Dr. Laura: Why do processed foods get such a bad wrap?

Advanced Glycated End products

AGES– Advanced Glycated End products area product of food processing. AGEs appear to stimulate chronic low-grade inflammation and promote oxidative stress and affect the pancreatic beta cell function leading to the development of insulin resistance. Stop AGE diets in animal models and diabetes stops.

Bad Fats

Fats– Not all are created equal! Processed foods use trans fats to prolong shelf life, saturated fats because they are cheap and tasty. Transfats and arachadonic acids create inflammation in the body. This increases risk for plaques in the vascular system, increases cholesterol and ultimately blood pressure. In contrast, when healthy fats like omega 3 fatty acids (aka high quality fish oil) the inflammation markers go down, the cell is better able to perform its function. Since every cell has a phospholipid bilayer. This means that every cell’s skin is made of fat. When fat is of a fluid nature, nutrients are able pass in and out more effectively and the cell’s function is optimized.

Food Dyes

Dyes–The processed food industry uses food dyes to add colour to colourless foods, to enhance colour and to avoid colour loss due to environmental elements and to preserve consistency when there are variations in the colour of food. Food dyes are know to cause inattention, hyperactivity, irritability, temper tantrums or trouble sleeping.

Sugars

Sugar & high fructose corn syrup. Most processed foods have some sugar added including soda pop, breads, cereals, yogurts, processed meats, soups and condiments. High-sugar diets may make a significant contribution to cardio-metabolic risk.  High fructose corn syrup, when digested by the body produces reactive carbonyls, which creates tissue damage. Countries using high-fructose corn syrup had rates of diabetes that were about 20% higher than countries that didn’t mix the sweetener into foods, even when total sugar and total calories remain the same.

Salt

Salt– Processed foods use salt to help preserve it and for added flavour. The amount of salt in restaurant and packaged foods are the main culprits in the Western diet, not the salt added to home-prepared whole foods.  Research shows that the average North American consumes 4000mg sodium per 2000kcal diet. This is almost twice as much as the 2300mg/day recommend by some health experts. If the amount reduces even to 2700mg/day, a 5mmHg smaller rise in systolic blood pressure would be noted in those 25-55 years of age. This results in an estimated 150,000 lives saved from death due to cardiovascular events. The kicker is, if not getting annual checkups, often the first sign of high blood pressure, is a deadly heart attack.

White Flour

White flour  – Without the fibre, white flour easily breaks down quickly into simple carbohydrates, which is essentially sugar to the body. Processed foods are full of white flour. The fast breakdown quickly elevates blood sugar, induces insulin release and quickly and causes cravings for more sugar to restore blood sugar levels. The cycle easily repeats itself as quick carbs are continually fed into the body. Over time and continued food abuse, the insulin that works diligently to get the sugar into the cells, becomes less effective, the sugar stays in the blood stream and the person is now experiencing high blood sugar levels and insulin resistance… a path well travelled to the diabetes destination.

Dr. Kyle: Debunking the Salt Myth

Do you pay attention to how much sodium you take in?

Maybe you should!

It turns out that sodium may not be as bad as we previously thought. In fact, sodium is essential for many metabolic processes. Sodium is responsible for regulating blood pressure, maintaining blood volume and is required for neuron function and signal transduction.

Many believe that high (or adequate) salt intake will lead to high blood pressure. Most cases of hypertension are actually a result of genetics or stress. A small percentage of the people who are sodium sensitive may experience an increase in blood pressure, but an overwhelming benefit for the rest of the population cannot be ignored.

Sodium has several benefits including:

• Increased performance
• Increased stamina / endurance
• Increased blood volume
• Increased recovery

During high intensity exercise, the body actually responds better to a higher blood volume. This improves delivery of oxygen and nutrients to the working cells of the body. High blood volumes are also optimal for kidney filtration and removal of toxins and metabolic waste products.

Low dietary sodium and elimination diets can have detrimental effects for high performance athletes. Low salt intake will decrease overall blood volume, making the blood thicker. This can cause muscle weakness, cramps and lethargy.

What Type of Salt?

I recommend iodized salt. Iodine helps with thyroid function and regulates metabolism. Unbleached, pure Himalayan salt is also a good option.

So if you are hitting a wall during your workout it may be due to sodium depletion. Bottom line, make sure you are drinking plenty of water, eating sufficient carbs for your training needs, getting a balance of micronutrients from a variety of whole foods, and don’t be afraid to sprinkle a little salt on your meals every once in a while!

Dr. Phil Shares: Staying Keto over the Holidays

It’s the most wonderful time of the year, but for those following a diet, the holidays may stir up stress and anxiety around food. The ketogenic diet is not the most “social” diet, but there are ways to stick to it, even in the most daunting of times, such as holiday celebrations.

If you can’t eat keto, at least aim for low-carb

Your holiday party may not be stocked full of keto-friendly foods, but there is a high probability that you can nibble on some low-carb options. The cheese platter is, more often than not, a pretty safe bet for cheese (of course!), but also for other low-carb foods such as nuts and meats. Just stay clear of candy-coated nuts, dried fruits, and cured meats you suspect may have added sugar!

Another low-carb holiday party go-to is the veggie platter. Lucky for you, this usually gets the least attention by guests, thereby giving you full access to it. Stick to the low-carb vegetables options such as broccoli, cauliflower, celery, and cucumber. If your event is serving dinner, opt for the meats or any salads (without sugar-loaded dressings), and low-carb vegetables. Things to stay away from are the mashed potatoes, any bread/pastry-like foods, sauces, and, of course, the sweets. Sticking with low-carb as opposed to ditching the diet completely will make transitioning back into ketosis much easier.

