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farmers food and focus groups

I have a thing for farm-fresh food.

I was in San Diego last weekend, attending the Celiac Sprue Association’s national conference. These conferences usually feature one or two celiac rock stars from the medical community. This year was no different as Dr. Peter Green from Columbia University was the keynote speaker. Yes, he’s brilliant, charming, knows his way around intestinal micro-villi, and is one of the top celiac researchers in the world. Plus, he has an Australian accent. Total swoon-potential, if you’re into that kind of thing.

Me?

I’m into farmers.

No disrespect to the docs, but it’s the farmers who rock my world. Good nutrition is about good agriculture. Our health and the health of the environment depends on what happens out in the field. It’s all linked. We can talk about medical advances, pathology, and pharmaceuticals until the cows come home (sticking with my farm theme), but it’s the quality of the food we eat that holds the promise to better health.

While in San Diego, I reconnected with some farmer friends (I admit, I’m an ag groupie) from Montana and bought some Toasted Oat Bread Mix to experiment with. Yesterday I baked a loaf of whole grain, toasted oat bread and, I’m not kidding, the smell drifting from my kitchen window was intoxicating. The UPS guy asked me to marry him.

I used pastured eggs from Grant Family Farms, the toasted oat mix from the Montana farmers, and local Madhava honey to make the bread. Once cooled, I used fresh, organic pears from my Grant Farms fruit share and smoked gouda cheese. I ended up with the most amazing grilled cheese sandwich ever. In fact, this is the best loaf of bread I’ve ever made and that includes the whole wheat bread (little did I know) I made from scratch back in my hippie-girl days.

gluten-free grilled cheese sandwich (gourmet comfort food)
2 slices toasted oat bread (I made the mix in my breadmaker)
sliced pear (not-quite-ripe is best)
thin slices of smoked gouda cheese
butter

Melt butter in a sauté pan on low-medium heat. Make sure it doesn’t burn. Assemble sandwich and grill in sizzling butter on both sides. You might have to put a lid (askew so it doesn’t get moist) on the pan to fully melt the cheese. Sniff, slice and drool.

Other gluten-free grilled cheese ideas—
• Peaches, raw cheddar, thinly sliced almonds
• Goat cheese, figs, sliced pears
• Roasted green chiles, tomatoes, colby cheese

For more on Montana Gluten-Free Products, check here.

For more information on oats and to be included in a focus group on oats, please read on.

If you have celiac disease and are unsure about adding oats to your diet, take part in the nationwide focus group on oats (check with your doctor first to make sure this is appropriate for you). Click here for details. If you fit the criteria, you’ll get a free (yes, free) bag of Montana GF PrOatina oats to try. Deb from the blog NotEvenACrumb has joined forces with the Montana farmers to help conduct a survey determining the gluten-free community’s tolerance to PrOatina, the farmers’ trademark oat product. I have no problem with oats and, as a nutritionist, feel they are a wonderful addition to the gluten-free diet. If you want to experiment with GF oats, start slowly so you don’t confuse too much fiber with a sensitivity to the oats. Montana GF products are certified gluten-free and processed in a dedicated facility. Their products are also free of dairy, corn, soy, nuts, and are GMO-free. Check here for details.

Disclosure: I’m thankful for farmers and appreciate and respect their hard work. I like knowing where my food comes from and I support the farmers who are doing it right. This is about passion and the future of our food supply, it’s not about money. I get nothing if you click any of these links, not even a free pear or a loaf of bread. This is not about that, it’s about supporting the people who are growing our food. We need to do that. They deserve it.

If you want to try a loaf of toasted oat bread, you can get the mix here. This is my new favorite bread mix. It’s wonderful. Seriously. Go, try it now and be prepared to be flirted with if your windows are open.

Peace, love and grilled cheese sandwiches on toasted oat bread. What’s your favorite?
Melissa

The Unhealthy Truth plus a give-away

* 9-22 Update on this post—Thanks to everyone for your great comments and input. Jane from PA was the winner of the give-away, but if you haven’t read the post yet, please do so. It’s full of compelling information.

Did you know?

• Almost 29 million pounds of antibiotics are sold for subtherapeutic use in agriculture each year (2009 estimate from the FDA). Animals are routinely given antibiotics to compensate for the unhealthy living conditions on factory farms. The overuse of antibiotics in our food supply is connected to the increase in antibiotic-resistant organisms. Unfortunately, that impacts the treatment of life-threatening diseases in humans. According to the State Environmental Resource Center, the USDA estimates that 70% of all food borne illness in the US can be traced to meat.

• In his book, Healing the New Childhood Epidemics: Autism, ADHD, Asthma and Allergies, Kenneth Bock, MD states that in the past 2 decades, autism has increased 1500%, ADHD 400%, asthma 300%, and allergies 400%.

• Recombinant bovine (cattle) growth hormone (rBGH / rBST) is a genetically engineered hormone approved by the FDA in 1993. The product, used to increase milk production in dairy cows, carries with it an elevated risk to the animal of mastitis (udder infections), digestive disorders, and a host of other negative health conditions. Treatment requires routine antibiotic injections. These hormones and drugs find their way into the milk supply. Canada, the European Union, Japan, Australia and New Zealand have banned the use of rBGH. We have not.

• Genetically engineered (modified) foods contain genetic material that has been artificially altered. These foods convey characteristics that weren’t previously found in our food supply, including the possibility of new allergens. Eighty percent of all processed foods in the US contain GMOs (genetically modified organisms).

Epidemiological studies indicate that exposure to certain crop pesticides may increase the risk of Parkinson’s disease by up to 75%. Exposure to multiple chemicals acting synergistically may increase the effect of each chemical.

A recent study published in the Journal of the American Academy of Pediatrics found the prevalence of food allergies in children under the age of 18 to be 8%. Among children with food allergies, 38.7% had a history of severe reactions and 30.4% had multiple food allergies.

• Researchers at the University of Southampton found that hyperactivity and behavior problems increased in children who were exposed to artificial food colors and the preservative sodium benzoate. Check here for details.

• Through extensive research, Dr. Joseph Murray (Mayo Clinic gastroenterologist and Celiac disease specialist), has found that Celiac disease is five times more common now than it was 50 years ago. He believes something has changed in our environment to trigger the increase. This isn’t about an increase in diagnosis, it is about the increase in occurrence. Check here for his explanation. There has also been an increase in non-Celiac gluten sensitivity and wheat allergy.

