I love recipes that are 1. delicious 2. easily customizable and 3. can withstand adding lots of extra veggies!. This stuffed pepper recipe fits all of these so well! Oh, and it also needs to make good leftovers. Yep, does that too.
This summer I have been going to the local farmer’s market more often and I’ve discovered some of the best, high-quality meats from one of the farms, Pastimes Farm and Bakery out of Lincoln, Missouri. If you’ve never thought about purchasing meat at your farmer’s market, I would encourage you to check it out. They often have grass-fed and pasture-raised meats at a competitive price. We have really been loving their Italian pork sausage, which is where I got the idea for the stuffed peppers. It is unbelievably flavorful and works perfectly in this recipe. We also love to use it for homemade pizza.
What to serve with stuffed peppers
Stuffed peppers can really be a meal in itself. You have your protein with the meat or a meat substitute, fat from the meat and olive oil, carbs from the veggies and rice, and lots of veggies of different colors. Here are a few ideas for side dishes:
small side salad
roasted potatoes or sweet potatoes
fruit or fruit salad
There are a lot of different things you can do with this recipe. You can change out proteins, veggies, starch or just eat the filling on its own. Customize to your hearts desire, friends. Here are some ideas:
Use ground beef, turkey, chicken or pork in place of the sausage. You will want to add some additional seasonings for flavor.
I think lentils or black beans would be really good here as a substitute for the meat. Or even half meat and half beans.
You can really mix up the veggies for your taste preferences, sensitivities or what you have available and need to use from your fridge. I like veggies that will hold up well and still have a little crunch like the broccoli slaw and zucchini. Some ideas that would work are chopped or shredded carrots, celery, eggplant, diced tomatoes, and mushrooms.
You can use quinoa in place of rice. You could use all grains instead of cauliflower rice or all cauliflower rice instead of grains. Lots of options here.
If you eat dairy, you could mix in feta or goat cheese or top with shredded cheese.
There is always the option to eat the filling plain or in a wrap if you’re not a big fan of bell peppers. I serve the filling with a little additional rice for my son when we have this and he really likes it. It would also be really good over a baked sweet potato.
Italian Sausage and Veggie Stuffed Peppers
Gluten-free, dairy-free, option for grain-free
Makes: 4-6 servings
- 4 -6 bell peppers, any color (use fewer if serving some of the filling on its own)
- 2 tsp extra virgin olive oil
- 1 cup diced onion
- 1 cup chopped broccoli slaw
- ½-¾ cup chopped zucchini
- 1 ½ cup or 6-8oz riced cauliflower
- ½ - 1 cup cooked brown rice
- 1 cup chopped spinach
- 1# ground Italian sausage or meat of choice
- 1 cup marinara sauce
- 2 tsp Italian seasoning
- Preheat oven to 400 degrees.
- Heat olive oil in pan over medium heat.
- Saute onion in olive oil until soft.
- Add ground sausage to onions and cook, breaking up meat with a wooden spoon. Drain if needed.
- While meat is cooking, slice each pepper in half lengthwise and remove tops and cores.
- Add broccoli slaw, zucchini, riced cauliflower and rice to meat mixture. Cook another 5 minutes until tender.
- Add spinach and cook until just wilted.
- Stir in Italian seasoning and sauce.
- Spoon meat mixture into peppers. Can cover with foil to prevent the meat mixture from getting overcooked.
- Bake until peppers are tender, about 30 minutes.
I hope you enjoy this recipe as much as we do! If you try this recipe, please leave a comment! I love your feedback.
Thyroid antibody lab tests are tests often overlooked by physicians when checking for thyroid disease. This is unfortunate because when caught early, the amount and length of time the thyroid is being attacked could be decreased. If you are interested in learning more about thyroid health, click here for my last post. Hang with me here and we will talk about why thyroid antibody tests are important and if you should have yours checked.
What are Antibodies?
An antibody is a protein made by plasma cells in response to an antigen, or a substance the body thinks is a “bad guy”. Each antibody can bind to only 1 antigen in order for the immune system to attack and destroy that antigen. So, obviously, thyroid antibodies set up an attack on the thyroid gland, each one in a different way.
