Part Deuce: Stool Chart & Everyone’s Poop Questions 🚽

Believe it or not, this photo of our Bristol Stool Chart was inspired by a failed recipe (we’ll let you guess which :D) and it provides a visual representation of what types of poop humans can produce. There’s also so much more to cover but keep this image in mind as we answer some common questions.

Why should we care about our bowel movements? Why are poops important to learn about?

Paying attention to what we eat and drink is important for everything from athletic performance to increasing our natural energy levels, giving our bodies the nutrients it needs, and more. On the other ‘side’, feces can give clues to your doctor or dietitian about the quality of your diet and underlying health issues such as digestive problems (IBS, celiac disease, ulcerative colitis, Crohn’s and more), microbiome bacterial or viral infections, colon cancer, and more.

As Sir Francis Bacon said, knowledge is power. The more you identify, catalogue, and understand the difference between healthy poos and unhealthy poos, the quicker you can make necessary changes to improve your health. You might want to make adjustments to your diet to help with constipation or diarrhea, identify foods in your diet that cause your stool to be difficult to pass or to float, or to make a visit to see your doctor if there’s a problem.

What are the types of poop on the Bristol Stool Chart?

Poo Types
1: hard, rabbit-like pellets that are hard to expel
2: a contiguous piece but lumpy and still a bit hard
3: a smoother sausage-like poop with cracks
4: sausage or snake-like, smooth and soft with the texture or firmness of nut butter
5: soft pieces, clearly separated
6: mushy stool, ragged edges, not well-defined
7: entirely liquid stool

Do girls poop?

Yes, girls poop. So do the Kardashians and other celebrities, your parents, the pope and the president. No one is too important or special not to poop.

Why is my poop red/green/black?

You might have red poop because of something as innocuous as eating beets or even food coloring. The worst scenario is if your poop is red because of blood. This can be the result of a bleeding ulcer or hemorrhoids, for example.

Green poop, or yellowish-green stool, is usually associated with food moving too quickly through your intestines with the yellowish-green bile not being fully catalyzed by enzymes in the gut that turn it brown. Other causes of green stool are: infections, digestive issues (e.g. IBS, celiac disease), food coloring, or a diet high in dark-green leafy vegetable such as kale, spinach, or collard greens.

Black, tarry stools can signal a real issue in your body, including internal bleeding. You’ll likely need to seek medical attention as soon as possible. If you are pregnant, stool changes can occur that have them looking very dark brown or nearly black. So can iron tablets and folic acid supplements. You’ll want check with your doctor to ensure your stool changes are safe. Remember that food dyes can also lead to black poop.

What if my stool is white or pale?

Pale poop can be a result of a liver or gallbladder issue. The liver might not be producing enough bile, there could be a blockage in the hepatic ducts or common bile ducts. Diseases of the liver (such as cirrhosis and hepatitis) and gallbladder (e.g. gallstones) are typically implicated. Other reasons for pale stool could include pancreatic issues, celiac disease, intestinal parasites, cystic fibrosis, and more.

How long should my poops be?

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Recipe: ‘Nacho’ Average Nachos

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These nachos don’t follow the bell curve to the top. Oh no, they are at the tail end in the small, exceptional A+ pool. What makes them more amazing than ‘average’ nachos?

They are, perhaps surprisingly, dairy-free. They are also a good source of fiber, thanks to those black beans, AND they utilize cilantro, rather than more salt, to create a tasty and craveable meal. Ready to give it a try?

Prep time: 5 minutes
Cook time: 8 minutes
Servings: that’s up to you, it fills an entire sheet pan 😀

Disclosure: some of the links below are affiliate links or discount codes, meaning, at no additional cost to you, if you click through an affiliate link and make a purchase, we may make a commission

Ingredients

1/2 bag of organic tortilla chips

1 cup black beans, canned

1/2 cup of salsa

1/2 bag of Violife shredded cheddar

1/3 cup cilantro, chopped

1 tbsp jalapeño, diced (optional)

Instructions

Preheat oven to 400 degrees. Spread tortilla chips on baking pan and top with black beans and non-dairy cheese. Place in oven and bake until heated through and cheese has started to melt, about 6-7 minutes. Serve immediately with toppings of salsa, cilantro and other desired toppings such as diced jalapeño. Enjoy!

