The Blue Mountains is a great spot for a holiday whether a long weekend or a full week like we just did before Christmas. This year I thought I would update an earlier blog I wrote about 5 Tips for Gluten Free Menus which was based on an earlier trip and I have updated my information about a few of my favourite dining spots. Unfortunately a couple have since closed including long term favourite Vesta’s at Blackheath. I am also including a few tips for dining with food intolerances to make travel a little easier.
1. Gluten Free Bread is nice but …think about the rest of the menu as well. We particularly enjoyed the gluten free high tea at the Hydro Majestic because we got to enjoy lots of delicious options which were all gluten free. They even toasted the bread which is essential when you are dealing with gluten free bread and had added a delicious herb focaccia with the vegetarian sandwich. Bonus points for this venue it has now added an excellent choice of gluten free scones providing both a plain and a date scone to the menu. It also handled a request for a dairy free option particularly well and I was impressed that they could handle it over the phone on the day and didn’t require more notice.
2. Provide real gluten free options. At Anonymous Cafe at Blackheath the gluten free breakfast options included gluten free toast, spiced pumpkin loaf and a gluten free muesli. The spiced pumpkin loaf was served with marscopone and jam and was a delicious option. They have also opened a second cafe at Medlow Bath called Synonomous which we never got to but I am sure continues the tradition.
3. Multiple intolerances should be considered including dairy and egg so ideally include options which don’t double down on the intolerances. Adding more vegetable options is one way around it. Great breakfast options could include adding a vegetable hash with optional inclusions such as salmon, egg or bacon. The Conservation Hut at Wentworth Falls offered a smoked trout hash with a poached egg and was happy to leave it off when requested. The Annonymous cafe at Blackheath also offered a black rice and coconut pudding option for breakfast – a bit different and interesting but covered a range of intolerances.
4. Mark the menu with the gluten free and other options, such as vegetarian and vegan. This means when you search menu’s its easy to see if there are real gluten free options and quickly identify what they are. The Ori Cafeat Springwood and Papadino’sat Katoomba both have well marked menu’s with a good range of options. A recent find at Katoomba was the Palette Diner where v stood for vegan options making it easier to find options for my daughter who is dairy free as well. The Must Try is the gluten free crumbed chicken and ribs as well as the vegan cauliflower. Servings are generous so don’t make our mistake and over order.
5. Technology can be very useful – Trip Advisor is a great app for checking out whether local restaurants can accomodate special dietary needs, however I would still ring ahead and check if something isn’t marked. Leura Garage was good at listing gluten free options but seemed rattled when asked about dairy free and surprisingly had dairy in the roast lamb. Possibly it wasn’t a good day to check with the server but overall they didn’t handle a request particularly well and options were very limited.
Its 2019 and one in six children now have allergies or food intolerances so its increasingly important that restaurants and cafes manage intolerances as well as possible. Recently we were in Oberon and arrived after 230 so most places had shut. We ended up buying a picnic lunch at the local IGA as there wasn’t anywhere that could accomodate gluten free.
Let me know if you have any good tips for managing travel with allergies in the comments below.
The first blog I wrote was about Five simple strategies to Lose Weight was focussed on insulin resistance and how to approach weight loss for this common problem. Historically I haven’t really focussed on weight loss in clinic unless it was related to the client’s overall health. What I found was that more complex clients require more creative solutions in terms of adapting weight loss programs to suit them and their lifestyles. You need to get more specific about supporting their metabolism to really help them shed weight.
Different diets work for different people so whilst I generally recommend a low carbohydrate ketogenic diet I have had clients do well on a range of other programs. How do you know when you are on the right diet for you? Generally you find your weight stabilises. So my top tips regardless of which diet you are using are as follows;
Food Intolerances – find out what foods you are reactive to and cut them out! Regardless of the diet you are following this will often result in a 2-3 kg loss and usually a smaller waist line due to the reduction in bloating. Often the side benefit is you feel better and are more energetic and better able to follow through on exercise and food preparation. Using Bio Compatability 500 Hair Test to determine what foods are compatibile with your body often speeds up this process.
Hydration – Drink 6-8 glasses of water a day and at least one litre for each hour of exercise. Nothing works well when you are dehydrated.
Herbal Teas – Support your liver with some herbal teas which assist with metabolism. This can include green tea, dandelion and ginger. Have a cup of hot tea with a squeeze of lemon on rising it really helps your liver function. Herbal teas also increase fluid intake and may reduce consumption of tea and coffee which often involve milk and sugar!!
