Food of the Day: i drink coffee for my liver

I have trouble justifying my typical 2-4 cups of coffee a week.  No matter how diluted with rice milk, whether regular or decaf, there is no denying the less-than-ideal effect of the acids on my tummeh.

However, my average 36 oz of coffee a week has other benefits.

First of all, it magically suppresses nausea.  Secondly, it helps me to stave off hepatic cancer and chronic liver disease (Johnson et al 2011*).  And as anyone who has ever taken steroids or 6MP or been on chemo/biologic therapy knows, this is a handy dandy organ.  Specifically, Dr. Johnson and colleagues report that of their coffee-drinking cohort participants, those who drank 3+ cups of coffee per day on average had a 44% reduced risk of develpping hepatocellular carcinoma compared to those who never drank coffee.  As clinical studies go, 44% is a pretty big deal.

There are other reasons to drink coffee, such as its recent implication in protecting against prostate cancer, and the age-old [read: 6-year old] claim that coffee can protect lymphocytes from toxin-induced DNA damage (Steinkellner et al 2005; Bichler et al 2007).  Suffice to say, there is ample support for moderate coffee consumption.

Folks, I needed an excuse to get my French roast fix.  Or Brazillian roast, or fair trade Guatemalan... really, it's whatever is being served at Journal Club.


* Johnson S, Koh WP, Wang R, Govindarajan S, Yu MC, & Yuan JM (2011). Coffee consumption and reduced risk of hepatocellular carcinoma: findings from the Singapore Chinese Health Study. Cancer causes & control : CCC, 22 (3), 503-10 PMID: 21258859

Food of the Day: seaweed

It may or may not be apparent to most of my readers that it has been quite some time since I've blogged on a Food of the Day.  The reason is that, well, there are only so many foods a Crohn can eat [read: admit to eating].  Since I'm diving most enthusiastically into this fiber fest, it is time to give some hard-won and well deserved attention to seaweed.

Seaweed, to me, has always seemed a benign and healthy food for two reasons: 1) it is an algae, and algae is generally purported to have excellent mineral benefits, and 2) because seaweed makes Sushi more chopstick-friendly -- nigiri is very complicated because it is a 2-3 bite endeavor, and sashimi is too expensive to eat as often as I eat sushi.

I was, therefore, thrilled to learn that types of seaweed have direct benefits in both in vitro and in vivo models of IBD.  Fucoidan (brown seaweed extract), specifically the Cladosiphon okamuranus Tokida kind (collegially, Mozuka), has been shown to protect against the development of intestinal tumors in rats (Yamamoto and Maruyama 1985).  Even more exciting was that Mozuka inhibited interleukin-6 (IL-6) activity and down-regulated  NF-κB in a model of colitis (Matsumoto et al 2004).  IL-6 and NF-κB are two of the primary triggers of intestinal inflammation.


Yet another study suggests that Mozuka inhibits the adhesion of Helicobacter pylori to an in vitro human gastric cell line (Shibata et al 1999).  Reports on the effects of Mozuka against H. pylori are, in fact, numerous: Shibata et al 2003, 2000; Nagaoka et al 2000).

Mozuka (from http://www.e-expo.net/materials/016131/0004/index.html)

But as you might imagine, Mozuka, being brown seaweed, is not sushi seaweed Nori.

                                

Nori (stolen from http://gluttonforlife.com/2010/11/09/the-nori-story/ -- read her awesome post!)

Nori saeaweed is rich in minerals such as calcium, zinc and iron (Shaw and Liu 2000) which are typically lacking in Crohns or persons with any digestive dysfunction.  Shaw and Liu also suggest that Nori helps the intestine to absorb minerals from other sources such as the Crohn-coveted magnesium.  It is also an excellent source of soluble fiber.

There are many other benefits of various seaweeds, but as you can see, this post is already quite orange.  I will continue to ingest my moderate portions of sushi, roasted nori and Wakame (in soups = nom!) without fear.

fiber and loose ends

This post being about fiber, I thought it fitting to tie up -- or at lease re-lace -- a few loose ends (tehe...).

