Category Archives: Specialized Diets

Recipes for those on restrictive, blenderized or pureed diets.

Homemade “Ripple” (Split Pea) Milk

DIY Ripple Milk

  • Servings: 10-13
  • Difficulty: easy
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This recipe is more of an addendum to my split pea milk recipe.  I have had many more questions about it coming from Ripple drinkers.  Some of the struggles were:  separation, strong pea taste, watery taste and thickened texture.  My original recipe was written for g-tube feedings and oral eaters with limited taste experiences.  After fielding many of your questions, I set out to make a recipe that would work for Ripple drinkers.  Please keep in mind, nothing we make at home can match the process that Ripple can produce in the lab.  This recipe is creamier than my original recipe and does not separate.  Hopefully my adjustments will make it more palatable.  Please take note of the pictures above.  The picture in the top right corner show 2 mason jars.  The jar on the left is Ripple.  The jar on the right is the DIY Ripple.  Even after sitting overnight, it had not separated.

As always, my goal is not to just create and share new recipes but to educate:  To give information not opinions.  The pictures and notes are here to help you make the best choice for you.

Ingredients

  • 1 cup of dry split peas (cooked in 3 cups of water)
  • 4 large Medjool dates (3oz)
  • 2-4 teaspoons of vanilla
  • 1/4 cup of Sunflower oil (or oil of choice)
  • 7-10 cups of water

 


Directions


Cooking the split peas:
Place 1 cup of dried peas into a bowl and cover with 3 cups of water. Let sit for 8 hours or overnight. Transfer the peas into a pot or into the pressure cooker. If cooking on the stove, cook peas about 1-1 1/2 hours or until the peas are completely soft and all of the water has been absorbed. Stir.  Note:  If using an electric pressure cooker, there is no need to soak the peas overnight.  Select “beans/lentils” and adjust the time setting to 30 minutes. Once the timer goes off, allow the pressure to release naturally. This may take up to 15 minutes. Remove lid and stir. Note, if using the pressure cooker it is important NOT to use the quick release. The starch in peas is very light. Using the quick release up and out of the pressure cooker through the valve making a mess:

Power Pressure Cooker XL (2)

Making the milk:

Place 1 1/2 cups of cooked peas into the large (64oz) Vitamix container. Add 3 1/2-5 cups of water, dates, 1/2 of the oil (5 teaspoons) and vanilla and let stand (to soften the dates) for 30 minutes. Blend on High for 1 minute or use the “Smoothie” setting.  Transfer first batch to mason jars and ice cube trays.  Repeat the process with the remaining ingredients.  If If the texture is not to your liking, you may want to run the milk through a nut milk bag to remove the starchy component of the peas.

DIY Ripple (11)

 Please keep in mind that, if you need it to have a higher caloric content, you will lose quite a few calories this way.  The milk will keep fresh for about 4 days in the refrigerator.  How quickly you use the milk will help you decide how much to freeze.  After I use what is in the refrigerator, I take out only what I will use the next day and let it thaw overnight.


Food tips: Although sunflower oil is listed, I used grape seed oil because I didn’t have any and couldn’t find any.  Other oils will work but I would hesitate using coconut oil.  Coconut oil is solid at room temperature and could clog g-tubes if the milk separates when chilled.   I put sunflower oil in the recipe because that is the oil listed on the Ripple label.  I don’t know if it would taste any different since vegetable oil is pretty tasteless.  I’m sure it’s better for you so use it if you can find it and afford it.  Be sure to pit the dates before putting them into the blender.  I don’t use pitted dates in my recipes because they are too dry and sometime the pits are not completely removed.   Calories/cup are 141.5.  The breakdown is in the Cronometer picture below. Because Ripple is making it’s milk from extracted pea protein and not whole peas, their protein content will be higher. Other than that, my DIY version of vanilla Ripple is pretty close  if it is consumed unfiltered:

Time tip:  If you have a pressure cooker, use it.  Time and clean up can be cut in half that way.  Freezing the extra milk in ice cube trays makes it easy to defrost exactly what you want. Each standard ice cube is 1 once.

Money Tip:  Buying your peas from a bulk food store like Winco Foods  is the best money saver.  Most of their bulk food items are 1/3 to 1/2 the cost of those bought prepackaged.  It also saves on waste because you only buy what you need.