Prepare for success and give yourself options

If you are uncomfortable not knowing what food options will be available at your holiday gathering, prepare some food in advance. Better yet, prepare a keto-friendly dish to share with everyone! Take a high-fat dip to pair with that veggie platter and a salad dressing you can pour on any dry salads to avoid sugary dressings. You can also pack some snacks such as high-fat nuts (e.g. macadamia nuts) to graze on throughout the evening. Additionally, medium-chain triglyceride (MCT) oil is a great tool for ketogenic living. Fill a small jar with MCT oil to take with you and use on any dish or in beverages. MCTs are highly ketogenic and have even been shown to increase ketone production without carbohydrate restriction.1

The popularity of the ketogenic diet has made it simple to find recipes that anyone can enjoy. Consider making a ketogenic dessert to bring and share so you can “indulge” too, while also preventing you from caving into the temptations of sugar-laden treats.

Stay positive and remember your “why”

It can be difficult to gain the support of those around you when your dietary choices are perceived as something as radical as a ketogenic diet may seem to some. You may even be tempted to ditch the diet for the sake of your peers or those family members who just won’t back down from having you try “just one bite.” Be prepared to explain to others what the ketogenic diet is and why you follow it. Remember that there is no one-size-fits-all diet, and it is perfectly fine to have different views from others. Just stay true to yourself, remember your “why,” and stay positive, because there is nothing worse than engaging in a debate over food choices!

Tips for alcohol

Alcohol isn’t generally conducive to living a ketogenic lifestyle, and if you have no problem abstaining from it completely, that is your best option. If having a drink in your hand makes you feel more comfortable in a crowd, take club soda and sliced lemon with you; this will help you feel less segregated. With all this said, celebrations may be times when you can make exceptions (within reason). There are ways to enjoy a drink or two and stick to your goals; you just have to know what to look out for. For wines, opt for the driest you can find, white or red, and avoid sweet wines such as rosé. Most liquors are acceptable on their own or enjoyed with club soda or sugar-free beverages. Beers typically contain more carbohydrates, and they should probably be limited to one. If nutrition labels are available, check to see what the lowest-carbohydrate beer options are. Coolers and ciders are to be avoided due to their high sugar content.

Be kind to yourself and don’t overthink it

If you take into consideration all of the recommendations above, there is no reason to be stressed or anxious about your diet as you enter into the holidays. You are following a ketogenic diet to improve your health, right? Well, being kind to yourself is part of healthy living, and sometimes that means accepting that your diet can’t always be perfect. Also, keep in mind that you can always jump right back into the swing of things; a few days of indulging does not mean you have “failed.” There is more to health than simply what you put in your mouth, so do the best you can, be prepared, but most importantly, don’t get down on yourself if things don’t go as planned. Instead of focusing on your food options, focus on enjoying your time with loved ones over this holiday season.

As we said, the holidays are the most wonderful time of the year, and your diet shouldn’t change that for you.

General Wellness, Ketogenic

Shared by Dr. Phil McAllister @ Forward Health Guelph

Resources:

  1. McCarty MF et al. Lauric acid-rich medium-chain triglycerides can substitute for other oils in cooking applications and may have limited pathogenicity. Open Heart. 2016;3(2):e000467.

Dr. Phil Shares: The Impact of Ketogenic Diet on Body Composition During Resistance Training

Ketogenic protocols have become an important therapeutic option for a variety of health issues including weight management, cardiometabolic dysfunction, and epilepsy.1 The potential of the ketogenic diet (KD) to help optimize body mass has important implications for the reduction of metabolic syndrome and its related chronic disease aspects such as heart disease, fatty liver, and type 2 diabetes (T2D).

Additionally, the ketogenic dietary approach has gained widespread attention within the professional sports performance and wellness communities for its ability to enhance weight loss and optimize body composition, both critical components in accomplishing training goals for this population.2-3 However, concerns exist in the sports performance community regarding the impact of a KD, including the possibility that lowering total body mass may reduce the ability of an individual to optimize muscle hypertrophy through resistance training (RT) due to increased central fatigue and other related factors.3

To learn more about the effects of a KD in combination with RT, a randomized, controlled, parallel arm, prospective study was conducted, with results published in the Journal of International Society of Sports Nutrition.3 The study’s authors hypothesized that, “a KD with caloric surplus in combination with RT in trained men would have a positive impact in fat reduction, and it would benefit the gains in lean body mass (LBM)”.3

Healthy, athletic men (N=24) from Spain (average age: 30, weight: 76.7kg, BMI: 23.4) with at least 2 years of continuous overload training experience were randomized into 1 of 3 groups: KD, non-KD, or control group.3 The participants followed their approved diets for 8 weeks along with supervised hypertrophy training protocol 4 days/week: 2 days of upper body and 2 days of lower body workouts. The KD group was monitored weekly by measuring urinary ketones with reagent strips to ensure they achieved and remained in ketosis. Body composition was assessed using DXA.

Participants all consumed a similar number of calories, which was set for a moderate energy surplus of 39 kcal/kg/day.3 The KD group consumed 20% of calories as protein (2g/kg/day), 70% as fat (3.2g/kg/d), and <10% of their calories as carbohydrates (approximately 42g/d).3 The non-KD consumed the same 20% of calories as protein (2g/kg/day), 25% as fat, and the remaining 55% as carbohydrates.3 Both groups were encouraged to eat 3-6 meals per day, and individuals in the control group were asked to maintain their current exercise and dietary routines throughout the study.

Results:3

  • KD: ↓ fat mass (FM) and ↓ visceral adipose tissue (VAT); non-significant reduction in total body weight; non-significant increase in lean body mass (LBM)
  • Non-KD: No significant changes in FM or VAT; significant ↑ in total body weight and ↑ LBM
  • Control: No significant changes in FM, VAT, total body weight, nor LBM

The overall results indicate the KD intervention was able to achieve a positive change in body composition with a decrease in body weight (non-significant) and reduction in FM and VAT.3 LBM did not increase significantly in the KD group, and the results indicate that LBM may be enhanced through an adequate carbohydrate intake (as was provided in the non-KD and control group diet protocols of this study) while also consuming a calorie surplus with a higher protein intake to support muscle hypertrophy.3

In summary, the implementation of a KD in male athletes taking part in regular resistance training may lead to lowering of VAT and FM, both important factors for body mass optimization and reducing risk of cardiometabolic disease processes.3 However, the lack of lean body mass accrual in this study indicates that the KD  may not be an optimal strategy for building muscle mass in trained athletes when utilized alongside a resistance training program.3 Longer study duration with larger samples, both genders, and less fit individuals (e.g. overweight) would be valuable for further exploration.

Why is this Clinically Relevant?

  • KD in trained men combined with resistance training protocols may improve VAT and FM levels, both risk factors for cardiovascular disease3
  • Trained men desiring to increase LBM and increase muscle hypertrophy may need to consider a dietary approach which includes a calorie surplus with high protein content along with adequate carbohydrate intake

View the article

Citations

  1. Paoli A et al. Beyond weight loss: a review of the therapeutic uses of very-low-carbohydrate (ketogenic) diets. Eur J Clin Nutr. 2013;67(8):789–796.
  2. McSwiney FT, Wardrop B, Hyde PN, Lafountain RA, Volek JS, Doyle L. Keto-adaptation enhances exercise performance and body composition responses to training in endurance athletes. Metabolism. 2018;81:25-34.
  3. * Vargas S, Romance R, Petro J, et al. Efficacy of ketogenic diet on body composition during resistance training in trained men: a randomized controlled trial. J Int Soc Sports Nutr. 2018;15:31.

*Note: In the Vargas S et al. 2018 article, there are discrepancies in body composition outcomes in the written Results section of the article, however, the quantitative results in Table 2 and the Abstract are correct and are summarized above.

Shared by Dr. Phil McAllister @ Forward Health Guelph

Written by Bianca Garilli, ND

Dr. Phil Shares: 10 Keto Recipes to Satisfy Your Cravings

Livin’ La Keto Loca

Creative cooking for the keto lifestyle

When it comes to a ketogenic diet, it’s no surprise that many of your favorite foods are off limits (e.g., sugary treats, carb-filled breads and pastas, etc.). And for most people, that’s enough of a deterrent to stay away from keto altogether. Don’t write it off just yet—you can enjoy delicious savory and even sweet foods even when following the strict keto macronutrient profile. These amazing recipes will prove it.

Egg-citing Breakfasts

Delicious Dinners

Savory Snacks

California Sunrise Bowl
Blueberry Scones
Ketolicious Chicken Empañadas
Fat Pizza
La Keto Loca Quesadillas
Bacon-Wrapped Asparagus
Cheesy Chicken Casserole
Taco ’Bout It Keto Skillet
Jalapeño Parm Crisps
Keto-Style Pigs in a Blanket

 

Egg-citing Breakfasts

California Sunrise Bowl

Makes 1 Serving

INGREDIENTS:
  • 2 large eggs
  • ½ link chorizo sausage (4″ long)
  • ½ ripe California avocado
  • 2 Tbsp. sour cream
  • ¼ cup cheddar cheese, shredded
  • 2 Tbsp. salsa
  • ⅛ cup cilantro

DIRECTIONS:

  1. Cook chorizo over medium-high heat in a skillet.
  2. Place chorizo on a paper towel and pour out some of the grease, setting some aside for the eggs.
  3. In a skillet over medium heat, add leftover chorizo grease, then break in eggs and scramble. For extra fluffiness, add milk (optional). Once cooked, add eggs to the bottom of a bowl.
  4. Top eggs with chorizo and layer on avocado, cheese, tomato, sour cream, and cilantro.
    Serve warm and enjoy!
Per Serving: 530 calories, 13 g carbs, 43 g fat, 26 g protein

 

Blueberry Scones

Makes 12 Servings

INGREDIENTS:
  • 2 cups almond flour
  • ¼ tsp. stevia
  • ¼ cup coconut flour
  • 1 Tbsp. baking powder
  • ¼ tsp. salt
  • 2 large eggs
  • 1 Tbsp. coconut oil
  • ¼ cup heavy whipping cream
  • ½ tsp. vanilla extract
  • ¾ cup fresh blueberries

DIRECTIONS:

  1. Preheat oven to 325°. Line a large baking sheet with parchment paper.
  2. In a large bowl, whisk together almond flour, stevia, coconut flour, baking powder, and salt.
  3. Stir in eggs, whipping cream, oil, and vanilla and mix until a dough forms. Add blueberries; carefully mix through.
  4. On the baking sheet, pat dough into a rectangle, about 10” x 8” in size.
  5. Cut dough into 6 squares, then cut each square diagonally to form two triangles. Gently lift scones and distribute them around the pan.
  6. Bake 20 to 25 minutes, until golden brown and slightly firm. Remove and allow to cool. Serve and enjoy!
Per Serving: 150 calories, 6 g carbs, 12 g fat, 5 g protein

Delicious Dinners

Ketolicious Chicken Empañadas

Makes 3 Servings

INGREDIENTS:
Crust:
  • 1 cup mozzarella cheese, shredded
  • ½ cup almond flour
  • 1 oz. cream cheese
  • 1 large egg

Filling:

  • 6 oz. ground chicken
  • 1¼ tsp. Metagenics MCT oil
  • Salt and pepper

DIRECTIONS:
Crust:

  1. Cut cream cheese into 4-5 pieces and add to a bowl along with mozzarella cheese. Microwave for 30 seconds. Stir, then microwave for another 30 seconds. While cheese is still hot, mix in almond flour. Add egg and mix well.
  2. On a nonstick sheet, roll out dough into a flat circle.
  3. Using a cookie cutter, create 6-8 circles, approximately 5″ in diameter.

Filling:

  1. Preheat oven to 350°. Place dough circles onto a nonstick baking pan. Layer filling on one side of the circle.
  2. Fold and press down the edges, creating a half-moon shape.
  3. Bake for 18-20 minutes, until puffed and golden brown. Serve and enjoy!
Per Serving: 370 calories, 4 g carbs, 27 g fat, 26 g protein

 

Fat Pizza

Makes 4 Servings

INGREDIENTS:
Crust:
  • 4 large eggs
  • 6 oz. shredded mozzarella cheese
  • ½ cup almond flour
  • ½ Tbsp. psyllium husk powder

Topping:

  • 3 Tbsp. tomato paste
  • 1 tsp. dried oregano
  • 5 oz. shredded cheese
  • 1½ oz. pepperoni

DIRECTIONS:

  1. Preheat oven to 400°. For crust, melt cheese in a bowl and add eggs to combine. Add flour and husk powder to mixture and knead dough into a ball.
  2. Apply some olive oil to the bottom of the baking pan to keep from sticking. Flatten the ball of dough directly over oil, then bake for 10-15 minutes or until golden. Remove and allow to cool.
  3. Increase oven temperature to 450°. Spread tomato paste on crust and sprinkle oregano on top. Top with cheese and pepperoni.
  4. Bake for another 5-10 minutes or until golden brown. Serve and enjoy!
Per Serving: 355 calories, 8.4 g carbs, 26 g fat, 23 g protein

 

La Keto Loca Quesadillas

Makes 3 Servings

INGREDIENTS:
Low-Carb Tortillas:
  • 2 large eggs
  • 2 large egg whites
  • 6 oz. cream cheese
  • 1½ tsp. ground psyllium husk powder
  • 1 Tbsp. almond flour
  • ½ tsp. salt

Filling:

  • 5 oz. shredded Mexican cheese
  • 1 oz. spinach
  • 1 Tbsp. avocado oil

DIRECTIONS:
Tortillas:

  1. Preheat oven to 400°. Beat eggs and egg whites together until fluffy, then add cream cheese and continue to beat until smooth.
  2. Combine salt, psyllium husk powder, and almond flour in a small bowl and mix well. Beat flour mixture into batter until combined; ensure batter is thick and allow to rest. (If needed, add more husk powder to increase thickness.)
  3. Using a spatula, spread batter over parchment paper-lined baking sheet and bake 5-7 minutes until edges brown, then cut into pieces; alternatively, you may fry batter in rounds on the stove.

Quesadillas:

  1. Heat oil (or butter) in a small, non-stick skillet. Add tortilla to pan, top with a handful of spinach and sprinkle with cheese, then fold in half; fry for a couple minutes on eat side until cheese is melted. Alternatively, you may leave tortilla open and add a second tortilla on top to close. Serve warm and enjoy!
Per Serving: 410 calories, 6 g carbs, 36 g fat, 17 g protein

 

Bacon-Wrapped Asparagus

Makes 4 Servings

INGREDIENTS:
  • 16 slices bacon
  • 16 medium spears asparagus
  • 1 tsp. garlic powder
  • 2 tsp. salt
  • 2 tsp. pepper

DIRECTIONS:

  1. Preheat oven to 400°. Wrap each slice of bacon tightly around each asparagus spear, then season with garlic powder, salt, and pepper. Bake for 15 minutes.
  2. Use tongs to turn each piece around, then bake for an additional 10-15 minutes until bacon is crispy. Serve and enjoy!
Per Serving: 233 calories, 5 g carbs, 16 g fat, 18 g protein

 

Cheesy Chicken Casserole

Makes 4 Servings

INGREDIENTS:
  • 1 cup heavy whipping cream
  • 2 Tbsp. green pesto
  • ½ lemon juice
  • 1½ lb. chicken breasts
  • 7 tsp. olive oil
  • 1 lb. cauliflower
  • 1 leek
  • 4 oz. cherry tomatoes
  • 7 oz. shredded cheese
  • Salt and pepper

DIRECTIONS:

  1. Preheat oven to 400°. Mix cream with pesto and lemon juice. Salt and pepper to taste.
  2. Season chicken breasts with salt and pepper and fry in oil until golden brown.
  3. Place chicken in a greased 9” x 13” baking dish, then pour in cream mixture.
  4. Chop leek, cherry tomatoes, and cauliflower into small florets and add to dish to top chicken.
  5. Sprinkle cheese on top and bake for at least 30 minutes or until chicken is fully cooked. Serve and enjoy!
Per Serving: 355 calories, 11 g carbs, 25 g fat, 29 g protein

 

