Dr. Tim Says...

Leaky Gut Syndrome Quackery 10/02/17
4 ways to protect your brain with diet 07/18/17
Chicken skin: to eat, or not to eat 06/19/17
Change is here 06/12/17
Medical technology 03/27/17
The science behind the DASH diet, an overview: Part Two 08/01/16
The science behind the DASH diet, an overview: Part One 07/25/16
How the Standard American Diet (SAD) affects the brain (Part Two) 05/26/16
How the Standard American Diet (SAD) affects the brain 05/23/16
All "Dr. Tim Says..." Columns

Chef Tim Says...

How to make your own shrimp stock 10/09/17
Deviled Eggs 04/24/17
Roasting Fruit 04/03/17
Papadum 03/20/17
Capers make it better 02/06/17
Mustards: The Christmas Basket Challenge, Part 5 01/26/17
Canned Tuna from Spain: The Christmas Basket Challenge, Part 4 01/16/17
Ginger and Rice Noodles: The Christmas Basket Challenge, Part 3 01/12/17
All "Chef Tim Says..." Columns


 

Dr. Tim Says....



What Not To Eat: Lunch Edition

a bologna and American cheese sandwich on white bread

What shouldn't you eat for lunch? Baloney.

It's so easy to beat up on this seemingly innocent little cold cut, but it just has to be done. This is the classic example of what you should not be eating at lunch. That is, you should avoid bologna and while you're at it pretty much all cold cuts. The highly processed luncheon meats that are sold today are, for the most part, poor choices.

"But Dr. Tim," you might say. "A slice of bologna has only 87 calories." That's true, but about 72 of those are from fat and about a third of that innocent little slice is saturated fat. Pair this with a slice of American cheese and a glob of mayonnaise on white bread and you have what is wrong with the Western diet today. That innocent little piece of America comes in at 369 calories, 330 mg sodium and 20 grams of fat. Add a second slice of bologna and you can easily top 450 calories and 1,000 mg of sodium. (By the way, there's only 1 gram of fiber in this sandwich.)

"But Dr. Tim," you say. "That's OK because I don't eat bologna. I 'Eat Fresh' and go to Subway for my sandwiches." Well, that's OK but you do have to be careful there also. The simplest Subway sandwiches are fairly healthy, but that applies to the basic 6 inch sandwich without cheese (which they will happily throw in for free), on their 9-grain wheat bread with lettuce, tomatoes, onions, green peppers and cucumbers. A Turkey Breast sandwich (no cheese) is 280 calories but a whopping 920 mg of sodium. This is their most basic sandwich, but other things that you feel might be good choices simply aren't. The Subway signature 6" BMT sub comes in at 450 calories, 20 grams of fat and a whopping 1,730 mg of sodium.

In short, it's best to be really careful about your choice of cold cuts. That includes those made with turkey. It's fairly often that I have a patient come in and tell me that "it's OK, I'm having turkey bologna." That's better - but not great. Cold cuts are the one package that you have to look at very closely. They will often be high in fat and almost always have way too much salt. But then there's also a lot of other ingredients you don't need. This is one from a popular turkey bologna:

WHITE TURKEY, WATER, MODIFIED CORN STARCH, CONTAINS LESS THAN 2% OF POTASSIUM LACTATE, SALT, SUGAR, SODIUM PHOSPHATES, SODIUM DIACETATE, LEMON JUICE SOLIDS, SODIUM ASCORBATE, SODIUM NITRITE.

You just don't need all that stuff, and the worst part is that we know that such processed meats are bad for you. Not just a little bad for you, but a lot bad for you. They've been implicated in increased risk of death from colorectal cancer, increased risk of heart disease and diabetes, and faster cellular aging. (And no, putting more vegetables on your sandwich won't outweigh the harm of bologna.)

So what to do? I think that limiting your cold cuts to no more than once a week is a good start. Take leftovers from dinner instead. You'll know that what you are having is better for you. If you do choose a deli sandwich or one from Subway, look carefully at the nutrition facts and choose lunch meats with no nitrites or nitrates.

One great option is to make your lunch sandwich with leftovers. Make a great roast turkey breast on Sunday and use it for your sandwiches during the week. Pot Roast is another good option. Even if you don't have time to make your own, you'll be far better off picking up a rotisserie chicken and carving your own chicken for sandwiches.

Here are some other recipes whose leftovers make great sandwiches:

Chicken with 40 Cloves of Garlic
Jerk Chicken Thighs
Roasted Chicken Breast
Roasted Chicken with Sweet Chili Sauce
Kung Pao Beef | GERD / Acid Reflux-Friendly Version
Steak Fajitas (or almost any flank steak recipe)
Meatloaf
Barbacoa
Crab Cakes
Gluten-Free Crab Cakes | Low Sodium Version
Barbecue Shrimp
Jerk Shrimp
Shrimp Scampi
Pecan Crusted Salmon Cakes
Roasted Salmon with Corn Relish | Coumadin-Safe Version
Sweet Red Pepper Barbecue Tuna
Fish Cakes (Pantry Meal)
Roasted Whitefish with Garlic Mayonnaise