Anti-thyroperoxidase (TPO) antibodies are the most common and are associated with Hashimoto’s Thyroiditis along with anti-thyroglobulin (Anti-Tg) antibodies. Thyroid Stimulating Hormone (TSH) Receptor (TSHR-Ab) antibodies are associated with Graves’ Disease.
Did you know that thyroid antibodies can be present before other thyroid hormones are out of “normal” range?
So, if I ask you if you’ve had your thyroid labs check and you are like, “yep, my doctor says my thyroid is good”, it is usually only a TSH level that is checked. This lab test can only give us a small picture of what is going on with the thyroid or maybe not tell us anything at all. Antibodies can be present for years before we see a change in the TSH level. This is super frustrating because if antibodies are present, they can slowly destroy the thyroid over time. This will eventually cause the thyroid to not be able to produce hormone efficiently, then causing the change in TSH.
Thyroid antibodies can produce symptoms even when there is no hypothyroidism detected. Symptoms can include fatigue, anxiety, depression, weight gain, general poor feeling and potential for miscarriage. So no, you are not crazy when you tell your doctor you think there is something else going on even though your labs don’t show it.
Thyroid antibodies with a normal TSH can be an early warning sign of Hashimoto’s Thyroiditis, an autoimmune disease. It is estimated that 90% or more of those with hypothyroidism have Hashimoto’s disease. But, not all of those with Hashimoto’s will have elevated antibodies and will need a thyroid ultrasound if symptoms persist. I am one of the few with hypothyroidism and not Hashimoto’s. If there are antibodies present and an elevated TSH, Hashimoto’s is likely in the later stages.
Why are doctors not testing antibodies?
After reading the information above, you may be asking this same question. Right? Many general medicine practitioners don’t think that an autoimmune disease can be treated and reversed. Therefore, there is no need to know if antibodies are present because it doesn’t change their treatment plan. The root cause doesn’t really matter. They will treat the thyroid if the labs show that it makes sense. Or, if they are aware of autoimmunity, they want to suppress the immune system causing more problems and side effects.
If I have antibodies will I always have antibodies?
There is no cure for autoimmune disease. Once autoimmunity is present, there is always a potential for your immune system to attack your own cells causing problems. There is, however, a way to support the immune system, reverse or decrease autoimmunity and prevent further attack on the body. Nutrition and lifestyle play a large role in supporting the immune system and this topic deserves multiple blog posts! And, just so you know, I care about the root cause and it does matter!
Antibody levels will change in response to underlying causes, like stress, food sensitivities and infections. It is important to also look at the big picture of how you are feeling. If you have antibodies, it is great to have them checked occasionally with your other labs because it can tell you if your interventions are working or if you are maybe having a flare up and need to try something different.
Who should have thyroid antibodies tested?
If your doctor is already doing blood work to check your thyroid health, I recommend asking for a full thyroid panel, which will include antibody tests. It is great to get these labs done and see the full picture from the start. If this isn’t being done, here are some reasons you may want to ask for thyroid antibody tests:
You have another autoimmune disease like celiac disease, multiple sclerosis, Sjogren’s, etc. Once you have an autoimmune disease, you are 3x more likely to develop another one.
You have classic symptoms of a thyroid issue but your TSH continues to come back in the “normal” range.
You have a close family member with an autoimmune disease, especially Hashimoto’s or Graves’ disease.
You’ve been diagnosed with hypothyroidism or hyperthyroidism but have not had antibody tests done.
Antibodies can be an important piece of information when we are looking at thyroid health and thyroid diseases. They do matter and they can be decreased with immune system support. Antibodies can be present long before the thyroid is showing signs of attack and decreased function. As always, be aware of symptoms and be diligent in finding a doctor who will listen to you.
January is Thyroid Awareness Month so I wanted to bring a little more awareness to this growing group of diseases and overall thyroid health throughout this month. Have you ever heard of thyroid disease? Do you know what your thyroid is and what it does? Did you know that Hashimoto’s Thyroiditis is one of the most prevalent autoimmune diseases? In this post I’ll talk more about the thyroid gland, thyroid diseases, thyroid testing and and why it is all important.
