Showing posts with label dairy. Show all posts
Showing posts with label dairy. Show all posts

Friday, June 19, 2015

Step Four: The Part Where I Have to Feed My New Friends in England

We do a lot of complaining in America when it comes to food. It's too expensive, it's hard to find grass-fed or organic, all I have is a Stop and Shop, I don't want to give Whole Paycheck my whole paycheck, it's so wasteful, the farmers' market is far away and meets at an inconvenient time, etc. etc.

I realize my interpretation of the "difficulties" surrounding acquiring quality food is clouded by the fact that I've always lived in the northeast but chances are that wherever you are in the US, you'll have an easier time eating grain-free real foods there than in the UK.

As evidenced by my ill-fated pursuit of Whole Foods earlier in my trip, they do exist. And they actually had more organic produce selection than the ones I've visited in the US. But unless you live in London or Glasgow, you're out of luck. And I have yet to come across a single health food store or chain that sells produce (there are a couple that sell non-perishables, supplements, and beauty products). Chain supermarkets that cater to the average customer who doesn't care much about the quality of the soil their vegetables came from or that their chicken breast came from a real, live, clucking chicken at all (let alone a happy and healthy one) are the norm.


I can tell myself that everyday I drive past plenty of sheep and cows munching away happily and vibrantly green fields and that European countries don't use the worst of the pesticides that are used in the US, but the fact of the matter is, if you want to eat squeaky clean and feel good about what you're eating (and to me that means organic, small local farms, grass-fed), you might just go hungry or get very bored.

Obviously I don't live here, so I'm speaking from a tourist's perspective. I occasionally passed small farms and if I'd have been there longer, I would have made better mental notes about where they were, turned around, and investigated (easier said than done when the sign's made of cardboard and on the side of the highway and someone's on your tail because you're going too slowly trying to figure out which lane you need to be in for the upcoming roundabout).  I'm sure I could make a life for myself here where I could buy whole animals that lived a suitable life from beginning to end, keep them in a chest freezer, and feel good about my meat choices. Produce is definitely another story, though. And I understand. The growing season is only just getting underway where I live at home, and here it's much cloudier and cooler. I was only able to find local (no mention of organic) cabbage, asparagus, rhubarb, and strawberries. I bought the first three local but I just couldn't justify purchasing the anemic-looking British strawberries. I'm sure they perk up as the summer warms up. Everything else I pretty much was able to buy organic in the supermarket, Waitrose, except for a few things that I got at the market.

I don't have too many meals to share. You're not supposed to go to the treatment hungry or full and you're supposed to be a bit dehydrated. This was hard for me because I usually start my mornings with broth or occasionally herbal tea, and that jumpstarts my digestion so that by the time I'm done making breakfast, I'm usually hungry. That sets me up well to be hungry once or twice more the rest of the day, depending on how large my meals are. The first few days I ate nothing before my appointment, and then the second week I tried having a small snack. Neither made much of a difference on my appetite for the rest of the day. I regularly suffered from gas, bloating, reflux, and insomnia with occasional bouts of nausea, so that definitely dampened my appetite. It's hard to say whether it was the Oxyklenz, the act of having the treatments, the treatments themselves, different water, different food, different schedule, etc. but regardless, my calorie count over the last two weeks has been a bit low. Some of these meals I had to stop eating halfway through and put away for next time so that, in combination with buying produce early on with the intention that my appetite would come back to normal (I don't often feel pleasantly hungry but I at least don't often feel so sick that I can't have a normal-sized meal), I ended up with many leftover vegetables that I tried to consume towards the end despite feeling sick. That's never a good idea.

Two other things may have messed me up a bit, too.  First, I laid the FODMAPs on heavy. I'd been doing this (in addition to more starch) with quite a bit of success through most of April and May (perhaps thanks to the LDN). After the combination of the first colon lavage in MA, Oxyklenz, the stress of finals, and the death of one of my cats, my digestion took a hit. Despite being slightly positive for SIBO, one of my doctors encouraged me to eat lots of prebiotics while I was here. I also couldn't imagine NOT feeding my new friends with their favorite food, no matter what bad stuff was still around there or higher up in my intestines. I figured if I could get them to grow, they would eventually outcompete their rude and unhealthy neighbors and tell my immune system to tell everyone else to simmer the fuck down. I guess that's why I should stop worrying about what's going on now and wait a few months to see what happens. But what I'm trying to say is that I'm eating for my goals, not my current symptoms, right now. And I don't know whether that's what's best for me right now, but it's what I'm doing. I tried to talk this over with the clinic but didn't really get an answer. And I understand. Everyone's different. Not only does everyone respond differently, but we all come from such different places of medical history, current symptoms, and current diets. And then we all do different things and feel different things as the treatments occur. So who knows which variables contribute the most to success? It's a total crapshoot (pun intended).

