Arthritis: Over 60 Recipes and a Self-Treatment Plan to Transform Your Life

Chapter 2 Food, supplements and medication

‘People are more easily convinced of the power of magic, than convinced of the healing power of nutrition.’

The above statement – one I often use to open seminars – is, sadly, very true. Yet you can halt the pain of arthritis by changing the way you eat. In most cases, the difference will be so great it will change your life forever. All that is required for this transformation is the knowledge of which foods to avoid and which to enjoy, and a commitment to staying on the diet long enough to experience its benefits. Once you have experienced the improvement it brings about you will be very reluctant to return to your old ways. The path to success is not easy, however. You will be giving up foods and drinks that are part of most people’s daily lives – for example, coffee, alcohol, bacon, bread and sugary sweets. These changes will be easier if you understand why they are necessary. Use this book as your guide, and you will soon find that you feel better, look better and no longer crave the foods that trigger the pain that once overshadowed your life.

Several years ago a group of women attending a community meeting about nutrition were asked for a show of hands as to how many agreed with the statement: eliminating a single food from the diet can change a person’s health. Less than a third agreed. During the discussion that followed, some people were slightly amused by the question: after all, they ate a ‘healthy’ diet, how could that do them harm? When asked to describe a ‘healthy diet’, it was generally agreed that a healthy diet consisted of foods they ‘had always eaten’. In fact, none of us eats ‘what we have always eaten’. Differences in food production and processing – along with changing cultural influences – have subtly reshaped both the content and nutritional value of the food we eat. A healthy diet entails eating a high proportion of fresh fruits and vegetables, pulses, grains and nuts, and a modest amount of meat.

Many consumers are confused by all the dietary advice provided in the media these days. What should we listen to: old advice that we have followed for years; or new opinions still untested by time? Listen to both, and then ask yourself which makes good sense. If promises made for a wonder food sound too good to be true, they probably are. If someone tells you that a special diet will help control an illness, ask why and how it works. That is why you should take time to read all the information in this book, rather than just trying the recipes. You need to become familiar with your enemy in order to beat it.

Do eggs dangerously increase levels of blood cholesterol? The answer to this question is an example of how conflicting information about the health value of a food arises. Until the medical community became convinced that high levels of blood cholesterol were a significant risk factor in coronary artery disease, eggs were looked upon as a safe and healthy food, ideal for all the family – including infants and the infirm. Then came the theory that the cholesterol contained in foods, such as egg yolk, increases the level of blood cholesterol. As a result, people were advised to reduce their intake of eggs to as few as two per week. Recently, scientific research has established that the cholesterol contained in eggs has very little effect on blood cholesterol: saturated fats, such as those found in red meat, are the culprits. Eggs contain a far lower percentage of saturated fat than a portion of cheese of equal weight and, when enjoyed in moderation, they are an easy-to-eat food, high in the protein and vitamins our bodies need. Produced by free-range hens fed on grain and free of infection, eggs are a welcomed part of breakfast, lunch or dinner. You will see in Parts Three and Four that eggs are very much a part of the Eat to Beat Arthritis Diet.

Basic nutrition

Food is the essential link between your body and the rest of the living world. For optimum health, there is no substitute for a diet based on leafy vegetables, root vegetables, fruits, nuts, seeds, grains and various forms of meat. Eat food in a form as close to its natural state as possible: fresh, raw or lightly cooked, unsalted and without artificial flavours, colours and preservatives. That way, you will be giving your body the nutrients it requires.

Plants contain natural compounds that have healing properties. Ginger, for example, is not only a good source of B-vitamins, magnesium and zinc, but also contains a substance that helps control nausea. Chilli peppers contain a substance that fights pain. (More examples are found here.) So to get the most from your diet, include a wide range of foods from plants, and vary what you eat.

A balanced diet contains a healthy combination of carbohydrates, proteins and fats. It may surprise you to know that international experts recommend a diet containing about 50 per cent carbohydrate, 30 per cent fat and 20 per cent protein. The healthiest carbohydrates come from grains, root vegetables and fruits. Sources of protein should be as low-fat as possible. Red meat (muscle) and full-fat milk products are high in saturated fats, which should be limited to no more than 10 per cent of the total calories consumed. Organ meats such as liver and kidney are relatively low in saturated fats, as are tofu and other plant-protein products.

It is widely believed that fats are bad for us, and that all fats should form a minimal part of a healthy diet. This is not true. Our bodies need fat, and deficiencies in certain fats lead to illness. Fats are a compact source of stored energy. They also aid the absorption of vitamins A, D and E from the gut, and form important parts of cell membranes, hormones and messenger molecules in the body. For good health, enjoy oils obtained from plants, and oily fish. These provide healing substances that people suffering from arthritis need to help fight pain. More is said about this when the omega-3 fatty acids, like those found in fish oil, are discussed. (See here and here.)

If you are a vegetarian, ensure you eat at least one meal a day that combines grain and one or more pulses; for example, rice and beans. All the amino acids (protein building blocks) needed by the human body are found in plants, but not in the combination required by the human body. The amino acids we must obtain from our diet are called essential amino acids, and must be supplied in the same meal. More in-depth information can be found here.

