Health Tips

Navigating a Plant-Based Diet: A Comprehensive Guide

Posted October 4, 2023

Plate of brightly colored vegtablesIntroduction to Plant-Based Eating

I’ve always been passionate about believing that all foods can fit into a healthy eating pattern. However, there are many reasons why people may seek out a more plant-based style of eating.

Understanding the Different Types of Plant-Based Diets

Within plant-based diets, there are different subcategories: vegetarian diets include eggs and dairy but do not include meat and fish, whereas vegan diets involve abstaining from animal products altogether. Many folks choose to follow these patterns of eating for ethical reasons, such as supporting animal rights and protesting the harms of factory farming or environmental reasons (meat and dairy contribute more significantly to environmental pollution than most plant foods).

The Health Benefits of Plant-Based Eating

There are pros and cons to any dietary pattern. The pros of a plant-based eating pattern include reduced saturated fat intake, which can help improve or reduce the risk of metabolic disease. Another possible advantage is the extra fiber intake, mostly from plant foods. Research has shown that diets rich in plant foods have been associated with longevity and lower disease risks. That being said, you don’t have to eliminate animal products to get these benefits completely, but rather, include more plants in your diet!

The benefits of plants extend well beyond the benefits of fiber. For example, plant foods also contain phytochemicals, which are powerful chemicals that can help decrease the risk of developing certain cancers, as well as heart disease and Diabetes.

Addressing Nutritional Concerns in Plant-Based Diets

Whenever you cut out certain foods or food groups, you run the risk of nutrient deficiencies. It is very possible to have a well-balanced diet as a plant-based eater; it simply requires more thoughtfulness and planning. The key is variety—including plenty of diverse vegetables, fruits, starches, plant-based proteins, healthy fats, and sources of omega-3s and fortified foods/supplements. The main nutrients to watch closely include protein, Vitamin B12, Vitamin D, iodine, calcium, omega-3 fatty acids, iron, zinc, and selenium.

Vitamin D Supplementation

Despite the long list, only a few supplements and fortified foods are needed. The rest can be obtained through a well-thought-out diet. Most of us don’t get enough Vitamin D from food or the sun (and sunscreen blocks its absorption). Therefore, most people should supplement with a small dose a few times a week, year-round.

Vitamin B12 Supplementation

For vegans, another common supplement is Vitamin B12, as it’s not found in plant foods except for nutritional yeast, which is a plant-based source of Vitamin B12 that imparts a cheesy flavor and texture to dishes.

Iodine Supplementation

Iodine is a mineral found inconsistently in plant foods, and similarly, commercial and processed foods (and sea salt) are not typically iodized. One can cook with salt labeled “iodized” or take a multivitamin with iodine to supplement. Iron, zinc, and selenium are minerals found abundantly in animal products but are also available in plant foods in smaller amounts, so they need to be included more intentionally.

Enhancing Nutrient Absorption

There are also ways to enhance absorption. For example, iron from plants is best absorbed with Vitamin C (e.g., lemon juice) and when avoiding tea, coffee, red wine, and calcium supplements within an hour of meals. Sources of these minerals include legumes, tempeh, nuts/seeds, cooked green vegetables, fortified breakfast cereals (iron), legumes, nuts/seeds, oatmeal, bread, tempeh, and miso (zinc), and Brazil nuts (selenium).

The Protein Myth in Plant-Based Diets

Contrary to popular belief, getting enough protein isn’t a difficult task if you include awide variety of protein options, such as soy products (e.g., tempeh, tofu, seitan, veggieburgers), beans and lentils, high protein pasta such as chickpea and lentil pasta, nuts/seeds, and grains such as quinoa and oatmeal. To ensure you are getting the nine essential amino acids that cannot be made in the body, include different types of proteins and grains within these categories.

Boosting Omega 3 Intake on a Plant-Based Diet

Omega 3 fatty acid intake can be trickier. While plant-based foods contain omega 3s (e.g., chia, flax, walnuts, and soy foods), it can be difficult to get the optimal recommended daily amounts from these foods when compared to fish. Some, therefore, opt to take a vegan omega-3 (algae–based) supplement, although the research on the necessity of this is conflicting.

Transitioning to a Plant-Based Diet: Tips and Strategies

If you want to change your diet towards a plant-based eating pattern, especially for a climate impact, I recommend taking it slow. For instance, you could start with just one plant-based meal a week. You could also consider reducing the portions of animal products at meals (e.g., having a smaller amount of steak and adding beans).

Small Changes, Big Impact

The bottom line is that when it comes to the influence of dietary patterns on the health of our planet, having more people eating fewer animal products is a lot more impactful than having a small minority of people eating none. Small changes in all our individual diets add up to big differences.

Sources:

Adrienne DinkArticle by Adrienne Dink, MS, RD, LDN
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10 Common Eating Disorder Symptoms: How to Recognize Them Early

Posted September 26, 2023

Two hands holding loaf of breadUnderstanding Eating Disorders

Eating disorders are serious mental and physical illnesses that involve disturbances in eating thoughts and behaviors. This can include restricting one’s food intake and/or compensating for intake through purging, over-exercising, laxative abuse, or other harmful behaviors, with the goal of reducing one’s body shape or size. 

