Chocolate Ulu (breadfruit) Pie

This week we are making chocolate ulu (breadfruit) pie:

Ingredients:

For crust:
1 cup of dates
1 cup of shredded coconut
1 cup of almonds

For Pie:
1 large breadfruit (or two small breadfruit)
2 bananas
1/2 cup of cocoa or cacao

Directions: For crust, place all contents in a food processor and use “pulse” function until it makes a powder (but you can squeeze it together in your hands). The place the powder in the pie pan and pat down with your fingers.

I saw on a cooking show once that breadfruit takes the flavor of what you combine it with, so in this case, it has taken the flavor of chocolate and bananas, both delicious! I like to use a breadfruit that is very ripe (fell of the tree, slightly browning with white sap pouring down it) for the breadfruit pie. Dietary fiber helps reduce blood cholesterol by preventing its absorption in the gut, reduce obesity, blood pressure and help protect the colon mucous membrane by warding off cancer-causing chemicals from the colon.

For the pie, microwave the breadfruit for 2 minutes, or you can steam it; so you can easily peel the skin off (and also get rid of the latex raw taste of the breadfruit). Take out the core of the breadfruit (attached to the stem), as well as the skin. Combine all contents in a mixer (such as the kitchenaid mixer). You can mix contents manually, but it will take a lot longer. The pour pie onto the crust and play in the freezer overnight. The pie is ready the next morning. Enjoy!IMG_0948

Benefits of Breadfruit:
Breadfruit is high in fiber. Fiber reduces cholesterol by preventing its absorption in the gut, and also reduces obesity and blood pressure. I find a lot of my patients have low potassium, and breadfruit is an excellent source of potassium! Potassium is an important component of cell and body fluids that helps regulate heart rate and blood pressure. Breadfruit has small amounts of flavonoid anti-oxidants in the form of xanthin and luein and is rich in Vitamin C (another anti-oxidant). Fruits rich in the vitamin C help the body develop resistance against infectious agents and scavenges harmful free radicals. In addition, breadfruit has many B-complex groups of vitamins, such as thiamine, pyridoxine, and niacin. Breadfruit pulp also has copper, iron, magnesium, and phosphorus.

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With an Ulu (breadfruit) tree at Waihuena Farms on the North Shore in Hawaii; Photo Credit: Doug Falter Photography

Organic Farming

 

This week I go to an organic farm on the North Shore and buy a Community Supported Agricultural box there.  I am going to dedicate this week’s blog to organic farming.

What is organic farming, and how is it different from conventional farming?

Organic farming minimizes chemical usage, and uses only natural methods.  Conventional farming makes uses unnatural farming methods, making use of chemicals (pesticides).  Conventional farming methods may use genetically modified organisms (GMOs).

There is a free resource available from the Rodale Institute, a 30 year report from their Farm Systems Trial, which compares conventional and organic farming side by side.(1)  They found that organic farming uses 45% less energy and is more efficient, and conventional systems produce 40% more greenhouse gases.

The Rodale Institute found that soil health in the organic systems increased over time while the conventional systems did not change.  Synthetic nutrients leach through the soil more quickly than nutrients derived from organic sources (manure, composts, or cover crops) ending up in the water.  Therefore, nutrients do not remain available to the plants in conventional systems.

In addition, organic corn yield was 31% higher than conventional corn during drought years, better than genetically engineered “drought tolerant” varieties which increased yields only 6.7% to 13.3% over conventional (non-drought resistant) varieties.  Organic corn and soybean crops also tolerated higher levels of weed competition than their conventional counterparts, even while producing similar yields.

Regarding genetically modified crops, they earned less than non-GMO crops over a 14 year study period.  Traditional plant breeding and farming methods had three to four times more yields of major grain crops than GMO varieties.  GMO crops have led to increased herbicide-use, as resistant crops continue to emerge.  Unfortunately, there is a fast growing list of 197 species of herbicide-resistant weeds, linked to genetically modified crops.

