The EALM Blog Shelf

While Laura Cipullo and the Laura Cipullo Whole Nutrition Team work on some new and exciting projects, you may notice less posts on the Eating and Living Moderately Blog. We have created a “blog shelf” below to keep you entertained and educated. Get caught up on the latest nutrition education by clicking on each year below. We will send you nutrition updates, but we will not be inundating your mailboxes on a weekly basis. If you want weekly “love” and inspiration, subscribe to our Mom Dishes It Out blog for weekly posts and recipes. Mom Dishes It Out provides expert advice from mom Registered Dietitians and mom Speech Pathologists on the “how to” of health promotion!

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The EALM Blog Shelf

Please feel free to peruse our posts organized by year below. Or take a look at the categories listed at the bottom of the page to find a post in the desired.







Life after Menopause…

Life after menopause…
By Laura Cipullo and the Laura Cipullo Whole Nutrition Services Team


Menopause, the permanent end of menstruation and fertility, is defined as occurring 12 months after your last menstrual period. Women typically enter peri-menopause and then menopause in their 40s and 50s. The average age for menopause is 51.1 The transition into this phase in a woman’s life cycle and living optimally thereafter can be ameliorated through diet and physical activity. Embrace life after menopause by following these five tips for living life healthfully.


Photo Credit: brendan-c via Compfight cc
Photo Credit: brendan-c via Compfight cc
  1. Eat your estrogen through soy! Soybeans contain a hormone-like substance called phytoestrogen. It can mimic the effect of estrogen and have a vast impact on your overall health before, during, and after menopause. Fermented forms of soy are ideal. So choose miso, tempeh, natto, tofu and young soybeans in the pod known as edamame. Stick with eating soy in the real form rather than via supplements and bars.2
  2. Stand up straight. Now is the time to use light weights to counter osteoporosis. Osteoporosis, otherwise known as weak bones, is due to risk factors such as age, genetics, and dietary deficiencies in both calcium and Vitamin D. Women experience an increased rate of bone loss during menopause and for the ten years thereafter. Though osteoporosis is not reversible at this age, woman can manage, slow and or even stop it by strength training among other things. The act of weight training increases the activity of osteoblasts (bone building cells) and increases muscle strength which counters the effect of gravity. The effect of gravity on weak bones is observable as a “hunch back.” So stand strong—and be sure to incorporate light weights or resistant weight training twice a week.3
  3. Prevent weight gain in the waist area that is often associated with menopause. All you have to do is curb carb consumption at meals. With a decrease in estrogen, women are likely to see an increase in belly fat. While you cannot reverse aging, you can prevent a wide waist by limiting carbs at mealtime. When you eat carbohydrates and even protein, a hormone known as insulin increases to transport the carbohydrates (also known as sugar) into your blood cells. When insulin levels rise, research demonstrates there is likely an increase in belly fat deposition. Therefore, if you prevent insulin from spiking by minimizing the amount of carbohydrates you eat at a meal, not only will you be cutting calories, but you will also be preventing excess belly fat deposits. Women should use 45 grams of carbohydrate per meal and 15 grams of carbohydrate per snack as a guide.4
  4. Stay happy and heart healthy with essential fatty acids. Omega 3 fatty acids are associated with decreased depression, inflammation and triglyceride levels.5 And women are more likely to experience both depression and heart disease after menopause.6 The key to omega 3 fatty acid intake is first ensuring that you are eating the right form—the fish form such as wild salmon, trout, bass and canned chunk light tuna. These fish contain higher amounts of the omegas known as DHA—docosahexaenoic acid. DHA is the specific fatty acid studied whereas the vegetarian sources of omega 3 fatty acids (pumpkin seeds, walnuts and even algae) contain ALA—alpha-linoleic acid. Only ten percent of ALA gets converted to the beneficial form of DHA. So go fishing for dinner.5
  5. Decrease vaginal discomfort…including dryness and incontinence. Some tricks of the trade help to reduce the pain and improve your sex life. During and after menopause, there can be thinning and inflammation of the vaginal walls. The decrease in the hormone estrogen affects the moisture level causing vaginal dryness and “pelvic relaxation.” Incontinence is the inability to hold urine from your urethra due to pelvic relaxation.7 The positive news is that research from the Mayo Clinic suggests limiting alcohol, caffeine and or acidic foods to lessen irritation. Practicing yoga and kegel exercises and participating in vaginal physical therapy can reduce pain and even incontinence.8



1. “Menopause.” Mayo Clinic. Mayo Foundation for Medical Education and Research, 24 Jan. 2013. Web. 26 May 2014. <>.

2. Hyman, Mark, MD. “How Soy Can Kill You and Save Your Life – Dr. Mark Hyman.” Dr. Mark Hyman., 25 Feb. 2013. Web. 24 May 2014. <>.

