Succulent patties that are rich in nutrients but tasty as heck… I have a recipe for you that offers this!

These days I create meals that can be enjoyed by adults and kids alike, and with a bit of alterations are suitable for a baby that’s just starting to eat (although by the way she is going you’d think she was a eating competition winner in a previous life). And this was a hit!

These patties were so tasty, I made larger patties for hubby and I, smaller patties for Ash and small patties of a mixture without salt for Lara (baby led weaning). Everyone loved them!

Tinned salmon is a great source of calcium and other minerals as the bones can be crushed up and eaten – you won’t even know they’re there. On top of that, it’s so easy to just open a can, smoosh it up and through it together with some other ingredients for an awesome meal. Extra bonus – it’s a very cost effective meal.

I used red salmon and tricolour quinoa but you could use pink salmon or any other colour quinoa if you’d prefer. I cooked the quinoa earlier in the day and let it rest until I was ready to make the patties. If you haven’t cooked quinoa before, I would say it’s just like cooking rice via the absorption method. You want it to be tender but not entirely mooshy. When it cooks, the germ ring becomes visible so it gets a white outline around it.

Ingredients

• 2/3 cup quinoa, cooked and then cooled
• 415g can salmon
• 2 spring onions, finely chopped
• 2 tsp sesame oil
• Handful coriander leaves, finely chopped (you could also use dill)
• 1 egg
• 1 tsp chia seeds
• 2 tbsp mayonnaise
• 2 tsp Dijon mustard
• 1/4 lemon, juiced
• 1 tbsp ground flaxseeds
• Rice flour 2 tbsp
• 1/2 tsp salt

Method

1. Drain the salmon, and transfer it into a bowl and mash it with a fork to break up the bones
2. Add all the remaining ingredients to the bowl and mix together
3. Allow it to sit for 10 minutes
4. Heat a fry pan over medium high heat, then add 2 tbsp olive oil
5. Scoop a small handful of the mixture out and loosely form into a ball then place in the pan. Slightly flatten with a spatula so that it forms a disc shape
6. Fry for about a minors or until it turns golden brown. Turn the patty over and cook until it turns golden brown.
7. Transfer cooked patties to a plate and cook the remaining mixture in batches, adding more oil to the pan in between as needed. After a few batches you might need to turn the heat down in the pan.

Meal ideas :

​

The post Salmon and Quinoa Patties appeared first on Alison Mitchell Naturopath.

This ice cream is dairy free, calcium dense and so easy to make. I love making this to serve after asian inspired meals. Tahini (ground up sesame seeds) is a fantastic source of calcium, and the black tahini has an extra nourishing nutrient hit to it.

Ingredients:

• ½ cup black tahini (ground black sesame seeds)
• ½ cup finely dessicated coconut
• ½ cup coconut nectar (or whatever sweetener you have in the house maple syrup, rice malt syrup or agave syrup)
• 1 can coconut cream
• 1 cm piece of fresh ginger, grated
• 2 tbsp coconut oil (you may need to warm is slightly so its melted)
• 1 tsp chia seeds soaked in 30ml water to form a gel
• ½ tsp vanilla extract

Method:

1. Mix all ingredients together in a mixing bowl.
2. Pour into container or silicon molds. Cover and place in the freezer for 1-2 hours.
3. Remove from freezer and stir. Repeat process again in another hour. This helps break up the ice crystals and allows it to freeze evenly.

Should be ready to eat in 4-6hrs.  If consuming on another day, be sure to let sit out of freezer for ½ hr to defrost a little.

I served this with a crumble of toasted mixed nuts.

The post Black Tahini Coconut Ice Cream appeared first on Alison Mitchell Naturopath.

Bone and Joint Health

Do you experience swollen and painful joints? Do your knees, hips and knuckles feel like they are on fire? Are you finding it harder to be active and agile? These complaints are common symptoms of arthritis.

The word arthritis, when translated from the Greek words, arthron and itis, simply means “joint inflammation”. There are many different types of arthritis, the most common being osteoarthritis. Osteoarthritis is a debilitating condition that is commonly seen in middle aged and older people; the constant pain and reduced mobility can make simple, everyday tasks more challenging and greatly impair quality of life.

