Super Healthy Flapjacks – no butter or sugar

It can be frustratingly difficult to find a healthy flapjack recipe that isn’t loaded with butter, sugar or syrup. If you would rather not load up on these ingredients, here is an alternative recipe to try.

Here’s why they are so great:

  • Super quick to prepare the mixture
  • No sugar, syrup or butter.
  • Ripe bananas and raisins add the sweetness.
  • If you feel the need for some extra sweetness, you can some honey, but you really don’t need too much.
  • Oats provide soluble fibre to keep you feeling full up, reduce cholesterol, keep your digestive system healthy and blood sugar levels steady.
  • Berries/Raisins are choca-block full of antioxidants and fabulous phytochemicals
  • Seeds/peanut butter are full of protein and healthy fats.

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Top tip 1 For a seriously healthy and delicious Bircher Muesli breakfast, keep a few tablespoons of the pre cooked mixture in a bowl overnight in the fridge. In the morning, loosen with more milk.

 

Top tip 2 Did you know that the chunkier the oat the slower it is digested and will keep you full up for longer?

 

Basic Flapjack Ingredients  (makes about 9): each provides 90 calories, 1.5g fat, 15g carbohydrate, 3g protein

150ml milk – or a milk alternative e.g. soya, almond, rice milk etc.

2 mashed bananas – the riper the better as sweeter and easier to mash

150g porridge oats (about 2 handfuls)

 

Ideas for optional extras:

  • a handful of whole/chopped/ground up sunflower or pumpkin seeds
  • 1 heaped teaspoon of cinnamon
  • a tablespoon of cocoa powder
  • a handful raisins or cranberries
  • a few tablespoons of dessicated coconut
  • 1 cup frozen berries (defrosted)
  • 1 tablespoon honey
  • 1 tablespoon peanut butter
  • 2 tablespoons ground flaxseed with a little extra milk (very good for constipation!)
  • For extra protein e.g. as post exercise snack, you can add a scoop of protein powder

 

Mix all the ingredients together. Put in to cake tin lined with greaseproof paper, or silicone bun cases. You can also make them in to cookies by placing the mixture in cookie shaped blobs on the greaseproof paper.

It can sometimes be a bit tricky to peel the greaseproof paper off, so you can grease the paper first with some oil.

Bake for about 40 minutes at 170 degrees C. Or until they are browning and you can smell the lovely aroma……..this is my method to check for readiness as I usually forget to look at the time I put them in! Enjoy playing around with variations of ingredients 🙂

 If you like these, you’ll also LOVE Seriously Healthy Pancakes (2 ingredients), and Low Sugar Biscuits

IBS: Are you the 1 in 5?

An astonishing 1 in 5 people suffer with digestion issues such as bloating, abdominal pain,shutterstock_52604065 constipation or diarrhoea, excessive wind, heartburn and nausea. Usually the diagnosis is irritable bowel syndrome (IBS).

When a doctor or gastroenterologist has diagnosed IBS (you should not diagnose yourself) this is good news, as it means your symptoms are not due to anything more serious, such as Coeliac Disease or bowel cancer. However, coping with and managing the symptoms can be challenging. Unfortunately there is no pill or supplement that is a magic fix.

The good news? IBS CAN BE TREATED EFFECTIVELY with a low FODMAP diet. It has been so successful and popular with my clients that it has become my speciality. I have been inundated with requests for help, and even see clients via Skype if they can’t travel in person to the clinic. The vast majority have a major improvement, which make me a very, very happy dietitian!

The low FODMAP diet is relatively new. It is a rigourously scientifically tested dietary treatment that produces a significant Unknownreduction in symptoms for 75-80% of people. The FODMAP Diet was originally developed at Monash University, Australia; and recently more  research has been carried out at King’s College, London. The low FODMAP diet is increasingly being used by gastroenterologists and dieticians to successfully manage the tummy problems.

What are FODMAPs?

FODMAP stands for Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols. Quite a mouthful (excuse the pun)! These foods have one thing in common: they are all carbohydrates that the gut poorly absorbs and are quickly fermented by the bacteria  causing the bloating, wind, diarrhoea or constipation and pain. There is quite a long list of foods that are high in FODMAPs, and not everyone with IBS reacts to the same foods.

