Updates from Liz Fattore

Focus on Health


Your Wellness Lifestyle Starts Here


Today’s healthcare system is not about health. It’s about selling a never-ending series of tests, drugs, and procedures to people. “Alternative health” is about selling different tests, supplements, and procedures to people. In order to maximize sales, tests and treatments need to be marketed to the general population, with no consideration about whether or not most people are actually candidates for or can benefit from the services promoted.

I am in the middle of reading "the Myth of Normal, Trama, Illness & Healing in a Toxic Culture" by Gabor Mate (Ma-tay). He confirms what I already have learned and teach, and his insights into the state of our current healthcare system is far encompassing. He writes "I have come to believe that behind the entire epidemic of chronic afflictions, mental and physical, that beset our current moment, something is amiss in our culture itself, generating both the rash of ailments we are suffering and. crucially, the ideological blind spots that keep us from seeing our predicament clearly."

If you have attended my Emotional Eating class, you learned how trauma affects our health in body, mind, and spirit. Mate explores this area in depth, citing numerous studies going back to the 1930s. He also includes case studies from real people proving the effects of trauma experiences and disease.

In the United States, the richest country in history and the epicenter of the globalized economic system, 60 percent of adults have a chronic disorder such as high blood pressure or diabetes, and over 40 percent have two or more such conditions. Nearly 70 percent of Americans are on at least one prescription drug; more than half take two. These are the people who are stuck in the "medical mill" and have accepted their disease because "it runs in the family". 

When asked, most people state that they want to be lean and healthy. So why aren’t most people lean and healthy? One factor is misinformation – most of what people hear, read, or are told about diet, health, and medicine is either incorrect or incomplete. But even after being provided with access to accurate and complete information, many people remain overweight and unhealthy. Why? These thinking and behavior patterns are difficult to change. Most of the time we are not aware of these patterns, which results in both confusion and frustration when they have the same unwanted experience (failure to lose weight and/or improve health) again and again.

How do we recognize and change these patterns? First, we must realize the connection between body, mind, and spirit. If one of these areas is not functioning properly, it affects the others. We are a complete being. "What happens in our cells, happens in our souls".  Empower yourself to make changes and learn how to be an informed consumer when it comes to health care. 

Start with acknowledgement. Admit that you are not moving forward because of your internal dialog and perceptions, not external forces beyond your control.
Become more aware of your thought patterns and change them. Your goal is to change your outlook to one of positive expectation. Remember that for things to change, you’ve got to change. In the absence of significant internal change, things will most likely remain the same.
Figure out the things you need in order to change your outcomes and then relentlessly pursue them. This can include therapy, a support system, reading books, gaining knowledge, finding new doctors, spending less time with some people, and changing your mindset.
Notice when you are starting to resist. Then remind yourself that resistance to doing things differently is what keeps you stuck where you are.
Work on motivation. Identify the reasons you want things to be different than they are now. People with strong reasons for change are more successful in achieving almost any goal than people who have not identified specifically why they want to change. Inadequate motivation leads to failure.
Start practicing self-control. Remind yourself that you really can think differently, change your mindset, make different decisions, and have different outcomes if you choose to do so.
Evaluate yourself and take responsibility for fixing things if necessary. If 90 days from now things are still the same, figure out why and then do something about it.
Decide to live a deliberate life, not a life that happens by default. In the absence of a specific plan for yourself, including a plan for your health, you will be forced to settle for whatever happens to you by chance. Most of the time this does not work out so well. So design your life according to what you want, and then do the things necessary to have it.

Liz Fattore
Nurture Your Health
Licensed Food Over Medicine Professional

Sources: Gabor Mate, Pam Popper











The Case for Eating Whole Foods


Your Wellness Lifestyle Starts Here

Did you know the human body is specifically designed to extract and utilize nutrients from food? If we truly needed vitamins pills and fortified foods for survival, our species would have become extinct a long time ago.

A few vitamins and nutrients are commonly found in supplements and fortified foods, but there are tens of thousands of nutrients in foods and new ones are still being discovered. These include thousands of flavonoids, hundreds of carotenoids, and tens of thousands of phytochemicals. Nutrients as they occur naturally in food exist in complexes, which are comprised of several nutrients in synergistic form. These are all combined in endless numbers of combinations and delivered to humans in nature’s perfect packages – food!

