• Oct17

    I believe there is a national movement to help you get stronger, leaner and healthier with what you eat.  Knowing what’s in your food, and how it can help you get well or make you sick are the most important steps you can take to transform your life.

    So it was my recent experience in New York City, with Dr. Oz: there, in 3 TV segments over 25 minutes (it airs 10.18.12) and is online. I demonstrated and described the medical magic of

    a. chicken, antibiotic free
    b. oyster sauce
    c. arugula
    d. lime
    e. pumpkin, both fresh and canned
    f.  bulgur
    g. black pepper and oregano
    h. concord grapes
    i. red wine

    I also described how and why hospital food has to change to prevent disease instead of cause it, and medical education as well, and gave my simple acronym of BITES™ of foods you should eat every week. The Little Bites part of my ChefMD book is everyone’s favorite part.

    Boosting immunity and reducing risk for cancer with what you eat is powerful. Obesity is probably the most important cause of cancer, equivalent now with smoking.

    So is the idea that you can do this by choosing the right foods for you that work for you, because of how they work and how they make you feel. I’ll do two up-to-30-minute public tweet-ups about this and the show, 10.18.12 at 4pm EST and 4pm PST with the hashtag #DrJLPapproved: I’m at http://twitter.com/johnlapuma. Please join!

    We used culinary medical tools on the Show: a blender (VitaMix!), a microplane zester (essential creating zest and capturing the phytonutrients in the skin) and a wine aerator (to bring up flavor and aroma in red wines, regardless of price point).  Plus my great Santoku knife for opening and roasting that pumpkin.

    Finally, we made a simple, marinated-for-a-moment (Chris Kimball is right: short marinades of very lean meats especially are as effective as long ones) anxiety-reducing, easy recipe: Honeyed Chinese Chicken.

    You can get the recipe, free, when you sign up for my still-free newsletter, sent once or twice a month, full of information, recommended products and tips, exclusive subscriber benefits, plus more on BITES™.

    Lab and human studies show reduction in cortisol levels (the stress hormone) with chicken essence and bonito broth consumption, and this anxiety-reducing recipe has both.

    But it might actually reduce anxiety because it is so easy and quick, tastes even better the next day and because you can make it in quantity and save it.

    This week and next I teach two nutrition and cooking classes at the Santa Barbara Healing Sanctuary–a beautiful residential wellness retreat for those trying to make sense of how their bodies work and can work better–even heal.

    Yesterday I taught knife skills: I love doing this, and everyone practiced well. (Btw, the best chef’s knife for most people is a smaller, well-made, easy to use and a Santoku, and a paired, greater hardness steel: my favorite Victorinox here, on Amazon).

    I lead a tour of sustainably grown citrus trees: mandarins, lemons and navel oranges, and looked at leaves, trunk and fruit; the processes of growth in these trees all parallel the human body. How they ripen and protect fruit, fight off invaders, and sustain growth. I love doing this too.

    We tasted a tangerine and a lemon, and interestingly, the people with GERD felt better (interesting, as acidic foods have been shown to be alkalinizing in the body).

    We discussed each person’s experience with food and their health conditions, and they varied widely, from thinking it was everything, to loving to cook, to hating it, to not thinking much about it or its relevance.

    We touched on supplements, as multivitamins reduce total cancer in men, especially those with a parental history of cancer, and magnesium is a mineral most people are deficient in, is critical to normal muscle, nerve and cardiac function and regulates normal blood sugar, blood pressure and immune function.

    Everyone had questions, including a recommended multivitamin.

    Cooking and choosing well are fun, but they are also work–fabulous, life-filling work that is rewarded not only by dinner, but by the feeling that you can be in control of your life and health.

    And in an era in which the wrong food or medicine can make you sick in hidden ways, that’s life-changing.

     
  • Aug30

    Food as Medicine Infographic from Dr John La Puma

     
  • Aug22

    The movement towards self-care is heating up, along with the rest of the country.

    To help keep you cool, here is my short list of common summer time foods that can act as medicine if you’re in the boonies and away from a medicine chest. You should also travel with one: here is a well-stocked, inexpensive medicine cabinet.

    But travel food-as-medicine is becoming popular. The New York Times has just described it in “Sick on the Road? Try the Grocery Store” (I’m quoted).  Five Ideas:

    1. black tea and citrus peel, drunk regularly act as a natural effective sunscreen: 2 cups daily, recorded published data in elderly folks in the southwest. It’s probably the catechins in black tea and citrus both that block UV light.

    2. 7 walnuts before or during a junk food/fast food meal for blood flow: they allow the major arteries to stay dilated instead of spasming from the starch, sugar and bad fats. It’s probably nitric oxide release which dilates the arteries.

    3. olive oil as a sexual lubricant: it also works! You don’t need a reference for this one: the link shows what to look for in an olive oil label. (Check out the Paso Robles Olive Oil fest this month!)

    4. Ripe avocados make an emergency sunburn treatment: it’s the fatty acids which neutralize pain, apparently.

    5. Honey is an excellent emergency antimicrobial and analgesic. Honey’s acidity, hydrogen peroxide content and immune system stimulation are likely responsible. I’d assume unfiltered, raw, wildflower honey is better than pasteurized: Manuka Honey (MediHoney) is FDA approved for wound healing.

