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THE SHOPPING MAGAZINE FOR NATURAL LIVING<br />

FEBRUARY <strong>2019</strong> | betternutrition.com<br />

WE LOVE<br />

ADAPTOGENS<br />

Brighten Your Mood, Combat<br />

Fatigue, & Stay Calm with<br />

These Powerful Plants<br />

HEART-<br />

HEALTHY<br />

NUTRIENTS<br />

FOR<br />

EVERYONE<br />

EVEN IF YOU<br />

TAKE DRUGS<br />

Are You Low<br />

in Zinc?<br />

(AND WHY IT’S<br />

SO VITAL TO GET<br />

ENOUGH) P. 16<br />

WATCH<br />

OUT<br />

FOR<br />

GMO<br />

POTATOES<br />

P. 42<br />

GOODBYE PMS,<br />

Hello Hormone Harmony!<br />

SUPPLEMENT STUDIES:<br />

Sorting Out the Conflicting Research<br />

on Probiotics, Vitamin D, and Fish Oils P. 18<br />

PLAY OUR<br />

Sweetheart<br />

MATCH<br />

GAME<br />

AND WIN<br />

PRIZES!<br />

P. 34<br />

Schisandra<br />

Berry


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february<strong>2019</strong>CONTENTS/VOLUME 81 | NUMBER 2<br />

48<br />

Low-carb<br />

lasagna? Yes,<br />

please!<br />

features<br />

29 How to Keep Your<br />

Heart Healthy<br />

The latest evidence on the best diet,<br />

exercise, and heart supplements—even<br />

if you take prescription drugs to reduce<br />

harmful blood clots, cholesterol,<br />

or blood pressure.<br />

34 Sweetheart<br />

Match Game<br />

Test your vitamin and heart-health<br />

smarts with this timely Valentine’sinspired<br />

quiz.<br />

36 The Ultimate<br />

Adaptogen Guide<br />

This powerful class of herbs can<br />

help soothe stress, improve brain<br />

health, boost energy, ease anxiety,<br />

and get your body back into balance.<br />

18<br />

Confused about<br />

supplement<br />

studies? Our<br />

expert cuts<br />

through the hype.<br />

29<br />

The country’s<br />

top integrative<br />

cardiologist<br />

weighs in on<br />

statin-nutrient<br />

depletions, heart<br />

supplements,<br />

and more.<br />

departments<br />

10 TREND WATCH 3 Natural Ways to<br />

Prevent & Treat Back Pain<br />

How to ease the ache without the side<br />

effects associated with drugs.<br />

14 HOT BUYS How Lovely!<br />

Food and supplement products that<br />

we’re excited about this month.<br />

16 CHECK OUT Are You Low in Zinc?<br />

It’s easy to miss the signs of inadequate<br />

stores of zinc.<br />

18 ASK THE NATUROPATHIC DOCTOR<br />

The Truth About<br />

Supplement Studies<br />

When it comes to supplement studies,<br />

it pays to read beyond the headlines.<br />

20 NATURAL REMEDY Conquer Your<br />

PMS Symptoms<br />

A naturopath offers successful strategies<br />

developed over 25 years of experience.<br />

22 THE WISE FATBURNER<br />

Breathing Easy Again<br />

After her singing career was<br />

interrupted by airway constriction<br />

problems, Carla Young-Ellsman<br />

stumbled upon an unlikely cure.<br />

26 NATURAL BEAUTY<br />

Exotic Oils for Your Face & Body<br />

Extracted from trees grown around<br />

the world, these oils are packed with<br />

nutrients that nurture your skin.<br />

42 ASK THE NUTRITIONIST<br />

Potato Problems<br />

America’s favorite vegetable may<br />

not be a healthy choice for everyone.<br />

44 EATING 4 HEALTH<br />

Natural Candida Fighters<br />

These 7 foods can help ward off yeast<br />

infections, thrush, and other issues<br />

associated with candida overgrowth.<br />

48 HEALTHY DISH Light & Clean<br />

Low-Carb Lasagna<br />

This trimmed-down version of<br />

a comfort-food favorite—made<br />

with spaghetti squash instead<br />

of noodles—is sure to be a huge<br />

crowd-pleaser.<br />

8 • FEBRUARY <strong>2019</strong>


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*These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.<br />

^At time of manufacture.<br />

Bio-tract® is a registered trademark of Nutraceutix in the United States (reg. in the name of TNT Gamble,Inc).<br />

U.S. Pat Nos 8,007,777 and 8,540,980.<br />

©<strong>2019</strong> American Health, Inc. | 18-AH-1309


editor’sNOTE<br />

The Way to<br />

Your Heart<br />

Many of us take our heart health for granted until something<br />

happens. I recently met a man who ended up in the ER<br />

with crushing chest pain after pushing his wife uphill in<br />

a wheelchair. His doctor said he came very close to dying<br />

because one of his arteries was 98 percent clogged.<br />

Surprisingly, he had no signs that something was amiss<br />

until that day. Now he feels like he’s been given a second<br />

chance at life, and he wants to protect his precious heart<br />

by making healthier food choices, among other changes.<br />

Cardiovascular disease, which includes atherosclerosis<br />

(hardening of the arteries) and high blood pressure, can<br />

have no symptoms. This is reason enough to fine-tune your<br />

diet and supplement regimen. Contributing editor Vera<br />

Tweed explores this very question in “How to Keep Your<br />

Heart Healthy” on p. 29. She consulted the country’s top<br />

integrated cardiologist to get his recommendations on diet,<br />

exercise, and supplements for heart health, including drugnutrient<br />

interactions, safe remedies for anyone with a heart<br />

condition, and smart food choices.<br />

“Despite decades of a low-fat diet being promoted as<br />

the answer, recent evidence paints a different picture,” says<br />

Tweed. “In fact, the key drivers of heart disease are sugary<br />

and starchy foods, rather than fat.” The best medicine for<br />

your heart, according to the latest research, is omega-3-rich<br />

fish and other seafood, nuts, seeds, and low-starch veggies.<br />

Red meat can even be good for your heart if it’s unprocessed.<br />

In addition to diet, there are many other ways to love<br />

your heart—pet a kitten, volunteer, learn to let go of toxic<br />

relationships, drink tea, get a massage. Read about these<br />

and other paths to physical and emotional well-being<br />

in Healthy Habits for Your Heart by Monique Tello, MD<br />

(DrMoniqueTello.com). I just came across this book and<br />

found the tips and tricks for making heart-healthy habits<br />

stick extremely helpful.<br />

Love your heart, and it will love you back!<br />

nbrechka@aimmedia.com<br />

COMING<br />

NEXT MONTH<br />

How to Do<br />

a Full-Body<br />

Cleanse<br />

A natural detox<br />

program using<br />

herbs and essential<br />

oils can improve all<br />

areas of your health<br />

and appearance.<br />

Shopper’s<br />

Guide to<br />

B Vitamins<br />

What forms to use<br />

for best absorption,<br />

plus how to tell<br />

if you’re low in<br />

certain Bs.<br />

Ultimate Keto<br />

Handbook<br />

Thinking about<br />

trying the keto diet?<br />

Here’s everything<br />

you need to know.<br />

Get More at<br />

betternutrition.com<br />

Chocolate<br />

Espresso<br />

Oatmeal Cookies<br />

<strong>February</strong> is National<br />

Chocolate Lovers<br />

Month. Celebrate<br />

with our online-only<br />

Recipe of the Month:<br />

Chocolate Espresso<br />

Oatmeal Cookies.<br />

YOUR GUIDE TO NATURAL LIVING<br />

Editor in Chief<br />

Creative Director<br />

Executive Editor<br />

Associate Editor<br />

Copy Editor<br />

Beauty Editor<br />

Contributing Editors<br />

Contributing Designer Rachel Pilvinsky<br />

Contributing Writers Jeannette Bessinger, CHHC,<br />

Jonny Bowden, PhD, CNS, Kat<br />

James, Karen Jensen, ND, Emily<br />

A. Kane, ND, LAc, Lisa Turner<br />

Production Director Patrick Sternkopf<br />

Editorial Offices 512 Main Street, Suite 1<br />

El Segundo, CA 90245<br />

310-873-6952<br />

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Managing Director, HLG<br />

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970-291-9029<br />

Associate Publisher &<br />

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Director of Retail Sales<br />

800-443-4974, ext. 702<br />

Marketing Director<br />

Marketing Designer<br />

Accounting & Billing<br />

Nicole Brechka<br />

Rachel Joyosa<br />

Jerry Shaver<br />

Elizabeth Fisher<br />

James Naples<br />

Sherrie Strausfogel<br />

Vera Tweed, Helen Gray<br />

Andrew Amill<br />

AAmill@aimmedia.com<br />

Rob Lutz<br />

rlutz@aimmedia.com<br />

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AND SUBSIDIARIES<br />

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BETTER NUTRITION, ISSN #0405-668X. Vol. 81, No. 2. Published monthly by Cruz Bay<br />

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6 • FEBRUARY <strong>2019</strong>


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trendWATCH<br />

/// BY VERA TWEED<br />

3 Natural Ways to<br />

Prevent and Relieve Back Pain<br />

Back pain is all too common in our hunched-over, digital world, but there are<br />

simple ways to reduce or avoid it<br />

“We live in a movement-deprived culture,”<br />

says Bradford Butler, DC, author of The<br />

Blueprint for Back Pain: The Essential<br />

Guide to Non-Surgical Solutions. That<br />

fact, he says, predisposes us to stiff and<br />

shortened muscles that disrupt the<br />

alignment of the 24 vertebrae in our<br />

spine, putting pressure on nerves and<br />

eventually causing pain.<br />

Here’s an example: If you sit all day at<br />

work, the hamstring muscles in the back<br />

of your thighs get shorter. If you don’t<br />

compensate by stretching, they pull on<br />

the pelvis when you stand, stressing the<br />

spine. To feel the stretch, stand up and,<br />

with straight legs shoulder-width apart,<br />

bend forward from the hips. Here are<br />

some other basic tips from Butler:<br />

Drink more water: Dehydration<br />

can cause the muscles in your back to<br />

stiffen and even spasm. And, the discs<br />

in your spine need to be well-hydrated<br />

to cushion vertebrae.<br />

Keep muscles flexible<br />

and strong: Take frequent<br />

breaks from sitting, and<br />

walk or move around enough to raise<br />

your heart rate a bit and increase<br />

blood circulation. “Muscles want the<br />

nutrients and the oxygen that blood<br />

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Sleep on a good mattress:<br />

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Last but not least,<br />

follow the<br />

advice you<br />

probably got as<br />

a child: Sit up<br />

straight instead<br />

of slouching.<br />

10 • FEBRUARY <strong>2019</strong>


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checkOUT/GUIDE TO CUTTING-EDGE SUPPLEMENTS<br />

