Nutrition Tips

What You Really Need to Know about Prenatal Nutrition

I have seen several types of doctor’s regarding my fertility, and then later, my pregnancy, and I truly loved all of them. However, none of them spoke to what to eat when you are pregnant. I know most medical programs require only a few hours in nutrition training, but pregnancy is a crucial time to be choosing the right foods. The only guidance I personally received were a few handouts about what to avoid (the typical deli meat, raw eggs, certain fish) etc. Many of these guidelines are actually extremely outdated and not necessary to be avoided AND can cause women to miss out on important nutrients for their growing babies (more on that to come in a separate blog post). However, I really did not receive anything that even had basic nutrition advice like to eat lots of fruits and vegetables!

I think there is also the general inclination that if you are taking a prenatal, everything is ok. This is flawed thinking for several reasons - 1) not all prenatal vitamins are created equal, some are synthetically created in labs and will act differently in the body than those from whole food sources and different ones just have different nutrient profiles, synthetic or not and 2) you can’t out-supplement a bad diet. A 2019 study of 1,000 pregnant women in the US found that a majority of pregnant women are not receiving enough of certain nutrients despite being on a prenatal vitamin, the most deficient were Vitamin D, Vitamin E, magnesium and iron. By contrast, most pregnant women were getting too much sodium (6). Given that over 75% of sodium intake is from processed food not table salt, it means many pregnant women in the US are eating too much processed food, and relying too heavily on prenatal vitamins that aren’t holding up .

Many people take the 10 months of pregnancy as a free pass to forget nutrition since they aren’t trying to fit into their skinny jeans… so why eat healthy right? This is really unfortunate, and I am not trying to blame anyone. I think most people are genuinely trying to do their best with the information they are given. However, the information they are given is, unfortunately, not very complete. So, I’m trying to correct this by highlighting a FEW of the most important things to consider when eating while pregnant. Please note this blog post is not all inclusive, it is just a few topics that I think are not mentioned enough in the mainstream, so if you are pregnant or looking to become and want to optimize your nutrition, I recommend working with me or someone else on a one on one basis or reading a book about prenatal nutrition or a combination of the above. My two favorite books on the topic are Real Food For Pregnancy by Lily Nichols and Expecting Better by Emily Oster (this second one only has a few chapters on food but it does go into the data behind food borne illnesses and pregnancy so you know what’s actually important to avoid and what isn’t). Hint: a lot of the stuff we are told to avoid is not supported by the clinical evidence!

Vitamin A

It’s important to look closely at your prenatal and your diet to ensure you are actually getting enough of this important nutrient since it can be confusing. Many people think vitamin A is found in beta carotene rich foods (brightly colored vegetables like sweet potatoes, carrots, bell peppers). However, this is actually provitamin A, or carotenoids (5). There is nothing wrong with carotenoids but most people have a very low conversion rate of provitamin A to preformed vitamin A. Preformed vitamin A is crucial for fetal growth and gene development and specifically impacts the heart, eyes, ears, limbs and immune system (7). Lack of vitamin A (this is PREFORMED vitamin A) can lead to serious malformations of the head, face, limbs, and internal organs (8).

So back to where you can get your vitamin A. Since our conversion of provitamin A or beta carotene is low and even lower in individuals who eat a lot of beta carotene (unfortunately, since I am one of those people) (9). I actually had my conversion rate tested and assumed since I ate so healthy it would be high, but actually my healthy eating worked to my detriment since I do not convert much betacarotene into preformed vitamin A so I must eat my preformed vitamin A. Even if you don’t eat a lot of sweet potatoes and carrots, the maximum conversion rate in any human is pretty low so it’s important to get your vitamin A in it's usable form.

I always think the best source for anything is food, preformed vitamin A can come from things like pasture-raised egg yolks, grass-fed beef, full-fat grass-fed dairy and liver (be careful with liver since too much vitamin A in pregnancy can have detrimental effects and this one is the most concentrated sources). But you can also check your prenatal vitamin to see if it says the form of vitamin A. Mine says “vitamin A …. beta carotene, carrot”. This is not preformed vitamin A, I know I must eat some sources of preformed vitamin A, which, is why I’ve made sure to eat properly raised meat and eggs through out pregnancy. You can read more about what to look for in meat in blog post here.

Calories

My personal opinion is that calories oversimplify things. I don’t believe in counting calories as a means of healthier eating ever, let alone in pregnancy. Our bodies are not calculators or machines and there are SO many factors that will impact your overall nutrient need each day. And by the way calories totally ignores nutrients, it just tells you how much energy is required to raise the temperature of 1 kilogram 1 degree celsius… so really calories are not important, but the types of foods we eat are. And then in terms of quantity, I am a big believer of listening to your body. Hunger is a message from your body telling you to eat more. When you are full stop eating. This same principle applies to pregnancy.

Yes, you will need more calories when pregnant. Even when your baby is just a few cells, your body is doing A LOT behind the scenes, so you may experience increased hunger. In these cases, the calorie guidelines can seem too low. Personally, I was hungriest first trimester and was eating more than the “zero” extra calories (1) recommended by the American Academy of Dietetics, but it didn’t seem like the right time to ignore the signals from my body and stay hungry so I did not surpass recommended calorie guidelines.. However, some women experience nausea and food aversions that counteract this hunger in the first trimester. So for these people, the zero extra calories in the first trimester may work. Also each pregnancy is different. So I don’t necessarily think a very specific calorie number (340 calories in second trimester and 450 in third) is helpful (1). Like I said, each day is different and counting calories can be tedious and distracting from making healthful food choices.

Long story short, I don’t think anyone should get too hung up on the calorie guidelines during pregnancy (or ever). I will repeat it again, we are not machines or calculators and there are too many factors to count that will impact our daily nutrient needs. A much better policy, is to focus on getting a diversity of real whole foods that will nourish ourselves and our growing babies and to listen to the signals our amazing bodies will give us!

Carbohydrates

This is the only non-essential macronutrient. There are three macronutrients - carbohydrates, proteins and fats. Of these three, there are essential amino acids (which are the building blocks of proteins), essential fatty acids (fats) but no such thing as essential carbs (2). Essential nutrients are ones that your body cannot produce itself, but needs to survive. I am not saying everyone should go 100% carb-free, or even low carb. However, there are lots of non-nutritive carbs in the modern diet. So I am definitely saying be wary of these. And also noting that if you don’t include as many carb-dense foods, it won’t necessarily be detrimental.

One of my favorite colorful, unprocessed ways to get carbohydrates and load it up with fat, fiber, protein and other nutrients is sweet potato toast. Recipe is on my website!