     
  • Aug16

    There are many groups trying to get doctors to speak with patients about their weight. I have a new approach to this, targeted for men (and the women who care for them), I’d like to talk about at SXSW:

    For the first time in a long time, pharmaceutical companies and organized medicine are interested too.  Their approaches are different, and like any good communicators, they try to meet their audiences wherever they’re starting. Pharma is especially on the ball.

    After taking heat for giving Paula Deen a reported $3m for taking and then promo-ing a diabetes drug, Novo Nordisk has imagined and crafted an accessible if conventional site, a national tour, a series of (good looking) recipes and charming accents, plus several familiar faces to get diabetics and pre-diabetics on the right track. It’s well-put together. But is it really helpful to people with diabetes?

    The re-named American Dietetic Association (now DCE) sponsors this site, as does Novo Nordisk (and Victoza, a very good medicine that Paula is apparently taking).

    I looked at the recipes: they’re generally lower carb, and higher protein, which is what you want (and not what the ADA has advocated for years). The portions are very, very small.

    But if you eat just these recipes, in the amount they indicate, you will lose weight and your blood sugar will fall.

    The missing link: how. How do you get from A to B. The site doesn’t offer much there, and that is what is missing in most care by most clinicians as well: they simply haven’t been well-trained in the hows, becuase so much of success and successful strategy is behavioral, environmental and personal.

    Sadly, that’s true even about directives to physicians.  The Canadian Obesity Network has done a good job of outlining  ”The 5As of Obesity Management”: it is “a set of practical tools to guide primary care practitioners in obesity counseling and management:”

    They are

    • Ask for permission to discuss weight and explore readiness for change
    • Assess obesity related health risk and potential “root causes” of weight gain
    • Advise on obesity risks, discuss benefits treatment options
    • Agree on realistic weight-loss expectations and on a SMART plan to achieve behavioral goals
    • Assist in addressing drivers and barriers, offer education and resources, refer to provider, and arrange follow-up

    In the U.S., doctors will have to follow and document these 5 As too (I conducted a webinar about how to counsel and document CPT, and what questions to ask, earlier this year: more next year).

    But though these As are well-intentioned, and get an A for effort, they get a C for clinical helpfulness.

    I’ve found it highly ineffective to immediately dig into “root causes”: people want to know what to do and how to do it.  Something small, that they can be successful in.  And then they need to do something else, and repeat.   But the As…offer primarily academic steps, and a referral. Which is, in a way, back to square one.

    There is a way out of this. That both pharma and organized medicine could enhance.

    It is in using the patient’s own network as a coach, as a resource, as an accountability reservoir. It is in using modern technology, especially texting and mobile tech, to put the patient back in control. Roni Ziegler has suggested that the patient is the most underutilized resource in health care, and he (and millions of patients) are right.

    If you give people the tools, and teach them to use them, and act as a guide and coach in weight loss, with the right words at the right time, you will go a long way towards solving the obesity problem.  Right?

     
  • Aug11

    I had the privilege of speaking with Joe and Terry Graedon, founders of The People’s Pharmacy, on their syndicated NPR show (free podcast here) broadcast today)!, about how we’re trying to make your health and health care awesome with the right food.

    Their questions made me think about why it’s so important to help people wherever they are starting.

    For example, I love farmer’s markets. I give market tours, I know many farmers personally, I created a PBS DVD library on how to eat healthy (available for a donation to PBS, which I support) and I love to cook locally grown foods.

    But most people buy food shipped into supermarkets, and are worried and time-pressed about cooking.

    So it’s become more important to me to show how to buy and cook any broccoli, even bad broccoli (as Mark Bittman writes) than to search out the most pristine, tight head. Or to explore the wonders of the youngest broccosprouts (highest in sulforphane, and patented by Johns Hopkins).

    Getting people to cook more–and people are catching up and catching on–is the key to helping them lose weight. Especially men.

    Thousands of people (according to my Dear ChefMD e-mail!) want  to change their cholesterol, blood pressure, back pain, constipation, irritable bowel, heart disease and diabetes.  And those who have have great stories.

    So if you were going to stock a kitchen medicine chest, like the one I describe in the ChefMD book, and you wanted just 10 foods instead of the 50 I name, what would they be and why? Here are mine:

    Broccoli: detoxify carcinogens, reduce estrogen levels

    Chilies: faster metabolism, better control of diabetes

    Dark Chocolate: lower blood pressure, improve insulin sensitivity

    Cinnamon: lower LDL cholesterol, improve insulin sensitivity

    Fish: fewer heart attacks, fewer strokes

    Garlic: less stomach, colon and rectal cancer; lower blood pressure

    Nuts: lower cholesterol, improve satiety

    Walnuts: protect brain cells, protect interior arterial linings against junk food

    Wine (sensibly): raise HDL (healthy) cholesterol, reduce risk of heart attack, peptic ulcer disease

    Yogurt: lower risk of antibiotic related diarrhea; reduce irritable bowel syndrome symptoms