Micaela Karlsen, PhD, MSPH Archives - Forks Over Knives https://cms.forksoverknives.com/contributors/micaela-karlsen/ Plant Based Living Wed, 18 Oct 2023 09:15:19 +0000 en-US hourly 1 https://wordpress.org/?v=6.2.2 https://www.forksoverknives.com/uploads/2023/10/cropped-cropped-Forks_Favicon-1.jpg?auto=webp&width=32&height=32 Micaela Karlsen, PhD, MSPH Archives - Forks Over Knives https://cms.forksoverknives.com/contributors/micaela-karlsen/ 32 32 Pioneer Gingerbread https://www.forksoverknives.com/recipes/vegan-desserts/pioneer-gingerbread/ https://www.forksoverknives.com/recipes/vegan-desserts/pioneer-gingerbread/#comments Sun, 09 Oct 2016 17:15:15 +0000 http://www.forksoverknives.com/?post_type=recipe&p=32222 As a child, I was a big fan of Laura Ingalls Wilder’s Little House on the Prairie series, and some of my...

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As a child, I was a big fan of Laura Ingalls Wilder’s Little House on the Prairie series, and some of my favorites parts of those books are the descriptions of what they ate. Almanzo’s childhood culinary recollections in Farmer Boy are particularly vivid. It sort of sounds like a nonstop year-long dinner party! A few years ago I was fortunate to come across on the internet a letter that Laura, at that time in her 80s, sent to a friend in 1953, enclosing her recipe for gingerbread. It’s been a labor of love to create a healthier version of this pioneer treat that still does justice to the original flavor, but leaves out the eggs and lard.

From A Plant-Based Life: Your Complete Guide to Great Food, Radiant Health, Boundless Energy, and a Better Body

Yield: Makes one 3-quart dish
  • 3 cups spelt flour
  • 1 tablespoon baking powder
  • 1 teaspoon baking soda
  • 1 teaspoon ground ginger
  • 1 teaspoon ground cinnamon
  • 1 teaspoon ground allspice
  • ½ teaspoon ground nutmeg
  • ½ teaspoon ground cloves
  • ½ teaspoon salt
  • 1 cup maple syrup
  • ½ cup applesauce
  • ¾ cup molasses
  • 2 tablespoons white vinegar

Instructions

  1. Preheat oven to 375ºF. Line a 3-quart rectangular baking dish with parchment paper. In a medium bowl whisk together the first nine ingredients (through salt).
  2. In a large bowl stir together the remaining ingredients. Add 1 cup boiling water; stir to combine. Slowly add flour mixture while stirring just until combined. (The batter will be quite thin.) Pour batter into prepared dish.
  3. Bake 35 minutes, or until a toothpick inserted in center comes out clean. Cool in dish 20 minutes. Remove gingerbread from dish. Cool completely on a wire rack.

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5 Ways To Make Healthy Eating Habits Stick https://www.forksoverknives.com/wellness/5-tips-turn-healthy-behaviors-habits-stick/ https://www.forksoverknives.com/wellness/5-tips-turn-healthy-behaviors-habits-stick/#respond Wed, 20 Apr 2016 23:49:57 +0000 http://www.forksoverknives.com/?p=28794 We know most fad diets don’t work and sustaining a diet for the long term is where the rubber meets the road for...

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We know most fad diets don’t work and sustaining a diet for the long term is where the rubber meets the road for many people. After the initial burst of enthusiasm and good intentions have worn off, a new diet gets harder and harder to maintain. What can we rely on to stay on track in those moments in the grocery store, at work, at friends’ houses, and even at home? Success comes when our behaviors change from intentional to automatic—in other words, when we stop thinking about what we’re doing and can act on impulse1,2. Here are five tips to strengthen your habit-formation around healthy eating and make your transition sustainable and permanent.

1. Avoid Making Decisions as Much as Possible

Making decisions is where diet changes often break down in practice, and the average person makes about 200 food-related decisions daily.3 All those decisions can lead to decision fatigue, which erodes your willpower.4 Try to set up your life so that your food-related decisions are minimized and the healthiest choice is also the easiest. How to do this? Stock your house and kitchen with healthy food and be as consistent with your intentions as much as you can, such as by bringing food with you during errands and trips so you don’t need to forage in a gas station and keeping food (that you like!) in your desk at work so you don’t have to resort to the vending machine or unhealthy snacks laying around the office.

2. Decide in Advance When Decisions Will Be Needed

The challenge to fully getting out of the Pleasure Trap is that addictive foods can feel good in the immediate moment. That’s why people who create implementation intentions tend to be more successful at creating new habits than those who don’t.This means making a plan with yourself before you get to the decision-making point. Going out to eat with friends on Friday? Look at the restaurant’s menu online and figure out what you’re going to order in advance. When you get there, enjoy the company and don’t spend your energy and time figuring out how to navigate the menu.

3. Change Your Environment to Break Bad Habits

Breaking habits is hard when you’re accustomed to behaving in a certain way in a certain context, but even making changes to your environment that don’t seem food-related can help you in interrupting your typical patterns5. When you’re starting a new behavior, try shopping in a new grocery store or rearranging your furniture. These physical changes can help you shift your feeling about what is normal, which can help make other changes seem normal too.