• The wheat we eat today is very different from the wild version our ancestors first cultivated thousands of years ago. We now have over 25,000 genetic variations of wheat, many with high yield and high gluten properties. Gluten is a common ingredient in processed food, is difficult to digest and is of no biological value.

• On their website, the American Academy of Allergy, Asthma & Immunology, states that the prevalence of asthma increased 75% from 1980 – 1994. Asthma rates in children under the age of five have increased more than 160% in that same time period. In 2007, 29% of children who had a food allergy also had asthma.

• In a 2008 press release, the Center for Disease Control (CDC) announced that the number of young people who had a food or digestive allergy had increased by 18% between 1997 and 2007. The CDC report determined that children with food allergies were up to four times more likely to have asthma.

I could go on (and on), but you get the idea. These are random facts that impact our health. I believe they’re all connected. What we eat today is vastly different from what our grandparents ate fifty or sixty years ago. The introduction of highly processed foods, the overuse of antibiotics, genetically engineered ingredients, additives and dyes, crops sprayed with pesticides, fast food on every corner, patented seeds, and compromised soil have all played a part in changing the quality of the food we eat and how our bodies react to that food.

Why does it matter?

A large part of the immune system is located in the gastrointestinal tract. When we eat foods that contain pesticides, additives, hormones, antibiotics, etc., it confuses the very system that is designed to keep us healthy. We end up with nutrient deficiencies, food intolerances/sensitivities, bacterial imbalances and an increased risk for all kinds of diseases and disorders.

Robyn O’Brien, founder of the AllergyKids website and author of The Unhealthy Truth, is on a mission to raise awareness regarding the proliferation of toxins in our food supply and how that relates to the rapid rise in serious health conditions. I’ve met Robyn on a couple of different occasions and had the pleasure of joining her and several other health bloggers for lunch recently. We’re all in this together and sharing reliable information about the toxic changes in our food supply is important. For more information about Robyn, check out her TED talk video. She has a fascinating story.

I don’t often do give-aways or events on my blog as I’m too scattered, busy, and unorganized to commit to them. But – I’m passionate about wholesome, nourishing food. I’m also a nutritionist and mom to four kids and I don’t like the thought that my family (or yours) is being exposed to dangerous substances without our knowledge. Several other writers who attended the lunch with Robyn are participating in this “awareness” event and giveaway as well. Please see the links below. I’ll be adding more as the posts are published.

Okay, no more ranting. If you made it this far, please leave a comment and I’ll pick one lucky reader to receive a copy of Robyn’s informative and eye-opening book (The Unhealthy Truth), a copy of the Stonyfield Organic Yogurt cookbook and 5 coupons each for Oikos organic Greek yogurt and YoBaby organic yogurt. To increase your karmic odds, but not your statistical odds, please share this post with your friends and join me on Facebook and/or Twitter. I add lots of good information on both social network sites that I don’t have time to post here on the blog. I’ll give it a couple of weeks and then I’ll have my 5 year old neighbor pick the winning number out of a hat. I have no desire to figure out how those random raffle picker programs work, so you’ll have to trust that my little neighbor and I will do this fairly.

Check the following posts for more information. It’s a blog hop!
Write Mind Open Heart
(The Unhealthy Truth – with giveaway – and why I’m on alert for frankenfood)
Stapleton Moms (Just one thing to make your family healthier: no rBGH in your milk)
Mile High Mamas (I fed my family WHAT? Toxic secrets revealed in The Unhealthy Truth)
Lifenut (A food fight for our lives)
Evolving Mommy (The Unhealthy Truth)

Good luck!
Melissa

confessions of an HLA DQ2 cavewoman

*Warning: this post took on a life of its own. If you’re looking for a quick recipe, bail out now. If you’re remotely interested in my take on the wonderful world of food, genetics, evolution and Celiac disease, brace yourself and read on.

Was this Paleo guy after the mastodon or the armadillo?

Or, maybe he was out doing some wild cereal hunting. That field of Triticum would be a lot easier to tackle than the mastodon. I’m pretty sure I evolved from a less aggressive, nomadic, grass-eating tribe. My ancestors hunted with pruning shears, not six foot long daggers with jagged tips. We ate grasses, berries, nuts, seeds, dates, olives, leafy green things and even rich, savory mushrooms once we figured out which ones didn’t kill us. We also ate a lot of fish depending on our travels.

Unfortunately, that’s where things went awry. When we stopped wandering and built condos on the Mediterranean Sea. I had HLA DQ2 ancestors and around 8500 B.C. they decided cultivating Triticum dicoccum (emmer wheat) was less dangerous than chasing 6 ton mastodons with sharp pointy tusks.

And so, the Celiac story begins – with the domestication of wheat and the interaction of HLA (human leukocyte antigen) genes and deamidated gluten peptides. To make it even more fun, let’s throw in sexual selection, mating preferences and pathogen resistance. We actually have some biological factors (those HLA genes again) influencing who we get a crush on and mate with. Darn it though, this little trick of nature doesn’t always play out to our benefit.

HLA genes are involved in immune function. They guard against nasty invaders and do a good job keeping us healthy. They also magically prompt us to compliment our disease fighting ability with genetic dissimilarities. We subconsciously strive for varied biological attributes in our offspring. Bottom line? These genes play a role in who we get the hots for.

Seriously. I’m not making this up. Check here for details.

It’s called olfactory curb appeal. Okay, I made that up.

But, have you ever been attracted to someone simply because they smelled good? You don’t know why they smell good, it’s not perfume or cologne or anything. It’s just them. That’s deep, dark and delicious biology working to keep the species healthy. We don’t know it, but we’re seeking to keep our DNA loaded with a genetic mixture of diverse immunity, so we sniff out complimentary HLA genes. Unfortunately, the introduction of wheat, barley and rye played havoc on our genetic blueprint. These normally brilliant little HLA DQ2 genes also code for autoimmunity (check here for details), as is the case with Celiac Disease and Type 1 Diabetes.

Oops.

Okay, that was a rather convoluted introduction to why I don’t favor the Paleo diet, but I had to set the biogeographical stage. You see, my ancestors go back 10,000 years ago to the Fertile Crescent. I was sunbathing on the Syrian coast and eating a Mediterranean diet way back when. Before it was cool and trendy to eat like that. I’m pretty sure I wasn’t loading up on pounds of mastadon meat. Maybe on rare occasions like someone’s wedding or the toppling of a rival empire, but not often.

