Tag Archives: inflammation

Fever: The Role in Immune Function, Benefits & Risks of Treatment, Natural Remedies

FeverSo I’ve been sick. Really sick. It came on as a slight cough last Tuesday – I thought it was residual from a cardio-intensive workout that morning. But by the evening it was still there. I immediately started hitting it with everything I had. Now normally my arsenal is pretty large, considering my hubby is a naturopath and we have a dispensary in our basement, lol. But considering the fact that I’m pregnant, most of the herbs we have on site are off-limits. So I stuck with a large dose of Vitamin C, some essential oils, and a plan to sleep in as late as possible the next morning.

And then the morning arrived. I felt ok. The cough had settled in for sure, but not too bad. By mid-morning my whole body hurt. Again I chocked it up to yesterdays workout, but the level of discomfort was not appropriate for that workout. That’s when I started realizing I was seriously sick. This wasn’t just a little cough. When I started feeling listless and realized I had laid in bed for an hour doing nothing (no TV, reading, podcasts – nada), I took my temperature: 

101.6F

Yowza that’s high (ish). And I’m pregnant. And the risk of injury to the baby with a chronically elevated temperature is real. I was able to bring it down a full degree within an hour, by implementing some classic natural anti-febrile techniques, which I’ll share with you below! But first, a bit on fevers…

 

NOTE: I am not a medical doctor. I am not making any medical recommendations and this is not medical advice. I am simply trying to provide some clear information on a common health occurrence. Please speak with your health care practitioner before making any changes to your health care routine.

 

What is a fever?

A fever is a natural rise in your body temperature, in response to an infection – either bacterial or viral. It is not a disease in itself, but a symptom of an underlying issue. So like all health issues, it’s important to address the underlying cause, instead of just suppressing the symptoms.

Why do we develop a fever?

It is believed that the elevation in temperature is actually a critical step in helping our bodies fight off infection. It seems to (a) activate our immune system by sending white blood cells and macrophages to the infection site, and (b) inhibit enzymes and other functions required for viral and bacterial replication. For example, it has been hypothesized that most bacteria can’t survive in temperatures above 101F and viruses, above 102F. 

In fact many cold-blooded animals, when inoculated with pathogens, will instinctively find ways to increase their body temperatures to feverish levels, by seeking out warmer environments. Fascinating eh?  (<– btw, clearly I’m Canadian, if you didn’t already know…)

Isn’t a fever dangerous?

Well yes, it can be. Uncontrolled, very high body temperatures can result in severe dehydration and possibly induce febrile seizure. Which is why you want to monitor it. But mostly, they’re just damn uncomfortable.

Now, when it comes to fever during pregnancy, there’s a little more to consider. Your baby is developing and that requires a specific temperature for everything to work properly. This is why your doctor told you not to use a hot tub or take hot baths. Prolonged, elevated body temperatures may impair important developmental processes, specifically in the brain.

Anti-Febrile Meds?

The conventional approach is to take an anti-febrile medication as soon as your temperature gets a little above normal. Ibuprofen (Advil), acetaminophen (Tylenol) and naproxen (Aleve) are the 3 recommended meds. Do they work? Oh hell yeah. Are there side effects? Definitely. So it becomes a relative risk-reward assessment situation.

NSAIDS (like Advil and Aleve) cause leaky gut. Period, end of story. If you have a history of health issues or an autoimmune condition, this is something to consider. Importantly during pregnancy, Ibuprofen is considered  level 4 risk, during the 3rd trimester. As in, there is significant evidence of it causing harm to the baby, specifically their heart.

Acetaminophen is the leading cause of acute liver failure in the USA. The metabolic byproduct of detoxifying acetaminophen is NAPQI, which is responsible for necrosis of the liver. While NAPQI does not cross the placental barrier, acetaminophen readily does. Which needs to be considered since a developing baby’s liver starts being responsible for its own detoxification at around 18 weeks.

Additionally, suppressing a fever has been shown to prolong the duration of the illness, which makes sense since you’re also suppressing your immune system from doing its job!

Natural Approaches to Reducing a Fever

So what did I do?