Finally, the report touches on a few of the health effects of pesticides.  Glyphosate3-based herbicides, legal in our food at low levels, has been shown to cause dna damage, infertility, low sperm count, and prostrate or testicular cancer in rats.  Exposure to pesticide products has been linked to brain/ central nervous system disruption, breast, colon, lung, ovarian, pancreatic, kidney, testicular, and stomach and other cancers.

Please get out there and support our local organic farms!

(1) The Rodale Institute  “The Farming Systems Trial, Celebrating Thirty Years.” The Rodale Institute. Web. 18 August 2015.  <http://rodaleinstitute.org/assets/FSTbooklet.pdf>.

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At Waihuena farms with noni tree; Photo Credit: Doug Falter Photography

Debunking the Paleo Myth

There has been a lot of hype around this diet called “Paleo”, which is supposed to be modeled on the diet of our paleolithic ancestors. I have decided to dedicate this week’s blog to a discussion about the Paleo diet because there is a lot of misinformation out there, and I wanted to clear the air.

There are a few concepts behind their diet that I found on their website which recommends 19-35% protein intake, non-starch fresh fruit and vegetables for fiber but recommends against grains, a moderate to higher fat intake, and avoiding processed foods. Paleo is a diet high in meat, which contains a lot of protein and fat. I do agree that unprocessed foods should be avoided, but I disagree with their recommendations against grains and eating more fat and protein.

There are several problems with their theory. There is a great TED Talk: “Debunking the Paleo Diet”, that I am going to summarize here.[1]  According to Christina Warinner, an archaeological geneticist, in her TEDouX talk, she states “Humans have no known anatomical, physiological, or genetic adaptations to meat consumption. Quite the opposite, we have many adaptations to plant consumption.”

She states, “Myth two is that Palaeolithic peoples did not eat whole grains or legumes…we have stone tool evidence from at least 30,000 years ago – that’s 20,000 years before the invention of agriculture – of people using stone tools that look like mortars and pestles to grind up seeds and grain…we can say that there is an abundance of plant remains inside the dental calculus of Paleolithic peoples. And these things include grains, including barley. We’re finding barley inside Neanderthal teeth, or inside the plaque. We also have legumes and tubers.”

She explains that Paleo Diet foods are all domesticated foods, products of farming and agriculture, from the Neolithic transition, not what our ancestors ate! Also, there was not one diet for all Paleolithic people.   Diets from different regions of the world varied, depending on what they had available to them.

Paleo diet proponents state that their diet reverses diabetes and is effective for cardiovascular disease. From a recent article in the Scientific American: “The Paleo diet not only misunderstands how our own species, the organisms inside our bodies and the animals and plants we eat have evolved over the last 10,000 years, it also ignores much of the evidence about our ancestors’ health during their—often brief—individual life spans (even if a minority of our Paleo ancestors made it into their 40s or beyond, many children likely died before age 15)…either Paleo hunter–gatherers nor our more recent predecessors were sculpted Adonises immune to all disease. A recent study in The Lancet looked for signs of atherosclerosis—arteries clogged with cholesterol and fats—in more than one hundred ancient mummies from societies of farmers, foragers and hunter–gatherers around the world…they found evidence of probable or definite atherosclerosis in 47 of 137 mummies from each of the different geographical regions.”[2]

Eating a diet with more meat and therefore more fat, will clog arteries and make people more susceptible to heart disease and diabetes. There is a great short video on nutrition facts.org outlining the process: “Diabetes as a disease of fat toxicity”.[3]

A lot of my patients believe that eating too many grains has caused them to become overweight. I am going to include an question and answer session with my brother (who prefers to remain anonymous) and how he lost weight on a white rice diet over twenty years ago and has managed to keep it off! I do not recommend people try this diet, but I wanted to include this interview to show people that “eating too much rice” is not causing their obesity!  Usually the problem is eating too many  animal products and processed foods.

What motivated you to lose the weight?

I wanted to have a more active lifestyle and get in shape. There were different sports and recreation that I could enjoy more if I were in better shape. I was also tired of being judged by people for my weight.

What kinds of things were you eating everyday before the diet?

I drank a ton of soda, with most meals and in between meals. I also ate a lot of pizza, cookies, chips, and fast food.

