For the sake of convenience: Commercial sources of prebiotic fibers

Our efforts to obtain prebiotic fibers/resistant starches, as discussed in the Cureality Digestive Health Track, to cultivate healthy bowel flora means recreating the eating behavior of primitive humans who dug in the dirt with sticks and bone fragments for underground roots and tubers, behaviors you can still observe in extant hunter-gatherer groups, such as the Hadza and Yanomamo. But, because this practice is inconvenient for us modern folk accustomed to sleek grocery stores, because many of us live in climates where the ground is frozen much of the year, and because we lack the wisdom passed from generation to generation that helps identify which roots and tubers are safe to eat and which are not, we rely on modern equivalents of primitive sources. Thus, green, unripe bananas, raw potatoes and other such fiber sources in the Cureality lifestyle.

There is therefore no need to purchase prebiotic fibers outside of your daily effort at including an unripe green banana, say, or inulin and fructooligosaccharides (FOS), or small servings of legumes as a means of cultivating healthy bowel flora. These are powerful strategies that change the number and species of bowel flora over time, thereby leading to beneficial health effects that include reduced blood sugar and blood pressure, reduction in triglycerides, reduced anxiety and improved sleep, and reduced colon cancer risk.

HOWEVER, convenience can be a struggle. Traveling by plane, for example, makes lugging around green bananas or raw potatoes inconvenient. Inulin and FOS already come as powders or capsules and they are among the options for a convenient, portable prebiotic fiber strategy. But there are others that can be purchased. This is a more costly way to get your prebiotic fibers and you do not need to purchase these products in order to succeed in your bowel flora management program. These products are therefore listed strictly as a strategy for convenience.

Most perspectives on the quality of human bowel flora composition suggest that diversity is an important feature, i.e., the greater the number of species, the better the health of the host. There may therefore be advantage in varying your prebiotic routine, e.g., green banana on Monday, inulin on Tuesday, PGX (below) on Wednesday, etc. Beyond providing convenience, these products may introduce an added level of diversity, as well.

Among the preparations available to us that can be used as prebiotic fibers:

PGX

While it is billed as a weight management and blood sugar-reducing product, the naturally occurring fiber--α-D-glucurono-α-D-manno-β-D-manno- β-D-gluco, α-L-gulurono-β-D mannurono, β-D-gluco-β- D-mannan--in PGX also exerts prebiotic effects (evidenced by increased fecal butyrate, the beneficial end-product of bacterial metabolism). PGX is available as capsules or granules. It also seems to exert prebiotic effects at lower doses than other prebiotic fibers. While I usually advise reaching 20 grams per day of fiber, PGX appears to exert substantial effects at a daily dose of half that quantity. As with all prebiotic fibers, it is best to build up slowly over weeks, e.g., start at 1.5 grams twice per day. It is also best taken in two or three divided doses. (Avoid the PGX bars, as they are too carb-rich for those of us trying to achieve ideal metaobolic health.)

Prebiotin

A combination of inulin and FOS available as powders and in portable Stick Pacs (2 gram and 4 gram packs). This preparation is quite costly, however, given the generally low cost of purchasing chicory inulin and FOS separately.

Acacia

Acacia fiber is another form of prebiotic fiber.  RenewLife and NOW are two reputable brands.

Isomalto-oligosaccharides

This fiber is used in Quest bars and in Paleo Protein Bars. With Quest bars, choose the flavors without sucralose, since it has been associated with undesirable changes in bowel flora.

There you go. It means that there are fewer and fewer reasons to not purposefully cultivate healthy bowel flora and obtain all the wonderful health benefits of doing so, from reduced blood pressure, to reduced triglycerides, to deeper sleep.

Disclaimer: I am not compensated in any way by discussing these products.

How Not To Have An Autoimmune Condition


Autoimmune conditions are becoming increasingly common. Estimates vary, but it appears that at least 8-9% of the population in North America and Western Europe have one of these conditions, with The American Autoimmune Related Diseases Association estimating that it’s even higher at 14% of the population.

The 200 or so autoimmune diseases that afflict modern people are conditions that involve an abnormal immune response directed against one or more organs of the body. If the misguided attack is against the thyroid gland, it can result in Hashimoto’s thyroiditis. If it is directed against pancreatic beta cells that produce insulin, it can result in type 1 diabetes or latent autoimmune diabetes of adults (LADA). If it involves tissue encasing joints (synovium) like the fingers or wrists, it can result in rheumatoid arthritis. It if involves the liver, it can result in autoimmune hepatitis, and so on. Nearly every organ of the body can be the target of such a misguided immune response.

While it requires a genetic predisposition towards autoimmunity that we have no control over (e.g., the HLA-B27 gene for ankylosing spondylitis), there are numerous environmental triggers of these diseases that we can do something about. Identifying and correcting these factors stacks the odds in your favor of reducing autoimmune inflammation, swelling, pain, organ dysfunction, and can even reverse an autoimmune condition altogether.

Among the most important factors to correct in order to minimize or reverse autoimmunity are:


Wheat and grain elimination

If you are reading this, you likely already know that the gliadin protein of wheat and related proteins in other grains (especially the secalin of rye, the hordein of barley, zein of corn, perhaps the avenin of oats) initiate the intestinal “leakiness” that begins the autoimmune process, an effect that occurs in over 90% of people who consume wheat and grains. The flood of foreign peptides/proteins, bacterial lipopolysaccharide, and grain proteins themselves cause immune responses to be launched against these foreign factors. If, for instance, an autoimmune response is triggered against wheat gliadin, the same antibodies can be aimed at the synapsin protein of the central nervous system/brain, resulting in dementia or cerebellar ataxia (destruction of the cerebellum resulting in incoordination and loss of bladder and bowel control). Wheat and grain elimination is by far the most important item on this list to reverse autoimmunity.

