a single serving of everything. You can always go back for seconds 3 hours later -- AFTER a walk with your guests...

Get Decadent. Get Moving. Get REAL.

The Soy Conundrum: Part 2

As I said in my last post, this is a HUGE topic that would take volumes to adequately explore. Is soy a human food? My answer is a tentative maybe. Here are more reasons why...

Farming practices: Aside from the fact that nearly all soy grown in the US is now genetically modified, it is important to know that this modification allows soy to withstand heavy doses of herbicides. Unfortunately, because soy is a legume, it is very good at soaking up these toxins and incorporating them into the beans themselves. You can’t wash them off. (GMO issues will be discussed in another posting.) These toxic residues have many potential harmful effects on the human system including acting as endocrine disruptors, meaning they will mess around with your whole hormone system.

Phytoestrogenic properties: “Phyto” means plant, so phytoestrogens are estrogen-like substances found in plants. They are present in many different plants including alfalfa sprouts, flaxseeds, clover, hops and thyme, but they are highest in legumes and soy contains the highest amount of them all. Studies have been inconclusive about if these phytoestrogens help menopausal symptoms or if they worsen hormone sensitive cancers. However, these compounds have been shown to have feminizing effects on infant boys and can accelerate sexual maturation in girls. In some cases soy has been implicated in the development of gynecomastia in adult men (the development of breast tissue) and a decrease in sperm production.

Autoimmune disease: More than 70 years worth of studies have connected soy consumption to thyroid disorders, especially Hashimoto’s thyroiditis. This is a type of autoimmune disease that causes hypothyroidism. (Interestingly enough, the exacerbation of Hashimoto’s has also been connected to gluten consumption.) If you suffer from hypothyroid and especially Hashimoto’s, you may find significant symptom relief by eliminating soy. This can seem like a daunting task because soy is everywhere.

Processed foods: Soy is in nearly 60% of all processed foods and basically 100% of fast foods. Soy and soy derivatives are the backbone of the food product industry. The durable nature of soy proteins and their low cost makes them ideal for highly processed foods. If you are trying to avoid soy, the best thing to do is to shop the perimeter of your market where all the REAL food is and cook it yourself. Instead of spending hours trying to read labels to find all the places soy is hidden, spend that time making your own foods.

Cardiovascular health: Soy has been promoted as beneficial for cardiac health. Most of these studies focus on specific constituents of soy called isoflavones. It is important to consider the whole package if soy is used as a food source. It is also important to look at the way some of these studies were put together. Benefits have been shown when conventionally raised animal products are replaced by soy as a protein source, but is the outcome due to soy or due to the reduction in damaged fats and proteins that come from conventional meats and dairy? Be sure to look carefully at studies, both pro and con.

Conclusion: Caution. Soy can be beneficial for humans in small amounts if fermented. Certain constituents may be beneficial for treatment of certain disease states. But the use of soy in its highly processed forms (TVP, soy protein isolate, etc) as the primary source of protein in the diet can be problematic, especially for children.



Get curious. Get informed. Get Real.




(also published on the Patch.com)

Boosting Energy: the Dangers of the Quick Fix

Breakfast for Elliot is a bowl of frosted corn flakes with skim milk and a cup of black coffee. Zinging he hits the highway for work. By 10am he’s been to the break room twice for coffee and nibbles from the birthday cake left in the staff fridge. 12:30 lunch meeting where he eats a store-bought roast beef sandwich that is more bread than beef. Now it’s 3pm. Thinking is getting hard. Elliot is dragging and looking at the clock every 5 minutes wishing he could speed up time... He reaches for a cola/latte/mocha/chocolate bar to accelerate himself through to quitting time... Blood sugar surges, heart rate increases, insulin jets through the bloodstream trying to manage glucose...

Ok, let’s rewind all the way back to breakfast and see if we can’t help Elliot set himself up for a productive and energetic day...

Breakfast really is one of the most important meals of the day. It sets the stage for the rest of his day. Will he have enough fuel to keep his brain functioning on high when he needs it? If he breaks the fast he endured between 7am and dinner the night before with a balance of nutrients from each major food category he will stand a good chance. Good breakfast choices include low-glycemic carbohydrates like old fashioned oatmeal or 9-grain cereal, or low-sugar granola without dried fruit. Add to that a source of protein to give the body base materials for cell signally, nutrient transport and tissue repair such as eggs, nuts, or plain whole milk yogurt. Don’t leave out the healthy fats! Dietary fats act as the oak log on the bonfire that burns in the hours after the carbohydrate fuel has burnt off. Healthy fats include butter and whole milk fat from organic grass-fed cows, the oils found in nuts that can be put on oatmeal or in granola, and the fat found in whole coconut milk.

Coffee or tea can be beneficial, but it is advisable to be careful about adding sugar and avoid using sugar substitutes if you want to keep your brain healthy and your body trim. Caffeine and sugar together can help the brain be efficient and may be a good combination in small quantities prior to a strenuous thinking task such as taking and exam. But, in slightly larger quantities and frequencies, the sugar that comes in with the caffeine is more prone to become body fat than be used as fuel for speedy thought processes. Remember to keep drinking water though because caffeine will dehydrate the body and brain. Water is essential to efficient conduction of the electrical impulses that make up thoughts and nerve function.

Having access to healthy snacks at work or school is essential to keeping the brain happy and functioning without getting fuzzy. It is important to keep fuel coming in and not go more than about 3-4 hours without eating anything for brain performance and metabolism to stay high. Good choices to take along include trail mix (without candy), fresh fruit and a small pack of nuts or nut butter, hard boiled egg and crackers, or humus and sliced veggies.

Lunch should consist primarily of vegetables and protein with a sauce or dressing that includes a healthy fat. Examples might be a big salad with grilled salmon and hollandaise sauce, vegetable stir fry with chicken (skip the rice), or black bean and veggie soup or chili. By taking out the “white” food group of highly processed grains (bread, white rice, potatoes, pasta) you remove the culprit for the 3pm slump and the 5pm need to eat the couch before dinner.

Dinners for most of us need to be rearranged. This should not be our largest meal of the day after which we then slump mentally exhausted onto the couch and channel surf for 3 hours before bed. Dinners should be more like the “suppers” of old -- a lighter meal than lunch with more veggies than starches and a keen attention to lean healthy proteins for the body to use throughout the night as it moves into rest and repair mode. Loading up on high glycemic carbohydrates and grains is the wrong move for most people. These are the faster burning fuels that are better used during the day when we are vertical and exerting ourselves (hopefully!) physically. It is the proteins and vitamins and minerals and enzymes that are most useful to our bodies at night.

These are very general suggestions! For more details on how your own particular body utilizes foods and which sort of eating plan would work best for you, please consult with a nutritionist who understands that you are your own personal Universe. If there was a single “diet book” that worked for everyone, we wouldn’t have shelves full of different options. A qualified professional can help create meal plans and menus that will work for your whole family and not turn you into a short-order cook for each member of the household. It doesn’t have to be hard.

Get curious. Get informed. Get REAL.

Re - Solutions

OK. You made it though the holidaze. Congratulations. Now what? Now comes that nagging feeling that you've overindulged and have to repent. This usually centers on creating some sort of austere diet and exercise plan that your "Super Self" will coerce your "Evil Twin" into following for "your own good".  Aahh... and here is where it all goes down the drain before you even get started.

DIET is a Four Letter Word. Back when I was a kid, a "four letter word" was a "bad word". The word "diet" has all the negative connotations that are associated with punishment and deprivation. It is based on willpower and internal motivational strength. It is a period of time that is book-ended and taken out of a person's "normal" life during which they force themselves into a very tight small box of behaviors and usually without any internal or external support. Put simply: IF YOU DIET YOU ARE DESTINED TO FAIL unless you happen to have the will of an automaton, the emotional range of a barbell, and live in a bunker with no temptations to stray from the tight-rope thin path to your goal weight.

The reality is that we humans are complicated, have stressful lives that overlap and interact with other complicated and stressful lives. We are continuously bombarded with advertisements for weight loss miracle pills/shakes/frozen meals/supplements/medications/surgeries at the same time we are assaulted with advertising for the "return of the McRib", "I-dare-you-to-eat-just-one" chips, 2-for-1 large so-there's-no-need-to-share pizzas, and super-sized fries for the same price as regular. Mixed messages? Yup. One set appeals to your inner parent and the other to the inner child. You are being set up. Who benefits? The pharmaceutical industry, the food industry and the diet industry. You read that right. The Diet Industry. There are huge amounts of money to be made on you. This industry is there to help your wallet lose weight, not you.

Don't count calories. Count blessings. Get REAL. Take back your power and live your life with the passion, verve and vitality you were meant to have! How, you ask? Simple really. Focus on these five things with gentleness towards yourself and gratitude:
1 - Eat REAL foods. Give up processed foods, anything that you only have to microwave and serve, excess sugars (not all sugars!), damaged fats and poisoned proteins. Eat a rainbow of veggies, fruits, healthy meats/fish/poultry (if you aren't vegetarian of course), organic whole dairy products, whole grains and healthy fats. YES FATS. Fats are what triggers the sense of satiety and tells your body you can stop eating. Without fat in your meal you will be hungry again very quickly. And yes, the occasional dessert! But eat it right up next to your meal. And by the way, occasional means just that, not after (or instead of) every meal as we've been told by the marketing agencies we can do...
2 - Move. It's what you were built to do. You weren't built to run marathons weekly or to swim the English Channel. You were built to trudge. You were built to move all day every day. You were not built to sit. Move your body through space under your own power for at least 60 minutes per day at a pace that suggests you might have just been hung up on AGAIN by AT&T after being on hold for 45 minutes. Grrr!
3 - Drink water. Just water. Clean water. Cool, not iced, water. Drink one ounce for every half-pound of you. If you weigh 200 pounds, your daily intake should be 100 ounces. If you must, have herbal tea or a squeeze of lemon in your water. If you have caffeine or alcohol, remember it sets you back and you have to drink that much more to get back to square one.
4 - Eliminate as much added sugar as possible. Naturally occurring sweetness in fruits and veggies are fine. Artificial sweeteners offer you nothing but health problems and a continuing addiction to extreme sweetness. Cut it back. Use sugar if you must but do so knowing that's what you're using and be sensible. No agave is not the answer. This is another case of "natural" does not equal "healthy".
5 - Breathe. Yup, you read that right. Breathe. We forget that one of THE most important things we can do is change the air. Clear your head. Oxygenate your brain. Wake up your muscles. Crank up your metabolism. Expel toxins that are released in the breath. Consciously taking a few breaths reduces your stress levels instantly. Try it. It's something you can literally do any time. Important times to implement taking a few conscious breaths are: before beginning a meal, before a potentially stressful meeting, while sitting in traffic, before going to bed at night, and before engaging in your day in the morning.

You can do these things! If you focus on these 5 things rather than trying to make unsustainable and doomed resolutions, you can change the course of your history from this day forward. I dare you to try it. Take pictures, take measurements, then put the scale in the garage, keep a journal and let me know how you feel this time next year. Thumb your nose at the expensive diet plans and gym memberships. Laugh at the ridiculous advertising that makes no rational sense. Take your power and money back from Big Pharma and Big Agra. Get Sensible. Get Healthy. Get REAL.

Reinventing Box Lunches

In case you hadn’t noticed all the back-to-school sales, getting the kids out the door in time for school is just around the corner. One of questions (and exasperations) I hear about a lot is “I want my kids to eat healthy at school, but I don’t know what to give them and it’s easier to send them off with lunch money for the cafeteria.” Part of the conundrum revolves around a child’s age. When they are younger parents have more influence over their food choices. I always suggest that parents avail themselves of the opportunity to expose their kids to lots of different flavors while they are young and get them used to eating healthy nourishing foods early. This sets the stage for good habits later in life. The tricky part is getting through the tweens and teens when peers have more influence over food choices. 

I highly recommend making time in the morning to make your children box lunches. While you’re at it, make one for yourself if you’re headed out the door too. In the long run you will save money and promote good habits for them (and for yourself). It is very important for kids to see you take care of yourself so they have a good role model. If it takes getting yourself (and your kids) up 15 minutes earlier, it’s worth it. Teens can certainly be making their own lunches after some simple training.

Make it Fun:

One really fun way to keep lunches interesting for kids (and adults!) is to use Japanese style bento boxes (check out www.laptoplunches.com or www.lunchinabox.net) or Indian style tiffin boxes (www.lunchboxes.com/indian.html or www.amazon.com/Eco-Lunch-Box-three-in-one-set/dp/B0040MH642/ref=pd_sim_k_6). This concept falls in line with another recommendation I make with regards to grocery shopping: rather than getting home with all the bags and just stuffing everything away, take a little time to “pre-process” some of the veggies and fruits into slices or chunks that can be easily added to salads, stir-fries, or used for dipping. If you have done some of this work beforehand, it makes it easy to simply fill some of the bento boxes with fresh healthy foods quickly on a busy morning.

Contents:

1. Great things for younger children and for adult mid-day snacks are bean dips and spreads with veggies and/or whole grain crackers. Try the curried hummus recipe below for a vibrant golden tasty option. You can make bean dips from any bean.
2. Leftovers are a great option too. When cooking dinner the night before, think about cooking twice as much as you need for that meal so everyone has leftovers for their lunch boxes the next day. You can even put the leftovers away in lunch box containers so all you have to do is grab and go in the morning.
3. Soups, stews and chili are good choices as well. Again, simply make more than you need for a dinner meal and store in lunch sized (spill proof) containers that you can pack in an insulated lunch box. You can even get soup style thermoses with wide mouth tops
4. Salads: keep in mind that salads don’t have to begin with lettuce! There are thousands of ways to put together a combination of ingredients that can be called “salad”. You can create a grain and legume salad such as quinoa and lentils with a bunch of other delicious veggies diced small and marinated overnight in a simple dressing of olive oil and lime juice with a little salt and pepper. There are also delicious tuna salads, egg salads and chicken salads that you can create to you children’s taste. If you make some of these things in advance, it’s easy to scoop some into a lunch container and blast out the door in the morning. 

It takes a little pre-planning, but home made lunches made from real food ingredients are guaranteed to be more nutritious than most of the offerings at the cafeteria (particularly the options your children will likely choose when left to their own devices), and it is far less expensive in the long run for both you and your children to eat a lunch brought from home.

Quick Curried Hummus

all organic ingredients if you can

by Kia Sanford MS CN

1 large can garbanzo beans, drained and rinsed

3 cloves garlic, peeled

3 scallions with greens, chopped

juice of 1 lemon (you can add a little grated rind as well, I use Meyer lemons when available)

a generous ¼ cup tahini

2 Tbsp tamari

1 Tbsp cider vinegar

1 Tbsp olive oil

¼ tsp ground cumin

¼ tsp ground coriander

¼ tsp ground ginger

¼ tsp turmeric

½ tsp Kosher salt

Put all ingredients in food processor and let it run until the consistency is what you want. Adjust spices to your taste (may want to add a little more salt). To make it more creamy, add olive oil to your taste. Serve with veggies or whole grain crackers for dipping, or use as a sandwich spread.

REAL Cool iPhone Apps

So, a wise friend and colleague thought a good follow-up to the last post on helpful web links would be iPhone applications that I find useful since so many of us are iPhone junkies... (yes, myself included). I tend to be most interested in the ones that are free or very inexpensive because they are easy to recommend to people who want to try something new. Here are a few that I use myself that you may want to check out.

Medically Related Applications:
Epocrates = solid information on drugs, interactions and research updates
Medical Calc = a grouping of calculators used in medical settings
MedRef = lists of normal lab values and references
PubSearch = the iPhone app version of PubMed Search referencing hundreds of medical journals

Fitness Related Applications:
TrailGuru = tracks your hike, walk or bike via GPS; you can upload the info including photos taken on your outing to their website; gives you distance traveled, elevation gain and loss, and a map of your journey
StepTrakLite = step counting program which gives you input on levels of exercise not just steps counted
iWalk = gives you step counting, total distance, speed, and calories burned
LoseIt! = very comprehensive food journaling app that also allows you to enter exercise, goals for weight and nutrients, logging with groups of friends, setting up motivating daily emails, and more. This is a favorite although I wish it worked more with serving size and less with calories.
GymGoalLite = a good exercise workout tracker complete with instructional videos of various exercises, set programs to try, and the ability to create your own workout with goals and tracking

Food Related Applications:
Dirty Dozen = the complete list of pesticides in produce from the Environmental Working Group, handy to have when you're doing your shopping
SeafoodWatch = a good fish list from the Monterey Bay Aquarium, also handy while shopping
Epicurious = recipes and menu ideas, searchable by ingredient, meal type, season, and ease of preparation; also creates shopping lists for you from recipes; lets you save favorites in your own file
AllRecipes DinnerSpinner = a fun way to change up your meals and try something new

Strictly Geeky Photo Fun:
Hipstamatic = photography with a retro twist to create really fun effects and photos
CameraBag = like Hipstamatic but you can import photos and tweak them within the program as well
PS Express = Photoshop mini version for the iPhone; import or take photos and then play with them
Autostitch = create panoramic photos from a series of shots

There you have it! Get Connected. Get Hip. Get REAL!

Thriving Through the Holidays

As the days darken and the air takes on a crispness, the approach of HOLIDAY SEASON can bring high levels of stress around family gatherings, office parties and the general over-abundance of bad-habit foods. Take heart! There are ways to not only survive the holidays, but have an enjoyable and rewarding experience!

Focus

Remember you have all the tools you need to stay on track with your plan to improve your overall health.

Remember you have support in family and friends that have seen you through all your changes and challenges so far.

Remember that food is just that: food. The emotions and rituals and gatherings that include food can be enjoyed with or without all the caloric trimmings (take a lesson from the Whos down in Whoville...)

Tips

Encourage family and friends to gather around activities rather than food. Try suggesting a walk in the park if the weather is nice or going bowling if it isn’t. Visiting and making that emotional connection is not dependent on food being available at every sitting. 

Get creative! There are lots of ways to update old family recipes to make them healthier and there are literally thousands of healthy recipes available that can become new traditions. Have a “bring something you’ve never made before” pot-luck or challenge participants to make a dish representing a favorite healthy aspect of the season.

Opt for non-alcoholic beverages and water water water. 

Stick to serving sizes: 2-4 ounces of lean meats, 1 tsp butter or oil, 1/2 cup of cooked whole grains...

Enjoy lean meats, lots of veggies, have sweet potatoes instead of white ones, and have one favorite dessert per week (remember, it’s only the first two bites that really satisfy the taste you’re looking for). Spoil yourself by choosing the very best of everything! Don’t settle for imitation or low-quality foods.

Avoid unknown dips and spreads, mashed potatoes, fatty gravies and anything made with hydrogenated oils or high fructose corn syrup.

And please don’t forget to MOVE. It is vital that you keep up your exercise program throughout the year. Exercise helps you deal with stress, gives you a great excuse to take a break from family and festivities, and it helps you handle any extra calories that make it through. 

Maintaining Weight and Wellness During the Holidays

Below is the press release going out this week to Bay Area news centers, many thanks to William Freed of Motv Marketing!

Get REAL! for the Holidays!

Get REAL! – Realistic Eating & Active Lifestyle™ Presents Three Quick Tips to Maintain Weight and Wellness During the Holidays

SAN RAFAEL, Calif. – December 7, 2010 –  Getting through the holidays while maintaining a healthy weight poses a challenge for even the most fit of individuals.  For the rest of us, the eating and drinking associated with holiday get-togethers can mean packing on pounds that can add to lifelong weight gain.*  To avoid those extra holiday pounds, Get REAL! – Realistic Eating & Active Lifestyle™ presents three simple and memorable holiday tips for maintaining holiday health and wellness:

• Drink Water – lots of it!  A simple rule is one glass of water per cocktail or glass of beer/wine.  You’ll avoid lots of alcohol calories, fill up faster and be less tipsy at the end of the night.  Not to mention, feel better in the morning!

• Eat Realistically – holiday drinking and eating is about celebration, not about deprivation.  Focus on eating lightly throughout the day not starving yourself before a big dinner, and eating protein to maintain energy and stoke your metabolism.  When indulging, get really picky about your choices.  Don’t just settle for a commercial sheet cake; hold out for great aunt Sally’s fudge made with love especially for you!  Experiment with smaller portions of high-calorie treats like cheese, bread and cookies/sweets. Studies show that it’s really the first two bites of anything that you get the most taste enjoyment out of anyway so make them count!

• Be Active and Reduce Stress – take a walk at lunchtime, take the stairs, walk around town to visit with neighbors/friends if possible.  Most any activity will increase your metabolism, so go for it!  Get plenty of sleep and avoid spending lots of time in front of TVs and glowing computer screens.

While following these tips is no guarantee that you won’t gain any weight during the holidays, they are a good start and part of a reasonable, achievable way to maintaining health and wellness, and reducing stress.  This practical approach is integral to Get REAL!™ – a lifestyle program created by Clinical Nutritionist and Counselor Kia Sanford, MS/CN, an expert in working with individuals and groups around the country to help people find an individual path toward long term health.

Get REAL!™ holds participatory workshops, field study and hands-on cooking experiences around the country, that enable students to “put it all together” and take control as they embark on a healthy way of living for the long term.  In addition to Get Real! ™, Ms. Sanford offers private, one-on-one services in clinical nutrition and psychotherapy through Kailo Nutrition & Counseling. For more information about Get REAL! ™, please visit www.GetRealLifestyle.com.

* According to a study published in the New England Journal of Medicine, average holiday weight gain is less than two pounds, but can add to lifelong weight gain because it is never lost.  See:

http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=10727591&dopt=AbstractPlus

Sugar: the rational approach (Part 2 on the sugar topic)

Some of you may have seen the recent article I was interviewed for here in Marin County, CA. It was quite timely as it was about the Halloween sugar issue that got me going to write the first part of this missive. As promised, I've got some more info for you on our sweet friend/foe.

Keep in mind one of the things I say over and over: you can take any item we ingest and make it into a poison if you take in enough of it. Even excessive consumption of water can cause huge issues such as hyponatremia which is an electrolyte imbalance that produces symptoms that look like drunkenness. When it comes to sugar, the body doesn't actually need the refined stuff. It needs the unrefined versions that come with a complete package of nutrients. As I mentioned last time, there is a big difference between the amount of fructose in an apple and the amount in a 12 ounce soda. Add in the fact that the apple also brings with it fiber, vitamins A, C, K, folate, choline, calcium, phosphorus, potassium, and even a few omega-3 and omega-6 fatty acids. That soda? Nothing but sugar, artificial flavors and colors, and probably caffeine.

When you look at sugar itself as we think of it, the white granulated kind, there is a good website that has translated sugar content equivalents into stacked sugar cubes so you get a clear visual on the amount of sugar in various foods. Check out Sugar Stacks with your kids sometime. It's an eye opener for sure. They also use the visual of the equivalent amount of carrots which is a fun alternative when you consider that a 20 ounce bottle of Coke has the same amount of sugar as about 3 pounds of carrots...

I'll say it again: Sugar that comes in the form of food isn't bad in and of itself. It's the amounts of the refined stuff that we have become accustomed to consuming that are the problem. One of the things that often confuses my clients is that the whole food group called carbohydrate is partially defined by the fact that these foods all end up being at least partially converted into blood sugar. Carbohydrates include table sugar and bread, but also spinach and peaches, broccoli and strawberries. It is all the veggies, fruits and grains and everything made from them. This is a HUGE food group. The key is that each unrefined carbohydrate also contains other vital nutrients, as in the example of the apple above. To eliminate this entire food group is a big mistake in the long run. The Atkins people learned this the hard way and have now modified their approach to include the foods that turn into blood sugar more slowly.

This brings me to the Glycemic Index. This is a way to look at the speed at which sugar enters the system. Each carbohydrate you can eat "clocks in" on a speedometer that goes from 0-100. A simple rule of thumb is that your speed limit should be 55 or lower. You can look up any carbohydrate to find it's Glycemic Index here. An easy way of thinking about the speed is by thinking about how refined or processed a food is. The more it's been broken down outside the body (by mechanical processing, heat, pressure, etc.) the less time it takes your body to absorb it and so the higher it is on the Glycemic Index. That said, it is important to also consider the serving size and what other foods you are eating at the same time. For example, watermelon clocks in at about 75 on the Glycemic Index, but when you take into consideration that the amount water and fiber in watermelon is pretty high, the actual load of a 120g serving is only about 5. This is an extreme individual food example, but you will see some of the same sorts of interesting numbers when you combine foods. If you look at a plain corn tortilla, it's Glycemic Index is about 52. If you add refried beans and salsa, then that tortilla clocks in at about 39 on the same scale. However, if you fry that tortilla (corn chips) you end up at around 74! Same base material, but processing and food combining have dramatically different effects on the blood glucose outcome.

So the trick here becomes HOW to eat carbohydrates, yes, including sweets. It is important to make a mess for your body to sort through to find the sugars. As I sometimes say in sessions with clients, think of your stomach as a teenager's bedroom. You want it to be really messy. You want to have to search hard to find a clean pair of socks (the sugar). So if you want that dessert? The best way to do it is to have it immediately following your meal, not 2 hours later. And, as you learn more about real foods, make lower glycemic choices more often.

Get smart. Get healthy. Get REAL.

Re-Inventing Yourself

As we move into Autumn here in the Northern Hemisphere, now is usually the time we move from extroversion to introversion, from energy expanding outward to a more contemplative way of being in the world. I like to think of this transition as a time to think about the intentions we want to set for our winter cocoon so that when we split that shell and climb out in the Spring, our new wings are fully formed for the next season of expansion. Now is a great time to think about what aspects of yourself you are ready to shed like a maple leaf. What doesn't serve you anymore? What can you let go of so you can reach for something that pulls you forward in a positive way?

Often in my discussions with clients I find that there is a tendency to hold on with a death grip to the past, to those things that we know aren't good for us and yet are too afraid to let go of. Sometimes those things are habits of thought ("I'm not good at ____" or "I always/never _____"), sometimes habits of the body (having coffee instead of breakfast, inactivity, addictions), and sometimes they are things we carry for others (guilt, shame, "shoulds" handed down from family and culture). Often I find that we allow our habits to govern our lives, we think it's easier that way. The problem is that although many of these habits were developed in response to an original need (and we responded the best we could in that situation), those habits have outlived their usefulness and are now leading us down a path that causes more problems than it solves.

To externalize this idea, take a look at most political struggles, especially around environmental issues. One of the common responses to the question of "Isn't there another way to do this that could be more beneficial and less damaging?" is a response from the habit which says "Why should we change? We've ALWAYS done it this way! What worked for my father and grandfather is good enough for me!" The trouble with this response is that it isn't a response, it's a habitual reaction. It is identical to what I hear in sessions with clients: "I've always eaten this way and it's been fine" or "I've never liked vegetables and plain water". When you hear those words "always" and "never" echoing in your head, stop and ask yourself who's talking. Is it the adult you with your best interests in mind? Or, is it the old habit that doesn't want to be told it's been fired?

I encourage you to take some time as the leaves change and the weather cools to take stock of your habits. Are there any that no longer serve your highest good? Are there any that actually endanger your long-term health? Is there just one that you can envision changing into a beautiful red maple leaf falling from a healthy tree and becoming nourishing soil at your feet? Peel off the old and make room for the new REAL you...

Harvest

August is here. Finally. And how. I'm not sure about where you're living, but here in the San Francisco Bay Area it's been living up to John Muir's complaints until yesterday when we blew through heat records. Yesterday my car thermometer registered 107F in Mill Valley which has been fogged in and regularly in the 60s most of the summer. The happy news is that this heat wave means my tomato plants are finally producing! Well, at least the ones that the deer haven't bonsai'd. There's just nothing like a vine ripened tomato you've been fussing over all summer. Having been spoiled by my green-thumb mother who had 1/4 acre gardens during my childhood, I just can't bring myself to buy tasteless, hard, pale commercial tomatoes. They're more like packing material than food.

You know, I find myself saying things like that about so many commercial foods. Think about it, when have you ever bought produce that was actually full of flavor from the local Safeway or Albertsons or A&P? They're starting to get a clue and offering organic versions which are slightly better, but so many of the organic producers are trying to create shippable products that can be picked too early and with a density that doesn't fit all fruits and veggies. Even the produce that is supposed to be dense, like a carrot, remains tasteless when compared to one pulled from your back yard, or from a local farm stand.

Do yourself a favor and treat yourself to a trip to a farmers' market or roadside stand in the next few weeks. Even if you can't find an organic offering, get some fruits and vegetables that are ripened in the field. The taste will blow you away if you're used to everything tasting the same. You don't have to prepare them in any fancy way. Let the flavors of the produce speak for themselves. Have a little butter on your corn or green beans. Have sliced tomatoes with a little fresh basil, sea sale and olive oil. Try a green salad topped with as many different colors as you can find and then just a quick squeeze of lime, olive oil, salt and pepper.

Great food doesn't have to be complicated, it just has to start with great REAL ingredients.

Get Moving!

I find it interesting that so many of my clients, friends and family end up having this conversation with me. Sometimes it comes up directly as is often the case with my clients. Other times, it's this circumspect navigation around to the topic. What it comes down to is that in this American culture of "busyness" we have conveniently convinced ourselves that there just isn't enough time to get any exercise in the day. We have to pick up and drop off kids, we have to commute to work and back, we have to do the laundry, we have to do the taxes, you name it, there's a reason. The reasons all sound like good ones. They are all things that need doing in this adult world, and not all of them fun either. Still, I challenge everyone on this point.

I think part of the issue is that we have also been convinced by marketers, researchers and magazine articles that "exercise" is something separate from your life. Something you have to take time out to do. Something that requires a whole separate wardrobe or gear or machines or memberships. What we forget is that we have these bodies 24/7 until we're 6 feet under. They move us through space, hold us upright in line at the bank, carry that laundry to the machines in the garage, and swing our children or grandchildren up for a piggy back ride. These bodies are designed to move and bend and lift and walk. Most importantly, walk. It's one of the few things that makes us special as a species, and yet as a culture we are doing our level best to avoid it at all costs. We have invented all sorts of ways to avoid walking: elevators, escalators, cars, moving sidewalks and golf carts to name a few.

Here is my challenge to you: from the standpoint of moving, act as if you live in 1810 rather than 2010 as often as you can. See where you can opt to take the stairs or leave the car at home and walk. If you must drive, see if you can park once and walk to all your errands with the car in a central location, or at least park the car as far as possible from the front door of the business you're visiting.

For the techies out there like me, invest in a pedometer and track your progress. Spend the first week just logging what you normally do. Then challenge yourself to add 100 steps each day until you get up to at least a mile. You'll be surprised at how quickly it actually happens! Most people start out thinking they'll never be able to and end up walking 5 miles or more a day just by increasing the steps they take in living life.

It doesn't take purchasing a gym membership, $100 shoes, or a $1000 bicycle. It also doesn't take blocking out 2 hours each day to get to the gym, change, get all sweaty in an hour-long workout, shower, and get back to your life. Of course those planned workouts will accelerate the process of getting and staying healthy, but THE most important thing is just to move. Move more. Eat less. Get REAL.

Medicinal Effects of Foods - Part 3

I have many clients who come to see me worried about weight gain and what has become known in our culture as "emotional eating". These clients want to stop using eating as a way to medicate themselves. The thing is, everything we put in our systems has biochemical effects. Keep in mind that thoughts and emotions are "things" from a biological standpoint. They are real biochemical processes with ingredients and metabolic outcomes that can be tracked. The simplest form of medication that we've learned over the millennia is the use of food and drink to change the way neurotransmitters in the gut and brain behave. Because eating is something we must do, changing the way we relate to food as medicine is important. You can easily see why it would be important to quit smoking and you can make efforts to do so. But a person can't just quit eating. This is why it's so difficult to tease apart.

