Category: Diet and weightloss

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The reasons behind Male Anorexia

The reasons behind male anorexia

Although the risk of anorexia nervosa is higher in females, boys and men are not immune. Interestingly, atypical eating disorders, such as ‘selective eating’ (very limited food choices) are more common in boys than girls before puberty. These are often related to developmental disorders, such as autism spectrum disorders, or to severe anxiety. However, very few of these eating problems develop into anorexia nervosa after puberty.

About 10% of people with anorexia known to health services are male. On the other hand, large community-based epidemiological studies have recently shown that as many as 30% of participants reporting a lifetime history of anorexia were male, but only a minority sought treatment. Eating disorders are associated with women and this may be an impediment to seeking treatment for men. John Prescott’s disclosure of his bulimia could be a typical example of this situation.

However, even if as many as 30% of sufferers were male, the imbalance towards the female sex is most extreme amongst psychiatric disorders. Interestingly, there is some evidence that homosexuality/bisexuality is a specific risk factor for eating disorders (particularly bulimia) in males. According to a recent study, attending a gay recreational group is significantly related to eating disorder prevalence in gay and bisexual men. The reason for the higher prevalence in non-heterosexual males is unknown at present. In some cases, the drive for weight loss may be an expression of the rejection of male sexuality, such as in men with gender identity disorders.

The motivation for initial weight loss is usually different for men than for women. Preoccupation with a muscular but ‘fat-free’ body is more common, sometimes resulting in excessive exercise and steroid abuse. This is consistent with male sexual attractiveness, but paradoxically, these strategies damage normal sexual functioning. Biologically, abnormally low weight does not allow muscle building, not just because of lack of nutrients, but also because testosterone levels fall during starvation. The low testosterone does not just affect libido and sexual performance, but also the body’s ability to build muscles. Steroids illicitly used for muscle building also interfere with normal sex hormone production, and can be harmful in the long run.

Illicit substance misuse has also been associated with anorexia in males, for a number of reasons. Firstly, amphetamines, heroin and cocaine all reduce appetite. Secondly, some underlying personality traits may present a risk for both conditions.

Research on anorexia in boys and men is limited. This is mainly because only a small proportion of clinic populations are male, so it is very difficult to recruit sufficient numbers of male participants into studies. Furthermore, the majority of research studies concerning anorexia nervosa exclude male patients from recruitment or the analysis in an attempt to keep the methodology simple. The Minnesota Semi-Starvation study, which will be discussed later, included only male participants. Hence, this study has provided invaluable information about the consequences of self-induced starvation in males.

Medical complications are more common in men than women during starvation. However, a recent study in Sweden showed that the long-term recovery rate of men hospitalised for anorexia was good. The same research group has also shown that the outcome of eating disorders in females has improved in Sweden (in contrast to many other countries). These findings may be true only for the Swedish populations, due to the effective screening programmes and early intervention in this country’s highly developed and equitable healthcare system. Finnish researchers also found better outcome for males in terms of weight restoration, but additional psychological problems were common.

 

This extract was taken from Anorexia Nervosa by Dr Agnes Ayton.

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Pumpkin Power: Your Halloween Health Kick

Pumpkin Recipes

It’s the one and only time of year where we see hundreds of pumpkins lining supermarket shelves and garden paths, often with a rather wicked smile grinning back at you. But don’t be fooled, they’re actually one of the greatest superfoods out there. Pumpkin seeds are one of the best plant-based sources of zinc, which works wonders for the human body by improving the immune system, preventing osteoporosis and reducing cholesterol. Pumpkin seeds are also a fantastic source of protein, fibre and magnesium. They help with weight loss, relaxation and increased fertility in both men and women, and their high levels of L-tryptophan make them an effective mood booster – particularly useful as the cold weather sets in!

Extracted from her book, Love Your Bones, Max Tuck provides two delicious recipes to help you make the most of this Halloween superfood:

 

Pumpkin seed pesto

In this recipe pumpkin seeds replace the traditional pine nuts that can be so very expensive. For optimum nutrition and digestibility it is important to soak the pumpkin seeds for a few hours beforehand.

  • In a food processor mix all of the following to a smooth paste:

½ cup soaked pumpkin seeds

¼ cup water

The juice of ½ lemon

Optional: splashes of tamari or Bragg’s Liquid Aminos to taste

A medium clove of garlic

¼ cup of cold-pressed olive oil

 

  • Separately, chop a medium-sized bunch of fresh basil leaves very finely. Stir them into the pumpkin seed mixture or pulse for a second.
  • Serve the pesto stirred into pasta, preferably into ‘courgette pasta’ made from thin shavings of courgette cut with a potato peeler.