I’m also thinking my female ancestors frequently had to settle for HLA DQ2 suitors rather than shaking things up with an anti-Celiac DQ4 guy. Life was different then. It’s not like you could jet off to the Andes in hopes of diluting the DQ2 gene pool. You got stuck with whoever was in your merry band of hunters and gatherers and that probably meant similarly encoded DQ antigen regions.

I’m just curious about all this because I think it’s in my genetic makeup to favor plants. I’m not much of a meat eater. Paleo eating is popular right now and supporters suggest we evolved to eat a high animal protein diet, but that doesn’t work for me. At all. Ethics aside, I’m not fond of animal products and I don’t digest meat or dairy well. I’m much better off eating a big bowl of leafy greens, some brown rice and a mix of roasted veggies than I am a slab of prime rib or a chunk of cheese. I’m sure I’d do better if my meat sources were from wild, organic, healthy animals and my dairy sources were raw and from 100% grass fed, happy cows, but in general, and for a lot of reasons, I’m more suited to a plant-based diet. Considering the toxic chemicals in our food supply, the overuse of antibiotics and hormones in CAFO (confined animal feeding operations) and the increase in antibiotic resistant bacteria, I don’t think a diet heavy with animal protein is healthy.

By the way, this post isn’t an endorsement of any specific eating plan. I’m just thinking out loud. So, don’t hit me over the head with a club if you’re a Paleo fan. For the record, I’m not vegetarian or vegan, but fairly close and if I do eat animal products, I’m grateful that I can be picky about the sources.

Okay? Are we all friends? Omnivores and herbivores? Vegans and meat eaters? Berry pickers and spear throwers? What works for one person doesn’t always work for another. We’re biochemically unique. I’m also convinced that genetic influences (as wildly explained above), environmental determinants, ethical leanings, lifestyle factors and nutrient feng shui make a difference.

I made up that nutrient feng shui thing. That’s my phrase for food combining, which I’m not into either. Life is hard enough, lets make eating easier, not more difficult. A nutrient-dense, whole foods, plant-based diet is easy and healthy. At least for my DNA.

Points to Ponder

• Recent research suggests that red meat consumption increases the risk of type 2 diabetes. American Journal of Clinical Nutrition, 2011

• Study reveals direct evidence for a variety of plant foods in the Neanderthal diet, including legumes, date palms and grass seeds (Triticeae). PNAS – Proceedings of the National Academy of Sciences of the United States of America, 2010

• Don’t assume we were all heavy meat eaters. Molar macrowear in Neanderthals and early Homo Sapiens suggests high dietary variability. My ancestors were Paleo Plant People from Mediterranean habitats. Check here for the research details. I made up Paleo Plant People, but who knows, that might emerge as a classification system. I’ll contact the Paleolithic genome project and suggest it.

• Maintaining a healthy pH balance is important to health. Beef, pork, poultry, milk, butter, cheese, cream are acid-forming foods. Plants are alkalizing. An acidic internal environment is disease-promoting. Low acid diets may protect against several diseases, including osteoporosis (yes, osteoporosis). Check here for details.

• According to my weight and age, I’m supposed to consume about 45 to 50 grams of protein per day. The average American adult consumes at least twice that much per day (100 to 120 grams per day). When that much protein (along with the often higher percentage of fat in animal products) is consumed, other important nutrients are often excluded from the diet. Fiber percentages and beneficial plant nutrients are often lacking in high protein (animal source) diets. I prefer less protein than the USDA’s RDA and more fiber than they recommend. That can easily be accomplished on a high-grade, plant-based diet. Even if you’re exercising a lot. Even if you’re a serious athlete.

• Strong and consistent correlations are reported between death rates from cancer and per capita consumption of animal products. Check here for epidemiological correlations between diet and cancer frequency.

• It’s my opinion that a whole foods, predominantly plant-based diet filled with lots of fiber and organic, nutrient-dense vegetables is the best way to heal and thrive if you have Celiac disease or gluten sensitivity. I have DQ2 genes and Celiac disease. People like me often have difficulty digesting animal products (meat and dairy). Maybe we didn’t evolve to do so. Maybe our genes are telling us something. Maybe Paleo isn’t for us. Maybe we’re Paleo Plant People.

Peace, love and green veggies.
Melissa

 

 

sugar or fish oil, which will it be

My day usually starts with a cup of organic coffee sweetened with coconut milk, an apple with almond butter and a dose of science and culture. I haven’t read a newspaper in ages, but I do read feeds from science blogging networks and research publications. I find creative inspiration in everything from gene expression and nutrition to spider sex and evolution. It all seems connected in one way or another.

I tend to follow a rather yogic principle of parsimony.

So, sugar and fish oil? How are they connected?

While trolling research articles early this morning I ran across a collaborative effort by an interesting mix of scientists. While the subjects in the study were mice rather than people, I still found the piece enlightening.

Sucrose Counteracts the Anti-Inflammatory Effect of Fish Oil in Adipose Tissue and Increases Obesity Development in Mice.

Hmmm?

Sucrose is the organic compound commonly known as table sugar. It’s refined white sugar and according to the US Department of Agriculture, Americans consume 156 pounds of added sugars per capita each year.

ONE HUNDRED AND FIFTY-SIX POUNDS.

Imagine that (if you can).

You’ve probably heard that the omega-3 fatty acids in fish oil are protective against inflammation, blood sugar imbalances, heart disease, hormonal disorders, obesity, neuro-degenerative diseases and so on. There’s a lot of compelling research regarding the benefits of high-quality fish oil.

After reading this research article, I’m thinking it might be a waste of money to take an expensive fish oil capsule if you’re going to follow it up with a bowl of fruit loops or a donut. The researchers discovered that high levels of dietary sucrose counteracted the anti-inflammatory benefits of fish oil and increased the development of obesity.

Check here for a detailed run-down on sugar, including the various forms. And for an exposé on fruity, sugary breakfast cereals, check here.

Peace, love and fish oil – without the sugar chaser!
Melissa

raw power greens

To eat is a necessity, but to eat intelligently is an art. – Duc Fransois de La Rochefoucauld

Duc Fransois de La Rochedfoucauld, aka Prince de Marcillac, was a writer of mildly cynical and somewhat pithy maxims. He was born in Paris in 1613, hung around the royal court and spent most of his time making snippy comments about what he saw as the disturbing state of human affairs. Considered an intellectual harbinger of the Enlightenment – I imagine him as a 17th century Dennis Miller with an over-the-top, hoity-toity name. Much more uppity and not as funny as Dennis, but concise, satirical and witty nonetheless.

While I don’t always eat intelligently, I like this general maxim. It’s a good reminder and is there a better way to eat intelligently than to choose nutrient-dense, vibrant, unprocessed, living plants? Like the ones featured above. Look at the colors. You can literally see the phytonutrients, enzymes, vitamins, minerals and chlorophyll.

Okay, maybe seeing vitamins and enzymes is a stretch, but you can guess by looking at these greens that they’re full of nourishing goodness. Plus, they’re low in calories and alkalizing to the body. This is perfect food.

Now compare that to a donut or a plastic-wrapped sweet-roll from a gas station vending machine.

Which one is the artfully intelligent choice?

This photo is of the 3 cups of mixed greens I used to make power smoothies this morning, wonder woman and super man food. It’s a smart way to start the day, even if it doesn’t match up with the new USDA MyPlate thing the government designed to help us figure out how to feed ourselves?

Really?

We’ve “evolved” to the point that we need a plate icon with food on it to show us what to eat?

I’ll bite my tongue, keep my snippy, food irony comments to myself and offer you a power greens guide to ease your transition into the world of nutrient-dense green food.

Power Greens Flavor & Nutrition Guide
This is the abridged version. If I included every green I could think of and all the nutrient goodness, this post would be a mile long. What’s your favorite power green and how do you like to serve it? Add it to the list in the comment section.

Swiss chard
Chard has a slightly bitter taste, so when I use it raw in smoothies I add something sweet like a Fuji apple to counterbalance the bitterness. It also has a very salty taste to me when pulverized in my VitaMix, so I like cinnamon mixed in. One cup of chard is off-the-charts high in vitamin K, A and C, along with a host of other botanical wonders. All for a measly 35 calories.

Spinach
Spinach is mild, slightly bitter and versatile. It’s a good power green to add to kid-friendly smoothies as it’s fairly easy to hide if you add a pear or ripe banana and a little goat yogurt into the mix. Speaking of vitamins K and A, one cup of spinach has 1110% (K) and 377% (A) of the recommended daily values. Add in the high concentration of folate, iron, vitamin C, potassium, etc. and there’s a lot of bang for your 41-calorie-buck in a cup of spinach.

Kale
Kale is a little confusing. It has a mildly bitter taste, but it can also taste slightly sweet. It’s hearty (and hardy) and full of volume, if that makes sense. The power green nutrition profiles just keep getting better. One 36-calorie cup of kale gives you almost 200% of the daily value of vitamin A, close to 100% of vitamin C and a whopping 1328% of vitamin K. It even contains a jolt of omega 3 fatty acids.

Mustard Greens
Swiss chard tastes salty and mustard greens have a strong, peppery taste. If you use these in a smoothie, mix a small amount in with some lighter greens like romaine lettuce or spinach. Warning: don’t use raw arugula and mustard greens together! Whoa, that makes for an intense smoothie with a peppery kick. You get the idea on the nutrition part. Most leafy greens are ridiculously high in all kinds of powerful nutrients and mustard greens are no exception.

Turnip Greens
I’ll admit, not my favorite. Especially raw, turnip greens have a intense and bitter taste. They’re very high in plant-based calcium, which may account for the bitter bite. Only 26 calories per cup, they’re worth adding to your arsenal of power greens, but go easy on them and mix them in with some milder vegetables and sweeter fruits to mask the bitterness. Turnip greens are great sautéed lightly in a little broth.

Collard Greens
Aside from the “rubber glove” texture of collard greens, I like these greens for their mild and somewhat smoky flavor. They’re absolutely wonderful blanched quickly, cooled, dried and used as a wrap for chicken salad. You can also add some chopped collard greens to smoothies, but do it in small doses to see how you like them.

Romaine Lettuce
Mild, crisp and somewhat sweet. I love Romaine. This is a perfect “beginner” green and blends in well with other veggies and fruit for a nice mellow smoothie. It’s perfect raw, but I’ve also lightly sautéed lettuce before and it tastes great. Romaine is the low calorie winner at 15 calories for 2 cups and while it’s not the power-house that kale or Swiss chard is, it’s a rich source of plant nutrients.

Arugula
Arugula, also called rocket or Italian cress, is a touch spicy with a hint of mustard. It’s best mixed in with some milder greens for a salad as it tastes bitter by itself. It can also be used in small doses in smoothies and is wonderful sautéed or thrown into a soup at the last minute. I like it on pizza with olives and sliced tomatoes. Like the rest of these greens, arugula is very low in calories, high in antioxidants, is low glycemic, anti-inflammatory and even has a little protein, calcium and iron.

Tatsoi
Tatsoi is part of the bok choy family and although it’s slightly bitter (not bad), it’s excellent in a tossed salad, lightly sautéed or as part of a green smoothie mix. Because of it’s dark green leaves, like the rest of these, it’s rich in antioxidants and is even a good source of calcium and iron. Sauté it with some onions and garlic and serve it with brown rice. It makes for a wonderful “Buddha bowl.”

Frisée
Frisée is that curly, lighter green lettuce that is often added to mixed salad greens. It’s not as hardy as kale, spinach and the other more intense greens. It will even wilt if you put vinegar on it, so wait until the last minute to dress your salads if frisée is part of the mix. It has a mild, very slight peppery taste with a nutty hint to it. It pairs well with bananas and berries in a smoothie (I’m sounding like a leaf sommelier). For a delicious summer salad, try a bed of frisée topped with roasted and sliced beets, pecans, crumbled goat cheese and a drizzle of vinaigrette. Divine.

Here’s a great resource for greens and herbs, complete with pictures so you’ll know which green is which.

You might also like
Green Lemonade from Elana’s Pantry
Spicy Kale Salad with tomatoes and chiles from Tasty Eats At Home
Raw Super Green Salad from The Whole Life Nutrition Kitchen

Peace, love and power greens!
Melissa

(for girls only) nutrition for women

Holy Batgirl! She’s wearing a chocolate super-girl outfit.

And it’s not melting.

Last month I did a blog post on super foods for men. I also threw in some basic (and not so basic) differences in male and female brain function. This time I’ll focus on us girls.

