{"id":4743,"date":"2022-03-14T14:49:13","date_gmt":"2022-03-14T19:49:13","guid":{"rendered":"https:\/\/www.cooking2thrive.com\/blog\/?p=4743"},"modified":"2022-03-14T14:49:15","modified_gmt":"2022-03-14T19:49:15","slug":"dig-deeper","status":"publish","type":"post","link":"https:\/\/www.cooking2thrive.com\/blog\/dig-deeper\/","title":{"rendered":"Dig Deeper"},"content":{"rendered":"\n

When\ntrying to eliminate foods that irritate, sometimes we have to dig deeper.\nEverything affects everything – allergies, sensitivities, disease process, gut\nmicrobiome, diet. Complex systems sometimes mean complex interactions. We want\nit to be simple, but sometimes it\u2019s not. In order to be a productive member of\nour healthcare team, we may have to dig a little deeper and meticulously record\nour response to foods. <\/p>\n\n\n\n

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Let\u2019s dig a little deeper into histamine intolerance. When making food choices, it could be helpful to know that the level of histamine detected<\/a> in canned fish has ranged from none detected to 657.05 mg\/kg as compared to fresh fish which ranges from none detected to 36.55 mg\/kg. That\u2019s a big difference. And it partially explains why you might easily tolerate canned fish in one sitting and experience significant symptoms in another.<\/p>\n\n\n\n

It\ncan also be helpful to know that the high-end range for beer is 21.60 mg\/kg and\nfor red wine, 55 mg\/kg. If you can tolerate gluten, beer (other than specialty\nGF) may be a better choice than red wine. <\/p>\n\n\n\n

And,\nof course, histamine consumption is cumulative so a meal of sausage (up to\n357.7 mg\/kg), sauerkraut (up to 10 mg\/kg), and beer could leave you feeling\nmiserable. Or maybe you pair sausage with spinach and red wine and end up missing\nyour daughter\u2019\u2019s soccer game. Most of us want to avoid feeling miserable and\nmissing out, right?<\/p>\n\n\n\n

And\nyet it\u2019s difficult to get the kind of specific information we need to make good\ndecisions. And when you can find the information, some amounts will be listed\nin milligrams (mg). Others are listed in micrograms (mcg). Without moving lots\nof decimals around, it\u2019s difficult to determine what indicates a high level or\nhow one level compares with another.<\/p>\n\n\n\n

In spite of growth in translational research<\/a>, a grand gulf remains between research findings on diet and readily accessible, easy-to-understand, standardized dissemination of information to the general public. As patients, we\u2019re often expected to follow guidelines that are so general (avoid fermented foods if you\u2019re histamine intolerant) they seem off-base when we have sausage without beer and sauerkraut and still suffer. <\/p>\n\n\n\n

No\none is happy to follow a specialized diet. When a patient agrees to do so then\nexperiences symptoms anyway, they are less likely to continue the regimen. They\nmay even become less likely to comply with other doctors\u2019 orders. <\/p>\n\n\n\n

I\ncan talk all day about the need to dig deeper and even if you\u2019re willing to and\nhave unlimited time, you may find that the healthcare system is not in a place\nto meet you in the middle. Translational research could be that place,\nwell-care (well-child care) could be that place, holistic medicine could be\nthat place, integrative medicine has some potential, but right now the gaps are\ngreat in all of these areas. The crux of the problem is insufficient\ncommunication and dissemination of information. Whether this is deliberate or\nresults from low priority, it seems to be culturally pervasive. <\/p>\n\n\n\n

I\nknow from personal experience how frustrating that feels. I still believe that\ndigging deeper is worth it. But I understand that the time investment may not\nbe realistic for everyone. <\/p>\n\n\n\n

The\npurpose of this post is to raise awareness that a prescribed dietary regimen\nmay be appropriate. You may be complying with the guidelines you\u2019ve been given.\nAnd you may still have symptoms due to incomplete information with which you\u2019ve\nbeen provided and\/or which is readily available for your condition.<\/p>\n\n\n\n

Before you give the plan up as futile, you may want to dig deeper.\u00a0<\/p>\n\n\n\n

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What Counts?<\/a><\/blockquote>