Cheese Substitutes

Cheese Substitutes

Question:

How do I cut out cheese in my diet? Almost every dish is cheese, grains, and meat. How can I get that flavor in a healthier way?

– David N.

Answer:

I agree that typical American fare is heavy in the cheese department. You’re right that it seems to be everywhere. What goes in your mouth is under your control, though. Peel off that slice! Or better yet, ask for a substitute like avocado, pesto or sundried tomato spread. If the cheese is melted in, you’ll have to find an alternative item altogether (e.g. marinara sauce instead of alfredo sauce, roasted potato instead of potatoes au gratin).

The flavor of cheese is unique because of the enzymes utilized and the particular dairy source (cow, goat, sheep). The creamy mouthfeel is largely attributable to the fat content, which you can get from vegan alternatives. A soy or nut-based cheese substitute works well in combination with prominent flavors like smoked turkey and arugula on toasted rye.

One simple single ounce of sandwich cheese has 100-120 calories and 6-10 grams of fat. Compare that with the 600+ calories and 30+ grams of fat from two slices of large cheese pizza or 2 cups of macaroni and cheese. Turn away from these cheese-based dishes period. When using cheese as a topping or flavor enhancement, opt for the strongest dry cheese for the most flavor punch, as it requires much less volume and saves calories and fat. Avoid cheese flavoring powder though, as it is high in salt and artificial color.

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.


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Help! I’m Hungry ALL. THE. TIME.

Help! I’m Hungry ALL. THE. TIME.

Question:

I’m hungry all the time, what can I do?

– Charlotte S.

Answer:

As opposed to a specific craving or passing desire, true hunger is uncomfortable and is a strong message for our bodies to seek food. If you experience hunger throughout the day, it may be that you are not consuming enough calories. The easy answer is to eat more food.

If you have been maintaining weight or wish to lose, then modifying your diet to include satisfying foods at regular mealtimes may drive down hunger:

When to Eat

Your body uses energy throughout the day, so you need to fuel it regularly. Having consistent meals and snacks ensures that your fuel tank doesn’t go empty. Most people eat too little in the morning and consume the bulk of their calories in the evening when they’re less active. By having a substantial breakfast, medium lunch and smaller dinner, you’d better match your body’s energy use. A small snack to support your workout is also ideal.

What to Eat

Foods high in fiber, protein, fat and physical volume are the most satisfying. For example, a slice of 7-grain toast with almond butter, half a grapefruit, an egg, and a glass of milk would stave off hunger better than two toaster waffles with syrup, a cup of orange juice and mug of coffee. Including a healthy plant fat at each meal helps to lock in the complex carbohydrates and lean proteins eaten so they are digested more slowly. Vegetables are the most notable source of bulk and fiber with the least calories so they should fill up your plate!

Consult a physician if hunger is unabated, you’re also experiencing weakness or observe unintentional weight loss, as these may be due to an underlying medical condition.

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.


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The Relationship Between Whey Protein and Lactose Intolerance

The Relationship Between Whey Protein and Lactose Intolerance

Question:

I am lactose intolerant. Is whey protein bad for me? Is whey protein bad for people with lactose intolerance?

– Dan

Answer:

“Whey protein” is a catch-all term referring to several proteins found in the whey of milk after solid caseins and moisture are removed. Whey protein is generally okay for those with mild lactose intolerance. Depending on the form, whey protein contains less than 5 gram of lactose per 100 grams dry product, which provides 80-90 of grams protein.* Compare this to the 12 grams of lactose per 245 grams (a cup) of fluid cow’s milk for 8 grams of protein or 1 gram of lactose per 30 grams (an ounce) of some cheeses for 7 grams of protein.

Whey protein as an ingredient or by itself as a supplement is usually found in concentrate or isolate form. Here’s the difference: the highest whey protein concentrate still includes some fat, cholesterol and lactose particles (up to 20%), whereas whey protein isolate has usually undergone microfiltration leaving only 10% as those particles.

Pure whey protein isolate may be tolerated by those with lactose intolerance, but individual response varies. Some whey protein isolates are further processed to be lactose-free. Keep in mind that if the final whey protein supplement product is a shake powder or bar, it has other ingredients that may contribute lactose.

For those with a very severe lactose intolerance much like an allergy, it is best to avoid all milk-derived products.

* From U.S. Dairy Export Council’s Reference Manual for U.S. Whey and Lactose Products. Composition of whey protein concentrate with 80% protein is typically 4%-8% lactose by weight. Composition of whey protein isolate with at least 90% protein is typically 0.5%-1% lactose by weight.

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.


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What Causes Inflammation?

What Causes Inflammation?

Question:

What causes inflammation?

– Sandra

Answer:

Inflammation is a situation where localized tissues of the body are swollen after the immune system kicks into gear. Most conditions ending in “itis” reflect an inflammatory condition such as gastritis and tendonitis. For acute inflammation, the instigators are usually an injury or infection and the inflammatory response is a defensive mechanism that we need to begin healing. For chronic inflammation, the culprits might be autoimmune disease, arthritis, or persistent foreign pathogens, and the inflammatory response occurs over a number of months or years instead of ending when it should.

Nutritionally, some foods may play a role in the development of chronic inflammation, while others help to prevent or resolve it. According to the Arthritis Foundation, sugar, saturated fat, trans fat, omega-6 fatty acids, refined carbohydrates, monosodium glutamate (MSG), gluten and casein are all notable food ingredients that can cause inflammation1. The publication Medical News Today recently advised that fried foods, white bread, pastry, soda and sugary drinks, red meat, margarine, and lard are foods that aggravate inflammation2.

Knowing what to avoid is half the battle in preventing chronic inflammation. Including these foods in your diet may help reduce the risk of inflammation: olive oil, tomatoes, nuts, green leafy vegetables, fatty fish (such as salmon and mackerel), and fruit.

References:

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.


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The Mailman Diet

The Mailman Diet

Question:

I’m starting on my weight loss journey and a huge obstacle for me is eating healthy. I’m a mailman so I spend 8-10 hours working outdoors with no access to a microwave and only fast food restaurants near me. Do you have any advice needed on how to eat and maintain a healthy diet? 

– Cesar P.

Answer:

The best solution I can see for you, Cesar, is to bring healthy lunches with you during your shift. Since some carrier units even deliver groceries, I’ll assume you are allowed an insulated lunch bag or cooler in your vehicle. Information from the National Association of Letter Carriers indicates a lunch break for mealtime is 30 minutes – plenty of time to enjoy a healthy meal.  Whatever your route’s authorized lunch locations may be, a meal from home works. 

Without a microwave, you can still enjoy a hot healthy lunch. Today’s Thermos® food jars can keep food hot over 5 hours; longer with the larger sizes. For best results, pre-heat your vacuum insulated stainless steel container with hot water for several minutes while cooking your food. Stews, pasta dishes, casseroles, rice meals, even stir-fry all keep well, but this technique is not suggested for items you want to stay dry and flaky. An insulated lunch bag or tote with a few ice blocks can keep several items cool at once. Consider packing a turkey sandwich on whole wheat bread, fruit, and carrot/celery sticks for a balanced meal. More grown-up fare like a tuna pasta salad with cherry tomatoes works, too. 

For the days when you don’t bring along your own food, dig into the menus at the fast-food establishments near you. Many offer some type of chicken breast meal/sandwich and a side salad option. Omitting cheese, swapping out the fries for a vegetable or fruit, and are all possibilities to improve a traditional drive-thru meal.  Iced tea or water are preferable over soda. A small juice works occasionally, such as with an egg breakfast sandwich. 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.


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