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Thursday, 28 May 2020 14:12

Ayurvedic Approach to Dealing with Depression

By Kayse Budd, M.D., Holistic Psychiatrist, Astrologer, Poet, and Educator

 May 2020

An Ayurvedic approach to depression takes into account mental, spiritual, and physical aspects of health and well-being. Within Ayurveda, there are three subsets of depression corresponding to the three doshas.


 

Depression is one of the most common mental illnesses worldwide, affecting approximately 300 million people (4.4 percent of the world’s population) and 17.3 million US adults (approximately 1 in 12). Women are nearly twice as likely as men (8.7 percent vs. 5.3 percent) to suffer from depression, with adolescence, postpartum, and perimenopause being especially risky times. Depression has a significant economic impact. It is the leading cause of disability worldwide. It is also one of the most common reasons people seek out integrative or complementary therapies and providers.

Psychological Perspectives

Healing depression is something that requires time, focus, and effort on multiple levels. Here are five key psychological steps that can provide a useful foundation for the endeavor.

  1. Choose to accept the self exactly as it is—with the parents, the body, and the circumstances present. Trust that things are as they are for a reason, even if you do not understand it. Few people live up to the exact ideal they have for themselves. To be happy, you have to choose to care for (and eventually love) yourself as you are, including your perceived flaws and difficulties.
  2. Make constant inquiry into your mind and heart. Be mindful of your emotions throughout the day. This could mean catching a stream of negative self-talk and substituting more supportive affirmations (classic cognitive therapy and pratipaksha-bhavana in ancient yogic philosophy). It could also mean changing what you are doing (behavioral therapy).
  3. Honor your yes and no. A factor in many cases of depression involves not honoring your truth. The question“What do I want (right now)?” is important. Take action to follow things that feel aligned with your authentic yes. Say no to things that feel uncomfortable in your body or heart.
  4. Take responsibility for your choices. If you feel your goals and wishes (your “yesses”) are being rejected—by life, yourself, partner, or family—you often end up unhappy. This is a complex issue, however. Dreams and wishes are not always straightforward. “Yes” is not always crystal clear. It is important to acknowledge this. Otherwise, you can mistakenly blame other people for your choices and your happiness. Remember: You need challenges to develop specific strengths, which are the fuel for spiritual growth. In turn, you can help others in similar situations.
  5. See the self holistically. All seemingly negative traits have positive aspects. The core qualities of people’s most “negative” traits are often tied to their greatest strengths. As a psychiatrist who is also an astrologer, I have found several patterns of susceptibility to depression in people’s astrological charts. Saturn (order, restriction, heaviness) is usually involved, as is Pluto (intensity, transformation, obsession). A prominent Saturn may make someone depression-prone, but it also makes them conscientious, reliable, and capable—very useful traits.  A prominent Pluto can make a person depressed but also determined, resilient, and charismatic.

Ayurvedic Perspectives

Viewed through an Ayurvedic lens, depression is usually thought of as a Kapha imbalance—heaviness, sadness, and general stagnation. Apathy, low energy, poor mood, and reduced movement are part of the official criteria psychiatrists use to diagnose depression. These symptoms are all Kapha problems, which suggests that the Kapha element is indeed out of balance in most cases of clinical depression.

From a more comprehensive Ayurvedic standpoint, there are three subtly different types of depression corresponding to the three doshas. These unique types of depression may preferentially affect people of that same primary dosha. They can also affect people of a different primary dosha who have the affected dosha(s) out of balance.

