Transitioning to a Plant-Based Diet National Wellness Conference, 2014 1. Introductions 2. Why would one eat a plant-based diet? a. Scot’s story b. Research 3. What is a plant-based diet? a. What do you eat? i. Vegetables, fruits, legumes (beans), whole grains ii. No meat of any kind (beef, pork, chicken, fish) iii. No animal products (eggs, milk, cheese) iv. No added oils or fats (or less than 20% fat) v. Use caution with nuts and avocados (avoid if you have heart disease or trying to lose weight) b. Will I get all the nutrients I need? 4. How can I transition to a plant-based diet? a. Start with a positive attitude i. Get support ii. Be prepared to be gentle with yourself b. Read labels i. Beware of packaging claims ii. Read ingredients, not just nutritional information c. Dip your toe in – start adding more veggies, replacing meat i. Eat more fruits/veggies/whole grains ii. Cut meat in ½ in recipes, add beans or more iii. Eliminate processed foods iv. Eat 1-2 meatless meals/week d. Wade in i. Wean: slowly eliminate animal products over time 1. Phase 1 - avoid beef and pork, then poultry then fish 2. Phase 2 – avoid poultry 3. Phase 3 – avoid fish 4. Phase 4 – eliminate dairy 5. Phase 5 – eliminate added oils ii. Flexitarian: eliminate all animal products when convenient e. Dive in i. Get labs ii. Make a list of approved foods you like iii. Explore resources and recipes to find additions/substitutions iv. Stock your kitchen with approved foods and get rid of items you will no longer be eating v. Set a date to start and commit to trying to follow the plan perfectly for at least 3-4 weeks Sara E. Armstrong, MS, RN, CDE Scot A. Reynolds, MLIR, JD [email protected] vi. Plan for overcoming obstacles 1. What to eat at restaurants 2. Pack snacks when on the run 3. Plan for dealing with critics vii. Treat problem foods like addictions viii. Recheck labs after 28 days ix. Get more support if you need it! 5. Cooking tips to simplify plant-based eating a. Learn easy substitutions i. Meat – tofu, seitan, tempeh, TVP ii. Salt – lime or lemon juice, Bragg Liquid Amino, vinegars, spices iii. Sweeteners – agave, maple syrup, fruit juice, mashed bananas, applesauce iv. Dairy & butter – sliced fruit and natural nut butters on toast; use silken lite soft tofu in recipes instead of sour cream and milk b. Prep meals on the weekend – chop veggies, make spreads, sauces and salad dressings c. Use a crockpot d. Learn to sauté without oil e. Sample recipes 6. Questions & Answers Resources Vegetarian Starter Kits www.pcrm.org/health/diets/vsk/vegetarian-starter-kit Meal Planning & Recipes www.nutritionmd.org Cook Books Forks Over Knives Cookbook Everyday Happy Herbivore Adapt any vegan cookbook by leaving out oil Videos www.nutritionfacts.org for evidence-based research Forks Over Knives (documentary - check Netflix) Jeff Novick’s “Fast Food” (inexpensive, quick recipes) App’s 21-Day Vegan Kickstart (recipes, menu) Happy Cow (find vegetarian restaurants) Is It Vegan (scan products) Many, many more for free!! Transitioning to a Plant-Based Diet National Wellness Conference, 2014 Bibliography American Diabetes Association (2010). Standards of medical care in diabetes – 2010. Diabetes Care, Jan; 33 Supplement 1: S11-61. Barnard, ND (2011). 21-Day Weight Loss Kickstart: Boost Metabolism, Lower Cholesterol and Dramatically Improve Your Health. Hatchett Book Group: New York, NY. Barnard, ND, Cohen, J, Jenkins, DJ, et al. (2009). A low-fat vegan diet and a conventional diabetes diet in the treatment of type 2 diabetes: a randomized, controlled, 74 week trial. American Journal of Clinical Nutrition, 89(5):1588S-1596S. Esselstyn, C (2008). Prevent and Reverse Heart Disease: The Revolutionary, Scientifically Proven, Nutrition-Based Cure. Penguin Group: New York, NY Esselstyn, R (2009). The Engine 2 Diet: The Texas Firefighters 28-Day Save-Your-Life Plan that Lowers Cholesterol and Burns Away the Pounds. Hachette Book Group: New York, NY. Ornish, D (2007). The Spectrum: A Scientifically Proven Program to Feel Better, Live Longer, Lose Weight and Gain Health. Random House, Inc.: New York, NY. Ornish, D et al. (1998). Intensive lifestyle changes for the reversal of coronary artery disease. Journal of the American Medical Association, 280: 2001-7. Turner-McGrievy, GM, Barnard, ND, Scialli, AR (2007). A two-year randomized weight-loss trial comparing a vegan diet to a more moderate low-fat diet. Obesity, 15: 2276-81. Sara E. Armstrong, MS, RN, CDE Scot A. Reynolds, MLIR, JD [email protected] Plant-Perfect Meal Planner Guidelines: Eat lots of veggies, legumes, fruit and whole grains! no meat, poultry, fish no added sugar no eggs, dairy, cheese no added oils Breakfast Lunch Dinner Snacks Transitioning to a Plant-Based Diet National Wellness Conference, 2014 Breakfast Tacos – Engine 2 Diet ½ tube vegetarian breakfast sausage 8 ounces frozen, fat-free hash brown potatoes 6 corn tortillas Salsa Sauté the sausage in a nonstick skillet on medium heat for 5 minutes until browned and crisping. Set aside. Sauté the hash brown potatoes in a sprayed skillet on high heat for 7-10 minutes, or until golden brown. Spoon ingredients onto warm tortillas. Top with salsa -Engine 2 Diet Quick and Easy Oatmeal – Prevent and Reverse Heart Disease ¾ cup of old fashioned oatmeal ¾ cup of grapenuts (or similar) 2 tablespoons of ground flax seed Unsweetened almond milk 1 cup of berries Handful of walnuts (if not heart disease) Breakfast Scramble – 21-Day Weight Loss Kickstart 8 ounce of low-fat extra firm tofu, crumbled 1 Yukon Gold potato, diced ¼ teaspoon salt (optional) 2 teaspoons ground turmeric Crumble the tofu in a mixing bowl with a whisk or by hand. Steam the potato for 5 minutes. While it is steaming, heat a sauté pan up to medium heat. Add the tofu and salt, gently and slowly stirring it while it is in the pan, and cook it for about 3-4 minutes. Stir the turmeric and potato into the scramble, cooking for 1 more minute. E2 Basics Dressing – Engine 2 Diet 2 tablespoons nutritional yeast 1 tablespoon tamari 1 tablespoon mustard 2 tablespoons balsamic vinegar Juice of orange, lime or lemon 1 tablespoon agave nectar or maple syrup 1 teaspoon vegetarian Worcestershire sauce 1 tablespoon wheat germ Water to desired consistency Whisk ingredients together in a bowl. Sara E. Armstrong, MS, RN, CDE Scot A. Reynolds, MLIR, JD [email protected] On-hand Bean and Pasta Soup – Vegan Comfort Food by Alicia Simpson ½ cup roughly chopped white onion 1 medium carrot, peeled and chopped 1 garlic clove, minced 2 ½ cups vegetable stock 1 bay leaf One 14.5-ounce can diced tomatoes, with juices One 15-ounce can garbanzo beans, drained ¾ cup rotini pasta Sauté the onion and carrots for 2 minutes. Add the garlic and sauté for an additional 2 minutes. Add the stock, bay leaf, tomatoes, and garbanzo beans, Bring to a boil and add the pasta. Cook until pasta is al dente, 7 to 9 minutes. Discard the bay leaf and serve. Lentil Chili – Forks over Knives Cookbook 3 medium yellow onions, peeled and chopped (1-1/2 cups) 1-1/2 cups chopped celery 2 medium carrots, peeled and sliced (~1 cup) 2 medium bell peppers, seeded and chopped (~1 cup) 1-2 cloves garlic, peeled and minced 6 cups Vegetable Stock 1.5 tablespoons chili powder 1 teaspoon ground cumin 1 teaspoon paprika ½ teaspoon chipotle powder or smoked paprika ½ teaspoon cayenne pepper 2 cups red lentils, rinsed One 28-ounce can crushed tomatoes One 15-ounce can kidney bean, drained and rinsed Zest and juice of 1 lime; Salt and freshly ground black pepper to taste 1. Place the onions, celery, carrots, bell peppers, garlic and 1 cup of vegetable stock in large pot over medium-high heat. Cook, stirring occasionally, until the vegetables soften, about 5-7 minutes. Add the chili powder, cumin, paprika, chipotle powder and cayenne pepper and cook for an additional minute, stirring well. 2. Add the lentils, tomatoes, kidney beans, and remaining vegetable stock to the pot. Cover and bring to a boil over high heat. Reduce the heat to medium –low and simmer, stirring occasionally, until the lentils are soft, about 45 minutes. Add the lime zest and juice and season with salt and pepper. Transitioning to a Plant-Based Diet National Wellness Conference, 2014 Three layer Tortilla Casserole – Get Health, Go Vegan Cookbook Supposed to serve 4 – double the batch because you WILL want seconds! Vegetable oil cooking spray (optional) 1 (15 oz) can of black beans, drained & rinsed ½ cup vegetable broth 2 garlic cloves, minced 1 teaspoon dried oregano ¼ teaspoon cayenne pepper 1 large red onion, chopped 2 cups chopped zucchini 1 cup frozen corn, thawed 1 teaspoon ground cumin 2 tablespoon minced fresh cilantro sea salt, to taste freshly ground pepper, to taste 3 (8 inch) whole wheat (or corn) tortillas ¾ cup prepared chunky salsa 1. Preheat the oven to 350 degrees. Coat a 10-inch pie plate with cooking spray and set aside. 2. Add the beans, ¼ cup broth, garlic, oregano and cayenne to food processor or blender and blend until smooth but thick. Set aside. (May want to make extra for dip or spread later!) 3. Heat the remaining ¼ cup broth in a large skillet over medium heat. Add the onion and sauté for 5 minutes. Put in the zucchini and corn and sauté for 3 minutes. Add the cumin and cilantro and sauté for 1 minute. Season with salt and black pepper. 4. Place one tortilla in the prepared pie plate. Spread about 1/3 of the bean mixture over the tortilla. Using a slotted spoon, add 1/3 of the vegetable mixture on top of the beans. Add 1/3 of the salsa over the vegetables and top with a tortilla. may 2 more layers in the same fashion, to make a total of 3 layers. 5. Bake uncovered for about 30 minutes. Cut into wedges to serve Sara E. Armstrong, MS, RN, CDE Scot A. Reynolds, MLIR, JD [email protected] Tempeh Stir-Fry and Soba Noodles – Engine 2 Diet 16 ounces soba mugwort noodles, cooked 1 package tempeh, sliced into thin strips 3 tablespoons low-sodium tamari Juice of 1 lemon 1 tablespoon flour 1 tablespoon molasses 1 clove garlic, minced 2 tablespoons fresh ginger, minced 1 red bell pepper, seeded and sliced thin 1 cup chopped cilantro, for garnish Cook the soba noodles per the directions on the package, drain, and set aside. Thoroughly brown the tempeh strips on medium heat in a sprayed skillet or wok with 1 tablespoon tamari. Set aside. Mix the remaining tamari, lemon juice, flour, and molasses together in a bowl until the flour is dissolved. Set aside. Heat a large, sprayed skillet or wok until the smoke rises. Add the remaining ingredients except for the cilantro in the order listed, stirring for 1 minute after each addition. Remove from heat and add tempeh strips and sauce. Serve stir-fry warm over soba noodles and top with tempeh strips. Garnish with cilantro. Lynn’s Meatloaf - Engine 2 Diet 2 stalks celery, chopped ½ onion, chopped 2 cloves garlic, minced or pressed 10 ounces firm tofu, drained ¼ cup walnuts, finely ground 12 ounces vegetarian crumbles 1 ¼ cup quick-cooking oats 3 tablespoons soy sauce 2 tablespoons ketchup (additional for topping) 1 tablespoon Dijon mustard 2 teaspoons dried parsley ½ teaspoon each thyme, sage, and rosemary Ketchup to taste Preheat oven to 375°. Spray a loaf pan. Sauté the celery, onion, and garlic on high heat in a sprayed skillet for 5 minutes until tender. Remove from heat and cool. Mash the tofu in a large bowl. Stir in the cooked mixture and remaining ingredients, and combine well. Spoon the mixture into a loaf pan. Top with a layer of ketchup. Bake for 55-60 minutes, or until a toothpick inserted in the center comes out clean. Transitioning to a Plant-Based Diet National Wellness Conference, 2014 Ethiopian-Style Tempeh and Lentils – Fresh from the Vegan Slow Cooker Although usually served with injera, this is also delicious over couscous or rice. 1 medium-size yellow onion, minced 2 garlic cloves, minced 2 tablespoons tomato paste 1 teaspoon ground cumin 1 teaspoon ground coriander 1 teaspoon ground fenugreek 1 teaspoon sweet paprika ½ teaspoon cayenne pepper ¼ teaspoon ground cardamom or allspice ¼ ground ginger or nutmeg 1 (28 oz) can crushed tomatoes 8 ounces tempeh, steamed (if desired) and cut into ½-inch dice 1 cup dried red lentils 3 cups vegetable broth (no added salt) Freshly ground pepper 1. For best flavor, sauté onion until softened, about 5 minutes. Add the garlic and cook for 1 minute longer, then stir in the tomato paste and all of the spices. 2. Transfer the onion mixture to the slow cooker. Stir in the tomatoes, then add the tempeh and lentils. Add the broth and season to taste with pepper. Cook on low until the lentils and vegetables are soft, 6-8 hours. 3. Taste and adjust the seasonings, if needed. Serve hot. Sara E. Armstrong, MS, RN, CDE Scot A. Reynolds, MLIR, JD [email protected]
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