3. “General Facts on Osteoporosis.” National Osteoporosis Foundation (n.d.): n. pag. Web. 24 May 2014. <>.

4. Cipullo, Laura. The Diabetes Comfort Food Diet Cookbook. New York: Rodale, 2013. Print.

5. “Fish Oil: MedlinePlus Supplements.” MedlinePlus. U.S. National Library of Medicine, 04 Sept. 2013. Web. 26 May 2014. <>.

6. “Depression in Older Persons Fact Sheet.” NAMI. NAMI – The National Alliance on Mental Illness, Oct. 2009. Web. 24 May 2014. <>.

7. “Urinary Incontinence.” NAMS. The North American Menopause Society, n.d. Web. 23 May 2014. <>.

8. “Yoga, Kegel Exercises, Pelvic Floor Physical Therapy.” NAMS. The North American Menopause Society, n.d. Web. 23 May 2014. <>.

Aging Nutritionally and Gracefully

Aging Nutritionally and Gracefully
By Laura Cipullo and the Laura Cipullo Whole Nutrition Services Team


If there is one thing working against us when it comes to aging it’s..…TIME. It is true that as we get older, we age. While we can’t turn back time, we can try to keep our bodies as healthy as possible to help us feel better, stronger, and more energized. Here are three of our favorite books that discuss diet, health, and lifestyle recommendations that can help you feel younger by keeping your mind and body in a state of wellness:

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You Staying Young- by Dr. Roizen and Dr. Oz

This book describes the aging process in a fun, easy-to-read way. It does an excellent job of intertwining medicine and nutrition. It has tons of useful tools like the YOU Tool 2 “Ultimate Work Up”-a fantastic list of tests you should be sure to inquire about at your next doctor’s visit. You also offers a 14-day plan that includes dietary changes, exercise routines, meditation, and relaxation plans. This book reminds you that caring for the mind and body together are equally important. It also includes interesting little known facts. For example Roizen and Oz note that you should remove your dry-cleaned clothing from the plastic-wrap, as soon as you get home to prevent the chemicals from becoming trapped.  There is a great chapter on other toxins that you may find in your environment as well. I am going to head to my closet right now to remove the plastic from my dry-cleaning.

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Younger Next Week- Elisa Zied, MS, RD

In Younger Next Week , my colleague registered dietitian Elisa Zied points out that crash dieting is not the solution to aging. In fact she explains that crash dieting increases cortisol levels, leading to both weight gain and aging! Zied’s 7-day vitality plan offers manageable ways to make permanent lifestyle changes that can lead to improved health and wellness. This plan is supposed to be repeated weekly so that it eventually becomes a lifestyle. Elisa states “it’s about finding a sustainable balance in your food and food choices” (Page 189). Finding balance, not only in food choices, but also in our schedules is important. Elisa offers countless examples of structured meal plans, tasty recipes, and creative “stressipes” to get you started on living a more balanced life. I am really excited to try Strawberry-Walnut Cinnamon French toast (Page 216) for breakfast next weekend!

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Eat, Drink, and Be Healthy- Dr. Willett

This book may look intimidating at first, but when you crack it open it has some very practical advice. Eat, Drink, and Be Healthy: Harvard Medical School Guide to Healthy Eating is one of my favorites! Dr. Willett provides a review of some of the quick-fix diets and why they do not work. He also includes his own version of the USDA pyramid, which I find to be very useful. This is a great book if you want to learn about nutrition science. This book focuses more on the diet component of lifestyle changes and includes some really wonderful recipes, menus guides, and cooking tips to help you feel comfortable trying new ingredients. This book may be a little more of challenging read than our other two recommendations, but it is certainly worth it.


Ultimately these books can aid the work you are doing with your RD and/or MD. Remember to help yourself feel your best, make small daily changes in your life. Think balance not CONTROL! Aim for the middle ground – “The Grey Zone” – the healthy diet mentality should steer clear of black and white, all or nothing thinking. Healthy diets are learning which foods work for you. Try to think of these foods as  “everyday” foods and  “sometimes” foods, when meal and snack planning. Choose to exercise to help your bodies physically and mentally, not just to lose weight. Take time to relax  – again both physically and mentally!! Oftentimes quick fixes may be appealing when trying to become healthy, but this typically ends up backfiring. Instead, consider taking small manageable steps, such as meditating for one minute each night, to achieve permanent behavior change.


Want more information on nutrition and aging? Check out this recently published article by the Nutrition Society:

Jessica C. Kiefte-de Jong, John C. Mathers and Oscar H. Franco. Nutrition and healthy ageing: the key ingredients . Proceedings of the Nutrition Society, available on CJO2014. doi:10.1017/S0029665113003881.