Lately it seems that I’m working with more and more otherwise healthy women who are battling breast cancer at younger and younger ages. The purpose of this blog is to give some nutrition and lifestyle tips to aid the fight against breast cancer, but I have to start off by saying that if you are dealing with breast cancer it’s not your fault. It’s not because you did or didn’t do something: many of us don’t exercise, eat a terrible diet, live a stressful lifestyle and don’t get breast cancer. Of all cancers, breast cancer seems to be the most emotionally charged because it is so fundamentally wrong that the parts of us which help to make us visibly feminine and which may have nourished our infant children would now be capable of so much destruction. So – in my very humble opinion – the first thing you have to recognize is that a breast cancer diagnosis is not your fault, but that there are things that you can do to help turn your hormonal chemistry back to health.
There are many nutrients involved in the biochemistry of cancer, but the two supplements I would immediately start taking if I were battling breast cancer would be:
- Iodine. Iodine is a mineral that is concentrated in the thyroid, breasts, and ovaries. It is found in seaweed, fish, egg yolks (as long as the chicken lived in an iodine-rich area), and organ meats. Iodine deficiency is related to abnormal breast tissue growth (which is why many women with fibrocystic breasts find relief by increasing their iodine intake) and increased sensitivity to estrogen in breast tissue. On the surface this increased sensitivity may not seem like a big deal, but when you factor in the amount of estrogen that our bodies are bombarded with on a daily basis (see lifestyle tips below) you can start to get a picture of why breast cancer is on the rise. Signs that a person may have low levels of iodine include low body temperature (feeling cold when others are warm), fatigue, goiter, and slowed growth of body hair (meaning you have to pluck your eyebrows or shave your legs less often, but ladies please don’t intentionally deprive yourself of iodine just to save on your waxing bill :)!). Despite the addition of iodine to salt, many Americans still have low levels of iodine. In my opinion this is because of our rampant exposure to things that compete with iodine, namely chlorine, fluoride, and bromine. Nerd alert – if you look at the periodic table of elements you will see that these elements are in the same column as iodine which means they have similar properties and may compete in the human body. Chlorine can be found in tap water, pesticide residues, and as a breakdown product in Splenda (the artificial sweetener that “Tastes like sugar cause it’s made from sugar” or in my more accurate slogan which hasn’t been picked up by the manufacturers: “Tastes like sugar cause it’s made from poison”). Fluoride is found in fluoridated tap water, toothpaste, and is a breakdown product of industrial fertilizers. Bromine is found in some baked goods and in fire retardants (which is why my kids don’t sleep in pajamas treated with chemical fire retardants – bromine is linked to hyperactivity and with two already super active little boys, Lord knows we don’t need anything to increase their activity levels!). You can see how the exposure to these elements from multiple sources on a daily basis helps to squash the small amount of iodine the average American gets in their diet. A general dosage to restore iodine levels is around 25 mg of iodine (I like the forms in Iodoral brand the best) but if you plan to take iodine for any length of time it is best to have your levels evaluated with an iodine loading test, and of course consult with a qualified healthcare practitioner to make sure it doesn’t interfere with any medications you may be on.
- Sulforaphane Glucosinolate, abbreviated SGS. This dietary compound, found in cruciferous vegetables (ie broccoli, cauliflower, kale, Brussels sprouts), works at the epigenetic level – meaning that regardless of whether you have the so-called “gene for cancer”, it works at a deeper level that tells your genes how to express themselves. Epigenetics is a huge and exciting area of research and I’m having a hard time not going on a 10-page rant about how it proves that we are not just victims of our genes so I will just save that for another blog! Johns Hopkins has done extensive research on Sulforaphane and its specific role in preventing cancerous growth in the breast as well as in prompting breast cancer cells to commit apoptosis, or programmed cell suicide. Broccoli sprouts are the richest dietary source of SGS and can be purchased at most health food stores or grown at home from broccoli seeds. If sprouts aren’t your thing, SGS is also available in supplement form. It’s important to note that SGS is not just for ladies – it has been found to prevent several forms of cancer and has similar anti-cancer effects in prostate cancer cells.