 

Pumpkin seed and walnut loaf

2 cups pumpkin seeds, soaked for six to eight hours

2 cups walnuts, soaked overnight

1 cup carrot, chopped

1 cup red pepper, deseeded and chopped

1 cup onion, diced

1 cup parsley, chopped

1 cup dried mushrooms

2 cloves garlic, crushed

1 tablespoon raw tahini (optional)

Sprig of parsley to garnish

 

  • Process the pumpkin seeds, walnuts and carrot in a food processor until smooth. Remove and place in a bowl.
  • Pulse the remaining ingredients except the parsley together in a food processor until they are of a chunky consistency. Place in the bowl with the pumpkin seed mixture and combine thoroughly.
  • Place on a serving dish and mould into the desired shape. Garnish with parsley.

 

These recipes were taken from Love Your Bones by Max Tuck.

 

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The PK Cookbook: PK bread recipe

PK Cookbook

The single biggest reason for lapsing from the PK diet (Paleo-ketogenic) is the absence of bread. To secure the diet for life you must first make PK bread. I have searched and nothing is currently available commercially which passes muster. Loaves will become available as demand builds, but in the meantime you have to make your own bread. If you do not have the energy to do this yourself but have any friends or family offering to help you, then top of the list must be, ‘Please make my daily bread’. PK bread consists of just linseed, sunshine salt (see Chapter 13, page 93) and water.  Americans, and others, may be more familiar with linseed being referred to as flax or flaxseed or common flax. There is technically a subtle difference – flax is grown as a fibre plant that is used for linen.  Linseed is grown for its seed. The flax plant is taller than linseed and is ‘pulled’ by hand, or nowadays by machine.

How to make a PK bread loaf in five minutes

Please forgive the tiresome detail, but you must succeed with your first loaf because then you will be encouraged to carry on. I can now put this recipe together in five minutes (proper minutes that is – not the ‘and this is what I did earlier’ TV version). I have spent the last six months making a loaf almost every morning – there have been many revisions and the version below is the current recipe which I think is perfect!

Equipment needed:

  • Cooking oven that gets to at least 220 degrees Centigrade
  • Weighing scales
  • Nutribullet (or similarly effective grinding machine – do not attempt to do this with a pestle and mortar; I know – I have tried and failed)
  • Mixing bowl
  • A 500 gram (or one pound in weight) loaf baking tin
  • Measuring jug
  • Cup in which to weigh the linseed
  • Wooden spoon
  • Wire rack for cooling
  • Paper towels

Ingredients needed:

  • 250 grams of whole linseed (use dark or golden linseed grains)
  • One teaspoon of sunshine salt (can be purchased from www.sales@drmyhill.co.uk) or unrefined sea salt
  • Dollop of coconut oil or lard
Actions Notes
Take 250 grams of whole linseed You could purchase linseed in 250 gram packs and that saves weighing it. Use dark or golden linseed grains – the golden grains produce a brown loaf, the dark a black one.Do not use commercially ground linseed – the grinding is not fine enough, also it will have absorbed some water already and this stops it sticking together in the recipe.If you purchase linseed in bulk then you must weigh it really accurately in order to get the proportion of water spot on.
No raising agent is required.
Pour half the linseed into the Nutribullet/grinder together with one rounded teaspoon of PK ‘Sunshine’ salt (see page 93).
Grind into a fine flour.		 Use the flat blade to get the finest flour.Grind until the machine starts to groan and sweat with the effort! You need a really fine flour to make a good loaf. This takes about 30 seconds.The finer you can grind the flour the better it sticks together and the better the loaf.I do this in two batches of 125 grams or the blades ‘hollow out’ the mix so that half does not circulate and grind fully.
Pour the ground flour into a mixing bowl.
Repeat the above with the second half of the seeds and add to the mixing bowl. Whilst this is grinding, measure the water you need.
Add in exactly 270 ml water (not a typo – 270 it is). Chuck it all in at once; do not dribble it in.Stir it with a wooden spoon and keep stirring. It will thicken over the course of 30 seconds.Keep stirring until it becomes sticky and holds together in a lump. The amount of water is critical. When it comes to cooking, I am a natural chucker in of ingredients and hope for the best. But in this case, you must measure.Initially it will look as if you have added far too much water, but keep stirring.
Use your fingers to scoop up a dollop of coconut oil or lard. Use this to grease the baking tin. Your hands will be covered in fat which means you can pick up your sticky dough without it sticking to your hands
Use your hands to shape the dough until it has a smooth surface.
Drop it into the greased baking tin		 Spend about 30 seconds doing this. Do not be tempted to knead or fold the loaf or you introduce layers of fat which stop it sticking to itself. This helps prevent the loaf cracking as it rises and cooks (although I have to say it does not matter two hoots if it does. It just looks more professional if it does not!)
Let the loaf ‘rest’ for a few minutes …so it fully absorbs all the water and becomes an integral whole. This is not critical but allows enough time to…
…rub any excess fat into your skin, where it will be absorbed There is no need to wash your hands after doing this – the basis for most hand creams is coconut oil or lard. (Yes, lard. It amuses me that rendered animal fat is a major export from our local knacker man to the cosmetic industry.)
Put the loaf into the hot oven – at least 220°C (430°F) – for 60 minutes Set a timer or you will forget – I always do!I do not think the temperature is too critical – but it must be hot enough to turn the water in the loaf into steam because this is what raises it. I cook on a wood-fired stove and the oven temperature is tricky to be precise with. That does not seem to matter so long as it is really hot. Indeed, I like the flavour of a slightly scorched crust.
Wipe out the mixing bowl with a paper towel. This cleaning method is quick and easy. The slightly greasy surface which remains will be ideal for the next loaf. The point here is that fat cannot be fermented by bacteria or yeast and does not need washing off mixing and cooking utensils. My frying pan has not been washed for over 60 years. I know this because my mother never washed it either.
When the timer goes off, take the loaf out of the oven, tip it out and allow it to cool on a wire rack.
Once cool keep it in a plastic bag in the fridge.		 It lasts a week kept like this and freezes well too.It is best used sliced thinly with a narrow-bladed serrated knife.

