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  • INTRODUCTION TO EPISODE #6

    This episode is the second in a two part series where I talked to Melanie Betz, a registered dietitian who is board certified in renal nutrition and works in the nephrology department at the University of Chicago Medical Center.

    Melanie is passionate about helping people with kidney stones and Chronic Kidney Disease understand that healthy eating does not have to be complicated and can be delicious! Her research interests include ways to increase patient knowledge and adherence to healthy eating, frailty and ways to reduce risk for poor health outcomes in older adults, and plant-based diets.

    In her free time, she enjoys cooking, yoga, wine tasting and cheering on her Michigan State Spartans! She also volunteers with the National Kidney Foundation of Illinois and the Healthy Aging Dietetic Practice Group.

    Check out Melanie's blog here or connect with her on Instagram, Facebook or Twitter!

    Melanie and I talked about the effects of dietary calcium on kidney stone formation, as well as the effects of sodium intake.

    If you liked this episode, please let us know!

    SHOW NOTES

    [08:30] Importance of dietary calcium for kidney stone prevention
    [11:25] Recommended Daily Value (RDV) of calcium
    [17:40] How to incorporate dairy into your meals
    [19:02] Ricotta, Swiss and fresh mozzarella cheese, and others
    [21:52] How to deal with lactose intolerance
    [24:01] How dietary sodium affects kidney stone formation
    [25:20] Recommended Daily Value (RDV) of sodium
    [27:25] Tips for low sodium cooking
    [33:04] Tips for eating low sodium meals when you go out to eat
    [39:10] Check your nutrition labels!
    [41:45] Cranberry juice, urinary tract infections, D-mannose and kidney health

    LINKS

    The Kidney Dietitian - Melanie's Blog
    Melanie's Instagram
    Melanie's Facebook Page
    Melanie's e-Cookbook - Stop Kidney Stones From Your Kitchen
    Best Practices for Integrating Cheese into A Low Oxalate Diet
    Recording of Live Cooking Show with Nupur Arora of Queens Curry Kitchen
    U.S. Pharmacopeia (USP) supplement certification
    Organic D Mannose Powder
    Melanie's version of Harvard Oxalate List
    Kidney Healthy Recipes
    Michigan State University
    Rush University Dietetics
    University of Chicago Medical Center
    Melanie's Publications and Presentations

  • INTRODUCTION TO EPISODE #5

    In this episode, I talked to Melanie Betz, a registered dietitian who is board certified in renal nutrition and works in the nephrology department at the University of Chicago Medical Center.

    Melanie is passionate about helping people with kidney stones and Chronic Kidney Disease understand that healthy eating does not have to be complicated and can be delicious! Her research interests include ways to increase patient knowledge and adherence to healthy eating, frailty and ways to reduce risk for poor health outcomes in older adults, and plant-based diets.

    In her free time, she enjoys cooking, yoga, wine tasting and cheering on her Michigan State Spartans! She also volunteers with the National Kidney Foundation of Illinois and the Healthy Aging Dietetic Practice Group.

    Check out Melanie’s blog here or connect with her on Instagram, Facebook or Twitter!

    Melanie and I talked about the effects of dietary protein on kidney stone formation, as well as the effects of sugar intake. In addition, Melanie also took the time to answer some questions from the Low Oxalate Kitchen Facebook group.

    If you liked this episode, please let us know!

    SHOW NOTES

    [02:03] How Melanie got into nutrition and dietetics
    [05:05] Transitioning into nephrology
    [07:20] Research that Melanie is involved in
    [09:14] Urine chemistry basics – supersaturation and pH
    [13:25] Recommendations for daily water intake
    [16:23] “Alkaline diets” and Potential Renal Acid Load (PRAL)
    [21:01] Protein and the formation and prevention of kidney stones
    [30:00] Recommendations for not overdoing it on dietary protein
    [32:42] Protein and oxalate production in the liver
    [33:03] Protein, purines, and kidney stones
    [38:30] Sugar and kidney stone formation
    [44:50] Low oxalate lists
    [48:39] Low oxalate snack ideas
    [52:46] How dietary phosphorous affects blood and urine phosphorous
    [53:41] What is glomerular filtration rate (GFR)
    [54:34] Vitamin D’s affect on urine calcium and kidney stones
    [57:10] General recommendations for protein with PKD, MSK
    [62:40] Tips for maintaining a low oxalate diet