This can also involve feeling out of control around food, eating larger amounts of food in one sitting than feels nourishing, and experiencing high levels of guilt and shame for these behaviors. Eating disorders can affect any person– regardless of body size, race, culture, socioeconomic status, or gender identity.

Eating disorders are, unfortunately, one of the deadliest of all mental illnesses, second only to opioid overdose. While the typical image we see in the media of someone with an eating disorder involves being in a thin and frail body, only 6% of people with eating disorders are medically considered “underweight.” 

As a result, it is common for people to go without treatment or to experience delayed treatment, despite the fact that the sooner one receives treatment, the better the prognosis. Here are some of the common symptoms to be aware of that may indicate an eating disorder:

10 Alarming Signs of an Eating Disorder:

1. Constant Thoughts on Food and Body Weight

Those suffering from eating disorders often experience constant “food noise.” This is when food, eating, or other related concerns – such as how food affects one’s body weight, shape, or size – take up a significant portion of daily thoughts and lead to high levels of distress.

If food or body thoughts are taking you or your loved one away from essential aspects of life, such as focusing on work or school or enjoying hobbies and relationships, this may be a sign focus on food has become excessive.

2. Abrupt Dietary Changes Masking Disordered Eating

Some decide to make dietary changes based on values or ethics, for example, becoming vegetarian for environmental or animal rights concerns. However, these dietary changes could also be used to mask abnormal eating behaviors. For instance, avoiding carbs, gluten, or animal products can also make it easier to avoid eating certain foods when in social situations – those deemed “unhealthy” or “bad.” It can be helpful to ask yourself about your intentions before making any sudden dietary changes.

3. Reluctance to Eat in Social Settings

Those suffering from disordered eating may feel uncomfortable eating around others due to fear of judgment (related to their own preoccupations with food and body) or fear of being pressured to eat more than they want or to eat specific foods. If you or your loved one suddenly withdraws from social events involving food, consider this as a potential sign there may be an eating disturbance occurring.

4. Mental Fatigue and Mood Instabilities

Food has calories, and calories are our body’s main energy source – this can be easy to forget in today’s dieting-focused culture – “calorie” has almost become a bad word! Therefore, if someone is restricting food, this is going to affect their fuel reserves negatively. This can lead to energy conservation – the body’s attempt at saving remaining fuel reserves for essential processes needed to keep them alive. This doesn’t leave enough energy to fuel optimal brain function, which can lead to poor concentration, low mood, and overall inability to carry out one’s usual daily tasks.

5. Gastrointestinal Issues from Irregular Eating

When someone isn’t eating enough at meals or isn’t eating regularly (it’s recommended to eat about every 3-5 hours), this can significantly impact digestion. The movement of food through the digestive system will slow down, and the stomach will produce less acid (or overproduce acid when a meal does finally enter the system). This can lead to constipation, abdominal cramping, bloating, acid reflux, and other gastrointestinal-related problems, and these symptoms can cause a lot of distress as well as further hinder eating.

6. Compulsive and Overzealous Exercise Routines

Those who struggle with eating often tend to compensate for perceived transgressions with food to avoid weight gain, to “balance out” energy intake, or to reduce guilt. One way this can manifest is through excessive exercise routines. Some signs of being overly rigid with activity include if it is difficult or impossible to take rest days – or you are riddled with guilt and food thoughts when you do – or if you tend to push exercise despite unsafe weather conditions, illness, or injury.

7. An Increase in Concern About the Health of Ingredients

The recently coined term “orthorexia” has been used to describe an extreme focus on ingredients. It is, of course, okay to want to eat in a healthful manner and to take care of and nourish your body, but this can quickly take an unhealthy turn if it becomes an inability to eat anything except for a narrow group of foods that are deemed “healthy” or “clean.” This could lead to guilt when eating foods that are not deemed clean, not eating enough calories overall, or missing out on key nutrients due to cutting out food groups.

8. Unexplained Weight Shifts

Significant and sudden weight changes can indicate that someone struggles to maintain a consistent eating routine. Not only is criticizing weight gain damaging but so too is complimenting weight loss – you never know what is going on behind the scenes or what has caused those weight changes.

9. Physical Dizziness and Hair Loss

As mentioned above, when energy intake is consistently low, the body slows down all non-essential processes to conserve energy. This can include a reduction in blood pressure or heart rate so that the heart muscle isn’t working as hard (leading to dizziness when sudden changes occur with standing), cold hands and feet due to the body prioritizing keeping your core warm but not the extremities, and hair loss – because protein is more essentially needed in other bodily processes!

10.  Avoiding Friends and Activities

Of course, with all these internal battles and physical symptoms occurring, it’s no wonder why someone may become withdrawn from their friends or loved ones. Eating disturbances can also co-occur with other mental health conditions, such as anxiety and depression, making reaching out for help all the more challenging.

Additional References on Eating Disorders:

https://anad.org/eating-disorders-statistics/

https://www.nationaleatingdisorders.org/what-are-eating-disorders

Adrienne DinkArticle by Adrienne Dink, MS, RD, LDN
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5 Tips for Feeling Your Best During Summer Activities & Exercises

Posted August 3, 2023
Feet with athletic shoes outsideIf you live in a state with seasons—especially cold winters—you do not need me to tell you how enjoyable it is to be active and participate in outdoor activities during the warm summer months! Whether you are engaging in more casual movement like walking or swimming, or more strenuous activity like playing sports or hiking, there are a few things to consider to help ensure your safety and that you feel your best while outside in hot summer temperatures.