The ants have been Terminixed into oblivion (or scared away for the moment).  The rotting flesh has relented just enough to inspire the hope that it will one day be gone (I now have a sexy little bald spot -- fortunately hidden -- which I dare to dream will be refilled in the happy future).  And finally, my zest for experimental cooking has been reborn and outrageously fiber-themed.

In truth -- there was a day where I ate an egg, a kale and apple salad (uncooked... wtf?) and grilled asparagus.  It's like wishing for death by intestinal rupture.  But I've been on a good streek...

 That's not my beer.

The fear that I might have to resign from Remicade in the near future sparked a desire to reintroduce as much fiber into my diet as possible while I still can, and perhaps get to a point where I can rely on it for maintenance.  I have long been jealous of the folks who are able to maintain a level of comfort through the Simple Carbohydrate Diet, which I have never been able to do without catapulting into a flare or exciting a collective of food allergies.

Since the insane kale asparagus day, I have backed off somewhat, eating raw veggies only occasionally and always buffered by starch of some sort (yeah, the gluten-free thing didn't last too long either thanks to dear and shamefully neglected GERD), or Tofu.  Grilled julienned zucchini and seaweed is my new favorite lunch kit -- small, fast prep and consumption, filling enough.  The Lab forces me to eat healthier lunches anyway because I have this compulsion about not eating finger food between bench runs, and sometimes have to neglect my meal midway through to make time-sensitive sample transfers or solution adjustments.

Unfortunately, fiber -- particularly insoluble fiber, which is the star of this new dietary whim -- also leads to very unpleasant bus rides to and from work.  The kind of bus rides that I have mentioned before (so many times, in fact, that it should really be its own tag term).  The kind of bus rides that elevate anxiety and provoke daydreams of flowing off of public transit in a deluge of... well, let's keep this PG-rated, shall we?  Fiber alters [read: lengthens] my schedule in order to accommodate new time slots between meals in which it is safe to travel.  The starch buffer helps to a degree.

Yes, that is an ice Lego minifig in my BenchFly mug of diet soda (allow a woman some indulgences...).

Is it worth it?  Are the long-term benefits of eating healthier foods during this pain-free window going to have efficacy?  I like to think of the inconvenience as analogous to a woman who wears anti-ergonomic heals despite the arch aches and blisters, and to hope that I wont later appear to myself as ridiculous as she does to me.

why I blog

It appears that this blog, which I have always thought to have pretty low readership given the specialization of its topics, has received some recognition.  The Nursing School Blog has recently listed How We Cant Eat Anything in their "Top 40 Blogs for Crohn's Support".  How cool, and how humbling to receive such recognition!  It inspired me to expatiate a bit about why it is that I blog.

When I first began How We Cant Eat, it was intended to be a source of support and humor (amidst myriad complaints and woe-is-me's, of course) for other Crohns.  In particular, I had hoped to reach out to other Crohns and anyone with AI  Sidekicks (autoimmunity, not to be confused with artificial intelligence) who were pursuing a similar career path to myself; that is, Science.

During my period of darkness which began in August of 2009 (see archives), I had scoured any and all resources for proof that it could be done, this juggling of chronic health tempestuousness with the scientific research and graduate student lifestyle.  I found (at the time) no such accounts, and decided to create my own in the hope of attracting protagonists of a similar vein.  The accounts I did find, however, have been -- and remain -- extraordinary comforts and testimonies of empowerment (see "Crohnies and Foodies" and "Science Coterie" blogrolls, and here).

Today, my reasons for blogging have evolved slightly.  First of all, I'm actually about to enter into that mysterious land of pre-doctoral scientific research, and will be equipped to comment on the maintaining of balance.  Twoly, I hope to continue to contribute to the discussion of tips, successes and failures, keeping hold of a proactive state of mind and body, and obstacle negotiation methodology.  It has been hugely beneficial to me thus far, and I can only hope that readership and discussion will continue to grow.  Perhaps this recent link love from The Nursing School Blog will not only buffer readership of  How We Can't Eat, but through doing so connect its humble narrator to many more such catalogs of the journey of balancing AI Sidekicks with successfully (at least sometimes) chasing one's passions.