How much did you weigh at the time you started your diet and how much weight did you lose?

190 lbs, 45 lbs lost over 2 months

How did you come upon the rice diet?

I knew which foods tended to make me gain weight. I removed these foods and what remained was rice, vegetables, cereal, and MINIMAL QUANTITIES of meat.

Explain the rice diet. Did you just eat rice or also vegetables? What did you drink?

I had three meals a day, with no snacking in between. Also, I had no food after dinner. For breakfast, I had a bowl of raisin bran, rice crispies, or Special K with1 cup of fat free milk. I would have rice, vegetables, and SMALL AMOUNTS of dried meat for most breakfast and dinner meals. I actually WAS NOT TOO STRICT ABOUT RICE PORTIONS, HAVING 3 TO 4 CUPS PER MEAL. Occasionally, I would substitute plain noodles seasoned with soy sauce and sesame oil instead of rice. I drank exclusively water other than the skim milk for breakfast. I also ran a mile a day and did other active things like yard work.

How did you keep the weight off all these years?

I still drink water almost exclusively and avoid consuming empty calories from beverages including soda and coffee. I still avoid snacking during the day or after dinner. Minimizing intake of pizza, fast food, and junk food has helped.

In conclusion, my brother was able to lose weight by minimizing his meat and processed food intake and eating primarily rice and vegetables.  Rice or grains do not cause obesity, which is evidenced by the fact that people eat a lot of rice in Asian countries, but they are less overweight than Americans.  Unfortunately, people in Asian countries are now becoming more overweight and are suffering from more chronic disease, since we have been exporting our “fast food” to their countries.  This is because animal products contain much more fat!  Also, the processed food we eat is often lacking nutritional value so that our bodies does not feel satiated, and we continue to eat more until we are obese.

As I stated earlier, I am not recommending this diet.  I just wanted to illustrate my point that grains do not cause obesity.  365 Days of Graceful does not provide medical advice and you should always consult a licensed physician prior to making any changes to your diet or engaging in an exercise regime.

Addendum added 9/13/15:  A new study by the University of South Carolina confirms people who want to lose weight will most effectively lose weight with a vegan diet.   The study, published in The International Journal of Applied and Basic Nutritional Sciences,  followed participants who were randomly assigned to one of five diets on the dietary spectrum: vegan, vegetarian including dairy and eggs, semi-vegetarian with occasional meat intake; pesco-vegetarian which includes fish,  and omnivorous.  At the end of six months, those on the vegan diet lost more weight than the groups by an average of 4.3%, or 16.5 pounds.  (4)  So if you need or want to lose weight, the most effective way to do it is with a plant-based diet!

(1) Christine Warinner, “Debunking the Paleo Diet,” TEDouX video, Feb 12, 2013, http://tedxtalks.ted.com/video/Debunking-the-Paleo-Diet-Christ.

(2) Ferris Jabr, “How to Really Eat Like a Hunter-Gatherer: Why the Paleo Diet Is Half-Baked [Interactive & Infographic],” Scientific American, June 3, 2013, Web, August 14 2015.

(3) Michael Greger MD, “Diabetes as a Disease of Fat Toxicity” Nutrition Facts, Volume 24 · April 8th 2015, http://nutritionfacts.org/video/diabetes-as-a-disease-of-fat-toxicity/.

(4) Turner-McGrievy GM, Davidson CR, Wingard EE, Wilcox S.  Frongillo EA.   “Comparative effectiveness of plant-based diets for weight loss:  a randomized controlled trial of five different diets.”  Nutrition, 31 (2) 350-358.

Mango Salsa

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Here is an easy mango salsa with 3 or 4 ingredients:

0, 1, or 1/2 onion

1 red bell pepper

1 handful of cilantro

3 mangos

I first cut the onion an bell pepper into smaller pieces and put the pieces inside the food processor.  It is not necessary to have a food processor, but it is quicker!  You can instead cut everything not small pieces and mix.  Then, I place the cilantro in the food processor and use the pulse function.  Lastly, I cut the mango into smaller pieces and place that into the food processor with the other ingredients.

