Author: more spoons

  • Nutrition Strategies to Manage Side Effects of GLP-1 Weight Loss Medications

    GLP-1 receptor agonists like semaglutide (Ozempic, Wegovy) and tripeptide (Mounjaro, Zepbound) have become popular tools for weight management. While these medications can be highly effective, they often have side effects that can impact nutrition and overall well-being. If you or a loved one use GLP-1 medications, optimizing your diet can help minimize discomfort and support long-term success.

    Common Side Effects and Nutrition Strategies to Manage Them

    1. Nausea and Vomiting

    One of the most common complaints among GLP-1 users is persistent nausea, which can make it difficult to eat enough nutrients.

    Try this:

    • Eat small, frequent meals rather than large portions to reduce stomach discomfort.
    • Prioritize bland, easy-to-digest foods such as oatmeal, mashed potatoes, bananas, or crackers.
    • Ginger and peppermint can help settle the stomach—try ginger tea, peppermint tea, or ginger chews.
    • Stay upright after eating and avoid lying down for at least 30 minutes post-meal.
    • Stay hydrated with electrolyte-rich fluids like coconut water or diluted sports drinks if vomiting occurs frequently.

    2. Constipation

    Many people on GLP-1 medications struggle with constipation due to slowed gut motility.

    Try this:

    • Increase fluid intake: You don’t need to do the gallon challenge to hydrate adequately. In fact, a gallon of water is not recommended. Most adults need about 2 liters a day or 8 cups. Ask your dietitian to calculate your individual needs. 
    • Incorporate both insoluble and soluble fiber: The ideal ratio of insoluble fiber to soluble fiber for constipation relief is 1:1. Good food sources with approximately this ratio of soluble and insoluble fiber include prunes, berries, apricots, beans, and lentils. Eat the skin of fruits and vegetables to increase your insoluble fiber intake further.  Psyllium powder-based supplements, such as Metamucil, may not contain enough insoluble fiber to relieve constipation — especially in patients on GLP-1 weight loss medications. Most adults need about 22-34 grams of fiber daily, which should be individualized and gradually increased. 
    • Try magnesium-rich foods like pumpkin seeds, spinach, and almonds, or consider a magnesium citrate supplement (check with your provider first). It’s estimated that up to 60% of the population is deficient in magnesium. Because the body has mechanisms to regulate blood levels of minerals and electrolytes, a blood test for magnesium deficiency will not necessarily reflect actual intake until a person is severely deficient. 
    • Light movement after meals, such as a short walk, can help stimulate digestion. 

    3. Diarrhea

    Some individuals experience diarrhea, especially when adjusting to the medication.

    Try this:

    • Stick to easily digestible, low-fat meals to prevent exacerbating symptoms.
    • Incorporate binding foods that contain more soluble fiber, such as bananas, apples, psyllium, green peas, and wheat bran. 
    • Probiotic-rich foods like yogurt or kefir may help restore gut balance. However, not all fermented foods have sufficient probiotics to replenish the gut microbiome. Select brands with live active cultures or indicate they are probiotic food or yogurt. An integrative dietitian can assist in selecting the right probiotic-rich foods or supplements for your situation. 
    • Limit artificial sweeteners (sorbitol, mannitol, xylitol), which can trigger diarrhea in some individuals.

    4. Loss of Appetite & Unintentional Malnutrition

    While appetite suppression can aid weight loss, it may also lead to inadequate nutrition. 

    Try this:

    • Focus on nutrient-dense foods to get the most nutrition in smaller portions (e.g., nuts, seeds, eggs, Greek yogurt, avocado).
    • Include protein at each meal to preserve muscle mass (chicken, fish, tofu, beans, cottage cheese).
    • Use high-calorie liquids if eating solid food feels difficult—nutrient-packed smoothies with protein powder, nut butters, and milk can help.
    • Set reminders to eat if you frequently forget meals due to reduced hunger.

    5. Muscle Loss

    Since GLP-1 medications can lead to rapid weight loss, there’s a risk of losing muscle mass along with fat.

    Try this:

    • Prioritize protein intake (aim for at least 20–30g per meal, depending on individual needs).
    • Incorporate resistance training to preserve muscle while losing weight.
    • Consider protein supplementation if struggling to meet protein needs through food. It is best to work with a dietitian to select a protein supplement, as they are not one size fits all and can exacerbate underlying conditions. 

    Final Thoughts

    While GLP-1 receptor agonists can be a powerful tool for weight management, they come with unique nutritional challenges. By making small, strategic dietary adjustments, you can manage side effects and ensure your body gets the nutrients it needs. Ideally, individuals should work closely with a dietitian when using weight loss medication. A registered dietitian can provide you with evidence-based, personalized recommendations. Consults with a dietitian are usually covered by insurance, especially for weight management. Call today or check out our contact page to self-schedule or reach out to us via secure messaging. 

