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Why do I need a Dietitian?

As a Registered Dietitian, I can work with you in a variety of ways.

Many difficult diet issues, which can range from high cholesterol or diabetes to long term obesity and general weight loss, are best addressed by someone specifically trained and experienced in nutrition counseling. Dietitians are recognized by the medical community as the experts in nutrition and diet. Few doctors specialize in nutrition, and chances are your doctor has referred you to the services of a registered dietitian.

Dietitians work with the most challenged dieters. Dietetics is a high-tech science which requires special training and education. The qualifications to become a dietitian require a minimum of a bachelor's degree plus an experiential program (internship). RDs also demonstrate their knowledge of food and nutrition by successfully passing a national credentialing exam.

With this training together with over 10 years of experience in nutrition education and working with patients, I possess both the technical knowledge, as well as personal and professional qualities you will appreciate. Changing your eating habits can be challenging both emotionally as well as physically. I can understand where you are coming from, and help you achieve your goals with good judgment and understanding. Eating right and staying healthy is a challenge in today's busy environments. We are relying more on restaurants and convenience foods to provide our meals. Learning how to eat right and to succeed at your goals can be simplified by someone with knowledge about the complexities of good nutrition who can translate that into a workable eating plan. Why go it alone?

 

RECIPE OF THE MONTH
Potato Scallop Chicken Casserole

A warm, hearty, EASY dish that will fill your soul on a cold evening!! Serve with a tossed green salad and some fruit for dessert to stay within your eating plan.

Serves 4
3 medium potatoes, sliced 1/4 inch thick (peeled if you like)
2 medium onions, thinly sliced
3 tomatoes sliced
Salt or no-salt seasoning
Freshly ground pepper
4 half chicken breasts, boned and skinned
1/2 cup chicken stock or bouillion
1 tsp dried rosemary (or 1 Tbsp fresh if available)
1 Tbsp soft margarine
Paprika

Spray an 8 inch square casserole with "Pam" or other spray oil. Cover with a layer of potatoes, and then a layer of onions, then a layer of tomatoes. Season each layer with salt (or no-salt seasoning) and pepper.

Place the chicken breasts on top of the potato/onion/tomato layer. Top the chicken with another layer of potatoes, onions and then tomatoes. Season these layers as well. End with a layer of potatoes.

Add the chicken stock, sprinkle with the rosemary, and place small dabs of the soft margarine on top. Sprinkle with paprika.

Cover and bake for 1 hour in a preheated 350 degree oven, or until potatoes are tender. (time will depend on the thickness of potatoes). Remove the cover the last 10 minutes of baking to brown the top slightly.

Nutrition information: Each serving provides:
292 Calories, 31 g. protein, 5 g fat, 30 g Carbs, 68 mg Cholesterol

If following "Exchange system", each serving provides:
4 oz protein/meat
2 Carbohydrates
2 Vegetables
1 fat



WHAT IS YOUR FIBER IQ??
Or, How do I go beyond Bran?

There is more to fiber than just the crunch. We are all hearing more about fiber in the media. Soluble, insoluble, roughage, oat bran....there are so many messages!! What are the benefits? Is it really important?


What is fiber? Fiber is simply the undigestible cell walls of plants. It is not a single food or substance, and although bran has come to mean fiber to many, there are actually several forms of fiber in our foods.

Why is fiber important? Insoluble fiber (usually bran) will provide larger, softer stools and moves the waste through the colon quickly, preventing constipation. The best accomplishment of fiber, however, comes from the soluble types of fiber: gums and pectins which modulate blood sugar and pull cholesterol out of your colon. Fiber can also be a weight watcher's friend, since other types of fiber, (cellulose and hemicellulose) take up space in the stomach and make us feel full. Foods high in other forms of fiber (pectin, gums and lignins) reduce the absorption of fat and perhaps some proteins, which lower the amount of calories being absorbed from your food.

Fiber has a role in preventing many diseases: Diabetes, obesity, heart disease, cancer, hypertension and diverticulosis.

How much fiber do I need to eat? The National Cancer Institute recommends between 20-30 grams of fiber for healthy adults. It is felt that most adults in the US only eat between 5-10 grams of fiber per day, even if they are trying to eat a healthy diet. Fiber content of foods is always stated on the "Nutrition Facts" label. Take a few days to count your fiber grams, and see where you are.

How do I get enough fiber in my diet? Foods vary in the amount and type of fiber contained in them. Your best source of fiber starts with a whole grain breakfast cereal. Look for a cereal with at least 5 grams of fiber to start your day on the right track.

Secondly, make sure you are eating three servings of fruit per day. Fruits generally contain between 2-4 grams of fiber per serving, although berries can contain up to 8 grams of fiber per cup of berries.

Your next best bet to increase fiber is to eat more beans and legumes. These are naturally high in fiber, usually containing 7-9 grams of fiber per low-calorie 1/2 cup!! Plan 3 legume/bean meals per week! How about bean burrito for lunch once a week?

Fourth step is to eat only whole grain breads and crackers. This is a tricky one! Marketers seem bent on feeding us white flour disguised as a "whole grain".

Make sure the first ingredient on your bread or cracker label is "whole grain flour" (either wheat or whatever grain is in the bread). Remember they are out to trick you, it is usually whole grain if the front label says: Rye or Whole grain or Whole wheat or Whole oat.

It is usually mostly refined (all the fiber has been removed), if it says cracked wheat, multi-grain, stoned wheat, wheatberry, oatmeal, seven grain or seven bran.
Lastly, increase your vegetable intake. Vegetables contain between 2-4 or more grams of fiber per serving. Veggies vary widely, but clearly eating a wide variety of fresh veggies, both in salads and as a cooked vegetable will increase your fiber intake and your health. Be sneaky: throw some broccoli in your baked potato, add a handful of cauliflower to canned soup, add a cup of spinach to your pasta sauce. Keep a supply of cut, frozen veggies in bags in your freezer to make things easy.


For more information, or to get started with your own
dietary plan, call our office for an appointment!
(916) 446-4449


Any health related material provided on the hopkinsmd.com web site is included for informational or educational purposes only. Always consult with a physician for information about or treatment of symptoms or a medical condition.

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