Kapha Depression

Associated with lethargy, increased sleep, poor motivation, despondency, and ama(toxicity), lies Kapha depression. It is the most common and longest-lasting type--due to the inherently slow-moving nature of Kapha. The treatment approach varies but includes the general principles of increasing movement, reducing toxicity, and enhancing ojas(vitality). Some science-backed recommendations are:

  • Thirty minutes of yoga daily (especially Sun Salutations)
  • Thirty minutes of outdoor exercise daily (start gentle and increase to moderate intensity). Spend time in nature at least once a week.
  • Increase fresh vegetables in your diet. Reduce processed foods and sugars (including alcohol, which is a depressant).
  • Eat warm, spicy meals. Reduce cold food and smoothies. Add pungent, warming herbs such as cayenne and cinnamon to meals.
  • Consider fresh-squeezed veggie juice to help the body detoxify. A program of physician-supervised cleansing (called panchakarma in Ayurveda) could be helpful.
  • Consume ginger tea morning and night. (Cut and boil a 2–3-inch piece of organic ginger. Steep 20 minutes.) Also helpful for Vata depression.
  • Take 350–400 mg of the herb ashwagandha morning and night. Ashwagandhaenhances thyroid function, and supplementing the thyroid is a standard adjunct treatment for depression within Western psychiatry. Caution for Pitta dosha or Pitta-type depression (see below), as increased thyroid activity could actually worsen agitation in that population. Ashwagandha is helpful for Vata, however.
  • Consume 1 teaspoon dulse, nori, wakame, or other seaweed three times per week. Seaweeds can cause a subtle increase in energy, metabolism, and body temperature with a possible slight reduction in depression.
  • Take 20–30 mg/day of the spice saffron.
    • Use caution and discuss with your physician if already on an SSRI or other pharmaceutical.
  • Perform a daily self-massage (abhyanga) with a warming oil, such as sesame. Massageis known to reduce cortisol levels and increase serotonin/dopamine, making it a useful practice for depression.
  • Consider 120–250 mg/morning of the herb Rhodiola.
    • Use caution/discuss with your physician if on SSRIs.
  • Consider taking 500–2,000 mg/day of cardamom. Cardamom reduces inflammation, congestion, and mucus throughout the body (possibly also helping irritable bowel or inflammatory bowel disorder). It has an indirect effect on depression.
  • Avoid binge-watching, excessive internet use, and similar sedentary activities, as these promote Kapha accumulation.
  • Clean the house, make the bed, bathe, and get dressed daily. Set a commitment for social interaction one to three times/week. Taking action to promote vitality is essential.

Pitta Depression

Like Pitta imbalancePitta depression is a more agitated state. It is highlighted by frustration, anger, irritability, and impulsivity. There is a higher risk of suicide with this type of depression due to the impulsivity and agitation. In traditional psychiatry, this might be thought of as a “mixed depression” (depression blended with manic or bipolar symptoms) or an “agitated depression.” This condition may be more common in a person who has been diagnosed with bipolar disorder or has some tendencies along the bipolar spectrum.

Pitta depression can be improved by general principles of cooling and soothing. Research-based remedies include the following:

  • Twenty to thirty minutes of slow, restorative yoga daily. Avoid hot yoga and excessively vigorous exercise.
  • Meditate for 20 minutes daily, possibly under a tree in nature.
  • Walk by the ocean, a lake, or a stream for at least 30–60 minutes a day. Water is cooling for Pitta.
  • Increase alkalinity in the body through green drinks, salads, and fresh vegetables.
  • Increase cooling foods, such as fresh fruit and smoothies.
  • Avoid spicy food, which imbalances Pitta.
  • Avoid alcohol during healing (and be mindful afterward). Alcohol is acidic, which aggravates Pitta.
  • Aloe vera juice can be helpful to Pitta. One cup or more per day is cooling and anti-inflammatory. Since inflammation is a factor in many cases of depression, there is a probable indirect effect on depression.
  • Consider taking 400–800 mg/day of the herb shatavari (asparagus racemosus). It is a cooling herb with a balancing effect for Pitta. In Ayurveda, balancing the doshas impacts the mood.
  • Bacopa is another Pitta-balancing herb with promise regarding depression. This herb is also being studied for schizophrenia, ADHD/focus, memory, epilepsy, and anxiety. Start with 350–400 mg/day to start; work up to 800 mg/day, if well tolerated.
  • Ginkgo is a cooling herb best known for its neuroprotective benefits; aim for 120–240 mg/day. It seems these do extend (at least partially) to mood.
    • Do not take if you are on a blood thinner, including aspirin, or if you have been diagnosed with a bleeding disorder.
  • Begin daily consumption of cilantro (a handful/day) and coriander seed (1 teaspoon/meal). Both are cooling, and cilantro is detoxifying, especially for heavy metals. Five to 10 chlorella (edible algae) tablets optimize the effect.
  • Consider an organized cleansing program, including liver support herbs.
  • Sweet tastes and fragrances such as rose and other flowers balance Pitta. (Lavender and rose aromatherapy improved depression and anxiety in a group of post-partum women vs. control.) Rose essential oil diffused daily or used on the skin with a carrier oil may help balance Pitta (and Vata).
  • The Ayurvedic herb arjuna can be helpful to balance sadhaka Pitta, the aspect of Pittathat governs emotions. Arjuna has a long history of use for various dysfunctions of the heart muscle (heart failure, palpitations, hypertension), but it also seems to have an emotionally soothing aspect. Take 500–1,000mg/day.