Client Spotlight: Morgan Metcalf

Early in our work together

“I wanted to tell you that I spoke to a dietitian within my network plan and it was night and day. You are incredibly knowledgeable and professional. You have so much to offer to your clients. You can tell that you are very passionate about what you do : )”

Later in our sessions

“I have confidence in what foods I can eat that are nutritious, feel good for my body, and reduce bloating.

 I feel like I can be totally honest with you and that you believe in me that I can continue to make progress. No matter how many falls I have. I feel like you understand humanness and our imperfectness while still encouraging progress. And that helps me feel confident that I can get back to the place of eating healthy and feeling well.

How have I benefited from our work together? This answer changes on a daily basis because I change from day to day. I think overall acceptance, with the mindset of knowing I can achieve goals when I’m motivated and ready. 

I really enjoyed working with you. You are a kind, knowledgeable, and empathetic person. You really are a good person and someone that I am grateful for having in my life.” – Morgan Metcalf, client


It’s clients like Morgan that reinforce the importance of how we help people transform their lives. A boot-camp-style, intimidating, aggressive energy might help *some* people create change, but we find that the approach that works long-term is one of grace and guidelines, not strict rules or commands.

Through our work together, Morgan’s digestive issues have mostly gone by the wayside, except for when an offending food is ingested. The food sensitivity test showed her a number of rather surprising results and she has implemented the protocol we designed for her unique body.

We are really proud of Morgan and are excited to hear how she does into the future!

Discover the Digestive ‘Galaxy’ 🌌

There is a whole world within us. Not only are we complex human beings in the way we think, feel, and interact – we contain a universe (of sorts) in our intestines. That’s right, the human microbiome contains an estimated 100 trillion microbes – most of which live in our gut (our largest organ, the skin, also contains a microbiome).

The microbiome influences our energy balance and metabolism (e.g. risk for obesity and Type 2 diabetes), gut permeability (and whether one develops “leaky gut” syndrome and/or food sensitivities), immunity, and inflammation.

What influences the microbiome? Our diet, genetics, antibiotics, and probiotic foods being some of the most important aspects.

What to learn all about your digestive ‘galaxy’ and the common issues along the journey? Let’s start at the top and work our way down:

Day 2 and Day 3 are on the same YouTube channel. This is like a mini college course – Digestion 101 so feel free to take notes as you learn all about your digestive tract and ways to improve it #nerdoutwithme

BONUS: for additional information, support, and community – consider joining our Go with your Gut Facebook group

When Food is Foe 😈

It certainly is a frustration and a struggle when you suspect that the food you’ve been eating is somehow contributing to the trouble you’re having with your gut, brain, muscles and joints, or skin.

A short list of common symptoms related to food-induced inflammation can range from heartburn and stomach pain to bloating and diarrhea. It could manifest as headaches or migraines, loss of focus, anxiety and/or depression. The symptoms could show in your achy points or in your skin as rashes or breakouts.

Your Personalized Diet

Everyone needs to eat according to their own needs, preferences, and lifestyle. A diet that works for a celebrity, your best friend, and even your cousin may not be what creates health for YOU.

Truly personalized nutrition doesn’t just take into account your height and weight, age, ancestry, activity level, or food preferences and lifestyle, it also means finding out which foods are causing an inflammatory response in your body.

Gut Permeability aka “Leaky Gut”

Having a “leaky gut” was a condition once unbelieved but is now well-documented in scientific literature. When there’s a compromise or breach of the cells lining the gut, there is a potential for all sorts of maladies, including poor nutrient absorption, food sensitivities, and many symptoms throughout the body.

