Sausage-Stuffed Butternut Squash

I always like to take time to make a special recipe on the holiday.  For me, it’s not necessarily about eating a ton or eating everything unhealthy, it’s more about eating amazing quality, more difficult to create dishes.  That usually translates to me as whole foods the way nature provided prepared in a way that I won’t typically take time to do on any Thursday night.  For me, that usually means it took a little more love and time, tastes amazing due to the flavor development, and was hard enough that I won’t get it again for a really long time.  This year, I created a stuffed butternut squash!  It wasn’t impossible, but it took more time because you have to bake the squash before you stuff it.
Stuffed Butternut Squash
Ingredients:
2 butternut squash, cut lengthwise, seeds removed
1 lb Italian sausage
1 medium onion, diced
1 green apple, diced
3 cloves garlic, diced
4-5 large brussels sprouts, chopped
2 Tbsp tomato paste
1/2 cup chicken stock
little bit of fresh herb chopped (whatever you like)
salt and peppr
Directions:
Preheat oven to 350F.  Place butternut halves face down on baking sheets with some water in the pan.  Bake for 45min-1hr depending on how large they are.  While those are baking, brown your sausage.  Once sausage is browned, add veggies and tomato paste.  Sautee for 3 min and add the broth.  Cook for another 5 min.  Once the butternut is done, take them out and turn them over. Scoop the sausage stuffing into the bowl portion of the butternut and place back in the oven.  Bake for another 20 minutes.  Garnish with fresh parsley and serve!

Primal Pumpkin Cheesecake

I hope everyone had a happy and healthy Thanksgiving!  I definitely did, and mine was complete with homemade pumpkin cheesecake.  I will warn you, this recipe contains CREAM CHEESE.  Therefore, it is NOT paleo….technically it’s primal.  However, I always say that there’s no paleo substitute (at least that I have found yet) that mimics pizza or cheesecake.  Once a year, this is a huge treat for me, and I can thank my mom for going to all the trouble.  Cheesecake can be kind of complicated to make, so I would never take the time myself.

She adapted her original vanilla cheesecake recipe that I posted years ago to a pumpkin version to fulfill all my pumpkin desires.😉 This cheesecake is not overly sweet, which is how I like it.  However, if you wanted a little more sweetness, making some homemade coconut whip to go over the top would be a wonderful addition.  I am all about tasting the delicious pumpkin pie spices and having that unmistakable creamy texture.  If you wanted it to be super cheesecake-like with a hint of pumpkin, you could decrease the amount of pumpkin or maybe do a cheesecake layer followed by a pumpkin layer on top.  Experiment to your hearts desire….and get it just the way you like it before Christmas!

In addition to my mom’s amazing pumpkin cheesecake, we had bacon Brussels sprouts, organic mashed potatoes, a baked ham that I paired with a mango chutney, and a couple nostalgic requests from my brother.  I told my mom she should try and doctor them to make them a little healthier and see how they turn out, but it’s hard to mess with something when people wait all year to have it exactly how they remember. ;)  I didn’t have any, but I certainly had enough of the other good stuff!

 

 

 

Pumpkin Cheesecake
Ingredients:
Crust:

1/2 cup almond meal

1 cup pecans, finely chopped

1/2 stick grassfed butter

1 Tbsp coconut sugar

1 tsp pumpkin pie spice (or plain ole cinnamon would work, too)

Filling:

3 packages of organic cream cheese (1 1/2 lbs)

1 15oz can pumpkin puree

3/4 cup coconut sugar

2 tsp vanilla

2 Tbsp tapioca flour

2 Tbsp pumpkin pie spice

4 eggs

Directions:

Preheat oven to 325 degrees.  Place all your crust ingredients into a food processor and blend until they begin to meld.  Press the crust onto the bottom of a springform pan and bake for 8 minutes.  (If you like a lot of crust, you could easily double it!)

Beat the cream cheese until smooth and then add the rest of the ingredients one by one in the order listed (eggs have to be last to ensure the cheesecake doesn’t crack, although it’s still edible if it does!). Pour over crust and place the pan in a water bath.  Bake for 45 minutes.  Then turn the oven off and leave it in for another hour.  Cool slowly.


