Appetizer: Apples with Goat Cheese and Oregano

Want an elegant, healthy appetizer for the holidays, but don't know what to offer? I enjoy making these apple appetizers because they are light, healthy and unlike most appetizers, they are lower in calories. These also taste wonderful as an accompaniment to a nice sparkling cider or Riesling. Offering a nicely decorated platter of these baked apples along with some low fat candied pecans will really wow your guests and leave them munching on more. Cheers to no leftovers!

Apples with Goat Cheese and Oregano

Ingredients:

• 4 small Gala apples
• 1/2 cup goat cheese or reduced fat Swiss or Gouda cheese
• 1/3 cup honey
• 1/4c fresh oregano sprigs

Directions:

1. Slice apples in half, dig out seeds with a mellon baller, leaving deep round wells in the half apples. divide half-apples into halves again.
2. Add 1/2 tbsp goat cheese into apple wells.
3. Drizzle each apple quarter with around 1 tsp of honey.
4. Add a sprig of fresh oregano on top of each round of cheese, or a bundle of around 3-4 leaves of oregano.
5. Bake at 400 for 30 minutes. Apples will become soft and cheese will begin to melt and also brown slightly.

Nutrition Facts for 2 slices (1/2 apple):
98 total calories, 18g total carbohydrate, 3g fiber, 3 g protein, 1g fat
(1 Carbohydrate, 0 Fat, and 0 protein exchanges)

Cravings and Addictions Begin Somewhere-- Healthy Snacks

Usually, I counsel patients on healthy eating and balancing their plate, eating enough vegetables, limiting sweet drinks, and daily physical activity. Oftentimes I counsel my patients on nutrition for specific disease states like Diabetes or cholesterol, but these days, I see a lot of obesity in adults, teens and children. The quality of the obesity is also getting scarier: I am seeing more patients with fatty liver issues(and a higher risk of non-alcohol-induced liver cirrhosis due to the fat content overpowering the liver), higher rates of diabetes in children, and higher rates of cholesterol and malnutrition. It is scary. I honestly believe the life expectancy of generations born in 1995 and beyond will have a much shorter life expectancy given the poorer average quality of diets and larger variety and availability of junk foods than previous generations.

So I'm hoping some healthy snack advice and great recipes might help.

If a sweet or creamy snack is desired, offer

• Smoothie made from blending 1 cup of low fat milk with 1/2 cup of fresh or frozen fruit
• Fresh apple slices dipped in peanut or almond butter
• Homemade souffle if you feel daring
• Fat free cottage cheese or yogurt with pieces of fresh or frozen fruit.
• Homemade sweet or savory baked sweet potato fries
• Homemade fruit chips you can dip in fat free vanilla yogurt
• Baked apple slices with cheese and honey
• Homemade candied nuts
• Homemade milk pudding, a family favorite for adults as well as the kids!

If a salty snack is desired, offer

• Pretzels with fat free cream cheese
• "Baked" potato chips with pico de gallo salsa
• Homemade popcorn with oil and spices instead of butter
• Slices of fresh fruit, jicama or cucumber with fresh spices (Hispanic around here use chile powder and/or lemon or lime, but Arab friends & family often feed kids the same veggies but with Arab-style spices-- zaatar (dried thyme & sesame), or cumin, sumac, salt and/or lemon)
• Homemade (savory version) baked sweet potato fries
• Whole wheat crackers with guacamole
• roasted peanuts or almonds
• Carrot, celery or broccoli sticks with light or fat free ranch dressing or guacamole 

