New Dessert: Denibrand (デニブラン) of St. Marc Cafe in Japan

The deesert is based on a Danish pastry, topped with soft-serve ice cream and caramel sauce.

The price of the dessert is 390 yen + tax.

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Dessert Popovers with Citrus Sauce

Ingredients

3 eggs, room temperature
1 cup all purpose flour
3 tbsp sugar
1/2 tsp cardamom
1/4 tsp salt
1 cup milk, room temperature
3 cups fresh fruit, chopped

Citrus Sauce

1-1/2 cups non fat lemon yogurt
4 egg yolks
1/4 cup sugar
1 tbsp lemon zest

Method

  1. To make the sauce, in top of double boiler (or in small bowl) set over simmering water, whisk together yogurt, egg yolks, sugar and lemon zest.
  2. Cook, stirring constantly, until mixture thickens, about 15 to 20 minutes.
  3. Remove from heat and cover with plastic wrap. Chill in refrigerator. Sauce will thicken a bit more in refrigerator.
  4. Pre-heat oven to 400°F (200°C). Generously grease a 12 cup non-stick muffin pan with shortening.
  5. In a large bowl, beat eggs lightly. Add flour, sugar, cardamom, salt, and milk. Beat just until combined and mixture is smooth.
  6. Heat muffin pan in the oven.
  7. Divide egg mixture into hot muffin cups. Fill about 1/2 – 3/4 full.
  8. Bake for about 20 minutes. Reduce heat to 325°F (160°C) and cook for about 15-20 minutes longer, or until deep golden brown.
  9. Remove from oven and tip popovers out of muffin cups.
  10. Fill each warm popover with fresh chopped fruit.
  11. Serve with the Citrus sauce.

Makes 12 servings.

Source: Manitoba Egg Farmers

What Is an Elimination Diet

Barbara Gordon wrote . . . . . . . . .

Google elimination diet and more than 53 million results pop up. So what exactly are elimination diets and do you need to go on one?

Elimination diets are used to help identify foods that may be related to symptoms such as diarrhea, bloating, gas, and other problems. They are meant to be followed for a relatively short period of time, ranging from four to eight weeks.

Different health care providers administer elimination diets, including gastroenterologists, allergists, and registered dietitian nutritionists (RDNs). Before an elimination diet is used, a health care provider will typically rule out other conditions. For example:

  • If celiac disease is suspected, the physician might perform an endoscopic biopsy and test tissues in your intestine for signs of this condition.
  • Or, a breath test might be done to rule out lactose or fructose intolerance. Breath tests measure for the amounts of certain gases that may indicate that your body did not digest certain compounds, for example, lactose, found in the food recently consumed.
  • Elimination diets require motivation. It can be tough to make the needed dietary changes even though it is only on a short-term basis. Also, if you’re taking any medicines, discuss them with your physician before making changes to your diet and consult with an RDN. RDNs have the ability to analyze your diet and identify any nutrients that may be lacking and make recommendations for healthy substitutions based on your individual preferences. They can also offer tips on meal planning and reading food labels.

How Elimination Diets Work

Most elimination diets have two phases:

  • Elimination phase
  • Reintroduction phase

Elimination Phase

During the elimination phase, you stop eating all foods that are thought to be bothersome. The goal is to see if by restricting these foods your symptoms go away. Often individuals are aware of which foods appear to cause their symptoms. However, the healthcare provider can also help you to figure out which foods might troublesome for you.

You might be instructed to eliminate one food at a time, groups of similar foods such as a food group, or multiple food items. For example, if lactose intolerance is suspected, a health care provider might recommend you avoid all dairy foods, including milk, yogurt, and cheese. If gluten intolerance is suspected, you will be given a list of foods to restrict that contain gluten. These may include wheat, rye, barley, and processed foods that may contain gluten such as malt vinegar, pre-seasoned meat, and some lunch meats.

Working with an RDN can be helpful during this phase. The RDN can review your typical eating habits and give you a list of food items to eat in place of the foods you need to eliminate. In addition, the RDN can help to design an elimination diet that considers your individual food preferences

Reintroduction Phase

If your symptoms have improved, the next step is to reintroduce the foods that were restricted. The goal is to see if by eating these foods your symptoms return. During this phase, the patient tracks which foods are tolerated. Usually, starting with a small amount, one food item at a time is added back into your eating plan. If the symptoms do not return, a larger portion of the food is tested for tolerance. The patient records the amount of the food tolerated. The reintroduction phase continues until all of the potentially bothersome foods are tested.