Fry your freshly made PK bread in coconut oil or lard and add the following for a delicious PK breakfast;

  • 2-3 boiled eggs
  • Smoked fish, tinned fish, tinned cod’s roe
  • Paté or rillette
  • Nut butter
  • Vegan cheese (check the carb content of this) and tomato
  • Coyo yoghurt

This blog was taken from Sarah Myhill and Craig Robinson’s new book The PK Cookbook

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How food influences your mood

How Food Influences Your Mood

Learning to feel differently about food includes recognising the link between nutrition and mental wellbeing. There is no point in achieving a slimmer body if the price is depression and increased anxiety. Scientific researchers suggest people should be cautious in how they reduce their calorie intake while attempting to slim down as research findings show that sudden changes in nutrition, or reducing certain nutrients in a diet, can result in a worsening of depressive symptoms. (Sathyanarayana et al, 2008)

A study in the British Journal of Psychiatry (Akbaraly et al, 2009) also found evidence that eating a wide range of real foods versus processed foods of poor nutritional quality increased the likelihood of depression.

When people abruptly stop eating large amounts of processed foods containing unhealthy fats, and loaded with sugar, they can often experience withdrawal symptoms similar to those of going “cold turkey” from drugs. The withdrawal symptoms can last for several days and for some people the symptoms of headache, muscle pain and feeling below par can be powerful enough for them to return to their old eating habits just to make them feel “normal” again. Stick with the process, though, as the rewards will far outweigh any temporary discomfort.

Other nutritional deficiencies have a part to play in feeling low or even depressed. These include deficiencies in zinc, omega-3 fats, B vitamins, B6 and B12 especially, and vitamin D.

Missing meals can cause a dip in blood sugar levels, resulting in the release of adrenaline which increases feelings of anxiety and can even be a trigger for raised levels of anxiety generally.

Disordered eating often involves binge eating. This causes physical discomfort but can also often be a trigger for feelings of despair and shame. If overeating happens late at night, the inevitable bloating can interfere with the ability to sleep, again lowering mood.

Following a restrictive diet where carbohydrates are eliminated has an impact on serotonin levels in the brain that can lead to feelings of depression. We encourage eating a balance of complex, unrefined starchy carbohydrates such as vegetables and protein and healthy fats to maintain a positive mood, and promote satiety.

Making changes towards healthier food choices is obviously beneficial on many different levels. The changeover can happen during a radical period when mass changes are made, or one meal at a time, gradually reducing the amount of processed sugars and high fat foods that are eaten. How this is tackled is down to personal choice, and what best suits each individual.

In essence, a healthy diet will not cause ecstatic happiness but a poor diet could be a contributing factor to feeling low, so it’s important for mental wellbeing to eat a wide variety of real foods.

This blog is taken from How to Feel Differently About Food by Sally Baker and Liz Hogon. You can read the first chapter here!

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So, what is the Paleo diet?

What is the paleo diet

First, it is important to state there is no such thing as ‘the Paleo diet’ per se. Pre-agricultural diets were regionally variable and seasonally cyclical. In colder climates, they tended to be meat-based as the land was either under snow for much of the year or of poor quality and only suited to grazing. In warmer regions fewer red meats were eaten and fruits and plants dominated. Although the ancestral diet may have varied in content, it was more nutrient dense than that of today. So, although no standardised Paleo diet exists, the Paleo diet is usually defined by what it excludes, and is generally accepted as being, legume and dairy free.

It is thought that the advent of agriculture around 10,000 years ago marked the demise of the nomadic way of life, giving way to the cultivation of grains and legumes and the domestication of animals for milk. Archaeological remains suggest an abrupt decline in health at this time. Loss of stature, arthritis and other diseases associated with poor mineralisation seem to coincide with the introduction of grains into the diet. Ten thousand years might seem like a long time to those of us who hope to live to around 80 but is, in fact, the evolutionary equivalent of the ‘blink of an eye’, and would not have given us enough time to adapt.