Nutrients in food work together to supply energy and to facilitate an endless number of biochemical reactions in the over 30 trillion cells that comprise our bodies. Studies have shown that nutrient needs vary from person to person and from day to day based on the environment and changing circumstances.

Foods contain the full spectrum of nutritional complexes and eating them allows the body to choose what it needs, and excrete that which is not needed, a process known as selective absorption. Consuming isolated nutrients leaves the body no choice – it must metabolize what is ingested, which can mean taking the missing co-factors that would normally be "packaged" with these nutrients from the tissues and organs of the body in order to create a recognizable complex. (Stephen Wood, Science News, 1994 July;146(1):3)

 Did you know that medical journals are filled with tens of thousands of articles on supplements? Most show disappointing results – the supplement fails to deliver the promised result – but a surprising number report negative side effects. Some studies have even been stopped early because those taking the supplements were worse off than those taking the placebo.

A Cochrane review of 67 randomized trials including over 232,000 people taking antioxidants found that the pills were worthless and added this caution, "Vitamin A, beta-carotene, and vitamin E may increase mortality. Future randomized trials could evaluate the potential effects of vitamin C and selenium for primary and secondary prevention. Such trials should be closely monitored for potential harmful effects. Antioxidant supplements need to be considered medicinal products and should undergo sufficient evaluation before marketing.  (Bjelakovic G, Nikolova D, Gluud LL, Simonetti RG, Gluud C. "Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases." Cochrane Database of Systematic Reviews 2008(2). Art. No: CD007176. DOI: 10.1002/14651858.CD007176).

 Did you know that most people have not been shown how to lower cholesterol properly? For example, a high-fat diet, regardless of the dietary source of the fat – will elevate plasma cholesterol and contribute to the progression of coronary artery disease.  Rudel L, Parks J, Sawyer J.  "Compared with Dietary Monounsaturated and Saturated Fat, Polyunsaturated Fat Protects African Green Monkeys from Coronary Artery Arteriosclerosis." Arteriosclerosis Thrombosis and Vascular Biology (Impact Factor: 6). 01/1996; 15(12):2101-10.
Blankenhorn, D.H. et al, "The Influence of Diet on the Appearance of New Lesions in Human Coronary Arteries."  JAMA March 23, 1990. 263(12):1646-1652
Degirolamo C, Rudel L. "Dietary Monounsaturated Fatty Acids Appear Not to Provide Cardioprotection."  Curr Atherscler Rep 2010 Nov;12(6):391-396  A diet that includes high amounts of animal food, including fish, also contributes to higher plasma cholesterol levels.

Did you know that Vitamin C when taken in supplement form instead of consumed in food often acts as a pro-oxidant (chemicals that induce oxidative stress)?  Best to rethink this supplement for daily use. It’s likely that the B vitamins are useless unless B12 is taken due to either a diagnosed deficiency or after adopting an exclusively plant-based diet.

Did you know that Vitamin D toxicity can cause hypercalcemia and acute kidney injury? A recent case report showed a 25-year-old man had taken 50,000 IU of vitamin D daily for seven months in response to diagnosis of vitamin D deficiency. He stopped taking it two weeks before admission to a hospital. At time of admission his serum levels were 126 ng/dL. Twenty-nine days after the last dose, his serum level rose to 492 ng/mL and 81 days after last dose the level was 274 ng/ml.

Vitamin D levels can remain elevated for months after high-dose vitamin D supplementation is stopped. It’s stored in the fat tissue, so accumulation – and toxicity - may not show – at least not immediately – in serum levels.

Liz Fattore
Nurture Your Health
Licensed Food Over Medicine Professional
www.lizfattore.com





Got GERD? Don't forget to breathe!


Your Wellness Lifestyle Starts Here

In addition to causing significant side effects, proton pump inhibitors (PPIs) are not very effective much of the time. PPI-refractory gastroesophageal reflux, or reflux that does not respond to drugs, affects about 30% of the patients who have GERD. Almost half of these patients report that continual belching is a problem. Belching is not only a common symptom of GERD, but it can also increase the number and severity of reflux episodes. 

