May is Skin Cancer Awareness Month - Protect Yourself!

There are many things to celebrate in the month of May - Cinco de Mayo, the Tulip Festival and Mothers' Day, farmers' markets are opening up for the season, and Victoria Day, the first long weekend kicking off summer.  May is also abundant with awareness days and weeks, and May itself marks Mental Health Awareness, Asthma & Allergies Awareness, and - the subject of this post, one that really hits home for me - Skin Cancer Awareness Month.

Just over two years ago, in early March 2012, my fair-skinned, strawberry-blond, copiously befreckled husband stepped out of the shower, and as he was dressing, I noticed a particularly dark spot on his left shin - something I could not recall having seen there before.  I had just completed an advanced pathology course, and knowing how to spot potentially cancerous moles was one of the subjects covered in the lectures.  Kevin's freckles are generally small and a light reddish-brown colour, even the larger mole- or birthmark-like spots, and this one was dark and shiny, with an irregular pinkish border on one side.  I urged him to have it checked out by our GP, who removed it for biopsy.

Kevin's suspicious mole, March 3 2012,
later confirmed stage 0 melanoma.
Note the colour and irregular border.
This mole was approximately 0.5cm in diameter.

He got the call at work, and called me afterward to share.  Sure enough, the results had came back, in a bad news/good news kind of way.  The bad news: it was melanoma.  The good news: it was only stage 0 - we had caught it just in time.  I still can't quite describe the mixture of emotions running through me at that moment - fear and panic ("I was right to be concerned!"), relief and gratitude ("We caught it early, thanks to that course!"), and juuust a touch of hysteria ("I need to take care of you!  What happens now?  Let's go load up on vitamin D, sunscreen, and new hats, right now!").  Not surprisingly, he took the rest of the day off, not for himself, but for me.

Though they were sure they got it all when they did the biopsy, the area around the cancerous mole would be removed as a precaution in August: 1cm deep and 1" around, and a skin graft from a spot a few inches away applied to the excised area.  The excised tissue was tested and he was pronounced cancer-free, but he must go for full-body dermatological check-ups every 6 months until the 5-year mark.  Edit: he recently had one of these check-ups, and since he's been clear for nearly 2 years, he now only needs to go annually.

January 2013 (5 months post-op) -
Kevin now has 2 sizable scars on his left shin,
where the melanoma was excised (bottom)
and where the skin graft was taken (top).

In the time between and following Kevin's diagnosis and surgery, this story prompted many friends and family members to become more vigilant and check their own skin for irregular spots.  Now I'm sharing it with you, and I hope you'll take these steps to protect yourself and someone you love:

Know the signs and check yourself.  If you have any freckles or moles, do a monthly "spot check".  Be aware of the ABCDE visual signs of skin cancers.  Look in the mirror in good light - use a handheld mirror where necessary.  Get a friend or loved one to look at spots on your back or other hard-to-see places.  Take good-quality pictures of new or possibly unusual spots, preferably with a ruler or small object for measurement references to compare with next month's pictures of the same spots.  Be consistent - use the same camera and lighting sources.

Load up on vitamin D.  First, get your blood levels checked.  Ask your GP to add vitamin D to your blood work.  Unfortunately, this is not covered by OHIP (unless you meet certain criteria) and may cost around $50.
Why is vitamin D important?  Recent and growing research is showing that vitamin D helps modulate the immune system, an important factor in preventing and managing cancer cell growth.  Additionally, vitamin D is synthesized in the skin with sun exposure, and may provide some protection from the harmful rays of the sun.
Around 15 minutes per day of unprotected sun exposure in the summer can be enough to boost levels adequately, if not for the full year, then at least for the season.  However, as Canadians, we have less sun exposure in general, and are thus more susceptible to vitamin D deficiency, not just in the winter, but year-round (and especially with this winter having lasted so long, I suspect many people may be more deficient than usual).  For this reason, it is imperative to have your blood levels tested in the late winter-early spring when levels are naturally lowest, and supplement accordingly year-round.
In terms of supplementation, the RDI for vitamin D is 1000IU for adults and 400IU for children per day - if no deficiency currently exists.  Those who are deficient (showing <30ng/ml or <75nmol/L) need more than this to bring levels back to optimum (40-60ng/ml or 100-150nmol/L).  As an example, my first vitamin D blood test showed a very surprisingly low 25nmol/L, and I took between 2000-4000IU of lanolin-sourced emulsified vitamin D3 per day for over a year (with the higher amount in the winter and on very cloudy days), until my next annual physical, where my blood test showed 126nmol/L.  I recommend at least 2000IU per day for adults on a regular basis, and more for those who are immune-compromised (e.g. autoimmune, inflammatory conditions, digestive disorders, etc) or suffer from seasonal affective disorder.