Vata Depression

Characterized by worry, restlessness, insomnia, and “ungroundedness,” a person with Vatadepression often will have an overload of the stress hormone cortisol. They generally have pushed themselves (or felt pushed) beyond their capabilities and become overwhelmed. This is a bit like the classic “nervous breakdown,” which is not an official medical diagnosis. In psychiatry, Vata depression is usually thought of as a combined anxiety-depressive disorder. There is a strong ruminative component to this state—an inability to shut off the mind.

Key principles for healing Vata depression are grounding, warming, and calming. A few specific recommendations for Vata-type depression are:

  • Aim for 15–30 minutes yoga daily, followed by 15–30 minutes of seated meditation. Routine and discipline are very helpful for Vata.
  • Loneliness is common in Vata depression, so commit to at least one social activity/week.
  • Connection to nature is crucial due to the inherently ungrounded qualities of Vata. Spending 30 minutes or more outside every day—sitting on the ground, touching a tree, or gardening—can be highly therapeutic.
  • Increase consumption of warm, nourishing whole foods such as soup, kitchari, and baked vegetables. Avoid dry, processed food (chips, crackers) and reduce cold foods (salads, smoothies).
  • Drink 2 tablespoons of loose tulsi (holy basil) tea three or four times a day. Alternatively, take 800–-1,000 mg/day in capsule form.
  • The Western herbal treatment St. John’s Wort can be helpful for this kind of depression, as well as the Kapha type. In terms of qualities, St. John’s Wort is bitter and pungent. Because bitterness can aggravate Vata, start with a small dose (300 mg/day). With Kapha symptoms, the dose may need to be higher: 300 mg two or three times per day. This herb stabilizes prana Vata, the aspect of Vata that governs the brain and neurotransmitters.
    • Do not take this supplement with birth control pills. It can render oral contraception ineffective because it speeds up hormone processing in the liver.
    • Do not take if on an SSRI, unless under the guidance of an experienced physician.
  • Passionflower is a wonderful supplement, especially in conjunction with St. John’s Wort. Passionflower is calming to the nervous system, which is why it is included in the Vata section. It has ever-increasing evidence supporting its use for anxiety. Paired with St. John’s Wort, the effect is synergistic: greater benefit for both anxiety and depression than either used alone. By pure Ayurvedic qualities, this herb could also help Pittadepression; aim for a dosage between 400–800 mg/day.
  • Chamomile is worth considering for Vata-type depression. High doses may be a bit drying, but at moderate doses, the soothing effect predominates. It is evidence-based for anxiety, and new studies suggest it may have anti-depressant effects as well, at doses of  250–500 mg/day.
  • The Ayurvedic herb jatamansi has a long history of use as a Vata-balancer with doses ranging from 450-1,000 mg/day. It is commonly used for anxiety and sleep. It may have some mild anti-depressant benefits as well.
  • Ashwagandha was discussed in the Kapha section, but it is also an effective balancer of Vata. Thus, it deserves to be part of the Ayurvedic approach to either Vata or Kaphadepression between 350–800 mg/day.
  • Gotu kola can be beneficial to all of the doshas, but since it perhaps has the strongest evidence for use with anxiety, it is included here. There are no studies (yet) looking at gotu kola for depression in humans, but there are several rodent studies suggesting benefit; consider a dose of 700–1,400 mg/day.
  • Daily probiotics are beneficial for all doshas, especially Vata and Kapha since they have naturally weaker digestion compared to Pitta. The data is resoundingly favorable and becomes even more so if specific strains of bacteria are ingested. B. longumL. rhamnosusL. reuteri, and L. helveticus are several that have been found especially helpful.
  • Turmeric has received much publicity due to its extensive scientifically documented success with depression at doses of 1,500–2,000 mg/day. Take with black pepper. Prolonged high doses may be aggravating for Vata and Pitta, but temporary use is helpful for all doshas.
  • Practice daily self-massage with a warming oil (sesame or almond).
  • Encourage restful sleep with bedtime around 10 p.m. Use herbs to support this, if needed. Ashwagandha, passionflower, tulsi, and jatamansi can help.