I love to write, I love science, and I love trouble-shooting.  The latter is a large part of my ruminations on Crohn's disease as well as research, and wh'ver the twain shall meet.  How We Can't Eat is also a juxtaposition of my entirely science/media oriented blog, How We Are Hungry.  I write in that blog purely for the pleasure of deliberation, to develop my scientific voice, and (pardon the blatant allusion) out of hunger for any extraction from the intricate puzzles of universe through the scientific lens.

Afternote: Please plug your blog if it does not already appear on either of my blogrolls!

re-calibration

See those 2.2 red lines in the left hand document?  That is what I've accomplished today.  Somebody shoot me in the foot.  Do it quick so I can have an excuse to go outside and recalibrate.

pleasant surprises

It doesn't surprise people that I was a gymnast and dancer for most of my life.  I have a gymnast's short, thick build.  You can tell that I had muscle definition once.  My thumbs by default fold in slightly when I walk, and I do that thing walking downhill where my toes point outward and the ball of my foot hits pavement first, which weirds people out.

The person it does catch off guard is me.  Every so often I remember that I once was a ball of energetic artistry.  I chose to remember today.

The last several days I have felt myself plummeting into a frequency of sporadic depression.  The PWD kind (previous posts on which I have not tagged --denial--).  Somewhere between half-watching that masterpiece of theater and screenplay, Vertical Limit, while reading yet more horribly depressing articles about the aftermath of Osama, I decided that enough was enough.

So today, I dove whole-heartedly into protein assays and the first sections of my next manuscript, came home and paid homage to my Once Self.

I pumped the Reggae and broke out one of the hip hop warm-up routines that I used to teach to intermediates.  On the treadmill.  Win.

how Crohn's made me a better scientist

Many people are able to recognize their type-A personalities early on in young adulthood.  Type-A folks always make better scientists, we all thought.  Not so with yours truly.  I spent much of my responsible years thinking that I couldn't possibly be type-A because my memory was not terrific and I habitually make small-to-moderate sized mistakes.  Not long ago, I realized how type-A that thought was.

There were other signs: I always wanted to be the group leader because I didn't trust anyone else to get 'er done, but I was very conscientious of bossiness; I needed to have an organized schedule, but it didn't need to be the same day in and day out; I am only ever early or on time, but never late.  Ultimately, the driving force of these tendencies is actually Crohn's.

needing to know where the nearest restroom is...

scheduling things perfectly so that there is always room for a five minute Throughput break... or an hour long retreat to a hidden spot to wait for the pain to go away... or doctor appointments...

scheduling time for food prep... bringing food to places where I know I wont be able to find edible things...

These things necessitate the very efficient scheduling of experiments and juggling of multiple procedures, and allow me to transition "easily" between technical mode (bench) and theory mode (grants and manuscripts).

However, I try to remain flexible.  Science is anything but predictable, so when things go wrong or results are totally unexpected, I thrive because my particular type-A-ness is most enthusiastically channeled through trouble-shooting.  Or, H.K. and I often plan trips that turn into spontaneous (mis)adventures, which I love.

Interestingly, this does not cross over into the more irritating "things that go wrong": for instance, my gripe today is that Dr. Derm "jumped the gun" in diagnosing my Staph-infected psoriasis last week, and found out this morning that "the rest of the culture" showed that what I have is in fact resistant to the antibiotics he prescribed me.  I'm soo glad to have already taken 5 days of unnecessary antibiotics that make my gut hurt on top of everything else.  So glad.  And extra happy about not getting refunded for my doctor's eff-up.

Someday, I hope to trouble-shoot these most irritating instances of being screwed over more efficiently. (although I must say, my little cry over the ant horde last night helped my ceaselessly-bloodshot eyes immensely!)

Grumble.  Rediscover the terrible music I listened to in high school.  Move on.