For a talk in New York this week I have been thinking about giving the kind of nutrition I am favoring a name – preferably a catchy name. We all have heard of the Paleo Diet, the South Beach Diet, the Zone Diet, and so on. What would I call my brand of eating right?
For starters, I would not call it a diet. Because it is not something you eat for a month, shed fifty pounds, and then go back to your normal dismal ways.
It occurred to me that I have invented nothing new. In fact, farmers all over the world eat like it. So let’s call it Peasant Food. I could also call it Gardener’s Food, or Farmers’ Market Food – because they all are served fresh and whole. But Peasant food it shall be.
This weekend, the New York Times Magazine ran an article about a very young man (he is all of fifteen!) who aspires to become a famous gourmet chef. I commend the young man for applying himself, instead of dawdling his time away. But as a physician I know that healthy people, healthy families and a healthy nation depend on daily fresh dinners cooked at home – not five-star restaurant fare (as delicious as that might be).
The young man is groomed as a future superstar in the kitchen. Same as we groom young athletes for a big career in football, baseball, basketball – instead of teaching all our school children the joy of movement that could offer them a life of health and physical gratification.
But back to the Peasant Food! What do farmers all over the world have in common that should make them our models for healthy cooking and eating?
Peasant Food is
• Fresh: Farmers eat what they find in their gardens, their fields, and growing wild nearby. They cook from scratch every single day. They are not too busy to bring a fresh meal on the table every day, and share it with family and friends. In fact, these shared meals are the highlight of every day.
• Local: Farmers don’t ship in food from California, or even other continents. They don’t use up much fossil fuels for shipping food across the country. They eat what they find. That is why the people in Mew Mexico eat different from the New-Englanders, and the Italians eat different from the Russians.
• Seasonal: Farmers eat what is growing and ripening right now. Should there be a monster harvest of zucchini, they deal with it by creating a variety of zucchini dishes, canning or drying some zucchini, and distributing the rest to friends and neighbors.
• No “superfoods” – just foods that are grown nearby, and made into so many dishes. Farmers make do with whatever is at hand – they have no preconceived notions of what the “best” food is.
• Not only raw: Farmers can’t subsist on salads alone – it would not give them the strength and nutrients they need in the fields. They might bake a piece of meat in the oven slowly all day, they throw a stew together, or a stir-fry, they cook soups with everything in sight. They cook.
• Not vegan/vegetarian: For a rare feast, they might grill a rabbit or a lamb over open fire. They eat meat, poultry, fish, crabs – and in some regions they are glad if they can find a squirrel to skin and roast. But farmers would not feed their livestock antibiotics for better growth rates – if agro-business wouldn’t push them.
• Easy to cook: Farmers don’t have time to concoct gourmet meals, and read one cookbook after the other. They follow old recipes. Their fare has to be easy – sometimes using slow-cooking that does not need further attention once the pot is filled and on the fire.
• Filling: Farmers wouldn’t dream of leaving out fats for slimming down – they need the energy fats provides. But they get in good fats: olive oil, coconut oil, butterfat.
• Tasty: Like everybody else, farmers want to eat something that tickles their palates. Fresh vegetables and healthy meats automatically taste good. Fresh herbs spruce up the taste. And adds nutrients like polyphenols. .
This is what I will call what I have been cooking every evening for so many years, making my family healthy and happy: Peasant food. Read More
Blog: On Health. On Writing. On Life. On Everything.
Bone Broth for Strengthening your Bones
September 9, 2013
Somebody in my family was in a bike accident and broke a shoulder – the collarbone as well as the shoulder blade. Ouch!
From my childhood in Germany, I remembered the heal-all properties of bone broth. Bone broth has all the ingredients a bone needs for knitting together again because bone broth is simmered for hours and hours – days, actually – until everything good in the bone now is swimming in the broth. Proof: If you try to eat the bones, they are soft and can be eaten like just another piece of meat. I find them just as tasty – but opinions differ here …
This is how you make a bone soup: Take beef bones like shank, oxtail and/or ribs. If you add chicken, it is better to have an old bird than a young one – the bones are stronger in an older bird.
Cover the bones with filtered cold water in a lidded pot, bring to a boil and then turn down the heat to simmering. For taste, I add herbal salt and black peppercorns in a tea ball. If you don’t like the taste of bone broth very much, add whole onions, garlic and carrots. Since the broth is reheated and simmered every day for a few hours until eaten up, it is not appetizing to have other vegetables in there – they would cook into a mush. But vegetables won’t hurt because all of them carry the minerals bones need to grow strong. – Before you serve the broth for the first time, cool it down and remove all visible fat from the top. Not that the fat is not healthy; most people just don’t like it swimming on their soup. – The meat can be eaten, or be discarded. All its goodness (or most of it) is now in the broth.
Make sure you buy organic meat and bones only. The detrimental effects of meat are not so much caused by meat – as vegans and vegetarians think. Unhealthy effects of meat seem to be related to the sick animals we eat. Sick animal come from bad husbandry. Bad husbandry requires medications like antibiotics to make the animals look healthy – but they aren’t. How can we expect health from a sick cow or a poorly chicken? Lead stores in bones - so make sure you get animals that were raised and fed in a natural way.
Bone broth is not a good source of all amino acids, but provides three essential amino acids, namely arginine, glycine and proline. Also it is rich in gelatin – once your broth cooled down, it separates in fat on top and the jelly below. Besides strengthening your bones – not only in a case of fracture, but against osteoporosis and osteopenia too – bone broth is said to be good for general bowel health and the immune system because of its anti-inflammatory properties. Not surprisingly, it is also good for skeletal appendages like tendons, ligaments, nails and hair, and it “greases” the joints. It calms the mind and promotes sleepiness. Unfortunately, none of these benefits have been proven by science because there are no studies published on this subject – at least not that I am aware of (and I looked!!). In past times, however, broth was always given to sickly people and patients recuperating from major illness. It fell out of fashion with easily available and processed foods – that doesn’t mean bone broth won’t work. But don’t assume that so-called chicken soup from the store would have the same benefits. It won’t.
Making a bone broth is no work at all – and once it is in the pot, you have a snack always available. A non-fattening quick, warming snack, that is, and highly satisfying. With few calories. And cheap – in Europe bone broth was always used widely during and after wars, when food was scarce. The simmering broth on our stove will likely be served much longer than the bones need to be mended; I can make a new batch every few days – no sweat! It is good, warming winter food, too.
P.S. 9/17/2013: We did some experimenting in the kitchen, and indeed one can add vegetables to the bone broth without getting it mushy. Indeed, the vegetables make it even more tasty. Celeriac root and celery greens can be cooked for days without getting mushy. Same with carrots. And some tough herbs like parsley and lovage. As the ingredients will not be eaten - only the broth - you don't have to cut anything.
The results are also superb: The healing goes well, and since the young man is moving his arm constantly with micro-movements (without the slightest weight bearing, of course - he does not even have a frozen shoulder or elbow. Read More
From Mouth to Anus
May 15, 2013
Medicine, for me, is a quest for my healthier self, and healthier patients. I am learning something new every day. In a way, I feel sorry for my patients of so many years ago – now, I think, I could help them so much better.
This also implies that you – the patient – could possibly be a step ahead of your physician, if you are trying to figure out what makes your body feel better and stronger and more awake, and happier. With the Internet, we all have more information at our fingertips, flawed and good information, for sure – but more of the latter. If you ask me.
Take for instance the stomach problems that plagued me when I was younger. Setting out with conventional drugs like H2-receptor blockers (Tagamet, Zantac) and proton-pump inhibitors (Prilosec, Prevacid) years ago, I at least got the problem under control. Then, twenty years the, I found that at the root of my heartburn and stomach aches were allergies: I left out the offending foods – and I dropped all meds, and never looked back.
Forward a bit, and I discovered probiotics – bacteria that are helpful for the intestines. They improved my bowels, and I took them faithfully for many years. I still recommend them to nearly every patient I encounter. Many studies link probiotics to good clinical outcomes, even if we have not yet quite figured out all the intricacies of how they work. One thing is sure: What you eat helps or destroys the microbiome that coexists in your body. A microbiome is the whole entity of bacteria, good or bad, that thrives with you, in you, on you.
Don’t worry – the good guys are winning right now. Otherwise you would be dead. But that the good guys are winning is not guaranteed – it could change any moment. You could crowd out the good guys with sugar, or commercial dairy, or destroy them with a course of antibiotics) or meat from one of those inhumane, antibiotic-resistance breeding feed lots – the list is long how you can hurt your microbiome inside and outside; cosmetics and household cleaners are high on the list. But even if we did everything right in our personal lives, outside forces can destroy your good bacteria – pollutants in water, air and soil.
Not to be an alarmist, but no man is an island, and if we don’t preserve our Mother Earth, we surely can forget about the intricacies of feeding our coworkers - our good bacteria - the right amount of this and that.
Health comes down to the health of our gastrointestinal tract. Lately, I have found that probiotics can be applied not just as capsules or caplets, but as probiotic foods. A big group which I just mention in passing are fermented foods – sauerkraut, miso, kimchi, tempeh, and so on. “Fermented” can be taken as another word for “loaded with gut-healthy bacteria”.
I have argued widely against the dangers of dairy – and still do. Ninety-nine-point nine percent of dairy is bad for you because of the highly inflammatory proteins and cancer-breeding hormones (be it naturally occurring, or gene-technologically inserted). But there is a tiny fraction of organic dairy that contains live cultures. Examples are yogurt, kefir, buttermilk and sour cream. But only, if they truly are organic, contain live cultures and have absolutely no additives that turn a good food into a nightmare: sugars, sweeteners, fruit, fruit substitutes, tapioca, carrageenan, and so on. In my mind, to qualify as natural they also have to have their full fat content – nothing skimmed or improved or processed any way other than pasteurizing – and the good bacteria have to be added afterward. Fat is not the culprit in milk and milk products – milk proteins are. Not only are they inflammatory, but also addictive. Now you can even get dairy-free organic yogurts, made for instance from almond milk. Or probiotic powders, ready to be dissolved in warm water. But always read the labels for ingredients!
Good dairy bacteria do not take away dairy’s inflammatory proteins and cancer-causing hormones. Therefore these probiotics should be taken in small amounts – very small amounts, indeed: a sip or a teaspoon full is the serving size here. And you don’t eat or drink them. You swish them around in your mouth as long as you can stand it, or unless you forget about them, and finally swallow them.
Probiotics thus taken increase not only your gut health, but especially your oral health. Studies show that probiotics swished around in the mouth after brushing your teeth reduce caries and gum disease in most cases – and I bet the result would be even better if people would add a healthy, sugar-free diet on top of this.
Using this to fight caries sure beats taking poisonous fluoride. Fluoride made me always uneasy: Studies link fluoride to cancer and neurotoxicity. But other studies clearly showed that it reduced caries – and I had not yet come by a natural method to preserve my teeth. Granted, “primitive” societies usually boast perfect teeth, but I had not quite found out why. Not sure, why, but sugar-free nutrition was probably the main cause. Then again, who of us modern Americans can boast a totally absolutely sugar-free diet – since infancy? Not that I know anyone.
Still, I am a believer in brushing and flossing (and also with good results, I have to say) – and don’t want to get rid of that. But neither fluoride toothpaste appealed to me, nor the brutal cleaning of my teeth at the dentist’s office twice a year. There is nothing natural in putting sharp metal scraping objects in your mouth. Now I am using an organic, neem-based tooth powder most of the time.
With oral swishing probiotics we gently provide a mildly acidic environment in our mouths for a few minutes. That cleans your teeth of plaque and implants healthy bacteria into the lining of your mouth, which then can grow during the next hours, or overnight, and fight bad bacteria. The result is amazing. And natural.
We take for granted that with advancing age we will lose our teeth, and that diseases will creep up on us. Ever been to a nursing home? A certain old-age odor emanates from those old bodies. We think the odor is normal. It is not. If one eats well, nourishes one’s oral cavity and intestines, in their entire length, and not destroys the precious skin bacteria with harsh soaps and cosmetics, we would smell like babies until our final days (and those will come even if we take good care of ourselves, but I bet those final days with be sweeter and easier if you have lived your life well).
Working on the microbiome in my mouth – that has been the newest station on my medical quest. In a way, this quest has been a journey from mouth to anus - and still is. Read More