Wednesday, November 28, 2007

Disturbing Article

The picture included in this article was most disturbing so I decided not to include it in my post. This really is something to think about...

Obesity Leveling off in the United States

Results of a new study find that the obesity rates in the United States are leveling off at 1 in 3.

This is the first year out of the last 25, that government figures have shown obesity rates in the country to be stable, not continuing to increase at alarming rates.

The study found that overall, approximately 72 million Americans are obese. Another way of looking at it is 1 in 3 people are battling the bulge.

Overall, the CDC says Americans age 40 to 59 had the highest prevalence of obesity, with about 40 percent of that age group obese.

"What we can be optimistic about is we haven't seen a giant increase in the last couple of years," said Cynthia Ogden, an epidemiologist for the CDC's National Center for Health Statistics. "But we aren't seeing any decrease, that's for sure."

According to Ogden in years past, the rate of obesity in women was growing faster than that of men, but this trend has also begun to level off.

"It's a different story for men and women," she said. "It used to be that women were more likely to be obese than men. Now, that is not true anymore."

Obesity is defined as having a body mass index of 30 or greater.

An article from

Tuesday, November 20, 2007

Cold and Flu Season

When was the last time you had a cold? Well, it is that time of the year again. Cold and flu season can begin as early as October and can last until April. Two things that you can do to stay healthy this season is keep the germs away and boost your immune system.
First, wash your hands frequently. The skin is a large component of the immune system and microorganisms have a hard time penetrating the skin. However, your hands come in contact with nearly every thing throughout the day: counter tops, keyboard, money, etc. Your hands then pick up germs from these contaminated surfaces and a common way to catch the flu or a cold is by rubbing your eyes or nose.
Second, treat your body to foods that boost your immune system Garlic, cheese and other dairy products, vitamin C, and zinc all contribute to a well functioning immune system. Garlic has natural antibiotic abilities. Cheese and other dairy products contribute to a well functioning immune system especially yogurt. Lactobacillus acidophilusa a bacteria found in yogurt produces acids that kill other invading bacteria. Vitamin C is vital to immune system function and also aids in the absorbtion of iron. Vitamin C elevates interferon levels. Interferon are natural proteins produced by the cells of the immune system which inhibit viral replication within other cells of the body. Zinc, a mineral found in protein rich diet beef, fortified breakfast cereal, milk poulty and bread is also helpful to the immune system. However, intakes over 100mg of zinc per day can then start to depress the immune system.