One of my favorite colorful, unprocessed ways to get carbohydrates and load it up with fat, fiber, protein and other nutrients is sweet potato toast. Recipe is on my website!

In fact there is lots of data to support that too many carbohydrates can have detrimental outcomes for pregnancy. Most people know about gestational diabetes as one of these risks but there are risks even before women reach the gestational diabetes threshold. I think processed carbohydrates are overemphasized during pregnancy, which, inevitably crowds out more nutrient dense items from people’s plates and causes chronically spiked insulin levels (which, is problematic even if one does not have gestational diabetes). As my clients and those who follow me closely know, I always recommend colorful carbs first (carbs that come from whole foods like fruits and vegetables) since these are rich in phytonutrients (vitamins, minerals, antioxidants etc.) and are naturally paired with fiber. I also recommend avoiding “naked carbs” to help manage blood sugar, by pairing carbohydrates with a quality protein and/or a fat. You can read more about this in my balanced plate blog post here.

Now, back to what can happen when you don’t manage your blood sugar in pregnancy. Reminder: the food that will impact blood sugar/insulin the most is carbohydrates, so you can manage it by choosing whole foods carbs and pairing them with protein, fat and fiber. A 2015 Stanford University study that shows that elevated blood sugar far below the threshold for gestational diabetes is linked to significantly higher risk of congenital heart malformations in the babies of those mothers (3). Another study shows that high insulin levels in early pregnancy were linked to significantly higher risk of neural tube defects in babies (4). A higher carbohydrate diet during pregnancy is also linked to a higher risk of developing gestational diabetes, preeclampsia (high blood pressure), gall bladder diseases in pregnancy and for your baby to grow unhealthily large (macrosomia) and increases baby’s chances of having heart disease, diabetes and impaired lung development (5). A little processed carbs won’t kill you or your baby or give you a completely unhealthy baby. I don’t think it’s a good use of time to stress about every morsel that goes into your mouth. However, I do think we need to all take our carbohydrate consumption during pregnancy a little more seriously given that they are non-essential, so there is in’t a minimum required for life AND there can be detrimental outcomes of eating too many, especially of the non-nutritive ones.

My favorite sources of carbohydrates for anyone, pregnancy included, are COLORFUL whole foods sources. Whole foods means unrefined carbohydrates as close as possible to their original source. So if you look at the label on whole wheat bread, there are usually 20 plus ingredients and each of those ingredients may be processed. That’s not necessarily very close to the source. However, if you look at a sweet potato or some lentils those ARE the original source so they are great whole foods carb sources. And nature is so smart it filled these foods with nutrients that are important for the developing baby. The things that gives fruits and vegetables their colors also have so many health benefits. The phytonutrients are what gives these fruits and veggie carbs their colors (and yes white is a color so I’m pro potatoes, cauliflower, coconut, garlic etc.) Plus, the less processed the carb, the more it will allow your blood sugar to remain balanced (which means it is less likely to cause the complications mentioned above with gestational diabetes or really just high insulin variability even before GD kicks in. So moral of the story here is to choose your carbs wisely (whole foods carbs) and if you don’t choose to eat that many every day, you may just be fine, as long as you are eating enough overall since carbohydrates are not essential.

Choline

One of my favorite choline-rich meal prep recipes is my easy frittata! This is a version of the one on my website in the recipes section.

One of my favorite choline-rich meal prep recipes is my easy frittata! This is a version of the one on my website in the recipes section.

This nutrient is very often forgotten or not mentioned when it comes to prenatal nutrition but it is extremely important. Choline is required for fetal brain development, prevents neural tube defects and helps with placental function (23). In fact, some of its functions are actually similar to folate, which is commonly discussed, however, choline is rarely discussed.. One of the best sources of choline, and my personal favorite is egg yolks. Beef liver is also rich in choline. However, it is very hard to get choline from a plant-based diet. The recommended minimum of choline in pregnancy is 450 mg a day. One egg with the yolk provides 115 mg, by comparison 1/2 cup of cooked pinto beans, brussels sprouts, or broccoli provides 30 mg (30 mg). So you could have 4 eggs with yolks and get to your daily choline requirement, or have 8 cups of broccoli, pinto beans or brussels sprouts. I LOVE broccoli and that even seems like a lot to me. Feel free to get your choline how you want, but in my opinion it is easiest to get enough choline when eating animal foods. I also specifically picked a prenatal for myself that contained some choline as insurance for if I’m not eating 4 eggs a day, which let’s be honest, I definitely do some days (I LOVE eggs), but there are days I don’t eat any eggs.

Although 450 mg is the minimum required amount of choline (I made sure to find a prenatal that includes choline, this is honestly pretty rare!) and also ate a lot of eggs during pregnancy (those who follow my social media probably noticed this), studies have shown that the optimal amount of choline is more than 900 mg per day. This level is specifically beneficial to fetal brain development and placental function (24, 25). A 2018 randomized, double-blind, controlled study (AKA the gold standard when it comes to clinical studies) tested the effect of a prenatal diet containing 480 mg of choline per day compared to a diet of 930 mg per day on infant brain development. The infants of mothers who were given both the 480 mg and 930 mg choline per day during the third trimester were tested at 4, 7, 10, and 13 months of time for visuospatial memory and information processing speed. The infants born to the mothers who got 930 mg of choline per day had significantly faster reaction times at all four age testing intervals (26), thus showing that perhaps our current choline guidelines are not enough or mothers do fine with the current choline recommendations but would do better with more choline.

Vitamin D

Here I am shading myself from the sun (so therefore reducing my vitamin D exposure) and hence why supplementation is often necessary. I’m also snacking on nuts and fruit! Great, portable, unprocessed combo that hits PFFP.

Here I am shading myself from the sun (so therefore reducing my vitamin D exposure) and hence why supplementation is often necessary. I’m also snacking on nuts and fruit! Great, portable, unprocessed combo that hits PFFP.

Most prenatal vitamins only contain about 400 IU of vitamin D but at this level most pregnant women are still deficient in vitamin D. 40-60% of the pregnant population in the US is deficient in vitamin D (6, 10). That’s a lot! So additional supplementation clearly seems necessary or making sure to eat lots of vitamin D rich foods (or both). Studies have shown that 4,000 IU of vitamin D daily is ideal for both mother and baby during pregnancy (11). Unfortunately so many of our modern diet resources tell us to avoid naturally vitamin D rich foods (ex: eat only low-fat dairy when vitamin D is a fat soluble vitamin and will be more bioavailable and present in full fat dairy, or eat only egg whites even though the yolks contain the fat necessary to absorb vitamin D and vitamin D itself). But by sticking to a more whole foods based way of eating we can make sure we are getting more usable vitamin D, whether we are pregnant or not. I consider full fat dairy to be more of a whole food than reduced fat, since they replace the fat with sugars, chemicals etc. and it decreases the nutrient value of things like vitamin D, and same with eating whole eggs vs. egg whites.

