The New Yorker

Big news this week: my letter to the editor was published in the New Yorker. If you're like me, you get sucked into reading The Mail every week, so by the time the next issue arrives, you've barely made it to Talk of the Town. When I heard that my letter might be included, I was over the moon - especially because it's such an important topic.

My original letter was heavily edited, so I've included the first draft below.

In case you're wondering what prompted my response, here's the original article. The author is thisclose to hitting the nail on the head, especially when she's quoting Tom Wadden and William Dietz, but never quite gets to what I think is the crux of the matter; namely, that we have created a society where weight loss is nearly impossible - and more importantly, that we have the power to change that!

The problem starts at the highest echelons of government and trickles down through conventional medical education all the way to the obesity epidemic. All is not lost yet, but without change on every level, the article's hypothesis may very well come to pass.

I think we can do much, much better. And I'm committed to doing my part to see it through.

xo
E

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from: emily wade
to: themail@newyorker.com
date: Tue, Oct 4, 2016 at 9:30 PM
subject: Letter to the Editor re: "Bariatric Surgery: The Solution to Obesity?"

Before we all rush off to get bariatric surgery, it would be smart to examine exactly why diets and exercise don't work for obese patients.

First is a systemic problem with medical education. Many doctors are trained to treat symptoms instead of uncover the root cause of disease, and nutrition education in medical school is often minimal. 

Second, patients need more support in making these tough lifestyle changes. Doctors might advise their patients to eat right and exercise, but without any follow-up or a clear plan of action, success is unlikely. 

In addition, patients need more tests, and insurance needs to cover those. Obese patients are often battling dysbiosis, psychological issues, food sensitivities or addictions, or hormonal imbalances, all of which can contribute to the inability to lose weight. Without diagnosing and addressing these contributing factors, patients are more likely to struggle. 

Finally, the biggest hurdle: the food system in the US. People are eating foods that contribute to obesity because these foods are accessible, cheap, easy to prepare, tasty, addictive, and because people are largely misinformed about what's healthy (the low-fat movement discussed in the article is just one such example). 

Obese patients need a holistic, personalized program in conjunction with ongoing support so they can make lasting behavioral change without feeling overwhelmed or giving up. Diets & exercise do work, but there is not a one size fits all solution, and we need to provide patients with not only a strategy, but also the support to help them see it through.

-Emily Adams, Certified Nutrition Consultant

How to Dine Out ... and Stay Healthy

Photo by Andreas Krappweis

Dining out is an integral part of a busy person's schedule. Between work, errands, and raising a
family, it's an easy way to make life easier while giving yourself a little 'treat.'

That said, it's well-known that dining out isn't always the most healthy or affordable option. Many people turn to cheap takeout like pizza or even fast food restaurants to ease the burden on their wallets, but those kinds of places are usually the least healthy to eat.

So what's a health-conscious person to do?

There's no perfect answer, but here are four easy steps I take to make sure I can enjoy a night out without sacrificing my healthy eating:

1. Refuse the bread basket. When you're hungry and it's in front of you, it's impossible to resist. It's much easier to tell your server no, and have them take it away. Remember: refined carbohydrates like those found in bread spike your blood sugar and signal your body to store fat! (Not to mention the problems caused by gluten sensitivities). Just say no!
2. Always start with a healthy salad. Make sure you get your vegetables!!! This is so crucial. Leafy greens are excellent, but the other night while I was out, I enjoyed a raw shaved beet salad that was divine, too. If there is a seasonal option, go for it. But even if it's just the standard iceberg and tomato salad that the local pizza joint offers, GO WITH IT. It will fill you up with healthy complex carbohydrates and lots of good-for-you nutrients. Sure, cost-wise it may seem counter-intuitive, but think about it this way: you'll eat less after you've finished a salad. For example, after my beet dish, I was happy to finish my meal with just another appetizer. So my dinner bill was actually about the same as if I had only ordered an entree.
3. Order a side dish of vegetables. Yet another great and yummy way to get in your greens or a seasonal veggie. And have you noticed how delicious they always sound? We had a brussels sprout side dish the other night that was amazing. What if your takeout place doesn't offer side dishes? You can always try adding veggies to your order - for example, pizza topped with mushrooms, olives, peppers, onions and tomatoes.
4. Choose fish. Fish is usually the healthiest option on a menu - unless it's a fried fish-wich or fish & chips, that is. If you don't like fish (like me!), head for grilled chicken or pork. Those are lean options that are guaranteed to be hormone-free.