Vegetarians may not benefit from this diet as much as people who eat meat because they will not benefit from the healing properties of liver.

Foods that harm

Things we eat may cause harm in several ways:

Here are some examples:

Arthritis sufferers, and people concerned about the health of their bones, should be aware that rhubarb contains oxalic acid, which inhibits the body’s ability to absorb calcium and iron from other foods. (The acid is concentrated in the leaves, which are poisonous and should never be eaten.) Rhubarb aggravates gout and rheumatoid arthritis, and may even cause an attack if eaten in excess. It may also increase the risk of kidney stones in some patients. If you cook rhubarb, do not use aluminium pans, as the acid juice dissolves aluminium from the surface, leaving it in the food for you to eat. Aluminium may be harmful to the body. Rhubarb is not the only plant containing oxalic acid. Smaller amounts are found in spinach, sorrel and chocolate.

Certain foods can trigger an allergic reaction – some people are allergic to nuts, for example. Seafood, especially lobster and prawns, may also cause problems.

This is a good opportunity to talk about the difference between an allergic reaction and food sensitivity (also known as food intolerance). These two conditions are frequently confused.

An allergic reaction is a serious matter that has immediate consequences. It is caused when the body’s immune system has built up antibodies to one or more substances in a particular food. Symptoms include hives (urticaria), severe breathing difficulty, rash, swelling of the tongue and throat, and – in extreme cases – shock and death. Tingling of the lips and mouth after eating a particular food is a sign that an allergy to a particular food may be developing. If you experience such a response to a specific food, obviously it is prudent to avoid it.

Food sensitivity, or intolerance, is far less dramatic, but can cause serious symptoms that may vary from person to person. Migraine headaches, nausea, indigestion, eczema, stomach upset and hyperactivity have all been linked with food sensitivity. Symptoms do not appear with the speed seen in allergic reactions, and it is frequently difficult to identify the exact cause of the problem. In order to identify which food is causing the symptoms, an elimination diet is usually necessary.

For a few days the sufferer is placed on a diet based on foods known to cause little, if any, intolerance. This gives the body time to rid itself of substances that may be causing the problem. Following this rest period, other foods are introduced one at a time. Most will cause no recurrence of symptoms, and thereafter can be safely added to the diet. As more foods are introduced, almost inevitably one new item will cause symptoms to reappear. When this occurs, the culprit (or one of them) has been identified and the person on the exclusion diet will know to avoid that food in the future.

The Eat to Beat Arthritis Diet includes an elimination diet that should help you identify your sensitivity to foods that can trigger, or increase, the painful inflammation of arthritis.

Certain foods known to cause sensitivity are eliminated from the Eat to Beat Arthritis Diet. These are:

ALL PRODUCTS MADE WITH WHEAT AND OTHER GRAINS CONTAINING THE PROTEIN GLUTEN (RYE, BARLEY AND OATS)

More is said about this later (see here). For the moment, however, you need only be aware that gluten is often the cause of health problems ranging from migraine headaches to coeliac disease – a debilitating condition characterized by diarrhoea, bloating, and even anaemia. Coeliac disease can cause serious problems in some people, and even mimic the symptoms of certain forms of cancer.

Cutting out gluten will improve your general health and nutritional status. It will also help control the inflammation that causes much of the pain of arthritis.

ALL FOOD AND DRINK CONTAINING CAFFEINE

Some experts believe that caffeine increases the swelling and pain of inflammation. Many people find that removing this one source of trouble from their diet dramatically improves their life.

ALL PROCESSED FOODS, INCLUDING SALTED AND PRESERVED MEATS

Removing processed foods from your diet may seem daunting, but the rewards are great. You will be eliminating major sources of additives and unnatural chemicals from your body. You will be choosing not to eat foods that have been milled, stewed, or baked to the point that all the precious nutrients they once contained have been removed. And you will be leaving room in your diet for foods that are full of natural flavour and nutrition.

If you have gouty arthritis, the problem of diet becomes more complicated because liver and all other forms of offal should be avoided.

Foods that heal

How can something as basic as food heal? How can it be true that simply by changing the content of your dinner plate you can beat illness and heal damaged tissues?

Nothing in your body is static. Every moment of every day billions of cells are in constant change. They form, fill with molecules that conduct the chemical processes of life, and eventually die. It is said that over the course of seven years every molecule in the body is replaced. What we eat, and therefore supply to the body to reconstruct itself, determines its health and strength in the future.

When illness or injury damages the body, eating foods rich in the nutrients needed to replace and rebuild tissues promotes healing. When arthritis is present the nutrients most needed are protein; the B-vitamins, plus folic acid and biotin; vitamins C, E, B12, and D; the minerals selenium, manganese, iron, calcium and zinc; and certain specific fats known as omega-3 fatty acids.

The foods rich in these nutrients that form the basis of the Eat to Beat Arthritis Diet are:

(More about healing foods can be found here and here.)

People with gout should enjoy celery and cherries several times a week. Both are thought to contain compounds that help the body eliminate uric acid. Celery also contains an anti-inflammatory substance.

Most of these nutrients play numerous roles in human metabolism. It is unnecessary to know all the details, but the following list identifies the specific role that makes them appropriate for arthritis sufferers: