Digestive Health – Page 4 – Clinical Alimentary

Chicken and pesto pasta – low fodmap

I am trying again with Kale, using kale is a way of getting more cruciferous brassica vegetables into the low fodmap diet. Why should that be important? These vegetables contain sulphur compounds such as glucosinolates, compounds that have been implicated in the prevention of colon cancer (1). These vegetables are also rich in nutrients such as vitamin C and folate – unfortunately these vitamins are water soluble so will be reduced by boiling in water. This is a bit of a problem as most kale is exceptionally tough to eat and needs a good amount of cooking! It does contain the fat soluble vitamin K, beta-carotene and leutine, which is retained. It is really important to eat a wide a variety of foods as possible when following the low fodmap diet to get as much good nutrition as possible. The following recipe is a good start! If you really don’t want to try kale in this recipe other low fodmap cruciferous vegetables are Bok Choy, white and red cabbage, turnip, swede, watercress and radish – not all suitable alternatives for this dish, though. Enjoy!

Ingredients

200g Gluten free dried pasta

60 g grated parmesan cheese

2 heaped tablespoons of pine nuts

1 packet of basil leaves

100g Kale

100ml oil

2 chicken breasts

seasoning

Method

Make the pesto – blend together the pine nuts, basil, olive oil and parmesan.

Chop the chicken – take care not to contaminate surfaces with raw chicken – clean down well after chopping it, or buy chicken strips.

Add the chicken to a pan with 3 tablespoons of the pesto and cook till the chicken is cooked through

Start to cook the pasta in boiling salted water and add the chopped kale to the pan.

The trick with cooking gluten free pasta is to use the packet cooking instructions – overcooking will turn it to mush.

Drain the pasta and kale.

Combine the ingredients, add seasoning if needed the parmesan is quite salty so additional may not be needed

Serve, contains 2 portions

2014;66(1):128-39. doi: 10.1080/01635581.2014.852686. Epub 2013 Dec 16.

Cruciferous vegetables and risk of colorectal neoplasms: a systematic review and meta-analysis.

Tse G¹, Eslick GD.

September 30, 2017September 7, 2019

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Lamb Kofta on gluten free flat bread – low fodmap

I am at the moment experimenting with Greek and Middle Eastern dishes and modifying them to suit a low fodmap diet. I was surprised how well these flat breads turned out – although they are better when served slightly warmed. Enjoy…..

Ingredients

Kofta

400g lamb mince

small sprig of rosemary

1 teaspoon of Lebanese seven spice

1 teaspoon of garlic infused oil

seasoning

Flatbread

250g white gluten free bread flour

seasoning

1/4 teaspoon xanthan gum

1 egg

3 tablespoons lactose free yoghurt

70 mls of water

Method

Kofta

Chop the rosemary finely

Add the mince to a bowl and add the rest of the ingredients and mix well

Weigh into 50g portion sizes and shape into sausages.

Fry in spray oil for 15 minutes (or until cooked through thinner sausages cook faster)

Makes eight

Flatbread

Add the flour to a bowl and weigh in the xanthan gum

Mix well and add seasoning

Add the liquid ingredients and bring the dough together

Weigh into 6 separate balls

Roll out and trim into a circle shape

Fry with spray oil

Serve with feta cheese, a drizzle of olive oil, thyme and a tablespoon of pomegranate seeds per serving – if you are following a fodmap modified diet and can tolerate GOS (galacto-oligosaccharides) you could a tablespoon of hummus to each flatbread. If not you can use my recipe for Tzatziki and turn this into a Greek dish here https://clinicalalimentary.blog/2017/08/08/tzatziki-low-fodmap/

August 20, 2017

Jules_GastroRD2 Comments

Lime chicken salad – low fodmap

I am on Holiday this week and I have not picked a good one for the weather unfortunately. I decided to being some colour into my evening meal and brighten my day. So here it is a nice crunchy salad. The tortilla chips add a bit of different texture and I hope you enjoy it as much as I did.

Ingredients

3 carrots (I used rainbow but you can use any kind you like)

3 baby courgettes

2 small bags of M&S tortilla chips (wheat free)

3 tablespoons of lactose free Greek yogurt

1 teaspoon of Lebanese 7 Spice (Arribica)

Grated rind of 1 lime

2 chicken beasts (cooked)

oregano

Seasoning

Method

Slice the carrots two different ways

Slice the chicken breasts

Add the spice to the yogurt and mix well

Combine the ingredients on a dish

Serves 2

August 8, 2017

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Sausage and watercress conchiglie pasta – gluten free and low fodmap

This dish is really easy to make and can be incorporated into your low fodmap recipes for working week nights, plus you don’t need to use fresh herbs – dried are just as good but maybe use a little less as the flavour is more concentrated in dried herbs. I don’t eat sausages often, and I do find gluten free ones generally have a higher level of meat so you tend to get what you pay for. Pricking and grilling them does remove some of the fat but they are still relatively high in fat – although 1 1/4 sausages for each serving is not too much! Check the sausages are gluten free but also free of onion – sometimes local butchers are the best option to buy.