How Is Ripple Milk Made?

Ripple
Store Bought vs Homemade

“HELP!  My DYI Ripple doesn’t taste, look or feel like the store bought one!”  And, it won’t.  Ripple is made in a lab where they are able to isolate the pea protein from split peas while our home versions are, well, made in our kitchens.  We do not have machines that can do that.  Also they add oil and different gums that keep it homogenized and smooth.  Last time I checked I could not just walk into the grocery store and buy guar gum.  Don’t get me wrong.  I have nothing against Ripple.  In fact, now that I have tried it, I think it’s pretty good.

So why bother making my own?  Certainly going to the store and buying a bottle is far more convenient and less time consuming.  I’ll be honest.  It’s the cost.  In fact that’s why I choose to make my own hemp , coconut and almond  milks.  When the doctor says Matthew’s calories need to increase by 200 calories a day, the cash register goes off in my head.  Let’s do the math.  Each 48oz bottle of Ripple costs $4.99.  That’s 6 cups.  If each cup is 70 calories, I am going to need to add almost 3 cups a day to his current diet.  So the bottle will only last about 2 days.  Lets’ say I buy 3 bottles a week.  That’s $15 a week or $60 a month just on Ripple!  Since that is not an option for me (and I’m guessing not for you either) getting as close to taste, consistency and texture is my goal.  I have made a new batch that is much closer and it does not separate.  That post is coming soon.

In the mean time, if you are interested in seeing how Ripple is made, I found an interview sheds some light on how it’s made.  Obviously the cost is somewhat justifiable with all that they have to do to make it taste the way it does.  Personally, I’d rather adjust my taste buds a bit and spend the money elsewhere.  But, if I’m in a pinch, I will not feel guilty about buying a bottle now and then.

Fig Butter

Fig Butter

  • Servings: 16
  • Difficulty: easy
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Fig Butter (5)

This was an unexpected surprise!  I was originally trying to add more fiber to the Poopinator Plus because we are still waiting on a referral to UCLA Children’s Hospital for a more in depth motility.  I also thought it would help his weight loss issue due his currently very limited diet.  Sadly the fig gave him too much gas so I had to pull it out.  But, as always, I try all of his blends to make sure they taste good and this was amazing!  So far, with only 2 calorie dense ingredients an zero prep time this is by far the easiest, highest fiber calorie booster I have made to date.

Ingredients

-8oz Hemp Milk

-8oz Dried Adriatic Figs

Directions

  1. Place the ingredients to the 32oz  Vitamix container in the order listed and secure lid.
  2. Let sit for 20 minutes to soften the figs.
  3. Select Variable 1.
  4. Turn machine on and quickly increase speed to Variable 10, then to High.
  5. Blend until completely smooth (approximately 1-2 minutes), using the tamper to press the ingredients into the blades.

Food Tips:  This recipe packs 56.8 calories per 1 ounce serving.  That makes it a good calorie booster without added sugars and/or syrup.  Because it’s important for oral eaters, I always taste my recipes.  This tastes amazing on toast (as seen in the picture).  By itself it’s pretty sweet but added to other pureed dessert or snack recipes, I think it would tastes great.

Time tip:  Freeze this butter in ice cube trays then pop them out into freezer bags for easy storage and quick defrost.

Money Tip:  As with most of my ingredients, the figs and hemp seed are best purchased at a bulk food store  like Winco.  The prices are always much lower and you can by just what you need so there’s no waste.

What is Carrageenan?

what-is-carrageenan

So I just got through having a very interesting conversation with a fellow tubie mom.  She was looking for advice because her son had suddenly been vomiting his morning blends.  At first she thought it might be a cold but no other symptoms arose.  He was tolerating broth and baby food so it did not sound like a flu bug.  Then she mentioned a change in the coconut milk she had been buying for her blends.  She went from using Silk coconut milk to using Simple Truth coconut milk.  She questioned whether or not it might be a particular additive in the Simple Truth that was not in the Silk.  That additive was Carrageenen.  Since I make my milks fresh, I hadn’t thought about additives and the side effects they might have. I vaguely remember hearing the name but had no idea what it was so I hung up the phone and went looking.

After clicking on the first website that spoke about it and reading the contents, a light bulb went off.  There was a quote from an article that made me feel that this mom had hit the nail on the head:

“Although derived from a natural source, carrageenan appears to be particularly destructive to the digestive system, triggering an immune response similar to that your body has when invaded by pathogens like Salmonella. The result: “Carrageenan predictably causes inflammation, which can lead to ulcerations and bleeding,” explains veteran carrageenan researcher Joanne Tobacman, MD, associate professor of clinical medicine at the University of Illinois School of Medicine at Chicago. She says the food ingredient irritates by activating an immune response that dials up inflammation. Her previous work showed a concerning connection between carrageenan and gastrointestinal cancer in lab animals, and she’s involved with ongoing research funded through the National Institutes of Health that is investigating carrageenan’s effect on ulcerative colitis and other diseases like diabetes.”

And what do pathogens like Salmonella trigger the body to do?  You guessed it.  Vomit.  Unfortunately a lot of organic foods add these ingredients to stabilize their products and add shelf life.  So it could be that or a number of different additives that could be causing this little tubie’s tummy troubles.  The best answer is to go back to what was working.  If the vomiting stops, you’ve at least solved the immediate problem.  Then, keep a list of ingredients of the problem item in a file.  If a similar problem arises from another product compare the ingredients to see what they have in common.   Then research the side effects of those ingredients so that you can narrow down the list culprits.

It is best, whenever possible to make your own milks.  That way you know exactly what is in it and what, if anything, needs to be removed.  It is also much more cost effective.  I do understand that not everyone has the time to do this.  But, if you are cooking and/or blending for someone on a specialized diet or has multiple allergies/sensitivities, it is well worth the time and effort.

If you are interested in reading more about Carrageenan this article contains a lot of interesting information.

The Poopinator Plus

Matthew did very well on the Poopinator for a time.  Then slowly it stopped working and he began backing up again.  We had to put him back on Miralax, added Lactulose, Senna Plus, Enemeez and eventually the Peristeen pump.  Each addition brought some relief for a time but then stopped working.  He ended up back in the hospital for yet another clean out in October and to complete some much needed testing.  After a Sitz Marker Study, we came to the conclusion that there was no specific areas of colonic inertia .  His infectious Disease doctor highly suspects the backing up of his bowels was the cause of the g-tube stoma infection and the GI doctors are suggesting an Apendicostomy.

So here we are caught between a rock and a hard place.  Matt eats most of his blends by mouth but gets meds, extra water, the Poopinator and an overnight feeding of green smoothie.  Because of issues with his immune system, having an Appendicostomy done most likely would increase his chances of  infection.  On the other hand, after 16 years of major GI issues, I can’t see how I could maintain his nutrition and medication regimen without the g-tube.

So now I am on a mission.  Delay or completely avoid another surgery.  He has been drinking a blend throughout the day that contains hemp milk and it seems to bring him some relief.  Then it came to me:  Why not give him a straight shot of it with The Poopinator?  It might have a better effect that way.

Ingredients:

  • 4oz of the original recipe or any combination of the foods listed in The Poopinator
  • 1oz of hemp milk or kefir

Directions:  Warm the Poopinator THEN add the hemp milk or kefir.  I have found that warming the Poopinator Plus in the microwave causes the hemp milk to clump.  That can cause an extension tube to clog. I have also noted that heating hemp milk in a recipe causes it to thicken. Also, if you are using kefir, you will want to add it after the mixture has been warmed to avoid killing off the good bacteria.  Give as a bolus at the fastest rate that is tolerated.  Flush with at least 10cc of water.  If the volume is too high, reduce the solids before reducing the hemp milk until a tolerable volume is reached.

Please remember this:  Medication and/or surgical intervention is not a failure on your part (somehow I think I’m talking to myself here).  The goal is to do whatever it takes to give our loved one(s) the best quality of life possible.  Blended whole foods is by far the best choice over formulas but sometimes it’s just not enough.  Hang in there and don’t quit!

Chia Seed Pudding

One thing about fresh coconut milk:  It only lasts about 4-5 days in the refrigerator.  So once you make it , you will want to get the most out of your fresh batch before you have to freeze what’s left.  Since I already have the chia seeds out when I’m making Matt’s oatmeal,  I always make some chia seed pudding. This is one of my favorite snacks and it’s easy to make.

  • 2 Tablespoons of Chia seeds
  • 1/2-2/3 cup of fresh coconut milk

Directions:

Put the Chia seeds in a small mason jar.  Add the coconut milk and stir until they begin to absorb enough of the milk to be suspended.  Cover and refrigerate for 1 hour.  The Chia seed pudding is good for about 4 days but, I guarantee that it won’t last that long.  Enjoy! Makes 2 servings.

Food Tip:  This snack is high in protein but also high in fat.  Eat it sparingly especially if you are making your own coconut milk.

Time Tip:  Freeze the coconut meat in 6oz portions.  When it’s time to make your milk just defrost and blend.

Money Tip:  Coconuts are not that expensive.  They tend to run about $2 but the price drops around Thanksgiving and Christmas.

 

Raiden’s Breakfast Blend

Raiden Barnes
Raiden

One of the most rewarding parts of being a tubie parent is being able to help others along on the journey.  Raiden’s mom and I connected through a group online and now I get to watch him thrive on…You guessed it.  Real food.  Just look at that smile!  I don’t know about you but I think he’s saying, “Thanks, Mom!”

Getting started can be scary and overwhelming.  Just remind yourself that, barring any dietary restrictions, tubies are real people who need real food.  Think to yourself, if my son, daughter or family member could take in 100% of what their body needs to thrive orally, what would they eat?  If the person was able to eat before the tube was placed, what did they like to eat?  That is always a good place to start.  If your tubie is a baby just starting out, introduce 1 food at a time just as you would any baby, paying special attention to possible allergic reactions.  There is also a hidden benefit to the tube.  Tubies often get a more balanced diet because you don’t have to battle their taste buds.

Using the Vitamix makes it much quicker and easier to blend smooth enough for gastric tubes. Many other types of blenders leave food particles that can clog the button and/or the extension tubing or get stuck in the filter of the feeding bag. When that happens the “No Flow Out” alarm goes off. Trust me. There is nothing worse than spending a good amount of time blending only to have to drop what you are doing to change out the bag. Of course you can put your blend through a strainer but why waste the time if you don’t have to.

Now, the title of this post is Raiden’s Breakfast Blend so let’s get to it.

Raiden's Breakfast Blend 8

Ingredients:

  • 1/2 cup of old fashion or quick oats
  • 1 cup of Fairlife whole milk
  • 1  cooked scrambled egg
  • 1 apple

Directions:

Combine oats and milk and cook according to the directions on the package.  Cook the scrambled egg and set aside.  Cut apple into quarters and remove the seeds.  DO NOT PEEL.

  1. Place apple oatmeal and egg into the Vitamix container (in that order) and secure lid.
  2. Select Variable1.
  3. Turn machine on and quickly increase speed to Variable 10, the to High.
  4. Blend for 1 minute or until completely smooth.
Raiden's Breakfast Blend (4)
Enfit Syringe with Adapter

This blend is about 300 calories.  If the blend is too thick, water can be added to reach the desired consistency.  Thinner blends can have lots of bubbles so it’s best to let it sit a while before giving it as a bolus feeding.

Mooie!

enteral-feeding
Night Feeding Via Pump

Ok it’s been a while since I been able to add a new recipe so here goes.  I’m dedicating this to 2 young tubie warriors.  This ones for you, kiddos!

Three years ago, right before Matt had his hip surgery, his digestive tract started giving him problems again.  I was trying to avoid putting him on laxatives so I developed a green smoothie that I had hoped would help him.  I originally put fruit in it and offered it to him to drink.  He liked it (sort of) but he only drank 2oz.  I knew that was not enough to work so I went back to the drawing board.  Then it dawned on me.  He has a g-tube!  He doesn’t need to drink it so I can remove the fruit and add more greens!  It worked.  The added greens allowed me to add more fiber without fighting with him about the taste.  Now when I give him a bolus feeding or hang his bag for his night feeding he smiles and says, “Ooh! Mooie!  Yup.  You got it.  That’s where the name came from.