4. Don’t Let Yourself Get Too Hungry

Practicing self-control, and the capacity for it, are both correlated with stored glucose levels in the brain.6,7 That means making decisions can make you tired, and it also takes energy and can contribute to getting hungrier.8 Even cravings can be intensified, as researchers have long noted in the context of studying withdrawal.9 The moral of the story? Plan ahead and bring snacks so you can avoid feeling “hangry,” the moment when you’re most likely to veer off course.

5. Focus on Supporting Yourself in the First Few Weeks

The good news about diet and habits is that most behaviors repeated on a regular basis turn into habits. While intentions matter at the beginning of a new behavior, they matter less and less as habits become stronger.1 Plus, simply repeating a behavior will strengthen the automaticity with which you do it—so at the beginning of any dietary change, know that the first few weeks will take some work, but if you can support yourself in as many ways as possible so you repeat the behavior as frequently as possible, you’ll be paid back as it becomes habit that much more quickly. Besides doing the four things listed above, “supporting yourself” could also mean connecting with other plant-based eaters, journaling about your experiences, or using a reminder or scheduling app on your phone. Just do what works for you, and what will help keep you on track.

The longer you eat plant-based, the more automatic and easier it will be, so you’ll need to rely less and less on these strategies to stay on track. Once you’re in a routine of plant-based eating, you won’t have to stop to think about it, and you can just enjoy being a healthier, happier, more effective person in the world!

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Reading Nutrition Labels and Food Packaging: Four Tips for Savvy Shopping https://www.forksoverknives.com/wellness/reading-food-packages-and-nutrition-labels-four-tips-for-savvy-shopping/ https://www.forksoverknives.com/wellness/reading-food-packages-and-nutrition-labels-four-tips-for-savvy-shopping/#respond Mon, 01 Feb 2016 17:47:08 +0000 http://www.forksoverknives.com/?p=27718 While about three-fourths of Americans might use the Nutrition Facts panel at least some of the time, most people have only a...

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While about three-fourths of Americans might use the Nutrition Facts panel at least some of the time, most people have only a limited understanding of what it means when reading nutrition labels. Use this guide to separate fact from fiction at the grocery store.

1. Focus on foods without labels.

Let’s get this out of the way right now: Our goal is not to eat a lot of foods that require packaging or labels.

Picture your refrigerator full of green kale, yellow lemons, red apples, and a rainbow array of fresh fruits and vegetables, and your pantry brimming with whole grains and red, yellow, orange, black, white, and brown legumes, potatoes, sweet potatoes, and a sampling of nuts and seeds.

Most of these items can be purchased without packaging (unless the package just functions to hold a single ingredient, like raisins or beans), because they are intact, whole natural foods … and we want these to comprise the bulk of our diet. However, there are a variety of prepared and lightly processed foods that make eating a whole-food, plant-based diet a lot easier to maintain—for example, whole-grain products like crackers, wraps, and pizza crusts; canned products like beans, tomato paste, and tomato sauce; boxed products like plant milks, and of course frozen fruits and vegetables.

2. Don’t believe anything you read on the front of a package.

Food packages tend to be plastered with bold, exciting, and mostly meaningless, unregulated assertions. Rule number one, as registered dietitian Jeff Novick likes to say, is “don’t believe anything you read on the front of a package.” In other words, be wary of deceptive marketing hype that makes junk foods appear healthy.

The Food and Drug Administration (FDA) is the regulatory body that sets the standards for health claims on food packages and labels. However, the FDA’s ability to regulate unfounded claims is severely limited, both legally and practically, due to limited resources for investigation and enforcement.

(For those of you who want a more detailed explanation of food packing claims, see my breakdown below.)

3. Read the ingredient list.

Reading the ingredient list is key. Aim for shorter ingredient lists with recognizable ingredients, and watch out for words ending “ose.” That signifies the substance is a sugar. Ingredients are listed in order of descending volume, so if you see wheat flour first followed by glucose, high-fructose corn syrup, and maltose, it’s likely the total sugar from those three (by weight) adds up to more than the amount of flour.

In addition, don’t fall for any promises that a flour is made from whole grains unless the ingredient listed is “100% whole wheat flour” or “100% whole grain spelt flour,” or the like.

4. Check the Nutrition Facts panel.

Now you can move on to the Nutrition Facts panel—something to always check! Here’s an overview of what’s important:

Fat

Although the Nutrition Facts label no longer includes calories from fat, you can find that out yourself with a few calculations. A gram of fat equals 9 calories, so first multiply the total grams of fat by nine. Divide that number by the total calories. Multiply the result by 100 to find the percentage. Aim for the fat calories to be 15% of total calories or less (so that’s fat calories/total calories < 0.15). Doing this calculation will steer you toward foods that have little to no added fats and oils.

Nutrition Facts label

Cholesterol

Next, note the cholesterol count. Plant foods don’t contain cholesterol, so if you see anything greater than “0” next to cholesterol, that’s a clue to reread the ingredient list and check for hidden animal products.

Sodium

The USDA has set 2,300 mg as the upper safe limit for daily sodium intake. If you eat only meals like the ones on our recipe pages, with almost no added salt, you’ll still easily get adequate sodium from whole plant foods. So if you eat any packaged or prepared foods, keeping to the 2,300 mg limit (or better yet, 1,500 mg) is possible only by eating foods that contain very little to no added sodium. Jeff Novick’s handy trick is to make sure the milligrams of sodium don’t exceed the calories per serving. 

