Fast, not fat, food

Fast, not fat, food

As a busy professional, it is tempting to hit the drive through on those days when you may be in your car more than at your desk.  But think about what you’re eating-lots of salt, fat, refined flour and calories.  For most people, it may be too salty, too greasy or too stale to enjoy.  And when you think about it, eating fast food daily could put a dent in your wallet.


However, like everyone’s busy schedule, you may find yourself having to either miss lunch, or eat it in your car.  Though I don’t typically advocate eating and driving, I realize it’s a reality for many people.  If you’ve found yourself in a similar situation, here are a few quick “meals” you can make ahead and eat on the road.


  1. Turkey and cheese roll up. Take 2 slices of lean deli turkey and place it on a small, fajita sized whole wheat tortilla.  Spread a thin layer of horseradish sauce over the turkey.  Sprinkle shredded, 2% milk cheddar cheese on this layer.  Roll up and pack in a bag.  Pack 10-15 baby carrots and ½ cup green grapes in a bag to go with it.  And don’t forget a bottle of water!
  2. Peanut butter on whole wheat. Spread 2 Tbsp. natural peanut butter on whole wheat bread and top the peanut butter with another slice of bread.  Enjoy an apple and some celery sticks on the side.
  3. String cheese and Triscuits. Just like it says- pack 2 low fat Mozzarella string cheese sticks and 12 Triscuits in a bag.  Pack 1 cup of baby carrots and cleaned/dried blueberries to pop in your mouth at the red light.
  4. Hummus & veggies in a pita. Pack ½ of a whole wheat pita with 2 Tbsp. of your favorite hummus.  Add a chopped cucumber and spinach leaves between to the pocket.  Pack 10-15 grape tomatoes to go with it and a bottle of water.
  5. Nutty trail mix. Mix ¾ cup Cheerios, ¼ cup almonds, ¼ cup walnuts, ¼ cup sunflower seeds and ¼ cup raisins or dried cranberries in a bag or reusable plastic container.  Grab a 4-6 oz. Greek yogurt and a spoon and run for your car!
Bananas and beyond

Bananas and beyond

Ask anyone to name a source of potassium and inevitably, they’ll say “bananas”.  But ask why we need potassium, and few can answer the question.  Potassium is a mineral that’s not only found in bananas, but also citrus fruit, green leafy vegetables, yogurt, beans, whole grains and sweet potatoes.  Researchers suggest getting more potassium in our diets as it’s been found to lower blood pressure, regardless of sodium intake.


Dr. Alicia McDonough, a professor of cell and neurobiology at the Keck School of Medicine of the University of Southern California (USC) evaluated the diets of several populations and found that higher potassium intakes were associated with lower blood pressure, no matter what the sodium intake was. Her review included a combination of interventional and molecular studies evaluating the effects of dietary potassium and sodium on high blood pressure in various populations.  Kidneys get rid of more salt and water when dietary potassium intake is high.  Dr. McDonough likens high potassium intake to taking a diuretic, or water pill.


Unfortunately, a typical American diet tends to be higher in processed foods, which tend to be high in salt content and low in potassium.  One of the most cost effective strategies to reduce blood pressure is to cut back on salt.  Improved consumer education regarding salt, changes in processed food and reduced consumption of high sodium foods should be implemented.


Finland and the UK were first to start salt reduction programs.  According to the World Health Organization (WHO), Europeans consume an average of 7-18 grams per day, which is far above the suggested limit of 6 grams per day.  The Institute of Medicine (IOM) suggested that adults consume 4.7 grams of potassium daily to reduce blood pressure, reduce the impact of high sodium intake and slash the risk of bone loss and kidney disease.  Dr. McDonough notes that consuming just ¾ cups of dried beans daily can help individuals reach half of their potassium goal.  Here are more ways to obtain more potassium:


  • Eat an orange or banana daily
  • Include green leafy vegetables daily such as broccoli, spinach or kale
  • Snack on unsalted nuts
  • Add an avocado to your salad or sandwich
  • Choose dark orange fruits and vegetables such as melon and sweet potatoes
  • Enjoy kiwi, mango or papaya



Alicia A. McDonough, Luciana C. Veiras, Claire A. Guevara, Donna L. Ralph, Cardiovascular benefits associated with higher dietary K vs. lower dietary Na evidence from population and mechanistic studies.  American Journal of Physiology – Endocrinology and Metabolism. Apr 4, 2017, E348-E356

Elevated LFTs- Liver Function Tests

Elevated LFTs- Liver Function Tests

Don’t ask me why, but lately I’ve seen a rash of patients with elevated liver enzymes.  When enzyme levels are elevated, it’s an indication that an organ in the body may be under stress or inflamed.  In the case of your liver, it may also be related to being overweight or obese. Below are some reasons your liver enzymes may be high.


  1. Medications– Tyelenol/acetominophen, non-steroidal anti-inflammatory drugs (Aleve, ibuprofen, etc) and some prescription medications (such as statins used to lower cholesterol or antibiotics) can increase LFTs if used in excess over time. NEVER take tyelenol after drinking alcohol and limit use of other medications when possible.


