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Diets

Back Clinic Diets. The sum of food consumed by any living organism. The word diet is the use of specific intake of nutrition for health or weight management. Food provides people with the necessary energy and nutrients to be healthy. By eating various healthy foods, including good quality vegetables, fruits, whole-grain products, and lean meats, the body can replenish itself with the essential proteins, carbohydrates, fats, vitamins, and minerals to function effectively.

Having a healthy diet is one of the best things to prevent and control various health problems, i.e., types of cancers, heart disease, high blood pressure, and type 2 diabetes. Dr. Alex Jimenez offers nutritional examples and describes the importance of balanced nutrition throughout this series of articles. In addition, Dr. Jimenez emphasizes how a proper diet combined with physical activity can help individuals reach and maintain a healthy weight, reduce their risk of developing chronic diseases like heart disease, and ultimately promote overall health and wellness.


Nutrition for Accident Injuries During Recovery

Nutrition for Accident Injuries During Recovery

Healing from the Inside Out: A Musculoskeletal Injury Rehabilitation Diet After a Motor Vehicle Accident (MVA)

Nutrition for Accident Injuries During Recovery

When someone is involved in a motor vehicle accident (MVA), the injuries can go beyond what’s visible on the outside. Muscles, ligaments, tendons, and bones often suffer deep damage that takes time and care to heal. While many people focus on physical therapy, chiropractic care, and pain management, one key part of recovery is often overlooked—nutrition. What we eat can either help or hinder our recovery process. That’s where a musculoskeletal injury rehabilitation diet comes in.

This article explains why nutrition matters after an MVA, which foods support healing, and how experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, combine chiropractic care, advanced imaging, and integrative medicine to create a complete recovery plan. Let’s explore how healing from the inside out is just as important as external care.


How MVAs Lead to Musculoskeletal Injuries

Musculoskeletal injuries are among the most common outcomes of motor vehicle accidents. They can range from mild muscle strains to severe joint dislocations, fractures, and nerve compressions. When your body experiences sudden deceleration, whiplash, or blunt force, tissues get stretched, torn, or inflamed. Common conditions include sprains, strains, back pain, neck stiffness, and soft tissue damage.

After such injuries, inflammation occurs as part of the body’s natural healing response. Although inflammation helps the body repair, excessive or chronic inflammation can prolong recovery and increase pain.

According to the Elysian Wellness Centre, without a proper recovery plan—including hydration, nutrition, and therapy—healing can be delayed significantly. That’s why diet becomes a critical part of musculoskeletal injury rehabilitation.

Reference:
Elysian Wellness Centre. (n.d.). Motor vehicle accidents rehabilitation: What now? https://elysianwellnesscentre.com


Why Nutrition Matters After a Car Accident

When the body experiences trauma, it requires more energy and nutrients to heal. The demand for calories, protein, and vitamins rises. Without proper nutrition, muscles may waste away, inflammation may increase, and tissue repair can be compromised.

The Naval Medical Center Nutrition Fact Sheet outlines the role of food as medicine. It explains that wounded or injured individuals need extra calories, protein, zinc, and antioxidants to speed up recovery. Proper nutrition doesn’t just support healing—it reduces complications and helps regain strength and mobility.

Reference:
Naval Medical Center Portsmouth. (n.d.). Nutrition for wounded, ill, and injured. https://www.med.navy.mil


Protein: The Building Block of Tissue Repair

Proteins are essential for muscle repair, collagen formation, and immune support. After an MVA, your body requires more protein to rebuild torn muscles and connective tissues. High-quality sources include lean meats, poultry, fish, eggs, Greek yogurt, tofu, legumes, and nuts.

The Essendon Sports Medicine Institute emphasizes that without enough protein, injured patients may struggle to recover strength and stability in joints and muscles. Ensuring 20–30 grams of protein per meal helps the body maintain muscle mass during rest and repair.

Reference:
Essendon Sports Medicine. (n.d.). Healing from within: Nutrition strategies for injury recovery. https://www.essendonsportsmedicine.com.au


Healthy Fats That Fight Inflammation

Fatty acids, especially omega-3s, are known to reduce inflammation. Inflammation, while part of the healing process, can lead to prolonged pain and delayed recovery if left unchecked.

Fatty fish (like salmon, mackerel, and sardines), flaxseeds, chia seeds, walnuts, and avocados are anti-inflammatory powerhouses. As stated by WellBeings Medicine, adding omega-3-rich foods helps reduce joint pain and swelling, especially after ligament and tendon injuries.

Reference:
WellBeings Medicine. (n.d.). Healing through nutrition: Dietary strategies for auto accident injury recovery. https://wellbeingsmedicine.com


Carbohydrates for Energy and Recovery

Carbohydrates provide the energy your body needs to heal. They help spare protein so it can be used for muscle repair rather than fuel. Whole grains, fruits, vegetables, and legumes are excellent choices.

According to Kartamultisport, injured individuals need complex carbs to fuel daily activity, physical therapy, and tissue regeneration. Refined sugars should be avoided because they may increase inflammation and reduce immune function.

Reference:
Kartamultisport. (n.d.). Diet after injury: 5 tips on how to eat to get back in shape quickly. https://www.kartamultisport.pl


Antioxidants and Micronutrients: The Invisible Healers

Vitamins and minerals play a vital role in healing tissues. Vitamin C supports collagen production, while vitamin A helps with cell regeneration. Zinc and magnesium support immune function, protein synthesis, and nerve health.

Fruits and vegetables like berries, citrus fruits, spinach, broccoli, bell peppers, and sweet potatoes should be eaten daily. The Respiratory Muscle Rehabilitation Center recommends including colorful produce and nuts to fight oxidative stress and promote quicker healing.

