This creamy, delectable macaroni and cheese is the definition of comfort food. In an epic stroke of blended brilliance, this one-dish meal brings you lean protein, a mondo-dose of calcium and vitamin A, a full serving of vegetables, complex carbohydrates for sustainable energy, and all the cozy, cheesy winter vibes you could desire. The sauce contains an entire butternut squash and a cauliflower to boost the nutritional impact of this otherwise unassuming kid-friendly dinner.

An immersion blender can be a very helpful tool to make this recipe prep a snap, but it’s not necessary. You can use a regular blender, food processor, or even a potato masher (though the blend-ier options will get you a smoother sauce). To save time, you can also purchase the butternut squash and cauliflower already cubed (fresh or frozen).

Let me know in the comments if you give this recipe a try!

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Veggie-Loaded Macaroni & Cheese

This creamy, delectable macaroni and cheese dish is the definition of a comfort food. Plus, each serving includes lean protein, vegetables, healthy complex carbs, and a mondo dose each of calcium and vitamin A.

Keyword comfort food, creamy, kid-friendly, mac and cheese, macaroni

Prep Time 15 minutes

Cook Time 15 minutes

Servings 6 servings

Author Down Home Dietitian

Ingredients

• 1 whole butternut squash
• 1 head cauliflower
• 1 1/2 cups brown rice macaroni sub any whole grain or legume-based pasta if desired
• 1 cup shredded cheddar cheese
• 1 block reduced fat cream cheese 8 ounces
• 2-3 Tbsp low fat milk
• 1/2 tsp paprika
• 1/2 tsp turmeric
• 1 tsp garlic powder
• 1 tsp onion powder
• 1 tsp salt
• 1/4 tsp ground black pepper
• 2 c diced ham

Instructions

• Place a large pot of water on high heat to boil (include a strainer basket if you have one).
• Roughly chop cauliflower into large florets. Peel and cube butternut squash.
• When water is boiling, add butternut and squash and boil until fork tender, about 8-10 minutes.
• While vegetables are boiling, shred cheese.
• Strain vegetables from boiling water and add macaroni to same water. Cook according to package directions.

  Note: this adds flavor and nutrition to the noodles, but to save time, you can cook macaroni in a separate pot at the same time as the vegetables.
• While macaroni is cooking, place squash and cauliflower in a large casserole dish with cream cheese, cheddar cheese, milk, and seasonings. Using an immersion or stick blender, blend very thoroughly until sauce is smooth and creamy and there are no large pieces of vegetable remaining.

  Note: If you do not have an immersion blender, perform this step in a regular blender or a food processor and add to casserole dish when done.
• When macaroni is done cooking, drain and add noodles and ham to casserole dish with sauce. Stir until well combined.

Notes

1 serving contains: 352 calories, 20 g protein, 33 g carbohydrate, 15 g fat, 1026 mg sodium, 8.7 g saturated fat, 6.3 g fiber. It meets 25% daily RDA for fiber, 10% for iron, 26% for calcium, 27% for potassium, and 84% for vitamin C, based on a 2000 calorie per day diet.

Health notes: This recipe contains a higher sodium level than may support heart health with certain conditions. To reduce the sodium, cut the salt to 1/2 tsp and try chicken or chopped Canadian bacon in place of the ham.

Disclaimer: Products purchased through affiliate links will earn me a small commission at no extra cost to you. Please know that I only recommend products that I have used and believe in.

Of course you want to be healthy – but everywhere you look, diet culture’s miserable mandates run wild. How are you to know what healthy really looks like? Look no further.

Down Home Dietitian’s got you covered – with simple healthy recipes, informative videos, totally doable workouts, and grow-it-yourself gardening advice. If you want to be healthy and you don’t want to be miserable doing it, this is the channel for you. Subscribe so you don’t miss a thing! Because healthy doesn’t have to be hard.

Clean out your fridge and blend smoothies in an endless variety of flavors! Smoothies are such a great way to fit in so much good nutrition – get your calcium, protein, healthy carbs, vitamins and minerals, fiber, and anti-inflammatory omega-3s in one delicious glass that goes with you throughout your morning (or day)! Enjoy!