Is there a better place to start than hormones and chocolate? Maybe fashion, hats and shiny things. I’ll see if I can weave them all together, but the launching pad has to be hormones. A brain sloshing around in a pool of estrogen looks and behaves quite different from a brain infused with testosterone. I touched on a few cognitive gender differences in my last post, but since I find this so fascinating, I think I’ll keep this neuro-thread going.

I’m a research nerd and guess what I’ve discovered after logging zillions of hours reading scientific papers (plus, years of field study)?

Men really are from Mars.

Before you jump to the conclusion that I might be gender-biased in my observations, I’ve also discovered that women are from BabbleOn. See – if I was going to fudge my findings, I’d pick something far more flattering.

Here’s the deal. Women do better than men on tasks that require verbal communication and memory of personal experiences. Men excel in the manipulation of complex spatial information.

What does that mean?

Women talk a lot and remember everything. Men can park 3 cars, 1 motorcycle, 2 mountain bikes, a fishing boat, a side-winder circular saw, 6 pairs of skis and 300 pounds of camping gear in a 2 car garage.

Like I said before, we’re different.

Back to the hormone part. Scientifically speaking, aside from all the other stuff estrogen does, it also provides females with the ability to outperform males in associating stimuli across time. It even shows up in more adult-generated neurons in our hippocampus.

What’s a hippocampus, you ask?

It’s a little doo-hickey in the brain that just so happens to be a long-term memory consolidation station and an emotional storage bin. It’s like a jewelry box for stuff you can dig up and throw into a heated conversation years later.

So think about that one for a minute.

Estrogen, emotions, new neurons and memory storage? It’s no wonder we never forget things men do (or, don’t do). Sorry, but I have to take this one step further (female trait, babbling on). Gender differences in memory and learning are facilitated by differences in hormones and brain anatomy. But it doesn’t stop there. That also gives us the ability to further change our brain anatomy by forming new neurons. The actual structure of the brain changes allowing us to remember more stuff you guys did for longer periods of time.

Like f o r e v e r.

Oh my gosh, it’s a self-perpetuating cycle.

Although I took a rather convoluted, gender-driven journey to get here, I want to stress the importance of balancing blood sugar (glucose) and hormones when it comes to women’s health. Those two things form the foundation for radiant energy, stable emotions and better stuff in your jewelry box – both pleasant memories and shiny things.

To function optimally, the body must maintain blood sugar levels within the proper ranges. Extreme fluctuations cause roller-coaster hormones, which can lead to hissy fits, dish tossing and crying jags. It also leads to all kinds of health problems down the road. We can avoid the drama by keeping glucose and hormones in balance. That starts with nutrition and exercise. Yoga is my preferred form of movement-induced, hormone balancing (pun intended). Here are my food favorites.

Melissa’s top 10 super-foods for women (in no particular order)

1. Cinnamon
Cinnamon has a long history as a functional food. Not only does this sweet spice smell and taste wonderful, it also helps control blood sugar and makes you feel full longer. It’s anti-microbial, helps fight candida and is a good source of fiber, calcium and iron. I add about a teaspoon of cinnamon to all my smoothies. I also sprinkle it over yogurt, add it to homemade granola, power bars and whatever else I can think of. I try to eat at least a teaspoon of cinnamon a day.

2. Broccoli
According to cancer researchers at the University of Michigan, a natural compound in broccoli inhibits breast cancer stem cells and helps block their self-renewal pathway. There are all kinds of studies regarding cruciferous veggies (broccoli, cauliflower, Brussels sprouts, cabbage, bok choy and similar green leafy vegetables) and their positive role in cancer prevention. Good stuff!

3. Fiber
Although not a food per se, fiber is so important for blood sugar balance, weight loss and overall health. I’m a huge fan and eat way more than the recommended amount. For a detailed post I did on fiber several years ago, check here. You’ll find all the information you need to boost your fiber intake. Make sure you do it slowly and drink lots of water.

4. Avocados
Avocados are high in fat, but it’s a healthy fat and worth adding to your arsenal of super foods. Plus, if you add avocado to a big green salad or a fresh salsa mix, you greatly increase the absorption of the other nutrients. Carotenoids (in tomatoes, peppers, carrots, greens, etc.) are fat-soluble nutrients that need to tag along with high-grade fat to be adequately absorbed and assimilated. Avocados are also a low-carb, high-fiber food source, which is great for balancing blood sugar and hormones (SO important).

5. Coconut
Another high fat food, but again, this is good stuff, so don’t be fat-aphobic. The key is to be very picky about your fats. Please check here for a detailed post I wrote a couple of years ago on the health benefits of coconut. I love the stuff! Eat it, cook with it, put it on your skin, slather it on your hair.

6. Dark chocolate and red wine
Hey, what can I say? Girls are programmed to lust after chocolate. Some super-girls even wear it (see photo above). Resveratrol, a substance in cacao and red wine, is the “it” supplement right now. But, in most cases, I believe we’re better off eating the whole food rather than taking supplements. Treat yourself on occasion (moderation, moderation) and eat a small chunk of high-grade dark chocolate. You might even pair it with 4 ounces of a nice Pinot Noir.
Past resveratrol posts: dark chocolate as health food, enlightened hot chocolate, carnival of love (red wine)

7. Beets and berries
Those of you who have following this blog for the past 4 years know I’m passionate about beets. Ridiculously so. I’ve been a beet girl my entire life. My mom says I ate them as a baby and grew up thinking they were dessert. I was lucky. I had a mom who fed me beets, spinach and broccoli during the explosion of processed foods. I can’t remember ever having a Twinkie, sugary cereal or Hamburger Helper. We ate real food, made from scratch. There are so many studies linking the nutrients in beets to good health that I won’t even try to list them all. Just trust me, they’re amazing. I have a lot of beet blog posts in my archives, but since summer is around the corner, here’s an ice cream recipe.

8. Apples
Apples are high in fiber, help balance blood sugar in several different ways (they’re magic), are anti-inflammatory, high in antioxidants, support healthy gut bacteria and are packed with goodness. Studies show positive results with age-related health problems as well (macular degeneration, Alzheimer’s, osteoporosis, etc.). I’m taking this “apple a day” thing seriously. Apples are sprayed with some seriously nasty stuff, so choose organic.

9. Swiss chard and leafy greens
Greens are true super foods. All greens are great sources of beneficial plant nutrients, but I’ll focus on Swiss chard since I’m on my “balance your blood sugar” rant. There’s a substance in chard (syringic acid if you must know) that has warrior princess power when it comes to blood sugar regulation. Chard (like beets) also contains a group of phytochemicals called betalains, which are high in antioxidants, are anti-inflammatory and promote detoxification.

10. Chick peas
How could I not include chick peas?  Lucky for us, these little nutrient-dense namesakes help regulate blood sugar and are packed with fiber. I know, this blood sugar/fiber thing is getting tiresome, but it’s so important for long-term health, artful aging and hormone balance. Chick peas are also super high in the mineral manganese, which is an antioxidant involved with energy production. Who doesn’t want more energy? Check here for one of my favorite roasted chick pea recipes from Shirley at GFE.

Just as important is what you don’t eat. Avoid processed foods, refined sugar, soda pop, too much caffeine or alcohol and junk food. Stick to whole foods with an emphasis on veggies and fruit.

Peace, love and super girls!
Melissa
P.S. Yes, that’s me at the royal wedding.

(for boys only) nutrition for men

This is part 1 of a 2-part series on gender-specific nutrition. I’ll start with my top 10 super-foods for men. Although we can easily eat the same foods, I thought I’d have fun with this and focus on specific nutrition needs for men and for women.

We’re very different, you know. I’m inspired and enchanted by the differences, even the ones that drive me nuts.

Ladies, do you think the 3 Stooges are funny?

No?

See – that’s a boy thing. A gender trait.

Back in 2005 the president of Harvard University resigned over a comment he made at an academic conference about the innate differences between male and female brains. He suggested that these functional differences might explain why women aren’t equally represented in the math and science fields. I have no desire to expand on this or to share my opinion (well, maybe a little), but as a female science nerd, I agree and I’m not offended by his comments. We’re different – our brains are even architecturally different.

Different doesn’t mean smarter. It just means not the same. There are evolutionary reasons for that. We excel in different ways.

I could write a 5000 word essay on why men and women communicate differently, but please don’t make me take a spatial orientation test. Or quickly process mathematical equations. I love science, but I’d rather read about, think about, write about, or discuss this mass of neural wiring we have in our heads than do math problems under pressure. Just the thought of that makes my neurons smolder.

Seriously.

That whole thing about a train leaving the station at 6 PM going due east at 75 miles an hour and blah, blah, blah – gives me a massive headache. I can smell smoke right now. If you add in another train leaving an hour later going due west at 85 miles an hour, I’ll blow a gasket.

But I digress. Spiraling is in my DNA. Another gender difference.

Bottom line? Men and women have specific traits that have been selected through evolution and specific traits that are developed through cultural and social conditioning. We also have very different biological demands and nutritional needs. Regardless, we’re just plain different in a zillion ways, so we might as well rejoice in that and have fun with it.

Let’s start with food.

Melissa’s top 10 super-foods for men (in no particular order)

1. Hops (see photo above)
As in beer. Researchers at Oregon State University discovered a flavonoid in hops called xanthohumol that appears to reduce inflammation and may inhibit the development of prostate cancer. According to Fred Stevens, professor of Medicinal Chemistry at OSU, xanthohumol is only found in beer that is produced from hops and not in beer made from hop extracts. (Drink alcohol in moderation, there are health risks associated with over-consumption. I have to say this, I’m a woman. You know, that whole nurturing thing.)

2. Bison
Once upon a time, men did the hunting, women the gathering. We evolved with different roles for a variety of reasons. In general, men are more aggressive, bigger, stronger and tend to take greater physical risks. Personally, I’d rather wrestle with a blueberry bush than a 2,000 pound bison, so I’m good with that. Our gender-specific food roles are linked with social and cultural perceptions of masculinity and femininity. No way around it. Men burn meat, women bake pies. By the way, baking a pie (especially a gluten-free pie) takes a greater understanding of chemistry than throwing a steak on the grill. Women rock at science, we just don’t always get credit for it.

As far as  nutritionally dense food and masculinity is concerned, I’m choosing 100% grass-fed, organic and humanely treated bison because of its wonderful amino acid profile (good protein for building muscles to protect the berry pickers), low glycemic index, and high amounts of B vitamins, zinc, and selenium. B vitamins are important for metabolism, zinc plays a role in prostate health and selenium is a powerful antioxidant.

3. Cranberries
Studies show that a mixture of flavonoids in cranberries help inhibit LDL oxidation and may decrease the risk of atherosclerosis. Whole cranberries in food form not only protect the heart, but the liver, kidneys and urinary tract as well. Eat the whole food, rather than relying on supplements or extracts. The synergistic value of the various nutrients working together is what makes up a super-food.

4. Pumpkin seeds
Here’s another food rich in zinc to keep your boy parts healthy. According to the Journal of Fertility and Sterility, zinc concentration in sperm directly relates to its motility in that all-important, nano-yard dash. If you’re looking to reproduce, you want fast, agile swimmers once an egg is launched. And keep in mind, zinc has to be replenished. Men produce about 300 million sperm per day. You read that right. PER DAY. Us girls have 1 very special egg per month. I feel like such a princess. Guys – snack on pumpkin seeds. They’re much easier to carry around in your briefcase or backpack than oysters (also high in zinc).

5. Oysters
No explanation needed.

6. Turmeric
Turmeric contains a yellow substance called curcurim, which is the spice that gives curry its name. Rather trendy right now, turmeric shows promise of anti-cancer properties, especially in the gastrointestinal tract. This wonderful spice (I love curry) also helps promote liver detoxification. Check here for one of my recipes for sweet and spicy Moroccan stew. The smell alone is intoxicating.

7. Beets
Beet root contains inorganic nitrate, which researchers have determined, decreases human oxygen requirements during sub-maximal exercise and enhances tolerance to high-intensity exercise. This is a performance-enhancing substance that might turn your pee pink, but you won’t flunk the drug test. Beet root also helps lower blood pressure. This is one of my favorite functional plants. I eat beets in one form or another 4 or 5 times a week.

8. Blackberries
According to scientists at the National Institutes of Health, blackberries have a very high antioxidant capacity. Antioxidants are believed to play a role in neutralizing the effect of free radicals. Free radicals cause cellular damage and contribute to age-related degeneration. Eat blackberries, blueberries and raspberries. That’s much better (and more fun) than taking supplements.

9. Kale
Kale is a wonder plant. It’s over-the-top high in vitamin A, vitamin C, vitamin K and is a good source of fiber, protein, iron and a host of other vitamins and minerals. It’s also highly anti-inflammatory and low in calories. Good stuff. Skip the fat-filled potato chips and opt for kale chips instead.