Taco ’Bout It Keto Skillet

Makes 4 Servings

INGREDIENTS:
  • 1 Tbsp. avocado oil
  • 1 lb. ground beef
  • ½ medium white onion, diced
  • ½ large bell pepper, diced
  • 1 can green chilies
  • 3 Tbsp. taco seasoning
  • 2 Roma tomatoes, seeded and diced
  • 12 oz. cauliflower rice
  • 4 sprigs cilantro
  • 1 cup shredded Mexican blend cheese

DIRECTIONS:

  1. Heat oil in a large cast-iron skillet over medium-high heat, then add in beef and stir occasionally with a wooden spoon until brown.
  2. Add in onion, bell pepper, and taco seasoning and for cook 3 more minutes.
  3. Stir in green chilies and tomatoes along with cauliflower rice. Cook 5-7 minutes until moisture is gone.
  4. Sprinkle with cheese and cover until melted, about 2 minutes. Add toppings of choice (avocado, sour cream, cilantro, or jalapeno), serve, and enjoy!
Per Serving: 376 calories, 12 g carbs, 21 g fat, 33 g protein

Savory Snacks

Jalapeño Parm Crisps

Makes 2 Servings

INGREDIENTS:
  • 8 Tbsp. Parmesan cheese, grated
  • ½ tsp. salt
  • 2 slices sharp cheddar cheese
  • 1 medium jalapeño

DIRECTIONS:

  1. Preheat oven to 425°. On a baking mat or parchment paper, create 8 mounds of Parmesan cheese, 1 Tbsp. each spaced 1” apart.
  2. Slice jalapeño thinly, then lay on a baking sheet and bake for 5 minutes; remove and allow to cool.
  3. Once cooled, lay a jalapeño slice on top of each mound of Parmesan, pressing down slightly.
  4. Split both cheddar slices into 4 pieces (8 total) and lay each piece on top of the jalapeño and Parmesan.
  5. Bake for 9 minutes. Serve warm and enjoy!
Per Serving: 200 calories, 4 g carbs, 15 g fat, 13 g protein

 

Keto-Style Pigs in a Blanket

Makes 4 Servings

INGREDIENTS:
  • 4 medium hot dogs
  • ½ cup mozzarella cheese, shredded
  • 1 Tbsp. cream cheese
  • ¾ cup almond flour
  • 1 large egg
  • ¼ tsp. baking powder
  • ¼ tsp. garlic powder
  • ½ tsp. salt
  • ½ tsp. sesame seeds

DIRECTIONS:

  1. Preheat oven to 350°. Cut each hot dog into 3 equal-sized pieces; set aside.
  2. Melt mozzarella in microwave and combine with almond flour and egg.
  3. Add baking powder, garlic powder, and salt to the mixture; mix well.
  4. Form dough in hands, split into 12 pieces, and roll pieces into balls.
  5. Place dough balls onto a parchment-lined baking sheet. Press each ball flat into an oval shape.
  6. Wrap each piece of hot dog in the pieces of dough. Sprinkle outside with sesame seeds, pressing down to stick.
  7. Bake for 17-20 minutes. Serve warm and enjoy!
Per Serving: 330 calories, 5 g carbs, 28 g fat, 15 g protein

 

Thanks for sharing Metagenics: Ketogenic

Shared by Dr. Phil McAllister @ Forward Health Guelph

Dr. Laura: 21 Reasons You Might be Constipated

Bowels that move slow or are difficult to pass are not only uncomfortable, they are unhealthy. It is important we eliminate from our bowels at least once, and up to three times per day. Constipation is an issue affecting up to 20% of the population(1).

When the stool stays in the colon for extending lengths of time, toxins and hormones that have been packaged and processed for elimination are at risk for re-absorption back into the body. Not passing stool frequently enough will lead to a feeling of toxic overload.

What is constipation?

  1. Irregular bowel movements
    1. Pass less than 3-5 stools per week.
  2. Difficulty passing stool.
    1. Hard stool, requires straining,
    2. Insufficient, unsatisfactory, incomplete stool

21 Reasons You Might be Constipated

  1. Diet lacks fibre and vegetables
  2. Diet too high in proteins and carbs, especially in sugar & starch
  3. Dairy or wheat sensitivity
  4. Too much dairy (cheese)
  5. Other food sensitivities
  6. Insufficient microflora
  7. Dysbiosis (overgrowth of the wrong kinds of bacteria in the intestines)
  8. Small Intestinal Bacterial Overgrowth (SIBO) (root cause may be hypothyroid and migrating motor complex)
  9. Hypothyroid affecting the migrating motor complex
  10. Lack of regular daily exercise
  11. Insufficient water intake
  12. Supplements such as iron, calcium
  13. Overuse of laxatives
  14. Side effects of prescription drugs- painkillers (opioids), anti-depressants
  15. Irritable bowel syndrome or diseases
  16. Colon cancer
  17. Stress
  18. Pregnancy
  19. Diabetes mellitus
  20. Hemorrhoids
  21. Nervous system disruption as in spinal cord lesions, MS & Parkinson’s.

Best ways to “get moving” –> relieve your constipation

Laxatives are okay occasionally. Too much use will lead to dependence, which is not how nature intended and don’t fix what’s really happening. Have a look at some of the possibilities of what may cause constipation and see what you can correct. Dr. Laura M. Brown, ND can help you access and interpret many different types of testing.

References:

  1. Portalatin M, Winstead N. Medical Management of Constipation. Clinics in Colon and Rectal Surgery. 2012;25(1):12-19. doi:10.1055/s-0032-1301754.

Dr. Laura: 5 Major Factors in Menopausal Weight Gain

Menopausal weight gain is troublesome and annoying.

Menopausal weight gain can increase risks for cardiac events and insulin dysregulation.