*steps on little soap box, clears throat*
So, I find it scary that I've been seeing a 28 year-old mom regularly for 3 months now for diet management: her diet is weakened by her addiction to sweet and salty snack foods, and oftentimes replaces her meals with these. She has developed pre-diabetes, cardiovascular disease and the beginnings of fatty liver that are giving her blurred vision, night sweats, urinary frequency, unusual amounts of fatigue, chest pains, and scarily vivid dreams. Meanwhile, she still doesn't mind feeding her 4-year-old child top Ramen for lunch, Doritos for a snack on the way to see the dietitian, and after finishing the bag of Doritos in my office the child was promised ice cream if she is a good girl. Wait what? A junky treat after eating junk for lunch and snack?
I don't care if the child is thin, nor do I care if she will "burn it off," it is a poor quality fuel, and will cause problems internally after a year or two before mom even sees that child start to gain weight.
I know children should be allowed to be children, have an ice cream for a treat, have a candy with friends... I agree they should enjoy life rather than worry about what they eat. This is true.
Please, parents, if your child asks for something unhealthy and you know that they've eaten nothing but junk, then tell them sorry, not today, you've already had a lot of special foods today. You can have some in a couple weeks. Save the special food for a special day. If you do, that special day will be so much more special! They will understand if you spend 20 seconds explaining to them. Offer them a variety of healthy choices, like grapes, apples and peanut butter, strawberries, carrots, wheat crackers, yogurt, low fat milk or a string cheese, and give them the freedom to choose one of these healthy options they like best. If they are truly hungry, they'll eat  what is offered. If they keep begging, chances are that they aren't really hungry, they just want to see how far they can push your authority. They have the right of freedom to choose, but its your job to provide them with guidance of what to choose from. Please don't feel bad, they will get over it.
Your body deserves more than unreal snack foods that exist just to get you addicted. You are too good for that. You deserve better. And so do your children.
*steps off soap box, somber, deflated*

Persimmon Overload?

I guess it's obvious what fruits are in season at the moment! We're starting to get colder, in need of some warming up, so I felt the need to make use of my persimmons in a healthful, non-traditional dessert format. I'm getting tired of pie, cake, cookies and pudding. So I started by pureeing persimmons, and eating some before the idea of a nice, hot baked treat popped up in my head-- in a 6oz ramekin, just the right size for my little belly. I hoped to enhance the flavor of my persimmons and cut their sweetness with a little spice, and imagined that the ginger would give it just the right kick! Cinnamon, nutmeg, and vanilla are all too common this time of year, so I'll pass on those for now! If you are looking for other non-traditional healthy uses for your fruit desserts this season, try Spiced Poached Pears, apple chips, apples baked with cheese and honey, or a sorbet using your fall and winter fruits.

Persimmon-Ginger Soufflé with homemade persimmon chips!!

• 1 1/2 cups low fat 2% milk
• 1 tablespoon minced, peeled fresh ginger
• 4 large egg yolks
• 1/2 cup sugar
• 5 tablespoons all-purpose flour
• 3 small persimmons, diced
• 8 large egg whites

Directions

• Preheat oven to 350°F. In medium, heavy-bottomed saucepan over medium heat, bring milk to boiling.
• Place the ginger in a cheese cloth or a tea strainer. Add ginger to the milk, remove pan from heat, cover, and let steep 30 minutes.

• 

  Milk should become foamy while whisking over the heat.

• Discard the ginger from the milk, and set aside.
• To purée the persimmons, dice them into small cubes so they are small enough for the blender to handle. Add 2 tbsp water, and purée on high until they are smooth.
• In large nonreactive bowl, whisk together egg yolks and 4 tablespoons of sugar.
• Whisk in flour until well combined. Gradually add hot milk, whisking constantly to prevent it from curdling.
• Return yolk mixture to saucepan and set over medium heat. Cook, whisking constantly, until custard boils and thickens enough to coat the back of a spoon, around 3 to 5 minutes.
• Transfer to large bowl, whisk in the puréed persimmon, and set aside.
• Beat egg whites until foamy and slightly opaque. With mixer running, add remaining 4 tablespoons sugar, 1 tablespoon at a time, then beat until stiff but not dry.

I buy egg whites, and they work perfectly well.

• Fold 1/3 of egg whites into persimmon mixture to lighten, then add mixture to remaining whites, folding in gently but thoroughly.
• Butter 8 6-ounce ramekins. 
• Spoon batter into ramekins, filling almost to the top, and lightly run finger around inside rim to create a "moat." Place ramekins in large baking pan, and arrange the baking pan on the middle oven rack and add hot water around ramekins as deep as you can make it.

Before cooking!

After cooking!

• Bake until soufflés have risen well above the rim and tops are golden brown, about 45 minutes.
• Garnish with sifted powdered sugar and a persimmon chip for a zazzy little dish to make you and your guests giggle with delight!

Happy Fall!
Serve immediately.

