Showing posts with label low-iodine diet. Show all posts
Showing posts with label low-iodine diet. Show all posts

Wednesday, September 28, 2016

Low-Iodine Diet

This blog entry is all about the food I've been preparing and eating the last couple of days. Some of you may not care about this, but I wanted to create a blog post for anyone searching the net for vegetarian recipe ideas on the low-iodine diet prior to their radioactive iodine treatment. 

These days have been overtaken by cooking. I absolutely love to cook, so this was a fun adventure for me. And luckily, I'm not in school, working, or on a clinical rotation right now, and my son goes to daycare during the day, so I have a lot of time on my hands to make all sorts of new recipes. There are some things that I miss eating on this diet...like cheese and olives...oh...and eating out, but I'm surviving :-P . Amazing how many things have salt (and iodine) in them! But this diet basically eliminates all processed foods and a few non-processed foods as well like rhubarb (which I don't ever eat anyway), potato skins, and a few types of beans (kidney, lima, pinto, navy, and cowpeas). Also, since most canned beans have salt, they recommend making your own. For a full list of things I'm not allowed to eat, here's the document link: 
http://www.thyca.org/download/document/229/Cookbook1pgEng.pdf

It's not too bad if you cook most of your food at home and are already a pretty healthy eater like I am. If I were cooking and working or going to school or on rotation, I don't think this would be very easy to do. 

Here are the things I've been making (links provided if available since I pulled some things from the Ten Talents Vegetarian Cookbook - TTVCB):

*Note: Any salt called for in a recipe, I used Morton Non-Iodized Salt
*Another note: I already have to eat non-wheat products due to my wheat allergy, so I make all of my food gluten-free using Bob's Red Mill flours and buy gluten-free pasta. Tinkyada brand is my favorite and luckily, has no salt in their pastas.

  • Homemade tomato sauce (for pasta): Found in the TTVCB
  • Banana bread (http://cookieandkate.com/2015/healthy-banana-bread-recipe/ I subbed Bob's Red Mill GF baking flour since there are no dairy or eggs in his mixes and I used my homemade cashew milk instead of the milk or water listed here. I also used flax eggs instead of regular eggs.)
  • Cashew milk - TTVCB
  • Almond milk - TTVCB (store bought is a no-no since 99% of processed nut milks contain sea salt and/or carrageenan which is an extract of red seaweed)
  • Vegetable broth (I have been saving my vegetable scraps for a few months now in a bag in the freezer and I put all the scraps in my crock pot, added enough water to cover the scraps,  added some non-iodized salt, a bay leaf, and half an onion, and cooked on high for 10 hours. In the morning, I strained the broth and dumped the veggies in my compost bin.)
  • Quinoa Tabouleh - I used 2 bunches of parsley pulsed in food processor, 4 tomatoes diced, 1 green bell pepper diced, 3 cups cooked quinoa, juice of 2-3 limes, and salt to taste (this was my own creation and you can actually find a lot of really good recipes out there, but they call for other ingredients like mint and green onions, which I am not really a huge fan of in my tabouleh)
  • White kidney beans cooked in pressure cooker (http://www.thekitchn.com/how-to-cook-beans-in-a-stovetop-pressure-cooker-193867 for aromatics and  http://www.hippressurecooking.com/pressure-cooking-times/ for cooking times)
  • Black beans cooked in pressure cooker (see above links)
  • Lentil soup (http://cookieandkate.com/2015/vegan-lentil-soup-recipe/ This recipe calls for canned diced tomatoes. Originally I was going to use fresh tomatoes, but Sprouts actually had no salt added canned diced tomatoes, so I bought those instead and I used my homemade vegetable broth)

So what does my typical food day look like? *Note: This is how I eat the majority of the time, it's just a little more involved since I'm having to make my own pasta sauce, milk, and beans.

Breakfast:
  • Oatmeal cooked with raisins and added a small amount of coconut oil, raw organic honey, cinnamon, nutmeg, and a handful of chopped walnuts and a splash of my almond milk
     or
  • Protein smoothie: 1 scoop of RAW Protein and Greens powder, approx 1 1/2 cups of mixed fruit (I like strawberries, blueberries, mango, banana, peaches, etc), 1-1 1/2 cups of my homemade nut milk, 2 Tbsp ground flax seeds, 1 Tbsp chia seeds, ice (if not using frozen fruit), blend and add water to make it more smooth.

Snacks: 
  • Sliced apple with unsalted almond or cashew butter 
     or 
  • Banana with a handful of pecans, walnuts, almonds, or cashews
     or
  • Air popped popcorn using my popcorn maker sprinkled with coconut oil, non-iodized salt, and nutritional yeast

Lunch: 
  • Tinkyada pasta with my homemade sauce sprinkled with nutritional yeast and a side salad consisting of spinach, tomatoes, cucumbers, mini sweet bell peppers, drizzled with olive oil, salt, pepper, Italian seasoning, and lime juice
     or
  • A bowl of my quinoa tabouleh
     or
  • Lentil soup

Dinner:
  • Cooked rice topped with the pressure cooked beans (I like to add some of the bean juice as well), steamed green beans, and fresh chopped tomatoes
     or
  • Sweet potato (no skin), egg whites or beans, and steamed broccoli or any steamed vegetable (peas, artichoke, asparagus, green beans, etc)
     or
  • Any of the items listed for lunch




Thursday, September 22, 2016

Follow up appointments: Tuesday 9/20/16

I'm a few days late to the update, but I've been busy with school work, cooking, and continuing to attempt to catch up with Game of Thrones.

