Nutrition

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Gluten intolerance or low FODMAPs?

June 18, 2014

Despite test results that show no evidence of their children having neither any detectable allergies to wheat nor any signs of celiac disease, many parents choose to have their children follow a gluten-free diet.  This is because of convincing stories of how gluten (a protein found in wheat and other grains) seems to cause their kids to have belly aches, nausea, bloating and a variety of other symptoms.  

For years, this was hard to explain without a scientific explanation.   Gastroenterologists like me had a hard time supporting families who wanted to follow gluten free diets, without a good “medical reason”.  Then, in 2011, researchers from Australia conducted a double-blind, randomized, placebo-controlled, rechallenge trial in nearly 3 dozen patients (none of whom had celiac disease or wheat allergy), all of whom described worsening symptoms when unkno...

Does your child have a food allergy or food sensitivity?

June 09, 2014

“Every time my child eats, his belly hurts. I think he must have a food allergy. Can you help us?”

Countless times have I heard this from parents of children worried about foods being the cause of their child’s gastrointestinal (GI) complaints. Some families wonder whether their child should start a “gluten-free” or other type of dietary change. More often than not, families have already tried a few diets before meeting with me.

Parents considering these types of elimination diets need to be aware of a few key points:
The difference between “food allergy” and “food sensitivity”:

Sports drinks and energy drinks

June 03, 2014

I recently wrote a short post for the Issaquah Soccer Club on the topic of sports & energy drinks.

Helping kids with Inflammatory Bowel Disease (IBD)

June 03, 2014

Inflammatory Bowel Disease (IBD): Do you know what it is?  Do you know what symptoms people suffer from? Do you know that 1.4 million Americans have IBD, and that it can affect both children and adults alike?  The gastroenterology team at Swedish takes care of both children and adults who suffer with this chronic, disease of the gastrointestinal tract

As the pediatric gastroenterology nurse who works intimately with the pediatric IBD patients at Swed...

Public Comment Period on Food Label Changes Ending Soon

May 20, 2014

Time is running out if you want your opinion to be heard when it comes to the FDA’s proposed changes to the iconic food label that we’ve all come to rely on when buying packaged foods. 

This is a big deal.  For those of you who haven’t heard, highlighted below are the key proposed changes:

  • Require information about the amount of "added sugars". A review of this was discussed in Dr. Thekke Karumathil’s blog a few months ago.

  • Remove the “calories from fat” label

  • Update serving size requirements

  • Present "dual-column" labels to differentiate "per-serving" and "per-package"

How to eat more vegetables

May 09, 2014
Did you know half of your plate should be from vegetables? Here are some ways to get more vegetables into your family’s meals and snacks.
 
1. Experiment with a new vegetable each week or each month!

Check out your local farmers market or produce aisle for something new and seasonal. Search the web or your favorite cook book for ideas on preparation, and don’t be afraid! Find recipes with some of your other favorite flavors or styles and you may just find your new favorite vegetable.

2. Get sneaky

  • Pureed peppers, zucchini or carrots can be “snuck” into tomato sauces for pasta or pizza. Not even the pickiest eater will notice!
  • Cauliflower, carrots or sweet potato can be steamed and pureed into mashed potatoes or a casserole.
  • Have a ...

An innovative solution for the un (and under) insured

March 26, 2014

Health-care reform is a big, confusing, emotionally-charged topic. Now that 2014 is underway and the Affordable Care Act is beginning to take effect, many more Americans will have greater access to health insurance than they had before. It is estimated that 180,000 people in King County alone will become newly insured this year.

Still, there will be many people in our community – and throughout the country – who will continue to face barriers to accessing care. Some of them will be considered underinsured because they can’t afford to fill the gap in medical expenses not covered by their insurance. Others receiving Medicaid may find it difficult to locate a physician who is willing to take them on as a patient, as doctors are not required to see Medicaid patients, and many don’t. And then, there will probably always be those people who don’t have any insurance at all because, for one reason or another, they can’t sign up: the homeless, the chronically mentally...

How to make healthy substitutions

March 20, 2014

This week for National Nutrition Month, we featured how to make healthy substitutions to your cooking techniques. Easy swaps can help reduce calories, fat, sugar and sodium from your diet without noticing a change in flavor.

New nutrition labels, same healthy eating advice

March 14, 2014

We all know that as a nation, we are getting bigger and heavier. Worse still, our future - our children- are becoming obese and unhealthy at increasingly younger ages. For decades, the scourge of obesity was blamed on a high calorie, high fat diet. Turns out, we have probably been doing it wrong all these years and our bulging waistline attests to this colossal failure. Research and the medical community now have increasing evidence that the real villain of the story is a very sweet little molecule called fructose. Fructose is what gives us the sweetness in table sugar (sucrose)…also in brown sugar, honey, agave, and of course, high fructose corn syrup. Call it by any name, but sugars are dangerous to our health. Fructose is addictive, much in the same way as alcohol and illicit drugs are. In fact, sugar (fructose) metabolism closely replicates alcohol metabolism except for the acute effects on brain. Sugar has been likened to alcohol without the buzz!

You may already have heard abo...

Nutrition spotlight on quinoa

March 13, 2014
This week the Registered Dietitians and Diet Technicians offered up a unique spin on quinoa for National Nutrition Month. Many of you reported you have had it as a side dish at dinner or in a salad for lunch. However on Wednesday, we served quinoa for breakfast! Spiced up with cinnamon, cloves, ginger, and cardamom, the sky is the limit for extra add-ins to further boost the nutrition of your morning meal.

Additional Flavor Ideas to Mix and Match:
  • Chopped nuts (walnuts, pecans, hazelnuts, almonds, etc)
  • Diced apple or pear
  • Banana slices
  • Mixed berries
  • Dried fruit (raisins, dried cranberries, prunes)
  • Almond or peanut butter
  • A tablespoon of flax seed or chia for healthy essential fatty acids
  • Honey, maple syrup, or agave nectar for sweetness
  • Scrambled egg for protein
Technically considered a seed (not a grain), quinoa is gluten-free and a complete source of prote...