Curried Butternut Squash Soup

As some of your are aware, I have added another title onto my list to juggle which means I am spending a lot more time on research, teaching doctors, and implementing lifestyle medicine ideas into programs.  That means I’m in Chicago most of the week, and I can’t be around in the same capacity for my patients.  In order to continue providing options for patients, I still take cases, do all the diagnostics, devise a care plan, etc.  However, when it comes to making it work for the patient in a way that works for their lifestyle, I have enlisted the help of a wellness coach named Carole Turnbo.  Some of you may know her as the amazing athlete and trainer.  I know her as my trainer but also as a colleague after all these years tag-teaming patients to change their life and health.
She recently posted a recipe for butternut squash soup that peaked my interest!  I obviously put my own spin on it, but love the original concept, and I encourage you to follow her blog for all her upcoming ideas about a Primal Thanksgiving!
A Balanced Life is the name and she would love to have you visit. ;)
Curried Butternut Squash Soup
Ingredients:
1 butternut squash, peeled, cubed
6 carrots, chopped
3 garlic cloves
1 squirt anchovy paste (optional but so good)
1 can full fat coconut milk
2 cups chicken stock
1 can pumpkin
1 tsp cinnamon
2 Tbsp maca
1 Tbsp turmeric
1 Tbsp curry paste
1 Tbsp ghee or coconut oil
salt and pepper to taste
Directions:
Sautee garlic, anchovy paste, curry paste, and oil for 2 minutes.  Then add the butternut, pumpkin, carrots, coconut milk, chicken stock, spices.  Allow to simmer until butternut is fork tender (about 35-45 minutes).  Blend with an immersion blender and serve!  Put in a thermos on a cold day!

Ceviche

This is addicting and I could eat it every single day.  Lucky for me, I have friends that teach me how to cook authentic Mexican. ;)

(this makes a ton! If you are cooking for only a few, cut it in half)

Ceviche
Ingredients:
8 white fish filets (we used tilapia and perch)
1 1/4 cup lime juice (fresh squeezed…it takes quite a few limes!)
a splash of EVOO
1 cucumber, seeded, finely diced
1/2 red onion, finely diced
1/2 bunch cilantro w/stems
3 peeled carrots, shredded
1 roma tomato, seeded
2Tbsp white vinegar
salt to taste
Directions:
Boil a pot of water and add the fish.  Bring back to a boil, then turn off and immediately remove fish!  Put the fish in a bowl in the fridge to cool off.  Then, shred the fish with a fork.  Add the lime juice and let sit in the fridge for 1 hour.  Add chopped veggies and EVOO and mix together.  I would say this makes about 8 cups and will stay in the fridge for about 3 days before spoiling. We ate this on tostadas, which were like corn chips.  However, it would have been equally amazing on sliced jicama.

Beef Tongue Tacos

I know what you’re thinking.  Disgusting.  But they are so good!  Trust me.  Additionally, tongue is a very nutritious food that is great for skin and soft tissue!

These brought me back to my days in Honduras and Costa Rica.  I’m pretty sure I had cow tongue there without knowing it.  The taste was entirely too familiar.  For those of you scared….don’t be!  I just tastes like meat, and you wouldn’t know it was tongue.  Although I won’t lie, once it was cooked, before it was diced, it looked very similar to the cadaver tongues that I used to teach from in lab!  Yikes!  It is just another muscle, and you can probably get it cheap!

Beef Tongue Tacos
Ingredients:
beef tongue
onion
garlic
salt
Directions:
Prep the tongue by removing any hair that may be stuck to it….but this probably isn’t necessary. Cut the tongue in half.  Place it in a stock pot and bring to a boil with a whole onion, a head of garlic, and some salt. (Just throw the aromatics in there whole, you are just flavoring with them, not eating them).  Simmer for 2 1/2-3 hours until the white connective tissue comes off easily.  Peel it off.  Let the tongue cool and dice it up.  Put it in a taco w/garnishes.  We going authentic, so we ate them with 100% corn tortillas; however, if I were to make it at home, I would enjoy it just as much in a lettuce cup.  We served it with fresh tomatillo salsa, radishes, cucumber, sauteed green onion, avocado, onion, cilantro, and lime..

