Tag: nutrition

Defining Popular Diets and Fads- from Carnivore to Macrobiotic

There are so many popular diets that range from ‘fad’ to ‘therapeutic’. Here’s my take on defining the parameters from a nutrition perspective. The world of ‘diets’ is WILD. There are so many eating patterns available; some with too-good-to-be-true promises and many with wonderful health benefits. As a nutritionist, I find merit and therapeutic usefulness in many ‘diets’ depending on your symptoms and concerns. I’m not here to tell you ONE diet is right for everyone.  Instead, I’ll help break down some popular diets and their ‘rules’ so you can make an informed decision about the best nutrition strategy FOR YOU. There is no established optimal diet for humans; but eating choices can drive us closer or further from health. Here’s a look at some popular diets and eating patterns: Anti-inflammatory: A primarily plant-based diet used to address chronic inflammation and associated health conditions such as type 2 diabetes and cardiovascular disease. An anti-inflammatory diet typically includes large amounts of phytonutrients and antioxidants. This is considered a sustainable long-term eating pattern. Gluten-free: A therapeutic diet adopted by individuals with celiac disease or gluten intolerance that excludes all gluten-containing grains such as wheat, barley, and rye. This may be a lifelong commitment for those who have a reaction to gluten. Due to cross reactivity, those who follow a gluten-free diet may also adhere to dairy-free, corn-free, and soy-free choices. Mediterranean: A traditional diet common among individuals living in the Mediterranean region that consists of fruits, vegetables, nuts, seeds, olive oil, and whole grains. The Mediterranean diet has a lot of similarities to an anti-inflammatory diet. It has been greatly studied due to the long life expectancy and health of people native to the region. Ketogenic (keto): A high-fat, very low-carbohydrate diet used to promote weight loss and address neurological conditions such as pediatric epilepsy. The keto diet doesn’t necessarily restrict any categories of foods, but requires food choice based on macronutrient ratio. Some individuals thrive on a ketogenic diet, while others don’t do as well. For women, a cyclical keto approach may be a better option. Paleolithic (paleo)/ Primal: A dietary pattern inspired by the diets of hunter-gatherers of the paleolithic era that consists of lean meats, fish, healthy fats, vegetables, and certain fruits. The Paleo movement gained traction in the Crossfit community. It has since evolved, with some paleo proponents changing the ‘rules’ around things like legumes. Carnivore: An extreme version of the paleo diet that focuses on ONLY animal-based foods. This means all meats, eggs, fish and shellfish, and some dairy. The carnivore diet is more of a therapeutic diet in that in limits all potential anti-nutrients from plants. It is actually quite simple, and with proper planning, does supply adequate nutrition. PLANT-BASED: A blanket term that may or may not mean a diet built exclusively from plants. The choice to eat plant-based may come from moral and ethical reasons as much as health. Often, a plant-based diet falls within one of these subcategories: Pescatarian: A primarily plant-based diet that eliminates most animal sources of protein except for fish and shellfish Vegan: A strictly plant-based diet that restricts all animal-sourced foods and products Vegetarian: A dietary pattern that restricts meat, poultry, and fish but allows other animal products such as dairy, eggs, and honey Macrobiotic: A vegetarian diet based on the principles of Zen Buddhism. This diet is rich in whole grains, legumes, and seasonal produce thought to balance the elements of yin and yang within. In studies, this diet has been shown to be unsafe for children (and nursing mothers!) and can result in nutritional deficiencies. Breaking Down Therapeutic Diets: Most of these popular diets are used on a short-term basis (2-9 months) for healing specific conditions. After the initial restriction, new foods are added in to resume a more balanced approach to food. Elimination: While there are many iterations of an elimination diet, most will limit the top allergens (dairy, eggs, wheat, and soy) followed by a systematic reintroduction to better understand how each food group affects physiology. Whole30: An elimination diet over a 30-day period that focuses on whole, unprocessed foods and minimal additives. The Whole30 has a psychosocial component, helping participants to break unhealthy eating patterns, stop stress-related and comfort eating, and reduce emotional food attachments. Autoimmune Protocol: An advanced elimination diet that restricts all grains, seeds, nuts, nightshade vegetables, legumes, dairy, and eggs. The AIP Diet has been studied as a treatment for Inflammatory Bowel Disease, Hashimoto’s Thyroiditis, and other autoimmune conditions. It closely mimics the Wahls Protocol, developed by Dr. Terry Wahls for the treatment of MS. Low-FODMAP: An elimination diet that limits fermentable carbohydrates. FODMAP stands for Fermentable Oligo- Di- and Mono-saccharides and polyols. This diet was developed at Monash University as a therapeutic intervention for IBS, SIBO, and other functional bowel disorders.  Low-Histamine: A diet that limits high-histamine foods. This diet is helpful for those with reactions to histamines (allergies). True histamine intolerance affects only about 1% of the population. However, this diet can be helpful for taming an overactive immune response. Specific Carbohydrate: A grain-free, sugar-free, lactose-free diet first developed by Dr. Sydney Haas for Inflammatory Bowel Disease (IBD). This diet is meant to help rebalance the gut microbiome and increase oral tolerance. Low-Glycemic: A diet that limits foods based on the glycemic index. The low-glycemic diet is a therapeutic intervention for Type II diabetes and heart disease. Anti-Candida: An elimination diet that limits simple sugars and other carbohydrates that feed the yeast species, Candida Albicans. This diet is a short-term intervention paired with anti-fungals to eradicate systemic yeast infections. Other Popular Diet Fads & Trends: Here are a few other diet trends you may have heard about… Celery Juice – The ‘Celery Juice Diet’ is really just a morning habit of drinking 16 ounces of fresh celery juice every morning. Introduced by The Medical Medium, and popularized by the likes of Goop and Well&Good, this trend claims to yield weight loss, lowered inflammation, and ‘restored health’. It’s nothing short

