When the Tests Come Back Negative

Many people come to see a naturopathic doctor only after they have already been to see everyone else, having run around the ring of the conventional medical establishment, all to have them conclude, “there’s nothing wrong with you.” Sometimes a patient might have heard, “it’s all in your head,” but they basically mean the same thing: “there’s nothing we can do for you. Now please leave us alone.” For the patient it might be a nice to hear that nothing serious is the the matter with them when the blood tests and other diagnostic testing come back negative, however, the symptoms that caused them to seek help in the first place still persist, leaving them feeling hopeless and confused.

After traveling to Costa Rica I experienced rapid weight gain, which I could not attribute to a  change in diet or a sedentary lifestyle; I still watched what I ate and exercised. The feeling that I was gaining weight despite what I did made me feel helpless, like my body was acting of its own accord. It damaged the trust I had in my body, hindering the relationship I have with it, and the feelings of getting larger in a society that praises thinness made me feel self-conscious and ashamed.

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What to Eat

What to Eat

For some weekend inspiration I compiled a simple poster on how to eat. What has become very complicated by popular diet books, Dr. Oz and billions of dollars of weight loss fads is really quite simple: eat real food. Follow these simple principles, one day at a time, in moderation, and I know you’ll do great things for your health and general well-being.

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And finally, remember, “it’s not always what you eat, but what might be eating you.” Diet and exercise have their place but dealing with the mental and emotional stuff is just as important too.

Healthy Breakfast Ideas

Healthy Breakfast Ideas

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Brussel sprouts with morning coffee? Why not?

Its seems that, for most people, the hardest part of starting a new diet is figuring out what to eat for breakfast. To help some of my RSNC patients on the road to hypoallergenic, healthier living, I compiled this handout to give them some inspiration for the most important meal of the day. These breakfasts might be appropriate for some on the elimination diet, but since each diet is different, make sure you review the ingredients first to verify that the recipe fits your dietary needs.

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Arugula Goat Cheese Salad

Arugula Goat Cheese Salad

IMG_1467Arugula is in season right now; everyone’s gardens are blossoming with it and that’s fantastic news. Its pretty, delicately shaped leaves and interesting, spicy bite combines well with any summer salad recipe. It provides flavour and punch to a nutrient-rich profile of fat soluble vitamins, calcium and carotenoids. Plus, there’s something about it that just makes me feel fancy.

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21 Days to Happiness

21 Days to Happiness

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I recently came across this Ted Talk, by Shawn Anchor, recommended by a fellow student. The insightful, well-delivered, entertaining talk is important in the field of naturopathic medicine because it stresses the importance of positivity for living a life of health and happiness. 

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Shawn expresses the idea that only 10% of our inner happiness is due to external factors: our job, possessions, education, etc, while the other 90% is attributed to how we perceive those circumstances. We live in a society where we focus on reaching goals, thinking that once we reach those goals we will be happier: “When I lose 20 pounds, I’ll feel happy with myself,” “When I get that raise, I’ll like my job,” or “If I get into that school, then I’ll feel great.” It reminded me of a story our Mindfulness Based Stress Reduction teacher told us on Tuesday night:

There was once a fisherman, sleeping in his boat. He had caught all his fish for the day and so he was enjoying the sunny afternoon by taking a well-deserved nap, when along came a businessman.

“What are you doing?” Asked the businessman.

“I’m resting.” Replied the fisherman, “I’ve caught all my fish for the day.”

“Why don’t you go out and catch more?” Asked the businessman.

“Why would I do that?” Wondered the fisherman.

“Well, if you went out and caught more fish, you’d make more money.” Stated the businessman, as if it were the most obvious thing in the world.

“What would I do with more money?” Inquired the fisherman.

“You could buy a bigger boat.”

“And what would I do with a bigger boat?”

“Well,” replied the businessman, “You could catch even more fish, then. Then you could make even more money, buy a fleet of boats, employ other fishermen, catch even more fish and make even more money.” He finished, seeming pleased with his insightful advice.

“And what would I do then?” Asked the fisherman, who by now was very confused.

“Well,” exhaled the businessman, on a role now, “then you could really enjoy life!”

The fisherman looked at his beautiful surroundings, the afternoon sun dancing on the calm waters of the harbour; his humble but comfortable boat serving as the perfect place to rest. He looked back up at the businessman, who by now was looking quite triumphant, and replied,

“And what the heck do you think I’m already doing?”

