About Dr. Gourmet

My name is Timothy Harlan and I am both a physician and a chef. This blog is a general collection of information and random ideas on eating great food and eating healthy.

You can find out more at the Dr. Gourmet web site. Eat well, eat healthy, enjoy life!

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GERD Triggers, Sleep, Variations in Vitamin K : Ask Dr. Gourmet

Dear Dr. Gourmet,

 Q: I was on your site looking at your GERD book, and I noticed a few of the recipes have lemon juice, onion or garlic. It was my understanding that all of those were really big stomach upsetters, what is the truth? Everything I read says to avoid citric acid, but that is in almost everything – they use it as preservative among many other uses. It’s usually at the end of the list of ingredients, but still there nonetheless. Should that be something to look out for? Any advice on this would help; I’ve gone to the doctors more times than I can count and they really are not knowledgeable in this area.

A: GERD triggers are generally specific to each individual and one person might be able to tolerate chocolate where another can’t. The same holds true for such things as lemon juice, onions and garlic.

Start slowly. Use recipes with one ingredient that might bother you at a time to see what triggers your reflux. Sometimes that might even be a recipe with a lot of garlic where only a single clove does not provoke symptoms. Recipes with GERD Triggers

 Q: Why does the vitamin k level go higher after the broccoli is cooked? Raw chopped it is 92.5mcg and cooked chopped is 220.2. Also if we keep our RDA of vitamin k at 80mcg does that mean our INRs wont change?

A: The difference occurs not because there is a change in the amount of Vitamin K, but that the volume of cooked broccoli is less than when it is raw. The results that the USDA gives for cooked foods are measured after the food is cooked. Why Do Vitamin K Levels Vary in Foods?

 Q: Find your website incredibly valuable and recommend it frequently. Thank you so much. My question: Is there a connection between obesity and sleep/ insomnia?

A: There is a clear link between poor sleep habits and obesity. In the last few years there have been a number of studies that support those who don’t sleep much because they are busy or because they have insomnia are at much higher risk of becoming overweight and obese. There have been a lot of studies on those who work at jobs that requires rotating shifts or shifts where they have to work overnight. Not all of them are conclusive but some do show an association with working through the night and weight issues. Weight and Sleep

Have a question? Send it to askdrgourmet@drgourmet.com and your question may be answered in this newsletter. Dr. Harlan regrets that due to time constraints, he can not answer all questions submitted. Your question may already have been answered in our Ask Dr. Gourmet archive.

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