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Complementary Proteins on a Vegetarian Vegan Diet

Complete Plant-Based Protein + Complementary Protein Explained

Not all proteins are physiologically equal. Some proteins are complete proteins, ie proteins that contain all nine essential amino acids. Other proteins are incomplete proteins, i.e. they lack one or more of the nine essentials.  First, what are these essential amino acids? Well, there are 20 amino acids that combine in different chains to make up protein. Nine of them are called ESSENTIAL because our bodies can’t produce them, so we must get them from food. The nine essential amino acids are histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan and valine.  Animal-based proteins are considered complete because they contain all the necessary amino acids (and more!). However, many plant-based sources of protein are incomplete. In order to get a complete plant-based protein it often comes down to combining foods; we call these COMPLEMENTARY PROTEINS.  Related: Mindful Eating: Finding a Healthy Relationship with Food Let’s Start with the COMPLETE Plant Proteins.  1 – TEMPEH I rarely recommend consuming soy products as a staple in your diet. This is largely due to processed soy products ubiquitous in our food supply. For more about soy, check out this post by Alissa Vitti.  If you DO choose to consume soy protein, Tempeh is made of fermented soybeans and is actually a complete protein. Although we typically lose the probiotic benefit of this fermentation due to pasteurization and cooking, it is still a better-for-you option. Tempeh is rich in protein, calcium, iron, manganese, phosphorous, and magnesium.  2 – LENTILS  Lentils tend to be very well-tolerated, even on the most restricted diets. They are quite versatile, easy to prepare, and inexpensive. They are 25% protein by weight! Bonus points here as lentils are also an excellent source of fiber.  For anyone on an exclusively plant-based diet, lentils are a great alternative to meat that still provides a complete amino acid profile. Try them in a Lentil Bolognese!  <<Click Here to get my 15-Ingredient Plant Based Meal Plan>> 3 – CHIA SEEDS  Chia seeds are a complete protein; but they also shine in other areas. A 1-ounce serving of chia seeds has 10.6 grams of fiber (both soluble and insoluble). Chia seeds are also a plant-based source of Omega-3 fatty acids (in the form of ALA). AND they contain phosphorous, magnesium, and calcium. Win-win-win.  While you’d be hard pressed to eat enough chia seeds to significantly contribute to your protein goals for the day, they do make a great addition to smoothies, salads, and bowl meals.  Related: Oat Milk Chia Pudding 4 – AMARANTH This is actually a gluten-free ancient grain with a nutty taste. To balance out a plant-based meal, this complete protein source also provides fiber, calcium, and some B-vitamins.  Although it is complete, one cup of amaranth only provides about 5.8 grams of protein. Similar to Chia, You’ll need to eat A LOT to get close to your daily protein needs with this grain.  <<Click here to try Amaranth Porridge by Bob’s Red Mill>> Let’s talk about COMPLEMENTARY PLANT PROTEINS As I mentioned, certain plant foods need to be eaten in combination in order to get a complete protein. In traditional cuisines, we’ll often find these foods paired together naturally! Here are a few key combinations: 1 – BEANS + RICE See? Traditional pairing here. Beans have lower levels of methionine (one of the essential amino acids). Conveniently, Rice is quite high in methionine. When consumed together, beans and rice form a complete protein providing all nine essential amino acids.  Beans are unmatched in their ratio of soluble fiber. They also provide minerals like copper, folate, iron, magnesium, and zinc. Rice can feel a bit like a “filler food” – but for a vegetarian, this combination should be top of mind.  2 – SEEDS + GRAINS This combination shows up often in seeded and sprouted breads. Ezekiel Bread is a popular sprouted grain bread made with whole grains and seeds. In this combination, it actually contains 18 amino acids! Sprouted grain breads tend to be easier to digest AND the vitamins and nutrients are more bioavailable.  3 – NUTS + GRAINS The classic combination I think of here is the Peanut Butter Sandwich. Peanuts, like other legumes, are low in methionine. When paired with whole grains (or even oats), we get all the essential amino acids for a complete protein.  Side Note I can’t Ignore: Have you seen the Game Changers graphic comparing a peanut butter sandwich to a steak?! We must take into account caloric density of foods versus protein content when attempting to eat a balanced diet. It is possible to get plenty of protein on a plant-based diet; BUT it takes more awareness and planning! Want to incorporate more Complementary Plant Protein in your diet? You can save even more time (and money) by shopping with Thrive Market! Use the ‘plant-based’ and ‘soy-free’ filters to find lots of great options. Wanna really make a difference in your health in 2022? Check out THE ELIMINATION DIET GUIDE. The Elimination Diet is really a chance to get to know yourself better, to develop personal nutrition, and address lingering symptoms. I believe that nutrition is so individualized. MY diet is going to look very different than your diet, and very different from our friends’ diets. They may all be ‘healthy’! To get to that point, you’ve got to put in the ‘hard work’ of being intentional with food choices and ultimately finding more freedom. You May Also Like: Mindful Eating: Finding a Healthy Mindset with Food What Is the Carnivore Diet? Shop My Faves: DISCLAIMERS: The statements made on this website are not intended to diagnose, treat, cure, or prevent disease. You assume full responsibility for how you use this information. Always consult with your physician or other health professionals before making any diet or lifestyle changes. This post may contain affiliate links whereby if you purchase these products I receive a small percentage of the sale price. This allows me to keep the blog running and I thank you for allowing

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SIBO: Internal Contribution to Dysfunction

Small Intestinal Bacterial Overgrowth (SIBO) is commonly defined as an increased number of bacteria and/or abnormal type of bacteria in the small intestine (Kwiatkowski, et al., 2017).  SIBO plays a role in malabsorption and nutritional deficiencies, altering the body’s homeostatic state (Zeigler & Cole, 2007). The build-up of displaced bacteria can cause an increase in intestinal permeability leading to general malabsorption and alterations of certain water-soluble B vitamins including biotin, folate and B12 (Bures et. al., 2010). Overconsumption of vitamin B12 by the dysbiotic anaerobic flora, can cause deficiency and lead to conditions such as megaloblastic anemia or polyneuropathy (Sachdev & Pimentel, 2013).  Bacterial overgrowth leads to deconjugation of bile salts which appears to irritate the mucosal lining of the intestine and cause malabsorption of fatty acids (Wanitschke & Ammon, 1978). Metabolic absorption of nutrients by dependent organs and bodily systems may be affected, due to altered health of the small intestine.  A recent study found that Non-alcoholic fatty liver disease, which affects 16-30% of the general population, was significantly higher in patients with SIBO compared to patients without SIBO (Fialho et al., 2016).  Dysbiosis of the gut bacteria has also been linked to other autoimmune diseases such as rheumatoid arthritis, type 1 diabetes and asthma (Tremlett et al., 2016). The symptoms of SIBO can have a significant impact on quality of life. The condition can be economically burdensome as patients are likely to spend substantial sums of money on physician visits and medications seeking relief from their symptoms (Yakoob et al., 2011).  Socially, patients may suffer from gastrointestinal (GI)-specific anxiety (GSA) characterized by being fearful of GI symptoms, such as abdominal pain or discomfort, gas, and altered bowel habits. The unpredictability of their condition can lead to self-seclusion and avoidance of public and social gatherings (Lackner et al., 2014). As evidenced by the research presented above, SIBO affects the gastrointestinal and supporting systems in a variety of ways, placing a heavy burden on individuals affected.  Curious about the contribution of STRESS to SIBO (and other digestive dysfunctions)? Check out this article by Chris Kresser. Visceral Manipulation is a therapeutic approach to managing gut symptoms from SIBO. If you are in Denver, consider an appointment with Physical Therapist, Dr. Missy Albrecht who specializes in this bodywork. See more from Dr. Missy @stay_invincible References: Bures J, Cyrany J, Kopacova M, et al. Small intestinal bacterial overgrowth syndrome. World Journal Of Gastroenterology [serial online]. June 28, 2010;16(24):2978-2990. Retrieved from https://uws.idm.oclc.org/login?url=http://search.ebscohost.com.uws.idm.oclc.org/login.aspx?direct=true&db=mdc&AN=20572300&site=ehost-live Fialho, A., Fialho, A., Thota, P., McCullough, A. J., & Shen, B. (2016). Small intestinal bacterial overgrowth is associated with non-alcoholic fatty liver disease. Journal of Gastrointestinal and Liver Diseases: JGLD, 25(2), 159-165. 