MONITOR: Most importantly I was monitoring my temperature every hour, making sure it didn’t get to a temperature that we (my husband, my health care provider and I) had decided would be our “time for serious action” temp. I also monitored every few hours at night.

WARMING SOCKS: This age-old home remedy is a favourite amongst crunchy mamas. You take a pair of thin cotton socks and soak them in cold tap water. Put them on your feet, and add a second pair of socks, preferably wool to keep the water in. When the socks warm up, rinse them in cold water again and repeat. The idea behind this hydrotherapy technique is by keeping the feet cold and wet, you create a sort of “heat exchange”. Your body increases circulation to your feet, dissipating heat in order to warm up the feet/socks.

ICE PACK: Place a cool ice pack at the base of the neck, where there is a high concentration of temperature receptors. This can help dictate the internal temperature of the body.

ESSENTIAL OILS: I’m new to the field of essential oils, but I’m quite enjoying learning how to use these additional tools. I hit up the Wellness Mama (she’s my go-to for natural remedies) and she recommended pure peppermint essential oil (I use Young Living brand) on the back of the neck and on the bottom of the feet (see above for why those locations). 

I did all 3 things and brought my temperature to 100.1 within an hour. 

BACK UP…MEDS: Considering the risk of a high fever and developmental issues regarding the baby, I had an Ibuprofen on stand by, just in case my temp got above the predetermined comfortable zone for us (I’m purposely not sharing, because that’s something for you to determine with your health care provider). I chose Ibuprofen because although I have a history of major gut issues and serious autoimmune risk, I am 18 weeks pregnant. Which is far enough out from my third trimester to decrease the risk of ibuprofen and heart defects, but definitely far enough in that I didn’t want my baby’s liver to take the hit of the acetaminophen. Luckily I didn’t have to use either, because the above tricks worked tremendously. 

Additional Support

There were a few other things I did to help my body recover from this (likely) flu as fast as possible. 

  1. Convalesce. I did nothing. Nada. Even though by day 3 I was so bored of TV, I rested, napped, and generally took it easy. Pushing through is a sure way to stay sick and get sicker. I’d rather take a few days off and get better, then push through and 2 weeks from now find out I have pneumonia and have to go on antibiotics.
  2. Bone broth. Like crazy. It helps keep the gut strong and regulates your immune system. I had soup multiple times a day. I also cooked white rice in broth, to get some calories in me. Find out how I store my bone broth to make it easy to use, even when you’re sick and have no energy for food prep! I added onions and garlic to my broth for an additional immune boost. I also added some gentle veggies like spinach.
  3. Vitamin C. There aren’t very many supplements that are considered safe during pregnancy. Again, I worked with my team and determined a few herbs that are generally recognized as safe during pregnancy, but mostly focused on the simple stuff. High doses of vitamin C at regular intervals can shorten the duration of an illness. Good rule of thumb with vitamin C – take to bowel tolerance. As in, when you start noticing loose stool, pull back on your dose!
  4. Ginger, lemon and raw honey tea. I took a few slices of ginger root, a ¼ lemon and about 2 cups of hot water. I let simmer for about 20 minutes on the stove top. Strain and add a spoonful of raw honey. Alternately, you can juice a whole whack of ginger and lemons, and store the potent elixir in the fridge, adding a few tbsp to a mug of hot water and a spoonful of raw honey. This is what we normally do, but I was by myself during this illness and didn’t want to deal with the mess of the juicer (normally my hubby would take care of that), and by the time he returned home, he was sick too. 
  5. Fluids. Water, tea (see above), bone broth, mineral water and kombucha (specifically homemade lemon/ginger booch) were on constant rotation. Fever causes dehydration so keep your fluid intake high! 

 

Conclusion

Fevers can be a scary situation, especially in young kids or during pregnancy. But understanding their benefit can help decrease the stress around them. Monitoring and implementing some solid, natural remedies – combined with immune support to help your body fight the cause of the infection – can help you recover quickly and decrease the potential need for risky pharmaceutical intervention. Keeping in mind, that drugs save lives so there is definitely a time and a place for their use!

 

Chicken “Noodle” Soup

Chicken "Noodle" Soup | gluten-free, grain-free, paleo | AIP & low-carb options | AmandaNaturally.comAnyone else love chicken noodle soup? I certainly do. It reminds me of when I was a kid and my mom would make it to make me feel better!

