Understanding The Low-FODMAP Diet

Understanding The Low-FODMAP Diet

Detoxifying vegetables and fruits

Digestive health challenges are extremely common in Canada, and Irritable Bowel Syndrome (IBS) is the most common diagnosis given for those digestive challenges. IBS affects the intestine both by causing issues with motility (the way foods moves through your intestines) and sensitivity (the way the signals from the intestines are interpreted by the brain). IBS symptoms can range from irritating and annoying to disruptive, embarrassing, or even debilitating – leading to lost time at work or at school for nearly half of reported sufferers. (1)

Could You Have Undiagnosed IBS?

If you have:

  • abdominal pain at least once a week in the last several months
  • change in number of times per day or week you have a bowel movement
  • constipation, diarrhea, or a combination of both (2)

a consultation may be helpful!

IBS symptoms can occur outside the digestive tract as well and may include insomnia, fibromyalgia, interstitial cystitis, chronic pelvic pain, temporomandibular joint (TMJ) disorder, back pain, migraine headaches, or mood disorders. (2)

How Common Is Digestive Upset & IBS?

More than half of the Canadian population report uncomfortable or inconvenient digestive symptoms on a weekly basis. (1) 18 – 20% of Canadians are dealing with some form of IBS, with twice as many women as men affected. These statistics of IBS sufferers put us well above the global average of 10-11%, and among the highest rates in the world. Sadly, only 40% of those with IBS symptoms seek help with their condition. (3)

For those who do seek support, the current first-line treatment suggestion is often to try a low-FODMAP diet. This approach is well-backed by studies that show 75%-86% of people who follow this type of diet plan report improved symptoms. (4, 5)

What Is The Low-FODMAP Diet?

A low-FODMAP diet is meant to minimize (not eliminate) specific fermentable forms of carbohydrates for a short time, typically 3-8 weeks, then systematically reintroduce them in larger quantities while monitoring for symptoms. Not everyone reacts to all possible trigger foods.

What Are FODMAPs?

FODMAP stands for “Fermentable Oligo-, Di-, Mono-Saccarides and Polyols”. These are specific short-chain forms of carbohydrates and sugar alcohols that are not digestible. (2)

Why Can FODMAPs Cause Digestive Upset?

Because FODMAPs are not digestible, they end up being fermented and digested by your gut bacteria. The end product of that is hydrogen gas, which can cause digestive symptoms such as bloating, flatulence and abdominal pain.

FODMAPs also tend to pull more water into the intestines contributing to diarrhea and urgency.

Monash University Low-FODMAP Explanation

Monash University originally developed the Low-FODMAP diet, and have done extensive research improving this dietary strategy. We love this simple, 3-minute video they produced explaining the Low-FODMAP diet and how it relates to IBS symptoms.

Common FODMAPs Include:

  • Fructose: sugar found in fruits, refined corn sweeteners such as high fructose corn syrup
  • Lactose: natural sugar found in dairy products
  • Fructans: wheat products, onions and garlic, cruciferous vegetables such as broccoli and cabbage (1)
  • Galactans: soy-based products, beans/legumes, and lentils
  • Polyols: stone fruits such as peaches and plums, additive in sugar-free products such as gum and soda

High-FODMAP Foods, To Be Avoided On A Low-FODMAP Diet:

Vegetables: onions, garlic, artichoke, cabbage, broccoli, cauliflower, Brussels sprouts, asparagus, celery, beetroot, mushrooms

Fruit: apples, avocado, banana (ripe), peach, apricot, plum, nectarine, mango, pear, watermelon, cherries, blackberries

Grains: wheat foods (cereal, bread and baked goods, bran, couscous), rye, barley

Protein sources: processed meats, most legumes/lentils, cashews, pistachios

Dairy: Milk (cow, goat, sheep, soy), yogurt, cheese (ricotta, cream cheese)

Sweeteners: High Fructose Corn Syrup (HFCS), agave, honey, inulin, maltitol, xylitol, erythritol

Low FODMAP Foods, Generally Well Tolerated In Appropriate Servings Sizes Include:

Vegetables: Green beans, bell peppers, bok choy, carrot, cucumber, lettuce, tomato, zucchini, potato

Fruits: Cantaloupe, grapes, kiwi, banana (green tipped), blueberries, papaya, rhubarb, strawberries, pineapple

Grains (whole, gluten free): buckwheat, millet, oats, quinoa, brown rice, corn/maize

Protein Sources: meat (beef, pork, lamb), poultry (chicken, turkey), fish (tuna, salmon, prawns), eggs, macadamia nuts, pumpkin seeds, walnuts

Dairy and dairy alternatives: almond milk, brie, camembert, feta cheese, hard cheese, lactose-free milk

Sweeteners: maple syrup, molasses, rice malt syrup (4)

Pros & Cons Of The Low-FODMAP Diet

Pros

  • 70-86% of those following a low FODMAP diet for IBS report improvement of their symptoms and overall wellbeing.
  • Fewer sick days
  • It’s a short-term commitment – while one may have to remain FODMAP aware for some time, the initial elimination phase is short, with the goal being reintroduction of as wide a diet as tolerated.