Inflammation: the Good AND Bad

Just like stress, inflammation isn’t all bad. When you get a cut, the area of the trauma will start to swell and redden as the immune and circulatory system rush to the scene to stop the bleeding, prevent infection, and start laying new skin structures. The problem is when stress, or in this case, inflammation becomes chronic. This situation can ignite a host of disorders including arthritis, asthma, atherosclerosis, cancer, diabetes and, quite possibly, autism and mental issues.

How do you heal the painful symptoms associated with stepping on a nail? Sure, you could try covering it up, wrapping the area with pillowy gauze and taking aspirin, but you haven’t removed the root cause. So the first step to true, actual healing is to have the nail removed.

How might diet-induced inflammation show up for you? We’re all different so while soybean might cause one person a headache or migraine, for another it could cause joint pain or heartburn. Same with gluten, blueberries, or even green peppers.

Just because a food or diet is labeled as anti-inflammatory doesn’t mean it’s acting that way for you. In fact, surprisingly enough, we’ve had two clients in the past year for whom tumeric, a known anti-inflammatory, was actually INFLAMING them. One of the clients had been taking it everyday (!) in attempts to quell her joint pain.

The Multiple Problems with Elimination Diets

One of the keys in reducing diet-induced inflammation in the body is first identifying the foods that are causing the ‘fire’ in the body. Why not start with an elimination diet to try to improve migraines, autoimmune conditions or gut health? Why not try eliminating the most common allergens (e.g. wheat, gluten, soy, eggs, dairy, corn, and soy) or trying FODMAPs? While a particular food may relate to certain symptoms, it’s not necessarily the best course of action to subject clients to an elimination diet because they are difficult to sustain , are often inconclusive (do you have a mirgraine or heartburn because of the gluten or because you’ve been under stress or because of barometric pressure change in the weather?) and they don’t usually give the full relief clients need and desire.

1. They could miss a genetic component important for you to know and to share with your family. A good example of this would be a person who eliminates gluten from their diet and feels better. Unless they were tested for celiac disease, they wouldn’t know how stringently they might need to follow the gluten-free diet. Their relatives might also be unaware of how their expression of ‘silent celiac’ disease could be infertility, skin rashes, mouth sores, osteoporosis, and even lymphoma. 

2. Extra stress is another problem of elimination diets. They are frustrating and mentally demanding (trying to figure out a symptom’s cause might feel like a scene from A Beautiful Mind or this It’s Always Sunny in Philadelphia meme), time-consuming and perhaps most importantly – they are not as successful as testing. The reason for this is that as you eliminate or add in foods, you may not do so slowly or completely enough AND since the immune system is in a heightened state of alert still responding to the foods you haven’t eliminated, you’re likely not going to feel 100% or even 80% better. Instead of spending 6 or more months removing foods from your diet – not feeling sure that you’re even getting better, or not getting a 100% resolution- you may want to consider another process. With our protocol, we guide clients through step-by-step, starting with 10 days of their ‘safe’ foods and then systematically expanding their diet in a way that allows us to determine other food reactions and intolerances.

3. Elimination diets don’t necessarily ‘put out the fire.’ Because our genetics and environment can play a role and impact our abilities to deal with inflammation, you can’t just avoid foods that cause you problems. Our body’s response to stress plays a role too. The great part of knowing your food – and food chemical – sensitivities is that they give a wider, more accurate picture …when it comes to discovering that molds, yeast,  FD&C Blue #2, or benzoic acid are also causing issues, perhaps in your household environment or products. Once we remove the ‘known offenders’ in your diet (including supplements and hygiene products), the immune system starts to calm down and then we can safely start food reintroduction and see more clearly what causes your problematic symptoms. Otherwise, with elimination diets, you’re mainly just guessing about the foods, supplements, and hygiene/household products you’re using and whether or not they are ‘safe’ for you.

Supplements aren’t the Answer

“Can’t I just take extra probiotics, collagen, turmeric, or fiber to help my gut?” You could play the guessing game and potentially waste time and money in trying to find the perfect supplement (or twenty). Here’s the problem: you’ll likely not see a great benefit from them if you’re still eating foods that irritate your gut’s lining and that cause inflammation in the body. As mentioned before, you could be reactive to turmeric and therefore adding that supplement could be your personal kryptonite.  

Want a faster, better way to help your gut AND body heal?

Consider comprehensive food sensitivity testing. Why comprehensive? Because, for example, just looking at IgG levels doesn’t mean that the food is the problem necessarily; IgG can be elevated for a number of reasons. It’s more important to look at multiple markers of inflammation being released by a cell in response to a food – including cytokines, prostaglandins, histamine, leukotrienes, interleukins and more.

If you’re tired of feeling “gross”, being so bloated you look 5 months pregnant, and have stomach pains that distract you from fully participating in the life you want to live, or have other ‘unexplained’ symptoms that could be related to the foods you eat regularly, consider a comprehensive program that includes your test results and implementing the proper protocol with expert guidance and support.

Food sensitivity testing is one of the most powerful tools we have to help clients finally improve life-long symptoms and get back to engaging in life more fully. Interested to see if the testing is a good option for you? Schedule your complimentary, 20-minute Discovery Call and let’s get your healthy journey started!

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Recipe: “The Blood of Care Bears”

In the quest for unending youth and beauty, legend has it that Countess Elizabeth Báthory would bathe in the blood of her human servant girls (over 600 are said to be victims of this female serial killer).

What have we done to the cherished Care Bears of your childhood? Worry not – Cheer Bear, Bedtime Bear, Good Luck Bear, and Love-a-lot Bear have not been mammocked or torn asunder. Their plush limbs have not been forced through our juicer; however, the color you see may belie that.

Thus, we have named this drink “The Blood of Care Bears” (though, as you’ll see, we much prefer the youth- and energy-enhancing properties of food). Your quest to become an enchantress can begin with your shopping cart.

Sidenote: juicing fruits and vegetables leftover at the end of the week is one of our favorite strategies to help prevent food waste, which is a major problem here in the U.S.

Have fun with it!

Prep time: 10 minutes for rinsing produce, chopping (if necessary) and set-up of juicer

Servings: about 2, 16 oz glasses

Ingredients

4 small beets

1 heart celery

1 whole cucumber

1/2 bunch of parsley (optional)

4 carrots

1-2 pears (depends on level of sweetness you desire)

1″ ginger root (it has some kick!)

Instructions

Remove seeds from fruit. With juicer set up, follow manufacturer’s directions for inserting fruits and vegetables carefully. The order recommended is generally softer produce followed by harder produce (so ending with ginger and beets). Juice until your heart’s content or you run out of produce. Fresh juice is best consumed immediately after juicing, though it may last 24-48 hours in the fridge.

Food Sensitivity Testing with MRT

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Most people – whether younger or older, ill or well – benefit from knowing which foods their bodies react negatively to.

Here’s the kicker: the food you think is healthy, may not be healthy for you.

If you’re healthy and want to stay that way, the focus is on prevention; since food is central to any wellness plan, to eat in a precise and personalized way is best.

Dealing with health challenges?

Maybe you’ve given up some of the ‘big 8’ offenders (e.g. wheat, gluten, dairy, eggs) but are still having some symptoms. Perhaps you’ve done (ineffective) skin testing or IgG food sensitivity testing. In either case, you know you need to drill down further and find out if your everyday “healthy” foods (e.g. blueberry, turkey, or tumeric) are actually inflaming you. This has been the case for many of our clients, some visual examples of food sensitivity testing results are below.

Conditions associated with food sensitivities are:

  • Irritable Bowel Syndrome (IBS) and Crohn’s Disease
  • Heartburn / GERD
  • Polycystic Ovarian Syndrome (PCOS)
  • Arthritis and fibromyalgia
  • Autism and ADD/ADHD

Symptoms associated with food sensitivities are:

  • Anxiety and depression
  • Constipation / diarrhea
  • Bloating and gas
  • Eczema, psoriasis, and acne
  • Fatigue and general malaise
  • Insomnia and poor sleep
  • Brain fog
  • Stomach and abdominal pain
  • Irritability and restlessness
  • Nasal and sinus congestion or post nasal drip
  • Food cravings
  • Muscle and joint pain or stiffness
  • Water retention and difficulty losing weight

Additionally, this is a test worth doing if you plan on having children (to help lower inflammation in the body and improve fertility) or if you have children who are ‘picky eaters’ (oftentimes, kids intuitively know that a certain food is ‘hurting’ them and they try to avoid it).

If you want to lose weight or improve performance, this test provides you with the foundation for your personal diet strategy and may provide the missing link necessary to achieve your goals.

What makes MRT different? How does it work?

Some of the other tests you may have done, such as a skin prick or a food sensitivity test ONLY measuring IgG levels, often lack the accuracy in determining actual food sensitivities you may have.

Figuring out what our sensitivities are can be difficult; here’s why – the reactions can be delayed or dose-dependent. This means we may not immediately feel the effect of a food reaction; it may take many hours or days to appear. If it’s dose-dependent, we might feel okay with a little bit of the offending food, but stacking it gives us a reaction.

Mediator Release Testing (MRT) is a patented blood test that shows how strongly your immune cells react to the 170 foods and chemicals tested by measuring chemical mediators released from the cell. When released from immune cells, chemical mediators such as histamines, cytokines, and prostaglandins produce damaging effects on the body’s tissues, leading to the development of symptoms. Fortunately, MRT takes the guesswork out of identifying food sensitivities!

Here are some examples of ‘healthy’ foods that were showing up as inflammatory for clients, including: bananas, turkey, blueberries, coffee and more!

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Test results are only part of the equation. With your functional medicine dietitian-nutritionist, you’ll put into play the LEAP (Lifestyle Eating and Performance) protocol to help get you the results you desire. Curious about finding out the foods and food chemicals causing inflammation and symptoms in YOUR body? Contact us and see if MRT testing is right for you.

Blame it on the Alcohol?

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Image source: pixabay.com

Jamie Foxx’s song “Blame it” encourages blaming alcohol for all ruined relationships, unsafe situations, and perceived enhancement of other’s attractiveness. Outside of the many issues and poor decisions can that can result from a night of boozing, including a high credit card bill, higher risk for accidents, and even a 2am Taco Bell run…there are more. During Covid-19, some are hitting the wine and beer harder.

Let’s review the basics: alcohol interferes with communication between nerve cells and all other cells in the body. Moderation (the amount considered to not contribute to any major health concerns) for the average woman is defined by the CDC as not more than one drink per day and for the average man as not having more than two.

A study published in the Journal of the Academy of Nutrition and Dietetics asserts, “there has been an increase in the proportion of US adults who drink on any given day and an increase in calories consumed from alcoholic beverages when drinking occurs.”

What effect is this having on us from a weight loss perspective? Or a liver-health one?

Now we appreciate the humor some of you bring to our appointments:

“I think I’m drinking enough water. There’s water in beer, right?”

“I’m not too concerned. It’s called a liver, not a die-er”

“Wine-o? Maybe; I prefer ‘wine-yes'”

With alcoholic beverages being among the top five contributors to total caloric intake among US adults, this is something we need to talk about. But beyond calories, here are more reasons to explore your relationship with alcohol:

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CNBC: Allergies & Gluten

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We recently had the pleasure of educating the public about the top food allergies as well as the difference between gluten intolerance or sensitivity and celiac disease in a segment this past weekend.

The segment aired on Saturday, October 26th on CNBC but you can watch them on the Advancements website and Vimeo. Learn more about this important topic with these additional questions and answers:

Q: How are food allergies and food sensitivities becoming a growing public health concern?

A: Food allergies and food sensitivities are becoming a growing public health concern because of how it affects us in healthcare expenditures, our communities, schools and even in our own homes if a family member or friend has food allergies and sensitivities.

Food allergies can cause anaphylactic shock and are a huge concern. The ‘big 8’ allergens in the U.S. are milk and eggs, fish and shellfish, tree nuts and peanuts, wheat and soy. In other countries, including the United Kingdom, they have even more common allergies including lupin, sulfites, and celery.

Q: How does gluten affect a person with celiac disease versus one with a sensitivity or intolerance to gluten?

A: In someone with celiac disease, eating gluten causes the body to attack and destroy the villi in the small intestine, causing nutrient deficiencies and gastrointestinal issues including diarrhea, abdominal pain, bloating, and weight loss. Even skin rashes, lactose intolerance, infertility and bone loss can be symptoms.

For a person with gluten sensitivity, the symptoms can be similar to the ones present with celiac disease minus the damage to the villi of the small intestine.

Q: What are the benefits of a gluten-free diet to those who have celiac disease or gluten sensitivities?

A: Following a lifelong gluten-free diet is imperative and the only treatment (thus far), for those with celiac disease. The good news is that the villi of the small intestine can heal and one can absorb more nutrients, have a decrease or elimination of symptoms, and have a reduced risk for colon cancer.

The benefit of a gluten-free diet to those with gluten sensitivity can be a lessening or even elimination of symptoms including skin rashes, headaches and migraines, bloating, stomach pains, and fatigue.

Q: Who else can benefit from following a gluten-free diet?

A: Some people with autism, eczema, multiple sclerosis, and chronic fatigue syndrome report feeling better when eliminating gluten from their diets. It is possible that they could have a gluten sensitivity and this may help explain why their symptoms improve on a gluten-free diet.

Also, some people have gone on a gluten-free diet as a means for weight loss, but it is not necessary nor recommended.

 

Spring Mediterranean Salad

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The Mediterranean Diet features beneficial fats, fiber, protein and a variety of vitamins and minerals which help keep us healthy. Many studies suggest that the Mediterranean way of eating can improve heart health. Plus it’s easy to follow at any meal – breakfast, lunch, and dinner.

Salads deserve a special celebration this month because they are an excellent vehicle for getting in our greens, veggies, healthy fats and protein sources. They don’t have to be boring either! To help create variety, consider choosing a different protein to add in for your salads (i.e. chickpeas, salmon, hardboiled eggs, steak strips, nuts & seeds). Another idea is to choose a cuisine to inspire you. If you like Greek food, make a Greek salad; or try a Mexican, Italian, or French one.

By getting in a salad on a regular basis, you will be getting more nutrients, fiber, and antioxidants which help reduce the risk of cardiovascular disease, improve digestion, help with weight maintenance, and boost immunity! Here’s an template for a Mediterranean Salad; feel free to add items to make it your own!

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Serves 1-2 people
Prep time: 15-20 minutes

Ingredients

Salad
2-4 cups of salad greens
1 cup cherry tomatoes
1 sliced cucumber
1/2 cup red onion, chopped
1/2 cup olives
1/2 cup bell pepper, chopped
1/2 cup fresh parsley, chopped
1 avocado, sliced or 1/4 cup hummus

Dressing
2 tbsp olive oil
2tbsp lemon juice
2 cloves garlic, minced
2 tsp oregano
1/2 tsp salt and pepper to taste

Instructions

Rinse salad mix and place in medium-sized bowl; add other salad ingredients. To make the dressing, add ingredients into a bottle and shake well before pouring over the salad. Store in the fridge to keep fresh. Enjoy the fresh, juiciness of this salad!