10.15403/jgld.2014.1121.252.iwg Retrieved from https://uws.idm.oclc.org/login?url=http://search.ebscohost.com.uws.idm.oclc.org/login.aspx?direct=true&db=mdc&AN=27308646&site=eds-live Kwiatkowski, Laura, Rice, Elizabeth, Landland, Jeffrey (2017). Integrative Treatment of Chronic Abdominal Bloating and Pain Associated with Overgrowth of Small Intestinal Bacteria: A Case Report. Alternative Therapies, 109(4), 56-61. Retrieved April 26, 2018, from http://content.ebscohost.com/ContentServer.asp?T=P&P=AN&K=125093181&S=R&D=awh&EbscoContent=dGJyMNLe80SeqLQ4v%2BbwOLCmr1CeprdSs6q4Sq%2BWxWXS&ContentCustomer=dGJyMPGvrkiyq7NNuePfgeyx43zx Lackner, J. M., Gudleski, G. D., Ma, C., Dewanwala, A., & Naliboff, B. (2014). Fear of GI symptoms has an important impact on quality of life in patients with moderate-to-severe IBS. The American Journal Of Gastroenterology, 109(11), 1815-1823. doi:10.1038/ajg.2014.241.Retrieved from https://uws.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=25223577&site=eds-live Sachdev, A. H., & Pimentel, M. (2013). Gastrointestinal bacterial overgrowth: Pathogenesis and clinical significance. Therapeutic Advances in Chronic Disease, 4(5), 223-231. 10.1177/2040622313496126 Retrieved from https://uws.idm.oclc.org/login?url=http://search.ebscohost.com.uws.idm.oclc.org/login.aspx?direct=true&db=mdc&AN=23997926&site=ehost-live Tremlett, H., Fadrosh, D. W., Faruqi, A. A., Hart, J., Roalstad, S., Graves, J., . . . Waubant, E. (2016). Associations between the gut microbiota and host immune markers in pediatric multiple sclerosis and controls. BMC Neurology, 16(1), 182. Retrieved from https://uws.idm.oclc.org/login?url=http://search.ebscohost.com.uws.idm.oclc.org/login.aspx?direct=true&db=mdc&AN=27652609&site=eds-live Wanitschke, R., & Ammon, H. V. (1978). Effects of dihydroxy bile acids and hydroxy fatty acids on the absorption of oleic acid in the human jejunum. The Journal of Clinical Investigation, 61(1), 178-186. 10.1172/JCI108916 Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/3386  Yakoob, J., Abbas, Z., Khan, R., Hamid, S., Awan, S., & Jafri, W. (2011). Small intestinal bacterial overgrowth and lactose intolerance contribute to irritable bowel syndrome symptomatology in Pakistan. Saudi Journal Of Gastroenterology: Official Journal Of The Saudi Gastroenterology Association, 17(6), 371-375. doi:10.4103/1319-3767.87176. Retrieved from https://uws.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=22064333&site=eds-live Ziegler, T. R., & Cole, C. R. (2007). Small bowel bacterial overgrowth in adults: A potential contributor to intestinal failure. Current Gastroenterology Reports, 9(6), 463-467. Retrieved from https://uws.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=18377796&site=ehost-live

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