Protect your skin.  "Slip on a shirt, slap on a hat, slop on some sunscreen."  I grew up with this mantra for sun protection, and it still holds true.  Cover up wherever possible.  After you've gotten some unprotected sun exposure for vitamin D synthesis, apply sunscreen.  Look for natural brands with an SPF of at least 30 at your local health food store, eco shop, or larger supermarkets, or try finding one online or through independent cosmetics retailers.  If there is a "tester" tube available, try it first to be sure you like the feel of it on your skin, as some may be thick and greasy, which could clog pores and exacerbate breakouts; and/or leave a white residue on skin and clothing.  I like Aubrey Organics, Nature's Gate, and Arbonne Baby Care sunscreens.  The protection factor (SPF) weakens over time, so it's best to replace your sunscreen annually.
Avoid tanning, including tanning beds.  Over time this damages your skin, leading to premature aging, and increases your risk for skin cancers.  People with fair complexions, many freckles or moles, blue eyes, and blonde or red hair (such as Kevin) are at higher risk.
Remember too that your skin absorbs about 60% of whatever you put on your skin into your bloodstream within just minutes after application!  Avoid products containing known carcinogens, such as parabens and phthalates.
Sunburns (even just one bad one) also increase the risk of skin cancers.  While after-burn care may not reduce your risk, it's still worth doing to get relief.  Try fresh aloe vera gel or chilled chamomile tea on your skin, or a natural after-sun or calendula cream to cool the burn.  Coconut oil is also soothing.  Up your intake of antioxidant vitamins A, C, E, and minerals zinc and selenium, all of which are crucial to good skin health.  Orange, yellow, and red fruits and vegetables, as well as cruciferous vegetables and dark leafy greens, are great sources of vitamin A and C.  Nuts and seeds, particularly Brazil nuts, macadamias, pecans, and almonds are abundant with vitamin E, zinc, and selenium.  These nutrients are also available together in supplement formulas (look for "ACESZ" or similar).

So enjoy the sunny days of summer - and keep your skin safe.

How do you care for your skin in summer?

New to Juicing - What To Do With All This Pulp? A Recipe is Born!

It's no secret that I love kitchen gadgets.  From my multi-temperature kettle and my combination coffee-espresso maker, to my milk frother, to my citrus reamer and my apple corer.

Fresh resolve (let's say due to the onset of sunnier days and the promise of warmer temperatures) inspired me to take the plunge and add a masticating juicer to my lineup.

I've been a fan of Booster Juice's Ginger Hammer for some time - I especially love it during cold season - and it was naturally the first juice I attempted to make with my new contraption.  I was pleased with the result, and the potency of the juice's flavour (especially that of the ginger - wow!).

My version:

Organic Ginger Power Juice
- 1" piece peeled organic ginger root
- 2 to 3 medium-large organic carrots
- 1 organic granny smith apple

This is the basic recipe.  Since my first go at it I've added to it with whatever I had on hand: a handful of fresh organic wheatgrass here, a third of an organic cucumber there, maybe a rib or two of organic celery.  It makes about a cup of juice - just the right amount for my needs as a juicing noob.

Now, I knew going in that I would be left with a lot of vegetable fibre.  I also knew from reading various posts on various health-oriented blogs and Facebook groups that one can use the fibre to augment soups, sauces, and smoothies.  I added about half of my first "batch" of pulp to a green smoothie that same morning.  Note that if you do add the pulp to a smoothie, you'll more than likely have to add extra liquid.  That stuff is absorbent.  Let's just say that first smoothie was quite thick, filling, and honestly, kind of hard to get down.  Live and learn.