  • Healthy and Sensory-Friendly Thanksgiving Recipes

    Healthy and Sensory-Friendly Thanksgiving Recipes

    Thanksgiving is a wonderful time for gathering, sharing gratitude, and of course, enjoying delicious food. However, for neurodivergent families, this holiday can be filled with unique sensory challenges, food aversions, and a need for predictability. Whether it’s a preference for familiar textures, sensitivities to certain flavors, or a strict need for routine, finding the right Thanksgiving recipes can be tricky. The good news is that with a little planning, you can create a sensory-friendly, nutritious, and enjoyable Thanksgiving spread for everyone.

    In this blog post, I’m sharing a selection of healthy Thanksgiving recipes that prioritize sensory needs and nutrition while keeping holiday traditions in mind. These recipes are designed to be adaptable, simple, and family-friendlyso everyone can feel comfortable and included at the table. But remember, everyone has unique sensory needs, and there is no one-size-fits-all approach.

    1. Smooth Mashed Sweet Potatoes with Coconut Milk

    Mashed potatoes are a staple on Thanksgiving tables, but for those with texture sensitivities, the standard chunky version might be off-putting. This recipe uses sweet potatoes and creamy coconut milk for a smooth, naturally sweet side dish that’s easy on the taste buds and full of nutrients.

    Ingredients:

    • 3 large sweet potatoes, peeled and cubed
    • 1/2 cup full-fat coconut milk
    • 1 tablespoon olive oil or melted ghee
    • 1/2 teaspoon salt
    • Optional: a pinch of cinnamon or nutmeg for a holiday twist

    Instructions:

    1. Boil the sweet potatoes until tender (about 15-20 minutes).
    2. Drain and transfer to a large bowl.
    3. Add the coconut milk, olive oil, and salt. Mash with a potato masher or use an immersion blender for a smoother texture.
    4. Serve warm and let everyone add their own seasoning if desired.

    Why It Works: The smooth texture and natural sweetness of this dish can appeal to picky eaters and those who prefer mild, predictable flavors.


    2. Crispy Baked Chicken Strips (Gluten-Free)

    While turkey is the traditional star of Thanksgiving, not every child is comfortable with it, especially if they have strong food aversions or a preference for familiar foods like chicken tenders. These gluten-free baked chicken strips offer a crispy, flavorful alternative that many kids already love.

    Ingredients:

    • 1 lb chicken breast, cut into strips
    • 1/2 cup almond flour (or gluten-free breadcrumbs)
    • 1/4 cup ground flaxseed
    • 1 teaspoon garlic powder
    • 1 teaspoon onion powder
    • Salt and pepper to taste
    • 1 egg, beaten

    Instructions:

    1. Preheat your oven to 400°F (200°C) and line a baking sheet with parchment paper.
    2. Mix the almond flour, ground flaxseed, garlic powder, onion powder, salt, and pepper in a shallow bowl.
    3. Dip each chicken strip in the beaten egg, then coat it with the flour mixture.
    4. Place on the baking sheet and bake for 15-20 minutes, flipping halfway through, until golden and crispy.
    5. Serve with a simple dipping sauce like honey mustard or ketchup.

    Why It Works: These chicken strips provide a familiar, crunchy texture that can help reduce anxiety around unfamiliar foods on the Thanksgiving table.


    3. Roasted Carrot “Fries”

    Vegetables can be a tough sell for many autistic children, especially if they have strong aversions to certain textures or tastes. Roasting carrots into “fries” brings out their natural sweetness and provides a crispy, finger-friendly option that can feel more like a treat.

    Ingredients:

    • 6 large carrots, peeled and cut into sticks
    • 2 tablespoons olive oil
    • 1/2 teaspoon salt
    • Optional: a sprinkle of dried parsley or rosemary

    Instructions:

    1. Preheat your oven to 425°F (220°C).
    2. Toss the carrot sticks with olive oil and salt.
    3. Arrange in a single layer on a baking sheet.
    4. Roast for 20-25 minutes, turning halfway through, until crispy on the edges.
    5. Serve warm as a side dish or snack.

    Why It Works: Roasted carrot fries are a great way to introduce vegetables in a fun, familiar format that many kids find less intimidating.


    4. “No Surprise” Apple Crisp (Refined Sugar-Free)

    Thanksgiving desserts can often be too sweet or contain unexpected ingredients that make them unappealing for some kids. This simple apple crisp is free from refined sugars and uses oats for a familiar, crunchy topping without nuts (a common sensory aversion).

    Ingredients:

    • 4 medium apples, peeled and thinly sliced
    • 1 tablespoon lemon juice
    • 2 tablespoons maple syrup or honey
    • 1 teaspoon cinnamon
    • 1 cup rolled oats
    • 1/4 cup coconut oil, melted
    • 1/4 cup coconut sugar (optional)

    Instructions:

    1. Preheat your oven to 350°F (175°C).
    2. Toss the apple slices with lemon juice, maple syrup, and cinnamon, then spread them in a baking dish.
    3. In a separate bowl, mix the oats, melted coconut oil, and coconut sugar (if using).
    4. Sprinkle the oat mixture evenly over the apples.
    5. Bake for 30-35 minutes, until the topping is golden brown and the apples are tender.

    Why It Works: This apple crisp has a predictable texture and flavor, making it more approachable for kids with sensory differences. Plus, it’s lightly sweetened, making it a healthier option.


    Tips for a Sensory-Friendly Thanksgiving:

    1. Prepare a Visual Menu: Show your child what’s being served with pictures or a simple menu. This can help reduce anxiety around new or unfamiliar foods.
    2. Serve at Least One Safe Food: Include at least one familiar, “safe” food that you know your child enjoys. This helps them feel more comfortable at the table.
    3. Encourage Exploration Without Pressure: Offer new foods without forcing them to try. Let them explore the food with their senses before taking a bite.
    4. Limit Strong Smells: Keep heavily spiced or strong-smelling foods to one side of the table to reduce sensory overload.
    5. Plan for Breaks: Allow your child to step away from the table if they become overwhelmed. This can help make the experience more enjoyable for everyone.

    Final Thoughts:

    Thanksgiving doesn’t have to be stressful or overwhelming for families. By focusing on familiar textures, simple flavors, and nutritious ingredients, you can create a meal that everyone can enjoy. Remember, it’s not just about the food on the table, but the love and connection shared around it.

    I hope these recipes bring joy and comfort to your Thanksgiving celebration. Wishing you a happy, healthy, and sensory-friendly holiday!

  • From Picky to Playful: Supporting Kids with Demand Avoidance in Trying New Foods

    From Picky to Playful: Supporting Kids with Demand Avoidance in Trying New Foods

    Navigating food choices with children who have demand avoidance can be uniquely challenging. For kids with demand avoidance, trying new foods might feel overwhelming or even frightening. This can result in a refusal to try foods they are unfamiliar with, leading to a restricted diet and limited nutritional variety. But with the right approach, parents and caregivers can support these children in expanding their palate in a way that feels safe and enjoyable for them.

    1. Create a Pressure-Free Environment

    Children with demand avoidance thrive in low-pressure situations. Emphasize that trying new foods is optional, and never push or bribe them to take a bite. Instead, encourage exploration. Simply having the food on their plate or touching it with their fingers can be a significant first step. Praise any engagement, no matter how small, and reinforce that they have control over their choices.

    2. Introduce New Foods as a Playful Experience

    Sometimes, making food interactions feel more like play than a meal can lower resistance. Food art, for instance, can be a great tool. Arrange vegetables to look like a face on a plate or let your child use mini cookie cutters to shape foods into fun designs. This can help them become more comfortable with new textures, colors, and smells without feeling pressured to eat.

    3. Incorporate Familiar Elements

    Introducing new foods alongside familiar ones helps children feel more secure. If they love pasta, try adding a new vegetable or sauce in a small amount on the side. This strategy builds comfort with variety while providing a sense of familiarity, helping them gradually expand their tastes.

    4. Use Visual Stories or Videos

    For some kids, understanding what a new food is and how it’s made can ease their anxieties. Visual stories that show the journey of a food item, from farm to plate, can make it feel less foreign. Alternatively, showing videos of other children enjoying a new food can provide reassurance that the experience is safe.

    5. Focus on Texture Over Flavor

    Kids with demand avoidance may have strong sensory preferences. Texture often plays a bigger role than taste in determining whether a child will accept a food. Pay attention to whether they prefer crunchy, smooth, or chewy foods, and introduce new options that mimic those textures. For example, if they love crunchy snacks, try offering new vegetables in a dehydrated or crisp form.

    6. Offer Choices and Respect Boundaries

    Offering choices helps empower children with demand avoidance. Instead of asking, “Do you want broccoli?” ask, “Would you like to put broccoli or carrots on your plate?” This approach helps them feel in control and may increase their openness to the experience. If they decline, respect their choice without pushing.

    7. Make Small Steps Feel Big

    Acknowledge every tiny step forward. If they touch, smell, or lick the new food, give them positive feedback, even if they don’t eat it. Building confidence with small victories can reduce stress and encourage future exploration.

    8. Encourage but Don’t Force Repetition

    Sometimes, kids need to see a food multiple times before they feel comfortable trying it. Reintroduce foods in a low-pressure way over time, without forcing or emphasizing their rejection. Often, just having it present can slowly build familiarity and comfort.

    Final Thoughts: Patience and Empathy Go a Long Way

    Helping children with demand avoidance try new foods is a marathon, not a sprint. By prioritizing empathy, patience, and a playful approach, you can encourage them to expand their diet without making mealtime a source of stress. Remember, the goal is not just to get them to eat more foods but to help them feel safe, confident, and in control as they explore the world of flavors.

  • Navigating Emotional Eating During Election Season

    Navigating Emotional Eating During Election Season

    As election season approaches, it’s not just the political landscape that shifts—our emotional landscapes can change dramatically, too. For many, the stress and uncertainty of political campaigns can lead to emotional eating, where we turn to food for comfort rather than nourishment.

