Six ways to easily add six serves of vegetables to your day

Broccolini mushrooms and halloumi

Some days in clinic vegetables are my main point of focus. For so many people they tend to eat a lot of grains, toast, cereal and pasta but they are consistently light on vegetables. Fundamentally diet is 70% of the battle in maintaining good health and one of the best strategies long term is to have three cups of vegetables in your diet daily (1/2 cup = one serve of vegetables). Many people find it difficult to design a menu that enables them to meet the three cups so in this blog I am sharing some of my best suggestions for increasing the vegetables in your diet.

  • Start with veggies at breakfast. Add a side to your scrambled eggs of mushrooms, sauteed spinach or tomato. Make up a frittata with a range of vegetables and increase your count for a few days quickly and easily. Vary up the breakfast options with mushrooms and humuus on toast or smashed avocado with a corn salsa.
  • Add a smoothie that is based on vegetables during the day. Many people will add spinach or greens but have you ever thought about adding frozen cauliflower or pureed pumpkin ? One of my favourite sites for recipe ideas is Simple Green Smoothies which share lots of recipe ideas with their mission to help people fall in love with Kale. A recent option was an Orange Immunity Smoothie which had a protein powder, pureed pumpkin, banana and oranges plus cinnamon, tumeric and ginger.
  • Snack on vegetables when the mid afternoon slump hits try having carrot and celery sticks with humuus or guacamole dip as a snack.
  • Bulk up with veggies in a stew. casserole or bolognaise. My bolognese recipe uses some slow roasted eggplant in addition to the usual carrot, celery and onion. Basically put the whole eggplant in the oven for 40-45 minutes at 180C , after piercing it with a fork a few times. Student Budget Friendly Meals has the bolognaise recipe as well as a few other ideas for adding more vegetables.
  • Swap out half the meat in a recipe for lentils or chickpeas. Two of my favourite options are adding lentils to a bolognaise sauce or adding chickpeas to a casserole. Have a look at this easy tagine recipe from Taste.com .
  • Make sides the star! Grill your protein and then add roasted brussel sprouts with pomegrante and tahini, honey mustard cabbage wedges, charred broccolini with lemon and garlic or maple roasted beetroot and pear.Looking for more ideas have a look at some more recipe ideas in Four easy ways to add brassica vegetables to your meals .

My Healthy Holiday Options ebook has eight delicious sides, a range of healthy salad options with legumes and some fun smoothie recipes, including a mango mint smoothie as well as banana cherry. It has some great inspiration whether its for a Christmas in July function or just a great way to add more colour and variety to your meals.

Easy eggplant salad

There are so many reasons to include more vegetables in your diet. The fibre in vegetables acts like a broom and helps keep you regular and the insoluble fibre feeds your beneficial gut bacteria which helps support your digestion and your immune system. In my recent blog What are the best vegetables for feeding your gut ? you can find all the information on the best type of vegetables to include to improve your gut health.

Christine Pope is a naturopath and nutritonist based at Elemental Health St Ives. She is passionate about including more vegetables in the diet and encouraging her local cafes to provide more tasty breakfast options. Appointments are available online at www.elementalhealth.net.au or on (02) 8084 0081.

Five simple ways to make balancing blood sugar easier

Five simple ways to make balancing blood sugar easier

Salad Nicoise

One of the most essential ways of ensuring that you are ageing outrageously well is to manage your blood sugar effectively. Whilst I cover the best strategies for this in my program there are a few additional strategies you can use when you aren’t able to eat in an optimal way. Just to review the basics on balancing blood sugar you might want to quickly review my blog: Are you missing out on ways that you can start ageing outrageously well ? which does cover off on the basics.

Why the focus on balancing blood sugar ? Mainly because it’s one the most significant areas to resolve to ensure that you age in the best way possible. Poorly controlled blood sugar may result in the development of Type 2 diabetes, which increases your risks for many serious health problems including conditions such as heart disease, cancer and Alzheimer’s.

How do you know you are at risk for blood sugar issues? The type of symptoms we see include shakiness or headaches if you haven’t eaten for a few hours, increased thirst or frequent urination or energy swings and crashes. It can also be a concern when you are doing all the right things and still struggling to lose weight, particularly if your waist circumference is over 88cm for a male or 82cm for a female.

