Building Healthy Bones

Surprisingly large numbers of women (and men) in Australia are being diagnosed with osteopenia or osteoporosis. This is despite a very high rate of dairy consumption in the country. So what is happening and can you build healthy bones as you get older?

There are three major areas that need to be addressed for good bone health, namely exercise, nutrition and lifestyle factors. Most people think about calcium and perhaps Vitamin D but don’t necessarily address the other key areas.

Bones are constantly being broken down and remodeled and this process results in up to 10% of the bone mass of an adult being replaced every year. This means that changes will take time to have an impact but that you can maintain or even improve your existing bone density.

One indication that you have a problem with your bone density can be having a bone fracture easily or having a fracture take a long time to heal. Usually the bone will remodel and repair over 6-8 weeks however if this process takes considerably longer its essential to get your bone density assessed.

Lifestyle factors are an important consideration and conditions which affect absorption such as celiac disease will increase your risk factors. There are also certain medications , such as corticosteroids, which reduce bone density. Other key lifestyle factors are heavy smoking and drinking. Heavy drinking usually results in a range of key nutrient deficiencies and Calcium and Vitamin D are just two that can be impacted.

Photo by Pixabay on Pexels.com

Exercise is critical for bone health and even two hours of regular walking a week can make a difference. Walking causes micro fractures which encourages the process of bone remodeling. Walking needs to be brisk, at a pace where you can speak but not sing! Ideally incorporate some hills and keep stretching yourself.

Weight bearing exercise is also helpful as it can prevent further bone loss and strengthens existing bone. Impact exercise such as aerobics, dancing , tennis and basketball have the benefit of being weight bearing as well as building bone. These are classified as the ideal exercises to build bone however its important to start exercising at an appropriate level and build up slowly.

Nutrition is an area that often gets overlooked or there is a strong focus on calcium containing foods at the expense of synergistic nutrients which assist in bone formation. So how much and what type of nutrients should you be reviewing in your diet?

First up make sure you are absorbing nutrients well. Generally good digestive health is key and this would usually mean that you don’t suffer from reflux, excessive flatulence or belching and that you don’t require medications to manage these conditions. Other indications of poor digestive health can be constipation or diarrhea as in both cases you may be less able to absorb nutrients.

Secondly look at the key minerals required for good bone building. This includes Calcium, Magnesium, Boron, Silicon and Vitamins D and K. In my initial consultations we usually assess these minerals either based on signs and symptoms or further testing as required. How would you know you had a deficiency ? Magnesium for example is a common deficiency and usually results in symptoms like headaches and cramping or an inability to manage stress such that you feel constantly tired but wired! Silicon is a surprisingly common deficiency in Australia and usually results in dull flat looking hair and weak nails.

A good way to introduce more minerals to your diet is to add bone broth ideally made from organic bones. This provides soluble minerals in an easy to digest form. The collagen and gelatine in bone broth is also a gentle treatment for the digestion and may assist in improving the quality of the lining.

Another key nutrient for bone building is protein with about half of the bone comprised of proteins. Very low protein intake can decrease calcium absorption and may affect the rate of bone formation. Very high protein diets can leach calcium from the bone to reduce the acidity in the blood. Up to about 100g of protein from food a day balanced with a good range of vegetables appears to be the right level. Just remember that its 100g of protein and not 100g of protein containing food. For example chicken is about 25% protein so a 200g chicken breast fillet is about 50g of actual protein.(1).

For more information about building healthy bone make an appointment with Christine at Elemental Health on 02 8084 0081.

(1) Beasley JM, LaCroix AZ, Larson JC, Huang Y, Neuhouser ML, Tinker LF, Jackson R, Snetselaar L, Johnson KC, Eaton CB, Prentice RL. Biomarker-calibrated protein intake and bone health in the Women’s Health Initiative clinical trials and observational study. Am J Clin Nutr. 2014 Apr;99(4):934-40. doi: 10.3945/ajcn.113.076786. Epub 2014 Feb 19. PMID: 24552750; PMCID: PMC3953886.

Can you build up sleep pressure?

Good quality sleep means that we can build up enough pressure to induce sleep. It is part of the equation with your circadian rhythm. If you are finding it difficult to get to sleep and stay asleep it may be that you haven’t build up enough sleep pressure.