Cons

  • Lots of Low-FODMAP lists that don’t agree, mixed messages.
  • 14-30% of people following a low-FODMAP diet see little or no improvements.
  • May initially eliminate or limit foods you are not reacting to, making the diet unnecessarily restrictive.

If you are concerned you may be reacting to gluten-containing grains, you may wish to have a blood test to rule out celiac BEFORE eliminating wheat and glutinous grains from your diet.

In Summary

Like most things, IBS and digestive challenges are best managed with a whole life approach including managing stress; physical activity levels; a healthy, whole-foods diet; and having a strong support system. All these factors contribute to overall health and well-being, and are important in resolving IBS symptoms. Taking that into consideration, a Low-FODMAP diet is still the current gold-standard to begin investigating the root cause of IBS symptoms due to the extremely high success rate.

If you’re considering taking steps to address digestive health concerns, Koru Nutrition would be happy to support you in reaching your health goals. Our skilled team of naturopathic doctors, nutritionists, and dietitians are here to help! You can book an appointment online now if you’re ready to take that step toward healing.

Low-FODMAP Meal Plan
Alternatively, we’ve created a 7-Day Nutritionist-Designed, Digestion-Supportive, Low-FODMAP Meal-Plan that can help guide you in implementing a low-FODMAP diet. With 30+ simple but delicious Low-FODMAP recipes, getting started on a Low-FODMAP diet has never been easier! Check it out the downloadable PDF today, you deserve to feel better! 

 

References:

https://www.ibsdiets.org/fodmap-diet/fodmap-diet-chart/
https://pubmed.ncbi.nlm.nih.gov/22426087/
https://onlinelibrary.wiley.com/doi/full/10.1111/j.1440-1746.2009.06149.x
https://badgut.org/wp-content/uploads/IBS-Survey-Results-2016.pdf
https://www.monashfodmap.com/ibs-central/
https://pubmed.ncbi.nlm.nih.gov/15932367/
https://badgut.org/wp-content/uploads/IBS-Survey-Results-2016.pdf
https://www.monashfodmap.com/ibs-central/
https://pubmed.ncbi.nlm.nih.gov/22426087/
https://onlinelibrary.wiley.com/doi/full/10.1111/j.1440-1746.2009.06149.x
https://pubmed.ncbi.nlm.nih.gov/15932367/
https://www.ibsdiets.org/fodmap-diet/fodmap-diet-chart/

 

 

Blueberry Turkey Breakfast Sausages Patties

Blueberry Turkey Breakfast Sausages Patties

Two Glasses with Detox Green Smoothie

Symptoms including bloating, abdominal pain, constipation and diarrhea are all too familiar to an individual with irritable bowel syndrome (IBS).

For the management of IBS, a type of elimination diet, called the low-FODMAP diet, has shown success in improving these symptoms.

FODMAP is an acronym for short-chain carbohydrates that the human body has difficulty digesting, and therefore can lead to IBS symptoms. Recent studies suggest that up to 86% of patients find relief from these symptoms on a low-FODMAP diet (1). We’ve written more about the low-FODMAP diet here. Remember, it is important to talk to a health care professional, such as your family doctor or naturopathic doctor to rule out any more serious conditions within your digestive system. 

In the standard American diet (SAD), wheat is the biggest contributor to FODMAPs in the diet (2). It is typical for a SAD breakfast to contain wheat-based items such as cereal, bread, bagels, or baked goods. When these items are eliminated during a low-FODMAP diet, making breakfast can seem challenging. This recipe provides a flavourful, quick, and filling alternative to start your day! Plus, these breakfast sausages can be made in batches and frozen, to be heated in a toaster oven or pan for those on-the-go mornings.

Many fruits are considered high-FODMAP foods because they are high in fructose, a natural sugar. However, blueberries are low in fructose and are therefore safe to eat in moderate quantities on a low-FODMAP diet. Blueberries were also recently listed as one of our Top 10 Brain-Boosting Superfoods!

This recipe includes extra-lean ground turkey which, in addition to being a low-FODMAP food, is considered a heart healthy choice compared to other ground meats. It contains lower levels of saturated fats, which is a known risk factor for cardiac disease (3). Turkey also contains the amino acid tryptophan which is the building block of neurotransmitters that help us feel happy, sleep well, and reduce cravings. 

