" The medication just makes me crave carbs. "
I've heard this comment for more than a few people on a variety of medications, especially ones living with depression, anxiety and other behavioural health conditions. Because of the weight gain, one friend was thinking of discontinuing one medication in particular. In medical records, in the past hopefully ,health care professionals document this as "patient noncompliance" , without asking why medications are discontinued or understanding each patient's unique needs or breaking points.
Gaining weight was a dealbreaker for my friend, but before the medication was dropped with a quickness, she talked with her physician. And the physician listened and made adjustments to the medication regime. Time will tell if the changes result in the desired effects.
But before the prescription changes, we discussed this mystery "carb craving. The usual suspects are in plastic packaging, usually low in fiber, high in salt , high in sugar ,rich in empty calories that fuel weight gain, displayed near the checkout counter, and leave you hungry 30 minutes later. Not apples, peaches, strawberries, blueberries, kale, collard greens or spinach. Sugar, fiber and starch are all carbohydrates, but fiber rich foods at least keep you sated and satisfied and help keep you hydrated. I recommended keeping a food/mood diary just to get an idea of what foods, how much food , and the most likely time/place that carb consumption takes place. Like eating a pint of ice cream in bed at night while watching or binging your favorite show on a screen. All clues on the weight gain mystery.
But, the fact is, some medications can increase your appetite, affect your metabolism, or absorption of certain compounds. Some medications to treat psychosis, epilepsy,hypertension, Type 2 diabetes,inflammation, depression, and also birth control pills, can cause weight gain. Along with the original diagnosis, weight gain can increase your risk for Type 2 diabetes, hypertension obesity, arthritis,sleep apnea, some cancers, polycystic ovarian syndrome( can lead to infertility) nonalcoholic fatty liver disease( NAFLD), and stroke. No one has time or interest in developing another diagnosis while trying to treat the initial diagnosis.
Ideally, before the prescription is submitted to the pharmacy, healthcare practitioners discuss side effects with patients- especially weight gain- and discuss nutrition and other prevention techniques to mitigate medication side effects. If they don't, ask questions about side effects and discuss them with your physician and your pharmacist before you sign the signature line on the screen.
In some cases, consultation with a registered dietitian can help. Registered dietitians are uniquely qualified to recommend an individualized plan of action that meets your nutritional needs based on your medical history, while also understanding your unique food likes/dislikes. No food should be off limits, to a degree, but a diet that meets your nutritional needs has to take priority over packed ,highly processed, sugared ,and salted foods. In humans, vitamins and minerals don't just create themselves. Unlike goats and their ruminant bacteria that manufacture their own Vitamin, K, C and B vitamins, humans need plants for most of their vitamin needs.
So if you are craving carbs, order from our CSA, we have the carbs you need.
I recently made a tasty dish - I thought- chicken pot pie with spoon drop biscuits for the crust. Even though there were leftovers in the refrigerator, my youngest, 18 years old had questions?
"Why don't you make cassava leaf soup or jollof rice? You know all my friends are African." I knew what he meant. First, he knows that Africa is a continent, and I know that there is a different recipe for each of those dishes depending on the country or family that makes it. Making jollof rice alone is a skill passed down from generation to generation in family kitchens throughout West Africa.
Making jollof rice should be a skill you can list on a resume or CV. The idea that I could just whip up a pot of jollof rice was flattering , but underestimates the culinary techniques needed to create this one pot , legendary , center stage dish expected at celebrations and holiday dinners.
The same is true for cassava leaf soup, or cassava leaf stew. Depending on the country, even the consistency of the dish is different. The recipe for cassava soup in Liberia tastes differently from the same soup/stew made in Nigeria , Guinea, or Sierra Leone, because the ingredients are different. Some recipes use peanut butter- mine did- eggplant, crabs, crayfish powder, and okra. Most use palm oil and smoked fish.
So, I found a recipe, found a local store with frozen cassava leaf, tweaked the recipe and make cassava leaf soup at least once a month, now. The recipe calls for palm oil which has a high carotenoid content, great for conversion to Vitamin A, and high Vitamin E content, but the saturated fat content is a bit steep, 50%, and most recipes call for 1/2 to 1 cup of palm oil. One tablespoon of palm oil contains 21% of the recommended daily value of saturated fat. To keep the recipe authentic and for the color, palm oil stayed in my version. We love peanut butter, so I increase the amount in the recipe for the flavor, consistency , and to thicken the recipe.
What I love about cassava leaf soup is that it includes a protein source, carbohydrates, and fat , all combined with spices, and heat from a hot pepper of your choice that all add up to make a sauce, stew or soup rich in macronutrients and micronutrients. The base of the soup is the cassava leaf- a vegetable high in potassium, fiber ,vitamin C, B1,B2 and low in calories. The cassava leaf is higher in protein than the root, a creamy white fibrous vegetable, well known as yuca, cassava manioc, tapioca or Brazilian arrowroot.
I'll keep working on this recipe, and can't wait to taste the different variations on this dish from different home or professional chefs in the area. The DC area is filled with restaurants that celebrate so many cuisines that rely on plants for flavor, color and texture. Local African small businesses fill a needed niche and supply frozen cassava, jute leaf ( we grow ),gboma,ground crayfish ,smoked fish, and garden egg to make authentic recipes. No need to substitute spinach at home for cassava leaf. Restaurants that celebrate the African diaspora still don't get the continuous marketing, spotlight or investment seen with other cuisines, even in this area.
Yet. Soul food grew on the fertile land on the coasts and inland of Africa long before the seeds touched the ground where the three sisters, squash, corn and peas, flourished.Time to reconnect to the first plant based, not vegan, lifestyle that builds health and wellness.
Join us and build your health with our CSA.
You just never know. Sometimes it feels like spring is here, and then the next day, you need a jacket before you go outside.
Nature is unpredictable. Farming is, too. It is part of the attraction and concern that farmers have each year. Will it rain enough? Will it rain too much? Will this be another record setting summer of high temperatures? Will the blueberries bloom this year or just blossom and fade away?
This year, we are farming in the historic community of Ashton, Maryland, near Sandy Spring, Md, the location of the Underground Railroad in Montgomery County, Md. The land has not been farmed for over 25 years, but has had lots of organic inputs from the goats and sheep that pastured on the land during this time . We did a test run last year, late in the summer season and grew some jute leaf, hibiscus, amaranth, butternut squash, cucumbers, squash, and herbs.
Over the fall, we added lots of organic material to the soil to ready it for the growing season. Adding organic material to the soil helps with soil drainage, and water absorption. So this year, we are excited to go all in and grow a variety of crops- tomatoes, kale, collard greens, swiss chard, bok choy, cabbage, green beans, bell peppers, hot peppers, corn, cantaloupe, melons,butternut squash, cucumbers, squash, amaranth, jute leaf, gboma, watercress, strawberries, broccoli and cauliflower.
And herbs, let's not forget the herbs to add flavor to all of those vegetables. So, this year, expect some cilantro, thyme, rosemary, parsley, Cuban oregano, and basil in your CSA shares.