What Food Plan is Best for Me?

What Kind of Food Program is Best for Me?

By Moira Fitzpatrick, PhD, ND

March 2018

 

Many people ask me what is the healthiest food program? While there are always personalized aspects of food, I generally recommend an anti-inflammatory diet. This is based upon the research that demonstrates inflammation is the cause of all chronic diseases. We already know that food affects the microbiota and there is a strong involvement of the gut and microflora in the process leading to chronic inflammation. Key inflammatory cytokines are synthesized by enterocytes in response to endotoxins produced by the gut microflora.

 

Prior to creating a food program, I recommend a food sensitivity test as foods to which you are sensitive are sources of inflammation. The most common sensitivities are dairy, gluten, eggs and a growing number of individuals are sensitive to nuts. Frequent intake of one food can trigger intolerance to that food.

 

What is an anti-inflammatory diet?

A food program predominantly composed of a diversity of vegetables and fruits. Plants are naturally anti-inflammatory. I recommend organic produce. It is best to buy local because the food does not have to travel, hence it is fresher. Vegetables may include asparagus, sprouts, beets and their greens, broccoli, cabbage, cauliflower, celery, Swiss chard, cucumber, endive, lettuce, mustard greens, arugula, radish, spinach, collard greens, watercress, string beans, Brussels sprouts, chives, collards, kale, kohlrabi, leeks, onion, parsley, pumpkin, rutabagas, rhubarb, turnip, zucchini, artichoke, parsnip, green peas, squash, carrot, yam, and garlic. As we approach spring think about baby salad greens, collards, chard, kale, asparagus, peas and berries of all kinds. Half of your plate needs to be vegetables.

 

Fruit is easily digested, alkalizing, cleansing and refreshing. Fruit is typically anti-oxidant and is a good remedy if overstressed. Fruit typically has a natural laxative effect and provides a balance to richer foods.

 

What about protein?

Fish and moderate amounts of chicken, turkey and lamb, plus vegetable and grain sources of protein may be individualized for your needs. When eating meat of any kind make sure it is hormone, antibiotic free and preferable organic. Fish that have the lowest mercury include anchovies, butterfish, catfish, clams, crab, croaker (Atlantic), flounder, haddock (Atlantic), Hake, Herring, Oyster, Pollock, Salmon, Sardines, scallops, shrimp, sole (Pacific), Squid (Calamari), Tilapia, Trout, Whitefish. Avoid fish with the highest mercury Bluefish, Grouper, King Mackerel, Orange Roughy, Shark, Swordfish, Tuna. Other fish are moderate and should be eaten no more than 3-6 times per month.

 

What about dairy?

Many people cannot digest dairy, especially those who are challenged with upper intestinal damage. The most digestible form of dairy is fermented, hence some individuals can tolerate yogurt.

 

Raw organic nuts and seeds are best purchased at stores where there is a rapid turnover rate to avoid the nuts becoming rancid. Many people soak their nuts for 8 hours and then dehydrate at 115 degrees for 24 hours. The helps with the digestibility of nuts.

 

What about legumes?

Legumes include peas, lentils, kidney beans, pinto beans, mung beans, garbanzo beans, and adzuki beans. To increase nutrient availability of legumes, it is best to soak them for 8 – 24 hours. This will eliminate lectins which are proteins that can be challenging for the digestive system. In addition to soaking beans, individuals who have a strong digestive system and good microflora will be able to break down lectins. Once you have soaked the beans, drain off the excess water and cover with fresh water. Bring beans to a boil and simmer until they are cooked, which can take 45 minutes to two hours. Season your beans after they are cooked, then simmer for another 20 minutes or so.

 

What about gluten?

If you are sensitive to gluten avoid it completely. Some individuals with gluten sensitivity have no symptoms at all. Others experience fatigue, depression, foggy mind, low energy, numbness in their hands and feet, joint pain, insomnia, and some have digestive symptoms. Gluten sensitivity is associated with dysbiosis, leaky gut and chronic inflammation. Gluten sensitivity has led to a whole new industry of gluten free products. Gluten free grains include amaranth, brown and white rice, buckwheat, arrowroot, potato, oats, millet, maize, hemp, corn, chickpea, chia, quinoa, sesame, sorghum, soya, teff and tapioca. As the consumption of gluten free grains increases, more people are becoming sensitive to these grains. Additionally, you don’t want to overconsume processed foods.

