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 Cafe at Springwood and Papadino’s at 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.
This year think about reducing your footprint and making Christmas a little greener. Here are a few suggestions from fellow Naturopaths for you this year.
- Brown Paper Packages – most gift wrapping can’t be recycled so this year use brown paper and some fun stamps or fir sprigs to create an attractive Xmas wrapping. Brown paper is also highly cost effective at $10 for 30m at Officeworx.
- Kris Kringle – avoid buying lots of gifts which may end up in landfill and consider doing a Kris Kringle where everyone draws a name and buys one gift for the person on the list. The best thing about a Kris Kringle is that it saves hours of driving around looking for gifts as well.
- Gift of expertise – is there something you make or bake really well? Consider making some delicious chutney, jam or fermented vegetables in bulk and giving them at Christmas. Berries are in abundance at this time of year so its perfect for making jam. My husband’s Scottish grandmother made the most amazing shortbread and every year she would bulk buy butter when it was on sale to prepare her shortbread at Christmas. It’s still the best shortbread I can remember eating.
- Buy a real tree it has already sequestered some carbon. It is recyclable and in some countries now they run pickup programs to turn them into mulch for parks.
- Shop Local – cut down on the driving and support local businesses. Its also easier to drive to your local shops and pick up all your Christmas food at one time.
- Share the load – if friends or family are running an event offer to bring something like a dip and vegetable platter to help with the catering. That way you have a healthy option to eat and you take a load off your host or hostess.
- Presence is presents – catch up with friends for a cuppa at a local cafe and spend time with them. Maybe put the phone on silent for an hour too unless you need it for pictures of the kids.
- Regiftmas – if you do end up with a number of presents that aren’t really you consider organising regiftmas. Everyone brings a gift they won’t use and puts it in the middle. Then let everyone select one they do want. Alternatively look at giving them to a local charity. Women’s refuges are often happy to receive new toiletries and local charities often appreciate clean unworn clothing.
What is your set point and can you change it? Set Point is a theory that once your weight stabilises the body will use a series of signals to maintain that weight and most people will bounce around a consistent weight plus or minus a couple of kilo’s. When they start reducing weight below the Set Point by more than 2 kilos then they will feel hungrier when it goes above they will more easily be full.
What interferes with these signals? Hyper palatable foods! Doesn’t sound that bad does it? These foods result in cravings for more food and then a round of unsuccessful yo yo dieting which sees overall weight increasing consistently. How do you go about resetting this mechanism and achieving lasting weight loss?
There are a few key principles to achieving lasting weight loss but the first one is avoiding the foods which sabotage our efforts for at least 6 weeks. What are these foods? Well think about what you would least like to miss out on and I can almost guarantee its on the list;
- Ice Cream
- French fries
- Potato chips
- Buttered popcorn
- Breakfast cereal
The combination of fat and carbohydrate is particularly difficult to resist. Add in preservatives and other flavour enhancers and it changes our brain chemistry to crave these foods. Six weeks of avoiding these foods really helps resetting our brain chemistry and provides us with fewer cravings which can sabotage our efforts when we are tired and stressed.
The other key principles for resetting the Set point involve supportive dietary and lifestyle changes. Its critical to ensure the following are included;
- Adequate protein – this is critical to ensuring that you feel full and that your blood sugar is stable. Diets high in carbohydrates result in significant fluctuations in blood sugar and insulin levels.
- Diet breaks – this one was a personal favourite! To ensure that the body doesn’t keep returning to homeostasis or your old Set Point we need to ensure it doesn’t get used to a particular routine and sabotage our efforts. One of the key findings from research is that long term caloric restriction reduces your basal metabolic rate. You either slow down or burn fewer calories. Implementing breaks interferes with these compensatory mechanisms and yields longer term weight loss and maintenance of that fat loss.
- Adequate sleep – whilst it may appear contradictory good quality sleep is actually more critical than exercise. Poor quality sleep reduces willpower, increases appetite and reduces the desire to exercise. In teenagers who were overweight simply increasing sleep resulted in an overall reduction in appetite and decrease in fat mass.
