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Lucie Brunet’s Healthy Foods Diet

via Enteral feeding bag and PEG tube

in 2013

FREE INFORMATION a sharing of her experience

This is a salute to the courage of Lucie Brunet, who had ALS symptoms but never gave up.

Lucie was a "spiritual warrior" who refused to be labelled by her malady, which she treated as a "visitor" from whom she could learn many useful lessons. It declined her invitations to leave, so now she has left it behind. She took no prescription medications and was alert until her last day. We are indebted to her sharing during this period, those who were fortunate to be in contact with her, came away stronger.

This information is free. Donations in Lucie’s memory may be sent to Child Haven International (Maxville, Ontario). Founded by our friends Bonnie and Fred Cappucino, it has provided orphanages in many countries.

…Lucie a vécu activement jusqu'à la fin, sa lumière intérieure brillait jusqu'au dernier jour. Celles et ceux qui l'ont côtoyé depuis les deux ans qu'elle était aux prises avec ses symptômes, ont pu admirer comment elle pagayait son canot parmi les rapides. Quand elle a reconnu que le courant était plus fort qu'elle, elle l'a laissé amener à sa destination ultime, tout en profitant du moment présent pour admirer le paysage et être en contact avec les forces de la nature.

Cette information est gratuite. Le dernier geste d'entraide de Lucie est de solliciter votre don à un organisme qu’elle appuyait, le Centre Espoir Sophie d'Ottawa, qui offre des services aux femmes victimes de violence, en français.

This document is on Lucie’s web site, go to her personal page and follow the link, or click here: www.brunetsherwood.ca

Siobhan Rock was a friend of Lucie’s who also had ALS and used basically the same approach. A video, where you can see how Siobhan did it, is in YouTube under: “Conversations With Siobhan Ep 10” http://www.youtube.com/watch?v=pYD8bIkeRfQ

Feel free to contact Lucie’s husband for further information:David Sherwood / (613) 674-2042 / [email protected]

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http://brunetsherwood.ca/content/lucies-als-diet-peg-tube

Lucie Brunet’s Healthy Diet via Enteral feeding bag and PEG tube in 2013

When Lucie had her PEG tube procedure, it was recommended that she use Resource 2.0 as her food source. However:

(a) She had always eaten organic foods, so she would have preferred not to take Resource.

(b) She had a bodily reaction to Resource and could not take it. She thinks the reaction was to the milk proteins in it. She had always limited her intake of dairy products, because they produced mucus and a bit of inflammation, which became a big problem when her swallowing abilities decreased. So this meal plan does not include protein powders based on Whey.

(c) Lucie also had a mild inflammation reaction to Soy, which had not been a problem in her life until her swallowing ability was affected. So this meal plan does not use soy products.

*Lucie slowly gained weight on this diet, from 90 to 95 pounds on the bathroom scale.*Equally importantly to her, she felt that the fresh foods and quality food powders and supplements she ate, maintained her essential vitality, a clear head. She was lucid and communicating until the day she died. Her cause of death was from breathing problems, not food deficiencies. A blood test by her doctor indicated no obvious nutritional deficiencies.

Aside from the Enteral feeding bags and PEG tube provided through the CCAC, the necessary equipment for this diet are:

1- A high quality blender. Lucie’s recipes refer to the Vitamix blender, a high quality, high capacity machine.

2- **A “nut bag” strainer, very fine mesh, available at health food stores. **Necessary to keep fibres from blocking the feeding tube. The mesh is finer than colander strainers.**

3- Velcro, to hold the end of the feeding tube in the stomach tube. Through constant use, the stomach tube end becomes somewhat dilated and the enteral sack end would come loose and leak or spill. Velcro was a home made solution that held them together.

4- Syringes, provided by CCAC, to inject water to flush the stomach tube after use.

Eggs - When using raw eggs, it is important to obtain them ‘farm fresh’ from a trustworthy source. Also, store them in the body of the fridge, which has a more constant temperature than the door. Lucie preferred the yolks only in some recipes, there is nothing wrong with the whites.

All raw foods, including sprouts, need to be washed. Sprouts are harder to wash thoroughly and in some countries they have caused a type of food poisoning on occasion. The person is already having health problems, so needs to get them from a reliable source and consume very fresh.

Water: Lucie lived in a rural area, with water coming from a well. As a precaution, she did not drink it. It was used in washing up, by the rest of the family, etc. If you are on a well, know that Coliform Bacteria contamination is advised anyway and the local Health Unit does it for free. City water is chlorinated so will not contain these bacteria. Sometimes she had access to water that had been energized, balanced for Ph and so on, but that is a subtle option, not a requirement.

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Blender heat: The Vitamix blender (and possibly others) can actually heat soups and other mixes until they are very hot. So, Lucie made sure the blender didn’t run too long, because heat destroys some nutritional value. Room temperature was usually comfortable for her.

The Resource product has advantages: it is easy to use, compact, MUCH less trouble when you are away from home, and it keeps you alive. It can be used instead of, or in combination with, this diet.

