Nutrition

Gut Health and Weight Loss

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Ever wonder why some people seem to lose weight easily while others can struggle to shed pounds even when they are exercising and eating well? By now most of us have heard the term “microbiome” and have some understanding of the importance of our body’s “good” bacteria for our immune system and overall health. But did you know your microbiome can also affect your ability to lose weight? 

The purpose of a recently published Mayo Clinic study was to look at why, when following a comprehensive weight loss plan with dietary changes, exercise and counseling, some people have success but some individuals still do not lose weight. This study found that people who did not meet the weight loss goal had an over-abundance of bacteria that have increased ability to metabolize carbohydrates. In other words, their gut bacteria may be extracting more energy from foods compared to other types of bacteria, thus making it harder to lose weight despite calorie reduction.

So what can you do to change and support your microbiome? This was a pilot study, so more exploration needs to be done to make final conclusions and recommendations for improving the microbiome specifically for weight loss. However, we already know that certain lifestyle and diet factors help to support a more balanced and healthy microbiome.

·  Remove or limit processed foods and sugar from your diet- studies have shown that diets high in sugar and refined grains support overgrowth of gut bacteria that are associated with IBS, obesity, and other preventable diseases, as well as fostering a less diverse microbiome. The bacteria in your gut can actually affect your food cravings, so if you crave these things, it’s possible you have an unbalanced microbiome. It will take some focus, but if you cut them out for at least 3 days, your cravings can dramatically reduce as your gut bacteria adjusts.

·  Focus on increasing vegetables and whole foods- conversely to sugar and refined grains, insoluble fibers—sometimes called “pre-biotics”—from vegetables and whole grains promote populations of helpful bacteria and improve bacterial diversity. Not only are these foods healthier in general, they keep your microbiome balanced so it can work with you instead of against you. Try to include a “rainbow” of fruits and veggies during the day and switch to whole grains whenever possible. Need inspiration? Use Pinterest or Google “whole food recipes” for lots of ideas on how to cook with whole foods and also how to have grab-and-go whole food snacks on hand.

· Stop using artificial sweeteners- although they used to be considered a healthier alternative to sugar and are calorie-free, we now know that artificial sweeteners (in diet sodas and other “sugar-free” foods) can change your gut flora, increase glucose intolerance and negatively affect weight. Some suggest that by altering the microbiome in this way, artificial sweeteners are more harmful to health than consuming sugar.

· Try fermented foods- a good source of live probiotics; sauerkraut, kimchi, kefir, yogurt (plain with no added sugar) are good options to add to the diet daily. Once you cut out foods that contribute to an unbalanced microbiome, it can be helpful to add in healthy cultures to support growth of beneficial bacteria.

· De-stress- we now know that there is actually a strong connection between the health of our microbiome and our mental health. Prolonged periods of stress and its effects on your body and nervous system can also negatively impact your gut bacteria. Vice versa, an unbalanced microbiome has also been shown to be correlated with higher risk of depression and anxiety. Make this another reason to change up your nutrition and do some self-care; a happy belly makes a happy brain!

· Exercise- a no brainer for weight loss, but there is research that shows regular exercise can also improve your microbiome, a win-win!

While you’ve likely heard some of these suggestions before when thinking about weight loss, try to reframe them as a way to not only support your health and weight goals but by supporting and promoting the health of your microbiome. The biggest take away is that weight loss and optimal health are more than cutting calories. As with most things, quality over quantity is best.

Healing Congee

@WR36 via Twenty20

@WR36 via Twenty20

I recommend congee to someone almost weekly, especially cancer patients during chemotherapy or to clients recovering from a GI bug or other illness. Congee is an amazing food to eat medicinally to support digestion and overall health and people (even kids!) usually love it. We commonly recommend this to those dealing with nausea, vomiting, diarrhea, low appetite or who are recovering from an acute illness. However, congee is incredibly versatile and can be eaten at any time. In some Asian countries it’s a staple meal in the diet just as much as oatmeal can be in the West.

In Chinese medicine, rice is seen as warming with a sweet taste making it perfect for aiding the organ systems that regulate digestion. When slow-cooked in this fashion with extra fluids it is nourishing, hydrating, very palatable and easy to digest—perfect for digestive ailments when nothing sounds good or is staying down.

I also find that kids love it and it can even be fed to babies who are eating solid foods. When our daughter has been sick with a stomach virus or even a cold she typically won’t touch any food and very little fluids. Congee is the one thing I’ve been able to get her to eat during these times, even as a picky toddler!  

For my cancer patients, I have found that congee can be an incredibly helpful and nourishing food, especially during chemotherapy. For one, it’s super easy to make (especially in a crock pot or Instant Pot) so doable even when you are deeply fatigued. It’s also palatable and can help abate nausea especially when cooked with ginger, so for those who are struggling to eat or keep on weight, it can be a life-saver. It’s also significantly more wholesome and easier on the system than a lot of the mainstream protein shakes that are often recommended by nutritionists and doctors. It’s versatility allows one to add protein when that sounds more appealing and other veggies, and leave them out when symptoms are more severe.

You can make congee with either white or brown rice. We usually recommend white rice for those who have nausea, vomiting or diarrhea as it tends to be even easier to digest. Brown rice is great for nursing moms, people with colds and flus, and just regular use. Short-grain rice works best. The typical ratio of rice to fluid is 1:6 but more is better than less. The longer you cook the congee the easier it will be to digest and absorb the nutrients. Also, if you have homemade broth on hand, that makes this dish even more nourishing!

 

Instructions:

1)      Take 1 cup of rice and rinse in a fine mesh strainer

2)      Add the rice to a crock pot, Instant Pot, or stock pot, then cover with 6-7 cups broth, water or a combination of the two.

        a.       Crock pot- cook on low for 6-8 hours

        b.      Instant Pot- cook on “Manual” setting at high pressure for 20 minutes

        c.       Stove top- cook on low for 2-4 hours

3)      The end result should be a soft and soupy porridge consistency.  Add more fluids if needed to achieve this. 

 

The following medicinal foods are things I commonly suggest to add to congee to enhance the healing benefits for certain conditions; best if added about 1 hour into cooking (although OK to add at the beginning especially for Instant Pot):

1)      Fresh ginger root- can either slice 1-2 inches of root into chunks and cook with the rice, then remove before eating, or mince and leave in. Warming and good for nausea, diarrhea and low appetite. Also good for cold and flus with chills.

2)      Carrot- Good for chronic indigestion, reflux or gas.

3)      Celery- Cooling and can help with hypertension and tinnitus.

4)      Leek- Warming, can help aid digestion and good for diarrhea.

5)      Beef marrow stock (use instead of water or other broth)- Good choice for anemia or fatigue; tonifies qi and blood and is very nourishing.

6)      Onion or scallion- Also warming, good for phlegm conditions such as with a cold, cough, or allergies

7)      Radish- Cooling, good for ulcers or GERD

8)      Butternut squash- Boosts qi and energy and provides a sweeter flavor

 

If you are having strong symptoms and hoping for congee to be medicinal, starting simple with one ingredient is recommended then add more as you understand what your body tolerates. 

If you are in the recovery period from a virus or just like congee as a meal, you can get more creative and add things at the end of cooking such as sautéed veggies, cooked meat or a fried egg on top.  You can make it sweeter and add coconut milk and cinnamon, or feel free to spice it up with turmeric, ginger, pepper, ginger, etc.  I think it’s especially yummy to top with fried shallots and chopped scallions.

Give it a try and let us know what you think!

 

Carli Gaines, RN, LAc