Free State Nutrition, LLC - Video Blog

Tea Time: CBD Oil

7/26/2019

Source: Emily Kyle, MS, RDN, CLT, HCP (Certified Holistic Cannabis Practitioner), www.emilykylenutrition.com
What is it
- CBD stands for cannabidiol, one of over 100 cannabinoids
- Derives from the hemp plant
- non-psychoactive, contains < 0.3% THC
- The Farm Bill passed in December 2018 both legalizes hemp as an agricultural commodity and removes it from the controlled substances list
Potential benefits (emerging research)
- Epilepsy and seizure disorders
- Pain and inflammation
- PTSD and anxiety
- IBD – Crohn’s disease & Ulcerative Colitis
- IBS – Irritable Bowel Syndrome
- Multiple sclerosis
- Opioid withdrawal
- Preventive health
How to use it
- Oils, Creams, Vaping
- Oils can be taken as a supplement (hold it under your tongue) or topically
- Find recipes on Emily's website
Cautions
- Dosing is individualized
- You can get too much, like anything else
- The industry is not regulated, like all supplements
  - Look for a safe, reliable brand
  - Emily offers recommendations
Side effects
- Nausea
- irritability
- increased INR (if on coumadin)
- increase other meds (like grapefruit juice)
How to Pick a Safe CBD Product
- Hemp Origin. Was the raw hemp used to produce the CBD produced in the United States? Ideally you want a product that was grown in the USA and organic, if possible (although nearly impossible to verify as USDA certifications are not yet available).
- Extraction Process - Was the product solvent extracted or CO2 extracted? Supercriticial CO2 extraction is the gold standard and safest extraction method. Solvent extractions leave behind unsafe and unwanted byproducts.
- Additional Ingredients - The only ingredients should be CBD extract and a carrier oil like MCT coconut oil or hemp seed oil. Avoid any additional artificial sweeteners, dyes, or unwanted ingredients.
- 3rd Party Verification - All products should come with 3rd party verification from an accredited lab and provide a Certificate of Analysis to prove that what is in their product is truly in the product.

Tea Time: Kidney Stones

6/11/2019

Symptoms
- Severe pain in the side and back, below the ribs
- Pain that radiates to the lower abdomen and groin
- Pain that comes in waves and fluctuates in intensity
- Pain on urination
- Pink, red or brown urine
- Cloudy or foul-smelling urine
- Nausea and vomiting
- Persistent need to urinate
- Urinating more often than usual
- Fever and chills if an infection is present
- Urinating small amounts
Types of stones
- Calcium
  - Oxalate (most common)
  - Phosphate
- Uric Acid (from gout or uncontrolled diabetes)
- Struvite (from infection, like UTI)
- Cystine
Risk factors
- Medications
  - protease inhibitors
  - antibiotics
  - some diuretics
  - seizure meds
- IBD (crohn's, ulcerative colitis)
- Gastric Bypass
- Hyperparathyroidism
- Renal Tubular Acidosis
Treatment
- Small stones - increased fluids, pain relievers, meds
- large stones - sound waves, surgery, scope, parathyroid surgery
Dietary interventions for prevention
- General recommendations
  - Increase water intake (and decrease sugar-sweetened beverages and alcohol)
  - Follow DASH diet (increased fruits, veggies, legumes)
  - Use caution with weight loss (high protein diet, laxatives, loss of lean body mass, dehydration could increase risk of stones)
- Calcium Oxalate stones
  - Decrease sodium
  - Get enough calcium from foods
  - Limit animal protein intake
  - Avoid vitamin C supplements
  - Decrease high-oxalate foods (spinach, beets, swiss chard, nuts, peanuts, soy foods, sesame seeds, wheat bran, chocolate)
    - Eating high-oxalate foods with a calcium source can help
- Calcium Phosphate stones
  - Decrease sodium
  - Get enough calcium from foods
  - Limit animal protein
  - Limit phosphorus additives (preservatives)
    - fast food, ready-to-eat foods, canned and bottled drinks, processed foods
  - Cranberry juice to lower pH of urine
- Uric Acid stones
  - Limit animal protein
- Cystine stones
  - Increase water intake

