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Nutrition for MS fatigue: Tips for planning and preparing healthy meals

Planning and preparing healthy meals can be challenging for anyone. When you have multiple sclerosis (MS), fatigue can be another obstacle preventing you from packing healthy snacks or fixing a home-cooked dinner.

Eating healthy foods can help you fight fatigue and avoid the crash you may experience after eating fast food and sugary drinks. Here are a few tips to make food shopping and cooking more efficient and manageable so that a healthy diet can fit into your lifestyle:

  1. Make a game plan

    Take a few minutes every week to map out some easy dinners for the week. Choose recipes that can be prepared ahead of time, will store well and will produce leftovers that can be packed for the following day’s lunch or repurposed for another meal.

    Brainstorm ....

What is celiac sprue or celiac disease?

An estimated 1.6 million Americans are currently following a gluten free diet, though many have never been diagnosed with celiac sprue (also known as celiac disease).  Patients commonly ask me about celiac sprue and gluten free diets, so I will try to answer some of these questions. The first question I get is what is celiac sprue or celiac disease.

What is celiac sprue?

In celiac sprue, the ingestion of gluten causes inflammatory damage to the lining of the small intestine.   Gluten is a protein, very common in our diet, found in wheat, rye, barley, and oats. (Ed. note - see this chart from the NIDDK that shows other ingredients and items that may contain gluten.)  In people with celiac sprue, the usually large absorptive surface of the small intestine is flattened from damage, significantly limiting its ability to absorb nutrients. 

Though celiac sprue is estimated to affect approximately 1.8 million Americans, many are unaware they have the disease. 

What are the symptoms of celiac sprue?

Celiac sprue causes a variety of symptoms.  They can range in intensity from very mild to debilitating.  Some of the most common signs and symptoms are:.

The Real Deal with Omega 3s

It’s that season again! The time when Seattleites will shell out upwards of $30-40 per pound of the magnificent creature we know as the Copper River salmon. What’s so amazing about this humble little fish that keeps us coming back for more?

Fat.

Omega-3 fatty acids, to be precise. Copper River salmon is prized for its high body fat content, which is used to fuel their 300 mile trek to their spawning destinations. Omega-3 fatty acids not only provide delicious, rich flavor but are also essential for human health. These include EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) long chain polyunsaturated fatty acids, which are found almost exclusively in fish. EPA and DHA are labeled “essential” as the human body cannot manufacture them itself therefore they must be derived from our diet. Omega-3 fatty acids are important for vital functions of the human body to promote a longer and healthier life.

EPA fatty acids provide great heart health benefits:

  • Stabilizes abnormal heart rhythms to regular rates
  • Decreases ....

Child’s Belly Discomfort Caused By Allergies

This is one of the most common questions that I get asked in the office. Allergic diseases are certainly becoming more and more prevalent in the developed world. General pediatricians and specialists are on ‘high-alert’ for this when evaluating a child that may be sick. Within the realm of intestinal diseases, however, a true allergy is actually not very common. To understand this, we must first understand what ‘allergy’ means.

An allergy is a biologic response from our body’s immune system. When our body senses a foreign invader, our army of immune cells attacks it. It does this by releasing chemicals into the blood stream and/or in to the organs where the threat may lie. Those chemicals are meant to destroy the invader, but often hurt our healthy organs as well. For example, airborn pollen may land in your eye, the immune system senses that pollen, releases those chemicals, and as a consequence we get itchy, puffy, watery eyes. The same thing can happen in the bowel if we ingest food that we are allergic to.

Intestinal manifestations of food allergies

One of the more common sites of an allergic response to food is in the esophagus—the food pipe. When the esophagus gets inflamed, it can manifest in a few different ways: heartburn symptoms, chest pain, chronic dry cough, upper abdominal pain, frequent regurgitation, or food that is stuck the chest. The name of this is Eosinophilic Esophagitis. Food allergies lower in the bowels can cause diarrhea, blood in the stool, abdominal pain, weight loss, anemia, and fatigue.

There are usually other red flags

One of the most important things to remember is ....

Family Meals with Young Children

Many parents don’t realize how much eating meals together as a family helps their children’s development and well-being in addition to being known to reduce the risk of obesity and improve the nutrition of children. Eating meals together is a valuable lesson and practice in sharing. By eating the same foods, hearing about someone else’s day, and telling stories, kids learn to compromise and show respect. Sitting around the table with the family is a great setting for children to see how they are a part of something bigger than just themselves.

When you have young children, it is a key time to start eating meals as a family and develop this lifetime habit. Even babies old enough to sit in a high chair but not old enough to eat everything everyone else is eating will benefit from joining the family at the table.

Here are some tips to make mealtimes more pleasant with young ones:

Healthy Mexican Cuisine - Muy nutritivo y delicioso!

Although most Americans celebrated the day of Mexican pride and heritage yesterday, there is no reason to stop the party. To spice up your diet, incorporating the regional dishes of Mexico can offer a range of health benefits and variety to your everyday routine. It is possible to enjoy the fresh Mexican flavors without wrecking your waistline!

Mexican cuisine is much more than the high fat, high calorie gigantic platters of food often served in American style restaurants. The land and seas of Mexico provide a plethora of fruits, vegetables, and heart healthy fishes that are important for good nutritional health.


 
A fast and easy dish you can prepare ahead of time and actually improves as it sits is ceviche. Traditionally...

Why you should be eating more fiber

The recommended daily intake of dietary fiber is 25-35 grams per day. Despite this, the average American consumes about 15 grams of fiber per day. You may have heard fiber is important, but read on to learn more about why it matters in your diet.

What is fiber?

Fiber is the portion of plants that is not digested in the gastrointestinal tract. Therefore, it stays in the intestine, aiding in digestion and contributing to stool consistency. Dietary fiber is categorized into soluble fiber and insoluble fiber.

  • Sources of soluble fiber: fruits, legumes, oats, and barley
  • Sources of insoluble fiber: wheat, rye, grains, and many vegetables

What are the health effects of fiber?

  • Decreased risk of coronary artery disease and stroke. This is the leading cause of death in the United States and a diet high in soluble fiber decreases this risk by 40-50%.
  • Decreased risk of type 2 diabetes mellitus and improved glucose control in people with diabetes on a diet high in soluble fiber.
  • Insoluble fiber is beneficial for many digestive diseases including hemorrhoids, diarrhea, constipation, and diverticular disease.

Is there a downside to a high-fiber diet?

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