Unfortunately, most chicken noodle soups out of a box or can are full of junk. And for those of us who don’t tolerate gluten or grains, even the homemade kinds can be off limits.

So today I want to share with you a few tweaks to the standard chicken noodle soup recipe, that can make it allergen friendly and a super food! 

1. Use Bone Broth!

I can go on and on about the health benefits of bone broth…oh wait, I already have. Check out my post on why making bone broth is one of the best habits you can get into!

If you can’t (or won’t) make your own broth, or you run out, you can use boxed broth. Keep in mind though that boxed broth is purely for flavour and won’t have any health benefits. In fact, many contain hidden ingredients like gluten and nightshades, so if either of those foods are a problem for you, make sure to do your research and get a quality broth.

If you want bone broth, but you don’t have time to make it, either get yourself a pressure cooker (this is the one I have and LOVE) or buy it from one of my favourite local companies – Eat Savage.

2. Use a Noodle Alternative!

My favourite option are spaghetti squash (as shown in the recipe below) or plain white rice. You can use zucchini noodles (a spiralizer helps a ton during prep) but they don’t stand up over time, especially in the freezer, the way rice and spaghetti squash do. If you do want to use zoodles, I recommend making the soup without them, and a few minutes before you’re about to serve, or while you’re reheating it, throw them in.

Quick note re. spaghetti squash. It takes about 45 minutes or so to roast – see squash tutorial for tips and tricks. But it only takes 5 minutes in the Instant Pot – another reason I love this gadget. Simply slice in half, remove the seeds and place in the Instant Pot with 1 cup of water. Set to manual for 5 minutes and let it do its thing. Use the quick release method when the 5 minutes is done!

What do I think of gluten-free noodles? Well, anything that’s trying to be something that it’s not, isn’t something that belongs in the diet on a regular basis. Gluten-free products, dairy-free milks – they don’t have any health benefits, and they sometimes come with negative ones (refined starch, gut irritants, additives, thickeners etc.). So if you must use gluten-free noodles, make sure to get ones that are as simple as possible. My favourites are Korean sweet potato noodles (found at Asian markets) or plain white rice noodles (vermicelli). Watch out for gluten-free noodles that use corn, quinoa and brown rice if you’re sensitive to whole grains (like I am!).

3. Add in veggies!

Many chicken noodles soups are just that, chicken + noodles + (store-bought) broth. Some have a few carrots or onions, if you’re lucky. Buck the trend and fill it with veggies! Stick with classic soup veggies like carrots, onions and celery (just use a ton) or take it to the next level and throw in some kale! I love using kale in soups because it doesn’t get slimy like spinach does. If you’re feeling adventurous, try adding some seaweed for a super hit of minerals and some thyroid love.

 

Chicken “Noodle” Soup

So without further ado, I give you my recipe for chicken “noodle” soup. It’s based on the recipe my mom used to make when I was a kid… it’s just been amandanaturalized as she likes say! 

 

Chicken "Noodle" Soup
Serves 8
A twist on a classic favourite - packed with nutrient dense foods like bone broth and veggies. Gluten-free, grain-free, low-carb and AIP options!
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Prep Time
15 min
Cook Time
45 min
Total Time
1 hr
Prep Time
15 min
Cook Time
45 min
Total Time
1 hr
Soup
  1. 2 tbsp olive oil (or other healthy fat - butter, ghee, lard, tallow, avocado oil)
  2. 2 onions, diced
  3. 2 cups carrots, chopped
  4. 2 cups celery, chopped
  5. 4-5 cloves garlic, minced
  6. 8-10 cups bone broth (or broth + water combo)
  7. 2 bay leaves
  8. 2 tbsp basil
  9. sea salt to taste
  10. 3 lbs chicken thighs, cubed (about 6 thighs)
  11. black pepper (optional)
  12. 1 head of kale, roughly chopped
"Noodle" Alternatives
  1. 1 spaghetti squash, cooked and shredded
  2. ¾ cup white rice (+ 1 extra cup water)
  3. 2 cups gluten-free noodles (preferably white rice vermicelli or sweet potato)
  4. zucchini noodles
Instructions
  1. Heat olive oil in a large pot, over medium heat.
  2. Sautee onions, celery and carrots for 10 minutes, stirring occasionally.
  3. Add in garlic, cook for 1 minute, stirring frequently.
  4. Add broth (and water if using), bay leaves, basil, sea salt and pepper. Bring to a boil.
  5. Once the soup is boiling, add in raw chicken cubes. Bring to a boil.
  6. Reduce heat and simmer for 30 minutes.
  7. Add chopped kale 5 minutes before serving.
Noodles
  1. Spaghetti squash noodles - add in 5 minutes before serving.
  2. White rice - add in 15 minutes before serving, with an extra cup of water.
  3. Gluten-free noodles - add in according to package instructions (2-10 minutes, depending on time)
  4. Zucchini noodles - add to bowl before serving soup. Only spiralize enough for each serving. Freeze/store soup without zoodles. Add raw zoodles each time before you reheat!
Tips
  1. Raw chicken is easiest to cube when it is still partially frozen.
  2. Boneless, skinless chicken thighs are easiest to manage, but a little more expensive than bone-in, skin-on. Chicken breasts work as well, but aren't as tender in the soup.
  3. You can add the raw chicken directly to the soup! As long as it cooks at a boil/simmer for 15 minutes or so. I know it seems risky, but it's totally safe!
  4. This recipes freezes really well - especially if you use the white rice or spaghetti squash option for noodles.
Amanda Naturally http://www.amandanaturally.com/

Liver – A True Superfood!

Liver, a True Superfood | AmandaNaturally.comWhen we think of superfoods, things like kale, acai, chia and other plants come to mind. However if we actually put a definition to the word superfood, it becomes quite obvious that these are not true superfoods. Here are my requirements for a superfood:

  1. It needs to be jam-packed with nutrients (i.e. incredibly nutrient dense). So every single bite delivers a high concentration of nutrients.
  2. Nutrients need to be life-giving. They should include (but not be limited to) things like vitamins A & D, folate, zinc, omega-3’s (the usable forms, not the plant-based forms) and a full spectrum of B’s.
  3. They should impact most if not all systems in the body – endocrine, nervous, digestive, immune and detoxification.

While the acai berry contains vitamin C and antioxidants, it definitely doesn’t contain a full spectrum of life-giving nutrients. My favourite true superfoods are vegetables (of course), egg yolks, grassfed butter, seafood (especially bivalves like mussels, oysters and clams), fermented foods (like sauerkraut) and….

LIVER!

But wait? I’ve always heard that liver is a filter organ and it stores all our toxins so we should avoid it!

 

How the Liver Actually Works

The liver has a variety of responsibilities (including storing vitamins and minerals – more on that later), but the most notable one is detoxification. What does that mean? Well true detox (not the juice-cleansing, fasting, only eating salads BS) is the process of transforming and clearing toxic substances from the blood. 

What are toxic substances?

A toxin is simply a substance that can cause damage or injury to cells, or cause disease. That’s a pretty broad definition, which unfortunately means the term toxin gets thrown around a lot, often inappropriately. Some examples of true toxins are:

  • byproducts from cellular metabolism (like carbon dioxide from cell respiration, ammonia from protein metabolism)
  • byproducts of gut microbes which we absorb (another reason why you want to have a super healthy gut and make sure you’re not constipated!)
  • oxidative stress (free radicals)
  • substances that cause antibody production like food and environmental exposure (especially if those antibodies accidentally attack areas of the body, which is common with gluten)
  • environmental toxins like car exhaust, cigarette smoke
  • alcohol
  • pesticides
  • chemicals in personal care products and cleaning products
  • pharmaceuticals (note: drugs are defined by having a toxic upper level, otherwise they are considered a supplement)
  • plastics
  • heavy metals (mercury, lead, aluminum etc.)

What the Liver Does

The Paleo Mom has a great article on exactly what the liver does – in quite a bit of detail – so if you’re interested go check it out here. But in an effort to streamline this already involved article, here’s a brief description:

Phase 1 – the liver starts to transform the dangerous chemical into less dangerous ones (although sometimes this phase ends up creating more toxic substances – for example alcohol gets converted into formaldehyde, a known carcinogen).

Phase 2 – the partially transformed chemical gets attached to other molecules which make them water soluble. They are now able to be excreted by the kidneys in the urine, or by the gall-bladder/stool through bile (another reason why you don’t want to be constipated – slow transit time will allow toxins that have already been excreted).

from: http://primaldocs.com/members-blog/detox-101-how-to-enhance-your-bodys-detoxification/#!prettyPhoto
from: http://primaldocs.com/members-blog/detox-101-how-to-enhance-your-bodys-detoxification/#!prettyPhoto

 

If phase 1 is working great, but phase 2 is sluggish (usually due to lack of nutrients required for the specific processes) then there can be a build up of phase 1 byproducts. This build up gets shuttled out of the liver and into fatty tissue where it is inert and won’t damage the body (in theory – but if the fatty tissue it hangs out in is the brain, it can cause big problems).

Moral of the story:

The liver is not a sponge. It does not store toxins. It stores vitamins and minerals to aid in detoxification.

Pay special attention to that last line. The liver stores vitamins and minerals. Why? We forget that food is more than just fuel. It is the building blocks for all new tissue, and the machinery for all of our systems to function. Detoxification processes are run by enzymes that are created from vitamins, minerals and proteins. So in order for it to do its job, the liver must be chock full of nutrients. 

 

Liver is a Potent Superfood!

Nutrients stored in the liver (because they’re required for phase 1 and 2 detoxification) include:

  • Vitamins B2, B3, B5, B6, B12
  • Folate
  • Glutathione
  • Flavonoids
  • Methionine
  • Cysteine
  • Magnesium
  • Vitamin C (more than an apple!)
  • Glycine
  • Taurine
  • Glutamine
  • Choline

Other nutrients it stores:

  • Vitamin A (the real form, not b-carotene found in orange plants)
  • Vitamin D (important especially in fall/winter months up north)
  • Vitamin K (specifically K2, an absolutely critical nutrient for bone formation that is only found in organ meats and grass-fed raw dairy – everyone is so worried about calcium, when they should be worried about K2!)
  • Iron
  • Copper
From: http://chriskresser.com/natures-most-potent-superfood/
From: http://chriskresser.com/natures-most-potent-superfood/

Additional Benefits:

  • full of enzymes to break down any residual toxins that may hang around (minimal)
  • very low in fat, so very unlikely to store toxins 
  • the amino acid balance is different than muscle meat, in a good way. Case in point – glycine. This important amino acid is very low in muscle meat and high in offal. So if you’re not consuming the entire animal (or worse, you’re not consuming any animal protein), you are definitely going to be deficient in glycine. Glycine is critical for gut health, connective tissue health and immune system regulation.

In many traditional cultures only the organ meats were consumed. In others they were reserved for royalty or recently married couples (as fertility aids).

 

Okay so it’s not full of toxins, but what about the cholesterol?

Cholesterol in our diet has very little impact on our systemic cholesterol levels. Elevated cholesterol in our body is a symptom of inflammation, stress and degeneration. It in itself is not the disease. Over half of people who are hospitalized with a cardiac event (heart attack) do not have high cholesterol. In fact, as you age, low cholesterol is much more dangerous than high cholesterol.

 Elevated cholesterol needs to be looked at as a warning sign, not the problem itself. It would be like every time we see a house on fire, we also see loud, noisy, fire trucks. So we start assuming that the fire trucks are causing the problem. If we just stop the fire trucks, the noise stops! But does the fire actually go away? No. That’s what’s going on when we treat cholesterol as the problem. Remember – cholesterol is a vital, life-giving substance, without which we will die. Elevated cholesterol is a symptom.

Life-giving you say? Why yes! Cholesterol is the building blocks of vitamin D, testosterone, estrogen and progesterone (among other steroid hormones). It also makes up about 25% of our brain (hence the massive cognitive decline that many people taking statins like Crestor and Lipitor experience). In fact, there are many arguments for why you should eat more cholesterol – namely because foods high in cholesterol are also high in choline, an absolutely essential nutrient (albeit recently essential – it was added to the list in 1998). Most North Americans are significantly under-consuming choline due to fear of cholesterol. This is especially a problem for pregnant and breast-feeding women since choline is critical for fetal growth and milk production.

 

Does it have to be organic?

In an ideal world you are able to source all of your meat from grassfed and pastured sources, however I know that is not always possible (both physically and financially). I always recommend to clients to start by purchasing the fatty cuts of meat organic (since those cuts store the most junk). So things like bacon, marbled steaks, and sausages really should be a priority. 

But if we consider everything we said above – that the liver doesn’t store toxins and it’s so low fat so even if the animal has been exposed to a ton of junk during its lifetime in a confined animal feeding operation (CAFO), there isn’t really anywhere for the liver to hold on to those toxins. Buying organic bacon is way more important than buying organic liver.

Standard liver is still way better for you than no liver at all!

 

So, who needs liver? Everyone!

But there specific cases where I use it therapeutically:

  • recovery from illness (either acute or chronic)
  • autoimmune disease recovery (the immune system is a massive drain on our nutrient reserves, so to re-regulate it, organ meats are a must)
  • post-surgery
  • pregnancy (for development of baby, but more importantly to keep mom sufficient in nutrients – baby will take everything it needs, leaving mom deficient)
  • low iron / anemia (it’s particularly helpful on day 1 and 2 of your menstrual cycle)

 

What’s the best way to eat liver?

Now I know liver isn’t everyone’s favourite food… (those of you who love it and have been avoiding it because it’s toxic – you lucky ducks). I wasn’t raised on it and I can certainly tell you I did not enjoy it the first time I ate it. However, I knew how important it was as part of a healing, nutrient-dense diet. I also knew that it would be important for me to consume when we decide to have kids. So I sucked it up and started eating it. I definitely did not enjoy it at first, but trying it a few different ways, and exposing myself to it on the regular, eventually changed my taste buds. As Diane SanFilippo says “time to put on your big girl pants and just eat some liver!”

One quick tip – if you don’t like it, start with chicken livers – they are much more mild in flavour. I still struggle with beef liver (our pup gets the beautiful grassfed beef liver from the cow we purchased, sighhh), but I actually find chicken livers quite delicious now! Oh and I also recommend starting with pate – it completely eliminates the chewy, texture issue people have with fried livers.

Here are some great ways to prepare liver:

Note: many recipes say to soak livers in milk or buttermilk for a few hours or overnight to reduce. If you’re sensitive to dairy, the alternative suggestion is often soaking it in lemon juice. I’ve never done this, but I likely will the next time I try beef liver.

Pate

Easy Chicken Liver Pate from Practical Paleo (this is my absolutely favourite way to eat liver. I use balsamic vinegar instead of wine, and duck fat or even olive oil in lieu of butter, and I eat it on apple slices. Amazing.)

Raymond Blanc’s Chicken Liver Parfait (my uncle made this for us last week, and used duck fat in stead of butter. Holy heck it was amazing! 2 quick things though (1) There is a typo in the recipe – it should say cook until 65 degrees C (150F), no more! Once you hit 70C all the proteins are overcooked, and the pate will be grey, grainy and thick. See video here and (2) the indicated baking time is too long. Start checking at around 30 minutes.)

Chicken Liver Mousse from Paleo Parents

Bacon Beef-Liver Pate with Rosemary and Thyme from AutoImmune-Paleo (AIP)

Chicken Liver Pate with Mushrooms and Bacon from Eat, Heal, Thrive (AIP)

Liver in its Whole Form

Liver and Caramelized Onions from The Domestic Man

Beef Liver with Bacon & Mushrooms from Starbright’s Kitchen

Liver & Bacon Sautee with Potatoes & Parsley on The BBC

Crispy Spiced Chicken Livers from Melissa Joulwan

Hidden Liver

50/50/50 Burgers from The Paleo Mom (note: I actually use ground beef heart in this recipe, and add onions, garlic and toasted cumin. I make a large batch and freeze the patties on parchment paper for quick dinners later on.)

Frozen Raw Liver Pills from Primally Inspired

Liver Supplement from Vital Proteins

Raw Liver Smoothie Shot from Real Food Liz

 

So tell me, have I convinced you to eat liver? Newbies – are you going to give it a try? Or do you already like it and are relieved you can finally eat it again?

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