 

What about fats and oils?

Recommend extra virgin olive oil as it protects blood vessels and cholesterol from oxidative damage by signaling genes to express antioxidant enzymes. Avocado is a source of easily digested fat. It is a natural source of lecithin and is known to beautify the skin. Coconut oil is a medium chain fatty acid. Medium chain fatty acids are different from long chain fatty acids. MCFAs are rapidly digested and passively absorbed. They help to boost your metabolism and strengthen your immune system.

 

Omega-3 Fatty Acids are anti-inflammatory and essential for the health of the nervous system and the brain. The richest source of omega-3’s are salmon, mackerel and sardines. Another source of omega-3 is alpha-linolenic acid which is found in the oil of certain plants. Some sources include flaxseed (make sure you grind it), chia seed, pumpkin seed, edamame, walnuts. Dark green vegetables such as kale, collards, chard, chlorophyll-rich foods contain alpha-linolenic acid in their chloroplasts.

 

What about sweeteners?

We all know that cane sugar is pro-inflammatory. Humans have a well-developed taste for sweets. I recommend a variety of fruits. If a sweetener is desired then consider, honey, organic maple syrup or stevia. Honey is refined by bees and contains some minerals and enzymes that do not upset the mineral balance in the body to the same extent as sugar. Remember that honey cannot be given to children under 18 months of age. Stevia does not negatively affect blood sugar.

 

The key to any food plan is diversity. Experiment with new foods. Get curious about the foods you have never eaten or have not eaten in a long time. Diversity in food, especially vegetables results in a diversity in your microflora and increased or optimal health.

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Far Reaching Affects of the Gut Microbiome

The Far Reaching Affects of the Gut Microbiome

By Moira Fitzpatrick, PhD, ND

March 2018

The gut microbiome is the gut flora, the bacteria of the gut that contains about 4 million microbial genes. Humans have approximately 26,000 genes. There is a strong relationship between each of us and our gut. Perhaps we need to attend to this relationship. Each of us is host to bacteria in our gut and it is our job to feed these bacteria. In return the bacteria support our immune system and the breakdown of indigestible carbohydrates to create short chain fatty acids. Colonization of the gut begins at birth and develops as the individual grows. It is affected predominantly by diet, where you live, genetics, age and sex.

 

The intestines contain both pathogenic and symbiotic bacteria. There are many influences on the gut bacteria with diet exerting maximum influence. Recent research demonstrates that changes in certain members of the microbiota are associated with diseases and pathologies such as diabetes, liver, inflammatory bowel disease, autism spectrum disorder, obesity and neurodegenerative diseases. (1)

 

What is dysbiosis? It is the overgrowth of commensal bacteria and opportunistic bacteria. The result of dysbiosis predisposes us to infection, inflammation, nutrient depletion, especially B12, iron and fat- soluble vitamins.

 

What causes dysbiosis?

1)     Antibiotic use

2)     Stress

3)     High carbohydrate diets

4)     Gut inflammation often secondary to food sensitivities

5)     Toxic exposures

6)     Lack of physical activity

 

What are the roles of our gut bacteria?

1)     Stimulate the development of a competent mucosal immune system

2)     Maintain the integrity of the epithelium or lining of the gut

3)     Healthy intestinal bacteria metabolize fiber and produce short chain fatty acids (SCFA), which are essential for colonic health and to regulate the intestinal immune system

Ex. Butyrate is a SCFA that fuels the colon cells.

4)     Intestinal commensals also produce neuroactive molecules and neurotransmitters that affect the function of the enteric nervous system. Animal studies on germ free mice have shown a decrease in enteric neurons, which is associated with decreased gut motility.