5 Major factors in menopausal weight gain:

  • Genetics
  • Sex hormone changes
  • Sleep
  • Depression
  • Stress
  • Diet

Figure out what’s going on in your body!  Learn how hormone levels, including the thyroid estrogen and progesterone, sleep hygiene, physical activity, diet and stress play a role in menopausal weight gain.

Sex hormone changes trigger menopausal weight gain

  • When the years leading to menopause set in, ovulation slows down before it stops. Ovulation is required before progesterone can be released. If you don’t ovulate, it creates irregular balances of estrogen and progesterone in the body.
  • Chemicals like BPA (plastics), cadmium, phthalates (soaps, detergents), and pesticides contribute to estrogen dominance.
  • Low progesterone against pre-declining estrogen makes for relative estrogen excess compared to progesterone. This means estrogen dominance for a time.
  • Estrogen dominance leads to poor thyroid hormone availability, reducing metabolism
  • If thyroid function is sluggish, this leads to poor estrogen clearance, more estrogen builds up in the body
  • Poor thyroid function can lead to weight gain and increase in LDL cholesterol. Elevated LDL cholesterol is linked to increase risk in cardiovascular disease.
  • As menopause progresses, estrogen declines. Estrogen decline leads to deposition of fat around the mid section.

Contributing factors to thyroid dysfunction:

  • Sagging adrenals (chronic stress)
  • Estrogen dominance
  • Low iron, selenium, iodine or zinc
  • Poor liver function
  • Poor intestinal flora.

Factors in sleep disturbance that contribute to menopausal weight gain

Poor sleep leads to disruption in balance of hormones and time for healing in the body. Lack of sleep itself can contribute to weight gain. The years of menopause are riddled with hurdles to a good night sleep:

  • decline in estrogen can disrupt sleep due to hot flushes
  • Hormone rhythm imbalance from changes in LH, FSH, estrogen and progesterone are thought to contribute to disrupted sleep patterns.
  • From a Chinese Medicine point of view, the Liver Yang rises in menopause, which explains why the sleep is typically disrupted between the hours of 1-3 am. This is why, naturopathically, we look to calm the liver, cool the body and build Yin. Acupuncture and specially blended plant medicines can be very helpful.
  • sleep apnea (in you or your partner) more prevalent in those who are overweight
  • too much technology before bed, or worse yet, in the bedroom inhibits natural melatonin let down. Relative excess of cortisol as it is unopposed by melatonin disrupts sleep and contributes to midsection weight gain

Factors in depression that contribute to menopausal weight gain

Low mood and lethargy generally lend to poor motivation for exercise and healthy habits, which leads often to weight gain.

Here are some common factors in depression and menopause:

  • declining estrogen
  • sluggish thyroid
  • poor nutrient intake
  • imbalance in the intestinal bacteria
  • inflammation in the brain (usually as a result of imbalance in the intestinal bacteria)

How  Stress Relates to Menopausal Weight Gain

In menopause, the ovaries retire and  hand over their hormone duties to the adrenal gland. This is why it is important to support the adrenals at this time. How healthy the adrenals are will dictate how well our bodies will manage the stress and the change in hormone levels. Areas we may not think about in stress that could contribute to adrenal fatigue:

  • sleep disruption
  • inflammation from infections, intestinal dysbiosis, autoimmune conditions
  • too much or too little exercise
  • poor eating habits
  • conditioned stress response (post traumic stress disorder)
  • relationships with others
  • alcohol intake
  • medications and drugs
  • overwork
  • not enough fun & play time

How diet affects menopausal weight gain

  • Generally with age, metabolism slows down and less caloric intake is required. If activity slows or stays the same and intake is not adjusted, subsequent weight gain is likely.
  • Our intestinal tract flora changes as we age, and this changes how estrogen is metabolized.

It is evident that menopausal weight can happen for a lot of reasons. Some of it is a bit of a chickened an egg, like the estrogen dominance and poor thyroid function. It doesn’t matter what comes first, but if not corrected, they build on one another.  A naturopathic doctor’s role is to look at the individual as a whole, remove obstacles, rebuild the body and stimulate natural mechanisms of healing. Women who maintain a healthy habits, hormones and weight will help stave off risks for osteoporosis, cardiovascular disease and cancer.

Solutions to menopausal weight gain include healthy diet, exercise, sleep hygiene, hormone balancing with acupuncture and plant medicines, nutritional and hormonal supplementation.

Dr. Laura M. Brown, ND

References:

Jung SY, Vitolins MZ, Fenton J, Frazier-Wood AC, Hursting SD, Chang S. Risk Profiles for Weight Gain among Postmenopausal Women: A Classification and Regression Tree Analysis Approach. Hsu Y-H, ed. PLoS ONE. 2015;10(3):e0121430. doi:10.1371/journal.pone.0121430.

Franklin RM, Ploutz-Snyder L, Kanaley JA. Longitudinal changes in abdominal fat distribution with menopause. Metabolism. 2009 Mar; 58(3):311-5.

Gietka-Czernel M. The thyroid gland in postmenopausal women: physiology and diseases. Przegla̜d Menopauzalny = Menopause Review. 2017;16(2):33-37. doi:10.5114/pm.2017.68588.

Van Pelt RE, Gavin KM, Kohrt WM. REGULATION OF BODY COMPOSITION AND BIOENERGETICS BY ESTROGENS. Endocrinology and metabolism clinics of North America. 2015;44(3):663-676. doi:10.1016/j.ecl.2015.05.011.