On Tuesday morning, my mom and I went to my follow up appt with the ENT who did my surgery. He removed my SteriStrips and stitches. We discussed "wound" care and I have to clean it twice a day with hydrogen peroxide to break up the scabs and follow with Bactroban (antibiotic ointment). Ever since taking a wound care class, I've had a hard time even opening that hydrogen peroxide bottle, but I'm following doctor's orders. Also at the appt, we discussed the results of my pathology report. He told me that he actually did remove 12 lymph nodes during surgery (even though I swear he told me none had to be removed) and all of them were directly posterior to my thyroid. The pathology report came back with only 1/12 as being malignant and it was completely contained within that node. I did not have any cancer in the blood supply to the thyroid and the 4 cm nodule was almost completely malignant, but it was completely contained and found no where else in the thyroid. This is good since it means that I'm in the low-risk category for recurrence. He informed me that I will still have to go through the radioactive iodine treatment because of the size of the tumor, but the chances of my cancer coming back after that are very extremely slim. I have a follow up with him again next week to talk about scar management and so he can see how my scar is healing up after doing my wound care for a week. Taking the SteriStrips off hurt worse than the actual removal of the stitches.

After going to the ENT, my mom and I headed to my school and saw my school director and a few of the students in the class below me. They signed a card for me and my little (mentee) gave it to me. It was so sweet of them and was great to see some familiar smiling faces!

My mom and I then had lunch and headed to the endocrinologist appointment. The endo discussed the process for the RAI, the low-iodine diet, my blood work, and post-RAI expectations. He takes a very laid-back approach to the whole thing (which is kinda a relief). He told me that as long as I don't eat a lot of seafood or sea products like nori (which I don't), soy (which I stopped eating in July after I found out about my enlarged thyroid), or a lot of processed foods (which I eat very minimally), he said that I would be fine eating low-iodine for one week instead of two. He scheduled me to take the RAI pill on Sept 30 and I will need to stay about 6ft distance from people for 3 days. I will not be able to sleep in the same bed as my husband for 7 days and 21 days for sleeping in the same bed as HG. HG will have a much harder time with this than I will for sure! Just after 3 days of me sleeping in a separate room/bed than him after surgery, he was coming to find me at 2am. :-/  If anyone has any suggestions on how to keep him out of whatever bed I'm sleeping in, that would be helpful (he will already be sleeping with my husband). 

Anyway, I will have blood work done on Sept 28th to check my thyroid levels and if they are ideal for RAI, I will continue with my scheduled appt on the 30th. If not, I will take the RAI pill at the beginning of the following week on Oct 3rd. I have a full body scan scheduled for Oct 11th (HG's birthday). I don't know if they give me the results right after, or if I have to wait to hear if I have cancer elsewhere or if the RAI took care of any residual cancer cells. My hope is that I will be cancer-free, whether I hear the news that day or another day. I will then have another scan done in a year to determine if I remain cancer-free. The endocrinologist also said that there have been updates with the amount of time allowed for getting pregnant after RAI. They used to say 2yrs is ideal, but they are now saying 6mos is enough time and is safe. I do not even want to think about it until my second scan a year from now is over, but at least we don't have to wait 2 yrs as anticipated before. :-) He also sent me for blood work to check my calcium levels and turns out they were high. So he had me stop my Rocaltrol/Calcitrol and just continue with my 1,000mg of TUMS 3x/day. This is good news because it means that my parathyroids have started kicking in and doing their job!

All in all, I feel that the appointments went well. My scar isn't pretty right now, but it's definitely healing. 

Tuesday - day of stitches removal













Wednesday - day 2













Thursday - day 3












I spent today in the kitchen prepping food for my low-iodine diet which I started today (yes I still have energy surprisingly and haven't felt fatigued like I hear will happen at some point before RAI). I made banana bread, spaghetti sauce, cashew milk, poppy seed dressing, and a salad (which I ate for lunch). I had the spaghetti sauce for dinner over some pasta with a side salad and the sauce was really good! Tomorrow, I'm going to pull up the low-iodine cookbook and see about making some potato salads they have in there. The hardest part about this diet is that I can't eat out at all, all processed and canned foods are out (black olives are a no-no since they come from a can...waaaahhhhhh!), and no dairy products can be consumed. I can eat eggs, but only the whites. I have to only used non-iodized salt (I'm upset about this because I LOVE my pink Himalayan sea salt).  I will have to cook my own beans, which isn't a bad thing, but I've just never really been successful at making them. They always turn out not quite done (even after cooking them for ungodly amounts of time in the crock pot). Oh well...maybe I'll finally be able to conquer the one thing that doesn't go well for me in the kitchen.

That's all for now. Until next post...