Husband has been "prescribed" a low-fat, cholesterol-lowering diet...help! - Mothering Forums
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#1 of 60 Old 03-27-2010, 11:09 AM - Thread Starter
 
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Looking for some advice from those much more knowledgeable in TF than I. I've read both of Nina Planck's books and I have a basic overview of WAP and TF. So I don't believe that skim milk, egg whites, skinless chicken breasts, butter substitutes, etc. are good for you. However, my husband has had some abnormal levels of protein in his urine for awhile now and he went to a nephrologist (kidney specialist) yesterday who prescribed a "low-fat, cholesterol-lowering" diet and gave us a handout that made me want to scream. It's so totally opposite everything that I've come to believe is healthy.

My husband is a bit overweight (especially around the mid-section) and does have high cholesterol. Although he wants more testing done, the doctor believes his kidneys are "hyper-filtering" due to his excess weight and cholesterol and so he wants him to try and make some lifestyle changes to see if that helps lower the protein in his urine.

So...what would YOU feed your husband if he had these issues? We already do whole milk and have for a very long time...sometimes I buy organic. I've tried getting a grass-fed, non-homogenized whole milk but he won't drink it because he thinks it looks "gross". We don't skimp on butter or eggs and I buy pastured butter and eggs when I can find them...but more often it's typical butter and eggs. My point is, we don't eat "low-fat".

I know for a fact that he needs more vegetables (he doesn't like very many) and less processed grains (he LOVES cereal...the sugary, the better).

Thanks in advance!
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#2 of 60 Old 03-27-2010, 11:30 AM
 
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Has he tried a low carb diet yet? I'd suggest giving that a go before trying a low fat one, really. And what was his cholesterol ratio? I have pretty high cholesterol but my ratio is like 2:1, so I'm comfortable with that.

My father has been on statin drugs and has been trying to maintain a low fat diet for several years. His cholesterol is a bit lower, but he's gained a lot of weight and he freely admits that since he began the medication, his mental sharpness has declined quite a bit.

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#3 of 60 Old 03-27-2010, 12:58 PM
 
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I'd get more Omega 3 fatty acids, fermented CLO. HVBO and vit D (sunshine). And food folate (not folic acid): beans, greens, legumes and liver.

Here is a thread about our research regarding dh's high homocysteine and cholesterol. http://www.mothering.com/discussions...n#post14586523

We eat 100% grass-fed beef weekly. Pastured eggs, including whole yolks every few days. Bone broths and green juice daily. We use pasture-raised pork and its fat for cooking. Organic chicken, light and dark meat, every week. Beans and legumes and salads about daily. Organ meats weekly. Coconut oil daily.

Dh takes fCLO and a vit D supplement. We also added 5-MTHF due to MTHFR gene polymorphisms and his high homocysteine.

Oh, and sauerkraut with meals. (and we avoid grains, unless non-wheat, or soaked) Add (soaked) walnuts, almonds, pumpkin seeds, Brazil nuts for the fatty acids. Also, consider 'black seed oil' (nigella sativa) daily.

And walk at least a mile a day.


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#4 of 60 Old 03-27-2010, 01:07 PM
 
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Ok, and whole food probiotics are essential!!

for the protein issues, I'd focus on stomach acid (please tell me he doesn't take any antacids!) Zinc, sauerkraut and water kefir. And add a squeeze of lemon juice to water all day long.

Need to shift the body ph to more alkaline and digest those proteins more effectively. CHEW foods well and slowly, eat a forkful of naturally fermented sauerkraut with each meal.


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#5 of 60 Old 03-27-2010, 01:14 PM
 
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Yeah my DH was "prescribed" that as well at the ripe old age of 25. And he only is only very slightly overweight, simple because he had slightly high LDL. Exercise, fish oil and no junk food is far more helpful than a low fat/cholesterol diet.

Even if one does decide to do a lower fat and cholesterol diet (my digestion is better with less fat) you can still stick with TF foods and fat, just a bit less of those foods and a bit more veggies. No need to resort to margarine and egg whites.