Monday, November 19, 2007

Research Facts

1. Dark chocolate increases your immunity and improves cardiovascular health.
2. Nuts lowers cholesterol level and satisfies your appetite without causing weight gain. Go nuts!
3. Did you know that eating at least one fish meal a week can significantly reduce risk for Alzheimer disease, and increase brain functioning? In the meantime, make the smart choice and eat fish. No wonder they travel in schools. Try salmon, which is high in omega –3 fatty acids and much lower in mercury than other types of fish.
4. Eating 5 to 6 times a day actually increases your metabolism, burns calories quicker, lowers cholesterol and promotes fat loss. In the meantime, don’t forget to SATISFY those midday munchies.
5. Eat your tomatoes for lycopene to help prevent against cancer, specifically prostate. Research shows fresh tomatoes, tomato sauce or paste are more powerful than the lycopene supplements. 6. 20% of children are overweight or obese, November’s journal of Pediatrics published findings that behavioral health needs more attention when analyzing weight gain. Depression is linked to more TV watching and eating. Help your kids be happy, they’ll be healthier.
7. No more eat till you pop!
8. Cocoa is high in flavonols that improves blood flow and lowers blood pressure.
9. Eating high fiber foods, 25 to 35 grams of fiber a day can prevent heart disease, cancer and reduces calorie intake, which promotes weight loss. Eat 5 servings a day of fruits and vegetables and a couple servings of whole grains to help you live longer and healthier. Did you know that the fiber in 5 servings of fruits and vegetables and cereals with at least 5 grams of fiber will actually help you… In the meantime, remember when it comes to fiber give yourself a high five.
10. Did you know that exercising helps keep you smart. Studies show the benefits of exercise in improving decision making and pattern of blood flow in the brain. In the meantime, remember to make time to move.
11. Did you know that people with higher fat diets are more likely to experience vision loss at a younger age? Harvard researchers found that people who ate 70 grams of fat, had nearly 3 times the risk of progressing to advanced macular degeneration compared to people with the lowest intake of fat (24 grams). People who ate more than 2 daily servings of processed baked goods were more than twice as likely to have their disease progress as people who virtually never consumed those foods. Processed baked goods contain high levels of saturated fat and trans fat, which increase heart disease risk. , do good for your heart and eyes, by choosing fruits and vegetables rather than pies, cakes and cookies. In the meantime, see your way clear to a low fat lifestyle!
12. Eat at least 2 fruits and 3 vegetables along with whole grains at your meals and you’ll meet your needs. Did you know that research looking at the diet records of over 100,000 men and women in US and Europe show that for every 10 gram increase in fiber there is a 14% decreased risk in getting a heart attack and a 27% decreased risk of dying from heart disease? In the meantime, don’t forget to pump up the fiber.
13. Did you know that eating foods rich in vitamin C, such as fruits and vegetables protect against arthritis? Studies show that people who consumed the lowest amounts of vitamin C were 3 times more likely to develop arthritis compared to those who consumed the highest amounts.
In the meantime, keep your bones and joints strong and have a fruitful day!
14. Did you know that Yo-yo dieting may increase one’s risk for disease? Researchers at the Hutchinson Cancer Research Center found that repeatedly losing and regaining weight may have a lasting negative effect on immune function, whereas maintaining the same weight appears to have a positive effect.
In the meantime, rather than going up and down in your weight, try going up and down with the weights as a step towards long-term health.
15. 3 svgs. lowfat dairy per day may lead to greater weight loss. A trip to the dairy section may mean inches off your mid-section.
16. Did you know that increasing the level of magnesium in your diet may help lower your risk for Diabetes? Results from over 150,000 men and women found that individuals who ate foods rich in magnesium such as roasted almonds, whole grains, fruits, vegetables and beans, were least likely to develop diabetes.
In the meantime, make sure to incorporate magnesium rich foods in your diet and enjoy the sweet life!
17. Cannabinoid Receptor 1 helps control hunger. Acomplia weight loss drug blocks it.

Monday, November 12, 2007

Thanksgiving Recipes

Thanksgiving is around the corner. Here's a couple recipes that are de-licious!


1 can (16 ounces) pureed pumpkin
¾ cup sugar
½ teaspoon salt
1 teaspoon ground cinnamon
½ teaspoon ground ginger
¼ teaspoon ground cloves
1 package (10.5 ounces) organic Silken tofu,* packed in water, rinsed, processed in blender until smooth
1 (9-inch) unbaked pie shell
*choose tofu made with soy beans rather than soy protein concentrate

Directions: Preheat oven to 425° F. In a blender (**Vitamix), blend the pumpkin and sugar. Add salt, spices, and tofu into the pumpkin mixture and blend again thoroughly. Pour the mixture into a pie shell and bake for 15 minutes. Lower the heat to 350° F and bake for an additional 40 minutes. Chill before serving.

Total servings: 9
Nutrition Analysis per serving:
216 calories, 37 grams Carbohydrates, 3 grams Protein, 7 grams Fat

**To purchase a Vitamix, the power blender for making smoothies and soups, etc. go to and select the products tab.

TANTALIZING TURKEY LOAF! - great way to use the left over turkey breast.


1 Tablespoon canola oil
2 teaspoons minced garlic (2 large cloves)
1 cup finely chopped celery (2 large stalks)
½ cup chopped onion
1½ cups diced red bell pepper (2 medium)
2½ cups thinly sliced mushrooms
1¼ pounds ground turkey breast
2 egg whites, lightly beaten
½ teaspoon freshly ground black pepper
Dash nutmeg
½ cup fresh whole wheat bread crumbs (1 slice)
½ cup minced fresh parsley

Directions: In a large nonstick skillet heat oil briefly and sauté garlic, celery, onions, and bell pepper, stirring until slightly softened, about 3 to 5 minutes. Meanwhile, boil a kettle of water and preheat oven to 375°F. Stir mushrooms into vegetable mixture, cover pan for a few minutes, then remove cover and sauté vegetables, stirring until all liquid has evaporated. Remove from heat and set aside. In a large bowl, combine turkey, egg whites, pepper, nutmeg, bread crumbs, and parsley. Add the sautéed vegetables and combine ingredients well. Transfer mixture to a lightly greased 8x4 loaf pan and set pan in a large shallow baking dish. Place in oven and pour boiling water into the outer pan to a depth of one inch. Bake loaf for 1 hour 15 minutes. Let loaf sit for 15 minutes before removing from pan and serving.