An interesting study showed that breathing exercises improved belching and symptoms in patients with PPI-refractory GERD. The study included patients diagnosed with GERD who also reported belching, heartburn, and/or regurgitation even after taking PPIs daily for 12 weeks. Fifteen patients were taught a standardized diaphragmatic breathing exercise protocol, while twenty-one controls were placed on a waitlist. All of the subjects completed questionnaires at the start of the study, after breathing therapy, and then 4 months after therapy ended. The 21 control patients completed an additional questionnaire after their waitlist period, and then were also given breathing therapy.

During the intervention period, 80% of the patients taught better breathing techniques had significant reductions in belching frequency, as compared to only 19% of control patients. Intervention patients also experienced significantly greater reductions in reflux symptoms and more improvement in quality of life than the controls. Patients with the worst symptoms showed the most improvement, and the positive changes were sustained at 4 months after the termination of therapy.

Diaphragmatic breathing was the method used for this intervention, and anyone can learn how to do it. It’s defined as deep breathing that involves contraction of the diaphragm, the muscle located at the base of the lungs. There are hundreds of online videos that demonstrate the practice, but here are some simple instructions:
Just place one hand on your upper chest and the other on your belly just below the rib cage. Breathe in slowly and deeply, while your chest remains relatively still and your belly rises. Your rib cage may expand as well. Then exhale through your mouth while contracting the abdominal muscles. The belly should return to its original position.
In addition to helping with GERD, deep breathing can slow the heartbeat, lower blood pressure, and reduce stress and anxiety. The technique can also help patients with COPD, who generally have weaker diaphragms, to take in more air with less effort. 

Most people are "shallow breathers," which means that they use the upper chest to breathe. This results in overuse of muscles in the neck and upper body, and underuse of the diaphragm. Shallow breathing is exacerbated during stressful situations or when people become anxious. Regular practice can make diaphragmatic breathing, a more energizing and restorative form of breathing, the default method. One way to get more practice is to take yoga classes, which almost always include a focus on breathing.

Most of us do not think about breathing much because we do it naturally. But learning better breathing techniques can improve your health in many ways.

Ong AML, Chua LTT, Khor CJL, Asokkumar R, Namasivayam V, Wang YT. "Diaphragmatic Breathing Reduces Belching and Proton Pump Inhibitor Refractory Gastroesophageal Reflux Symptoms." Clin Gastroentol Hepatol 2018 Mar;16(3):407-416.e2





Tofu Mayonnaise

tofu mayo

Ingredients
  • 1 package firm silken tofu
  • 1 teaspoon dry mustard (can substitute regular mustard)
  • 1/2 teaspoon onion powder
  • 1/2 teaspoon garlic powder
  • 1/2 teaspoon sea salt
  • 3 tablespoons red wine vinegar

Instructions
Combine all ingredients in the bowl of a food processor (I use my Ningxia smoothie cup) Puree until smooth and creamy. Store in refrigerator. Use within 10 days. 



Talking About Tofu


Your Wellness Lifestyle Starts Here

What Exactly is Tofu Anyway?

I always thought that Tofu would be a cute name for a white fluffy kitty, or maybe a Yorkie dog! But that aside, I hear a lot of misinformation about Tofu. 

Tofu is an Asian food made from soybeans. Production involves first soaking soybeans in water to create soy milk. The milk is then curdled using a substance such as calcium sulfate or lemon juice. From there, curds are separated from the whey and usually packaged in block form. It is sold in a variety of options, from soft to extra firm, and they differ mainly in the amount of water retained.

Tofu is not scary, and it does not cause breast cancer, contrary to popular beliefs (even from doctors). It is not an estrogenic product, meaning that it does not contain estrogen like in dairy products (that's a subject for another time).  Tofu comes from a plant; therefore, it is phytoestrogenic. Phyto means plant. The Asian population of women have the lowest rates of breast cancer. If you are experiencing hot flashes, add some soy to your diet. 

It’s pretty easy to cook with and can be made into just about anything including a wide variety of breakfast, lunch, dinner, dessert, snack, and condiment options. There are two main types of tofu—silken and regular. Silken tofu is often called Japanese-style tofu, as well as soft or silk. It has a more delicate texture and will fall apart if not handled carefully. Both silken and regular tofu can be found in soft, medium, firm, and extra-firm consistencies. They are made with the same ingredients, but they are processed slightly differently and with different amounts of water.

