Heavy metal exposure has become an increasingly relevant topic in the modern age. The air we breathe, the food we eat and even the homes we live in are potential contributors to unsafe levels of toxic minerals including cadmium, lead and mercury. Although this is undeniably true, there’s no sense worrying ourselves sick about it. A far more constructive approach is to look for ways to minimize heavy metal exposure, such as the use of air purifiers, safer building materials and water filtration. And, while we’re at it, perhaps we should add a little more garlic to our diets for good measure.

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The pressing issue of type 2 diabetes recently took on an unexpected spokesman: Paula Deen. Ever since the highly publicized announcement of her illness and related drug endorsement, a hailstorm of negative and positive reactions has made its way to all forms of media. Instead of adding yet another voice to the chorus, I’ve decided to share some breaking information for Ms. Deen and other type-2 diabetics that may improve their health care prospects.

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Peek inside the Healthy Fellow kitchen pantry and you’ll find an assortment of dried leaves and powders that are intended for brewing or mixing with hot water. And, now that Winter has finally taken hold, I’m putting them to use on a daily basis. But, my pantry selections aren’t just predicated upon preference and taste. I’m also factoring in the latest science about their relative health benefits.

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Last month I posted a recipe for Healthy Dark Chocolate Chip Cookies (link to recipe). The cookies were such a hit with family, friends and readers that I decided to experiment making other cookies using the same core ingredients. Today, I want to share one of my newest cookie creations as it’s particularly well suited for Thanksgiving.

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A recent article appearing in the Los Angeles Times draws attention to an emerging health crisis that is currently underreported. “Looking at the Link Between Diabetes and Dementia” focuses on the growing consensus among researchers that elevated blood sugar likely plays a pivotal role in the development of dementia. One of the more shocking statistics mentioned is that an estimated 10% of all dementia cases may be attributable to diabetes. But, hope can be found in the words of Dr. Debra Cherry, one of the specialists featured in the piece – “What is good for the reduction of diabetes risk is also good for reduction of the risk of cognitive impairment”.

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A review in the December 2009 edition of the Indian Journal of Physiology and Pharmacology describes Tulsi or holy basil as a traditional herbal remedy with a promising track record in animal and in-vitro studies. The authors of the analysis report numerous medicinal properties including anti-inflammatory, immunomodulatory and neuro-protective effects as exhibited in preliminary experiments. The one criticism laid out in the paper is the paucity of data stemming from trials involving human subjects. In the months and years since the review, several human studies have quietly been published in the medical literature.

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A cup of ice cold milk and freshly baked chocolate chip cookies is rarely, if ever, considered a healthy dessert or snack. According to most nutritional authorities, it’s a guilty pleasure at best. The recipe I’ll share with you today defies the conventional view of cookies and milk. If eaten in moderation, it can actually support healthier blood sugar and lipid levels and possibly even discourage obesity – when used in the context of a low carbohydrate diet. Did I mention that it’s also all natural and gluten free?

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The term “Advanced Glycation End product” or AGE isn’t exactly well known. Researchers from Mount Sinai School of Medicine aim to change that and with good reason. To the uninitiated, AGEs are toxic byproducts that are linked to numerous health threats ranging from cardiovascular disease to diabetes. They’re formed during the cooking and processing of various foods using high heat. Within the body, AGEs can also be produced – especially in the context of diets rich in carbohydrates. The latest evidence suggests that this prevalent risk factor affects everyone from infants to seniors. Why infants? A report in the December 2010 issue of Diabetes Care explains that infants receiving baby formula had twice the level of AGEs typically found in adult diabetics. The authors go on to reveal that baby formula can contain 100 times the AGE content of breast milk. In seniors, elevated AGEs are an emerging risk factor for “accelerated cognitive aging” and Alzheimer’s disease. Fortunately, there are simple ways to mitigate the effects of dietary AGEs and to discourage their manufacture internally. For instance, according to a study published in July 2011, switching to an AGE-restricted diet for as little as 4 months can lower inflammation and insulin levels by 35% in type 2 diabetics.

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Yogurt is a historically revered food that I recommend to virtually all of my clients, family and friends. The primary reason is that the scientific literature consistently reveals varied health benefits associated with the use of this cultured, probiotic-rich product. In the past several months alone, peer-reviewed studies report that the regular use of yogurt reduces:  a) the levels of harmful bacteria that promote dental decay and periodontal disease in the mouths of children; b) the risk of premature birth in women with bacterial vaginosis and preeclampsia (high blood pressure) in first time mothers; c) the likelihood of diarrhea and other gastrointestinal complaints relating to antibiotic use; d) the incidence of type 2 diabetes and metabolic syndrome according to intervention trials and large population studies. It’s also important to note that yogurt is now a viable option regardless of which diet you choose to follow. There are fat free, low fat and whole milk options available. Those with cow’s milk allergies or sensitivities can opt for goat’s or sheep’s milk yogurt. Even vegans can enjoy coconut or soy milk based yogurts that are now commonly available in many health food stores. My personal favorite is organic, unsweetened Greek yogurt, which is naturally higher in protein and lower in carbohydrates. To this creamy treat, I add a few dried cranberries or dates or no-sugar added fruit preserves and a handful of raw pecans or walnuts. Not only is does this make for a delicious and satisfying breakfast or snack, but I’m also aware that it’s supporting my good health from my mouth on down.

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I can’t tell you how many times I’ve heard doctors or other health authorities recommend that patients switch from white rice to brown rice. The idea is that brown rice has more nutrients and a lower impact on blood sugar than its paler counterpart. According to recent publications in the scientific literature, making such a blanket recommendation may be incomplete. It’s true that some studies do find unprocessed brown rice superior to polished white rice in terms of respective glycemic index (GI) and load (GL). But, not all brown rice is created equal. In fact, some studies have reported unexpectedly high GI and GL scores in some brown rice samples. This may explain why a recent trial published in The Journal of Nutrition did not find substantial metabolic differences in a group of 202 diabetic patients who were asked to eat either brown or white rice over a 16 week period. And, this isn’t the only surprise with regard to brown rice research. Some natural health experts argue that germinated brown rice (GBR) is the best form to consume due to easier digestibility and higher nutrient content. Here again, the findings of several controlled experiments have been variable. Two of the three human studies determined that GBR is indeed superior to white rice in terms of managing blood glucose in diabetics and healthy adults. However, a third trial found the opposite to be true. Participants in the latter study exhibited higher body fat and hemoglobin A1c, a measure of long term blood sugar, when eating GBR as compared to white rice. Last, but not least, the September 2011 issue of the American Journal of Nutrition reports that increasing the ratio of beans to rice in a traditional Costa Rican diet “was associated with a 35% lower risk of metabolic syndrome”. In practical terms, this only required replacing one serving of rice daily with a serving of beans that are higher in fiber and protein. When analyzing all of this data, it reaffirms my conviction that an over reliance on grains can sometimes lead to unexpected consequences. The best way to avoid this is to continually seek up-to-date information from reliable sources and to test your own reaction to any given diet or food via home blood sugar testing and lab work provided by your health care team.

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Black chokeberry (Aronia melanocarpa) isn’t exactly a household name. A select group of researchers in Poland are trying to change that and with good reason. At least five studies conducted over the past decade suggest that A. melanocarpa extracts may be the medicine of the future for patients living with metabolic syndrome. Anthocyanins, a class of antioxidants found in black chokeberries, appear to counter various pre-diabetic and pre-heart disease related risk factors associated with metabolic syndrome. A daily dosage of 300 mg of black chokeberry anthocyanins (100 mg / thrice daily) has been shown to: improve circulation, increase antioxidant enzyme levels and reduce numerous cardiovascular and diabetic threats including high blood pressure, fasting glucose, LDL cholesterol and triglycerides. At the moment, the availability of black chokeberry extract is somewhat limited. However, the need to find effective and safe options for metabolic syndrome is growing at a fast clip. This may provide the perfect circumstance to introduce this obscure berry to a wider audience.

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In 2010, an estimated 1.9 million people were diagnosed with type 2 diabetes in the United States alone. My guess is that only a very small fraction of them were advised to take up yoga. But, this is likely to change in the years to come. A new study in the August 2011 issue of the journal Diabetes Care reports that adding 3 months of yoga practice to “standard care” effectively reduced body mass index and levels of oxidative stress in a controlled trial involving 123 diabetics. A significant improvement in blood sugar control was also noted. Two previous publications from 2009 support the current findings and add that yoga is also capable of lowering anxiety, blood pressure and high triglycerides in those with adult onset diabetes. This is not to say that yoga is a replacement for appropriate dietary changes, other forms of exercise and sensible weight management. However, it illustrates the potential of such holistic therapies as part of a comprehensive diabetes regimen.

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What I personally look for in a physician, regardless of their specialty, is someone who is an expert in their field, but who also acknowledges and understands the importance of holism. Historical wisdom and recent scientific discoveries make it abundantly clear that it no longer makes much sense to treat symptoms in isolation. These days, physicians need to consider individual dietary, lifestyle and psychological factors in addition to biomarkers and other test results when evaluating a patient’s true health status. Dr. Larry McCleary is an example of a brain specialist who has fully embraced this concept by searching throughout the body for clues that may enhance wellness. Read more »

The term “brain food” is bandied about in magazines, podcasts and television exposés seemingly on a daily basis. Foods such as blueberries, fish and green leafy vegetables are often singled out as supporting neurological health. But, the same is also true of granola bars, low fat diets and even whole grain bread. In short, there are broad and sometimes differing views about what exactly constitutes good choices with respect to brain functioning and wellness. So who better to clear up this confusion than Dr. Larry McCleary? If you aren’t already familiar with the good neurosurgeon, you should know that he brings to the table not only an impressive curriculum vitae, but also a track record of giving back to the community. Read more »

Part of the reason why I make it a point to describe positive scientific studies is to offer hope. Buried within the statistics of clinical trials are dozens, hundreds and sometimes even thousands of individual success stories. But, I fear that’s often forgotten. The people who take part in the interventions I document are just like you and me. They have doubts about their ability to get healthier. They’re pressed for time. They may not even fully trust the people conducting the research in the first place! However, the one thing they accomplish, at least for the duration of the trial, is to act in pursuit of better health. Read more »

What we choose to focus on, whether consciously or subconsciously, has a dramatic influence on our perceived quality of life. I’m frequently reminded of this truism when discussing diet and lifestyle considerations with clients, family and friends. From an evidence-based standpoint, certain activities and foods tend to promote health while others detract from it. In order to help someone achieve greater wellness, items need to be added to the “health promoting” column and subtracted from the “health risk” side. When I explain this straightforward concept, some view my recommended changes as difficult or restrictive. Others see the upside of my proposition: they can eat many foods they previously thought of as forbidden and they’ll feel much better for it. The information I share and the suggestions I make are the same. However, the way they’re interpreted makes all the difference in the world. Read more »