 

There is significant cross talk amongst the gut, the nervous system and the immune system. This is exemplified by the growing research on the “gut-brain axis”. The “microbiota-gut-brain axis” is an extension of the gut-brain axis. This means there is bidirectional communication between our microbes and the brain. The intestinal microbiota can stimulate the production of neurotransmitters. Animal studies show changes in serotonin and glutamate signaling, plus expression of brain-derived neurotrophic factor (BDNF) when there is a depletion in gut microbes. Serotonin in the gut affects motility, pain perception and the tone of the vessels. Serotonin in the gut is regulated by serotonin-selective reuptake transporter, which is expressed by the intestinal epithelium. Short chain fatty acids are involved the activation of the processes that affect the transporter. There is a relationship between inflammation and different bacterial groups in the microbiome. Links between the gut microbiota and brain function have been identified in MS, Autism Spectrum disorders and ADHD. There is suggestion that decreased levels of bacteria that produce butyrate are a factor in ALS. Individuals with Parkinson’s disease show higher gut permeability (leaky gut) and decreased short chain fatty acids. Patients with Parkinson’s disease have increased constipation which is associated with changes in the microbiome. (1)

 

While there is need for more research, perhaps the gut, our unique microbiota holds the key to health.

 

Is there a relationship between leaky gut and a leaky blood brain barrier (BBB), hence neurological and psychological diseases? What is the role of dysbiosis and the microbiome?

 

There is increasing evidence that the gut microbiota affect the integrity of the blood brain barrier. Specifically, the short chain fatty acids (SCFA) are key players in the gut brain axis. SCFAs are produced when the gut bacteria are involved in the fermentation of fibers or complex carbohydrates. There are three types of SCFAs including acetate, propionate and butyrate. These SCFAs are involved in gut motility, enhance satiety, influence water and salt uptake and provide energy for colon cells through butyrate. Butyrate has gotten most of the attention in research. Butyrate has anti-tumor properties. It activates the vagus nerve and hypothalamus and indirectly affects appetite and eating behavior. Butyrate also increases insulin sensitivity. Intestinal propionate has been associated with decreased stress behaviors and reward pathway activity in both mice and humans. Propionate has a protective effect on the BBB by mitigating inflammatory and oxidative stimuli.

 

It may be that gut dysbiosis and the resultant changes in metabolite levels affect the blood brain barrier. Variation in blood barrier function is increasingly recognized to impact cognitive processes. Defects in blood brain barrier have been linked to impaired memory and linguistic function. Antibiotic induced intestinal dysbiosis has also been associated with cognitive deficits and decreased gut derived microbial metabolites. There are 200 distinct microbial metabolites that have been associated with healthy individuals. Is there a link between gut dysbiosis, blood brain barrier and cognitive defects? What we do know is that patients with early Parkinson’s and Alzheimer’s disease have reduced levels of Bacteroides species in their feces, which are important producer’s of SCFAs. Does this decline lead to a decrease in circulating propionate and hence vulnerability of the BBB?

 

Evidence points to short chain fatty acids being the key to a balanced microbiome and health? SCFAs control inflammation, regulate immune function, reduce excessive free radicals and mitochondrial dysfunction.

 

How do I increase short chain fatty acids?

1)     Eat a wide diversity of vegetables, including sprouts.

2)     Eat fermented foods such as kefir, homemade yogurt, kombucha, cultured coconut water, sauerkraut and sour dill pickles.

3)     Take good quality prebiotics and probiotics

 

We often have individuals do the GI Effects, a comprehensive 3-day stool test. This test provides a report on the following:

1)     Functioning of the GI system

2)     Identifies the amount of short chain fatty acids, including levels of butyrate and proprionate

3)     Identifies inflammation

4)     Shows levels of pancreatic enzymes

5)     Provides a description of each individual’s microbiome. We can see the ratio of firmicutes to Bacteroidetes phylum of bacteria. These bacteria compose 90% of the bacterial population in the colon.

This test plus food sensitivity and your subjective report of your digestion provides the guide to healing.

 

We can eliminate inflammation by supporting you in changing your diet, supplement the microbiome with pre-biotics and probiotics and alter the groups of bacteria in your microbiota. The stability of the microbiota depends on the food you eat.

 

Changes in the microbiome can modulate homeostasis, improve functioning and prevent disease, and can alter immune responses and modulate the severity of disease.

