Mediterranean Diet For Everyone

Beet and Lentil Salad

There are so many different specialty diets these days: Keto, Paleo, Vegan, FODMAP, and the list goes on. I've prescribed all of these diets to patients for different reasons over the years, as everyone has individual needs at times. After 20+ years of medical practice, including 7 years focused on food and nutrition, I have come to the conclusion that there is no one perfect diet. That being said, I love to teach and preach about the Mediterranean diet because it is as close to a "one size fits-all" plan that works.

While you can Google a list of specific foods and guidelines for the Mediterranean diet, it doesn't really work that way. Rather, it is really a formula for eating well rather than a specific cuisine. The basic tenants of the eating pattern are simple: focus on eating whole (unprocessed) food that is rich in fruits and veggies, whole grains, nuts, legumes, spices, and extra virgin olive oil. Do this while keeping poultry, fish, dairy, and red meat to modest amounts. No matter your dietary allegience, it is hard to argue against a diet that advocates for eating real food. 

The research behind this formula is extensive. Thousands of studies representing millions of lives consistently shows that eating like this helps maintain weight, keeps cholesterol in check and blood sugar and blood pressure low. Also, the risk of cancer, depression and Alzheimer's disease is also lower. All these benefits are gained simply by paying attention to what goes in your mouth. 

Whether you consider yourself a vegan, a paleo die-hard or follower of a specialty diet, applying a Mediterranean diet philosophy to your approach can benefit your health.

Keep the following in mind:

1. Eat lots of vegetables. There are so many choices! From a simple plate of sliced fresh tomatoes drizzled with olive oil and flaky sea salt, to garlicky greens, fragrant soups and stews, healthy pizzas, or oven-roasted medleys. Vegetables are vitally important to the fresh tastes and health benefits of the Mediterranean diet.

2. Change the way you think about meat. If you eat meat, just do it in smaller amounts. For example, add small strips of sirloin to a vegetable sauté, or garnish a dish of lentils with diced prosciutto. As a main course, have smaller portions (3-4 ounces) of chicken or pastured meat. Think of meat as an accompaniment instead of the center of the plate.

3. Consider eating seafood twice a week. Fish such as salmon, trout and mackeral are rich in heart-healthy omega-3 fatty acids. When you crave more variety add anchovies, sardines and herring. Shellfish including mussels, oysters, and clams have similar benefits for brain and heart health.

4. Cook a vegetarian meal one night per week. Build these meals around beans, whole grains, and vegetables, and heighten the flavors with fragrant herbs and spices. When one night feels comfortable, try two nights per week.

5. Use good fats. Include sources of healthy fats in your daily meals, especially extra-virgin olive oil, nuts, seeds, olives, and avocados.

6. Switch to whole grains. Whole grains are naturally rich in many important nutrients including fiber to keep you satisfied for hours.

7. For dessert, eat fresh fruit. Choose from a wide range of delicious fresh fruits — from fresh figs and oranges to pomegranates, grapes and apples. Instead of daily ice cream or cookies, save sweets for a special treat or celebration.

8. Enjoy alcohol very sparingly (if at all). Alcohol, in moderation, has historically been associated with the cardiovascular benefits of the Mediterranean diet. After careful evaluation of the research, a committee of scientists updating the latest edition of the Dietary Guidelines for Americans is changing the current stance on alcohol. They report that studies showing alcohol can protect health are deeply flawed, and that any potential cardiovascular benefits would be outweighed by the fact that alcohol is a leading preventable cause of cancer. The committee plans to recommend that men and women who drink limit themselves to a single serving of wine, beer or liquor per day. They do not recommend drinking for health and suggest drinking less is generally better. As an alternative to alcohol, try a low sugar, organic wine or a mocktail.

Use the recipes below as inspiration to get started on a Mediterranean diet. 

Roasted Olives with Orange and Rosemary

Salmon with Lemon Walnut Relish

Mediterranean Lentil Salad

Roasted Whitefish with Sweet Peppers

Looking for a place to find low sugar, organic wine. Check out Dry Farm Wines. 

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Tips to Make Your Holiday Cookies More Wholesome

My first memories in the kitchen involve making holiday cookies to share with friends and family. As a functional medicine physician and chef, I’ve learned a few tips to make my holiday baking traditions more health supportive. For me, the perfect cookie is baked with minimally-processed ingredients, yet has crispy, lightly golden edges with rich flavor and just the right amount of sweetness. Here are some easy substitutions you can do at home this holiday season to bring a bit more nutrition to your favorite cookie recipes:

• Start with the best ingredients. Of course, the quality of the finished product is only as good as the ingredients you start with. Aim to use fresh organic ingredients when possible. The holiday baking season is a great time to take inventory of the products in your pantry. Check their expiration dates and check that dried spices have not become rancid with age. Try swapping sea salt for iodized table salt and use aluminum-free baking soda. Minimize artificial ingredients that may be found in imitation extracts and food colorings.

• Replace and reduce sugar. Cookies are a treat. As a general rule, minimizing sugar in our daily routine is important for our health, but life is meant to be celebrated especially at the holidays. There are ways to cut back on sugar yet still have a tasty show-stopping cookie. Instead of icing your sugar cookies, sprinkle with nuts, orange zest, dried flowers (I love crushed rose petals), seeds or drizzle with dark chocolate. Sugar adds moisture to cookies, but you can often decrease the sugar in a recipe (up to about 25%) with little compromise. Experiment with your favorite cookie recipe. You can add in a splash of your favorite extract like vanilla, almond or lemon for a sweet confectionary flavor. Natural nonnutritive sweeteners like monk fruit, erythritol or stevia can also be used as alternatives to granulated sugar. I like Lakanto brand monk fruit sweetener. It can easily be used to replace some of the sugar in a recipe. Beware, however, cookies using alternative sweeteners may become dry faster than their regular sugar sweetened counterparts.

• Upgrade your egg. Using a pasture-raised egg offers a slight nutritional advantage over a conventional egg. If you wish to make vegan cookies, replace each egg with 1/4 cup unsweetened applesauce, 1/4 mashed banana or with a flax egg. Applesauce works well in cakey cookies like snickerdoodles. For chewy recipes try the flax egg. For a flax egg mix 1 tablespoon ground flaxseed with 3 tablespoons warm water for each egg (up to two in a recipe). Let the mixture sit until cool before adding to your wet ingredients.

• Add some fiber. Change up your white flour for whole-wheat pastry flour as a cup-for-cup substitution. Whole wheat flour is made from the whole grain, so it contains more fiber and minerals. Whole wheat bread flour has a high protein content and will yield a tough finished cookie. Using whole-wheat flour in place of all-purpose flour gives your cookies about four times the amount of fiber in every batch.

• Mind the gluten. Gluten sensitivity is increasingly common. Luckily there are numerous alternative baking mixes available. I love to bake with almond flour and enjoy recipes from the Sweet Laurel Cookbook. You can also make your own alternative flour mix. Here is a recipe from my culinary alma mater, The Natural Gourmet Institute: try mixing 2 cups white rice flour with 2/3 cup potato starch and 1/3 cup tapioca starch. Treat this blend like it is all-purpose flour. You can also store it in an air-tight container.

• Mind the quality of your fats. Steer clear of ingredients that contain partially hydrogenated oil (or trans fats), like margarine and vegetable shortening. If you use butter, aim to buy organic cultured butter, which contains probiotics and no antibiotics. If you have a dairy sensitivity or wish to make vegan cookies, consider swapping butter or margarine for coconut oil. For every stick (1/2 cup) of butter, use 5 tablespoons coconut oil plus 3 tablespoons coconut cream. Use this for recipes that require creaming the butter and sugar together, like sugar cookies and shortbread. 