Got other ideas on how to eat healthily while you're dining out? Leave a comment on the Facebook page to share your best tips!

Happy holidays!

9 Ways to Heal PCOS

Photo by Nossirom

There are lots of baby-blocking health issues out there these days: low sperm count, endometriosis, nutritional deficiencies, toxins ... and I'm passionate about helping you find natural solutions to each of them.

Yet another common reproductive syndrome that can screw with your fertility is polycystic ovarian syndrome, or PCOS. According to the Mayo Clinic:

PCOS happens when your pituitary gland and ovaries overproduce certain hormones. Because those hormones can interfere with the production and release of eggs, PCOS is a common cause of infertility and may be the reason you have difficulty becoming pregnant.

Ugh. Hormones strike again.

In today's world, we have more exposure to hormones than ever before. And hormones must be in balance for your baby-maker to properly function. Unfortunately, our environments, diets, and lifestyles can sometimes cause us to inhale, absorb or ingest excess hormones that may be partially responsible for fertility issues.

Luckily, there are lots of really easy ways to reduce your exposure to hormones and get your reproductive system back on track:

• Eliminate dairy foods like cheese, butter, milk, and cream. According to one Harvard scientist, dairy accounts for 60-80% of all estrogens consumed! If you must indulge, seek out organic, pasture-raised, or raw milk from small farms, whose cows are likely to have fewer hormones.
• Eat organic - especially meat (and dairy). It's illegal for farmers to use hormones on hogs and poultry, so if you can't afford organic, pork & chicken are better options than conventional beef. Pesticides can have estrogenic effects, and many conventional animals are injected with hormones that disrupt our hormonal balance when we eat them.
• Support your liver. The liver detoxifies and regenerates estrogen. So treat it well by avoiding drugs and alcohol. Even prescription and over-the-counter drugs can negatively affect the liver (e.g., Tylenol). Support your liver by eating bitter foods, cruciferous vegetables, and taking a good, absorbable multivitamin (you can purchase my favorite via my store). Drink lots of filtered water, too.
• Avoid soy. Soy is a phyto (plant) estrogen, so many natural fertility experts recommend that couples avoid it. Perhaps an even more compelling argument for eliminating soy is that over 91% of soy is now genetically modified - and GM soy and corn have been found to decrease fertility in animal studies.
• Stay away from xenoestrogens (chemicals that mimic estrogen in the body). Some common xenoestrogens are pthalates, parabens, BPA, food coloring, birth control pills, PCBs, and DDT. These chemicals are most commonly found in canned foods, plastic-packaged foods, cosmetics, personal care products, and household cleaners. READ LABELS! Your safest bet, food-wise, is to eat organic, fresh foods. Avoid eating large fish, as PCBs accumulate in their fat. And don't store or reheat your food in saran wrap or plastic containers like Tupperware. As for cosmetics, personal care & cleaners, check out Pretty Healthy for tips.
• Balance your other hormones: practice stress-reduction techniques and gentle exercise to lower cortisol, get a good night's sleep to regulate melatonin, and get your thyroid checked to ensure proper function. Hormones work in concert with each other, so by helping one, you benefit them all.

In terms of PCOS specifically, there are a few additional risk factors to address:

• Stabilize blood sugar. Elevated insulin (the hormone that's produced when blood sugar rises) plays a huge role in many cases of PCOS. Keeping blood sugar stable will help prevent insulin spikes. Reduce refined carbohydrates like bread, pasta, flour, and all sweets - including soda and fruit juices. Eat healthy fats & avoid low-fat foods. Eat 3 meals and 2 snacks daily, and make sure each has clean proteins and healthy fats.
• Lower inflammation. Try an elimination diet to see if you have an undiagnosed food sensitivity that is creating an inflammatory response. Eat anti-inflammatory foods and spices such as salmon, veggies, turmeric, ginger, and cayenne. Avoid polyunsaturated cooking oils: use olive or coconut oil when you're cooking at home and, when at a restaurant, ask your server if they can cook your food in olive oil or saturated fat.

The final, and perhaps the easiest way to start healing PCOS?  

• Detox with a whole-foods cleansing program like the New Year Cleanse! Everything but the cooking is done for you, and you'll get to become part of a wonderful group of people who are also committed to health. It's a fun, challenging way to kick off the New Year. The program begins January 1, but the price goes up on December 1, so sign up now for just $29!