Silken Tofu (Japanese-Style) for Use in Creams and Sauces
Silken is the creamiest type of tofu, and it is labeled with different consistencies—soft, medium, firm, and extra-firm—depending on how much soy protein it contains. Silken is the best option for blending into sauces, creams, mayo, and dressings.

Regular Tofu (Chinese-Style) for Use in Stir Fries, Baked Dishes, or Grilling
Regular tofu is sometimes called Chinese-style and is usually sold in plastic containers in the refrigerated section of supermarkets.
It is also labeled with different consistencies from soft to extra firm, depending on how much water has been pressed out of it. Regular Chinese soft tofu is similar to Japanese silken tofu, though not quite as smooth and creamy. These two types are usually interchangeable for most recipes.
Firm or extra firm regular tofu is best used in tofu stir-fry recipes, making baked tofu, or any dish where you will want the tofu to retain its shape.
Medium through extra firm regular tofu is progressively denser with a lower water content. These types of tofu should be drained and pressed to remove the water content.


Two Options for Draining and Pressing:
  1. Traditional Way – Slit the package and drain excess water over a sink. Next place the tofu block on an absorbent surface such as layered paper towels or a dish towel. Now, use another dish towel or paper towels to place on top of the block and top with a heavy plate or cast-iron pan. Allow to continue to drain under pressure for approximately 30 minutes.
  2.  Quick and Easy Way – After purchasing tofu in plastic container from the produce section of the grocery store, bring it home and place directly in the freezer. This greatly lengthens the time allowed for using it, since it won’t be spoiling within a couple of weeks. When ready to use in a stir fry or other dish, defrost completely by either placing in the refrigerator for 24+ hours, or submerging in a large bowl of very warm water. If submerging, it will take an hour or so and will require changing the water a couple of times to make sure it stays very warm. Once defrosted, open the container and drain out excess water. You will notice that the molecular structure of the tofu has actually changed. It is much firmer and more sponge-like. It can now be handled with ease and the water can be squeezed out of it using your hands, just like wringing out a sponge.
Marinating Tofu
One of the most common complaints about tofu is its bland flavor. I happen to think that is one of its best attributes, because a good marinade can infuse it with flavor from the inside-out.

Ready for Cooking
After marinating, it’s time to cook, and there are a number of different options. It can be cooked as is or coated with breading or cornstarch. Cornstarch helps get the tofu’s exterior deeply golden brown and crispy when frying or baking. Here are five ways to cook tofu:
  1. Air frying gets tofu the crispiest. Just place in the basket—coated or not—and cook at 375 degrees Fahrenheit for approximately 20 minutes. Stop after the first 10 minutes to toss and then finish cooking.
  2. Pan Frying requires a good non-stick pan and very hot surface. Rather than adding oil to the pan, use a little bit of the marinade to brown the tofu. After it has turned a golden brown, add vegetables, rice, noodles, or anything else desired.
  3. Steaming involves elevating the food above the water with a steamer, traditionally. Spicing the food has to wait until after. However, take the easy way and just add tofu at the same time you cook the vegetables in a stir fry. Since stir fry veggies take only minutes and leave a light crunchy texture, adding the tofu at the same time and covering with a lid for a few minutes allows it to steam and warm thoroughly, as well as soak up more flavor from the sauce or marinade. The tofu will not get crunchy using this method.
  4. Baking requires using parchment paper or a silicone baking mat to keep food from sticking.  Cook at 400 degrees for 20-30 minutes, because ovens differ.
  5. Grilling is another great way to cook tofu is to grill tofu kabobs.        
I love to make tofu mayo to use in salads and on veggie burgers and will be posting the recipe under "Dressings", as well as some simple stir fry recipes using tofu.


Sources: Terri Edwards, CNS Kitchens





 
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The objective of Nurture Your Health is to learn how to remain or become a healthy person, rather than to remain or become a sick patient. Most people do not pay attention to their health until they are sick.  It is important to prioritize learning about health and investing time and resources in adopting the right diet, engaging in the right exercise, and paying attention to other factors that lead to optimal health. Make learning about health interesting and fun. Use this information to take control of your health and make better and informed decisions about what you eat, which lifestyle choices you make, and the medical care you receive.
This information is not a substitute for medical advice. 

Liz Fattore
Nurture Your Health
Licensed Food Over Medicine Professional