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#6 of 60 Old 03-27-2010, 01:23 PM
 
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#7 of 60 Old 03-27-2010, 02:30 PM
 
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Not everyone can eat a high fat TF style diet. I for one can't. I had my cholesterol tested for some work stuff a couple of years ago when I started eating a much higher "good" fat diet and my cholesterol skyrocketed. It was like I injected all that butter right into my veins. But I was eating a VERY large amount of fat, like a pound of butter a week - just me. Since reigning that in and now only eating a reasonable amount of fat, I am back to normal. I don't avoid fat, but I am not going out of my way to keep my fat intake up.

The first thing I would do is review portion sizes. You can eat fats if it is in a good proportion to what else you're eating. Probably add fruit and veg to meals to balance the protein and fat.
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#8 of 60 Old 03-27-2010, 04:04 PM
 
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Not everyone can eat a high fat TF style diet. I for one can't. I had my cholesterol tested for some work stuff a couple of years ago when I started eating a much higher "good" fat diet and my cholesterol skyrocketed. It was like I injected all that butter right into my veins. But I was eating a VERY large amount of fat, like a pound of butter a week - just me. Since reigning that in and now only eating a reasonable amount of fat, I am back to normal. I don't avoid fat, but I am not going out of my way to keep my fat intake up.

The first thing I would do is review portion sizes. You can eat fats if it is in a good proportion to what else you're eating. Probably add fruit and veg to meals to balance the protein and fat.
May I ask if the animals products you ate were pastured and if you cut sugars and grains?

I don't go out of my way to add more fat than I want. I try to listen to my body and eat. :-)
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#9 of 60 Old 03-27-2010, 05:56 PM
 
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May I ask if the animals products you ate were pastured and if you cut sugars and grains?

I don't go out of my way to add more fat than I want. I try to listen to my body and eat. :-)
Mostly I do eat from really good sources, but I'm not super strict about it. But a pound of butter is still basically a pound of pure fat whether it is high in CLA or not. There is such a thing as too much of a good thing.
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#10 of 60 Old 03-27-2010, 11:57 PM - Thread Starter
 
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Ok, and whole food probiotics are essential!!

for the protein issues, I'd focus on stomach acid (please tell me he doesn't take any antacids!) Zinc, sauerkraut and water kefir. And add a squeeze of lemon juice to water all day long.

Need to shift the body ph to more alkaline and digest those proteins more effectively. CHEW foods well and slowly, eat a forkful of naturally fermented sauerkraut with each meal.


Pat
Thanks, everyone! Pat, my husband refuses to drink plain water. He only drinks juice, milk, or soda (mostly soda, unfortunately, and if I don't buy it, he just goes out and gets it). He's not totally on board with eating healthier...fyi. I just wanted to get some advice because I was so annoyed with the doctor's "prescription". Any suggestions for getting the lemon juice another way? When you say zinc, do you mean supplements? No, he doesn't take antacids...he doesn't have any heartburn issues.

Also, my mother-in-law is a nurse and doesn't know much about TF-style eating, unfortunately. She's old-school and totally of the "low-fat" camp. I know that she's going to think I'm not "taking care of him" if I keep making meals with butter, buying whole milk, etc. So I'm looking for some "talking points" and resources for "discussions" with her. Of course, the best would be if my husband actually starts eating better (not low-fat, but better) and we see positive changes, but that might take awhile as he's not very on-board with this whole thing. *sigh*
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#11 of 60 Old 03-28-2010, 12:22 AM
 
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Though I realize you're asking about diet, I couldn't help but jump in here & offer some information from Body By Science, by John Little & Doug McGuff, MD:

"...high cholesterol levels are really a symptom, not a cause of cardiovascular disease. Not understanding this fact, a lot of people take medicine to try to lower their LDL cholesterol levels artificially. Attempting to control through medication the enzymes that produce elevated cholesterol is analogous to playing pool with a rope. The practical course is to treat the cause of the elevated cholesterol levels by correcting the underlying cellular inflammation, so that the stimulus to produce the LDL is weaker and the stimulus to produce the HDL is stronger. Those levels are basically indirect markers, or downstream effects, of your generalized inflammatory state, which is largely related to the amount of circulating glucose and insulin in the body.