Williams LT, Hollis JL, Collins CE, Morgan PJ. The 40-Something randomized controlled trial to prevent weight gain in mid-age women. BMC Public Health. 2013;13:1007. doi:10.1186/1471-2458-13-1007.

Zheng Y, Manson JE, Yuan C, et al. Associations of Weight Gain From Early to Middle Adulthood With Major Health Outcomes Later in Life. JAMA. 2017;318(3):255-272. doi:10.1001/jama.2017.7092.

Karvonen-Gutierrez C, Kim C. Association of Mid-Life Changes in Body Size, Body Composition and Obesity Status with the Menopausal Transition. Parthasarathy S, ed. Healthcare. 2016;4(3):42. doi:10.3390/healthcare4030042.

Dr. Laura: Get your GOOD Carbohydrates: Easy Roasted Veggies

FRESH, WHOLE & NATURAL

Our bodies are designed with a blueprint made many hundreds of years ago.  Our lifestyles and environment have changed a lot since then, but our bodies have not.  We need whole, real foods. This means preparing ahead, especially things like our complex carbohydrates. We need to look to root vegetables more and breads or packaged/fast food less for our carbohydrate intake.

  • Ultra-processed foods contribute over 90 percent of all added sugars to the diet
  • A 10% increase in the consumption of ultra-processed food leads to a 12% increase in the risk of cancer.

CARBOHYDRATES

Carbohydrates provide energy to think, move and build our body. Focus on slow carbs, not low carbs. This means selecting carbohydrate foods rich in fibre, a critical nutrient that slows the release of sugars into our bloodstream and helps us eliminate waste. Skip the gluten– research is clear is affects most all of us to one extent or another. It’s not always about the intestinal tract – gluten can affect skin, brain and muscles too.

Good sources of carbohydrate & fibre: Hummus/beans/lentils, sweet potato, yucca, yam, quinoa, coconut, teff, psyllium, flax, wild and brown rice, squash, celery, gluten free oats, and whole fruits like berries, apples and pears.

Preparing  roasted vegetables is one of my favourite ways to get my good carbs into my daily routine. I’ll do a tray like the above about 2x a week. Then I can place the veggies in a pyrex container and pull a few from it and chop up to top a salad or warm up to have with fresh steamed greens and my pick of protein. It’s really quiet easy- wash them up, chop them how you’d like and toss in a little olive oil. Throw a sheet of parchment paper (I buy mine at Costco) on the cookie tray for easy clean up. Place the veggies on the tray and put some salt and pepper on them. Sometimes I will add Italian spice, rosemary or maybe some fennel seeds. Convect bake at 350F for 30-40 minutes (depends on your oven and how much you liked your veggies cooked).

Pretty cool that if you eat the cooked and cooled potatoes – white or sweet – you will not affect your blood sugar the same as if they are hot. This is because a potato cooked and cooled forms a resistant starch which slows the stream of sugars into the system. The resistant starch is fantastic food (prebiotic) for the good bacteria in your gastrointestinal tract too! So even more reasons to chop and put on some greens and take for lunch. Also the asparagus is good prebiotic as well.

PLANT POWER

There are more than 5,000 phytochemicals identified plus many we suspect still remain unknown. Turns out, Mother Nature has packed a punch of power in the plant kingdom. Many plants contain one or more of these 5,000 nutritional perks that helps us:

  • Defend against pathogens, parasites, and predators.
  • Protect against chronic disease, including cardiovascular disease, neurodegeneration, and cancer.
  • Purify and renew the blood
  • Nourish & cleanse body of toxins
  • Stimulating effects
  • Relaxing effects
  • Anti-inflammatory
  • Provides many vitamins and minerals

 

From the heart and kitchen of Dr. Laura M. Brown, ND

Dr. Phil Shares: What To Eat To Shed The Pounds

 There’s no getting around it — if you want to lose weight, your nutrition game needs to be on point. As the saying goes, you can’t outrun a bad diet.

But, there’s nothing worse than suffering through a diet that makes you miserable — especially when you still don’t see the results you want. Many fad diets are based on rules that are easy to memorize — No starchy carbs! Fast for 16 hours every day! — but are impossible to sustain.

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Eating healthy isn’t supposed to be a temporary blip. If you want to lose weight and keep it off, it takes commitment.

If that sounds daunting, it’s probably because you’re used to diets that kind of suck. But they don’t have to. Eating healthy isn’t about swearing off your favorite foods and nibbling on kale leaves all day. It’s about learning to fuel your body the right way and understand how to eat so you can lose weight without feeling deprived.

One of the most important lessons you can learn from losing weight successfully is how to eat healthfully. For the rest of your life.

We favor nutritionally balanced, long-term approaches to weight loss, but the truth of the matter is that counting calories, calculating macros, monitoring portion sizes, or even cleansing may or may not help you lose weight for a variety of reasons, many of which have to do with sustainability.

So, we’re not going to provide you with a list of 25 foods to eat that are “good” for weight loss. If that’s what you’re looking for, check out the detailed recommended food and beverage lists in the Beachbody Portion Fix Eating Plan or any Beachbody program nutrition guide.

But keep in mind that these are just places to start your healthy eating education. We want to drive home the facts that it’s your weight to lose, it’s your preferences, and it’s your life that should help guide you to what you should eat — not only to lose weight, but also to live a more vivacious life.

This isn’t to say that you won’t need to retrain your palate to accept whole foods without much adornment (ie., lots of added salt, sugar, and unhealthy fats), or that you won’t need to sacrifice the richness of some of your favorite comfort foods (we’re looking at you, mac and cheese) for healthier, slimmed-down versions, or that you won’t need to trim back on portion sizes. You will likely need to do all of these things in order to lose weight.