Here are a dietitian’s top five tips for getting the most out of your activity during the warmer months:

1. Make Sure to Fuel and Hydrate Before Your Planned Activity

The body needs energy to perform optimally, regardless of the activity, including whether it’s just for fun or exercise. Before you engage in movement, aim to eat something that contains simple forms of carbohydrates — like a banana, pretzels, crackers, bagel, or toast — about 30-60 minutes prior. 

This pre-workout fuel, especially when it’s coming from quick-acting carbohydrates (broken down into sugars), allows you to feel more energized and can improve your performance. Your body can break down these simple carbs into sugars more quickly than a meal that contains complex carbs (think whole grains with fiber, which slows down the digestion of the sugars) or a lot of protein or fat (which also slows digestion).

2. Avoid Midday Workouts When Engaging in Outdoor Movement

The heat can be very exhausting on the body and can even increase cortisol levels (a stress hormone), leaving you feeling depleted after your workout. It can also increase your risk of dehydration due to excessive sweating. To feel better during your workouts, consider getting outside for your activities in the early morning, late afternoon, or evening when the outside temperatures are cooler. This reduces the sweating and stress on your body from the heat and allows you to feel more comfortable during your workout.

3. Get Enough Sleep the Night Before Your Activity

Getting enough sleep is a great way to make sure you have enough energy to engage in movement that you find joyful. This may also make it easier for you to get up earlier to engage in activity before your day starts, or could allow you to have more energy to be active later in the evening. Sleep is also when our bodies go into a state of rest and repair, allowing your muscle tissues to regenerate for your next activity.

4. Fuel and Re-hydrate After Your Workouts

Try to consume foods that contain both a carbohydrate and a protein source after your workouts. After a workout, you want both quick carbs to restore the depleted glycogen (or energy stores) in the liver and muscles and you want protein to repair your muscles. In fact, it is important to get both because carbs are “protein sparing” – that is if you get enough protein but no carbs, your body will convert some of that protein into carbs for energy, so less of the protein will go to repairing and building muscle!  

A few great post-activity snack options include Greek yogurt with fruit, a fruit smoothie with protein powder, or a granola bar with added protein for a quick on-the-go option.

If engaging in movement outside in the heat, especially if you are sweating a lot or outside for long periods, consider refueling with electrolytes (think sodium and potassium), which have been depleted from sweating, through sports drinks or electrolyte powders/tablets.

5. Even Small and Low-Impact Movement Counts as Physical Activity!

Adding in 5-10 minutes of yoga, stretching, or walking can make a big difference in how you feel and in your overall health. This could be as simple as using a standing desk or taking a five-minute break to walk around the house or stretch. Just breaking up the stillness of sitting or lying down can benefit our health by allowing our blood to flow properly and our muscles to be engaged.

Adrienne DinkArticle by Allison White, MS, RD, LDN
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When Disorders Overlap: The Connection Between Eating Disorders and Substance Abuse

Posted July 25, 2023
Glass of white wine in dark room

The prevalence of co-occurring diagnoses of eating disorders and substance use disorders is on the rise.  According to the National Center on Addictions and Substance Abuse, up to 50% of individuals with eating disorders also abuse alcohol or illicit drugs, a rate 11 times greater than the general population.  It’s worth noting, however, that this statistic is from 2003.  The prevalence rate may be much higher 20 years later, especially after the increased stress and isolation of the COVID-19 pandemic.

Understanding the Connection

Why are those who struggle with eating disorders more likely to experience problems with addiction and vice versa?  There may not be a simple answer to this, but to better understand, it’s important to consider some similarities between ED and SUD.

Shared Risk Factors

First, there are many risk factors for developing an ED, and many of these are shared with developing SUD.  Some of these common risk factors include alteration in brain chemistry, family history of the disorder, low self-esteem, depression, anxiety, trauma, undiagnosed mental health issues, and social pressures.

These risk factors often lead to the individual searching for a coping mechanism, a way to “control” their situation, or a temporary distraction.  Substance use and engaging in ED behaviors can serve their purpose here.  While both are dangerous and can be life-threatening, they are coping strategies that vulnerable populations often utilize.

Behavioral and Personality Traits Overlap

Second, there are some behavioral and personality-trait overlaps between those with ED and SUD.  Sufferers of both disorders often may have an obsessive preoccupation, compulsive behaviors, a tendency to be secretive about their behaviors, and may isolate to continue the behaviors.  People who suffer from eating disorders often describe their ED behaviors as feeling addictive, similar to how an addict feels towards drugs or alcohol – like it has become less of a choice and more of a compulsion.

The Concept of Transferring Addictions

The concept of transferring addictions is one that comes up a lot in the world of substance use.  When a person discontinues using their substance of choice, often their first instinct is to replace that addiction with another.  Even if a person is not experiencing an eating disorder in active addiction, it’s quite common for eating disorder behaviors to emerge or re-emerge when that person gets sober.  It’s important to be on the lookout for eating disorder behaviors when a person is newly sober, even if they haven’t exhibited signs of having an eating disorder previously.