Sugar

Finally, take a look at the sugars. Remember that whole plant foods will contain some naturally occurring sugar (which, unlike highly processed sugar, comes packaged with fiber and other nutrients). However, you’ll want to avoid products that have a significant amount of sugar added. The new Nutrition Facts label, which completed its rollout in January 2021, discloses the amount of added sugars in a given product, making it easier than ever to check for this. 

2 Nutrition Facts Elements Not to Worry About

Protein: Don’t worry about the protein! If you eat a whole-food, plant-based diet, you will naturally get all the protein you need, without having to think about it. 

Daily Values: The amount of any particular nutrient that we absorb and metabolize can vary widely from person to person and time to time, based on a multitude of factors, including our need at that moment, and what else we eat at the same time, At best, food labels provide ballpark estimates of nutrient content, given the poor quality assurance, inadequate sample sizes, and lack of evaluation standards common in the industry. Another reason not to get too excited about using the Daily Values is that they were calculated only for adults and haven’t actually been updated in decades.

How to Decipher Food Packaging Claims

There are three types of potentially misleading packaging claims: health claims, structure/function claims, and nutrient claims. The FDA is the regulatory body that sets the standards for these claims. However, the FDA’s ability to regulate unfounded claims is severely limited, both legally and practically, due to limited resources for investigation and enforcement.

Health Claims and Structure/Function Claims

To most consumers, all three types of claims look pretty similar, particularly the first two. Here are the technical descriptions of both:

  • Health claim: Includes an evidence-backed statement relating a food or food component to a disease or health outcome. These claims have to be reviewed and evaluated by the FDA prior to use.
  • Structure/function claim: Describes the effect that a “substance” (rather than a nutrient or food) has in affecting the normal structure or function in the body, without making reference to a disease. No evidence review from the FDA is required; the manufacturer merely has to submit a letter declaring its intent to use the claim and include the disclaimer “This statement has not been evaluated by the FDA” on its packaging. Here are some examples of each kind—can you easily tell them apart? Verbs like “support,” “maintain,” and “boost” are often used in structure/function claims.
 Health Claims Structure/Function Claim
 Lowers cholesterol Helps maintain normal cholesterol levels
 Reduces risk of osteoporosis Helps build strong bones
 Reduces risk of urinary tract  infections Helps maintain urinary tract health

Nutrient Claims

The third kind of claim, a nutrient claim, makes a statement about the nutrient content of the food, and for example, may use the words “good” or “excellent.” Use of these two words is based on the daily values (DV) for each nutrient. For instance, a package can claim its contents to be a “good source of calcium” if one serving contains 10 to 19% of the daily value for calcium. An “excellent source” is defined as 20 percent or more of the daily value.

However, as discussed above, we don’t recommend trying to organize your diet around meeting recommended levels of particular nutrients. 

The Bottom Line

Remember, the fewer packaged/labeled foods you eat the better. When buying packaged foods, don’t pay attention to words like natural, wholesome, and optimal—they don’t mean anything. Instead, focus on reading the ingredients list and the Nutrition Facts panel. Following these simple guidelines and finding your go-to brands will make healthy eating a whole lot easier. And know that the more you practice deciphering product packaging, the easier smart shopping will be.

To learn more about a whole-food, plant-based diet, visit our Plant-Based Primer. For meal-planning support, check out Forks Meal Planner, FOK’s easy weekly meal-planning tool to keep you on a healthy plant-based path.

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Apple-Lemon Breakfast Bowl https://www.forksoverknives.com/recipes/vegan-breakfast/apple-lemon-breakfast/ https://www.forksoverknives.com/recipes/vegan-breakfast/apple-lemon-breakfast/#comments Thu, 05 Jan 2017 19:41:26 +0000 https://www.forksoverknives.com/?post_type=recipe&p=33101 Fresh and deliciously filling, this apple-lemon breakfast bowl is beautifully flavored with dates, cinnamon, and walnuts. From A Plant-Based Life: Your Complete...

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Fresh and deliciously filling, this apple-lemon breakfast bowl is beautifully flavored with dates, cinnamon, and walnuts.

From A Plant-Based Life: Your Complete Guide to Great Food, Radiant Health, Boundless Energy, and a Better Body

Yield: Makes 1 to 2 servings
  • 4 to 5 medium apples, any variety
  • 5 to 6 dates, pitted
  • Juice of 1 lemon (about 3 tablespoons)
  • 2 tablespoons walnuts (about 6 walnut halves)
  • ¼ teaspoon ground cinnamon

Instructions

  1. Core the apples and cut into large pieces.
  2. Place dates, half of the lemon juice, walnuts, cinnamon, and three quarters of the apple in the bowl of a food processor. Puree until finely ground, scraping down the sides of the bowl as needed.
  3. Add the remainder of the apples and lemon juice and pulse until the apples are shredded and the date mixture is evenly distributed.

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Plant-Based on a Budget: Strategies for Affordable Cooking and Eating https://www.forksoverknives.com/wellness/plant-based-budget-strategies-affordable-cooking-eating/ https://www.forksoverknives.com/wellness/plant-based-budget-strategies-affordable-cooking-eating/#respond Tue, 09 Aug 2016 01:43:22 +0000 http://www.forksoverknives.com/?p=29759 The following is an excerpt from A Plant-Based Life: Your Complete Guide to Great Food, Radiant Health, Boundless Energy, and a Better...