However, there is archaeological evidence that some hunter-gatherers were eating grains much earlier than this. It seems the closer to the equator, the greater the intake of plant-based foods, which in some cases may have included wild grains. This may explain why gluten (and dairy) intolerance is more prevalent in colder latitudes, and why those with Scandinavian or north European ancestry are poorly suited to a vegetarian diet. What the hunter gatherer diet seemed to have in common was that they were highly nutritious and all contained meat or fish. They provided good levels of minerals, saturated fat and fat-soluble vitamins, with little or no grain or dairy and variable amounts of protein, most of which was derived from meat.

Much of the diet was raw which further increased the nutrient density and provided good levels of fibre. I suspect that rather than being historically accurate, the modern assumption that the Paleo diet was a high protein diet results from the misplaced fat and carb phobia diet that is still influencing nutritional thinking today. In fact, the food group most highly prized in the ancestral diet was saturated fat. Carbs have been given a bad press because they are nearly always derived from grains, a food group that causes problems in a number of people.

However, carbs from vegetables and fruits are much easier for the body to handle. A diet high in raw vegetables and salads does not have the same effect as a diet high in cereals, although both are high in carbohydrate. Whilst it may seem impossible to imagine a diet without grains, they are easily replaced by alternatives such as vegetable pastas, and coconut, seed and nut flours in baking and break making. Nuts can be fermented into cheeses, coconut cream into yoghurt and soft cheese, and the milk from nuts and coconuts can be made into delicious desserts and ice-creams, making Paleo eating varied and enjoyable.

What is also known about the Paleo diet is that it contained virtually no sugar. Refining has enabled us to concentrate sugars in quantities that our bodies are ill equipped to handle. For example, a soft drink contains the equivalent of eight and a half feet of sugar cane – an impossible quantity to get through in its unrefined state. The high proportion of carbohydrates in the modern diet compounds our inbuilt predilection for sweet foods.

Until technology got involved in food production, foods that were bitter were generally poisonous and those that were sweet were usually safe to eat, but that doesn’t apply today since many foods are laced with sugar, high-fructose corn syrup and artificial sweeteners – and they definitely aren’t safe to eat. Our first food, breast milk, contains a sugar called lactose and thus the early association between feeding and being loved is established before we are capable of conscious thought. Eating is associated with emotion, and this is one of the reasons sweet foods can be comforting, and why we can feel deprived and miserable when trying to give them up.

Despite their pervasive presence at nearly every meal today, in Europe and America grains were only elevated from animal fodder to dietary staple at the time of the industrial revolution, cultivating in us a taste for stodgy, high-carbohydrate foods, which has been a contributory factor to the obesity epidemic. The Arabic nations seem to have been eating grains the longest, and their wheat sensitivity and carbohydrate intolerance are rare. The rapid increase in degenerative disease that has characterised the last 100 years demonstrates that most of us have struggled to adapt. It is estimated that 80 per cent of cancers are related in some way to diet, and it is probably evident to you that much of the food we eat today could not be described as healthy.

In fact, much of it wouldn’t be recognised by even our recent ancestors. Not only are the foods themselves different – the result of selective cultivation or the products of technology – but the ratios of fat, protein and carbohydrate have been reversed. Fat phobia flourishes, and grains – previously dismissed as mostly animal feed, as I have said – now form the foundation of almost everything we eat. In addition, some of what passes for food isn’t food at all but a concoction of chemicals, conceived in the laboratory rather than grown on the land. Modern grass eaters, particularly cows, may not have had access to grass, and non-organic crops will have been forced to grow in demineralised soils, which is why today’s produce contains an average of 80 per cent less nutrients than it did only 50 years ago.

This blog is taken from Go Paleo – Feeding the Urban Caveman by Eve Gilmore. You can read the first chapter here!

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Diagnosis of diabetes and its precursor, metabolic syndrome

Before getting to the testing stage we can get some very useful clues from a combination of the clinical picture together with commonly done routine tests. However, if you eat what is generally considered a ‘normal, healthy, balanced diet’ (ho! ho!) based on the intellectually risible food pyramid, then it is likely that you have carbohydrate addiction and are on the way to metabolic syndrome and diabetes.

In order of priority and ease, the diagnosis can be made from:

  • The contents of the supermarket trolley
  • Diet
  • Snacking
  • Tendency to go for other addictions
  • Obesity
  • The clinical picture

The contents of the supermarket trolley

  • Bread, biscuits, cake, pasta, cereals, sugar, waffles, bagels, dough nuts and other such
  • Fruit juice, pop, alcohol, “energy” drinks and general junk drinks
  • Fruit basket with tropical sweet fruits such as pineapple, melon, bananas, grapes. Apples and pears
  • Sweet dried fruits – sultanas, raisins, dates
  • Snack foods – cereal bars, ‘energy bars’
  • Sweets, toffees, fudges
  • Honey, fructose, syrups
  • Jams, marmalades, choc spreads
  • Artificial sweeteners
  • Ice creams and puddings, like cheesecakes and trifles
  • Low cocoa-percentage chocolate
  • Crisps, corn snacks, popcorn…you get the idea – we call it junk food!