Apple cider vinegar

So what are five quick hacks for managing blood sugar? These are my top five suggestions;

  • Vinegar is your friend when it comes to balancing blood sugar. The advice that is often shared to improve digestion is that you have a tablespoon of apple cider vinegar or lemon juice in water before meals. This is a good strategy for increasing stomach acid so that you can digest more of your meal and reduce symptoms such as reflux and may explain some of the benefit that is seen with vinegar reducing blood sugar levels as well. In some recent research a reduction of up to 20% was seen in blood sugar levels after a meal provided that the meal was a higher glyceamic index meal (1). For most people this means if you are having a meal with some simple carbohydrates adding a salad with a vinegar and oil dressing may help reduce blood sugar levels.
  • Start with your vegetables as it turns out that the fibre in your vegetables will slow down the release of glucose from your meal and reduce the blood sugar level peaks subsequently. Start with two mouthfuls of your broccolini or another green leafy vegetable to moderate blood sugar levels after a meal.
  • Add cinnamon which not only tastes amazing but is also a useful culinary spice for regulating blood sugar levels. Fresh cinnamon added to porridge or oats can add an amazing flavour and is even better with some extra fibre in the form of grated apple. Cinnamon has a long history of being used in herbal medicine however a recent review of its use in PCOS (which involves significant insulin resistance) found that it assisted in improving blood sugar metabolism (2). Typically you need the equivilant of a teaspoon for therapeutic value.
  • Cool it first as many high glycemic index starches such as potatoes and white rice can have their glycemic index reduced by precooking. Cooling before use will increase the level of resistant starch which will slow down the release of glucose. White rice has a glycemic index of 89 versus brown rice 53, so using brown rice will also reduce the release of blood sugar. However a small study showed a real benefit from cooking the rice and allowing it to cool for at least 24 hours before use, resulting in a very significant increase in resistant starch. This would also work for something like potatoes, so if you can’t manage without potatoes cooking them up to 24 hours in advance and cooling them down to use in a potato salad will result in a slower release of blood sugar.
  • Good quality fats slow down the release of blood glucose. Simply adding a tablespoon of coconut oil or olive oil or a sprinkling of good quality nuts and seeds is a good way to avoid the spikes.

If you think its time to really start managing your blood sugar then it might be a good idea to check out my Ageing Outrageously program which is available in eight online modules with specific resources on balancing blood sugar including meal plans. Click on this link Ageing Outrageously to receive regular updates.

Christine Pope is a naturopath and nutritionist based at Elemental Health at St Ives and is available for consultations online and in clinic. Contact her clinic on 02 8084 0081 or book online at www.elementalhealth.net.au .

  1. Liatis S, Grammatikou S, Poulia KA, et al. Vinegar reduces postprandial hyperglycaemia in patients with type II diabetes when added to a high, but not to a low, glycaemic index meal. European journal of clinical nutrition 2010;64:727-32
  2. https://www.sciencedirect.com/science/article/abs/pii/S0378874119350159
Are you missing out on ways that you can start ageing outrageously well ?

Are you missing out on ways that you can start ageing outrageously well ?

70 may be the new 50 but its possible that it won’t be that enjoyable if you haven’t looked after your physical health. Over the last decade through global challenges, like the Covid pandemic and personal challenges like three rounds of surgery I have been researching how to age well and there are some common themes.

In 2016 I was able to do the training on the Recode protocol, which was developed by Dr Dale Bredesen. The training was run in San Francisco (which was a very good reason for enrolling as well as the content) and involved looking at thirty six points of intervention based on the five major triggers for Alzheimers. Dr Bredesen has subsequently completed two case study series and more recently a clinical trials for his protocol and it is showing improvement in over 80% of cases who had been classified as having mild cognitive impairment (1). For more information on the protocol have a look at the blog on Delaying Alzheimer’s .

In Melbourne in 2018 Dr Terry Wahl’s presented her strategies for managing Multiple Sclerosis and neurodegenerative diseases and I have followed her work extensively after that symposium. Her focus in clinical practice is on using food rather than supplements primarily as well as looking at specific types of exercise that can support recovery. Dr Wahl is a neurologist who was in a tilt wheelchair with her advanced MS and is now back to riding her bike. Her programs have been implemented at the Iowa City Veteran’s Affairs Hospital and she has conducted four clinical trials on the program. To date the trials are showing significant improvements in fatigue scores and quality of life. Key features of her program involve balancing blood sugar and flooding the body with nutrients from whole foods, in particular up to 9 cups of vegetables and fruit a day plus good quality protein. Her program really encourages the use of organ meats, like liver, for good levels of key nutrients which are quite expensive as supplements. In particular CoQ10 which is essential for energy production in your cells.

There are six key areas that you need to consider in order to age outrageously well.

