Tag Archives: eggs

Fat is Flavor! Fat Delays Gastric Emptying!

Fat is flavor!  That’s one of the first things I learned in culinary school.  Fat delays gastric emptying!  That’s one of the first things I learned after I was diagnosed with Gastroparesis.  As I’ve been learning, some GPers can eat all the fat they want and some cannot.  Just as some GPers can tolerate more fiber than others.  Right now I would consider myself “middle of the road” as far as fat and fiber are concerned.

Before GP, I was living a very “clean” life…plenty of fresh fruits and veggies, whole grains, lean proteins and most importantly, healthy fats by way of olive, canola, fish and flax oils, avocado, peanut and almond butter, nuts, dark chocolate, egg yolks, naturally raised grass-fed meats and cold water fish.  Healthy fat helps with the absorption of many nutrients, keeps skin and hair healthy, improves cardiovascular health, reduces the symptoms of hypertension, depression and inflammation in the body and as we’ve all been told, delays gastric emptying.

After my diagnosis I shied away from fat altogether.  The GP diet is low-fat NOT no fat and I have to keep reminding myself of that.  We’ve all been there.  Newly diagnosed and still in the flare that was responsible for the diagnosis or just out of a flare and experiencing the fear and paranoia of putting ourselves back into one while being completely clueless as to what is safe to eat.

Food allergies and Gastroparesis have made me a very cautious eater.  You all know my motto: “Nothing tastes as good as being well feels!”.  I’m a “baby steps kinda gal” not a “leap before I look gal”.    While trying to safely and responsibly introduce foods back into my diet (healthy fat in particular), I’ve been using what I’ve nicknamed the Three Cs Method…Caution, Conservatism and Calculation.

Caution: I carefully choose meals I tolerate easily which are already very low or contain no fat to “improve” with a little healthy fat.

Conservatism: I add fat very slowly, in small increments until I feel I’m at a healthy and tolerable level for me.

Calculation: I keep in mind the other meals and fat contents I’ve already consumed that day when deciding how much fat to allow in a meal.

Examples of introducing more healthy fat into my day are:

Adding a tablespoon of strawberry banana flavored flax oil supplement to my morning Banana Chocolate Protein Smoothie adds 5 grams of healthy fat including Omega 3 fatty acids.  On the mornings I’m out of Barlean’s Omega Swirl I add a heaping teaspoon of smooth almond butter to my smoothie.  The recent addition of one tablespoon of natural cocoa powder in each serving of Mary’s No Sugar Added Instant Breakfast Powder adds an additional two grams of healthy fat to my breakfast.

Spreading mashed avocado onto my sliced turkey or chicken sandwiches has been another easy way to incorporate some healthy fat into my lunch when I’m not enjoying chicken, tuna or egg salad made with one tablespoon of Hellman’s Olive Oil Mayonnaise (50 calories, 5 grams fat).  According to www.avocadocentral.com, 1/5 or 1 ounce of a Hass avocado contains 50 calories, 4.5 grams fat, 1 gram fiber and 1 gram protein.  Avocado is also part of the menu that was provided by the dietitian and was suggested by a fellow GPer on the GP Yahoo group I belong to.  They are a friendly, kind and informative group I might add!

I juice my fresh fruits and veggies almost daily.  I find fat in liquid form or fat diluted in liquid much easier to tolerate.  I add 1 teaspoon of Barlean’s Fresh Catch Fish Oil to my juice.  It adds a pleasant orange flavor 45 calories and 4.5 grams of fat including healthy Omega fat.  Recently, when I was out of fish oil I quickly pureed a quarter of an avocado into my juice with my stick blender for an Omega boost.

I try to consume most of my eggs whole (with the yolk) and only make sacrifices when trying to bake a low fat, GP-friendly treat…remember treats and sweets after all nutritional needs are met.  Although the yolk is a significant source of cholesterol, it is full of important nutrients including fat soluble vitamins and essential fatty acids (according to www.cholesterol-and-health.com).