But, the key mindset to embrace is that you do have choices. You ultimately get to determine what will and won’t go into your weekly meal plans. What you eat to lose weight shouldn’t be all that different from what you eat to maintain your health after you shed the excess pounds. So, yes, you’ll likely need to cut calories to lose weight, but you’ll also need to learn how to eat differently to maintain your results.

No matter which way you prefer to cut calories, you should focus on improving the quality of the calories you do ingest first and foremost. We’ve reduced it to three simple steps you can start today to maximize the calories you do consume when you want to lose weight.

3 STEPS TO
SHED POUNDS

 and Eat Healthy
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 1. Drink water first and most.

When you’re trying to lose weight, cleaning up your diet also means watching what you drink. If done right, juices or shakes can be healthy weight-loss tools to enhance your nutrition plan, and Shakeology is a good way to assure you’re getting plenty of nutrients when eating at a deficit (or anytime!). Just try to keep your calories from beverages to a minimum (most Shakeology varieties contain about 160 calories per scoop).

Of course, water is calorie-free and incredibly good for you. Beachbody recommends you drink your body weight, divided by two, in ounces. So if you weigh 150 pounds — that would be 150 divided by 2, which equals 75. That’s 75 ounces of water you should be drinking every day. To a die-hard soda drinker (even a diet soda drinker) or someone who doesn’t think about hydration much at all, this might seem like a lot of extra trips to the bathroom. To make all that plain water more palatable, try:

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  • Carbonated water. Try flavored varieties without added sugar, artificial sweeteners, and caloriesUnsweetened tea. Use caffeine-free tea if desired, and spruce up the flavor with lemon or lime slices, or muddled fruit
  • Adding sliced citrus, cucumbers, strawberries, pineapples, or fresh mint leaves
  • Adding citrus peels
  • Flavoring with natural combos: ginger + cucumber + mint, or pineapples + orange peel, or strawberries + kiwi + basil.

Your mom may have told you as a 5-year-old not to fill your belly with liquid so you’d eat some dinner, but feel free to defy that rule as an adult. In fact, one study published in the journal Obesity asked 84 obese adults to either drink two cups of plain water before their main meals every day for three months, or to imagine the feeling of being full. Those who drank water before their meals lost about 2.6 pounds more than those who didn’t. These findings suggest that drinking water before your meals may be an easy way to take the edge off hunger, and possibly stop you from eating too much.

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2. Replace refined, processed foods with whole ones.

It may seem obvious that in order to lose weight and eat healthier, you need to cut way back on fried foods, creamy casseroles, and sugary confections, but it may seem less obvious what to eat instead.

As much as possible, try to cut back on highly processed foods, such as frozen meals, packaged snacks, sugar-laden cereals, bottled sauces, meats with added preservatives, etc. Instead, choose whole foods, such as vegetables, fruits, raw nuts and seeds, lean proteins (ie., chicken, turkey, eggs, tempeh), healthy fats (ie., avocados, hummus, extra-virgin olive oil, nut butters), and whole grains (ie., oatmeal, barley, whole-grain bread, brown rice).

Whole foods provide nutrient-dense fuel that contribute to greater satiety (when compared to processed foods).

The naturally occurring fiber, water (in foods like fruits and vegetables), or protein in these foods can contribute to an increased feeling of satisfaction — often with less food (read: fewer calories).

Protein can help you feel satiated longer than carbohydrates or fat. This may be due to increased thermogenesis (the metabolic process of your body burning calories), which influences that physiological “I’m satisfied” feeling you have after consuming higher amounts of protein.

Fiber, a form of carbohydrate found in plants that humans lack the enzyme to digest, helps us feel fuller on fewer calories. A food diary analysis of successful MyFitnessPal (MFP) users (defined as those who came within five percent of their goal weights) revealed the faithful food trackers who came closest to their goals ate 30 percent more fiber. That may seem like a lot, but really the difference was only three grams per day more than other MFP users — the equivalent of having one small apple or swapping a traditional English muffin for a whole wheat one.

3. Add volume with vegetables.

Volumetrics is a way of eating that may help you feel satisfied by consuming foods with low calorie density, or less calories for any given amount. It’s essentially a fancy way of telling people to eat the majority of their calories from mostly vegetables and fruits.

Low calorie density foods such as apples are higher in fiber and water, so you’re able to eat more in volume for a similar amount of calories (compared to a higher calorie density food such as apple pie). There’s evidence to say that fiber helps you feel fuller faster, and keeps you satiated long after you eat. A small study did find that water incorporated into food (as in the case of soup) did help subjects eat less, but not if that same amount of water was served in a glass on the side.

One study confirms that when people eat foods low in energy density, their total daily calories are significantly less than when they eat foods high in energy density.

If you’re hoping that eating more whole foods will help you lose weight, you’ll want to eat these foods in lieu of processed foods, not in addition to them. Because, in the end, weight loss generally boils down to eating fewer calories.

Flush Out Fatigue

Fatigue?

Chronic Fatigue?

Fibromyalgia?

 

fatigue
Feeling Run Down with Fatigue?

 

Do you know there is a spectrum of root causes of fatigue, chronic fatigue syndrome and fibromyalgia?

Are you aware of the classic deep central pain processing that affects the brain’s pattern for dealing with sensory information?

Did you know that the mood, digestive and sleep issues that can go along with fatigue may be keys to resolving your issue?

Learn how to flush out fatigue and optimize the body’s energy producing capacity in this free session at Goodness Me! in Guelph on Thursday September 22, 2016 with Dr. Laura M. Brown, ND.