Dec 2010
Is vitamin D right for you?
26/Dec/10 02:01 PM Filed in: Nutrition
by Kate Whimster, BCom, MIFHI, ND
More recent commentary on vitamin D as covered by Natural Medicine Journal:
Let the Science and Evidence Guide Clinical Decision-Making on Vitamin D for the Benefit of Patients, Alexander G. Schauss, PhD, FACN
This article discusses biochemical individuality, as well as evidence in favour of vitamin D as relates to frailty in elderly populations, genetic and racial variations, and immune support. Ultimately, he reiterates that we must “consider the individual,” which is what naturopathic medicine is all about!
Broad-Brush Recommendations Are a Disservice to the Public, Geovanni Espinosa, ND
This article summarizes conditions associated with vitamin D deficiency and provides some broad intake recommendations.
Media Coverage Further Confounds Recommendations, Susan W. Ryan, DO
This article highlights one major issue plaguing media coverage of health issues - inaccurate or incomplete reporting. Unfortunately, as a naturopathic doctor I find this to be all too common! What gets covered in major media is not necessarily representative of the information that exists on a topic, it is slanted more towards what is strange/interesting/controversial/trendy. This also includes such information available on the internet. There is a lot of great information to be found on the internet, but your best bet is to find out what is best for YOU from a trained health professional, such as your naturopathic doctor.
More recent commentary on vitamin D as covered by Natural Medicine Journal:
Let the Science and Evidence Guide Clinical Decision-Making on Vitamin D for the Benefit of Patients, Alexander G. Schauss, PhD, FACN
This article discusses biochemical individuality, as well as evidence in favour of vitamin D as relates to frailty in elderly populations, genetic and racial variations, and immune support. Ultimately, he reiterates that we must “consider the individual,” which is what naturopathic medicine is all about!
Broad-Brush Recommendations Are a Disservice to the Public, Geovanni Espinosa, ND
This article summarizes conditions associated with vitamin D deficiency and provides some broad intake recommendations.
Media Coverage Further Confounds Recommendations, Susan W. Ryan, DO
This article highlights one major issue plaguing media coverage of health issues - inaccurate or incomplete reporting. Unfortunately, as a naturopathic doctor I find this to be all too common! What gets covered in major media is not necessarily representative of the information that exists on a topic, it is slanted more towards what is strange/interesting/controversial/trendy. This also includes such information available on the internet. There is a lot of great information to be found on the internet, but your best bet is to find out what is best for YOU from a trained health professional, such as your naturopathic doctor.
Comments
Blood type diet and eyes
22/Dec/10 01:26 PM Filed in: Blood Type Diet | GenoType Diet
Check out this blog by Suzanne Graham pondering whether improvements to eye health and vision may be due to the Blood Type Diet.
In fact, nutrition is very important for eye health! While in naturopathic school, opthalmologist Dr. Peter Shaw, who taught a unit on differential diagnosis for the eye, was a major believer in this! He also specifically mentioned the Blood Type Diet as something he recommended to his patients.
In fact, nutrition is very important for eye health! While in naturopathic school, opthalmologist Dr. Peter Shaw, who taught a unit on differential diagnosis for the eye, was a major believer in this! He also specifically mentioned the Blood Type Diet as something he recommended to his patients.
Is natural still the alternative?
20/Dec/10 10:25 AM Filed in: Natural medicine | Nutrition
by Kate Whimster, BCom, MIFHI, ND
Check out this blog by my colleague Ashley Mayer that asks the question “since when did natural become the alternative?”
I had to share this blog because it addresses a major shift in perception that has happened in society in a short period of time. Somehow in just a generation or two, most people have accepted advertising messages/manipulation that tells us that fake, altered, and lab-created foods are somehow equal to or even better than what nature has to offer. Although I have yet to read both of the Michael Pollan books I own, I know that one of his major messages is “eat food.” Even just sticking to this basic advice, meaning eat things in as close to their natural state as possible (unprocessed and free of preservatives, additives, flavours, colours, etc), would greatly benefit most people.
In this blog, Ashley addresses this question as well as the key points of: choose your sources of information carefully and employ your critical thinking skills to decide what is actually “healthy.”
Check out this blog by my colleague Ashley Mayer that asks the question “since when did natural become the alternative?”
I had to share this blog because it addresses a major shift in perception that has happened in society in a short period of time. Somehow in just a generation or two, most people have accepted advertising messages/manipulation that tells us that fake, altered, and lab-created foods are somehow equal to or even better than what nature has to offer. Although I have yet to read both of the Michael Pollan books I own, I know that one of his major messages is “eat food.” Even just sticking to this basic advice, meaning eat things in as close to their natural state as possible (unprocessed and free of preservatives, additives, flavours, colours, etc), would greatly benefit most people.