Are You Low in Zinc?<br />

You might not think about zinc, but this mineral is vital to your health—and<br />

the symptoms of depletion are easy to overlook /// BY VERA TWEED<br />

Zinc lozenges are a popular cold remedy,<br />

but this unheralded mineral can do so<br />

much more. Zinc is required for more than<br />

a thousand different chemical reactions<br />

in the human body, which gives it a wide<br />

range of health benefits:<br />

*<br />

*<br />

*<br />

Zinc is essential for a healthy immune<br />

system, which helps ward off colds and<br />

other illnesses. Zinc plays a key role<br />

in healthy cell division, which helps<br />

protect against cancer.<br />

In combination with other antioxidants,<br />

zinc protects the eyes against<br />

blindness from age-related macular<br />

degeneration.<br />

Zinc is used to treat diarrhea in<br />

children and to treat Wilson’s disease,<br />

a genetic disorder that leads to very<br />

high, life-threatening levels of copper.<br />

* Zinc is an antioxidant that reduces *<br />

chronic inflammation and may *<br />

protect against atherosclerosis. *<br />

*<br />

Signs You Need More Zinc *<br />

Older people and anyone whose digestion *<br />

is sub-optimal may not absorb adequate *<br />

zinc. In addition, a shortfall is more likely *<br />

among people who don’t eat animal foods.<br />

Signs of zinc deficiency (and/or conditions<br />

related to low zinc) include:<br />

* Frequent colds or other infections<br />

* Allergies<br />

* Hair loss<br />

* Loss of taste and smell<br />

* Stunted growth in children<br />

* Attention disorders in kids<br />

* Infertility<br />

* Poor mental function<br />

Diarrhea and IBS<br />

Adrenal issues<br />

Skin lesions (e.g., acne, eczema)<br />

Loss of appetite<br />

Hair loss<br />

Slow healing of wounds<br />

Pica (eating dirt)<br />

Eating disorders (e.g., bulimia, anorexia)<br />

Zinc-Depleting Drugs<br />

Studies have found that conventional<br />

medications for heartburn and high<br />

blood pressure deplete zinc. High<br />

doses of the mineral may be necessary<br />

to restore healthy levels and should<br />

be taken under the supervision of a<br />

health professional.<br />

Heartburn drugs reduce levels of<br />

stomach acid and this, in turn, impairs the<br />

absorption of zinc and other nutrients.<br />

One study compared effects of 26.2 mg<br />

of zinc in supplements, twice daily, in<br />

healthy people and those taking proton<br />

pump inhibitors such as Prilosec and<br />

Prevacid. Compared to the drug-free,<br />

healthy group, those taking heartburn<br />

drugs absorbed less than one-third of<br />

the mineral.<br />

Two types of blood pressure<br />

drugs—thiazide diuretics and ACE<br />

inhibitors—increase excretion of<br />

zinc. Loss of taste can be a side effect<br />

of ACE inhibitors, and a study found<br />

HOW TO TREAT A COLD<br />

Zinc lozenges fight cold viruses by coating the inside surface<br />

of your mouth and throat. Let lozenges dissolve instead<br />

of chewing and swallowing them. Studies show that zinc<br />

acetate or zinc gluconate lozenges can shorten a cold by<br />

2–3 days when taken every couple of hours, starting within<br />

24 hours of the first symptoms. Aim for a daily total of<br />

80–100 mg of zinc, which is a safe dose for treating a cold.<br />

16 • FEBRUARY <strong>2019</strong>


that people who experienced the most<br />

loss of taste had the lowest zinc levels.<br />

Among ACE inhibitors, the greatest zinc<br />

depletion was seen with captopril (also<br />

sold under the brand Capoten).<br />

Eat Your Zinc<br />

Oysters are the best food source of<br />

zinc. Beef, lobster, pumpkin seeds, pork,<br />

chicken, and yogurt are also good<br />

sources of the mineral.<br />

How to Benefit from Zinc<br />

For overall health, the recommen ded<br />

daily allowance (RDA) of zinc is 8 mg<br />

for women (increased to 11 mg during<br />

pregnancy and 12 mg when breastfeeding)<br />

and 11 mg for men. Older adults with<br />

reduced ability to absorb nutrients<br />

may need more. The safe upper limit<br />

for healthy people is 40 mg daily, but<br />

anyone taking a medication that depletes<br />

zinc may need higher doses under the<br />

supervision of a health professional.<br />

High doses of zinc can lead to a<br />

copper deficiency. However, most multis<br />

provide enough copper with zinc. In<br />

supplements, zinc comes in different<br />

forms—chelated zinc, zinc orotate, and<br />

zinc picolinate are thought to be among<br />

the best-absorbed forms.<br />

Zinc can reduce the effectiveness of<br />

antibiotics or penicillamine (a rheumatoid<br />

arthritis drug) if it’s taken at the same<br />

time as the drugs. To avoid this, take zinc<br />

4–6 hours before the antibiotic or 2 hours<br />

afterward. With penicillamine, take zinc<br />

2 hours before or after the drug.<br />

Contributing editor Vera Tweed has been researching and writing about supplements, holistic nutrition, fitness, and<br />

other aspects of healthy living since 1997. She is the author of several books, including Hormone Harmony: How to<br />

Balance Insulin, Cortisol, Thyroid, Estrogen, Progesterone and Testosterone to Live Your Best Life.<br />

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asktheNATUROPATHICdoctor/ANSWERS TO YOUR HEALTH QUESTIONS<br />

The Truth About<br />

Supplement Studies<br />

Why negative supplement research may not<br />

be so gloomy after all /// BY EMILY A. KANE, ND, LAc<br />

Emily A. Kane, ND,<br />

LAc, has a private<br />

naturopathic practice<br />

in Juneau, Alaska,<br />

where she lives with<br />

her husband and<br />

daughter. She is the<br />

author of two books<br />

on natural health,<br />

including Managing<br />

Menopause Naturally.<br />

Visit her online at<br />

dremilykane.com.<br />

: There seems to be a lot of controversy lately about what I thought were foundational<br />

supplements such as fish oil, vitamin D, and probiotics. What’s up with that?<br />