The Impact of Arthritis

Osteoarthritis is a slowly progressing disease that involves degradation of the soft cushioning around the joints. It can lead to significant pain and inflammation in the joint, as well as loss of movement. The condition commonly targets the hips and knees, however many smaller joints such as the fingers and spine can also be affected. Unfortunately, the damage may already be done by the time you notice the discomfort.

With the aid of quality nutrients and dietary advice the symptoms of arthritis can be reduced and managed more effectively, enabling you to do things that may have been previously limited.

Nutrients for Knees and Hips

The following nutrients are a fantastic way to provide therapeutic benefits to help alleviate pain, swelling and inflammation in your joints:

Glucosamine: Is a key building block for your joints.  It may stimulate the production of substances which lubricate and act as shock-absorbers for the joints. Glucosamine encourages the rebuilding of cartilage that has been damaged and can be used as long-term support to protect against joint degeneration.

Gelatin: Supports healthy joint structure and connective tissue repair. Gelatin may help reduce the pain of osteoarthritis and reduce requirements for pain relief medication.  Patients with osteoarthritis noticed an increase in mobility and strength in affected knees after gelatine supplementation.

Methylsulfonylmethane (MSM): Is a naturally-occurring nutrient found in small amounts in fruits and vegetables.  As well as having antioxidant and anti-inflammatory properties, MSM is an essential building block especially for joints and cartilage. Combining glucosamine and MSM has been shown to be superior compared to using either nutrient alone, resulting in greater reductions in the pain and swelling of osteoarthritis.

EPA/DHA: The omega-3 essential fatty acids (EPA/DHA) from fish or krill oil can help to reduce the intensity of pain, inflammation and morning stiffness associated with arthritis.

The effect of Exercise on your Joints

Does the thought of squats or a jog make your knees ache?  Do you avoid exercise because you’re worried about damaging your joints?  You’re not alone in that thought – many people avoid exercise in the fear that it will damage their joints.  Recent research has shown that this is not the case(1), as exercise is actually quite beneficial(2), having been shown to improve joint health and reduce pain in several ways.

According to Dr Mercola:

“There are some factors to consider, particularly if your pain worsens with movement, as you do not want to strain a significantly unstable joint. Pain during movement is one of the most common and debilitating symptoms of osteoarthritis, and typically this is the result of your bones starting to come into contact with each other as cartilage and synovial fluid is reduced.

If you find that you’re in pain for longer than one hour after your exercise session, you should slow down or choose another form of exercise. Assistive devices are also helpful to decrease the pressure on affected joints during your workout. You may also want to work with a physical therapist or qualified personal trainer who can develop a safe range of activities for you. Your program should include a range of activities, just as I recommend for any exerciser. Weight training, high-intensity cardio, stretching and core work can all be integrated into your routine.”(3)

Muscle strengthening vs. Surgery for knee pain

Did you know that exercises which strengthen your quadriceps and the muscle supporting the knee is AS EFFECTIVE as arthroscopy for several knee problems such as osteoarthritis?

Several studies have been conducted on people with conditions such as osteo-arthritis, torn meniscus or chronic pain in the front part of their knee (known as chronic patellofemoral syndrome, which is also frequently treated with arthroscopic surgery).  These studies compared arthroscopy and a program of physical therapy sessions along with at home exercises.  In the longest study (6 months) thirty percent of the people who were in the exercise group chose to have surgery instead, but had no greater improvements than those who persevered with the exercise and physical therapy program.  The similarity of symptom relief between the two groups was consistent among all the studies examined.(3)(4)

Looking After Your Joints

Adopting the following simple dietary and lifestyle tips, can help keep your joints healthy and happy for years to come:

–          Stay active. Exercising is essential to keep those joints mobile so try activities such as swimming, walking, running, cycling, yoga and daily stretching as these are great ways to keep your joints moving.

–          Maintaining a healthy weight is essential for supporting joint health.  Carrying extra weight can put pressure on your joints, especially hips and knees.

–          Enjoy at least eight glasses or two litres of pure water each day. Reduce caffeinated beverages to one to two per day and minimise alcohol intake.