Diet also plays a role here, of course. Eating a proper diet is a giant first step in correcting the whole metabolic syndrome. Consuming a hunter-gatherer type of diet that is relatively restricted in carbohydrates and exceedingly restricted in refined carbohydrates, which cause high spikes in glucose and insulin, can have a profound effect on all of these parameters. The effect derives from your favoring glucagon over insulin, but diet alone is not sufficient, because glucagon works on a nonamplifying mechanism, whereby one molecule of glucagon will affect one molecule of glucose.
The true remedy, is, once again, high-intensity exercise. Only it has a significant effect on insulin sensitivity, due to the amplification cascade it produces, which aggressively empties glycogen out of the muscles, creating a situation in which enhanced insulin sensitivity becomes a necessity. You have to work out at a level high enough to prompt the glycolytic cells to empty their stores of glycogen. You're not going to accomplish this by diet alone, by walking on a treadmill, or by a steady-state jog. That's because for any given level of glucose ingested, the amount of insulin that has to be secreted to resolve the situation is much, much lower."

Dr. McGuff has some great online articles you can check out here (click to see "Articles;" the more helpful ones with which to start might be these: "The Relationship Between Muscular, Cardiovascular, and Metabolic Adaptations: An Opinion," "Health Related Issues," and "Why Doctors Don't Understand Exercise")---
http://www.ultimate-exercise.com/articles.html

HTH & best wishes to your husband!

BTW, do you guys have a good source for grass-fed beef &/or bison? If not, check out what you can find b/c the differences are AMAZING!!
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#12 of 60 Old 03-28-2010, 09:40 AM
 
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Soda is not healthy. It is acidifying to the body, which increases inflammatory markers and strokes, heart-attacks, diabetes, etc.

Lemonade, lemon juice in smoothies?, lemon tea? Water kefir? An alternative is fermented vegetables. Just need a forkful with each meal. Naturally fermented sauerkraut, pickles, coleslaw.

Zinc is in pumpkin seeds, sorta challenging to get enough zinc if not intentional. So, a zinc supplement with meals or at least daily, perhaps?

Show her the research. Send it all along to her. Basically, the research indicates that vit D is the benefit, not lowering cholesterol or fats. Show her WAPF site regarding fats. http://www.westonaprice.org/Know-Your-Fats/

I'd focus on ADDing nutrients, bone broths, fCLO, fermented vegetables---any is better than none.

The worst is trans-fats, hydrogenated fats from processed, boxed commercial food and in fast food. Avoid that and you are 50% there! MIL and you could agree on that.

Also, adding anti-oxidants, http://www.worldshealthiestfoods.net...me=faq&dbid=42


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#13 of 60 Old 03-28-2010, 06:01 PM
 
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I agree with the low-carb suggestion. Drop the sugary cereals and all carbs except vegetables and see how he does after 1 month. If he's lost weight and dropped some cholesterol you'll know you're on the right path.

Sorry - I just read your second post. From that, it seems like soda and junk are definitely the issue here. Bring some articles/books to your husband. "Good Calories, Bad Calories" is dense, but explains it all. There are also shorter articles and books that say the same thing. Convince your DH to at least try dropping the bad carbs/sugar for a month and ignore your MIL. You can always show her the books, too. But even if she thinks you're not taking care of him, you are, and that's what matters.

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#14 of 60 Old 03-28-2010, 06:30 PM
 
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Someone just suggested adding a splash of ACV to hot water with a bit of honey or agave as a tart drink. It is very alkalizing and beneficial.


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#15 of 60 Old 03-28-2010, 07:18 PM
 
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Omega-3s?

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#16 of 60 Old 03-28-2010, 07:41 PM
 
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Someone just suggested adding a splash of ACV to hot water with a bit of honey or agave as a tart drink. It is very alkalizing and beneficial.


Pat
I think this information is incorrect. ACV is acid. Therefore it is acidfying. Anything tart is acidic.

For alkalizing I do daily wheat grass and lots of veg, and cut back on meat and dairy.

http://www.thebestofrawfood.com/supp...lifoodlist.pdf
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#17 of 60 Old 03-28-2010, 08:30 PM
 
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Despite being an acidic solution, some proponents of apple cider vinegar believe it has an alkalinizing effect on the body, which is why one to two teaspoons of apple cider vinegar in water is recommended as a daily health tonic.

Apple cider vinegar is an exception: unlike almost every other vinegar, it has an alkaline ash and improves pH by making the body less acidic. Apparently, apple cider vinegar, because of its calcium and potassium mineral content leaves an alkaline residue once it is burned even though the original liquid is an acid.

I understand this is a controversial topic.

My understanding is that distilled vinegar is acidifying. Naturally fermented ACV is alkalizing.
http://naturalmedicine.suite101.com/..._to_balance_ph
http://www.thewolfeclinic.com/acidalkfoods.html
http://www.essense-of-life.com/moreinfo/foodcharts.htm
http://www.apple-cider-vinegar-benef...e-balance.html


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#18 of 60 Old 03-29-2010, 11:18 PM
 
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Not everyone can eat a high fat TF style diet. I for one can't. I had my cholesterol tested for some work stuff a couple of years ago when I started eating a much higher "good" fat diet and my cholesterol skyrocketed. It was like I injected all that butter right into my veins. But I was eating a VERY large amount of fat, like a pound of butter a week - just me. Since reigning that in and now only eating a reasonable amount of fat, I am back to normal. I don't avoid fat, but I am not going out of my way to keep my fat intake up.

The first thing I would do is review portion sizes. You can eat fats if it is in a good proportion to what else you're eating. Probably add fruit and veg to meals to balance the protein and fat.
I sent this article to my dad the other day http://digg.com/d31MnQO

"Men who switch from a low-saturated-fat diet to one high in saturated fat experience an increase in total blood LDL cholesterol, as expected. But the change is mostly the result of a spike in the concentration of large LDL particles, not small. In other words, saturated fat consumption typically boosts the number of particles that Krauss has shown to be harmless."

Basically getting your cholesterol tested is pointless unless you can also test the particle density as well.
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#19 of 60 Old 03-30-2010, 02:35 AM
 
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my dad's cholesterol was up and the doctor wanted to put him on meds. he had a heart scan that showed he had no plaque build up at all. i think that we see a number and want to treat and don't always look at the whole picture.

as for your dh, he needs to be on board to make any sort of diet change. i would say cut out all the sweets and soda and eat more whole foods. but he has to want to do that.

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#20 of 60 Old 03-30-2010, 02:42 AM
 
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I sent this article to my dad the other day http://digg.com/d31MnQO

"Men who switch from a low-saturated-fat diet to one high in saturated fat experience an increase in total blood LDL cholesterol, as expected. But the change is mostly the result of a spike in the concentration of large LDL particles, not small. In other words, saturated fat consumption typically boosts the number of particles that Krauss has shown to be harmless."

Basically getting your cholesterol tested is pointless unless you can also test the particle density as well.
ITA. Also, VLDL is a by-product of fructose metabolism, not of consumption of fats.

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#21 of 60 Old 03-30-2010, 02:49 PM
 
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my dad's cholesterol was up and the doctor wanted to put him on meds. he had a heart scan that showed he had no plaque build up at all. i think that we see a number and want to treat and don't always look at the whole picture.

as for your dh, he needs to be on board to make any sort of diet change. i would say cut out all the sweets and soda and eat more whole foods. but he has to want to do that.

YES, it's all about DIET, DIET, DIET!!! but you make no money as a Dr - you can't write scripts for food!!!

for the poster- IF you have insurance, ask to speak to a certified nutritionist (outside of the Dr. group you DH is seeing) and you know what they will tell you already - but go armed with questions, make them come up with examples for you on what to feed him (question, question question them, have them show you what they are saying regarding actual studies, etc) and have your DH hear it from someone else about drinking soda, and eating junk-some times it's better to hear it from someone else, regardless of all the low-fat BS you will get- it's a start

 

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#22 of 60 Old 03-30-2010, 09:11 PM
 
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as for your dh, he needs to be on board to make any sort of diet change. i would say cut out all the sweets and soda and eat more whole foods. but he has to want to do that.