  1. Eat your vegetables! Flooding your body with nutrients in a form that you are best designed to absorb. Make sure you are eating the rainbow with vegetables and including at least one cup of green leafy vegetables, one cup of brassica vegetables and one cup of brightly coloured vegetables daily. If you are trying to add more vegetables to your diet it is always helpful to increase gradually and to look at adding them to snacks, soups and smoothies as well. It can also be a good idea to prepare extra vegetables with dinner and have them ready to add to lunches or soups the next day. Roast vegetables are a particularly tasty way to improve the vegetable content of your lunch and you can add them to spinach leaves in a salad or blend them with bone broth for an easy and quick soup.
  2. Balance your Blood Sugar ideally by including protein with every meal and minimising your intake of sugary foods and simple carbohydrates like bread and cereal. You do not need to be eating large quantities of protein but rather a palm size amount at each meal over the day. Adequate protein for most people would involve 2 eggs at breakfast, a small can of tuna with lunch and a chicken breast fillet at dinner. At the same time it’s important to include some carbohydrate in the diet as well but optimally it’s from whole foods and provides a slow release of glucose and a good serve of fibre as well. If you struggle to add enough protein then adding a protein shake or smoothie can be a good way to up it daily. Usually I do recommend clean brands, whey protein if you can tolerate it or plant protein for those who like variety. The plant protein options that I find useful at the moment are Nuut, Amazonia and Vital Protein. Nuut is offering sampler packs which is a good way to try a few different flavours. The other two brands are usually available in health food stores and the fermented split pea protein from Vital Protein is one of the better vegan options as its not grainy.
  3. Exercise regularly and mix it up. Ideally including both strength based training as well as cardio will really assist in maintaining good bone health as well as improving balance and energy levels. Start low and build exercise levels slowly to minimise the risk of injury and setbacks. The simplest and easiest way to start exercising is to walk regularly, starting with a five minute lap of the block and then building up over weeks by adding five minutes each week and then multiple walks per day. On e of my favourite quotes about exercise is from JIm Rohn “Take care of your body its the only place you have to live in”.
  4. Identify the sources of inflammation and manage them as well as possible. Key areas to consider are a history of infections, such as recurring sinusitis, food intolerances and allergies, heavy metal toxicity, sedentary lifestyle and chronic pain from old injuries. There are a wide number of sources of inflammation in the body and dealing with those assaults can be challenging. That’s why quite a number of “anti-ageing” programs remove common allergens like gluten and dairy as anyone with gut problems will have challenges digesting and absorbing nutrients from them. Lactose intolerance is increasingly common as we age as we were really designed to have milk in our diets only as babies and small children. Generally we should be able to absorb small amounts if our digestion is working well. Removing allergenic foods can really assist you in feeling better however test first to make sure its the right foods. For ten years I removed dairy from my diet and whilst it helped a little removing gluten was the game changer for my brain and energy levels.

5. Meditate like a Buddhist monk! Research is showing that twenty minutes of meditation can reduce levels of anxiety, depression and pain (2). Meditation is a relatively inexpensive tool with many apps which can be helpful like Gaia and Calm. Recent research undertaken at a VA hospital in the States showed that twenty minutes of meditation twice a day reduced PTSD symptoms (3). The Wellness experience provide a free thirty day meditation series in either ten minute or twenty minute increments which you can do through the website themeaningoflife.tv . One of the most essential attributes of meditation is its ability to increase grey matter in the brain and assist with clarity and focus.

6. Add appropriate supplements as needed. Look at the key symptoms and determine what is needed for you. For those who are experiencing significant inflammation for example it can be useful to look at supplementing with Tumeric and good quality essential fatty acids. If your issues are more around cramping and low energy then consider adding a magnesium supplement (preferably a powder for better absorption) and a multi vitamin. Just make sure that you do check the use of any supplements with your medications. Your pharmacist or practitioner can advise you on the right dosing and minimise the risk of any interactions.

Interested in more information on Healthy Ageing ? Click on this link Ageing Outrageously to receive regular updates.

Christine Pope is a naturopath and nutritionist based at Elemental Health at St Ives and is available for consultations online and in clinic.

1. https://content.iospress.com/articles/journal-of-alzheimers-disease/jad215707

2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287297/

3. https://pubmed.ncbi.nlm.nih.gov/29921143/

Balancing Blood Sugar

Did you join me for my Natural Medicine Week Webinar? If you missed it or want a review of the highlights then click through to the youtube recording or scroll through the powerpoint which is attached below.

In the webinar we cover the following topics;

  • Blood Glucose and insulin how does this work and what does this mean for you?
  • What are the risks from a health perspective of poorly managed blood sugar?
  • Which diet is best able to assist you to manage blood sugar
  • A simple meal plan to help you put it altogether

The webinar recording is linked below.

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If you have any other queries please pop them in the comments below or book in with Christine on 02 8084 0081. Christine Pope is an accredited naturopath and nutritionist based at Elemental Health at St Ives and is offering both in person and online consultations.

Post Viral Fatigue (and other symptoms)

Most people when they get sick usually find that after the initial illness they probably need to spend one or two days recovering and then they are fine to get on with their work and lives as per usual. For a small percentage after a virus they may find that they are slower to recover and what usually took a few days is now taking a few weeks or months. If you are finding that your recovery is much slower than usual it might be good to review some of the strategies recommended below and see if adopting these assists with your recovery.

There are three main areas to focus on in terms of post viral recovery, namely, rest, immune support and good quality nutrition. In addition if recovery is protracted its a good idea to check with your healthcare practitioner and ensure that there are no other factors which are contributing. For example its not uncommon for women suffering with anemia (low iron) to find it takes a long time to recover from an illness. Another factor that can be problematic is a history of glandular fever as people who have had this virus are more prone to developing post viral fatigue.

REST

Once upon a time when people had a serious illness there was this concept called convalescence. It was expected that people continued to rest and recover after an illness. In today’s world I tend to recommend streaming sessions, find a series online that you enjoyed and rewatch it. A series that you have watched before does not require as much concentration and you can doze on and off without affecting your viewing.

It also important to ensure that even when you feel well enough to return to work you schedule rest into your day, whether it’s a short nap on the couch if you are working from home or just making sure you get out for a break at lunchtime. In this era of constant busyness it can be very hard for people to cut down their workload to allow time for this but adequate rest post virus will reduce the amount of downtime you need.

You may also find that its useful to gradually return to exercise slowly. This might mean starting with short walks of ten minutes and building up gradually, rather than just returning to a full on gym or pilates session. If you are coping with short walks once a day then build to twice a day consistently. However if you do find that heading back to the gym wipes you out for a day or two, then its time to regroup and gradually build up again.

IMMUNE SUPPORT

If fatigue and other symptoms are continuing for a protracted period then its possible you have a low level of the virus continuing in your system. There are a number of options for supporting your immune system to enable it to recover. These could include anti-viral herbs as well as nutrients which support the immune system, such as Vitamin D, Zinc and Vitamin C. With Vitamin C aim for 500mg three to four times a day however with Zinc 25mg daily is a useful dose. It is helpful to know your Vitamin D levels before supplementing however 2-3 weeks of higher dose Vitamin D 2-4000 IU daily should be manageable for most people when recovering from a virus.

One useful option for supporting the immune system is medicinal mushrooms in particular supplements with Reishi, Cordyceps, Turkey Tail and Shitake being useful. These are often supplemented in powder form rather than consumed as mushrooms. If brain fog is problematic post virus then Lion’s Mane is useful for brain function, however it is also important to consider other key nutrient to support brain health including good quality fatty acids, such as fish, avocado and nuts and seeds.

GOOD QUALITY NUTRITION

An over looked area for recovery is diet. To really assist your immune system to work effectively its important to ensure that you are eating a wide range of vegetables and fruit, up to 30 different types in a week. Its really easy the first couple of days to build good variety but then we often have the same vegetables every two or three days. This recent blog provides you with a good range of options for feeding your microbiome as well as possible What are the best vegetables for feeding your gut ?

In addition to the three cups of vegetables a day make sure to include a small amount of protein as well as a couple of serves of carbohydrates, from potatoes, rice or grains. At this stage in recovery easily absorbed carbohydrates are quick sources of energy.

Depending on whether your stomach was affected you may find that its easier to start eating bland food initially and then gradually add more variety. Start with warm foods as it requires less digestive energy to break it down. This might include soups, steamed vegetables or casseroles if you are up to meal preparation.

For those who are struggling with thinking about what to cook there are a few blogs on the site meal plans Meal Plan Week One and Meal Plan Week Two could be a couple of options or if you would prefer lighter healthier foods then Spring Reset Meal Plan might be useful for you.

For more support with post viral illness book in an appointment with me at my St Ives clinic or online. Bookings are available through http://www.elementalhealth.net.au or 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 and would like to make an appointment you can book in on (02) 8084 0081 or online . Plus there is a free webinar with more information on this link and you can also join me on my Three Part Series to develop your own plan.

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?