Total servings: 6
Nutrition Analysis per serving:
193 calories, 8 grams Carbohydrates, 32 grams Protein, 4 grams Fat

More recipes and holiday tips coming up soon.


Your Livitician,

Deborah A. Klein, MS, RD

Wednesday, November 7, 2007

Your Guide to Conquering High Cholesterol

I. Introduction:
Cholesterol is a white, waxy fat found naturally in the body and is used to build cell walls and make certain hormones. Too much of it can clog the arteries and cut off the supply of blood to the heart, thus high cholesterol is the leading risk factor for heart disease. The three main factors that increase your risk for heart disease include high blood cholesterol/low HDL (> 200 milligrams per deciliter total cholesterol, <40>130 LDL) &/or high triglycerides (> 150 mg/100 ml blood), high blood pressure (> 140 systolic and 90 diastolic, below 120/80 =normal), and cigarette smoking. People who smoke a pack of cigarettes a day have more than twice the risk of a heart attack compared to people who’ve never smoked. In turn, blood cholesterol levels can be elevated by cigarette smoking and two other risk factors - obesity and an inactive lifestyle.

The important steps towards a healthy heart:
¨ Exercise regularly
¨ Utilize stress management techniques
¨ Have an eating pattern that is-

1. Low fat (<30% serving =" (<" 3 =" 10.5," over =" 105," serving =" low" food =" greater">5 grams dietary fiber). The American Dietetic Association recommends 25 to 30 grams of fiber per day.

IV. Soy-The Multifaceted Food:
Using soy products are an easy way to get a variety of protein sources in your day and simultaneously decrease your risk for heart disease and other chronic diseases. The soybean seed is 13 to 25% oil, 30 to 50% protein, and 14 to 24% carbohydrate.
¨ Soy protein, likely the genistein present in soy, lowers cholesterol levels 1. Soy decreases LDL-cholesterol levels and increases HDL, rather unique, since oat bran or decreased saturated fat intake decreases HDL levels.
2. Soy isoflavones, plant chemicals unique to soybeans, have antioxidant properties which protect LDL from oxidation and has favorable effects on blood vessel function.
3. Research studies using an average intake of ~40 grams of soy protein per day with a low fat (30% of calories), low cholesterol (<300 mg) diet was associated with a 12.9% reduction in LDL, 10.5% reduction in triglycerides, and an increase in HDL by 2.4%. One percent reduction in cholesterol decreases heart attack risk by two to three percent.
4. Soy protein compared to casein (cow’s milk protein), decreases LDL and increases HDL in individuals with normal lipid levels.

Bottom Line:
The FDA has recommended 25 grams or more of soy protein a day to reduce risk of coronary heart disease (reduce total and LDL cholesterol level). A sample day with soy:
Breakfast: Oatmeal made with soy milk and add ¼ cup soy milk on top = 6.5 g
AM Snack:
Dr. Soy California Blend Trail Mix (1 ounce) = 7 g
Lunch: ½ cup cooked soy pasta with ½ cup of your favorite marinara sauce with a mixed green salad = 6.3 g
Afternoon Snack: Whole-wheat crackers with 1-ounce part-skim milk cheese
Sushi with ¼ cup of edamame (fresh soybeans) = 5 g
Total = 24.8 g soy protein

V. “Five A Day” For Better Health:
Have 2 to 4 servings of fruit a day and 3 to 5 servings of vegetables a day for better health. One serving is 1 small fresh fruit (2 inch across/4 oz.), 1/2 cup of canned/fresh fruit or unsweetened 100% fruit juice, or 1/4 cup dried fruit (choose natural dried fruit without sulfur dioxide added), 1/2 cup cooked vegetables or vegetable juice, or 1 cup of raw vegetables. Add green leafy vegetables, such as spinach or kale which provide omega-3 fatty acids.

