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Jessica Goldman Foung

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Rewriting the Low-Sodium Rules

Posted: 05/01/2012 9:23 am

If I offered you a plate of steaming low-sodium food, chances are your taste buds would quickly retreat, imagining boiled potatoes, steamed broccoli, and a flavorless meal. For one. That's because salt has become synonymous with good taste, good food and, as a result, a full life. Which is why so many people who are told to cut back for health reasons resist the charge. But after living on a salt-free, low-sodium diet for almost a decade, I can guarantee that low-sodium does not have to mean a life of making colorless meals at the kitchen stove by yourself.

Whether you've been told to cut the salt, wheat, nuts, or any other ingredient, the misconception remains the same: If you have dietary limitations, your culinary life will suffer. And that might be because most information on how to approach a special diet focuses on the "cannots" rather than the "cans." Which, no wonder, leaves patients feeling deflated versus inspired.

But let's replace each no with a resounding yes. And since May is Hypertension Month, let's rewrite the 10 commandments of keeping a low-sodium diet (or any special diet for that matter) and focus on how to keep the foods and activities you love while putting your health first.

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  • 1. No Flavor

    Have you checked out the spice aisle lately? Sure, there are a myriad of salts available -- sea, kosher, truffle and lavender. But it's not the only jar on the shelf. Spices, seeds, herbs, and saffron threads -- there's a rainbow of flavor beyond the white stuff. And removing the salt will not limit your choices; it can actually expand your flavor profile. It gives new cuisines and spices a chance to shine. Because when you remove one ingredient from your list, you're forced to discover the other options you never thought to explore. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/bossco/34970689/" target="_hplink">bossco</a></em>

  • 2. No Convenience Foods

    It's true that packaged and prepared foods constitute <a href="http://newsroom.heart.org/pr/aha/1316.aspx" target="_hplink">75 percent of the sodium</a> that Americans consume -- which, on average, adds up to a daily overintake of 3,436 mg. But here's the good news: A number of no-salt added and low-sodium products can be found in markets and online. And more are coming every day. Roasted tomato purees, curry and BBQ sauces, pickles, individual microwave rice bowls, and even pizza-making kits already exist, making low-sodium breakfast, lunches, and dinners easier to prepare. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/icanchangethisright/3706242212/" target="_hplink">bradleygee</a></em>

  • 3. No Snacking

    Although we all would love to cut back on aimless eating, it's nice to have treats on hand for a midday snack attack, beyond just fruit and vegetables. And with salt-free chips, rice crackers, pickles, and individual peanut butter packets in the market, it's easy to fuel up while keeping to your low-sodium diet. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/juliryan/3529332021/" target="_hplink">juli ryan</a></em>

  • 4. No Dining Out... Well

    Of course you can always order steamed vegetables and grilled meat and know that you're eating a safe, low-sodium meal. But that's not why you made the reservation, put on your "good" shirt, and headed out on the town. So first, get over the notion that your needs are a nuisance to the restaurant. Then, give the kitchen staff a call ahead of time to let them know about your needs. And be sure to bring a chef's card with you, which lists all the things you can and cannot eat, so the server may pass it back to the person creating your meal. That way, they'll feel ready and inspired to make a picture-worthy plate of food. And don't forget a thank you note. Loyalty, flattery, and gratitude go a long way. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/gloryfoods/6243726762/" target="_hplink">Glory Foods</a></em>

  • 5. No Take-Out Or Cheap Eats

    It's definitely more difficult to find low-sodium options when the food is "fast." But it isn't impossible. What it requires is relationship building. Is there a burger or a pizza joint you wish you could eat at? Then go make a special visit to talk to the manager and tell them about your restrictions. See if, together, you can come up with a plan, like calling a day ahead or storing your own special sauce in their refrigerator, that works for their production line and your diet needs. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/nicksherman/2694358933/" target="_hplink">Nick Sherman</a></em>

  • 6. No Quick Fixes

    You can make almost anything, without salt, from scratch. Which, depending on the dish, may take some time. But low-sodium cooking does not have to mean hours in your kitchen. As long as you have the tools (immersion blender, rice cooker, cuisinart, slow cooker) you can make 30-minute meals, one pot dinners, and dishes that practically cook themselves. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/foodthinkers/4165013899/" target="_hplink">Food Thinkers</a></em>

  • 7. No Potlucks, Dinner Parties Or "Shareable" Dishes

    Low-sodium food doesn't need excuses; it can be brag-worthy. That's because cooking "without" requires creativity and the use of ingredients and food combinations that may be unfamiliar to many of your family and friends. It inspires you to use color, texture, and to break the rules in traditional recipes. Which, together, are the elements that make any meal impressive and memorable. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/rlcasey/2880944003/" target="_hplink">rlcasey</a></em>

