22 September 2013

Paleo Guide to Natural Sweeteners: The Good, the Bad and the Ugly

Inflammation is an essential part of the body's healing system. Without it, injuries would fester and simple infections could be deadly. Too much of a good thing, however, is downright deadly.

Chronic low-grade inflammation is intimately involved most chronic disease, including Alzheimer's, diabetes, heart disease, cancer, and autoimmune disease.  One of the underlying factors causing this increase in inflammation is our love affair with sugar.  We have been led to believe that if we switch to alternatives, we can go on with our sweet addiction and pay no health penalties down the road.  One of the very first things I teach patients to do is KICK THE SWEET HABIT!  If you go off sugar and all sweeteners for just 30 days, I promise you.... your body will adjust it's taste-meter so that a piece of fruit with have more flavor and sweetness than you've ever dreamed possible.  And if you do indulge in a glass of soda or something full of sugar, you just might spit it back out due to the sickening sweetness that your body had become accustomed to prior to your sugar detox.

But I do get questions all the time from patients... "If I do need to use a sweetener occasionally and sparingly... what are my best options?"  

Glad you asked!  So here's a Guide to Natural Sweeteners just for you...

The Good:  Natural - Use sparingly

  • Stevia (organic green leaf or pure extract)
  • Organic Local Raw Honey

The Fair: Natural - Use sparingly

  • Dates
  • Date sugar
  • Coconut nectar
  • Coconut sugar/crystals
  • Fruit juice (only fresh squeezed, real, organic)
  • Maple syrup 
  • Palm sugar

The Bad:  Natural but recommend avoidance

  • Agave
  • Barley Malt
  • Beet sugar
  • Brown sugar/light brown sugar/muscovado
  • Brown Rice Syrup
  • Cane sugar or juice
  • Caramel
  • Carob syrup
  • Corn syrup or solids
  • Dextran
  • Dextrose
  • Ethyl Maltol
  • Fructose
  • Glucose/glucose solids
  • Golden sugar
  • Grape sugar
  • High fructose corn syrup
  • Lactose
  • Levulose
  • Maltitol
  • Malt syrup
  • Maltodextrin
  • Maltose
  • Mannitol
  • Raw sugar
  • Refiner's syrup
  • Sorbitol
  • Sorghum syrup
  • Sucrose
  • Xylitol (or other sugar alcohols, end in "-tol or -ose"

The Ugly:  Artificial - never consume

  • Acesulfame K (Sweet One)
  • Aspartame (Nutra-Sweet, Equal)
  • Saccarin (Sweet'N Low)
  • Stevia - white/bleached (Truvia, Sun Crystals)
  • Sucralose (Spenda)
  • Tagatose (PreSweet)

More on Truvia... the one you THOUGHT was ok

Is Truvia made from a leaf?  Well the answer is kinda, sorta.  Truvia has three ingredients:  erythritol, rebiana, and natural flavors.  Rebiana is made from the stevia leaf by soaking it in water.  Although Cargill whitewashes the process as similar to making tea, the truth is revealed in Coca Cola's patent where it outlines a 40+ step process that includes the use of acetone, methanol, ethanol, acetonitrile, and isopropanol.  I don’t know about you, but when I make a cup of tea, I’ve never used any of those ingredients.

The second fallacy of Truvia’s “guilt-free” naturalness is it’s main ingredient, erythritol.  Now while erythritol is a naturally-occurring sweetener found in many fruits, in nature it is present in such small amounts that Cargill manufacturers Truvia’s erythritol by chemically converting genetically modified corn into a food grade starch which it ferments to create glucose and then processes further to create erythritol.   All Natural?  Truvia sounds more like a GMO lab experiment than a sweetener straight from nature.  

But Dr. Jill, I need more carbs!

If you've gone Paleo and removed grains, legumes and refined foods from your diet, you don't have to let go of carbs altogether.   Here are some high carb delicious healthy veggie alternatives for you to munch on that are packed with nutrients...
  1. Yam
  2. Sweet potato
  3. Parsnips
  4. Cassava
  5. Taro root
  6. Plantain
  7. Winter Squash
  8. Onion
  9. Beets
  10. Carrots
  11. Butternut squash
  12. Rutabaga
  13. Jicama
  14. Kohlrabi or Purple kohlrabi (pictured)
  15. Spaghetti squash
  16. Turnips
  17. Pumpkin
  18. Zucchini
More references:

10 September 2013

Are Your Gut Microbes Making You Fat!?

Are Your Gut Microbes Making You Fat!?

There are trillions if bacteria living in your gut, that we know.  But did you know that the population of your microbes may determine if you are likely to be fat or thin?! As we study this amazing microbe machine inside of us, we are discovering the many and far reaching implications of having a healthy population of bugs in your gut.

Researchers recently found pairs of human twins in which one was obese and the other lean. They transferred gut bacteria from these twins into mice and watched what happened. The mice with bacteria from fat twins grew fat; those that got bacteria from lean twins stayed lean. The study published in Science on September 6, 2013, describes the details.

It is becoming more clear that our microbial colonies play critical roles in health, with doctors now curing people by transferring microbe-rich tissues from healthy people into sick ones. Where the term "fecal transplant" used to sound like science fiction, there is now strong enough evidence of potential benefits that there are major medical centers performing this procedure to treat resistant clostridium difficile colitis infections.  Could they be transplanting gut bugs in the future to cure obesity? Sounds crazy but perhaps not too far fetched...

I don't know about you... but I'd rather change my diet than exchange fecal matter! Keep reading on for how diet can change your microbes, too...

There is a caveat: Microbes associated with leanness can’t take up residence in mice with “obese” gut microbes unless the animals eat a healthy diet.

As part of the study, the twins’ gut microbes were transferred into mice that had been raised in a previously microbe-free environment. The researchers had a chance to observe what happens when a mouse carrying a collection of gut microbes from an obese twin is housed with another mouse carrying gut microbes from the lean twin.
Eating a healthy diet encourages microbes associated with leanness to quickly become incorporated into the gut,” said senior author Jeffrey I. Gordon, MD, director of the Center for Genome Sciences & Systems Biology at Washington University. “But a diet high in saturated fat and low in fruits and vegetables thwarts the invasion of microbes associated with leanness. This is important as we look to develop next-generation probiotics as a treatment for obesity.”
In 2009, Gordon found that the microbes in obese individuals also lack diversity and contain more pathogenic species. Individuals with healthy microbes contain a larger variety and include species such as provatella and bifidobacter. Earlier research showed that obese individuals had a shift from more Bacteroidetes to greater proportion of Firmicutes. Those that remained lean continued to have high levels of bacteroidetes. There is also evidence showing that these gut bug populations also change as we age.  Perhaps the most important idea from that past decade of research is that the diet we consume has the ability to change our internal mileau!  More industrialized nations tend to have gut populations that favor Firmicutes while less industrialized societies that still rely heavily on unprocessed food sources have guts that remain high in Bacteroidetes.

These observations were confirmed by a recent Danish clinical study that linked the risk for metabolic disorders – obesity, cardiovascular disease, and diabetes – to a shortage of friendly intestinal.  The microbiome of bacteria-poor people were dominated by species that cause chronic inflammation in the body.

The "good" guys vs. the "bad" guys ... 

The Firmicutes ("bad" guys) and the Bacteroidetes ("good" guys)  are divisions of gut bacteria. The microbiota of the human gut is dominated by these two species, most of which are benign although a few are pathogenic.

The Firmicutes is the largest bacterial class, containing more than 250 types, including Lactobacillus, Mycoplasma, Bacillus and Clostridium.  They are a very diverse class and Clostridium species are obligate anaerobes whereas members of Bacillus form spores and many of them are obligate aerobes. Streptococcus pyogenes, the well-known cause of 'Strep throat', is also a member of the Firmicutes.

The Bacteroidetes include about 20 types. In the human gut, Bacteroidetes is probably the most abundant single genus. Species of Bacteroidetes are obligate anaerobes that are benign inhabitants of the gut. However, they are opportunistic pathogens that can cause disease if they gain access to the peritoneal cavity outside the gut, for example in bowel perforation or surgery. In addition research raises the question of how consumption of increasingly hygienic and processed food deprives our microbiota from useful environmental genes and possibly affects our health.

Could Probiotics Help?

Probiotics are bacteria that help maintain a healthful balance of microbes in the intestines, and generally benefit their host.  The average person’s digestive tract hosts about 400 kinds of probiotic bacteria, which help prevent the growth of harmful bacteria and promote healthy digestion.  Now we know they may also affect our disposition towards being thin or obese!

Lactobacillus are often given to patients following a course of antibiotics, and are also found in yogurt and most other cultured/fermented foods.  Probiotics may be used in infants to populate the gut after c-section and may benefit babies with colic.  For more on probiotics and how they can benefit your health, read this!  I believe we are just on the edge of understanding how these healthy bugs and supplementation of different strains may affect health and disease and weight.  Stay tuned for the coming research and blog articles...

So What Should I Eat?

The Paleo Diet may be beneficial in reducing your risk of chronic diseases such as diabetes, obesity, heart disease and many autoimmune and inflammatory conditions. I frequently use the basic principles of the paleo diet to help patients re-learn how to eat healthy, maintain ideal weight, and feel fabulous! Perhaps the most important thing about it is that it encourages you to get back to whole delicious real food.  It will allow you to feel better, lose weight easily and maintain muscle at any age. I challenge you to give it a try for yourself for 30 days and see if it doesn't change your life!