Like the fisherman, being content with your life’s present circumstances is the key to increased enjoyment and satisfaction. According to Shawn Anchor, becoming more positive isn’t hard: he proposes a way to increase your satisfaction and overall happiness by spending only 2 minutes a day for 21 days in a row.

He suggests a list of activities that one might engage in, including exercise, meditation or journalling. One of the activities that stood out for me is expressing daily gratitude by taking 2 minutes at the end of each day to journal 3 things you have been thankful for in the past 24 hours. According to Shawn, this simple task is enough to set the brain on a different path, one that leads to increased happiness.

I often find that, in my life, I spend my time focusing on my goals and aspirations for the future. While this striving for future goals is what I’ve been taught to do in order to experience successes in my life, it results in my inability to pay attention to and enjoy my life in the present. Changing my lens of focus to the life blessings I have now allows me to marinate in the present. I find that, while it may takes some time to shift my gaze to the things I already have, rather than the things I’d like to have, once I got started, it was hard to stop at just listing three things. I felt like I wasn’t doing my life justice by excluding the numerous gifts I’m given on a daily basis.

I also like the idea of putting these pieces of gratitude on small pieces of paper and storing them in a glass jar in a visible place. At the end of the month, or during a bad day, I open my jar and pull out a few pieces of gratitude, reminding myself how charmed my life actually is, and thus rewiring my brain to truly appreciate and enjoy it.

Chocolate Chip Chickpea Cookies

Chocolate Chip Chickpea Cookies

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“Great cookies!” Someone exclaimed as I passed around the tupperware container. And, as is custom at the Canadian College of Naturopathic Medicine, home of the famous elimination diet, they added, “Are they gluten-free?”

Little did this particular colleague know, these cookies aren’t just gluten-free, they’re grain-free, dairy-free and egg-free. What’s the secret ingredient? It’s not almond flour, as most grain-free recipe experts might suspect, but chickpeas. Yeah. So, before you stop reading, just try them, they’re easy to make and you’ll be able to fool your friends (and maybe even yourself) too.

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On Wholeness

On Wholeness

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I am currently reading the book Full Catastrophe Living by Jon Kabat-Zinn, the founder of Mindfulness Based Stress Reduction, MBSR, a mindful meditation program that I am currently taking, and I came across this paragraph that I thought was worth sharing with all of you:

“You probably won’t be surprised to learn that the word health itself means ‘whole’. Whole implies integration, an interconnectedness of all parts of a system or organism, a completeness. The nature of wholeness is that it is always present.

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How Walkable is Your Town?

How Walkable is Your Town?

Stuck in traffic or motoring along? New York City, 2011.

Prefer to be stuck in traffic or motoring along on bike or foot? New York City, 2011.

As mentioned, walking is the best form of exercise there is. It allows us to move our bodies organically while interacting with our neighbourhood and the people in it. As you’ve probably noticed, however, some places are more fun to walk around in than others. Taking a stroll down a wide sidewalked street, where you can peer into cafes, interesting boutiques and pass bustling restaurant patios or walking through public parks and in natural settings are clearly more enjoyable walking experiences than walking beside a 6-lane, busy road on a narrow sidewalk in a high-rise neighbourhood. The friendliness of a place to walkers is termed “walkability”, coined by Jane Jacobs, an urban activist and founder of the annual “Jane’s Walks” that take place in various cities around the world in May.

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A Message to 1st, 2nd and 3rd Year Naturopathic Medical Students

A Message to 1st, 2nd and 3rd Year Naturopathic Medical Students

Dear Students of Naturopathic Medicine in years 1, 2 and 3,

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I understand that at this point, and especially if you are currently at any stage in 3rd year, you might be wondering: is this all worth it? And, please, feel free to exhale because, from where I’m standing right now, in my first month of clinic: 4th year is worth it. It seems like the years you’re in, the first 3, hectic, joyless and spirit-crushing years spent in class, practicals and writing more exams than you can number off, come together at last to prepare you for your real job, your future life’s work. And what great work it’s turned out to be.

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Navigating the Elimination Diet

Navigating the Elimination Diet

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So, your naturopathic doctor or 4th year intern has suggested that you do a 3-6 week elimination diet? While at this stage it might seem like a daunting task to give up all of your favourite foods, here is a run-down of some of the tools you’ll need to get it right. Pretty soon, you won’t even miss ice cream (that much)!