image4-3
Bolus Feeding

Since each child and adult that are g-tube dependent have different issues, I caution you to check with your doctor before changing a feeding regimen and, if you get the ok to to try this, add small amounts at first and watch for adverse effects.  I do not recommend making this smoothie with anything else but a Vitamix.  The Vitamix blends the greens so finely that there are little or no leave particles to get caught in the filter of the feeding bag.  If the filter gets clogged that feeding stops and the alarm goes off.  It’s less of a problem for bolus feeding but, if there is difficulty in breaking down solids, it could cause issues. All of the ingredients are added to the Vitamix container by weight. That way there is no measuring so it comes out the same every time. It also makes for a quicker blend. Just put the Vitamix container on a food scale and add the ingredients. No more measuring cups and spoons to wash.

Ingredients:

  • 3oz + 5oz of peppermint or chamomile tea
  • 6oz of greens (your choice)
  • 2oz of fresh Aloe Vera gel (optional)
  • 3oz avocado (or 2oz of avocado + 4 tsp of organic olive oil)
  • 1oz Organic apple cider vinegar
  • 8oz DIY “Ripple” (split pea milk)

Directions:

  1. In the 32oz Vitamix container add 3oz of the tea, the greens, the Aloe Vera gel (if you are using it) and the avocado and secure the lid.
  2. Select variable 1.
  3. Turn the machine on and quickly increase the speed to variable 10, then to High.
  4. Blend for 1 minute.
  5. Turn the machine off, return the switch setting to Variable and the dial setting to 1 then remove the lid.
  6. Add the remaining 5oz of tea, the vinegar and the DIY “Ripple” (split pea milk) and secure the lid.
  7. Turn the machine on and increase the speed to Variable 6 and blend for 10-20 seconds or until all the ingredients are combined.

Makes 2 14oz smoothies. Matthew’s night feeding is 500mls so I rinse the container with enough filtered water and add it to the feeding bag to ensure he gets the full dose. I have also added 1 tsp of fresh pureed ginger when Matthew’s stomach was more upset than usual.  Feel free to experiment with different greens.  Sometimes I will buy the large bag of Power greens or spinach from Costco along with Romaine lettuce hearts.  I also keep a close eye on the local farmer’s market for greens that are on sale.  Parsley is great because it helps settle the stomach.

Hemp Seed

Hemp Seeds

I recently joined a group that focuses on blenderized diets. Originally my goal was to share my experience in order to help others with g-tubes live healthier lives.  Little did I know I was going to need their help as well.  Because Matthew is getting older and in need of more calories but not able to handle large volumes, I posed a question to the group regarding “milks” that were high in calorie.  Hemp seed milk (something I hadn’t heard of) was on the list.  Since this was coming from a group of people that had lot’s of experience, I began looking into it.

What I found was, it is yet another super food.  So, as always, I dug deeper.  Here’s what I found:

  • Hemp seeds have 9 grams of protein per serving.  They contain all of the essential amino acids making them a complete protein.
  • They are a good source of iron and Zinc.
  • They are an excellent source of Vitamin E, Magnesium and Phosphorus.
  • There is also 2.8mg of Manganese which is 140% of the DV.

Hemp seeds are also over 30% fat but they are rich in omega-3 and omega-6 which is more than both chia seeds and flax seeds.  These fatty acids, in balanced proportions, have been linked to a host of health benefits“The typical American diet contains 14 to 25 times more omega-6 fatty acids than omega-3 fatty acids, which many nutritionally-oriented physicians consider to be way too high on the omega-6 side.

The Mediterranean diet, on the other hand, has a healthier balance between omega-3 and omega-6 fatty acids. Many studies have shown that people who follow this diet are less likely to develop heart disease.”

One bit of information I found was very important to know.  Matthew has a condition called Chronic Thrombocytopenia.  Due to a severe infection he had at the age of 4, Matthew has a lower than normal number of platelets in his blood.  Since platelets are the part of the blood that allows clotting to occur, it is important for me to know that the oil in hemp seed may slow blood clotting.  this is why it is so important for anyone being followed by a physician for any medical condition should research any and all super foods that hit the market and, check with and/or inform your doctor if you have or are interested in adding them to your diet.