Reference:
Respiratory Muscle Rehabilitation. (n.d.). Tantalizing powerful foods to supercharge injury recovery. https://respmr.com


Hydration and Its Role in Recovery

Water helps transport nutrients to damaged tissues and flushes toxins from the body. Dehydration can slow tissue healing and increase fatigue, cramps, and muscle spasms.

As emphasized by Dallas Accident & Injury Rehab, recovery requires more fluids than usual. Aim for at least 8–10 cups of water daily, more if you’re active or in physical therapy. Add herbal teas, broths, and water-rich fruits like watermelon and cucumber to your diet.

Reference:
Dallas Accident & Injury Rehab. (n.d.). Nutritional support for recovery from work injuries. https://dallasaccidentandinjuryrehab.com


What Not to Eat During Rehabilitation

Certain foods may worsen inflammation or interfere with recovery. These include:

  • Sugary snacks and drinks
  • Processed foods (chips, canned soups, frozen meals)
  • Excessive alcohol
  • Deep-fried or greasy foods

The ProActive Physical Therapy Center recommends avoiding artificial additives and focusing on natural, nutrient-rich ingredients. Keeping your gut healthy through whole foods also improves immunity and inflammation control.

Reference:
ProActive Physical Therapy. (n.d.). Nutrition for injuries: Best foods for recovery. https://proactivept.com


Evidence-Based Nutrition and Recovery Time

A 2024 peer-reviewed study found that patients who followed recovery-focused nutritional guidelines healed faster and reported less pain over time. Anti-inflammatory diets rich in protein, omega-3s, and antioxidants shortened recovery durations and improved physical performance post-injury.

Reference:
Stavrou, M., et al. (2024). Role of nutrition in musculoskeletal injury healing and performance recovery. Nutrition Reviews, https://pmc.ncbi.nlm.nih.gov/articles/PMC11643565


Real-World Application: Dr. Alexander Jimenez’s Integrative Care Approach

Dr. Alexander Jimenez, DC, APRN, FNP-BC, practices in El Paso and is recognized for his dual-scope expertise in chiropractic and functional medicine. He provides integrative care to patients recovering from MVAs, using nutrition, advanced imaging, and rehabilitative medicine.

Through his clinics (dralexjimenez.com, elpasobackclinic.com), Dr. Jimenez has documented clinical correlations between trauma, soft tissue damage, inflammation, and malnutrition. His assessments combine MRI, ultrasound, lab work, and body composition analysis to design personalized treatment plans.

Dr. Jimenez emphasizes that healing from musculoskeletal injuries isn’t just about manipulating bones—it’s about understanding the whole body. Integrating chiropractic adjustments with dietary protocols allows patients to regain strength, reduce inflammation, and prevent long-term complications. His ability to document injuries for both medical and legal purposes also makes him a vital part of the recovery team in personal injury cases.

Reference:
Jimenez, A. (n.d.). Clinical insights. https://www.linkedin.com/in/dralexjimenez/


Sample Meal Plan for Post-MVA Recovery

Here’s a simple one-day meal plan designed for patients recovering from musculoskeletal injuries:

Breakfast

  • Oatmeal with chia seeds, blueberries, walnuts
  • Green tea or water with lemon

Lunch

  • Grilled salmon with quinoa and spinach
  • Roasted sweet potatoes
  • Water or bone broth

Snack

  • Greek yogurt with almonds and strawberries

Dinner

  • Chicken stir-fry with broccoli, bell peppers, brown rice
  • Herbal chamomile tea

Dessert (optional)

  • Dark chocolate square (70% cocoa or higher)

This meal plan offers anti-inflammatory nutrients, quality protein, healthy fats, and hydration—all key components of a musculoskeletal rehabilitation diet.


Final Thoughts: Food as Fuel for Recovery

Nutrition is one of the most powerful tools in post-accident recovery, yet it’s often ignored. A rehabilitation diet isn’t just about avoiding bad foods—it’s about feeding your body the fuel it needs to rebuild, move, and feel better. Whether it’s reducing pain, rebuilding strength, or speeding recovery, the right food choices matter.

For patients recovering from musculoskeletal injuries due to MVAs, working with healthcare providers like Dr. Alexander Jimenez offers a unique advantage. His integrative, dual-scope expertise ensures that care goes beyond the surface and promotes healing from the inside out.


References

Dallas Accident & Injury Rehab. (n.d.). Nutritional support for recovery from work injuries. Dallas Accident & Injury Rehab. https://dallasaccidentandinjuryrehab.com/nutritional-support-for-recovery-from-work-injuries/#:~:text=Eating%20Right%20to%20Support%20Soft,and%20improving%20overall%20tissue%20function.

Elysian Wellness Centre. (n.d.). Motor vehicle accidents rehabilitation: What now? https://elysianwellnesscentre.com/blog/motor-vehicle-accidents-rehabilitation-what-now/#:~:text=Hydrate,recovery%20will%20take%20much%20longer.

Essendon Sports Medicine. (n.d.). Healing from within: Nutrition strategies for injury recovery. https://www.essendonsportsmedicine.com.au/about/blog/healing-from-within-nutrition-strategies-for-injury-recovery#:~:text=Protein%20for%20Tissue%20Repair:,sources%20of%20high%2Dquality%20protein.