The WHY:

The elimination diet is often prescribed to patients who exhibit symptoms of digestive distress (irritable bowel syndrome, inflammatory bowel disease, diarrhea, bloating, flatulence or constipation) and for autoimmune or inflammatory conditions such as arthritis, migraines, asthma, allergic skin conditions or frequent colds and flus, to name a few. The idea is that when there is chronic inflammation in the gut, as a reaction to foods we are sensitive to, the barrier between our gut lining and the rest of the body opens up, allowing particles that shouldn’t be in our blood stream to get in. This can cause widespread inflammation, resulting in symptoms of some of the previously mentioned conditions.

Here is a video posted on a classmates wonderful blog that explains the phenomenon in depth. And here is another post, explaining food sensitivities.

The elimination diet can also be used as a general cleanse or a weight loss tool. Because the diet consists of eating more fruits, vegetables and protein and less processed foods, it often results in the consumption of fewer calories and many patients lose weight on it.

The WHAT:

The Elimination Diet consists of completely removing several foods from the diet for a number of weeks. During this time, usually 3-6 weeks, symptoms of inflammation should resolve as the gut heals. There is a long list of foods that are removed from the traditional elimination diet such as gluten, dairy, eggs, soy, caffeine, sugar, nightshade vegetables (tomatoes, potatoes and eggplants), to name a few. However, some practitioners simply start by removing one or two food-types, often gluten and dairy, in order to eliminate the main perpetrators and to make the task less daunting for the patient.

After the initial period of elimination, foods are reintroduced one at a time, for a few days, to observe if old symptoms return. If the past inflammatory symptoms return with the introduction of a certain group of foods, patients are then advised to stay away from these foods, as they are sensitive to them. Some people, once the gut has healed completely, will eventually be able to return to eating these foods again, but many will not and will have to accept a lifetime free of gluten, for example, in order to prevent their old symptoms from returning. Many foods, when reintroduced, will not cause a negative reaction and both the patient and their naturopathic doctor will deem these foods safe to eat again.

The HOW:

Embarking on a diet where the main staples of many Standard American Diets (bread, cheese, milk, etc.) are banned can be incredibly challenging. For the initial stages of the diet, it is acceptable for patients to replace their old food staples with allergen-free varieties – for example, buying gluten-free bread to make your morning toast. However, in order to promote health and detoxification, the idea is to eventually replace the old habits of eating processed foods with a whole foods diet, ingesting foods that exist in their natural forms with little to no processing. That being said, it is more important to refrain from allergen-containing foods primarily, and explore new ways of eating as you begin to adapt to the diet.

Grocery List:

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When given a list of the things you can’t eat, I find it helps to focus on the things that you can, however small it may seem at the beginning. In order to do that, it might help to do an initial grocery shopping trip, removing from your fridge and cupboards the foods that are banned and replacing them with new, healthier, allergen-free varieties.

At the grocery store, stock up on:

Lots of colourful fruits and vegetables of your choice: Start at the periphery of the store and pick up everything that looks good: carrots, celery, kale, spinach, arugula, salad mixes, onions, apples, pears, bananas, avocados, beets, grapes etc. Pick up some frozen vegetables and frozen berries as well, as these come in handy when preparing meals. Read the diet handout carefully for information about what vegetables are allowed on the diet and which ones are to be removed during the initial stages.This is a great opportunity to try new vegetables you’ve never tried before, discovering their health benefits, experiencing their interesting flavours and adding more variety – and nutrients – to your diet.

Meats: Choose your favourite cuts of chicken, lean pork, beef, turkey or whatever else you enjoy eating.

Snack foods: Hummus, gluten free crackers (Mary’s crackers are popular), rice cakes, Lara Bars. Also purchase raw, unsalted almonds, walnuts and other nuts to snack on. Chia seeds are versatile for snacks as well. Purchasing whey isolate protein powder (whey concentrate contains casein, which is a no-no on a dairy-free diet), is another great option for adding to baked goods, smoothies and other gluten-free recipes to increase their protein content.

Condiments: Purchase almond butter, coconut oil and extra virgin olive oil for cooking. Temari sauce is a good substitute for soya sauce (which contains wheat). You can also go nuts on delicious spices and seasonings such as garlic, turmeric, cumin, paprika, oregano, basil, cilantro, sea salt, etc.