Roasted Squash Seeds

It’s fall. It’s Halloween.  It’s squash season.  That means many of you may decide to throw away the seeds inside your beautiful squash.  I’m here to tell you not to!  This roasted seed recipe reminded me of popcorn!  Feel free to use whatever spices you think you would love!  It’s a blank slate for a delicious snack.
Roasted Squash Seeds
Ingredients:
Squash seeds, cleaned
Herbs to Provence
salt
Directions:
Preheat oven to 275F.  Once seeds are cleaned and dried, put on baking sheet and sprinkle with salt and spices and roast for 15 minutes or so.  You’ll be able to smell them get toasty!  Eat up!  Put them in your salad, eat as a snack, or top your squash soup with some for a little crunch!

What is a Boundary?

I was on my way to Chicago last weekend and crossing the border from Indiana to Illinois, I thought to myself “This is so weird. One moment I am in one state and the next I’m in another. I’ve crossed a boundary that defines where I am. Not to mention, it changes what time it is! My body has no concept of time changes. Just because I am now in the Central Time Zone and it says its 2pm, my body is still living very much as if it’s 3pm!” Oh to live in my brain. Sometimes it can be exhausting, but I am a curious person by nature, and I can’t help but ask questions.
Anyway, as I am thinking these thoughts, I am trying to determine who actually sets these boundaries. Really. Who decided this space on Earth is Indiana and that one is Illinois with another set of rules. It’s still Earth. Humans set these boundaries arbitrarily to some extent. Do you think the universe cares if I am in Indiana or Illinois? I’m thinking that answer is a big fat “no.”
Then it got to me think theoretically, it’s like any boundary in life. They are set and established but do they actually exist? They don’t. We set laws and people break them all the time. These boundaries are setting a standard for behavior, but when it comes down to it, people will still do what they want regardless of these boundaries. Same with personal boundaries. I am sure you have said at some point that you don’t want work coming home with you or you want to maintain a personal space bubble and those boundaries have been violated to some extent. BECAUSE THEY DON’T ACTUALLY EXIST!
Let’s now expand that concept to our own mental boundaries we establish. It’s that little voice inside that tells you that you aren’t capable of something. The one that tells you that you have reached potential. The one that indicates where your limitations in life are. In most instances, we are inundated with boundaries OTHER people establish, but what about those boundaries we establish for ourselves?! We probably have more boundaries than possibilities established in our lives. If you step back and think about it, what is a boundary, really? The true definition is:
“Boundary: a line that marks the limits of an area or a limit of activity”
What do I think a boundary truly is? An imaginary piece of BS that was established by someone else or yourself to keep you from discovery…discovery of new places: real and figurative. Travel without the idea of boundaries, think without the idea of boundaries, live without the idea of boundaries. All of a sudden you open an entire potential of possibility that those imaginary boundaries shielded you from seeing. Maybe my new motto should be “Life without boundaries.” It’s a simple statement with a really profound idea behind the fact that limitations in that sense don’t actually exist. Food for thought.


The Key to Long Term Health

Many of us have busy lives that require our time to be spent in so many different places that we barely have enough time to fully dedicate ourselves in one area.  I have been seeing a lot of patients lately that feel as though they are doing everything right but not reaching their optimal level of health.  When they express this to me, I ask them what things they are doing right.  I have been getting a lot of answers that sound something like this “I’ve been trying to exercise everyday and drink more water.  Dr. Angela, I’ve also been trying to eat better.”  You all know what my next question is, right?  What specifically are you eating?  However, that is not the point of this post.  Many of you know that if you tell me whole grains, you will get a polite invitation to my next nutrition class.  The point of this post is to evaluate priorities to reach your health goals, and I am going to start with an analogy I use often:

If you went home tonight and saw that one of your house plants was wilting, what would you do?

Most people will tell me that they will give it WATER!

Great answer.  What if I told you that it had been watered adequately.  The plant just happened to be placed in the basement where there are no windows.

Then people say “Well duh, it needs sunlight.”

Another great answer.  What if I told you I was mistaken; the plant was in the window and was watered regularly, but there was no soil in the pot.

Now you are getting annoyed because who doesn’t know that the plant needs soil for nutrients?!

So, what you are telling me is that a plant can have adequate water and sunlight and still be a wilting plant?  Yup.  Your body is no different.  We require ALL aspects of health to truly be healthy.  Not only does that mean appropriate dietary nutrients and adequate water, but that means movement, as well.  You can exercise every single day, but if you are picking up McDonald’s on the way home or eating pasta every night, then you probably still have health concerns.  The same is true for reducing stress and removing toxins.  Our bodies are built to be able to keep up with stress and remove toxins, but if you aren’t getting enough sleep and stressing out everyday at work, guess what, despite your efforts at the gym and in the kitchen, you are still a wilting plant.

This can seem like a tall order.  However, it is our current lifestyle that makes it impossible for many people to “do it all.”  Therefore, they either focus on eating healthy and don’t carve out time for exercise.  OR, they are a gym rat that doesn’t have time to cook healthy meals.  OR, they are a gym rat that eats healthy to maintain their physique but gets up at 4:30am to go to the gym, doesn’t get out of work until 6pm, has to run the kids around, cook dinner, start laundry, and might get to bed around 11:30pm.  Hate to tell you….still a wilting plant.  This balance is a tricky one in today’s society but it is essential for our vitality.

You need:

nutrients

movement

sleep

removal of toxins (no one wants to grow a plant next to the sewer!)

sunlight

appropriate doses of stress

If one of these components is off track, think about making a shift in your life in order to create balance.  If you are eating correctly, you are probably cutting out a lot of toxins that would be coming from food at the same time as providing your body with nutrients.  If you have movement within your job, then consider yourself lucky.  Otherwise, you need to make it an effort of move daily, and exercising outside gets you both movement and sunlight.  If you give yourself a bedtime, then you are probably much more able to handle stress throughout the day. Chiropractic adjustments also have impact on the nervous system, which is essential for stress adaptation.  If you structure your day around making sure you hit all the things you need to be healthy, then it’s easy to evaluate whether or not you have time to add another task onto your schedule.  This is probably the hardest thing for parents to do these days and it may just be the missing link to your vitality.

 


“Cheesy” Roasted Broccoli and Cauliflower

Cheese.  Everyone loves it.  However, if you avoid dairy, there may be a spot in your heart reserved for your favorite past time.  I am by no means calling this recipe creamy, but I am saying that it has a “cheesy” flavor to it due to a little ingredient called nutritional yeast.  Nutritional yeast is a deactivated yeast that comes in yellow flakes.  I wouldn’t call it a nutritional powerhouse, but it does have quite a bit of B vitamins!…and it kind of tastes like cheese.  You know those cheesy kale chips you find at the store?  Yup, nutritional yeast made those “cheesy.”
“Cheesy” Roasted Broccoli and Cauliflower
Ingredients:
Broccoli, cut into small florets
Cauliflower, cut into small florets
Saturated fat of choice for roasting
salt and pepper
Nutritional yeast
Directions:
Preheat oven to 350F. Place broccoli and cauliflower florets on a baking sheet and coat with oil, spices, and nutritional yeast. Roast for 35-40 minutes.  Enjoy!

Stress and Autoimmunity (Part IX)

Stress is something that is unavoidable.  We will all experience stress on a daily basis in some way shape or form.  Stress can be anything from mental and emotional stress to exercise and food sensitivities.  All of these things have a breakdown mechanism in the body that elicits the the same physiological response.  Stress activates the autonomic nervous system and you can’t control this.  It’s very difficult to recognize that is happening and actually stop it.  For example, when you lie, your body has a stress response.  This is the reason people say “Secrets keep you sick.  Or Secrets kill.”  This is the exact reason we use lie detector tests!  You can tell your conscious brain to settle down or you’re not nervous all day long, but most of the time, if it is stressful, you still express stress physiologically.  Your palms get sweaty, your voice may waver, your heartbeat increases, and you breathe a little more rapidly. We use those to our advantage to detect stress but what about the hormonal response?  The release of cortisol, the decrease in immune cell production, the disruption in hormones and catecholamines?

The more you experience stress, the more your body runs on sympathetic (fight or flight) dominance.  This leaves you feeling like you wish you could just disappear tomorrow.  Maybe disappear to an island far far away where you could be in silence.  This is often why most people cry at the thought of coming back from vacation.  You body is exhausted from living in this state and if you fall asleep on the couch an hour after coming home from work, you know what that exhaustion feels like.  This is probably hitting home for a lot of you right now in a very doom and gloom way.  Why? Because heaven forbid you have an autoimmune disease, feel there’s no way to get away from stress, you are slowly killing yourself, and there’s nothing you can do about it.  I’m here to tell you that without changing your situation at all, you can reduce stress.

The most important thing you have control over is your thoughts.  They will creep in and try to dictate, but simply recognizing that and repeating what’s really happening in that moment, you won’t get carried away by “what ifs. ”  I see this a lot with people when it comes to work relationships.  A boss said something the wrong way so the employee gets instantly freaked out that they may lose their job, and if they lose their job they will have no money, if they have no money they will lose their home, if they lose their home then their kids will get taken away, then they will have no insurance and they’ll just die because they won’t have any healthcare options for their illness.  STOP!  If this is the type of road your mind takes you down, get good at recognizing when you start down the path.  Bring yourself back to present.  Close your eyes and breathe deeply in one nostril and out the other.  Do not let yourself entertain ideas of things that may or may not happen UNTIL THEY HAPPEN.  The funniest part is that I have asked every single person whether any of these things have actually happened and not a single one has lived this story.  All that time slowly killing our cells over something that has no real likelihood of happening!

Step one is controlling your thoughts from spiraling down a path of worst case scenarios.  The second step is to smile and laugh.  EVEN FAKE ONES.  You heard me right.  There’s also a proverb that laughter is the best medicine because it REVERSES the physiology of the stress response.   You could say that it’s impossible to be stressed and joyous simultaneously.  Go to a funny movie, watch a hilarious youtube video, talk to your friend about old time shenanigans, go to a comedy show.  Smile at everyone you see.  When they are real, they have a huge impact.  When they are fake, they STILL have the same impact.  Laughing reduces cortisol, soothes the nervous system, and improves hormone regulation.  In our society, we tend to become more and more isolated by technology and busy schedules.  Keeping your social connections is so important.  It is not a luxury.  It’s actually good for your health!  I may even dare to say that having a beer with a good friend has more positive effects on your physiology than negative despite the fact that your consuming glutinous alcohol!  That’s how important these things are to your health.  Even a tough love doctor is telling you laughing with friends is possibly more important than what you eat in some instances!

That brings me to the third thing that you can do to reduce stress.  Exercise outside.  We can make this life scenario even more appealing by saying “Go for a walk with a friend, tell stories, laugh, and “touch” goodbye.”  I say “touch” because anything from a hug, a high five, a kiss, whatever, it all has a positive impact.  Movement helps distract the nervous system from obsessive behavior.  It likes to move forward.  You see this with dogs, too.  They are much more behaved in a pack, walking because it is calming to their nervous system.  We are animals, too.  Going to a group fitness class is the same thing.  Moving with friends, laughing, and making connections.  Doing some of this outside is that much better because of the air quality and restorative nature of nature.  No pun intended. ;)

The last and final thing you can do is engage in physical touch.  In my profession, I would be touching people all day long.  However, sometimes patients would come in and that would be the first touch they experienced all day.  I am not a touchy feely person, but that doesn’t mean I don’t experience the same physiological effects of touch.  I’m just more choosy about who I touch! hehe, I couldn’t resist.  Back on track.  Hug your child or spouse goodbye, hug a friend when you see them, get a massage, go to the chiropractor, hire a professional cuddler (that really does exist), have sex or kiss your partner.  These things are not luxuries either!  They are hugely necessary to our well-being as humans.  They counteract stress.  We are hardwired to need touch.  Think about yourself as a child.  Everyone wanted to hold you, give you kisses, touched you constantly to help you maneuver the world.  Then you became a little more developed and touch can be misconstrued as sexual so it happens a little less.  That is until you go looking for it from a teenage boy/girl.  What if you find yourself as a single adult.  You may literally go days without touch.  Heck, the way we greet people in ANY country has to do with TOUCH.  Maybe its a handshake or a kiss on the cheek.  May it’s a hug.  It has and always will be imperative to normal nervous system function.

These are simple, free, yet hard things for some people.  For those less expressive, it may be good to start with the thoughts and movement.  From there start planning social activities to get out there and connect with friends and family!  If you are a single person with an autoimmune disease, even seeing a massage therapist can gain you touch benefits.  Hope you guys are enjoying the series as it is coming to an end!  I will have one final article to address a few questions people had for me.  If you have a question you would like answered in that article, please let me know!