• Chocolate is your friend. There is always a bit of trial and error when experimenting with recipes. If your cookies are good but a bit less than perfect, try dipping or drizzling them with melted chocolate. When it comes to chocolate, the darker the better. Dark chocolate is loaded with antioxidants.

 A PRIMER ON GLUTEN-FREE FLOURS
HOW TO REPLACE BUTTER WHEN BAKING

Prepare yourself for sugar season

Halloween marks the official start of sugar season. All of the candy from trick-or-treating gets us primed for the sugar feasting that often accompanies the holidays. Of course, a little sugar is a fun indulgence and makes life… sweeter, but with all of the upcoming office parties, happy hours and family feasts it is easy for our consumption to get out of hand. Understanding sugar and its impacts on your body can be a powerful tool in controlling your health, your weight, and your mood throughout the entire year.

What is sugar and do we need it?

Sugar is a carbohydrate that is naturally present in most whole foods. As we eat, our body produces digestive enzymes that break down these carbohydrates into simple sugars—glucose, galactose and fructose. These simple sugars are absorbed into our bloodstream and are processed by our liver. Glucose is released back into the bloodstream to fuel our cells and body.

Sugar comes in many forms. “Natural sugars” are those that come from whole foods like fruit or dairy. “Added sugars” are those that are added during manufacturing or processing. Added sugars can be natural (honey, maple syrup, coconut sugar, etc.) or processed (cane sugar, high fructose corn syrup, etc.). Added sugars may be used to balance favors, produce caramelization, act as a preservative or extend the shelf life of products. With the variety of sugar forms and the diversity or roles it plays in food production it is easy to understand why sugar has become so prevalent in our food supply. 

Regardless of the type of sugar consumed, our body eventually breaks down all sugars to the same simple forms—glucose, galactose or fructose. Natural, whole food sources of sugars are healthiest because the sugar is accompanied with fiber, water, vitamins and other nutrients that slow the absorption of sugar into our body and put less demand on our metabolism. 

What is the harm in indulgence?

I believe life is meant to be celebrated with the occasional sweet treat. Unfortunately, the average American consumes almost 152 pounds of sugar in one year. That is equal to 3 pounds (or 6 cups) of sugar in one week.  There is abundant medical research that shows that frequent consumption of sugar perpetuates inflammation, weight gain, fatty liver disease and increases our risk of diabetes, heart disease, dental cavities and even Alzheimer’s disease.  

How much sugar is OK?

There are many public health organizations that weigh in on this issue. The America Heart Association, the CDC and the US Department of Health and Human Services among others, recommend no more than 36 grams of added sugar for men per day and no more that 24 grams for women and children over 2 years of age. For reference, one teaspoon of sugar equals 4 grams. It is easy to meet and exceed these recommendations, especially when that grande pumpkin spice latte at Starbucks clocks in at 50 grams per indulgence!

There is definitely a place for sugar in our lives but keeping sugar to a minimum in our everyday lives is a good idea. Reducing added sugar consumption can help minimize the risks of lifestyle related causes of death like obesity, heart disease and diabetes. 

How do you reduce your sugar intake?

Making diet changes is no small task; and there is not necessarily one right way to do it. Below is a list of suggestions that can help you minimize added sugar in your diet. 

1.     Learn the many names of sugar so you can identify it when reading labels. The food industry has become very clever in disguising sugar. Familiarize yourself with the list below.

• Agave Nectar

• Barbados Sugar

• Barley Malt

• Beet Sugar

• Brown Sugar

• Cane Crystals

• Cane Juice Crystals

• Cane Juice

• Caramel

• Carob Syrup or Sugar

• Coconut Nectar/Sugar

• Concentrated Fruit Juice

• Confectioner's Sugar

• Corn Syrup Solids

• Corn Sweetener

• Crystalline Fructose

• Dextrin

• Diastatic Malt

• Diatase

• Evaporated Cane Juice

• Florida Crystals

• Fruit Concentrate

• Glucose Solids

• Golden Sugar/Syrup

• Granulated Sugar

• Grape Sugar

• Grape Juice Concentrate

• High-Fructose Corn Syrup (HFCS)