I'd also read that the pulp can be used in baking.  I knew I wanted to attempt baking with my homemade "Ginger Hammer" pulp, so though I made different juices, I mostly saved the pulp from the aforementioned cocktail until I either found or came up with a recipe.  I had collected about 4 juices' worth of pulp, and was starting to worry it would all go bad before I got to bake with it.

I did a little searching online and in my cookbooks, but didn't really find anything I wanted to make, or could make with what I currently had on-hand.

So I adapted another recipe of mine, and hoped for the best.

The original recipe is one that my mother gave to me - a simple oatmeal muffin recipe that came from a school home-ec cookbook, circa her high school years.  Being vegan, I've since adapted that recipe to suit, and from there it morphed into my Banana Chai Chocolate Chip Muffins.

I wanted hearty, filling muffins that would do for a quick breakfast or snack.  Since the banana chocolate chip version uses 2 bananas and ½ cup chocolate chips, I decided to try replacing one of those bananas with ⅔ cup pulp, and the chocolate chips with sunflower and pumpkin seeds.  Then I hoped for the best...

...And was pleased with the result!

So here's the recipe.  If you don't have a juicer, but want to try these muffins, check out some alternative suggestions for juice pulp at the end of the recipe.

Carrot Seed Ginger Power Muffins

These muffins are loaded with fibre and healthy fats, great to start your morning on the right foot.

 

-          1 cup organic whole spelt flour

-          ¾ cup organic oats

-          ½ cup organic coconut sugar

-          3 tsp. (1 Tbsp.) baking powder

-          1½ tsp. (½ Tbsp.) baking soda

-          ½ tsp. organic cinnamon

-          ¼ tsp. organic ground ginger

-          ½ tsp. sea salt

-          ¼ cup raw pumpkin seeds

-          ¼ cup raw sunflower seeds

-          1 banana

-          ⅔ cup Ginger Power juicer pulp*

-          ¼ cup organic coconut oil

-          1 cup unsweetened almond milk

Preheat oven to 400ᵒF.

In a medium-large mixing bowl, stir together flour, oats, sugar, baking powder & soda, spices, and salt until well-combined, then add in seeds and stir until just mixed.

In a smaller mixing bowl, mash the banana.  Fold in the juicer pulp.  Add in the coconut oil (it’s okay if it’s still solid) and mash with banana and pulp.  Pour in the milk and stir well.

Pour the wet mixture into the dry and stir until well-combined.

Using an ice cream scoop, fill the cups of a regular muffin tray about ⅔ full.  Tip: Silicone or paper muffin cups can be used in the tray for easy cleanup.

Bake for 15-18 minutes, until a toothpick inserted in the middle comes out clean.  Let cool about 10-15 minutes before removing from tray.  Makes 1 dozen muffins.

*Make enough juice to yield approx. ⅔ cup pulp.  This juice recipe usually makes a little more than that. 

If you do not have a juicer, try this instead:

½ cup finely grated carrots

½ cup unsweetened apple sauce (use instead of banana), OR 1 small diced apple, mixed in after combining wet and dry ingredients

½ tsp. organic ground ginger (instead of ¼ tsp.)

Healthy Holidays + Quick Recipe: Personal Vegan Apple Crisp

The days are getting cooler and darker, the leaves are transforming brilliantly before the trees shed this vibrant plumage to settle into their winter whites, and you may find your tastes and cravings run more toward warm and comforting foods.  And it's a great time to indulge them - but can we do that and still eat healthy?

In a word: yes!

The fall and winter seasons are dry and cold, sometimes crisp and even bitter - think of the crunch of dry leaves, a chill wind, or a fresh layer of ice on snow.  According to Ayurveda, eating foods with these similar Vata properties - dry, crisp, cool, bitter - can exacerbate symptoms of Vata imbalance, such as dry skin, crackling joints, and disarrayed thoughts.  To balance this, we turn to foods with opposing Kapha attributes - moist, warm, sweet, soft.

And not surprisingly, holiday fare is loaded with Kapha foods: yams and sweet potatoes, squash and pumpkin dishes, stuffing... and desserts.

That said, though these foods are grounding and can help balance excess Vata, it can be easy to overindulge and feel heavy, sleepy, and over-full.  Sticking to fibre-rich vegetable and legume dishes more often than starchy grains and potatoes, keeping meat portions reasonable (4 oz. is plenty), choosing a healthy fat at each meal, and watching portions overall can help minimize overeating.  Stick to your food log habits through the holidays, but don't punish yourself for "giving in" to dessert; instead, savour it slowly as a once-a-year treat.

Of course, making dessert healthier with nutritious, clean ingredients can help minimize holiday guilt, so here I'm giving you a healthier fall dessert option that you don't have to feel bad about serving to your guests - or eating all by yourself.  This is a single-serve recipe, so multiply it for however many people you want to serve.  It's an easy-to-make crowd-pleaser that always impresses when I bring it to my family's Thanksgiving feast.  Happy baking!

 Personal Vegan Apple Crisp
Ingredients:
- 1 small or ½ large organic apple (I used royal gala, but granny smith is amazing), cored and diced
- 1 Tbsp. organic coconut sugar (less if using a sweet apple)
- 1 Tbsp. organic oats
- 1 Tbsp. organic coconut oil
- ½ Tbsp. organic spelt flour
- ¼ tsp. organic cinnamon
- pinch sea salt
- 5-6 raw walnut or pecan halves, optional

Directions:
Preheat oven to 400⁰F.

Spread the diced apple in the bottom of an oven-safe ramekin or French onion soup bowl.

Mix the remaining ingredients except walnuts in a small bowl to make the topping.  The mixture should be slightly clumpy but not powdery or pasty.

Sprinkle the topping evenly over the apple.
Arrange the nut halves on top.

Bake for about 15-20 minutes until sugar melts and apple is tender.
Serve warm.

Optional indulgences: drizzle with 1 tsp. pure maple syrup or a dollop of cashew cream; or serve à la mode with a scoop of maple or vanilla coconut ice cream.  Great with a cup of rooibos chai tea.

Make it gluten-free: look for certified uncontaminated GF oats, such as Only Oats, and skip the spelt flour (try it with coconut, almond, or rice flour, or all-purpose GF baking flour, instead).

Bonus: double everything except the sugar to enjoy dessert for breakfast.  Serve topped with ¼ cup coconut or almond yogourt and raw pumpkin seeds.

Enjoy!

Edit: This recipe also appears in my holiday recipe e-book, Love Plants for Life: Plant-Based Holiday Solutions, featuring 12 of my favourite allergy-friendly holiday recipes!  Available now.

The advice in this article is not meant to replace the advice of your doctor or other health care professional.  Always consult your health care professional before undertaking any radical change in your diet.

Superfood Spotlight: Coconut Oil

For months, if not years now, my friends and fans have heard and seen me wax poetic on the many virtues of coconut oil – snow white, magically melty, does-it-all coconut oil. Well, it seems today is no different – except I’ve compiled many of these amazing traits and uses of my favourite eat-right-from-the-jar oil in one place.

First and foremost, as a nutritionist, I am in awe of its health properties and uses as a food.

Coconut oil is made up of saturated fatty acids. This means that the molecule is saturated in hydrogen atoms such that the chain makes a straight or solid line, as opposed to unsaturated fatty acids, which are missing one or more hydrogen atoms, causing the chain to bend at these junctures. This molecular structure of solid lines lends itself to the oil’s solid state at room temperature. Similarly, the bends in unsaturated fatty acid chains contribute to their liquid state at room temperature.

The solid structure of the saturated fats also means that it is generally protected from oxidation, remaining unchanged after exposure to heat and air, and making it absolutely fabulous for just about any type of cooking or baking.

My very large jar of coconut oil.

Coconut oil is solid at room temperature.