Correct vitamin D deficiency

It is clear that, across a spectrum of autoimmune diseases, vitamin D deficiency serves a permissive, not necessarily causative, role in allowing an autoimmune process to proceed. It is clear, for instance, that autoimmune conditions such as type 1 diabetes in children, rheumatoid arthritis, and Hashimoto’s thyroiditis are more common in those with low vitamin D status, much less common in those with higher vitamin D levels. For this and other reasons, I aim to achieve a blood level of 25-hydroxy vitamin D level of 60-70 ng/ml, a level that usually requires around 4000-8000 units per day of D3 (cholecalciferol) in gelcap or liquid form (never tablet due to poor or erratic absorption). In view of the serious nature of autoimmune diseases, it is well worth tracking occasional blood levels.

Supplement omega-3 fatty acids

While omega-3 fatty acids, EPA and DHA, from fish oil have proven only modestly helpful by themselves, when cast onto the background of wheat/grain elimination and vitamin D, omega-3 fatty acids compound anti-inflammatory benefits, such as those exerted via cyclooxygenase-2. This requires a daily EPA + DHA dose of around 3600 mg per day, divided in two. Don’t confuse EPA and DHA omega-3s with linolenic acid, another form of omega-3 obtained from meats, flaxseed, chia, and walnuts that does not not yield the same benefits. Nor can you use krill oil with its relatively trivial content of omega-3s.

Eliminate dairy

This is true in North America and most of Western Europe, less true in New Zealand and Australia. Autoimmunity can be triggered by the casein beta A1 form of casein widely expressed in dairy products, but not by casein beta A2 and other forms. Because it is so prevalent in North America and Western Europe, the most confident way to avoid this immunogenic form of casein is to avoid dairy altogether. You might be able to consume cheese, given the fermentation process that alters proteins and sugar, but that has not been fully explored.

Cultivate healthy bowel flora

People with autoimmune conditions have massively screwed up bowel flora with reduced species diversity and dominance of unhealthy species. We restore a healthier anti-inflammatory panel of bacterial species by “seeding” the colon with high-potency probiotics, then nourishing them with prebiotic fibers/resistant starches, a collection of strategies summarized in the Cureality Digestive Health discussions. People sometimes view bowel flora management as optional, just “fluff”–it is anything but. Properly managing bowel flora can be a make-it-or-break-it advantage; don’t neglect it.

There you go: a basic list to get started on if your interest is to begin a process of unraveling the processes of autoimmunity. In some conditions, such as rheumatoid arthritis and polymyalgia rheumatica, full recovery is possible. In other conditions, such as Hashimoto’s thyroiditis and the pancreatic beta cell destruction leading to type 1 diabetes, reversing the autoimmune inflammation does not restore organ function: hypothyroidism results after thyroiditis quiets down and type 1 diabetes and need for insulin persists after pancreatic beta cell damage. But note that the most powerful risk factor for an autoimmune disease is another autoimmune disease–this is why so many people have more than one autoimmune condition. People with Hashimoto’s, for instance, can develop rheumatoid arthritis or psoriasis. So the above menu is still worth following even if you cannot hope for full organ recovery

Five Powerful Ways to Reduce Blood Sugar

Left to conventional advice on diet and you will, more than likely, succumb to type 2 diabetes sooner or later. Follow your doctor’s advice to cut fat and eat more “healthy whole grains” and oral diabetes medication and insulin are almost certainly in your future. Despite this, had this scenario played out, you would be accused of laziness and gluttony, a weak specimen of human being who just gave into excess.

If you turn elsewhere for advice, however, and ignore the awful advice from “official” sources with cozy relationships with Big Pharma, you can reduce blood sugars sufficient to never become diabetic or to reverse an established diagnosis, and you can create a powerful collection of strategies that handily trump the worthless advice being passed off by the USDA, American Diabetes Association, the American Heart Association, or the Academy of Nutrition and Dietetics.

Among the most powerful and effective strategies to reduce blood sugar:

1) Eat no wheat nor grains

Recall that amylopectin A, the complex carbohydrate of grains, is highly digestible, unlike most of the other components of the seeds of grasses AKA “grains,” subject to digestion by the enzyme, amylase, in saliva and stomach. This explains why, ounce for ounce, grains raise blood sugar higher than table sugar. Eat no grains = remove the exceptional glycemic potential of amylopectin A.

2) Add no sugars, avoid high-fructose corn syrup

This should be pretty obvious, but note that the majority of processed foods contain sweeteners such as sucrose or high-fructose corn syrup, tailored to please the increased desire for sweetness among grain-consuming people. While fructose does not raise blood sugar acutely, it does so in delayed fashion, along with triggering other metabolic distortions such as increased triglycerides and fatty liver.

3) Vitamin D

Because vitamin D restores the body’s normal responsiveness to insulin, getting vitamin D right helps reduce blood sugar naturally while providing a range of other health benefits.

4) Restore bowel flora

As cultivation of several Lactobacillus and Bifidobacteria species in bowel flora yields fatty acids that restore insulin responsiveness, this leads to reductions in blood sugar over time. Minus the bowel flora-disrupting effects of grains and sugars, a purposeful program of bowel flora restoration is required (discussed at length in the Cureality Digestive Health section.)

5) Exercise

Blood sugar is reduced during and immediately following exercise, with the effect continuing for many hours afterwards, even into the next day.

Note that, aside from exercise, none of these powerful strategies are advocated by the American Diabetes Association or any other “official” agency purporting to provide dietary advice. As is happening more and more often as the tide of health information rises and is accessible to all, the best advice on health does not come from such agencies nor from your doctor but from your efforts to better understand the truths in health. This is our core mission in Cureality. A nice side benefit: information from Cureality is not accompanied by advertisements from Merck, Pfizer, Kelloggs, Kraft, or Cadbury Schweppes.

Cureality App Review: Breathe Sync



Biofeedback is a wonderful, natural way to gain control over multiple physiological phenomena, a means of tapping into your body’s internal resources. You can, for instance, use biofeedback to reduce anxiety, heart rate, and blood pressure, and achieve a sense of well-being that does not involve drugs, side-effects, or even much cost.