Tea Time: Gall Bladder

5/21/2019

Gallbladder is a small organ that holds bile (produced by the liver) and releases it into the small intestine to aid in fat digestion
Potential conditions
- Gallstones - could cause pain, nausea, inflammation
- Infection - could be caused by gallstones; causes pain and fever, may require surgery
- Cancer - rare
- Gallstones blocking ducts to pancreas - causes inflammation of pancreas, very serious
Treatments
- Surgery (gallbladder removal)
- Antibiotics
- Chemo/Radiation
- Ursodeoxycholic acid - oral med to dissolve gallstones
- Extracorporeal shock-wave lithotripsy - high-energy shock waves to break up gallstones
- Contact solvent dissolution - chemicals injected into gallbladder to dissolve gallstones (rarely used)
Dietary treatment
- Low-fat diet for gallstones
- After surgery
  - small, frequent meals
  - avoid caffeine
  - avoid fatty and spicy foods
  - increase fiber slowly
- Some people continue to need to limit fat in their diet
Prevention
- Healthy diet - high in fiber, fruits, veg, healthy fats
- Physical activity
- Avoid rapid weight loss
Risk factors
- diabetes
- crohn's or other intestinal disorders
- excess weight

Tea Time: Canola Oil

5/3/2019

Comes from canola plant
Pros
- high in monounsaturated fats
- high in omega-3 fatty acids
- low in saturated fat
- high burn point - good for frying, deep-frying
Cons
- processed (like other oils)
- contains trans fats
Options
- cold-pressed may be a better option, but hard to find and expensive
- choose a variety of oils

Nutrition for Exercise

5/1/2019

Tea Time: Vitamin D (and sunscreen!)

4/25/2019

Role in the body
- helps absorb calcium
- promote bone growth
- helps regulate the immune system and neuromuscular system
- plays a role in the life cycle of human cells
Signs/symptoms of deficiency
- Rickets
- Osteomalacia (misshapen bones)
- Associated with breast, colon, prostate cancer, heart disease, depression, weight gain
Vulnerable populations
- those living in northern lattitudes
  - only those south of LA and Columbia, SC can get vit D all year round from the sun
- those with dark skin
- those who wear sunscreen (or don't go outside)
- those who don't eat fatty fish
- those with absorption issues (IBD, liver disease, celiac, bariatric surgery patients)
- breastfed babies
- older adults
Lab values to measure deficiency
- 25(OH)D better measure than 1, 25(OH)2D
- Deficiency likely at <30nmol/L (12ng/mL)
- Some could be at risk at 30-50nmol/L (12-20ng/mL)
- Most will be sufficient at >50nmol/L (20ng/mL)
RDA
- infants - 400IU
- children and adults - 600IU
- >70yo - 800IU
Sources
- The sun (our bodies make vit D with sun exposure
  - lots of variables affect synthesis
  - it can be stored
- Food
  - Milk - 100IU/cup
  - Yogurt - 80IU/6oz
  - Salmon - 450IU/3oz
  - Tuna - 155IU/3oz
  - Sardines - 23IU/sardine
  - Egg - 40IU/egg
  - Cod Liver Oil - 1360IU/Tbsp
- Supplements
  - D2 or D3

Tea Time: Vitamin B12

4/16/2019

Role in body
- red blood cell formation
- cell metabolism
- nerve function
- production of DNA
Vulnerable populations
- Vegans
- Older adults
- Those with undiagnosed or poorly managed celiac
- Other conditions that affect absorption of nutrients
- Bariatric surgery
- Renal disease
- Those taking certain medications
  - metformin
  - PPIs
  - Colchicine for gout
  - aminosalicylic acid
RDA for adults: 2.4mcg (Excess is not absorbed)
Signs of deficiency
- weakness, tiredness, lightheadedness
- palpitations, shortness of breath
- pale skin
- constipation, diarrhea, loss of appetite
- numbness or tingling, muscle weakness
- vision loss
Sources
- Animal products
  - Meats (red meat, poultry, fish)
  - Eggs
  - Dairy
Vitamin C can interact