- Regular physical exercise either medium to high intensity. Regular exercise builds mitochondria in the cells. Mitochondria are like little factories which produce energy and the more we have the higher our baseline energy consumption. Research is highlighting that high intensity training can be the best way to build mitochondria so to give your efforts a boost you need to ensure you have 4 to 5 sessions of exercise a week.
- The right diet for you – for some people its low carbohydrate and that is certainly popular at the moment however for other people its low fat. Again the evidence is that either can result in successful weight loss in conjunction with regular exercise and stress management.
Are you ready to try and change your Set Point? Book in for a consultation with Christine Pope at Elemental Health and see how we can work together to change it. Appointments can be made on 8084 0081 or online at the website www.elementalhealth.net.au .
More information about obstacles to weight loss can be found in the recent blog What’s your metabolism blocker ?
Sometimes I think we are dealing with an epidemic of insomnia. The number of people that I see who have problems falling asleep or staying asleep is concerning. Recently I was fortunate enough to go to a seminar by a Sleep Physician which looked at all the research on sleep and I was surprised to find that some of my beliefs around sleep had in fact no basis in reality whereas other areas were more critical than I thought. Let’s start with some of the myths that originated from the Puritans.
- 16 hours awake, 8 hours asleep. This myth originates from a time of the Puritanical work ethic but is the root belief that we need 8 hours of sleep is derived from this time period.
- Sleep before midnight is more valuable – well actually no if you are a night owl trying to get to sleep earlier may result in more stress and less valuable sleep than if you work with your natural time clock. Going to bed at twelve and waking at eight may be a much better fit for you and result in better energy through the day. However if you need to get up early on a regular basis you may need to wind bedtime back to an earlier time to operate effectively.
- Waking is not normal. Actually the evidence shows we start with a deeper sleep cycle that gets progressively lighter and we usually experience up to 4 of these a night. For women over fifty it is normal to have the cycle peak and result in waking at least two to four times a night. Being stressed about waking will probably extend the period between cycles.
- Screens affect sleep . I have always told people that screens in the bedroom are not a healthy option either for their relationships or their sleep patterns. Turns out that it is partially right. TV screens at a distance are actually much less problematic than devices close up, largely due to the blue light of the devices. This blue light triggers wakefulness and can affect sleep adversely. Also the noises that most phone make even on silent can interrupt sleep.
- Eating impacts sleep but primarily if it represents a change in routine. Eating dinner at eight or nine isn’t a problem as long as its your regular option. The body will produce digestive enzymes in accordance with your regular routine. Its only when you change your routine that it may impact your sleep.
- Wake up refreshed actually less than 3% of people wake up like that. For most of us it takes two hours to get to 80% of your cognitive ability. Give yourself time to wake up in the morning before kicking into work mode.
For a lot more useful information about sleep check out the website sleephub.com for a variety of podcasts and other resources. Lets hope in future you wake up more like this.
Hopefully after reviewing these myths and making a few changes you will start to feel as though you are having better quality sleep. If not make an appointment to see me and see how we can work on the causes of poor quality sleep. Appointments can be made on 8084 0081 or online at the website
One of the myths about menopause is that symptoms are related to a deficiency of hormones, either estrogen or progesterone. Yet if that was the case why wouldn’t all women get these symptoms ? My favourite assessment of menopause is that its a “report card” on the last 10 years. That’s great if you have been doing all the right things but it can be problematic if you live in a big city, work full time with kids or have dealt with a lot of stress.
Generally in practice the consistent triggers for menopausal havoc are adrenal fatigue, toxicity, dysbiosis (gut dysfunction), hormonal imbalance, excess weight and inflammation. In the more difficult cases it can be a combination of these factors and that’s why its important to ensure you review all these areas in your initial case taking and think about which areas you need to prioritise.
So how do you decide what’s contributing to your symptoms ?
- Adrenal Fatigue – also known as I am a full time carer, full time worker and full time nanny/housekeeper (also known as Mum) or combination of some or all of the above. Stress initially raises adrenaline to prepare us for fight or flight. Longer term it results in elevated cortisol which may result in fluid retention and weight gain.