–          Ensure you get plenty of sunlight.  Vitamin D deficiency is associated with cartilage loss in the knees.  This can be tested for and supplemented accordingly.  Other nutrients to ensure you get enough of are Vitamin K and Vitamin C.

–          Eating a diet that is full of anti-inflammatory foods can optimise your long-term health and vitality, as well as support your joints from top to toe.  Aim for a diet plentiful in fruits and vegetables, unrefined grains and protein-rich foods such as fish, poultry, nuts and seeds.  Also remember to limit red meats and sweets.

What NOT to do.

–          Drink too much caffeine -1 coffee can cause the body to leach about 40 mg of Calcium from bones in order to balance our plasma pH

–          Drink soft drinks – These alter our calcium and phosphorus balance.  The extra phosphorus binds with calcium making calcium less available to the body, so calcium is drawn from bones to balance this.

–          Eat too much sugar – Eating excessive amounts of sugar reduces our ability to absorb calcium and magnesium.

–          Eat too much salt – This increases calcium excretion. For each 6 g of salt, 24-40 mg of calcium is excreted into the urine.

–          Drink too much alcohol – Excessive about of alcohol is toxic to osteoblasts (a type of bone cell) and interferes with our ability to absorb calcium.

–          Eat too much or too little protein – Inadequate protein intake is associated with poor recovery from osteoporotic fractures, and too much protein increases calcium loss.  To work out how much protein you need contact your healthcare practitioner, or for a rough guide use this calculator.

Inflammation

Inflammation is a major influence on reduced bone density and joint problems.  If we’re too inflamed our bone metabolism is affected, which increased fracture risk.  Inflammation also contributes to joint degeneration and pain.

Several inflammatory diseases such as rheumatoid arthritis, lupus, inflammatory bowel disease, celiac disease, cystic fibrosis etc., have been associated with poor joint and bone health.

There are several factors which can cause inflammation to be worse than it should be, such as diet imbalances, hormone problems, genetics, stress and more.  If you think inflammation is a problem for you, contact your health care practitioner for testing and treatment options.  There are several herbal and nutritional remedies which are safe and effective anti-inflammatories and don’t have the negative side effects of conventional anti-inflammatory medicines, such as gastro-intestinal damage.

Use It or Lose It

There is a great deal of truth in the old adage “use it or lose it”. Stay active and take positive dietary and lifestyle steps to keep you and your joints healthy and happy. Looking after the nutritional needs of your joints can help minimise their degeneration, as well as improve the pain, inflammation and impaired mobility of arthritis. If your joints have worn a little thin over the years, contact me today for an appointment.  You can optimise your joint health, reclaim your freedom and live the life you deserve to lead.

Works Cited

1. Long distance running and knee osteoarthritis. A prospective study. Chakravarty, E F, et al. 2, 2008, American Journal of Preventative Medicine, Vol. 35, pp. 133-8.

2. Harvard Medical School. The secret to joint pain relief — exercise. [Online] September 21, 2013. [Cited: September 25, 2013.] http://www.health.harvard.edu/healthbeat/the-secret-to-joint-pain-relief-exercise?e=mkester%40nci.com&j=28081960&l=16278673_HTML&mid=148797&u=323662523&jb=0.

3. Mercola, Joseph. Peak Fitness. [Online] Mercola.com, April 5, 2013. [Cited: June 3, 2013.] http://fitness.mercola.com/sites/fitness/archive/2013/04/05/unnecessary-knee-surgery.aspx#.

4. Surgery versus physical therapy for a meniscal tear and osteoarthritis. Katz, J N, et al. 18, 2013, The New England Journal of Medicine, Vol. 368, pp. 1675-84.

 [fb_button]

[fbcomments]

The post Bone and Joint Health appeared first on Alison Mitchell Naturopath.

All the work that you have been doing in pre-conception care, eating well and taking your supplements doesn’t stop now, but it does change slightly.

Nutrition and Supplements

Your body has a high demand for nutrients during pregnancy.  You are the only source of nutrition for your growing baby. The baby is growing inside your womb and it forms its whole body from yours.  The baby will take what it needs and whatever is left the mother then uses (getting you ready for the selflessness of motherhood).