The Road to Recovery

Although eating disorder recovery and addiction recovery can look different, what is similar between the two is that it can be very difficult, if not impossible, to stop without help.  Fortunately, recovery from addiction and/or an eating disorder is possible, and getting help with one can often improve the likelihood of recovery from the other.

Sources:
The National Center on Addiction and Substance Abuse (CASA) at Columbia University. Food for Thought: Substance Abuse and Eating Disorders. The National Center on Addiction and Substance Abuse (CASA) Columbia University; New York: 2003.

Jessie Linton DietitianArticle by Jessie Linton, >RD, LDN
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Our Dietitians’ Favorite Summer Desserts & Recipes

Posted July 5, 2023

Bowl of Ice CreamThe registered dietitians at Healthier Tomorrows truly do believe that all foods fit – there is always a place for the savory and the sweet, for appetizers and desserts! So, to help welcome in the warmer weather and the more relaxed days of summer, we have compiled here a few of our favorite summer desserts… please enjoy!!

Strawberry Shortcake with homemade whipped cream

This dish is very refreshing after a day outside or even to add to a day of self-care this summer! I love the sweetness of the fresh strawberries and light/creaminess of the homemade whipped cream. It truly is a wonderful snack or dessert. This recipe can be modified based on preferences as well. Peaches and blackberries are another great option!

Allison White

Ice Cream!

My go-to summer dessert is cooling down with any sort of ice cream! I’m not too picky either – a local ice cream shop, ice cream truck, or the grocery store will do the trick. I’m always debating if I go the fruity flavor route or chocolate/cookie direction. If I’m going the fruity route, I might end up with something along the lines of raspberry cheesecake ice cream, while if I’m going in the other direction, I might opt for a simple chocolate chip cookie ice cream sandwich! Either way, it always hits the spot!

Claire Bowar 

Chocolate Eclair Cake

I have such happy memories through my childhood of eating chocolate eclair cake at potlucks, and it’s still my go-to summer dessert recipe! It’s easier to make than it may sound, only requiring 5 ingredients. Plus, it’s a no-bake recipe which helps keep your home cooler than using your oven in the midst of the summer heat. The best part (besides how yummy it is!) is that you can make it ahead of time and it keeps beautifully in the refrigerator!

No-Bake Chocolate Eclair Cake (there are many variations, but here’s one! https://www.thecountrycook.net/eclair-cake/#recipe) 

Cara Mowery 

Buster Bar Ice Cream Cake

I love ice cream cake! There are tons of variations out there. A personal favorite is a Buster Bar ice cream cake. My mom made something like this growing up so I have many fond memories. I love that you don’t have to turn on the oven and it doesn’t take too much effort. The hardest thing about it is planning ahead to give yourself enough time for each layer to freeze. But the great thing is it can be made many days in advance. 

https://www.fromvalerieskitchen.com/buster-bar-ice-cream-dessert/

Anna Kreiser<

Red, White, and Blue Trifle 

My favorite summer dessert is a red, white, and blue trifle! It’s easy to put together and combines all the tasty sweets into one. This a recipe I enjoy using: https://www.thepioneerwoman.com/food-cooking/recipes/a36321045/red-white-and-blue-trifle/ but instead of making my own whip (the cream cheese and granulated sugar). I use cool whip for convenience. This is my go-to dessert to bring to family gatherings and parties.  

Lauren Oakes

Homemade Banana Muffins

Homemade banana muffins!  This is a current favorite in our house!  Although they serve as a delicious dessert, they are great as a balanced snack too.  They freeze well, so I typically make 2-3 times the recipe and freeze extras so they are readily available!

Jess Smosna

Grilled Peach Crumble with Ice Cream 

My favorite is a grilled peach crumble with ice cream!  

I love grilling in the summer so if I can do that with a dessert than I am IN! There are many components to this dessert that pair well together like the hot and cold contrast and the smooth and crunchy combo. Such a tasty dish! 

Summer Cooper

Watermelon Lime Slush

One of my favorite summer treats is super refreshing and very simple to make. After cutting up a watermelon, freeze some of the cubes and keep them to make this Watermelon Lime Slush. It’s hydrating, tart and has the perfect amount of sweetness:  Blend 2 cups of frozen watermelon and the juice from one lime in a blender. Add mint as a garnish and serve in a glass.  Enjoy!!

Kerry Hensel

Peanut Butter and Banana Whip

Combine frozen bananas and nut butter of choice in the food processor or blender, blend until smooth, and enjoy!

Greek Yogurt Bark 

Line the baking sheet with parchment paper and spread out yogurt into a smooth layer. Top with mini chocolate chips, coconut shreds, and fruit of choice, and freeze for at least 2 hours. Break into pieces and enjoy!

Chocolate-Covered Bananas

Peel ripe bananas and insert a popsicle stick. Dip in melted chocolate and roll in sprinkles or nuts of choice. Let cool on parchment paper and store in a gallon freezer bag. Keep in the freezer for an easy grab-and-go cold sweet treat!