On a related note to eating my goals, I also had some dairy. I found myself in the health store looking at the fridge and thinking I should've been eating fermented food this whole time. But by the time I had that thought, I didn't have enough days left to finish the large jar of red sauerkraut I saw, so after some hesitation (and disappointment at the ingredients in the other fermented options), I went with something that sounded like milk kefir. Well, that was dumb. I talked up all the stories I'd heard about milk kefir being some magic elixir and forgot the most important argument--my body doesn't like it. Anything with more dairy in it than butter makes turns my moderate allergies severe and just generally makes me feel ill. Last week was no exception. And due to my lack of willpower (or something) towards my ability to waste food, I continued to eat it anyway. I even did the same for some maybe organic, maybe grass-fed cheddar my mom had left. Bad. Bad. Bad. I kept trying to tell myself I was training my new friends, but they weren't ready to be thrown in the deep end just yet.

Without further ado, here's what I've been eating.

Aforementioned allergen-friendly restaurant in Cambridge

Aforementioned allergen-friendly restaurant in Cambridge

Snacks from the health food store in Hitchin, served with dried fruit and/or in coconut yogurt

Breakfast of GF organic pork leek sausage, hard boiled egg, and a cauliflower, onion, zucchini stir-fry 

Salad with mixed greens, olives, avocado, beets, and tuna with oil and vinegar served up with Nom Nom Paleo's podcast

Beef burger with bacon and asparagus and mushrooms

The making of one of the greatest meals I ever made: chicken breasts with onions and dried apricots, deglazed with chicken stock from the grocery store

The finished product with sweet potatoes and broccoli

A light breakfast of honey dew melon and the amazingly clean coconut yogurt

Bad dairy decision #1: kefir-like drink mixed with blackberries and coconut milk yogurt

Brunch of GF organic pork leek pork sausages, spinach, artichokes with butter, coconut yogurt with strawberries and blackberries, a little bit of chicken stock, and herbal tea with a little bit of the kefir

Ground beef, zucchini, cabbage, garlic, and onion stir fry with orange and white sweet potatoes

Light breakfast of honey dew melon drizzled with coconut butter and pumpkin seed butter

The last of the kefir over raspberries and strawberries with pumpkin seed butter and honey

Smoked haddock with steamed orange and black carrots with lots of a big blob of butter and sweet potatoes with fermented and then pasteurized beet juice (only option...)

Dessert of cold cherries dipped in warm coconut butter

Weekend brunch of eggs scrambled with mushrooms, broccoli, garlic, onions, basil, and bad dairy decision #2, cheddar, over sweet potatoes with a side of strawberries and dried blueberries in coconut yogurt with herbal tea 

Organic beef meatballs with very clean, minimal ingredients, steamed kale, carrots, and sweet potatoes

I cooked one pound of English rhubarb with two dried apricots. Here's half of it mixed with coconut butter. 

Big weekend brunch of a zucchini, garlic, onion, mushroom, basil stir-fry with eggs, sweet potatoes, strawberries and dried blueberries in coconut milk yogurt with honey, and herbal tea with coconut butter
Three fresh Turkish figs cooked down with butter, a few strawberries, and a handful of dried blueberries. Served here mixed with coconut yogurt, honey, and pumpkin seed butter. 
Dinner of cabbage, onions, garlic, and Jerusalem artichokes with organic beef meatballs; peas with olive oil; sweet potatoes; and beet juice
Lunch of cabbage, onions, garlic, and jerusalem artichokes with organic beef meatballs, artichokes with butter, and beet juice

Second to last dinner was probably too heavy on the FODMAPs (but not the only one) – cabbage, garlic, onions, Jerusalem artichokes, carrots, and peas topped with beef meatballs and sweet potatoes
Final lunch in Hertfordshire, already trying to tone down the FODMAPs: all the leftover carrots with butter, beef meatballs, baked kale, and sweet potatoes



 And a final dinner: "room service" 

Room service order: a plate, a bowl, and a setting of cutlery

Add to that Scottish smoked salmon, hard boiled eggs, coriander (cilantro?), and cherries

Looks better to me than any of the room service options

Served up with some Ina and herbal tea
A pleasant surprise that I didn't overcook the hard boiled eggs as I had thought

My final breakfast at the hotel: lukewarm chocolate coconut yogurt, dried blueberries, honey, and pumpkin seed butter. The 4:15 am sunrise finally worked in my favor when my alarm went off at this time and it was already bright outside!