More information on ingredients:

Onions- You can omit the onions if you prefer your salsa to be mild or 1/2 onion.  I put one small onion in my salsa. Onions are rich in Vitamin B6, Vitamin C, and copper.  Onions have been used to reduce inflammation and heal infections.   Applying onion juice on a honeybee bite area provides relief from the pain and burning sensation.  Raw onions encourage the production of good cholesterol (HDL).  Onions also contain a powerful antioxidant called quercetin that fights against cancer.

Bell Peppers- Red bell peppers are rich in carotenoids (hence the bright red color)!  Bell peppers are rich in B, C and E vitamins and folate.  They contain manganese, a mineral that helps develop strong bones and connective tissues, as well as  calcium, iron, magnesium, phosphorus, potassium and zinc.

Cilantro- please see episode on Tomato Salsa for information about cilantro!

Mango-  The antioxidant zeaxanthin, found in mangoes, filters out harmful blue light rays and is thought to play a protective role in eye health.  Mango is high in beta-carotene, which is protective against cancer.  It is also high in vitamin A, B6, C, E, Copper, and Folate.  Mangos are also a great source of fiber to keep your bowels regular in addition to being delicious!

If you have too many mangoes from your tree, this is a great recipe for you.  Enjoy!

 

Backsense Book Review

This week I am doing a review of a book: Backsense: A Revolutionary Approach to Halting the Cycle of Chronic Back Pain by Dr. Ronald Siegel.  As you may have guessed, I see a lot of patients with back pain in my everyday practice in the Emergency Room.  I am always referring to knowledge that I gleaned from this book, which has been helpful for myself, since I also suffer from back pain.  I like this book because it empowers the reader to solve their own back pain problem instead of being dependent on health care practitioners or medications to cure their back pain.

The book starts with common beliefs and how most people believe that the cause of back pain is either a disk or bone structures that are not in place, but this is not likely the cause for the pain.  The author talks about how people who are back pain-free also have disc herniations, as well as other abnormal spine structures.  Also, many people who do suffer from back pain do not have abnormalities in their back.  He mentions how back pain is more common in developed countries with high psychological stress and low physical stress than developing countries.  He also talks about how the mind can affect the body and how back pain can be caused by stress.

Then, the book goes into the chronic back pain cycle which starts with stress creating muscle tension, causing pain, negative thoughts, depression, and how the belief that the back is damaged can trap people into this cycle.  Once people believe that their back is defective, they often avoid or limit their activity, become deconditioned, causing increased stiffness, further anxiety, tense muscles; and worsened pain.  That is how the cycle continues!

To undo this cycle (after consultation with your physician to rule out more dangerous causes of back pain such as cancer or infection), the book encourages us to think of our back as strong, and not fragile and to resume activity before your pain goes away.  The book details how a person with back pain can get motivated to restart activity.

I had a lot of back pain after I was unable to practice yoga for six months.  As with a lot of patients, there was no inciting moment for me.  I just woke up one day, and my back was so stiff, it hurt to turn to take out a ticket from the dispenser in the parking lot!  It did not get better for a whole year.  When I started practicing yoga again, I could not do the things that I used to do.  It hurt to bend over and touch my toes.  The stiffness probably lasted a whole year, and I still have it in the mornings now. In some of my following blog posts, I will talk about how I ameliorated my situation.  Since I read this book; thankfully I never resorted to narcotics or surgery to resolve my back pain!  I helped myself with stretching and using my back even with the pain; and now I am much better and even more flexible than I was before my bout of pain!

Please consult your doctor before participating in any exercise program.  365 Days of Graceful Living will not be held liable for any injury or adverse effects from engaging in an exercise program.

 

App review: Wholesome

Hi Everyone,

This week I am doing my first app review.  I discovered a great new app: Wholesome that I talk about in this video:

It has the nutritional content of different whole foods including glycemic index for diabetics and pesticide risk for those of us that like to eat organic.  It also has storage and preparation tips.  The app is free!  Check it out!

Plant Pure Nation Movie

I just saw this movie Plant Pure Nation.   It’s playing at Kahala theaters in Honolulu Thursday.  It talks about the legislative process in attempting to pass an amendment advocating plant-based diets for improving health in the Kentucky State legislature.  The film-maker Nelson Campbell, son of Colin Campbell, PhD, author of the China Study, offers a 10 day Jumpstart Plant Pure Diet for people with chronic medical problems such as Diabetes and high cholesterol.  Most people are able to improve their disease in just 10 days.  (They had their blood drawn during the jumpstart diet to prove this).

After staging the Jumpstart Plant Pure Diet in several locations, they went to the Kentucky State Legislature to try to pass the amendment, but even with the overwhelming evidence in favor of a plant-based diet to cure chronic disease and many in the legislature supporting the amendment, there were more legislators opposed to the amendment.   The candidates receive political contributions from the meat and dairy industry which likely played a large part in their opposition to the amendment.

Therefore, Nelson Campbell would like to create a grassroots movement supporting the amendment, since politicians are dependent on their voters.  It is a great idea, and I am hoping we can all create change together.  People should be empowered to change their lifestyle and diet to cure disease instead of being dependent on medications that are not a cure for their disease.  Check out their website:  http://plantpurenation.com.

Maui Eats

This past weekend, I visited Maui.  I am going to dedicate my blog this week to healthy delicious Maui eats that I found on my trip!  My video is about Coconut Glen’s, which is dairy-free organic coconut ice cream.  It was delicious.  Here are some pictures:

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Shady eating area on right in Paia
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Entrance to Paia ice cream truck area
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Flavors of the day, prices
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Jabotica and salted caramel for me!

 

We also went to the Coconut Glen hut on the road to Hana.  Unfortunately, it rained, so my pictures are not as bright:

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Don’t miss the sign for Coconut Glen’s on road to Hana!
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Coconut Glen’s Ice Cream Hut
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Myself inside the hut
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My friend Jessica enjoying her ice cream in the hut.
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They take your order here…

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Right next to Coconut Glen’s (on the same street) is Maka’s, which serves fabulous plant-based cuisine.

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The restaurant is airy and bright with beautiful wall art:

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Dessert Counter

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They serve both raw and cooked food.  Here is the current menu:

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I had the Teri-Coco Sandwich, which was delicious!:

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We took a trip to Lahaina, and checked out the Choice Health Bar, which has vegan sushi from 6-9pm Monday-Saturday:

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They had the specials on a board and the standard menu (to the right):

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We had the dragon roll:

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And the rainbow roll:

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And the local fig compote and coconut kefir yogurt:

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We loved it!

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My last eatery stop was at Maui Kombucha which serves kombucha that they make themselves and delicious plant-based cuisine. Here is the menu:

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We sampled the kombucha, which was delicious.  That’s coming from me, and I don’t normally like kombucha!  I had the black mango flavor and Jessica had the ginger lime flavor.

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I had the burrito bowl:

 

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Jess had the MK Threeway:

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We had a fabulous lunch there!

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That’s us with a photo bomber.  Check out these healthy Maui eats next time you go to Maui.  Enjoy!  I had a great weekend there.

Lecture for Hawaii Vegetarian Society 7/14/15

Hi all,

I did a recent lecture for the hawaii vegetarian society which is now recorded and on youtube.  It is titled “Avoid a Visit to the ER with a Healthy Vegan Diet”.  The link is :

Check it out!

Synopsis:  I talk about some of the common complaints I see as an Emergency Physician, and talk about how these diseases can be prevented with diet.  I also talk about medication side effects.  Some topics include Diabetes, high cholesterol, high blood pressure, stroke, and heart attack.  Lastly, I address constipation and afflictions that can occur as a result of constipation including hemorrhoids, diverticulosis, diverticulitis, and rectal prolapse.

I am going to address constipation in this blog, since it is easily preventable by some changes in your diet.  You will see results relatively quickly when you make dietary changes.  Constipation is a common problem I see in the Emergency Room.  On any given day, I may see about 1-2 patients with constipation.  There are probably countless others that have less severe constipation that do not make it to the emergency room as well!  In the lecture I talk about how 90% of Americans do not eat 30 grams fiber daily which is the recommended daily intake.  Fiber consumption is about half the daily recommended amount.