Since vitamin D is so important for the mother’s health, and there are increased needs during pregnancy, it is related to immune function, healthy cell division, bone health, metabolic function, insulin sensitivity, good sleep and brain health and has even been shown to be preventative for many types of disease such as cancer (11). That being said vitamin D is super important for mama and she has increased needs because baby is taking some, so I don’t think 400 IU cuts it!

Another factor to consider when thinking about vitamin D, is vitamin K2 since vitamin K2 will impact the absorption of vitamin D and also vitamin A (all fat soluble vitamins). Vitamin K2 is different from the plant form of the vitamin (vitamin K1) which does not help with vitamin D and calcium absorption and therefore bone health in the same way. Vitamin K2 is important for mineral metabolism in the body (making sure all the minerals get to the right place, i.e. making sure baby’s skeleton, teeth etc. are all formed correctly and are strong!) It is also important for mother’s bone health and if she does not have enough to provide for baby, her body will leech vitamin K2 from her bones and tissues to give to baby, which, is a good thing for baby but can leave mom with all sorts of complications postpartum, like maternal osteoporosis (5). So the solution here is to get a vitamin D supplement that also includes K2 (I like this one) and/or eat vitamin K2 rich foods such as full fat dairy, egg yolks (yep the same ones that include vitamin D, how smart is nature!?), liver, grass-fed butter and ghee, grass-fed beef, dark chicken meat (12). Finally, vitamin D can be absorbed from the sun. However, if you live somewhere with short days part of the year and do not spend the majority of your day outside and/or avoid sun exposure, you can’t rely on the sun for your vitamin D. Again, I’d look at your total intake and assess how much supplementing you think you will need, but most people need at least SOME.

Omega-3 Fatty Acids - DHA

One of my favorite meals during pregnancy was salmon with zoodles and my avocado pesto (SO creamy and decadent!) Recipe for the pesto is on my website. This salmon is Sizzlefish of course! See link and discount below.

One of my favorite meals during pregnancy was salmon with zoodles and my avocado pesto (SO creamy and decadent!) Recipe for the pesto is on my website. This salmon is Sizzlefish of course! See link and discount below.

There are several types of omega-3 fats: ALA (the plant-based form), EPA and DHA. DHA is by far the most important for brain health and baby’s and toddlers brain development, in fact the plant-based form has almost no impact on baby’s brain development because the conversion into the usable form of DHA is so low (5). These important DHA fatty acids are found almost exclusively and most prevalently in wild caught seafood. Unfortunately, many pregnant women have been told to avoid seafood or to limit it to very small amounts. The reasoning behind this is mercury toxicity which could be a very harmful neurotoxin, however, if you are smart about your fish consumption this should not be an issue (more on this below). Avoiding fish can have a detrimental effect on their baby’s developing brain. A study of over 1,200 mother-infant pairs looked for a correlation between fish consumption and IQ and eating over 12 oz of fish per week correlated strongly with the baby’s with the highest IQs and actually the babies with the lowest IQs came from mothers who consumed no fish at all (13).

Well if mercury is a neurotoxin and some fish contain mercury, how can eating fish be good for you? First of all, fish are also naturally high in selenium (even more so in their raw form so the sushi off limits thing does not make total sense either but again that’s another blog post). Selenium helps the body detox mercury (14). Mother nature at it again with how amazingly smart she is! So the net effect of any mercury should be minimal especially if you are choosing the right type of fish. Fish to avoid:

  • Farm-raised fish, these are usually given antibiotics and hormones that you and baby don’t need in your body, and also can be hosts to antibiotic resistant bacteria that can be harmful (15, 16, 17). Additionally, farm raised fish are also proven to have higher levels of mercury than wild-caught fish.

  • High mercury fish like tilefish, king mackerel, swordfish and shark. The amount of mercury is pretty directly correlated to the size of the fish and if it was wild caught or not (5).

  • What about tuna? Skipjack is one of the smallest kinds and therefore contains way less mercury, this is mostly what I ate during pregnancy. Larger breeds like bluefin and albacore have much higher mercury ratings (22), the recommendation is to keep this to less than 6oz a week. Also wild caught is still important here! That will greatly reduce mercury amount.

More Sizzlefish wild caught salmon, cooked with avocado oil and Trader Joe’s bagel seasoning (another one of my fave combos)

More Sizzlefish wild caught salmon, cooked with avocado oil and Trader Joe’s bagel seasoning (another one of my fave combos)

Now, back to why DHA is so darn important! If the study above didn’t convince you that DHA helps the baby’s brain develop and have a higher IQ here are some more facts. DHA is incorporated into the rapidly developing brain and eyes of the fetus in utero where it forms neurons (brain cells) and protects the brain from inflammation and damage (18). It is crucial during pregnancy, and remains crucial during the first two years of life. If you are planning to breastfeed, it is important to get enough DHA since the amount of DHA found in breast milk is directly correlated to mother’s consumption (19).

So where to get your DHA? Personally, I have been eating a lot of wild caught salmon. Not only is it delicious but it’s loaded with DHA. It’s the top pregnancy-safe fish source of DHA (20). I like to order mine from Sizzlefish (code PRESS10 to save 10% on any non-subscription order). Other good sources of DHA are trout, oysters (these should be completely safe during pregnancy if from a reputable source (21) but if you don’t feel comfortable I totally understand, cod and other smaller whitefish, sardines, shrimp. Some of these are also available on Sizzlefish if online ordering is your thing (it’s mine). I also have been eating low mercury tuna as I mentioned, like skipjack and also have been keeping this to wild caught.

Folate vs. Folic Acid

You have most likely heard of folate and/or folic acid and the importance of this nutrient in preventing neural tube defects in the baby. Folate deficiencies can also lead to problems in mother's during pregnancy too (like anemia and peripheral neuropathy) (30, 31). Most sources suggest supplementing at least 3 months before you plan to get pregnant. This is one nutrient that supplementation is definitely necessary for since folate in foods diminishes the longer they are on the shelf, and the needs during pregnancy are high. However, many practitioners do not distinguish between folate and folic acid. And the truth is, these two are not exactly the same thing, as you may have been told.

Folic acid is the synthetic form of folate. The fact that is synthetic is not the problem, it's the fact that most people's bodies just can't use this synthetic version quite as well. In fact, 40-60% of the population can't convert folic acid properly to folate. And with this being such an important nutrient during pregnancy, I'd say use the most bioavailable (usable) form for your body and baby. Additionally, unconverted folic acid in the bloodstream may also cause problems (29). So if you are among the half of the population that does not convert it well, not only might your baby not be getting enough folate, but you might run into other problems for your own health.

Some of the best food sources of folate are dark leafy greens like spinach, lentils, beef liver and some nuts and seeds. However, like I mentioned, we actually need about 800 mcg per day during pregnancy, which would mean several cups of one of the above foods (29). This is also assuming those foods kept all their folate content, which, is rare unless you are picking the spinach right from your garden with perfect soil. So what should you look for in your prenatal vitamin? Look for folate, not folic acid, but also make sure that folate is not misrepresented. Sometimes it says “folate” with an * that says something like “as folic acid”. So it’s really just the synthetic form. Other terms for folate that you may see on a prenatal or another supplement are: L5MTHF, Methylfolate, 5-MTHF, Quatrefolic (a brand name of methylfolate). For instance, the prenatal I take says “Folate… L-5-MTHF as broccoli”.

Glycine

Glycine is conditionally essential during pregnancy. This means that when you’re not pregnant your body may be able to make enough glycine to support your bones, skin, nails, dental health & gut lining on its own. During pregnancy, this changes. Your body’s demand for this amino acid increases so much that you must consume glycine from food sources to support a healthy pregnancy. While there is no RDA for glycine, researches estimate that the minimum amount of glycine needed in the diet (this is in addition to what your body is able to make itself) for non-pregnant adults is 10 grams or 10,000 mg (27, 5). So even when you are not pregnant, it's advisable to eat glycine-rich foods in addition to just relying on your body's natural production.

I have been sneaking in collagen peptides (one of the best sources of glycine) EVERYWHERE. Especially places like home-baked goods. I made so many loaves of my no-sugar added paleo banana bread and would usually put about 1/4-1/2 cup of collagen in each batch. Recipe is on my site!

I have been sneaking in collagen peptides (one of the best sources of glycine) EVERYWHERE. Especially places like home-baked goods. I made so many loaves of my no-sugar added paleo banana bread and would usually put about 1/4-1/2 cup of collagen in each batch. Recipe is on my site!

During pregnancy, glycine supports the growth of the baby’s teeth, internal organs, skeletal system, hair, skin, nails and is important for mama’s growing uterus and placenta and stretching skin. Glycine is the simplest amino acid structure so it serves as the building block of SO many parts of our bodies and our fetuses. It is also an important metabolic precursor (28). Since glycine is a structural amino acid, found mostly in connective tissue, skin and bones, it’s not actually contained in high amounts in most usual animal protein sources such as muscle meat, and is contained in very low concentrations in any form of plant-based protein. The best sources for glycine are connective-tissue based which may not be a part of everyone's diet.

My favorite source during pregnancy was a grass-fed collagen protein supplement (I actually take this when not pregnant too since it is one of the best ways to support a healthy gut and your own connective tissue - skin elasticity, nails etc.). I use Further Food (code START10 to save). Another great source is bone broth, since this is made by soaking connective tissue (bones and ligaments) it will contain some of those amino acids. Also eating any animal connective tissue is also a great source, for instance pork rinds or eating chicken or fish with the skin on will give you some glycine.

Magnesium

About half the American population is deficient in Magnesium (31). So I think we ALL need to consider this mineral a little more, not just pregnant people. As I mentioned previously, magnesium was one of the top nutrients that pregnant women who ARE on a prenatal vitamin supplement are still deficient in(6). Additionally, women with gestational diabetes are more likely to be deficient in magnesium. Magnesium deficiency can also be made worse in the presence of excess calcium and this combination can make pregnant women more susceptible to conditions like preeclampsia (32). I think the importance of calcium is often over-emphasized at the detriment of magnesium. Magnesium is also essential for many metabolic functions, nerve and muscle communication, protein synthesis and and regulations body temperature (36). These functions are all important in pregnancy or not but pregnancy is a good time to get your ducks in a row, since postpartum can be a little hectic and adding a magnesium supplement to your regimen may not be top of mind.

This picture doesn’t have much to do with magnesium but pregnancy overalls are the best and so is Claudette the frenchie!

This picture doesn’t have much to do with magnesium but pregnancy overalls are the best and so is Claudette the frenchie!

Magnesium has particular importance during pregnancy. It helps reduce muscle cramps during pregnancy, reduce the risk of high blood pressure/hypertension and preeclampsia in pregnant women. Magnesium supplementation has been shown to reduce or prevent these medical complications in over 50% of those who supplemented with additional magnesium (33, 34). Magnesium can also prevent fetal growth restriction and prevent small for gestational age babies (35). A 2017 study showed that pregnant women who supplemented with 200 mg of magnesium daily had significantly lower risk of numerous complications including: intrauterine growth retardation, preterm labor, maternal body mass index (BMI) that was too high, neonatal weight, pregnancy-induced hypertension, preeclampsia, gestational diabetes mellitus, cramps (36).

Anecdotally, I have been supplementing with magnesium glycinate (there are many kinds of magnesium so I would check with a practitioner to see which one is right for you before supplementing) orally since the beginning of my pregnancy, and have not experienced any of these symptoms. The nausea was to my particular surprise. I’m not sure if the magnesium is the cause of my minimal nausea during the first trimester, but I’m sure it didn’t hurt. Now that I am in my third trimester and it’s the middle of summer and my feet and ankles are swelling, I have been using magnesium topically in the form of a lotion in the evenings on my feet.

Probiotics

Probiotics are the “friendly bacteria” that live in and on our bodies (no they are not a traditional “nutrient” like many of the other things we discussed but they are still very important for prenatal, or any health). They actually outnumber our own human cells (and genes) in a 10:1 ratio. So we are 90% probiotics. Whoa, that’s a lot. Many of these good bacteria, funghi and single-celled organisms live in our digestive system, but they are also on our skin (our largest organ), our mouthes and in our vaginas. So they will have an impact on far more than just gut health. They impact our skin (acne, exema, rashes can all be because of probiotic dysbiosis or imbalance), our oral health (these play a huge role in propensity to get cavities and other oral diseases or not) our vaginal health (yeast infections are also when the bad bacteria outgrows the good bacteria), and of course our digestive health (everything from our metabolism, how many nutrients we are able to extract from food, how many calories we extract from food, whether we have bloating, gas, constipation, diarrhea etc.) These, among other reasons I will discuss below, are all great reasons to make sure our bacterial population are in balance.