• Honey

• Icing/Invert Sugar

• Lactose (added)

• Malt Syrup

• Maple Syrup

• Molasses

• Muscovado

• Nectresse

• Palm Sugar

• Refiner's Syrup

• Rice Syrup/Malt

• Sorghum Syrup

• Sugar/Raw Sugar

• Table Sugar

• Treacle

• Turbinado Sugar

• "-ol" sugars: erythritol, ethyl maltol, mannitol, sorbitol

• "-ose" sugars: dextrose, D-mannose, fructose, galactose, glucose, maltose, sucrose

2.     Gradually cut back on sweetened foods. Strategies like replacing sugar sweetened beverages with unsweetened tea or sparkling water, opting for fruit as a dessert or reaching for a square of dark chocolate instead of a Snickers can help move the needle when addressing our sugar consumption. Over time, our palates adapt and we may no longer appreciate the super-sweet products we once loved. 

3.     Or, eliminate sugars cold turkey. This method works well for some. Opting for a 7-10 days sugar elimination diet resets the palate and can dramatically reduce sugar cravings that keep us perpetually reaching for the candy jar. Be prepared: for some people days 3-5 of this challenge feel the toughest. Hang in there.

4.     Eat protein at breakfast. A meal that includes protein, fat and fiber helps to balance your blood sugar and keep you fueled and focused during your day. When you are satiated, you are less like to eat the donut in the break room that may prime your sweet tooth for a day’s worth of binging. 

5.     Drink more water and green tea. Staying hydrated during the day means we are less likely to confuse signals of thirst for hunger. If water is too boring, try drinking your favorite tea. Green tea in particular is full of antioxidants and contains EGCG which is a natural blood sugar balancer.

6.     Get your gut checked. If you have difficulty overcoming your sugar cravings, it may not be a failure of will power. Our gut is home to trillions of organisms that are metabolically active. Pathogenic bacteria and yeast may be contributing to your cravings. Luckily, there are testing and treatment options available to address the problem organisms. 

Schedule an appointment with Relish Health to develop a personalized plan to reduce sugar.

Interested in guilt-free homemade candies? Check out these recipes:

Salted Date Caramel Turtles
Dark Chocolate Brain Bark
Chocolate Almond Butter Cups
Raw Chocolate Cherry Truffles
Check out these other sweet tooth solutions. 

Raw Chocolate Cherry Pistachio Truffles

Many foods naturally contain melatonin, one of our important sleep hormones. Research has shown that eating melatonin-rich foods can assist sleep and provide antioxidant support for our bodies. These Raw Chocolate Cherry Pistachio Truffles will not make you sleepy, but they will satisfy your sweet tooth. They are made with antioxidant and melatonin-rich tart cherries. 

Other Melatonin rich foods include:

• Fruits and vegetables (tart cherries, corn, asparagus, tomatoes, pomegranate, olives, grapes, broccoli, cucumber)

• Grains (rice, barley, rolled oats)

• Nuts and Seeds (walnuts, peanuts, sunflower seeds, mustard seeds, flaxseed)

---

Raw Chocolate Cherry Pistachio Truffles

Raw Chocolate Cherry Truffles

Makes 24 small truffles 
Author: Erica Leazenby, MD
Time: 20 minutes

Ingredients:

• 1 cup pitted Medjoor dates (about 10-11)

• 2/3 cup Tart dried cherries

• ¼ cup raw almonds; toasted

• ¼ cup raw pistachios, toasted

• 1 teaspoon vanilla

• 1 generous pinch salt

• 2 Tablespoons cocoa powder

• Cocoa powder or finely chopped almonds or pistachios for garnish (optional)

Directions:

1. Preheat the oven to 325 degrees. Place the nuts on a baking sheet in a single layer using caution to keep them separate. Toast the nuts for 6-8 minutes or until they are lightly browned and starting to become fragrant. Note: The two nuts may be ready at different times depending on their size. 