With garlic and onion both being high-FODMAP foods, it can be difficult to replace the flavour infusion these ingredients provide. Ginger is a wonderful low-FODMAP flavour alternative incorporated into this recipe. Ginger also has the added benefit of having anti-inflammatory and antioxidant properties (4), and an affinity for soothing the digestive system.

 

1. Nanayakkara, W., Skidmore, P., O’Brien, L., Wilkinson, T., & Gearry, R. (2016). Efficacy of the low FODMAP diet for treating irritable bowel syndrome: the evidence to date. Clinical and Experimental Gastroenterology, 9, 131-142. doi: 10.2147/CEG.S86798

2. Dunn, S., Datta, A., Kallis, S., Law, E., Myers, C., & Whelan, K. (2010) Validation of a food frequency questionnaire to measure intakes of inulin and oligofructose. European Journal of Clinical Nutrition, 65(3), 402-408. doi: 10.1038/ejcn.2010.272

3. O’Keefe, J., & DiNicolantonio, J. (2018). Effects of dietary fats on blood lipids: a review of direct comparison trials. Open Heart. 5(2). doi: 10.1136/openhrt-2018-000871

4. Mashhadi, N., Ghiasvand, R., Askari, G., Hariri, M., Darvishi, L., & Mofid, M. (2013). Anti-Oxidative and Anti-Inflammatory Effects of Ginger in Health and Physical Activity: Review of Current Evidence. International Journal of Preventative Medicine. 4(1), 36-42. 

 

    Blueberry Turkey Breakfast Sausage Patties

    This recipe includes extra-lean ground turkey which, in addition to being a low-FODMAP food, is considered a heart healthy choice compared to other ground meats.
    Prep Time 10 minutes
    Cook Time 15 minutes
    Total Time 25 minutes
    Servings 2 Servings (4 patties)
    Calories 211 kcal

    Ingredients
      

    • 8 ozs Extra Lean Ground Turkey
    • tsps Italian Seasoning equal parts mixture of dried basil, dried parsley, dried oregano, dried thyme, and dried rosemary, do not use Italian Seasoning mixes with garlic, onion, or other high-FODMAP ingredients if you are on a LOW-FODMAP diet
    • 1 tbsp Maple Syrup
    • ½ tsp Ginger peeled and minced
    • tsp Sea Salt
    • 2 tbsp Arrowroot Starch
    • ¼ cup Blueberries fresh, frozen or dried
    • tsps Coconut Oil

    Instructions
     

    • In a large mixing bowl, combine the ground turkey, Italian seasoning, maple syrup ginger, salt and arrowroot starch, mixing until well blended.
    • Gently fold blueberries into the turkey mixture.
    • Divide the mixture into 4 equal parts. Using your hands, shape the mixture into patties, approximately 4-inches in diameter. Set aside.
    • Heat the coconut oil in a large frying pan over medium-high heat.
    • Once the pan is warmed, cook turkey patties for approximately 4-5 minutes on each side, until the patties are fully cooked through.
    • Serve and enjoy!

    Notes

    Nutritional information per serving:
    Calories: 180
    Carbs: 17g
    Fibre: 1g
    Sugar: 8g
    Protein: 19g
    Fat: 4g

    Top 10 Brain-Boosting Foods

    Top 10 Brain-Boosting Foods

    Detoxifying vegetables and fruits

    Whether you’ve suffered a brain injury, or are experiencing brain fog, or just struggling to concentrate and focus … we’ve got you covered with this list! Brain foods not only can help with supporting better cognitive functioning, but help can help boost mood, support sleep, and help with better focus and memory for school or work.

    Let’s explore our top 10 brain-boosting foods!

    1. Turmeric

    This eye-catching, gold-coloured spice is a common component in curries. Turmeric’s most well-known active constituent is curcumin, which has been shown to have many supportive benefits for cognitive functioning. Curcumin is an antioxidant and anti-inflammatory compound that has the ability to cross the blood-brain-barrier, a protective barricade that defends our brain from toxins in our body. Once in the brain, curcumin acts to reduce oxidative stress and neuroinflammation (1). With inflammation reduced, your neurons are able to communicate more effectively, increasing cognitive capacity.

    Turmeric is a spice that is an easy addition to many dishes. For an inspiring new take on an old dish, take a look at our Turmeric Hummus recipe. 