Spiritual Perspectives

Depression is an opportunity—a chance to face your darkest thoughts and feelings with understanding and openness. It is a chance to nurture and heal yourself. Spiritually, transforming depression involves facing one’s own depths and coming to terms with choices, disappointments, fears, traumas, and more. Each case of depression is unique, but the common answer to all of them is your own love. If you are willing to open your heart to your own pain and make compassionate space for it, you are on your way to healing.

If you suffer from depression, take the wildest self-affirming action possible and fully commit to being here—on the planet and in your body. Wishing to leave is distracting and essentially delays healing. Have compassion for your soul for choosing a challenging life. Honor your soul’s wisdom by vowing to walk your unique path, even if it’s hard—even with depression.

Depression is your teacher. Trying to understand it will teach you about yourself and the world. Cultivating happiness is a practice. Every day requires maintenance. Try not to doubt your journey. Integrate your prior choices and values into your current sense of self. This will help you feel cohesive and strong. Feeling empowered now makes it easier to create a future that includes a heart at peace. The road is inward and may be long, but a heart at peace in a balanced body will surely find its way.

*Editor’s Note: The information in this article is intended for your educational use only; it is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition and before undertaking any diet, supplement, fitness, or other health programs. 

 

 
Published in breath + calm + mind
Tuesday, 31 March 2020 13:05

Indulge Yourself

Caramel Apple Soft Serve

Trade dairy soft serve for this heavenly, creamy, fruit-based option. Made with banana, apple, and dates, this soft serve is a virus-fighting, liver-healing treat you can feel good about enjoying as often as you’d like!

This delicious recipe is one of over 75 recipes in the new book, Medical Medium Cleanse to Heal: Healing Plans for Sufferers of Anxiety, Depression, Acne, Eczema, Lyme, Gut Problems, Brain Fog, Weight Issues, Migraines, Bloating, Vertigo, Psoriasis, Cysts, Fatigue, PCOS, Fibroids, UTI, Endometriosis & Autoimmune.

Let's take a look at how some of the key ingredients in this recipe offer healing support:


Apples: Provide living water to support the liver’s hydration capabilities, so it can store the water and then release it back into the bloodstream when dehydration or dirty blood syndrome occurs. The fruit acids in apples help cleanse the liver by dispersing toxic films that build up inside its storage banks. Apples starve out bacteria, yeast, mold, other funguses, and viruses from the intestinal tract and liver. Great for dissolving gallstones.