Jimenez, A. (n.d.). Dr. Alexander Jimenez, DC, APRN, FNP-BC. LinkedIn. https://www.linkedin.com/in/dralexjimenez/

Kartamultisport. (n.d.). Diet after injury: 5 tips on how to eat to get back in shape quickly. https://www.kartamultisport.pl/en/article/diet-after-injury-5-tips-on-how-to-eat-to-get-back-in-shape-quickly

Naval Medical Center Portsmouth. (n.d.). Nutrition for wounded, ill, and injured. U.S. Navy Bureau of Medicine and Surgery. https://www.med.navy.mil/Portals/62/Documents/NMFA/NMCPHC/root/Documents/health-promotion-wellness/wounded-ill-and-injured/wii-nutrition-fact-sheet.pdf

ProActive Physical Therapy. (n.d.). Nutrition for injuries: Best foods for recovery. https://proactivept.com/blog/nutrition-for-injuries-best-foods-for-recovery/#:~:text=Best%20Foods%20for%20Injury%20Recovery,some%20of%20the%20most%20beneficial.&text=Anti%2Dinflammatory%20foods%20are%20one,Grapes

Respiratory Muscle Rehabilitation. (n.d.). Tantalizing powerful foods to supercharge injury recovery. https://respmr.com/tantalizing-powerful-foods-to-supercharge-injury-recovery/#:~:text=Ensure%20your%20meals%20include%20a,to%20heal%20and%20reduce%20inflammation

Stavrou, M., Kalopisis, V., & Filippou, D. (2024). Role of nutrition in musculoskeletal injury healing and performance recovery: A review of evidence and application. Nutrition Reviews, 82(2), 123–134. https://pmc.ncbi.nlm.nih.gov/articles/PMC11643565/#:~:text=This%20review%20explores%20the%20evolving,and%20sustained%20performance%20in%20athletes.

WellBeings Medicine. (n.d.). Healing through nutrition: Dietary strategies for auto accident injury recovery. https://wellbeingsmedicine.com/finding-the-best-chiropractor/healing-through-nutrition-dietary-strategies-for-auto-accident-injury-recovery/#:~:text=Fatty%20Fish:%20Incorporating%20fatty%20fish,them%20in%20your%20morning%20oatmeal

Post-Car Accident Recovery Diet Tips for Recovery

Post-Car Accident Recovery Diet Tips for Recovery

🥦 Healing Through Nutrition: The Ultimate Post-Car Accident Recovery Diet

Post-Car Accident Recovery Diet Tips for Recovery

Motor vehicle accidents (MVAs) don’t just leave dents in cars—they often have a permanent impact on our bodies. From whiplash and ligament injuries to joint pain and systemic inflammation, your body needs comprehensive healing after an accident. One of the most overlooked yet essential components of this healing process is nutrition.

In this guide, we’ll explore how the right foods support recovery after a motor vehicle accident (MVA), based on clinical evidence and the expertise of Dr. Alexander Jimenez, DC, APRN, FNP-BC—a dual-licensed chiropractor and nurse practitioner in El Paso, Texas.


🚗 How Motor Vehicle Accidents Damage the Body

MVAs can trigger musculoskeletal injuries such as whiplash, joint damage, inflammation, and even microtrauma that goes undetected for weeks. According to clinical reports on ligamentous damage and neurological correlation, such trauma often disrupts joint function and creates compensatory muscle strain. [Ligamentous Damage and Neurological Correlation Report].

Over time, this can lead to:

  • Chronic neck and back pain

  • Reduced range of motion

  • Soft tissue swelling

  • Oxidative stress and cellular inflammation

A diet rich in antioxidants, lean protein, and anti-inflammatory nutrients can help repair this internal damage.


🧠 The Connection Between Nutrition and Recovery

What you eat determines how well your body heals.

After trauma, your body enters a heightened state of inflammation. While this process helps protect damaged tissues initially, prolonged inflammation can stall recovery. Research from functional medicine sources indicates that consuming specific foods can accelerate tissue repair, mitigate oxidative damage, and help rebuild muscle mass. [Tantalizing & Powerful Foods to Supercharge Injury Recovery].


🥬 Anti-Inflammatory Powerhouses to Include

✅ Leafy Greens

Spinach, kale, and arugula are loaded with phytonutrients and vitamin K, which support blood clotting and cellular repair.

✅ Fatty Fish

Salmon and sardines are rich in omega-3 fatty acids, which help reduce systemic inflammation and ease joint stiffness.

✅ Berries

Strawberries, blueberries, and raspberries are packed with antioxidants that reduce free radical damage.

✅ Turmeric and Ginger

These spices contain natural anti-inflammatory compounds, such as curcumin and gingerol.

These ingredients provide significant support for accident-related trauma and inflammation, aiding the musculoskeletal system in recovering more quickly. [Nutrition for Injury Recovery—Foothills Rehab].


🥩 Protein-Rich Foods for Muscle and Tissue Repair

After an accident, your body ramps up its protein demands. This is especially true for those with:

  • Muscle tears

  • Joint damage

  • Spinal misalignment

Best protein sources:

  • Chicken breast

  • Turkey

  • Fish

  • Eggs

  • Plant-based sources like lentils and quinoa

According to Miracle Rehab Clinic, incorporating high-quality protein helps rebuild muscle and connective tissue damaged in the accident [Nutrition and Injury Recovery—Miracle Rehab].


🥑 Healthy Fats for Joint Cushioning and Brain Health

Good fats are critical for:

  • Reducing inflammation in joints

  • Supporting brain health post-trauma

  • Enhancing cell membrane integrity

Include:

  • Avocados

  • Olive oil

  • Nuts and seeds

  • Flaxseeds

Healthy fats offer both structural and functional healing benefits for post-MVA recovery [Car Accident Recovery Guide—Apex Orthopedic].


🥣 Hydration and Collagen for Soft Tissue Recovery

Dehydration slows healing. Post-accident recovery demands more than just water—it requires minerals and collagen for rebuilding tendons and ligaments.