In this blog, Ashley addresses this question as well as the key points of: choose your sources of information carefully and employ your critical thinking skills to decide what is actually “healthy.”
Antioxidant brownies
16/Dec/10 10:29 AM Filed in: Recipes
by Kate Whimster, BCom, MIFHI, ND
I LOVE chocolate, but I try to avoid sugar because I feel so much better without it. When I stopped eating sugar in 2003, I was faced with the dilemma of how the heck I could still feed my chocolate cravings while avoiding sugar? Necessity is the mother of invention and the result was that I have come up with a few creative recipes to make chocolatey things without sugar. I also avoid gluten and dairy, so I have had to modify my recipes for those too.
One of the most popular recipes I’ve created has been for gluten-free, dairy-free (if you use ghee instead of butter), sugar-free (if you use vegetable glycerine instead of agave syrup) brownies. I recently had the idea to make them more nutritious by using raw cacao powder (instead of traditional cocoa) which is high in antioxidants!
Antioxidant Brownies
(makes about 36 small brownies)
Ingredients:
Directions:
1. Preheat oven to 300 degrees Fahrenheit.
2. Melt the ghee/butter and combine in a medium bowl with the cacao powder until smooth.
3. Add vegetable glycerine/agave, almond meal, and egg yolks and combine.
4. Beat the egg whites in a small bowl until soft peaks form. Fold egg whites into other bowl with the chocolate mixture.
5. Gently combine until blended and pour into a square pan lined with parchment paper.
6. Bake for approximately 20 minutes, then turn 1/4 turn and bake for another 10-20 minutes or until a toothpick inserted comes out nearly clean.
7. Let cool for about 15 minutes, then continue cooling in fridge.
I LOVE chocolate, but I try to avoid sugar because I feel so much better without it. When I stopped eating sugar in 2003, I was faced with the dilemma of how the heck I could still feed my chocolate cravings while avoiding sugar? Necessity is the mother of invention and the result was that I have come up with a few creative recipes to make chocolatey things without sugar. I also avoid gluten and dairy, so I have had to modify my recipes for those too.
One of the most popular recipes I’ve created has been for gluten-free, dairy-free (if you use ghee instead of butter), sugar-free (if you use vegetable glycerine instead of agave syrup) brownies. I recently had the idea to make them more nutritious by using raw cacao powder (instead of traditional cocoa) which is high in antioxidants!
Antioxidant Brownies
(makes about 36 small brownies)
Ingredients:
- 1 cup raw cacao powder
- 1/2 to 3/4 cup ghee (I make my own ghee using organic, cultured butter, see ghee recipe here) or butter - ghee is wetter than butter, so adjust accordingly
- 1/2 to 3/4 cup vegetable glycerine (very sweet but does not spike blood sugar - I get mine in large bottles from Azure Standard) or agave syrup - adjust according to desired sweetness
- 1 cup almond meal (from Bob’s Red Mill)
- 4 eggs, separated
Directions:
1. Preheat oven to 300 degrees Fahrenheit.
2. Melt the ghee/butter and combine in a medium bowl with the cacao powder until smooth.
3. Add vegetable glycerine/agave, almond meal, and egg yolks and combine.
4. Beat the egg whites in a small bowl until soft peaks form. Fold egg whites into other bowl with the chocolate mixture.
5. Gently combine until blended and pour into a square pan lined with parchment paper.
6. Bake for approximately 20 minutes, then turn 1/4 turn and bake for another 10-20 minutes or until a toothpick inserted comes out nearly clean.
7. Let cool for about 15 minutes, then continue cooling in fridge.
Anti-aging green tea mask
13/Dec/10 02:05 PM Filed in: Beauty
by Kate Whimster, BCom, MIFHI, ND
I make myself a very basic face mask using green tea powder because green tea is high in polyphenols, a type of antioxidant that when applied topically can be anti-inflammatory, protect against skin cancer, and reduce or prevent signs of aging. It is a great healing treatment for all kinds of skin types and issues.
Green tea face mask
Ingredients:
1/2 tsp green tea powder (I use Do Matcha because that’s the only one I’ve found so far, but you can use any kind)
Water or carrier oil
Directions:
1. Place green tea powder in very small bowl and mix to a paste with either water or oil.
2. Add essential oils if desired.
3. Apply to clean, dry skin after washing and exfoliating.
4. Leave on for 10-15 minutes, then gently rinse off.
I make myself a very basic face mask using green tea powder because green tea is high in polyphenols, a type of antioxidant that when applied topically can be anti-inflammatory, protect against skin cancer, and reduce or prevent signs of aging. It is a great healing treatment for all kinds of skin types and issues.