Though my tips seem pretty easy when you read them, they aren't always as simple to implement on a consistent basis. More than just information, you need support and accountability to make lasting change that can transform your health. And that's where I come in. Schedule a free 30-minute consultation with me to discuss how to put the above recommendations into action.

'Til then, I wish you all the best. Happy Thanksgiving!

How to Prep & Store Beans, Nuts & Seeds

Photo by Isaac Wedin

The life cycle of a nut, seed or legume is to be eaten by a bird and eliminated with the bird's natural fertilizers in order to re-grow. In order to survive an animal's digestive tract, most nuts & seeds contain enzyme inhibitors that prevent absorption. The only problem with this is that we can't get the full nutrition benefits from nuts & seeds unless these enzyme inhibitors have been deactivated. 

Since beans contain lots of natural folate, and nuts & seeds have many fertility-enhancing minerals, I frequently recommend that my clients add these healthy foods to their diets. Traditional cultures soaked beans, nuts & seeds in order to improve the digestion & assimilation of their reproduction-supporting nutrients. Here's how.

Beans
I recommend buying dried beans. This is because most commercial cans contain a BPA lining. BPA, or Bisphenol A, is a man-made compound that exhibits estrogen-like properties upon assimilation into the human body (it is one of many chemicals therefore known as a xeno-estrogen). While the FDA hasn't banned BPA yet, many studies have shown its potential dangers - including a strong link to infertility.

To cook dried beans, first you'll need to soak them. Cover them with lots of filtered water (they will expand quite a bit) and place them in the refrigerator to prevent fermentation. Let them soak overnight or for 12 hours. For extra credit & nutritional punch, you can even sprout legumes (Google "how to sprout beans" and you'll find scores of super-easy DIY tutorials). Regardless of whether you simply soak or attempt to sprout, you'll need to rinse & drain the beans before cooking them. Place the beans in a large pot and cover them with several inches of water. Bring to a boil, then reduce to a simmer. Don't add salt until after the beans are cooked - this will help them retain their shape & texture. Cook the beans for 60-90 minutes or until they become tender (but not mushy). Once they're cooked, drain them again.

At this point, you can either use the beans in a recipe or store them. If you're going to use them within a few days, you can simply store them in an airtight container in the refrigerator and they'll last for 3-4 days. Or, for longer storage, pat them dry and freeze them in an airtight container. Frozen beans will keep for 6 months to a year.

If soaking, cooking & storing beans seems like too much work for you, you'll be glad to know that some health-minded companies are eliminating BPA in their cans. These cans are labeled "BPA-free" or "No BPA." Eden Organics is one reliable producer who uses BPA-free cans for their beans. But even if you have to settle for BPA-lined cans, try not to beat yourself up too much. Many nutritional experts agree that the health benefits of eating more vegetables and fruits outweigh the risks of exposure to pesticides and other toxins.

Nuts & Seeds
Nuts & seeds only need to be soaked for 7-8 hours, following which they should be dehydrated in a warm oven (150˚) for about 12 hours, turning occasionally. They can then be stored in an airtight container in the refrigerator to prevent rancidity.

The Importance of Seasonal Eating

Photo courtesy of Can Can Cleanse

Initially published on Can Can Cleanse:

Reasons to Eat With the Seasons

Watermelon. Raspberries. Zucchini. Tomatoes. Summer’s gardens are a veritable bounty of mouth-watering fruits and vegetables, bursting with flavor and nutrients. But now that we can get these foods year-round, why should we bother stocking up on them now?

Eating seasonally is one of the pillars of designing a healthy diet, and for good reason. Nature provides the nutrients we need exactly when we need them to ensure optimal health. Before we were able to enjoy peaches in February, we had a very limited time to indulge in these delicious sweets. And guess what? We didn’t suffer as many preventable health problems as we do today.

Perhaps that’s because most of our summer foods do an excellent job of preparing us for winter. Chock-full of vitamins, minerals, and phytonutrients, these fruits & veggies exert potent antioxidant power to get our immune systems in tip-top shape and protect our cardiovascular systems. The complex carbohydrates so plentiful in summer used to help fatten us up for impending fall & winter, when we were forced to rely on limited amounts of wild game, root vegetables, nuts, seeds, and traditional storage techniques (root cellars, pickling, canning and iceboxes).