Some factors such as stress, inadequate diet, the effects of morning sickness, undiagnosed allergies, heartburn, constipation, long term deficiencies, stress or other pre-existing conditions may mean your intake of essential nutrients is inadequate to cope with the needs of both you and your growing baby.

If you are low in nutrients your baby will take what it needs from you, often leaving you in a deficient state.  Many conditions that occur during pregnancy (e.g. pregnancy brain, leg cramps, constipation) are caused or worsened by nutritional deficiencies, so it makes sense that ensuring you have ample supplies of nutrients not only means your baby is getting everything they need, but so are you.

When breastfeeding nutritional demands are as great, and sometimes even higher than during pregnancy.  It can take 2 years to nutritionally recover from a pregnancy!  If you are planning to concieve again during this time, then it isessentialto ensure you are stocked up well.

Did you know that during your pregnancy, you will create several extra kilograms of your own uterine muscle, as well as the nerves, bones, organs, muscles, glands and skin of your baby? In addition, you will make several kilograms of amniotic fluid, a placenta and produce a significant increase in your own blood volume. In addition, your own kidneys and liver have to work overtime, as they have to process the wastes of you and your baby!

A balanced diet should include a good variety of foods and provide all nutrients the body needs. The emphasis should be on eating a higher quality diet rather than simply eating more.   We can provide you with nutritional education and advice specific to you and provide meal suggestions or plans to support you and your baby.

All pregnant women require nutritional supplementation to some extent, due to the lack of essential nutrients in our soil and food supply.

The most well known nutrient that we require during pregnancy is folate, however it’s not that simple.  A lot of pregnancy multi-vitamins you can find in supermarkets and chemists contain plenty of folate, but lack or are extremely low other nutrients essential in pregnancy.  We can assess your individual requirements and recommend the right supplements for you.   It is important not to self medicate, especially during pregnancy.

Click here to read about some of the key nutrients required in pregnancy

Not only does nutritional supplementation help to prevent and manage deficiencies, it is also helpful in managing conditions.  Some nutritional supplements such as probiotics have been shown to be beneficial in preventing allergies in eczema in the newborn.

Some general tips during pregnancy:

• Avoid junk food and refined sugar and food completely.
• Avoid raw eggs, meat, chicken and seafood
• Avoid foods which you are allergic or intolerant to.
• Avoid foods high in mercury or other heavy metals such as swordfish, shark, tuna.
• Eat LOTS of fresh fruit and vegetables.
• Eat legumes and beans for fibre and protein.
• Eat foods rich in calcium and iron.
• Eat lots of foods containing soluble fibre, rather than insoluble fibre (such as wheat bran) as this can worsen constipation.
• Aim to have at least 2 serves of protein each day.
• Make sure you are hydrated, drink plenty of clean filtered water and avoid using water bottles which contain BPA.
• It is best to avoid caffiene during pregnancy.  Some women can be particularly sensitive to this, so should avoid tea, coffee, dark chocolate and soft drinks.  Caffiene can decrease blood flow to the baby and regular intake has been associated with low-birth weight.
• Avoid alcohol, cigarettes, recreational drugs and any unnecessary medications.

Common Conditions during Pregnancy

There is much that naturopaths can offer to women during pregnancy.  Conditions such as leg cramps, morning sickness, pre-eclampsia, reflux, colds, sinusitis, constipation and more can be managed with natural medicines.

Click here to read more about the common conditions of pregnancy and what we can do.

Pregnancy Program

Continued naturopathic care throughout pregnancy will help to ensure a healthy pregnancy and a healthy, happy outcome.  The pregnancy program is designed to support you and your baby during this time of rapid growth and change.  The emphasis will be on your nutritional status and your changing nutritional requirements through each trimester, while addressing any queries, complaints or issues that may arise.  Towards the end of the pregnancy we can begin to introduce remedies which prepare for your for labour, as well as providing you with your tool kit for after the birth.  Regular massage throughout the pregnancy is also recommended.