Fat Burning Exercise – Dietary changes will often produce slow and steady weight loss but if you really want to boot it up walking an hour a day is the key. The first 20 minutes you burn up the glycogen in your muscles and then your blood glucose but around 30-35 minutes you start burning fat. Consistently I have seen a significant improvement in results with adding regular walks to the program – in one case the client walked every morning and lost 7kg in 6 weeks.
Get enough protein – how much is enough? To maintain your weight you need about 0.8g per kilo daily. BUT for weight loss you need to increase it to 1.2g per day. The protein is based on the desired weight so if you want to get to 60kg you need to eat 72g of protein a day. That is the equivilant of 2 eggs, a small can of tuna and a small chicken breast. Generally animal products are about 20-25% protein whereas plant based sources are around 10% so effectively you need to double up.
Main meal at lunch eating your big meal in the middle of the day gives you a chance to really fuel yourself well for an afternoon of work but also plenty of time to really digest the meal.
Fasting – this can be a good way to give your program a boost. Usually I would recommend starting with a 12 hour fast between dinner and breakfast. For details on who would do well with longer periods of fasting have a look at my recent blog Is Fasting For Me .
I have had a few other tips from friends and colleagues – one of my favourites was to diet when your partner was away and empty the fridge so you can’t snack on unhealthy options. Do you have any tips on weight loss? Please share in the comments section below.
Christine Pope is an experienced Naturopath and Nutritionist based at Elemental Health at St Ives. You can make appointments on 02 8084 0081 or through the website at www,elementalhealth.net.au .
For many years skin problems were one of the more difficult conditions that I saw in clinic. Whether it was tinea, rashes, acne or excema often treatment can be lengthy and involve significant dietary change. Also I find it can often flare up as you are detoxing and this requires careful management.
Skin is the largest organ of the body and performs an important role in detoxification, so if you are eating badly it will show up on the skin. Even when you improve your eating patterns it may take 4-6 weeks to show changes as it takes time to work through your system, to reduce inflammation and ultimately to heal.
So what you say, I have a really good diet but I still have skin problems ? Well fabulous that you have sorted out diet but ideally this comes down to identifying the underlying triggers for your skin issues. Usually I find it comes down to one of the following ;
“My excema is always bad when I am stressed ” In this case stress hormones are hijacking your system and simply addressing the skin isn’t going to be enough. Often the strategy here is to use lifestyle interventions to manage the stress – yoga, meditation, reframing exercises as well as using appropriate supplements to support the adrenals and manage the skin. People who are stressed are usually more acidic so alkalising nutrients such as lots of vegetables work well or supplements with magnesium and potassium.
My skin it so itchy but I really don’t know why? It doesn’t seem to matter what I eat or what products I use on it! Two big areas here – one in exposure to foods or external triggers which are incompatible with your system. In this case I usually look at the Bio Compatability Hair Test to identify potential triggers and determine what is causing the reaction for that person.
The skin problems only seem to happen at a certain time of year ??? Yes it could be a particular stressor (like a big family Christmas) but in this case its important to be an environmental detective. Even in dry winters its possible that the house has underlying damp and mould and this can create havoc for people who are sensitive. However it could also be a seasonal intolerance to a particular plant – apparently although wattle gets blamed for a lot of hayfever its not usually the suspect as the particles are too big. Apparently grass and dust are more common allergens. If mould is the underlying issue its important that it be treated appropriately and there are specialists in its detection and removal.
My tinea flares up whenever I drink a lot! This is often related to an underlying candida overgrowth which feeds off sugar – alcohol is literally liquid sugar in many cases. Apart from sticking to spirits with lime and soda and not lemonade or coke (which is not very good naturopathic advice but it does help) its important to treat the underlying fungal picture. Foods which are good sources of anti-fungal compounds include coconut oil and garlic, however I usually find a combination of approriate herbs and essential oils is faster at cleaning up the tinea.
Not only do I have rashes constantly but I am also really anxious or down. This can be related to an excess of copper in relation to zinc which reduces your ability to break down histamine and mount an appropriate immune response. In my first consultation I always include my inhouse minerals analysis tool – Oligoscan – and this can detect these imbalances. The other option is hair tissue minerals analysis which does take a little time.
My baby is completely breast fed and yet he still has excema? Well unfortunately this means Mum is probably consuming something that doesn’t agree with her system and bubs is reacting. It probably started with a colicky whiny baby and has now progressed. If this is the case its essential for Mum to eliminate any foods she reacts to and monitoring the impact this has on bubs. Usually within 2-4 weeks you can expect good resolution if you know what your triggers are. Occassionally it may be the baby care products that could be causing a reaction but its much more common that it’s Mum’s diet. Its always a bit tough since a new breastfeeding mother has a large appetite and probably not a lot of energy for lots of cooking as well as all the other chores she now gets to enjoy, however longer term it makes for a much happier baby and Mum!