Biofeedback simply means that you are tracking some observable physiologic phenomenon—heart rate, skin temperature, blood pressure—and trying to consciously access control over it. One very successful method is that of bringing the beat-to-beat variation in heart rate into synchrony with the respiratory cycle. In day-to-day life, the heart beat is usually completely out of sync with respiration. Bring it into synchrony and interesting things happen: you experience a feeling of peace and calm, while many healthy phenomena develop.

A company called HeartMath has applied this principle through their personal computer-driven device that plugs into the USB port of your computer and monitors your heart rate with a device clipped on your earlobe. You then regulate breathing and follow the instructions provided and feedback is obtained on whether you are achieving synchrony, or what they call “coherence.” As the user becomes more effective in achieving coherence over time, positive physiological and emotional effects develop. HeartMath has been shown, for instance, to reduce systolic and diastolic blood pressure, morning cortisol levels (a stress hormone), and helps people deal with chronic pain. Downside of the HeartMath process: a $249 price tag for the earlobe-USB device.

But this is the age of emerging smartphone apps, including those applied to health. Smartphone apps are perfect for health monitoring. They are especially changing how we engage in biofeedback. An app called Breathe Sync is available that tracks heart rate using the camera’s flash on the phone. By tracking heart rate and providing visual instruction on breathing pattern, the program generates a Wellness Quotient, WQ, similar to HeartMath’s coherence scoring system. Difference: Breathe Sync is portable and a heck of a lot less costly. I paid $9.99, more than I’ve paid for any other mainstream smartphone application, but a bargain compared to the HeartMath device cost.

One glitch is that you need to not be running any other programs in the background, such as your GPS, else you will have pauses in the Breathe Sync program, negating the value of your WQ. Beyond this, the app functions reliably and can help you achieve the health goals of biofeedback with so much less hassle and greater effectiveness than the older methods.

If you are looking for a biofeedback system that provides advantage in gaining control over metabolic health, while also providing a wonderful method of relaxation, Breathe Sync, I believe, is the go-to app right now.

Amber’s Top 35 Health and Fitness Tips

This year I joined the 35 club!  And in honor of being fabulous and 35, I want to share 35 health and fitness tips with you! 

1.  Foam rolling is for everyone and should be done daily. 
2.  Cold showers are the best way to wake up and burn more body fat. 
3.  Stop locking your knees.  This will lead to lower back pain. 
4.  Avoid eating gluten at all costs. 
5.  Breath deep so that you can feel the sides or your lower back expand. 
6.  Swing a kettlebell for a stronger and great looking backside. 
7.  Fat is where it’s at!  Enjoy butter, ghee, coconut oil, palm oil, duck fat and many other fabulous saturated fats. 
8.  Don’t let your grip strength fade with age.  Farmer carries, kettlebells and hanging from a bar will help with that. 
9.  Runners, keep your long runs slow and easy and keep your interval runs hard.  Don’t fall in the chronic cardio range. 
10.  Drink high quality spring or reverse osmosis water. 
11.  Use high quality sea salt season food and as a mineral supplement. 
12.  Work your squat so that your butt can get down to the ground.  Can you sit in this position? How long?
13.  Lift heavy weights!  We were made for manual work,.   Simulate heavy labor in the weight room. 
14.  Meditate daily.  If you don’t go within, you will go with out.  We need quiet restorative time to balance the stress in our life. 
15.  Stand up and move for 10 minutes for every hour your sit at your computer. 
16. Eat a variety of whole, real foods. 
17.  Sleep 7 to 9 hours every night. 
18.  Pull ups are my favorite exercise.  Get a home pull up bar to practice. 
19.  Get out and spend a few minutes in nature.  Appreciate the world around you while taking in fresh air and natural beauty. 
20.  We all need to pull more in our workouts.  Add more pulling movements horizontally and vertically. 
21. Surround yourself with health minded people. 
22. Keep your room dark for deep sound sleep.  A sleep mask is great for that! 
23. Use chemical free cosmetics.  Your skin is the largest organ of your body and all chemicals will absorb into your blood stream. 
24. Unilateral movements will help improve symmetrical strength. 
25. Become more playful.  We take life too seriously, becoming stress and overwhelmed.  How can you play, smile and laugh more often?
26.  Choose foods that have one ingredient.  Keep your diet simple and clean. 
27.  Keep your joints mobile as you age.  Do exercises that take joints through a full range of motion. 
28. Go to sleep no later than 10:30pm.  This allows your body and brain to repair through the night. 
29. Take care of your health and needs before others.  This allows you to be the best spouse, parent, coworker, and person on the planet. 
30.  Always start your daily with a high fat, high protein meal.  This will encourage less sugar cravings later in the day. 
31. Approach the day with positive thinking!  Stinkin’ thinkin’ only leads to more stress and frustration. 
32. You are never “too old” to do something.  Stay young at heart and keep fitness a priority as the years go by. 
33. Dream big and go for it. 
34.  Lift weights 2 to 4 times every week.  Strong is the new sexy. 
35.  Love.  Love yourself unconditionally.  Love your life and live it to the fullest.  Love others compassionately. 

Amber B.
Cureality Exercise and Fitness Coach

To Change, You Need to Get Uncomfortable

Sitting on the couch is comfortable.  Going through the drive thru to pick up dinner is comfortable.  But when you notice that you’re out-of-shape, tired, sick and your clothes no longer fit, you realize that what makes you comfortable is not in align with what would make you happy.   

You want to see something different when you look in the mirror.  You want to fit into a certain size of jeans or just experience your day with more energy and excitement.  The current condition of your life causes you pain, be it physical, mental or emotional.  To escape the pain you are feeling, you know that you need to make changes to your habits that keep you stuck in your current state.  But why is it so hard to make the changes you know that will help you achieve what you want?  

I want to lose weight but….

I want a six pack but…

I want more energy but….

