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31
Nutrition Talk / Re: Turmeric - to heat or not to heat? To pepper or not?
« Last post by anasuya on November 21, 2016, 10:42:50 AM »
This is a really good question. I think there is much we don't know about turmeric and curcumin.
I was able to find some good material on this, but it will require an hour or two of reading and studying.

The Linus Pauling Institute is a good source of information. Here is a well referenced piece on the topic:
http://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/curcumin

This research paper speaks to bioavailability issues:
https://www.researchgate.net/publication/260150280_Recent_Developments_in_Delivery_Bioavailability_Absorption_and_Metabolism_of_Curcumin_the_Golden_Pigment_from_Golden_Spice

This abstract talks about the addition of pepper and enhanced absorption:
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2006-957450

I hope this helps. Let us know if you come to any further thoughts or conclusions as you explore this question.
32
Pre-Enrollment Questions / Re: Health Insurance in CA
« Last post by Nori on November 18, 2016, 09:06:47 PM »
Because we cannot provide diagnostic codes for our clients--- only licensed professionals can-- we are stuck not being to interact directly with insurance companies.  Even when our services are specifically prescribed by a licensed professional in their network, the reimbursement rate is inadequate.  Therefore, I ask the client to pay me and I provide a receipt that they can then submit to their health care provider.  Sometimes that does work. 

I encourage you to partner with a licensed practitioner who does take insurance.  I am unaware of any other method that works in California. 
33
Nutrition Talk / Re: Client with Anorexia Nervosa and Orthorexia
« Last post by Nori on November 18, 2016, 09:01:20 PM »
I am not an expert on eating disorders. But I start with the BMR (basal metabolic rate) to explain that one should try to have enough calories for basic metabolism (heart rate, breath, warmth).  Adding any activity will raise the need higher.

I do not agree with the refeeding idea you describe and agree with your gut feeling.    She is close to a normal BMI and I would not focus on those kinds of numbers too much as the variables are far greater than that for regaining a menstrual cycle.

The real challenge, as you know,  is addressing the behavior of self-sabotage.  Getting in that zinc will be crucial for that.

The nutrient that helps with reproductive health (and recovery) ins true vitamin A, only available from animal products.  I wonder if she could think about that idea and try some butter.

The chocolate bingeing may be a magnesium deficiency.  Epsom salt baths (full or foot) could relieve that. 

You are doing good work.  It takes a lot of patience and understanding, as you have shown her already.
34
Nutrition Talk / Re: Turmeric - to heat or not to heat? To pepper or not?
« Last post by Nori on November 18, 2016, 08:38:59 PM »
Turmeric is the highest betacarotene food by weight. This phytonutrient works best with fat as in coconut or whole fat dairy.  Pepper potentiates it actions, which are numerous.  Incorporating turmeric into the menu in a variety of ways works well. The roots have already been heated, dried, and powdered when one buys the spice.  If you are fortunate enough to find raw turmeric root, I typically use it as I do ginger, grating some  into a smoothie, stew or soup. 

I have seen exceptions to turmeric being good for everyone, so I share those here as a reminder anything can cause anything.   

1) a cancer client became allergic to turmeric after using it too much and too often. 
2) a medicated client found she had more pain from using a turmeric supplement, which may be because turmeric lowers Phase I and raises Phase II liver detoxification.  While that action is beneficial  to pathological detoxifiers (60% of us) who have high Phase I and low Phase II, it could interfere with drug clearance. 

