Dirty Dozen

Be Wary of Enteral Formulas Built Around Dirty Dozen Ingredients

Organizations such as The Environmental Work Group, www.ewg.org, that are essentially our only sentinels with respect to chemicals in our produce and other foods, have made it very clear.  There are certain foods that carry inordinately high pesticide and herbicide levels and they should only be consumed if organically grown.  These are labeled as Dirty Dozen fruits and vegetables.  The list is updated each year but the core members generally stay the same. Continue reading

Gastroparesis

National Gastroparesis Month: Why fat, dairy, and consistency matter

This month is Gastroparesis month and it is unfortunately, a poorly understood condition affecting hundreds of thousands of individuals each year. Sometimes the symptoms are episodic, but often they are chronic. Essentially there is a prolonged delay of gastric emptying and it results in a myriad of issues that range from GERD (gastro esophageal reflux disease) bloating, nausea, and vomiting to constipation and additional lower GI abnormalities that can all be significant complications. Continue reading

Enteral Nutrition Support

A New Approach to Enteral Nutrition Support: Redefining true care, nutritional adequacy, and compatibility.

The critically and chronically ill patient typically has several biochemical processes that are severely compromised.  These aberrant pathways are the target of pharmacological intervention and are typically the only dimension of patient care associated with the outcome.  Supporting the patient’s most fundamental nutrition needs are equally important, yet this dimension of care receives very little attention. Continue reading

Hope Travelers

On the road with Functional Formularies: A Brief Travel Guide

In wake of the solstice, summer is here at last!  Whether you’re taking a day trip to the local beach, riding full steam ahead on a cruise liner, or hopping on that big jet plane to explore the vastness of Mother Earth; you may find yourself in need of a few tips on how to travel with Liquid Hope or Nourish.  While we are not able to cover every possible scenario that you may experience in your travels, we can provide a bit of guidance for the more common situations that may arise as you escape ‘real life’ and enjoy some fun in the sun. Continue reading

Mitochondrial Disorder

Patients with Mitochondrial Disorders Frequently Suffer Malnutrition

Revised 8/6/2020

A Dutch study published in the Journal of Parenteral and Enteral Nutrition, revealed that those populations with neurodegenerative diseases caused by mitochondrial dysfunction are most often malnourished in at least a few to multiple macro and micronutrients. Mitochondrial pathology is at the core of many health conditions, most of which are on significant rise globally.  Mitochondria require quite possibly the greatest nutritional support of any organelle within our cellular physiology.  When nutrients are missing from an individual’s diet and mitochondria are unsupported, they start to burn out. Eventually, after there is sufficient damage, entire neurons start to collapse metabolically. It is this collapse that generates symptoms and ultimately underlying health conditions. Continue reading

Fermented Foods

Probiotics, Fermented Foods and Metabolic Damage A Low Risk Insurance Plan

Most clinicians have at least a few foods that they are uncertain about with respect to whether or not they are supportive of their patient’s health. Certain whole grains, legumes, red meat, and fruit are all common suspects from one clinician to another. Thankfully, there are some things that can be offered to patients that can significantly increase the likelihood that a food or foods at any meal are metabolized more favorably.  Continue reading