Tea Time: Iron Deficiency Anemia

4/9/2019

Symptoms
- Fatigue
- Shortness of breath
- Brittle nails
- Pale skin
- Swelling of the tongue
- Cold intolerance
- Trouble concentrating
- Dizziness
- Pica
Tests used to dx
- CBC
  - RBC, Hgb, Hct, MCV
- Iron (might not be low)
- Ferritin (stored iron)
- Reticulocyte count (very young RBCs)
Contributing factors
- GI bleeding
- Von Willebrand syndrome
- Hemophilia
- Frequent blood donation
- Inflammation
Vulnerable populations
- Infants age 7-12 months (stores from birth are depleted)
- Toddlers, especially if they drink a lot of milk
- Teens, who have increased needs
- Older adults, who have decreased intake
- Children with high lead levels
- Vegetarians/vegans
- Endurance athletes
- Women with heavy periods
- Pregnant/breastfeeding women
- Picky eaters
RDA
- 7-12 mo: 11mg
- 1-3yo: 7mg
- 4-8yo: 10mg
- 9-13yo: 8mg
- 14-18yo: 11mg (boys), 15mg (girls)
- 19-50yo: 8mg(men), 18mg (women)
- Pregnant: 27mg
- BF teen: 10mg, BF adult: 9mg
- 51+: 8mg
Types/sources of iron
- Heme iron
  - Meats (beef, chicken, turkey)
  - Salmon
  - Eggs
- Non-Heme Iron
  - Beans, peas, lentils (1.5-8.8mg per cup)
  - Dried fruit (1.5mg per 1/2c)
  - Dark leafy greens (3.2mg per 1/2c boiled)
  - Tofu (3.4mg per 1/2c)
  - Nuts
  - Blackstrap molasses (3.5mg per tbsp!
  - Fortified cereals and breads (1-18mg; 10mg per 1cup fortified oatmeal)
Supplements
- Only if diagnosed and recommended by MD
- May be necessary to replenish stores
- It can take 3-6 months to replenish
- Side effects
  - Metallic taste
  - Vomiting
  - Diarrhea
  - Constipation
  - Upset stomach
- Take with food
- Lower dose
- Time-release
- Take with vitamin C
- Avoid taking with calcium
- Avoid black tea

Tea Time: Fatigue and Food

3/26/2019

What contributes to low energy
- Talk to a doctor to rule out medical conditions (thyroid, diabetes, HTN, Seasonal Affective Disorder, allergies)
- Hormonal changes
- Lifestyle factors
  - Being overworked
  - inadequate sleep
  - stress
  - lack of exercise/movement
  - inconsistent eating
  - inadequate caloric intake
  - low iron/anemia
  - vitamin/mineral deficiencies
What you can do (after you see your doctor)
- Manage stress!
- Manage sleep with sleep hygiene
- Get moving - start slowly
- Take a multivitamin/mineral (with iron if warranted)
- Eat regularly throughout the day
- Eat a balance of carbs/protein/fiber
  - whole grains
  - protein sources (meats, dairy, nuts/seeds, legumes)
  - fruits/veg
- Eat iron sources regularly (avoid calcium at the same time, take with vitamin C)
  - lean meats
  - beans
  - tofu
  - nuts
  - eggs
  - fortified foods like cereals, breads
  - leafy greens like spinach

Tea Time: Reflux

3/19/2019

Definition
- Stomach acid comes up into the esophagus
Symptoms
- heartburn
- sour or bitter-tasting acid coming up into your mouth
- bloating
- coughing
- burping
- difficulty swallowing
- bloody/black stools
- nausea
Causes
- H.pylori
- Hiatal Hernia
- Stress/anxiety
- Smoking
- Pregnancy/hormones
- NSAIDs
- SIBO
- Gastroparesis
Dietary Modifications
- Smaller, more frequent meals
- Avoid/limit spicy foods, greasy foods, caffeine, alcohol, onions/garlic, tomatoes, citrus, mint
- apple cider vinegar
Other lifestyle modifications
- Stay upright for 2-3 hours after eating
- Don't wear tight fitting pants/belts
- Raise the head of your bed 6-8 inches
- Don't exercise right away after eating
- Sleep on your left side
- Stress management

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