Nutrition Facts for one 6-oz ramekin:
137 total calories, 13gm total carbohydrate, 2gm fiber, 10gm protein, 5gm fat
(1 Carbohydrate (1 NET carb), 01 Fat, and 1.5 protein exchanges)

Moroccan Braised Lamb Shanks

When I get the itch to pamper myself, and a sincere itch to cook, I'll do something with lamb.  Its not easy to find fresh lamb meat, usually its frozen, and not often halal. But when an opportunity arises to get good, grass-fed fresh lamb meat, I definitely suggest you do it quickly. Lamb has a slight game-like flavor, similar to goat and deer meat, but it is a few degrees milder, but also lamb that is farm-raised is degrees less gamey than its grass-fed counterpart. I prefer to use lamb over beef in most dishes, including those with ground meat.

I love lamb because it has a heavy, warm flavor, that even after a bite I feel pampered when I need it most. It is rich and delicious.  But be forewarned, lamb is a very fatty type of meat. 

Lamb shanks as they begin to boil with water, browned onions, garlic, and spices. 

With my family's history of a lemon surplus, I even had to preserve a lot of my extra lemons. I adapted a method that I got from the whole foods store, and made my own recipe for preserved lemons here.
Combining my love of lamb with an overabundance of and passion for lemons, I made a beautiful braised lamb shank. This dish involves a lot of time and nursing. You can be passively revisiting your pot every 30 minutes or so, but you should be nearby. After starting my dish, I ran a few errands at the post office, came back to turn my lamb, responded to a couple emails, returned to turn the lamb, cut my vegetables, returned to turn the lamb, etc. If you start at 3pm, you'll have dinner by around 7-7:30. Do this on your days off from work! Otherwise, you'll eat dinner at 10pm and die from exhaustion! I paired the lamb with sauteed fingerling potatoes and my recipe for roasted beets.

This dish pairs well with rice flavored with saffron and turmeric(not pictured) or some pan-fried potatoes seasoned with allspice and roasted beets. 

Hang in there, if you don't like lamb but love lemon, I'll give you other recipes to make with the preserved lemons, like one with chicken & olives, or I'll have more on my post about preserved lemons.

Moroccan Lamb shank with Vegetables and Preserved Lemons
Serves 6

Ingredients:

• 2 tbsp. olive oil
• 2 large onions, peeled and finely chopped
• 3 large cloves garlic, peeled and minced
• 1 tsp. sweet paprika
• 1 tsp. ground cumin
• 1/4 tsp saffron threads
• 1 tsp allspice
• 3 lamb shanks
• Salt and freshly ground black pepper
• 1 Preserved Lemon, thinly sliced
• 2 large carrots, peeled and sliced into coin shape.
• 2 medium zucchini, halved lengthwise and sliced into half-circles

Directions:

1. Use a wide, ideally shallow pot for this dish. Lamb shanks are large and they should ideally sit flat on the bottom of the pot. For this dish I use a wok or large, 4"deep pot or skillet that has a lid.
2. Heat the oil in a large heavy pot over medium heat. Add onions and cook, stirring constantly, until they become soft and slightly clear, about 5 minutes. Add garlic and cook about 2 minutes longer until garlic has browned slightly.
3. Stir in the four spices and cook for an additional 2 minutes.
4. Add lamb shanks, arranging in a layer on top of the onions. 
5. Add enough water to cover the lamb about halfway, then season with salt and pepper (alternatively, I use beef or lamb stock with black pepper and leave out the salt for a boost of flavor).
6. Bring to a boil, uncovered over high heat. Reduce heat to low, partially cover the pot, and simmer for 3 hours, turning your shanks about every 30 minutes to keep them moist. 
7. Scatter preserved lemon slices over meat and top with vegetables. Cover pot and cook until vegetables are tender, about 30 minutes.
8. Arrange meat and vegetables on a large serving platter. Skim and discard fat from sauce, pour a little sauce over meat and vegetables, and serve remaining sauce on the side. 

Nutrition Facts for 1/2 lamb shank and 1c carrots and zucchini:
460 total calories, 7gm total carbohydrate, 5gm fiber, 27gm protein, 16gm fat
(1 Carbohydrate (1 NET carb), 3 Fat, and 4 protein exchanges