"Clean Eating" and Osteoporosis

You may have noticed the mainstream media blowing up with variations of the headline, "Clean eating is a ticking timebomb that puts young at risk for fractures".  This is being widely reported by The Telegraph, BBC News, and The Times, among other news sources.  There are many definitions of "clean eating", and it wasn't until I read the introduction of The Telegraph article by Laura Donnelly that I realized that it is real food nutrition that is under attack.  Ms. Donnelly writes, "A cult of clean eating is a “ticking timebomb” that could leave young people with weak bones, the National Osteoporosis Society has warned.  

Research by the charity shows that four in ten of those aged between 18 and 24 have tried such regimes, which are now coming under attack for cutting out major food groups, such as dairy.

The diets have become increasingly fashionable, and are associated with a number of celebrities, who have boasted how they have cut out gluten, dairy, grains and refined sugars."

The National Osteoporosis Society (NOS) is a UK-based charity organization dedicated to "ending the pain and suffering caused by osteoporosis".  At first glance at the headlines, I expected to see some type of long-term population study conducted by the organization that demonstrated a link between real food nutrition and osteoporosis.  However, the research being reported is in fact a survey that found 20% of adults aged 18 - 35 were currently, or had been in the past, "dieting" by cutting out or reducing dairy in their diet.  From there, NOS jumped to the conclusion that this must be dangerous as "dairy is an important source of calcium, vital in building bone strength when you are young".

When you see research reported in the headlines, it is key to find the original source to see what it really says.  Media outlets often inflate and draw conclusions that just aren't present in the original research.  For that matter, the researchers themselves often do as well.    

Surveys are an important part of health care research that help to collect information and describe characteristics of groups of people.  However, there are limitations to survey research and it's a stretch that the NOS was able to conclude that their findings were alarming based on this survey alone.  No health indicators or outcomes were tracked as a part of the survey.  So, how does the NOS reach the conclusion that eliminating dairy from your diet is harmful?  

Another factor to consider when evaluating research is who provided the funding.  Almost all non-profit disease-specific organizations receive funding for research from pharmaceutical and food manufacturing companies.  The NOS does not advertise who their funding partners are on their website, but some of their partners do.  A bit of digging revealed that Yoplait, the world's largest franchise brand of yogurt, is a proud partner of the NOS.  As you might imagine, Yoplait is probably concerned about the dairy-free diet trend.

But is there any truth that eliminating dairy is problematic for bone health?  It is true that dairy is rich in calcium, a mineral important in building healthy bones.  However, calcium is also present (gasp!) in rich quantities in many other real food sources, such as sardines, dark, leafy greens, fish, nuts, and bone broth.  These real food sources contain easily absorbable forms of calcium that allow you to meet your body's requirements.  Additionally, if you are eating a real food diet that eliminates processed foods, grains, and legumes, you will increase the amount of calcium that is able to be absorbed since it is not binding to the phytic acid and other anti-nutrients present in grains and legumes.   

There are also several other nutrients that are just as important as calcium in building healthy bones and preventing osteoporosis.  These nutrients include vitamin K2, magnesium, and vitamin D.  Of these, vitamin K2 is the most important cofactor for calcium absorption.  Rich sources of vitamin K2 include natto, egg yolk, butter, chicken liver, chicken breast, and ground beef.  Beyond nutrition, strength training and weight-bearing movement is absolutely critical for good bone health.

Eliminating dairy in the context of a real food, nutrient-dense diet is not problematic for bone health.  In fact, I think that it is likely much more beneficial to bone health when compared to the typical Western diet.  Dairy is one of the top food sensitivities and it is  an underlying trigger of inflammation in the body for many people struggling with autoimmune and other chronic conditions.  It is not necessary to include dairy in your diet for optimal health.  That being said, properly sourced, high quality grass-fed dairy can be a beneficial source of nutrients for those who are able to tolerate it.  But regardless, don't expect dairy alone to prevent osteoporosis.  


How a Menstrual Cup Can Change Your Life (Or At Least Your Period)

Ladies only!  This topic is about menstruation.  Men, do yourself a favor and move along!  :)

I had a long list of health problems and maladies that led me to discover the Paleo lifestyle, not the least of which included extremely painful periods.  For years, my monthly cycle literally brought my life to a halt, as I would be forced to call off work due to the horrific cramps that I experienced the first few days of my period.  I also had other unpleasant symptoms surrounding my periods, including drastic mood swings and depression, acne, bloating, and migraines.  I brought these concerns to the attention of my physician upon several different occasions, and in typical mainstream medicine fashion, numerous tests were done and findings were inconclusive.  Instead of these symptoms being recognized as warning signs of a bigger underlying problem, I was reassured that this was just an unfortunate part of being a woman and I was offered hormonal contraceptives to “control” my cycle (as though the female body shouldn’t be trusted to produce the right amounts and ratios of hormones on its own), as well as separate medications to deal with each of symptoms.

Years earlier, I had learned that synthetic hormones did not agree with me at all and I preferred not to take medications with dangerous side effects, so I refused all of the prescriptions and settled for taking large doses of ibuprofen to deal with the pain, likely further potentiating my gut health issues.

