This is a guest post by Dr. Sheila Kilbane who is an integrative pediatrician here in Charlotte, NC.
I can’t believe we give this to our kids.
~Sheila Kilbane, MD
When 100 Days of Real Food asked me to write a recipe for a natural alternative to PediaSure®, I was very excited. I am an integrative pediatrician, and real food is what my practice is based upon. I have seen the effects of synthetic processed foods on children, and anything I can do to help spread the word about whole food nutrition makes me over-the-moon excited!
Note: Don’t confuse the electrolyte drink Pedialyte® with PediaSure®, a liquid meal replacement. PediaSure® is a dietary supplement created by Abbott Nutrition, which also produces Ensure and Similac.
My First Encounter with PediaSure®
I was on a long road trip some three years out of pediatric residency and miscalculated how much food I needed to make it from Charlotte, North Carolina to Kelley’s Island, Ohio. When I ran out of real food I was famished and forced to purchase something at a West Virginia gas station. I bought a bottle of PediaSure®. Odd, right?! It seemed like the only reasonable choice among a sea of chips, candy bars, and jerky. Despite being a pediatrician, until that moment I had never laid hands on a bottle of PediaSure®, which is also why I had never read the label.
I opened the bottle and began drinking before I finished pumping my gas. What ensued looked like a scene from a Jim Carrey movie. I gagged and nearly spewed the liquid contents all over my car. Then I read the ingredient list.
“If you can’t pronounce the product ingredients, put it back on the shelf.”
How many of these PediaSure® Ingredients can you pronounce and would you cook with at home? (Not to mention sugar is the second ingredient!)
Water, Sugar, Corn Maltodextrin, High Oleic Safflower Oil, Milk Protein Concentrate, Canola Oil, Soy Protein Isolate, Pea Protein Concentrate. Less than 0.5% of the Following: Short-Chain Fructooligosaccharides, Natural & Artificial Flavor, Cellulose Gel, Potassium Chloride, Magnesium Phosphate, Potassium Citrate, Calcium Phosphate, Calcium Carbonate, Tuna Oil, Potassium Phosphate, Cellulose Gum, Choline Chloride, Ascorbic Acid, Soy Lecithin, Monoglycerides, Salt, Potassium Hydroxide, m-Inositol, Carrageenan, Taurine, Ferrous Sulfate, dl-Alpha-Tocopheryl Acetate, L-Carnitine, Zinc Sulfate, Calcium Pantothenate, Niacinamide, Manganese Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Lutein, Cupric Sulfate, Vitamin A Palmitate, Folic Acid, Chromium Chloride, Biotin, Potassium Iodide, Sodium Selenate, Sodium Molybdate, Phylloquinone, Vitamin D3, and Cyanocobalamin. CONTAINS MILK AND SOY INGREDIENTS.
How One Mouthful of PediaSure® Changed My Clinical Practice
Despite my gnawing hunger, I immediately threw the bottle away. There was no way I was putting that chemical tasting, sugar laden drink into my body. And to throw away a perfectly good can of ANYTHING goes fully against my nature; I normally don’t waste a thing.
From that day forward, anytime a family came to see me in the clinic and the child was on PediaSure® , I did everything in my integrative pediatric power to get them off of it. First we would move them onto smoothies made with real food. Next we would decrease the amount of processed foods they were eating. And ultimately, we would get them predominantly eating fresh whole foods with smoothies used as an adjunct to a healthy diet. Once these kids were off processed foods, the clarity, energy, and vibrancy astounded everyone who knew them.
Are You Using PediaSure® as a Substitute for Real Food?
The kids I am talking about are generally healthy but eat a lot of processed, pro-inflammatory foods as well as PediaSure® . The children with medical issues like a G-tube or poor growth are in an entirely different category because these kids need high-density calories in a small volume of liquid. I wrote a post on G-tubes, PediaSure® , and pureed whole foods for these families.
But if you are a parent who is giving your child PediaSure® to be sure she is getting adequate vitamins and minerals from her food, this information (including the recipes below) are for you.
A Whole-Foods Diet Instead of Supplements
Like my clinic patients, my goal for you is to move your child over to a wholesome, whole-foods diet. We absorb nutrients much better when they come in natural forms like real fruits and vegetables and are not synthetically created. This same thing goes for dietary supplements. Many supplements are the synthetic equivalent of the natural vitamins and minerals. Adding synthetic foods to our body creates more work for the liver, the main organ responsible for detoxifying the body.