This diet is a lot of work. About 1 hour per feeding or 5 hours per day, including prep time, feeding process and cleanup. To eat this way, probably most ALS patients and their caregivers would need to be highly motivated, or have help.

Some of the ingredients, such as broth or vegetable purées, can be made ahead of time and frozen. Siobhan did that in her video.

But Lucie always had the blender mix itself fresh, never stored for use later, because once blenderized it oxygenates quickly and loses its value.

This food was prepared in a normal kitchen with normal precautions about cleanliness, hand washing by the cook, etc. It was not a “sterile” laboratory environment. As an extra precaution, Lucie used ‘food grade’ hydrogen peroxide about once a week to clean everything, as an alternative to bleach which can affect some plastics.

Although Lucie did consult a nutritionist in devising this diet, this document does not constitute a recommendation, nor medical advice. It is not a substitute for common sense or ‘listening to your body’. It is one person’s experience. It worked for her. Anyone going down this path should have their diet reviewed by a Registered Dietitian to ensure it meets the individual’s medical and nutritional requirements.

It would also be possible to adopt a strategy of eating what is possible and taking other foods via the tube. As noted in Siobhan Rock’s video, there is a social aspect to it. She was able to eat many of the same foods as her family at meal time. Lucie’s recipes were not similar to the family meals.

**Perhaps the main “take away” point is that it is possible to take whole foods through the PEG tube, you can experiment, it is not rocket science. The main issues are to get enough nutrition and to filter or sieve in order to not block the tube. Exercise lots of care and caution for a person who already has a health problem. It is always recommended to get professional advice.

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Lucie Brunet’s table of nutrition content of her common foods

This table shows all the research she did. It contains some foods she was eating before the PEG tube and some which did not end up in her blender recipes. A person who has trouble swallowing should get professional advice and proceed with caution. If on a tube, use a “nut bag” or other filter or sieve which is finer than most colanders, to not block the tube with fibres.

DATA: there are many web sites with nutrition data. Some are commercial and promote a diet or product. Some are sort of hard to understand. Most data in this chart is from the web site Lucie preferred: http://www.nutritiondata.self.com It is recommended to re-verify this data. Google search using: Nutrition Data ____name of food ____

Lucie found it quicker to go back to Google for the next search item than to search again within the web site.

Food Quantity Calories Carbo-Hydrates

Grams 1

Proteingrams

ml of liquid

Alfalfa Sprouts 1 cup 25 3 3 Almond Flour, aka meal ¼ cup 180 7 Almond Milk, Almond Breeze, ‘60’ on label 1 cup 60 8 1 250Almonds 1 oz 160 6 Alpha ENF Powder, 2 scoops 2 ½ cup 180 37 4Alpha Morning Recipe (w/2 oil, 1 egg, 2 hemp) 375 ml 445 66 10 375Apple One 95 25 - Apple cider 1 cup 120 - 250Apple Juice 1 cup 120 - 250Apple Sauce, average commercial brand ¼ cup 50 - Avocado (a whole one is too much, use ¼) 1/4 75 4 1 Banana (a whole one is too much, try ½) ½ 50 13 - Barley broth ESTIMATE 1 cup 100 10 10 375Beets, cooked 1 cup 75 2 Bone Broth, estimate from web site 1 cup 100 17 16 250Broccoli Sprouts 2 cups 60 30 10 Butter 1 tbsp 100 - Carrot Juice 1 cup 70 - 250Carrots Pureed 1 cup 50 1 Cashews 1 oz 150 5 Celery, 1 stick from the bunch one 6 1 0Cheese, St-Albert (slice equivalent to ¼ cup)

1/4 cup 130 0 6

1 The carbohydrates column is very incomplete; a lot of the entries pre-date her tracking of Carbs. 2 Alpha ENF powder is a protein mix, very easy to digest and absorb, because each Amino Acid is separated at source. It is not based on milk or soy. http://www.nutramed.com/alphaenf

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http://www.nutramed.com/alphaenf

http://www.nutritiondata.self.com/

Chia Seeds 1 tbsp 70 6 2 Chicken 2 oz 70 - 10 Chicken Soup 1 cup 100 10 10 250Clam Chowder 1 cup 150 20 8 250Coconut Water, Coconut Dream brand 1 cup 60 3 - 250Coconut Milk, Arroyo D brand (little cartons)