Such a supermarket trolley is very indicative of a diagnosis of carbohydrate addiction, metabolic syndrome and/or diabetes.

“Indeed, I have just returned from a trip to the supermarket. The man in front was placing his purchases at the check-out. I felt myself sighing as the packets of chocolate biscuits, crisps, white bread and sweet drinks piled up. But what moved me to an intense desire to shout out were the final three items – paracetamol, ibuprofen and a box of antacids. He was poisoning himself with the carbs, then symptom-suppressing with the drugs. Addiction has blinded him to the obvious.”

Diet

Breakfast gives the game away. This is because no food has been consumed overnight and with carbohydrate addiction, blood sugar levels are low in the morning. The need for a carbohydrate-based breakfast indicates metabolic syndrome – typically with consumption of fruit, fruit juice, sweetened tea or coffee, cereals, toast, bread or croissants. ‘Oh, but surely porridge and muesli are OK?’ so many cry. Often they are not OK – the only way to really find out is to measure blood sugar levels.

“Even now my daughters can hear me groaning when the adverts on the telly for breakfast cereals come on. I really cannot stop myself. The Telegraph recently reported that, ‘Children’s breakfast cereals can contain as much as three teaspoons of sugar – the equivalent of two and a half chocolate biscuits,’ and so there are also ‘hidden’ dangers.”

Snacking

The need for a carbohydrate snack or sweet drink is often triggered by falling blood sugar. Many people comment that when they go on holiday and treat themselves to a fry-up for breakfast, they no longer feel hungry before lunch. Snacking is a disaster – it feeds the fermenting mouth and gut, prevents the glycogen sponges squeezing dry, spikes insulin and prevents fat burning.

Carbohydrates with every meal

The symptom of ‘not being satisfied’ with meat and vegetables is particularly indicative of carbohydrate addiction, with the need for a sweet pudding to ‘hit the spot’.

Tendency to go for other addictions

Also highly indicative of carbohydrate addiction is the tendency to have other addictions … such as alcohol, smoking, coffee, chocolate, prescription drugs (yes – many of these are addictive), and ‘legal’ and illegal highs.

Obesity

Obesity is not the cause of metabolic syndrome and diabetes, but may be a symptom of both. Many people with type 2 diabetes have metabolic syndrome and normal weight and vice versa – obese people may have no signs of metabolic syndrome. It is the constant sugar spikes in the portal vein, the effect of which eventually spills over into the systemic (whole body) circulation, when the liver is overwhelmed, this characterises metabolic syndrome and diabetes. We cannot measure these spikes because the portal vein is buried deep in the abdomen and links the gut to the liver. Interestingly, it is the fatty liver which is highly correlated with metabolic syndrome and diabetes – not the fatty rest of the body. Fat in the liver can be measured with MRI scans, but this is an expensive test not routinely available.

The ability to gain and lose weight is an essential survival ploy for all mammals. Think of the hibernating female brown bear who has to survive months of intense cold, pregnancy and breast feeding with no food intake. She achieves this on autumn fat together with the ability to switch into fat burning. She remains completely healthy throughout.

Share your story for Diabetes Week by using the hashtag #knowdiabetes.

This blog was originally published in Prevent and Cure Diabetes: Delicious diets, not dangerous drugs by Dr Sarah Myhill and Craig Robinson.

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Eat to beat depression

Eat to beat depression for World Health Day

Tackling depression naturally for World Health Day

Nutrition-related health issues seem to take an age to become part of accepted medical practice. The medical establishment requires comprehensive scientific evaluation, randomised trials and peer review before a new drug can be licensed, for instance. The pharmaceutical company has to weigh up the costs of research and development versus the potential profit to be made from launching a successful product that can earn a good return on their investment. (When you add in the factor that 80 per cent of their budget goes on marketing, it is clear the stakes are high indeed.) As real food is simply real food and can’t be licensed, branded or patented, there is little impetus for the medical community to fund costly research.

Medical research over the last couple of decades has, nevertheless, highlighted how an unhealthy gut can contribute to many physical diseases and these findings are becoming more accepted in mainstream medicine. Clinicians increasingly agree that the gut-brain axis also plays a crucial part in emotional wellbeing, including the development of conditions as diverse as chronic fatigue syndrome, depression and autism.