A typical pregnancy program includes:

During the 1^st Trimester we will address

• Giving suggestions for good dietary and lifestyle habits and continuing clean, toxin free environment
• Advice on a nutritious and individualised food plan for your pregnancy to support you and your baby
• Optimising your nutritional status,  promoting and nurturing a lush and healthy environment in which your baby can grow
• Reducing any uncomfortable symptoms of early pregnancy that may arise such as morning sickness
• Treating any threat to the pregnancy such a bleeds or threatened miscarriage
• Acupuncture is fantastic during this time for helping to manage morning sickness

2^nd Trimester

• Continue to monitor your nutritional status with particular emphasis on iron and blood nutrients as well as zinc status
• Treat any pregnancy problems that may be arising
• Review your activity and exercise

3^rd Trimester

• Prevent or treat any problems typically related to the later stages of pregnancy, such as gestational diabetes, pre-eclampsia, constipation, and oedema (fluid retention).
• Begin birth preparation.  Specific nutritional and herbal treatments are introduced to support labour, delivery and lactation.  Herbal medicine has a long history of use in the last trimester of pregnancy.  Specific nutrient supplementation and individualized herbal homoeopathic formulations will promote a more comfortable birth, post natal and breastfeeding experience as well as reducing likelihood of complications and improving recovery.

Post-partum

• Herbs to improve healing, reduce inflammation
• Support breast-feeding if there is any issues with flow, failure to thrive, mastitis or cracked nipples
• Giving suggestions for a healthy, nutrient dense diet for breastfeeding as well as advice on introduction to solids and management of common conditions for infants such as colic

The post Naturopathic support in pregnancy appeared first on Alison Mitchell Naturopath.

Calcium and Magnesium

Minerals rarely work in the body in isolation.  They are all in a convoluted relationship with one another, where if one mineral is low in the body it can cause another to become too high, or vice versa.  To be healthy (keep the body in a state of homeostasis)  we need to have these minerals in a certain ratio to one another.  Some examples of important mineral ratios include sodium:potassium, zinc:copper and calcium:magnesium.  If a person had good levels of zinc, but even higher levels of copper, that would typically present with a zinc deficiency.  One of the most well known minerals is sodium (salt), which is famous for elevating blood pressure.  There are some people that are very sensitive to a disruption in their sodium:potassium ratio, and having the slightest amount of sodium can send their blood pressure through the roof.

Calcium and magnesium ratio is most commonly recommended at a 2:1, however there is some evidence that suggests that supplementing with doses of 1500mg calcium per day does not disrupt magnesium concentrations.   However it is always important to take into consideration individual requirements, as there are many factors that affect the utilization and absorption of minerals such as digestive health, diet, stress and genetic makeup.  The type of mineral is important as well.  A well known form of calcium supplement, in the form of calcium carbonate is advertised as being the highest dose of calcium available.  This does not take into consideration our ability to absorb it or utilise it properly in the body.  Magnesium oxide is another commonly sold form, usually because it is the cheapest however this can cause digestive irritation (not something most people would want).  It is better to seek advice on the type of mineral that is best for you.

Calcium and Magnesium are important minerals for the body, and we have an increased need for these during pregnancy (particularly from the second trimester on).  Most pregnancy multivitamins don’t contain adequate levels of these minerals which are needed in fairly high doses (the multi would need to be the size of a golf ball) so additional supplementation may be necessary.

Calcium is an extremely important nutrient leading up to and during pregnancy. It is necessary for the development of bones and teeth in the foetus.  Approximately 30 to 40 g of calcium are transferred to the foetus throughout the pregnancy, the majority in the third trimester. It is important for the mother to have good stores of calcium before becoming pregnant so that the health of her own teeth, bones, nervous system and muscular function is not at risk.  Adequate maternal calcium levels can also help to maintain normal blood pressure during pregnancy.

Along with calcium and vitamin D, magnesium is essential for the development of healthy bones, teeth and nervous system, and for maintaining the health of these tissues in the mother.

Adequate magnesium will help prevent muscle cramps and keep blood pressure normal.  It also plays an important role in regulating normal blood sugar and insulin levels and nourishing the nervous system.

If you are pregnant or are looking at becoming pregnant, give us a call or send me an email and we can book you in for a consultation to discuss your nutritional needs.