Sometimes people have g-tubes and don’t have a lot of other medical conditions so just trying out this healthy high calorie food.  Still others, like Matthew, are so complicated medically that research has to be done before even considering it.  Healthy or not, medically complicated or not, my treat all super foods the same.  See what is being said and check it against other websites.  Health food websites tend to only give the health benefits and not the side effects or contraindications.  Medical websites will sometimes do just the opposite.  I choose to look at both sides and decide whether or not it’s something that will benefit Matthew or make conditions worse.  If I am unsure, I check with his doctors.  I especially make sure to alert his GI doctor of any dietary changes I have made.  I also don’t give him anything I haven’t tried myself.

In closing, I follow the “less is more” rule.  In other words, just because a super food has some really enticing health benefits, ingesting lots of it can cause problems.  Look for sites that will give you therapeutic doses and stick to them.  Our goal is to stay out of the doctor’s office, not end up in one.

Hemp Milk

  • Servings: 8
  • Difficulty: Very Easy
  • Print

Hemp milk is by far the easiest dairy milk substitute.  There is no cooking and, with the Vitamix, there is no need to run it through a filtration bag unless it is being given through a gastric tube.  It is very calorie dense with lots of protein.  It tastes great as is but I’ve added a couple of ingredients for folks who like their milk substitutes a little sweeter.

Ingredients

  • 4oz (114g) hemp hearts
  • 1 1/2 cups of water
  • 4 Organic Medjool dates-pitted (about 1-1.5oz)
  • 2 cups of water
  • 2 teaspoons of vanilla

Directions

  1. Place hemp hearts, dates and 1 1/2 cups of water into the Vitamix into the 32oz container and secure lid.
  2. Select Variable 1.
  3. Turn machine on and quickly increase speed to Variable 10, then to High.
  4. Blend for 30-40 seconds.
  5. Turn machine off and remove lid.
  6. Add the remaining 2 cups of water and the vanilla and secure lid.
  7. Select Variable 1.
  8. Turn machine on and blend for 10 seconds.

Strained Hemp Milk

Food Tips:

  • If you are buying pitted dates, it is a good idea to slice them lengthwise before putting them in the Vitamix container. This will ensure that no part of the pit was left inside during processing at the plant.  I have yet to find any literature that says they are dangerous but the pieces can clog g-tubes.  Even if a piece gets through it could cause problems in the GI tract of someone who already has difficulty processing solid food.
  • If you have time, soak the dates and hemp seed for 30 minutes before blending.  This reduces the amount of sediment and drastically reduces the need for straining or filtering. NOTE: IF THE MILK IS TO BE USED IN ANY TYPE OF GASTRIC TUBE, STRAINING OR FILTERING IS NECESSARY.
  • Store hemp seed in a mason jar.  It is easier to pour the seed into the Vitamix container than to scoop it out of a container with a spoon.  Also, store the seeds in the refrigerator.  Hemp seed is high in fat so they can go rancid quickly especially if you live in a hot/humid climate region.
  • One cup of fresh hemp seed milk has about  194 calories.  It has 10 grams of protein and 14 grams of fat so, unless you have a high caloric need, I suggest sticking to the 1/2 cup serving size.  Hemp milk will stay fresh in the refrigerator for 3-4 days.  Drink it straight or add it to smoothies.  It is also a great base for blenderized meals.
  • As with all “Super Foods” take the time to research and steer clear of the idea that “if less is good, more is better.”  This is very important if you are dealing with specialized or restricted diets, on medications or have various health conditions.

 

Time Tip:  Freeze any portion of the milk that will not be used in 3-4 days in ice cube trays.  Store the cubes in labeled and dated freezer bags for up to 6 months.  Since each cube is about an ounce, you can quickly grab what you need without wasting any.

 

Money tip:  Shop around before buying hemp hearts.  They can run as high as 12 dollars a pound in some stores and on line.  Winco has the lowest price at $7.02 a pound.  They can be found in the bulk food section for much less than the prepackaged bags.  It is good to alternate seed/nut milks.  If you are on a tight budget, alternate the types of nut/seed/bean milks you make to save money.  This is also important especially for individuals on blenderized diets to insure balanced nutrition.