2. Place dates, nuts, cherries, cocoa powder, vanilla and salt in a food processor. Run the machine continuously until the mixture forms a ball (approximately 1-2 minutes.)

3. With damp hands roll the mixture into 1-inch diameter balls.

4. If desired roll each truffle in cocoa powder or chopped nuts.

5. Store in the refrigerator in an air tight container and enjoy.

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Tips to Make Your Holiday Cookies More Healthy

My first memories in the kitchen involve making holiday cookies to share with friends and family. As a functional medicine physician and chef, I’ve learned a few tips to make my holiday baking traditions more health supportive. For me, the perfect cookie is baked with minimally-processed ingredients, yet has crispy, lightly golden edges with rich flavor and just the right amount of sweetness. Here are some easy substitutions you can do at home this holiday season to bring a bit more nutrition to your favorite cookie recipes:

• Start with the best ingredients. Of course, the quality of the finished product is only as good as the ingredients you start with. Aim to use fresh organic ingredients when possible. The holiday baking season is a great time to take inventory of the products in your pantry. Check their expiration dates and check that dried spices have not become rancid with age. Try swapping sea salt for iodized table salt and use aluminum-free baking soda. Minimize artificial ingredients that may be found in imitation extracts and food colorings.

• Replace and reduce sugar. Cookies are a treat. As a general rule, minimizing sugar in our daily routine is important for our health, but life is meant to be celebrated especially at the holidays. There are ways to cut back on sugar yet still have a tasty show-stopping cookie. Instead of icing your sugar cookies, sprinkle with nuts, orange zest, dried flowers (I love crushed rose petals), seeds or drizzle with dark chocolate. Sugar adds moisture to cookies, but you can often decrease the sugar in a recipe (up to about 25%) with little compromise. Experiment with your favorite cookie recipe. You can add in a splash of your favorite extract like vanilla, almond or lemon for a sweet confectionary flavor.

• Upgrade your egg. Using a pasture-raised egg offers a slight nutritional advantage over a conventional egg. If you wish to make vegan cookies, replace each egg with 1/4 cup unsweetened applesauce, 1/4 mashed banana or with a flax egg. Applesauce works well in cakey cookies like snickerdoodles. For chewy recipes try the flax egg. For a flax egg mix 1 tablespoon ground flaxseed with 3 tablespoons warm water for each egg (up to two in a recipe). Let the mixture sit until cool before adding to your wet ingredients.

• Add some fiber. Change up your white flour for whole-wheat pastry flour as a cup-for-cup substitution. Whole wheat flour is made from the whole grain, so it contains more fiber and minerals. Whole wheat bread flour has a high protein content and will yield a tough finished cookie. Using whole-wheat flour in place of all-purpose flour gives your cookies about four times the amount of fiber in every batch.

• Mind the gluten. Gluten sensitivity is increasingly common. Luckily there are numerous alternative baking mixes available. I love to bake with almond flour and enjoy recipes from the Sweet Laurel Cookbook. You can also make your own alternative flour mix. Here is a recipe from my culinary alma mater, The Natural Gourmet Institute: try mixing 2 cups white rice flour with 2/3 cup potato starch and 1/3 cup tapioca starch. Treat this blend like it is all-purpose flour. You can also store it in an air-tight container.

• Mind the quality of your fats. Steer clear of ingredients that contain partially hydrogenated oil (or trans fats), like margarine and vegetable shortening. If you use butter, aim to buy organic cultured butter, which contains probiotics and no antibiotics. If you have a dairy sensitivity or wish to make vegan cookies, consider swapping butter or margarine for coconut oil. For every stick (1/2 cup) of butter, use 5 tablespoons coconut oil plus 3 tablespoons coconut cream. Use this for recipes that require creaming the butter and sugar together, like sugar cookies and shortbread. 