You’d have to be living in a mole hole to not have heard of the ketogenic diet. Everyone knows someone who’s on it. What everyone wants to know is whether or not keto is safe and effective. Does the keto diet work for weight loss? Is it dangerous?  Is the keto diet nutritionally balanced? Is it easy to follow? There is SO much to say about keto so I’m going to make this post a quick overview. I’ll make more in-depth posts about these topics along the way (with a lot more references), so check back for more info!

What does the research say about the keto diet?

Research about the effectiveness of the keto diet (or similar low carb, high fat diets) for weight management is somewhat mixed. Most of the time, keto-like diets are successful at causing weight loss.^1-2 Unfortunately, the research also indicates that the success of keeping that weight off long term (1 year or more) is low (and no better than with other types of diets).^3-5

Research on keto’s effects on other health markers (cholesterol, blood glucose, insulin, inflammation, etc) is also mixed. Some studies show the keto diet improves cholesterol markers, others demonstrate that it makes them worse.^1,6 Research on inflammation is once again, annoyingly, unclear and conflicting.^6-7 For the most part, blood glucose and insulin levels do tend to improve^1,6, likely because carbohydrates (and therefore the need for insulin) are largely a non-factor in a ketogenic diet.

With all of the conflicting information, it’s no wonder everyone is so confused about the keto diet. In a future post, I will go much more in-depth about what the research says and what conclusions we can pull from it.

Is the keto diet dangerous?

This answer is a little convoluted (you’re shocked, I know). Short-to-moderate length studies looking to evaluate the safety of the ketogenic diet have mostly unearthed no dangerous results (other than those mentioned above).¹ However, few of those studies have looked at the long-term effects of the ketogenic diet (or similar very low carb diets) on metabolism.^2,8 By far and away, my largest caution with the keto diet is its long-term effects on metabolism. This is also the main reason I do not recommend the keto diet for my clients and I am not following the keto diet during this feature.

Eating so few carbs mimics a “famine” situation, causing your body to rely more on its body fat stores than on blood glucose. So far, that sounds great, right? But your body expects this to be temporary (think caveman days – in Spring/Summer, the carbs will come back!). After a while, if carbohydrates don’t increase, your body resorts to a more sustainable long-term plan. Your body knows it can’t keep burning through the fat stores – it would rather slow down metabolism and try to preserve its fat stores as much as possible. This nearly always leads to fatigue, brain fog, feeling cold, and a weight loss plateau. Often at this point people become frustrated with the lack of results and begin to eat more carbohydrate. Your body is jazzed – “Spring/Summer is here! We survived! Boy, that was a long one. Next time, we will be even more prepared for Winter.” Translation: we will store more fat. These shifts are backed by documented hormonal changes in mice and humans,^4,8-9   and are linked with the weight regain mentioned earlier.

The take-home message: In the long run, very low carb diets like keto teach your body how to store fat more effectively.

Is the keto diet nutritionally balanced?

The answer is a big it depends. I would venture to say that the average keto diet is not nutritionally balanced. I would follow that up by saying that it is possible to eat a nutritionally balanced keto diet, but it takes a lot of intention. Here are some of the nutritional weaknesses I see in keto diets:

• Fiber – Fiber is a type of carbohydrate that composes the structure of certain plant-based foods. Since fiber doesn’t break down into blood glucose, it is not actually limited on the ketogenic diet and will not interfere with ketosis. At the same time, it comes in primarily carbohydrate foods, so the carb limitations often make it quite tricky to get enough fiber while avoiding other carbohydrates. It can be done with certain high-fiber foods such as nuts and seeds, avocados, and berries.
• Vitamin C – While you can certainly get vitamin C from certain keto-friendly vegetables (hey, peppers!), a lot of the best vitamin C sources are fruits, which are very limited on a keto diet. You can definitely make a point to eat vitamin-C containing foods, but you have to make the point to do so.
• Saturated fat – These are the types of fats that are primarily found in animal foods. Being a high-fat diet, unless someone is being very intentional in their food choices, a keto diet is typically quite high in saturated fats. While there are some debates around the appropriate recommendations for saturated fat,¹⁰ most keto-dieters I’ve talked with are eating WAY more than even some of the higher evidence-based recommendations. High saturated fat intakes are associated with high levels of cholesterol and increased occurrence of dementia.^11-12 Keto dieters can buffer this impact by limiting intakes of high fat meats (sausage, bacon, ribs, hot dogs, etc) and dairy in favor of lean and grass-fed meats and reduced fat dairy. Focus on including a variety of plant-based fats like nuts, seeds, avocado, and olive oil.

Is the keto diet easy to follow?

This kind of depends (do you see a theme here? It seems nutrition rarely has a clear answer). Some people absolutely LOVE meat and veggies and aren’t so big on the carb-y stuff, and keto totally rocks their world. Others – most, if we’re honest – enjoy at least some carbohydrate foods (or the option to eat them without ruining ketosis) on a regular basis. With ketosis, it’s kind of an all-or-nothing thing. You either need to be in and mostly stay in ketosis or regularly meet your carbohydrate needs. Bouncing back and forth or riding the low-carb-but-not-quite-low-enough-for-ketosis train is generally not an enjoyable ride. Many clients complain about low energy, brain fog, fatigue, and weight fluctuations, particularly coming in and out of ketosis. Digestive disturbances come up frequently as well.

My average client finds keto to be a social and nutritional bummer, because it restricts a lot of foods – particularly delicious and commonly social foods. It can also be a challenge for some to consume enough fat to promote ketosis and meet caloric needs. I can’t even count how many clients and friends have followed keto for a few weeks or months, convinced it was going great, only to decide it was too restrictive and they weren’t enjoying their food quality of life or feeling their best. The same high dropout trend is commonly seen in studies about low-carbohydrate diets.³ When deciding about a diet, be sure to take the nutritional and safety factors into account as well as your personality, favorite foods, and family/friends.

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References

1. Dashti, Hussein M et al. “Long-term effects of a ketogenic diet in obese patients.” Experimental and clinical cardiology vol. 9,3 (2004): 200-5.
2. David S Ludwig, The Ketogenic Diet: Evidence for Optimism but High-Quality Research Needed, The Journal of Nutrition, nxz308, https://doi.org/10.1093/jn/nxz308
3. Phelan, S., Wyatt, H., Nassery, S., DiBello, J., Fava, J.L., Hill, J.O. and Wing, R.R. (2007), Three‐Year Weight Change in Successful Weight Losers Who Lost Weight on a Low‐Carbohydrate Diet. Obesity, 15: 2470-2477. doi:10.1038/oby.2007.293
4. Cardillo, S., Seshadri, P., Iqbal, N. The effects of a Low Carbohydrate vs. Low Fat Diet on adipocytikines in severely obese adults: a three-year-follow-up on a randomized control trial. Eur Rev Med Pharmacol Sci vol. 10 (2006): 99-106.
5. Foster, G., et al. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med (2003); 348:2082-2090
   DOI: 10.1056/NEJMoa022207.
6. Rosenbaum, M., et al. Glucose and lipid homeostasis and inflammation in humans following an isocaloric ketogenic diet. Obesity. 2019 Jun;27(6):971-981. doi: 10.1002/oby.22468. Epub 2019 May 8.
7. Shen, Y., Kapfhamer, D., Minnella, A.M. et al. Bioenergetic state regulates innate inflammatory responses through the transcriptional co-repressor CtBP. Nat Commun 8, 624 (2017). https://doi.org/10.1038/s41467-017-00707-0
8. Goldberg, E.L., Shchukina, I., Asher, J.L. et al. Ketogenesis activates metabolically protective γδ T cells in visceral adipose tissue. Nat Metab 2, 50–61 (2020). https://doi.org/10.1038/s42255-019-0160-6
9. Cooper, E. The Metabolic Storm: The science of your metabolism and how its making you fat. Seattle Performance Medicine. 2015. 2nd edition.
10. Enos, R., et al. Influence of dietary saturated fat content on adiposity, macrophage behavior, inflammation, and metabolism: composition matters.
11. Enos, R., et al. Influence of  The Journal of Lipid Research. doi: 10.1194/jlr.M030700 (2013), 54, 152-163.
12. Greenwood, C., Winocur, G., High-fat diets, insulin resistance and declining cognitive function. Neurobiology of Aging. Volume 26, Issue 1, Supplement (2005) 42-45. https://doi.org/10.1016/j.neurobiolaging.2005.08.017.
13. Barnard, N. D., Bunner, A. E., Agarwal, U. Saturated and trans fats and dementia: a systematic review. Neurobiology of Aging. Volume 35, Supplement 2 (2014) S65-S73. https://doi.org/10.1016/j.neurobiolaging.2014.02.030.