The Gut-Brain Axis

The gut-brain axis is a way of describing the interrelationship between gut health and brain health. The various aspects of digestion are controlled via the vagus nerves by a complex set of neurons embedded in the oesophagus, stomach, intestines, colon and rectum. The brain sends messages to all the nerves in your body, including the neurons that control digestion. All work efficiently enough until a person is anxious or stressed on an ongoing basis. You perhaps know for yourself that if you are feeling nervous your stomach can feel upset and queasy. The reason for this is that strong negative emotions, stress and anxiety increase cortisol and adrenaline, which then stimulate the sympathetic nervous system and shut down the parasympathetic system, which includes control of the gut. This causes a physical chain reaction:

* Reduction in pancreatic enzyme production

* Reduction in gall bladder function

* Reduction in the production of stomach acid

* Slowing down of peristalsis – the involuntary muscle movements essential for moving food efficiently through intestines for the absorption of nutrients

* Reduction in blood flow to the intestines

* Suppression of the intestinal immune system

In the short term, this allows the body to focus its resources on ‘fight or flight’ – a good survival mechanism. However, with ongoing stress and anxiety, this cumulative slowing down and suppression of the digestive process can, over a prolonged period, lead to a condition called ‘small intestinal bacterial overgrowth’ (SIBO). As the digestive process is compromised by stress and anxiety, the lack of stomach acid allows the stomach and small intestine – which should both be pretty much microbe free – to be colonised by unhealthy bacteria, and yeasts, causing foods to be fermented rather than digested. In addition to gas and bloating, compromised digestion leads to declining absorption of nutrients, which contributes to the loss of the co-factors needed for good digestion, and consequently further gut problems.

Now consider this situation lasting for extended periods of time. The integrity of the gut lining may be compromised, contributing to gut permeability (‘leaky gut’) that may be sufficient to produce chronic low-grade inflammation.

Chronic Inflammation

The inflammatory process includes the production of cytokines, chemical signals of inflammation that are carried by the blood to the brain. The cytokines can activate cells – so that the inflammation originating in the gut thereby causes widespread inflammation in the rest of the body, including the brain.

The impact of brain inflammation is that the brain has reduced nerve conductance which – guess what – shows up as depression, anxiety and stress.

This vicious circle can self-perpetuate and requires long-term changes to heal the gut, which in turn will help to heal the brain. This is done through changes in behaviour and improving levels of nutrition through changes to food choices. To improve your natural resilience to stress it is important to increase the amount of healthy polyunsaturated omega-3 oils in your diet, so look for oily fish, grass-fed meats and butter made from the milk of grass-fed dairy herds. Good plant sources include hemp seeds, linseeds, chia and some nuts and nut oils (macadamia, almond).

If you consider yourself to be depressed it will be helpful for your recovery to manage your stress levels, improve your sleep patterns and add nutritious and gut-healing foods into your regular eating plan.

Do bear in mind, however, that you may also need professional help if you have been suffering from this debilitating psychological disorder for some time. Please make sure you are accessing all the medical and psychological support you need. Try hard not to add isolation to an already challenging situation.

This blog has been taken from How to Feel Differently About Food by Sally Baker & Liz Hogon.

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Spotting the Signs of Emotional Eating

For many who are compulsively driven to eat for emotional reasons, not hunger, food has become a manifestation of self-loathing and a complex method of self-harming, or even a way of failing to thrive. These people crave food, avoid food, binge on food and obsess about food. Thinking about food fills their every waking moment. Food has become a way to celebrate and commiserate with themselves. In fact, it is their everything – except a natural way to sate hunger or be a source of healthy nourishment.

Typically, emotional eaters feel their appetite for food is out of their control and is counter to their heart’s desire to be slimmer than they are. They feel their inability to resist their food cravings proves how worthless they are as they trade their dreams of being slimmer for swallowing down foods they consider to be ‘bad’ or ‘forbidden’. They also often believe that the excess weight they carry is their own personal failing and visible proof for all to see that they are weak, inadequate or just plain greedy. The story they tell themselves continues with the common beliefs that if they were stronger, or had more will-power, or were simply just ‘better people’, then they would find it easy to manage their weight-versus-food-intake without the daily time-consuming over-thinking that they endure.

Every emotional eater has his or her own unique set of circumstances and history, but there are often similarities in thinking and in the belief system that defines each emotional eater. For instance, emotional eaters judge themselves harshly and their self-talk – the quiet voice that everyone hears within their own mind – is particularly critical and unforgiving. We also understand that emotional eaters can be triggered to binge eat when experiencing negative or challenging emotions, such as loneliness, sadness or anger.

Disordered thinking around food that emotional eaters may experience makes it particularly challenging to establish a nutritionally balanced way of eating that can be sustained for the long term. This is particularly true for those who are attempting to stabilise their weight after years, or possibly even decades, of yo-yo dieting.

Emotional eaters do not generally fare well following a type of diet that brings any of the following circumstances into play:

1. Diets that promote low-calorie eating to a level that induces hunger can quickly feel unendurable and trigger strong self-sabotaging behaviour.

2. Diets that rely on low-fat foods to restrict calorie consumption can increase the occurrence or severity of low moods, even to the risk of increasing the incidence of depression.

3. Diets that replace foods containing real sugars with chemical sweeteners can still spark compulsive sugar cravings and out-of-control bingeing.

4. Diets that replace meals with fake-foods, such as shakes, snack bars, instant soups or variations on this theme, often fail for emotional eaters when they are challenged with the inevitable reintroduction of real food.

5. Diets that promote or exclude whole groups of food, impose excessive or irrational rules or demand a specific cooking methodology can all help encourage unhelpful over-thinking about food that emotional eaters are already prone to. This includes the eating of only ‘free-from’ foods, including gluten-free (without a confirmed medical need), or following a strict macrobiotic diet, or eating only raw foods.

Do you obsessively follow all the latest healthy eating crazes, or recognise other symptoms of emotional eating? Read more from Sally Baker and Liz Hogon in their books How To Feel Differently About Food and 7 Steps to Stop Emotional Eating.

Sally Baker will be speaking at The Best You Expo at ExCel in London on 4th March 2017.

This blog is adapted from How To Feel Differently About Food by Sally Baker and Liz Hogon.

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Is it ‘just’ indigestion?

Indigestion is that uncomfortable feeling most of us have experienced at some point in the upper abdomen or lower part of the chest – usually after eating or drinking (but not always). The official medical definition is upper abdominal discomfort or pain that may be described as a burning sensation, heaviness or an ache. It is often related to eating and may be accompanied by other symptoms, such as nausea, fullness in the upper abdomen or belching. It’s usually worse if you lie down directly after eating a heavy meal.

Other names for indigestion include dyspepsia and acid reflux or heartburn. It is basically an inflammation of the gullet (oesophagus) – the long pipe that runs from the mouth to the stomach. Indigestion is so common most people will have experienced it at some time and it’s usually more of a fleeting inconvenience than a major health problem. Most people don’t see their doctor about it and either grin and bear it or simply treat it themselves with remedies they can buy over the counter from a chemist. Only a quarter of people who suffer indigestion see their GP about their symptoms and about 10 per cent of these consultations will be referred for further investigations.

Indigestion is rarely a symptom of a serious underlying medical condition (but if you are worried check out our list of reasons for an urgent referral, below). In people who have an endoscopy to investigate their indigestion, 30 per cent will have no abnormal findings and 10 to 17 per cent will have oesophagitis (inflammation of the oesophagus) and the rest will have gastric or duodenal ulcers, gastritis, duodenitis (inflammation of the duodenum) or hiatus hernias, according to the British Society of Gastroenterology.

But, having said that, we’re not saying indigestion can’t still affect your quality of life and be a pain to deal with. If you’re one of the unfortunate ones who suffer from recurrent severe bouts of indigestion, Chapter 8 in What’s Up With Your Gut may help you get to the root of what’s causing your symptoms, help you find some long term relief and enable you to enjoy your food again.

Symptom Checker

If you have one or more of the following symptoms, you may have one of the conditions discussed in this blog.

  • Burning sensation, fullness, heaviness or ache in upper abdomen or lower chest
  • Burning, griping pain in the abdomen, lower gut and back
  • Sharp, persistent pain at the top of the stomach or above ribs on right
  • Bitter taste in the mouth
  • Nausea, vomiting
  • Bloating
  • Belching and burping
  • Lump in your throat
  • Tickly cough

What causes indigestion?

Diet

Most people associate indigestion with overdoing it, with a big meal, sometimes with a high fat or spice content – creamy curry sauces and dishes containing chilli for instance. You might also notice that particular foods can trigger your symptoms, including curries, fatty foods, citrus fruits, bananas and cucumbers – it’s very individual though. Sometimes however, it can be down to something simple such as eating too fast or too close to bedtime. Drinking too much alcohol, or caffeine in coffee, tea and chocolate may have a similar effect.

Drug side effects

There are many other causes of indigestion and sometimes the cause isn’t so obvious. These other causes include the side effects of drugs, including non-steroidal anti-inflammatory drugs (NSAIDs) taken to relieve the pain of arthritis (such as ibuprofen and aspirin) and nitrates prescribed for angina for instance.

Acid reflux or GORD

A major cause of recurring indigestion is acid reflux, or gastro-oesophageal reflux disease (GORD), which is caused by the sphincter in the oesophagus failing to close and prevent

large amounts of stomach contents, including acid, moving back up from the stomach and causing irritation and inflammation in the oesophagus. The inside of the oesophagus has a protective lining but it can become irritated and inflamed by stomach acid. If the lining becomes ulcerated by the stomach acid, it causes a condition called oesophagitis. Sometimes stomach acid can escape back up from the stomach to the oesophagus due to gastric and duodenal ulcers (known collectively as peptic ulcers), which are sores which develop in the lining of the stomach or duodenum. Peptic ulcers can be caused by a bacterial infection called Helicobacter pylori.