The statement that follows the “but” is often a situation or habit you are comfortable with.  You want to lose weight but don’t have time to cook healthy meals.  So it’s much more comfortable to go through the drive thru instead of trying some new recipes.   New habits often require a learning curve and a bit of extra time in the beginning.  It also takes courage and energy to establish new routines or seek out help.  

Setting out to achieve your goals requires change.  Making changes to establish new habits that support your goals and dreams can be uncomfortable.  Life, as you know it, will be different.  Knowing that fact can be scary, but so can staying in your current condition.  So I’m asking you to take a risk and get uncomfortable so that you can achieve your goals.  

Realize that it takes 21 days to develop a new habit.  I believe it takes triple that amount of time to really make a new habit stick for the long haul.  So for 21 days, you’ll experience some discomfort while you make changes to your old routine and habits.  Depending on what you are changing, discomfort could mean feeling tired, moody, or even withdrawal symptoms.  However, the longer you stick to your new habits the less uncomfortable you start to feel.  The first week is always the worst, but then it gets easier.

Making it through the uncomfortable times requires staying focused on your goals and not caving to your immediate feelings or desires.  I encourage clients to focus on why their goals important to them.  This reason or burning desire to change will help when old habits, cravings, or situations call you back to your old ways.
Use a tracking and a reward system to stay on track.  Grab a calendar, journal or index card to check off or note your daily successes.  Shoot for consistency and not perfection when trying to make changes.  I encourage my clients to use the 90/10 principle of change and apply that to their goal tracking system.  New clothes, a massage, or a day me-retreat are just a few examples of rewards you can use to sticking to your tracking system.  Pick something that really gets you excited.  

Getting support system in place can help you feel more comfortable with being uncomfortable.  Hiring a coach, joining an online support group, or recruiting family and friends can be very helpful when making big changes.  With a support system in place you are not alone in your discomfort.  You’re network is there for you to reach out for help, knowledge, accountability or camaraderie when you feel frustrated and isolated.  

I’ve helped hundreds of people change their bodies, health and lives of the eleven years I’ve worked as a trainer and coach.  I know it’s hard, but I also know that if they can do it, so can you.  You just need to step outside of your comfort zone and take a risk. Don’t let fear create uncomfortable feelings that keep you stuck in your old ways.  Take that first step and enjoy the journey of reaching your goals and dreams.  

Amber Budahn, B.S., CSCS, ACE PT, USATF 1, CHEK HLC 1, REIKI 1
Cureality Exercise Specialist

The 3 Best Grain Free Food Swaps to Boost Fat Burning

You can join others enjoying substantial improvements in their health, energy and pant size by making a few key, delicious substitutions to your eating habits.  This is possible with the Cureality nutrition approach, which rejects the idea that grains should form the cornerstone of the human diet.  

Grain products, which are seeds of grasses, are incompatible with human digestion.  Contrary to what we have been told for years, eating healthy whole grain is not the answer to whittle away our waists.  Consumption of all grain-based carbohydrates results in increased production of the fat storage hormone insulin.  Increased insulin levels create the perfect recipe for weight gain. By swapping out high carbohydrate grain foods that cause spikes in insulin with much lower carbohydrate foods, insulin release is subdued and allows the body to release fat.

1. Swap wheat-based flour with almond flour/meal

  • One of the most dubious grain offenders is modern wheat. Replace wheat flour with naturally wheat-free, lower carbohydrate almond flour.  
  • Almond flour contains a mere 12 net carbs per cup (carbohydrate minus the fiber) with 50% more filling protein than all-purpose flour.
  • Almond flour and almond meal also offer vitamin E, an important antioxidant to support immune function.

2. Swap potatoes and rice for cauliflower

  • Replace high carb potatoes and pasta with vitamin C packed cauliflower, which has an inconsequential 3 carbs per cup.  
  • Try this food swap: blend raw cauliflower in food processor to make “rice”. (A hand held grater can also be used).  Sautee the “riced” cauliflower in olive or coconut oil for 5 minutes with seasoning to taste.
  • Another food swap: enjoy mashed cauliflower in place of potatoes.  Cook cauliflower. Place in food processor with ½ a stick organic, grass-fed butter, ½ a package full-fat cream cheese and blend until smooth. Add optional minced garlic, chives or other herbs such as rosemary.
3. Swap pasta for shirataki noodles and zucchini

  • Swap out carb-rich white pasta containing 43 carbs per cup with Shirataki noodles that contain a few carbs per package. Shirataki noodles are made from konjac or yam root and are found in refrigerated section of supermarkets.
  • Another swap: zucchini contains about 4 carbs per cup. Make your own grain free, low-carb noodles from zucchini using a julienne peeler, mandolin or one of the various noodle tools on the market.  

Lisa Grudzielanek, MS,RDN,CD,CDE
Cureality Nutrition Specialist

Not so fast. Don’t make this mistake when going gluten free!

Beginning last month, the Food and Drug Administration began implementing its definition of “gluten-free” on packaged food labels.  The FDA determined that packaged food labeled gluten free (or similar claims such as "free of gluten") cannot contain more than 20 parts per million of gluten.

It has been years in the making for the FDA to define what “gluten free” means and hold food manufactures accountable, with respect to food labeling.  However, the story does not end there.

Yes, finding gluten-free food, that is now properly labeled, has become easier. So much so the market for gluten-free foods tops $6 billion last year.   However, finding truly healthy, commercially prepared, grain-free foods is still challenging.

A very common mistake made when jumping into the gluten-free lifestyle is piling everything labeled gluten-free in the shopping cart.  We don’t want to replace a problem: wheat, with another problem: gluten free products.

Typically gluten free products are made with rice flour (and brown rice flour), tapioca starch, cornstarch, and potato flour.  Of the few foods that raise blood sugar higher than wheat, these dried, powdered starches top the list.

 They provide a large surface area for digestion, thereby leading to sky-high blood sugar and all the consequences such as diabetes, hypertension, cataracts, arthritis, and heart disease. These products should be consumed very rarely consumed, if at all.  As Dr. Davis has stated, “100% gluten-free usually means 100% awful!”