—Stephon W., San Jose, Calif.<br />

a:The more “we the people”<br />

take responsibility for our<br />

health, the more likely we are to live<br />

healthy, vibrant lives. It may sound<br />

cynical, but pharmaceutical companies,<br />

with their profit motives and lobbyists,<br />

need us to be chronically unwell.<br />

I believe they go to disturbing lengths<br />

to discredit so-called “alternative”<br />

medicine. The level of misrepresentation<br />

in the headlines is shocking sometimes.<br />

It’s crucial to look at the actual studies<br />

before making any judgements<br />

Life on planet Earth is not what it<br />

used to be. Less than 100 years ago,<br />

there were no prescription antibiotics.<br />

Potent, natural antimicrobials (which<br />

still work today) came from minerals<br />

(especially sulfur) and plant medicines,<br />

including goldenseal, osha, and thyme.<br />

While antibiotics have prevented many<br />

fatalities—from septic war wounds to<br />

ulcers to myriad bacterial infections—<br />

there are inherent problems with them.<br />

First, within 10 years of the production<br />

of any antibiotic (penicillin was the first),<br />

resistant strains of bacteria emerge.<br />

Second, taking a broad-spectrum antibiotic<br />

(which indiscriminately kills all<br />

microbes) wrecks the body’s gut flora.<br />

Probiotics: Healing or Harmful?<br />

Let’s look at two recent studies that cast<br />

doubt on probiotics. One study (not in<br />

people, but on a gut “chip,” which is lined<br />

with living human cells) showed that<br />

inflammation in the gut causes intestinal<br />

permeability (leaky gut). The researchers,<br />

whose findings were published in the<br />

journal PNAS, theorized that leaky<br />

gut could allow probiotics into the<br />

bloodstream, causing more harm than<br />

good. I disagree. For example, in cases<br />

of C. difficile (a hard-to-treat, hospitalacquired<br />

infection in the colon caused<br />

by antibiotics), pouring billions of good<br />

bacteria into a damaged gut often resolves<br />

the infection. Also, research has shown<br />

that taking probiotic sachets (with<br />

450 billion CFUs) three times daily for<br />

6–18 weeks significantly helps people<br />

with inflammatory bowel disease (IBD).<br />

A study published in Cell tracked around<br />

20 people on antibiotics. Researchers<br />

divided participants into three groups:<br />

one took nothing after their course<br />

of antibiotics; the second group got a<br />

fecal transplant with their own stool,<br />

Did You<br />

Know?<br />

It’s important to look at<br />

the actual studies, rather<br />

than just the headlines.<br />

To find full studies,<br />

try PubMed:<br />

ncbi.nlm.nih.gov/<br />

pubmed.<br />

18 • FEBRUARY <strong>2019</strong>


which was collected prior to antibiotic<br />

treatment; and the third group was<br />

given a commercial probiotic strain that<br />

had never been scientifically studied.<br />

The folks who got their own fecal<br />

transplant had the quickest return to<br />

a “normal” microbiome; those who took<br />

only antibiotics returned to normal<br />

next; and the probiotic group had the<br />

slowest recovery.<br />

We have abundant proof that probiotics<br />

can reduce and cure post-antibiotic<br />

diarrhea; therefore, this one study does<br />

not invalidate using probiotics after<br />

antibiotics. Further, folks who need<br />

antibiotics are probably not particularly<br />

healthy, so returning their guts to their<br />

pre-antibiotic state may not be a good<br />

thing. It’s unnecessarily premature to<br />

take one negative probiotic study and<br />

make it the new norm, especially given<br />

that there are hundreds of positive<br />

studies on probiotics, not to mention<br />

entire conferences dedicated to studying<br />

different strains of beneficial bacteria.<br />

The bottom line: Trust your own<br />

experience. My favorite way to help<br />

improve your gut flora is to eat fermented<br />

foods and a high-fiber diet. Fiber is<br />

the main “prebiotic” that good bugs<br />

need to flourish.<br />

Most of Us Are Deficient in Vitamin D<br />

Next, let’s look at the vitamin D kerfuffle<br />

set off by the VITAL study at Brigham<br />

and Women’s Hospital that involved<br />

nearly 26,000 patients. One of the<br />

emerging “issues” with vitamin D 3<br />

supplementation concerns Michael<br />

Holick, PhD, MD, of Boston University,<br />

an ardent proponent of vitamin D 3<br />

supplements. He’s recently been accused<br />

of profit-mongering. He helped Quest<br />

Labs develop a test for serum vitamin D 3<br />

(which many other labs have since started<br />

using), and he receives a consulting fee of<br />

$1,000 per month from Quest.<br />

That’s nice, but it’s hardly extravagant.<br />

Being a consultant for a large, nationwide<br />

lab using a test that you developed<br />

doesn’t invalidate the test—or vitamin D 3<br />

supplementation. It is intuitively obvious<br />

in our sun-averse culture that we<br />

would be deficient in a vitamin that<br />

requires exposure to sunlight for the<br />

body to produce.<br />

In the VITAL study, the so-called<br />

“high-dose” vitamin D 3<br />

amount was<br />

2,000 IUs daily. I generally recommend<br />

my patients take 5,000 IUs, and if their<br />

serum levels are below 40, I’ll have them<br />

take 10,000 IUs daily (in 2 divided doses<br />

for better absorption, and always with<br />

food) to approach the optimal serum<br />

levels of 60–90 ng/mL.<br />

Even with a relatively low dose, the<br />

rate of death was significantly lower<br />

with vitamin D 3<br />

supplementation than<br />

with a placebo (if you exclude the first<br />

two years after the trial). If someone has<br />

an aggressive form of cancer, then starting<br />

a vitamin D 3<br />

regimen wouldn’t save<br />

them. But it can help prolong the lives<br />

of otherwise healthy folks. In this study,<br />

the vitamin D 3<br />

group had 25–37 percent<br />

lower death rates. That’s impressive.<br />

It’s unnecessarily premature to take one negative study on<br />

probiotics and make it the new norm, especially given that<br />

there are hundreds of positive studies on probiotics.<br />

The fact is, we have become an<br />

indoor-living species. Most of us are<br />

deficient in vitamin D 3<br />

(and melatonin,<br />

thanks to artificial lighting). And studies<br />

show that adequate vitamin D 3<br />

supplementation<br />

reduces influenza A (over<br />

60 percent better than the flu shot). It<br />

also reduces asthma incidence and MS<br />

flare-ups, and, along with weight-bearing<br />

exercise, helps maintain bone density.<br />

Fish Oils Do Protect Your Heart<br />

As for fish oil, the recent VITAL study also<br />

assessed the impact of Omacor (840 mg<br />

of marine omega-3 fatty acids) on cardiovascular<br />

disease. “Fish Oil Has No Impact<br />

on Strokes” and similar headlines spread<br />

over the Internet after the study results<br />

were released. But, according to the study’s<br />

website (vitalstudy.org), “The omega-3<br />

fatty acid intervention lowered the risk of<br />

heart attack by 28 percent and the risk of<br />

fatal heart attack by 50 percent, but had no<br />

benefit on stroke or cardiovascular deaths<br />

not related to heart disease. Additionally,<br />

omega-3 fatty acids reduced the rate of<br />

angioplasty procedures by 22 percent.”<br />

So, “Fish Oil Has No Impact”? Lowering<br />

rates of fatal heart attacks and angioplasty<br />

certainly qualifies as a significant<br />

impact in my book.<br />

Vitalstudy.org also notes, “In participants<br />

with low fish consumption (less than 1.5<br />

servings, 3–4 ounces, per week), omega-3<br />

supplementation led to a 19 percent<br />

reduction in major cardiovascular events,<br />

including a 40 percent reduction in heart<br />

attack, as well as a trend toward a reduction<br />

in death from any cause. Among African-<br />

Americans, omega-3 supplementation led<br />

to a 77 percent reduction in heart attacks,<br />

and a benefit was observed regardless of<br />

fish intake.” African-Americans, a high-risk<br />

group for premature death from heart<br />

disease, take note! No drug—ever—has<br />

given this kind of hope. Please, take your<br />

fish oil. Or at least eat wild salmon and<br />

small tinned fatty fish regularly.<br />

Do you have a question for Dr. Kane? Email it to editorial@<br />

betternutrition.com with “Ask the ND” in the subject line.<br />

FEBRUARY <strong>2019</strong> • 19


naturalREMEDY/HOLISTIC STRATEGIES TO HELP YOU FEEL BETTER<br />

Conquer<br />

Your PMS<br />

Symptoms<br />

A holistic practitioner<br />

offers advice that has<br />

worked in her own<br />

clinical experience<br />

/// BY KAREN JENSEN, ND<br />

From a naturopathic perspective, the<br />

main causes of PMS are poor diet, lack of<br />

exercise, and liver and bowel congestion.<br />

Many different chemicals from many<br />

different sources—including our food<br />

and water supply and body care or<br />

household products—resemble human<br />

estrogen, and these hormone imposters<br />

cause estrogen dominance in both men<br />

and women. Some forms of PMS are due<br />

to estrogen excess. Low thyroid function<br />

(hypothyroidism) has also been found to<br />

be a cause of PMS in some women.<br />

There are different forms of PMS<br />

(you may be a combination of types):<br />

*<br />

*<br />

*<br />

*<br />

PMS-A (Anxiety) affects 65–75<br />

percent of women with PMS. It’s<br />

usually caused by estrogen dominance.<br />

PMS-C (Cravings) affects 24–35<br />

percent of women with PMS, usually<br />

due to blood sugar imbalances.<br />

PMS-D (Depression) affects 23–37<br />

percent of women with PMS, often<br />

due to estrogen dominance.<br />

PMS-H (Hyperhydration) affects<br />

about 60 percent of women with PMS.<br />

It’s often caused by an increase in<br />

adrenal stress hormones.<br />

Top Natural Remedies<br />

for PMS Symptoms<br />

Although there is no “one<br />

size fits all” remedy, the<br />

following supplements have<br />

proven to be helpful for the<br />

majority of women with PMS<br />

over my 25 years in clinical practice.<br />

*<br />

Indole-3-carbinol (I-3-C), diindolylmethane<br />

(DIM), and calcium<br />

D-glucarate help with the breakdown<br />

of harmful estrogens. Milk thistle<br />

and other herbs to support removal<br />

of toxic byproducts are also helpful.<br />

* Chasteberry, also known as vitex,<br />

is the No. 1 botanical remedy used in<br />

Europe to treat PMS symptoms. Its action<br />

in the body increases progesterone<br />

levels relative to estrogen levels.<br />

* Vitamin B can be very helpful for<br />

6<br />

the relief of PMS symptoms such<br />

as edema, bloating, breast pain,<br />

depression, and irritability. Some<br />

women find that increasing vitamin<br />

B 6<br />

to 150–250 mg per day one week<br />

prior to menstruation helps.<br />

* Prebiotics and probiotics are<br />

important for keeping the microbiome<br />

Healthy<br />

Tip!<br />

To minimize symptoms<br />

of PMS, avoid or reduce<br />

your intake of dairy<br />

products as much<br />

as possible.<br />

*<br />

*<br />

healthy. Probiotics,<br />

a type of good bacteria,<br />

help to restore the gut<br />

microbiome. Prebiotics<br />

are fermentable fibers that<br />

provide a source of food for<br />

gut microorganisms, and they are<br />

at least as important as probiotics in<br />

maintaining microbiome health. This<br />

is crucial not only for hormone health,<br />

but also for mental health because the<br />

majority of serotonin is produced in<br />

the gut, which also affects our toxin<br />

and hormone balance—approximately<br />

50 percent of the estrogen “couples”<br />

formed in the liver are excreted into<br />

the intestines via bile. The successful<br />

journey of these “couples” through the<br />

intestines requires healthy microflora.<br />

Omega-3 fatty acids block the<br />

formation of an inflammatory<br />

prostaglandin that promotes<br />

inflammation and pain. Fish oil is<br />

also effective in controlling cravings.<br />

Try 2–4 Tbs. of flax oil daily or<br />

2,000–3,000 mg of fish oil.<br />

Evening primrose oil, when taken<br />

monthly at least three to five days<br />

prior to the usual onset of symptoms<br />

20 • FEBRUARY <strong>2019</strong>


*<br />

has been shown to be extremely<br />

effective in the treatment of PMS.<br />

Take 1,000–2,000 mg daily.<br />

Magnesium can be very helpful<br />

for PMS symptoms such as anxiety,<br />

depression, irritability, and headaches.<br />

Some studies show lower levels of<br />

magnesium in women with PMS.<br />

Diet & Hormone Balance<br />

There are many different foods that can<br />

make symptoms of PMS worse, and diet<br />

is critical not only for PMS but also for<br />

most hormone imbalances. Generally,<br />

it has been found that PMS sufferers<br />

consume more refined sugars and<br />

carbohydrates, salt, and dairy products<br />

than women who do not experience PMS.<br />

In addition to supplements, the following<br />

dietary and lifestyle changes can help<br />

minimize the symptoms of PMS:<br />

*<br />

Exercise—studies show that women<br />

who exercise regularly do not suffer<br />

from PMS as severely or as often as<br />

those who lead a sedentary lifestyle.<br />

* Avoid or reduce your intake of dairy<br />

products such as cheese and milk;<br />

organic yogurt in moderation is fine.<br />

* Increase your intake of high-fiber<br />

foods such as brown rice, quinoa,<br />

millet, and barley.<br />

* Try to purchase hormone-free<br />

animal products.<br />

* Avoid caffeine and chocolate,<br />

particularly a week or so before<br />

PMS would normally start.<br />

* Avoid bad fats—heated oils, margarines,<br />

fried foods, etc.<br />

* Avoid excess salt if you suffer from<br />

water retention.<br />

* Drink at least 1.5 liters of filtered<br />

water daily.<br />

*<br />

*<br />

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Magnesium<br />

Avoid refined sugars and carbohydrates.<br />

Be aware of sources of estrogen<br />

imposters (xenoestrogens) in foods,<br />

makeup, and household products. The<br />

Environmental Working Group (ewg.<br />

org) is a good source of information.<br />

Karen Jensen, ND, is a Canadian-based naturopathic<br />

doctor with more than 25 years of clinical experience,<br />

specializing in women’s health. She is the author of<br />

several books, including Women’s Health Matters.


thewiseFATBURNER/STORIES OF TRANSFORMATION FROM NUTRITION & LEPTIN PIONEER KAT JAMES<br />

Breathing<br />

Easy Again<br />

When singer Carla Young-Ellsman was<br />

diagnosed with airway abnormalities,<br />

she stumbled across an<br />

unlikely cure /// BY KAT JAMES<br />

In the mid-1990s, velvet-voiced Carla<br />

Young-Ellsman of Hawaii had a budding<br />

singing and recording career that ground<br />

to a sudden halt when her father fell ill.<br />

Having lost her mother at a young age,<br />

Carla gladly signed on to be his caretaker.<br />

Before long, she added her father-in-law’s<br />

care to her responsibilities, starting a<br />

long and dangerous detour in her own<br />

life and health. The heart-breaking loss<br />

of two close friends, as well as her two<br />

beloved border collies—all within a<br />

two-year period—left Carla emotionally<br />

numb and increasingly isolated and<br />

fearful of attachments.<br />

Her self-destructive relationship<br />

with food added to her numbness …<br />

and her size, which grew from an 8 to<br />

a 14, to a tight “large,” at which point<br />

she stopped wearing “real clothes” and<br />

started wearing elastic pants and huge<br />

T-shirts to hide herself. She pretty much<br />

stopped leaving the house, turning down<br />

virtually all social invitations. “I basically<br />

shut down, emotionally and physically,”<br />

Carla says. “The rest of my family had<br />

all become diabetic. I was determined<br />

not to go down that road, but despite my<br />

constant low-fat dieting, I couldn’t lose<br />

the weight.”<br />

Over the next several years, Carla was<br />

diagnosed with insulin resistance, fatty<br />

liver, and gallbladder problems. A stress<br />

test came back abnormal. These issues<br />

hampered her ability to care for her dad<br />

and father-in-law, not to mention eroded<br />

her self-image and her hopes of returning<br />

to her singing career. After several<br />

years, Carla started assisting a local holistic<br />

veterinarian to help make ends meet.<br />

Carla singing with<br />

her band, Nueva<br />

Vida in the late<br />

1990s (above), and<br />

Carla today with<br />

husband Eric, after their<br />

life-changing transformation<br />

(right). “My<br />

friends can’t believe<br />

how my appearance<br />

and shape have<br />

changed,” she says.<br />

How Airway Constriction<br />

Threatened Carla’s Health<br />

In mid-2017, Carla’s dentist noticed that<br />

her airways were constricted and that<br />

her tooth enamel was eroding due,<br />

in part, to teeth grinding. He convinced<br />

her to do a sleep study, where they<br />

found that her breathing was interrupted<br />

an incredible 19 times per hour!<br />

Carla’s airway constriction threatened<br />

her overall health and even her heart.<br />

Indeed, she’d been having intermittent<br />

Charlie horse-type pains in her chest and<br />

even weakness on the left side of her<br />

body for years, which were found to be<br />

related to one of her heart valves. Carla’s<br />

dentist urged her to see one of Hawaii’s<br />

top speech pathologists, Carolinda “Trini”<br />

Murphy, about her airway issues. Murphy<br />

confirmed soft tissue abnormalities<br />

affecting Carla’s tongue mobility, and<br />

also a swallowing muscle dysfunction.<br />

Most concerning, Carla’s Mallampati<br />

score—a rating of the size of a person’s<br />

airway capacity—was a IV, the maximum<br />

degree of constriction on the medical<br />

rating scale. This had resulted in darkness<br />

under her eyes (called “shiners” in Murphy’s<br />

line of work), serious exhaustion, and<br />

narcoleptic episodes where she’d unwittingly<br />

drift off to sleep many times per day. Carla<br />

soon underwent surgery to increase her<br />

tongue mobility and was next looking at<br />

more serious surgery to open her airways.<br />

Hoping to avoid it, she pursued Murphy’s<br />

state-of-the-art training and stretching<br />

program to open her tiny airways, and<br />

was also put on a CPAP device to ease<br />

her breathing at night. The CPAP lessened<br />

the literal “heartache” she often woke up<br />

with due to lack of oxygen.<br />

Weight Issues & Food Cravings<br />

Despite faithful compliance to all of her<br />

regimens, Carla’s weight, food cravings,<br />

and occasional heart twinges persisted.<br />

And as hard as she tried, she still couldn’t<br />

coordinate her swallowing muscles to drink<br />

normally, or enlarge her airway, even after<br />

doing Murphy’s advanced exercises and<br />

stretches—which had been successful for<br />

other patients. “After consulting with<br />

22 • FEBRUARY <strong>2019</strong>


colleagues across the U.S., Carla’s case<br />

had me stumped,” says Murphy.<br />

Finally, Carla’s naturopath recommended<br />

that she try a high-fat, low-carb diet.<br />

Carla had read about this type of diet<br />

in my book, The Truth About Beauty,<br />

several years prior, but her naturopath’s<br />

suggestion prompted her to revisit<br />

the basic principles. She began to see<br />

improvements in her weight and heart<br />

monitoring results by changing her<br />

diet and taking some supplements<br />

(recommended by her naturopath).<br />

Feeling that she was on the right path,<br />

Carla contacted me this past summer to<br />

pursue an even lower-carb, higher-fat,<br />

leptin hormone-optimizing regimen<br />

(read more about leptin in “Transforming<br />

Our View of Fat” at betternutrition.com).<br />

Within a week, she began to see a big drop<br />

in her appetite and inflammation-related<br />

fluid retention, especially in her arms,<br />

face, neck, and waist. She decided, with<br />

Murphy’s blessing, to stop doing her oral<br />

exercises to see if dietary changes alone<br />

could improve her airways. After a couple<br />

of weeks, she wondered if it was her<br />

imagination when she checked her<br />

airway in the mirror, and it looked<br />

nearly double in size. She scheduled an<br />

appointment with Murphy to be sure.<br />

“When I walked in, she commented<br />

that I looked incredible and asked what<br />

I was doing,” says Carla. “But when she<br />

took a look at my airway, she was<br />

speechless. She had me drink a small<br />

cup of water … I used to rack my brain and<br />

did tons of practicing to get my tongue,<br />

James, 52,<br />

started her<br />

dramatic selftransformation<br />

in 1990. Since<br />

then, she’s led<br />

88 retreats and<br />

has become<br />

known as the<br />

“Jane Goodall<br />

of leptin.”<br />

lips, and mouth muscles to swallow<br />

normally, but couldn’t. When I drank<br />

the water this time, I saw her eyes fill<br />

with tears and she simply said: ‘You’re<br />

done.’ I thought to myself: ‘This is either<br />

really bad or really good news.’ She told<br />

me that my Mallampati score was now<br />

a perfect ‘1’ because my airways fully<br />

opened. My lips were even closing all the<br />

way. She said that if I’d looked like this<br />

when I first came to see her, she wouldn’t<br />

have even taken me as a patient. Mind<br />

you, I’d started with one of the narrowest<br />

airways she’d ever seen. Now, she said,<br />

I no longer need surgery!”<br />

Murphy’s note to me the same day<br />

confirmed this: “When Carla walked<br />

into my office yesterday, I first noticed<br />

her body shape had changed. And her<br />

face. Most notably, the ‘shiners’ under<br />

her eyes had disappeared. After months<br />

of working with her to no avail, I pretty<br />

much all but discharged her today. Her<br />

airway has completely opened and all<br />

signs and symptoms of soft tissue and<br />

muscle dysfunction are gone. I’ve never<br />

seen anything like this kind of recovery.”<br />

A New Life to Sing About<br />

“Only a few months ago, I’d resigned myself<br />

to a future of physical complications,” Carla<br />

says. “To suddenly envision life without<br />

all that is truly like a dream. I can breathe<br />

easily again. I don’t have any heart twinges<br />

anymore. I can sleep again. I have a waist<br />

again. My belly is almost flat and my ‘back<br />

flab’ is gone. I can see my collar bones, and<br />

my thighs aren’t struggling to pass each<br />

other when I walk. I don’t plan to weigh<br />

myself, but I never imagined I’d achieve my<br />

‘goal’ size 8 jeans again (and I’m still losing),<br />

only this time the healthy way… with zero<br />

food obsessing, starving, or shame. My<br />

friends can’t believe how my appearance<br />

and shape have changed. When I look at<br />

that old photo from the early ’90s of me<br />

with my band, I remember how I ‘starved’<br />

to look like that and still thought I was fat!<br />

Now, I’m not suffering or struggling at all,<br />

and I feel far better today, and even look<br />

better than I did decades ago!<br />

“I had barely sung a note all these years<br />

because my joy was gone. And though I<br />

still take care of both my dads, I have much<br />

more stamina and get much more done.<br />

Most importantly, my optimism and hope<br />

have returned. I find myself singing and<br />

whistling all the time … I’m even hitting<br />

new notes lately… and thinking—even at<br />

57—about possibly taking the stage again.<br />

Only now can I realize how caged, sad, and<br />

ashamed I had become. But no longer.”<br />

Carla’s husband, Eric, was so impressed<br />

that he joined her for my educational<br />

retreat on the Tennessee River last fall,<br />

where they gave an impromptu concert<br />

for the rest of my clients. After learning<br />

about my regimen and returning to the<br />

“real world,” Eric’s stomach pains, blood<br />

pressure, and love-handle issues promptly<br />

resolved. His doctor commented that his<br />

skin color went ‘from grayish to pinkish,<br />

like he’s a different person.’<br />

I asked Carla if it was hard for them<br />

to stick with my regimen, given their<br />

former sugar addictions—Eric’s colleagues,<br />

especially, marvelled at his unwavering<br />

“willpower” against the donuts and other<br />

junk he used to eat. “Other than eating on<br />

time, it’s not hard at all because there’s just<br />

no temptation anymore,” says Carla. “Our<br />

sense of taste and even smell have changed<br />

in a big way. We’ve actually never knowingly<br />

strayed or wanted to, and that’s a first.<br />

We see this as a life-long path for us. Our<br />

next mission is to get our dads doing this!”<br />

Note: For more inspiration and to hear Carla<br />

discuss her changes in a live radio interview,<br />

search this story on betternutrition.com.<br />

To learn more about The Kat James Show<br />

on Sirius XM’s Family Talk (channel 131,<br />

Saturdays), visit totaltransformation.com.<br />

To read previous Kat James’ articles, search<br />

“Kat James” on betternutrition.com.<br />

Kat James has been called “a master of self-transformation” by SELF magazine in response to her self-guided,<br />

stunning recovery from liver, autoimmune, and eating disorders that nearly took her life. Her controversial and<br />

pioneering dietary method—now recommended at top neurology, fertility, functional medicine, and even dental<br />

clinics—has left countless dramatic success stories in its wake and been featured at top spas and institutions such as<br />

Omega Institute and Canyon Ranch, as well as on “Today,” Fox, and PBS, among others. Learn more about her<br />

upcoming program retreats at informedbeauty.com or by calling 877-54-TOTAL.<br />

FEBRUARY <strong>2019</strong> • 23


ESSENTIAL<br />

NUTRIENTS<br />

for your<br />

WHOLE<br />

BODY


naturalBEAUTY/PURE INGREDIENTS FOR SKIN & BODY<br />

Exotic Oils for Your Face & Body<br />

Infused with hydrating, antiaging nutrients, exotic oils such as black seed<br />

and marula help enhance all skin types /// BY SHERRIE STRAUSFOGEL<br />

Exotic oils from the far corners of the world are fueling the beauty<br />

oil craze. They’re highly versatile—you can mix a few drops into your<br />

regular moisturizer or hair conditioner, add them to a bath, or simply<br />

use them as-is. And they’re concentrated, so you need only a few drops.<br />

To ensure that you’re purchasing high-quality oils, Tammie Umbel,<br />

founder of Shea Terra Organics, says, “Look for oils that are unrefined<br />

to maximize their benefits. They should have color and an herbal aroma.<br />

Expensive oils are often cut with inferior-quality oils. Argan oil, for<br />

example, is often cut with sunflower oil. Choose oils from companies that<br />

buy straight from the source and can provide information about the origins<br />

and production of their oil.”<br />

Soothe dry and<br />

irritated skin<br />

and improve<br />

hair growth<br />

with Shea Terra<br />

Organics<br />

Egyptian Black<br />

Seed Cold-<br />

Pressed Oil.<br />

Replenish<br />

parched skin<br />

with Derma E<br />

Rejuvenating<br />

Sage & Lavender<br />

Face Oil.<br />

A key ingredient,<br />

marula oil,<br />

helps improve<br />

elasticity and<br />

hydrate skin.<br />

Seal in moisture<br />

for silky skin<br />

with Badger<br />

Damascus Rose<br />

Body Oil, which<br />

features jojoba,<br />

pomegranate,<br />

and olive oils.<br />

Calm rashes and<br />

sun damage,<br />

treat acne and<br />

scars, and<br />

prevent<br />

wrinkles with<br />

Aura Cacia<br />

Nourishing<br />

Organic<br />

Tamanu Oil.<br />

Did You<br />

Know?<br />

An added benefit to many of<br />

these beauty oils is that their<br />

harvesting provides economic<br />

opportunities for struggling<br />

communities in remote<br />

villages.<br />

Soften and<br />

smooth skin,<br />

hair, and<br />

cuticles with<br />

Acure The<br />

Essentials<br />

Moroccan<br />

Argan Oil.<br />

Black Seed Oil: Made<br />

from the Nigella sativa plant<br />

and revered by ancient<br />

Egyptians, this spicy oil is<br />

used both topically and<br />

internally. It’s packed with<br />

antibacterial and antifungal<br />

phytochemicals, as well as<br />

essential fatty acids that promote<br />

skin healing. Massage into irritated skin<br />

to soften and decrease inflammation.<br />

Rub a few drops into your scalp to<br />

stimulate hair growth.<br />

Tamanu Oil: A medicine cabinet in a<br />

bottle, this multipurpose oil comes from<br />

the nuts of the Calophyllum inophyllum<br />

tree, native to Africa, Asia, and the South<br />

Pacific. It’s anti-inflammatory, antibacterial,<br />

and antifungal, and is effective for<br />

sunburns, rashes, insect bites, wounds,<br />

acne, scars, wrinkles, and dry skin.<br />

Marula seed oil: Collected from the<br />

nuts of the African marula tree, the lycheelike<br />

marula fruit produces pink oil that is<br />

rich in fatty acid and antioxidants. This oil<br />

helps repair sun-damaged and aging skin.<br />

Pomegranate seed oil: Native to<br />

the Middle East and Mediterranean,<br />

pomegranate seed oil has powerful<br />

anti-inflammatory powers. Studies<br />

suggest it may help prevent skin<br />

cancer by inhibiting enzymes that<br />

assist in cancer cell formation.<br />

Argan Oil: The argan plant is found<br />

only in a small region of Morocco. A<br />

close relative of the shea tree, argan fruit<br />

kernels produce an oil that is high in<br />

vitamin E and other antioxidants, plus<br />

hydrating fatty acids. Argan helps<br />

moisturize and nourish skin, nails, and hair.<br />

Sherrie Strausfogel is the author of Hawaii’s Spa<br />

Experience: Rejuvenating Secrets of the Islands (the first<br />

book to feature aromatherapy in its pages). Based in<br />

Honolulu, she writes about beauty, spas, health, cuisine,<br />

and travel. Her work has appeared in more than 100<br />

magazines, newspapers, guidebooks, and websites.<br />

26 • FEBRUARY <strong>2019</strong>


gets into your white blood cells<br />

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white blood cells longer than regular vitamin-C… so you<br />

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©<strong>2019</strong> American Health Inc. | 18-AH-1282


HOW TO<br />

KEEP<br />

YOUR<br />

HEART<br />

HEALTHY<br />

The latest evidence on the best diet, exercise, and<br />

heart supplements—even if you take prescription<br />

drugs to reduce harmful blood clots, cholesterol,<br />

or blood pressure by Vera Tweed<br />

Being physically fit and eating a<br />

heart-healthy diet can each cut<br />

risk for heart disease in half.<br />

Does that mean you’ll be free of heart<br />

problems forever if you do both? No<br />

one has tested the premise, but you’d<br />

certainly be in better health.<br />

BEST FOODS FOR A<br />

HEALTHY HEART<br />

Despite decades of a low-fat diet being<br />

promoted as the answer, recent evidence<br />

paints a different picture. In fact, the key<br />

drivers of heart disease are sugary and<br />

starchy foods, rather than fat. A major<br />

U.S. study found that people who get<br />

25 percent of their calories from added<br />

sugar (sodas and other sweetened drinks<br />

are major sources) are more than twice<br />

as likely to die from heart disease as those<br />

consuming less than 10 percent of<br />

calories from added sugar. Another<br />

study found that eating foods that<br />

trigger high blood sugar—including<br />

sweetened drinks and starchy<br />

foods—contributes to atherosclerosis<br />

and doubles risk of heart-related death.<br />

In contrast, eating more seafood rich<br />

in omega-3 fats, non-starchy vegetables,<br />

fruits, nuts, and seeds has a protective<br />

effect on the heart. A moderate amount<br />

of full-fat dairy foods and unprocessed<br />

red meat are also good. In other words,<br />

aim to eat more vegetables (other than<br />

potatoes), more fish and seafood, more<br />

fresh fruit, and some nuts and seeds.<br />

Some dairy and meat are fine as well. Go<br />

easy on grains, because many of today’s<br />

dishes are overloaded with them—big<br />

bowls of pasta, large buns for burgers<br />

and sandwiches, and pizza with thick<br />

crusts are common examples.<br />

HEART-HEALTHY EXERCISE<br />

When it comes to exercise, spending<br />

endless hours on a treadmill is not<br />

the most effective regimen for heart<br />

health. Activities such as brisk walking<br />

or running at a moderate, steady pace<br />

have been the standard for improving<br />

fitness, but they aren’t the best. An<br />

analysis of studies following nearly 1,000<br />

people with heart disease found that<br />

interval training—short spurts of intense<br />

activity alternated with movement at a<br />

relaxed pace—is more effective.<br />

Here’s an example: Instead of walking<br />

at the same pace for 20–30 minutes,<br />

walk as fast as you can for a block and<br />

then walk at a slower, more comfortable<br />

pace for one or two blocks, and repeat<br />

the cycle multiple times.<br />

Weightlifting is an alternative. A<br />

study at the University of Iowa looked<br />

at 13,000 people and found that just<br />

lifting weights—twice per week—reduced<br />

FEBRUARY <strong>2019</strong> • 29


isk for heart attacks and stroke by<br />

49–70 percent. Spending more than<br />

an hour a week on weightlifting didn’t<br />

produce any added benefits. The key is<br />

to challenge muscles.<br />

Heart-Healthy Supplements for Everyone<br />

Whether you take prescription drugs or not, these are Stephen Sinatra’s top<br />

supplement recommendations for a healthy heart. Don’t take vitamin K 2<br />

if you’re<br />

taking warfarin. Otherwise, all these can be taken with blood thinners, statins, and<br />

blood-pressure drugs—just let your doctor know about any supplements you take.<br />

COQ10: After age 30, take 50–100 mg daily of CoQ10 (preferably Ubiquinol). After age<br />

60, take 100 mg daily. If taking statins, try 100 mg, and if there’s no improvement<br />

in the way you feel, take 200–300 mg daily. If you take warfarin, make sure to get<br />

regular blood tests and tell your doctor that you’re taking the supplement.<br />

VITAMIN K 2<br />

: After age 50, take 150 mcg daily of the MK-7 form (but not if you’re taking<br />

warfarin).<br />

FISH OIL: Add the amount of EPA and DHA in a product. Take at least 1,000 mg of an<br />

EPA/DHA combination daily.<br />

MULTIVITAMIN: If taking medications, take a daily serving of a product that contains<br />

no more than 100 percent of the Daily Value (% DV in Supplement Facts) of each<br />

nutrient. Otherwise, take any multivitamin of your choice.<br />

MAGNESIUM: Take 400–800 mg daily. If you get loose stools, decrease the dosage.<br />

CURCUMIN: It reduces inflammation that can damage the heart. The dosage for<br />

patented forms (e.g., BCM-95, CurcuWIN, or Meriva) range from 250–750 mg daily;<br />

for all other brands, follow label guidelines.<br />

RESVERATROL: A strong antioxidant and anti-inflammatory substance found in red<br />

grapes and wine, it protects the heart and helps control blood sugar. Take 10–50 mg<br />

daily.<br />

ASTAXANTHIN: An antioxidant that gives salmon and other seafood their red color,<br />

it protects the heart, skin, eyes, and brain. Take 6–12 mg daily.<br />

It’s always best to take supplements with food. If you’re taking any medication,<br />

take supplements a couple of hours after the drug.<br />

DRUG-SUPPLEMENT INTERACTIONS<br />

Three out of four American adults take<br />

supplements, and heart health is a leading<br />

reason. However, despite the growing use of<br />

drugs to reduce cholesterol, blood pressure,<br />

or harmful blood clots, there’s a scarcity<br />

of research about how to safely combine<br />

these with supplements for optimum benefits.<br />

Both supplements and drugs are<br />

typically tested in isolation, and warnings<br />

about interactions can be unnecessarily<br />

alarming. According to the National<br />

Institutes of Health, “Concerns about<br />

herb-drug interactions are often not based<br />

on rigorous research. Most herb-drug<br />

interactions identified in current sources<br />

are hypothetical, inferred from animal studies,<br />

cellular assays, or based on other indirect<br />

means.” That said, some drug-supplement<br />

combinations can be dangerous.<br />

Studies have found, for instance, that<br />

St. John’s wort, popular for depression,<br />

can reduce drug potency and should not<br />

be taken with prescribed drugs unless<br />

closely monitored by a physician. Based<br />

on research and his clinical experience,<br />

Stephen Sinatra, MD, a pioneer in integrative<br />

cardiology and author of The Sinatra<br />

Solution: Metabolic Cardiology also<br />

recommends avoiding:<br />

Licorice with blood pressure drugs,<br />

as the herb can raise blood pressure.<br />

Extended-release niacin with cholesterollowering<br />

statins, as the combination<br />

can put too much stress on the liver.<br />

Specific blood-thinning nutrients<br />

and herbs with drugs that thin blood,<br />

as the combination could lead to<br />

dangerous bleeding. (Keep reading for<br />

more on blood-thinning supplements).<br />

On the other hand, medications can<br />

deplete nutrients that are vital for heart<br />

health, and the right supplements are<br />

essential to counteract such depletions,<br />

reduce some drug side effects, and improve<br />

30 • FEBRUARY <strong>2019</strong>


heart health and overall wellbeing. Can<br />

supplements replace the need for drugs?<br />

Along with diet and lifestyle changes,<br />

perhaps—in some cases.<br />

“Certainly there are large numbers<br />

of the population with mild to moderate<br />

hypertension, for example, or borderline<br />

type 2 diabetes, who can certainly come off<br />

pharmaceutical drugs with lifestyle changes<br />

such as weight loss, eating a better diet, and<br />

taking targeted nutritional supplements,”<br />

says Sinatra. But, he adds, “Pharmaceutical<br />

drugs are life-saving in many situations,<br />

especially in heart failure or arrhythmias.”<br />

If you’re taking medications, Sinatra<br />

emphasizes that it’s vital to tell your<br />

doctor about your supplements. If it’s<br />

possible that you could reduce or<br />

eliminate medications, it’s a process<br />

that must always involve your doctor.<br />

BLOOD THINNER WARNINGS<br />

Blood thinners help prevent harmful<br />

clots that can trigger a stroke or heart<br />

attack. The oldest blood thinner, warfarin<br />

(brand names are Coumadin and Jantoven)<br />

works by blocking vitamin K, which is<br />

needed to form clots and stop bleeding.<br />

Taking vitamin K supplements or eating<br />

too many vitamin K-rich foods reduces<br />

the drug’s effectiveness.<br />

In addition, warfarin should not be<br />

combined with supplements that thin<br />

blood, says Sinatra, especially nattokinase,<br />

The Most Studied Heart-Healthy Herb<br />

More than 750 studies and scientific articles have<br />

documented the benefits of Aged Garlic Extract (AGE) for<br />

heart health. Some highlights:<br />

<br />

<br />

<br />

AGE slowed the accumulation of arterial plaque by 80 percent and reduced levels<br />

of existing plaque, effectively slowing down and even reversing atherosclerosis.<br />

When taken for at least 2 months, AGE reduced harmful LDL cholesterol by up to<br />

10 percent.<br />

AGE lowered blood pressure by an average of 5.1 mm Hg in systolic<br />

pressure (the top number) and 2.5 mm Hg in diastolic pressure.<br />

ginkgo biloba, garlic, ginger, and vitamin<br />

E in doses of more than 400 IU daily.<br />

Sinatra says that these heart-healthy<br />

supplements should not be problematic<br />

for those on blood thinners: fish oil in<br />

doses of 1,000 mg daily of an EPA/DHA<br />

combination, magnesium, a low-dose<br />

multivitamin (without vitamin K), and<br />

CoQ10. However, there have been some<br />

case reports of excessive bleeding or<br />

reduced drug effectiveness when CoQ10<br />

was combined with warfarin, so its use<br />

with the drug should be monitored by a<br />

doctor. Taking warfarin requires blood<br />

tests, usually performed every few weeks.<br />

Newer blood thinners such as Xarelto,<br />

and Eliquis don’t affect vitamin K, but the<br />

warfarin cautions mentioned above also<br />

apply to the newer drugs.<br />

EDITOR'S PICKS: HEART-SMART SUPPLEMENTS<br />

In studies that produced these types of benefits, daily doses have ranged from 1,000–2,400<br />

mg per day. An average recommended dose for heart health is 1,200 mg daily.<br />

SUPPLEMENTS, STATINS & BLOOD<br />

PRESSURE DRUGS<br />

Other than St. John’s wort, licorice with<br />

blood-pressure drugs, and extended-release<br />

niacin with statins, supplements should<br />

not be a problem with statins and blood<br />

pressure medications, says Sinatra. Rather,<br />

it’s vital to avoid these nutrient depletions:<br />

COQ10: Statins are known to deplete<br />

CoQ10, contributing to muscle weakness<br />

and pain. Taking CoQ10 can alleviate<br />

these symptoms. Drugs to lower blood<br />

pressure and blood sugar can also deplete<br />

the nutrient. CoQ10 is essential for the<br />

heart to produce energy. It reduces<br />

fatigue and risk for heart attacks and<br />

heart failure. Exposure to pollutants also<br />

diminishes it, and levels naturally drop<br />

as you age. Use the Ubiquinol form of<br />

CoQ10 for optimal absorption.<br />

VITAMIN K 2<br />

: Depleted by statins, vitamin<br />

K 2<br />

is essential to prevent calcium deposits<br />

from blocking arteries and to enhance<br />

calcium absorption in bones. For anyone<br />

over age 50 who is not taking warfarin,<br />

Sinatra recommends taking vitamin K 2<br />

in the form of MK-7 (menaquinone-7).<br />

Bluebonnet<br />

Ubiquinol<br />

100 mg<br />

Nordic Naturals<br />

Ultimate Omega<br />

2X Mini<br />

Redd Remedies<br />

Circulation Veins<br />

& Arteries with<br />

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Solgar<br />

Full<br />

Spectrum<br />

Curcumin<br />

Kyolic<br />

Aged<br />

Garlic Extract<br />

Formula 100<br />

In addition to keeping your doctor<br />

apprised of your supplement regimen,<br />

it’s prudent to have your medications<br />

reviewed to make sure there are no<br />

potential drug-drug interactions.<br />

Vera Tweed has been researching and writing about supplements, holistic nutrition, fitness, and other aspects of healthy living since 1997. She is the author of several books, including Hormone Harmony: How to<br />