VI. Exercise helps increase your truck-loading cholesterol (HDL)!
Do aerobic exercise 30 minutes a day, it’s better to exercise more days for less time than less days for more time to strengthen the arterial vessel wall, increase collateral circulation and increase HDL.

VII. Conclusion:
Walk your talk! Go to the grocery store today and implement heart healthy eating into your long-term lifestyle.

Selected Grocery Items and Recipe:

1. Featured Products from the Livetician’s Grocery Shopping List:
Tea - Traditional Medicinals Organic Golden Green Tea
Bread/Cereals/Crackers - Whole Foods Organic Ezekial (3 g dietary fiber), Food For Life Ezekiel 4:9 Sprouted Grain Tortillas, 365 Organic 5 Grain Cereal with Soy, Kashi Heart to Heart/Go-Lean Crunch Cereal, Mother’s 100% Natural Oat Bran, Ak-Mak 100% Whole-Wheat Crackers
Beans/Grains/Nuts - Health Best Dried Organic Beans/Quinoa/Amaranth, Westbrae Natural/Eden Canned Organic Beans, Arrowhead Mills Whole Grain Amaranth, Lundberg Wild Blend Long Grain Brown Rice, Casbah Organic Whole-Wheat Couscous Original, 365 Organic Whole Wheat Pasta, Food For Life Sprouted Grain Pasta, Health Best Dry Roasted Soy Nuts/Raw Almonds, Dr. Soy/Genisoy Soy Nuts
Soy Products - Mori-Nu/Nasoya Organic Silken Tofu, Edamame (fresh-in deli), 365 Organic Soymilk, Whole Soy & Co. Yogurt
Supplement - Barlean’s Forti-Flax or Spectrum Essentials cold-milled organic flaxseeds
Condiments/Oils - Madhava/Sweet Cactus Farms Agave Nectar, Hain Pure Foods Canola Mayonnaise, Robbie’s Barbeque/Sweet and Sour Sauce, Bragg Liquid Aminos, 365 Organic Canola Oil/Organic Extra-Virgin Olive Oil
*Deborah creates a list of recommended foods available at Whole Foods customized for each client based on his or her dietary needs.

2. Recipe:
Livetician’s Energizer Shake! By: Deborah A. Klein, MS, RD
4 ounces of tofu (“Mori-Nu” Firm) or ¼ cup nonfat dry milk powder
1/2 cup low fat or non fat plain yogurt
1 banana
1/2 cup of frozen strawberries (~5 strawberries), or frozen mixed berries
2 to 3 cups of 1% milk or soy milk (try Whole Foods Brand vanilla soy milk) {for a thicker shake, add ¾ of the blender full with milk}
1/2 cup filtered/bottled water/ice - optional (don’t need water if you use more milk)
Optional –For omega-3 essential fatty acids and fiber, stir in a Tablespoon of ground flaxseed to the cup you drink, so flaxseed doesn’t get rancid, need to drink it right away.
Directions: In a blender, put 4 ounces of tofu, yogurt, a banana, a handful of strawberries (about a 1/2 cup), and milk. If you like thicker shakes, instead of using water, fill the blender up with milk ¾ full. Put the top on the blender, chop, blend, and whip. You’re all set for an energizing breakfast or snack. Add a piece of high fiber toast or a small bowl of cereal with the shake for even more sustainable energy. Make this shake the night before, keep it in the blender and store in the refrigerator. The next morning, just press whip, and you’ve got a quick and easy “on- the-go” energizer.
Serving size: 1 cup
Total servings: 5 Nutrition Analysis per serving:
96 calories, 4.6 g protein, 15 g carbohydrate, 2.5 g fat, 1.4 g fiber

Sunday, November 4, 2007

Kale as a Source of Calcium

Dairy products, such as milk and cheese, provide about 70% of the calcium in North American diets. These products are great sources of calcium. In fact fat-free milk is the most nutrient dense( milligrams per kilo calorie) source of calcium. However, leafy greens, such as kale also provide a great source of calcium without the extra calories and fat that whole milk and most cheeses provide. Some leafy greens contain calcium but it is not absorbed in the body because of the presence of oxalic acid. This effect is not as strong in kale. For those of you that are lactose intolerant this leafy green vegetable is a great way to get your calcium for the day.

Add kale to your dinner plate tonight by trying this quick recipe.


1 bunch of kale, washed and chopped into bite-size pieces
1 yellow onion, sliced
1-2 cloves of garlic, minced or finely chopped
2-3 tablespoons of extra virgin olive oil
Juice of 1/4 lemon
1/2 cup of vegetable broth or water
Sea salt and pepper, to taste (optional)


Warm olive oil over medium heat in a large pot or pan. Add onions and cook for 3-5 minutes or until slightly translucent. Be sure to stir the onions around once in a while so that they don't burn.

Add garlic and kale and mix them together with onions. Allow garlic, kale and onions to cook for one minute, then add vegetable broth and cover pot or pan for 4-6 minutes. Check kale from time to time starting at the 4 minute mark for tenderness.

Once kale is tender, add sea salt and just a few drops of lemon juice. Give it one last stir and serve.

Be sure to taste as you add lemon juice. Adding too much can turn the whole dish sour.

We enjoy this dish with avocado and a bowl of brown rice or quinoa.

Recipe by: Dr. Ben Kim

Friday, November 2, 2007

Migraine Headache Tips!


Patients are walking into my office frequently with migraine headaches. So, here's some information that will hopefully help for all of you who want to get these headaches out of your life.

Migraine = severe head pain, plus one or more symptoms, including nausea, vomiting, and increased sensitivity to light, sound, and smells; lasting 4 to 72 hours.

Possible General Triggers:

  • Certain Foods
  • Hunger or missed meals
  • Changes in weather
  • Some physical activities
  • Emotions and stress
  • Medications
  • Hormonal Changes

Specific Food and Beverage Triggers:

  • Alcohol: Red wine, vermouth, champagne, and beer
  • Beverages with caffeine: Coffee, tea, soft drinks
  • Dairy Products: Aged cheeses, such as cheddar
  • Breads: Sourdough, fresh yeast, homemade
  • Vegetables and Fruits: Some types of beans (broad, Italian, lima, lentil, fava, soy), sauerkraut, peas, avocados, and overripe bananas
  • Snacks: Peanuts, peanut butter
  • Meats: Salted and cured meats (ham, corned beef, sausage, bacon, lunch meats), dried meats, pickled herring, chicken livers
  • Soups: Canned or from mixes
  • Desserts: Chocolate-based
  • Food Additives and Flavorings: Monosodium glutamate, sodium nitrite, soy sauce, marinades, and meat tenderizers
    1. Keep a diary of what you eat to determine your possible trigger foods. Depending on how often your attacks occur, you may need to keep the diary for a few weeks.
    2. Drink water throughout the day, keep a water bottle with you at all times and keep sipping.
    3. Eat foods that are high in fiber and protein, and low in simple carbohydrates.
    4. Include almonds, watercress, parsley, fennel, garlic, cherries, and fresh pineapple in your eating plan.
    5. Get regular moderate exercise.
    6. Massage the neck and back of the head daily.
    7. Choose baked, broiled, or steamed rather than fried foods, have anti-inflammatory foods and seasonings: fish, flaxseeds (grounded), organic eggs with omega-3's, legumes, ginger, turmeric. Stay clear from red meat as much as you can-it's the most inflammatory food available.
    8. Eat small meals, within an hour after waking, and every 3 to 4 hours throughout the day, try not to go longer than 5 hours without eating.
    9. Please stop smoking. Enroll in a smoking cessation program or try seeing a hypnotherapist, every patient from our practice who enrolled in a hypnotherapy program for smoking cessation, quit smoking by the end of the program.
    10. See your dentist for treatment of any tooth problems or grinding, that may contribute to the migraines.
    11. Relax, take hot baths, and listen to calming music.

12. VERY IMPORTANT: Supplement with Magnesium- key muscle relaxant, try: Phytotherapy liquid gel caps, available at Whole Foods: it contains Calcium Citrate Malate with Vitamin D and Magnesium.

Also, have fish oil capsules, great anti-inflammatory supplement, order EPA-DHA Extra Strength enteric coated capsules from Metagenics:

Health and happiness to you!

Your Livitician,

Deborah A. Klein, MS, RD