Archive for the ‘Ask the R.D.’ Category

Ask the RD: December

Thursday, December 2nd, 2010
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During “that” time of the month, what should women eat? It’s so cliche to reach for chocolate – but why are we reaching for that in the first place? What is the body craving during this period of time? – ALICIA

Women experience a variety of symptoms during that time of the month and based on your symptoms you can eat more or less of certain foods to combat whatever is making you feel uncomfortable.  For bloating, you are going to want to reduce your salt intake because salt causes water retention and further bloating. To eat less salt stay away from junk food, fast food, processed foods, and if you buy canned products, buy those that say reduced sodium on the label. If you notice that you seem to get increasingly irritable when mother nature comes, try to eat smaller, more frequent meals. When you are menstruating, increase in hormone production causes an increase an insulin which will lead to low blood sugars. You may be getting irritable and experience craving sensations due to low blood sugar and by eating less, but more often, you can stabilize your blood sugar and satisfy any cravings you may have.  Snack on fruits and vegetables when cravings arise to prevent bloating that you would get with salty snacks and weight gain as a result of snacking on sweets.  It’s also a good idea to increase your iron-rich food sources such as lean red meat, dark leafy greens, oysters, clams, scallops, legumes, artichokes and grains during that time of the month to prevent anemia from blood loss.
I have Type 2 Diabetes, I have this because I am overweight. I am busy but not active. My issue is my sweet tooth… I crave sweets 24/7. I don’t pay attention to my blood sugar. My AC1 is 7.0 and my sugars run around 300. This is the worst I’ve let it get. I just get tired of taking medicine and pricking my fingers so I’ve let things slide. I know I need to deal with this. What are the negatives I’m putting myself at risk for by not keeping on top of this. I’m a female, age 36. Tongue lashing needed! –KELLY
The first thing I wonder when you say that you have a sweet tooth is are you eating lean protein sources with every meal?  Protein is digested slower than carbohydrates and they leave you feeling satisfied longer so you don’t overeat or have that craving. Also the good thing about eating lean protein sources such as egg whites, low-fat cheeses, poultry, fish, lean meats, and tofu are that they do not contain any carbohydrates, which is important to know if you have diabetes.  I understand that you are tired of dealing with your diabetes and I want you to know that this is a common feeling for anyone with a chronic disease. However, you are young and you are in control of your body and your life.  I applaud you for recognizing that you need to make a change and get your diabetes under control.  The good news is that type 2 diabetes can be managed with diet and exercise and you may not have to worry about it as much if you can get your diet under control.  An easy way to manage your diet and evenly spread out the amount of carbohydrate foods you eat throughout the day in order to stabilize your blood sugars is to do this is at each meal. Step 1: Visually split your plate in half and fill one half of your plate with vegetables such as cucumber, bell peppers, broccoli, sprouts, tomatoes, bok choy, spinach, etc. Step 2: Split the other side of your plate in half again. A quarter of your plate should contain a lean protein source. Step 3: The other quarter of your plate can be filled with a starch such as whole grain breads, tortillas, pasta, brown rice, legumes, sweet potato, squash, potato, etc.  Whole grains digest slower than white breads, pasta, and rice, which is better for people with diabetes because glucose is released slower into the bloodstream.  The scary thing about diabetes is that you can’t feel the consequences of your uncontrolled blood sugars right away. Kelly, since you are so young you may not start feeling symptoms of uncontrolled blood sugars until 10 years from now, but that doesn’t mean that you are not harming your body in the present. For starters, elevated blood sugars put you at an increased risk for infection because bacteria thrive in a sweet environment.  Long-term elevated blood sugars cause damage to one’s eyes, kidneys, and nerve endings.  This is why it is very important to get yearly foot and eye exams if you have diabetes.

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Jae’s diverse background and extensive education in nutrition and exercise provide her with the unique ability to implement simple strategies and useful tools to create powerful results. In addition to heading Jae Berman Nutrition, Jae serves as the Regional Registered Dietitian of The San Francisco Bay Club and clinical Dietitian for the UCSF Medical Center. In addition, she is a certified ACSM Health Fitness Specialist and has been a personal trainer, yoga teacher and Pilates instructor for eight years. Jae earned a master’s degree in Applied Physiology and Nutrition from Columbia University and completed her dietetic internship at UCSF Medical Center. Her specialties include nutrition for weight loss, wellness, sports nutrition, cardiovascular nutrition, digestive disorders, eating disorders and blood glucose control.

Ask the R.D.

Thursday, November 4th, 2010
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November 4, 2010
Tune in the first Thursday of every month as Jae Berman answers your questions about healthy living and diet. Got a question? Email them to friends@attunefoods.com with “Ask the RD” in the subject line.
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Sometimes when I want to lose a couple pounds and just kinda detox my body, I will go for 1-3 days without eating pretty much anything. I drink a lot of water, and will have perhaps a protein powder shake or a smoothie or a banana. That kind of thing. Is this safe? Effective? It seems like “fasting” to me, which I’m assuming is fine as long as it is for just a short period of time. However, some of my fitness friends have said that this is not only dangerous and that my system could “shut down”, but also that it will have the opposite effect and will cause my body to retain weight because it thinks it is going to starve (like bears do before hibernation I guess). What can you tell me about this? – DAWN
If you want to lose a couple of pounds the best thing to do is clean up your diet and watch your portion sizes.  By cleaning up your diet I mean cut out all the caffeine, alcohol, sweets, junk food, and fast food and instead eat whole grains, non-fat or low-fat dairy products, lean meats, fish, nuts, fruits and vegetables.  An adequate portion size for poultry, meat, or fish is 3 oz. or the size and thickness of  a deck of cards.  For whole grains such as whole wheat or whole grain pasta, barley, quinoa, brown rice, a healthy portion size is 1 cup or the size of a tennis ball.  Feel free to eat as many vegetables as you want and try to eat a variety of colors, think of all the colors in the rainbow.  Your friends are right, starving your body is NEVER the answer!  By not eating for a few days, your body will become more efficient at storing energy as fat because it wants to make sure that it has enough storage for the next time you starve yourself. Eating a clean diet and incorporating small frequent meals is the best way to “detox” your body and maximize your metabolism.
What’s better, eating three meals a day or several smaller meals throughout the day? What are the pros and cons of both? – MARY
I would have to say that I am a big advocate for smaller, more frequent meals because they satisfy me and therefore I don’t overeat.  These smaller meals need to still be well-balanced with a lean protein source, whole grain carbohydrate source, fruits and vegetables, and low in fat.  However, for some people, if they can eat only as much as their body needs in solely 3 meals without overeating, then eating 3 meals a day without snacking is fine as well.  How can you tell what meal pattern works for you?  Listen to your body-do you have a consistent amount of energy all day?  We want to prevent crashes in energy, mood swings, headaches or cravings.  If you are experiencing these symptoms on a daily basis, experiment with your meal pattern and try eating smaller meals within an hour of waking and every 3-4 hours for at least one week. See if you notice a change in your energy level and if you do convince a co-worker or friend to try it too. That way everyone is on the same eating schedule as you!
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Jae’s diverse background and extensive education in nutrition and exercise provide her with the unique ability to implement simple strategies and useful tools to create powerful results. In addition to heading Jae Berman Nutrition, Jae serves as the Regional Registered Dietitian of The San Francisco Bay Club and clinical Dietitian for the UCSF Medical Center. In addition, she is a certified ACSM Health Fitness Specialist and has been a personal trainer, yoga teacher and Pilates instructor for eight years. Jae earned a master’s degree in Applied Physiology and Nutrition from Columbia University and completed her dietetic internship at UCSF Medical Center. Her specialties include nutrition for weight loss, wellness, sports nutrition, cardiovascular nutrition, digestive disorders, eating disorders and blood glucose control.

Ask the R.D.

Thursday, October 7th, 2010
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October 7, 2010
Tune in the first Thursday of every month as Jae Berman answers your questions about healthy living and diet. Got a question? Email them to friends@attunefoods.com with “Ask the RD” in the subject line.
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When you are sick and HAVE to take an antibiotic (for a bacterial infection) should you or shouldn’t you take/eat a probiotic supplement concurrently? – BRITTA
An antibiotic’s job is to wipe out all the bacteria in your body, the good and the bad bacteria.  Our body naturally produces good bacteria and it protects us from harmful bacteria that can make us sick. Bad bacteria can cause infections, which is why a doctor would prescribe an antibiotic.  Probiotics are good bacteria that come from a source outside of the body such as Attune bars, yogurt, kefir, sauerkraut, probiotic supplements, buttermilk, acidophilus milk, miso, tempeh. To answer your question directly, yes you should take probiotics when you are on an antibiotic.  The benefits of taking probiotics are that they help rebalance the body’s natural bacteria level and reduce diarrhea caused by antibiotic use. However, children, the elderly, and anyone with a weakened immune system should consult their physician before taking probiotics.
Is there such a thing as having too many probiotics in your daily diet?
-KATHARINE

This is an excellent question! Far too often people tend to say “the more the better” when it comes to these things so I applaud you for making sure you are taking care of yourself safely. Currently there are research trails testing 2 trillion probiotic organisms daily so I think it will be hard for you to eat too many. 10 billion organisms per day is considered safe for maintenance. What is important to know is that each strain affects your body in different ways. For example, acidophilus tends to focus on the small intestine while bifidobacteria is more focused in the colon. Attune bars have different strains so one bar is a good measure of daily probiotics. If you have a GI condition, I would speak with a gastroenterologist or registered dietitian for more information.

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Jae’s diverse background and extensive education in nutrition and exercise provide her with the unique ability to implement simple strategies and useful tools to create powerful results. In addition to heading Jae Berman Nutrition, Jae serves as the Regional Registered Dietitian of The San Francisco Bay Club and clinical Dietitian for the UCSF Medical Center. In addition, she is a certified ACSM Health Fitness Specialist and has been a personal trainer, yoga teacher and Pilates instructor for eight years. Jae earned a master’s degree in Applied Physiology and Nutrition from Columbia University and completed her dietetic internship at UCSF Medical Center. Her specialties include nutrition for weight loss, wellness, sports nutrition, cardiovascular nutrition, digestive disorders, eating disorders and blood glucose control.