In-season foods improve health because they have more nutrients. Many vitamins and phytonutrients are denatured with exposure to oxygen, light or heat. So the longer you have to wait to eat a vegetable after it’s been picked, the fewer nutrients it offers. One of the benefits of eating seasonal produce is that it can be grown & sold locally, which cuts down the time between harvest & a fresh salad on your plate. And many local growers choose not to use harmful pesticides, so even non-organic seasonal foods can be safer. Plus, as anyone who has ever tried to eat a tomato or avocado out-of-season can tell you, the taste of fresh produce is beyond compare.

Seasonal foods also provide a perfect counterpoint to the climate. When it’s hot out, a big sweet potato or winter squash just isn’t appealing. But berries, cucumbers, and mint? Bring it on!

Besides being a healthy way to eat, eating seasonally is usually less expensive. Take watermelons, for example. Watermelons can be grown nearly anywhere in the summertime, but if your craving occurs in winter, your watermelon will likely be shipped in from a warmer locale. Shipping requires fuel, and we all know how expensive that is nowadays! In addition, foods grow well when they’re in season, so there is a greater supply available, which also drives the price down.

Affordable, healthy & better-tasting? Sounds like three great reasons to dive into summer produce with abandon. Enjoy!

Preventing Autism

Photo by Lance Neilson

A friend of mine recently started volunteering at a local kindergarten. As we enjoyed brunch last week, she described her typical day - chasing down the kids with behavioral issues like autism and ADHD while the teacher tries to keep the rest of the class from falling behind. She was exhausted and frustrated by the situation - a sentiment many of my friends who work in early education (or have school-age kids) share. These parents and educators wonder, "What can we do to stop this (or make it better)? And how did this happen?"

Traditional medicine struggles to address chronic conditions, from behavioral disorders like autism to the obesity and diabetes epidemics that are so rampant today. However, this is precisely the type of situation where an integrative approach really works. We look "upstream" and address the problem at its root. More and more research points to the preventability of illnesses like these - and much of that prevention occurs in the womb.

Science has identified a plethora of prenatal factors that can contribute to the development of autism:

• Folate deficiency before & during pregnancy
• Vitamin D deficiency
• Stress during the prenatal period and maternal neurotransmitter health
• Exposure to toxic metals like lead or the mercury used in dental amalgams
• Maternal inflammation. Inflammation can stem from stress, toxins, lack of exercise, or an improper diet high in sugar, processed foods, oxidized fats, and unidentified (or ignored) food sensitivities
• Older (35-40+) mother or father
• Not enough time between sibling births (child-spacing less than 3 years apart)
• Genetics - though these genes are influenced by environmental factors

So how do we use this information to help slow the spread of autism? Now that we have awareness, how do we take action? The first secret is not to become so overwhelmed that you don't do anything. Pick one of the above bulletpoints and make a couple of changes. You don't have to tackle it all at once. (And of course, a good prenatal nutritionist can help make this process much easier.).

Also, you may have noticed that some of these factors actually come into play before you conceive. Compared to the people of traditional cultures (who spent years eating special pre-pregnancy diets before conceiving), we do very little today to prime our bodies for pregnancy. But I'm aiming to change that with the upcoming launch of my online coaching program, Priming the Bump. This program is perfect for those of you who want to boost your fertility naturally and prepare your body to deliver a healthy baby. If this sounds like you, be sure to check out Priming the Bump - and bring your partner, friends or family.

Armed with the right tools, parents can regain control over these diseases by attending to diet and lifestyle - and that's exciting news for families who've felt helpless.

Hungry for more? 

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Feel Great During Your Pregnancy - and Increase the Odds of a Healthy Baby!

A balanced diet has the power to solve so many health problems. From morning sickness and milk
production in mamas to IQ and illness in infants, food impacts how we feel and how our children develop.

While most of my posts for the Can Can Cleanse blog revolve around detox and weight loss (it's a juice fast program, after all), surprisingly, much of the advice is translatable to prenatal nutrition.

These tips I gave to Can Can Cleanse readers last week are one such case. For the most part, they apply to anyone, whether you're trying to boost your fertility, feel great during your pregnancy, breastfeed - or otherwise. Check 'em out!

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So you’ve completed a juice fast, sworn off sweets for the month, and lost a few pounds. Congratulations! Now keep that good health – and weight loss – going. Maintain your momentum by incorporating a few of these simple tips into your new healthy lifestyle.