What stops you building pressure to sleep? The major areas that you can influence are chronic pain, blue light, and stress. Age and genetics also play a part but these factors are less influenceable.

Chronic Pain affects your ability to get to sleep and stay asleep. Lack of sleep can also increase the risk that you develop a chronic pain condition. There are a number of natural medicine options in pain management however it will depend on what medications you are taking. Generally these conditions will be helped by regular gentle movement. Supplements which can be helpful include high strength fish oils, curcumin and PEA.

It can also be helpful to manage chronic pain with regular bodywork such as osteopathy or massage. If you are very sensitive it can be worthwhile to look at gentle treatments such as craniosacral therapy or lymphatic massage.

Most people seem to know that they shouldn’t use devices in bed but don’t necessarily realise that using the devices for up to 3 hours before bed may affect their sleep. How does it do that? At night the body increases its production of melatonin, this helps activate and maintain sleep. The blue light emitted by your device signals the brain that it is still daytime and can delay production of melatonin for 1-3 hours. Ideally stop using your phone or other device at least 1-2 hours before bed. Watching TV from a distance of up to 2 metres and looking away every 20 minutes can be a good way to reduce the impact.

Some non- pharmaceutical options for blue light exposure include wearing anber reading lenses two hours before bed which improved sleep quality after just a week. Getting morning sunlight has also been shown to be helpful in resetting the circadian rhythm. the nutrient lutein and Zeaxanthin assist in filtering blue light. These nutrients are found in green leafy vegetables and egg yolks.

Stress is of course another big area for interrupting sleep. Chronic long term stress elevates cortisol and can result in the pattern of early morning waking (4-5) and difficulty getting back to sleep. Stressors are different for different people but two of the most common concerns at the moment are unrewarding jobs and anxiety about health. Generally being in a job where your efforts are not rewarded can be a source of ongoing stress.

There are a number of stressors which result in a job being perceived as unrewarding and surprisingly its not about dollars for many people. A British study by Micheal Marmot found that cardiovascular risk as a marker for stress was not highest amongst those at the top but actually lower. It actually correlated with the amount of control that people had over their work and working environment. It is essential to build in processes that allow people flexibility in their work and increase their control as well as avoiding micro management. If you are in an environment where your work is subject to rigid control and micro management it can be worthwhile looking at whether changes can be made.

The second area of anxiety for many people is anxiety about health and this can be particularly acute when a “pandemic” is declared. Worse still with the media constantly triggering you with daily corona counting it can be difficult to stay calm. If this is affecting you generally staying off social media and looking at some routines to calm your brain such as meditation can be helpful. There are a couple of useful apps in this regards including Calm and my current favourite Gaia, which has a range of meditations as well as yoga classes. Still its ideal to do this a couple of hours before bed and avoid screen time before bed as recommended.

The other way to reduce your anxiety about health is to ensure all your regular health checks are up to date and there is no physical reason for the anxiety. For some people who may be prediabetic or insulin resistant difficulties with blood sugar can result in problems with sleep. It can be a good idea to not only get a fasting blood glucose test done annually but also consider whether a more comprehensive test like a 2 hour glucose tolerance test may provide more insight. Frequently in clinic the problems are early stage and occurring at the one to two hour mark.

Reducing caffeine intake and incorporating some carminative herbs can also be useful and you could substitute some calming chamomile tea or peppermint tea as an alternative. These teas before bed could assist in improving sleep pressure.

For more information about sleep have a look at 6 Sleep Myths Debunked .

Christine Pope is a naturopath and nutritionist based at Elemental Health St Ives. If you would like more help with identifying the causes of your poor quality sleep and modifying them you can book in for appointments on 02 8084 0081.

How to support detox pathways with food

Detox is a naturopathic protocol that can be really helpful to restore effective function. Its basic aim is to assist your liver and kidneys so that they can remove toxins that you are exposed to in your diet and through your environment. Typically detox is recommended to support clients when they struggle with hormonal imbalance, find it difficult to lose weight or are suffering from allergies or poor digestive health.

The liver is responsible for processing food and a range of substances that we are exposed to through our diet and lifestyle. There are three phases and six pathways that support our ability to remove toxins from the body and in this blog you will find out how to support them with food. These processes convert toxins which are usually fat soluble into water soluble substances which can then be excreted through sweat, urine or stool.