Hydrating Foods:

  • Watermelon

  • Cucumber

  • Bone broth (rich in collagen)

Dr. Jimenez has incorporated bone broth into clinical care plans for ligament rehabilitation, combining dietary coaching with diagnostic assessments.


🧬 Dr. Alexander Jimenez’s Dual-Scope Strategy

Dr. Jimenez integrates chiropractic care with functional medicine to manage:

  • Cervical ligament injuries

  • Spinal instability

  • Thoracic outlet syndrome

  • Post-traumatic radiculopathy

By utilizing advanced imaging and personalized nutrition protocols, he assists patients in reducing systemic inflammation and regenerating soft tissues. His expertise as a dual-licensed provider allows legal and medical teams to coordinate recovery plans and documentation for personal injury claims. [Dr. Alexander Jimenez].

Learn more from his clinics:


🍽️ Daily Recovery Meal Plan Example

Breakfast:

  • Scrambled eggs with spinach

  • Mixed berries

  • Green tea with ginger

Snack:

  • Greek yogurt with flaxseeds

Lunch:

  • Grilled salmon over quinoa

  • Steamed broccoli

  • Olive oil drizzle

Snack:

  • Apple slices with almond butter

Dinner:

  • Chicken breast with roasted sweet potatoes

  • Avocado slices

  • Herbal tea


❌ Foods to Avoid During Recovery

  • Sugary drinks (sodas, energy drinks)

  • Fried and fast foods

  • Excessive caffeine

  • Alcohol

  • Refined carbs (white bread, pastries)

These foods intensify inflammation and delay tissue repair.


🧘 Lifestyle Tips to Enhance Healing

Pair your diet with:

  • Physical therapy

  • Chiropractic adjustments

  • Gentle stretching (under supervision)

  • Restful sleep

  • Hydration tracking


📣 Call to Action: Start Healing Today

If you or a loved one has been in a car accident, don’t wait to begin your healing journey. Partnering with an integrative healthcare provider, such as Dr. Jimenez, can significantly enhance your nutritional support.

For a personalized injury recovery plan that blends diet, chiropractic care, and legal documentation, contact Dr. Jimenez today or visit El Paso Back Clinic.


📚 References (APA 7 Format)

Sauerkraut Benefits for Digestive Health Explained

Sauerkraut Benefits for Digestive Health Explained

Can incorporating sauerkraut into one’s diet help promote healthy gut bacteria?

Sauerkraut Benefits for Digestive Health Explained

Sauerkraut

Sauerkraut, a fermented cabbage food, is a great source of probiotics and fiber, both of which can contribute to gut health. It’s a living food containing various microbial strains and can help improve digestion, reduce inflammation, and improve overall gut health. (Shahbazi R. et al., 2021)

Fermented foods like sauerkraut have live cultures that promote the growth of beneficial probiotics, bacteria that provide powerful health benefits. Probiotics also help make foods more digestible, increasing the gut’s ability to absorb the vitamins and minerals they contain. A study found that fermented cabbage may help protect intestinal cells from inflammatory damage more than raw cabbage. (Wei L., & Marco M. L., 2025)

Homemade sauerkraut likely contains more live cultures than store-bought since processing may destroy some of the healthy bacteria. (National Institutes of Health Office of Dietary Supplements, 2023) Depending on which supplement is chosen, sauerkraut may have a greater diversity of probiotic strains. This is because an oral supplement has a known quantity and strain of probiotics. Individuals who want to add probiotics to their diet for potential gut health benefits should take a food-first approach, which is generally recommended over oral supplements. (National Institutes of Health, 2025)

Look at the Benefits

Probiotics

  • Sauerkraut contains lactic acid bacteria, which are beneficial bacteria that can help support the immune system and reduce inflammation. (Healthline, 2023)

Fiber

  • Sauerkraut is a robust source of fiber, which aids in digestion and can help you feel full longer.

Digestion

Anti-inflammatory

Gut Microbiome

  • Sauerkraut can help diversify and improve the composition of the gut microbiome, leading to various health benefits. (Healthline, 2023)

IBS symptoms

How to incorporate sauerkraut into one’s diet

Check the Ingredients

Option for unpasteurized

  • Look for sauerkraut that is labeled raw or naturally fermented to ensure it contains live probiotics.

Try to Eat Regularly

  • Aim to include sauerkraut in your diet a few times a week to reap the benefits. (Healthline, 2023)

Pair with Other Gut-Healthy Foods

  • Sauerkraut can be eaten alone or paired with other fermented foods, such as yogurt, kimchi, or chard, to promote gut health.

What to consider

Cabbage Allergy

  • Individuals who have a cabbage allergy or histamine intolerance should avoid sauerkraut.

Sodium

MAOI Medications

  • Consult with a doctor before adding sauerkraut to your diet if you are taking monoamine oxidase inhibitors (MAOIs).

Start small and learn how you like to eat sauerkraut, which can be as a condiment, side dish, or sandwich ingredient.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and integrated medicine protocols. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.


Body In Balance: Chiropractic, Fitness, and Nutrition


References

Shahbazi, R., Sharifzad, F., Bagheri, R., Alsadi, N., Yasavoli-Sharahi, H., & Matar, C. (2021). Anti-Inflammatory and Immunomodulatory Properties of Fermented Plant Foods. Nutrients, 13(5), 1516. https://doi.org/10.3390/nu13051516

Healthline. (2023). 8 Surprising Benefits of Sauerkraut (Plus How to Make It). https://www.healthline.com/nutrition/benefits-of-sauerkraut#nutrients

Medical News Today. (2023). What are the benefits of eating sauerkraut? https://www.medicalnewstoday.com/articles/health-benefits-of-sauerkraut

Wei, L., & Marco, M. L. (2025). The fermented cabbage metabolome and its protection against cytokine-induced intestinal barrier disruption of Caco-2 monolayers. Applied and environmental microbiology, e0223424. Advance online publication. https://doi.org/10.1128/aem.02234-24

National Institutes of Health Office of Dietary Supplements. (2023). Probiotics. Retrieved from https://ods.od.nih.gov/factsheets/Probiotics-Consumer/

National Institutes of Health. (2025). Probiotics. Retrieved from https://ods.od.nih.gov/factsheets/Probiotics-HealthProfessional/

U.S. Department of Agriculture. (2018). Sauerkraut, canned, solids and liquids. Retrieved from https://fdc.nal.usda.gov/food-details/169279/nutrients

Cornstarch as a Gluten-Free Thickening Agent

Cornstarch as a Gluten-Free Thickening Agent

How can cornstarch be used instead of flour in recipes for individuals on a gluten-free diet who are looking for a flour alternative due to celiac disease or non-celiac gluten sensitivity?

Cornstarch as a Gluten-Free Thickening Agent

Cornstarch Substitute

Flour is often used as a thickener or a coating in recipes. Pure cornstarch (made from corn) is a gluten-free flour substitute (Rai S., Kaur A., & Chopra C.S., 2018). However, some brands are not considered gluten-free.

Substitute for Flour

It’s easy to substitute cornstarch for flour when the recipe calls for a thickener, such as in gravies, sauces, pies, or coatings for fried foods. If flour is unavailable or individuals want to try a gluten-free alternative, cornstarch has a similar effect in these cooking applications.

However, individuals should be aware that it cannot be used as a substitute for flour in baked goods.

As a Thickener

Cornstarch can be a thickener in sauces, gravy, and pie fillings. (Bob’s Red Mill, 2020)

  • There is no taste of cornstarch.
  • However, foods will be more translucent.
  • This is because it is pure starch, while flour contains some protein.
  1. Cornstarch is not a 1:1 substitute for flour.
  2. Individuals should generally use one tablespoon for each 1 1/2 to 2 cups of flour for sauce/gravy for medium thickness. (The Denver Post, 2016)

When using cornstarch as a thickener:

  • Bring the mixture to a full boil for 1 minute, which allows the granules to swell to their maximum.
  • Reduce the heat as it thickens.
  • Overcooking can cause mixtures to thin when cooled.
  • Cook over medium-low to medium heat, as high heat can cause lumping.
  • Stir gently
  • Stirring vigorously can break down the mixture.
  • If more ingredients are needed, remove the pot from the heat and stir them quickly and gently.
  • Avoid freezing sauces or gravies since they won’t freeze well. (Cook’s Info, 2008)

How To Use

  • Use half as much cornstarch as you would flour.
  • For example, if the recipe calls for two tablespoons of flour, use one tablespoon of cornstarch.
  • If the recipe calls for 1/4 cup of flour, use 1/8 cup of cornstarch.
  • This is true for other starches, including arrowroot, potato, and tapioca. (Taste of Home, 2023)
  • Adding the cornstarch directly will cause it to clump and form lumps in the sauce that will be difficult to dissolve.
  • To avoid this, mix the cornstarch with cold water (1 tablespoon of cornstarch to 1 tablespoon of cold water) until it is dissolved.
  • Then pour the water/starch mixture/slurry into the mix.
  • Keep stirring as the mixture thickens. (Bon Appetit, 2020)

Cornstarch is not as effective as flour when thickening acidic sauces. It doesn’t work well with tomato, vinegar, or lemon juice sauces. It is also less effective than flour when thickening sauces made with fat, including butter or egg yolks. (The BC Cook Articulation Committee, 2015)

If the mixture contains too little liquid, the starch granules cannot absorb. This is also the case when there is more sugar than liquid, in which case, more liquid is needed to firm up the mixture.

Fried Dishes

Individuals can use cornstarch instead of flour to coat fried chicken, fish, or other fried dishes. It creates a crisper coating that better withstands sauces and absorbs less frying oil, resulting in a lower-fat meal. Tips for frying:

  • Try a 50/50 blend of cornstarch and gluten-free flour for a coating closer to wheat flour. (Bon Appetit, 2016)
  • Ensure there is a light, even cornstarch coating on the food.
  • Heavier coatings can get gummy.

Injury Medical Chiropractic and Functional Medicine Clinic

When cooking gluten-free, individuals may be able to continue to enjoy some of their favorite sauces by learning how to use cornstarch and other gluten-free thickeners instead of flour. As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and integrated medicine protocols. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.


From Consultation to Transformation: Assessing Patients in a Chiropractic Setting


References

Rai, S., Kaur, A., & Chopra, C. S. (2018). Gluten-Free Products for Celiac-Susceptible People. Frontiers in Nutrition, 5, 116. https://doi.org/10.3389/fnut.2018.00116

Bob’s Red Mill. (2020). Baking with cornstarch: Everything you need to know. https://www.bobsredmill.com/articles/baking-with-cornstarch-everything-you-need-to-know

Denver Post. (2016). Cornstarch a good way to thicken gravy lightly. https://www.denverpost.com/2010/11/20/cornstarch-a-good-way-to-thicken-gravy-lightly/

Cook’s Info. (2008). Thickeners. https://www.cooksinfo.com/thickeners/

Taste of Home. (2023). Cornstarch vs. flour vs. arrowroot – when should you use which thickener? https://www.tasteofhome.com/article/best-thickener/

Bon Appetit. (2020). Cornstarch is a powerful tool that must be used responsibly. https://www.bonappetit.com/story/the-power-of-almighty-cornstarch

The BC Cook Articulation Committee. (2015). Understanding Ingredients for the Canadian Baker
Types of thickening agents. https://opentextbc.ca/ingredients/chapter/types-of-thickening-agents/

Bon Appetit. (2016). 4 brilliant ways to cook with cornstarch. https://www.bonappetit.com/story/cornstarch-uses-sauce-crispy-meat

Bread Crumbs Alternatives for Dietary Needs

Bread Crumbs Alternatives for Dietary Needs

When you don’t have breadcrumbs or want to try something else, what are healthy substitutes for breadcrumbs that may yield similar results without sacrificing flavor or texture?

Bread Crumbs Alternatives for Dietary Needs

Bread Crumbs

Various recipes call for bread crumbs. Adding bread crumbs to sauces and other dishes helps bind and thicken wet ingredients while sprinkling bread crumbs on top of casseroles can add a crispy, crunchy texture. Individuals who follow low-carb or gluten-free meal plans or those with allergies to wheat may choose to avoid bread crumbs and dishes made with them. Wheat-free substitutes can replace bread crumbs in recipes with similar results, though the recipe may vary slightly.

Why Use Substitutes?

Individuals with food allergies or dietary restrictions may seek a substitute for bread crumbs since they may contain common allergens like wheat and gluten. Wheat is among the most common food allergies in the U.S. (Asthma and Allergy Foundation of America, 2022)

For those with allergies or sensitivities, gluten- and wheat-free bread crumbs are available to purchase at some stores, and some use alternatives out of preference. Crushing different varieties of chips, crackers, and pretzels can be used instead of bread crumbs, adding a unique flavor and texture. However, these substitutes may not be an option for recipes that call for bread crumbs to bind or thicken wet ingredients.

Nutrition

Nutrition information for 1 ounce (28.35 grams) of unseasoned bread crumbs. (USDA, FoodData Central, 2018)

  • Calories – 112
  • Fat – 1.5 grams
  • Sodium – 208 milligrams
  • Carbohydrates – 20.4 grams
  • Fiber – 1.28 grams
  • Sugars – 1.76 grams
  • Protein – 3.8 grams

Bread products like bread crumbs can be part of a balanced diet. Guidelines recommend between 3 and 5 servings of whole grains daily for adults, including whole-wheat bread. (United States Department of Agriculture, 2025)

  • The main macronutrient in bread crumbs is carbohydrates.
  • Bread crumbs are usually consumed in small amounts because they are not the main ingredient.

Substitutes

Rolled Oats or Oat Flour

Oats and oat flour are often used as gluten-free alternatives to wheat in baking. Oats by weight are:

  • Lower in calories
  • Provide more complex carbohydrates.
  • They are a richer source of dietary fiber than bread crumbs.

Like regular flour, oats can be a binder in meat-based recipes. For example, if a recipe for meatloaf or meatballs calls for bread crumbs, rolled oats or oat flour can be successfully substituted.

Ensure the oats are gluten-free for individuals with gluten allergies, celiac, or gluten sensitivity. Though oats are inherently gluten-free, they may be processed on shared equipment and exposed to cross-contamination.

Cornflakes

  • Cornflakes can also add a crunchy texture to baked recipes. While corn is inherently gluten-free, cornflakes may not be. For individuals who have allergies or sensitivities, ensure you use gluten-free cornflakes. To use cornflakes, crunch them up by adding them to a ziplock bag and pressing them on the outside.

Nuts

  • Try nuts like almonds, walnuts, pecans, and cashews to add crunch and nutrients to a recipe. They are rich in healthy fats, protein, vitamins, and minerals. Plain nuts are also gluten-free, but roasted nuts may contain a wheat-based coating. Be sure to read the labels before using them.

Seeds

  • Seeds are a nutritious substitute.
  • They offer a different crispy, crunchy texture.

Shredded Coconut

Shredded or desiccated coconut can be used for sweet or rich recipes. It is perfect for adding to baked goods, especially gluten-free varieties. The recipe may need to be adjusted slightly because coconut has more moisture than regular bread crumbs. Do a small sample first to see how the coconut works in the recipe.

Injury Medical Chiropractic & Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and integrated medicine protocols. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.


Hypertension? There’s a Diet for That


References

Asthma and Allergy Foundation of America. (2022). Food allergies. https://aafa.org/allergies/types-of-allergies/food-allergies/

United States Department of Agriculture, FoodData Central. (2018). Bread crumbs, dry, grated, plain. Retrieved from https://fdc.nal.usda.gov/food-details/174928/nutrients

United States Department of Agriculture. Dietary Guidelines for Americans 2020-2025. (2020). Dietary Guidelines for Americans, 2020-2025. Retrieved from https://www.dietaryguidelines.gov/sites/default/files/2021-03/Dietary_Guidelines_for_Americans-2020-2025.pdf

Antinutrients: What They Are and Their Impact

Antinutrients: What They Are and Their Impact

Can understanding antinutrients and the importance of a balanced diet help individuals get the most out of their foods?

Antinutrients: What They Are and Their Impact

Antinutrients

Antinutrients are compounds in some plant foods that can reduce the body’s ability to absorb and use certain nutrients. (Petroski W., & Minich D. M. 2020) The purpose of these compounds is to protect the plants from infections and insects, which benefits the plant. It can also lower the human body’s ability to absorb nutrients properly. They are found in many grains, legumes, seeds, nuts, fruits, and vegetables. Plant-based foods high in antinutrients have beneficial nutrients, such as antioxidants, fiber, and other vitamins and minerals, and have been associated with a lower risk of chronic disease. The antinutrients may prevent the digestion and absorption of some minerals and have other negative effects that include:

  • Altered gut function
  • Increased inflammation
  • Endocrine disruption
  • Increased risk of calcium kidney stones

Common Types

Some of the main antinutrients of concern include phytates, lectins, oxalates, tannins, and phytoestrogens.

Phytates (phytic acid)

Lectins

  • They are found in nearly all foods, notably legumes and grains.
  • Lectins are proteins that bind to carbohydrates.
  • They can be harmful in high amounts or when high-lectin foods, such as beans, lentils, and wheat, are consumed raw. (Adamcová A., Laursen K. H., & Ballin N. Z. 2021)

Oxalates

  • They are found in various plant foods, including fruits, vegetables, nuts, and grains. (Mitchell T. et al., 2019)
  • Oxalates bind to certain minerals, such as calcium-forming calcium oxalate.

Tannins

  • They are found in many plant foods, such as legumes, cereal grains, nuts, cacao, leafy and green vegetables, coffee, and tea. (Ojo M. A. 2022)
  • Tannins are antioxidant-phenolic compounds that can reduce the absorption of some minerals and proteins in the body.

Phytoestrogens

  • They are found in various plant foods, such as fruits, vegetables, legumes, nuts, and seeds.
  • These estrogen-like compounds have many health benefits but may also act as endocrine disruptors (interfering with hormones). (Petroski W., & Minich D. M. 2020)

Effects on the Body

Antinutrient compounds typically bind to minerals or other nutrients, which inhibits digestion and absorption. For example,

Advantages and Disadvantages

Plant foods have long been associated with improved health and a decreased risk of some chronic diseases, such as heart disease, diabetes, cancer, stroke, and others. (Craig W. J. et al., 2021) For most, the effects of antinutrients are not of major concern after processing and cooking. The benefits and drawbacks of consuming foods high in antinutrients include: (Petroski W., & Minich D. M. 2020)

Benefits

  • Some antinutrients act as antioxidants.
  • Some have cancer-fighting abilities.
  • Some may increase immune system function.
  • They are often sources of dietary fiber and other beneficial nutrients.

Drawbacks

  • It may be difficult for some individuals to digest.
  • Phytoestrogens may behave like endocrine disruptors.
  • High amounts of oxalates can contribute to kidney stones.
  • It may decrease the absorption of some minerals.

Foods

Plant foods are the highest in antinutrient compounds, including (Petroski W. & Minich D. M. 2020)

  • Coffee
  • Some teas
  • Cacao
  • Grains
  • Nuts, such as cashews, hazelnuts, and almonds
  • Legumes, such as beans, peas, peanuts, lentils and soybeans
  • Seeds like flaxseeds, sunflower seeds, and sesame seeds
  • Fruits and vegetables include apples, stone fruits, some berries, dark leafy greens, and potatoes.

Reducing Intake

Processing and cooking foods high in antinutrients can help reduce the amount of antinutrient compounds (Petroski W. & Minich D. M., 2020) (Harvard T.H. Chan School of Public Health, 2022)

  • Soaking and sprouting
  • Fermentation
  • Cooking methods to minimize antinutrient content, like boiling, steaming
  • Autoclaving – a cooking process that uses high pressure and heat to cook and sterilize food.
  • Peeling the skins of fruits and nuts is effective for reducing tannins.
  • Combining foods to enhance nutrient absorption.
  • For example, pairing high-oxalate foods with high-calcium foods.

Combining different cooking and processing methods can completely degrade and reduce many antinutrient compounds. The exception is phytoestrogens, where boiling, steaming, and fermentation can increase antinutrients. (Petroski W. & Minich D. M., 2020)

Balancing Nutrition

The Dietary Guidelines for Americans recommend consuming nutrient-dense foods across all food groups. (U.S. Department of Agriculture, 2020)

  • Including various foods in one’s diet will help ensure one gets a diverse range of nutrients to fuel the body properly.
  • When consuming high-antinutrient foods, use processing and cooking methods known to reduce antinutrient compounds.
  • Think about making balanced food pairings to optimize nutrient absorption and minimize antinutrient intake.

For example, combining foods high in vitamin C with foods containing iron in the same meal or snack can enhance iron absorption, opposing the antinutrient activity of phytates. (National Institutes of Health Office of Dietary Supplements, 2024)

Injury Medical Chiropractic & Functional Medicine Clinic

Individuals concerned about antinutrients in their diet and who want individualized advice on how to get the most out of the food they eat should consider consulting with a registered dietitian nutritionist or another healthcare professional. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution.


Smart Choices, Better Health


References

Petroski, W., & Minich, D. M. (2020). Is There Such a Thing as “Anti-Nutrients”? A Narrative Review of Perceived Problematic Plant Compounds. Nutrients, 12(10), 2929. https://doi.org/10.3390/nu12102929

Gupta, R. K., Gangoliya, S. S., & Singh, N. K. (2015). Reduction of phytic acid and enhancement of bioavailable micronutrients in food grains. Journal of food science and technology, 52(2), 676–684. https://doi.org/10.1007/s13197-013-0978-y

Adamcová, A., Laursen, K. H., & Ballin, N. Z. (2021). Lectin Activity in Commonly Consumed Plant-Based Foods: Calling for Method Harmonization and Risk Assessment. Foods (Basel, Switzerland), 10(11), 2796. https://doi.org/10.3390/foods10112796