Hannah Walker

Megan Campbell DietitianArticle by Megan J. Campbell, MS, RD, LDN, CEDRD-S
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Delicious Food in Chicago: 5 Must-Try Restaurants This Summer

Posted June 22, 2023

Tacos on a plateFor those of you who have gotten the chance to experience a Chicago summer, you know that it is one of the best times to enjoy and explore the city. As always with Chicago, this means delicious food! As a registered dietitian and self-proclaimed burger enthusiast, I am always excited to try new restaurants, especially when there is an outdoor patio space involved. It’s also a great opportunity to explore different neighborhoods and their cultures. Without further ado, here are a few shoutouts:

Table, Donkey, & Stick

This is one of my favorite burgers in the city, and I’m not alone: it has made top lists of the “Best Burgers in Chicago,” including on the “critically acclaimed” (in my opinion!) Instagram @windycityburgerreview. What makes it special? The pretzel bun and caramelized onions, and a flavor you just must experience yourself. The restaurant itself is enough of a hidden gem in that you won’t have to wait for hours like at the popular Au Cheval. It’s located in the quirky Logan Square neighborhood. The back patio is reminiscent of your friend’s cozy backyard, with string lights included.

Coalfire Pizza

A perfect spot for thin crust pizza straight out of the coal oven– unique in a city full of deep dish. It recently made the top 10 in Yelp’s review of the “Top 100 Places for Pizza” in Chicago. It’s located in both West Lakeview and West Town neighborhoods– sit on the sidewalk patio overlooking Southport in Lakeview and enjoy the local shopping or enjoy the cozy indoor atmosphere in West Town. They feature another Chicago favorite for dessert – seasonal pie slices from Bang Bang Pie & Biscuits—if you have room (but there is always room for dessert because there’s a second stomach for it—this is science).

Antique Taco

Make a pit stop in Chicago’s upbeat and eclectic Wicker Park neighborhood, even if you can’t find a spot to sit! This cute, homey taco restaurant is nestled among shops on Milwaukee Ave. It is small and tends to be bustling, but you are just a short walk from the park in Wicker itself for a picnic. There is also a location in Bridgeport if you find yourself southbound–a neighborhood known for its diverse food and culture. My favorite taco is the Garlic Shrimp with Elote cauliflower, basil, avocado, and fried kale.

Fiya

One of my personal summer favorites is the spacious patio at Fiya. Located in Chicago’s north Andersonville, Fiya is known for its Mediterranean cuisine from various Levantine and related regions. They described their menu as “fruit and veggie forward” so if you’re looking for something fresh, healthy, and delicious, this is your spot. It’s also a great place for a group with shareable dishes.

Scooter’s Frozen Custard

What would a Chicago summer food list be without ice cream? This is a stable in the Roscoe Village neighborhood. They are known for their delectable and creamy custard, as well as their fun mix-ins and “flavors of the month.” The line can be long, but don’t worry – it goes fast, and you can observe cute dogs eating their pup cones while you wait. You can also enjoy a classic Chicago dog – you knew this had to make it on the list at some point!

Adrienne DinkArticle by Adrienne Dink, MS, RD, LDN
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Adventures Ahead: 6 Tips for Eating Disorder Recovery while Traveling

Posted June 13, 2023

Photo Location: Lake Chetek, WI

With more people traveling again, you may be wondering how to take your recovery on the road. Perhaps you’re traveling to see a loved one in another state, catching up with old friends, or just soaking in the joys of exploring a new state, city, or park. Maybe you’re excited that your relationship with food has gotten much more neutral lately, or perhaps you’re nervous because you’re not sure how to keep the momentum of recovery going forward with new stressors of travel coming up. Nonetheless, here are some tips for you!

1. Assessing Travel Readiness and Navigating Challenges

Sometimes travel is unavoidable, for example, visiting sick loved ones or mandatory work travel. However, if the trip is optional, talk to your treatment team to determine if traveling makes sense right now based on where you are in your eating disorder recovery journey. In some situations, pausing travel may be most beneficial, as there can be a lot of uncertainty and triggers that can come up with travel.

Photo Location: Katmai National Park & Preserve, AK

If it is a beneficial time to put the wheels in motion, discuss personal challenges and how you might navigate them in a session with your therapist and dietitian. For example, what if breakfast gets pushed off to be brunch?  What if everyone is stopping to get ice cream but you haven’t had that food in your recovery journey yet?  What if there is a lot of diet talk happening on the trip?  It is important to develop a plan about how you’ll navigate these situations and more.  You can make it fun and do some roleplaying in sessions, too!  It can also be helpful to include supports that may be traveling with you into a session or two prior to your trip – maybe a parent, significant other, or a friend. That way they can learn what is going to be challenging for you and how to support you best.

2. Nutrition on the Go: Essential Snacks and Hydration Tips for Traveling

Photo Location: Asheville, NC

It never hurts to have backup food on hand during travel. Think about how many times you’ve had a flight get delayed, dinner ended up being several hours later than expected, or you planned to make it back to the hotel but never had time. If we have access to food, we’re much more likely to follow through with getting that nutrition in throughout the day. I like to encourage my clients to put a few snacks into their backpack, purse, or vehicle at the start of the day when traveling and restock the next day. Think nonperishable snacks such as trail mix, chips, granola bars, crackers, or your favorite candy.

In terms of hydration, I encourage clients to pack a reusable water bottle and refill in throughout the trip if the hotel/Airbnb has available water to use. Otherwise, if you’re on a road trip, throw some bottled water, Gatorade, or your favorite hydrating beverages into a cooler.

3. Dressing for Comfort: How to Pack Mindfully for Your Travels During Recovery

Photo Location: White Sands National Park, NM

This might sound too obvious, but think about how often you’ve opened up your luggage on a trip and struggled with what to wear because nothing is comfortable. When our clothes dig at our skin it’s hard to focus and stay present. Pack options for various weather scenarios – rainy, cold, super humid, etc. Think about how you’d feel wearing those clothes in different temperatures. If wearing jean shorts isn’t comfortable when it’s sticky outside, can we opt for a loose dress or breathable shorts that might be more comfortable?

Tip: If you’re trying on clothes for an upcoming trip, or at any time for that matter, try putting on the clothes first without looking in a mirror. Ask yourself if the clothing feels comfortable. If yes, turn around and see if you like the style – if not just toss aside and try on the next item. We really want to lean into what FEELS good!

4. Preparation is Key: Early Planning and Packing Tips for Recovery-Focused Travel

Start the conversation with your treatment team around your upcoming travel plans weeks ahead of time – start to process potential triggers, fears, and various scenarios before the time comes. This gives you time to incorporate supports into sessions, too, if it would be beneficial.

Also, I encourage my clients to start the packing process early! It can be overwhelming to try clothes on all at once, especially if you’re packing for a different season or trying on clothes that you haven’t worn since before the recovery process started. Starting the process early allows you to borrow or buy clothes that you might want in different styles or sizes.

Tip: Set an amount of time per week to spend packing, and you can chip away at it over a few weeks!

5. Pack coping skills!

Photo Location: Grand Canyon National Park, AZ

You might be scratching your head at this one…pack my coping skills?! I’m sure you have some on-the-go coping skills that don’t need to be packed, like deep breathing skills, 5-4-3-2-1 grounding technique, meditation, and so many more! However, think of what you could pack to help you cope as well. Do you enjoy listening to music? Remember to pack those Airpods or your favorite headphones! Do you find joy in coloring or journaling? Remember to pack those, too!

6. Remember Your Journey’s Purpose: Balancing Recovery and Memorable Experiences During Travel

Photo Location: Estes Park, CO

In addition to all of the tips above, my favorite tip is this last one. Remember the purpose of your trip! Are you traveling to visit a friend, family member, or loved one after a long pause during the pandemic? Are you going on your honeymoon? Are you soaking in the culture of a new country? Ask yourself what you want to remember from your trip once you return home. Remind yourself of that during your trip routinely. It is possible to successfully keep recovery afloat while having a memorable trip!

Happy traveling – both on your road to recovery or your next vacation!

Claire BowarArticle by Claire Bowar, RD, CDN, LDN, CEDS
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Debunking Health Buzzwords: The Truth about Intermittent Fasting, Paleo, Detox, and Bone Broth

Posted May 25, 2023

Glass with lime and waterIn today’s digital age, you can find an article or video, or influencer who will support all sorts of different health beliefs, diets, and wellness routines.  

Recently, a video of Gwyneth Paltrow talking about her daily wellness routine has gone viral.  In the video, she uses lots of today’s big buzzwords around health and nutrition, including “intermittent fasting,” “Paleo,” “Detox,” and “Bone Broth.”  

The issue with this video (and so many others) is that it can glamorize eating disorder behaviors.  As a registered dietitian, when I hear someone say that they only drink coffee in the morning, drink bone broth for lunch and follow paleo with lots of vegetables for dinner, I do not think “health and wellness” but think “that’s not enough nutrition!”  So, let’s talk about some of these buzzwords and what they mean.

Intermittent Fasting:

What is Intermittent Fasting? 

There are several different variations of this diet.  The general concept is that there are certain windows in which you fast (not eat) and certain windows in which you eat.  A common variation of this diet is called the 16:8, where you fast 16 hours each day and eat only within an 8-hour window (10 am to 6 pm).

 

Is intermittent Fasting healthy?

 The Mayo health clinic lists the following side effects of fasting:  hunger, fatigue, insomnia, irritability, decreased concentration, nausea, constipation, and headaches. Interestingly enough, these are the same side effects that come with an eating disorder! Because intermittent fasting covers a broad range of behaviors and no guidance on what to actually eat during the eating windows, it can be hard to compare the results of the diet.  

While some people may find having some structure to their eating pattern helpful overall, intermittent fasting is no different than other diets.  It can lead to an increased risk for developing an eating disorder or disordered thinking about food, and while weight may be lost initially, it is typically not sustained long-term.

The Paleo Diet:

What is The Paleo Diet?

 Also sometimes called the caveman diet, the Paleo diet encourages eating like the hunters and gatherers would have in prehistoric times.  This calls for eating meats, fruits, vegetables, nuts, and seeds and cutting out most grains, legumes (a fancy word for beans), and dairy.

Is the Paleo healthy? 

 First of all, the diet is founded on the faulty idea that people were healthier way back when!  While it may be true, there were fewer known cases of chronic diseases; this is mostly because people didn’t live long enough to develop them and died from other causes.  While promoting more whole foods, more fruits and vegetables, and less processed foods can definitely have health benefits, the Paleo diet takes it a bit too far by cutting out whole food groups that have plenty of great nutrients to offer.  Whole grains offer fiber and many vitamins and minerals.  

Legumes are a great vegetarian protein source, along with fiber and other nutrients.  Dairy is best known as a source of calcium, but is also a good source of protein, phosphorous, and vitamin D.  If dairy isn’t included in one’s diet regularly, finding alternative sources of calcium is very important.  