This bowl I ate on our baby moon in Ojai, CA was loaded with probiotics (there were several types of fermented veggies in there and not to mention all the different colors) and other pregnancy-friendly foods (hello grass-fed bison burger).

This bowl I ate on our baby moon in Ojai, CA was loaded with probiotics (there were several types of fermented veggies in there and not to mention all the different colors) and other pregnancy-friendly foods (hello grass-fed bison burger).

Shockingly, this is another supplement that I have heard many prenatal practitioners say is “not safe” during pregnancy. There is no clinical evidence to show that probiotics are not safe, and in fact they are extremely important during pregnancy. I would say, don’t go taking a “homemade probiotic” from an unreputable source, but other than that, make sure you are getting a good source of probiotics. This is another one I recommend supplementing with to ensure survivability through the gastric juices in the stomach. Early in my pregnancy, I actually switched to Just Thrive probiotic (and prebiotic) supplement because they have the strongest clinical evidence to support 100% survivability through the gastric juices. You can use code PRESS15 to save on your own, whether you are pregnant or not.

Now back to probiotics and pregnancy. First of all, we populate our baby’s microbiome (friendly bacteria population) when they pass through our birth canal and even those who give birth via cesarean pass on bacterial populations through the placenta and also breast-milk if breastfeeding (29). So if we want to give our baby the best start at life, I recommend taking care as to what bacteria is living in and on you. In addition to the important roles I mentioned above, our gut is home to our enteric nervous system (ENS) which plays a huge role in how our brain functions and our mood. In fact, 90% of our serotonin is produced in our gut (37, 39). Happier gut = happier moms and babies! Additionally, our guts are home to something called GALT, or gut activated lymphatic tissue. Lymphatic tissue refers to immune tissue. So this is a fancy way for saying our gut health plays a huge role in our immune system. About 75-80% of our immune system is actually controlled by our gut (40). Additionally, our gut helps our bodies detox harmful substances like small particle LDL cholesterol and can help prevent things like the onset of cardiovascular disease (38) and, when in the right “balance” can help reduce inflammation in the body, which is the root cause of almost every disease (41). However, when not in “balance”, or when the gut is in a state of “dysbiosis” it can cause widespread inflammation in the body, which can cause many diseases. So by taking care of your gut, you can stay healthy during pregnancy and give your baby the best chance at starting life out happy (serotonin) and not sick (immune system) and so much more.

Our microbiome, or bacterial balance in our bodies also has some other direct impacts on pregnancy outcomes. Studies have shown that dysbiosis (imbalance of unhealthy and healthy bacteria in the gut) can increase the mother’s risk of excessive weight gain during pregnancy, preeclampsia, gestational diabetes and preterm birth (42). Probiotics can actually help prevent mother’s who do have gestational diabetes for having a too large baby (which is common in this population) and can help balance blood sugar in both mothers with gestational diabetes and without (see carbs paragraph for why balanced blood sugar is important) (44). Additionally, a good probiotic supplement can reduce inflammation in the placenta, which, can prevent many other conditions. In fact, the placenta has recently been discovered to have its own microbiome (or bacterial population), which, of course is entirely populated by the mother in utero (43). In addition to a quality probiotic supplement that will survive (see above, most do NOT survive gastric juices which is why I have carefully chosen mine), it is important to care for our microbiome and thus our baby’s micro biome by eating a diversity of colorful, whole foods, and avoiding things that harm gut bacteria such as traditional cleaning chemicals, phthalates, BPA and BPS, many compounds in traditional beauty products, antibiotics (such as those in conventionally raised meat and seafood), gluten (to the extent possible) and much more. If you want more guidance on this, please contact me.

summary

Another plate loaded up with the pregnancy goods! Eggs (hi choline, protein, DHA, vitamin D, vitamin K) and sweet potatoes for those unrefined carbohydrates and green veggies for folate. So you don’t need to eat out of the ordinary foods, just be mindful of what you’re taking in!

Another plate loaded up with the pregnancy goods! Eggs (hi choline, protein, DHA, vitamin D, vitamin K) and sweet potatoes for those unrefined carbohydrates and green veggies for folate. So you don’t need to eat out of the ordinary foods, just be mindful of what you’re taking in!

Whoa, that was a lot of information. If you made it this far, thank you for reading! Like I said, this should not replace working with a practitioner to optimize your prenatal nutrition, but hopefully, can teach you some new things to at least look into for your own prenatal diet and care. I always advocate for a diverse diet of whole foods (minimally processed). But I also think pregnancy is as good a time as any to listen to your body. So I am not trying to impose guilt or shame on anyone who ate some bread or pasta or candy during pregnancy, but rather trying to clue you in on what other things you might want to consider including, whether that’s a supplement or a food group or both. And finally, I will put a link to the main prenatal vitamin that I took during pregnancy again here since I know I will get questions about it. However, please note that this is NOT the only supplement I took, and I still recommend working with someone to see what you might need in addition. And finally, if you are mama to be reading this, CONGRATS and try to enjoy the process!

References:

  1. https://www.eatright.org/health/pregnancy/prenatal-wellness/healthy-weight-during-pregnancy

  2. https://academic.oup.com/ajcn/article/75/5/951/4689417

  3. https://www.ncbi.nlm.nih.gov/pubmed/26457543

  4. https://www.ncbi.nlm.nih.gov/pubmed/11679789

  5. Nichols, L. (2018). Real food for pregnancy: The science and wisdom of optimal prenatal nutrition. {United States?: Lily Nichols.

  6. https://www.reuters.com/article/us-health-pregnancy-diet/average-pregnant-woman-in-u-s-may-have-poor-nutrition-idUSKCN1TM2KL

  7. https://academic.oup.com/nutritionreviews/article-abstract/57/11/350/1812707?redirectedFrom=fulltext

  8. Ross, A. Catharine. “Modern Nutrition in Health and Disease / Edition 11|Hardcover.” Barnes & Noble, barnesandnoble.com/w/modern-nutrition-in-health-and-disease-a-catharine-ross/1118877753.