    Understanding Emotional Eating

    Emotional eating is the practice of consuming food in response to feelings rather than hunger. During elections, heightened emotions—whether anxiety, excitement, or frustration—can trigger cravings for comfort foods. It’s a way to cope with the overwhelming barrage of information and opinions that can feel hard to digest.

    The Cycle of Stress and Eating

    Election season often brings discussions that can be divisive, leading to stress and tension. In moments of anxiety, we might reach for snacks, sweets, or our favorite comfort foods to soothe ourselves. Unfortunately, this can create a cycle: eating for comfort leads to guilt or stress about eating, which then drives more emotional eating.

    Strategies to Manage Emotional Eating

    1. Stay Informed, But Limit Exposure: Keep up with the news, but set boundaries. Consider specific times to check updates, allowing yourself to disconnect and reduce stress.
    2. Practice Mindful Eating: Pay attention to your hunger cues and emotions. Before reaching for food, ask yourself if you’re truly hungry or if you’re trying to cope with feelings.
    3. Find Healthy Outlets: Instead of turning to food, explore other stress-relief techniques like exercise, journaling, or meditation. These can provide comfort without the calories.
    4. Engage in Supportive Conversations: Connect with friends or family to discuss feelings and perspectives. Sometimes, talking it out can alleviate emotional burdens.
    5. Prioritize Self-Care: Ensure you’re taking time for activities that nurture your well-being, whether that’s reading, walking, or enjoying a hobby. Self-care can be a powerful antidote to stress.

    Conclusion

    Election season can be a rollercoaster of emotions, but being mindful of our relationship with food can help us navigate this turbulent time more effectively. By recognizing triggers and practicing self-care, we can maintain a healthier balance and find comfort in ways that nourish both our bodies and minds. Remember, it’s okay to feel overwhelmed, but you don’t have to turn to food for solace.

  • Long COVID Nutrition Tips for Better Recovery

    Long COVID Nutrition Tips for Better Recovery

    Essential Long COVID Nutrition Tips for Recovery

    Eating Well with Long COVID: Nutrition Tips

    Long COVID, or post-acute sequelae of SARS-CoV-2 infection (PASC), can bring a variety of lingering symptoms, including altered taste and persistent fatigue. These symptoms can make maintaining a nutritious diet challenging, yet eating well is crucial for recovery and overall health. This blog post will explore strategies for managing taste changes and fatigue, ensuring you get the nutrients you need to support your recovery from Long COVID.

    Understanding Taste Changes and Fatigue

    Many people with Long COVID experience taste changes (dysgeusia), loss of taste (ageusia), or altered smell (anosmia). These changes can affect appetite and enjoyment of food, making it difficult to maintain a balanced diet. Additionally, chronic fatigue can reduce the energy available for meal preparation and eating, further complicating efforts to eat well.

    Strategies for Managing Taste Changes

    1. Experiment with Flavors and Textures:

    Bold Flavors: Strong flavors like citrus, vinegar, herbs, and spices can help enhance the taste of food. Try adding lemon juice, lime, or vinegar to dishes.

    Different Textures: Mixing textures can make meals more interesting. Combine crunchy, creamy, and chewy foods to create a more satisfying eating experience.

    2. Temperature Variations:

    Some people find that cold foods are more palatable than hot ones. Experiment with chilled soups, salads, and smoothies.

    3. Nutrient-Dense Foods:

    Focus on nutrient-dense foods that provide the most nutrition per bite. Foods like nuts, seeds, avocados, and leafy greens are packed with essential vitamins and minerals.

    4. Small, Frequent Meals:

    Eating smaller, more frequent meals can help ensure adequate nutrient intake without overwhelming your taste buds.

    5. Hydration:

    Staying hydrated is crucial, especially if you’re not enjoying the taste of food. Infuse water with fruits like berries, citrus, or cucumber for a refreshing change.

    6. Mindful Eating:

    Pay attention to the sensory aspects of eating. Eating slowly and mindfully can help you notice subtle flavors and enjoy your meals more.

    Strategies for Managing Fatigue

    1. Simplify Meal Preparation:

    Batch Cooking: Prepare larger quantities of food and freeze portions for later. This can reduce the need for daily cooking.

    One-Pot Meals: Use slow cookers or instant pots to prepare meals with minimal effort and cleanup.

    Pre-cut Vegetables: Buy pre-cut or frozen vegetables to save time and energy.

    2. Nutrient-Rich Snacks:

    Keep easy-to-grab, nutrient-dense snacks on hand, such as nuts, yogurt, fruit, and whole-grain crackers.

    3. Balanced Meals:

    Aim for balanced meals that include protein, healthy fats, and complex carbohydrates to sustain energy levels. Examples include:

    Grilled chicken with quinoa and steamed vegetables

    A smoothie with spinach, banana, protein powder, and almond butter

     Whole-grain toast with avocado and a boiled egg

    4. Energy-Boosting Foods:

    Include foods that provide a steady release of energy, such as oats, sweet potatoes, and legumes.

    5. Meal Planning:

    Plan meals ahead of time to reduce decision fatigue and ensure you have the ingredients you need on hand.

    6. Listen to Your Body:

    Rest when needed and avoid pushing yourself too hard. Eating smaller, more frequent meals can help maintain energy levels without overwhelming your system.

    Example Meal Plan for Managing Taste Changes and Fatigue

    Breakfast:

    Smoothie with spinach, frozen berries, banana, protein powder, and almond milk

    Whole-grain toast with avocado and a sprinkle of salt and pepper

    Mid-Morning Snack:

    Greek yogurt with honey and mixed nuts

    Lunch:

    Quinoa salad with cherry tomatoes, cucumbers, chickpeas, feta cheese, and a lemon-olive oil dressing

    Sliced apple with almond butter

    Afternoon Snack:

    Carrot sticks and hummus

    Dinner:

    Slow-cooked chicken with sweet potatoes and green beans

    Mixed greens salad with a light vinaigrette

    Evening Snack:

    A handful of berries or a piece of dark chocolate

    Conclusion

    Navigating taste changes and fatigue with Long COVID can be challenging, but with thoughtful strategies and a focus on nutrient-dense foods, you can support your recovery and overall well-being. Experimenting with flavors, simplifying meal prep, and listening to your body’s needs are key to maintaining a balanced diet during this time. Remember, it’s important to consult with a healthcare provider or a registered dietitian for personalized advice and support. At More Spoons Nutrition, we are experts in nutrition for energy-limiting conditions. Book a free discovery call to find out more. We offer nutrition consultations in New Mexico, California, Arizona, and Colorado.

  • Non-Diet Nutrition: Embrace a Healthier Approach

    Non-Diet Nutrition: Embrace a Healthier Approach

    Understanding a Non-Diet Approach to Nutrition

    In today’s world, where diet culture is omnipresent, the non-diet approach to nutrition offers a refreshing and vital perspective. This approach shifts the focus from weight loss and restrictive eating to fostering a healthy relationship with food and body. Here’s why it’s essential:

    Understanding the Non-Diet Approach

    The non-diet approach emphasizes listening to your body’s hunger and fullness cues, eating a variety of foods for nourishment and pleasure, and rejecting the diet mentality that often leads to yo-yo dieting and negative self-image. This approach is rooted in principles such as intuitive eating and mindful eating, which encourage you to trust your body and make food choices without guilt or shame.

    Key Components of the Non-Diet Approach

    1. Intuitive Eating: This involves tuning into your body’s natural signals of hunger and satiety, eating when you’re hungry, and stopping when you’re full. It encourages a balanced and varied diet without strict rules.

    2. Mindful Eating: This practice focuses on being present while eating, savoring each bite, and appreciating the flavors, textures, and experience of eating. It helps you connect with the food you eat and recognize your body’s responses.

    3. Rejecting Diet Mentality: The non-diet approach challenges the notion that weight loss equates to health. It emphasizes that health and well-being can be achieved at any size through balanced nutrition, physical activity, and self-care.

    Why It’s Important

    1. Mental and Emotional Well-being: Dieting can lead to a cycle of restriction, binge eating, and guilt, which negatively impacts mental health. The non-diet approach promotes a positive relationship with food and body, reducing anxiety and improving overall well-being.

    2. Sustainable Health: Rather than following restrictive diets that are hard to maintain, the non-diet approach encourages sustainable habits. This leads to long-term health benefits, including better digestion, improved energy levels, and reduced risk or improvement in chronic diseases.

    3. Body Positivity: Embracing a non-diet approach fosters body acceptance and self-compassion. It challenges societal pressures to conform to unrealistic body standards and celebrates diverse body shapes and sizes.

    4. Empowerment: By rejecting diet culture, individuals regain control over their food choices and trust their bodies. This empowerment leads to more enjoyable and satisfying eating experiences.

    Conclusion

    The non-diet approach to nutrition is a compassionate and effective way to improve your relationship with food and body. It prioritizes mental and physical health, promotes sustainable habits, and fosters a positive body image. Embracing this approach can lead to a more balanced, fulfilling, and joyful life.

  • Food Sensitivities and the Gut

    Food Sensitivities and the Gut

    Understanding Food Sensitivities and Gut Health

    The Role of the Gut Microbiome in Food Sensitivities

    Introduction

    Our gut microbiome, a complex community of trillions of microorganisms living in our digestive tract, plays a crucial role in maintaining our overall health. These microorganisms, including bacteria, fungi, and viruses, are not just passive inhabitants but active participants in many bodily functions. They help digest food, produce vitamins, regulate the immune system, and protect against harmful pathogens. Emerging research highlights the significant impact the gut microbiome has on food sensitivities, making it a hot topic in nutrition and health.