So when 100 Days of Real Food asked me to come up with a natural substitute for PediaSure® , I was delighted. However, I didn’t realize how challenging it would be to get the caloric and nutrient equivalent of PediaSure® into 8 ounces of liquid without using synthetic ingredients or protein powders. But I did come pretty close when I concocted what I have dubbed Dr. Kilbane’s Liquid Vitality.
The second key part of this blog post is to help you understand the process I take children through to help shift their taste buds from the world of synthetic foods to the world of real foods.
A Word About the Pro-Inflammatory Effects of Dairy
Before I get to my recipes, I need to tell you why they don’t contain dairy. Dairy is a pro-inflammatory food. It often inflames the gut and does not allow the body to absorb nutrients properly. Children who suffer from constipation, recurrent stomach aches, eczema, chronic runny nose, recurrent ear infections, and much more are often eating and drinking a great deal of dairy. Many of the PediaSure® products contain dairy, and indeed sugar, which is the second ingredient, is another pro-inflammatory agent.
Look at these pictures of a patient before and after eliminating inflammatory foods from his diet! I want to explicitly state that he was never using PediaSure® . We simply figured out what food group was inflaming his system and removed it.
Liquid calories keep the tank filled, but foods that are closer to their natural form do more to not only sustain the body, but they also help it to heal. It is more difficult for the body to heal on processed foods alone because they are inherently inflammatory.
How to Feed a Picky Eater
It is sometimes necessary for parents of picky eaters to reach for supplements and/or meal replacement drinks like PediaSure®. But when possible, we want our child’s diet to consist of eating real fruits and veggies. The most difficult part of creating nutrient dense smoothies is finding a taste and texture that kids will drink. You see, the typical American child’s taste buds are constantly bathed in processed sugars. This affects their taste preferences. However, once we begin giving their body more of the vitamins, minerals, and phytonutrients they need in order for their cells to work properly, their taste buds begin to shift and the palate expands.
That’s where my methodology comes in. I advise parents to gradually decrease their children’s liquid calories so they will be hungry and eat more real food. Spinach, sprouts, fruits, nuts, and seeds pack a great deal of real food nutrients, vitamins, minerals, and phytonutrients compared to cow’s milk or PediaSure® . And they taste a lot better, too!
And let me clarify, PediaSure® definitely contains many vitamins and nutrients but as with everything in nature, our bodies absorb and utilize real foods much better and more efficiently than synthetic products.
I hear you saying, “Enough theory! What’s your recipe?” Here it is:
I know you’re saying, “There’s no way my child is going to drink this!” And this is where my gradual process of shifting kids’ taste buds comes into play.
Smoothies Are the Gateway to Health
If your child has never had a smoothie, which is what Dr. Kilbanes’s Liquid Vitality really is, I want you to begin with one of the simple, easy to digest Starter Smoothies listed below and gradually work up to the Dr. Kilbane’s Liquid Vitality.
Even Dr. Kilbanes’s Liquid Vitality can be evolved. There is a lot of natural sugar in two bananas, a cup of pineapple, and a cup of mango. My goal is to have you gradually decrease the fruits that are not only high in vitamins but also in natural sugars and increase the foods that are high in nutrients and have a lower natural sugar content, such as spinach and other dark leafy greens, chia seed, flax seed, hemp powder, sprouts of all type, microgreens, and healthy oils like coconut.
The MOST important thing at the beginning is to make sure your child likes that first smoothie. We have only one first shot at this so let’s make it count!
If they like it, they will keep asking for more!
Starter Smoothie – Banana Berry Heaven
- 3 spinach leaves (fresh blends up the best)
- 1 banana (fresh or frozen)
- 1 cup of frozen berries (strawberries or raspberries are a good start) or 1 peeled orange
- 1 cup of water or 1 cup of milk other than cow’s milk (i.e. organic coconut, rice, hemp, or almond)
As your child gets used to this smoothie, enlist her in helping to prepare the Intermediate Smoothie.
Intermediate Smoothie – Pina Colada
- 2 cups spinach
- 2 cups coconut milk
- 1 teaspoon chia seed (soaked)
- 1 cup pineapple
- 1 cup frozen mango
- 2 bananas
- 1 tablespoon coconut oil
Intermediate Smoothie – Cilantro-Mango Detox Green Smoothie
(Recipe from Simple Green Smoothies – this is one of my favorites!)
- 1 ½ cups spinach, fresh
- ½ cup cilantro, fresh
- 2 cups water
- 1 ½ cups mango
- 1 cup pineapple
- 1 tablespoon chia seed (soaked) – this is my addition
- ½ avocado
Once your child enjoys these smoothies, try giving him Dr. Kilbane’s Liquid Vitality.