Bananas: The fructose in banana is liver’s favorite source of food. It provides quick fuel to the liver and wakes up sleepy cells, increasing their ingenuity and work output. Soothes the linings of the intestinal tract and also soothes the nerves attached to the intestinal tract. Contrary to popular belief, bananas are one of the most antibacterial, anti-yeast, antifungal foods. A great food to combine with other nutrient-rich foods or to take with supplements, because they improve the liver’s ability to absorb nutrients.

Dates: The intestinal tract builds up mucus due to low hydrochloric acid and bile production, and that can slow down absorption of nutrients into the bloodstream. Dates expel and eliminate mucus, especially that produced by pathogens such as bacteria and fungus, from the colon. The sugars in dates feed the liver; they’re a great source of glucose for recovery and restoration that allows the liver to maximize its over 2,000 chemical functions.


Caramel Apple Soft Serve Recipe

Ingredients:
1 apple, diced and frozen 

1 frozen banana 
2 to 3 medjool dates, pitted 
1 teaspoon alcohol-free vanilla extract or 1/4 teaspoon vanilla bean powder (optional) 
2 to 3 tablespoons water, if needed to blend

Directions:
Place all the ingredients in a high-speed blender or food processor and blend until smooth. Add as little water as possible and scrape down the sides as needed. Serve immediately. Makes 1 serving.

Learn more about how to cleanse to heal in my new book Cleanse To Heal available on Amazon, Barnes & Noble, and anywhere books are sold. 

Love and many blessings,
Anthony William

Wednesday, 19 June 2019 17:12

Is your body more acidic than your oven cleaner?

The quality of what you eat and drink creates the foundation for your health or illness. To eat the most nourishing foods you can afford and have access to is vital to long term health.

The perspective of acidity concerning foods and drinks is similar to the ancient Ayurvedic system of high and low ash foods, and modern naturopathy of the mucusless diet. Ash and mucus being substances that clog up the inner space creating resistance to proper functions in the physical, nervous and energetic systems.  Similar comparisons could be a haze of smoke or fog obstructing your vision, or sinus congestion making breathing difficult, or trying to speak clearly when there is a mucus ball in the throat.  Except in this case the acidity or mucus is systemic – it is everywhere in your body.

“The quality of what you eat and drink creates the foundation for your health or illness.”

The connection is that the body uses mucus, cholesterol, water and dissolved calcium to neutralize acidity. When you are in the process of working to alkalize and detoxify the body, consuming acidic inducing foods and drinks could slow down the process and can be counterproductive to what you are working to achieve.

What to eat to alkalize

The best foods for detox are mainly fruits of all varieties.  From the perspective of nutrient density, berries are denser in nutrients and antioxidants than melons and fruits. For practical purposes you can consume as much as you can find, considering seasonality and the place you live on the planet, and also budgetary considerations of course. Overall, fruits of all varieties are the best for detoxification and provide readily available nutrients without taxing the digestive process.

“The best foods for detox are mainly fruits of all varieties.”

Many often ask, “What about the sugar in fruits?”  Fresh, raw fruit sugar is fructose which absorbs directly into the cells and does not need insulin produced by the pancreas to transport it into the cells like glucose.  All the other forms of starch from grains, nuts, seeds, roots, vegetables, honey, even meat have to be broken down to glucose and need insulin like a taxi to transport it into the cells.  The energy factory in the cells called mitochondria use the sugar molecules to produce energy.

In this sense fruit sugar from raw fruits is a superior food when you are detoxing because it requires minimal loss of energy.  Whereas everything else you eat will require more energy to break down into the single element of glucose.

The human system runs on sugar so there is no way around it. Grains contain more sugar than fruits when broken down. This is why grains are complex carbohydrates and fruits are simple carbohydrates. So to make it simple—we can take in easy to digest fruit sugar or difficult to digest glucose sugar.