    Understanding the Gut Microbiome

    The gut microbiome begins to develop at birth and evolves throughout our lives, influenced by diet, lifestyle, environment, and genetics. A healthy microbiome is diverse and balanced, contributing to efficient digestion and robust immune function. When the balance of these microorganisms is disrupted, a condition known as dysbiosis can occur, leading to various health issues, including food sensitivities.

    What are Food Sensitivities?

    Food sensitivities, also known as food intolerances, occur when the digestive system has trouble breaking down certain foods. Unlike food allergies, which involve the immune system and can cause severe reactions, food sensitivities typically result in less immediate but chronic symptoms such as bloating, gas, diarrhea, headaches, and fatigue. Common culprits include lactose, gluten, and certain FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols).

    The Connection Between Gut Microbiome and Food Sensitivities

    1. Microbial Balance and Digestion:

       The gut microbiome aids in the digestion of food by breaking down complex carbohydrates and fibers that the human body cannot digest on its own. A diverse and balanced microbiome efficiently processes these foods, reducing the risk of sensitivities. However, when dysbiosis occurs, the reduced microbial diversity can lead to improper digestion and increased food sensitivities.

    2. Immune System Regulation:

       The gut microbiome plays a vital role in regulating the immune system. It helps the body distinguish between harmful and harmless substances. Dysbiosis can impair this regulation, causing the immune system to react inappropriately to certain foods, leading to sensitivities and intolerances.

    3. Inflammation and Intestinal Permeability:

       Dysbiosis is often associated with increased intestinal permeability, sometimes referred to as “leaky gut.” When the gut lining is compromised, undigested food particles can pass into the bloodstream, triggering inflammation and immune responses. This process can contribute to the development of food sensitivities.

    Managing Food Sensitivities Through Gut Health

    1. Probiotics and Prebiotics:

       Probiotics, found in fermented foods like yogurt, kefir, sauerkraut, and supplements, can help restore the balance of good bacteria in the gut. Prebiotics, which are fibers found in foods like garlic, onions, bananas, and whole grains, feed these beneficial bacteria. Together, they can help maintain a healthy microbiome and reduce food sensitivities.

    2. Elimination Diets:

       Identifying and eliminating trigger foods can help manage symptoms. An elimination diet involves removing suspected foods for a period and then gradually reintroducing them to identify which ones cause issues. This process can be guided by a healthcare professional to ensure nutritional needs are met. Eliminating foods for a lifetime are usually not necessary with proper guidance and interventions to restore balance in the body. 

    3. Diverse and Balanced Diet:

       A diverse diet rich in whole, unprocessed foods supports a healthy gut microbiome. Incorporating a variety of fruits, vegetables, lean proteins, and healthy fats can enhance microbial diversity and overall gut health.

    4. Stress Management:

    Stress negatively impacts gut health by altering the microbiome and increasing intestinal permeability. Techniques such as mindfulness, meditation, exercise, and adequate sleep can improve gut health and reduce food sensitivities.

    Conclusion

    The gut microbiome plays a critical role in our overall health and specifically in managing food sensitivities. By maintaining a balanced and diverse microbiome through diet, probiotics, and lifestyle changes, we can improve digestion, regulate the immune system, and reduce the likelihood of developing food sensitivities. As research continues to uncover the complex interactions between our gut microbiome and health, personalized approaches to diet and lifestyle will become increasingly important in managing and preventing food sensitivities.

  • Omega-3 Fats and Rheumatoid Arthritis

    Omega-3 Fats and Rheumatoid Arthritis

    Understanding Rheumatoid Arthritis and Omega-3 Fats

    Omega-3 Fats and Rheumatoid Arthritis

    Rheumatoid Arthritis (RA) is a complex condition characterized by chronic inflammation of the joints. Its etiology is multifactorial, involving genetic predispositions, environmental triggers, and immune system abnormalities. Genetically, certain HLA-DRB1 alleles are strongly associated with an increased risk of developing RA. Environmental factors such as smoking, infections, and exposure to certain chemicals can also contribute to the onset of the disease by triggering immune responses that attack the synovial tissues.

    From a nutritional standpoint, factors such as stress, nutritional deficiencies, environmental toxin exposure, medications, and immune differences can significantly alter the gut microbiome and metabolic processes. Repeated disruptions can lead to gut dysbiosis, a state where the gut microbiome becomes imbalanced. This imbalance can activate the innate immune system, leading to increased inflammation in the joints. Additionally, gut dysbiosis can increase gut permeability, allowing antigens to pass through the gut barrier, which may further trigger autoimmune responses. Understanding the complex interplay between these genetic, environmental, and nutritional factors is crucial for developing comprehensive management strategies for RA.

    Emerging evidence highlights the beneficial role of Omega-3 fatty acids in managing Rheumatoid Arthritis (RA). Omega-3s, primarily found in fatty fish and flaxseed, possess potent anti-inflammatory properties. Several clinical studies have demonstrated that Omega-3 supplementation can reduce joint pain, morning stiffness, and the number of tender joints in RA patients. These fatty acids work by modulating the production of inflammatory eicosanoids and cytokines, thereby dampening the inflammatory response. Additionally, Omega-3s have been shown to decrease the use of nonsteroidal anti-inflammatory drugs (NSAIDs) in some patients, suggesting a potential to reduce medication reliance. By incorporating Omega-3-rich foods or supplements into the diet, individuals with RA may experience a significant improvement in their symptoms and overall quality of life.

    What Are Omega-3 Fats?

    Omega-3 fatty acids are essential polyunsaturated fats, predominantly found in fatty fish like salmon and mackerel, as well as in flaxseeds, chia seeds, and walnuts. The three main types of Omega-3s include alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA). These fatty acids are crucial for various bodily functions and must be obtained through diet or supplements since the body cannot produce them on its own.

    What Is Their Role In Inflammation?

    Omega-3s play a critical role as mediators of inflammation and immunomodulators. They help inhibit the production of pro-inflammatory cytokines—proteins that drive immune reactions and inflammation. By reducing these cytokines, Omega-3s can alleviate chronic inflammation, which is particularly beneficial in conditions like Rheumatoid Arthritis (RA). Furthermore, Omega-3 fatty acids serve as fuel for beneficial gut bacteria, promoting a healthy gut microbiome. This is vital for restoring gut health and eliminating dysbiosis, an imbalance in the gut microbiome that can exacerbate inflammation and compromise immune function. By supporting a balanced gut environment, Omega-3s contribute to overall immune health and can help mitigate autoimmune responses in RA.

    Omega-3 Sources That Aren’t Fish

    We all know fish is a great source of Omega-3s but what about other sources? Here are some plant-based sources of Omega-3s along with their approximate milligrams per serving:

    1. **Flaxseeds** (1 tablespoon, ground): ~2,350 mg ALA

    2. **Chia Seeds** (1 tablespoon): ~1,800 mg ALA

    3. **Hemp Seeds** (3 tablespoons): ~2,600 mg ALA

    4. **Walnuts** (1 ounce, about 14 halves): ~2,570 mg ALA

    5. **Brussels Sprouts** (1 cup, cooked): ~200 mg ALA

    6. **Algal Oil** (1 teaspoon): ~400-500 mg DHA

    7. **Perilla Oil** (1 tablespoon): ~9,000 mg ALA

    8. **Edamame** (1 cup, cooked): ~300 mg ALA

    9. **Seaweed** (1 sheet, nori): ~5-10 mg EPA/DHA

    10. **Canola Oil** (1 tablespoon): ~1,300 mg ALA

    11. Fried Plantains (1 cup): ~340 mg EPA/DHA 

    These values are approximate and can vary depending on the brand and processing of the food. Incorporating a variety of these sources can help ensure adequate intake of Omega-3s in a diet.

    My favorite way to incorporate omega-3s is by eating more walnuts. Mix them into any dish you like. I make a rendition of this simple trail mix several times per week and eat it as a snack. Having a snack that has both protein, fat, and fiber helps to keep me energized and prevent me from having a crash or rapid shifts in blood sugar. A simple snack like this is helpful if you are struggling with energy or focus to prepare food. 

    Mel’s Decadent Omega Trailmix

    **Ingredients:**

    – 1 cup walnuts

    – 1/2 cup goji berries (or dried, unsweetened berries of your choice)

    – 1/2 cup dark chocolate chunks or chips or carob 

    **Instructions:**

    1. **Prepare Ingredients:** Measure out the walnuts, goji berries (or your chosen dried berries), and dark chocolate chunks or chips. 

    2. **Mix:** In a large bowl, combine the walnuts, goji berries, and dark chocolate chunks. Mix well to ensure an even distribution of ingredients.

    3. **Store:** Transfer the trail mix to an airtight container. Store at room temperature for up to two weeks, or refrigerate for longer freshness. We live in the high desert, so I store mine in the refrigerator. 

  • Understanding IBS Symptoms and Functional Nutrition

    Understanding IBS Symptoms and Functional Nutrition

    Understanding IBS Symptoms and Their Impact

    Irritable Bowel Syndrome (IBS) is a chronic gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, gas, diarrhea, and constipation. Managing IBS can be challenging, but functional nutrition offers a holistic approach that focuses on addressing the root causes of symptoms through dietary and lifestyle modifications. This guide explores the principles of functional nutrition and provides practical tips to help manage IBS effectively.

    Understanding Functional Nutrition

    Functional nutrition is an approach that uses food as medicine to promote optimal health and address specific health issues. It considers the unique needs of each individual, including their lifestyle, genetics, and environment. For those with IBS, functional nutrition emphasizes a balanced diet that supports gut health, reduces inflammation, and minimizes triggers of IBS symptoms.