    2. Kale/Leafy Greens

    Eating your daily greens is essential for brain health! Cruciferous vegetables, including kale, spinach, broccoli, and Brussels sprouts are packed full of essential vitamins, such as notable amounts of vitamin K. Vitamin K is a fat-soluble vitamin that is critical for brain health. Vitamin K helps to build strong fat cells in the brain, which improves the structure and communication of our brain cells, otherwise known as neurons (2). Research has shown that individuals who have higher levels of vitamin K, achieved through consuming their leafy greens, have less memory challenges than those with lower levels of vitamin K (3).

    If you are looking for a fun way to incorporate more leafy greens in your diet, try these Quinoa and Kale Fritters for a new lunch idea!

    3. Eggs

    Eggs are packed with brain supporting nutrients such as Vitamin B6, B12, choline and folate. Deficiencies in B12 and folate have been linked to depression. Because eggs are high in the B vitamins, they are good at helping to reduce mental decline as we age.

    Eggs are a powerhouse source of choline, a nutrient important for strong cognitive performance. Studies that looked at individual cognitive performance (on tests of memory and attention) and choline levels demonstrated that higher choline levels correlated with better cognitive performance (4). It is suggested that since choline is a major component in the neurotransmitter acetylcholine, high levels help neurons communicate with each other during activities involving memory and attention. While choline is not yet used as a direct treatment in humans, animal studies indicate that choline treatment help reduce memory deficits in animal models of traumatic brain injury (5).

    The National Academic press indicates that choline is an important micronutrient that your body uses to create acetylcholine, a neurotransmitter that helps regulate mood and memory. Two studies found that higher intakes of choline were linked to better memory and mental function (Nurk, Resfum, et al 2013) (Poly et al 2011).

    Eggs are economical, and quick and easy to make for any meal of the day. In case cholesterol is a concern, we want to share the The Mayo clinic indicates that although chicken eggs are high in cholesterol, the effect of egg consumption on blood cholesterol is minimal when compared with the effect of trans fats. Most healthy people can eat up to seven eggs a week with no increase in their risk of heart disease. Some studies have shown that this level of egg consumption may actually prevent some types of strokes.

    Eggs yolks, specifically, are where high levels of choline are found. For a new way to prepare your morning eggs, check our Pesto Baked Egg Cups recipe. This recipe also contains kale – another brain superfood! 

    4. Oily Fish

    Fat is a very important component of your brain. Your brain is made up of billions of specialized cells, called neurons, and each neuron is wrapped in a fatty sheath. This fatty sheath helps the neurons send messages to each other quickly. The faster these neurons can communicate, the better our thinking skills including memory and attention. Unfortunately, after a brain injury, this fatty sheath can become damaged and impair communication between neurons (6)

    Oily fish, including salmon and trout, are wonderful sources of fat that go straight to the brain. Particularly, omega-3 fatty acids are found in these fish are used to help build up the fatty sheaths around neurons (7). Due to this process, incorporation of oily fish is believed to be beneficial in the cognitive recovery process after a traumatic brain injury. 

    5. Pumpkin Seeds & Squash Seeds

    Pumpkin seeds are filled with the amino acid tyrosine. Consuming this amino acid is important because it is used to create neurotransmitters, the chemicals that our brain communicates with. Specifically, tyrosine is important for creating norepinephrine, which is responsible for responding to acute stress scenarios. When stress is addressed with norepinephrine, it allows our brain to focus on the task at hand without feeling worried or losing focus. Multiple studies have shown that consumption of tyrosine can boost cognitive performance in a stressful situations (8). 

    Pumpkin and squash seeds are a wonderful source of tyrosine. In fact, estimates show that one handful can have as much as 35% of the recommended daily intake for tyrosine (9). Consider having these seeds as a snack on the go to keep your thinking skills sharp, even on a stressful day! Check out our coconut yogurt clusters recipe for a tasty way to consume pumpkin seeds!

    6. Coffee

    Many of us are all too familiar with the daily pick-me-up that appears to come loaded in our daily cup of coffee. However, coffee, specifically caffeine, does more than increase wakefulness; caffeine has benefits for our learning and memory too! When consumed, caffeine interacts with specific receptors in the areas of our brain responsible for learning and memory. After a traumatic brain injury, this interaction becomes particularly important. Researchers suggest that long-term exposure of caffeine can indeed increase the number of these receptors having a positive impact on thinking skills such as memory (10).

    Remember, that caffeine can also impact your sleep cycle and potentially exacerbate stress and anxiety, so these are important factors to consider before consumption. 

    7. Green Tea

    If coffee isn’t for you, then perhaps you’d like to try green tea. Green tea is famous for promoting relaxation and mental clarity and it is increasing in popularity around the world.

    Similar to coffee, green tea also contains smaller amounts of caffeine, which promotes thinking skills such as learning and memory. However, there’s another important secret ingredient in green tea… groups of polyphenols! Polyphenols are micronutrients that are found in plant foods. Polyphenols are powerful antioxidants that help to fight inflammation in the brain. Due to these anti-inflammatory properties, researchers support the consumption of polyphenols through the diet to facilitate the complex recovery process after a traumatic brain injury (11).

    L-theanine, is an amino acid found in green tea. This amino acid can cross the blood-brain barrier and increase the activity of the neurotransmitter GABA, which helps reduce anxiety and makes us feel more relaxed. Although caffeine in green tea can help increase our mental alertness, the L-theanine helps us to avoid getting the “jitters” and nervous energy that coffee can sometimes give us.

    So switch out your coffee for green tea and if you are not a hot green tea fan – brew a pot and put it in the fridge to cool and add stevia for a healthy iced tea beverage.

    Of course green tea can be sipped hot as a tea, but you can also enjoy it cool from the fridge with a bit of stevia for a healthy iced beverage, or maybe you’d be interested in making it into a 2-ingredient ice cream!

    8. Blueberries

    Blueberries are small, but mighty, when it comes to protecting your brain! They contain phytochemicals, which are non-nutrient compounds that provide health benefits. Blueberries are high in a particular phytochemical group known has flavonoids. Along with producing that vivid blue colour, flavonoids are strong antioxidants, which protect against free-radicals and neuro-inflammation.

    Additionally, a six-year Nurse’s health study in over 16,000 older individuals found that consuming 2 or more half cup servings of blueberries and strawberries a week were linked to slower mental decline and delays in mental aging by up to 2.5 years. Another study identified nine older adults with mild cognitive impairment who consumed blueberry juice every day. After 12 weeks, they experienced improvements in several markers of brain function (Kroikorian 2010).

    The studies on blueberries and brain health seem almost endless! To share one more, Tufts scientists have found that the addition of blueberries to the diet in animal studies improved short-term memory, navigational skills, balance and coordination. Compounds in blueberries seem to jump-start the brain in ways that get aging neurons to communicate again.

    Human studies have shown that consumption of blueberries promotes the growth of neurons, combatting memory loss (12). In animal brain-injury models, when taken as a powered supplement, blueberries have been found to have positive impacts on learning and memory challenges. It is believed that their anti-inflammatory effects, promote brain plasticity, fostering learning (13).

    For your daily dose of berries, check out our Berry Beet Smoothie Bowl!

    9. Walnuts

    Given that these nuts look like a little brain themselves, it makes sense that they support brain health! Walnuts contain a host of healthy fats, which play an essential role in brain health. Research has shown these healthy fats reduce oxidative stress, maintain the structure of the neuron, and promote the generation of new neurons (14).

    Did you know that 60% of our brain is made up of fat? This includes saturated as well as polyunsaturated fats. Omega 3 is a very important fat for our brain and we just do not get enough in our diets due to poor food choices, consuming processed foods and poor cooking and heating methods. Omega 3’s surround our nerves and protect them. They ensure that our nerves can transmit a smooth signal. Believe it or not, these good fats help regulate the release and performance of neurotransmitters. If we don’t consume enough of these good fats in our diet we can experience depression, memory and learning problems, difficulty concentrating, inflammation and even schizophrenia (Holford 2004). We mentioned above that consuming oily fish provides Omega 3, but so does eating raw nuts like walnuts!

    In addition to these fats, walnuts contain various nutrients including polyphenols, vitamin E, flavonoids, and more. These components allow walnuts to protect the brain against inflammation and mitigate cognitive challenges (13).  Who knew that so much power could be packed inside one little nut! 

    10. Dark Chocolate

    Who doesn’t love hearing that dark chocolate can be a brain health food! Dark chocolate packs a triple punch containing levels of caffeine, antioxidants, and flavonoids. Just like in blueberries, the flavonoids in dark chocolate are strong antioxidants which fight against oxidative stress and neuroinflammation. This helps to slow cognitive decline and protect against neurocognitive diseases14. One study looked at over 900 participants and found that more regular dark chocolate consumption was associated with a stronger cognitive performance (15).

    The flavonoids in chocolate gather in the areas of the brain that deal with learning and memory. Researchers say these compounds may enhance memory and also help slow down age-related mental decline (Sokolov, Pavlova et al, 2013). Chocolate is also high in magnesium which helps to calm the mind and promote relaxation. In fact, craving chocolate can be a sign of a magnesium deficiency.

    In case you need one more reason to enjoy some chocolate, it also contains a chemical, phenyethylamine (PEA), which can help to elevate mood and feelings of love, while suppressing appetite and improving memory and learning. Feel the love and eat some dark chocolate!