35
Pre-Enrollment Questions / Health Insurance in CA
« Last post by raquelbpm on November 18, 2016, 05:47:35 PM »
Hi,
Can Bauman Nutrition Consultants with their own practice work with clients who have health insurance? If not, what would be required from a Nutrition Consultant to do so, in California?
36
Updated information on arsenic in rice:

FDA: In April 2016, the FDA proposed an action level, or limit, of 100 parts per billion (ppb) for inorganic arsenic in infant rice cereal.  The levels FDA found in its testing are too low to cause immediate or short-term adverse health effects. http://www.fda.gov/Food/FoodborneIllnessContaminants/Metals/ucm319870.htm

Consumer reports: California, India, or Pakistan rice have about 1/3 less of arsenic. Rices from the U.S. (except California) have higher levels.
Based on our recent (2015) data, we calculated that adults can have  up to 4 servings of rice per week; children could have 2 servings per week. http://www.consumerreports.org/cro/magazine/2015/01/how-much-arsenic-is-in-your-rice/index.htm

37
Nutrition Talk / Paleo Diet
« Last post by marisamasciorini on November 16, 2016, 08:25:54 PM »
Has anyone who has done the paleo diet ever felt like they would never have enough energy? It was recommended by a fellow gym member to try with a group and we all had the same result. We all workout at least 1-2 hours a day and felt like it was just not the right fit for someone who works out that much.
38
Nutrition Talk / Turmeric - to heat or not to heat? To pepper or not?
« Last post by misswoo on November 14, 2016, 12:51:09 PM »
Turmeric is the commercial buzzword for health going through 2017. I have read a lot of differing suggestions as to how to administer it for efficacy. Must we warm it up/heat it - like golden milk, or a good old curry? Or can we just drink it down in a small glass of milk (whatever source)? And must we mill a bit of black pepper in it? Or ought we take the supplement because the quantity sin the odd teaspoon here or there is negligible.

I am rather confused! But it seems, People I know, whichever way they take, swear by its benefits. (Though not sure if there is a placebo effect to some of them!).

Would love to know the hard and fast rule!
39
Nutrition Talk / Re: Client with Anorexia Nervosa and Orthorexia
« Last post by Nicole Nada on November 11, 2016, 05:15:00 AM »
Thank you so much, Nori for the advice.  The first meeting went quite well.  I mostly worked toward developing a good rapport with her, and letting her know I'm "on her team".  I'm wondering about "refeeding" info that I read online.  My gut reaction was to focus more on increasing calories slowly -- trying to get her to regain her trust in her body and self -- eating five or six small protein/fat/nutrient dense meals per day.  Her normal intake of calories is between 900 - 1350 calories per day.  She counts calories all day, then binges on stuff like chocolate and peanut butter at night and then makes herself vomit.  No sure if she counted the binging calories in the calorie total or not.  At any rate---my question is what is "refeeding" --it seems they were feeding people 3500 calories per day.  Is this what they do when an anorexic is hospitalized?  Should I be trying to get her to eat those kind of calories?  I'm afraid I would scare her off if I told her to eat that much.  Should I be giving her a target weight and BMI?  She is currently at a BMI of 18.   If she gains a few pounds she will be in normal range, but I'm thinking because she has damaged her body and needs to get her menses back, etc that shooting for a BMI of 20 would be healthy --if she is game.  Anyone please let me know your thoughts.  I'd love to help this girl regain a healthy relationship with food and herself.  Thanks.
40
Nutrition Talk / Re: Dr. Amy Myers and The Autoimmune Solution
« Last post by karenjorgenson on November 10, 2016, 06:10:05 AM »
I'm glad to hear that others found the protocol difficult. I didn't even look into the recommended supplements as I'm already taking 10 pills a day (probiotics, stress supplements, heart supplements and thyroid supplements). I think that if a client is already eating a really clean diet then going on a strict 3 month elimination ( similar to The Autoimmune Solution) it wouldn't be terribly hard for them. However, not many people are eating a clean diet- they may have several meals a week that would be considered convenience meals or level 2 meals. In order for them to get to a point to successfully complete an elimination diet they'd need to transition to clean eating so the changes are not as drastic. This is unless there is a medical problem that necessitates diet changes-then it would be much easier for the client to make these changes.

I have heard good things about the Root Causes book but have yet to read it. I will have to check it out. At this point I've given up gluten and I only have a minimal amount of grains each week. I also have heart disease so I have 1/4c GF rolled oats each morning to help lower my cholesterol.  I try to follow a Paleoish diet heavy in vegetables. I am going by how I feel and reviewing the blood work to see how all of my numbers are. 
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