Lifestyle tips that may also help include:
- Avoid environmental estrogen like the plague that it is. Sources of environmental estrogen include plastic (especially any plastic with a smell, such as plastic shower liners – the smell means it’s off-gassing), new foam mattresses, hormones in meat and dairy products, pesticide residues on food, bis-phenol A found in plastic food storage containers and in the lining of canned foods, synthetic fragrances found in cosmetics and air fresheners (that’s right I’m talking about you, Glade Plug-ins), preservatives and sudsing agents in personal care products, chemicals and fragrances in commercial cleaning products, pharmaceutical and pesticide residues in tap water, adhesives in new carpet, fumes in paint, and dry cleaning chemicals. Now, before you banish yourself to your closet wearing a burlap sack and eating only air, realize that you can avoid most of the above by eating organic foods as much as possible, storing food and beverages in glass or stainless steel instead of plastic, drinking only filtered water, using natural cosmetics and personal care products, and being mindful of the chemical input of things in your home (i.e. choose a cloth shower curtain instead of plastic, look for VOC-free paint, consider a latex or wool mattress instead of foam).
- Go to bed at or before 10 PM and sleep in a totally dark room. This helps your brain to produce adequate amounts of melatonin, a hormone involved in sleep regulation that also has antioxidant and anti-cancer properties. The link between melatonin and breast cancer may partially explain why nurses and other night-shift workers have higher incidences of breast cancer than other populations.
- Take time to nurture yourself. Metaphysically speaking, the breasts are commonly linked to feelings of nurturing (or lack thereof). Figure out what this means for you – maybe it’s getting a massage, taking a hot bath, eating a meal you really enjoy, going on a trip, scheduling a few minutes of “me time” into your day, planting a garden, reading a book, allowing yourself the time to exercise, or simply taking a nap! Regardless of the treatment option you choose, taking the time to nurture yourself will help you on the road to healing. For more info on this, see the excellent book Feelings Buried Alive Never Die by Karol Truman that discusses the link between specific emotions and the particular diseases they are associated with and gives practical steps for creating health in the link between mind and body. For an overall look at emotions and women’s health, I recommend the book Women’s Bodies, Women’s Wisdom by Christiane Northrup, that is an amazing and practical read on learning to love our bodies – even when certain parts may be giving us a hard time.
One more thing that I would like to mention is that when choosing a treatment option, make sure you go with the option that is absolutely what you want to do. I know I personally tend to have a more holistic approach, but in talking with oncologists through the years the one theme that remains constant is that people have the best outcome when they are confident in their treatment choice. Whether you decide to go with chemotherapy, radiation, surgical options, natural options, experimental treatments, nutritional treatments, or no treatment make sure that you are doing it because you feel it’s the right choice for you. Every woman is different, every cancer is different, and finding the right treatment option for you – regardless of what your insurance company thinks – could be the key to getting you through this difficult step and on to the rest of your life. Things may seem bleak right now, but in lectures I have given nationwide with cancer survivors, the thing I hear most often from these amazing women is that cancer changed their life for the better because they realized how strong they really were. A cancer diagnosis was the catalyst that forced them to choose daily to replace fear and despair with love and celebration. My sincere wish is that it does the same for you!
October 31, 2012 4 Comments
My little sister – who happens to be the cutest nurse in the world and is the cover girl pictured above – is slated to start the dreaded thing that most, if not all, nurses must do at some point in their career: night shift. Working nights has been linked to increased risk for obesity, diabetes, heart disease, breast cancer in women, and prostate cancer in men. The big sister in me wants to write a letter to my sister’s hospital detailing all these risks and asking that they keep her only on days for the duration of her career, but like most people who work nights, what she’s doing is important enough that it can’t wait until morning (she helps to deliver babies). So, for those of you who work nights because you are doing important stuff that can’t be done during the day or – like my own mom – work nights for the noble purpose of being home during the day with your families…which means basically not sleeping for about 18 years…here are some tips that may help you:
- The main hormone affected with working night shift is melatonin, the hormone produced by the brain that helps to regulate sleep-wake cycles. Melatonin also has anti-cancer and anti-aging effects, so it’s really important to support your body’s production of this hormone. Melatonin can be taken as a supplement, which I think is okay in the short-term (a few days to a few weeks) for people who are traveling across time zones or who have insomnia severe enough to warrant medication, but I don’t recommend it as a long-term fix (more than a few weeks at a time) because it affects the reproductive system and taking it long-term can reduce the amount that your body produces naturally.