Unfortunately, if he's not willing to make the changes, any little things you do aren't really going to make much of an impact. I feel you on the soda problem... it took me years to wean my DH off soda.

Honestly, I'd sit down with your DH and ask him if he wants to tackle the problem or not. If he doesn't, there's nothing you can do about it - you can change the food you keep in the house and that you prepare for him, but if he's willing to go out and buy other stuff, that doesn't really help.

The first step I took with *my* DH was to go low carb (this was before I'd heard of TF). The thing about LC is that it can really appeal to men - all the bacon and steak and pork, etc. that they want. But it gives you the opportunity to remove the sugar, the junk food, and the grains from his diet (and it's not incompatible with TF at all). I definitely always recommend that the whole family make the change, though. And you have to play your part - that may mean meal planning and keeping plenty of snacks on hand, and packing his lunch every day (this is what I had to do). While we no longer LC, my DH got conditioned so that now when he's hungry he doesn't go for junk food, he reaches for cheese, and we haven't been LC in years.

You say he doesn't care for veggies - does he eat ANY? While I would have said the same thing about my guy years ago, I discovered that what he didn't like was poorly prepared veggies. If they're well done, he actually loves (most of) them. But in the beginning, we were limited to broccoli and peas. So I went with it. I tried different ways of preparing them so *I* didn't get bored and just made sure he got at least 1 serving of veg/day. Now he gets probably 3 servings/day (voluntarily).

For the soda problem - how about 100% juice with club soda? Will he drink that? At least then it's not full of artificial flavoring/coloring and there's no HFCS, and far less sugar... and over time you can reduce the amount of juice in the mix. I always made the drinks for my DH - so I could adjust it as I saw fit.

OK - the baby just woke up. Those are my suggestions of where to start. HTH.

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#23 of 60 Old 04-04-2010, 04:41 PM
 
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I was just prescribed the same thing yesterday by a nutritionist--low fat, high carb. I was fuming on the way home because the woman wouldn't let me get a word in edgewise.

So what I want to do is take her suggestions on portion size, and make it low-carb and TF. I have an appt to see her in a month. I hope I can do this, lose weight, and see the look on her face. I figure it could be a chance to educate her.

But I agree with the other posters. If he's not willing to change, it will be a long uphill battle. I hope the best for you and him!

Come ponder with me about food!
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#24 of 60 Old 04-04-2010, 04:53 PM - Thread Starter
 
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You say he doesn't care for veggies - does he eat ANY? While I would have said the same thing about my guy years ago, I discovered that what he didn't like was poorly prepared veggies. If they're well done, he actually loves (most of) them. But in the beginning, we were limited to broccoli and peas. So I went with it. I tried different ways of preparing them so *I* didn't get bored and just made sure he got at least 1 serving of veg/day. Now he gets probably 3 servings/day (voluntarily).

For the soda problem - how about 100% juice with club soda? Will he drink that? At least then it's not full of artificial flavoring/coloring and there's no HFCS, and far less sugar... and over time you can reduce the amount of juice in the mix. I always made the drinks for my DH - so I could adjust it as I saw fit.
The club soda/juice thing is a GREAT idea. Not really sure why I couldn't come up with that myself! ;-) He actually has been really good this past week about the soda...I have not seen him have ANY at home. And I told him I was proud of him (I'm a teacher, and it's like with the kids...positive reinforcement!). He's been drinking iced tea (made from a mix, granted, but better than soda). And I'm going to start brewing real iced tea for him and he can add agave as he sees fit (he already uses --and likes-- agave in his coffee). (We switched to the agave over a year ago because when we first started living together and I saw how much sugar he put in his coffee I was appalled. So he *is* amenable to some things!)

Also, he will eat veggies in casseroles or smothered with cheese. He loves broccoli casserole that my mom makes at holidays. And she uses Bisquick for the topping but I'm sure I can TF-it somehow. I was also thinking of making some little egg cups/quiches in muffin tins and then I can put them in the fridge/freezer and he can heat one or two up for breakfast quickly instead of having a breakfast bar (which is what he usually grabs...we do buy organic ones, however). And he likes yogurt, so I usually try to get him to eat one of those a day...for breakfast or a snack.