Additionally, having less variety of whole food options to choose from can make cooking and preparing meals more challenging.  The other disadvantage of following the Paleo diet is it can be very limiting when eating out or in social settings.

What is a Detox:

What is a Detox?  

Detox and cleanses are two words that often are seen together.  There is no standardized definition of what this means.  Often, these words are used to advertise or sell different products or supplements.  Things like a “juice cleanse” or “green tea detox.”

Is a Detox healthy?  

Our bodies have great detox systems in place already!  Our liver, kidneys, skin, and digestive track are helping us to stay “detoxed” all the time by excreting (releasing) toxins through urine, sweat, and stool.  The idea that we need to help our body detox often comes down to marketing.  Many of these products come with a high price tag and big claims about all the miracles they can perform.  With all of the health claims and buzz around them, there is little to no evidence that they actually do anything to benefit the body.  Fiber, water, and a variety of foods can help keep our system naturally feeling its best!

Bone Broth

What is Bone Broth?  

Bone broth is a broth or stock that is made by simmering bones (typically chicken or beef) generally for at least 12 hours, and sometimes for more than 24 hours, to have the bones release the collagen and nutrients that are typically locked inside the bones.  Some bone broth recipes may also include adding vegetables during the cooking process.  This can then be drunk on its own or used as a base for soups or in other recipes.

Is Bone Broth Healthy to Consume?

Bone broth can certainly provide many great nutrients and have some health benefits.  Collagen can help with skin and joints and there are also claims that bone broth helps with digestive inflammation.  While bone broth can be a healthy addition to a balanced diet, it is important to remember that no one food is the answer to all health and wellness questions and concerns.  

So, if you want to try making your next soup with bone broth instead of with a traditional stock, or sip broth instead of your morning coffee, go for it!  If you’d rather not, there are still plenty of other ways to take care of your body every day.

Final Thoughts on Nutrition Buzzwords & Trends

A quick Google search of most nutrition topics will give you a wide variety of opinions and very conflicting advice.  It can all be enough to make your head spin!  So, next time you’re watching Tik Tok or reading a blog or doing just about anything on the internet, take note of the nutrition “facts” that you’re seeing.  

Before believing it all to be true, do a little investigating.  It is especially important to consider the source of information; is the information coming from someone reputable or someone trying to sell you something? 

 As dietitians, we love helping our clients separate fact from fiction, and assisting them in making the choices that make the most sense for them, based on their individual needs and health goals!

Stay Cool and Healthy: Discover Our Dietitians’ Go-To Summer Snacks!

Posted May 22, 2023

GrapesSummer is on its way!! And it is always helpful to have some quick, easy, nutritious, and fun snack ideas in mind for road trips, picnics, baseball games, and lazy days in the backyard!!  The Healthier Tomorrows team has shared their favorite summer snack ideas so that you can spend less time thinking about what to bring with you to avoid hunger pangs and more time thinking about your grand summer adventures ahead!!

11 Nutritionist-Approved Go-To Summer Snacks

1. Trader Joe’s “Chips in a Pickle”

My current obsession is Trader Joe’s “Chips in a Pickle”.

I get indecisive about what I want to have, so I tend to make my own little “charcuterie boards” of snacks on a plate – usually some nuts, potato chips, chocolate, and maybe some apple slices or carrots. – Sara

2. Guacamole Packets & Cucumbers 

My go-to snack lately is perfect for summer. I have a busy work/life schedule with two young kids so I need snacks that are convenient and uncomplicated. I’ve been craving crisp, juicy snacks as the weather is getting warmer, and I’ve found a great solution. I buy individual guacamole packets from Aldi (spicy flavor is preferred) and a bag of mini cucumbers and simply dip and eat! The combination is perfect—salty and creamy yet crisp and crunchy.  Plus, I can eat them without any preparation or dishes to do afterward, which is an added bonus. – Kerry

3. Frozen Red Grapes with Cashews

My absolute favorite summer snack is frozen red grapes with cashews. It’s the best sweet and salty snack on a hot day. It is super yummy, and pairing the two helps stabilize blood sugar. – Alessandra

4. Creamy Peanut Butter Dip

I’ve been mixing vanilla Greek yogurt with a spoonful of peanut butter and a little honey to make a sort of creamy peanut butter dip.  Then you can dip whatever you want!  My personal favorite is apples, but you could also use bananas, strawberries, pretzels, etc.  It’s nice and refreshing as the weather gets warmer, but the dip also has protein and fat to make this snack satisfying and more nutrient dense! – Jessie

5. Stuffed Dates with Nut Butter

I love stuffing dates with nut butter, dipping them in melted dark chocolate, and keeping them in the freezer!  So yummy and tastes like a fiber-rich relative of a Twix bar! Sometimes if I want to add an extra protein punch, I will mix some collagen peptides into the nut butter before I stuff the dates. – Dara 

6. PB Granana Smoothie 

My favorite summer snack is what I call my PB Granana Smoothie.  It’s a blend up of greens, banana, and peanut butter, along with some other nutrient-dense ingredients to further support the gut microbiome and anti-inflammatory pathways.  Not only is this smoothie delicious, it’s nutritious and balanced for blood sugar stability and sustained energy!  Cheers to health! –  Jess

