Month: December 2015

In this episode, Hans opens some coconuts for us.  The younger coconuts have more coconut water but less meat (and softer meat).  The older coconuts have less water but more meat (that is firmer).  Stay tuned for future episodes to find out what can be made with the coconuts!  You can find Hans and his coconuts at the farmer’s market in Kaka’ako on Saturday morning and the Kailua Farmer’s on Sunday morning.  He is also for hire if you have a coconut tree that needs to be harvested!  You can contact him at  hanzinfiber@yahoo.com.  In addition to harvesting coconuts, he also practices massage and chinese medicine.

A lot of people I see in the Emergency Room suffer from gout.  Gout is an arthritis which causes attacks of painful inflammation in joints.  Gout is caused by an excess of uric acid in the blood. Uric acid is produced in the body through the breakdown of purines, compounds that are found in high amounts in certain foods such as meat, poultry and seafood.  Other risk factors for gout include:

1.  Gender:   Men produce more uric acid than women, though women’s levels of uric acid approach those of men after the menopause
2. Family History or genetics
3. Chronic lead exposure has been linked to some cases of gout
4. Certain medications, like diuretics and salicylate, can increase the levels of uric acid in the body
5. Obesity: Being overweight increases the risk of gout as there is more turnover of body tissue, resulting in more production of uric acid as a metabolic waste product. Higher body fat also increase inflammation.
6. Renal insufficiency and other kidney problems can reduce the body’s ability to efficiently remove waste products, such as uric acid.
7. Lifestyle choices: alcohol consumption interferes with the removal of uric acid from the body and eating a high-purine diet .  We will talk about how to make positive lifestyle changes for gout (below).(4)

Here are some common medications people are given for gout, with mechanism of action and side effects:

Allopurinol: reduces the production of uric acid by inhibiting the biochemical reactions immediately preceding its formation.  The most common reactions are

1.  Gastrointestinal:  diarrhea, nausea, or an increase in liver function enzymes
2.  Acute attacks of gout!
3. Rashes

There are also a host of other possible side effects that are more rare.(2)

Colchicine:   Exactly how colchicine works is not known. However, it may affect certain proteins in the body, which may relieve gout.  Similar to allopurinol, common side effects are gastrointestinal such as nausea, vomiting and diarrhea. There are other possible side effects including acute renal failure. (3)

Indomethacin:  Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID). Indomethacin reduces hormones that cause inflammation and pain in the body.  Commonly reported side effects of indomethacin include headache.   Other side effects include dizziness, dyspepsia, hyponatremia, and nausea. There are a lot of other possible side effects (similar to side effects of other NSAIDS) including gastrointestinal bleeding.(4)

Ray decided to forego all these medications and their possible side effects and opted for dietary changes, and he is without pain.  Thank you, Ray for sharing your story to inspire others to make positive changes in their life.

(1) Mcintosh, James.  “Gout: Causes, Symptoms, and Treatments.”  MedicalNewsToday.com.   MediLexicon International, Ltd.  24 July 2015.  Web.  Accessed 24 December 2015.  <http://www.medicalnewstoday.com/articles/144827.php>.

(2) “Allopurinol”  Drugs.com  Web.  Accessed 24 December 2015.  <http://www.drugs.com/pro/allopurinol.html>

(3) “Colchicine.”  Drugs.com.  Web.  Accessed 24 December 2015.  <http://www.drugs.com/sfx/colchicine-side-effects.html>.

(4) “Indomethacin.”  Drugs.com.  Web.  Accessed 24 December 2015.  <http://www.drugs.com/mtm/indomethacin.html>.

Hans Heinz shows us how he safely climbs coconut trees without damaging them. You can find Hans at the Kakaako Farmer’s Market on Saturday and the Kailua Farmer’s Market on Sunday selling his sustainable coconuts!  He is also for hire if you have a coconut tree that needs to be harvested!  You can contact him at  hanzinfiber@yahoo.com.  In addition to harvesting coconuts, he also practices massage and chinese medicine.

Do you love pitaya bowls and always wanted to make one yourself?  Then, this is the episode for you!

Ingredients:

2 bananas

1 dragonfruit

1 cup of granola

1 cup of coconut, rice or almond milk

1 cup of frozen strawberries

Instructions:

Cut dragonfruit in half.  Then scoop out the inside into blender.  (I have a vitamix).   Add one cup of strawberries (frozen preferably).  Add 1 banana.  Then add 1 cup of rice, almond, or coconut milk.  I use coconut milk,but if you do not want to consume saturated fat, you can use almond or rice milk.  (Please refer to previous “easy acai bowl” episode for more information.  Blend on high power.  Then pour into bowl.  You can make it in the breakfast criminal heart bowl (which I bought on amazon) for your loved ones!  Then decorate it with whatever fruits you want and granola.  In this episode, I use one banana (sliced) and granola to make it easy.  Other suggestions are:  chia seeds, shredded coconut, kiwi, fresh strawberries…