     

My favourite cooking and baking applications of coconut oil:

1. Stir fries. Depending on what kind of coconut oil you get – virgin or extra virgin – coconut oil can give your dish a subtle coconutty taste, perfect for Thai-style veggies.
2. Butter replacement. Like coconut oil, butter is a saturated fat, so it makes sense that we can use coconut oil in recipes calling for butter. Add a pinch or two of quality sea salt or Himalayan salt to up the “buttery” when using coconut oil to sauté mushrooms or greens, or when making popcorn the “old-fashioned” way on the stove or with your popcorn maker.
3. Vegetable oil replacement. I have a recipe for oatmeal muffins that I got from my mother, modified to be vegan-friendly. Over time it has diverged from the original recipe so much that I can’t honestly call them oatmeal muffins anymore. Using coconut oil instead of vegetable or olive oil as the recipe originally calls for has given this banana chocolate-chip muffin recipe a cupcake-like fluffiness. I’ve been kind and shared this recipe on my website: Banana Chai Chocolate Chip Muffins, September 2012.
4. Candy making. Coconut oil makes a great melt-in-your-mouth base for homemade chocolates, truffles, and icing, and is often used in raw desserts and snacks.

Beyond cooking and baking, coconut oil has numerous health benefits, many attributed to its content of medium-chain triglycerides (MCTs). MCTs are quickly digested, and as such provide quick energy to cells, without spiking insulin. This is good news for athletes looking for an energy boost without sugar, and diabetics and insulin-resistant individuals. There has also been recent discussion about applications for MCTs and coconut oil supplementation in managing Alzheimer’s. Because some of the insulin in the body is produced in the brain, and insulin resistance is being linked to Alzheimer’s – to such a degree that Alzheimer’s may eventually be considered type III diabetes – reducing sugars and increasing intake of MCTs may help improve energy levels and cognitive function without increasing insulin levels in the brain.

MCT oils can be purchased in health food stores, are liquid at room temperature, and sometimes packaged or marketed as salad oils. I like to put a spoonful of MCT oil in pre-workout smoothies as an energy source, and a spoonful of whole coconut oil in post-workout smoothies as an anti-inflammatory and analgesic component to aid recovery. This latter application can be useful for sufferers of arthritis as well.

Some other great uses of coconut oil:

1. Oil pulling. This practice entails taking a spoonful of oil – coconut, sesame, sunflower, or olive – in the mouth and swishing it around and over teeth and gums for up to 20 minutes without swallowing. Afterward one spits it out (preferably not in the sink), and brushes the teeth as usual. It's recommended to be done first thing upon waking, and is said to strengthen and whiten teeth, as well as pull toxins from the mouth. I like using coconut oil for this since it has a pleasant, mild taste, and I actually enjoy the way it melts in my mouth in the first minute or two.
2. Skin care. Coconut oil is naturally emollient, and is wonderful for softening and moisturizing the skin. I like to apply it to my lips and rub it into my hands, feet, and elbows in the winter instead of buying lip balms and moisturizers. Not surprisingly, many DIY beauty-care recipes call for coconut oil.
3. Healing infections and wounds. Along with its anti-inflammatory and analgesic properties, coconut oil also possesses some antiseptic, antifungal, and antiviral properties. These properties are attributed to coconut oil's main MCT lauric acid. I advise to take a spoonful or two in the morning at the onset of cold/flu symptoms in addition to oil pulling. I've applied coconut oil on broken blisters, burns, paper cuts, and cat scratches instead of harsher antibiotic ointments and seen faster wound healing. My husband also used it last summer to relieve itching and moisturize his surgical scars.

These are just some of the many uses and benefits of coconut oil. Remember to choose organic virgin or extra-virgin coconut oils, ideally cold-pressed and unrefined.

What are some of your favourite uses of coconut oil?

The Love Plants for Life Nutrition Workshop Series is running Monday evenings in July and Thursday evenings in August.

Please be advised that this article is not meant to replace the advice of your doctor or therapist.

Always consult with your medical and/or alternative healthcare professional prior to starting a new supplement to avoid contraindications with your condition or medications.