First up what are the three phases and what do they do? The first phase uses enzymes called Cytochrome P450 to modify substances which produces free radicals. The second phase detoxifies these substances so they can be removed from the body. This relies on the six pathways known as Methylation, Glucoronidation, Sulfation, Acetylation, Glutathione Conjugation and Glycination. These are the pathways we can support with either food or supplements.

The third phase reduces our toxic load within the Small Intestine and supports the elimination of xenobiotics (hormone like substances).

Supporting these six pathways for detoxification requires a range of nutrients so lets focus on what foods are most helpful for you.

  1. Methylation

This process involves adding a methyl group made up of Carbon with three Hydrogen atoms. This makes the substance water soluble. The process requires B vitamins but in particular folic acid or folate. Good sources of folate include dark green vegetables such as leafy greens and asparagus.

2. Glucoronidation

This pathway is particularly important as it metabolises about 35% of the drugs prescribed and it requires the body to produce glucuronic acid. Fish oils and limonene which is found in citrus peel may activate this pathway. Ideally oily fish are a good source but the preference would be to use small oily fish like sardines. Green tea is also a good promoter of this pathway ideally try and use organic options as much as possible.

3. Sulfation

This pathway is critical for detoxifying steroid hormones, bile acids and neurotransmitters. Sulfation requires sulfur containing amino acids which are usually found in protein containing foods. In addition an adequate level of molybdenum is required. The best sources of molybdenum are found in legumes such as chickpeas, lentils and beans. For some people who don’t tolerate legumes, nuts and liver are other good quality sources.

4. Acetylation

Vitamin B1, B5 and Vitamin C are essential for this phase. Good quality sources of Vitamin C include citrus fruits and in particular oranges. Brightly coloured vegetables, such as capsicum, and berrries such as strawberries are also good Vitamin C sources.

5. Glutathione Conjugation

Glutathione is an important antioxidant for the liver as well as supporting conjugation through the liver. Glutathione is made up of three peptides glutamine, cysteine and glycine. It is also activated by sulphorophane which is found in brassica vegetables, like cabbage and broccoli sprouts. Cabbage is also high in glutamine.

6. Glycination

This process involves the addition of amino acids to aid in the process of conjugation. Diets low in protein often result in a reduction in our ability to eliminate toxins. Good quality protein sources are important to assist in this pathway and this does include both meat based protein as well as vegetarian options such as legumes, tofu and eggs.

Ultimately supporting effective detoxification requires good quality protein sources, green leafy, multi coloured and brassica vegetables as well as legumes and fruit like berries.

If you would like more information on detoxification, or simply to understand if it can assist you, join me online for my detoxification webinar series. The next program opens on the 28th October and you can book in on this link . Alternatively if you would like to discuss how whether detox is appropriate for you you can make an appointment on (02) 8084 0081 or online.

For more blogs on detoxification you might like to read the following;

  1. Getting ready to detox
  2. Detoxing is it for me?
  3. What are the best vegetables for feeding your gut?

How to look after frequently washed hands

Frequent hand washing and use of hand sanitiser does seem to be doing an excellent job of reducing infection rates but it also come at a cost for many people’s skin.

So what are your options? Well conventional wisdom would suggest that moisturising is the solution however most creams really only provide a barrier. Its also not really practical to moisturise every time you wash your hands and it may remove some of the benefits.

Focussing on skin quality needs to be addressed from two perspectives topical and internal. Topical options can include lotions, creams, ointments or oils. There are advantages and disadvantages to each however first up make sure that the ingredients include water, glycerol and natural oils amongst the first five ingredients. Glycerol or glycerin is important to keep the moisture in the skin.

The major difference between each of these different types of cream is the water content. Lotions have a high percentage of water with a base that helps it emulisfy. Creams are a lower percentage of water, ointments much less and oils usually just contain an oil in an appropriate base. People with oilier skins benefit from lighter lotions or creams, however in the case of cracked dry skin ideally you need to start with a more dense cream or an ointment or oil.