¼ carton 40 1 0

Coconut Oil 1 tbsp 120 - Cottage Cheese 2%, loosely packed in cup 1 cup 200 8 25 Cream 2 tbsp 40 1 60Crème Caramel, commercial brand 1 portion 300 4 Cucumber ¼ cup 4 1 - Cucumber, whole, baby size One 32 8 -Dates, pitted, medjool One 66 18 -Egg, large One 75 6 Egg, yolk only (white has fewer calories) One 55 1 3 Fish one fillet (sole or other white fish) 1 fillet 150 0 3Fish Stew ESTIMATE 1 cup 100 10 10 250Flan, commercial, 1 portion one 400 6 Flax Milk, Good Karma brand 1 cup 50 8 - 250Flaxseed, ground 1 Tbsp 40 2 - Fruit Juice * depends on brand, see label 1 cup 150 30 - 250Green Beans, 4, estimated at: 1 oz 46 - 9Green Smoothie 1 cup 250 5 250Green Smoothie ESTIMATE, contents vary 2 cups 500 10 500Heart soup ESTIMATE 1 cup 100 10 10 250Hemp Protein Powder 70% 1 Tbsp 30 1 5 Hemp Protein Powder 70% 2 tbsp 60 2 10 Honey 1 tbsp 65 - Hummus 2 Tbsp 80 2 Jerusalem Artichoke Soup 1 cup 100 20 2 250Kéfir, Heinzle, 3.8% ¼ cup 100 9 4Lima Beans 2 cups 430 30 500Liver Broth, based on one slice 3”x3” 130 3 20 250Maple Syrup 1 tbsp 50 Meat Broth 1 cup 100 - 10 250Milk 2% 1 cup 120 12 8 250Mulberries ¼ cup 15 4 1 Oat Milk, Oat Dream brand, ‘enriched’ 1 cup 120 17 3 250Olive Oil 2 tbsp 240 - - Parsley 1 cup 15 1 -Papaya 2 oz 20 6 - Pea Sprouts or Shoots, 1 package 100g 18 3 Pear 1 80 24 -

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Pear Compote, ¼ cup ¼ cup 50 - Peas – jar of baby food 125 70 4 Pepper, red-orange-yellow ½ 25 5 1 Pineapple, slice 1” thick slice 20 5 -Potato, boiled, in skin one 120 30 3 Prune Juice, full cup 1 cup 190 - 250Prunes, stewed, unsweetened 2 Tbsp 30 8 0 Prunes, jar of baby food 125 ml 12 - Raw Vegetable Juice ½ cup 25 1 Rice (dry measure, before cooking) 1 cup 600 125 15 Rice Milk, Rice Dream Brand, ‘fortified’ 1 cup 130 26 - 250Rice Pudding, commercial brand Lucie likes 125 ml 120 4 Sesame Milk Recipe 1 cup 250 15 7 250Shepherds Pie ESTIMATE 1 cup 400 30Sockeye Salmon canned 1/2 cup 150 20 Soup – Cream of Beet ESTIMATE 1 cup 100 10 - 250Soup – pea and veggie ESTIMATE 1 cup 150 15 2 250Soup – Pureed Vegetables ESTIMATE 1 cup 50 3 250Soy Milk, So Nice ‘fortified’ 1 cup 80 7 6 250Soy Pudding, Belsoy brand, 1 portion 125 ml 110 4 Soy Pudding, Soysun brand, 1 portion 125 ml 80 4 Soy yogurt ¼ cup 125 5 125Spinach, raw 1 cup 7 1 1 Squash, cooked 1 cup 80 22 2 Sunflower Sprouts 1 cup 90 2 2 Swiss Chard 4 leaves estimate 1 oz 6 1 1Tapioca, Kozy Shack brand, 1 portion one 120 22 3Tomato Sauce 1/2 cup 160 - 125Udo Oil 1 spoon 1 Tbsp 120 - - Udo Oil 2 spoons 2 Tbsp 240 - - Wheat Grass Juice 1 oz 10 1 1 Whey 1 cup 60 6 20 250Whey Liquid Fermented 1 cup 60 14 2 250Whey Powder 30 g 140 28 Yogurt – Almond ¾ cup 140 3 Yogurt Plain Heinzle 3.8% 1/4 cup 80 6 4 Zucchini 1 cup 20 4 2

Lucie’s Goal each day: 2000 calories / 130 carbohydrates / 100 protein / 1500 ml liquids

NOTE on FORMAT: The columns in the above table are in this order to match the nutritional content labels on boxes from the store. If it is put in Excel, it is easier to add new items in rows, because when you sort by alphabetical order, the data stays together in Excel (not so in Word).

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Home made soups are estimated at 100/10/10/300ml for one serving, which may be one cup or at most 1.5 cups; pending more accurate research or a description of the contents of each soup.

CONVERSIONS

3 teaspoons = 1 tablespoon = 15 ml

2 tablespoons = 1/8 cup = 30 ml = 1 ounce

4 tablespoons = ¼ cup = 60 ml

Lucie’s Food Supplements :

What is it? Who makes it? / Brand How much per day?Wheat Grass Juice, 1 oz Local source, home made one ounce / meal; 5 / dayf3 Spirulina algae BioNutrition, Biosuperfood one capsule / meal ; 5 / dayDigestive Enzymes New Roots 1 capsule / dayFenugreek Seed Léo Désilets Company 1 capsule / dayProbiotic intestinal flora Renew Life Ultimate Flora 1 capsule / dayMagnesium Malate 870 mg AOR 1 capsule / dayFish Oils True Hope Omega Power 1 capsule / dayVitamin D3 liquid Pure Encapsulations 1-2 drops / daySlippery Elm Clef des Champs A “pinch” a day

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Lucie’s nutritional goal each day:

2000 calories / 130 grams of carbohydrates / 100 grams of protein / 1500 ml of liquids

Some days, especially when away from home or dealing with acute symptoms, she did not meet these targets. But when in her routine, at home, she did.

Lucie generally had 5 meals per day, which she called:

o Breakfast Alpha Mix /

o Green Smoothie /

o Meat Broth /

o Alpha Plain Mix /

o Carbohydrate meal

The instructions for each meal, on the following pages, are written such that inexperienced friends or home care workers could do it, if the ingredients and equipment were clearly laid out and labelled for them.

Note on the format of this document in Word. We modified the format of the 5 meal recipes that follow, mainly by reducing page margins, so they would print on one page, then go in a ring book in the kitchen, inside plastic sheet protectors. Very convenient and protects the page from the inevitable food splashes.

NOTES: These instructions refer to a Vitamix blender, i.e. the reference to switches and control knobs.

The references to “Alpha” mean Alpha ENF powder. It is a protein mix, very easy to digest and absorb, because each Amino Acid is separated at source. It is not based on milk or soy. Lucie purchased it on line and had it shipped from B.C. : http://www.nutramed.com/alphaenf

As a rural resident, Lucie was able to get fresh GOAT milk WHEY, which increased the protein value compared to any other liquid, including goat milk itself. She did not the have mucus and inflammation reaction to goat milk that she had from cow milk.

The recipes don’t specify flushing the PEG tube with water from a syringe after each meal, but yes, she always did, it is important to keep the tube clear and avoid any food building up on the inside of the tube.

Many variations on this diet are possible, for each person’s nutritional and lifestyle goals. The main issues have to do with physics: to strain the foods so they don't block the tube, to liquefy it enough so that it flows, and that the food temperature be in the range between room temperature and body temperature, for stomach comfort.

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LUCIE’S BREAKFAST MIX

Good morning! Do all the measurements with “relative” accuracy, they don’t have to be perfect. Speed is more important, Lucie is usually very hungry when she wakes. Put in the blender:

1 ½ cups of one of the following liquids, hopefully it was already set out last night so it is at room temperature: rice milk / oat milk / flax milk/ coconut WATER/ or as a last resort almond milk (NOT home made almond milk, it is too thick) (NOT water, it has no nutrition content) (not coconut MILK, it is too thick).

Put the measuring cup in the sink and you can put the other utensils that you use for the other ingredients into it, as you finish with them, to wash later.

2 scoops of Alpha ENF powder (white canister). The scoop is usually inside the canister. Each scoop is ¼ cup, total ½ cup.

2 scoops of Hemp Pro 70 powder (brown canister). The scoop is usually inside the canister. Each scoop is 1 tablespoon, total 2 tablespoons.

2 tablespoons of Olive oil, the metal measuring spoon should be on the tray with the bottle.

1 whole raw egg. Eggs from the carton in the fridge. If the egg shell is dirty, wash it off. Pour the egg into a little bowl to check there is no egg shell going into the blender.

PUT THE TOP ON THE BLENDER !! Flip the right hand switch up, to turn on low speed. While that is still on, turn the middle dial to 10 for medium speed. There is a clock on the wall near the door to the deck. After ONE minute, turn the middle dial down and flip the right switch off.

… the list above are the mandatory ingredients … what follows are things to add if there is time:

o Wheat Grass Juice, a green coloured liquid, 1 ounce. Pour THROUGH A SIEVE, otherwise the fibres will block the feeding tube. The little white sieve should be on the blue tray.

o Food supplements and vitamins: there is a little clear plastic basket, with “Lucie Supplements” written on the handle. Use a paring knife and cutting board to cut the small end off each capsule. OPEN one gelatine capsule from each bottle, and put the powder or oil into the blender when it is NOT turning. Don’t worry if you can’t perfectly empty the capsule. If you drop the capsule into the mix, use a spoon to take it out. If there is a bottle dropper, put 3 drops in. If a bag or sack of powder, add a “pinch”.

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o Coconut milk, “Arroy D” brand, it looks like a juice box you take in your lunch. Before opening, or if it is open, holding your finger over the opening, SHAKE it vigorously, then pour in your estimate of ¼ of the carton approximately (we try to use one carton per day).

o “f3” food supplement (white plastic bottle): OPEN one gelatine capsule and pour the green powder in.

Re-mix everything at LOW speed in the Blender. Flip the right switch on, for 15 SECONDS.

Before you pour the mix into the feed bag, CLOSE OFF THE CONTROL VALVE below the bag, so it doesn’t run onto the floor. If you have strained the wheat grass, you don’t need to strain the rest, it is all powders that dissolve well and liquids. After you pour the mix in the bag, quickly rinse the blender so it is easier to clean later. Bring the bag to Lucie. Thank you!

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LUCIE’S GREEN SMOOTHIE / This is often her second meal of the day, mid-morning.

Put 1 cup of LIQUID in the blender. This meal is naturally thick, so use WATER as a base. 1st choice is coconut WATER (not coconut MILK, it is too thick); or city water or bottled water or from a source you trust. (Lucie does NOT drink our tap water, from a well, as a precaution.)

You probably will need to blend a little as you go, so it will reduce down and all fit in. PUT THE TOP ON THE BLENDER before you turn it on!!

Flip the right hand switch up, to turn on low speed. While that is still on, turn the middle dial to 10 for medium speed. At some point, maybe only at the end, while still on medium speed, you will go to High Speed by flipping the left side switch up for ONLY 15 SECONDS (otherwise the mix will heat up and lose nutrient value). There is a clock on the wall near the door. To turn it off, go in reverse order: flip left switch down, dial middle switch down, flip right switch down.

Here is your choice of ingredients. Rinse under tap, chop in chunks if required. If they are solid like cucumbers or celery, cut into big chunks about 2 or 3 inches to make it easier for the blender to chop them, but don’t worry, on high speed it is a very strong blender that will chop anything. Note that the compost bucket is to your left.

If these are all in the fridge, it will be too much, so choose only 5 ingredients.

- Avocado, 1/4 only (it is fibrous and will block the feeding tube if you put more)- Celery, 1 stick from the bunch only- Cucumber, approximately the equivalent of 1 cup - Green beans, that have been cooked, 4 beans- Parsley, approximately 1 cup- Pepper, Green, ½ of the pepper, cut in chunks- Spinach, approximately 1 cup packed loosely (or a big handful)- SPROUTS ! Always try to have sprouts in the mix. Sunflower sprouts are usually in a

clear plastic bag, put a really big handful or 1.5 cups. Pea sprouts or shoots come in green plastic containers from a green house, they may be in the cold room instead of the fridge, put one container in. Put both Sunflower and Pea sprouts in, if both are available.

- Swiss Chard or Kale, 2 leaves or so depending on size.- Zucchini, approximately the equivalent of 1 cup- … or whatever else may be in season…

If the mix gets “stuck” and won’t go down into the blades of the blender:- take the clear plastic knob out of the top of the blender (DON’T remove the whole black top);- use the special round black plastic “stick” you will see on the counter. It has a built in ring

that prevents it from ever going too far and getting caught on the blender blades. Use it to poke the ingredients down into the mix while the blender is turning at medium speed.

At the end, or along the way, you may have to add more liquid. Remember NOT to use our tap water, which is from a well.

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FILTER IT, otherwise the fibres will definitely block the feeding tube! Pour the mix into a 2 cup measure or other container, through the white plastic sieve. You will probably have to stop and scrape off the sieve, which will block. (You can eat the healthy fibres or compost them). Then you have to filter it again, through the white bag sieve.

Put 500 ml in the feed sack. It loses nutritional value quickly, so give it to Lucie right away.

Before you pour the mix into the feed bag, CLOSE OFF THE CONTROL VALVE below the bag, so it doesn’t run onto the floor. After you pour the mix in the bag, quickly rinse the blender so it is easier to clean later. There may well be extra mix that won’t fit in the bag. So the cook should have a small glass and offer a small glass to the nurse or whoever is there. Sip slowly. Thank you!

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This is a meal for sometime in the middle of the day. / LUCIE’S MEAT BROTH MEAL

The broth is prepared in advance and frozen. Big batches from bones from butcher shop. Inexpensive nutritional meats like heart or kidneys. The book Joy of Cooking has broth explanations.

Hopefully someone took the broth out of the freezer and put it on the counter so it is thawed and at room temperature. If you are looking in the kitchen freezer, the white or clear plastic containers may have names like Bone Broth, Beef Broth, Heart Broth, etc. If not, ONE ADVANTAGE OF A VITAMIX BLENDER is that it will crunch fairly large ice chunks and it will heat the food if you blend on high speed.

1. Put ¼ cup of LIQUID in the blender. 1st choice is coconut WATER (not coconut MILK, it is too thick); or city water or bottled water or from a source you trust. (Lucie does NOT drink any water from a well, as a precaution.)

2. Add coconut milk, “Arroy D” brand, it looks like a juice box you take in your lunch. Before opening, or if it is open, holding your finger over the opening, SHAKE it vigorously, then pour in your estimate of ¼ of the carton approximately (we try to use one carton per day).

3. Add 2 tablespoons of “Udo” brand oil, from the fridge.

4. 1 whole egg. Eggs from the carton in the fridge. If the egg shell is dirty, wash it off. Pour the egg into a little bowl to check there is no egg shell going into the blender. Put the egg shell in a yogurt container, there is usually one on the window sill.

5. Now add the meat Broth.

PUT THE TOP ON THE BLENDER before you turn it on!!

Flip the right hand switch up, to turn on low speed. While that is still on, turn the middle dial to 10 for medium speed. As soon as that is going, move to High Speed by flipping the left side switch up.

BLEND FOR 2 MINUTES OR UNTIL IT FEELS WARM. There is a clock on the wall near the door to the deck. Put your hand on the outside of the blender near the bottom. Because this recipe has animal fat, it must be served warm (not burning) to the touch, so it will not congeal in the feeding tube.

To turn it off, go in reverse order: flip left switch down, dial middle switch down, flip right switch down.