Wednesday, November 6, 2013

Recent Eats and Rants

Blogging is not yet a habit... and it may never be. But here are some of my recent meals.

My favorite stew I've made so far (I don't have a picture of it yet) included:

  • lamb stew meat (100% grass fed, but unfortunately from Whole Foods and therefore, New Zealand)
  • lamb heart (the butcher at WFM pulled it out of the back for me and it was only $3 and change/lb)
  • carrots
  • celeriac
  • butternut squash
  • onions
  • lots of Merlot
  • salt, pepper, sage, rosemary, and thyme
I froze quite a few containers of this and so I've been trying to spread them out to punctuate some of the not so successful stews as of late.

This is a meal I made the Sunday before our second anatomy exam. I used a Dutch oven instead of a slow cooker, so it was done in about 3-4 hours. I would've left it on longer, but it was getting late. I definitely prefer the oven taste, but sometimes I just need to leave it for longer.  This mixture included:

  • beef short ribs
  • crimini mushrooms
  • carrots
  • red cabbage
  • onions
  • garlic
  • Merlot
  • rosemary, salt, pepper, sage
Served with a sweet potato and coconut oil on the side. I recently took the dairy-free plunge (again). This is the third time I've challenged dairy in the last year, and for the first time, I see a substantial difference. I'd come to rely on raw cheddar and 24 hr fermented yogurt (both always 100% grass fed) as quick and easy sources of fat, and so it was probably the hardest this time to give it up. But my "seasonal" allergies were just getting to be too much. I was sick of sniveling all through lecture and always needing to make sure my pockets were stuffed with tissues. I was going to try to finish my butter and cheese, but one day I decided enough was enough. I still have a hunk of cheese and a mostly whole stick of butter in my fridge, plus a few small jars of flavored ghee sitting around. The improvement in my allergies isn't a miracle by any means--I'm still a bit sniffly but the other day I forgot to bring a tissue with me to class, and it wasn't a big deal. Maybe it would be totally gone if I could consistently get at least eight hours of sleep. Who knows? I guess I needed to get more healing done to be able to see a difference at all. Maybe once I finish my round of SIBO supplements and go back to a leaky gut supplement protocol it will improve even more. That said, I'm looking forward to getting some raw heavy cream to on top of pumpkin desserts at Thanksgiving.

Here's a picture of the two slow cookers going at once (broth and maybe the lamb stew). I could definitely use some more counter space. 


These came out of the pork neck bones I had going in that broth. Anatomically relevant cervical vertebrae for our second exam!


This was one of my more boring stews. As usual, I was overly optimistic as I was chopping things, and ran out of room for more vegetables. So this only included:

  • ox tail
  • beef stew meet
  • green cabbage
  • onions
  • Merlot
  • salt, pepper, rosemary



Served over spaghetti squash.  

These were some weekend vegetables: the carrots that didn't make it into the stew and broccoli, drowning in tallow and sprinkled with rosemary, then baked. 


This was a fancy weekend dinner: 
  • simply steamed carrots (with coconut oil) 
  • steamed green beans (tossed with Dijon mustard)
  • spaghetti squash
  • sauteed mushrooms and onions in bacon fat and Merlot, tossed with mussels from a can



Definitely plan on repeating that one. 


In other news, my head banging impulse control has been sorely tested over these last few weeks. 