Balance Insulin, Cortisol, Thyroid, Estrogen, Progesterone and Testosterone to Live Your Best Life.<br />

32 • FEBRUARY <strong>2019</strong>


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❶ A deficiency of which vitamin has been<br />

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and congestive heart failure?<br />

❷ Which vitamin is essential for helping calcium<br />

bind to the body’s bone mineral matrix,<br />

preventing the mineral from collecting in<br />

blood vessels (where it can cause problems)?<br />

❸ Which vitamin plays a fundamental role<br />

in promoting the body’s production of<br />

collagen, an essential nutrient for artery,<br />

joint, and skin health?<br />

Vitamin C<br />

Pantothenic<br />

Acid<br />

Vitamin D<br />

❹ Which vitamin is the most important<br />

component of CoQ10, necessary for energy<br />

and cardiovascular health?<br />

Niacin<br />

❺ Which vitamin has been shown in studies<br />

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cholesterol that, when elevated, increases<br />

heart attack risk?<br />

Vitamin K<br />

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34 • FEBRUARY <strong>2019</strong>


THE<br />

ULTIMATE<br />

ADAPTOGEN<br />

GUIDE<br />

In the trendy world of<br />

healing herbs, you’ll<br />

find maca, ashwagandha,<br />

chaga, and other<br />

adaptogens packed<br />

by the handful into<br />

smoothies, energy bars,<br />

and even coffee drinks.<br />

But with these powerful<br />

plants, more isn’t better;<br />

it’s best to use them<br />

carefully, not randomly,<br />

choosing those matched<br />

to your specific needs<br />

by Lisa Turner<br />

Adaptogens aren’t like other herbs; they have a specific mode of action that<br />

involves normalizing physiologic functions and restoring the body to equilibrium.<br />

The term was first used by Russian researchers in 1957 to describe substances<br />

that increase the “state of non-specific resistance” in stress. The definition was later<br />

expanded to include compounds that are safe and normalize body functions and<br />

strengthen systems compromised by stress.<br />

This specific class of herbs works in part by influencing the hypothalamic-pituitaryadrenal<br />

(HPA) axis, a neuroendocrine system that controls the body’s response<br />

to stress and regulates energy, immunity, digestion, mood, emotions, and other<br />

physiologic processes. More recent research has found that adaptogens also protect<br />

mitochondria, the parts of the body’s cells that create energy, from the effects of the<br />

stress hormone cortisol.<br />

Because adaptogens influence the body’s innate physiology, they can take time to<br />

work—and they shouldn’t be used indiscriminately. Start with one or two adaptogens<br />

that target a specific condition or need, and give them time; with the exception of<br />

energizing adaptogens like ginseng, cordyceps, and rhodiola, you may need at least two<br />

weeks to start noticing effects. And if you use adaptogens daily, take periodic breaks;<br />

some research suggests these breaks also enhance the ability of adaptogens to work<br />

better. Generally, a pattern of three weeks on, one week off, is recommended.<br />

So which adaptogens should you take? Here’s a guide to the most popular of these<br />

potent herbs, and the conditions they best address:<br />

36 • FEBRUARY <strong>2019</strong>


ENERGY, STAMINA,<br />

AND ENDURANCE<br />

COGNITIVE FUNCTION AND BRAIN HEALTH<br />

BACOPA MONNIERI, from an herb traditionally used in<br />

Ayurvedic medicine to treat a variety of conditions,<br />

has been shown to enhance cognitive function, improve<br />

memory and recall, and protect against age-related<br />

neurodegeneration, dementia, and cognitive decline.<br />

RHODIOLA ROSEA, from a perennial flowering plant<br />

native to Europe, Asia, and North America, influences<br />

the neurotransmitters serotonin and dopamine,<br />

improving mood, energy, memory, and the ability to<br />

concentrate. It may also help combat mental fog, boost<br />

mental performance, and enhance focus.<br />

LION’S MANE, a mushroom used in traditional Chinese<br />

medicine, contains compounds called hericenones and<br />

erinacines, which have neuroprotective and cognitiveenhancing<br />

effects. Some studies suggest that lion’s<br />

mane boosts proteins that are needed for the growth,<br />

maintenance, and survival of neurons. Lion’s mane has<br />

also been shown to treat anxiety and depression.<br />

GINSENG, an adaptogenic root used<br />

for thousands of years in traditional<br />

Chinese medicine, is a potent energy<br />

tonic that enhances endurance,<br />

reduces mental and physical fatigue,<br />

and improves physical and cognitive<br />

performance. The active compounds in<br />

ginseng, ginsenosides, have also been<br />

shown to impact the central nervous<br />

system and offer protection against<br />

Alzheimer’s, Parkinson’s, depression,<br />

and other neurological disorders.<br />

STRESS AND ADRENAL FATIGUE<br />

MUCUNA PRURIENS, from<br />

a tropical legume<br />

native to Africa<br />

and Asia, is high in<br />

L-dopa, a precursor<br />

to dopamine—a neurotransmitter<br />

that plays a<br />

role in executive function, motivation,<br />

and arousal. Studies show that Mucuna<br />

pruriens eases psychological stress and<br />

ease depression, a common side effect<br />

of adrenal fatigue. It’s also been shown<br />

to improve fertility in men and protect<br />

against Parkinson’s disease.<br />

SCHISANDRA, which is<br />

also known as wu<br />

wei zi in traditional<br />

Chinese medicine,<br />

comes from a woody<br />

vine native to northern<br />

China. It’s used to treat<br />

stress and physical exhaustion, and<br />

studies show that it can reduce cortisol<br />

and protect the adrenals. Schisandra<br />

also has powerful immune-supportive<br />

effects and benefits the cardiovascular<br />

and respiratory systems.<br />

CORDYCEPS, a fungus that grows on the<br />

bodies of caterpillars (modern versions<br />

are grown on grains, so they’re vegan),<br />

is used to enhance energy and stamina,<br />

and has been shown to improve tolerance<br />

to high-intensity exercise. It’s also<br />

an anti-inflammatory with immuneenhancing<br />

effects.<br />

FEBRUARY <strong>2019</strong> • 37


Be Mine Chocolate-Fig<br />

Smoothie<br />

Serves 2<br />

Made with libido-boosting adaptogens plus<br />

traditional aphrodisiac foods, this creamy,<br />

sexy smoothie is sure to boost desire.<br />

It’s loaded with dark chocolate, which<br />

contains phenylethylamine (PEA), a<br />

compound that prompts the release of<br />

endorphins and enhances the activity of<br />

dopamine, a brain chemical associated with<br />

pleasure; chocolate also boosts levels of<br />

serotonin, the feel-good neurotransmitter.<br />

Figs and bananas are traditional aphrodisiac<br />

foods, long thought to inspire desire.<br />

This sweet treat is also spiked with maca<br />

and ashwagandha, adaptogens known for<br />

their ability to increase libido, relieve anxiety,<br />

and improve mood.<br />

For a thicker smoothie, freeze the<br />

banana first, or add a few ice cubes. If using<br />

dried figs, soak them first in warm water for<br />

half an hour to soften, then drain.<br />

1 ripe banana<br />

6 fresh or dried figs, stems removed<br />

1 cup almond milk<br />

¼ cup almond butter<br />

2 Tbs. cocoa powder<br />

1 Tbs. maca root powder<br />

2 tsp. ashwagandha powder<br />

Honey or agave to taste (optional)<br />

Chocolate shavings for garnish.<br />

1. Peel banana and cut into chunks.<br />

Combine in blender with figs, almond<br />

milk, almond butter, cocoa powder,<br />

maca root powder, and ashwagandha<br />

powder. Purée until smooth.<br />

2. Add honey or agave, if desired, for<br />

sweetness. Divide equally between two<br />

large glasses, garnish with chocolate<br />

shavings, and serve immediately.<br />

Per serving: 360 cal; 11g prot;<br />

20g total fat (2.5g sat fat); 44g<br />

carb; 0mg chol; 170mg sod;<br />

10g fiber; 23g sugar<br />

PHOTOGRAPHY: PORNCHAI MITTONGTARE;<br />

FOOD STYLING: CLAIRE STANCER; PROP STYLIST: ROBIN TURK<br />

38 • FEBRUARY <strong>2019</strong>


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DEPRESSION, ANXIETY, AND MOOD<br />

ASHWAGANDHA, an herb native to Asia and southern India,<br />

is traditionally used in Ayurvedic medicine to support<br />

the nervous system, enhance immune function, and improve<br />

the body’s response to stress. Studies show that ashwagandha<br />

significantly reduces cortisol levels, eases depression, balances mood, and lowers<br />

stress and anxiety. Because it’s a member of the nightshade family, people who are<br />

