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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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^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 />
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Beauty Editor<br />
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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 />
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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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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 />
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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 />
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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 />
DIY ZINC TEST<br />
A Liquid Zinc Assay test can help you<br />
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at home. Go to betternutrition.com for<br />
a step-by-step guide to the test.<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>
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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 />
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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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Sweetheart<br />
MATCH GAME<br />
Test your<br />
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heart health<br />
smarts by<br />
matching<br />
each question<br />
with a colored<br />
heart (the<br />
answers are<br />
below).<br />
❶ A deficiency of which vitamin has been<br />
shown to contribute to cardiovascular<br />
disease, including strokes, heart attacks,<br />
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 />
to lower Lp(a), a dangerous form of<br />
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 />
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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 />
PHOTOGRAPHY: PORNCHAI MITTONGTARE; FOOD STYLING: CLAIRE STANCER; PROP STYLIST: ROBIN TURK<br />
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FEBRUARY <strong>2019</strong> • 47
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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