There is an ugly side to the gluten-free boom taking place.  The Cureality approach to wellness recommends selecting gluten-free products wisely.  Do not making this misguided mistake and instead aim for elimination of ALL grains, as all seeds of grasses are related to wheat and therefore overlap in many effects.

Lisa Grudzielanek MS, RDN, CD, CDE
Cureality Health & Nutrition Coach

3 Foods to Add to Your Next Grocery List

Looking for some new foods to add to your diet? Look no further. Reach for these three mealtime superstars to encourage a leaner, healthier body.

Microgreens

Microgreens are simply the shoots of salad greens and herbs that are harvested just after the first leaves have developed, or in about 2 weeks.  Microgreen are not sprouts. Sprouts are germinated, in other words, sprouted seeds produced entirely in water. Microgreens are grown in soil, thereby absorbing the nutrients from the soil.

The nutritional profile of each microgreen depends greatly on the type of microgreen you are eating. Researchers found red cabbage microgreens had 40 times more vitamin E and six times more vitamin C than mature red cabbage. Cilantro microgreens had three times more beta-carotene than mature cilantro.

A few popular varieties of microgreens are arugula, kale, radish, pea, and watercress. Flavor can vary from mild to a more intense or spicy mix depending on the microgreens.  They can be added to salads, soup, omelets, stir fry and in place of lettuce.  

Cacao Powder

Cocoa and cacao are close enough in flavor not to make any difference. However, raw cacao powder has 3.6 times the antioxidant activity of roasted cocoa powder.  In short, raw cacao powder is definitely the healthiest, most beneficial of the powders, followed by 100% unsweetened cocoa.

Cacao has more antioxidant flavonoids than blueberries, red wine and black and green teas.  Cacao is one of the highest sources of magnesium, a great source of iron and vitamin C, as well as a good source of fiber for healthy bowel function.
Add cacao powder to milk for chocolate milk or real hot chocolate.  Consider adding to coffee for a little mocha magic or sprinkle on berries and yogurt.




Shallots


Shallots have a better nutrition profile than onions. On a weight per weight basis, they have more anti-oxidants, minerals, and vitamins than onions. Shallots have a milder, less pungent taste than onions, so people who do not care for onions may enjoy shallots.

Like onions, sulfur compounds in shallot are necessary for liver detoxification pathways.  The sulfur compound, allicin has been shown to be beneficial in reducing cholesterol.  Allicin is also noted to have anti-bacterial, anti-viral, and anti-fungal activities.

Diced then up and add to salads, on top of a bun less hamburger, soups, stews, or sauces.  Toss in an omelet or sauté to enhance a piece of chicken or steak, really the possibilities are endless.  

Lisa Grudzielanek,MS,RDN,CD,CDE
Cureality Nutrition & Health Coach

3 Band Exercises for Great Glutes

Bands and buns are a great combination.  (When I talk about glutes or a butt, I use the word buns)  When it comes to sculpting better buns, grab a band.   Bands are great for home workouts, at gym or when you travel.  Check out these 3 amazing exercises that will have your buns burning. 

Band Step Out

Grab a band and place it under the arch of each foot.  Then cross the band and rest your hands in your hip sockets.  The exercise starts with your feet hip width apart and weight in the heels.  Slightly bend the knees and step your right foot out to the side.  Step back in so that your foot is back in the starting position.  With each step, make sure your toes point straight ahead.  The tighter you pull the band, the more resistance you will have.    You will feel this exercise on the outside of your hips. 

Start with one set of 15 repetitions with each foot.  Work on increasing to 25 repetitions on each side and doing two to three sets.



Band Kick Back

This exercise is performed in the quadruped position with your knees under hips and hands under your shoulders.    Take the loop end of the band and put it around your right foot and place the two handles or ends of the band under your hands.  Without moving your body, kick your right leg straight back.  Return to the starting quadruped position.  Adjust the tension of the band to increase or decrease the difficulty of this exercise. 

Start with one set of 10 repetitions with each foot.  Work on increasing to 20 repetitions on each side and doing two to three sets. 



Band Resisted Hip Bridge

Start lying on your back with feet hip distance apart and knees bent at about a 45-degree angle.  Adjust your hips to a neutral position to alleviate any arching in your lower back.  Place the band across your hipbones.  Hold the band down with hands along the sides of your body.  Contract your abs and squeeze your glutes to lift your hips up off the ground.  Stop when your thighs, hips and stomach are in a straight line.  Lower you hips back down to the ground. 

Start with one set of 15 repetitions.  Work on increasing to 25 repetitions and doing two to three.  Another variation of this exercise is to hold the hip bridge position.  Start with a 30 second hold and work up to holding for 60 seconds.

Normal cholesterol panel . . . no heart disease?

Normal cholesterol panel . . . no heart disease?

I often hear this comment: "I have a normal cholesterol panel. So I have low risk for heart disease, right?"

While there's a germ of truth in the statement, there are many exceptions. Having "normal" cholesterol values is far from a guarantee that you won't drop over at your daughter's wedding or find yourself lying on a gurney at your nearest profit-center-for-health, aka hospital, heading for the cath lab.

Statistically, large populations do indeed show fewer heart attacks at the lower end of the curve for low total and  LDL cholesterol and the higher end of HDL. But that's on a population basis. When applied to a specific individual, population observations can fall apart. Heart attack can occur at the low risk end of the curve; no heart attack can occur at the high risk end of the curve.

First of all, to me a "normal" lipid panel is not adhering to the lax notion of "normal" specified in the lab's "reference range" drawn from population observations. Most labs, for instance, specify that an HDL cholesterol of 40 mg/dl or more and triglycerides of 150 mg/dl or less are in the normal ranges. However, heart disease can readily occur with normal values of, say, an HDL of 48 mg/dl and triglycerides of 125 mg/dl, both of which allow substantial small oxidation-prone LDL particles to develop. So "normal" may not be ideal or desirable. Look at any study comparing people with heart disease vs. those without, for instance: Typical HDLs in people with heart attacks are around 46 mg/dl, while HDLs in people without heart attacks typically average 48 mg/dl--there is nearly perfect overlap in the distribution curves.

