Page 83 - Special Issue: Healthy Baby
P. 83

discovered that marginal biotin deficiency during  60 percent, and poaching only destroys 29 percent. Raw egg whites, then,
                                                                                              49
          this critical period is the norm.         should be strictly avoided, and cooked egg whites should be consumed in
              Several years ago investigators tracked  moderation—and never without the yolk. The addition of pure egg yolks
          the biotin status of thirteen pregnant women  to smoothies and ice cream will help boost biotin status.
          through the course of their pregnancies, mea-

          suring a marker of deficiency in their urine. The  FOLATE
          deficiency marker increased during both early     Folate is probably the vitamin whose essential role in pregnancy is most
          and late pregnancy in all thirteen women; in   widely known. It is necessary for the production of new DNA, and new
          nine, it increased above the upper limit. These  DNA is needed for new cells. The growing life within the womb engages in
          women, however, had none of the traditional  constant cell division, and the mother must expand her blood supply with
          symptoms of deficiency such as skin problems  the production of new red blood cells as well—these activities demand a
          or depression.  47                        generous supply of folate. 50
              In pregnant rats, a five percent egg white     Adequate folate intake prevents neural tube defects (defects of the
          diet produced a marginal biotin deficiency. The  brain and spinal cord) and increases birth weight. It may also prevent
          activity of biotin-dependent enzymes declined 10  spontaneous abortion, mental retardation and deformations of the mouth,
          percent in the mother. Yet in the fetus, the activity  face and heart. 50
          of these enzymes decreased a full 50 percent.     The pregnancy RDA for folate is 600 micrograms (mcg) per day. This
          Although the mother had no obvious symptoms  figure is based on the amount needed to prevent the folate concentration
          herself, her offspring suffered an increased risk  of the mother’s red blood cells from dropping during pregnancy and on
          of limb and palate defects. These effects were  urinary markers indicating the amount of folate being used.  It assumes
                                                                                                       51
          all reversed when biotin was added to the diet in  that only half of the vitamin is absorbed from food, although this figure
          addition to egg whites. 47                is just an average; the rate of folate absorption is dependent on zinc
              Whether marginal biotin deficiency causes  status.
          birth defects in humans is an open question,     Synthetic “folic acid” is a chemical that is not normally found in foods
          but the results of the rat studies merit attention  or the human body. It can be converted into usable forms of folate, but this
          to increasing one’s intake during pregnancy.  conversion is limited to about 200 mcg per single dose in healthy volun-
          Most foods contain some of this vitamin, but  teers;  it may be even more limited during long-term exposure or in certain
                                                         52
          it is primarily found in liver and egg yolks (see  people. Synthetic “folic acid” does not cross the placenta; folate crosses the

          Figure 4). 48                             placenta as the naturally-occurring 5-methyl-tetrahydrofolate. Since the
                                                                                                        50
              Egg whites contain a glycoprotein called  synthetic supplements do prevent neural tube defects, pregnant women should
          avidin that strongly binds to biotin and prevents  use them if they are not going to eat folate-rich diets; whenever possible,
          its absorption. Cooking neutralizes avidin, but not  however, it is best to meet the folate requirement from foods. Folate-rich
          completely. Frying destroys 67 percent, boiling  foods include liver, legumes and greens (see Figure 5 and Figure 7).
          the egg white directly for two minutes destroys



                                                          FIGURE 6. MEETING THE DAILY CHOLINE REQUIREMENT
                FIGURE 5. MEETING THE DAILY
                    FOLATE REQUIREMENT                The RDA for choline during pregnancy can be met by one of any of
                                                      the following:
            The folate requirement for pregnancy can    • 2.5 8-ounce glasses high-quality Maasai milk*
            be met by one of any of the following
            (volume after cooking):                     • 3.5 egg yolks
                                                        • 3.8 ounces beef liver
              • Chicken liver    3.7 ounces             • 5.5 ounces chicken liver
              • Calf’s liver     2.8 - 6.4 ounces       • 10.6 ounces wheat germ
              • Beef liver       8.2 ounces             • 13 ounces bacon
              • Lentils          1.7 cups               • 1.25 pounds beef
              • Other legumes    2.0-3.0 cups           • 1.4 pounds cod, salmon or shrimp
              • Spinach          2.3 cups               • 1.5 pounds chicken
              • Asparagus        2.3 cups               • 2.2 pounds crucifers, nuts or legumes
              • Beets            4.4 cups             * This figure assumes that Maasai milk during the wet season is five times
              • Most greens      3.0-6.0 cups         higher in choline than commercial American milk, as discussed on page 76.


                                                     Wise Traditions                                           81
   78   79   80   81   82   83   84   85   86   87   88