• Chocolate is your friend. There is always a bit of trial and error when experimenting with recipes. If your cookies are good but a bit less than perfect, try dipping or drizzling them with melted chocolate. When it comes to chocolate, the darker the better. Dark chocolate is loaded with antioxidants.  

Mediterranean Diet For Everyone

Summer Peach and Tomato Salad with Basil

There are so many different specialty diets these days: Keto, Paleo, Vegan, FODMAP, and the list goes on. I've prescribed all of these diets to patients for different reasons over the years, as everyone has individual needs at times. After 20 years of medical practice, including 3 years focused on food and nutrition, I have come to the conclusion that there is no one perfect diet. That being said, I love to teach and preach about the Mediterranean diet because it is as close to a "one size fits-all" plan that works.

While you can Google a list of specific foods and guidelines for the Mediterranean diet, it doesn't really work that way. Rather, it is really a formula for eating well rather than a specific cuisine. The basic tenants of the eating pattern are simple: focus on eating whole (unprocessed) food that is rich in fruits and veggies, whole grains, nuts, legumes, spices, and extra virgin olive oil. Do this while keeping poultry, fish, dairy, red meat and wine to modest amounts. No matter your dietary allegience, it is hard to argue against a diet that advocates for eating real food. 

The research behind this formula is extensive. Thousands of studies representing millions of lives consistently shows that eating like this helps maintain weight, keeps cholesterol in check and blood sugar and blood pressure low. Also, the risk of cancer, depression and Alzheimer's disease is also lower. All these benefits are gained simply by paying attention to what goes in your mouth. 

Whether you consider yourself a vegan, a paleo die-hard or follower of a specialty diet, applying a Mediterranean diet philosophy to your approach can benefit your health.

Keep the following in mind*:

1. Eat lots of vegetables. There are so many choices! From a simple plate of sliced fresh tomatoes drizzled with olive oil and flaky sea salt, to garlicky greens, fragrant soups and stews, healthy pizzas, or oven-roasted medleys. Vegetables are vitally important to the fresh tastes and health benefits of the Mediterranean diet.

2. Change the way you think about meat. If you eat meat, just do it in smaller amounts. For example, add small strips of sirloin to a vegetable sauté, or garnish a dish of lentils with diced prosciutto. As a main course, have smaller portions (3-4 ounces) of chicken or pastured meat. Think of meat as an accompaniment instead of the center of the plate.

3. Consider eating seafood twice a week. Fish such as salmon, trout and mackeral are rich in heart-healthy omega-3 fatty acids. When you crave more variety add anchovies, sardines and herring. Shellfish including mussels, oysters, and clams have similar benefits for brain and heart health.

4. Cook a vegetarian meal one night per week. Build these meals around beans, whole grains, and vegetables, and heighten the flavors with fragrant herbs and spices. When one night feels comfortable, try two nights per week.

5. Use good fats. Include sources of healthy fats in your daily meals, especially extra-virgin olive oil, nuts, seeds, olives, and avocados.

6. Switch to whole grains. Whole grains are naturally rich in many important nutrients: they are fuller and the nuttier taste and extra fiber keep you satisfied for hours.

7. For dessert, eat fresh fruit. Choose from a wide range of delicious fresh fruits — from fresh figs and oranges to pomegranates, grapes and apples. Instead of daily ice cream or cookies, save sweets for a special treat or celebration.

8. Enjoy wine (optional). Alcohol, in moderation, has been associated with a reduced risk of heart disease in some research studies. For men, 1 to 2 glasses (5 ounces) of red wine at meals may be acceptable. Women should be advised to have just 1 glass of wine no more than four times a week due to the recognized association between breast cancer and increased alcohol consumption. Try low sugar, organic wines.

Use the recipes below as inspiration to get started. 

Roasted Olives with Orange and Rosemary

Mediterranean Lentil Salad

Looking for a place to find low sugar, organic wine. Check out Dry Farm Wines. 

*https://oldwayspt.org/traditional-diets/mediterranean-diet