    Remember, we are talking about dark chocolate here and not candy bars or milk chocolate bars, which are full with sugar and artificial colourings and flavourings. Our Cranberry Pistachio Bark, Hot Cocoa Elixir, or Black Bean Brownies are all great way to consume dark chocolate!

    In Summary

    We can see from this list than there are many foods available to support brain function after a traumatic brain injury. Of course, these strategies are relevant to those of us who haven’t suffered an injury as well, as these foods support a healthy brain for improved mood and memory.

    It is important to remember that a healthy balance of all these recommended foods, and others, is the most important to optimize cognitive performance. Don’t forget, that many lifestyle factors, such as sleep and stress, impact how our brain functions too! These should be considered in addition to dietary factors to support our brain during recovery or to prevent premature aging.

    If you’re looking for help navigating brain injury recovery or other cognitive symptoms, please reach out! Our Nutritionists and Dietitians would be happy to guide you along your health journey!

    References 

    1. Misra, S., & Palanivelu, K. (2008). The effect of curcumin (turmeric) on Alzheimer’s Disease: An Overview, Annals of Indian Academy of Neurology, 11(1), 13-19. doi: 10.4103/0972-2327.40220
    2. Ferland, G. (2012). Vitamin K and the Nervous System: An Overview of its Actions. Advances in Nutrition, 3(2), 204-212. doi: 10.3945/an.111.001784
    3. Soutif-Veillon, A., Ferland, G., Rolland, Y., Presse, N., Boucher, K., Feart, C., & Annweiler, C. (2016). Increased dietary vitamin K intake is associated with less severe subjective memory complaint among older adults. Maturitas, 93, 131-136. doi: 10.1016/j.maturitas.2016.02.004
    4. Nurk, E., Refsum, H., Bjelland, I., Drevon, C., Tell, G., Ueland, P., … & Vollset, S. (2013). Plasma free choline, betaine and cognitive performance: the Hordaland Health Study. The British Journal of Nutrition, 109(3), 511-519. doi: 10.1017/S0007114512001249.
    5. Dixon, C., Ma, X., & Marion, D. (2009). Effects of CDP-Choline Treatment on Neurobehavioural Deficits after TBI and on Hippocampal and Neocortical Acetylcholine Release. Journal of Neurotrauma, 14(3), 161-169. doi: 10.1089/neu.1997.14.161
    6. Mierzwa, A., Marion, C., Sullivan, G., McDaniel, D., & Armstrong, R. (2015). Components of myelin damage and repair in the progression of white matter pathology after mild traumatic brain injury. Journal of Neuropathology and Experimental Neurology, 74(3), 218-232. doi: 10.1097/NEN.0000000000000165
    7. Wysoczanski, T., Sokola-Wysoczanska, E., Pekala, J., Lochynski, S., Czyz, K., Bodkowski, R., … & Librowski, T. (2016). Omega-3 Fatty Acids and their Role in Central Nervous System – A Review. Current Medical Chemistry, 23(8), 816-831. doi: 10.2174/0929867323666160122114439.
    8. Lieberman, H. (2003). Nutrition, brain function and cognitive performance. Appetite, 40(3), 245-254. doi: 10.1016/S0195-6663(03)00010-2
    9. My Food Data. Roasted Squash And Pumpkin Seeds (Unsalted). https://tools.myfooddata.com/nutrition-facts/170557/wt2
    10. Sachse, K., Jackson, E., Wisniewski, S., Gillespiie, D., Puccio, A., Clark, R., … & Kochanek, P. (2007). Increases in Cerebrospinal Fluid Caffeine Concentration are Associated with Favourable Outcome after Severe Traumatic Brain injury in Humans. Journal of Cerebral Blood Flow & Metabolism, 28(2), 395-401. doi: 10.1038/sj.jcbfm.9600539
    11. Erdman, J., Oria, M., & Pillsbury, L. (2011). Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Outcomes in Miliiatary Personnel.  National Academies Press (US). Washington, DC.
    12. Krishna, G., Ying, Z., & Gomez-Pinilla. (2019). Blueberry Supplementation Mitigates Altered Brain Plasticity and Behaviour after Traumatic Brain Injury in Rats. Molecular Nutrition and Food Research, 63(15), 1-8. doi: 10.1002/mnfr.201801055
    13. Chauhan, A., & Chauhan, V. (2020). Beneficial Effects of Walnuts on Cognition and Brain Health. Nutrients, 12(2), 550-555. doi: 10.3390/nu12020550
    14. Sokolov, A., Pavlova, M., Klosterhalfen, S., & Enck, P. (2013). Chocolate and the brain: neurobiological impact of cocoa flavanols on cognition and behaviour. Neuroscience and Behavioural Reviews, 37(10), 2445-2453. doi: 10.1016/j.neubiorev.2013.06.013
    15. Crichron, G., Elias, M., & Alkerwi, A. (2016). Chocolate intake is associated with better cognitive function: The Maine-Syracuse Longitudinal Study. Appetite, 100, 126-132. doi: 10.1016/j.appet.2016.02.01