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The following is an excerpt from A Plant-Based Life: Your Complete Guide to Great Food, Radiant Health, Boundless Energy, and a Better Body.

Many people mistakenly believe that plant-based eating is more expensive, but it doesn’t have to be. What can get expensive quickly is buying lots of “faux” meats and cheeses (real meat and cheese is already costly), packaged and prepared food, and takeout. A diet composed of simple, wholesome ingredients can actually cost less than one that includes meat. Here are some strategies you can use to keep costs low:

  1. Join a CSA (community supported agriculture) program.
  2. Buy foods from the bulk section of a store.
  3. Place wholesale orders together with other people.
  4. Prioritize whole, plant-based food over organic.
  5. Shop at big box stores for staples (their inventory is expanding).
  6. Start a garden or container garden; you can get free seeds from your local Cooperative Extension.

Given all the sources of affordable plant-based foods, it really is possible not to spend more. This table compares the cost of two plant-based dinners using groceries purchased at Walmart in Pennsylvania in 2015 to the epitome of cheap food—McDonald’s—for a family of four. These meals assume you have a few spices and vinegars at home in the kitchen, but the cost of these is factored into the comparison.

Dinner for Four, Four Different Ways

food costs table

*Additional research by Kathy Pollard.

Excerpt from A Plant-Based Life: Your Complete Guide to Great Food, Radiant Health, Boundless Energy, and a Better Body by Micaela Cook Karlsen. © 2016 Micaela Cook Karlsen

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Essential Tips for Plant-Eaters in a Meat-Loving World https://www.forksoverknives.com/wellness/essential-tips-for-plant-eaters-in-a-meat-loving-world/ https://www.forksoverknives.com/wellness/essential-tips-for-plant-eaters-in-a-meat-loving-world/#respond Fri, 09 Oct 2015 05:39:23 +0000 http://www.forksoverknives.com/?p=26534 Eating differently from the rest of the world can feel like a challenge, but with a little strategy, it can be easy...

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Eating differently from the rest of the world can feel like a challenge, but with a little strategy, it can be easy to keep up a plant-based lifestyle:

1. Know where to find your food.

Not every grocery store supplies whole plant-based foods in the variety you want at the right price. Take the time to check out options near you, including food co-ops, community supported agriculture (CSA) shares, which give you a season’s share of a local farmer’s harvest (often organic and a great value), and bulk sections of grocery stores. Even dollar stores and Walmart are worth checking out, especially if you’re on a tight budget (read about a great example HERE).

2. Treat others the way you want to be treated.

Not everyone wants the same thing, and this is true when it comes to our diets. Some people may be excited to try eating the way you eat, some may just be happy for you, and some may not be interested all. A real friend will respect your choices, and you can return the favor by respecting theirs, whatever they are. Check in with yourself when you’re about to share about how you eat—did the person ask you with open interest, or are they not really looking for an exchange of ideas and a real discussion?

3. Call ahead and speak up in restaurants.

Eating out is getting easier, as more and more plant-based options are cropping up on restaurant menus. However, these dishes are still prepared with oil and/or sugar more commonly than not, so never hesitate to call ahead when planning an evening out. You can also ask your server for suggestions given your dietary preferences. Replacing salad dressing with avocado and vinegar or lemon juice is one tried-and-true method for cleaning up almost any salad. You can also try ordering a variety of sides as your main course, asking that your veggies be steamed instead of fried or sautéed, or requesting the sauce on the side.

4. Rely on planning, not willpower, to stay plant-based.

Willpower most likely developed to help humans navigate social tensions, not so we could prevent ourselves from eating. We are designed to keep eating until we’re full! If you know you’ll be away from home for a while, be sure to plan ahead and bring enough food for snacks and meals, or make a plan of where you’ll stop to grab something healthy.2

5. Stick to the healthy basics when traveling.

If you didn’t have a chance to pack your meals and snacks, don’t worry. You might not normally eat mostly raw fruits and vegetables or make whole meals of fruit alone, but there’s no reason why you can’t throw one in there from time to time! The biggest challenges in traveling are stopping at highway rest areas, gas stations, and waiting in airports, because of their lack of healthy meals. Fortunately, almost every gas station and airport convenience store sells fruit. Need to load up on a quick meal? Just buy 5 or 6 bananas and/or apples—each one runs about 100kcal.3

References:
1. Baumeister RF, Bratslavsky E, Muraven M, Tice DM. Ego depletion: is the active self a limited resource? Journal of Personality and Social Psychology. 1998;74(5):1252-1265.
2. Gailliot MT, Baumeister RF, DeWall CN, et al. Self-control relies on glucose as a limited energy source: willpower is more than a metaphor. Journal of Personality and Social Psychology. 2007;92(2):325-336.
3. USDA National Nutrient Database for Standard Reference, Release 27. 2014.

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Do Different Bodies Really Need Radically Different Types of Diets? https://www.forksoverknives.com/wellness/do-people-need-different-diets/ https://www.forksoverknives.com/wellness/do-people-need-different-diets/#respond Tue, 28 Jul 2015 00:03:30 +0000 http://www.forksoverknives.com/?p=25853 The concepts of personalized medicine and personalized nutrition have really taken off. People are eating according to their blood type, their metabolic...

