Kale and Goat Cheese Mini Frittata

Kale and Goat Cheese Mini Frittata

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Welcome back to school, everyone! Thankfully, being a 4th year intern, my days of sitting in lecture are over with for now. For the rest of you tireless scholars, I find that long days in class are made more bearable when I have something yummy and nutritious to nosh on. Just in case you’re bored of the old soup, sandwich, salad lunch rut, here is a new take on portable nutrition. This recipe is low-carb, high in protein and contains a serving of leafy greens. Kale is one of nature’s most perfect foods. Chock full of vitamins and minerals, this versatile leafy green can be added to anything that you used to add spinach or lettuce to: smoothies, salads, soups, sauces, steamed or sauteed on the side, or in this wonderful frittata recipe!

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Homemade Coconut Milk Ice Cream

Homemade Coconut Milk Ice Cream

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I never thought I’d enjoy ice cream again. During the 4 months I spent volunteering in Costa Rica, I became obsessed with ice cream. It wasn’t my fault; it seemed that the whole population was obsessed. At the end of a long work day, one could spot businessmen nursing a McDonald’s soft-serve cone, leaning their bodies back from the drips that threatened to send their suits to the dry cleaners early.

This obsession with ice cream, which is damp and cold, is probably not the best thing for people of Kapha constituion, but I knew very little about ayurvedic medicine back then. I also had no idea that one could be intolerant to dairy, which I now know that I am. My almost-daily ice cream treat contributed to a 40-pound weight gain in those 4 short months.

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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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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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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!

Triple Thick Tropical Green Smoothie

Triple Thick Tropical Green Smoothie

IMG_1377Resolving to be healthier? If you’ve ever related to the sentiment, “I’m going to start drinking green sh#% and jogging“, here’s your chance to start (well, minus the jogging). Introducing a summer-appropriate, thick and green (so it must be healthy) smoothie! This is a protein-rich smoothie that contains two servings of greens, healthy fats, fibre and plenty of phytochemicals and antioxidants, which are great for your skin, your brain and digestive systems.

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Flourless Black Bean Brownies

Flourless Black Bean Brownies

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So, you’ve probably heard of black bean brownies before. However, just like “therapist”, black bean brownie is not a protected title. There are just as many varieties of recipes as there are hits for “black bean brownie” on google. Some have flour, some barely contain beans, some are full of sugar to disguise their “healthy-ness.” However, I hope this recipe, which I created as a modified version of the White Bean Blondies, is deserving of Black Bean Brownie certification.

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Chocolate Chip White Bean Blondies

Chocolate Chip White Bean Blondies

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Our last day of Primary Care, a third year course that is both the most educational course of the year and the bane of our existence, our group decided to have a pot luck. In the spirit of bringing something healthy, guilt-free and yummy to get us through our last weeks of class, I decided to try making these guys: chocolate chip white bean blondies. In true naturopathic spirit they are made of whole foods and are grain-free, dairy-free, contain no eggs or preservatives and are low in sugar. It’s important to chow down in a guilt-free manner from time to time.

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