- Dysbiosis or gut dysfunction – if your gut isn’t working properly its hard to digest the nutrients you need and also support your liver to detoxify effectively. This will result in hormone imbalance particularly through peri-menopause when the liver is already working harder to detoxify hormones. Signs of gut dysfunction could include flatulence, bloating or reflux. Treatment will often involve identifying and removing food intolerances whilst supporting digestive function to reduce reactivity.
- Toxicity – two big areas areas are Heavy Metals or Endocrine Disruptors which can be a little tricky to determine but think lots of plastics or old fillings (usually amalgams contain mercury and silver). Switch over to glass or BPA free plastic as much as possible to reduce your exposure to endocrine disruptors. Also look at your cosmetics and skin care products to ensure you are minimising your exposure to chemicals and reducing the burden on the liver. One problem with toxicity is that it makes it harder to lose weight as the body will push these toxins into fat and will resist releasing it to protect you.
- Inflammation can be due to carrying excess body fat but can also be due to chronic injuries which trigger constant inflammation in the body. Anti-inflammatory supplements such as fish oil and tumeric can be helpful but exercise has an important role to play here in reducing inflammation as well. Just make sure its not aggravating an existing injury and consider whether you may need more support such as in acqua aerobics in the pool for example which can take pressure off joints.
- Hormonal Imbalance for some women hormones will be imbalanced because of some of the reasons listed above however there are some good herbal and homeopathic options available which can help. The most widely used herbal medicine is probably Vitex or Agnes Castus which can assist women with menopausal symptoms. Usually with herbal medicine and certainly with homeopathic medicines it is preferable to prescribe based on the client’s specific symptoms. In the last few months I have found clients have had relief from symptoms with Glonoine, Sepia and Sulphur homeopathically, its never one size fits all . A 2008 study of 438 women with hot flushes showed a significant improvement in symptoms for 90% of women in the trial (1).
Christine Pope is a Naturopath and Nutritionist based at Elemental Health at St Ives. Appointments can be made on 8084 0081 or online at the website
(1) Treating Hot Flushes in Menopausal Women – an observational study accessed at https://www.ncbi.nlm.nih.gov/pubmed/18194760
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 .
Taking a week out in the sun in Winter is an ideal way to recharge the batteries. This year I went to Fiji for a week with the family and it made such a difference to have a mid year break. The question is how do you keep the batteries charged when you get back?
Think about incorporating some of the relaxing rituals from your holiday into your life on your return or use it as a chance to start eating better. Some useful options to consider could be:
- Daily walks – one thing you tend to do as a tourist is walk, often quite a lot more than you would normally. So once you have started why not keep it up. Walking along the beach is always relaxing and incorporating a weekly beach or bayside walk is ideal. The great thing about walking is you don’t need a lot of equipment and you can always walk to a coffee bar for a convenient top up.
- Being in nature – barefoot on the beach or on your back lawn. Walking the Corso in Manly is a great way to pick up your mood. Spending some time in nature each day really helps us stay grounded.
- Massage or other bodywork – incorporate this into your weekly or monthly schedule to help maintain your self and calm your cortisol. The village adjoining the resort in Fiji offered a one hour massage for about $30 Australian. Easier to afford at this price but with health funds rebating up to $30 for a treatment it could be a good way to add some self care on a regular basis. My clinic at St Ives has three excellent massage therapists offering lymphatic, craniosacral or remedial massage.
- Add greens to your diet. Again something simple and relatively easy to incorporate that will give you long term benefits. My breakfast in Fiji included sautéed okra and spinach, both locally grown so they were really tasty. Try adding spinach to your breakfast omelette or a salad at lunch.
- Eat seasonally it’s often cheaper and the food is usually in peak condition. The imperfect pick section in Harris Farm is usually a good indicator of what’s fresh , seasonal and well priced. At the moment lots of root vegetables and cauliflower as well as citrus and apples and pears.
- Hydrate ! If you can’t find someone to open a coconut for you at least drain the water bottle by lunch. We loved being able to enjoy the coconut water from a freshly opened coconut and then ate the young flesh from inside. Good hydration and good fats!
Christine Pope is an experienced naturopath based at Elemental Health St Ives. Appointments can be made on 8084 0081 or online at the Elemental website .