I had a few of "Hallelujah!" moments when...
  1. I posted that British/fat/anti-statin article on Facebook and a couple of friends (including one of my classmates) liked it (I'm not alone!)
  2. I found out that one of my classmates used to work at the integrative animal hospital I've begun taking my pets to. I haven't sought her out yet, but I will (maybe I'm REALLY not alone!)
  3. Our physio lecturer said that fevers were a good thing, as long as they didn't get too high (ok, so in animals it's a bit different since we don't go around bringing down fevers and owners probably don't know their animal has a fever until they bring it in, but still, he was sort of talking about us as people patients, too)
  4. He also consistently repeats that ketone bodies are the brain's preferred fuel source (as in, over glucose)! But he's a bit hypocritical because he also says ketosis really isn't a good thing (it's only good in a compensatory manner). 
And then, unfortunately, there were more times when on the outside I was taking notes like a good little schoolgirl while on the inside I was screaming, "YOU DON'T UNDERSTAND!!!!!" Let's take a look at some...
  1. A few people behind me in lecture one day got into a conversation about how one is gluten-free and probably should do things like use a separate toaster, but doesn't and another tried being gluten-free for a while because her doctor thought she might be sensitive, but it turns out she isn't. I happen to know that this person has an autoimmune disease, too. They went on to talk about how they think some gluten-free pancake mixes are "better than the real thing." One of them wants to get into more gluten-free baking from scratch, but the flour mixes are too complicated and expensive, so she buys the premade mixes or just the premade products. 
  2. That same person who's gluten-free is also vegetarian and was talking to another vegetarian (who definitely had a morally superior attitude) about how it was so hard for her mom to cook for her, since she's such a great cook but all of her recipes contain animal protein. Ok, I get this. I go through the same thing with my aunt who loves making us pies and cakes. But the way she said animal protein, it was like her mom's recipes all had dirt in them (ok, maybe that's not a good analogy for the traditional foodists out there... let's says she said it like... it was a Twinkie). I think there was definitely talk about sustainability in there too. Oy vei...
  3. Plaques, lipids, and statins... oh my! It's being beaten into our brains that a high fat diet is the devil's diet. And that cholesterol builds plaques and yada yada yada. And as I've said before, cats and dogs really haven't been built on high fat diets; however, our lecturer keeps bringing it back to human medicine. And if cats are our obligate carnivore as we're repeatedly told, why doesn't all the corn and wheat in conventional diets raise red flags?
  4. This one here was my downfall. I made it a little over two months without rolling my eyes at our lecturers. This was a guest lecturer in one of our pass/fail classes. Our "philosophy" class, if you will. Today's topic was pet therapy, and as someone who's trained a decent therapy dog, I feel really strongly about this and enjoy this topic a lot. Unfortunately, at this school, the head nutritionist is deeply tied to our therapy group. And so when talking about the rules for therapy animals, they mentioned that raw diets are not allowed. Someone raised a question about this and the answer was, "What do you think about bringing a dog who's eaten raw meat into a hospital full of immuno-suppressed patients? Seems like grounds for lots of infections to me!" and then they basically gave themselves a big pat on the back that they're the only organization with this rule, all thanks to have a nutritionist (a nutritionist?! Wow!) on their team. CUE EYE ROLE. So later I went up to them and asked if it was a last meal kind of thing. The answer was, "Absolutely not. No raw meat ever. It's just too unsafe." Right. Because THAT'S where an immuno-suppressed patient is going to get an infection in a hospital, from a raw-meat eating dog. To be fair, I would totally be on board with a 'no raw meat for 24h' kind of rule. That makes total sense to me, because there IS a slight risk involved in eating or handling raw meat. But while you're suggested to wash your hands before and after a visit, it's not like the humans coming in can't ever touch raw meat. It just makes no sense. 
  5. We had one slide on the benefits of omega-3's in pet food, and then one slide on the negatives. At the end our lecturer says, "Would you supplement your patients with omega-3's? I wouldn't." *FACE PALM* The negatives included: increased risk of bleeding, lipid peroxidation with vitamin E deficiency, contamination of heavy metals and pollutants, reduced immune reactivity, and reduced insulin release. He summarized by saying, "Currently, there is a lack of good research data on specific cause-effect relationships." Maybe that's true. But maybe, just maybe, it's because any research that's been done is from crudely extracted and processed omega-3's put into diets in ridiculously high quantities removed from their natural food source. Do I have any qualms about supplementing my pets with appropriate doses of Green Pasture's FCLO or adding whole fish, like sardines, to their diets? Not. At. All. 
  6. (This may surprise you... this is an anti-paleo rant, but bear with me) So clearly, we've been talking quite a bit about diets in physiology. Which is why it really bothers me when people hate on doctors for not having any nutrition classes. You don't need specific nutrition hours to talk about nutrition! We talk about nutrition every day in physiological chemistry and physiology (because these are classes that can easily be combined between vet and med students). So that's total crap that doctors don't know anything about nutrition. Ok, most don't, because what's being beaten into our brains is bad fat, bad cholesterol, bad low carb, supplements are worthless, and drugs are gold, but it's still nutritional training even if it's not in a nutrition class! Frankly, I think it's a greater disservice to have all these laypeople (ok, they want to help and that's great) becoming "functional medicine practitioners" and various other "health/medicine" degrees that don't mean anything when they have NO physiological education whatsoever. It's a HUGE turnoff and very disappointing to work with a "practitioner" and have them say they're "prescribing" 5-HT, which is a precursor to serotonin, or they can't pronounce the compounds they're looking at in my test results, but coming up with supplement protocols based on it or don't understand what I mean when I say I virtually have no parietal cells left and they want to sell me supplements that boost my own stomach acid production. And so, once again, I find myself practitioner-less.