- To support melatonin production, try to set a regular bed time so that your brain can adjust to the new sleeping pattern. This may be nearly impossible if your work shifts alternate between night and day, but even then you can try to set a schedule so that you are in bed 3 hours after your shift ends (or whatever makes sense for you) regardless of the time your shift actually ends.
- Melatonin is produced in response to darkness, so even if the sun is blazing outside try to recreate gradual darkness as you wind down to bedtime. For example, if you get off of work at 7 AM then once you get home do something that relaxes you such as taking a warm bath with the lights dimmed or reading a book with the curtains drawn. Then go to sleep in a completely dark room (use black-out curtains or a sleep mask if you need to).
- Foods that may help to increase melatonin production because they contain small amounts of melatonin include olive oil, tomatoes, grape skins, walnuts, oats, and rice. Tryptophan and Vitamin B6 are also needed to produce melatonin. Foods rich in tryptophan include chicken, tuna, fatty fish such as salmon or halibut, and of course turkey! Foods rich in vitamin B6 include chickpeas, tuna, beef, and turkey.
- Another major reason that night shift may be hard on your health is that it’s unnatural for the body to produce significant amounts of insulin during the night hours, when the body is normally focused on growth and repair. Insulin is a hormone secreted by the pancreas in response to carbohydrates. In small amounts, complex carbohydrates (vegetables, fruits, whole grains) actually help to make tryptophan available to the brain, but eating large amounts of simple carbohydrates (basically everything in the snack machine) causes surges of insulin to be released which encourages fat gain, accelerates aging, and can further disrupt sleep patterns.
- To keep insulin levels in a healthy range while working nights, it’s absolutely vital to plan ahead and take snacks with you to work! Try to eat a small amount of food every 2-3 hours (skipping meals causes insulin levels to become unbalanced also) and focus on foods containing protein along with healthy fats and/or complex carbohydrates.
- To save you the time of figuring out snack ideas for work, here are some ideas that you can prep on your day off and have ready to grab when you leave for work:
- Celery sticks with tuna salad (look for skipjack or chunk light, which are lower in mercury).
- Salmon salad (same as tuna salad but made with canned wild salmon) and raw veggie sticks or crackers.
- Baby carrots and garbanzo bean hummus.
- Apple slices and almond butter.
- Caprese salad made with diced fresh tomatoes, diced fresh mozzarella (buy at any grocery store), diced red or sweet onion, and torn fresh basil, drizzled with olive oil and balsamic vinegar.
- Sprouts rolled up inside turkey slices. Or turkey slices straight out of the package if you’re busy! Just look for nitrate-free turkey, since nitrates are linked to stomach cancer and erectile dysfunction in men (how’s that for a motivator to eat healthier?). I usually buy freshly sliced turkey from the deli counter at the local health food store. They have lots of different nitrate-free options and it’s cheaper and fresher than buying the pre-packaged kind.
- Smoked salmon, cream cheese, and capers rolled up in a sheet of nori sushi paper (or a whole grain tortilla if you don’t like nori)
- Cook an extra portion of chicken, steak, wild salmon, or halibut with dinner during the week, slice it and serve it cold over a green salad or a small bed of wild rice while you’re at work.
- Chickpea salad made with 1 can rinsed canned chickpeas, 1 diced red bell pepper, 1/2 diced red onion, a handful of chopped fresh parsley or dill (whichever flavor you prefer), a handful of crumbled feta, Italian salad dressing (if you use the bottled kind then pour the oil portion off and replace with olive oil) and salt and black pepper to season.
- Spinach salad with red grapes, chopped walnuts, crumbled feta, diced chicken or wild salmon, and balsamic vinegar and olive oil for dressing.
- Chicken and rice soup made with chicken broth, diced chicken (make extra at dinner), diced carrots, diced celery, chopped onion and garlic, and brown or wild rice.
- Sliced pears and fancy cheese (whatever kind you like as long as it’s real cheese…American cheese does not count as fancy cheese!) or a handful of raw walnuts or almonds
- Fresh sauerkraut (in the refrigerated section of health food stores, will say “live active cultures” on the label or if you are truly amazing you can make your own sauerkraut) rolled up in roast beef deli slices with spicy mustard – or served on a slice of whole grain sourdough bread if a roll-up is too messy. If your coworkers complain about the smell of the sauerkraut you can let them know that it’s balancing your hormones while replenishing levels of healthy bacteria in your gut so stop whining.