The effects of Calcium supplementation during pregnancy

Pre-eclampsia and gestational hypertensive disorders are significant causes of maternal and foetal morbidity and mortality worldwide.  Many studies demonstrate a link between calcium intake and these hypertensive conditions during pregnancy. This review of 15 randomised controlled trials investigated the influence of calcium supplementation during pregnancy and the incidence, risk and severity of these hypertensive disorders and neonatal outcomes.

Results  showed:

The post Calcium during pregnancy and it’s relationship to magnesium appeared first on Alison Mitchell Naturopath.

Relief for Pregnancy-induced leg cramps

Leg cramps are a common complaint for pregnant women, however there is no current standard treatment.  Naturopaths and nutritionists often recommend a magnesium supplement for leg cramps, as magnesium is helpful for relaxing muscles and nerves.

A recent study proved the effectiveness of magnesium supplementation for leg cramps.

The 4 week study looked at 86 pregnant women between 14-34 weeks gestation  and analysed the use of oral magnesium supplementation on leg cramps.  80 women completed the study.

41 women were assigned to magnesium bisglycinate chelate (300 mg per day) and 39 women to placebo.

Details of leg cramps were recorded before beginning the treatment and the fourth week of study. Outcome measure was the reduction of cramp frequency after treatment and cramp intensity measured by 100-mm visual analogue scale.

50% reduction of cramp frequency was significantly higher in the magnesium group than the placebo group. Results included:

• The 50% reduction of cramp intensity was also significantly higher in the treatment group than in the placebo group.
• There were no significant differences between the two groups in terms of side effects such as nausea and diarrhoea.

These results demonstrated that oral magnesium supplement can improve the frequency and intensity of pregnancy-induced leg cramps. Therefore, oral magnesium may be a treatment option for women suffering from pregnancy-induced leg cramps.

Supakatisant C, Phupong V. Oral magnesium for relief in pregnancy-induced leg cramps: a randomised controlled trial. Matern Child Nutr. 2012 Aug 22. doi: 10.1111/j.1740-8709.2012.00440.x. [Epub ahead of print]

The post Leg cramps in pregnancy appeared first on Alison Mitchell Naturopath.

Looking for a way to increase your magnesium levels? This recipe is my answer – they are designed to be a rich source of magnesium, as well as the co-factors for magnesium (zinc, b vitamins and calcium). Fun and easy to make, they help to satisfy chocolate cravings, they balance blood sugar levels (good source of protein, good fats and complex carbohydrates and fibre), so why not give them a go? Make a big batch and freeze some, or a small batch and keep them in the fridge. If you can resist eating them all within the first few days, they will last about 4-5 days in the fridge.

Makes approximately 12

Ingredients

• 1 cup raw/fermented nuts and seeds (I used about 3/4 cup of a mixed nuts pack and added a few handfuls of seeds such as pepitas, sunflower seeds, sesame seeds and pumpkin seeds.)
• 2-3 tbsp wheat bran (you can alternatively use oat bran)
• 5 dates
• 2 tbsp unhulled tahini
• 2 tbsp blackstrap molasses
• 2 tbsp raw cocoa powder
• Optional – freshly ground flax seeds, chia seeds or wheat germ

Method

In a food processor blend the nuts and seeds until the become a coarse powder.  Finely chop the dates or blend as well (if they’re too dried you’ll have trouble blending them).

Mix the nuts, dates, tahini and blackstrap molasses and stir well.

Roll them into balls with your hands,  then roll in the cocoa powder.  Lightly tap to get rid of the excess powder.  From here you can mould them into different shapes (I made a heart because I love magnesium, haha).  You can refridgerate them or freeze them (let them defrost for about half an hour before eating).

Tips

These are very rich in magnesium and calcium so are great for people who need some extra of these minerals. They also contain a nice amount of zinc, protein and good fats. Have 1-2 a day.

While the molasses is high in sugar, it is a great source of vitamins and minerals. Having it combined with the nuts and seeds helps to reduce the GI.

Each ball would roughly contain about 100mg magnesium, 37mg of calcium and 1mg of zinc (I know it doesn’t sound like much zinc but remember that minerals are needed in different amounts.)

Click here for more information about magnesium.

The post Magnesium Balls appeared first on Alison Mitchell Naturopath.