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20 Apr 09 DIET FOR APPENDIX V: BUTTER

Margarine is the obvious substitute for butter, but some brands (eg Flora) contain small amounts of milk solids. The brands that do not are mainly available from healthfood shops. They include: Granose, Tomor and Vitasieg.

If you hate the taste of margarine, there are other possibilities. One is tahini, or ground sesame seeds – quite a strong taste, but a pleasant one. Sesame can readily provoke allergy or intolerance, however, so it should not be eaten too often. Sunflower spread is similar. Both are available from healthfood shops.

Another alternative is clarified butter, which can be tolerated by most milk-sensitive people. Make it by melting a pack of butter over a gentle heat, allowing it to cool a little and then pouring it carefully into a glass jar. The proteins in the butter will have settled to the bottom of the pan, and are visible as white granules – by pouring very slowly you leave these behind in the pan. Any that do get into the glass jar will settle to the bottom, and since you can see them through the side of the jar you can avoid eating them, keep clarified butter in the fridge as it is semi-liquid at room temperature. You can also buy this product at Indian groceries under the name ghee.

Clarified butter should only be used once you have completed the elimination diet, and know that you have to avoid milk – it should not be used during the elimination diet, as it still contains traces of milk protein and may confuse the result.

In sauces, creamed coconut makes an interesting substitute for butter, although it only suits certain foods. Try melting creamed coconut in orange juice over a low heat, adding ground almonds to thicken the mixture, salt and garlic – this gives a delicious rich sauce to accompany pork or chicken.

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