    LINKS

    The Kidney Dietitian – Melanie’s Blog
    Melanie’s Instagram
    Melanie’s Facebook Page
    Kidney Healthy Recipes
    Michigan State University
    Rush University Dietetics
    University of Chicago Medical Center
    Melanie’s Publications and Presentations
    What is supersaturation?
    What is PRAL & How Does it Affect Kidneys?
    24 Hour Urine Collection – LithoLink
    Harvard Oxalate List
    Melanie’s version of Harvard Oxalate List
    Polycystic kidney disease (PKD)
    Medullary sponge kidney (MSK)

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  • INTRODUCTION TO EPISODE #3

    In this episode, I had the pleasure of speaking with Alexandra Cleanthous of Food & Thoughts.

    Alex is originally from the island of Cyprus- she is a chef living and working in Melbourne, Australia. She is the creator of the blog called Food & Thoughts, which is a space dedicated to simple recipes, food history and some of Alex's random thoughts.

    When she is not cooking, Alex enjoys doing yoga to find some stillness outside of the noisy kitchen environment. She can also be found scrolling through Pinterest for interior design inspiration or relaxing and watching Friends.

    In this episode, we chat a little bit about her experiences becoming a chef and then Alex walks us through her processes for infusing oils and pickling your own vegetables, and then shares one of her own recipes with us, adding a little extra flavor to a simple and delicious meal.

    Be sure to follow Alex on Instagram here and check our her blog as well.

    Let me know what you think of the episode. If you like it and want to leave a review wherever you are listening that would be awesome. I hope you enjoy!

    SHOW NOTES

    [02:30] Alex talks about what it was like growing up in Cyprus
    [05:43] Studying and going to culinary school in Greece and France
    [09:47] Internships in Paris and at a Michelin star restaurant in Bordeaux
    [15:51] How to make your own homemade infused oils
    [21:50] Alex's go to infused oils
    [25:22] How to pickle your own vegetables
    [35:18] Spiced Beef Patty with Herb Yogurt Recipe

    LINKS

    Alex's Blog - Food and Thoughts
    Alex on Instagram
    How to Make Homemade Infused Oils
    Samin Nosrat
    Salt, Fat, Acid, Heat Book and Documentary on Netflix
    A Pickling Guide For Beginners: How To, What To Use, and Other Tips
    Spiced Beef Patty with Herb Yogurt Recipe

  • [If you are interested, Amy and a friend of hers are hosting a free online meditation event this Tuesday, May the 26th at 7PM and anyone is welcome to join. If you want to sign up for that, you can click the link here to register. If you aren’t able to attend, make sure to follow Amy on social to be notified of upcoming events.

    Click here to sign up for the Live Online Meditation Event Tuesday, May 26th at 7PM

    INTRODUCTION TO EPISODE #3

    In this episode, I sit down with actress, singer, artist, meditation instructor and my beautiful girlfriend Amy Rutledge.

    This episode may be a little bit different than what you would expect, but I want to make sure I’m creating content for everyone that’s on this diet. That includes people that have issues with kidneys and kidney stones, any women out there that are struggling with oxalate issues that seem to be specific to them, and also just anyone who is having a tough time with their health in general, and feel like oxalates might be a contributing factor.

    Amy has had quite the ride in the life as far as health issues go, and has done an unbelievable amount of work, both physical and emotional, to get to a place where she is feeling good and able to help other people get to that same place.

    We sat down to talk a little bit about her journey, and how mindfulness and meditation have helped her along the way. She also shares a 14 minute meditation that is perfect for anyone who is struggling with their physical health.

    If you are like me, wanting to get into meditation, and have had some trouble finding a style that fits you, maybe this can be that resource you have been looking for.

    There are lessons in this episode for everyone, no matter your spiritual or religious beliefs. Mindfulness is, in extremely plain terms, just focusing on and enjoying the present moment, and meditation can be whatever you want it to be for you, so I hope you will enjoy this episode.

    Feel free to reach out to me or Amy if you have any questions, and send her an email at [email protected] if you are interested in her current schedule of online meditation classes that you can join.

    I hope you enjoy the episode!

    SHOW NOTES

    [02:32] Amy shares her health struggles over the years with Lyme Disease and fibroid tumors
    [06:35] How things changed when meditation entered the picture
    [09:20] Serendipitous introductions to the work of Deepak Chopra and Louise Hay
    [10:38] Types of meditation and meditation tools
    [14:45] What is mindfulness?
    [19:48] Mindfulness in daily tasks, mindful walking and showering
    [23:20] Safe space/calm place creative visualizations
    [28:35] Meditation (~14 mins)

    LINKS

    Click here to sign up for the Live Online Meditation Event Tuesday, May 26th at 7PM

    Deepak Chopra 21 Day Meditation Challenge
    Book – You Can Heal Your Life by Louise Hay
    Nalanda Institute
    Sound Bowl
    Meditation Cushion
    Dr. Bronner’s Lavender Soap
    Amy’s Instagram
    Amy Rutledge on Insight Timer
    Amy’s Facebook Page
    Dr. Wayne Dyer
    Manifesting Your Destiny YouTube series

  • INTRODUCTION TO EPISODE #2

    In this episode we talk to biologist and chef Alysha Melnyk.

    Alysha has combined her background in biology with her passion for making food delicious, eye-catching, and accessible

    She is the Founder and Content Creator for The Kitchenologist©, a blog that is dedicated to healthy eating and experimenting in the kitchen.

    In addition to creating content for her blog, Alysha is the Recipe Creator for Taproot Farm, an organic farm in Berks County, Pennsylvania.

    When she’s not cooking in the kitchen or dreaming up a recipe, she works full time as an Implementation Specialist at an international medical nonprofit called ECRI, which is located in suburban Philadelphia and is dedicated to improving patient safety worldwide.

    Alysha finds her many career passions revolve around the power of knowledge and that equipping people with the right tools and resources can help them make better informed decisions.

    In this episode, we talk to Alysha about how she got into cooking, and then talk about a few recipes of hers that are low in oxalate. Enjoy and be sure to let me know what you think!

    SHOW NOTES

    [2:00] How Alysha got started experimenting in the kitchen
    [3:33] Takeaways from Sustainable Food Systems course
    [5:02] What's in Alysha's home garden
    [6:05] Sun curing spaghetti squash
    [8:25] What's in Alysha's tea garden
    [10:35] How Alysha got involved with Taproot Farms
    [14:30] Kohlrabi Hashbrowns recipe
    [20:15] Egg Stuffed Sweet Peppers recipe
    [24:30] Spaghetti Squash "Pasta" recipe
    [31:12] Growing your own sprouts/microgreens
    [34:35] About ECRI
    [40:38] Making cooking easier and more fun

    LINKS

    Susquehanna University
    Sustainable Food Systems
    Taproot Farms
    The Kitchenologist©
    Savory and Delicious Kohlrabi Hashbrowns
    Fluffy Egg Stuffed Sweet Peppers with Roasted Tomatillo Sauce
    Frontera Tomatillo Salsa
    Spicy Kale, Bacon and Asiago Spaghetti Squash “Pasta”
    ECRI Institute
    Mandolin
    Kale Destemmer
    Kitchen Scissors
    Connect with Alysha on Instagram
    Check out Alysha's Blog - The Kitchenologist©
    Connect with Alysha on Linkedin


  • INTRODUCTION TO EPISODE #1

    When I first was told I needed to go on a low oxalate diet, it was after I had my first kidney stone analyzed. The doctor told me my stones were made from calcium oxalate, and that I should start a low oxalate diet as soon as I could.

    They then proceeded to hand me a couple-page printout that looked like it hadn't been updated in 20 years. It had a little bit of information about oxalates and a list of maybe 10 or 15 foods that I should avoid. So I went home, stopped eating spinach, peanut butter and chocolate and thought I was good to go.

    Soon after, I learned that things are a lot more complicated than they seemed, and that the internet doesn't make it easy for people looking for reliable information.

    In Episode 1 of the Low Oxalate Kitchen Podcast, Dr. Michael Liebman I attempt to help clear the waters for people just starting out on a low oxalate diet. We also give a bit more detail for the people who have been trying to figure this out for some time and are at the point that they want take a deeper dive.

    We talk about the factors that affect the oxalate content of foods, and also the factors that affect how much oxalate is actually getting absorbed into the body once its ingested.


    SHOW NOTES

    [03:40] What are oxalates and oxalic acid, where are they found?
    [05:14] Factors affecting oxalate content of foods
    [06:25] Importance of serving size and cooking methods
    [10:50] Soluble vs insoluble oxalates
    [12:54] Impact of maturity/ripeness of foods
    [14:40] Grains/breads/soil conditions
    [17:26] Factors affecting absorption
    [18:35] How is absorbed oxalate measured?
    [22:31] Dietary and supplemental calcium and it's effect on oxalate absorption
    [26:26] Oxalate absorption compared to other vitamins and minerals
    [28:20] Including cheese and other low oxalate sources of calcium in the diet
    [30:23] Probiotics, oxalobacter formigenes and oxalate degrading bacteria
    [39:15] Questions from Low Oxalate Kitchen Facebook Group
    [42:26] General nutrition guidelines while on a Low Oxalate Diet
    [47:50] Spreading out oxalate consumption vs. all in one meal
    [48:51] Endogenous oxalate production, primary hyperoxlauria, and Vitamin C

    A NOTE ON PROBIOTICS AND VSL #3

    In this episode, we talked briefly about if there were any probiotics currently on the market that might be useful in helping to break down ingested oxalates, and Dr. Liebman mentioned VSL #3.

    The current formulation of that probiotic is similar to the original that was used in Dr. Liebman’s studies. But as of 2016, the original inventor of that formulation has moved on to a new company called Visbiome and taken the patent for it with him to this new company.

    If you are interested in getting a probiotic VSL #3 may still be a good choice, but if you want the formulation that was used in the studies by Dr. Liebman and his colleagues, that is currently available as Visbiome.

    Both of these should be available over the counter, but maybe only at certain pharmacies. They are a bit pricey, but it’s because they are such high quality and are meant for pretty serious health conditions.

    They should be kept refrigerated so if you don't see them outside the pharmacy, ask if they are keeping them behind the pharmacy counter in a refrigerator. Even though they are kept back there sometimes, you still shouldn’t need a prescription.

    If you can’t find them or just want to order online, there are links below to each. You can also check out this article that talks about the difference between VSL #3 and Visbiome and what happened there if you want more information.

    LINKS

    Michael Liebman - University of Wyoming Faculty Page
    Low Oxalate Vegetable List
    Article - Best Practices for Integrating Cheese into A Low Oxalate Diet
    Trying Low Oxalates Facebook Group
    OxThera Oxabact Clinical Trial
    VP Foundation
    VSL#3 Probiotics
    Visbiome Probiotics

    Tang M., Larson-Meyer D. E., Liebman M. (2008) Effect of cinnamon and turmeric on urinary oxalate excretion, plasma lipids, and plasma glucose in healthy subjects. American Journal of Clinical Nutrition. 87(5):1262–1267

    ARTICLES ON STEAMING FOODS AND OXALATE CONTENT

    Chai, W, Liebman, M. (2005), Effect of different cooking methods on vegetable oxalate content. J Agric Food Chem. 53, 3027–3030.

    J. Armesto, et al., (2019) Effects of different cooking methods on the antioxidant capacity and flavonoid, organic acid and mineral contents of Galega Kale (Brassica oleracea var. acephala cv. Galega)". International Journal of Food Sciences and Nutrition, 70(2), 136-149.

    Oulai, P. D., Zoue, L. T., Niamke, S. L. (2015). Evaluation of Nutritive and Antioxidant Properties of Blanched Leafy Vegetables Consumed in Northern Côte d’Ivoire. Polish Journal of Food and Nutrition Sciences, 65(1), 31-38. https://doi.org/10.1515/pjfns-2015-0003