I go over the fiber content of different foods.  In summary, animal products such as beef, chicken, fish, eggs, and dairy have NO fiber.  If you are eating these products and have constipation, you are setting yourself up for misery.  Only plant products such as beans, nuts, veggies, and fruits contain fiber.  I recommend at least 4-6 servings daily for my patients.  The processing of food takes out their fiber content.  Processed foods include rice, pasta, cookies, crackers, chips, and noodles.  You should limit your intake of these when you are constipated.  However, processed foods listed above still have more fiber than animal products which have none.  Even a cup of white rice has 0.6 g of fiber.  The less processed version (brown rice) is always preferable in terms of fiber content.  You will likely lose weight when you increase the fiber in your diet as the bulk will cause earlier satiety.  The weight will come off slowly, but weight that comes off slowly is more likely to stay off!

Other agents that can cause constipation include medications, such as diuretics and especially narcotics.  Exercise is also important to prevent constipation and drinking water helps as well.  I recommend patients drink half their weight in ounces of fluid unless they have limitations due to heart failure or kidney failure.  For instance, if you are 100 pounds, you should be drinking 50 ounces of water at least daily.  You may need more if you are sweating due to exercise or excessive heat.  How about juicing?  I prefer smoothies because juicing takes out the fiber in the fruit or vegetables.  I also recommend that patients stay away from diuretics, such as soda with caffeine, coffee, or tea, since that may cause frequent urination, causing the stool to be more dry and hard.

If you are really desperate, they do have many over the counter laxatives and enemas at Long’s or whatever pharmacy you prefer.  You can ask the pharmacist.  However, some patients become dependent on these laxatives for a bowel movement.  Some patients add metamucil to their food.  I am not against this practice, but it would probably be better to add something with nutrients such as fruits and veggies which are also delicious to your diet; instead of using metamucil.  I hope after reading this post, you will never be constipated again, and not need to resort to these practices!

 

 

Easy Guacamole

Recipe:

Ingredients:
2 Avocados

1 tomato

+/- salt

+/- 1 tsp oregano

+/- cilantro

+/- Lemon

Chop up avocados and tomato and mix together in food processor or manually . If using a food processor, use S blade and “pulse” function.  Add salt if desired, but not if you have high blood pressure!  You can add a few sprigs of fresh oregano from your garden or one teaspoon of dried oregano herb.  You can also add a few sprigs of cilantro.  1 teaspoon or the juice of 1/2 small lemon can be added.  It will act as a preservative.  The pit can also be placed into the guacamole, which will help the mixture last longer.

I am using tortilla chips without trans-fats in this video.  Some tortilla chips have trans-fats, so please read the label carefully.  If you do not want to use chips, you can try carrots, peppers, or cucumbers work well too in dips.

What are trans-fats?

Meat and dairy products may contain small amounts of naturally occurring trans-fatty acids.  Most trans-fat is formed by adding hydrogen to vegetable oil, which causes the oil to become solid at room temperature.  This oil is less likely to spoil, so foods made with it have a longer shelf life. Some restaurants use partially hydrogenated vegetable oil in their deep fryers, so they can change the oil less frequently.

Trans-fats can contribute to heart disease and are considered even less healthy than saturated fats, which can also contribute to heart problems.  They can raise “bad” cholesterol and lower “good” cholesterol.  The FDA has required the amount of trans fats in foods to be listed on the backs of food packages since 2006, but companies are allowed to round less than half of a gram of trans fat to zero on the package label.

The Food and Drug Administration (FDA) said food companies will be required to phase trans-fats out over the next three years.  Foods that commonly contain trans fats include: frostings, pie crusts, biscuits, microwave popcorn, coffee creamers, frozen pizza, refrigerated dough, vegetable shortenings and stick margarines. Trans fats no longer fall in the agency’s “generally recognized as safe” category.  Food companies can petition the FDA to use them.  The FDA has not targeted the small amounts in meat and dairy because they would be too difficult to remove.