    Key Nutritional Strategies for Managing IBS

    1. Identify and Eliminate Trigger Foods

    • Common Triggers: Foods that commonly trigger IBS symptoms include dairy, gluten, caffeine, alcohol, fatty foods, and artificial sweeteners. Keeping a food diary can help identify personal triggers.
    • Elimination Diet:** Temporarily eliminating suspected trigger foods and gradually reintroducing them can help determine which foods exacerbate symptoms.

    2. Incorporate a Low-FODMAP Diet

    • What is FODMAP?:** FODMAPs are types of carbohydrates that can be poorly absorbed in the small intestine, leading to fermentation and gas production. A low-FODMAP diet involves reducing intake of these foods to alleviate IBS symptoms. This diet is best undertaken with the support of a registered dietitian.
    • Low-FODMAP Foods: Include foods like bananas, blueberries, carrots, spinach, rice, oats, and lactose-free dairy products.
    • High-FODMAP Foods: Avoid foods like garlic, onions, beans, lentils, apples, and wheat-based products.

    3. Support Gut Health with Probiotics and Prebiotics

    • Probiotics: Beneficial bacteria that help maintain a healthy gut microbiome. Foods rich in probiotics include yogurt, kefir, sauerkraut, and other fermented foods.
    • Prebiotics: Non-digestible fibers that feed beneficial gut bacteria. Foods high in prebiotics include bananas, onions, garlic, asparagus, and chicory root.

    4. Ensure Adequate Fiber Intake

    •  Soluble Fiber: Helps regulate bowel movements and can be easier on the digestive system. Sources include oats, apples, carrots, and flaxseeds.
    • Insoluble Fiber: Adds bulk to stool but may worsen symptoms for some people with IBS. Sources include whole grains, nuts, and seeds. Adjust intake based on personal tolerance.

    5. Maintain Hydration

    • Water: Drinking plenty of water is essential for overall health and can help prevent constipation, a common symptom of IBS.
    • Herbal Teas: Herbal teas like peppermint and ginger can soothe the digestive tract and reduce symptoms.

    6. Incorporate Anti-Inflammatory Foods

    • Omega-3 Fatty Acids: Found in fatty fish, flaxseeds, and walnuts, omega-3s have anti-inflammatory properties that can help manage IBS symptoms.
    • Colorful Fruits and Vegetables: Include a variety of colorful fruits and vegetables that are rich in antioxidants and anti-inflammatory compounds.

    7. Manage Stress

    • Stress and IBS: Stress can exacerbate IBS symptoms. Incorporate stress-reducing practices such as mindfulness, meditation, yoga, and regular physical activity.

    Functional Nutrition Recipes for IBS

    Here are a few simple and delicious recipes that incorporate functional nutrition principles to help manage IBS:

    1. Low-FODMAP Breakfast Smoothie

    **Ingredients:**

      – 1 ripe banana

      – 1/2 cup blueberries

      – 1 cup spinach

      – 1 tablespoon chia seeds

      – 1 cup almond milk

    – **Instructions:**

      – Blend all ingredients until smooth. Serve immediately.

    2. Gut-Friendly Quinoa Salad

    **Ingredients:**

      – 1 cup cooked quinoa

      – 1/2 cup diced cucumber

      – 1/2 cup diced red bell pepper

      – 1/4 cup crumbled feta cheese (lactose-free)

      – 2 tablespoons chopped fresh parsley

      – 2 tablespoons olive oil

      – 1 tablespoon lemon juice

      – Salt and pepper to taste

    **Instructions:**

      – In a large bowl, combine quinoa, cucumber, red bell pepper, feta cheese, and parsley.

      – Drizzle with olive oil and lemon juice. Season with salt and pepper. Toss to combine.

    3. Soothing Ginger and Carrot Soup

    **Ingredients:**

      – 1 tablespoon olive oil

      – 1 onion, chopped (use the green part of green onions for low-FODMAP)

      – 4 large carrots, peeled and chopped

      – 1-inch piece of fresh ginger, grated

      – 4 cups low-FODMAP vegetable broth

      – Salt and pepper to taste

    – **Instructions:**

      – In a large pot, heat olive oil over medium heat. Add the onion and sauté until translucent.

      – Add the carrots and ginger, and cook for a few minutes.

      – Pour in the vegetable broth and bring to a boil. Reduce heat and simmer until carrots are tender.

      – Blend the soup until smooth. Season with salt and pepper. Serve warm.

    When to Seek Professional Help

    While dietary and lifestyle changes can significantly improve IBS, it’s important to seek professional help if symptoms persist or worsen. Consult a gastroenterologist or a registered dietitian who specializes in functional nutrition for personalized advice and to rule out any underlying medical conditions.

    Functional nutrition offers a holistic and effective approach to managing IBS. By identifying and eliminating trigger foods, incorporating a low-FODMAP diet, supporting gut health with probiotics and prebiotics, ensuring adequate fiber intake, maintaining hydration, and managing stress, you can help alleviate IBS symptoms and improve your overall well-being. Remember to seek professional guidance when necessary to ensure your health and well-being. At More Spoons Nutrition we have experience and expertise in helping patient manage IBS symptoms.