When I discovered the Paleo lifestyle, it took me a while to realize that the symptoms surrounding my period were slowly, but surely, improving.  I suspect that a gluten sensitivity was largely responsible for many of the symptoms that went along with my painful periods and research does support such a correlation.  In addition, my body was in a state of wildly uncontrolled inflammation and I had several hormonal imbalances.  Such issues take a lot of time and concentrated effort to correct, but things did seem to be gradually turning around.  The cramps themselves were improved, but after a year and a half of following a strict nutrient-dense Paleo diet, they were still interfering with my life.  In my quest to live more Paleo, I had switched my personal hygiene products to greener versions, including feminine hygiene products.  I had always preferred tampons to pads because I found them less messy and a better fit for my athletic lifestyle.  Learning of the dioxins, petrochemicals, and synthetic fibers that are in conventional products, I switched to 100% cotton, non-bleached tampons.  I can’t say that there was a noteworthy reduction in my cramps at that point, but at $7.00/box, they did put a significant strain on my wallet.  And then I discovered the menstrual cup and everything changed (well, at least my period did).

Menstrual Cup

A menstrual cup is a flexible, bell-shaped device that is inserted into the vagina to collect the menstrual fluid, rather than absorbing it as pads and tampons do.  Most menstrual cups are made of medical-grade silicone, which is hypoallergenic, safe, and easily cleaned.   Some menstrual cups are made of latex, but I would recommend using caution with those as it is possible to develop a latex allergy with frequent, repeated exposures to the mucous membranes.  There is one brand of menstrual cups that is disposable (Instead Softcups) and there are many brands that are reusable (Divacup, Mooncup, Lunette, Sckoon, and The Keeper—just to name a few).

Most brands of menstrual cups offer a few different sizes and choosing a size is dependent upon the amount of your flow, whether or not you have ever been pregnant, your age, location of your cervix, and how physically active you are.  When changing a reusable menstrual cup, you remove the cup, empty the menstrual fluid into the toilet, rinse the cup out with water, and then reinsert it.  Most manufacturers recommend boiling the cup in water at the end of your cycle to cleanse it thoroughly, but I boil mine once a day during my cycle just to make sure that it is extra clean and fresh.

There are numerous benefits to using a menstrual cup.  The most significant for me is that it has eliminated about 95% of my cramps and I find that my period is a few days shorter.  It’s also incredibly comfortable and I literally can’t feel it at all when inserted correctly.  This seems to be the anecdotal case for a lot of other women as well.  The cup doesn’t sit against or hit the cervix and it doesn’t compromise the pH balance of the vagina.  Because it doesn’t absorb the fluids, a menstrual cup also greatly reduces the risk of toxic shock syndrome.  Depending on the size of the cup and the amount of your flow, the cup does not have to be changed as often as tampons or pads for many women.  On most days, I only have to empty my cup twice a day.  On the heaviest day of my period, I do have to empty it more frequently, but usually no more than four times per day.  The reusable cup has some financial perks as well.  The cost of most cups is in the $30-40 dollar range and they can last from 1 – 10 years, depending on the brand and the manufacturer’s recommendations.  For myself, that will result in a cost savings of about $130 per year in feminine hygiene products alone!  Because the cup is reusable, environmental waste from applicators, wrappers, tampons, and pads is eliminated.

A few of the things that cause some women anxiety about using a menstrual cup is insertion and removal.  Inserting it is not all that different from using a non-applicator tampon.  That did nothing to allay my fears, because I’ve never liked non-applicator tampons.  But suffice it to say that it truly isn’t hard at all.  There are many different ways to fold the cup in order to easily insert it.  I watched a video on the different insertion folds and I found one that works for me.   It does take a bit of practice to learn how to insert the cup properly to avoid leaking, but within three trial insertions, I had mastered it.  Removing the cup is harder than removing a tampon with a string, but not a lot harder with practice.  The cup is designed to form a light suction seal with the walls of your vagina and you have to break the seal in order to remove it.  You can usually accomplish this by pushing against the base or wall of the cup and then pulling downward to remove the cup.  Many cups come with a small stem attached.  Although the manufacturers advise you against pulling on the stem to remove the cup, at times, I’ll admit that I’ve found it useful to use the stem to pull it gently down enough that the seal can be broken.  The most important thing about removing the cup is to relax!  It’s not possible to lose the cup in your vagina—I promise!  If you are having trouble removing the cup, simply relax and try again later.

Another common concern with using a menstrual cup is the ick factor.  You do have to be comfortable with your body when using a cup.  You will probably get some blood on your hands and you may accidently spill the contents of the cup on the floor if you don’t remove it properly or if you’re clumsy.  Being a nurse, I’m really comfortable with bodily fluids, especially my own, but this could be a deterrent for some women.  Emptying a menstrual cup in a public restroom can be a challenge, but many women simply take some wet paper towels into the stall to wipe out the cup.  Keep in mind that you shouldn’t need to change it as often as a tampon or pad.  If you have an IUD, you will want to use a lot of caution and let your health care provider know that you plan on using a cup.

All in all, I would say that my discovery of the menstrual cup has been life-changing.  I no longer dread my monthly cycle, and in fact, after day one, I barely notice that it’s there (yes, honestly!).  If you’re considering the use of a menstrual cup, I highly recommend giving it a try.  It’s a safe, non-toxic, environmental-friendly way to deal with periods.

If you have any experiences with a menstrual cup, positive or negative, I’d love to hear them!