7. Frozen Grapes 

Frozen Grapes! So easy, like a little bite-size popsicle! All you do is wash and remove it from the stem and put in the freezer. I like to put them on a baking sheet so they don’t clump together, but you can also lay them out flat in a plastic bag. If you’re looking for a little extra sweetness (especially good for more sour grape varieties), tossing them in a few spoonfuls of sugar to coat the outside of the grapes before you freeze makes them the perfect summer treat. – Anna

8. Greek Yogurt Fruit Dip

Fruit dip made with vanilla greek yogurt, peanut butter, and ground cinnamon (love dipping apple slices in this) Hannah

9. Ricotta Toast

Toast with ricotta, honey, sliced almonds, and strawberries, or avocado toast with pickled red onions, feta, and microgreens or other toppings

I love these because they’re simple, fresh, and delicious, with a mix of carbs/healthy fats to stay full and satisfied. I get inspired by the toasts at my favorite coffee shop and try to recreate them at home. –Adrienne

10. Chocolate Rice Cakes with Peanut Butter

Let’s not forget the gluten-free side of snacking!!

I very much enjoy having chocolate rice cakes w/ peanut butter as a sweet, filling snack. Sometimes, depending on how I’m feeling in the moment, I’ll throw some strawberries on top. I don’t like bananas, but strawberries w/ peanut butter and chocolate — yum! That is the way to go! The Quaker chocolate rice cakes even have little chocolate chips in them — OMG delicious. 

As for a savory snack, I enjoy having gluten-free Wasa crackers. I like the sesame ones, but I’ll also take plain, whatever is available in the grocery store! I throw some slices of deli turkey and cheese on there, as well as lettuce and tomato if I’m feeling like it. I’ll do a few “open-face cracker sandwiches.” Delicious! – Loni 

11. S’mores

When I close my eyes and think of summer, the first image that pops into my mind is a bunch of loved ones gathered around a fire, making s’mores after a day of enjoying the lake, river, or pool! They’re a super simple and wonderfully sticky snack to enjoy after a warm summer day. You can even get creative with your own s’mores variation. Some of my favorite variations are swapping the chocolate bar for Reese’s cup or adding peanut butter to the original recipe (as you can see, I’m a peanut butter lover!). Use your imagination and see what variations you can come up with!

Ingredients:

-Graham Crackers 

-Marshmallows

-Milk Chocolate Bars 

 Instructions: 

-Place half of the chocolate bar on the graham cracker half.

-Use a metal skewer or long stick to toast a few marshmallows over the campfire until desired char – my personal favorite is golden brown. If you’re not around a campfire, microwave the marshmallow for about 15-25 seconds until it has doubled!

-Place the toasted marshmallow over the chocolate graham cracker half and top with the second half.

-Press together, slowly remove the rod or skewer and enjoy! – Claire

Megan Campbell DietitianArticle by Megan J. Campbell, MS, RD, LDN, CEDRD-S
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Lemon Ricotta Pasta with Peas

Posted May 17, 2023

Lemon RicottaIngredients:

  • 1/3 cup pine nuts
  • 1 lb of penne pasta
  • 2 cloves of garlic
  • 1/3 cup fresh parsley
  • 1 tsp dried oregano
  • ½ tsp dried thyme
  • 1 ½ cups peas (can be frozen/thawed or fresh) – split 1 cup and save ½ cup for later
  • 15 oz ricotta cheese
  • 1 tbsp lemon zest
  • 2-3 tbsp lemon juice
  • ¼ cup olive oil
  • 2 tsp kosher salt
  • ¾ tsp black pepper
  • ½ cup parmesan

 

Directions:

  • Toast pine nuts in a skillet over medium heat. Stir and watch constantly, as they will burn quickly. Once golden brown, remove from heat, place on a plate, and set aside.
  • Cook pasta based on box directions. Once cooked and drained, drizzle with olive oil and stir.
  • To make the sauce, add garlic, parsley, oregano, and thyme to a food processor or blender. Blend until the parsley and garlic are well-chopped.
  • Add 1 cup of peas, ricotta, lemon zest, lemon juice, olive oil, salt, and black pepper to the parsley and garlic. Blend the mixture until smooth.
  • Add the mixture to the pasta and stir.
  • Top the pasta with the remaining peas. 
  • Add parmesan and the roasted pine nuts to the top of each portion. 

If the sauce comes out too thick for your preference, add a splash of water or broth, blend, and keep adding until you find the consistency you prefer. 

Nutrition Benefits:

This recipe is packed with powerful ingredients!!

  • Pine nuts are full of protein, iron, vitamin E, and magnesium.  Magnesium plays a role in supporting muscles, nerve function, and energy production. 
  • Peas contain many vitamins and zinc! Peas are rich in fiber; they can help reduce blood pressure and could improve lipid levels (cholesterol) within the blood. Because peas are rich in fiber, they can help relieve constipation and promote bowel regular movements.  Zinc helps with metabolic functioning and supports your immune system. Zinc has also been found to be helpful with wound healing and providing support for taste and smell.
  • Garlic helps fight bacteria, viruses, fungi, and parasites. It can also help boost your immune system, decrease high blood pressure, and reduce cholesterol levels!

Enjoy!

Lauren Oakes MBA, RD, LDNArticle by Lauren Oakes, MBA, RD, LDN
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