Nutrition Basics

"Eat this fat, don't eat that fat."  "Eggs are high in cholesterol -- but they're a good source of protein."  "Alcohol is bad, but red wine can be good for you."  If you're new to healthy eating, it can be easy to feel overwhelmed with all the information that's out there about nutrition.

If you're interested in moving towards a healthier diet, forget about the details for a minute and start with the basics.  Here are a few general tips to keep in mind:

Cook at home more often

We all love to go out for a good meal, and with our busy lives, it can be hard to cook at home all the time.  However, between the large portion sizes and the amount of oil, butter and salt that is used in restaurant food, eating at home the majority of the time is a major step you can take towards healthier eating, and a healthier wallet!  With a little planning, it doesn't have to take up a lot of time.

If you are someone who really goes out to eat a lot, here's a great book we've found that shows you how to cook meals that are similar to restaurant meals, but for less calories and saturated fat. The Cook This! Not That! series uses easy-to-find ingredients to help you cook at home more often, instead of going out to restaurants.

Eat more beans, vegetables, fruits, and whole grains

Eating more beans, vegetables, fruits, and whole grains will automatically make your diet healthier.  Besides containing necessary vitamins and minerals that our bodies need to function, beans, vegetables, fruits, and whole grain foods are full of fiber.  Fiber is important for our health in so many ways, and most Americans are not getting close to enough fiber in their diets.  For more information on fiber and your health, click here.  By focusing on getting more of these four types foods everyday, you take a huge step towards better nutrition.

Some examples of whole grains are millet, quinoa, brown rice, and barley.  Ideally, they should be soaked for at least a few hours before you cook them, as soaking grains makes them easier to digest.  Whole wheat is ok as a bread choice, but wheat contains a lot of gluten which contributes to dampness in the body (see below).  Many people are very sensitive to wheat and do not realize it, so we suggest limiting your wheat intake, even whole wheat.  Sprouted wheat breads seem to be a better choice, and now there are many options for gluten-free bread or breads made from other grains, such as spelt.

Avoid the Four Damps

Dampness is a term in Chinese Medicine that many people who have gone to an acupuncturist have heard about.  To understand the concept of dampness, think of a musty, moldy basement.  Think of cholesterol-lined arteries.  Think of your sinuses when they're clogged.  Gross!  But we need these images because these foods taste sooo goooood. The Typical American Diet is replete with these four damp-producing foods:

  • Sugar - damp itself, and also feeds dampness-producing yeast and bacteria - this includes alcohol!

  • Dairy - damp/phlegm-producing yumminess

  • Fried foods - and too many saturated fats in general

  • Processed wheat flour products - remember elementary school science, when you made glue out of flour and water? Now think of your intestines.

In TCM practice, dampness is one of the most difficult pathogens to get rid of, so changing your diet to consume less damp-producing foods is a great step towards health. We are not suggesting that you never ever eat any of these foods, but we are suggesting that you seriously limit your intake.  How long would it take that musty basement to dry out after a flood?  Depending on your body, if you're eating enough vegetables, beans, whole grains, and fruits, a little damp once in a while isn't necessarily the end of the world.

Journal about your food for a week

An important first step when trying to move towards a healthier diet is to really look at what you are actually eating now and how it is affecting you.  How do you feel after you eat pancakes?  I personally get really sleepy, so now I know that if I have pancakes, I have to be prepared for a nap later.  It's not that I never eat pancakes, but now I know what to expect if I do.   Are you actually getting a healthy amount of fiber?  I thought I was until I realized that an apple only has 3 grams of fiber!  What are the emotions that pull you to eat those damp foods, or to keep eating after you're full?   Keeping a journal is not about writing down every calorie you eat or drink, but about keeping track of your moods, cravings, and other changes in bodily functions at the same time as the foods you're eating to get a sense of how different foods are affecting your body.

Fiber facts

High-fiber diets are recommended for prevention of all kinds of health issues, including Type II Diabetes, metabolic syndrome, high cholesterol, heart disease, and colorectal cancers.  We have been hearing about fiber for decades, but eating enough fiber is so important to our health that the basics bear reviewing.

There are essentially two kinds of fiber: water-soluble and water-insoluble.

Insoluble fiber is important for promoting bowel movements and maintaining bowel health.  This is incredibly important, not just for comfort-sake (as anyone who has been constipated will tell you) but also because bowel movements are one of the main ways that our bodies excrete toxins from the body.

Soluble fiber has many important effects as well.  It has been shown to:

  • lower blood cholesterol by lowering low-density lipoproteins (LDL - the cholesterol you want Less of).

  • control blood sugar by slowing the absorption of sugars. (This is why eating an apple won't spike your blood sugar levels as high as drinking apple juice, which has all the fiber removed.)

  • help with weight loss by providing bulk to a meal with less calories as well as requiring more chewing time for each bite, making it harder to over-eat.

Getting more fiber actually isn't that hard to do and just involves a few mindful choices at the grocery store and in your meal planning.  Click here for tips on getting more fiber in your daily diet.

Easy Ways to Add More Fiber to your Diet

Fiber is an important part of our diet for many reasons.  The American Dietetic Association recommends that adults eat 20-35 g of fiber a day.  When you consider that one apple only has 3 grams of fiber, 35g may seem like an unreachable goal, but fear not, because it actually isn't as hard as it seems, and it doesn't require drinking your grandfather's gritty fiber supplement!  These are a few guidelines to keep in mind when you're grocery shopping to help you increase your fiber intake:

  • Eat more beans and lentils, by far the highest source of fiber in our diet. Substitute beans for meat a few days a week.

  • Choose whole fruits instead of fruit juices.

  • Choose whole grains such as brown rice, quinoa, barley, and millet instead of processed breads, pasta, and couscous (which is really a pasta)

  • Choose high-fiber, whole grain breads such as whole wheat or European-style bread (this bread makes delicious toast)

  • Choose a high-fiber cereal such as Kashi Go Lean! Crunch, or Fiber-One.

  • Buy high fiber snacks such as carrots, snap peas, almonds, walnuts, and fruit

  • Eat your vegetables! There are many ways to make vegetables taste good. Check out this simple greens recipe from Debra Zambetti's blog, Savor Life.

To help you see how it's actually not that hard to eat 35 g of fiber in a day, I've compiled 2 sample days of fiber-containing foods.  Even if you don't eat this way everyday, it's easy to throw an apple and some almonds in your bag to munch on at work instead of hitting the vending machine.  Small changes in the choices you make can have big effects on your health.

Sample combinations for a day’s worth of fiber:

Breakfast: Kashi Go Lean Crunch cereal       9 g
(sprinkled with)  1 tsp ground flax seeds           2 g
1 serving Almond milk                                           1 g

Lunch: your choice of sandwich on
2 slices whole wheat bread                                   6 g
1 oz roasted almonds                                             3.3 g
1 medium apple                                                      3.3 g

Dinner: 1 cup brown rice                                   3.5 g
1 serving lentil stew                 6 g1
cup steamed broccoli                                           3 g

Total fiber = 37.1 g

____________________________________________

Breakfast: 1 Mestemacher sunflower bread 6 g
(toasted, with)  2 Tbsp almond butter              3 g
1 medium banana                                                  3 g

Lunch: bean salad 1 cup  (green/yellow/kidney)          6 g
Tabouli salad 1 cup                                                6 g

Dinner: 1 c  brown rice                                       3.5 g
1/2 c black beans                                                     7.5 g
1 medium tomato diced                                          1.5 g
1/4 avocado diced                                                    2.5 g

Total fiber =  39 g

Of course, this may not be all you eat in a day, but here you can see that it actually isn't that hard to get a good amount of fiber on a daily basis.

[As a point of reference, here are a few common high fiber foods with their fiber content:

]Kidney beans                                          8.2 g per 1/2c

Lentils                                                       7.8 g per 1/2c

Black beans                                              7.5 g per 1/2c

Sweet potato (medium)                        4.8 g

Apple (medium)                                      3.3 g

Tendonitis: Cortisone vs. Platelet-Rich Plasma

Tendonitis of the elbow, often called "Tennis elbow" is often not an inflammation, as the suffix "itis" leads us to believe, but a degeneration of the tendon fibers from over-use.  For this reason, doctors are now using the term "tendonopathy"  to denote a problem with the tendon.

Cortisone shots are commonly used to treat tendonitis, but may hinder long-term recovery from injury.  A NYT article a few weeks ago cited a large-scale review in the Lancet that showed, while cortisone shots relieved tendonopathy pain in the short-term, there are often significantly slower rates of healing in the long-term.  Cortisone shots may simply mask the pain and hinder the body's natural healing process, making it easier to re-injure yourself in the long run.

There is another technique, fairly new in western medicine, called Platelet-Rich Plasma injections (PRP).  In preparation for PRP injections, doctors take blood from the patient and separate out the platelets from the red blood cells (RBC).  Blood is normally composed of about 93% RBC and 6% platelets, but with PRP injections, the blood has been reconstituted to have 94% platelets and 5% RBC.  The idea behind these injections is that platelets are responsible for healing the tissue by promoting hemostasis, construction of new connective tissue, and the repair of blood vessels in the area.  They release proteins responsible for attracting macrophages and other cells that promote removal of dead tissue and encourage tissue regeneration and healing (Sampson, et al).  Tendons do not generally receive significant blood flow.  By injecting platelet-rich blood, they are nourishing the tendon more than it would be nourished by the body normally.  It would seem that these PRP injections are a better alternative to troublesome cortisone shots for tendon injuries.

TCM Connection:

In a TCM sense, these types of injuries often result from a yin deficiency not nourishing the muscles or tendons, leaving them less supple and easier to tear. This therapy is injecting a highly Yin substance into the area of injury to facilitate healing.   Although it is in line with TCM philosophy on a local level, systemically the patient may continue to be yin deficient and may have more injuries as a result.  A Chinese medical doctor would treat the person constitutionally as well as locally to bring the body into balance and prevent further injuries.

Sampson, Steven, Michael Gerhardt, and Bert Mandelbaum. Platelet rich plasma injection grafts for musculoskeletal injuries: a reviewCurr Rev Musculoskelet Med. 2008 December; 1(3-4): 165–174.  Published online 2008 July 16. doi: 10.1007/s12178-008-9032-5.

Welcome to Integrating Health!

Integrating Health is here to help you understand:

* How Traditional Chinese Medicine can help you address various health needs. (TCM includes acupuncture, herbal medicine, and massage)

* How to understand TCM in a modern context, including how TCM's approach to health overlaps with and differs from Western Medicine.

* How to make healthy lifestyle choices that can prevent or correct imbalances in the body.

Being healthy is a result of choices we make in our lives everyday.  I hope you find this blog to be a useful tool in the quest for health and longevity.  Integrating Health is not written by an MD and is not dispensing medical advice.  Feel free to subscribe or to contact me with any questions!