 

The prevention of disease begins in the gut.

 

(1)  Marietta, Eric, et al. Microbiome, Immunomodulation, and the Neuronal System. Neurotherapeutics (2018) 15:23-30.

(2)  Hoyles, Lesley et.al. Propionate affects the blood-brain barrier. July, 2017

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Brain Health – Preserving your brain

Pearls from the Integrative Mental Health Conference: What can we do to preserve our brains?

By Moira Fitzpatrick, ND, PhD

December 2017

 

Omega-3 Fatty Acids – 3000 mg a day will protect your brain.

Support the brain by increasing blood flow through exercise, good nutrition, sleep at least 7 hours a night and add ginkgo biloba to your supplement regimen if blood flow is an issue for you.

60% of lipstick sold in the United States contains lead. Women – be mindful of what you are wearing.

As each of us gain weight the size and function of the brain decreases. Excess fat increases inflammatory cytokines and as we know inflammation is the cause of all chronic disease. Another reminder to eat foods that love us.

Two new supplements for ADD for children that I have found to be useful include:

  • ProDHA Focus Jr which contains both EPA and DHA plus phosphatidylcholine which both facilitates cell to cell communication and helps DHA enter the brain. It contains L-Carnosine which helps protect the brain from toxins and chelated magnesium glycinate which helps with focus and attention.
  • CurcumaSorb Mind which helps both adults and children with focus.

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Gratitude – Beyond the Blessings of Thanksgiving

Moving Beyond the Blessings of Thanksgiving

By Moira Fitzpatrick, PhD, ND

December 2017

 

Thanksgiving is the time of year when we pause and remember those people for whom we are thankful. We celebrate abundance, share food and lively conversation. We remember the feeling of connection and gratitude for those who are in our lives.

 

Gratitude is the quality of thankfulness. It is a feeling that spontaneously emerges from the heart and acknowledges the value of an experience or relationship. It is a warmth, openness, perhaps a lightness. Gratitude grows out of mindfulness as when we are mindful we have greater awareness of what brings us meaning, compassion, joy and love. This awareness helps us to recognize the many blessings in our life. Mindfulness and an attitude of gratitude walk hand in hand as we find ourselves expressing thank you more frequently. Our thoughts become positive and our light shines brighter. We discover greater generosity as we extend ourselves or our time to others. We may discover greater generosity and appreciation toward ourselves. How can we become our own best friend? Remember that the longest relationship we will ever have is with ourselves. Giving to self needs to be at least equal to what we extend to others.

 

Feelings of gratitude become memories. Our heart remembers the kindness of the cashier, the gentleness of our partner’s appreciation, the feeling when a stranger said thank you amidst our impatient rushing. How did it feel when your supervisor or mentor expressed appreciation for the value you offer? A family member tells you how much you are appreciated. Gratitude affects our physical, emotional, creative, and cooperative well-being.

 

Gratitude can extend into the challenges in our lives. How many times have you shared a difficult time that now is referred to as a blessing in disguise? How often does some good come from the crucible of lessons learned?

 

Gratitude can emerge from forgiveness. Remember what it feels like to be forgiven or to forgive someone who has deeply disappointed us. There is a freedom in letting go. There is appreciation for the one who has forgiven us and compassion for the one we have forgiven.

 

What can we do on a daily basis to integrate gratitude in to our lives? 

  1. Keep a journal for 21 days and each evening write down what you were grateful for each day.
  2. Be mindful of the areas in your life where you felt gratitude. (Work, relationships, finances, health)
  3. What did you learn today? Is this a blessing? Obstacle to gratitude?
  4. Did you forgive today? Were you forgiven?
  5. Reflect on and write down what worked for you today.
  6. What did it feel like to feel gratitude?
  7. What was meaningful to you today?

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Seasons of A Woman’s Life

The Seasons of a Woman’s Life 

by Moira Fitzpatrick, PhD, ND, FICPP, CHT

May 2017

Art by Alphonse Mucha PD-1923

 

May named for the goddess Maia is the Goddess of Spring, growth, love, sexuality, life, rebirth and the beauty of the plants all around.  It is no wonder we honor women as we watch the flowers burst forth and marvel at the signs of new life.