Milks: Purchase almond milk – I prefer Almond Breeze original, unsweetened for my morning coffee, baking and cereal, if I have it – or coconut milk (the kind in the can found in the “ethnic” foods section).

Flours: Some gluten-free flours are not the best in terms of how healthy they are for you. White rice flour, tapioca flour and potato flour contain less fibre and nutrients than regular flour so it’s best to stay away from them. At the Bulk Barn you can find grain-free flours like coconut and almond flour, as well as healthier grain flours such as teff flour, quinoa flour and brown rice flour. At my house we buy a variety and mix them together to create a healthy, gluten-free “all-purpose flour” for baking. For more on allergen-free baking, read this post.

Bread: My favourite gluten-free bread can be purchased at Costco in a double-pack and is made by a company called Silver Hills. It is high in fibre and contains omega-3’s making it one of the more substantial, tasteful gluten-free breads available. However, I usually only break it out when I’m desperate for morning toast or really crave a sandwich because, when it comes to gluten-free bread, a lowering of expectations must be in order. These breads must be kept frozen and toasted in order to be enjoyed. Most people on a gluten-free diet simply end up forgoing bread in general. However, I recommend this brand as a good transition as it comes as close as possible to any real bread I used to enjoy.

Pasta: Another Costco brand, TruRoots, makes an ancient grains line of pasta, which contain buckwheat, amaranth, brown rice and quinoa. These make a great substitute when you just want to boil some spaghetti for dinner. Another spaghetti option is making it from spaghetti squash, a great way to increase your vegetable intake and decrease your calorie consumption.

Other grains: Purchase steel cut oats to make in the slow cooker in the morning, quinoa, amaranth, buckwheat, teff, sorghum, corn, millet, brown rice and wild rice to create stir-frys and rice or grain dishes. You can even replace grains with vegetables, such as cauliflower.

Recipes: 

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Fortunately there are a number of great gluten-free blogs on the internet and great cookbooks containing easy to make, healthy recipes. Here are some of my favourite websites, but oftentimes I just Google specific ingredients (e.g.: “almond flour pancakes”) or a search term like “gluten-free” or “paleo” to see what recipes come up and then modify accordingly. As you become accustomed to what foods you can and cannot eat, you’ll learn to add and subtract certain ingredients from your favourite recipes, giving them a hypoallergenic twist.

Cookbook:

Delicious Detox by Carol Morley, ND

Blogs:

Elana’s Pantry

My New Roots

Cannelle et Vanille

Roost Blog

Mark’s Daily Apple

Or click on the “recipes” tag on this blog to peruse some of the gluten and dairy-free recipes that I’ve posted. 

Eating Out:

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Many restaurants offer gluten-free varieties of their traditional menus such as GF hamburger buns or rice pasta. I find, however, that most ethic restaurants such as Indian, Ethiopian, Thai, Greek, Chinese or Vietnamese, which use rice instead of wheat-containing foods like bread, are naturally gluten-free. Asking if the recipes contain dairy and other foods that you’re avoiding might be necessary in case you aren’t aware of the exact ingredients of the foods you’re eating. For this reason, I prefer eating at home, where you know exactly what’s going into your food.

Eating at a Dinner Party:

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It seems that more people have at least a basic awareness of what “gluten-free” means these days.  For some, though, it might help to have a prepared explanation of why you’re choosing to eat this way to be able to educate those who are curious about your dietary restrictions. I find it helps to have results on hand; when you look and feel better, not much is left to debate. I find that those who are hostile to someone who is trying to avoid certain foods are often insecure about their own eating styles and, if you suspect that this is the case, it’s best to change the subject and move on.

As for the menu, remember that at most dinner parties salad and meat are usually served. You can simply forgo bread, asking for a burger without a bun or staying away from the bread basket. And, as for dessert, a friend of mine’s strategy is to always bring along her own. If no one else wants to share it, at least she has her own to indulge in and she finds that most people are gracious when you offer to bring dessert. In addition, trying a great, allergen-free recipe is a nice way to introduce the elimination diet to your family and friends (and promote naturopathic medicine).

The elimination diet can seem like a steep hill to climb at first, but, fortunately, hypoallergenic eating is becoming more commonplace, making it easier to find gluten and dairy-free substitutes to the foods you love. After an initial adjustment period, you probably won’t even miss the old foods and besides, feeling great and pain-free is just so much better than reaching for the bread basket.

Good Luck!

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