Nutrition Information:

Dragonfruit:

100g serving of dragonfruit has only 60 calories: 18 calories from fat (all unsaturated), 8 calories from protein and 34 calories from carbohydrates. (2)  Dragon fruit has lots of dietary fiber with almost 1g of fiber per 100g of the fresh dragon fruit. (1)

Dragon fruit is a good natural source of anti-oxidants which help to prevent the dangers of free radicals which can cause cancer and other undesirable health detriments.  Dragonfruit is rich in Vitamin C.(1)  Vitamin C  strengthens the immune system and helps fight against respiratory disorders.   It is good for treating acne. Take a quarter of dragon fruit and make a smooth paste out of it, apply it on affected area. Rinse off with water once it gets dry. Apply twice daily.  Dragon fruit juice also works well on color treated hair. Apply some dragon fruit juice on your scalp. Wait 15-20 minutes. Wash your hair with shampoo.(1)

Dragonfruits do not contain cholesterol, unhealthy saturated fat and trans fat. The seeds of dragonfruits are high in polyunsaturated fatty acids (omega-3 and omega-6 fatty acids) that reduce triglycerides and lower cardiovascular disease risk.  50% of the seeds were made up of an essential fatty acid, oleic acid, that helps lower bad cholesterol and raise good cholesterol.(1)

*Ingestion of significant amounts of red-fleshed dragon fruit may result in a reddish coloration of the urine and feces.(1)

Strawberries:

There are many benefits of consuming strawberries.   Anthocyanins, a class of  flavonoids found in berries, reduces the risk of heart attack and strokes.   Quercetin, a flavinoid in strawberries is a natural anti-inflammatory that appears to reduce the risk of clogged arteries and protect against the damage caused by low-density lipoprotein (LDL) cholesterol.  Quercetin, in strawberries, may help to improve allergy symptoms, such as runny nose, watery eyes and hives.(3)

The high polyphenol content may also decrease the risk of heart disease  by preventing platelet build-up and reducing blood pressure. Other studies have shown  eating strawberries helps to lower homocysteine levels, an amino acid associated with damaging arterial lining. (3)

Strawberries are high in potassium, recommended to those with high blood pressure to help counter the effects of sodium in the body. Apparently, low potassium is as much of a risk factor in developing high blood pressure as a high sodium.  Fewer than 2% of US adults meet the daily 4700 mg recommendation for potassium.(3)

Strawberries, like other fruits, contain antioxidants that work against free radicals which cause cancer.  Like other fruits strawberry is also high in water content and fiber which helps prevent constipation.  Strawberries are a wonderful food for diabetics since they have a low glycemic index and are high in fiber, which helps to regulate blood sugar. Eating strawberries can help reduce diabetic complications, like kidney disease and neuropathy.(3)

Strawberries also contain folate which is essential for pregnant women to prevent neural tube defects in their offspring.  It may also help with depression by preventing an excess of homocysteine from forming in the body, which can prevent blood and other nutrients from reaching the brain and interfere with the production of serotonin, dopamine, and norepinephrine, which regulate mood, sleep and appetite.(3)

Bananas:  Please see oatmeal raisin bites blog entry for nutritional information on bananas.

Granola:  Please see previous post “easy acai bowl” for information on granola

Coconut:  Please see previous post “easy acai bowl for information on granola

References:

(1) Nayyar, Namita.  “Queen of the night is a super fruit.”  Women Fitness.  27 February 2014.  Women fitness.net.  Web.  Accessed 2015 December 16.  <http://www.womenfitness.net/dragonFruit_queen.htm>.

(2)”Dragonfruit.”  Naturalfoodbenefits.com.  Web.  Accessed 2015 December 16.  <http://www.naturalfoodbenefits.com/display.asp?CAT=1&ID=41>.

(3)Ware, Megan.  “Strawberries:  Health Benefits, Nutritional Breakdown.”  MNT.  Medical News Lexicon, International.  28 September 2015.  Web.  Accessed 2015 December 16.  <http://www.medicalnewstoday.com/articles/271285.php>.

In this episode, I make an acai bowl.  If you have been buying acai bowls all over, you do not need to anymore because you can easily make it yourself!  I like to sometimes have an acai bowl for breakfast or a snack.  It’s a delicious way to get fiber in your diet!

Ingredients:

bananas

blueberries

acai

granola

coconut milk

Directions:

Place 8 ounces of coconut milk, one banana, frozen blueberries and acai in high power blender (such as vitamix).  You can buy the acai in little frozen packets, as I did in this video.  It also comes in a powder form. You can use +/- 4 tablespoons of acai powder if you decide to buy the powder form.  Blend on high speed.  Place the mixture in a bowl.  If you are wondering where I got my fancy heart bowl, it is the Breakfast Criminals bowl which you can find on amazon.

If you are concerned about the saturated fat in coconut milk, you can use rice or almond milk instead.   Though almonds have saturated fat, the almond milk you buy in the store in which they filter out the sediment (which likely contains the saturated fat), does not have saturated fat. If you do not have any of the non-dairy milk, you can use almonds.

When you are done pouring the mixture into the bowl, you can add whatever garnish you like.  In this video, I add banana and granola, but other possibilities are hemp seeds, strawberries, and kiwi.

Nutritional information

Bananas:  Please refer to oatmeal raisin bites blog for more information on bananas.

Blueberries:  Please refer to granola fig bar for more information on blueberries.

Acai:  Acai berries are high in antioxidants.  They are very high in anthocyanin, which is found in red wine.  They are a plant antioxidant that lowers cholesterol levels.  They also contain plant sterols which have cardio-protective benefits such as preventing blood clots and improving circulation by relaxing blood vessels.  The National Institutes of Aging found that the acai berry was able to reduce the harmful effects of a high fat diet (in flies).  Brazilians have used acai berries to treat skin conditions.  Acai is high in vitamin C and ellagic acid which reduce the growth of cancer.   They may also slow the process of aging.  Lastly, acai has been shown to increase sex drive in men and prevent mental instability in menopausal women.  (1)

Coconut Milk:  Coconut milk is not the same as coconut water.  I will go over how to make coconut milk with the pulp in another episode, but here I will talk about some of the benefits of coconuts.

Coconuts are high in fiber.  They are also rich in many vitamins such as C, E, B1 B3, B5, and B6.  Vitamin B1 is thiamine and keeps mucous membranes healthy.  B3 is niacin which plays a role in liver and gland function.  B5 (pantothenic acid) improves asthma, hair loss, stress, respiratory and heart problems, as well as boosting immunity.  Vitamin B6 or pyridoxine is involved in making serotonin and norepinephrine, chemicals that transmit signals int he brain.    Coconuts also contain many minerals like iron (used in red blood cells that carry oxygen in your body), selenium (important for a healthy immune system), sodium (which balances fluid our body), calcium (for your bones), magnesium (which plays a role the body’s enzymatic reactions), and phosphorous which maintains acid-base balance in the body.(2)

Granola:  Granola is traditionally made of rolled oats.  You can check out the oatmeal raisin bites episode to learn more about the benefits of oats.  I will be making granola on a future episode. Stay tuned!

References:

(1)  Group, Edward.  “Twelve Health Benefits of Acai Berries.”  Global Healing Center.  14 June 2010.  Web.  Accessed 8 December 2015.   <www.globalhealingcenter.com/natural-health/benefits-of-acai/>.

(2) Lewin, Jo.  ‘The health benefits of…coconut milk.”  good food.  BBC Worldwide.  Web.  Accessed 8 December 2015.  <www.bbcgoodfood.com/hoto/guide/ingredient-focus-coconut-milk>.

 

 

 

 

This is the first in a series of blogs I will have of insomnia.  In this first blog, I am going to do a book review of the book above.  It is only 99 cents on amazon if you have a kindle!

The book starts out talking about how night shift nurses were found to have a higher incidence of breast cancer.  The author talks about how melatonin suppresses cancer but lack of melatonin causes breast cancer to grow rapidly.  Blue light has been found to suppress melatonin.  Wearing glasses that block the blue light prevents suppression of melatonin and therefore may reduce the risk of cancer…

Artificial lights were only developed relatively recently in the scheme of human history.   Artificial lights contain blue light sources that suppress melatonin.  Melatonin is a sleep hormone that makes us feel sleepy.  Therefore, if we are exposed to blue light, we might have trouble falling asleep since melatonin is not released into our bloodstream.  When the eyes are exposed to bright light, melatonin flow is delayed, resetting the circadian clock later.  Light in the morning causes the pineal gland (which makes melatonin) to stop releasing it into the blood stream, so you can feel awake.

The author suggests wearing the blue light blocking glasses a couple of hours before you go to bed to stimulate melatonin release, which will help you fall asleep.  For night shift workers, he also suggests that they put on the blue-blocking glasses a couple of hours before they fall asleep.   To deal with jet lag, one can put on blue-blocking glasses earlier each day to shift to an earlier time zone (eastern time zone) or to adjust to a more western time zone, one can put on the glasses in the morning to delay the circadian rhythm.

The author provides techniques for solving the problem of adolescents waking up late.  He suggests giving them the glasses to help them fall asleep earlier.  The blue light blocking glasses also can help people suffering from bipolar disease and postpartum depression get more sleep.

For shift workers who need to sleep during the day, some other things they can do would be using black-out curtains and white noise to help them sleep during the day.  When they get up to go to the bathroom, they can wear the blue light blocking glasses so they will not inadvertently reset their circadian clock and can get back to sleep easily.

I have these blue light blocking glasses and wear them myself about an hour before I go to sleep.  I feel pretty tired within an hour and fall asleep quickly.  I wear them on my way home from my night shift (as the sun rises), so the light will not reset my circadian rhythm, and I can fall asleep easier.  Check them out in this fun video: