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27 Ellul 5766 - September 20, 2006 | Mordecai Plaut, director Published Weekly
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Home and Family

Your Medical Questions Answered!
by Joseph B. Leibman, MD

Director, Emergency Services, Bikur Cholim Hospital

I would like to speak about some of Rosh Hashonoh's traditional foods.

Apples are high in fiber and a good source of iron. Their juice however, is usually strained, so the fiber is lost. Furthermore, apple juice contains indigestible sugars which often cause looser stool, so it is not a good choice for children with diarrhea. Many Israeli apple juices are truly apple "nectar," which means that they have some apple juice with a lot of additives, the biggest one being sugar. Note that Israeli law allows advertising "has only natural ingredients" even if sugar is added. Diabetics: take note.

Honey is such an interesting food. Because of its acidity, it cannot support bacterial growth and will never spoil. Honey has a lot of calories, but since it is sweeter than sugar you may be able to get away with less.

Pomegranates have a lot of sugar as well. The pits are laxative. Pomegranate juice is very healthy and a good source of potassium. Keep in mind that the Spring brand markets plain pomegranate juice and a pomegranate juice with apples and honey. Both mixtures contain a lot of sugar and are not pure juice by any stretch of the imagination.

Everyone knows that carrots are high in vitamin A and may even tint the skin yellow if eaten in abundance (No, I have never seen a yellow rabbit). Vitamin A should never be taken in excess, but it is doubtful that you can eat enough carrots to cause a problem. Cooking carrots destroys a lot of the Vitamin A, but you still get the benefit of fiber.

Heads of animals give the benefit of meat, but this is another reminder that one should avoid organ meats. They are high in bad fats.

Nuts are not eaten by many on Rosh Hashonoh, and neither are grapes or pickles. Pickles are also not eaten — they are filling and have fiber. Nuts are full of nutrients and good fats, but oh, the calorie load. The nut with the fewest calories is the chestnut, whose season is coming soon. Pecans have the most fat and Brazils are not far behind.

Keep in mind that peanuts are one of the most common food allergies. American law now dictates that any amount of peanuts in a food item must be specified on the package, as even trace amounts can cause allergies.

Do nuts prevent cancer? Many have antioxidants, but there is not concrete proof yet. Seeds — and yes, the cashew is a seed as well — are similar: high in nutrients, high in calories.

Grapes are my personal favorite, but they are also high in calories. Keep in mind that grape juice and orange juice are high in sugar, but have lost the benefit of their fiber since they are strained. However, they are good replacements for salts lost in diarrhea.

Dates are delicious, but very high in the calorie department as well. Many dried fruits are high in iron. El Al, in order to provide a fruit dessert that will keep well on an airplane, often serves dried fruit that has been softened by the addition of sugar syrup. Again, it has a high calorie count, but is still better than cake.

While we are on the subject of dried fruit, let's talk about round challah with raisins. Raisins share the benefits of dried fruit, and are a laxative as well. Laxatives, when needed, help prevent colon cancer, the most common cancer in industrialized countries. But patients with diverticulosis — a disease of the colon where pouches are formed in the colon wall — cannot eat raisins and seeds.

Eat in moderation during the holiday season. Crash eating and then dieting afterwards is not a good idea. There is a tendency to eat a lot. It isn't so much what you eat but how much of it you eat.

Shonoh tovoh to all and write me in care of the Yated.

 

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