Mitchell, T., Kumar, P., Reddy, T., Wood, K. D., Knight, J., Assimos, D. G., & Holmes, R. P. (2019). Dietary oxalate and kidney stone formation. American journal of physiology. Renal physiology, 316(3), F409–F413. https://doi.org/10.1152/ajprenal.00373.2018

Ojo, M. A. (2022). Tannins in Foods: Nutritional Implications and Processing Effects of Hydrothermal Techniques on Underutilized Hard-to-Cook Legume Seeds-A Review. Preventive nutrition and food science, 27(1), 14–19. https://doi.org/10.3746/pnf.2022.27.1.14

Craig, W. J., Mangels, A. R., Fresán, U., Marsh, K., Miles, F. L., Saunders, A. V., Haddad, E. H., Heskey, C. E., Johnston, P., Larson-Meyer, E., & Orlich, M. (2021). The Safe and Effective Use of Plant-Based Diets with Guidelines for Health Professionals. Nutrients, 13(11), 4144. https://doi.org/10.3390/nu13114144

Harvard T.H. Chan School of Public Health. (2022). Are anti-nutrients harmful? https://nutritionsource.hsph.harvard.edu/anti-nutrients/

U.S. Department of Agriculture. (2020). Dietary Guidelines for Americans, 2020-2025. Retrieved from https://www.dietaryguidelines.gov/sites/default/files/2021-03/Dietary_Guidelines_for_Americans-2020-2025.pdf

National Institutes of Health Office of Dietary Supplements. (2024). Iron. Retrieved from https://ods.od.nih.gov/factsheets/Iron-HealthProfessional/

Apple Cider Vinegar and Its Health Advantages

Apple Cider Vinegar and Its Health Advantages

Can individuals take one tablespoon of apple cider vinegar daily and see its health benefits?

Apple Cider Vinegar and Its Health Advantages

Apple Cider Vinegar

Apple cider vinegar is a fermented liquid made from crushed apples. The sugars in the apples are converted to alcohol by yeast and then to acetic acid by bacteria, resulting in a sour-tasting liquid used in cooking and as a health supplement. Research suggests that consuming one tablespoon diluted in 8 ounces of water may offer various potential health benefits. (University of Texas MD Anderson Cancer Center, 2024)

Daily Consumption

A study found that drinking one tablespoon is enough to provide health benefits (Samad A, Azlan A, Ismail A. 2016)

Digestion

  • Acetic acid may help improve digestion and promote a healthy gut environment.

Weight Management

  • It may help increase feelings of fullness, potentially reducing overall calorie intake.

Blood Sugar Regulation

  • Some studies suggest it can improve insulin sensitivity and help manage blood sugar levels.

Antimicrobial

  • The vinegar possesses antimicrobial effects that may help fight off harmful bacteria.

Heart Health

  • Research indicates it might lower cholesterol and triglycerides or fats in the blood.

Skin Benefits

  • It may help balance skin pH and reduce acne when used in topically diluted form.

Safe Limit

  • Do not exceed two tablespoons daily to avoid side effects such as digestive discomfort. (MedlinePlus, 2024)

The recommended consumption time varies, but the consensus is to drink it before or during mealtime.

Safely Diluting

Apple cider vinegar is considered safe when consumed in small quantities. However, it should not be drunk straight. It is recommended that it be diluted in water before drinking. Each tablespoon should be diluted in 8 ounces of water. Ways to incorporate into your diet include: (University of Texas MD Anderson Cancer Center, 2024)

  • Add it to dishes when cooking
  • Salad dressings
  • Marinades
  • Sauces
  • Pickling

Risks and Side Effects

Apple cider vinegar is a supplement that should not replace prescribed medications or be used to cure any condition. One of the most significant considerations is its interactions with other substances that can alter the effects of one or more substances. Medications that can interact include: (MedlinePlus, 2024)

Insulin

  • Insulin regulates blood sugar levels.
  • Apple cider vinegar can decrease potassium levels.
  • Combined, they can cause potassium levels to be too low, affecting nerve and muscle function, including the heart.

Antidiabetic Meds

  • Both antidiabetic medications and apple cider vinegar lower blood sugar levels.
  • Taking these two together can cause unsafe blood sugar levels.

Diuretic Meds

  • Both apple cider vinegar and diuretic medications lower potassium levels.
  • These medications can cause potassium levels to drop too low when taken together.

Digoxin Heart Medication

  • Apple cider vinegar can lower potassium levels, increasing digoxin’s side effects.

Other side effects can include: (University of Texas MD Anderson Cancer Center, 2024)

  • Upset stomach
  • Esophagus irritation
  • Tooth enamel erosion

In addition, individuals with kidney conditions may be unable to handle the excess acid from the vinegar. (University of Chicago Medicine, 2018)

Injury Medical Chiropractic & Functional Medicine Clinic

Always contact a healthcare provider before starting a new supplement to ensure it is safe for the individual and their health. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.


Healthy Diet and Chiropractic


References

University of Texas, MD Anderson Cancer Center. (2024). What are the health benefits of apple cider vinegar? https://www.mdanderson.org/cancerwise/what-are-the-health-benefits-of-apple-cider-vinegar.h00-159696756.html

Samad A, Azlan A, Ismail A. (2016). Therapeutic effects of vinegar: a review. Current Opinion in Food Science, 8, 56-61. https://doi.org/https://doi.org/10.1016/j.cofs.2016.03.001

National Library of Medicine. MedlinePlus. (2024). Apple cider vinegar. Retrieved from https://medlineplus.gov/druginfo/natural/816.html

University of Chicago Medicine. (2018). Debunking the health benefits of apple cider vinegar. https://www.uchicagomedicine.org/forefront/health-and-wellness-articles/debunking-the-health-benefits-of-apple-cider-vinegar

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