Ingredients

300g of dried gluten free pasta

1 pack of watercress

6 gluten free sausages

1 sprig of fresh rosemary

2 sprigs of fresh oregano

drizzle of oil

Seasoning

2.5cm block of grated parmesan

fresh oregano flowers to decorate

Method

Prick the sausages with a fork and grill for 15 minutes till cooked

Put a pan of water to boil add a small amount of seasoning and add the dried pasta

In a pan add a small drizzle of oil and add the herbs and fry to release the flavour, then add the watercress and heat till wilted

Slice the sausage, drain the pasta

Add all the ingredients to the pasta and stir well

Serve

Add a sprinkle of parmesan to each dish

Decorate

Serves 4 with a green salad!

July 23, 2017

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Aubergine stuffed with lamb and pine nuts

This recipe is another Ottolenghi recipe which I have modified to make it low fodmap and is quite simply delicious the original version can be found in his Jerusalem recipe book. It was very easy to modify really- just don’t add any onion to the recipe! Cinnamon is low fodmap and one of my favourite spices. It does take time to prepare so it is probably a recipe for a Sunday evening meal – slow food and great for fodmaper’s with IBS. Serve with wholegrain rice for a complimentary starchy carbohydrate.

Ingredients

4 aubergines

6 tablespoons of oil

11/2 teaspoons of ground cumin

11/2 teaspoons sweet paprika

1 tablespoon of ground cinnamon

500g mince lean lamb

50g pine nuts

20g flat leafed parsley

2 teaspoons tomato puree

3 teaspoons of sugar

150 ml water

1 teaspoon of tamarind

4 cinnamon sticks

1 tablespoon of lemon juice

seasoning

Method

Slice the aubergine length-ways and place skin side down in a roasting tin. Brush with 1 tablespoon of oil and season. Cook at 220 degrees C, gas mark 7 for about 20 minutes.

Whilst the aubergines are cooking make the sauce. Add the remaining olive oil to a pan and add half the dry spices and cook for 2 minutes to release the flavour of the spices. Add the lamb, pine nuts, parsley, 1 teaspoon of the tomato purée, 1 teaspoon of sugar and seasoning. Cook for about 10 minutes till the meat is browned.

Place the remaining spices in a bowl and add water, lemon juice, tamarind, remaining sugar, 1 teaspoon of tomato purée, cinnamon sticks and season well. Remove the aubergines from the oven and top each with a quarter of the mince. Pour the sauce into the bottom of the roasting tin. Place the dish back in the oven cover with foil or a lid, reduce the temperature to 195 degrees C or gas mark 5 and cook for another one and a half hours. Serve with a sprinkling of chopped parsley.

Serves 4

July 16, 2017

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lactose free labneh dip – low fodmap

What is labneh? It is a middle eastern strained yoghurt that removes some of the whey component – some individuals can tolerate yoghurt when they have lactose intolerance however it is unclear if the draining of the whey will concentrate the lactose sugar or remove some of it. Unfortunately Wikipedia has a very unhelpful ‘reference’ in this regard suggesting that it is lower in lactose – the magazine that published the article (not a scientific reference) had to retract the statement although no actual testing appears to have been completed. It would be interesting to have Labneh made from standard yoghurt tested before and after making it, to see what the lactose content is. I however, knowing about how difficult it can be for people with lactose intolerance to be confident in what they eat, have chosen to make labneh with lactose free Greek yoghurt. This was purchased from Tesco, which do appear to have a good range of refrigerated lactose/dairy free products available. The other issue I have with some of the free from products is that they can be high in fat and the Tesco product is classed as moderate total fat (10.3 percent) this will be a high component of saturated fat – draining the whey will increase the fat percentage of the dish by a small amount. labneh is thicker than standard yoghurt and sometimes it is called a cheese, some recipes call for 48 hours straining which results in a product that can be rolled into balls and coated with delights such as seeds and nuts. I couldn’t wait that long 😄 so my version was just very thick, rich and tasty. Some recipes call for the addition of salt but my version worked just as well without adding any.

Ingredients

1 tub of Greek style lactose free yoghurt

Drizzle of oil

1-2 chopped walnuts

1/2 Teaspoon of Lebanese 7 spice mix

Grated rind of 1 lemon

Drizzle of olive oil

Sprinkling of sunflower seeds

A few edible rose petals to decorate

Serve with strips of toasted gluten free pitta breads