- Fruit salad made with fresh fruit of your choice (whatever is in season in your area), frozen berries, chopped walnuts, and diced unsweetened coconut. One of my great friends in Iowa who used to always get into passionate discussions with me about whether cheese or butter was tastier (guess which side I was on) told me that putting a tiny bit of fresh mint in fruit salad “elevates” the flavors (her dad is a chef and her mom is a Flamenco dancer, so she can’t help saying words like “elevate” while making hand gestures like an Italian pastry chef) of any fruit salad. She was right and to this day I grow mint in the backyard because of her!
- Fresh oatmeal with chopped nuts. Cook it in a tiny crockpot if you have one!
- Smoothies made with coconut or almond milk, frozen fruit, nuts or seeds, and yogurt or your protein powder of choice.
- Eggs in basically any form. Deviled, egg salad, hard boiled, soft boiled, sunny side up, poached…just try to avoid scrambled because frying the yolk at high heat destroys some of the nutrients that are so nourishing to the brain.
- One more really important thing to remember is to stay hydrated! One of worst things you could do while working night shift is to drink caffeinated beverages and neglect to drink enough water. I didn’t find any studies to back it up, but my personal theory is that some of the health problems associated with working night shift are compounded by long-term dehydration because people forget to drink water when their schedules are flipped. Staying hydrated also prevents fatigue which will make it less likely that you will need to depend on caffeine during your shift. Some caffeine is okay – and probably necessary for most of us – just be sure to limit caffeine consumption to the first half of your shift so you will sleep easier once you get home and can rest. I know it’s especially hard for people on night shift to drink enough water because they tend to be in fast-paced jobs such as medicine, security, or factory production and can’t take a lot of bathroom breaks. I have found in my practice that clients who are especially concerned about urinary frequency actually find that they need fewer bathroom breaks when they are more hydrated because their bladder starts to empty more efficiently. To stay hydrated, I suggest bringing a large container of water to work (either a large water bottle, or my favorite: a glass quart-sized Mason jar with a lid and a straw – very classy) and keep if full at your work station so that whenever you are near it you can take a few big gulps that would ideally add up to about 8 ounces for each hour of your shift (or whatever you need to stay hydrated).
If anyone out there has tips for staying healthy while working night shift please share them in the comments section!
July 18, 2012 2 Comments
Last weekend I had the privilege of flying to Iowa to speak at the Iowa City Yoga Festival, which was quite a fabulous occasion. It was my very first overnight trip away from Mr. Milk (boo-hoo) so I made it as short as possible by arriving Friday afternoon and leaving at 6 AM on Monday. Quite a fast trip to get used to a 5 hour time change! In addition to this, I happened to be finishing my first trimester of incubation for baby #2 (that is a whole separate story, but I blame my husband’s Hawaiian ancestry which is biochemically driven to procreate despite all barrier methods of birth control used). Thankfully I have not had any pregnancy symptoms – which is partially why I felt like one of those ladies from the “I Didn’t Know I was Pregnant” show when the ultrasound showed a fully formed little creature doing the Team America “It’s Me” dance (warning – bad word at the 11th second!) and we had just figured out I was pregnant a couple weeks earlier. But I digress.
The point of this blog is to share with you the fact that despite traveling over 5 time zones and lecturing 4 hours a day within the first day of landing AND being pregnant I did not experience any jet lag! Many people take melatonin to help them adjust their sleep-wake cycles while traveling but that was not an option for me since due to the pregnancy (melatonin works with pituitary gland hormones). It actually surprised me how quickly I adjusted to the time difference, so I wanted to share with you what I did.
- I made myself stay awake until a normal bed time on my arrival day. Truthfully this wasn’t hard to do, since 10:00 in Iowa is 5:00 in Hawaii but I had flown all night on the red eye so was a little tired. The way I got around this was to stay busy. I ran a few errands, had a late lunch with my two little nieces who are really hilarious and were giving (loud) social commentary regarding other people at the restaurant (they are 4 and 8 years old), went to a meeting with the other speakers, swam in the hotel pool with my nieces for a long enough time that the chlorine burned my eyeballs (not necessarily recommended), and then ordered in Thai food. Basically, do anything you can to stay happily awake, which means avoiding hanging out in your hotel bed watching TV at all costs!