I wish I had known way more about thyroid health much sooner than when I was diagnosed with hypothyroidism. The more I’ve learned and read about hypothyroidism, the more I’m convinced it started after my pregnancy, which was 8 years prior to my diagnosis. I dealt with postpartum depression as well as some other bouts of depression, anxiety, stubborn weight that doesn’t come off easily, thinning and dry hair, and mood issues. I still deal with some of these occasionally but it’s so much better than it was. You can read more about my story in this post. Determination to figure out how to feel better is what drove me toward integrative and functional nutrition, especially working with others with thyroid disease.
According to The American Thyroid Association, more than 12% of the American population will develop a thyroid condition at some time in their life. That is about 1 out of every 8 Americans, with women being 5 to 8 times more likely to develop thyroid disease. But, they say that up to 60% of those with thyroid disease are unaware of their condition. That is a very large percentage! Undiagnosed thyroid disease can lead to many health problems including cardiovascular disease, osteoporosis and infertility. That is why thyroid awareness is so important!
What is the Thyroid Gland?
The thyroid is a butterfly-shaped gland in the middle of the neck that produces hormones. It plays a major role in metabolism and growth and development. It controls our body temperature, how efficiently our body burns energy, and our menstrual cycles just to name a few. Basically, thyroid hormones affect every cell and organ in the body.
The thyroid gland produces thyroid hormones T3 (triiodothyronine) and T4 (thyroxine or tetraiodothyronine). The body needs more T3, the active form, but produces more T4, which must be converted into T3. There is a potential of underlying causes not allowing proper conversion of T4 to T3, which can cause hypothyroid symptoms.
Then there is thyroid stimulating hormone, or TSH, which is produced by the pituitary gland. Its job is to signal the thyroid to release hormones, which will depend on the amount of hormones already circulating in the blood. It all needs to work together properly for optimal thyroid function.
What is Thyroid Disease?
There are different types of thyroid diseases where too little or too much thyroid hormone is produced. There are also autoimmune thyroid diseases that attack the thyroid gland. I’ll briefly discuss hypothyroidism, hyperthyroidism, Hashimoto’s Thyroiditis and Graves’ Disease.
Hypothyroidism is where the thyroid gland does not produce enough thyroid hormone, or is underactive. It is much more common than hyperthyroidism. Symptoms of hypothyroidism include weight gain, sensitivity to cold, fatigue, brain fog, anxiety, depression, constipation, dry and brittle fingernails, loss or thinning of hair, irregular menstrual cycles, edema and puffiness, joint aches, and trouble sleeping. I suffer(ed) from many of these symptoms and didn’t realize they were all related.
Hyperthyroidism is an overactive thyroid or where the thyroid produces too much hormone. Symptoms include unexplained weight loss, rapid heart rate, excess sweating, irritability, and shaky hands.
Hashimoto’s thyroiditis is an autoimmune disease, meaning the immune system attacks its own healthy cells. With Hashimoto’s, the immune system attacks the thyroid gland and produces antibodies against the thyroid eventually causing the thyroid to not produce hormone properly. It is estimated that around 90% of those with hypothyroidism have Hashimoto’s.
Graves’ Disease is also an autoimmune disease, where the immune system attacks the thyroid gland. The antibodies produced in Graves’ Disease cause the thyroid gland to grow and produce too much thyroid hormone. It can also cause problems with the eyes, called Graves’ Ophthalmopathy.
What Tests Detect Thyroid Disease?
TSH (thyroid stimulating hormone) - This is the most common thyroid test run when checking for thyroid function. The lab range is controversial. Most functional medicine doctors looking for a lower number than conventional medicine ranges for optimal symptom improvement.
Free T3 - the amount of T3 hormone circulating in the bloodstream
Free T4 - the amount of T3 hormone circulating in the bloodstream
Reverse T3 - produced from T4 but blocks the action of free T3 so it can not be used.
The following antibody tests are used to diagnose autoimmune thyroid disease.