 

Women are cyclical beings in tune with the moon, the seasons and the tides.  The journey of a young woman begins with menarche, the first period.  What if we honored and celebrated this day with our daughters, nieces, granddaughters?  Menstrual empowerment is the beginning of young women learning to embrace their cycles, honor their bodies, sexuality and intuition.  Our menstrual period comes gently and sometimes in a storm to remind us to take time, to go within and listen to what we need.  There are plants to support us as we weather the storms of menses, yet, if we listen we learn to become attuned to our bodies, ourselves.  An empowered woman learns to set boundaries and engages in sexual relations of her choosing as well as learning how to ask for what she needs.  Obligation rather than sexual desire as is sometimes reflected in our western society sets the stage for inflammation and vaginal irritation.  As a doctor, I often look for the deeper imbalance as I treat vaginitis, urinary tract infections and menstrual irregularities.

 

I think of our ovaries as symbolic of our creativity.  This includes the receptivity of the egg to sperm and a resulting baby and, also works of art, businesses, projects, etc.  We are inherently born to allow our creativity and its power to come through us.  Attunement to the menstrual cycle is a constant reminder to look within and listen.  It is a time to support young women in learning to love themselves.

 

Preparing for pregnancy is an opportunity for both mom and dad to focus on their own nutrition, balance in their lives and a time to release unwanted habits and stress.  Pregnancy itself is a time for quality care, education and bonding with the developing fetus.  A low glycemic diet, supplemented with a prenatal multiple vitamin, plus vitamin D, omega-3-fatty acids, especially DHA to support the brain development of your baby is foundational.  Giving birth can be supported through visualization, meditation and hypno-birthing to support mom in partnering with her baby for an easier transition to this world.

 

Peri-menopause is a transition typically occurring between age 45 and 55.  It is a time of menstrual irregularity when estrogen becomes dominant due to decreased ovulation.  It is not uncommon for women who have struggled with PMS or postpartum depression to struggle during this transition.  The most important hormone during this transition is cortisol, which is a stress hormone produced by the adrenals.  Since peri-menopause is a transition, an imbalance in the body, it is stressful.  When a woman enters this phase of life already stressed, then the transition becomes more challenging.  The typical scenario for a woman, who is stressed and entering peri-menopause is low DHEA and fluctuating cortisol.  When stressed cortisol rises, so does your appetite resulting in increased weight in the mid-section.  DHEA helps us recover from stress. The first step is to balance the brain-adrenal connection.  We often use adaptogens, herbs that grow in stressful climates, who have learned to cope with stress.  We get the benefit of the plants experience to help us. Peri-menopause is an opportunity to resolve long-standing problems opening the door to making ourselves our number one priority.

 

Many women go through the peri-menopausal transition with ease.  Others experience hot flashes, night sweats, heart palpitations, hormonal migraines, breast tenderness and heavy menses.  Others struggle with fibroids, painful intercourse, loss of libido, frequent urination, dry skin, bone loss, insomnia and forgetfulness.  It is essential to seek support from a healthcare practitioner who listens and is willing to support you.  You can support yourself through this time of imbalance through nutrition, focusing on fish, vegetables, fruit, legumes, organic soy if you are able to digest it, flaxseed and the cruciferous vegetables kale, broccoli, cauliflower, brussels sprouts.  If these vegetables cause gas or bloating, then stop.  Supplements and herbs during this time depend on where you are in the transition.  Foundational supplements include vitamin D, omega-3-fatty acids and bioflavonoids, which typically come from berries and citrus.  Bio-identical hormones are a safe option for most women. It is essential to have a complete evaluation and physical by your healthcare practitioner before starting hormones.

 

This journey through menopause is an opportunity to reclaim our bodies, love ourselves and choose to become our number 1 priority. Typically, the children have moved on and there we are asking ourselves, what is meaningful to me?  How do I want to create this next chapter in my life? As a wise woman, we learn to have compassion for ourselves, forgive and align with our souls, the essence of who we are.  We become empowered to teach as our light shines and touches those who we meet on this journey of life.

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