Another cause of GORD is hiatus hernia – where part of the stomach pushes up through the diaphragm (the sheet of muscle between the abdomen and the chest, needed for breathing), partially blocking refluxed stomach acid in the oesophagus. Being overweight or obese (including weight gain due to pregnancy) will make it more likely you’ll suffer from acid reflux – obesity causes more pressure in the abdomen which forces acid back up into the gullet. This is also true if you are constipated or wearing clothes with a tight waistband. Chemicals in cigarette smoke can also relax the ring of muscle that divides the stomach from the oesophagus and make it easier for stomach acid to escape back into the gullet, causing acid reflux/heartburn symptoms. Stress and anxiety are also believed to play a part in indigestion, as is increasing age.

If you have some of the ‘alarm bell’ symptoms described below you should be considered for urgent endoscopy referral rather than taking any prolonged treatments which may mask the symptoms of a more serious illness.

Reasons for an urgent referral

NICE advises that:

  • people with an upper abdominal mass require urgent referral for endoscopic investigation (an appointment within two weeks) [National Collaborating Centre for Cancer, 2015].
  • urgent direct access upper gastrointestinal endoscopy should be performed within two weeks to assess for stomach cancer in people with dysphagia (swallowing problems) or aged 55 and over with weight loss and any of the following: upper abdominal pain, reflux, dyspepsia.
  • referral for non-urgent direct access upper gastrointestinal endoscopy should be considered to assess for stomach cancer in people with haematemesis (vomiting blood) and in people aged 55 or over with treatment-resistant dyspepsia, upper abdominal pain with low haemoglobin levels, or raised platelet count with any of the following: nausea, vomiting, weight loss, reflux, dyspepsia, upper abdominal pain; or nausea or vomiting with any of the following: weight loss, reflux, dyspepsia, upper abdominal pain [National Collaborating Centre for Cancer, 2015].

If you’re struggling with indigestion don’t panic, but don’t let it ruin your life. If you have any doubts at all about whether your indigestion might be something more serious, visit your doctor and tell them ALL the symptoms.

What’s Up With Your Gut is available now as paperback and ebook.

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What is emotional eating?

There is no single definition of typical emotional eating. It’s a common misconception that all emotional eaters are overweight. Many are within normal weight range but only because of their obsessive dieting, bingeing and disordered eating that will be a well-kept secret they share with no one. The same negative judgements emotional eaters make about themselves are common to the overweight and the obese, and the dangerously underweight for that matter. All share the trait of unrelenting over-thinking about food coupled with harsh, critical self-judgements.

To give you a sense of a typical emotional eater you need to understand that their innate sense of self-worth – how they actually see themselves as a worthy person – is closely linked to the numbers on their bathroom scales. A pound lost, or a pound gained, can set the tenor of their entire day. Also, foods are never neutral. They are forensically studied and determined to be good or bad.

Emotional eaters battle with their own body’s hunger and cravings. They know there have been times when they have succumbed and eaten one ‘bad’ food only for it to start a tsunami of overeating, or even bingeing and purging, with all the accompanying feelings of shame and self-loathing. An emotional eater’s attitude towards him/herself and food is not logical. The extent of his/her preoccupation with food and body weight is often a private source of great personal distress and shame. The reasons for this all-consuming link between food, body weight, self-definition, and how the individual feels about being him/herself in the world, are varied and inevitably complex.

Let’s be clear, and define emotional eating as a behaviour that occurs only in the developed world, the lands of perceived plenty. Negative selfjudgements; obsessive over-thinking about calories; skipping meals; bingeing and purging; or any of the other many aspects of emotional eating do not exist in countries of food scarcity or where people struggle for survival. It’s noteworthy that as third world countries emerge economically onto the world stage they open their doors to western influences and their seductive power. The socially mobile classes of any indigenous population quickly develop a taste for western fashion, and music, as well as western foods. The Standard American Diet of refined carbohydrates, calorie-dense fast-foods and fizzy drinks is now exported all over the world. Adopting it is a way of aping western consumption, and values, and can be found in the cities of China, Russia and India, as well, increasingly, as in more remote outposts. It also causes sectors of the population of these countries to judge themselves negatively against the narrow, westernised standard of perfection. With that comes self-dissatisfaction – a step on the road to emotional eating that was not apparent just a few decades ago.

Are you an emotional eater?

Here are some questions to ask yourself if you think you might be an emotional eater:

Too much on your plate?

Swallowing down your anger with food?

Frustrated at your yo-yo dieting?

Eating when bored, or on your own?

Feeling out of control around food?

Eating in secret?

Bingeing and purging?

Feeling sad and eating to fill a void inside?

Rewarding yourself with food after a hard day?

If you answer yes to any of these questions you might be an emotional eater. For more information about how to understand and manage your emotional eating, read Seven Simple Steps to Stop Emotional Eating – targeting your body by changing your mind by Sally Baker & Liz Hogan.