So I think the juice/seltzer will definitely help continue to beat the soda addiction. Now we just have to work on the cereal!!
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#25 of 60 Old 04-04-2010, 05:36 PM
 
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I have found that my DD eats more veg if I blanch them and she can dip them in bleu cheese dressing. We also found that roasting the veg adds a lot more flavor.

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#26 of 60 Old 04-05-2010, 01:03 AM
 
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YOu can try making Kefir soda for him. I make it for us and my 4 yo son loves his 'soda'. We drink fizzy water here (pellagrino), a PP had the suggestion of mixing it with juice.

Agave-I thought I had read somewhere that agave nectar is just as bad for your blood sugar as regular sugar.

I applaud you for trying to get your DH to make changes. It sounds like it will not be easy. I wouldn't go overboard on the praise, have you read 'Unconditional Parenting'? The idea is if you let him experience these changes (hopefully he will feel better eating nourishing food) then he will want to do it on his own. If you praise him all the time, he will eat the foods in front of you/for you but not truly internalize his motivation for eating NT.

Could you make it like a contest/bet/game? Challenge him (and offer to cook for him!) to eat 100% NT for a certain amount of time, maybe a week and see how he feels? What will help him is if he can really FEEL the difference in his energy and vitality, then he will want to eat healthier. Also, if he gets out of some habits (sugar, soda, tea) all at once, he won't have cravings for it as much.

Good luck!

We create our own reality.
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#27 of 60 Old 04-05-2010, 11:59 AM
 
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Originally Posted by blueridgewoman View Post
Has he tried a low carb diet yet? I'd suggest giving that a go before trying a low fat one, really...
this.
low carb is an effective way, as far as i know, to improve blood sugar and lose weight. id recomend a few sites, books etc with info regarding lower carb lifestyle-

book- Good Calories, Bad Calories by Gary Taubes

www.paleonu.com

www.heartscanblog.blogspot.com/

www.marksdailyapple.com

also agave is not doing his blood sugar any favors, its processed almost identically to how hfcs is processed and despite the ads claiming its low glycemic it is not, it will raise your blood sugar just as will honey, maple syrup etc. sugar is sugar and it raises your blood sugar and contributes to tons of problems, not the least of which is diabetes, weight gain, etc.

check the grams of sugar and carbs on those "organic" breafast bars, id guess its at least 20-40 grams carbs per bar. and very little protien and almost no essential vitamins or minerals. breakfast bars are a treat, not a meal or even a real food.
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#28 of 60 Old 04-05-2010, 11:10 PM
 
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Really? All these posts and only one person mentioned exercise? All the diet changes in the world are only throwing pebbles at the problem. Exercise is the big gun.

Iron pumping, swimming, biking, and running mama to 2
loving my plant-based, whole foods lifestyle
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#29 of 60 Old 04-05-2010, 11:33 PM
 
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Really? All these posts and only one person mentioned exercise? All the diet changes in the world are only throwing pebbles at the problem. Exercise is the big gun.
i dont totally agree, but just wanted to say i checed out yr blog and you do look awesome and super strong! i think being active is essential to living a happy, healthy life but i personally believe cutting sugars in all thier forms and cutting out all processed foods is a great first step towords total health.
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#30 of 60 Old 04-05-2010, 11:46 PM
 
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Originally Posted by organicmidwestmama View Post
i dont totally agree, but just wanted to say i checed out yr blog and you do look awesome and super strong! i think being active is essential to living a happy, healthy life but i personally believe cutting sugars in all thier forms and cutting out all processed foods is a great first step towords total health.
Don't come near my fruit. But yeah, processed food is awful and I don't eat any and don't think anyone else should either. Diet changes ARE important, I didn't mean to come off as saying they're inconsequential. Heck, throw enough pebbles at a problem and you're bound to make a serious dent. But exercise is the way to make giant health improvements in one fell swoop.

Iron pumping, swimming, biking, and running mama to 2
loving my plant-based, whole foods lifestyle
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