What foods are high FODMAP?

You may be surprised that many foods considered good for digestion are high FODMAP, and therefore can aggravate IBS. These include wheat, onions, garlic, apples and pears, lactose found in dairy products, beans and lentils.

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Sourced from Monash University (2015)

The FODMAP Diet

The FODMAP diet is not a diet for life. It is a ‘learning diet’, where all high FODMAP foods are removed for approximately 2-4 weeks. Many people see improvements within a few days. After this elimination phase, foods are reintroduced in a systematic way to identify which foods you react to. This stage is extremely important so that you are not excluding foods unnecessarily.

IBS and FODMAPs can be confusing, with a lot of conflicting advice on the internet. WhenConfused
done well, the low FODMAP diet can be very effective. If you want to try see if it helps you, it is advised that you seek guidance from a Registered Dietitian with experience in the Low FODMAP Diet. Your GP can refer you within the NHS, or a list of private dietitians in your area can be found on the Freelance Dietitian’s website.

I hold clinics at Kingston Health Centre and also offer Skype appointments.

Here’s what my patients say:

Miss J, IBS (February, 2016): This week is my 4th week on the FODMAP diet and so far so good. I’m actually really enjoying it and have discovered some lovely new recipes. It’s made a very noticeable difference in terms of bloating, cramping and wind which is fantastic. My skin has also improved too.

Miss R, France, diarrhoea predominant Irritable Bowel Syndrome (December, 2015) Hope you’re well I just thought I would drop you an email to let you know how I am doing. I have been on fodmap for a week now. After three days I could see a big difference to the way my tum felt and my digestive symptoms I feel great!

Mrs H, ulcerative colitis. (November, 2105): Your advice has given me some hope that I can manage my health much better and, who knows, hopefully avoid an operation. I think my gut is already beginning to improve, less gurgling, bloating and twinges, so I’m very pleased so far. (January 2016): I am so happy that you have helped me to help myself, I just wish that I had done something like this before, still better late as they say.

Good sources of information on FODMAPs:

A great article all about FOMDAPs

Monash University FAQs

A great (and reliable!) FODMAP blog with recipes

 

 

How to choose a healthy yogurt

Sainsbury’s sell about 400 different yogurts, with two aisles at my local one devoted to a  technicolor of the tubs, pots and bottles.Unknown-11

So what’s the difference between them all. How do you choose a good one? What is the Confuseddifference between plain and natural, Bio and live cultured, Greek and Greek Style, are low fat yogurts always loaded with sweeteners and thickeners, why does natural yogurt have sugar on the nutrition label? I’m an avid nutrition label reader (it’s part of my job), and I have to admit to being left confused and overwhelmed.

Yogurt is big business. In 2014, 80% of us bought it – that’s almost 42 million British stocking up on the (mostly) good stuff. 57% of British adults have yogurt as a dessert. Natural yogurts are the only variety that men are more likely to buy than women.

What makes yogurt ‘yogurt’??

Yogurt is made by fermenting milk with two very specific types of harmless bacteria Lactobacillus bulgaricus and Streptococcus thermopiles (these are the only 2 cultures required by law to be present in yogurt).

The bacteria that are added to milk convert the naturally occurring sugar in milk Unknown-2(lactose) into lactic acid, which causes the milk to thicken, giving yogurt its characterised consistency and tangy taste. People who have difficulty digesting lactose in milk are generally able to tolerate yogurt better: this is because some of the lactose in yogurt has been broken down by the harmless bacteria used to make the yogurt.

Extra bacterial cultures, such as Lactobacillus acidophilus, Lactobacillus casei, and Bifido-bacteria may be added to yogurt as probiotic cultures. These probiotic cultures benefit human health by improving lactose digestion, gastrointestinal function, and stimulating the immune system.

In the UK, yogurt is most commonly made from cows’ milk and can be made using full-fat or lower-fat milk. New variations are also available: soy, coconut, sheep’s, goat.

  • Plain/natural: yogurt at its simplest, with no additional ingredients. Just milk and the bacteria
  • Flavoured: with added sugar, honey, fruit juice, natural flavours, sweeteners, syrups, whole or puréed fruit and/or cereals.
  • Low-fat: contains no more than 3 grams of fat per 100 grams.
  • Fat-free: contains no more than 0.5 grams of fat per 100 grams.
  • Light: contains 30% less of a specific nutrient (for example, sugar or fat) compared to a range of similar products.
  • Greek yogurt (not Greek Style yogurt): genuine Greek yogurt is made by straining regular yogurt, removing the liquid whey and resulting in 2 to 3 times higher protein content.Unknown copy 7  Greek yogurt is available in full fat, reduced fat and 0% fat. Even the 0% fat Greek yogurt is much thicker than regular yogurt. Total by Fage is a popular one.
  • Live yogurts:  The majority of yogurts sold in the UK are ‘live’ yogurts – this means that they contain live bacteria, even if not stated on the label. Some yogurts have extra beneficial bacteria added e.g. Lactobacillus acidophilus, Lactobacillus casei, and Bifido-bacteria. To identify if there are these extra biocultures added, you need to look on the ingredients label (due to EU legislation a manufacturer can not claim on the front of the pot that it contains ‘probiotics’)
  • Calcium: Yogurt made from milk is one of the best absorbed dietary sources of calcium. Calcium is needed for the development and maintenance of healthy bones and teeth and is also important for blood clotting, wound healing and maintaining normal blood pressure. Most yogurts also contain varying amount of vitamins B6 and B12, riboflavin, potassium and magnesium.
This unsweetened natural yogurt has 6.5g of natural milk sugar (lactose)

This unsweetened natural yogurt has 6.5g of natural milk sugar (lactose)

Sugar: This is where it can get confusing. Many people ask me about yogurts and sugar, or make the comment that all yogurts are high in sugar. Because yogurt is made from milk, it will contain some naturally occurring sugars (lactose), from 3g/100g to 7g/100g; the amount of lactose depends on how much of it the bacteria has turned in to lactic acid.  So although a plain/natural yogurt does not have added sugar, on the nutrition label you will read that there is sugar……confusing!

However, many manufacturers load their yogurts with sugar and very sweet fruit purees or juice. Unfortunately, the label does not differentiate between the naturally occurring lactose and this added sugar.

This yogurt has a 15.2g sugars. About 7g of this is naturally occurring milk sugar (lactose = good), the remainder is added sugar (not good)

This yogurt has a 15.2g sugars. About 7g of this is naturally occurring milk sugar (lactose = good), the remainder is about 2 teaspoons of added sugar (not good)

How to choose a healthy yogurt

Ideally, choose a plain/natural yogurt and if you  want flavour or sweetness, add your own e.g. fruit, puree, vanilla extract, jam, sugar or honey. That way, you have more control over the amount of added sugars. One teaspoon of honey, jam or sugar is approximately 5g of sugar.

If choosing a flavoured yogurt, look for one that has below 12g/100g of sugar. This generally indicates that there has been less than a teaspoon of sugar added.

 

 

Below is a comparison of just a few of the most popular yogurts in UK supermarkets. I’m a fan of the Total Greek Unknown-10yogurts, due to the high protein, low sugar and extra bacteria probiotic bacteria Unknown-6added (high protein yogurts have been shown to make you feel full up for longer and reduce appetite). I must give St Helen’s Goat yogurt a try, nutritionally I would award it second Unknown-9place, but I’ve never tasted it! Onken Naturally Set also has a great nutritional profile, although lower in protein than Total.

 

All amounts are per 100g (about half a cup)

Calories Sugars Protein Fat Extra Probiotic bacteria added
Sainsbury’s Greek Style 120 5 4 9
Yeo Valley Full Fat Plain 82 7 5 4 Lactobacillus acidophilus and Bifidobacterium
Onken Naturally Set 68 3 4 4 Lactobacillus acidophilus, Bifidobacterium
Yeo Valley Greek Style 150 14 3 8 Lactobacillus acidophilus Bifidobacterium
Total Full Fat 96 4 9 5 Lactobacillus Acidophilus, Bifidus and L. Casei
Total 0% 57 4 10 0 Lactobacillus Acidophilus, Bifidus and L. Casei
Danio flavoured 100 12 7 2
Activia Strawberry 99 13 4 3 Bifidobacterium Lactis (Bifidus ActiRegularis®)
Yeo Valley Fruity Favourites 107 13 5 4 Bifidobacterium, Lactobacillus Acidophilus
Alpro Soy Cherry 73 9 4 2
Muller Crunch Corner Choc & Vanilla balls 148 18 4 5
Co Yo (coconut yogurt) 183 1 3 19
Woodland Sheep Natural 92 5 5 6 Lactobacillus acidophilus

 

St Helens Goats Natural 105 3 6 7 Lactobacillus acidophilus Bifidobacterium

Children’s yogurts are a WHOLE new ball game which deserve a post all of their own……watch this space!

8 Cures for Constipation

Constipation is something that most people suffer from time to time, or for the unlucky, everyday. It’s also something that most people don’t like to talk about, even to their doctor. It can make you feel horrible, lethargic and bloated. images-2

Not everyone has a bowel movement daily, but you may have constipation if you pass fewer than three stools a week, if you pass hard stools, strain more than usual or if you feel that you haven’t completely emptied your bowel. Get a check-up from your doctor just to make sure a medical condition isn’t causing the problem, especially if you’ve never been constipated before now, you have stomach pain, you’ve noticed blood in your stools or you’re losing weight without trying.

Here are the most common causes of constipation:

  • Diet: not enough fruit/veg/wholegrain food, (common with people adopting a high protein diet for weight loss/muscle gain) or eating too many refined foods e.g. white bread, pastries, pasta, biscuits, cake etc.
  • pregnancy hormones slow the contractions of the bowel, possibly to allow for more nutrient absorption from food.
  • iron supplements
  • IBS – an imbalance of gut bacteria results in an over production of methane gas when fermentable carbohydrate foods are eaten. Methane is thought to reduce bowel muscle contraction.
  • hypothyroidism – a common condition when the thyroid gland in the brain doesn’t produce enough thyroid hormone. This causes the body’s systems to slow down, including the digestion
  • diabetes – uncontrolled diabetes with high blood sugar levels can cause damage to the nerve endings in the bowel
  • possible intolerance to some foods e.g. dairy or nuts
  • medical conditions e.g. where the bowel has an extra loop, or the nerve endings in the rectum become desensitised

So what can you do to get things moving? If you don’t want to resort to medication/laxatives, here are 8 cures for constipation:

    1. fluid – having enough fluid in your bowel helps a lot! It doesn’t matter what you drinkbottled-water (contrary to popular belief coffee and tea aren’t dehydrating). Aim for about 2 litres of fluid a day. Water, warm water with lemon, peppermint tea etc.
    2. fruit – particularly kiwis, apples, pears, rhubarb, prunes, figs. Fruit is very effective as it acts as a natural laxative, acting as a softener by drawing water in to the bowel. The gentle fibre encourages the bowel muscles to contract, helping to move things along. If you are prone to bloating and wind, kiwis are the best (try two a day)
    3. glass of fruit juice – fruit juice has an ‘osmotic effect’ meaning that it’s sugar draws water in to the bowel, which is a great thing for people with constipation. This is why for some people prone to IBS with diarrhoea, they are advised to avoid fruit juice as it can make things even worse
    4. coffee – caffeine has a stimulatory effect on the bowel, meaning that it causes the gut muscles to contract. Many people find that a strong cup of coffee has them heading for the toilet within minutes!image
    5. flaxseed – rich in insoluble fibre, ground flaxseed absorbs water adding bulk to help move things through the digestive tract quickly. Sprinkle a teaspoon in to porridge, a bowl of soup, or try making this easy Bread
    6. yogurt – if your gut bacteria are out of balance, this can affect how your bowel functions. Yogurts contains good bacteria and when eaten daily can encourage gut microbiome. How to choose a healthy yogurt
    7. exercise – there’s an established relationship between our activity level and our bowel habits and in cases of vigorous exercise (e.g., running) there is evidence of a significant increase in activity helping with constipation.image
    8. magnesium supplement – worth trying, some people find relief within days by taking about 300mg magnesium citrate per day (this is perfectly safe). Magnesium is important for muscle contraction, and draws water into the bowel. If you have kidney or severe heart problems ask your doctor first.

9 of the Healthiest Supermarket Ready Meals

Microwavable Ready Made Meals: the antithesis of healthy eating. In an ideal world we’d spend the morning tending our vegetable patch/chickens in the back yard, then the afternoon pootling about  in the kitchen performing alchemy with our produce.

Historically, ready meals have been relegated by chefs th-2.jpegand dietitians to the bottom of the culinary and nutrition pile. Little boxes of mush, hidden from view in cardboard boxes, often providing your full daily requirement for unhealthy fats, salt, and sugar.

I took a detour down the ready made food aisle at my local Sainsbury’s the other day (that loon taking photos of the food was me). Things have changed. We appear to have had a quiet food revolution.

Aware of the growing market for health foods, supermarkets have used dieticians, nutritionists and chefs to develop a new generation of microwavable ready meals. Can you now ping yourself to health (on full power) in 3 minutes? Is a healthy microwavable meal a contradiction in terms? I’m prepared to eat my words and cautiously say, yes, maybe……

What to look for in a healthy ready meal:

  • you want to see what you are going to eat, so a clear container
  • an ingredients list that only has the names of actual food, like carrots, beans, chicken and rice. Not modified maize starch, stabilisers, di-, tri- and polyphosphates, citric acid, firming agents and maltodextrin
  • aim for 300-400kcal
  • how much veg can you see? Look for meals with about 1/3-1/2 colourful veggies
  • a good protein portion: 20-30g: the label on the back will tell you this, make sure you look per portion
  • Not too much carbohydrate – about 1/4 of the meal. Extra points for wholegrain rice, baby potatoes, quinoa, beans, lentils
  • Below about 1g salt per portion: Colour-coded nutritional information on the front  tells you at a glance if the food has high, medium or low (red means high, amber means medium, green means low)

 

Here are some of the best of the supermarkets’ own ranges:

306923270862Sainsbury’s My Goodness range: (£3.25, currently on offer £2.50) typically 300-400kcal per pack, plenty of lean protein, a lovely mix of colourful veg, with a controlled portion of carbs. Look for the ones with a green circle stating ‘high protein’.

 

M&S Balanced For You range: high protein, moderate carbohydrate meals. All meals provide slow release carbohydrate from various sources such as beans, puls20150617_084623es and vegetables. 20150617_084525

Miso Chicken Noodles; Aromatic CHicken Skewers; Spiced Cauliflower Rice and Chargrilled Tikka Chicken

 

 

Tesco Healthy Living: £2.00 Some of the Healthy Living range meals can be high in salt, lacking veg or a bit low on protein. Here are two of the better ones: Chicken Noodle Laksa, South Individual Indian Curry With Pilaf.

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Waitrose Love Life range: (£3.30, currently 3 for 2) fresh ingredients, 300-400kcal, high in protein (typically 27g per pack), lots of veg.295655

Chicken Madeira; Green Thai Chicken Curry231596-1

8 reasons you’re exercising more and not losing weight

So you’ve started eating better, walking more, going to the gym, or you’re training for a 5km race. Brilliant! You expected the weight to drop off, so why aren’t you seeing RESULTS?

Here are 8 top reasons:

  1. You are ‘good’ all day with your eating and are distracted enough to avoid eating too much. But by the evening you are hungry and attack the bread, cheese, breakfast cereal, biscuits, ice-cream etc. This is the most common mistake I see my clients making. You need to eat more during the day to stop the evening over eating.
  2. Exercising can result in an increase in your appetite, so you eat more. If you are genuinely more hungry, ensure you are eating protein at each meal (eggs, fish, chicken, cottage cheese are great choices), lots of fruit/veg, a high protein yoghurt, milky coffee or tea, water. Consider bringing a meal forward by an hour if you are ravenous.
  3. You eat more before and/or after your session to fuel the exercise. One of the most common mistakes I see is someone having a milkshake drink after 40 minutes in the gym to aid recovery, often followed with in a few hours of a normal meal. A typical bottle of milkshake will provide 300-400kcal, essentially replacing the calories you’ve just burned off. If you are exercising to lose weight, then you need a calorie deficit ie. burning more than you eat/drink.
    Post exercise shakes have their place, but watch the extra calories!

    Post exercise shakes have their place, but watch the extra calories!

    Although extra food/drinks may be necessary for long and strenuous workouts, for shorter workouts less than an hour, the need isn’t as significant. Normal meal and snacks around exercise should be enough eg. snack of an apple or banana 1-2 hours before a workout, yoghurt after.

  4. You are trying to be too healthy – yes really! You’re think you’re doing all the right things – snacking on nuts or rice cakes with peanut butter; lots of avocado in salads; extra pumpkin seeds and flaxseed in your porridge. Thing is, even healthy fats are high in calories: a tablespoon of most nutty things  have about 120 kcal. Half an avocado has about 150 kcal. They all add up.
  5. You think you can eat what you want because you exercise – if only! A 3 mile run will burn approximately 300 kcal. Not an excuse to have 6 biscuits or a whole pizza. Rewarding yourself with high fat/calorie ‘treat’ food can cancel out the good work done. Even professional athletes who have multiple training sessions each day have to be careful with their diets.
  6. You need to change your workout – you run for 40 minutes three times a week, or sit on a exercise bike and do some crunches. Your body adapts to what you do day in day out. You need to challenge your body. If you want to change, you need to change what you are doing!
  7. You sit down for the rest of the day – You have an intensive workout for an hour, so you don’t feel so bad about taking the car for journeys that you could walk. You need to stay as active as you can, humans are born to move. If you feel too exhausted to do anything but sit down for the rest of the day, you are probably over doing the exercise.
  8. Finally, if you feel that you really are exercising more and not over eating, you should visit your GP as you may have an underlying health condition e.g. Polycyctic Ovary Syndrome or under active thyroid. Signs of PCOS include irregular periods, acne, hairiness, anxiety/depression. Under active thyroid symptoms include feeling cold, tired, dry skin, constipation and depression. If you suspect

Seriously Healthy 1 minute muffin

UnknownHigh in healthy fats and protein, low carbs.
The main ingredient in these healthy muffins is ground flaxseed. Flaxseed is a source of healthy fat, antioxidants, and fiber; rich source of micronutrients, dietary fiber, as well as manganese, vitamin B1, and the essential fatty acid omega-3.

imageModern research has found evidence to suggest that flaxseed can also help lower the risk of diabetes, cancer, and heart disease. I regularly recommend it to patients especially for constipation.

Flaxseed can be bought in most of the big supermarkets or health food images-3shops (it is the same as ground linseeds – my Mum tells me they used to put linseed oil on horses tails to make them healthy and shiny)

Add a little bit of honey/maple syrup/agave nectar/sweetener/raisins if you like (they can be a little bland without any sweetness!)

Nutrition info: 320 kcal, 1g carbohydrate, 16g protein

  • 1/4 cup flaxseed
  • 1/2 teaspoon baking powder
  • 1 teaspoon cinnamon
  • 1 egg
  • 1 teaspoon light vegetable oil, such as olive oil
  • optional sweetener of choice (1/2 teaspoon sugar/honey etc)
  1. 
In a coffee mug, stir together 1/4 cup of flax meal, 1/2 teaspoon of baking powder, sugar/honey/sweetener if using and 1 teaspoon of cinnamon. Be sure to use a coffee mug, not a cup.
  2. Add 1 egg and 1 tsp. of oil to the dry ingredients and mix well.
  3. Microwave the mug for 45 to 60 seconds.
  4. Pop the muffin out of the mug and enjoy.

Eat on the run, or serve with a high protein yogurt and berries.

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Medical News Today article on Benefits of flaxseed