For healing dry and cracked skin you want to choose a product that has a reasonable oil content as well as having therapeutic ingredients. Weleda make a range of creams based on Calendula and the research shows that at abou 0.9% content it can reduce redness and cracking. It will also assist in wound healing and can be invaluable in replacing the natural protective barriers in the skin. The only caution with Calendula topically would be if you are sensitive to the Asteracae plant family. To minimise the risk I would always recommend patch testing a small spot before widespread use.

Very dry skin might really benefit from the therapeutic use of plant oils such as Carrot or Sesame which are naturally high in Carotenoids and Vitamin E. The oil will assist in holding moisture in the skin and it would be ideal to use it at the end of the day to maximise the benefit.

The other critical aspect is the support of the skin membrane. Ideally you need to ensure that to repair good quality skin your diet is rich in essential fatty acids and you maintain water intake. Each cell is composed of a bi-layer of essential fatty acids and without adequate intake of fats its not possible to repair already damaged skin. Look at your diet including good quality fish, olive oil, coconut oil, avocado and nuts and seeds. If your skin is very dry chances are you are not consuming enough or you are not breaking it down effectively. People with low bile acids often have difficulty with absorbing fats and there are several ways to support digestion to address this.

Christine Pope is a Naturopath and Nutritionist based at Elemental Health at St Ives. Currently available in person at the clinic or by audiovisual means if you are self-isolating. You can make appointments on (02) 8084 0081 or online at the clinic website at www.elementalhealth.net.au .

Easter cooking gluten free.

This Easter weekend with so many of us stuck at home it could be a good time to try your hand at cooking a few new things themed around the holiday. For example fish pie for Good Friday which is usually a fasting day in Catholic households which translates as no meat. Saturday could be about some gluten free hot cross buns and Sunday might be time to get out the big guns with some gorgeous sides for the prawns and ham. Monday you will probably be living on leftovers but these easy banana muffins could be a nice addition to breakfast or afternoon tea.

The fish pie recipe is from Taste.com and uses almond milk in place of dairy. The gluten free hot cross bun recipe is from the Healthy Chef. Some healthy sides for Easter could include the following;

Roast vegetables with chili jam

  • 1 large sweet potato
  • 2 red and 2 yellow capsicum
  • 4 medium tomatoes
  • 2 large carrots
  • 2 medium zuchini

Slice vegetables thinly and halve tomatoes. Spray with olive oil and bake uncovered in hot oven 20 minutes. (200 C) Turn and cook for a further 10 minutes.

Chilli Jam

  • 1 medium onion chopped finely
  • 2 crushed garlic cloves
  • 4 large tomatoes seeded and chopped
  • 1/4 cup chopped basil
  • 1/2 cup red wine vinegar
  • 80ml dry sherry
  • 2 chilis seeded and chopped
  • 3/4 cup raw sugar

Combine ingredients in large pan and bring to boil. Reduce to a simmer for 30 minutes or until thickened, stirring occasionally. Serve with roast vegetables.

French beans provencale

  • 500 g green beans
  • olive oil
  • 1 clove garlic
  • 2 tsp parsley

Wash beans, top and tail. Steam until tender Meanwhile heat oil in saucepan , stir in garlic and parsley and a pinch of salt. Add beans and toss until well combined.

Warm Cherry Tomato Salad

  • Olive Oil
  • 2 Tablesp Honey
  • 1 Tblesp oregano, tarragon and basil
  • 1 sliced onion
  • 6 shallots
  • 2 punnets cherry tomatoes
  • Vinaigrette – 2 Tblesp Balsamic, 1 Tblesp Olive Oil and 1 tsp mustard.

Heat oil stir in honey and herbs. Add onion and brown stirring constantly.. Lower heat and add tomatoes and stir gently. Serve warm and sprinkle with vinaigrette and chopped basil.

Vinaigrette – combine oil and mustard and beat in balsamic vinegar.

Gluten Free Banana Muffins

  • 1 tsp vanilla essence (add to sugar)
  • 50 g butter
  • 3 mashed bananas
  • 1 1/2 cups gluten free self raising flour or 1 cup gluten free self raising flour plus 1/2 cup of almond meal or coconut flour (coconut gives it a nice moisture)
  • 1 egg
  • 1/4 cup choc chips preferably dairy free (or 1/2 cup frozen raspberries)
  • 1/2 cup sugar

Melt butter, mix in sugar and then egg. Add in alternately flour and bananas and stir well. Then add in the choc chips. Spoon mixture into 12 muffin cases or greased muffin tray. Cook 15-20 minutes at 180 Celsius. Muffins should be lightly browned when cooked.