Now add new ingredients:

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1. Wheat Grass Juice, a green coloured liquid, 1 ounce. Pour THROUGH A SIEVE, otherwise the fibres will block the feeding tube. The little white sieve should be on the blue tray.

2. f3” food supplement (white plastic bottle): OPEN one gelatine capsule and pour the green powder in.


FILTER IT, there may be meat fibres or connective tissues in the broth that can block the feeding tube! Pour the mix into a 2 cup measure or other container, through the white plastic sieve. You may have to stop and scrape off the sieve, which might block. (You can compost the fibres, compost bucket is usually to the left). If the meat broth was strained when it was made, there won’t be fibres and it will go more quickly.

Before you pour the mix into the feed bag, CLOSE OFF THE CONTROL VALVE below the bag, so it doesn’t run onto the floor. After you pour the mix in the bag, quickly rinse the blender so it is easier to clean later. Bring the bag to Lucie. Thank you!

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LUCIE’S ALPHA ENF MIX

This is a generic mix that Lucie can have any time, and she can have it twice a day (or even thrice). Do all the measurements with “relative” accuracy, they don’t have to be perfect. Usually what you need is to the left of the blender on the counter or on the blue tray. If not, ask. Put in the blender:

1 ½ cups of one of the following liquids, hopefully we put on the counter so it is at room temperature:

o any one of these from a 1 litre carton: rice milk / oat milk / flax milk/ coconut WATER/ or as a last resort almond milk (NOT home made almond milk, it is too thick) (NOT water, it has no nutrition content) (not coconut MILK, it is too thick).

2 scoops of Alpha ENF powder (white canister). The scoop is usually inside the canister. Each scoop is ¼ cup, total ½ cup.

2 scoops of Hemp Pro 70 powder (brown canister). The scoop is usually inside the canister. Each scoop is 1 tablespoon, total 2 tablespoons.

2 tablespoons of any oil, e.g. Olive or Udo, the metal measuring spoon should be on the blue tray.

1 egg yolk. Eggs from the carton in the fridge. If the egg shell is dirty, wash it off. Crack the egg over a little bowl to check there is no egg shell going into the blender. There is a yellow spoon utensil to separate the yolk, the egg white goes in a jar in the fridge for the rest of the family.

Coconut milk, “Arroy D” brand, looks like a juice box you take in your lunch. Before opening, or if it is open, holding your finger over the opening, SHAKE it, then pour in your estimate of ¼ of the carton approximately (we try to use one carton per day).

Variety is good, so ask if there is anything special to add today. E.g. pre-cooked vegetables like squash, and you can add ½ cup approximately; or fruit like a half banana or a slice of papaya, BUT then you have to filter out the fibres with a sieve.

Ask if Lucie is taking any spices, like tumeric or whatever, and add a “pinch”.

PUT THE TOP ON THE BLENDER !! Flip the right hand switch up, to turn on low speed. While that is still on, turn the middle dial to 10 for medium speed. There is a clock on the wall near the door to the deck. After ONE minute, turn the middle dial down and flip the right switch off.

Add to the mix:o Wheat Grass Juice, a green coloured liquid, 1 ounce. Pour THROUGH A SIEVE,

otherwise the fibres will block the feeding tube. The little white sieve should be on the blue tray.

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Re-mix everything at LOW speed in the Blender. Flip the right switch on, for 15 SECONDS. Before you pour the mix into the feed bag, CLOSE OFF THE CONTROL VALVE below the bag, so it doesn’t run onto the floor. After you pour the mix in the bag, quickly rinse the blender so it is easier to clean later. Bring the bag to Lucie. Thank you!

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LUCIE’s starchy, low protein meal

Sometimes, especially in the evening, Lucie just eats starches and does not take protein.This recipe relies on having pre-cooked vegetables or grains, eg- squash or barley. Often there are home made containers in the kitchen freezer. Backup supplies may exist in the basement freezer. They will be labelled. Hopefully, someone took one out of the freezer already and it is on the counter at room temperature. If not, ONE ADVANTAGE OF A VITAMIX BLENDER is that it will crunch fairly large ice chunks and it will heat the food if you blend on high speed.

1. Put 1 cup of LIQUID in the blender. a. from a 1 litre carton: rice milk / oat milk / flax milk/ coconut WATER/ or as a last

resort almond milk (NOT home made almond milk, it is too thick) (NOT water, it has no nutrition content) (not coconut MILK, it is too thick).

2. Coconut milk, “Arroy D” brand, looks like a juice box you take in your lunch. Before opening, or if it is open, holding your finger over the opening, SHAKE it, then pour in your estimate of ¼ of the carton approximately (we try to use one carton per day).

3. 2 tablespoons of any oil, e.g. Olive or Udo, the metal measuring spoon should be on the blue tray.

4. Add the starches (pre-cooked grains or vegetables).

5. Ask Lucie if she is taking any spices, like turmeric or whatever, and add a “pinch”.

PUT THE TOP ON THE BLENDER !! Flip the right hand switch up, to turn on low speed. While that is still on, turn the middle dial to 10 for medium speed. As soon as that is going, move to High Speed by flipping the left side switch up. BLEND FOR 2 MINUTES. There is a clock on the wall near the door to the deck.