Sprouting is one of the very best and easiest ways to get proper nourishment.  The sprouts are strongest, most packed with qi, protein, enzymes, vitamins and minerals during days 2-4.  It is best to sprout a variety of beans and seeds enough for consumption within 2-3 days.  You can learn how to do this on Youtube.  If you are a vegetarian or vegan and your diet is not predominantly raw fruits and green juices then you may not be getting enough nutrients, sprouting is the best way to fill in the nutritional gaps.

Green juices are amazing.  Although raw and cooked veggies are very good, the juice is better for alkalizing for the simple reasons of having more readily available nutrients and less energy expenditure towards digestion. Humans do not have enzymes to break down cellulose. This means you get minimal nourishment from a supposedly healthy bowl of salad and that’s why we mention green juices as the most efficient way to get the nutrients and alkaline effect.

Seaweeds are also an amazing source of nutrients, and the super minerals they contain are alkalizing.  They are far superior than vegetables grown on land because of soil quality erosion through many decades of bad agricultural practices.  Organic farms are better, but the food is nowhere as strong as it used to be. Therefore seaweed stands out as a super food and alkalizing agent.

What to avoid eating in order to alkaline

The major acidic, high ash, mucus food and drinks are meat, dairy, coffee, soda, caffeinated tea, pharmaceutical drugs, alcohol, nuts, seeds, chocolate and grains.

This may seem like “all the fun” stuff for some people. But with everything taken into consideration you can still do the best you can under the given circumstances.  Try to eat as much fruit and green juices all day long if possible before you dive into the other foods. Work toward consuming 60%-80% of your overall food intake as fruits and then greens. It is definitely easier to do this diet if you live in the warmer climates. In colder climates you have to be proactive by freezing whatever you can find in the summer months. It takes some work and planning but its very doable.

Other major sources of acidity

Stress hormones like adrenaline and too much estrogen and testosterone in the body are extremely acidic. Therefore chronic stress is the number one contributor to many illnesses.  Yoga, relaxation and balancing the sex hormones will go a long way in contributing to a healthy system.

The Low FODMAP Diet 

 
If you suffer from irritable bowel syndrome (IBS), gas, bloating, bowel incontinence, constipation, diarrhoea or other digestive disorders, you may be surprised how something as simple as restricting certain foods from your diet can dramatically reduce the symptoms you’re experiencing.

An example of such diet restriction is a low FODMAP diet. FODMAP is an acronym for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, which are types of carbohydrates that may stay get stuck in your gut and ferment there.

What exactly are FODMAPS?

The mentioned saccharides (sugar chains) and polyols (sugar alcohols), if left undigested, end up in the lower portion of the large intestine. Here, there are broken down by bacteria.
Based on an Australian study published in the Journal of Gastroenterology and Hepatology last October 2009, this fermentation process sucks in water and lets out hydrogen, carbon dioxide, and methane gas which collectively expand and stretch the intestinal walls. This leads to bloating, abdominal or pelvic pain and distension as well as other related functional gastrointestinal symptoms.(1)

Here are examples of such carbohydrates considered under FODMAPS:

  • Fructose (a monosaccharide): corn syrup, honey, fruit sugars, agave
  • Lactose (a disaccharide): Dairy such as yoghurt, cheese, milk
  • Fructans (oligosaccharides): Wheat, asparagus, onions, artichokes, garlic
  • Galactans(oligosaccharides): Legumes like lentils, soybeans, and beans
  • Polyols: fruits with seeds or pits such as avocados, cherries, apples, plums, peaches, and figs.

When you consume FODMAPs, they may pull water into your small intestine, leading to diarrhoea. In people with IBS, FODMAPs can travel to the gut or large intestine without being digested fully. Bacteria in the gut interact with these undigested food particles which cause bloating, gas, and pain.

Note, however, that not everyone is sensitive to the same type of FODMAPs. Therefore, it is crucial to identify the actual culprit.

What is the low FODMAP diet?

The low-FODMAP diet is a dietary plan that avoids or removes FODMAPs completely for up to four weeks. It is designed to relieve patients from digestion-related problems caused by FODMAP. It is assumed that if FODMAPs are the actual cause of your condition, you will feel better during or after this diet.