  • 8. No Eating On-The-Go

    It's easy to grab a fulfilling lunch with coworkers, a snack at the airport, or a bite while moving from point A to point B, all while keeping to your low-sodium needs. The trick? Keep things like salt-free spice blends, nuts and seeds, dried fruit, and even individual packets of tahini or peanut butter with you at all times. That way, if you're stuck with limited choices of a simple salad or steamed bowl of rice, you have everything you need to bump up the flavor and McGuiver a more interesting meal. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/edtechie/5558073843/" target="_hplink">edtechie99</a></em>

  • 9. No Eating Abroad

    You may think that a language barrier means one low-sodium challenge that's impossible to cross. But by applying the same creativity and proactive attitude to your eating in foreign countries, you can still dine safely and well. Do your research ahead of time and search blogs for restaurant recommendations and tips that relate to the country you plan to visit. Whether it is a tour guide, a friend, or the hotel concierge, enlist a local to help you navigate the food options. And as added backup, have that chef's card translated so that, just like back at home, you can ensure the kitchen gets all the information they need to prepare a healthy meal for you. <br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/syasara/94117020/" target="_hplink">syasara</a></em>

  • 10. No Bacon

    Did I get your attention? Well, salt-free bacon may not exist... yet. But the point is, with creativity and savvy substitutions, anything is possible. Sushi, soy sauce, shellfish -- even if you have to skip the real thing, it doesn't mean there aren't really satisfying and impressive ways to mimic the foods and flavors you love. Or do the things you love. Or live the life you love. And to turn those dietary restrictions into something special.<br><br> <em>Flickr photo by <a href="http://www.flickr.com/photos/sxld/3439651256/" target="_hplink">sxld</a></em>

For more by Jessica Goldman Foung, click here.

For more on diet and nutrition, click here.

 

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If I offered you a plate of steaming low-sodium food, chances are your taste buds would quickly retreat, imagining boiled potatoes, steamed broccoli, and a flavorless meal. For one. That's because sal...
If I offered you a plate of steaming low-sodium food, chances are your taste buds would quickly retreat, imagining boiled potatoes, steamed broccoli, and a flavorless meal. For one. That's because sal...
 
 
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HUFFPOST SUPER USER
DrP
11:07 PM on 05/05/2012
Or don't worry about it. There is no science to support sodium restriction for the vast majority of people. Those of us on LCHF actually need to be sure to get enough salt.
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HUFFPOST SUPER USER
eLucida
Liberate Fitzwalkerstan, defeat A.L.E.C.
11:56 AM on 05/05/2012
Go Ahead, Salt Your Food

"For thirty years, people have believed salt should be avoided at all costs. It's time to put that myth to rest.... "Indeed, the controversy over the benefits, if any, of salt reduction now constitutes one of the longest running, most vitriolic, and surreal disputes in all of medicine," wrote Gary Taubes in Science."

http://www.esquire.com/the-side/MARIANI/mariani-salt-essay

Taubes. The (Political) Science of Salt. Science. 1998. 281: 898-907
http://garytaubes.com/wp-content/uploads/2011/08/science-political-science-of-salt.pdf
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HUFFPOST SUPER USER
Chuck Bluestein
Always searching for latest health breakthrough
06:18 PM on 05/04/2012
Just how bad is excess amounts of sodium from salt in your diet? A teaspoon of salt has more sodium than 100 pounds of unprocessed foods. If you put 4 ounces of salt (that is how much meat is in the quarter-pounder) in a pint of water and drink it, you will die. I am not responsible for anyone dying from trying this.

All these studies show that salt is bad for you, but one study (mentioned below) showed that salt was good for you. But IT WAS FLAWED. It assumed that the more salt that you consume, the more salt in your urine. It only measured salt in the urine, not how much was consumed. The salt in your body is bad for you, not the salt in your urine.

If they would have tested this assumption, then they would have learned that the more potassium you consume, the more sodium in your urine. It is actually the ratio of sodium/potassium that affects health. The higher it is, the worse for health. Every cell in the body has a sodium-potassium pump. Salt is not a food like all the other spices are. Salt causes people to eat more. http://bit.ly/mZ18RQ Also salt has no calories but makes you overweight due to water retention.
HUFFPOST SUPER USER
trader14
06:34 PM on 05/06/2012
If your talking about the study i cite it has been relplicated many times - can you show us any independent studies that show salt is bad for you? If you google salt is bad studies you will have to look long and hard to find any
02:16 AM on 05/03/2012
Not a very realistic method to reduce sodium... Call ahead?? Bring a chef card? nonsense. Sep 1. Being grateful for the food you eat and saying a form of grace before every meal makes it healthy-subconsciously. 2. Following that thankful attitude comes common sense.... Dont add extra salt. Dont use food with too many spices while out because more than likely they are full of salt. dont eat frozen/packaged foods. Eat as close to natural as possible. They were right in writing steamed veggies and grilled meat(if you eat meat) 3. Snacking is good! Fruit is a delicious snack! The benefits from increasing your fruit intake is just tremendous. my body looks amazing! and its because I have increased my fruit consumption and limited animal content. Plus fruit has lots of water so your kept hydrated and for longer. 4. Moderation! Dont go crazy its not necessary. Give yourself passes here and there your only human. as long as your 90% healthy having a slice of pizza when your out with your friends is fine (just blot the grease off!) There are many more important aspects of health than dramatically reducing sodium. Stay active! Stay positive! Eat naturally! Thanks for letting me share
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george martini
I wasn't always this introverted.
10:40 PM on 05/02/2012
Low sodium is a nomen dubium (doubtful name in Latin) for common salt. Jessica Goldman Foung's insipid nomenclature is quite dubious for all of you unfortunate people that don't understand chemistry. There may be exceptions, but typically sodium cloride (NaCl) should only be taken to replace the salt in your body if you sweat excessively to avoid dehydration.
HUFFPOST SUPER USER
trader14
10:25 PM on 05/02/2012
It is a shame that this author as well as many other people limit their sodium when studies show that 1) sodium isn't bad for you 2) sodium is actually good for you 3) limiting your sodium is actually less healthy than not.

Now of course i'm not advocating going to extremes on either side of the equation however a large study on webmd shows that a salty diet is good for you. To quote the study "Their finding: People with the highest sodium levels had a significantly lower risk of dying from heart disease than did people with the lowest sodium levels."

http://www.webmd.com/heart-disease/news/20110504/study-shows-salty-diet-good-heart-group-disagrees
08:00 PM on 05/04/2012
I also heard that only as far back as our great grandparents time, we at an average of 3 times the amount of salt we do now even with the processed foods of the modern SAD. I mean, what do you do when you don't have a fridge? Salt is definitely my friend, and I think that it gets a bad rap when there are platforms like this that don't give the entire story.
HUFFPOST SUPER USER
DrP
11:09 PM on 05/05/2012
Just don't eat processed food. For a variety of reasons, but too much sodium is probably not one of them.
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HUFFPOST SUPER USER
Chuck Bluestein
Always searching for latest health breakthrough
10:10 PM on 05/04/2012
This study had a huge flaw in it making it meaningless. I wrote an article on this. The huge flaw is the assumption that the more sodium in your urine, the more sodium that you consumed. They only measured sodium in the urine, not in the diet. It turns out that the more potassium in the diet the more sodium in the urine. Huffington Post has an article about high sodium is not what is bad for health. It is high sodium and low potassium.

With low potassium, the body holds on to a lot of sodium so the body needs to retain a lot of water, making one fat and sick. Increase potassium and there is more sodium in the urine and less sodium in the body. Note that when someone fasts on pure water with no minerals, they have huge amounts of sodium in their urine. This is why they can lose 15 pounds in 4 days. They lose the excess sodium and then they lose the excess water (2 gallons of water weighs 14 pounds).

This is how Beyonce lost 20 pounds in 10 days on the lemonade diet. It has lots of calories but no salt so she could lose the water weight. This is why they used to say that it appeared the less water people drank, the more they would retain and the more they drank, the less they would retain. This is how I got 2,494 fans!
11:02 AM on 05/02/2012
I'm trying to adjust to the low sodium life, but I'll take salty foods over sweets or carbs any day, so this is HARD. It's not for high blood pressure as someone commented is their idea of the only reason for it, but with my excessive love of it and because of the insulin shots I take which adds to water retention I blow up like a blow fish. When you have to decide if you can leave the house for the day depending if you can get you shoes on or not or reach them to try, it's a lot more going on wrong than just one thing because of excess salt. I lost nearly 20 lbs when I dropped intake to 1200 mg/day.

My two main issues is trying to replace flavor. I don't eat out so that's not an issue. I don't handle the taste of fake salt (potassium chloride types) but the real problem is I have yet to find the no salt, premade mixes that don't have black pepper. Chile peppers I can handle within reason but not black pepper. The other problem is a husband who hates any kind of spice or herb. The list doesn't stop there of what he won't eat. So plain food isn't a problem to him if extremely limited, but it fully means I have to fix two completely different meals and I get all the left overs because he won't eat those either, of course.
08:41 AM on 05/02/2012
Great article. In my opinion, log EVERY piece of food or drink you put in your mouth, minus water. Being held accountable will truly make a difference. At the end of each day when you see (in writing) everything you have eaten or drank, it can be quite frightening. Especially when you don’t think you “ate that bad” that day. It will encourage you to make healthier choices as each day passes. Then before you know it, the weight starts coming off. Amazing what the mind can do….like running a marathon :-}

http://thedietsolutionprogram.site88.net/
HUFFPOST COMMUNITY MODERATOR
JScott
John Galt's last name is McGuffin-Smithee
02:49 PM on 05/01/2012
Pickles c'mon, one of the worst

And have you ever checked the nutrition label on Zatarain's (1st pic) last time I looked, pretty high in sodium
08:10 PM on 05/01/2012
Actually, when it comes to pickles, Ricks Picks offers a few that are extremely low in sodium (the Phat Beets only have 10mg per serving). And Ginger People has pickled ginger with no sodium as well. Both examples of that fact that, when it comes to snacks and grocery store items, you just have to keep those eyes open for no-salt-added products. And to continuously turn every can, jar, and bag around to check out that nutritional content. You never know what low-sodium surprises you'll find.

And speaking of keeping eyes open, as for the pictures, those were pulled from the web. But your keen eye and good catch is a great example of knowing which products are low-sodium and which aren't -- just by sight! Which will help you make good decisions while shopping and even eating on the go. So thank you for that!
01:46 PM on 05/01/2012
salt is fine. eat it. dont worry about sodium. eat saturated animal fat, salt, dairy, eggs, nuts ALA weston a price foundation. just dont eat any refined sugar or flour and make sure you exercise. you'll hit the maximum life expectancy for your genetic inheritance. If you have intestinal problems of any kind go on GAPS diet and then youre good to go.
HUFFPOST SUPER USER
trader14
10:28 PM on 05/02/2012
spot on! Natural foods, foods not genetically modified and limit as much as possible processed foods
11:32 AM on 05/01/2012
let me add their are plenty of salt substitutes, Bragg liquid aminos (which has sodium from another source, but is packed with nutrients) Gaylord Hausers different line of food enhancers, and on and on............ a natural sodium taste can also come from seaweed that is inside some seasonings, and is supposed to be good for you........
Costco also has a BIG 14.5 oz Organic seasoning that LASTS a long time and has a good variety of seasoning taste, for under $9...... that's a good deal!
11:26 AM on 05/01/2012
Remember try to steam, and avoid the microwave - articles here at;
http://tony-baja-health-resort.blogspot.com/
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HUFFPOST SUPER USER
lioness39
Senior red state liberal
10:18 AM on 05/02/2012
Thanks for posting this. Good information.
06:50 PM on 05/07/2012
your welcome, and come back and visit the Tony Baja Health Resort again, for new info - daily............well, almost daily...
09:12 AM on 05/01/2012
Without salt we die. Period. Salt only increases blood pressure by a couple of points, so if your blood pressure is ready to kill you already, then maybe cut back on the salt. But short of that, if we don't eat processed foods we can add salt to the things that we cook and not worry about it. High salt intake tends to occur in the processed rubbish that is eaten. The other important thing is to choose a high quality salt that is natural. Salt often has aluminum added to it to keep it pourable. Aluminum is associated with alzheimers and who knows what other terrible diseases. So choose a quality natural salt like a celtic sea salt which still has natural minerals in it.
08:19 PM on 05/01/2012
It's true that we need sodium to function. And it's also true that salt belongs in the kitchen and even on the kitchen table -- it is a great flavor enhancer.

But for those of us who must cut back on the salt and sodium for health reasons, it is also important to remember that sodium occurs naturally in food. Like a 1/4 pound of ground beef (75mg of sodium), a single egg (70mg of sodium), not to mention a large carrot (50mg of sodium), or a single beet (64mg of sodium). So even without the shaker, one still consumes a good amount of natural sodium throughout the day -- which is why, when you add in the processed and super salted stuff, Americans tend to go way over the recommended daily limits.

Depending on people's needs, it's best to be educated. Know where the salt and sodium is.And then add the shaker at the table, depending on your health needs.
11:16 AM on 05/02/2012
Another food that completely surprised me with natural sodium was Swiss Chard. One cup of raw chard has 77 mg of sodium.

Then of course celery one cup chopped which is standard for recipes has 81 mg of sodium. So by the time you make the standard mix of celery, carrots and onions (mirepoix (sp) or sofrito in other cultures) for taste you're adding in quite a bit really before getting to the main ingredients.

It's not just highly refined foods either. You really have to check individual brands of frozen vegetables too. Peas are one example of that. One brand of plain English peas can have no salt added and the next have a lot.