In keeping with advice I received during a webinar sponsored by G-PACT back in August, I try to introduce one new food back into my diet each week or so.  My most recent addition is poached salmon and I’m happy to announce it was a success.  I went the lazy route and purchased a package of wild pacific salmon prepared with salt and lemon from the refrigerator case at Trader Joe’s.  Each 3 ounce serving contained 90 calories, 1.5 grams fat, 18 grams protein and a whopping 1,000 mg of Omega 3 fatty acids.  It was delicious mixed with a little olive oil mayo, Penzey’s Mural of Flavor salt free seasoning and a squeeze of fresh lemon.

The very first meal I tinkered with was the Three Cheese and Spinach Pita Pizza which is almost fat free.  Each time I made one, I drizzled a little extra virgin olive oil over the fat free cottage, ricotta or feta cheese starting out with a 1/4 teaspoon and working up to 1 teaspoon of extra virgin olive oil which adds 40 calories, and 4.7 grams of mostly monounsaturated fat.  I enjoy the flavor of cold pressed extra virgin olive oil and just a teaspoon makes my pita pizzas taste more like the real thing.

During a quickie impromptu dinner.  I divided a teaspoon of extra virgin olive oil into thirds and drizzled it over each layer of a sweet potato I filled with 1/4 cup seasoned fat free ricotta cheese and cooked spinach.  Along with the 1/3 teaspoon of olive oil I salted and peppered each layer and finished with a dusting of finely grated Parmigiano Reggiano.  It was a simple, delicious and healthy dinner!

While I’m not an expert on GP, I’m becoming an expert on my own GP.  Right now, I feel most comfortable consuming 5 grams of fat at a time.  This isn’t a race…it’s a journey.  GP is a chronic condition so I have the rest of my life to tinker with my diet until I get to my most healthy and tolerated way of eating.  How are you able to incorporate healthy fats into your day?

Parmigiano Reggiano Lovers Rejoice!

I’ve always been a big fan of Eating Well Magazine.  They’ve never let me down and this time was no exception.  Spinach and parmesan baked into little individual quiche-like cakes…savory and delicious!  I adapted the following recipe for Parmesan Spinach Cakes to be more GP-friendly without sacrificing one morsel of Parmigiano Reggiano.  I’ve also cut out a few steps (that whole laziness thing).  The original recipe uses 12 ounces of fresh baby spinach that is chopped before being mixed into the other ingredients.  I always have a box of frozen chopped spinach in the freezer so I used that.  Feel free to pulse the spinach in the food processor if you’d like.  Don’t forget that a few fresh gratings of whole nutmeg make anything with spinach and parmesan sing.  These little guys are nice enough for the holiday table or can be paired with a cup of tomato soup for a quick and easy mini meal.  It is my pleasure to announce: The ‘King of Cheeses” is no longer in exile…long live the King!

Parmesan Spinach Cakes

Update 4/5/11 I’ve added some finely chopped fresh dill and a few tablespoons of fat free feta with tasty results.  Enjoy!

Serves 8

10 ounce box frozen chopped spinach, drained and squeezed of excess water*

1/2 cup fat free cottage cheese

1/2 cup grated parmesan cheese (weight is the most accurate measurement: 50 grams/scant 2 ounces)

2 eggs, beaten

2 cloves garlic, grated on microplane/rasp

1/4 teaspoon salt

1/4 teaspoon pepper

a few gratings of fresh nutmeg

Preheat oven to 400 degrees.  Spray 8 cups of a 12 cup muffin tin with olive oil spray.  Combine all ingredients and fill muffin cups evenly.  Bake for 20 minutes.  Let rest for 5 minutes in pan before running a knife around the edges to loosen.  Turn cakes out of pan.

*Puree in a food processor for a more uniform appearance, if desired.

Nutritional Information Per Serving:

1 per serving, serves 8

64 calories, 3 grams fat, 0.8 grams fiber, 6.7 grams protein

Kissin’ Cousins

As you all know by now this is a Gastroparesis recipe blog but it’s also meant to be my vehicle for being well by eating well and living well with a chronic digestive disorder.  This is the time that I would be irresponsible if I didn’t remind everyone that I’m not a Registered Dietitian, nutritionist, medical professional, therapist or personal trainer…just a trained chef and amateur nutrition sleuth who happens to have Idiopathic Gastroparesis.  Everything that I develop or write about is based on my own research and experiences with GP.

