Thursday, November 2, 2017

All-Natural "Diet of Worms" Cake Recipe for Reformation Day!


Hello, folks! Still alive, still not blogging, but stopping by to post this recipe!

This is our third year of making a "Diet of Worms" cake for Reformation Day. The kids love it, and it's a great and funny way to remind us of history.

In the past, I've made this cake (technically called Dirt Cake), but the ingredient list is less than optimal. This year I decided to try my hand at making my own from scratch!

(I should say that this is an "almost-all-natural" version, as I'm still using store-bought gluten-free Oreos and storebought gummy worms. Feel free to attack that next level on your own!)

And... it was a huge success! My one complaint was that it was overly sweet, so I've reduced the powdered sugar in the creamed mixture from one cup to one-quarter cup, and the sugar in the homemade Cool Whip from three tablespoons to two. Feel free to adjust as needed. I will probably continue to chisel down the sugar content of the various components until I find our lowest threshold.

Enjoy!





"Diet of Worms" Cake

For Crumbs:
15 oz package of gluten-free oreos

For Cool Whip:
¼ cup cold water
1 tsp. gelatin
½ tsp. cream of tartar
1 ¾ cups whipping cream
2 Tbsp. sugar
1 tbsp. vanilla

For Pudding:
3 cups milk
¼ cup cornstarch
½ cup sugar
2 dashes salt
2 eggs
4 Tbsp. butter
2 Tbsp. vanilla

For the rest:
½ cup butter
8 oz cream cheese
¼ cup powdered sugar

Gummy worms



THE DAY BEFORE:

Make crumbs: Pulverize in food processor. Set aside, covered.

Make Cool Whip: Bloom gelatin in water. Melt over low heat. Cool completely. Mix cream of tartar and 1 Tbsp. cream in sandwich bag. Snip a corner of the bag to get it out - Put tartar mixture, cream, sugar, vanilla in stand mixer. Beat for about 2 minutes. When it starts to thicken, slowly pour in gelatin. Beat until thick and smooth but not to stiff peaks. Cover and refrigerate.

THE DAY OF:

(Set butter and cream cheese out to soften in stand mixer.)

Make pudding: Mix milk, cornstarch, sugar, salt, and eggs in pan. Cook over medium heat, stirring constantly, boil gently 1 minute, remove from heat, stir in butter and vanilla. Cool in ice water bath.

Assemble: Beat butter, cream cheese, and powdered sugar in stand mixer. When light and fluffy, add in cooled pudding and mix. Fold in Cool Whip. Place in 9x13 pan: half of the Oreo crumbs on the bottom, then the creamed mixture, and half the crumbs on top.


Adorn with gummy worms. Remember to cut these in pieces when serving to young children! (Otherwise there is a risk of them trying to eat an entire gummy worm at once and choking on it. Don't ask me how I didn't know this before last night, and now I do.)

Enjoy, dear friends!!



Sunday, September 17, 2017

This Time It's for Real!


Yes, folks! My updated 2017 pre-conception hyperemesis prevention plan is now posted for your reading pleasure. Unfortunately Blogger insists on leaving it down where it was originally (and mistakenly) published a few months back, so it wasn't bumped to the top in its new-and-improved state. Hope on over and enjoy!

Hyperemesis Prevention Plan: Annual Updated Version (2017)

Have a wonderful night, dear readers!


Saturday, September 9, 2017

Preventing Hyperemesis Gravidarum: Four Women's Success Stories!


This is such an exciting time! Through my blog, I am blessed to hear of all the work that you wonderful mamas are doing to prevent severe pregnancy nausea and vomiting (hyperemesis gravidarum). There is such hope out there for sufferers of this condition!

Today I want to share with you four hyperemesis-prevention SUCCESS stories!


Story #1 comes from Michelle at Joy in the Morning. Michelle has done an amazing job fighting for a healthier pregnancy, and her work paid off. Here is her story:

The Post I Hoped I Would Write



Story #2 comes from Cathy over at Holy Temple Under Renovation. Cathy is using Trim Healthy Mama as a hormone-stabilizing diet, combined with other techniques, and her newest baby arrived in July. Check it out:

Pregnancy and Birth Update



Story #3 comes to us from Amy at Five Kinds of Happy. Her post is amazingly and wonderfully detailed, with full descriptions of the supplements and other techniques she used pre-conception. Don't miss this one:

Preventing Hyperemesis Gravidarum



Story #4 is from Zsuzsanna at Are They All Yours? Zsuzsanna has an amazing story - she suffered from repeat hyperemesis until she discovered and developed the probiotic method (read about it, part 1 and part 2), which led to several non-HG pregnancies. With her newest baby-on-the-way, she is down to only minor pregnancy nausea! And get this... she felt so good with her current pregnancy that she didn't find out she was expecting until she was eight weeks along. Wow!

Whole grains, folic acid, MTHFR, and morning sickness



And lastly, a list of morning sickness tips from Sherry at Mom Delights. Sherry is a mum to 15 wonderful kidlets (and she homeschools, too!), and she knows the ropes when it comes to morning sickness. Check it out:

15 Morning Sickness Hacks From a Mom of 15

Similarly, check out great tips from Amy at Raising Arrows:

Managing Your Household When You Have Morning Sickness


I'm sure all of you out there who are researching for your HG-prevention protocols will love all of the wonderful information in these links.

Ladies, keep up the awesome work! There is hope, there is help, and you all are doing wonderful work that is such a blessing to the HG mamas of the world. From all of us, thank you!






Saturday, July 8, 2017

My Mistake, Everyone...


Sorry, everyone! I accidentally hit "publish" on an in-process post. For those who read it, I will be working on it and will re-publish later this month or next.


Thursday, July 6, 2017

Hyperemesis Prevention Plan: Annual Updated Version! (2017)


(Latest Update: September 2017)


Introductory Comments


It's time for my annual HG-prevention update! The last time I updated was February 2016, just four months before our newest little one (now five months old) joined our family. If we are blessed with another baby it will most likely be sometime in late 2018 or early 2019, so I am now in full-time preparation mode for that possibility.

This year I am starting with a clean slate. Instead of updating my existing protocol, I am erasing everything and starting from scratch. It's time for a change, time to clear my head and re-prioritize, rather than going from the past.

I also have a bad habit of cluttering up my protocols with items that I never get around to, and I want to avoid that. I want to write down what I actually will do, and stick with that, rather than guilting myself over the things that I ought to do but don't. (Exercise comes to mind.)

A couple of notes:

(1) My three focus points are:

  • (a) diet

  • (b) probiotics and probiotic foods 

  • (c) supplements


(2) This year I am intentionally de-emphasizing superfoods - it just didn't yield any real positive results.

(3) I am simplifying and clearing out. Last year's plan just had too. much. stuff.

(3) I am fine-tuning my supplement schedule.

(4) I removed my overly bulky sourcing section and have just provided links within the text.

(5) GIVING CREDIT - I owe a huge debt of gratitude to lots of you HG mamas out there for your wonderful ideas that I have incorporated here! Here are just a couple of thank-yous:

  • Amy from Five Kinds of Happy. Her HG protocol was so stinking good that I literally copied and pasted it into this document. (That's why mine looks like hers. Perhaps an obvious statement.) Thank you, Amy, for all of your hard work! Unfortunately most of the supplements available to her in New Zealand were not, strangely, available from Amazon or Vitacost, so I had to find my own brands. (Bummer.) I am no good at this, so please don't take my brand suggestions seriously. Find your own, because mine are a shot in the dark.

  • Zsuzsanna from Are They All Yours?!?! - Her probiotic method (part 1 and part 2) is one of my foundations. (See also part 3 and part 4! So exciting!)




  • And lots more of you wonderful ladies out there with whom I have had the honor to correspond, and whose blogs have blessed me! Check out links on my left sidebar!
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You ladies are all wonderful. THANK YOU for all you are doing.


Thoughts on the Very Low Carb (VLC) Diet

I have come to the following conclusions regarding very-low-carb diets:

(1) The VLC diet, done pre-conception and during early pregnancy, worked well for me in preventing hyperemesis gravidarum. From uncontrollable vomiting down to "feeling crummy around the clock but never throwing up" - big improvement. I have also, through experimentation, found that I am extremely carb-intolerant during the first half of pregnancy. Even gentle amounts of carbs like cottage cheese with a few blueberries can send me down the NVP spiral in a bad way.

(2) However: While most Americans do need to tone down the carbs, due to years of low-fat indoctrination (i.e. "Let's eat all these corn-syrup-filled cookies that are SO healthy because they're LOW-FAT!!") and subsequent high-sugar diets (and subsequent chronic health problems), I do not believe that carbohydrates in themselves are unhealthy. Nor do I believe that a VLC diet is healthy in the long-term. (It is also extremely difficult to pull off, quite unpleasant, and completely unsustainable on a long-term basis, unless you have the willpower of Attila the Hun.)

(3) Thus, if I am successful in using this diet for HG prevention, I will use it only for that purpose, and I will return to eating reasonable carb levels during the latter part of pregnancy and the postpartum (i.e. before I start preparing for a next pregnancy).

(4) To make the VLC diet a wee bit more livable, I have decided to allow small amounts of the following (all are forbidden foods): berries, raw carrots, cooked carrots or peas in a casserole, beans (tiny amounts in a soup or casserole) and cottage cheese in a smoothie.

Feel free to shoot me questions about this.


*****

Please remember that although I do my best, even I cannot keep up with my best intentions. I do not do everything on this plan perfectly (or at all). I'd say a really-really good day is achieving 25-50% of the below. It's just too much to keep up with on a daily basis with perfect consistency. I simply do my best.

My two main conclusions from past years remain unchanged:


(1) Diet and supplements can have a hugely positive effect on morning sickness and other pregnancy issues, and...

(2) It is extremely important for women to pay careful attention to their health during their childbearing years. (It's always important, of course, but during the childbearing years the negative consequences of neglecting one's health can be particularly dire.)


I'd love to hear any input - and also to see your supplement and diet plans, so do let me know what you're doing!



**********************************************

Before Conception
Starting by the time our last baby is 9 months old

Diet
I utilize what would probably be called a modified lacto-Paleo approach. Usually Trim Healthy Mama, and sometimes VLC (very low carb, also known as LCHF, or low-carb high-fat).
  • No processed (junk) food.

  • No sugar.

  • No modern wheat.


  • Minimal refined grains (occasional white rice or white einkorn), but mainly grain-free.

  • Very Low Carb (VLC) if I can manage it after baby's six-month birthday.

  • Focus foods: bone broth, cruciferous vegetables, vegetables in general, coconut oil, greens.

  • One bite (or drink) of lactofermented food/drink before each meal: raw sauerkraut, raw pickles, kefir, kombucha, yogurt

  • Plenty of pink or grey salt, no white salt




Supplements


1. Basics
  • Multi - Starting out by covering the bases.
  • Coconut oil - goal is two tablespoons daily. (Skinny Chocolate helps with that.)


2. Magnesium


3.  B vitamins

The most important ones are:

  • B1 also known as thiamine.
  • B6 in the form of "P-5-P" is best.
  • B12 in the form of methylcobalamin NOT the synthetic form cyanocobalamin
  • Methyl-folate, NOT folic acid

To get my these I will take:

  • B complex 
  • Possibly: An extra B1 supplement
  • Possibly: An extra B6 P-5-P supplement

4. For gut health - important
  • A strong probiotic
  • Fermented Cod Liver Oil - "Blue Ice" from Green Pastures brand - OR a regular cod liver oil supplement
  • Eating fermented foods. I eat one bite (or a couple of bites) or a few sips with each meal: raw pickles, raw sauerkraut, kefir, yogurt, kombucha
  • L-Glutamine occasionally for gut health
  • Yearly: Ten days of 1 tsp. colloidal silver plus 1 turmeric cap, three times daily. 

5. For the liver - also important.


Take these from the time my cycle (period) starts until ovulation, then discontinue until next cycle starts. This is to avoid taking these during pregnancy.



Lifestyle
1. Strength exercises when and if I have time. (Ha.)
2. Bible study, Bible verse memorization, prayer - Prayer for strength and guidance, and the ability to trust and step forward in faith. There is no fear like the fear of being open to pregnancy after an HG experience! Also, Bible verses so that I have Scriptures in my head to cling to in those early (and panicky) days.
3. Word HARD on character with the children - obedience, respect, sibling issues (oh, my goodness, the sibling.issues.will.kill.me over here), responsibility with chores and schoolwork



My Pre-Conception To-Do List
I'm working through this list of things that I'd like to get done before our next baby arrives on the scene. Most of this will NOT apply to readers - but I thought you might like to see it, just as an example!


  • Clean out both of my freezers - so that I can clear my head and make space for the HG-prevention-plan foods that I want in our life (homemade bone broth, etc.)
  • Try einkorn wheat.
  • Start making homemade yogurt again. (DONE, July 2017)
  • Update my HG prevention protocol, publish. (DONE, September 2017)
  • September 2017 - Begin to order supplements mentioned above.
    • My husband and I have decided on a per-month amount that I can spend, and I will gradually accumulate what I need over the last part of 2017. Since we are in an extremely must-be-careful-with-money time, I will be attempting to lower our grocery bill by the same amount every month. (Hello, beans and potatoes!)
  • Use up old supplements. (Waste not, want not.)
  • Find a good source for cured meats - pepperoni, sausage, etc.
  • Find a good source for organic dairy products.
  • Move our Azure Standard drop closer to home. (DONE, July 2017)
  • Find a functional medical practitioner. 
  • Extra credit if I actually go to see said practitioner. (Can I get points just for finding one, without seeing her?)
  • Find a new bookcase. 
  • Get children's books organized.
  • Complete "easy cook" meal list for family to use while I am unable to cook. (DONE, June 2017)
  • Find 5-10 crockpot freezer meals that are family-friendly and relatively low-carb.
  • July 2018 - Make crockpot freezer meals. Goal is 20 frozen meals.  


After Conception
As soon as I suspect pregnancy, or from a positive test:

 1. Drop all liver cleanse supplements over ovulation and then once I am pregnant. Most of them are not known to be safe for pregnancy.

2. Magnesium - continue taking in all forms possible (supplement, oil, baths). Move Epsom salts baths from weekly to daily.

3. B vitamins - continue taking. Make sure I have enough B6 (in form P-5-P) and even take this separately if I can.

4. Fermented food, probiotics - continue taking for as long as I can stomach them.

5. Unisom - (known under brand names 'Diclegis'. 'Unisom', 'Restavit' and 'Diclectin' depending where you live.) Two options: Take from first nausea, or take from positive test onward. This takes a while to build up in your system, so mamas expecting repeat HG would be advised to take as early as possible. I would love to be able to get through without this medication, so I will have to judge at the time whether I need it or if I can get along without it.

6. Eat often, always high protein. For me this is often cheese or some form of eggs, or lunchmeat. (All forms of protein that I can get out without having to cook meat.) No carbs until I am past the danger point - usually after week 15 or thereabouts.

7. Start protein shakes - Minimum once before bed, once before getting out of bed, and one during the day. (I am currently investigating whether or not I could do collagen instead, since protein shakes taste so incredibly horrible/disgusting when pregnant. Opinions, anyone?) Also take cheese/nuts to bed in a cooler for middle-of-the-night and early morning snacking. This is crucial.

7. Add raw apple cider vinegar to water. Or lemon. (Lemon tastes better, but I think ACV works better. Too bad, because it's super-gross.)

8. Stop all coffee and chocolate. (This doesn't take any work - these are the first things that I naturally drop.)

8. Baking soda, in caps, 1 tsp. three times daily. Colloidal silver, 1 tsp. three times daily. Do both on a relatively empty stomach.

7. If necessary, try:

  • CBD hemp oil
  • Protandim - I'm always meaning to try this, and never get around to it. 
  • Zofran - Hoping to avoid, as this means getting an OB involved in my care, which is a nuisance. (Unfortunately, homebirth midwives can't prescribe Zofran.)
  • Magnesium/Vitamin B shots at naturopathic college
  • Acupuncture
  • Bentonite clay

9. Clear our schedule.

10. Schedule a house cleaner to come 2-4 times during the weeks when I am unable to clean.


Readers, I'd love to hear your ideas, see your own HG-prevention plans, and answer any questions that I can! Please do chime in!