Christine Pope is a naturopath and nutritionist who practices at Elemental Health at St Ives. Her favourite tool for finding new recipes is googling ingredients.

Meal Plan Week Two

Following on from the previous blog (Meal Plan Week One) I am documenting some healthy eating suggestions for my family as I am still not able to prepare food easily. Well I can prep some things but lifting and bending is still challenging post surgery.

This week’s meal plan included the following ideas;

Simple Potato Curry

One or two tablespoons curry paste ( two if you prefer it spicy),
1 tsp each cumin, mustard, ginger and garlic
One onion
2 potatoes
1 piece sweet potato or pumpkin or 2 carrots
2 red capsicum
1 eggplant
2 zucchini
1 can chopped tomatoes
1 can coconut milk
Add a little oil to the pan and a chopped onion plus the spices. Fry the onion in the spices. Add two potatoes, a quarter pumpkin, two red capsicum (scrub potatoes, don’t peel – less work and better for you). Cut all the vegetables about the same size – for instance, in quarters.

Chop and slice salted eggplant and two zucchini. (Before you use eggplant – slice it, pour salt on it and then after 10 minutes wash it off). Stir this through, add a can of chopped tomatoes, cover for 20 minutes, cook on low heat. Check that the potatoes are getting soft. Add a small can of coconut milk and simmer for a further 5 mins before serving.

Variations: add a bunch of spinach (chopped) or Chinese cabbage a few minutes before its finished cooking.Leftovers will make another meal with a tin of legumes or chickpeas added.

Chicken Caesar Salad

  • 300 g cooked chicken breast fillet
  • 2 panini diced (or 3-4 slices of gluten free bread)
  • 3 Tablespoons of Aoili
  • 1 Large Cos lettuce cut into bite size pieces
  • 4 slices of prosciutto
  • Grated parmesan (optional)

Lightly spray panini or bread cubes with olive oil. Brown in oven for 8-10 minutes at 180C. Allow to cool. Place prosciutto on a non stick tray or on baking paper and also cook until crisp, approx 7-10 minutes at 180C.

Place cos lettuce cut into bite size pieces in a large salad bowl and toss with Aoili until it is spread through the lettuce. Layer on cooked chicken, prosciutto and croutons and if desired grated parmesan.

Christine Pope is a naturopath and nutritionist who is based at Elemental Health St Ives. You can make appointments on 8084 0081 or online at http://www.elementalhealth.net.au .

Five easy lunch salads

One of the best things about finishing school in my view was the end of boring sandwiches for lunch. There is no reason that this needs to be the only option and having a variety of easy salads for lunches can be a good way to improve your child’s diet as well as adding some variety. There are a few salads it’s easy to pack for lunches and if you can add a small ice brick to the lunch box it can be kept cool as well.

What would I recommend ? These are my top 5 for the lunch box.

  1. Easy Chicken Caesar.
  2. Wombok with grilled chicken
  3. Tuna nicoise salad – this is an easy version from Delicious. Roasted potatoes can easily be substituted for the boiled version and add more flavour.
  4. Mexican rice salad
  5. Ham and corn pasta salad – a simple favourite from Taste.com and I usually try and use good quality ham off the bone to give it better flavour.

Easy Chicken Caesar

  • 300g chicken tenders
  • 1 Cos Lettuce
  • 100g proscuitto
  • 2-3 slices of old bread
  • 1/4 cup Aoili mayonaise (or plain mayonaise with 1 clove crushed garlic)

Grill chicken tenders until golden brown and set aside to cool. On a baking tray lightly oiled cook the prosciutto and diced bread at 180C for 8-10 minutes. Prosciutto should be crispy and able to be flaked across the salad. Wash the cos lettuce well and spin dry and then cut into 2 cm slices. Combine lettuce, prosciutto and dressing and serve with grilled chicken and croutons. For the lunch box it may be better to package the croutons separately and add just before eating. (Makes 2 serves).