  9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2855261/

  10. https://academic.oup.com/jn/article/137/2/447/4664564

  11. https://americanpregnancy.org/pregnancy-health/vitamin-d-and-pregnancy/

  12. https://www.todaysdietitian.com/newarchives/060113p54.shtml

  13. https://www.ncbi.nlm.nih.gov/pubmed/17307104

  14. https://www.ncbi.nlm.nih.gov/pubmed/20561558

  15. https://jamanetwork.com/journals/jama/fullarticle/203640

  16. https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(16)00100-6/fulltext

  17. https://www.sciencedirect.com/science/article/pii/S095671351400632X

  18. https://academic.oup.com/jn/article/137/4/855/4664682

  19. https://www.medicalnewstoday.com/articles/323144.php

  20. https://www.medicalnewstoday.com/articles/323144.php

  21. Oster, Emily. Cribsheet: a Data-Driven Guide to Better, More Relaxed Parenting, from Birth to Preschool. Penguin Press, 2019.

  22. http://seafood.edf.org/tuna

  23. https://www.ncbi.nlm.nih.gov/pubmed/23637565

  24. https://www.ncbi.nlm.nih.gov/pubmed/22549509

  25. https://www.ncbi.nlm.nih.gov/pubmed/23195033

  26. https://www.ncbi.nlm.nih.gov/pubmed/29217669

  27. https://link.springer.com/article/10.1007/s12038-009-0100-9

  28. https://academic.oup.com/jcem/article/90/3/1594/2836828

  29. Wolfe, Liz. “Baby Making & Beyond.” Baby Making & Beyond, Dec. 2018, www.babymakingandbeyond.com/products/bmb-core-four.

  30. https://www.ncbi.nlm.nih.gov/pubmed/30976786

  31. https://www.ncbi.nlm.nih.gov/pubmed/22364157

  32. https://www.ncbi.nlm.nih.gov/pubmed/7892840

  33. https://www.ncbi.nlm.nih.gov/pubmed/7631676

  34. https://www.sciencedirect.com/science/article/pii/S2210778914004115

  35. https://www.ncbi.nlm.nih.gov/pubmed/24696187

  36. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5590399/

  37. https://www.ncbi.nlm.nih.gov/pubmed/28164854

  38. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579652/

  39. https://www.scientificamerican.com/article/gut-second-brain/

  40. https://www.ncbi.nlm.nih.gov/pubmed/28164850

  41. https://www.ncbi.nlm.nih.gov/pubmed/28089638

  42. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4658310/

  43. https://www.ncbi.nlm.nih.gov/pubmed/24848255

  44. https://www.ncbi.nlm.nih.gov/pubmed/20128938

Why I hate the word "cheat" when it comes to food

The concept of “cheat meals” and “cheat days” have become more common in our society. However, I don’t like using these words, nor do I encourage others to use them (when it comes to food) because I believe it fosters an unhealthy relationship with food and here is why:

it perpetuates diet culture

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The idea of eating in a restrictive way, then “cheating” on that “clean” diet perpetuates diet culture. Diet culture is rampant these days, every season there is a new reason and way to “drop pounds fast” with the newest “cure-all” diet (that is usually not at all beneficial for long-term health). This often involves juice cleanses, miracle pills, restrictive calorie counting etc. Again, none of these have long-term physical or mental health at their core intention. However, they all have in common that people are usually not physically or mentally satisfied eating in this manner. This then leads people to feel they need to “cheat” on their diet which often contributes to the binge-restrict-binge yo-yo hamster wheel that so many people are caught on. If we re-framed the way we thought about food, and perhaps did not go on unsustainable diets, I don’t think we would feel the strong urge to “cheat”.

it implies most of the time we should eat in a way that’s not enjoyable

Most people eat at least three times a day, every day… which, is over 1,000 meals a year. Don’t you think we should enjoy these meals? So why are we choosing ways to eat on a daily basis that don’t make us happy and satisfy us and therefore we need to “cheat” on this way of eating? Beats me… I am not saying everyone has to eat the way I do. However, I truly believe healthy eating can taste amazing and make you feel amazing inside and out. I also believe that there is a balance for everyone, and it will be different for everyone, of healthy foods and perhaps “less healthy” foods that still contribute to our mental health. Once we find this balance, we won’t need to “cheat” on anything. We can just incorporate all the different types of foods we love. Additionally, by calling an indulgent meal a “cheat” meal, we are taking the enjoyment out of that meal itself. Why not just enjoy the meal and not call it anything in particular and move on with it.

it gives food and eating behaviors a moral value

I often hear from clients that they feel “so guilty” because they ate “horribly yesterday”. If what you eat gives you a stomach ache or puts you in pain, that’s one thing. But there is no reason to feel guilty about eating food. If we are not on a diet, and we are not “cheating” on anything, there should be no moral value attached to food. Foods can evoke different feelings and memories for sure, but I think there is no reason to waste mental energy regretting food you ate. Each time you eat is a new opportunity to eat again. No reason to dwell on the past, just move onward and upward and make the best choice for you at the next meal/opportunity.

it does not allow room for balance

Cheating implies extremes when it comes to food, not balance. The connotation with cheat meals and cheat days is that they are all out junk food fests, and that the rest of the time we should be eating 100% in a strict “clean” way. I don’t think either is healthy. Like I mentioned above, everyone should find their own balance of healthful foods and indulgent foods and that balance most likely will vary day to day and that’s ok. But as long as you are eating in a way that makes you feel good overall, that’s what matters. Not eating in a way where you feel extremely deprived in one instance and then sick from over-indulging in another instance. Everything should even out to somewhere around Goldy Locks’ porridge…. just right :)

What do you think about the word “cheat” when it comes to food? Let me know in the comments below!


Top 7 Nutrition Books of 2018

There is always new research going on in nutrition, and sometimes it can seem overwhelming to keep up with. One day canola oil is the most “heart healthy fat” the next day we find out that’s a lie the food and marketing industries have fed to us and that canola oil is GMO, inflammatory and should be avoided (1, 2) but butter is good for us, even though we were told not to eat that previously. AH! It can definitely be confusing.

That being said, I think there are a lot of junk nutrition books out there, mostly people who just write about their own opinions without references to the peer-reviewed clinical research. So just because something is in a book, does not mean it’s true. However, there are a lot of amazing books out there trying to make people LESS confused about nutrition and basing their claims on FACTS. So here are some of my personal favorite nutrition reads of 2018 (note: not all of these books were released in 2018, they were just books I read during the year).

Oh and PS… I usually listen to my books so that I can “read” while I’m driving, taking Claudette for a walk, doing dishes, cooking etc. So if you don’t have time to sit down and read, all of these came in audiobook form too! And none of this is sponsored, just my favorites. See below in alphabetical order.

The Big Fat Surprise by nina teicholz

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The author of this book was formerly a journalist who reviewed restaurants. However, as she aged and felt pounds packing on, she began avoiding the foods that all the best restaurants used (butter, meat, and cheese) only to find her weight increasing. This was frustrating to her, and once she started embracing the fatty foods in high end restaurants, she actually began losing weight. This prompted her to investigate the science between the low-fat-diet theory and whether saturated fat is really that bad for us.