10. Sardines
Sardines are absolutely packed with vitamin B-12. In fact, there are few more concentrated sources. B-12 helps promote heart health by keeping homocysteine levels in balance. Elevated homocysteine is linked to cardiovascular disease and osteoporosis. Sardines are also a rich source of good fats, high-quality protein and vitamin D, a nutrient that is hard to come by and one that promotes bone health.

Next up – food for warrior princesses. Sign up for my email updates so you don’t miss anything.

Peace, love and healthy men!
Melissa

a slime burger with a side of sugar

One year for Mother’s Day my oldest son gave me a hand-made card with a detailed mathematical breakdown of how many school lunches I put together over the years. It made me smile. And gasp. With four kids, the total came to more than 8,600 sack lunches with hundreds of apples, carrot sticks, sandwiches, yogurt, homemade granola bars and so on.

After watching the beginning of season #2 of Jamie Oliver’s Food Revolution, I’m looking back with fondness on making all those thousands of sack lunches. Maybe not so much with fondness, but definitely with relief.

Last year Jamie’s reality series took place in Huntington, WV. This year he’s taking on the LA public school system and if the looks on the faces of the school bureaucrats he tried to meet with are any indication of what’s to come, Jamie better get some linebacker bodyguards to hang out with.

If you watched last week you know that Jamie blasted two major components of the LA public school lunch program – flavored milk and pink slime.

One cup of strawberry flavored milk contains 6 teaspoons of sugar. Not to mention dyes, additives, artificial flavors and gums. In a jaw-dropping demonstration, Jamie loaded a school bus with 57 tons of sugar (it was actually sand). That’s how much sugar kids in the LA school district consume each week in flavored milk alone.

Does anyone wonder why type 2 diabetes is being reported among children at such alarming rates? And obesity? For the record, I don’t think an occasional sweet treat is evil, but I do know that refined sugar enters the bloodstream quickly and can cause rapid fluctuations in blood sugar levels. That doesn’t set the stage for effective learning or healthy cognitive development. There’s also evidence that artificial flavors and dyes can cause behavior problems, allergic reactions and food sensitivities.

On to part two of Jamie’s attack on the LA school sytem – pink slime. Artificially flavored, sugar-bomb milk is bad enough, but this stuff is over-the-top disgusting on so many levels. In another gag-inducing demo (just in case we might want the recipe) Jamie shows us how pink slime is made. Take the discarded bits, pieces and trimmed fat from the processing of meat (the parts normally used in pet food) and drench them in ammonia to get rid of the nasty pathogens. Once the ammonia has done its job (it’s called the kill-step), the pink slime is made into burgers for school lunches. Ammonia gets rid of the contamination in the meat (if you can call it meat). And get this, ammonia doesn’t have to be listed as an ingredient in burgers made from pink slime. According to the USDA, ammonia is not an ingredient, it’s part of the processing.

Huh?

Sketchy logic if you ask me.

By the way, pink slime is really what this stuff is called. There are even industrial processors known for using the dregs of the meat packing industry to make pink slime for fast food burgers.

So, in addition to all the sugar and additives, kids also get a dose of ammonia and discarded meat sludge for lunch. Healthy building blocks for growing bodies? Not even close.

Jamie definitely his work cut out for him.

Okay, I’m stepping off my soap box to go throw up.

Peace, love and sack lunches.
Melissa

For a detailed post I did several years ago on sugar, check here.
For kid-friendly lunch ideas, check with Kelly at the Spunky Coconut, Ali at The Whole Life Nutrition Kitchen, or Alexa at Lexie’s Kitchen.

beans bacteria toxins and toots

This small, dried, light-colored French bean variety is called the flageolet bean. The word also means delicate woodwind or flute instrument. Leave it to the French to come up with a fancy word that combines beans with tooting. Linguistic inflation is rampant in France. Not that that’s a bad thing. Wouldn’t you agree that flageolet beans sound far more exotic, highfalutin and gourmet-ish than kidney beans?

Look at that French country color, they even look snooty.

Now that the lowly bean has been elevated in stature, I’m going to throw in a little bioscience and share what actually happens when we eat these little gems. Fancy words or not, indiscriminate digestive rumblings can (and often do) occur after eating beans.

Here’s why.

Let’s start with the endogenous microbial block party going on inside the large colon. According to National Institutes of Health scientists at the Human Microbiome Project, we have 100 trillion bacteria in our distal gut alone.

Yikes!

Beans contain some rather large and unwieldy sugar molecules called oligosaccharides that we can’t easily digest and utilize. We didn’t come equipped with the right enzymes to break down these massive (molecularly speaking) lug-nuts, so instead of being processed in the small intestine as they should be, they bounce their way through the gut relatively untouched and arrive in the colon as an all-you-can-eat buffet for roving herds of bacteria.

Imagine a medieval barbarian banquet – a feeding frenzy of gulping, burping and farting bacteria. If you think about it, it’s really not you tooting, it’s the unruly bacteria. So quit blaming the dog (poor guy) and place blame where it belongs. On the gluttonous bugs, their innate behavior and offensive methane byproducts.

There’s another thing about beans that has been making the food blog rounds lately. Are they highly toxic if eaten raw?

Okay, you’re thinking, who in the world eats raw, dried beans?

Well, who eats coins, dead crickets, paper clips and golf tees?

Little boys.

If you don’t believe me, I’ll show you an x-ray of my son with a stack of coins in his gut. Kids eat weird things, just ask any ER doc.

Raw, dried or undercooked kidney beans contain a toxic compound that can cause severe nausea, vomiting, abdominal pain and diarrhea. According to the FDA, most beans contain this compound, but raw kidney beans contain an enormously large amount. The hemagglutinating unit (hau) is the substance measured for toxicity, with raw kidney beans topping out at between 20,000 to 70,000 hau. Cooked beans contain from 200 to 400 hau. It only takes 4 or 5 raw kidney beans to make an adult sick, so imagine a little kid eating only 1 or 2. Don’t expect your GI doc to know anything about natural plant toxins, so if you call and say your kid is sick after eating one raw kidney bean, he/she will think you’re a nutbar. Or at the very least, an incredibly neurotic mom.

In this case, you could be both and still be right.