Let's start here: You can't take food and emotions apart. Because emotions and thoughts are built from the basic ingredients we take in. When looking at "emotional eating" it is important to really understand this statement. The foods (and other substances) you ingest become you. There are whole supermarkets full of "food products" that have little or no connection with what could be conceived of as Real Food. Just as real food becomes the biochemical building blocks of your muscles, your organs, your immune system, your thoughts and your emotions, so too do all the new-fangled chemicals that have entered our food supply in the last 100 years. It is vital that you start asking yourself "Is this what I want to build myself out of today?"

For most of us, sugar is our biggest weakness and the thing that has the biggest negative impact. Sugar is pro-inflammatory, depresses the immune system, contributes to mood instability, creates an acidic internal environment, worsens PMS symptoms, and hastens aging, just to name a few. But we love the stuff! Why? It makes perfect sense from a biochemical standpoint. The same bank of lights in the brain that gets turned on by serotonin (the neurotransmitter that makes us feel happy) also gets amped up by sugar. When we feel down, depressed, stressed, unhappy or need an escape, flooding the system with sugar can help to temporarily change our internal environment. The trouble is that sugar is like jet fuel: it burns hot and fast. Once the body has overcome the flood of sugar, the natural levels in the bloodstream are even lower than where they were before the sugar rush. A signal from the brain says "hey, running out of juice up here, need more of that feel good stuff!" and off we go to find another fix. The trick here is to short circuit the response and reach for foods that increase natural serotonin rather than settle for the quick fix that only temporarily bandaids the situation. In this case, reach for protein. The best choices would be eggs, turkey, elk, pork, crab, shrimp, and salmon (vegetarian options include 200 kcal portions of spirulina, spinach, and watercress) because they are high in tryptophan which is what the body uses to create serotonin.

There are whole manifestos available on the detrimental effects of food additives and toxic residues out there so I won't go into a dissertation here. (If you are interested in a few good references check out "Aspartame Disease" by H. J. Roberts; "Excitotoxins: the taste that kills" by Russell Blaylock; "Diet for a Poisoned Planet" by David Steinman; and "Sweet Deception" by Joseph Mercola). Suffice it to say, each of these toxins has an impact. If you are susceptible, the way they are incorporated into your system will have worse effects. For example, there are case studies showing that you can actually fool your doctor into believing you have multiple sclerosis by ingesting just the right amount of aspartame (aka Nutrasweet). Aspartame is actually a drug, not a food, and we are misusing it in America. Artificial sweeteners are the worst offenders largely because they have become so common in foods. I urge you to get these toxins out of your diet, and especially out of the food supply for children. We are already seeing dire consequences of long term use, and I hate to see what's in store for our teens who are gulping down gallons of diet sodas.

Take control of the sweet portion of your food supply and you will solve big groups of issues including the craving for the sweet taste itself. It takes about 2-4 weeks. That's all. But you have to be vigilant. If you need help, enlist a good nutritionist to walk you through the process. Making changes to the way you look at, think about, shop for, prepare, and eat food is extremely difficult. It's not as easy as "just do it". There are so many reasons WHY we eat and in order to get a handle on some of the biggies, it's ok to ask for help. Sugar and sweet cravings are biggies. It's not just about willpower so stop beating yourself up. It's about biochemistry and learning to create the internal environment you want.

Get Smart. Get Fresh. Get Real.

Medicinal Effects of Foods - Part 2

Ever done an "unintentional cleanse"? You know, that one-strawberry-too-many warning gurgle? That I-love-tomatoes-so-much-I-can't-stop-eating-them oops-gotta-go? It's that time of year here on the West Coast when the fresh fruits and veggies start rolling in by the bushel and I get a little too excited about some of them, especially those strawberries... So why do they do that? What's the deal with the "flush"?

As mentioned in Part 1, depending on amount, what we ingest can be sustenance, pharmacological or toxic. That innocent strawberry actually contains a number of toxins that it creates to help ensure that at least some of it's seeds have a chance to grow to new plants. If the strawberry can't protect itself against slugs and earwigs and snails in some way, then it's chances of survival as a species are slim. Some of those toxins are at doses too low to be problematic for the human body. But interestingly enough, something we think of as benign can become a toxin that overwhelms the body's ability to process it: fructose.

Fructose is one of the most common naturally occurring sugars in our food supply. It has benefits in relatively small doses as a fuel source for the metabolically active tissues of the body. It takes a bit longer to be broken down though and the system in charge of this process is easily overwhelmed. When the amount of fructose to be broken down builds up faster than the body can process it, a shift occurs which ultimately is like the internal disassembly crew throwing up their hands and giving up then pressing the emergency eject button on the contents of the gut to get rid of the excess -- and off you run to the potty.

Other foods that can have this effect usually have either a relatively high amount of fructose, or are high in soluble fiber. The two big categories of fiber are soluble and insoluble. The first acts in the gut like a sponge, soaking up excess fats, pulling in toxins to be removed, and pulling out excess water. The second acts like a scrubby as it passes through the intestines giving you a good cleaning out as it moves along. The soluble fiber's ability to absorb water is the culprit when it comes to causing an episode of diarrhea. Because it pulls water into the gut, high amounts of soluble fiber can create a very stool watery consistency. The intestines don't work well when the contents are too loose, so again, the emergency eject button gets pushed and off you skip to the loo again. Often people I work with have the opposite issue of constipation which generally can be dramatically improved by increasing both water and soluble fiber intake, both of which are sorely lacking in the "standard American diet" (aka SAD).

The other main ingredient that can have laxative effects on the gut is caffeine. Many people around the world have trained their guts to need a daily dose of caffeine in order to get moving. The reason for this is that caffeine is a powerful stimulant for peristalsis and acts as a diuretic. There are two main types of movements that the intestinal muscles produce, peristalsis and mass movements. Peristalsis is like a kneading action that pushes a blob of food back and forth against the intestinal lining exposing the contents to as many areas available for nutrient absorption as possible. Then, kind of like musical chairs, there is a signal and all the food blops move downstream a ways in a "mass movement" to be kneaded again. If you have a lot of caffeine, you increase the rate of kneading and you increase the amount of water that is taken out of circulation, some of which empties into the gut. This increase in fluid and movement can also cause that regular stop at the restroom about 20 minutes after your morning cuppa mud.

Of course, each of these effects can be employed on purpose to relieve relatively minor constipation. They can also be little reminders that you are over-indulging. I'm just happy to be in the midst of strawberry cleanse season! Be sure your strawberries are organic though, especially now with the new carcinogenic pesticides being approved for conventional strawberry crops... sigh... Eat REAL...

Road Food

So I've been on a destination-free road trip through some of the southwest with a dear friend who proposed we "get outa Dodge" for about 10 days. We piled sleeping bags, pads, pillows and bags into her vehicle and set out from the foothills of California for points south along highway 395 and beyond. This posed a few challenges not the least of which was considering food both for the road and on the road. Eating while traveling in unfamiliar territory can be a daunting prospect and is a concern for many of my clients. Our journey offers the additional challenges of l-o-n-g distances between towns and cross-roads that pose as towns, sometimes with many miles between stops to even get ice for the cooler. So what's a foodie-nutritionist to do? Here are a few tips and tricks that have made our adventure work well so far, and a few additional ones that have worked for previous solo trips:

1 - Bring that cooler, yes, the big one. Get block ice and wrap it in a brown paper bag tightly this will help a little with slowing down the rate of melt. Have freezer strength zip-lock bags for storing things in the cooler that you don't want to get wet as the ice melts.

2 - Bring enough water for at least two days. How much is that? The rule of thumb is to take your body weight and divide that in half. That's the number of ounces you should be shooting for each day just for drinking. If you're going to be cooking, washing up, or doing a sponge-bath or two, be sure to add another two gallons per day.

3 - Don't just nosh your way through the day! Have set amounts of your snacks or food available and eat at intervals, not just because you're bored or need something to do with your hands. Good ways to regulate snacking is to pre-package your noshing items into serving sizes using half-size ziplock baggies. For a nut mix, that would be about 1/4-1/3 cup. For fruit, about 1/2-3/4 cup cut up or a medium apple or banana, or 1 cup veggies such as carrots, celery, jicama, or green beans.

4 - Have a thick dip or spread available for veggies. If it's too thin, I promise you'll end up wearing it as you drive... Humus or other bean dips work well for this purpose.

5 - Minimize the chips and pretzels, they won't do you any favors. They will actually make you hungry in the long run as well as increase the likelihood of creating edema (water retention) in your feet and ankles.

6 - When you need to stop for food, seek out a grocery store rather than a fast food place. You will save money and have a much higher quality meal, even if it's only an apple and cheese!

7 - The meal that seems to be the least likely to be made poorly is breakfast out. Go ahead and order the eggs, skip the potatoes in favor of a side of veggies or fruit. If you can get some salsa on those eggs you will get a little more vegetable matter in as well. Skip the juice and have water. If you have coffee, use real half-n-half, not the fake stuff. Same with sugar, use the real stuff, not the artificial sweeteners (your poor body doesn't know what to do with those chemicals - more on this topic soon). Skip the bready stuff and the cereal stuff. You'll be amazed at how much longer the meal lasts you!

8 - For dinners and lunches, split an entree and order an extra side of the vegetable or salad. Most places serve enough for a small army anyway! This has proven absolutely true on my current trip. We have saved a bunch of money at each meal this way and have never left a restaurant hungry.

9 - If you are in a new area and don't know the selections, put "best dinner Reno" into google (of course you'll put in the town where you are) and you can get some good ideas and reviews. Other ways to get good beta is to use cell phone applications like Yelp, Bing!, and Around Me to help locate restaurants nearby.

10 - Splurge! You're traveling afterall which means you are either away from home for business and need some comfort, or you are on vacation and celebrating. Allow yourself a couple of splurges on desserts or a meal or two that stray from your normal healthy eating habits (if you don't have healthy normal eating habits we need to talk). The catch? Be really picky! Don't settle for mediocre, get the best of whatever it is you are craving. Don't settle for M&Ms, stop by a local chocolate shop and get an amazing deep dark truffle. Don't grab a Dunkin Doughnut when you can find a fabulous french bakery and have a chocolate croissant. Go for the gusto!

Happy travels! Let me know what wonders you discover on the road!

On Your Mark... Get Set...

In my preparations to put together a workshop series on the proper combination of nutrition and exercise, I have spoken with numerous friends and clients about what sorts of topics might interest them. In the process I have been regaled with some very funny tales of competition and training woes that were related to poor food choices pre or post exertion. One of the ones that had the biggest impact on me was about a guy who had arrived at the starting line for a bike race without properly fueling up in the pre-dawn pre-race hours and now was starving. In a last minute effort to get some sort of fuel in before the starting gun, he inhaled a hot dog with all the fixings from a nearby vendor. You can probably already guess where this story ends up... The interesting thing is this person is a semi-pro rider but never got any guidance about eating to win.

It should be pretty obvious that even if you didn't know about all the chemistry behind digestion and absorption, you might listen to your body when it cringes at the thought of a pre-race hot dog. The brain gets us into trouble in so many ways when it thinks it knows best and over-rides the needs of the body (hence all the various addictions to sugar and caffeine and other potential nutritional pitfalls). What you want immediately prior to a hard workout or competition sporting event is something that the body won't have to work hard to breakdown into fuel. This is why companies like Cliff Bar have developed products like "Gu" which is pretty much straight glucose and some maltodextrin which is a loosely held together starch that the body can work on while the glucose goes straight to the blood stream. That hot dog is a digestive time bomb that first starts out as a barely chewed up lump sitting in the stomach. Once that starting gun fires, the signals from the body are to forget about anything except the adrenaline pumped task at hand: RIDE FAST! A few miles into this endeavor, that hot dog has been jostling around in the stomach waiting to be digested with acid building up by the minute. The time bomb explodes into either vomiting or diarrhea because the body needs to get rid of it in order to continue to push hard in the race. Now, the rider is doubled over, exhausted, and drained of reserves because the last little bit of fuel left from dinner the night before has been used up.

Let's help this poor rider rewind and replay his morning in a way that sets him up to win. Three hours prior to competition (yes, often in the wee hours of the dark), let's be sure to give our rider a well balanced breakfast complete with easy to digest foods like pancakes with bananas and a little almond butter. Two hours prior to the race start, let's be sure our rider has 16 ounces of electrolyte replacement drink (I'll post a recipe for one you can make at home). One hour prior to race start he's warming up his muscles by jogging lightly or riding short distances pushing a little and then backing off. During this warm up, he is drinking about 8 more ounces of water. In the 15 minutes prior to start, nothing should be going into the stomach. Now when the starting gun blasts, our rider doesn't have a lump of undigested food to contend with, and his muscles are bathed in ready glucose with more on the way. The enzyme systems needed to produce this ready supply of fuel are already on line and working at near full capacity.

On your mark.... Get set....

The Disconnect

Something I see on a daily basis that still confounds me is the radical disconnect between health and the things we do (or don't do) every day. It still amazes me that the vast majority of those in conventional health care don't understand that what their patients eat and drink makes a difference in health trajectories and disease outcomes.

One of the most startling examples is in the field of oncology. There is a scan that is performed using radioactive sugar injected into the bloodstream so that areas of high metabolic activity "light up" on the screen. The reason these areas show up is because highly metabolic tissues suck up sugar at a much more rapid rate than surrounding cells and tissues in order to keep up their activity or growth. This is one way to find tumors which are rapidly growing self-cells that have lost their brakes. Sugar can therefore be clearly seen as cancer's favorite food, right? So why then do so many of my cancer patients come to me with instructions from their oncologists to "have milkshakes and any high calorie foods to be sure to keep weight on"? It boggles, really. Let's throw gasoline on the flame and then sit back scratching our heads as to why the cancer cells happily step up production!

Another brain bender is the recommendation for diabetics to eat a high-carb, low-fat diet. The pancreas is already stressed out and can't keep up production of insulin to deal with the carbohydrate that is already coming in! And yet, the idea is to reduce caloric intake rather than look at what those calories actually represent to the system as a whole. To control blood sugar, one needs dietary fats and proteins and fiber and minerals and vitamins and enzymes and MOVEMENT... It's basic biochemistry.

As consumers without degrees in biochem, we are bombarded at the grocery store checkout with magazine covers that exhort us to lose those pesky 15 pounds plastered over the top of a background picture of a 4 layer death-by-chocolate cake. We are told by food product manufacturers that we can have their "non-fat, sugar-free, low-carb, no cholesterol" food product and it will be just as good as the real thing. But our bodies know the difference even if the marketing agents can fool our brains. Bodies don't understand artificial sweeteners, artificial colors, artificial fats, gums, and fake proteins. Our bodies understand real food. The fake stuff has far more health consequences than the real stuff. Don't kid yourself into believing that we are smart enough to fool Mother Nature quite yet...

Food As Fuel

The concept of food merely as fuel is something that is foreign to me personally, but it is a common predicament for some of my clients. As a self-proclaimed foodie, I find it sad that someone gets to the point where they feel that eating is a nuisance activity that takes time away from the important things in life. I confess that I find myself believing that these folks just haven't had really good food before, or there must be some emotional trauma leftover from an early age around food and eating that has caused this aversion to the pleasures of savoring a good meal. Sometimes on closer examination it turns out that there is fear of doing something "wrong" when it comes to cooking. Sometimes there is an overwhelming sense of time urgency and stress that short circuits meal time and creates instead a series of grab-and-go snack times.

I think one of the great disservices we have created by way of the convenience driven food industry is the sacrifice of flavor for speed. Then, they to try to fix the mess that got created called a "food product", by adding all manner of flavorings, artificial sweeteners, gums and colorings to try to make up for this poor substitute for real food. Childhoods are spent training tastebuds to stop wishing for real food and forcing them to settle for "fake-tasting-just-add-water-and-wait-for-the-microwave-ding" food products. It's no wonder that the adult palate has given up and gone sour on food in general.

I spend time in my sessions with clients gently poking and prodding and encouraging them to try new things, new combinations, new flavors, and certainly real foods. There just is no substitute for a real vine ripened tomato, or butter from happy pastured cows, or if you're lucky enough to live in California, fresh sun-warmed Meyer lemons from the back yard. As a foodie, I can conjure in my mind the smell of that lemon, the smoothness of the rind, the tanginess of the juice and my mouth automatically starts to water. It doesn't have to be some crazy fancy french restaurant meal to get my eyes to glaze over with delight -- hand me a handful of fresh rosemary or a bunch of riotously colored rainbow chard. This is real food. The real cellular foundational food of human life. These are the ingredients you want to build yourself out of everyday, not the chemical laden, sauced-up cardboard cut-outs that pass for "food" in most grocery stores and fast food establishments.

If you want to reawaken your senses and enjoy one of the simple pleasures of being human, shop the perimeter of your grocery store. That's where all the real food is: the produce, meats, dairy, eggs and often the bulk sections. Make a mad dash down an aisle or two for the toilet paper and maybe the olives and tea. Challenge yourself to start simple. Explore your taste horizons and push your limits just a little. Get fresh. Get smart. Get REAL.

Some Go Against the Grain

Gluten is in the news a lot lately -- and for this I am grateful! It may mean that gluten intolerance and celiac disease (gluten allergy) will be more at the forefront of thinking in our medical community. As a nutritionist I see quite a few clients each year who come to me with "mystery symptoms" that have been unsuccessfully treated with antacids and stress reduction. Part of the difficulty is that the symptoms of a sensitivity to gluten can be really varied, even within the same person depending on what else is eaten at the same time.

Symptoms of gluten intolerance can include:

• Unintentional weight loss or gain
• Bloating
• Abdominal pain
• Intestinal gas
• Constipation or diarrhea
• Fatty stool
• Aching joints
• Depression or anxiety
• Eczema and other skin issues
• Head aches
• Chronic rhinitis (runny nose) or sinus infections
• Exhaustion and fatigue
• Irritability or behavioral changes
• Infertility, irregular menstrual cycle or miscarriage
• Muscle cramps
• Tingling and/or numbness in the extremities
• Slow infant and child growth
• Poor dental health

Other problems can arise over time as nutritional deficiencies develop due to malabsorbtion (i.e. low iron levels and low levels of vitamin D). Of course, these deficiencies can then exacerbate the above symptoms or create whole new sets.

If you think you or a child in your life may be sensitive to gluten, there is an easy way to do a "real world" test. It's a tried and true method of home detective work. Try going without any gluten for 2 weeks. None. Nada. You have to be careful and read all labels to be sure. Keep in mind that it is hidden in lots of things like soy sauce and food additives. If your symptoms improve, you are likely sensitive. If you want to put it to the test, on the last day of your 2 weeks off, start the day with french toast, followed by a grilled cheese sandwich and a pasta dinner. If the symptoms return with a vengence then you can be pretty sure you need to avoid gluten. CAUTION: if you are actually celiac (truely allergic) DO NOT do the rechallenge portion of the experiment. True celiac disease is progressive and the more gluten/wheat you consume, the worse the disease gets.

Lab testing for gluten sensitivity is fairly ineffective when limited to blood work. Since the reactions are primarily in the gut, the best testing to do is stool testing. If you want info on how to get these tests done, please contact me.

More on gluten and gluten-free living in posts to come!