TPOAb - thyroid peroxidase antibody
TgAb - thyroglobulin antibody
A full thyroid panel should include all of these tests. The reverse T3 may be an add-on test and not included in the panel.
With as many as 60% of Americans unaware that they have a thyroid disease, it is important to be aware of symptoms and to have a regular screening done by your physician. Many women present to their doctor with symptoms of a thyroid disorder but are referred to other specialists or are treated for their individual symptoms rather than looking at the thyroid. If you are like me, you don’t even realize that the thyroid can be to blame.
If you aren’t sure if your doctor is checking any thyroid labs when you do blood work, ask. If you aren’t sure if your doctor is running all of the appropriate thyroid labs, ask. If your doctor is dismissing your symptoms or prescribing medications for your individual symptoms, find a second opinion and someone who will listen. Know your body, know your symptoms and take control of your health.
Comment below on anything you’d like to know more about with thyroid health. Want to learn more about what I do? Schedule a free call here.
Muffins! Banana bread muffins that are gluten-free, made with almond flour, so perfectly moist and melt in your mouth! They are like little love muffins. I added a little candied pecan on top for some extra yum. I was originally working on a banana bread recipe (which you could totally do with this), but I love muffins and so here you have it.
Muffins are just so easy. You take one, break it in half, spread all the butter or peanut butter in the middle and you are set. Maybe grab one for breakfast on your way out the door or pack one in your lunch for a little sweet treat. Or, you eat them in one bite if you are like my husband.
I have been baking and cooking with almond flour for over a year now and I love all of the different things I can do with it. I have been looking for almond flour recipes and using it to create my own recipes because a lot of my clients can have almond flour. It is only 1 ingredient compared to a gluten-free 1:1 flour, which contains at least 5 ingredients. I have used it for cookies, muffins, breads, pizza crust and pot pie.
Almond flour is made of finely ground blanched almonds. It is lower in carbohydrates than wheat flour, coconut flour or other gluten-free flours and is a good option if you are grain-free. It is a good source of vitamin E, manganese, iron, magnesium, potassium and calcium.
These almond flour banana bread muffins are lightly sweet with, of course, the bananas as well as a little applesauce and maple syrup. I love the cinnamon flavor in them and I think you will too.
Almond Flour Banana Bread Muffins
Gluten-free, grain-free and lightly sweetened.
Makes: 12 muffins
- 1/2 cup pecans
- 3 eggs
- 3 ripe mashed bananas
- 1/8 cup natural applesauce
- 2 Tbsp pure maple syrup (1T for candied pecans and 1T for muffins)
- 1 tsp vanilla
- 2 1/4 cups almond flour
- 1/4 cup coconut flour
- 2 ½ tsp cinnamon (1t for candied pecans and 1 1/2t for muffins)
- 1 tsp baking soda
- 1/2 tsp sea salt
- Preheat oven to 350 degrees.
- Line muffin tin with muffin liners.
- For candied pecans(optional): toast pecans in pan over medium heat for about 5 minutes, stirring to prevent burning. Add 1 Tbsp maple syrup and 1 tsp cinnamon and stir to mix. Remove from heat. When cool, chop into smaller pieces.
- Whisk eggs in medium bowl. Add mashed bananas, applesauce, the other Tbsp maple syrup and vanilla. Mix well.
- Mix dry ingredients in mixing bowl. Add wet ingredients and mix until incorporated.
- Fill muffin cups until almost full. Top with chopped candied pecans.
- Bake at 350 for 20 minutes or until toothpick comes out clean.
- Allow to cool before removing from muffin liners.
There are a few possible substitutions that would work in this recipe. If you don’t have coconut flour, you can leave it out. I’ve made it without but it will be a little more “mushy”. You could use honey in place of maple syrup. You could leave the applesauce out if apples bother you. Don’t like cinnamon? Leave it out. Maybe add walnuts or chocolate chips before baking? I always like to give you some options.
However you decide to make them, I hope you enjoy these muffins! As always, let me know what you think when you make them. What is your favorite gluten-free flour to use when baking?