Sometimes, food intolerances may relate to an ingredient used in a specific product or food brand. This is common with sulfite sensitivities. Some dried foods, for example, contain sulfites. But one brand of dried apricots may contain sulfites, while another may not, so label reading and detailed food records can be very helpful.

Three Things to Remember about Elimination Diets

  • Elimination diets are not meant to be followed for long periods of time and should only be done so under the supervision of a health care provider.
  • An RDN can help you follow an elimination diet that also meets your nutrition needs.
  • The outcome of an elimination diet is an individualized eating plan, which may include a list of foods to restrict, eat occasionally, or consume in smaller amounts.

Source: Academy of Nutrition and Dietetics

Rising Blood Pressure Puts Women At Greater Stroke Risk Than Men

As the severity of high blood pressure rises, the risk of stroke rises almost twice as quickly in women compared with men, according to a new study.

Published Tuesday in the journal Hypertension, the research raises the question of whether sex-specific guidelines may be needed for controlling high blood pressure.

High blood pressure is the most common modifiable risk factor for stroke, which is the third leading cause of death for women and the fifth leading cause for men.

For people under 60, high blood pressure is less prevalent in women than men, study authors said. But it becomes more prevalent in older women, who are less likely to keep their blood pressure under control as they age.

“Our findings basically suggest that the risk of stroke may increase with each level of hypertension, more so in women than men,” said Dr. Tracy Madsen, the study’s lead author. She is an assistant professor of emergency medicine at Alpert Medical School of Brown University in Providence, Rhode Island.

Madsen’s team looked at sex and racial differences in the level of hypertension severity and stroke risk in 26,461 men and women in the United States. More than half of participants were women, 40% were black, and the average age of men was 66, while for women it was 64.

The study included an oversampling of people living in the southeastern states of the so-called “stroke belt,” which includes Alabama, Arkansas, Georgia, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina and Tennessee. People in the region have a 34% higher risk of stroke than their counterparts elsewhere in the country.

Researchers found that for every 10 mmHg increase in blood pressure, the risk of stroke widened between white women and men, and the risk of stroke across increasing levels of blood pressure was about twice as high in women than men. These sex differences did not hold true, however, among black men and women, even though this group experienced more severe hypertension than whites.

The dramatic contrast in stroke risk between men and women suggests a need for closer examination of how hypertension behaves in each group, Madsen said. Women have too often been underrepresented in clinical trials, despite their higher prevalence for stroke and stroke-related mortality.

“We need to see if this (gap) holds true in a prospective, randomized clinical trial and whether it would be helpful to have tighter blood pressure control for women,” she said.

Not everyone agrees these findings point to a potential need for sex-specific guidelines for treating hypertension.

That issue was evaluated when the American Heart Association and the American College of Cardiology developed new guidelines for controlling blood pressure in 2017, said Dr. Paul Whelton, who chaired the guideline writing committee. People are considered to have high blood pressure if their systolic, or top number, is 130 or higher or their diastolic, the bottom number, is 80 or higher.

“For treatment, there hasn’t been any convincing demonstration that there’s much of a difference between men and women,” said Whelton, a professor at Tulane University in New Orleans and the Show Chwan Health System Endowed Chair in Global Public Health.

He said the new study’s findings surprised him, but more research is needed before making any conclusions.

“The differences in this study are fairly substantial,” he said. “It raises a red flag, but for me, at least, I don’t think it has convincingly demonstrated an answer one way or another.”

Madsen’s team also looked at how the number of hypertensive medications a person was taking impacted their risk for stroke.

They found the more medications it took to maintain good blood pressure control, the higher that person’s stroke risk. That risk increased 23% for each additional class of medication. This held equally true for both men and women.

“This does not suggest that the medications themselves increase the risk of stroke,” Madsen said. “But someone who takes three medications to maintain a systolic blood pressure level of 140 mmHg has a higher stroke risk than someone who needs only one medication to reach that same level. It’s because their blood pressure is more difficult to control or resistant to treatment.”

Madsen said the study points to the need to gather more sex-specific data in future investigations.

“There are hidden sex differences in many disease processes that we really don’t even know about,” she said. “We may not have enough data to say that tomorrow we need to implement sex-specific guidelines for how we treat hypertension, but we also don’t have the data to say that our one-size-fits-all approach to stroke prevention is the right one.”

Source: HealthDay


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