Wombok with grilled chicken

  • ½ wombok (Chinese) cabbage
  • 2 carrots
  • 1 red capsicum
  • 2 stalks celery or 100g beans sliced
  • 100 g snowpeas or a small can of corn
  • Juice of one lemon
  • Olive Oil (2-3 tblesp)
  • White wine vinegar (1/4 cup)
  • 1 ttblsp each of soy sauce and sesame oil

Cut up finely and toss together. Finely sliced vegetables enhance each others flavour.

Combine the lemon juice, olive oil, soy sauce, sesame oil and white wine vinegar and toss through the salad. The more robust vegetables keep well and you could easily have this as a side with dinner with leftovers for lunch the next day. Just add shredded chicken (150g per person) and make sure you drain well before storing.

Mexican Rice Salad

1 cup cooked rice

1 can of black beans washed and drained

1 small can of corn

1 red capsicum diced

1 punnet cherry tomatoes halved

1 avocado diced

Dressing : 2 Tablespoons of lime juice and 1/4 cup olive oil

Combine ingredients including dressing and mix well.

A nice addition to this recipe is a small bag of corn chips or a tortilla.

Christine Pope is a naturopath and nutritionist based at Elemental Health at St Ives. She typically tries to send her family with leftovers for lunch the next day and it probably works 3 days of the week! Appointments can be made on 8084 0081.

A Gluten and Dairy Free Christmas

Whilst organising a Christmas menu around allergens may seem a little challenging the basics such as prawns, ham and turkey don’t require a lot of modification apart from finding a suitable stuffing! Mince pies and puddings require more significant modifications.

One significant issue is the ratio of stuffing to turkey. This recipe for stuffing cups from Donna Hay is a great solution to that option. I have made it by substituting gluten free breadcrumbs and nuttelex (for the butter) and they work really well. Just make sure your pancetta is gluten free too!

The side dishes for Christmas can be a range of salads or hot dishes, there are some useful suggestions in my blog on Four easy ways to add Brassica vegetables to your meals. Salad options with a dressing based on either mayonnaise (no dairy) or oil and vinegar can also be a good way to add vegetables and variety to the day.

Focussing on baking these are my two essential Christmas recipes and they are both from my Mum!

Mince pies (Makes approx 36)

Fruit mince – I jar

Sweet Shortcrust Pastry

2 1/2 cups of gluten free flour,

1/2 cup castor sugar ,

185g butter (or Nuttelex for milk protein allergies)

2 eggs.

Combine butter and sugar, add flour until mix is like crumbs and then mix through egg to combine. Put on a floured surface and loosely knead. Wrap and chill in fridge for an hour before using.

Rollout pastry between two sheets of baking paper or on a floured surface. Cut into small rounds and use half for the base and the remainder for the lids. Spoon a heaped teaspoon of fruit mince into each pie and then seal lids by pinching the pastry together. Cook at 180C for 12-15 minutes.

Christmas Pudding

250 g each raisins, currants, sultanas and 60 g peel

1 1/4 cups brown sugar

4 eggs

1 cup plain gluten free flour

3 Tblspn Rum

250 g Butter or Nuttelex (Dairy Free)

2 cups soft breadcrumbs from gluten free loaf

Rind of an orange and a lemon

1/2 tsp each salt, mixed spice, nutmeg, ginger, cinnamon and bicarb soda.

Chop raisins and peel, add other fruit and combine with rum. Leave covered overnight.

Cream butter, sugar and fruit rind. Add eggs slowly beating each in well then stir in fruit in alternation with the sifted flour and spices and breadcrumbs.

Place in greased pudding dish. Cover with foil and simmer for 6 hours. Keep water level about half way up the pudding bowl and check levels regularly.

Serves 10-12 people.

Ideal to serve with Coconut Milk icecream such as Over the Moo Vanilla Bean or Coyo Vanilla or Vanilla Bean and Nutmeg.

Carrots – seasonal veggie inspirations

Carrots are a versatile vegetable and nutritionally a great source of Beta-Carotene, Vitamins B6 and K as well as minerals such as potassium . The beta carotene in carrots can be converted to Vitamin A. They are also good food for the microbiome as the soluble starch in carrots is largely pectin.

Carrots have the advantage of being ideal raw or cooked. Carrots are available year round and are usually very reasonably priced so a great addition to the weekly shop.