- I drank a ridiculous amount of water. One of my errands mentioned above was to buy 2 gallons of water at the local store, enough for me to drink a full gallon for each day of lecturing. I didn’t quite make that amount, and drank closer to 3/4 of a gallon each day, but I do think that this made the most significant impact for me in adjusting to the time difference.
- I took 1 or 2 warm baths each day. Maybe this had nothing to do with it, but I feel like it really made a difference because I’ve traveled a lot and tried to drink water and done well but never have I felt this good. And no, it wasn’t a pregnancy hormone high – I was 14 weeks pregnant with the Little Mister (he’s in the late stages of weaning so I have to stop calling him Mr. Milk – maybe Mr. Muscles can be his new name since he’s a meaty little boy) when I left Iowa to move to Hawaii and I was 14 weeks pregnant when flying back to Iowa (the state requires that of me I guess) and this trip was definitely different as far as fatigue. So, you can throw this point out if you want but I really think that there’s something to soaking in a tub of warm water that helps you adjust to the magnetic field of the time zone that you’re in. Either that, or the hydrotherapy of the bath helped me detox and feel great, or the bath was just relaxing and refreshing enough to get rid of any fatigue that would have set in.
So there you have it. Not exactly rocket science but I find that the simple things seem to make the most difference! And in this case it sure made a crazy weekend into an enjoyable experience. Oh, and how did Mr. Muscles do with my absence, you ask? As you can see from the photo below – taken on Friday while I was still traveling – he really had a miserably hard time with it.
October 14, 2011 1 Comment
For some reason, since adding the Ask Jessica feature to my website I have gotten an inordinate amount of questions regarding the nutritional benefits of pie. I don’t know what it is about my website that attracts so many over-the-top pie lovers, but I’m thankful for the business! Even if some of you are creepily serious about your pie questions. Here’s one of my favorite pie-related questions so far. And honestly, if I get any more questions about the nutrition of pie I’m going to have to open up an entirely new page on my website because it seems that my readers care way more about pie than they do about any health topic I could write about!
Q: What kind of pie should I make? Fruity, nutty, chocolatey or custardy? Please assume all ingredients are organic, if that helps.
A: Each type of pie you have listed has its own benefits, so why don’t I help your decision making process by listing them out below.
- Fruity: Fruit pies contain (you will never guess) – fruit. And fruit, being a natural produce item, has plenty of health benefits depending on which type you use. Blueberries have been found to contain antioxidants that protect the brain, cherries contain natural pain relieving compounds and may help promote a good night’s sleep due to their melatonin content (especially tart cherries), and apples have been shown in some studies to keep those pesky doctors away (and they also contain trace amounts of chromium, a mineral that helps to balance out the insulin your body is releasing in response to a huge slice of sugary pie). The downside to fruit pies is that they normally require the use of cups and cups of sugar. I have found that adding a pinch of salt and a few tablespoons of lemon juice helps reduce the amount of sugar you need to make the pie tasty. You can also try substituting xylitol (natural sugar from birch trees) for all or part of the sugar in your recipe. Just make sure that you work your way up to it – lots of xylitol in one sitting eaten by people who are not used to it may cause loose stool due to its laxative effect and may also cause a runny nose or general unwell feeling since it kills off excess yeast in the body, leading to detox reactions. From personal experience, I have to warn you not to make a pure xylitol apple pie for your husband without telling him lest he dominate the ENTIRE pie in one sitting and then blame you for his explosive diarrhea the next day at work.
- Nutty: Nuts contain healthy fats and also protein, both of which are very beneficial. The downside with nut pies is that they require even more sugar than fruit pies to make them taste like a pie and not a 1970’s granola bar. Most nut pie recipes (such as pecan pie) also require the addition of corn syrup which is not an ideal sweetener due to the fact that it mostly comes from genetically modified corn and if you have ever researched the subject or have seen the documentary King Corn, the idea of corn syrup would just give you the heebie jeebies. You could try substituting stevia and/or honey for the sugar and corn syrup but I don’t know if that would crystallize properly. At any rate, if you must make nut pie try using sucanat or another form of natural cane sugar that still contains the trace minerals and look for organic corn syrup, which actually does exist (Wholesome Sweeteners brand makes a variety).