The first suggestion I would make is to ideally keep a food diary for a week and track your reactions to what you are eating. Record not only what you are eating and drinking but also whether you feel tired or energised afterwards. Keep note of what is happening with your stomach as well particularly if you have urgency or constipation after a particular meal or are suffering bloating or reflux. Note how your mood is impacted by what is happening as well. Over a week you should start to see patterns emerging that will help you detect which foods are a problem for you.
If that doesn’t shine any clarity on it for you take your food diary to a naturopath or nutritionist and ask them for help. My clinic is at St Ives in Sydney and you can make appointments on 8084 0081.
Research shows that on average probiotics last 13 to 17 days in the gastrointestinal tract which means that, whilst it is a good strategy in the short term to crowd out problematic bacteria, the reality is that diet is the best way to improve your gut flora.
So what do you need to do to feed your gut bacteria right?
At least 6 serves of veggies and 2-3 pieces of fruit daily! Why? The resistant starch as well as pectins found in these foods provides a good source of food for gut bacteria so you need to make sure that your diet includes sufficient to feed them well.
Take probioitic strains that you may be low in – many people use a Comprehensive Digestive Stool analysis (CDSA) to see if they are low in specific strains.
Know your yoghurts – Whilst most claim that they contain beneficial strains only Vaalia and Activa have been tested and have verifiable claims. Vaalia yoghurt contains three beneficial strains which seems to generate good results at approximately half a cup a day. Most people who are lactose intolerant can cope with approximately half a cup.
Spirulina, green tea and almonds have been shown to increase the levels of Lactobacilli – green tea also may increase fat burning and almonds are a good source of essential fatty acids.
Bifidobacteria can be assisted by eating raw carrots and brown rice – which also provide a source of good fibre for the gut.
Fermented Foods like sauerkraut, kim-chi and cabbage are another proven method to improve gut health and flora as well as added benefits such as – reducing pesticide residue, helping metabolise hormones and reducing anti-nutrients while increasing the concentration of key nutrients such as niacin by up to 175%!
You might find more useful information in a recent blog on Prebiotics versus probiotics.
Christine Pope is a nutritionist and homeopath based at Elemental Health at St Ives. Her focus in clinical practice is on improving gut health as it is critical to improving overall wellbeing.
Australia Day we added a couple of days leave creating a long weekend and headed up to the Blue Mountains. Being strictly gluten free I did some research before I left and came up with an impressive list of options. Unfortunately the definition of gluten free varied widely. So here are some tips for aspiring cafes and restaurants.
1. Having gluten free bread available is nice but it doesn’t make for gluten free options . We particularly enjoyed the gluten free high tea at the Hydro Majestic because we got to enjoy lots of delicious options which were all gluten free. They even toasted the bread which is essential when you are dealing with gluten free bread. A particular highlight was a raspberry macaroon served with fresh raspberries. Just wish they could sort out the gluten free scones – there are some great options around and they are an essential part of a high tea. Also just remember if you do provide gluten free bread then be careful about cross contamination with food handling.
2. Provide real gluten free options. At Anonymous Cafe at Blackheath the gluten free breakfast options included gluten free toast, spiced pumpkin loaf and a gluten free muesli. The spiced pumpkin loaf was served with marscopone and jam and was a delicious option.
3. Remember people who are gluten free often have multiple intolerances including dairy and egg so ideally include options which don’t double down on the intolerances. Great breakfast options could include adding a vegetable hash with optional inclusions such as salmon, egg or bacon.The Conservation Hut at Wentworth Falls offered a smoked trout hash with a poached egg and was happy to leave it off when requested.
4. Educate your staff about your menu’s. At one restaurant which will not be named I was asked by one waitress whether potatoes were gluten free? She then advised that only two of the main courses were options but subsequently a different staff member then told me that everything could be made gluten free. This was a bit misleading as it turned out they removed the portion of the meal that required gluten. For dessert it was actually the crumble part of the peach and apple crumble and it would have been nice to know that half the dessert would not be included. Its so easy to make gluten free crumble mix – any mix of almond meal, brown sugar, quinoa or rice flakes would work well.
By contrast we also enjoyed dinner at Vesta‘s in Blackhealth where the waitress not only could tell you what was possible in terms of gluten free but provided options such as flaxseed crisp to enjoy with the pate on the charcuterie board. The small board made a good sized entree between two people and included a pate and a terrine as well as some meats and excellent pickled vegetables.
5. Mark the menu with the gluten free and other options, such as vegetarian. This means when you search menu’s its easy to see if there are real gluten free options and quickly identify what they are. The Ori Cafeat Springwood and Papadino’sat Katoomba both have well marked menu’s with a good range of options. The night we ate at Papadino’s the specials board even included a gluten free gnocchi. It was served with a Napolitana sauce which was quite garlicky but also delicious.
Christine Pope is a Nutritionist and Homeopath who practices at Elemental Health at St Ives. If you need help managing food intolerances or just some good restaurant recommendations you can make an appointment on 8084 0081 or book online .
If you constantly have an upset stomach, headaches or skin problems chances are you have thought about whether something you were eating was triggering your symptoms. So what options are there for finding out whether a food is upsetting you ?
The medical testing for allergies consists of either skin prick testing to determine if a substance provokes a reaction or blood testing for antibodies to Immunoglobulin E known as RAST testing. Naturopathically there are a number of other options including an Elimination Diet, Food Intolerance Panel or Bio Compatability Hair Testing. So what are the advantages of each of these forms of testing ?
Skin prick testing involves scratching the skin with a range of allergens to see what generates a reaction. Usually done by a specialist you do need to be under supervision if a topical reaction causes full on anaphylaxis to an allergen so that you can be treated appropriately. Understandably many parents are not enthusiastic about this option however it does accurately identify true allergens. A blood test to detect antibodies can be done where the skin prick testing is too invasive. It detects antibodies to specific allergens such as dust, pollens and foods.
Another option for determining intolerances is to use an elimination diet. Basically you eat very simple plain foods for 7-10 days and then gradually introduce new foods to determine if it provokes a reaction. The elimination diet generally takes up to 6 weeks but has the advantage of being focussed on real food. Ideally you would also exclude any of the foods below that triggered a reaction.
What you can eat on a food sensitivity elimination diet:
Vegetables, well-washed (preferably organic), eliminate nightshade vegetable (such as eggplant,tomato and capsicum) if you suspect they are a problem
Fruits, well-washed (preferably organic), start with berries initially
Meat and fish (preferably organic and free range meats and wild fish)
Fats and seasonings – Extra-virgin coconut oil for cooking, and extra-virgin olive oil for dressings and other low-temperature applications, sea salt, herbs
Drink: only water (filtered if possible)
Naturopaths often conduct a food intolerance panel which looks for an immunoglobulin G reaction. It’s useful but will usually only tell you about foods you have been eating in the past few months. So if you haven’t had wheat for a year it may not show up.
Recently I have also looked at Biocompatibility Hair Testing conducted by Naturopathic Services. It has the advantage of not requiring a blood test and covers 500 widely available foods including a significant list of health foods. The test is reasonably priced and far less invasive for young children. It also has the advantage of covering foods which the client isn’t currently consuming. Blood testing will only reveal antibodies to a food that you are currently eating.
Other practitioners I know who use the test advised that it was making a big difference in cases involving skin and irritable bowel syndrome, two conditions I see frequently in clinic. Certainly in the last few months I am already seeing some significant changes in symptoms simply from removing aggravating foods from the diet.
If you have any questions about testing for food intolerances email me at Christine@elementalhealth.net.au or you can make an appointment on 8084 0081.
It can be quite tricky travelling when you have a range of food intolerances but even more so when you have a weak gut that is quite reactive. I have put a few tips together for supporting your gut whilst travelling however I would always recommend that you get it in the best shape possible before you go as the ideal way to prepare.
First up how do you just prepare for an extended trip? Make sure you are taking a good quality probiotic for up to two months before you travel to seed your gut with a good range of protective bacteria for your journey and then travel with a heat stable probiotic. If you have quite a few food intolerances ideally do a bit of a heal and seal protocol before travelling which should include high doses of glutamine. Better still a full detox would get your whole system working as well as possible to protect you on the journey.
What are some things you can do to acclimatise your gut when you get to your destination? On an extended journey start consuming the local fermented food – it could be kim chi, sauerkraut or yoghurt but it will help innoculate your bowel with the protective species of your local environment.
Feed the good gut bacteria a range of fruit and vegetables, just remember to stick to cooked or peeled as much as possible as salads which are washed in local water can be very problematic in some regions. Ideally aim for at least six serves of vegetables a day which will optimise your nutrition as well as keeping gut bacteria happy.
For gut protection and repair you can’t go past traditionally made bone broths or stocks. Whether its a miso soup in Japan or just a hearty home made soup, bone broth is a great source of nutrients as well as providing healing ingredients for the gut, such as gelatine. On the off chance that you do pick up a tummy bug the tips in my Stomach aches and pains blog for suitable homeopathic medicines would be helpful reading.
Christine Pope is a nutritionist and homeopath based at Elemental Health at St Ives. Appointments can be made on 8084 0081.