In this diet, you are still allowed to eat a lot of food choices. The only difference is limiting your carbohydrate intake to only the foods with low FODMAP content, hence the diet’s name.

 

Aside from those already mentioned, here are examples of foods that are high-FODMAP and are not to be consumed by someone under the diet.

  • Anything made with whole grains like wheat, rye, or barley
  • Artificial sweeteners like those in chewing gum and other candies
  • Watermelon
  • Cauliflower
  • Dried fruits
  • Mushrooms
  • Cashews
  • Ice cream
  • Pistachios

On the other hand, here are low-FODMAP foods that are recommended for consumption:

  • Kale, spinach, and other green leafy vegetables
  • Almond
  • Tomatoes
  • Bananas
  • Coconut
  • Bell peppers
  • Tangerines
  • Blueberries
  • Carrots
  • Grapes
  • Oats
  • Cucumbers
  • Potatoes
  • Quinoa
  • Rice
  • Soy milk

Of course, there are other food choices that make it to the high-and low-FODMAP lists. So, it is still recommended to consult a dietitian and gastroenterologist to limit your FODMAP consumption without sacrificing a well-balanced, healthy diet that provides all your nutritional needs.

Who will benefit from a low-FODMAP diet?

Since it is designed to relieve symptoms related to digestion, it can benefit anyone who is suffering from such. However, it is now emerging as a treatment for other conditions such as:

  • Specific autoimmune disorders like eczema, multiple sclerosis, or rheumatoid arthritis
  • Other Functional Gastrointestinal Disorders (FGID)
  • Fibromyalgia, recurrent migraines, and other conditions known to be triggered by eating specific foods
  • Small intestinal bacterial overgrowth (SIBO)

A low-FODMAP diet has also been specifically proven to be a treatment for Irritable Bowel Syndrome or IBS.

A study published in the Gastroenterology and Hepatology Journal in 2012 suggested the low-FODMAP diet as a treatment for IBS(2).

About four years later, another study published in the Clinical and Experimental Gastroenterology Journal cited evidence on the efficacy of the low-FODMAP diet.(3) Reportedly, it caused relief for up to 86% of IBS patients that participated in the diet, with significant improvement in other gastrointestinal symptoms like bloating, abdominal pain, diarrhoea, constipation, distention, and gas.

Severe constipation can be debilitating and can lead to straining during bowel movement, haemorrhoids, and bowel prolapse. However, it is still recommended to be a short-term diet since the long-term effects are still unknown. Strict low-FODMAP dieting is also not advised due to the risk of inadequate nutrition and negative effects rooting from changes in the gut microbiota. FODMAPs are not actually all bad, many foods rich in FODMAPs encourage good bacterial growth in the gut.

In fact, about 3 out of 4 people with IBS were found to have eased symptoms right after starting a low-FODMAP diet while the most relief was experienced seven days or more into the plan, according to a study published in the journal Gastroenterology.

However, before starting a low-FODMAP diet, it is crucial first to confirm that you actually have IBS which can be improperly misdiagnosed or mistaken for bladder pain or uterus pain. These are entirely different conditions that require a different treatment approach.

How a low-FODMAP diet is followed

Following the diet does not simply involve getting rid of FODMAP-rich food, but is more complicated than what you could be expecting. It involves three different stages: restriction, reintroduction, and personalisation.

Stage 1: Elimination or Restriction

The first stage involves strictly avoiding high-FODMAP food for no longer than about 3 to 8 weeks only to maintain your gut health. Some people already notice symptoms to subside and improve during the first week, but many continue to finish all eight weeks.

Once you have found relief for your digestive symptoms, you can continue to the next stage. If your issues were not resolved, like what happens to about 30% of the people who try the diet, talk to your doctor about other non-diet treatments or alternatives.