     

    Quinoa and Kale Fritters

    Quinoa and Kale Fritters

    Two Glasses with Detox Green Smoothie

    These Quinoa and Kale Fritters are perfect for lunch or dinner. They are delicious served hot off the skillet or frozen and reheated later in the week.

    Plus, these fritters have the perfect brain-boosting ingredients, including kale, eggs, and quinoa to keep your thinking skills sharp!

    Kale is a part of the cruciferous vegetable family which includes broccoli, spinach, and brussels sprouts. These vegetables are known as a strong support for your liver in the detoxification process, but they also contain nutrients that are important for your brain. Vitamin K is one such nutrient, which plays a role in building important fat cells in the brain. These fat cells allow your neurons to communicate with each other more effectively. (1) When our neurons can communicate effectively, we notice the difference in thinking skills such as memory, and attention!

    Eggs are another brain-boosting superfood. Egg yolks are filled with choline, which is used to make the neurotransmitter acetylcholine. This neurotransmitter is known to be important during thinking tasks such as utilizing memory and attention. When choline levels are high, our brain uses it to make acetylcholine which enhances our thinking skills. (2) Studies of individual’s performance on memory tests and choline levels demonstrated that higher choline levels correlated with better cognitive performance. (3)

    While quinoa isn’t the first ingredient that comes to mind as a brain-boosting superfood, it definitely has properties to help support brain health. Quinoa has high levels of amino acids, including tryptophan, which are used to build the neurotransmitters our brain uses to communicate. (4) Quinoa is also high in iron. Iron supports the oxygen-carrying molecules in our blood, helping oxygen reach all of the cells in our body, including brain cells, for top performance. (4)

     

    These fritters are very versatile and can be served as a side dish with a dip of your choice. They are also a nice meatless choice to replace a burger. However you choose to serve them, we hope you enjoy!

     

    1.  Ferland, G. (2012). Vitamin K and the Nervous System: An Overview of its Actions. Advances in Nutrition, 3(2), 204-212. doi: 10.3945/an.111.001784
    2. Haddelmo, M. (2006). The Role of Acetylcholine in Learning and Memory. Current Opinon in Neurobiology, 16(6), 710-715. doi: 10.1016/j.conb.2006.09.002
    3. Nurk, E., Refsum, H., Bjelland, I., Drevon, C., Tell, G., Ueland, P., … & Vollset, S. (2013). Plasma free choline, betaine and cognitive performance: the Hordaland Health Study. The British Journal of Nutrition, 109(3), 511-519. doi: 10.1017/S0007114512001249.
    4. Filho, A., Pirozi, M., Borges, J., Sant’Ana, H., Chaves, J., & Coimbra, J. (2017). Quinoa: Nutritional, functional, and antinutritional aspects. Critical Reviews in Food Science and Nutrition. 57(8), 1618-1630. doi: 10.1080/10408398.2014.1001811

    Quinoa and Kale Fritters

    These Quinoa and Kale Fritters are perfect for lunch or dinner. They are delicious served hot off skillet or frozen and reheated later in the week.
    Prep Time 5 minutes
    Cook Time 40 minutes
    Total Time 45 minutes
    Servings 4 servings

    Ingredients
      

    • ½ cup Quinoa
    • 1 cup Water
    • 1 tbsp Coconut Oil divided
    • 2 Eggs whisked
    • ½ Sweet Onion diced
    • 3 Garlic cloved, minced
    • Sea Salt & Pepper to taste
    • 2 cups Kale Leaves
    • cup Flaked Quinoa can substitute rolled oats
    • cup Almond Flour

    Instructions
     

    • Cook quinoa according to box directions.
    • While the quinoa is simmering, heat half the coconut oil in a frying pan over medium heat. Add onion and sauté for approximately 5 minutes until it begins to caramelize and brown slightly.
    • Add kale to pan and stir for 1-2 minutes until just wilted. Immediately remove from heat and set aside.
    • In a large mixing bowl, whisk the eggs. Stir quinoa, kale/onion mixture, garlic, salt and pepper into the egg mixture, and combine.
    • Add the flaked quinoa and almond meal to the egg mixture. Stir well to combining.
    • With clean hands, divide the mixture into four even portions. Shape each portion into a patty and place on a piece of parchment paper or silicone mat.
    • In a large skillet over medium heat, heat the remaining coconut oil. Using a spatula carefully transfer the fritters from the parchment paper to the skillet. Fry the fritters for approximately 6 minutes per side, until golden brown and cooked through.
    • Enjoy!