To turn it off, go in reverse order: flip left switch down, dial middle switch down, flip right switch down.

FILTER IT! Vegetable fibres are the most likely to block the feeding tube. Pour the mix into a 2 cup measure or other container, through the white plastic sieve. Then strain it AGAIN through the white cloth bag strainer.

Add to the mix:o Wheat Grass Juice, a green coloured liquid, 1 ounce. Pour THROUGH A SIEVE,

otherwise the fibres will block the feeding tube. The little white sieve should be on the blue tray.



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Before you pour the mix into the feed bag, CLOSE OFF THE CONTROL VALVE below the bag, so it doesn’t run onto the floor. After you pour the mix in the bag, quickly rinse the blender so it is easier to clean later. Bring the bag to Lucie. Thank you!

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Nutrition Data Lucie’s Breakfast Mix

Ingredients Quantity Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

Alpha ENF Powder, 2 scoops ** ½ cup 180 37 4Hemp Protein Powder 70% 2 tbsp 60 2 10 Olive Oil 2 tbsp 240 0 0 Egg, large One 75 0 6Wheat Grass Juice 1 oz 10 1 1 Coconut Milk, Arroyo D brand (little cartons) ¼ carton 40 1 0TOTAL 605 41 21

Alternative Liquids (only one per batch) Quantityin reality 1.5 cups

Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

Almond Milk, Almond Breeze, ‘60’ on label 1 cup 60 8 1 250Coconut Water, Coconut Dream brand 1 cup 60 3 0 250Flax Milk, Good Karma brand 1 cup 50 8 0 250Oat Milk, Oat Dream brand, ‘enriched’ 1 cup 120 17 3 250Rice Milk, Rice Dream Brand, ‘fortified’ 1 cup 130 26 0 250GOAT milk Whey 1 cup 60 6 20 250ESTIMATE TO USE IN CALCULATION 1.5 cups 100 20 Zero unless

goat whey 20

375

Breakfast mix Quantity Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

TOTAL ON AVERAGE; in reality, it will vary 700 65 20 (if goat

whey 40

375

**Alpha ENF powder is a protein mix, very easy to digest and absorb, because each Amino Acid is separated at source. It is not based on milk or soy. Lucie could not find a local source, so she purchased on line and had it shipped: http://www.nutramed.com/alphaenf

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Nutrition Data Lucie’s Green Smoothie

Vegetables (choose 5 per batch, for variety and according to what is available on the day)

Quantity Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

Alfalfa Sprouts 1 cup 25 3 3 Avocado (a whole one is too much, use ¼) 1/4 75 4 1 Celery, 1 stick from the bunch one 6 1 0Cucumber ¼ cup 4 1 0 Cucumber, whole, baby size One 32 8 0Green Beans, 4, estimated at: 1 oz 46 0 9Parsley 1 cup 15 1 0Pepper, red-orange-yellow ½ 25 5 1 Spinach, raw 1 cup 7 1 1 Sunflower Sprouts 1 cup 90 2 2 Swiss Chard 4 leaves estimate 1 oz 6 1 1Zucchini 1 cup 20 4 2 ESTIMATE FOR 5 INGREDIENTS 150 15 10

Alternative Liquids (only one per batch) Quantity Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

Almond Milk, Almond Breeze, ‘60’ on label 1 cup 60 8 1 250Coconut Water, Coconut Dream brand 1 cup 60 3 0 250Flax Milk, Good Karma brand 1 cup 50 8 0 250Oat Milk, Oat Dream brand, ‘enriched’ 1 cup 120 17 3 250Rice Milk, Rice Dream Brand, ‘fortified’ 1 cup 130 26 0 250GOAT milk Whey 1 cup 60 6 20 250ESTIMATE TO USE IN CALCULATION 80 15 ZERO (20

goat WHEY

NOTE: VALUES ARE FOR ONE CUP; we actually usually do a 1.5 cup recipe and need to add more while blending for a total of 2 cups or 500ml; but if we make 2 cups, Lucie gets one cup

and other folks share the other cup.

ESTIMATED TOTAL FOR AN AVERAGE GREEN SMOOTHIE; in reality, it will vary


Grams

Proteingrams

ml of liquid

Green Smoothie ESTIMATE, Lucie’s portion 250 15 10 (20 goat WHEY

250

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Nutrition Data Lucie’s Meat Broth Meal

Possible Soups or Broths, use one only at a time


Grams

Proteingrams

ml of liquid

Bone Broth, estimate from web site 1 cup 100 17 16 250Chicken Soup, estimate 1 cup 100 10 10 250Heart soup ESTIMATE 1 cup 100 10 10 250Liver Broth, based on one slice 3”x3” 130 3 20 250Meat Broth, estimate 1 cup 100 10 10 250ESTIMATE TO USE IN CALCULATION 100 10 10

NOTE: these are all estimates, because they are made by a friend.

