Nourish With Claire

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Nourish With Claire I'm a registered dietitian nutritionist (RDN) passionate about helping women develop healthy relatio

Ready to skip into the weekend! Finishing out the week over here with a biz accountability call with some fellow RD gal ...
12/11/2021

Ready to skip into the weekend!

Finishing out the week over here with a biz accountability call with some fellow RD gal friends and then finishing up some client work.

Looking forward to an empty calendar this weekend!

What about you?!

Happy Friday!

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08/11/2021

Come on now... how many can you REALLY check off?

Have you build a solid foundation of health behaviors to support good gut health?

We can't underestimate the power of these necessities when it comes to gut health.

A lot times I see people wanting to bypass these important steps in favor of fancy protocols, diets and supplements.

The thing is, the fancy schmancy stuff that can support gut health really doesn't move the needle UNLESS you have a solid foundation of habits that support good digestion and a healthy gut.

Practice grace & self-compassion...

These are habits that can be a real challenge to implement into daily life in today's fast paced world and hustle culture. I still have to be mindful of several of them!

The truth is, when the body's basic needs aren't being met and you're constantly pushing yourself beyond your limits, you're constantly firing up your sympathetic nervous system (fight or flight).

When our body perceives a threat, we enter fight or flight mode. Digestion isn't a priority when we're running from a threat:

Our physiology doesn't know the difference between these threats:

Being chased by a saber toothed tiger

OR

Eating less calories than the body needs

OR

Over-exercising

OR

Overcommitting to others when we actually don't have the bandwidth

Understanding the ways in which your current habits are keeping you from getting well can spark motivation to start caring for your body in these ways.

Remember, it doesn't have to happen all at once. Choose one, make it a habit, then move on to the next.

Heyyy there! Are you new around here? It's a been a while since I've introduced myself and now that I'm back from my IG ...
05/11/2021

Heyyy there! Are you new around here? It's a been a while since I've introduced myself and now that I'm back from my IG break I thought it would be a good time 😊

I'm Claire, a dietitian based in Honolulu, serving clients in Hawaii and the mainland (thanks telehealth!)

I primarily work with patients who struggle with gastrointestinal disorders like IBS, constipation, diarrhea, gastroparesis, Celiac disease, SIBO and IBD.

I'm fascinated by the digestive system and how intricately it functions to convert our food into energy for the body. The shape of our gut plays a huge role in our overall health and it's my mission to help you achieve a happy & healthy digestive system through working together.

I love partnering with patients in their care to help them minimize symptoms and optimize their nutrition in order to live their best life.

I also love to educate and bust myths around popular nutrition fads that offer false hope to those suffering from digestive problems.

If you're curious where to start on your journey, I recommend downloading my free 15 page guide, "5 common pitfalls that actually worsen gut health and what to do instead." You can grab this freebie using the link in my bio.

Happy Aloha Friday 🌺🌴🌈🌊☀️

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Hello friends! I recently had a brand photography shoot with the lovely Amanda Wagner! She did such an incredible job ca...
03/11/2021

Hello friends!

I recently had a brand photography shoot with the lovely Amanda Wagner! She did such an incredible job capturing my vision. Our day started with a few unexpected hiccups, but we made the best of it and had a fun time! Thanks to for chauffeuring us around Honolulu all day!

I'm so excited to have some new & professional images to freshen things up as my business continues to grow!

More gut health and nutrition content coming soon!

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SIBO Series 5 of 9: SIBO TreatmentThere's no one size fits all approach to treating SIBO.There are 3 ways to eradicate S...
02/06/2021

SIBO Series 5 of 9: SIBO Treatment

There's no one size fits all approach to treating SIBO.

There are 3 ways to eradicate SIBO.

I always tell ppl that SIBO isn't necessarily a condition or "diagnosis," but rather a symptom or consequence of a root cause. More on those root causes in tmrw's post!

I argue that strategies to prevent the recurrence of SIBO and correct/fix the underlying root causes of SIBO are MORE important that what method you use to treat your SIBO.

That said, it's still important to know what your options are so you can make the best choice for YOU!

#1) THE ELEMENTAL DIET

The elemental diet (ED) is the ONLY diet that can treat SIBO. No other diets (including Low FODMAP) treat or starve SIBO, they simply help manage symptoms.

The ED consists of drinking a fiber-free formula that contains all your nutrients completely broken. For ex. proteins are provided as single amino acids, carbs are provided as simple sugars. The ED removes the substrates or fuel the bacteria need to survive.

The elemental diet is used for about 14-21 days and is shown to be more effective than antibiotics.

Often times the elemental diet is used after other methods have failed as it is very restrictive and adherence can be challenging. This option is not appropriate in settings of disordered eating or eating disorders.

The formula can be very expensive.

#2 HERBAL ANTIMICROBIALS

Some people prefer to avoid rx antibiotics when possible. There are SO many wonderful herbs that are effective at eradicating SIBO. There are many to choose from depending on many factors such as: what type of SIBO the person has, allergies, budget and more. Some examples include garlic, oregano, berberine containing herbs, neem and more! In a 2014 study, a 4 wk round of herbal therapy was equivalent to antibiotics in treating SIBO.

ANTIBIOTICS

Antibiotics are another option for treating SIBO. The most commonly used ones include Rifaximin and Neomycin. One benefit of antibiotics is that it is a shorter course than herbals. 14 days compared with 4-6 weeks.

Continued in comments ⬇⬇⬇

What does "Plant-Based" even mean? There's actually no standard definition for the word, plant-based. Many people confus...
18/05/2021

What does "Plant-Based" even mean?

There's actually no standard definition for the word, plant-based.

Many people confuse "plant-based diet" with vegetarian or vegan diets.

Omnivores can have diets that are heavily based around plant foods, with animal products playing a supportive role.

In this type of situation, the foundation of the diet is based around plant-based foods (fruits, vegetables, whole grains, beans/legumes, nuts/seeds) with animal products incorporated to provide key nutrients for health.

You can eat meat and other animal products and still consume a plant forward diet.

No matter if you choose to eat meat or not, you can have a diet that is centered around plant based foods to support a healthy microbiome.

Diversity of plant-based foods is key to a healthy gut microbiome.

How do you incorporate more plant based foods into your eating pattern?

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SelflessLeaderNurturer Funny Resilient KindHAPPY MOTHERS DAY MOM! You are everything I aspire to be. Thank you for shapi...
09/05/2021

Selfless

Leader

Nurturer

Funny

Resilient

Kind

HAPPY MOTHERS DAY MOM! You are everything I aspire to be. Thank you for shaping me into who I am. I LOVE YOU!! One more month until I get to see you! 💓🌻🌷

Also sending a Happy Mothers Day to my amazing MIL, Elizabeth. Thank you for raising a gentle, caring and adventurous man who I get to call my partner in life! I love and miss you!

SIBO Series (3 of 9): SIBO testing 101Testing for SIBO has proved challenging over the last several years. This is becau...
28/04/2021

SIBO Series (3 of 9): SIBO testing 101

Testing for SIBO has proved challenging over the last several years. This is because there has been disagreement among clinicians as to the most accurate method of testing as well as interpretation of test results.

There are some pros/cons to each method of testing.

TREATMENT TRIAL: In a treatment trial, a physician suspects SIBO is present & will prescribe a round of antibiotics to treat the suspected overgrowth without having the patient undergo any testing. Pros: not invasive, if the pt does have SIBO their symptoms could improve. Cons: You don't know which type of SIBO the patient has. Antibiotic therapy cannot be targeted to the specific microbes that are overgrown.

BREATH TESTING: In a breath test, the patient provides a baseline breath sample before drinking a carbohydrate substrate (usually glucose or lactulose) & then provides up to 10 breath samples over a period of 3 hours. The levels of hydrogen & methane gas (produced by microbes) are measured in the breath samples. There is a threshold for each type of gas that indicates whether the patient has SIBO. Pros: Non-invasive, less expensive, taken at home. Glucose test is more specific = less chance of false positives. Cons: Can be challenging for some patients to perform at home, Glucose has higher chance of chance of false negatives (meaning you could miss a positive case). Lactulose has higher chance of false positives.

JEJUNAL ASPIRATION: The jejunum is 2nd of 3 parts of the Small Intestine (SI). This test takes place during an endoscopy procedure. The patient is asleep and the Dr takes a sample of fluid from the jejunum. This fluid is cultured and examined for the presence of bacterial overgrowth. Pros: Thought to be more accurate than other methods Cons: Invasive, expensive, time consuming. Cannot detect more distal cases of SIBO (for example overgrowth of bacteria in the last part of the SI, the ileum)

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SIBO SERIES (2 of 9)Symptoms of SIBO 🥴 SIBO symptoms can be gut-related and/or what we consider "extra-intestinal," mean...
26/04/2021

SIBO SERIES (2 of 9)

Symptoms of SIBO 🥴

SIBO symptoms can be gut-related and/or what we consider "extra-intestinal," meaning the symptoms are outside the gut.

Another huge one not mentioned in the graphic is decreased energy.

Decreased energy negatively impacts your ability to fully show up in that beautiful life of yours (career, family, socially, hobbies, free time, recreation).

Often times this poor energy results from the malabsorption and subsequent deficiencies of key nutrients like Vitamin B12, vitamin D and iron.

How many of the above symptoms do you experience on a regular basis?

If you're struggling with any of the above symptoms and haven't yet been able to find an answer, it's possible you could have SIBO.

But stop right there... I don't want you going down the Dr. Google rabbit hole.

Click the link in my bio to schedule your free strategy call where we can chat about the symptoms you're experiencing and determine what a good next step might be for you.

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How many foods have you been avoiding in the name of gut health?It's so disheartening listening to the stories my client...
23/04/2021

How many foods have you been avoiding in the name of gut health?

It's so disheartening listening to the stories my clients tell me about the various foods they have shunned from their diets for YEARS.

Eating becomes more fun & satisfying when we focus on what we can ADD vs REMOVE from the diet.

In some cases, food elimination is necessary on a very SHORT TERM basis, but not for everyone.

I help my clients weigh the pros & cons of various elimination diets so they feel empowered to choose whether it's right for them.

In some cases such as celiac disease or non-celiac gluten sensitivity or other intolerances or allergies, there may be a small handful of foods that do need to be avoided long term.

Most of the time when gut health is optimized & we work on rebuilding & repairing the gut, tolerance to previous trigger foods IMPROVES.

You all know I'm always preaching diversity in the diet. For long term gut health, consider what new plant based foods (fruits, veggies, beans, whole grains, nuts/seeds) you can add into your diet.

Ensuring you consume a wide variety of plant-based foods ensures a healthy microbiome. A healthy microbiome will support digestive health, immune health and more.

See the list below for some ideas to shake things up in your diet next time you visit the grocery store or farmer's market.

🍍 Select 1 new fruit

🥦 Select 1 new veggie

🥜 Swap peanut butter for almond or sunflower seed butter (another idea is to rotate which nut butter you use each time you go to the store)

🍚 Find a new whole grain (quinoa, buckwheat, sorghum or millet)

🥥 Add a fiber booster (chia, ground flax, h**p seeds, shredded coconut) to the grocery haul that can be added to smoothies, yogurt, oatmeal, etc.

Which will you choose on your next shopping trip?!

NEW SERIES (1 of 9): All about SIBOIs it IBS or is it SIBO? 🤔🤔🤔If you aren't finding relief from standard nutrition and ...
22/04/2021

NEW SERIES (1 of 9): All about SIBO

Is it IBS or is it SIBO? 🤔🤔🤔

If you aren't finding relief from standard nutrition and medical interventions for your IBS, it might be time to look a bit deeper 🔎🔎

Swipe through to learn more about SIBO.

Here are a few signs that SIBO is complicating your IBS case:

💛 Your gut symptoms improve dramatically following a round of antibiotics

💛 Your IBS was caused by an episode of gastroenteritis (post infectious ibs)

💛 Your IBS symptoms get worse when you eat or take supplemental prebiotics or probiotics

💛 Increasing fiber in your diet worsens symptoms

💛 Chronic anemia with no other explained cause

💛 You have a history of abdominal surgery

💛 You have celiac disease, but don't get better after adopting a GF diet

Curious if SIBO is complicating your digestive health? Let's chat. In my practice I frequently test for and develop nutrition, supplement and lifestyle protocols to help you beat SIBO.

Book your free strategy call using the link in my bio.

PMID: 29761234
PMID: 12591062

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APRIL IS IBS AWARENESS MONTHSwipe to learn about Irritable Bowel SyndromeIBS is not "just in your head." Have you ever f...
13/04/2021

APRIL IS IBS AWARENESS MONTH

Swipe to learn about Irritable Bowel Syndrome

IBS is not "just in your head."

Have you ever felt dismissed by a medical or health professional because of your IBS?

This is a common experience for so many patients who suffer from IBS.

When I partner with clients to help them on their IBS journey, I make it a priority to make them feel:

💛 seen
💛 heard
💛 validated

I want to empower you with knowledge about your condition so you understand your options.

I've worked with countless IBS patients to help them find an individualized plan to address underlying factors that impact their symptoms.

Are you next?

Click the link in bio to schedule your free discovery call and find out if we're a good fit to work together.

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Opening Hours

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Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
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Friday 09:00 - 17:00

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