Nina takes a scientific approach at analyzing fat in the diet throughout history and throughout cultures and gives solid evidence as to why so many of our current dietary guidelines are misguided. It’s interesting to hear the evidence from a former restaurant-reviewer’s perspective. I personally loved a lot of the evidence about different tribal cultures, that I never would have known about, that live off of mostly fat and their various health markers. This book challenges conventional wisdom and is definitely worth a read!

Brain Maker by dr. david perlmutter

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This book is admittedly the most “science-y” of the reads on this list. So if you aren’t into nerding out over nutrition science, I don’t recommend it. Perhaps this is why I loved it so much, but I admittedly had to take breaks while listening to it, and have “podcast days” where I’d listen to one of my favorite nutrition podcasts because my brain just could not handle the information in this book.

Anyways, the book in a nutshell, is an in depth look at the gut brain connection. Perlmutter goes into what’s in our gut, how it works and how that impacts the brain. The book goes into everything from depression, anxiety, autism, ADHD, chronic fatigue, Alzheimer’s, dementia and other brain related disorders and how these relate to what’s going on in our gut. Perlmutter also offers actionable items about how to make sure your gut is in tip top shape! Reader beware - you will learn a lot but the information is dense.

Perlmutter (who also wrote Grain Brain) is a renowned neurologist, lecturer and has been published extensively in peer-reviewed scientific journals (gold standard for research). So the guy is smart. Which, is why this book can be a little too “brain-y” for some people.

Eat Dirt by dr. josh axe

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This is definitely my favorite book I’ve read so far on gut health. As most of you have heard me say, the gut is truly the root of all health so it’s an important one! The book is not as science-y (I know that’s not a real word but hey, you know what I’m talking about) as Brain Maker or some of the other books on gut health. Axe makes the gut and gut health easy to understand for the average individual who does not have a science or nutrition background but he also offers a ton of great information so if you do have a background in either of those fields, you will learn a lot from the book.

The book starts out with a personal story about how Axe helped his own mother beat cancer by giving her a gut-healing protocol. Josh also goes into a lot of the everyday things we do as a society to make us “healthier” and shows how these are actually harming us (hello hand sanitizer and avoiding dirt from pets). He gives actionable things anyone can implement through out the book, as well as little quizzes to help you evaluate your own gut health. I think most people could learn a lot from this book.

Dr. Axe is a chiropractor, doctor of natural medicine and certified nutritionist. He’s young, vibrant, and knows a ton! I also love his products Ancient Nutrition (you have probably seen me post about them on instagram). Mainly, I trust his products because I know there is science behind them!

Eat The Yolks by liz wolfe CNTP

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This is another super informative book that starts with the author’s personal health journey. Liz takes you through her teens and twenties and a history of trying every fad diet, counting calories, hiring trainers, but nothing working. She then discovered the paleo diet through a trainer, and began feeling great. This prompted her to do her own research on our current national nutrition recommendations and what is truly healthy for us. She goes into the research and proves wrong so many conventional guidelines and tells you what you should eat and why. The book is in no way restrictive or didactic, it’s just informative and relatable. Liz also is hilarious (anyone who has listened to her Balanced Bites Podcast) knows this. So you’ll be learning and giggling the whole time.

Liz Wolfe is a Certified Nutritional Therapy Practitioner, co-host of the Balanced Bites Podcast, mother and creator of the Balanced Baby-Making and Beyond program (which I have also done). This book is another great read for anyone, whether you are in the field of nutrition or not, you’ll get a lot out of it and laugh while doing it.

Food - What the Heck Should I Eat? by dr. mark hyman MD

If you are going to read ONE book on nutrition in your entire life, make it be this one. Dr. Hyman takes a no nonsense approach to clearing up all the confusion about nutrition. Each chapter covers a different topic and tells you what you should know about it. The chapters include “meat”, “poultry & eggs”, “milk & dairy”, “fish & seafood”, “vegetables”, “fruits”, “fats & oils”, “beans”, “grains”, “nuts & seeds”, “sugar & sweeteners” and “beverages”.

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Dr. Hyman tells you what you should look for, what you should avoid etc. and he does everything in laymen’s terms. This is the holy grail of eating for optimal health, in my opinion. The book shows you food is medicine, which is one of Mark’s core principles, but it also shows you how many of our modern food choices are perpetuating disease. He backs up all his claims extensively with research yet keeps it easy to understand (as I said). Dr. Hyman is opinionated, and that is a criticism of his work sometimes, but he backs his opinions up with facts so I like that he takes a stance on everything. I’ve recommended this book to clients, family members and friends and have gotten great feedback from all of them. You won’t leave feeling like you can’t eat anything, you’ll leave feeling empowered with knowledge. And, it’s a great resource to reference back to.

Dr. Hyman is a practicing family medicine doctor, functional medicine doctor, and founder of the Cleveland Clinic Center for Functional Medicine, The UltraWellness Center and is on the board of the Institute for Functional Medicine. I also love his podcast, “The Doctor’s Pharmacy” in which he interviews guests that talk about various topics that show food is medicine.

Genius Foods by max lugavere

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Another book written with a personal agenda at heart. Max Lugavere was formerly a film-maker and political journalist working for Al Gore’s TV station. However, when his mother’s neurological health started to degenerate (they later found out she had Alzheimer’s), he decided to switch gears and use his investigative background to research brain health and what the average person can do to preserve theirs.

This book takes you on an informative narrative that might make you cry (hearing about him watch his mother decline) but at the same time gives you information about what you can eat for your own future as well as your loved ones. Lugavere specifically drills into what dietary patterns make our brains work, what can stop them from working, and how you can improve your own cognitive function even if neurodegenerative diseases run in your family. Max gives you his 10 genius foods that anyone can incorporate and even gives you some genius meal plans at the end of the book. Max’s narrative voice is young, and relatable. He teamed up with a neurologist to write the book, so there is plenty of scientific data backing everything up. Max also has a podcast, The Genius Life, that is one of my favorites.

Real Food For Pregnancy by lily nichols, rdn

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I have read this book two times in entirety and have gone back to reference it countless more times. It is a refreshing break from the outdated, under-researched, overly-restrictive nutrition guidelines given to pregnant women today. I really like my Obgyn, but I have to say I was extremely underwhelmed with the advice they gave to me around eating. In fact, I think it was just a sheet of paper with, you guessed it, some outdated advice that is not based on research (don’t eat sushi or deli meat or raw eggs) … well turns out not all of these things are bad for pregnant women, and many of them are actually good for pregnant women. There was also no information on what you should be eating during pregnancy (aside from folic acid, which is actually a less bio-available form of the B vitamin folate) more on all this to come in a separate blog post (3).