Also, review and recheck your ingredients list and FODMAP information, and look at other factors that could be contributing to your IBS.

Stage 2: Reintroduction or Rechallenge Phase

The next stage involves reintroducing high-FODMAP foods through a system. Its purpose is to identify which FODMAPs are tolerable and establish your tolerance or threshold level because most people are only sensitive to a certain type.

In this step, you have to test specific FODMAP foods for three days each. Preferably, do this under the supervision of a dietitian. All throughout this stage, your low-FODMAP diet continues. Meaning, even if you can tolerate a FODMAP food, you still can’t eat it regularly until the next stage.

Stage 3: Personalization

Also called the modifies low-FODMAP diet, this still restricts your FODMAP intake. However, the types and number of servings will be adjusted to cater to your threshold as determined in the previous stage.

This is an important stage which will determine your diet flexibility and variety. These are associated with long-term improvement in your quality of life, overall well-being, gut health, and compliance.

Benefits of the Low FODMAP diet

More than 30 studies(4) have proven the low-FODMAP diet to provide the following benefits:

  • Reduce digestive symptoms including bloat, reflux, bowel urgency, prolapsed bowel, constipation, diarrhoea, and stomach pain.
  • Better quality of life

Numerous studies have provided evidence that a low-FODMAP diet can be beneficial for patients suffering from IBS and other gastrointestinal conditions. If you have any of these, give the low-FODMAP diet a try. It might be the answer to your digestive problems.

Wednesday, 18 April 2018 21:05

Natural Ways To Manage Period Pain

Natural Ways To Manage Period Pain

 

Feeling queasy? Sick of cramps? Try these six tips for relieving pain associated with menstruation, naturally. 

Queasiness and stomach cramps often go hand in hand with menstruation, and while painkillers may temporarily provide relief there are natural ways you can ease discomfort. Susan Johns, clinical dietician and distributor of Lunette in New Zealand shares her top tips for managing period pain naturally.

Why whole grains?

Whole grains are complex carbohydrates that stimulate the brain in order to release serotonin, a hormone which makes you feel good. Ever notice that your body feels like it took a thrashing from the inside-out about a week before your period is due? Studies have shown that whole grains can reduce that tension and fight depression because they are loaded with vitamin E and magnesium.

Put it on your plate – almonds, spinach, quinoa, cashews

Your best spud

Vitamin A plays a huge role in saying goodbye to our PMS symptoms. An increase in Vitamin A will fight PMS symptoms, like acne and heavy bleeding, as well as problems that occur like fatigue when vitamin A levels plummet. One sweet potato provides 120% of our daily recommended intake of Vitamin A.

Put it on your plate – kumara, carrots, kale

The good kind of fat

Good fats make good hormones; bad fat makes bad hormones. Simple, right? Keep your saturated fat intake low and boost your intake of unsaturated fats, especially in the week leading up to your period. This’ll help keep your hormones happy.

Put it on your plate – avocado, coconut and olive oil, whole eggs, salmon

Cereal killer

B vitamin deficiency, particularly B6, is known to play a role in increasing PMS symptoms such as forgetfulness, irritability, anxiety, insomnia, and moodiness. Add period pain to the mix and your day just got a whole lot worse.

Put it on your plate – fortified breakfast cereals, chickpeas, chicken, tuna, banana

Nuts about nuts

While your uterus is busy cramping your style, the muscle lining can get fatigued and develop a lactic acid build up, just like your legs after an intense session at the gym. Magnesium, found in high concentration in nuts, is key here to give relief to cramping pains.

Put it on your plate – nuts, pumpkin seeds, dark chocolate, spinach, fish

Zinc overdose

Upping your intake of zinc-rich foods a few days before you are due has been shown to have a positive effect on cramps, bloating and inflammation. Zinc needs vitamin B6 to be absorbed, so be sure to pair your zinc-filled foods with foods rich in B vitamin.

Put it on your plate – peas, asparagus, spinach, red meat, seafood.