To be on the safe side and to avoid having to explain what phytohaemagglutinin means to an overly busy ER doc, make sure your curious little kiddos don’t stick raw beans in their ears, up their nose, eat them or feed them to the dog. Beans can be enough trouble when they’re cooked, avoid them raw at all costs.

For more fun with digestion, you might also like
• Erin’s well-written poop post love to eat : hate to digest from Mysteries Internal
• Heidi’s incredibly detailed and informative post Hello Flora, How You Doin‘ from Adventures of a Gluten-Free Mom

If you’ve read through all this digestion turmoil, you deserve a recipe for flageolet beans. I’ve made them on several occasions and love the delicate, buttery taste. They’re delicious. You can use them in salads, soups or as a side dish. Add roasted tomatoes to the cooked beans and top with a poached egg and some shredded Parmesan cheese. Absolutely divine.

Basic Flageolet Bean Recipe (courtesy of Bob’s Red Mill with my adaptations)
Sort and rinse before cooking. Soak beans in cold water overnight (I put them in the refrigerator). Drain and rinse well. Add 4 cups of water or chicken broth for every 1 cup of flageolet beans. Liquid should be 1-2 inches above the top of beans. Bring to a boil; reduce heat and simmer for 1-2 hours. Add more liquid as needed.

• 1 cup of dried beans yields about 2-1/2 cup cooked beans
• cooked beans can store in the fridge for about a week
• cooked beans last about 6 months in the freezer

You might also like
•  Soup au Pistou Recipe with flageolet beans from 101 Cookbooks (use gluten-free pasta)

Peace, love and well-cooked beans!
Melissa

neuron nutrition (my top 8 brain foods)

I think the highly intelligent plant world is trying to tell us something with this chunk of cauliflower.

Doesn’t it look like a mid-sagittal section right out of a frontal lobe, complete with cerebral white matter?

Or, maybe networks of giant axons and dendrites. This head (whoa, it’s even called a head) of cauliflower appears to be a bit left-brain-heavy. What do you think? More neural pathways on the left side? Aaah, must be a linear thinker.

I’ll put aside my vivid imagination and interest in plant autopsies for a moment and talk about the healing power of whole foods. Most of us have enough bizarro stuff going on inside our heads that can sabotage our good intentions, let’s at least give our thoughts some powerful building blocks and mighty antioxidants to work with.

Food for thought

I can’t start this “brain food” list without commenting on gluten as a neuro-cootie. This is official – research has shown gluten to be a neuro-toxin (for some susceptible people). It can cause ataxia, epilepsy-like symptoms, peripheral neuropathy, depression, migraines, brain fog and a host of other neurological problems. In some rare instances, the neurological impact of gluten can even mimic ALS (Lou Gehrig’s Disease), MS and Parkinson’s Disease. Get tested for celiac disease if you have unusual neurological symptoms. A gluten-free, whole foods diet may (will) be beneficial. Check here for Dr. Rodney Ford’s take on this years ago. Scientific research is finally catching up to his diagnostic skills as a physician.

Nutrition for neurons (the basics)

• EFAs (essential fatty acids) are important for brain function. Wild-caught salmon and other cold-water fish, flax seeds, nuts, and pastured eggs are examples of foods rich in EFAs.
• Proper hydration is important for brain function. Dehydration causes the release of stress hormones, which impact neurons.
• Organic, whole foods rich in antioxidants should be the focus of a “healthy brain” diet. Antioxidants help prevent and repair cell damage.
• Sunshine stimulates the production of vitamin D, which is thought to aid in the protection of neurons. Plus, a little sunshine can boost your mood.

My top 8 food picks for brain health

This list is just a random assortment of nutrient-dense foods that I like and are high in antioxidant power. I’ve chosen foods that are easy to find and that people might actually eat. No need to scour the Amazon rainforest floor for some exotic plant or climb the Himalayas for a power-packed berry. Seriously, let’s make this easy. Organic is always best and I prefer eating the whole food rather than counting on supplements. That way you get a diverse combination of beneficial phytonutrients.

1. Cauliflower (I had no choice, this one looks like a brain)
Cauliflower is packed with vitamin C, a powerful antioxidant. Research is mounting that oxidative damage to brain cells may precede diseases like Alzheimer’s and other forms of dementia. One cup of raw cauliflower contains 94% of the daily value for vitamin C. It’s also anti-inflammatory and is a good source of protein, calcium, iron, magnesium, zinc and other plant goodies.

2. Wild-caught salmon (as mentioned above)
Please check out this past post I did on EFAs and why they are important for brain health. The post also includes a detailed break-down of omega-3s and omega-6s and a wonderful salmon recipe. Lots of good brain-building information in that post.

3. Blackberries, blueberries, cranberries, raspberries, strawberries, cherries.
All of these fruits are packed with antioxidants. Don’t stick with one choice – mix and match them for a variety of protective compounds.

4. Mustard greens
You’re probably thinking this is an unlikely choice for the top 8 brain foods, but I’ve decided it’s a good representative for leafy greens in general (kale, collard greens, spinach, chard). One cup of mustard greens, which I’ve recently become quite fond of, has 118% of the daily value of vitamin A and 65% of the daily value of vitamin C. It’s also a good source of vitamin E and it’s anti-inflammatory. A, C and E are all antioxidants, so this green is a good one to make friends with. I throw it in smoothies.

5. Coffee
Surprise, surprise! As those of you following this blog know, even though I’m a nutritionist, I don’t think coffee is evil. In fact, I like the stuff in small doses and guess what? It’s not only high in antioxidants, research indicates the caffeine in coffee has a neuroprotective effect. Choose organic coffee, use in moderation (1-2 cups per day) and don’t drink it later in the day.

6. Beans
Beans are a good source of easily-absorbed amino acids, which are important in the production of enzymes and neurotransmitters.

7. Organic, pasture-raised chicken eggs
Eggs are one of the best sources of high-quality protein. Pastured eggs are also high in omega-3s, vitamin A, vitamin E and B vitamins, all of which are important for healthy brain function.

8. Dark chocolate
Good, high-quality dark chocolate in moderation is a good source of antioxidants. Plus, a chunk of dark chocolate now and then puts you in a good mood and makes you a nicer person. I’m nicer when people give me chocolate. Aren’t you?

Peace, love and brain power!
Melissa

Disclaimer: All material on this website is provided for informational and educational use only and should not be used for diagnostic purposes. Consult with your physician regarding any health or medical concerns you may have.
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