There are also causes for heart disease that are not revealed by the lipid values. Lipoprotein(a), or Lp(a), is among the most important exceptions: You can have a heart attack, stroke, three stents or bypass surgery at age 40 even with spectacular lipid values if you have this genetically-determined condition. And it's not rare, since 11% of the population express it. How about people with the apo E2 genetic variation? These people tend to have normal fasting cholesterol values (if they have only one copy of E2, not two) but have extravagant abnormalities after they eat that contribute to risk. You won't know this from a standard cholesterol panel.

Vitamin D deficiency can be suggested by low HDL and omega-3 fatty acid deficiency suggested by higher triglycerides, but deficiencies of both can exist in severe degrees even with reasonably favorable ranges for both lipid values. Despite the recent inane comments by the Institute of Medicine committee, from what I've witnessed from replacing vitamin D to achieve serum 25-hydroxy vitamin D levels of 60-70 ng/ml, vitamin D deficiency is among the most powerful and correctable causes of heart disease I've ever seen. And, while greater quantities of omega-3 fatty acids from fish oil are associated with lower triglycerides, they are even better at reducing postprandial phenomena, i.e., the after-eating flood of lipoproteins like VLDL and chylomicron remnants, that underlie formation of much atherosclerotic plaque--but not revealed by fasting lipids.

I view standard cholesterol panels as the 1963 version of heart disease prediction. We've come a long way since then and we now have far better tools for prediction of heart attack. Yet the majority of physicians and the public still follow the outdated notion that a cholesterol panel is sufficient to predict your heart's future. Nostalgic, quaint perhaps, but as outdated as transistor radios and prime time acts on the Ed Sullivan show.

 

Comments (19) -

  • Might-o'chondri-AL

    6/15/2011 4:14:41 PM |

    I  was surprised that in order to get my  vitamin D25 level to 58.3 ng/mL  this winter in southern California I had to take 6,000 IU daily  of vitamin D3;  as was outside in short sleeves a fair spell every day.   This was first time where could test,  and my first time supplementing as well;  now am using at least 7,000 IU daily of vitamin D3 and it's summer months.

    Set my blind trial dose,   as a precaution, on low side based on info read here (from T. Hutchinson) suggesting 1,000 IU D3 for every 25 pounds body weight;  I had no clue what my baseline D3 was . Used  glycerin drops from Vitality Works out of New Mexico,  where 5 drops = 2,000 IU D3 ;  I've no financial interest in this.

    All males on my paternal side died from heart related problems before their late 50's so went ahead and tested my Lp(a) a while back;  I got clued in to Lp(a) by reading Doc's posts here . Was pleased and relieved to see a Lp(a) reading of just 2 , since lab gives less than 20 Lp(a) as normal.

  • Jimmy

    6/16/2011 12:07:56 AM |

    Then how is Lp(a) best treated?
    I am 36 and have had high Lp(a) for 16 years now. It sits near 100. That with low HDL and high LDL I feel like a walking time bomb. My father passed at 44 and mom at 46 and all uncles on mom's side dead prior to 50 of heart disease. Father was adopted, so do not know his side. What is worse, is that I have just relocated to Toronto, Canada (from the US) and I cannot find a doctor who even acknowledges what Lp(a) is. Nor can I find one (and I have been searching for 2 years) who thinks my cholesterol is high enough to "worry about".  It's even worse here than in my small town back in the US as far as getting decent lipid testing and advice Frown     Sorry to rant.

  • Lora

    6/16/2011 1:33:58 AM |

    I'm glad that you are warning people with normal cholesterol panels not to be complacent about their arterial status. My  cholesterol totals from age 40 to 52  ranged between 114 and 132.  My HDLs in my late 40s/early 50s were 64, 58, 53; LDLs 55, 56, 48; triglycerides 66, 49, 70.  The cholesterol totals on the latter two panels were below the normal range, which I've read can be problematic, though that's a topic that it is very difficult to find info about. What a surprise to get an severely infected blister on my foot, complicated by poor circulation, and to subsequently be found to have "mild arteriosclerotic changes" in my lower extremities.  I wonder about the mildness b/c now I perceive the dramatically decreased amount of hair on my legs as an indicator of poor circulation.

  • Dr. William Davis

    6/16/2011 11:54:41 AM |

    Jimmy-

    Please do not accept the advice offered by many of my colleagues that there is no treatment for Lp(a), or that the only treatment is to reduce LDL to less than 80 mg/dl with statins. All nonsense.

    Undoubtedly, the science behind Lp(a) is still unfolding and is proving to be more complex than initially thought. For instance, newer observations are suggesting that the atherogenic (plaque-causing) potential of Lp(a) may be largely due to its oxidized phospholipid and phospholipase A2 content.

    Nonetheless, I urge you  to participate in our discussions on the Track Your Plaque website, where you will find extensive reports and discussions on what to do with Lp(a). Our current first treatment of choice is high-dose fish oil, i.e., 6000 mg per day EPA + DHA.

  • Dr. William Davis

    6/16/2011 11:56:51 AM |

    Hi, Lora--

    Clearly, your answers won't be found in cholesterol values. This is far more common than often thought.

    Look for Lp(a), small LDL, vitamin D deficiency, and consider omega-3 fatty acid supplementation. Consider unappreciated hypertension and endogenous glycation, i. e, high HbA1c.

  • James

    6/16/2011 8:22:33 PM |

    When I got my in-office lipid panel results, my doctor was pleased by the results (I was too):

    Trigs: 50
    Total Chol: 198
    HDL-C: 70
    LDL-C: 118 (slightly elevated)

    That gives me a TC/H of 2.8, which I assume is excellent.