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The concepts of personalized medicine and personalized nutrition have really taken off. People are eating according to their blood type, their metabolic type, their Ayurvedic constitution, and their genotype. Scientific research consistently finds that our responses to food may differ in degree, which means that some people can tolerate unhealthy food better than others. However, a misguided extrapolation of this notion leads many people to imagine that our responses also differ in direction, an example being that you need a vegetarian diet while I need a low-carb diet with meat and fish. Popular opinion asserts that “everyone is different” and you need to find “the right diet for your body.”

The idea that we are uniquely individual is accurate when it comes to our personalities, our aspirations, our contributions to the world, and to some extent our biology. But it is a big leap from noting that some people’s systems can better handle stress (unhealthy food is one form of stress) to stating that some people require entirely different categories of food than others.

Human beings are one species; we are all the same animal, with the same digestive physiology. And, as is true of all species, we do not require personalized nutritional programs unless we are dealing with a specific disease or some other very unusual condition. Even then, our differences are a matter of degree, not direction. One person might be able to handle more fat in the diet without gaining weight or developing heart disease, particularly if they are highly active. Another person might need to follow Dr. Caldwell Esselstyn’s low-fat plant-based diet strictly to reverse their advanced-stage heart disease. But eating a high-fat diet, or a high-protein diet, carries no health advantage for any of us, when compared with the well-documented benefits of eating a variety of whole, plant-based foods, in sufficient quantity to meet our caloric needs.

How Much Protein, Fat, and Carbs Do We Actually Need?

The National Academy of Sciences has actually written a sourcebook for the nutrient requirements of humans and many other species,[i] including cattle, swine, poultry, fish, dogs, cats, nonhuman primates, and more. These requirements are based on observed symptoms of deficiency at lower levels of consumption. While protein and fat requirements vary a bit depending on gender and life stage (babies and young children need a bit more of each), the recommendations for adults do not vary anywhere near the extent to which we humans currently vary our diets.

According to the National Academy of Sciences, Institute of Medicine’s macronutrient recommendations for humans*, we need:

  • Roughly 10% protein
  • At least 6% essential fats
  • At least 130 grams of carbohydrate

The average requirement for protein is set at one basic level for adults of our species: the RDA for protein is 0.8 grams per kilogram of body weight[ii] This translates to around 10% of calories from protein for the average person, a recommendation that is well padded with a safety margin designed to meet the needs of virtually all of the population. A few well-known low-carb diet plans, however, recommend eating 25% of calories from protein—far and away exceeding our requirement![iii] This is in spite of the fact that there are a multitude of animal studies[iv] [v] [vi] and human observational studies[vii] [viii] that caution against eating too much protein. (Many well-known medical authorities do as well[ix] [x].)

Where nutrition is concerned, it’s helpful to ask yourself, “Where in nature can I find an example of this?” And in this example of a very wide variation of nutrient intake, the answer is “nowhere.” In other words, you’ll be hard pressed to stumble upon horses that do better with some meat in their diet because of their blood type, or bears that need twice the protein intake of other bears. If they did, the ranchers and zookeepers would have quite a job on their hands, wouldn’t they? Somehow this logic evades us, when it comes to humans.

Our species has specific nutritional requirements, and we can meet them by eating whole plant foods in sufficient quantity to maintain healthy body weight, just as other animals do, in their natural environments.

Sources Cited:
[i] The National Academies Press. Accessed March 14, 2015.
[ii] USDA Dietary Reference Intakes. Accessed March 14, 2015. 
[iii] A Week of Paleo Meals. Accessed March 14, 2015. 
[iv] Appleton BS, and Campbell TC. “Inhibition of aflatoxin-initiated preneoplastic liver lesions by low dietary protein.” Nutr. Cancer 3 (1982): 200–206.
[v] Youngman LD, and Campbell TC. “High protein intake promotes the growth of preneoplastic foci in Fischer #344 rats: evidence that early remodeled foci retain the potential for future growth.” J. Nutr. 121 (1991): 1454–1461.
[vi] Youngman LD, and Campbell TC. “Inhibition of aflatoxin B1-induced gamma-glutamyl transpeptidase positive (GGT+) hepatic preneoplastic foci and tumors by low protein diets: evidence that altered GGT+ foci indicate neoplastic potential.” Carcinogenesis 13 (1992):1607–1613.
[vii] Levine ME et al. Low Protein Intake Is Associated with a Major Reduction in IGF-1, Cancer, and Overall Mortality in the 65 and Younger but Not Older Population. Cell Metab. 2014 Mar 4;19(3):407–17.
[viii] Fung TT et al. Low-carbohydrate diets and all-cause and cause-specific mortality: two cohort studies. Ann Intern Med. 2010 Sep 7;153(5):289–98.
[ix] High-Protein, Low-Carb Diets Explained, accessed January 15, 2015.
[x] High-Protein Diets, accessed January 15, 2015.