- Chocolatey: I can only assume you are referring to a chocolate pudding type of pie here? In that case, I would have to point to chocolate’s antioxidant properties which are highlighted over and over again especially in women’s health magazines since most writers rightly assume that the majority of women are addicted to chocolate. My theory on this is that women especially crave chocolate because it is a source of magnesium (the mineral that balances out calcium levels) and most of us get a lot of calcium since we live in fear of bone loss but not quite enough magnesium to balance this out since there is not much press on the subject. Magnesium is found in green vegetables, so somebody should start paying celebrities to pose for ads of them with green vegetable moustaches to bring more light to the fact that magnesium is just as important as calcium. But back to your pie – the nice thing about pudding pies is that homemade pudding contains milk compounds and starches that have been shown to improve quality of sleep. But if it’s chocolate pudding, the caffeine naturally present in chocolate may affect this a bit.
- Custardy: Custard pies are made from eggs, the whites of which are an excellent source of protein and the yolks of which are an amazing storehouse of B vitamins, minerals, healthy fats, and healthy cholesterol. To get back to your original question, if I were to decide your pie fate I would pick a custard pie simply because eggs are so incredibly good for you. Custard pies also contain milk, which may give you some of the milk pudding effect listed above. And I would think that stevia, xylitol and/or sucanat would blend seamlessly into a custard pie.
June 13, 2011 2 Comments
My husband and I bought a new Serta mattress earlier this week, a replacement under warranty for our former Serta mattress that behaved more like a papasan chair. While researching which mattress would be the best replacement, I came across all kinds of info on new mattresses and off-gassing of harmful chemicals from the foam (especially memory foam, apparently) and fire retardants. There are all kinds of opinions and scary stories out there ranging from everything from multiple chemical sensitivities to SIDS.
I try to not be an alarmist, but I must admit that reading this info made me wary of our new and exciting purchase – especially with the recent law mandating that all new mattresses be doused in fire retardants during manufacturing, unless you can get your doctor to write a prescription for a fire retardant-free mattress. I started wondering if I should just forget about the Serta and opt for an all-natural, foam-free mattress. However, I could feel my Filipino ancestors shaming me from beyond the grave for even thinking of questioning the benefit of a FREE brand new mattress. (Mind you, I am not making ethnic generalizations – my Filipino grandma once haggled so intensely over a 25 cent item at a flea market that the vendor ended up just giving it to her for free. Getting free stuff runs in my genes and I am sure she is not the first one to inherit it.)
I decided to proceed with the Serta replacement and took the following precautions to make our slumber as non-toxic as possible:
- First and foremost, I took the plastic wrapping off the mattress as soon as we got home and opened the window in our bedroom. I’m in Iowa and it is still relatively freezing so I closed the door to the bedroom while the window was open. We also live on a farm so I wasn’t about to leave the mattress outside as temptation for neighborhood mice and raccoons. We brought the mattress home in the early afternoon and I left the window open until about an hour before bedtime. Some websites said to do this for 24 hours, since the first 24 hours is the time of the most off-gassing, but we were too impatient.
- I invited a friend over and we both put on clean socks and walked all over the mattress (with the window still open). I read about this online – apparently walking on the bed squeezes the air out of the foam and draws new air in, which accelerates the rate of off-gassing and gets the chemicals out of the mattress and into the air.
- I put all the plants in the house in the bedroom for 24 hours. NASA has done studies on using house plants to purify the air in space shuttles so I figure they’re good enough for me and my mattress. Fast growing plants such as spider plants are especially good at purifying VOC’s (Volatile Organic Chemicals) out of the air. My husband thought our bedroom looked like Jurassic Park but that’s what he gets for marrying a crazy nutritionist.
I must admit that I have no chemical sensitivities or serious health concerns, so if you are someone who does, the above three precautions may not be enough for you and you may need to look into chemical free bedding. However, my husband and I love our new mattress and I feel good knowing that the surge in off-gassing that occurs with brand new mattresses happened in a controlled manner instead of into us while we’re dreaming!
March 18, 2009 16 Comments