1. Eat lots of vegetables. Per the FDA, half of every meal should be vegetables & fruits. Perhaps that translates to a big salad for lunch and a mostly-veggie dinner. At restaurants, order a salad before your meal to ensure you get lots of veggies. A good variety of different kinds of seasonal vegetables will ensure you get a broad spectrum of nutrients.
2. Ensure that all of the meat, dairy & eggs you consume are organic and grass-fed. Conventionally raised animal products contain hormones, antibiotics, and pesticide residues. These compounds have been linked to weight gain, endocrine/hormone disruption, and breast cancer, among other health problems. Grass-fed or pastured animal products have higher levels of anti-inflammatory omega-3 fatty acids, so they're more heart-healthy. Finally, the CDC calls antibiotic resistance one of the world's most pressing health problems, so reducing your exposure to antibiotic-laced animal products may help stop the spread of antibiotic-resistant "superbugs" like MRSA. 
3. Hunger is the enemy of healthy eating! Always make sure you make a plan and have healthy snacks on hand. Dedicate one day a week to plan, shop & prep your food.
4. READ LABELS. Even the prepared vegetarian sushi rolls at Whole Foods contain added sugar! Reading labels can help you avoid unnecessary and potentially harmful additives like sugar, MSG, and synthetic fillers. In the words of Michael Pollan, "If you can't say it, don't eat it."
5. Avoid processed and refined foods like sugar & flour. Choose whole grains in order to consume fewer calories and keep your blood sugar levels stable. Even flours made from whole grains, while slightly more nutritious, can lead to insulin resistance and diabetes over time. And artificial sweeteners are even worse than real sugar. If you have a sweet tooth, reach for whole fruits, dried fruits, or – if you must – natural sweeteners that are minimally processed (think: honey, maple syrup, or blackstrap molasses).
6. The solution to pollution is DILUTION, so drink lots of water - at least 64 oz. a day. This will help your liver & kidneys filter out toxins even when you're not cleansing. Get a water bottle, fill it up in the morning, and sip away.
7. Cook with saturated fats like butter, lard or coconut oil. Use olive oil for everything else, but don't heat it. Here's why.
8. Relax! Stress raises a hormone called cortisol, produced by our adrenal glands. Cortisol can cause weight gain. Taking a few minutes every day to consciously relax and breathe deeply can help bring cortisol levels back to normal.
9. Exercise. People with more muscle burn more calories, even at rest. And since muscle tissue burns more calories than fat tissue does, building lean muscle mass is a key factor in any weight loss plan. Do something – anything – to build lean muscle mass daily. 10 push-ups, taking the stairs. Make it easy, and just do it.
10. Pay attention to what, when & how much you eat. How? By keeping a food journal. In one study, women who kept a food journal lost 6 pounds more than those who didn’t.
11. Sleep! Getting enough good-quality sleep is essential for weight loss. In addition, adequate sleep is crucial to stress reduction.

As you can see, it’s not just what you eat that impacts your health & weight. Various nutrition & lifestyle factors influence well-being. A holistic approach can help you continue your journey towards good health even after making changes to your diet.

Prop 37: Labeling GMO Foods

October is GMO Awareness Month - the perfect precursor to the Proposition 37 vote in November. The National Association of Nutrition Professionals, of which I am a member, compiled the following resources to educate and assist the public.

About GMOs & Proposition 37 

GMO Education

Learn what a GMO is, which foods are genetically modified, and why we should care.

37 Reasons to Vote for Proposition 37

Learn more about Prop 37 and what it entails, and why it should pass.

Opinion: GMOs - Let's Label Them

Read about GMOs and why we should label them in this article by The New York Times' Mark Bittman.

Updated Infographic             The Cornucopia Institute has updated its infographic, which shows which companies have financially supported or opposed Proposition 37, as well as the amount donated.  View the updated pdf by clicking here.

Non-GMO Shopping Guide Resources

Shop NoGMO by Plum Amazing A non-GMO shopping guide to download to your iPhone or iPad Non-GMO Shopping Guide Pocket-size downloadable shopping guide featuring over 150 brands currently signed on to the non-GMO project

Take Action

Support Yes on 37 Learn how you can show your support by donating, participating, or volunteering with Yes on 37   Just Label It! Find out more about GE foods, sign a petition to tell the FDA that you have the right to know what is in our food, and more!