  1. Alcohol– Limit alcohol of any kind if your liver enzymes are elevated. Drink in moderation (1 drink/day for women, 2/day for men) if at all or quit if your doctor advises you to.


  1. Obesity or being overweight- can lead to NASH (non-alcoholic steatohepatitis or fat accumulation in the liver). Lose weight if you are overweight to prevent fatty liver disease. Left untreated, fatty liver disease may lead to cirrhosis- permanent scarring of the liver.


  1. Hepatitis can increase LFTs. This includes Hepatitis A, B or C.


  1. Hemochromatosis– a condition where the liver stores excessive amounts of iron, can cause LFTs to be high.


  1. Celiac disease- a digestive condition where a person cannot tolerate gluten from wheat, oats, barley and rye may raise LFTs.


  1. Pancreatitis or cholecystitis– inflammation of the pancreas or gallbladder inflammation may both increase LTFs.


  1. Use of herbal supplements such as kava kava, comfrey, pennyroyal, skullcap, or certain other herbal supplements may raise LFTs.  Supplements are not regulate by the FDA.


  1. Diabetes may increase LFTs as excess sugar in your blood may be related to insulin resistance and obesity.


  1. IV (intravenous nutrition) increases LFTs because bile is being backed up when it is not being used to digest fat in the gastrointestinal system.
Grab n go breakfast ideas

Grab n go breakfast ideas

We’ve all heard that breakfast is the most important meal of the day.  But sadly, it’s the meal most often skipped!


One of THE most important things to remember is hydration.  While it’s easy to grab coffee or tea, don’t forget to hydrate in the morning.  Drink 2 cups of water as soon as you get up to prevent headaches and overeating later.  Keep a water bottle in your car, at your desk and at home if this helps you drink more water. To keep you fuller, longer, include start with high protein & high fiber foods at meals.


Below are some foods to keep on hand that you can grab and run when you’re crunched for time.


Protein sources                                                      High Fiber foods

Hard boiled eggs                                                     Whole wheat bread or English muffins

Peanut or almond butter                                       Oatmeal

Cottage cheese                                                        Shredded wheat or bran cereal

String cheese                                                           Whole wheat tortillas

Soy nuts                                                                    Whole grain crackers- Triscuits, All bran

Almonds or other nuts                                            Mini whole wheat bagels

Beef or turkey jerky                                                 Whole wheat pita bread

Black or other beans

Tuna or egg salad


Produce                                                        Veggies

Fresh fruit                                                      Carrots

Apples                                                            Celery sticks

Bananas                                                        Cherry tomatoes

Berries                                                           Cucumbers

Citrus fruit                                                      Mushrooms

Grape                                                             Pepper strips

Kiwi                                                                Snow pea pods or sugar snap peas





Quick ideas:

  • Peanut or almond butter sandwich on whole wheat with a piece of fruit
  • String cheese and whole grain crackers with a piece of fruit
  • Hard boiled egg, whole grain crackers, handful of veggies
  • Oatmeal with chopped nuts and dried fruit
  • Cottage cheese and fruit
  • Trail mix- shredded wheat, nuts, raisins
  • Bowl of low sugar cereal (< 5 grams) and fresh fruit
The virtues of frozen veggies

The virtues of frozen veggies

When it comes to produce, you can never go wrong with more veggies.  Rich in potassium, beta-carotene, fiber, vitamin C and phytochemicals, vegetable intake is linked with lower rates of heart disease and certain cancers and may also help with “waist control” given their low caloric value.

Here are a few tips when buying and using frozen vegetables:


  1. Look for the “no frills” type, packaged without excess sodium, butter or cheese sauce. These will be lowest in calories, fat and sodium and tend to be less expensive.
  2. Buy a family sized bag versus a “serving for one”. You’ll likely pay the same price, but get more food for your dollar.  Not to mention, it will encourage you to eat bigger servings of vegetables.
  3. Choose a variety of veggies. Who wants to eat only frozen peas?  Get mixed vegetables for color and nutritional value as well as spinach, broccoli and other vegetables.
  4. Try frozen peppers and onions. These are great for casseroles, chili, eggs, soup and stew.  Just think- no more onion tears!
  5. Add chopped frozen spinach to dips, quiche, soup or spaghetti sauce. It wilts down to nothing, but adds loads of beta-carotene and potassium.
  6. Steam frozen veggies in a microwave for 2 ½ minutes. The less time and water used, the more nutrients that are retained.
  7. Add frozen veggies to leftover rice or noodle dishes. They add color, flavor and nutrition to any dish.
  8. Pack frozen vegetables in your lunch as a side dish. They’re not just for dinner you know!
  9. Skip the steamable bag to save money. Frozen veggies can be steamed and served in a glass bowl from your microwave just as quickly.
  10. Don’t forget frozen squash or other varieties of vegetables. These can be added to soups or stews to boost fiber, beta-carotene and potassium to your recipes.

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