Wednesday, July 5, 2017

Cooking With Morning Sickness


A year ago, one of my favoritest-of-favoritest blogs, Like Mother Like Daughter, published a post on cooking while mama has morning sickness:

Plain Cooking: Surviving Morning Sickness and More

At the time, while I wanted to write my own post on the subject. But I couldn't, because... I was suffering from morning sickness.

Oh, the irony.

(By the way, when you're reading the above post, make sure you spend the time to go through the comment section. So much good information there.)

Back to what I was saying:

Now that said pregnancy is over, and baby is four months old, I wanted to come back and write that intended post.

And while I love-beyond-love the blog above linked, the information in that post doesn't work for me during pregnancy.

Cook sweet potatoes while pregnant?

You must be joking.

I can barely handle food or open the refrigerator, let alone do something crazy like cook sweet potatoes.

If I'm ever blessed with easy pregnancy in which I am able to continue cooking throughout the duration, I will rejoice with great rejoicing.

Until then, I am here to provide the big reality check. And while I don't know that this post will be too-too-too useful, as in, of any actual use to a real human being, hopefully it should alleviate some of the guilt occasioned by mamas who suffer from severe morning sickness.

What I've learned about cooking during morning sickness is this:

I don't.

And that's really the main point. I don't, because I can't. 

I've tried to push through. I've tried to tough it out. It doesn't work, and it's actually worse when I try to be brave. Oodles of food gets wasted, recipes and smells are branded indelibly in my forever-mind as "do not touch or try these ever again, because they're now associated with nausea." I get frustrated and teary, and nothing improves.

Instead, when my nausea starts (which is early - current record at 2w6d),


(1) I stop buying vegetables.

Because if I don't, several months later I'll be pulling a slimy mass of goo out of our vegetable drawer and throwing it out (while throwing up some more).

Soon after that...


(2) I stop cooking.

As I mentioned before, when I try to cook while super-nauseated,

     (a) I end up with horrible long-term food aversions to whatever I try to cook. I even end up with horrible aversions to whatever I'm thinking about cooking. (Just ask. I can categorically list all of my trying-to-cook aversions, by pregnancy.) Additionally...

     (b) It's a futile fight that I end up losing. Wasted time, wasted food, wasted effort.

At that point...


(3) I go into survival mode.

This means 100% cold foods for the children (cheese, crackers, fruit, milk, cereal, etc.), and for dinner, my husband is - unfortunately - on his own.

And that's where we have, in the past, run into serious problems.

My husband is a wonderful man. But he's not a cook. I can't even get the words, "Honey, I don't have anything planned for dinn-" out of my mouth before he's out the door and on the way to getting fast food.

This creates two problems:

(1) The more children we have, the more expensive this is.

(2) Fast food is rotten for your health. Seriously rotten. (Remind me not to tell you that story some time.)

Long story short, we decided that we needed a plan - and I've been working on that plan ever since. We used part of this plan for the rest of our last pregnancy, and I am developing it further to prepare for our anticipated next pregnancy.

Here is THE PLAN:


(1) We developed a list of meals that my husband and children can prepare by themselves, with relatively little work.

We're talking seriously simple, folks. As in, "open can of beans and add chopped hot dogs" kind of simple.

Not super-healthy. But it keeps them away from Taco Bell.

(See my list of super-simple meals (and a shopping list template) at the end of this post.)


(2) I am working currently on developing a list of freezer Crock-pot dump recipes. 

Crock-pot freezer dump recipes are recipes in which you put all of the ingredients into a freezer bag, freeze, and then later thaw and place directly into the crock-pot. Cook, and serve.

Of course, having a crock-pot in the house while I'm nauseated is an absolute NO-GO. (Oh, the smells.) But that's why God gave us back porches and garages, folks. I plan to make use of mine.

(The further from the house, the better. Too bad they don't make houses with electrical outlets two blocks away from the actual house. Gee, that would be convenient for morning sickness. While you're at it, move the coffee pot, microwave, and toaster oven - if you have one - out to the garage too.)

I am planning to prepare several weeks of these when our current baby is 18 months old. That should fit our time frame fairly well, so that they'll be available when I need them.

(Waiting till we conceive is not an option, as I'm usually too nauseated to cook within a very short time of conception - sometimes even before I can get a positive test, like this last time.)


(3) Additionally, I am working to make our children food-independent.

Teaching littles to pour their own water. Teaching the bigger children to prepare simple foods so that they can get their own breakfasts and lunches.

I once had a friend who expected that her serious health problems would take her life at any time. Consequently, she taught her daughter very early in life to be extremely independent in all areas of life - brushing her hair, cooking, doing her homework, etc.

My friend didn't end up dying - she's still with us! - but her work had the pleasant side effect of teaching her daughter excellent life skills at an early age.

That's my goal too.

On the whole, I would say that I tend to be deficient in the area of teaching life skills. My tendency is toward laziness - the "it's just so much easier to do it myself" mode. (Bad. Bad. Bad.)

So while a friend of mine had a ten-year-old out there winning chili cook-offs, my own ten-year-old was more along the lines of, "Mom, can you make me a piece of toast? I don't know how to do it."

(Bad. Bad. Bad.)

But pregnancy has really helped me to loosen up and to allow my children to be more independent. This has been really good for both them and me. Over the past year, our now-11-year-old has developed into an excellent beginning cook. I wish to foster this independence and the development of invaluable life skills as much as I can. Looking forward to the needs of future pregnancies gives me the motivation to do this.

And there you have it. If you can cook while pregnant, great. If you can't, do your best but don't guilt yourself to death over it. (I'm still working on that.) In all cases, simplify, simplify, simplify.

And while you're at it, hire some housecleaning help. I did this - twice - during our last pregnancy, and it was an enormous blessing. Totally worth it.

Continue to fight the good fight, dear mamas!



***************************************

Easy No-Recipe Dinners

(1) Baked beans with hot dogs

Ingredients: baked beans, hot dogs
Directions: cut up hot dogs, optional sauté them, add baked beans, heat
Serve with: fruit or baby carrots


(2) Rotisserie chicken, macaroni and cheese, frozen vegetables

Ingredients: rotisserie chickens, boxed macaroni and cheese, milk, butter, package of frozen mixed vegetables
Directions: cook boxed mac and cheese, microwave hot dogs
Serve with:


(3) Burritos

Ingredients: GF tortillas, refried beans, shredded cheese, sour cream, salsa
Directions: heat refried beans
Serve with: fruit


(4) Chili

Ingredients: canned chili, chips, shredded cheese, sour cream
Directions: heat chili
Serve with: fruit


(5) Peanut butter and jelly roll-ups

Ingredients: GF tortillas, peanut butter, jelly
Directions: spread tortillas with peanut butter and jam, roll
Serve with: fruit and/or baby carrots


(6) Easy mixed beans and rice

Ingredients: rice, 2 cans chili beans, 1 can black beans, cilantro, spices, sour cream, salsa
Directions: follow recipes
Serve with: frozen green peas


(7) Macaroni and cheese.  hot dogs

Ingredients: boxed macaroni and cheese, milk, butter, hot dogs
Directions: cook boxed mac and cheese, microwave hot dogs
Serve with: frozen green peas


(8) Soup with cheese and crackers

Ingredients: canned soup, GF crackers, cheese, optional ham/tomato/pickles
Directions: heat soup, slice cheese
Serve with: fruit


(9) Spaghetti

Ingredients: spaghetti noodles, jarred spaghetti sauce, optional 1 lb. hamburger, parmesan cheese (green can kind)
Directions: optional saute hamburger, drain, add sauce and heat, cook noodles
Serve with: salad and dressing


(10) Cheese and crackers

Ingredients: GF crackers, cheese, ham, tomatoes, pickle
Directions: slice cheese, ham, tomatoes, pickle
Serve with: fruit


(11) Sandwiches (lunchmeat/cheese or PBJ)

Ingredients: GF bread, peanut butter and jelly OR mayo/lunchmeat/cheese
Directions: assemble sandwiches
Serve with: baby carrots or fruit


(12) Nachos with beans

Ingredients: chips, shredded cheese, sour cream, salsa, refried beans
Directions: assemble nachos, heat refried beans and add
Serve with: fruit


(13) Hummus and vegetable tray, cheese

Ingredients: vegetable tray, hummus, cheese
Directions: slice cheese, serve
Serve with:


(14) Ground beef and macaroni and cheese

Ingredients: boxed macaroni and cheese, 1 lb. ground beef
Directions: cook boxed mac and cheese, saute ground beef, drain, add to macaroni and cheese
Serve with: frozen green peas


(15) Hot dogs with “buns”

Ingredients: hot dogs, GF bread, condiments
Directions: microwave hot dogs, assemble
Serve with: fruit


(16) Hamburger patties, mashed potatoes, peas

Ingredients: frozen hamburger patties, boxed potatoes, milk, butter, peas
Directions: cook hamburger patties, make mashed potatoes, cook peas
Serve with:


(17) Black bean soup

Ingredients: canned black beans, chicken bouillon/broth, salsa
Directions: follow recipe
Serve with: chips and sour cream


(18) Breakfast dinner: Choose fried or scrambled eggs, optional spam, cereal/oatmeal/toast

Ingredients: eggs, optional spam, cereal/oatmeal/bread
Directions: cook whatever your choices are!
Serve with:


(19) Tuna and crackers

Ingredients: tuna, mayonnaise, pickles, cheese
Directions: make tuna, serve with crackers, slice cheese to go with it
Serve with: fruit

(20) Baked potatoes

Ingredients: potatoes, butter, sour cream, cheese, optional hamburger
Directions: scrub and poke potatoes, bake or microwave, optional cook hamburger
Serve with:



***************************************


Sample Shopping List


Dairy Meat
_____ Milk _____ Lunchmeat
_____ Cream _____ Hot dogs
_____ Sour cream _____ Hamburger
_____ Kefir
_____Yogurt
_____ Cheese
_____ Shredded cheese


Dry
_____ Cheerios
_____ Pickles
_____ Canned pineapple
_____ Canned green beans
_____ Tuna
_____ SPAM
_____ Mayo/Ketchup/Mustard
_____ Salad dressing
_____ Raisins
_____ Prunes
_____ Crackers
_____ Bread
_____ Tortillas
_____ Paper plates
_____ Paper bowls
_____ Salsa


Produce Frozen
_____ Apples _____ Frozen peas
_____ Bananas _____ Frozen corn
_____ Grapes _____ Frozen berries
_____ Baby carrots
_____ Tomatoes
_____ Bagged salad
_____ Vegetable tray
_____ Hummus


Tuesday, June 13, 2017

Pregnancy Nausea and Vomiting - Results for Pregnancy #6


Hello, dear friends!

This post will be of interest primarily to those of you who stop by for information on nausea and vomiting of pregnancy. Feel free to shoot me any questions.


***

This is our sixth pregnancy (the first five comprising one first-trimester loss and four live births).

This pregnancy was unplanned. I should say, in the interests of clarification, that it was intentionally unplanned. (We have had two planned pregnancies, two surprise pregnancies, and two intentionally unplanned pregnancies.)

This is our earliest postpartum conception - we conceived at 19 months postpartum. (Previous conceptions were at 29, 20, and 24 months postpartum.)

I have a history of severe nausea and vomiting of pregnancy, something that would be characterized as mild hyperemesis gravidarum (manageable at home with a combination of OTC and prescription medications).

For the past ten years, I have researched prevention of hyperemesis gravidarum. At first, I followed the more traditional model of looking for the "magic bullet" solution - something that I could take when pregnant that would stop the illness. This was a complete bust. Herbs were useless. Prescription drugs managed the condition, but it was still miserable.

My search next turned to healing the body so that my body would no longer present with hyperemesis gravidarum - that it would handle pregnancy in a healthy manner without developing this debilitating condition. Our last pregnancy was what I call our Big Success Pregnancy. Not only did I not develop HG, but I was able to manage on a minimum of medication and did not throw up once. Yes, I was nauseated for the entire pregnancy, and somewhat minimally functional during the first half of the pregnancy, but with a history of HG, this was an overwhelming success. (Deo Gratias.)

This success was achieved primarily through two channels: the probiotic approach and the very-low-carb (VLC) diet. I also used a minimum of supplements.

With this current pregnancy, as I have before mentioned, I had had a much tougher time staying on the VLC diet pre-conception with any regularity. The VLC diet may have achieved miracles health-wise, but it is neither easy nor the least bit enjoyable. When we conceived, I was kinda-sorta-VLC and kinda-sorta-Trim-Healthy-Mama. I was being regular with the probiotic approach and was taking a much more active approach with supplements and super-foods.

The results lined up with my expectations: This pregnancy was much rougher. While definitely non-HG, I put in some definite time throwing up and was on a much higher medication dose to achieve those lesser results. (I will note the comparisons below.)

My conclusion is that each of the legs of my three-legged approach is vitally important to my pregnancy health - supplements, the probiotic approach, and the VLC diet. If we are blessed with another baby after this one, I will plan to be more vigilant with all three components.

***

And now to review this pregnancy (#6). I will be comparing some statistics with our previous pregnancy, #5 (the Big Success Pregnancy).

At 2w6d, I experienced an entire night of strong nausea. This scared my to death, as I knew how early we had to be in my cycle. Incidentally, this is the earliest I have ever been nauseated in a pregnancy. (My previous earliest-nausea record was 3w3d or 3w4d.) Of course, the pregnancy test that I took was negative.
In the Big Success Pregnancy, I did not experience first nausea until 3w6d, the day after I got a positive pregnancy test.

Needless to say, this caused me to jump back on the VLC bandwagon, big-time. This was a good thing, as it helped me to be less panic-stricken when I got a positive test the following week.

Over the following week, I had several episodes of strong night-time nausea. All pregnancy tests (and believe me, I took a lot of them) were negative.

At 3w4d, I finally got an extremely light (as in, holding up to within two inches of my eyes to detect the line) positive pregnancy test. Much rejoicing, much shock, much fear. I immediately went into survival mode - rushing to Sprouts for supplements, getting on the internet to order even more.

Only post-HG mamas can understand the panic that a post-HG pregnancy causes. It hasn't been as bad since I have experienced a non-HG pregnancy, but it's still there. I spend the first four to eight weeks of pregnancy in a state of suppressed panic, wondering how bad it's going to get and if I can hold on. Y'all know where I'm coming from on this one.

At 3w6d, I had an extremely bad night of nausea. The nausea kept me up until 1:00 a.m., and then woke me back up at 3:00 a.m. for the rest of the night. Needless to say, I was a panic-stricken mess after that. Thankfully that was mostly a one-time event. I learned that I had to sleep propped up quite high to avoid really bad night-time nausea. (That was new. And weird.)

Something that I experienced during this time of early pregnancy was chills. Does anyone know what I mean by this? I'm not talking about head colds, but that horrible experience of going from normal-one-minute to, within the space of about five seconds, bone-wracking whole-body shaking from intense cold (even if it's not cold temperature-wise). It lasts for 5-10 minutes and has a long recovery period (about an hour), and is absolutely exhausting. I had never experienced chills until my fourth pregnancy, and now it recurs any time that I am in a weakened state - early pregnancy, any time I'm struggling with severe nausea, during the early postpartum period, and whenever I am very sick. I'd love to hear if anyone else deals with this.

Early pregnancy seems to hit me like a semi-truck. It's not a gradual increase of symptoms - it's sudden, all at once, and hard. Sometimes it actually gets better after that initial full-body impact. Apparently my body does not take kindly to the initial surge of pregnancy hormones.

The nausea continued to get worse weekly. Not a fun time. I started taking three doses of Unisom (in half-tabs) in week 4, continuing through week 20, when I tapered down to two doses. I tapered down to one dose in week 22, and discontinued entirely during week 25.
In the Big Success Pregnancy, I took one half-tab dose of Unisom from week 9 to week 16. 
See the difference?

Vomiting, measured in episodes, totaled at 46 episodes* of vomiting during week 8 through week 25, with one outlier in week 30.

(*A friend once asked me how to measure "number of times vomited." Answer - I don't know, and still don't! But I have decided to count it in episodes, meaning that when I go to the bathroom to throw up, I count that as one episode, regardless of how many times I threw up during that episode. Make sense?)
In the Big Success Pregnancy, I didn't throw up once.

 Again, a big difference.

I should note, in case anyone doubts it, that I am extremely grateful that this pregnancy was non-HG. Throwing up 46 times over the course of a pregnancy is nothing in comparison to active HG. Some HG mamas throw up that much within the space of a day or two. I am, however, noting that this pregnancy scored considerably worse with regard to NVP than my last.

Here is a chart comparing the two pregnancies:



“Big Success Pregnancy” (#5)
Most Recent Pregnancy (#6)



Dates
February – November 2014
June 2016 – February 2017



My age during the pregnancy
32-33
35



Pregnancy Outcome
Healthy Live Birth at ~ 39w0d
Healthy Live Birth at 37w5d



Diet utilized before conception
Very Low Carb
Trim Healthy Mama



Other pre-conception protocols
- Probiotic
- Supplements
- Probiotic
- Supplements
- Magnesium therapy
- Super-foods



First nausea
3w6d
2w6d



Number of vomiting episodes during entire pregnancy
0
46



Vomiting occurred during:
N/A
Weeks 8-25 with one outlier in week 30



Vomiting frequency
N/A
1-3 episodes per day when occurring



Medication
Unisom:
Weeks 9-16 = 1 dose
Unisom:
Weeks 4-20 = 3 doses
Weeks 21-22 = 2 doses
Weeks 23-25 = 1 dose





You can see the difference: With this last pregnancy, the nausea arrived nearly a week sooner, I took more medication for a longer time, and I experienced a much worse outcome. I really missed that added support of the longterm pre-conception VLC diet.

I should say that I hopped back on the VLC bandwagon as soon as I first experienced pregnancy nausea. But the VLC diet is not meant to be a measure to take when one is already pregnant (though I think it can help) - it's really meant to be done for a considerable time pre-conception. I didn't have that pre-conception hormone stabilization behind me, at least as much as last time, and I paid for it.


The Gender Question

Our Big Success Pregnancy (#5) was also our only (known) girl pregnancy.* That creates some problems with confounding variables.

(*We do not know the gender of baby #1, who we miscarried at eight weeks.)

Technically, the statistics show that HG is more likely to manifest with girl pregnancies.

However, the increased risk is extremely slight. A friend of mine, a fellow HG mama, told me that her boy pregnancies are always harder than her girl pregnancies.

Time will tell. If we are ever blessed with another girl, I will have the opportunity to see if there is a consistent trend.


Notes on Supplements

During the early days of pregnancy, I made a daily schedule for taking my supplements and medications. The same supplements at the same time, every day. I cannot recommend this practice highly enough. During the first trimester, when I was in a constant state of panic, and when I was truly feeling awful, having a daily schedule of supplements was a godsend. It helped to anchor me to the present and get me through my days in an organized fashion.

Here is my the supplement-food-medication schedule that I used during this pregnancy:

(Some items are listed by specific time; others were just a "do this sometime, in this order" sort of thing.)

*4:00 a.m. protein shake
*5:00 a.m. nuts and cheese

(The protein shake, nuts, and cheese were kept in a cooler by my bed every night so that I could have a solid intake of protein in my system before doing anything crazy like getting out of bed.)

*Upon arising: Unisom, Bio-K probiotic, magnesium spray
*All day: apple cider vinegar water, water with lemon, magnesium spray
*With breakfast: cocolaurin, apple cider vinegar tablet, magnesium, digestive enzymes, lacto-fermented food
*Protein shake with 1 tbsp. coconut oil
*Trim Healthy Mama muffin made with cinnamon and coconut oil (both antimicrobial)
*Coconut cream
*With lunch: cocolaurin, apple cider vinegar tablet, magnesium, digestive enzyme, coconut cream, lacto-fermented food
*Baking soda in water with 1 teaspoon colloidal silver
*Protein shake with 1 tbsp. coconut oil
*Magnesium drink
*Epsom salts bath
*With dinner: cocolaurin, apple cider vinegar tablet, digestive enzyme, lacto-fermented food, coconut cream
*5:00 p.m. vitamins
*7:00 p.m. Bentonite clay in water
*9:00 p.m. 2 hard-boiled eggs, protein shake with 1 tbsp. coconut oil, Unisom+B6+melatonin

Frankly, I can't believe I kept up with this schedule. It was long and complicated, and all that I remember is a haze of nausea and exhaustion. But just writing out what needed to be done was so helpful, and I plan to do it again.

Don't think that I came up with this schedule cold - it was really developed item by item, in a very organic way. Add something here, take away something here, oh, and let's add this other thing over here. I started with what I knew, added other things as they came into the picture, and made changes as needed.

This schedule changed over time in two ways:

(1) At the beginning, items were removed as I could no longer tolerate them. For example, the two boiled eggs at bedtime. It's a great piece of anti-nausea advice that I read in a book somewhere (i.e. keeping solid protein in your stomach overnight to regulate your morning blood sugar levels), but there's a small problem - after a brief period of a few days, I couldn't get them down. The first time I threw up, actually, was in trying. (Ah, throwing up in the sink. So fun.) So off the schedule they went. My morning muffin with coconut oil and cinnamon similarly went out the door fairly early.

(2) After the worst of the nausea started to abate, items were removed as I no longer needed them. (Hurray!)

If you're contemplating pregnancy, or are in the middle of one, a written supplement schedule can be an incredible blessing.



Notes on Nausea Recovery

During week 12, I was still continuing to feel worse every week. This was alarming, as I usually peak around week 10. I added CBD oil to my supplement repertoire this week, and I think it helped.

I started to feel a bit better during week 13. This was encouraging.

During week 16, I cooked my first dinner since the first week or two of pregnancy. During week 17, I made it back to church. During week 18, I took the children to our first outing by myself.

I continued to feel nauseated and exhausted for the entire pregnancy. It was a tough time. After the birth, the nausea took about a month to recede completely.


Thoughts on Superfoods

During the pre-conception time for this pregnancy, I see - in hindsight - that I became pre-occupied with superfoods.

Superfoods are foods that are reputed to have especially high nutrient levels of some sort or another, and thus have a positive influence on restoring health.

I believe that my preoccupation with superfoods stemmed from guilt. I knew I wasn't being faithful to the VLC diet, and I wanted, subconsciously, to do something to make me feel less scared (of repeat HG) and less guilty.

But let me tell you, friends, that chasing superfoods is an exhausting and never-ending business. There is always another superfood to discover. And as the never-ending list grows, one then has to actually eat said superfoods, which leads to a never-ending to-do list.

Here is a short list of some of the superfoods that I came up with. (There were more. This is just from memory, a year later.)

  • Brazil nuts
  • Nutritional yeast
  • Gelatin and collagen
  • Coconut oil, coconut cream, coconut cocolaurin
  • Seaweed
  • Walnuts
  • Blueberries, blackberries
  • Green vegetables
  • Cruciferous vegetables
  • Okra
  • Asparagus
  • Avocados
  • Rice bran
  • Apple cider vinegar
  • Lemon juice

In preparing for any upcoming pregnancies that the Lord gives us, I will focus on a healthy diet (which will by default include superfoods), but I will not chase superfoods themselves. It's a tiring pursuit that ultimately did not result in any real benefit. 


Conclusions:

My primary conclusion is the same as last time: We can fight the fight against hyperemesis gravidarum. It is not our inevitable fate. There is hope.

For you ladies out there who have been through the nightmare, don't give up. Join the Preventing Hyperemesis Gravidarum Facebook page. Check out Pink Stork Solutions. Research. Read relentlessly on the subject of natural health. Seek out other HG mamas and compare notes. Keep going, keep reading, keep praying, keep trying.

My specific conclusions from this pregnancy.

(1) The VLC diet works extremely well for me in preventing hyperemesis.

(2) The Trim Healthy Mama diet was also helpful, but not as good as the VLC diet in HG prevention.

(Note: There is the possibility that I have leftover positive effects from my strict two years of VLC dieting, and that may have affected our outcome in this pregnancy.)

(3) The probiotic approach is also extremely helpful (essential!) for me.

(4) The super-food approach didn't really help at all.

(5) Supplements are important, but not - for me - quite as important as diet.

(6) I cannot count on past successful non-HG pregnancies to protect me in future pregnancies. Constant vigilance is the order of the day.


My plan for the future:

Our newest little one is almost four months old, so I am now in early planning stages for baby-number-next.

We don't know, of course, if the Lord will bless us with another baby. This week I will be turning 36, so my childbearing years are definitely numbered. The baby that we have could conceivably be our last, or we could have another seven. Both extremes seem rather unlikely.

Regardless, I want to be ready.

I am currently transitioning from my "eat anything, yay!" postpartum mode back into Trim Healthy Mama. My birthday present this year is going to be a copy of Briana Thomas's Necessary Food (check out her blog, YUM), and I am looking forward to getting back into Trim Healthy Mama mode.

Eventually, I would like to get back into Very Low Carb (VLC) mode. The above information seems, to me, to show that the VLC diet is the most effective for hyperemesis prevention.

The big problem, of course, is that the VLC diet is an absolutely miserable experience. Unless you are one of those rare persons who thrives on a super-low-carb diet, being carb free is 100% awful.

It's not that low-carb food is bad. It's not. Most of my favorite meals are low-carb. But being low-carb itself, and eschewing a majority of available foodstuffs, is a miserable experience for the majority of humanity, myself included. It can be maintained only by an exercise of extreme willpower, and most of the time, I don't have that kind of willpower.

But I should. And I need to. At least during our childbearing years.

Again, time will tell.

I should say that I do not believe - for most people, at least - that very-low-carb is healthy for long-term living. We do need carbs. This diet is great for healing, and for HG prevention, but I don't think it needs to be lifelong or long-term. In fact, it could probably be harmful in the long run. So even if I do go back to VLC living, it will be for short-term HG prevention only.

In the next month or two, I plan to update my HG prevention plan (supplements, etc.), which I will publish on this site. Since our conception this time was so much earlier than usual (19 months), I want to be ready. And HG prevention isn't something that can be achieved in a week or two, or a month or two. It needs serious time. I hope to be in serious HG-prevention planning mode by the time baby is six months old.

Additionally, I have a couple of health concerns that need to be addressed - something that can happily coincide with HG-prevention prep:

(1) Baby weight - I have more than a little baby weight that needs to go.

(2) Fatigue - I have recently sensed the creeping return of my other health arch-nemesis, fatigue. This is a very difficult problem, and one that I do not want to worsen or continue.

I have some work to do!

Ladies, I would love to hear about the pre-conception work you're doing to prevent hyperemesis gravidarum. Please leave a comment and fill me in on what you are learning!

Love to all, dear friends!