*DERIVING THE ABOVE MACRONUTRIENT RECOMMENDATIONS:
To calculate these numbers, you have to look at the Recommended Dietary Allowance (RDA) for protein and the Adequate Intake, or “AI”, set for essential fats in the Dietary Reference Intake (DRI) tables for macronutrient composition (reference #10). These DRIs are developed by the Institute of Medicine, based on the available relevant evidence. The RDA is a specific recommended level of intake that should be adequate for 97.5% of a normally distributed population. The AI is what most people in the population eat on average and is used when there is not enough evidence to set an RDA.
Using the average requirements as target intakes (a strategy even suggested in the DRI tables), a man weighing 175 pounds who eats a 2500-calorie diet would require 63.6g of protein and 18.6g of essential fats per day. The protein requirement is calculated by converting 175 pounds to 79.5 kilograms, and then multiplying 79.5 kilograms by 0.8 grams, the recommended daily protein intake based on body weight. The AI for essential fat is 18.6 grams for adult men. However, because whole plant foods naturally contain fat, if you eat a WFPB diet and don’t overdo the nuts and seeds, you’ll get more than the bare minimum of essential fats – around 40 grams is more likely.
PROTEIN: 63.6 grams at 4 calories per gram = 254 calories from protein.
FAT: 40.0 grams at 9 calories per gram = 360 calories from fat.
CARBS: The remaining calories are carbohydrate, which are calculated by subtraction:
2,500 (total) – 254 (protein) – 360 (fat) = 1,886 calories from carbohydrate.
In terms of percentage of calories, this comes out to approximately 10% protein, 14.5% fat, and 75.5% carbohydrate.

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Top 3 Ways to Get the Most Out of Your Doctor Visits https://www.forksoverknives.com/wellness/top-3-ways-to-get-the-most-out-of-your-doctor-visits/ https://www.forksoverknives.com/wellness/top-3-ways-to-get-the-most-out-of-your-doctor-visits/#respond Wed, 06 May 2015 15:06:35 +0000 http://www.forksoverknives.com/?p=24743 Plant-based diets are still far from mainstream, and especially in the medical community. Sometimes, this can lead plant-based eaters to think, “Hmm,...

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Plant-based diets are still far from mainstream, and especially in the medical community. Sometimes, this can lead plant-based eaters to think, “Hmm, I pay all this money, and I feel like I don’t even need the insurance – I hardly ever get sick!” How can you make sure you’re getting the most from your health plan, even when nutritional counseling isn’t part of your doctor’s approach to health? Try these three ideas to make sure you’re not missing out.

1. Make Sure You Like Your Doctor; If You Don’t, Switch!

Your doctor should be your ally. If you are lucky enough to locate a plant-based physician who accepts your insurance, you’ll be among the fortunate few who receive nutritional counseling from their primary care providers (PCPs). Even if you can’t find a plant-based physician, it’s worth searching for a doctor who connects personally with patients, is respectful of personal values and lifestyle choices, and is willing to take the time to explain without a “take my word for it” attitude.

You can check websites like Healthgrades and RateMDs, which provide patient reviews of doctors. Locating a physician who fits on your team is well worth the time and effort you’ll devote to shopping around.

2. Do Your Homework Before Visiting Your Doctor

An informed patient is an empowered patient. Whether you are sick or just have a question, you can make the most of the short time you have by writing down notes to discuss beforehand. Most doctors have less than ten minutes to actually talk to patients during appointments—not by choice, but as a result of the medical insurance wheel. So make the best use of the brief unstructured time with your doctor. And if you don’t have anything to ask, the rest of the world will thank you if you devote a few minutes to sharing some information about plant-based nutrition.

3. Take Advantage of Any Possible Preventative Services or Tax Deductions

While still unusual, corporate insurance coverage of select preventative or alternative wellness services (wellness visits, health coaching, or exercise classes) is slowly becoming more commonplace. Keeping employees healthy is in the employer’s best interest, because it translates to fewer employee sick days and lower employer healthcare costs overall. It’s worth checking with your employer to see if you’re eligible for any benefits that you are not aware of.

If you are not covered by employee health insurance but rather purchase your coverage individually through the government Health Insurance Marketplace, these plans provide certain preventative services (screening tests, counseling, and other services) for all enrolled adults. Finally, some physicians may not even be aware of reimbursement codes for group medical appointments which, depending on the insurance payer, might be used for group nutritional counseling. If you find a group nutritional counseling program you’re interested in attending, you should check with your provider to see if either your doctor or the non-physician provider can bill for these services using group visit coding.

Tax Deductions: Accidents, dental and eye care, medical conferences related to a disease you have, insurance premiums paid out of pocket, and other expenses may be deductible if they add up to more than 10% of your adjusted gross income (7.5% if you or your spouse is 65 or older). Check the relevant IRS page and/or consult your accountant to be sure. And remember to save your receipts!

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Careers in Plant-Based Nutrition: Options for Action in an Emerging Field https://www.forksoverknives.com/wellness/careers-in-plant-based-nutrition-options-for-action-in-an-emerging-field/ https://www.forksoverknives.com/wellness/careers-in-plant-based-nutrition-options-for-action-in-an-emerging-field/#respond Sun, 19 Jan 2014 13:00:03 +0000 http://www.forksoverknives.com/?p=15911 We need you. We have never before been faced with so much overweight, chronic disease, and associated emotional and financial ill effects...

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We need you. We have never before been faced with so much overweight, chronic disease, and associated emotional and financial ill effects of the standard American diet. We have much to do if we are to turn this situation around, and fortunately, many paths lead to positive change. If you feel an inner calling to get involved, responding effectively will both create personal fulfillment and allow you to make a crucial positive difference.

This article will discuss career options along five major paths―clinical practice, nutrition education, research, public health, and entrepreneurship. Let this information serve as inspiration and guidance in taking concrete steps toward creating the work you love. Your opportunity to live into your potential is the also the opportunity of the world to benefit from your contribution.

Clinical Practice

In the plant-based nutrition arena, the foundation of clinical practice is using nutrition for two purposes: (1) to treat patients who either suffer from or wish to prevent nutritionally controllable diseases, or (2) to help support their immune systems as they undergo conventional treatment for chronic or infectious disease. Treatment is the key word here―a clinician works with patients using nutrition as an intervention.

Patients may come to see you for a different reason, but as their health practitioner, you have an opportunity to deliver an extra diet-related message. In a clinical role, your job is to deliver specific behavioral advice. As their health practitioner, you are more likely to get through to them than a friend, a family member, or a book is.

The benefit of traditional clinical training is that it gives you a rigorous background in biological sciences―biology, chemistry, organic chemistry, biochemistry―and this training provides a strong foundation for your understanding of nutrition. At the same time, no accredited training program currently exists that focuses on plant-based nutrition, so you will need to seek out your own plant-based education.

At the present time, the pursuit of traditional licensure allows physicians and dietitians to offer clinical nutrition advice in all 50 states. Current legislation actually prohibits nutrition practice by many other professions in many states. While many health practitioners may wish to give dietary advice, or may already be doing so, they should be aware that depending on the state they live in, there are certain legal risks associated with this. The website Nutrition Advocacy maintains up-to-date information on the laws governing clinical practice by state and by profession.

One challenge of typical clinical practice is that the fee-for-service model defaults to seeing one patient at time―and this is difficult if each patient needs a full dietary overhaul. If you want to run a profitable business, you may want to consider using a group training model or perhaps partnering with a dietitian or nutrition educator to oversee group trainings.

Looking for some further education? In partnership with Cornell University’s eCornell Inc. online certificate program, the T. Colin Campbell Center for Nutrition Studies online course in plant-based nutrition offers 30 CMEs to physicians, nurses, and pharmacists. The Wellness Forum’s Diet and Lifestyle Intervention Course also offers a comprehensive live-teleclass series on using nutrition as an intervention.

If you wish to transition to clinical practice from a different background, you may need to complete a post-bac program for premed requirements or dietetic requirements before you can apply to medical or grad school.

Nutrition Education

Nutrition education is distinct from clinical practice in that educators do not treat patients for disease. Nutrition educators may provide one-on-one, or more often group training, to educate children and adults about nutrition and health outcomes. It’s important for educators to remain vigilant about not crossing the line between educating and treating. This is especially important for anyone pursuing health coaching or other professions whose scope of practice are not yet clearly defined. Again, the website Nutrition Advocacy can really come in handy.

One advantage of education is that group training, classes, and programs are a natural fit―which can potentially make the profession more financially sustainable for those running their own training programs.

Looking for some examples? Some nutrition jobs:

• A nutrition professor at a university or community college.
• A health teacher in an elementary, middle, or high-school setting.
• A curriculum developer for organizations with a nutrition-related mission.
• A hospital dietitian who runs group meetings with cardiac patients.
• A certified health education specialist who offers corporate presentations or special seminars in schools.
• A health coach who works with individual clients.

The training path is less clear cut, although people seeking a position in academia or medical education will share the need to learn about plant-based nutrition outside of their traditional education. Possibilities include traditional training in nutrition, exercise physiology, or health education; a public health degree; or any number of alternative, non-accredited programs, such as coaching training. Having a clear vision of what kind of lifestyle you want to lead is important in determining your educational path. Do you want to interact with a lot of people? Children or adults? Do you prefer live lectures? Teleseminars? Do you want to write? Develop educational materials?

Spending the time to visualize the life that would bring you the greatest personal fulfillment is essential. Once you have that in mind, it will be easier to see a path to your goal.

Research

Currently, only a handful of researchers are studying the effects of whole-food, plant-based diets. I hope we see some more in the coming years! Researchers’ activities usually include conducting original studies and publishing papers in scientific journals. With the exception of government-funded researchers, those in academia also usually have to write grants to support their studies and often their salaries. Teaching at the university level is a powerful way to influence the next generation of thinkers.

The Centers for Disease Control (CDC) and the National Institutes of Health (NIH) both have ongoing research positions, and any university with a nutrition or public health department is a possibility.

In academic settings, more prestigious universities often facilitate greater access to grant funding; however, there is often more pressure to “publish or perish.” As government grant funding has diminished slightly in recent years, more research grants are taken from industry. The resulting potential for compromised objectivity is something to be mindful of. At the same, conducting original research can be immensely exciting, as you are discovering the information that will inform our views in the future. You get to answer the unanswered questions.

Looking for graduate programs? Check out the American Society for Nutrition Graduate School Programs.

Public Health

Public health is a far-reaching field of practice that targets primary prevention―averting illness before it occurs, especially in programs targeting large populations.

Public health is one of the most versatile career paths, and an MPH (master of public health) or PhD degree in the field provides a wide range in scope of influence. There are opportunities for both international and domestic nutrition and food interventions. An MPH can be a transitional degree on your way to a career in nutrition research if you did not major in nutrition or a related field as an undergraduate. MPH graduates, compared to those with some other master’s degrees, also have strong employment statistics, always a good thing after paying for a degree.

What might public health practitioners get involved in?

• An intervention to increase the nutrition knowledge and fruit and vegetable consumption of children.
• An international program to improve farming practices and provide training in underdeveloped countries.
• Media/educational campaigns such as the “Let’s Move!” obesity initiative launched by U.S. first lady Michelle Obama in 2010.

Interested in learning more? Check out WhatIsPublicHealth.org and the Association of Schools and Programs of Public Health for some inspiration and ideas.

Entrepreneurship

Successful business ventures involve solving problems for many people at once. Plant-based entrepreneurs are pioneering solutions in the business, entertainment, and social media worlds, as well as monetizing their passion to deliver valuable products and services that will support their promotion of plant-based nutrition.

In developing the concept for your business, you may want to ask yourself:

• What problems does my market have?
• —What do they really need?
• —How can I solve those problems?

While you may be inwardly cringing at the thought of selling supplements, there are many examples of supplement-free plant-based businesses. Here are just a few:

Karelia―a company offering plant-based corporate wellness intervention.
VeganJobs―an information/directory site that connects job seekers with vegan employers.
VegNews and Vegetarian Times―vegan-targeted magazines.
Vegtoons―vegan cartoons.

You could also become a vegan personal chef or a vegan clothing designer, or you could launch a vegan catering company or a plant-based restaurant … the sky is the limit!

Relevant training could entail formal education such as attending business school or obtaining other traditional degrees relevant to your area of interest. Or it might mean attending seminar-style trainings by successful entrepreneurs such as T. Harv Eker (Peak Potentials), Tony Robbins, or others.

The most successful entrepreneurs have the capacity to assess their strengths as visionary, manager, or technician, and to partner with others whose skills and abilities complement their own.

The more people working to promote the consumption of a whole-food, plant-based diet the better; it is my personal hope that by the end of my lifetime a plant-based diet will be the new normal. We need your help to make that happen, in whatever way you are called to. As I move toward a career in research, I hope there will be ever-growing numbers of people to collaborate with.

Best wishes for your health, happiness, and professional fulfillment.

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Powders, Extracts, Oils, and Juices https://www.forksoverknives.com/wellness/powders-extracts-oils-and-juices/ https://www.forksoverknives.com/wellness/powders-extracts-oils-and-juices/#respond Tue, 06 Aug 2013 12:00:10 +0000 http://www.forksoverknives.com/?p=14034 They’re all around us — goji berries, chia seeds, maca, pomegranates, and the list goes on. Certain individual foods are labeled “superfoods”...

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They’re all around us — goji berries, chia seeds, maca, pomegranates, and the list goes on. Certain individual foods are labeled “superfoods” by the food industry and so concentrated powders, extracts, oils, and juices of these foods are then marketed as beneficial because of their supposed special effects. The claims around these concentrated forms of certain foods include “improves vitality,” “wards off disease,” or even “boosts libido.” The modern shopper is hopelessly confused as he or she tries to match a host of products with a wide array of specific desired benefits. Even the person on a whole-food, plant-based diet may wonder, ”Should I be taking something to make sure I’m getting enough antioxidants?”

Superfood is Neither a Technical Nor Scientific Term

Where are things going awry? In spite of the fact that the word “superfood” is neither a technical nor scientific term, some of these claims about specific nutrients do have research supporting them. However, focusing on any single nutrient or class of nutrients outside the context of the whole, natural foods that contain them is a misplaced emphasis; the total dietary pattern is what most influences health outcomes, even if experimental evidence exists that a particular nutrient may have a given effect on the body. The preoccupation with concentrated food substances is really an extension of the preoccupation with the specific nutrients or nutrient classes.

Popular media defines a “superfood” as a food that contains unusually high amounts of specific nutrients, often antioxidants — substances that combat cell damage due to aging and other factors. It’s easy to fall into thinking that if some is good, more must be better. What we are forgetting here is that eating more of a nutrient doesn’t necessarily mean that our bodies will use it; absorption and utilization are largely determined by the body’s need at the time of consumption along with many other variables. Drinking pomegranate juice or blueberry extract may do no more than put a hole in our pockets, along with encouraging overconsumption of simple sugars without the fiber those sugars are naturally paired with in the fruit. And in some cases an excess can be every bit as problematic for health as a deficiency.

What About Antioxidants?

The example of antioxidants illustrates the misconception around “getting enough” of this class of nutrients. When we’re eating a colorful whole-food, plant-based diet, we don’t need to concern ourselves with antioxidant deficiency. It is when we eat a diet poor in fruits and vegetables (and therefore antioxidants) that we need to worry about getting enough of them. Processed foods contain few antioxidants, because they are stripped during processing. And the antioxidants present in animal foods reside in the animal’s tissues only because it consumed plants during its lifetime. Why not eliminate the middleman and get the antioxidants directly?

When are plant-based “superfoods” good for us? When they are whole and part of a low-fat diet comprised of foods eaten fresh, as grown, then yes — absolutely! A diet that includes potatoes, rice, beans, bananas, apples, spinach, kale, corn, cucumbers, kumquats, squash, quinoa, lettuce, tomatoes, sprouts, nuts, strawberries, and whatever else you want to throw on the plate is a great program! Eating colorful foods is beneficial, as long as they are whole foods and not extracts, powders, or concentrated individual nutrients. Eating for variety and color is a strategy that will deliver all the nutrients we need (with the possible exception of vitamin B12), as long as we are consuming adequate calories. We need not worry about whether or how we are getting enough of certain single nutrients or classes of nutrients.

It might be easier to just call a whole-food, plant-based diet a “superdiet” and leave it at that.

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