These recipes are not set in stone. PLEASE play around with them to match your family’s preferences and seasonal pantry. Our vitality is closely linked to what we put in our bodies. Living foods create energetic, healthy bodies.
If your child is generally healthy but is drinking PediaSure® just to get some calories, then you may be able to start adding these smoothies into their diet while decreasing their PediaSure® intake.
Notes on Blending Smoothies
A high powered blender works best to make it smooth for those children who are particular to tastes and textures. VERY IMPORTANT!
Spinach: Fresh definitely mixes up better than frozen and it’s best if you mix any greens with your liquid first and then add the rest of the ingredients.
Chia seeds: Soak for 10 to 15 minutes in 3 to 4 tablespoons of water before adding to your smoothie. This makes them gelatinous and they will mix better.
Coconut oil: At room temperature it is liquid and at cooler temperatures it is solid. So I usually blend everything first and then add the coconut oil.
Sweeteners: If your child still needs any of these recipes sweeter, consider maple syrup, honey, or black strap molasses (black strap molasses has a great deal of iron in it, but it does not have the greatest taste for young palates).
The liquid base: Smoothies should never be based on commercial juice products. Juices bought in the store, even if they are organic, are predominantly naturally occurring sugar. Freshly extracted juices are a whole different ball game and can be extremely healthful.
I prefer water as the base over any of the other milks. However, here are some brands I find to be better than others until you can switch to water:
- Organic almond milk (365 Whole Foods Brand)
- Organic Rice milk (Trader Joe’s Brand)
- Organic Coconut Milk – Unsweetened (SO Delicious Brand)
- Hemp Milk Original (Pacific Brand)
Other great flavors to add: Ginger, fresh lemon or lime, vanilla, and cacao powder can be great flavor enhancers in many smoothies.
Nutritional comparison of PediaSure® Vanilla and Dr. Kilbane’s Liquid Vitality
This is a very crude comparison of the nutrient content between Dr. Kilbane’s Liquid Vitality and PediaSure® . I used an online nutrient calculator www.nutritiondata.self.com.
Albeit a rough estimate, I thought it was important to walk you all through this exercise to see what nutrients nature puts together versus what man synthesizes in a lab. I do not advocate using protein powders for children, so I kept it out of this recipe and gave a nut butter option, which would add 3 to 4 grams of protein depending upon which type of nut butter is used. I don’t even like using the processed milks (almond, coconut, hemp, and rice), but as I transition many of my patients onto real foods and off of dairy, these milks give smoothies the creaminess the kids were previously getting with yogurt or cow’s milk.
Even though we do not have a true PediaSure® equivalent here, I think this is a great start! When I am seeing patients in my clinic, I make up the nutrient difference using whole food supplements, Vitamin D (and sunlight), and a small handful of other supplements that help to fill in the gap that you see between the PediaSure® and Dr. Kilbane’s Liquid Vitality.
If you want to become a patient, you’ll find all the information you need there, too. To inquire about becoming a patient call 704-708-4404.
A special thanks to the following health coaches for their input:
- Tracey Fox www.greatholistichealth.com
- Haynes Paschall www.therightbite.com
- Adri Warrick www.thewholetulip.com
- The China Study by T Collin Campbell, Thomas M Campbell II, Howard Lyman, John Robbins
- The Coconut Oil Miracle by Bruce Fife, CN, ND
- Life Force – Superior Health and Longevity by Brian R Clement, Phd, NMD, LNC
- Nsouli et al. The Role of Food Allergy in Serous Otitis Media. Annals of Allergy 1994;73(3):215-219.
- Host A, Halken S. In: Pediatric Allergy: Principles and Practice. Mosby-Year Book, Inc; 2003:488-494.
- Australasian Society of Clinical Immunology and Allergy. Adverse reactions to food. Available at: http://www.allergy.org.au/aer/infobulletins/adverse_reactions.htm.Sicherer SH.
- Pediatrics. 2003;111:1609-1616.
*Dr. Kilbane’s Liquid Vitality is not designed for kids who are on a feeding tube. It is designed for kids who are generally healthy but need to get some more real food into their systems. This post on G-tubes, PediaSure® , and pureed whole foods is a helpful reference. Dr. Kilbane’s Liquid Vitality should not be used in place of PediaSure® unless you talk to your own healthcare provider, and it is not intended to be a meal replacement, simply an adjunct to a healthy diet.