    BUT, I also got a NMR LipoProfile test, and here were those results:
    LDL-P: 1410 (High)
    Small LDL-P: 613 (High)
    Vit D: 31.4 (Low)

    I was surprised that the NMR test revealed some risk, while my standard panel did not. My doctor now wants to test me again in 4 months.

  • kenneth

    6/17/2011 1:39:19 PM |

    I've never been able to get my HDL above 36 (it's as low as 25). Triglycerides in me and my brother run 400-500 uncontrolled (neither of us is at all obese). I'm at 8 grams of fish oil now, 1 g of IR niacin and I've bumped up my Vitamin D to 8,000 a day, and I'm hoping that makes a difference at least with the HDL. My LDL and total cholesterol numbers are "normal" although god knows what a VAP or NMR would reveal. Would I be crazy to think about adding a bit of statin to this mix, ie 10 mg/day of atorvastatin or simvistatin? Has anyone had any luck with sytrinol or anything else? I'm not wheat free I know, but I have cut way down.

  • Anand

    6/17/2011 4:23:50 PM |

    Dr. Davis,
    What is your take on the AIM-HIGH trial ?
    My Lpa, measured at Berkeley is extremely elevated at 190 mg/ dl. Their assay is supposed to be isoform insensitive. I am on 20 mg crestor and 2 g niaspan along with 2g carnitine, 2500 IU vitamin d (level is 36) and 3 g EPA plus DHA.
    I do follow a low carb diet.
    I also have FH. Untreated my TC was 300 with LDL over 200.  I already have one stent in mid LAD despite being thin (BMI 23).
    I am wondering how to monitor my coronary arteries besides the standard stress test.

    An and

  • Lora

    6/17/2011 8:32:43 PM |

    Thank you for the information. My HbA1c when checked was 5.6. I had already started cutting back significantly on carbs a couple of weeks before that. I think endogenous glycation has been a significant factor for me. I've avoided white sugar for many years, but I used to quite frequently eat beans and whole grains, including whole grain oatmeal every morning. I discovered with a OneTouch UltraMini glucose monitor that my BG went into the 170s after eating that!  I haven't found any other food that sends my BG so high.  (And  I used to frequently eat the oatmeal along with fruit!) An hour after the drink in a glucose tolerance test my BG was 138 (then went to 79 an hour later).  My vitamin D when checked was 43.6 so not terrible, but showing room for improvement. I'ave been taking Member's Mark fish oil (which I read about on this web site) for quite awhile, but I’d been somewhat erratic with it before realizing my problem. I have a variant of "white coat" hypertension, which I've read is probably more harmful than it was once thought to be. Normally my BP is on the low side but stressful situations sometimes cause it to spike dramatically. My BMI has been 20 for years, used to be lower. I've never smoked. I wonder about carnitine b/c my diet has been largely, though not entirely, vegetarian for years. I definitely haven’t been getting enough exercise. Also, I've come across journal articles about Type D personality traits and think they may be a factor.  I have to get Lp(a), small LDL, and other sub-elements checked.    

    Thanks again! I have learned a lot from this web site.

  • Helen

    6/20/2011 7:11:33 PM |

    Lora -

    Yikes!  You sound almost exactly like me.  I don't really know what to do about the glucose spikes.  Low carb didn't help me.  I'm not trying to burst Dr. Davis' bubble or anything, just saying what was true for me.  Fish oil and niacin make my blood sugar spike more.  My blood pressure and resting heart rate are low, though.  Only occasionally do I get the white coat hypertension thing.  But otherwise, my cholesterol panel and blood sugar experiences mirror yours pretty well.

  • Lora

    6/22/2011 7:43:10 PM |

    Helen,

    Fortunately, decreasing or avoiding certain carbs does help me control my blood glucose. I bought a glucose monitor, as suggested by Dr. Davis. Ironically, I have discovered that some of the foods I used to make it a point to eat for health reasons (oatmeal, apple) spike my blood sugar the most.

  • SK

    6/25/2011 2:27:20 PM |

    We are big fans of fish oil.

    BUT, now we read this: "our findings are disconcerting as they suggest that ω-3 fatty acids, considered beneficial for coronary artery disease prevention, may increase high-grade prostate cancer risk, whereas trans-fatty acids, considered harmful, may reduce high-grade prostate cancer risk. " ???
    http://aje.oxfordjournals.org/content/173/12/1429.full

    thoughts???

  • SK

    6/25/2011 2:31:28 PM |

    OOopps,

    my mistake. let me post this at the right blog topic....

  • Gregory

    6/27/2011 1:34:08 AM |

    Lora,

    I too: a cup of muesli and fruit for breakfast for years. One day I tested: 179 after 1 hour. I now try to aim for 1 hr post prandial 110. No more muesli and fruit for breakfast!

  • Dr. Hasitha Dissanayake

    7/1/2011 5:02:37 PM |

    Dr. Davis, you have nicely described the high lipid levels and its impact on heart disease. Yes, as you have described the hight lipid level is not the only cause for heart diseases. Other major risk factors include smoking, hypertension and  diabetes. Further there are also number of minor risk factors for heart diseases as well, such as family history, sedentary life style, male gender etc.

    We should not make our minds by looking only at normal cholesterol panel. As you have described already vitamin D in important to produce more HDL and Omega-3 fatty acids. Any way vitamin A, C and E act as anti oxidants and also reduce the cancer risk. Visit http://agelag.blogspot.com

    Nice blog Dr. Davis... Keep on writing...

  • John

    7/21/2011 6:16:28 PM |

    WOW! all these numbers/letters and i've not a clue what most of them mean! i'm aware of the hdl/ldl numbers/levels , though not of the others. i happened across this site/blog from another nd/md's blog and i find this stuff to be mind-boggling! my health challenge: Late Nov. 2010, i had a stent placed in a major artery that i'm told was 90-95% blocked. while recovering in cath lab, i almost bled to death with a hemotopa ( ? ) the size of an orange, i was told upon my discharge by the nurse who saw it and literally saved my life. i've since been on plavix 75mg, 1x/day in which i've chosen to cut these in half and now take 1/2 pill at 12+ hours intervals or when i suddenly feel tired, pains and get scared. i should also tell you i've been diagnosed w/ peripheral neuropathy and experience many different types of stinging/pinching pain in various parts of by body. doing alot of computer work ( i work from home on the internety ) with one=finger hunt-n-pek typing also causes numbness and pain in my right hand. the very first day after the procedure,  i was given 7 - yes, 7! - plavix75mg. needless to say, the ensuing 4 weeks was hell for me and out of fear, i was back and forth to a heart hospital about 4 different ocassions. my entire right leg, groin, testacles and penis was purple/bluish and bruised. Now, i have not felt good since this stent was put in. i feel that the other type stent could have been used instead of the drug-alluding stent. I was also prescibed a statin of which I've NOT taken since finding out how ineffective and dangerous they are and that we actually need cholesterol especially for prpoer brain functioning. as i type now, i'm in discomfort. i recently started drinking a organic magnesium supplement called Natural Calm but aside from it cleaning me out, i feel no better at this point. I NEED HELP! i'm depressed and very irritable over the smallest things, at times. I have attempted to follow Dr. D'adamo's Eat right For your Blood type diet, but, since these supplements can be quite expensive ( i'm on a S.S. disability for Tourettes Syndrome ) i don't take them as often as i should so i really can't say whether or not they help. i've eaten breads my entire life and pizza as and still is my favorite ( i'm italian of course-Smile basically, i've been eating all foods my entire life that i shouldn't have been. i'm driving my wife and myself crazy and she does return the "favor' quite often. so now i read all this info. about vit. D and fish oils and i'm more confused than ever. being in NY, i'm aware of the vit. d ( lack of ) in relation to depression or SAD, etc.  i'm praying i find some nd/md who is willing and able to work with me to get me off this plavix and gabapentin 300mg ( 3 caps, 2x per day or as i feel they are needed ). my cardi says that after 1 year he'll be able to take me off the plavix, but, honestly, i feel this drug is killing me. oh...i also have the beginnings of Barretts Esophagus ( very small, i'm told ) and my gastro and cardi feel the combination of Plavix 75mg, Protonix 40mg, enteric coated Reg. strength aspirin ( of which i take 1-2  Baby aspirin instead, very rarely ),
    gabapentin 300mg is safe for me and outweighs the 30% or so possibility of having a blood clot at the stent. I've also thin blood to begin with ( type 0+ ) and i'm just feeling miserable! i do have a good day here and there, but mostly my days are spent very uncomfortable, irratable, depressed, tired and angry. I used to be healthy and exercised but now if i get out to walk a while, that's about it. i've never weighed in at more than 185 with much of my life weighing between 155-170. i am 5'7" and had always been considered to have broad shoulders and was husky as a young child. i'm hoping to get some relief and my good health back. i thank you for reading this and letting me vent. i apologize for any typos and the inconsistencies.

  • Lawrence

    9/30/2011 12:38:03 PM |

    Dear Dr William Davis
    In May of 2009 my wife had a brain aneurism and stroke.  (Then 52)
    Two years on she is extremely well due to a very skilled neurosurgeon. It has come to light that my wife has type 2 diabetes, high blood pressure and high cholesterol.
    Her medications are 1000mg of Metformin twice daily with meals.
    160mg of Diovan  mornings.
    25 mg HCTZ mornings.
    We are supplementing her meds with 1000mg of fish oil and now 2000iu of Vitamin D.
    A month ago we started using the Heart Technology Heart Tech formula two scoops  a day.
    Approx one month after starting the Heart Tech Formula my wife has had some blood work done.
    The results are as follows:
    A1C 7.1
    Lipoprotein A 23 nmol/L
    Vitamin D, 25 Hydroxy (vd25)  33ng/ml.
    C-reactive Protein HS 0.80 mg/dl.
    Cholesterol 236 md/dl.
    HDL 48 mg/dl.
    Triglyceride  181 mg/dl.
    VLDL  36 mg/dl.
    LDL 152 mg/dl.
    Non –HDL  188
    LDL/HDL ratio 3.17.
    My wife was originally taking Simvastain 25mg per day but our PCP stopped this due to some nasty side effects, he has since suggested we start  Lipitor, but after reading so many worrying articles regarding Lipitor and other statin usage  we are very reluctant to start using the Lipitor.
    I wonder if you would mind discussing our options and what you would consider my wife’s risk of Heart Attack and stroke are and if you feel the use of vitamin C, lysine etc in the Heart Tech will help with her risk.  I am new to the site so have not found my way around yet.
    Thank you.
    Lawrence

  • Dr. William Davis

    10/1/2011 2:04:52 PM |

    Hi, Lawrence--

    I would strongly urge you and your wife to 1) read the many posts on this blog about the exact situation your wife is experiencing and, 2) if interested in more information, consider going to the Track Your Plaque website, where many discussions are conducted on these issues every day.

    Your wife's pattern is a clear-cut example of carbohydrate excess and/or genetic susceptibility and vitamin D deficiency. All of this is readily, easily, and safety correctable with no drugs.

  • Lawrence

    10/1/2011 9:33:03 PM |

    Dear Dr William Davis
    I suppose in some ways being diagnosed with type 2 has been a good thing, in spite of my wife mild brain damage she is starting to realize that she has to cut out all the rapid acting carbohydrates that she used to exist on. It has taken me some time to find the right approach to helping control her BG, but she is now starting to see the better BG reading so is responding to the good feedback. We are increasing our dose of Vitamin D3 to 10000 IU.  We plan to continue with the Heart Tech, my feeling is her LPa would have been much higher if she had not had a month of the Heart Tech formula prior to her blood draw.
    I will certainly log in to Track Your Plague, thank you for taking the time to respond to my questions, it’s very reassuring that you feel she will respond to the Track Your Plaque.
    Lawrence

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