Recently, during my internet travels, I came across a local Registered Dietitian’s Webinar presentation and article regarding GI disorders including Gastroparesis.  When I dug a little deeper I discovered another article that stated she had gastroparesis.  What better source could there be?    In her presentation and article she stressed the importance of protein, Omega 3 fatty acids and getting enough daily servings of fruits and vegetables.  According to her, most women (GP or not) don’t get enough protein in their diets.  She stressed protein is important because it builds antibodies that build the immune system.  Women should aim for 50 grams of protein per day along with Omega 3 fatty acids, two to three servings of fruit and two to four servings of vegetables per day.  Anyone with GP knows that there are many days when this is a challenge so I thought I’d do my best to map it out using foods from the Gastroparesis Diet.

Examples of Protein Sources and Servings:

These are all averages.  Individual items may vary.

Dairy Protein:

1/4 cup fat free cottage cheese:  6.5 grams

1 cup fat free milk:  9 grams

Low fat/ fat free yogurt/greek yogurt:  3 to 16 grams depending on brand, serving size and variety

1/4 cup fat free shredded mozzarella cheese:  9 grams

1 scoop whey protein powder:  16 grams

Animal Protein:

1 egg:  7 grams

2 ounces cooked chicken breast:  18 grams

3 ounces cooked white fish (haddock/cod):  20 grams

1/2 5 ounce can of solid white albacore tuna in water:  6.5 grams

Vegetarian Protein:

1 tablespoon almond butter: 3.5 grams

soy protein powder/rice protein powder:  12 to 20 grams per scoop

1 cup almond milk:  1 gram

1/2 cup mashed sweet potato:  2.5 grams

1/2 cup cooked white rice:  2 grams

1/2 cup prepared cream of wheat:  1.9 grams

1 slice white bread:  2 grams

Nutrition Drinks:

Depending on the brand (Boost, Ensure, Orgain, Isopure, Slimfast, Carnation Instant Breakfast):  Up to 15 grams per serving.  Servings can be halved and/or diluted with water for snacks.

Examples of Omega 3 fatty acid Sources:

flax oil, fish oil, canola oil

fish

almond butter

omega 3 eggs

Examples of Servings Sizes for GP-friendly Fruit:

1 4″  banana

1/2 cup apple sauce

1/2 cup canned pears in juice

1/2 cup canned peaches in juice

4 to 6 ounces fruit juices

Examples of Serving Sizes for GP-friendly Vegetables:

1/2 cup sweet potato

1/2 cup mashed white potato

1 cup winter squash

1/2 cup cooked veggies: beets, carrots, spinach

1/2 cup baby food peas

6 ounces vegetable juice

I worry about getting enough nutrition on the GP diet and mapping out my nutrition give me some piece of mind that I’m doing the best I can for myself given the constraints of this condition and lifestyle.  I hope this information is helpful for everyone who shares my concerns.

This whole ‘nutrition tangent” inspired me to create Chocolate Almond Butter Protein Power Pudding…a “kissing cousin” to the original Chocolate Almond Protein Power Pudding.  I’ve swapped out the pureed cottage cheese for almond butter and upped the whey protein powder.  This might be an easier recipe for anyone who is dairy intolerant to adjust.  One little custard cup offers significant protein, calcium, and Omega 3 fat.  Slice half of a large banana on top and you’ve knocked one fruit serving off your day.  Caution: unlike his cottage cheese infused cousin, this version is not fat and fiber free…each serving contains 4 grams of fat and 2 grams of fiber due to the almond butter.

Chocolate Almond Butter Protein Power Pudding

Serves 2 but can be multiplied

1/2 3.9 ounce (4 servings) box chocolate instant pudding

1 cup fat free milk

1 tablespoon almond butter (softened if refrigerated)

1 scoop chocolate whey protein powder

sliced bananas (optional)

whipped topping and cocoa power (optional)

Combine all ingredients in a bowl starting with softened almond butter.  Whisk for 2 minutes or until smooth and stating to thicken.  Refrigerate until firmed and ready to eat.  Garnish with sliced banana, whipped topping and a dusting of cocoa powder if desired.

Nutritional Information Per Serving:

Based on 2 servings.  Does not include banana, whipped topping or cocoa powder.

248 Calories, 4 grams Fat, 2 grams Fiber, 14.25 grams Protein

Comfort Food

I woke up with the first head cold in years.  I can’t smell or taste so the pumpkin recipe I have planned has got to wait…stuffy head usually equals a few “salt lick” meal fiascos.  What I really wanted was easy (GP friendly) comfort food.  I had never heard of Matzah Brei before I met my husband.  Sure, growing up we  bought a few marked down boxes of matzah “crackers” at the market once Passover concluded.  Matzah Brei is special despite being super simple.   It can best be described as a matzo omelet enjoyed savory or sweet or maybe bite-sized shards of french toast.  My father-in-law liked grape jelly on his, my husband prefers raspberry or strawberry jam and cinnamon sugar, some people like maple syrup or honey (more of a dairy-free french toast concept) and I like mine with ketchup…considered quite the abomination by the way!

Matzah is available year round in the Jewish or Ethnic section of the market.  It’s sturdier than regular crackers and comes salted or unsalted.  The following recipe is how my husband’s family prefers to make theirs.  They have also been known to add a few Ritz crackers to the mix but this is the only way I’ve ever had or made Matzah Brei.  The original recipe uses vegetable oil or chicken fat.  I’ve sprayed the pan with cooking spray so the matzot may not get as crispy as it would made the traditional way.  Remeber, this is comfort food and like most “homey” dishes it’s not beautiful to look at but I hope you’ll try it and enjoy.  I “stepped outside the box” and enjoyed mine with seedless raspberry jelly and a generous sprinkling of cinnamon sugar.

Matzah Brei

Serves 2-3 but can be multiplied or reduced according to need

3 sheets of matzah

2 large eggs, beaten in a bowl large enough to accommodate matzot pieces

onion powder (to taste-some sweet people still like the onion flavor with their jelly, jam, cinnamon sugar, honey or syrup)

salt and pepper (bland items, eggs and matzot, usually require generous salting)

Break the matzot into bite-sized pieces (about an inch square) over a sieve and catch any crumbs falling from underneath on a paper towel.  Place sieve under warm running water and moisten matzot pieces until they are tender but not soggy or disintegrated…about 15 Mississippis.  Shake out any excess water.  Transfer with reserved crumbs to a bowl with the beaten eggs and season with onion powder, salt and pepper.  Preheat a sprayed non stick 10-12″ saute pan over medium high heat.  Add egg and matzah mixture and stir constantly until eggs are scrambled.  Serve with jelly, seedless jam, cinnamon sugar, honey, maple syrup or (gasp!) ketchup.

Lunch…the Most Predictable Meal of the Day!

Or maybe it should be titled Breakfast..the Most Predictable  Meal of the Day!  Both are pretty much set in stone right now.  I have a Chocolate Banana Protein Smoothie for breakfast everyday.  As far as I’m concerned not much can compete with 32 grams of protein, a serving of fruit, calcium and some vegetarian Omega 3s.  Plus it’s “calorically dense” enough to help maintain weight.

My lunch is almost as predictable…a glass of freshly juiced fruits and veggies with a teaspoon of orange flavored fish oil supplement, tuna or egg salad (each made with 1 tablespoon of Hellman’s olive oil mayo) on a white pita and 1 ounce of Lay’s baked potato chips.  I can’t explain it but there is something very soothing about baked potato chips.  I don’t know if it’s because they literally melt into nothing when eaten or if it’s the salt but either way they are easy to eat.  Pita bread is also a much easier alternative to gummy white sandwich bread.  This lunch is far from gourmet but it is easy to make, contains a decent amount of protein (approximately 10 grams for egg salad (made with 1 large egg)  and 17 grams for tuna salad (made with 1/2 can of water packed white tuna and a little fresh lemon juice), approximately 300 calories (not including juice or fish oil supplement), some healthy fat  and of course some fresh fruit and veggie vitamins.  Now that it’s getting colder a small cup of soup instead of juice might be a nice addition – especially to take out and about in a little thermos.  Besides the recipe for no puree Baby Food Sweet Potato Bisque (see 9/21/10 post) I’m working on a no puree Baby Food Green Pea Soup seasoned two ways.  Stay tuned!

This lunch also packs up easily into my stylish little “lunch box” that looks like a purse purchased at Homegoods for about $15.  It’s made by Fit & Fresh and comes with leakproof containers and lids as well as a removable ice pack that snaps into place.  I haven’t figured out how to keep my juice fresh for traveling so I usually substitute tomato juice.  We do have a Food Saver system that my mother-in-law purchased for us that supposedly takes the air out of canning jars preventing oxidation.  I will experiment with that and hopefully have a future post with the results.

A predicable day gives me the confidence to be a little more creative at dinnertime if I know I’ve gotten in some good nutrition and calories.  If anyone else has easy, healthy  lunch ideas they are welcome to share.

Sneaking in Those Greens

Frozen, chopped organic spinach is a staple in my freezer.  I purchase it 4 boxes at a time and have a defrosted, drained box in my fridge at all times.  Spinach is one of the veggies on the recommended list provided by the Dietitian.  Recently, at Whole Foods, I grabbed one of the booklets out on the tables in the dining area.  It suggested a clever way to get more greens by adding baby spinach or defrosted frozen chopped spinach to your morning smoothie.  The author promised that you wouldn’t even notice the spinach.  I thought about it for a minute and decided to give it a try with my morning Chocolate Banana Protein Smoothie.

I get the majority of my greens from juicing but for the days I know I’ll be out and about and not able to juice or know I’m going to be out for a GP friendly dinner of fish and baked potato, chicken and sweet potato or pancakes and scrambled eggs…all conspicuously devoid of greens it would be a great way to fill in the gap.  I’m happy to report that I put 1 1/2 tablespoons of chopped, defrosted, drained spinach in my smoothie this morning and all I noticed was a few green flecks.  Everyone is different so add whatever amount you feel comfortable with.  Also, everyone’s smoothie recipes are different so lighter flavors might not cover up the spinach taste as well as chocolate flavor.

Other easy ways to sneak in those greens:

Mashed Potatoes Florentine

Makes 4 generous servings

1 bag Ore Ida Steam & Mash Russets*

1 cup skim milk, low fat buttermilk, fat free half & half, chicken broth or a combination

frozen chopped spinach-defrosted and drained (snipped with scissors or pureed if necessary)-whatever amount is desired

fat free sprinkle cheese or grated parmesan

salt and pepper to taste

*OreIda Steam & Mash is a convenience item with a price to match (up to $3.99 a bag).  They’re good for hot or busy days when you don’t want to peel, chop and boil.

Make potatoes according to instructions.  My microwave is underpowered and it takes 20 minutes to cook potatoes thoroughly.  Heat spinach in microwave.  Mash potatoes with milk and stir in spinach, cheese and salt and pepper.

“Creamy” Chicken & Spinach Velvet Soup

I’m almost ashamed to call this a recipe but it helped get me throw the puree and liquid days.  The “velvet” comes from pureeing the pasta in the soup. It is warm, smooth and the prettiest shade of green.

1 19 oz can Homestyle Chicken Noodle Vegetable Soup*(not condensed)

frozen chopped spinach-defrosted and drained

leftover roasted chicken breast (for a little protein boost-optional)

*I use a local store brand because it doesn’t contain soy protein isolate.  I’m also, allergic to carrots and celery so I pick them out.  Leave the carrots in if you are able to eat them.

Thoroughly puree soup, spinach and extra chicken (if using) in a blender.  Transfer to a saucepan, heat and eat.

No Brown More White!

It seems so counter intuitive.  In order to feel well and digest my food it’s out with the brown (healthy whole grains with fiber) and in with the white.  I like to joke: salad=bad, poptarts=good.  I’m still uncomfortable with all the processed white food so I try to get my starch from bananas, baby food peas, mashed white and sweet potatoes with a few servings of white pita bread, pretzels, baked potato chips and assorted crackers.  I confess to indulging in the occasional low fat poptart (great for throwing in a carry-on when traveling) and pancakes are easy to order when out at a restaurant or when I don’t quite know what I want and its getting late.  This week I grabbed a box of low fat toaster waffles while marketing…easier than making pancakes for one and they inspired the following dinner.

Eggo Benedict

Serves 1 but can be easily multiplied

1 low fat frozen toaster waffle

1 triangle light Laughing Cow cheese (any flavor -I used Swiss)

cooked and drained chopped spinach

1 or 2 Poached eggs

Toast waffle and spread with Laughing Cow cheese.  Top with spinach and poached egg(s).