Green tea face mask
Ingredients:
1/2 tsp green tea powder (I use Do Matcha because that’s the only one I’ve found so far, but you can use any kind)
Water or carrier oil
- For oiler skin, you can use water, in which case this mask dries on your face like a clay mask.
- For dryer skin, use a carrier oil of your choice. I personally really like rosehip oil as it is anti-inflammatory and known for anti-aging. The type of oil can be varied based on what you prefer - check out more info on different carrier oils here.
- You can choose oils that address specific skin issues - check out more info here.
Directions:
1. Place green tea powder in very small bowl and mix to a paste with either water or oil.
2. Add essential oils if desired.
3. Apply to clean, dry skin after washing and exfoliating.
4. Leave on for 10-15 minutes, then gently rinse off.
How much calcium and vitamin D?
by Kate Whimster, BCom, MIFHI, ND
A recent article in the New York Times questioned the need for high levels of calcium and vitamin D supplementation that has become the new norm. I have already had patients ask me about this, so I will try to address it here.
I am always in favour of obtaining nutrients the way human beings were designed to get them, which is through food. Calcium and vitamin D are actually quite different types of nutrients, so I will discuss them separately. The main take-home point of this blog is that ultimately we are all unique and the beauty of naturopathic medicine is that as an ND I am able to work with you individually to assess your needs and make a recommendation that is personalized to you as an individual. So ultimately, to figure out how much calcium and vitamin D you should or should not take, talk to your naturopathic doctor!
Calcium
I am asked quite often how much calcium we need, what is the best source, etc... Osteoporosis is far too common in western society and yet we get lots of calcium here too! What’s going on? The short answer is that there is so much more to bone health than just calcium. There are three things to look at with regard to bone health.
First, the raw material needed to create bone. Calcium is just one of many building blocks necessary to make bone but it is definitely not the only one! Magnesium, phosphate, boron, and other minerals are all necessary.
Second, a pile of bricks does not make a house just as lots of materials (calcium and other minerals) do not automatically make bone. Bone has to be built and weight bearing exercise is a key factor to signal our bodies to take those materials and do something with them. When more stress is applied to bone, it becomes stronger. There are also other factors in building bone, such as proper blood flow (yes, bone is living tissue and needs blood!) and other signals like vitamin D (see below!) going on in the body.
Finally, we must prevent our bodies from breaking down bone to use those materials elsewhere. This is another complex area but in a nutshell, if your body needs some calcium to buffer your blood to keep it at the perfect pH level (which keeps you alive, by the way), it will draw this from bones. An acidic environment in our tissues increases the need to use bone to balance pH. And what causes an acidic environment? Stress, lack of sleep, caffeine/alcohol, sugar, dairy, and other acidifying foods...
While dairy groups and marketing boards have done an amazing job convincing people they need to eat a lot of servings of dairy products each day to get enough calcium, there are many other great sources of calcium that most people overlook. One great way is to make bone broth! You can also get calcium from leafy green veggies, nuts and seeds, and many other diverse food sources. For more info, check out the World’s Healthiest Foods site listing for calcium.
Vitamin D
In the case of vitamin D, our bodies use cholesterol (it’s not all bad!) to make vitamin D when our skin is exposed to the sun. For example, a caucasian person out in summer sun in just a bathing suit until his or her skin just begins to turn pink produces between 10,000 and 50,000IU of vitamin D. Vitamin D is a fat soluble vitamin and can therefore be stored by our bodies so that we can make it through winter off the supply we’ve built up in the summer. Lighter skinned people make more vitamin D from the sun so it’s no surprise that at higher latitudes you find blonder, paler people and near the equator (where there is more direct sun exposure and no long, dark winter) you find darker skinned people. Anyway, before there were ever vitamin D supplements, humans spent much of their time, particularly in the summer, outside and likely made enough vitamin D to last through each winter.
However, this is not the world we live in anymore! Unfortunately most people spend nearly all their time indoors during the day and therefore cannot make vitamin D from sun exposure. This alone is a powerful argument for supplementation, not to mention the greater issue of how our incredibly unnatural lifestyle impacts our health, but that is a topic for another day. In addition, there have been many studies on vitamin D in the past few decades demonstrating how vitamin D impacts so much more than bone health. Vitamin D is in fact a hormone, a key signalling system in the body that can impact all kinds of conditions. There are far too many studies for me to summarize here, but if you want to learn more, you can start with reading the response to the article linked above written by the Executive Director of the Vitamin D Council.
So how do you know what to do? Again, the best way to determine if supplementation is right for you and how much to supplement is to see a naturopathic doctor who can assess your unique situation. You can also ask your doctor to run a blood test for 25-hydroxy vitamin D. The province of Ontario has recently put more restrictions on this test because it became so popular but if you have a condition for which vitamin D is important or that puts you at greater risk for deficiency, such as osteoporosis, parathyroid disease, pregnancy, or kidney disease, speak to your doctor about testing your levels.
A recent article in the New York Times questioned the need for high levels of calcium and vitamin D supplementation that has become the new norm. I have already had patients ask me about this, so I will try to address it here.
I am always in favour of obtaining nutrients the way human beings were designed to get them, which is through food. Calcium and vitamin D are actually quite different types of nutrients, so I will discuss them separately. The main take-home point of this blog is that ultimately we are all unique and the beauty of naturopathic medicine is that as an ND I am able to work with you individually to assess your needs and make a recommendation that is personalized to you as an individual. So ultimately, to figure out how much calcium and vitamin D you should or should not take, talk to your naturopathic doctor!
Calcium
I am asked quite often how much calcium we need, what is the best source, etc... Osteoporosis is far too common in western society and yet we get lots of calcium here too! What’s going on? The short answer is that there is so much more to bone health than just calcium. There are three things to look at with regard to bone health.
First, the raw material needed to create bone. Calcium is just one of many building blocks necessary to make bone but it is definitely not the only one! Magnesium, phosphate, boron, and other minerals are all necessary.
Second, a pile of bricks does not make a house just as lots of materials (calcium and other minerals) do not automatically make bone. Bone has to be built and weight bearing exercise is a key factor to signal our bodies to take those materials and do something with them. When more stress is applied to bone, it becomes stronger. There are also other factors in building bone, such as proper blood flow (yes, bone is living tissue and needs blood!) and other signals like vitamin D (see below!) going on in the body.
Finally, we must prevent our bodies from breaking down bone to use those materials elsewhere. This is another complex area but in a nutshell, if your body needs some calcium to buffer your blood to keep it at the perfect pH level (which keeps you alive, by the way), it will draw this from bones. An acidic environment in our tissues increases the need to use bone to balance pH. And what causes an acidic environment? Stress, lack of sleep, caffeine/alcohol, sugar, dairy, and other acidifying foods...
While dairy groups and marketing boards have done an amazing job convincing people they need to eat a lot of servings of dairy products each day to get enough calcium, there are many other great sources of calcium that most people overlook. One great way is to make bone broth! You can also get calcium from leafy green veggies, nuts and seeds, and many other diverse food sources. For more info, check out the World’s Healthiest Foods site listing for calcium.
Vitamin D
In the case of vitamin D, our bodies use cholesterol (it’s not all bad!) to make vitamin D when our skin is exposed to the sun. For example, a caucasian person out in summer sun in just a bathing suit until his or her skin just begins to turn pink produces between 10,000 and 50,000IU of vitamin D. Vitamin D is a fat soluble vitamin and can therefore be stored by our bodies so that we can make it through winter off the supply we’ve built up in the summer. Lighter skinned people make more vitamin D from the sun so it’s no surprise that at higher latitudes you find blonder, paler people and near the equator (where there is more direct sun exposure and no long, dark winter) you find darker skinned people. Anyway, before there were ever vitamin D supplements, humans spent much of their time, particularly in the summer, outside and likely made enough vitamin D to last through each winter.
However, this is not the world we live in anymore! Unfortunately most people spend nearly all their time indoors during the day and therefore cannot make vitamin D from sun exposure. This alone is a powerful argument for supplementation, not to mention the greater issue of how our incredibly unnatural lifestyle impacts our health, but that is a topic for another day. In addition, there have been many studies on vitamin D in the past few decades demonstrating how vitamin D impacts so much more than bone health. Vitamin D is in fact a hormone, a key signalling system in the body that can impact all kinds of conditions. There are far too many studies for me to summarize here, but if you want to learn more, you can start with reading the response to the article linked above written by the Executive Director of the Vitamin D Council.
So how do you know what to do? Again, the best way to determine if supplementation is right for you and how much to supplement is to see a naturopathic doctor who can assess your unique situation. You can also ask your doctor to run a blood test for 25-hydroxy vitamin D. The province of Ontario has recently put more restrictions on this test because it became so popular but if you have a condition for which vitamin D is important or that puts you at greater risk for deficiency, such as osteoporosis, parathyroid disease, pregnancy, or kidney disease, speak to your doctor about testing your levels.
Bone broth recipe
03/Dec/10 02:17 PM Filed in: Recipes
by Kate Whimster, BCom, MIFHI, ND
In honour of recent discussion about calcium and vitamin D supplementation, I’m sharing my easy, simple recipe for bone broth. This is a great way to get calcium and other minerals from the bones, as well as other nutrients from the meat and cartilage. Plus it feels great to truly use every beneficial part of your food before throwing it away.
I like to buy a roasted chicken (the ones from Whole Foods are amazing!), cut off the meat (which I store in the freezer and pull out for a quick meal), and use the leftover bones. Basically you can just get some bones, throw whatever else you like in there too, and boil it all. There is really no way to mess this up, except if you boil it too long, in which case it turns kind of gelatinous... Don’t worry, I’ll tell you how long from my own experience!
You can use the broth to cook rice or other grains, as a base for soups, or in any variety of ways to add taste and nutrition to other dishes.
Bone Broth
(makes about 2-3L of broth)
Ingredients:
Bones! You can use chicken or beef, whichever you prefer.
1 Tbsp vinegar (I like apple cider because it is less vinegary tasting)
Spices of your choice to taste (salt and pepper are great)
Veggies of your choice (I use chopped garlic and onions, sometimes some carrots and celery too)
Immune boosting option! Add ingredients for Change of Season Soup (I’ve bought packages of this from Herbie’s Herbs) along with your veggies! Change of Season soup is an Asian medicine recipe using four herbs (Astragalus, Codonopsis, Dioscorea, and Lycii) which helps your body adjust to the transition between seasons to prevent getting sick.
Directions:
1. Place bones and vinegar in a large stockpot and cover with filtered water.
2. Cover and bring to a boil.
3. Turn down the heat to between low and medium and let simmer for about 1.5 to 2 hours.
4. Add spices and veggies.
7. Discard bones and other solids.
8. Place bowl in refrigerator overnight and in the morning skim off the top layer of fat.
9. Decant the liquid into airtight, leakproof, and ideally glass containers and store in the fridge or freezer.
Notes:
In honour of recent discussion about calcium and vitamin D supplementation, I’m sharing my easy, simple recipe for bone broth. This is a great way to get calcium and other minerals from the bones, as well as other nutrients from the meat and cartilage. Plus it feels great to truly use every beneficial part of your food before throwing it away.
I like to buy a roasted chicken (the ones from Whole Foods are amazing!), cut off the meat (which I store in the freezer and pull out for a quick meal), and use the leftover bones. Basically you can just get some bones, throw whatever else you like in there too, and boil it all. There is really no way to mess this up, except if you boil it too long, in which case it turns kind of gelatinous... Don’t worry, I’ll tell you how long from my own experience!
You can use the broth to cook rice or other grains, as a base for soups, or in any variety of ways to add taste and nutrition to other dishes.
Bone Broth
(makes about 2-3L of broth)
Ingredients:
Bones! You can use chicken or beef, whichever you prefer.
1 Tbsp vinegar (I like apple cider because it is less vinegary tasting)
Spices of your choice to taste (salt and pepper are great)
Veggies of your choice (I use chopped garlic and onions, sometimes some carrots and celery too)
Immune boosting option! Add ingredients for Change of Season Soup (I’ve bought packages of this from Herbie’s Herbs) along with your veggies! Change of Season soup is an Asian medicine recipe using four herbs (Astragalus, Codonopsis, Dioscorea, and Lycii) which helps your body adjust to the transition between seasons to prevent getting sick.
Directions:
1. Place bones and vinegar in a large stockpot and cover with filtered water.
2. Cover and bring to a boil.
3. Turn down the heat to between low and medium and let simmer for about 1.5 to 2 hours.
4. Add spices and veggies.
- 5. Turn heat up again to boil more vigourously, then turn it down to simmer again for another hour.
7. Discard bones and other solids.
8. Place bowl in refrigerator overnight and in the morning skim off the top layer of fat.
9. Decant the liquid into airtight, leakproof, and ideally glass containers and store in the fridge or freezer.
Notes:
- Simmering for more than 3-4 hours can result in a gelatinous broth!
- Use refrigerated broth within 7 days
- Use frozen broth within 6 months
Great quote #22
02/Dec/10 08:32 PM Filed in: Quotes
“Charm: the quality in others that makes us more satisfied with ourselves.” Henri-Frederic Amiel