Other Ingredients Quantity Calories Carbo-Hydrates

Grams

Protein

grams

ml of liquid

Coconut Milk, Arroyo D brand (little cartons) ¼ carton 40 1 0Udo Oil 2 spoons 2 Tbsp 240 0 0 Egg, large One 75 0 6 Wheat Grass Juice 1 oz 10 1 1 TOTAL 365 2 7


Grams

Proteingrams

ml of liquid

Almond Milk, Almond Breeze, ‘60’ on label 1 cup 60 8 1 250Coconut Water, Coconut Dream brand 1 cup 60 3 0 250Flax Milk, Good Karma brand 1 cup 50 8 0 250Oat Milk, Oat Dream brand, ‘enriched’ 1 cup 120 17 3 250Rice Milk, Rice Dream Brand, ‘fortified’ 1 cup 130 26 0 250GOAT milk Whey 1 cup 60 6 20 250ESTIMATE TO USE IN CALCULATION 80 15 24NOTE: VALUES ARE FOR ONE CUP; we actually usually do a 1.5 cup recipe and need to add

more while blending for a total of 2 cups or 500ml; but if we make 2 cups, Lucie gets one cup and other folks share the other cup.

Meat Broth Meal Quantity Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

ESTIMATED TOTAL ON AVERAGE; in reality, it will vary

550 25 40 250

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Nutrition Data Lucie’s Alpha ENF Mix


Grams

Proteingrams

ml of liquid

Alpha ENF Powder, 2 scoops ½ cup 180 37 4Hemp Protein Powder 70% 2 tbsp 60 2 10Olive Oil or Udo Oil 2 tbsp 240 0 0Egg, YOLK ONLY yolk 55 1 3Coconut Milk, Arroyo D brand (little cartons) ¼ carton 40 1 0Wheat Grass Juice 1 oz 10 1 1 Tumeric or other spice pinch 0 0 0f 3 Spirulina capsule 0 0 0TOTAL 585585 4242 18

OPTION: Squash, cooked or other veg Est 30 Est 15 Est 1

Alternative Liquids (only one per batch) Quantity in reality 1.5 cups


Grams

Proteingrams

ml of liquid

Almond Milk, Almond Breeze, ‘60’ on label 1 cup 60 8 1 250Coconut Water, Coconut Dream brand 1 cup 60 3 0 250Flax Milk, Good Karma brand 1 cup 50 8 0 250Oat Milk, Oat Dream brand, ‘enriched’ 1 cup 120 17 3 250Rice Milk, Rice Dream Brand, ‘fortified’ 1 cup 130 26 0 250GOAT milk Whey 1 cup 60 6 20 250ESTIMATE TO USE IN CALCULATION 1.5 cups 100 20 ZERO ( 20

IF WHEY)375

Alpha Mix Quantity Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

TOTAL ON AVERAGE; in reality, it will vary

700 60 20 (whey 40

375

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Nutrition Data Lucie’s starches meal, no protein powder


Grams

Proteingrams

ml of liquid

Pre-cooked grain or squash or etc. Est 50 Est 20 Est 5Coconut Milk, Arroyo D brand (little cartons) ¼ carton 40 1 0Olive Oil or Udo Oil 2 tbsp 240 0 0 Wheat Grass Juice 1 oz 10 1 1 Tumeric or other spice pinch 0 0 0f 3 Spirulina capsule 0 0 0TOTAL 290 2 6


Grams

Proteingrams

ml of liquid

Almond Milk, Almond Breeze, ‘60’ on label 1 cup 60 8 1 250Coconut Water, Coconut Dream brand 1 cup 60 3 0 250Flax Milk, Good Karma brand 1 cup 50 8 0 250Oat Milk, Oat Dream brand, ‘enriched’ 1 cup 120 17 3 250Rice Milk, Rice Dream Brand, ‘fortified’ 1 cup 130 26 0 250GOAT milk Whey 1 cup 60 6 20 250ESTIMATE TO USE IN CALCULATION 80 15 ZERO ( 20

IF WHEY)

Starches meal, no protein powder Quantity Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid


420 35 10 unless

whey 30

300

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Nutrition Data Lucie’s TOTAL DAILY INTAKE

Obviously, the daily total will vary. What counts is that she reaches the Goal each day: 2000 calories / 130 carbohydrates / 100 protein / 1500 ml liquid

Breakfast mix Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

TOTAL ON AVERAGE; in reality, it will vary 700 60 20 375

ESTIMATED TOTAL FOR AN AVERAGE GREEN SMOOTHIE; in reality, it will vary


Grams

Proteingrams

ml of liquid

Green Smoothie ESTIMATE, Lucie’s portion 250 15 10 250

Meat Broth Meal Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid

ESTIMATED TOTAL ON AVERAGE; in reality, it will vary

550 25 40 250

Alpha Mix Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid


Starches meal, no protein powder Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid


DAILY TOTAL, 5 MEALS Calories Carbo-Hydrates

Grams

Proteingrams

ml of liquid


2500 200 100 1500 - 2000

NOTE : Part of the total liquid estimate is from syringe flushes, thinning of thick mixes, etc.

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