    Notes

    Nutritional information per serving:
    Calories: 195
    Carbs: 16g
    Fibre: 3g
    Sugar: 2.8g
    Protein: 8g
    Fat: 11g

    Pesto Baked Egg Cups

    Pesto Baked Egg Cups

    Two Glasses with Detox Green Smoothie

    This fun breakfast recipe is the perfect way to boost your brain function in the morning. While this breakfast is low in carbohydrates, the eggs and kale are bursting with choline and vitamin K, which are important nutrients to keep your thinking skills sharp. 

    In fact, in our article, Top 10 Brain-Boosting Foods, both eggs and kale were listed as foods beneficial to supporting brain health.

    Egg yolks are a wonderful source of choline, which is a main component of the neurotransmitter acetylcholine. Neurotransmitters are what our brain cells, neurons, use to communicate with each other. Acetylcholine, specifically, has been shown to play an important role in memory. So, by extension it is important that our body has a sufficient supply of choline to make this neurotransmitter to help us remember all the things we need to! (1)

    Kale is a cruciferous vegetable rich in nutrients! Research has shown that individuals who have higher levels of vitamin K, achieved through consuming their leafy greens, have less memory challenges than those with lower levels of vitamin K. (4)

    Other hidden gems in this recipe include garlic and olive oil, which act as immune system supports and antioxidants, respectively, while adding a delicious flavours!

    For added benefit, try switching your store-bought pesto, for our home-made nutrient dense Holy Basil Pesto. This pesto recipe is loaded with nutrients and antioxidants, which is another great way to support brain health. It also has adaptogenic properties, meaning it helps individuals adapt to stress, which is key whether recovering from a brain injury, or just coping with the challenges of everyday life.

     

    References

    1. Haddelmo, M. (2006). The Role of Acetylcholine in Learning and Memory. Current Opinon in Neurobiology, 16(6), 710-715. doi: 10.1016/j.conb.2006.09.002
    2. Nurk, E., Refsum, H., Bjelland, I., Drevon, C., Tell, G., Ueland, P., … & Vollset, S. (2013). Plasma free choline, betaine and cognitive performance: the Hordaland Health Study. The British Journal of Nutrition, 109(3), 511-519. doi: 10.1017/S0007114512001249.
    3. Ferland, G. (2012). Vitamin K and the Nervous System: An Overview of its Actions. Advances in Nutrition, 3(2), 204-212. doi: 10.3945/an.111.001784
    4. Nurk, E., Refsum, H., Bjelland, I., Drevon, C., Tell, G., Ueland, P., … & Vollset, S. (2013). Plasma free choline, betaine and cognitive performance: the Hordaland Health Study. The British Journal of Nutrition, 109(3), 511-519. doi: 10.1017/S0007114512001249.

     

    Pesto Baked Egg Cups

    The eggs and kale in this recipe are bursting with choline and vitamin K, which are important brain-boosting nutrients to keep your thinking skills sharp.
    Prep Time 5 minutes
    Cook Time 15 minutes
    Total Time 20 minutes
    Servings 4 servings

    Ingredients
      

    • 2 tbsps Extra Virgin Olive Oil
    • 2 cups Kale Leaves thinly sliced
    • 2 Garlic Cloves
    • ½ tsp Sea Salt
    • 4 Eggs
    • ¼ cup Pesto
    • ¼ cup Cherry Tomatoes
    • Sprouts to garnish

    Instructions
     

    • Preheat oven to 350*F. Arrange 6 oz ramekins on a baking sheet. Pour 1 teaspoon of olive oil into each ramekin and coat the inside of the ramekin with the oil.
    • In a large pan, heat the remaining tablespoon of olive oil. Once warmed, add kale, garlic, and sea salt. Cook for approximately 3 minutes, stirring frequently, until kale is wilted and garlic is fragrant.
    • Divide garlic kale evenly between ramekins.
    • Crack 1 egg into each, taking care not to break the yolk.
    • Top with pesto and bake 10-15 minutes, or until the egg is set.
    • Remove from oven, and garnish with sliced tomatoes and sprouts.
    • Enjoy!

    Notes

    Nutritional information per serving:
    Calories: 231
    Carbs: 3g
    Fibre: 1g
    Sugar: 1g
    Protein: 8g
    Fat: 21g