sensitive to nightshades should avoid ashwagandha, or use it with caution.<br />

IMMUNITY<br />

CHAGA, from a fungus that grows on birch and other<br />

trees, has antiviral, antibacterial, anti-inflammatory,<br />

and immune-supportive properties. It contains powerful<br />

anticancer compounds, and some studies show it can<br />

suppress tumor progression and reduce DNA damage<br />

by up to 40 percent.<br />

ASTRAGALUS, from the root of a perennial plant in the pea<br />

family, has been used in Chinese medicine for thousands<br />

of years to improve immunity, reduce stress, and treat<br />

heart, liver, and respiratory conditions. Studies show that<br />

it can inhibit the growth of viruses, activate the immune<br />

response, inhibit tumor growth, and protect against lung,<br />

gastrointestinal, and other cancers.<br />

TURKEY TAIL is an adaptogenic mushroom known for its<br />

potent antiviral and immune-enhancing effects. It’s high<br />

in polysaccharide compounds that have been shown to<br />

help improve immune function, ward off viruses and<br />

other pathogens, and protect against various forms of<br />

cancer, especially breast and colorectal cancers.<br />

EDITOR'S PICKS: ADAPTOGEN ALL-STARS<br />

SEXUAL HEALTH AND VITALITY<br />

MACA ROOT, from a Peruvian plant<br />

that’s related to radishes and turnips,<br />

is traditionally used to promote fertility<br />

and increase sexual desire and performance.<br />

Studies show that it can improve sperm<br />

quality, enhance libido, and relieve<br />

sexual dysfunction in women taking<br />

antidepressants. It’s also been shown to<br />

support immune function, boost physical<br />

performance, and reduce fatigue.<br />

MUIRA PUAMA, or “potency wood,” comes<br />

from the roots and bark of a tree native<br />

to Brazil. It’s traditionally used as a tonic<br />

to treat a variety of conditions, including<br />

sexual dysfunction, hormonal imbalances,<br />

and lack of sexual desire. Studies show<br />

that muira puama in a combination<br />

herbal formula improved erectile<br />

dysfunction in men, and increased<br />

sexual desire and enhanced ability to<br />

achieve orgasm in women.<br />

Emerald Health<br />

Bioceuticals<br />

Endo Brain<br />

is a blend of<br />

botanicals,<br />

including bacopa,<br />

for better memory<br />

and cognition.<br />

Irwin Naturals<br />

Ginza-Plus<br />

contains a mix<br />

of adaptogens,<br />

such as ginseng,<br />

schisandra, maca,<br />

cordyceps, and<br />

rhodiola.<br />

MegaFood<br />

Adrenal Strength<br />

features the herb<br />

schisandra, along<br />

with astragalus,<br />

ashwagandha,<br />

rhodiola, and<br />

other plants.<br />

Mushroom<br />

Wisdom<br />

Super Chaga<br />

is gathered from<br />

Siberian Birch<br />

trees and<br />

processed for<br />

concentration.<br />

Terry Naturally<br />

Adaptra<br />

Ashwagandha<br />

and Rhodiola uses<br />

research-backed,<br />

proprietary forms<br />

of ashwagandha<br />

and rhodiola.<br />

Lisa Turner is a chef, food writer, product developer, and<br />

nutrition coach in Boulder, Colo. She has more than 20 years of<br />

experience in researching and writing about nourishing foods,<br />

and coaching people toward healthier eating habits. Find her at<br />

lisaturnercooks.com.<br />

40 • FEBRUARY <strong>2019</strong>


asktheNUTRITIONIST/ANSWERS TO YOUR FOOD QUESTIONS<br />

Potato Problems<br />

The most popular vegetable in the United States is a bloodsugar-spiking<br />

starch, a nightshade vegetable, and a commonly<br />

genetically modified food /// BY MELISSA DIANE SMITH<br />

: I love potatoes and consider them a comfort food. But a friend recently told me that<br />

there are some nutritional problems with potatoes—and even health risks from eating<br />

them. From a nutrition and health standpoint, what are the most important things to<br />

know about potatoes? —Samantha S., Eugene, Ore.<br />

Melissa Diane<br />

Smith is an<br />

internationally<br />

known journalist and<br />

holistic nutritionist who<br />

has more than 20 years of<br />

clinical nutrition experience<br />

and specializes in using<br />

food as medicine. She is<br />

the cutting-edge author<br />

of Going Against GMOs,<br />

Going Against the Grain,<br />

and Gluten Free<br />

Throughout the Year, and<br />

the coauthor of Syndrome<br />

X. To learn about her<br />

books, long-distance<br />

consultations, nutrition<br />

coaching programs, or<br />

speaking, visit her<br />

websites:<br />

melissadianesmith.com<br />

and againstthegrainnutrition.com.<br />

a:You ask an important question<br />

because potatoes are the most<br />

popular vegetable in the United States.<br />

Many people eat them without a thought<br />

and without any knowledge of nutrition<br />

problems or health risks associated with<br />

them. The most important things to<br />

know about potatoes are:<br />

*<br />

*<br />

Potatoes seem like a harmless vegetable,<br />

but they are quickly converted to<br />

glucose. They can spike blood sugar<br />

and insulin levels, and may contribute<br />

to weight gain, which is why many<br />

people on low-carb or low-glycemic<br />

diets avoid potatoes.<br />

The potato is a nightshade vegetable<br />

that contains glycoalkaloids, which<br />

*<br />

have been implicated in the development<br />

of intestinal permeability, digestive<br />

trouble, and joint pain in some people.<br />

Unless you buy organic, the chances<br />

are good that the potatoes you eat are<br />

genetically modified (GM), because<br />

GM potatoes are now widespread<br />

in the U.S. food supply. The creator<br />

of GM potatoes, Dr. Caius Rommens,<br />

recently wrote a book, Pandora’s Potatoes:<br />

The Worst GMOs, warning about<br />

potential dangers from GM potatoes.<br />

Potatoes 101<br />

There are many different varieties of<br />

potatoes, and each of their<br />

nutritional profiles vary. Russet<br />

baked potatoes are good<br />

sources of potassium, vitamin C, vitamin B 6<br />

,<br />

folate, niacin, iron, and manganese, but<br />

they rank high on the glycemic index,<br />

meaning that their carbohydrates are<br />

quickly broken down into sugar, causing<br />

blood sugar and insulin levels in the body<br />

to rise rapidly. Red potatoes, on the other<br />

hand, contain fewer calories and carbohydrates,<br />

and slightly more niacin. And they<br />

rank moderately on the glycemic index.<br />

Potatoes and Weight Gain<br />

A few studies have implicated potatoes<br />

in weight gain. A 2009 study from<br />

the Journal of the American Dietetic<br />

Association that followed<br />

42,696 participants over<br />

a five-year period found<br />

that eating potatoes<br />

was associated with<br />

an increase in waist<br />

circumference in women.<br />

Another study<br />

in the New England<br />

Journal of Medicine<br />

that looked at the dietary<br />

patterns of more than 120,000<br />

participants found that<br />

potatoes and processed<br />

potato chips were the two<br />

biggest contributors to weight<br />

gain, with each serving per<br />

day leading to an average<br />

weight gain of 1.3 pounds and<br />

1.7 pounds, respectively. Other<br />

studies, however, have found no link<br />

between potato consumption and waist<br />

circumference or obesity.<br />

Did You Know?<br />

Potatoes are quickly<br />

converted to glucose, and<br />

can spike blood sugar and<br />

insulin levels.<br />

42 • FEBRUARY <strong>2019</strong>


Potatoes Are a Nightshade<br />

Although few people realize it, potatoes<br />

are members of the nightshade family,<br />

which contain toxic substances such as<br />

glycoalkaloids that increase intestinal<br />

permeability, or “leaky gut.” A leaky gut<br />

is believed to set off an autoimmune<br />

reaction when various proteins, which<br />

should stay inside the digestive tract,<br />

make their way into the bloodstream<br />

and the body attacks them in response.<br />

In one study from Digestive Diseases<br />

and Sciences, researchers fed potato skins<br />

(where high concentrations of glycoalkaloids<br />

lurk) to mice with inflammatory<br />

bowel disease, and found that gut<br />

inflammation was significantly increased.<br />

There is virtually no published<br />

evidence on potatoes causing joint pain<br />

and inflammation in healthy individuals,<br />

but there are numerous anecdotal<br />

accounts. For example, Mark Sisson,<br />

author of Primal Blueprint and blogger<br />

at Marksdailyapple.com, found that<br />

eating potatoes on a regular basis led<br />

to joint pain in his feet and ankles. But<br />

that doesn’t happen when he eats other<br />

starchy foods, such as yams or squash.<br />

The New Risk: GMO Potatoes<br />

Since the introduction of genetically<br />

modified versions in 2015, the potato<br />

has become one of the most common<br />

genetically modified organisms (GMOs)<br />

available in the U.S. So much so that they<br />

were recently added to the High-Risk list<br />

of the Non-GMO Project Standard.<br />

Unlike many genetically modified<br />

vegetables, the GMO potato isn’t designed<br />

to produce its own pesticides or to resist<br />

herbicides. Instead, the GMO potato<br />

developed by J.R. Simplot is engineered<br />

so that its flesh stays white when it’s<br />

exposed to air or light, or even when<br />

it’s bruised or diseased. The trait that<br />

prevents the potato’s natural discoloration<br />

was achieved by silencing its melanin<br />

gene. The potato still gets damaged,<br />

but the symptoms are hidden from<br />

view—and from the consumer.<br />

GMO potato developer Rommens<br />

now heavily criticizes the crop he<br />

created, and says the newfangled<br />

POTATO SUBSTITUTES<br />

If you’d like to avoid or reduce potatoes in your diet, there<br />

are many delicious, healthy alternatives.<br />

IN PLACE OF:<br />

Roasted potatoes<br />

Mashed potatoes<br />

French fries<br />

Potato chips<br />

White potatoes (in a stew or pot roast)<br />

potatoes are not really bruise-resistant<br />

but bruise-concealing. In his book,<br />

Rommens explains that concealed<br />

bruises can accumulate certain toxins<br />

that can compromise the food safety<br />

and nutritional quality. For example,<br />

the abnormal amino acid tyramine can<br />

accumulate in damaged potato tissues.<br />

Some people have a poor ability to break<br />

down, or are sensitive to, tyramine, and<br />

excessive tyramine intake in sensitive<br />

people may lead to a dangerous rise<br />

in blood pressure, or to nausea, vomiting,<br />

quickened heart rate, or severe headache.<br />

So, it’s possible that an unsuspecting<br />

consumer who is sensitive to tyramine<br />

could unknowingly eat bruise-concealing<br />

GMO potatoes in combination with<br />

other tyramine-rich foods, such as<br />

blue cheese, beer, sauerkraut, sausage,<br />

soy sauce, or tofu, and end up in the<br />

emergency room.<br />

Another toxic effect of the trait<br />

that prevents discoloration in the GMO<br />

potato is the concealment of infections.<br />

Consumers may eat potatoes that look<br />

perfectly healthy but actually contain<br />

fungal or bacterial pathogens, which<br />

often produce toxins and allergens.<br />

Rommens is so concerned about the<br />

toxic effects that develop in GMO<br />

potatoes that he calls the potatoes<br />

“the worst GMOs ever commercialized.”<br />

Bottom-Line Advice<br />

It’s important to weigh out the information<br />

and decide for yourself if potatoes are<br />

a good addition to your diet. Here are<br />

some tips:<br />

TRY:<br />

Roasted turnips<br />

Mashed cauliflower<br />

Baked yam fries<br />

Kale chips<br />

Parsnips<br />

*<br />

*<br />

*<br />

*<br />

parsnips<br />

Look for potatoes that are labeled<br />

Non-GMO Project Verified or, better<br />

yet, USDA Organic. Seeking out<br />

organic potato products is the best<br />

way to avoid both GMO potatoes<br />

and potatoes that aren’t sprayed<br />

with synthetic chemical pesticides.<br />

If you are overweight or have high<br />

blood glucose levels, avoid potatoes<br />

to determine if doing so helps you<br />

lose weight or reduces elevated<br />

blood glucose levels.<br />

If you have a known autoimmune<br />

disease, a leaky gut, or inflammatory<br />

bowel disease—or are sensitive to<br />

nightshades, including tomatoes,<br />

peppers, and eggplants—try eliminating<br />

potatoes from your diet, because<br />

they are also nightshades that may<br />

be aggravating your condition.<br />

If it’s better for your health to shun<br />

potatoes, there are plenty of vegetables<br />

that work as a healthier substitute<br />

(see sidebar above). Also be sure to<br />

avoid convenience foods that have<br />

potato-based ingredients (such as<br />

potato starch) in them.<br />

If you don’t think you need to stay away<br />

from potatoes to improve your health,<br />

it’s still prudent to increase your intake<br />

of other vegetables that provide more<br />

nutrients and less carbs than potatoes.<br />

Do you have a question for the nutritionist? We would<br />

love to hear from you! Please email your questions to<br />

bnaskthenutritionist@gmail.com.<br />

FEBRUARY <strong>2019</strong> • 43


eating4HEALTH/FOODS & MEALS THAT HEAL<br />

Natural Candida Fighters<br />

Keep this health-robbing yeast at bay with these 7 foods /// BY LISA TURNER<br />

Candida albicans, a yeast that typically lives<br />

in the mouth, vagina, and gastrointestinal<br />

tract, doesn’t cause problems at normal levels.<br />

But an overgrowth—caused by a variety<br />

of factors including poor diet, excessive<br />

alcohol intake, stress, and impaired digestive<br />

function—can trigger bloating, rashes,<br />

yeast infections, fatigue, and more.<br />

To protect against candida overgrowth,<br />

avoid high-sugar fruits, carbs, alcohol, dairy<br />

products, and sugar in any form—including<br />

honey or maple syrup. Instead, focus your<br />

diet on lean meat, fish, poultry, non-starchy<br />

vegetables, and healthy fats. And try these<br />

seven foods to fight back against candida.<br />

Coconut oil is<br />

high in caprylic acid,<br />

capric acid, and lauric<br />

acid—fatty acids with<br />

antifungal properties<br />

that help inhibit the growth of candida<br />

and other pathogens. The lauric acid in<br />

coconut is also effective against mouth<br />

sores and can help prevent candida<br />

infections in the mouth (thrush).<br />

Try this: Cook asparagus, slivered almonds,<br />

onions, and garlic over low heat in coconut<br />

oil; combine MCT coconut oil with a few<br />

drops of peppermint essential oil and<br />

swish in your mouth to kill pathogens.<br />

Turmeric contains<br />

curcumin, an anti-inflammatory<br />

and antifungal<br />

agent that inhibits the<br />

growth of candida and<br />

protects against yeast infections. One study<br />

suggested that curcumin hampered the<br />

ability of yeasts to attach to mouth cells, and<br />

curcumin was also shown to be synergistic<br />

with fluconazole, an antifungal drug.<br />

Try this: Sauté shredded Brussels sprouts,<br />

red peppers, onions, and minced ginger<br />

with turmeric and black pepper; toss green<br />

beans in curry powder, black pepper, and<br />

melted coconut oil, and roast until crispy.<br />

Garlic is high in<br />

allicin—formed when<br />

garlic cloves are crushed<br />

or chopped—which has<br />

been shown to inhibit<br />

the proliferation of both fungi and<br />

bacteria. Studies suggest that allicin<br />

can protect against candida overgrowth<br />

and may reduce the ability of candida to<br />

attach to cells lining the mouth. Because<br />

heating can damage allicin, it’s best to eat<br />

garlic raw for maximum effectiveness.<br />

Try this: Crush whole garlic cloves, mix<br />

with coconut oil and minced rosemary<br />

or thyme, and use instead of butter on<br />

cooked vegetables; finely mince garlic<br />

cloves and whisk together with apple<br />

cider vinegar, olive oil, and minced thyme<br />

for an easy salad dressing.<br />

Ginger contains<br />

antifungal compounds<br />

called gingerol and<br />

shagelol. Several<br />

studies show that<br />

ginger has powerful antimicrobial actions<br />

and can inhibit the growth of candida<br />

and other pathogens. In one study, an<br />

antifungal cream with added ginger was<br />

more effective at relieving yeast infections<br />

than the antifungal cream without ginger.<br />

Try this: Finely mince fresh ginger and<br />

combine with miso paste, apple cider<br />

vinegar, and sesame oil for a creamy<br />

dressing; simmer grated ginger root and<br />

zucchini “noodles” in vegetable broth, then<br />

top with sliced green onions, bean sprouts,<br />

chopped basil, and sliced jalapeño peppers.<br />

Kimchi, a fermented<br />

cabbage dish, is rich in<br />

a variety of probiotics<br />

to protect the gut from<br />

pathogens. Studies show<br />

that probiotics reduce gut inflammation,<br />

protect against an overgrowth of candida<br />

yeast, and may alleviate symptoms of<br />

candida. Because it’s dairy-free and also<br />

usually contains garlic and ginger, it’s<br />

ideal for an anti-candida diet. Other<br />

probiotic-rich, dairy-free foods include<br />

coconut kefir, miso, tempeh, and sauerkraut.<br />

Try this: Toss shredded spinach leaves<br />

with kimchi, black sesame seeds, and<br />

chopped tomatoes for an easy salad; make<br />

turnip noodles with a spiralizer, simmer<br />

in broth till tender, then top with kimchi.<br />

Apple cider<br />

vinegar has long<br />

been used to protect<br />

against yeast infections<br />

and thrush. Studies<br />

show that it has antimicrobial properties,<br />

and may be more effective than nystatin,<br />

an antifungal drug, in preventing candida<br />

overgrowth in the mouth.<br />

Try this: Combine apple cider vinegar<br />

with chopped ginger, crushed garlic,<br />

and turmeric, and let stand overnight<br />

before straining for a potent fire cider;<br />

toss shredded red and green cabbage,<br />

red onions, chopped cilantro, and minced<br />

serrano peppers with apple cider vinegar<br />

and olive oil for a fast slaw.<br />

Kale and other<br />

leafy greens are high<br />

in fiber, which nourishes<br />

beneficial gut bacteria<br />

and can help protect<br />

against candida overgrowth. Kale is also<br />

a crucifer, so it’s rich in compounds that<br />

are thought to minimize the growth of<br />

candida. Other non-starchy vegetables<br />

for an anti-candida diet include spinach,<br />

escarole, arugula, Brussels sprouts,<br />

cabbage, broccoli, celery, green beans,<br />

cucumber, eggplant, onion, and zucchini.<br />

Try this: Sauté chopped kale and thinly<br />

sliced mushrooms in coconut oil, then<br />

sprinkle with very finely minced garlic;<br />

toss quartered escarole and leeks in olive<br />

oil and grill till tender.<br />

44 • FEBRUARY <strong>2019</strong>


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eating4HEALTH<br />

Indian Chicken Bowl with<br />

Turmeric “Rice"<br />

Serves 4<br />

This grain-free bowl uses cauliflower instead<br />

of rice. It's topped with a simple, flavorful<br />

curry loaded with low-starch vegetables and<br />

candida-fighting herbs and spices. Adjust<br />

the curry powder to taste and add cayenne<br />

pepper for extra spiciness. Store-bought<br />

rotisserie chicken saves time, but you can<br />

also use tofu, shrimp, or any white fish.<br />

1 small head cauliflower<br />

2 Tbs. coconut oil, divided<br />

1 small yellow onion, halved and thinly<br />

sliced crosswise<br />

4 garlic cloves, finely minced<br />

1 Tbs. minced ginger root<br />

1 red pepper, cut into strips<br />

1 cup green beans, thinly sliced on the<br />

diagonal<br />

2 Roma tomatoes, chopped<br />

2 cups cubed cooked chicken<br />

½ cup coconut milk<br />

2 Tbs. curry spice blend, or more, to taste<br />

1 tsp. turmeric powder<br />

½ tsp. salt<br />

¼ tsp. white pepper<br />

½ cup chopped cilantro leaves<br />

1. Break cauliflower into 1-inch florets.<br />

Working in two batches, process florets<br />

in food processor, pulsing until florets<br />

are chopped into small, rice-sized pieces.<br />

Set aside.<br />

2. Heat 1 Tbs. coconut oil in large skillet over<br />

medium heat. Add onion, garlic, ginger,<br />

red pepper, green beans, and tomatoes.<br />

Cook 4–5 minutes, stirring frequently,<br />

until vegetables are crisp-tender. Stir<br />

in chicken, coconut milk, and curry<br />

spice. Reduce heat to low, and cook<br />

3–4 minutes, stirring frequently, until<br />

chicken is warmed through. Season<br />

to taste with salt and pepper.<br />

3. While vegetables cook, heat remaining<br />

1 Tbs. coconut oil in separate skillet. Add<br />

cauliflower, turmeric powder, salt, and<br />

white pepper. Cook 4–5 minutes, until<br />

cauliflower is just tender and golden.<br />

4. To serve, divide cauliflower ”rice“<br />

among four bowls. Top with chicken<br />

and vegetables, garnish with cilantro,<br />

and serve immediately.<br />

Per serving: 250 cal; 25g prot; 11g total fat<br />

(7g sat fat); 13g carb; 60mg chol; 370mg sod;<br />

5g fiber; 5g sugar<br />

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healthyDISH/RECIPE MAKEOVERS FULL OF MODERN FLAVOR<br />

Spaghetti Squash Lasagna<br />

Serves 4<br />

For an even simpler version of this<br />

trimmed-down treat, you can omit the<br />

cooking step by substituting 8–10 frozen<br />

turkey meatballs for the ground meat.<br />

Just place them evenly into the squash<br />

and follow the rest of the instructions.<br />

1 large spaghetti squash, halved lengthwise<br />

and seeded<br />

1 lb. lean, pastured ground turkey, ground<br />

beef, or vegetarian beef “crumbles,”<br />

divided<br />

1 tsp. granulated garlic<br />

1 tsp. granulated onion<br />

Sea salt and ground pepper, to taste<br />

1 24-oz. jar high-quality marinara sauce<br />

1 8-oz. carton organic ricotta cheese<br />

1 cup organic part-skim shredded<br />

mozzarella cheese<br />

Light & Clean<br />

Low-Carb Lasagna<br />

This trimmed-down version of a hearty favorite makes<br />

the perfect comfort food for cold winter nights<br />

/// BY JONNY BOWDEN, PHD, CNS, AND JEANNETTE BESSINGER, CHHC<br />

Lasagna is one of those comfort foods that everybody loves and that low-carb<br />

advocates avoid like the plague. So leave it to Chef Jeanette to come up with a lowercarb,<br />

higher-nutrient version that has all the deliciousness of the traditional dish.<br />

Instead of pasta, Chef used squash, a good high-fiber, low-calorie, nutrient-rich<br />

vegetable that’s perfect for a low-carb diet. She upgraded the meat by using<br />

either turkey or grass-fed beef, and<br />

mixed in two of the healthiest “additives”<br />

on the planet—garlic and onion.<br />

Then she finished the whole thing off<br />

with a big helping of lycopene-rich<br />

tomato sauce (marinara). Not only<br />

is it easy to make, but it’s a huge crowdpleaser.—Dr.<br />

Jonny<br />

1. Preheat the oven to 375°F. Lay squash<br />

halves face down on edged baking sheet,<br />

and roast 35–40 minutes, until you can<br />

dent skin with a spoon.<br />

2. While squash is baking, combine the<br />

ground meat, garlic, onion, salt, and<br />

pepper in large skillet over mediumhigh<br />

heat. Cook, stirring frequently,<br />

until meat is no longer pink, about<br />

7 minutes. (If using vegetarian crumbles,<br />

you can skip the cooking step.)<br />

3. When squash is tender, remove from<br />

oven, reduce temperature to 350°F,<br />

and let squash cool slightly until you<br />

can handle it.<br />

4. Scrape squash strands out of skin,<br />

and transfer evenly to large baking<br />

dish. Spread prepared ground meat<br />

(or vegetarian crumbles and spices)<br />

evenly over squash strands. Pour<br />

sauce evenly over meat. Dollop with<br />

ricotta, and sprinkle with mozzarella.<br />

Bake 30 minutes, until hot throughout<br />

and cheese is melted.<br />

Per serving: 520 cal; 39g prot; 28g total fat<br />

(13g sat fat); 28g carb; 110mg chol; 1,090mg sod;<br />

2g fiber; 13g sugar<br />

NOTES FROM THE CLEAN FOOD COACH<br />

The fresher your spaghetti squash, the “juicier” it will be when cooked. If your squash<br />

releases a lot of moisture, drain it for 15 minutes in a colander or sieve after scraping it out of<br />

its skin. Alternatively, you can remove excess moisture from the (cooked and slightly cooled)<br />

lasagna by gently supporting contents with a large pan lid and tipping the pan to drain.<br />

PHOTOGRAPHY: PORNCHAI MITTONGTARE; FOOD STYLING: CLAIRE STANCER; PROP STYLIST: ROBIN TURK<br />

48 • FEBRUARY <strong>2019</strong>


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