If there is one thing Lily is good at, its RESEARCH. You can trust this book (probably more than your OB) because she gives you all the scientific data behind every single thing she recommends. I know my doctor doesn’t do that. Although Lily is a Registered Dietitian Nutritionist, she goes by the data, like I said, which means she often challenges the advice given from the American Dietetics Association. Her unconventional approach is refreshing but also full of truth. So whether you are pregnant, or think you might like to be some day, you will learn a ton from this book. She goes into a whole foods approach for pregnancy (and provides meal plans at the end) and also has a chapter on exercise, which, I found extremely useful.

Lily Nichols is a Registered Dietitian Nutritionist, Certified Diabetes Educator and mother herself! I felt like Lily was a friend of mine after reading the book twice, and to be honest, I wish she was. Goals…

references:

https://www.canolawatch.org/wp-content/uploads/2011/10/20110309_FPJ_Aut11_Beckie.et_.al_.pdf

https://link.springer.com/article/10.1186/2190-4715-23-10

https://chriskresser.com/folate-vs-folic-acid/

Balanced Breakfast Tips

One of the most common things I see on food diaries is missing breakfast or a nutrient deficient breakfast. For reference, I have all my incoming clients do a food diary before we begin working together. They don’t record calories or exact measurements, it’s just to see their general eating habits. This trend is not unique for my clients, only 47% of US adults eat breakfast daily (1) so that means more than half skip breakfast pretty regularly. I am not saying you have to eat the second you wake up. However, there is considerable research that shows starting your day with a balanced breakfast (see my take on this below) can jumpstart your metabolism, help muscle building over time, balance your blood sugar, fight nagging cravings later in the day, help with natural satiation and portion control and give your body the dose of nutrients it needs to start the day (2,3,4). The clinical research points positively towards breakfast as well as my own anecdotal experiences (from myself and my clients). Even if you practice intermittent fasting, which is a longer topic for another day, the first meal of the day should be balanced. So here are my tips on how to do so:

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Tip #1 PFFP:

Breakfast should include as many of the PFFP components as possible. If you can’t include all four, that’s fine, 3/4 is still great and even 2/4 is doing pretty darn good. PFFP stands for Protein, Fat, Fiber, and Phytonutrients. This combination will keep you full, satiated, energized and with your metabolism on fire. Here are some ideas of foods that contain each component:

  • Protein: comes from meat, seafood, eggs, greek yogurt/cottage cheese, and there is some in nuts and seeds and their derivatives (butters, flours), legumes, and some supplements (my favorites are Nuzest pea protein “PRESS15” saves you $$ and Further Food collagen “START10” saves you $$)

  • Fat: comes from whatever oil you cook with, ghee, butter, dairy, avocado, coconut/oil, nuts and seeds and their derivatives (butters, flours), and from meat and seafood (will depend on what meat you buy but there will usually be at least a little fat)

  • Fiber: comes from fruits, vegetables, nuts and seeds and their derivatives (butters, flours), legumes and whole grains

  • Phytonutrients: comes from fruits and vegetables, specifically, these are the compounds that give fruits and vegetables their colors, so eat the rainbow!

As I said, you don’t need all four PFFP components at every meal, but the more the better. The thing you want to avoid is having a meal or a snack comprised of “naked carbs”. Some examples of naked carbs would be (a piece of fruit, a bagel, some juice, cereal). Ways to “dress up” those carbs so they have more PFFP components and are not naked would be a piece of fruit with some nut butter or greek yogurt, a bagel with smoked salmon or an egg, a smoothie that includes protein and healthy fats (instead of a juice), and greek yogurt or cottage cheese with a granola that includes lots of nuts and seeds instead of cereal.

Some more EASY no fuss PFFP breakfast ideas:

  • Eggs of any kind and avocado (I love having this on sweet potato toast) you can even add bacon if you like

  • Full fat greek yogurt with some fruit and nuts

  • Chia pudding & berries

  • Smoothie with protein & healthy fats

Tip #2 You don’t have to be traditional:

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The above examples all include traditional “breakfast fare”. However, breakfast does not have to include “traditional breakfast food”. It is more important to eat foods you like and will crave, are realistic and accessible to you at breakfast time. And of course, strive for as many components of PFFP as you can.

I often eat regular “meals” for breakfast if that’s what I wake up craving and I have leftovers in the fridge anyways. For instance, I love a good “breakfast salad” like the one pictured to the right. Nothing like starting your day with greens. Or sometimes I’ll have something from dinner the night before such as salmon and roasted veggies (hello PFFP).

Breakfast foods can feel constraining to people when they don’t know what’s healthy and convenient in the breakfast category, the default can be to just grab coffee and skip breakfast, or grab a packaged protein bar and be on your way. But when we think about breakfast in narrow terms we can get pigeon-holed into the naked carb items above (cereal, bagel etc.) By expanding our definition of what’s “allowed” at breakfast, the possibilities are endless!

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Tip #3 Make it easy on yourself:

For most people, mornings can be the busiest time of day. Hence the tendency to skip breakfast. Plan ahead and plan realistically. If you love a cozy bowl of oats, make a batch of overnight oats on the weekend that’ll be read for the week. If you love omelettes and bacon, make egg muffins with your favorite bacon chunks in it ahead of time. If you love pancakes or waffles, make and freeze a big batch so they can easily be reheated during the week. If you’re a smoothie and go type, put your smoothie ingredients in individual bags so all you have to do is dump them in the blender when morning arrives. You can check out more of my “meal-preppable” breakfast recipe ideas here.

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tip # 4 look forward to your breakfast!:

Waking up is hard enough, no matter how much sleep you got the night before. So why not have something to look forward to in the morning. You should always start your day with something delicious you want to eat. Not only will this set the tone for the day in a positive way, but it will make you more likely to eat breakfast. Instead of preparing foods you feel like you should eat for breakfast, start your day with foods you get to eat for breakfast!

References:

1) https://www.thedailymeal.com/news/healthy-eating/more-half-americans-skip-breakfast-least-once-week-study-says/081815

2) https://www.ncbi.nlm.nih.gov/pubmed/30373105

3) https://www.ncbi.nlm.nih.gov/pubmed/30527257

4) https://www.ncbi.nlm.nih.gov/pubmed/28701389