If your goal for the New Year was to eat more healthfully, you may have selected a diet to make it happen. You’re 8 days in so I’m wondering how you’re doing. Having some cravings? Feeling deprived? If so, you may be barking up the wrong tree. If you’re struggling to foresee this diet lasting for the long run, I’ve got some tips for making some more sustainable (and less miserable) changes.

Here’s what to do instead:

1. Don’t get married without dating first!

What I mean is, don’t commit to stick to a plan if you have no clue how well it is going to work for your body and your life. If it feels like fighting, clawing, and scratching, then it’s not the right change for you. Avoid committing to any plan that you haven’t tried out first. Honestly evaluate how it fits into your life and if it doesn’t, it’s not your failure – it’s the wrong plan!

2. Commit to a habit, then figure out how to make it work in your life.

Instead of a whole plan, pick a healthy habit. Want to drink more water? Great! Pick an ounce goal (80-100 oz is a good start for most folks) and try however many strategies you must in order to find the one that actually helps you get there. Try carrying a water bottle everywhere. Try setting mini-goals (20 oz. by 10 am, 40 by noon). Try an app like My Fitness Pal. Try a cheesier app like Plant Nanny. Try fruit-infused water. Try tea. Try filling a gallon jug of water daily. Try whatever you need to try until you get closer to where you want to be. The real work is in finding the strategy that doesn’t feel like work.

Once you’ve figured that one out, choose another habit and stack it on top of the first. Ready to eat 5 servings of fruits and veggies per day? Walk for 20 minutes 3 times per week? Regardless of the goals you pick, this test-driving strategy means you’ll have the opportunity to make each change fit your life. Once you stack up all your new (and easy to stick with) habits, just think how much healthier you’ll be! Not to mention how much more enjoyable it will be than that “clean eating” cleanse you were thinking about trying…

3. Put your blinders on

This is the toughest part and it’s a total mental game. Your cousin’s on keto, your PTO pal is on paleo, and your fitness-nut friend is fasting 16 hours a day. They’re all losing weight and you’re over here working on your water intake. It can truly be maddening. Keep in mind – most any diet will get weight off. Most any diet will not keep weight off. Remind yourself how many times you’ve watched someone (or you yourself have done this…it’s okay!) diet, lose weight, then gradually gain it all back and then some. All of these people you know are setting their bodies up to gain more fat in the long run. It’s sad, but it’s true!

So try not to let them influence you. It’s so, so hard, I know! I’m a dietitian – I’ve studied nutrition for 10 years – and I can still feel myself being influenced by social media progress photos from diets and supplements that I know are not safe or effective. It is a battle. But it’s a battle worth fighting.

You must find your healthy life.

That means that you eat what works for your body, your family, your budget, your lifestyle, and makes you happy. Put in the work to find out what that is, and you’ll be so pleased with how easy it can be to be healthy!

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I’ve already been asked this question by three clients this year, so I figured it’s probably a good topic for a post!

Question: How can I detox from all of my holiday eating?

Answer:

The term “detox” is actually misleading, since if your kidneys and liver are functioning properly, it’s not likely that your body is accumulating toxins. They do a pretty good job of keeping those at bay! However, after a couple weeks of holiday partying you’re probably not feeling your best. Common complaints include:

• Swelling/rapid weight gain – When you eat more sodium than your body is used to, the sodium binds with water in your body and causes you to retain a bit of extra water weight.
• Inflammation – High intakes of sugar, alcohol, and certain types of fat (that like to come out at parties) are inflammatory. Not to mention we tend to eat more of the foods that our individual bodies just “don’t agree with” at holiday times. This can lead you with a dose of extra inflammation for a bit afterward.
• Headache – This is likely to due either to hangover, inflammation, or dehydration (or a combo).
• Digestive…um…disturbances – These can vary across the spectrum from constipation to diarrhea to gas and bloating. This is usually related to eating foods that your normal collection of gut bacteria are not used to. They aren’t prepared for it and have a hard time helping you digest. Thus, disturbances.
• Low energy – Sugar crashes, the effects of alcohol, and lack of vitamins and minerals can leave you feeling sluggish.
• Heartburn – This one can be caused by eating more food overall, or specifically more fat, sugar, alcohol, or high-acid foods.
• Guilt – I gotta throw this one in here, since many people feel badly about their actions after holiday eating

The good news is, most of this is temporary. If you go back to your usual routine you’ll probably feel normal again after a few days or a week. If you want to speed up the process, here are some tips to feel your best as soon as possible after the holidays.

1. Hydrate – The number one thing you can do to resolve most of the issues above is to hydrate. Drinking water, tea, and black coffee can help to flush out extra sodium, which in turn can help resolve water retention. Seems backwards, but it’s true. Hydration can also help with digestion, energy, and headaches. Aim for 100 oz of fluid per day for a couple of days. Bonus: Green tea is loaded with anti-inflammatory antioxidants, so it’s a great option.
2. Get 4-5 fruit and vegetable servings per day – Water content in produce helps with hydration, and the antioxidant vitamins and minerals in these nutritious goodies fight inflammation and should get your energy back on track.
3. Go easy on sodium – Extra sodium is causing that buildup of fluid and contributing to dehydration at the same time. Steering clear of high-sodium foods like processed meats, canned/boxed foods, or restaurant meals for a couple of days can help kill the bloat.
4. Be active – Moving your body helps reduce inflammation and promote healthy digestion and circulation (that gets the water weight out quicker)!
5. Don’t beat yourself up – Easier said than done when our diet-crazed culture is coming at ya swinging, particularly at the start of the year. Do. Not. Feel. Bad. For. Enjoying. Food. You are under absolutely no obligation to dwell on your holiday eating behavior. If you feel physically bad, make a few healthful choices today and head in a direction that makes you feel good. There is absolutely no worth in kicking yourself for enjoying your holidays. In fact, I encourage it! What is a healthy life for if not to be enjoyed?

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It’s December! That means Christmas party platters, warm cozy beverages, and a cornucopia of cookies and candies. For some, these goodies can add stress to the holidays, taking away from the real focus of the season. Here are some tips to navigate the next few weeks while staying healthy in your body and mind.

1. Prioritize

Our natural tendency is to take a little bit of everything at any given holiday event. Often, though, we don’t even truly love all of these treats. Skim the spread and honestly ask yourself which items are sure to delight you. Which one would you be sad to leave without? Dish up and enjoy! If there are others that aren’t your favorites, don’t take them by default. Make sure to prioritize what you really love!

2. Set Yourself up for Success

It’s tough to enjoy a holiday when you aren’t feeling well, and we all know that certain foods (in certain amounts) affect us in uncomfortable ways. If a gathering is potluck-style, bring a food that you know leaves you feeling great. Then you know there will be at least one dish that won’t leave you feeling less than your best. If you don’t have the option to bring something, snack on some feel-good foods before you head out.

3. Take Your Time

Don’t rush the experience – eating holiday food is a seasonal delight to be savored. Make a plate, have a seat, and visit with a loved one as you eat. Take time to enjoy each bite and chew well (this helps with digestion as well as enjoyment)! After finishing your plate, give yourself 10-15 minutes before you go back for seconds. Our satiety signals sometimes take a bit to kick in. Waiting can help prevent painful over-fullness!

4. Get Your Move On

You don’t have to kill it in the gym (unless you like to!). Just keep moving to keep from cabin fever and prevent your muscles and joints from getting tight or achy. Go for a frosty walk with a pet, spend a few minutes stretching before bed, do a Christmas boogie, or head for the mountains for a day of sledding or skiing.

5. Enjoy!

Do not let worries about your health or weight consume your holidays. Your mental health is a much larger part of your overall wellness than that Christmas cookie. Practice balance, give yourself grace, and enjoy every second with your family, friends and favorite foods.

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