How do you include carrots in your meal plan? Well in addition to being a great side dish on their own they combine well with so many flavours to add to a meal. Often the base of many casseroles or pasta sauce is to start by sauteeing carrot and onion as these “fragrant” vegetables add to the flavour profile of a dish. Adding a carrot can be a good way to increase the quantity of vegetables in a dish.

Here is a list of recipe suggestions for including more carrots in your cooking. Some of these are from recent blogs and others are just recipes I use all the time at home. Carrots are also a favourite to add to roasts as they absorb flavours beautifully specially if you cook them with the lamb or chicken.

Turkey Mince bolognaise – turkey mince is a good light option for pasta sauce.

Carrot and Apple Salad – an easy and quick combination from Carol Ray with walnuts and a lemony dressing. A nice change from coleslaw.

Carrot Pumpkin and Coriander Dip this is a slightly spicier combination but makes a really interesting change from humuus.

Carrot and Onion Side Dish

  • 500 g carrots peeled and cut into rings
  • 2 brown onions peeled and sliced in thick rings
  • 2 Tblsp fresh chopped continental parsley
  • Olive Oil

Steam carrots lightly for 3-4 minutes so they are still crisp but cooked. Saute onions in olive oil for 3-4 minutes until clear and then add carrots. Saute for 2-3 minutes. Serve with chopped continental parsley.

My favourite way to serve carrots is roasted however this combination with roasted parsnip (Maple roasted carrots and parsnip) is simple and a delicious way to get children to eat more vegetables as well.

Christine Pope is a naturopath and nutritionist based at Elemental Health St Ives. You can make an appointment on 8084 0081 or online.

Is your house making you sick?

How would you know if your house is making you ill ? Symptoms can be really diverse and include allergies, fatigue, sleep disturbances and less common symptoms like multiple chemical sensitivity and infertility. To really determine whether its related to the environment you need to look at a detailed history.

The acronmyn for the history taking is PHOLD which stands for place, hobbies, occupation, lifestyle, dental, diet and drugs. So lets look at how the first issue ,place, can contribute to making you ill.

Place – your geography and your home. From everyday exposures such as living on a major road and being exposed to high levels of petroleum by products to living near an airport or a coal mine, your geography increases your risks. Both of those locations create a toxic environment in the house and are associated with a higher incidence of asthma for example.

Another common issue is mould particularly in Sydney with its high ambient humidity in Summer. Often you can smell that a house is damp or musty as you walk in. The cause of the mould is often moisture or leaks that have not been treated quickly. Other examples can include old bathrooms where the waterproof membrane has decayed and mould has built up behind the tiles and fittings. In Sydney roof leaks and rising damp often contribute to problems particularly in older houses. Mould spores whether dead or alive can contribute to chronic respiratory problems, like allergies or asthma.

Another increasingly common challenge for people is EMF fields particularly from smart meters for monitoring electrical use. People who are sensitive to these fields may find that they need to move away from the smart meter to improve their sleep. For people who are very sensitive to electro magnetic radiation it is also a good idea to switch off the wi-fi overnight. It will become increasingly more difficult to remove these sources as we switch to 5G so it is a good idea to reduce your exposures wherever possible. This could mean using headphones for the phone or the speaker where possible.

Within the context of the home its also important to consider hobbies which can involve exposure to toxins or chemicals on a regular basis. Artists for example are constantly exposed to a plethora of chemical solvents, photochemicals, and chemical additives. If you are planning to become pregnant it is important to be aware of the dangers that exist when working with various arts & crafts. Hobbies that involve the handling of dyes, pigments, metals, ceramics, glass, and chemical solvents create the potential for toxic exposure.

If you are not sure whether the home environment is contributing to ill health you can get a building biologist to do a review and advise you of concerns. This is a good starting spot and the Australian College of Environmental Studies has a list on its site if you need a referral. If you are unsure as to whether the house is the problem make sure that the next time you holiday away from home you really observe how you are feeling and it may shed some light on the issue. Certainly I know people who have told me they are always better when they are on holidays, however it may be that they are away from their mouldy house !

Constructing a timeline can often help you determine if it is related to the location or if something in the environment triggered the issue originally.

If you need a bit of assistance determining the causes Christine Pope is based at St Ives and available for appointments on 8084 0081.