Michael Varveris,M.D.,Naples doctor,HAPI,Heart Attack Prevention,Lipid managementProfessional Lipid SpeakerHAPI-Naples      Recipes for the HAPI Heart
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A. Small Meals for the HAPI Heart

 

Snacks should be made up of two food item servings (fruit, vegetable or grain plus fatty, lean or starchy protein; fatty protein plus lean protein; fatty protein plus starchy protein; or lean protein plus starchy protein). Pre-workout meals should be made up one small food item serving of fruit. Post-workout meals should be made up of two to three full food item servings (one to two fruit or grain plus one lean or starchy protein; or one fruit or grain, one lean protein and one starchy protein). Remember to drink an 8-oz glass of water right before each small meal.

B. Snacks for the HAPI Heart

 

My two personal favorite snacks are: 1) fresh fruit (especially berries) with raw tree nuts (fatty protein); and 2) fresh vegetables (peeled carrots, celery stalks, raw broccoli flowerets) with organic nut butter (almond or peanut – fatty protein). Other examples: low-fat cheese (fatty protein) plus apple, pear or other fruit; whole grain bread (grain) plus organic nut butter (fatty protein); low-fat/non-fat cottage cheese (well rinsed to remove salt of course – lean protein) plus ground flaxseed (fatty protein); avocado plus black beans (starchy protein); sautéed onion plus peas; and low-fat/non-fat yogurt (starchy protein) plus organic granola (grain).

C. Pre-Workout Meals for the HAPI Heart

 

Within 30 minutes prior to any workout, consume a small serving of fruit-based carbohydrate – such as half an apple, pear or banana, a few grapes or a small handful of cherries or berries. This will get some natural sugar into your system which will be required by your muscles from the outset of your workout. Don’t drink juice or get too much natural sugar before working out since this may paradoxically lead to your blood sugar dropping too low during exercise (i.e. you’ll feel nauseous, break out in a cold sweat, get dizzy, etc). Also remember to drink an 8-oz glass of water (or two) right before exercise, an 8-oz glass of water every 15 minutes during exercise and another 8-oz glass of water right after finishing exercise.

D. Post-Workout Meals for the HAPI Heart

 

Within 30 minutes of finishing your workout, you want to consume one to two servings of fruit or grain along with one serving of lean or starchy protein OR one serving of fruit or grain, one serving of lean protein and one serving of starchy protein. The calories from the net grams of carbohydrate in the meal should be equal to the total number of calories expended during the workout. Examples of post-workout meals would include: berries (fruit) plus low-fat/non-fat yogurt (perhaps blended as a natural ‘smoothie’ – starchy protein); whole grain pasta (grain) plus tuna fish canned in water (well rinsed to remove salt of course – lean protein); grapes (fruit) plus low-fat/non-fat cottage cheese (well rinsed to remove salt of course – lean protein); whole grain bread (grain) plus slice or two of low-fat deli turkey breast (not more than twice per week - lean protein); and whole grain cereal (grain) plus low-fat/non-fat milk (starchy protein).

E. Main Meals for the HAPI Heart

 

Main meals should be made up of three food item servings (coming from fruit, vegetable and/or grain plus fatty, lean and/or starchy protein). I usually have lean protein [Egg Beaters], vegetables and fruit for breakfast; fatty protein [nuts], starchy protein [legumes] and vegetables [salad greens] for lunch; and lean protein [meat], vegetables and grains for dinner. Main meals should be balanced with 40-55% calories coming from carbohydrate, 25-40% from fat and 15-30% from protein.

 

Since fat has twice as many calories per gram when compared to either carbohydrate or protein, there should be only about 50% as much of fat-derived calories on your plate when compared to carbohydrate- or protein-derived calories. For example, a meal with ±33% calories coming from carbohydrate, ±33% coming from protein and ±33% coming from fat might have ±20 grams of carbohydrate and ±20 grams of protein but only ±10 grams of fat. Got it?

 

Remember: 1) NEVER have seconds; and 2) NEVER finish your plate completely. To develop good eating habits (eating slower, eating less and eating more frequently – all of which boost BMR), eat no more than two-thirds of any particular item on your plate and THROW AWAY the remainder. Remember… waste is better than waist.

 

Also remember to drink one to two 8-oz glasses of water right before each main meal and consider taking one to two Fiber Choice sugar-free wafers or one to two tablespoons of Benefiber powder with the meal. Main meals should probably be accompanied by one-half tablespoon of Benecol Light and one-half teaspoon of JR Carlson liquid fish oil.

 

Bon Appétit.

F.   Soups for the HAPI Heart

Wild Mushroom Soup

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Serves: 4

 

1 medium yellow onion, peeled and sliced

3 garlic cloves, peeled and halved

¼ cup extra-virgin olive oil

¼ cup macadamia nut oil

2 T. Madras curry powder

½ T. ground thyme

16 oz white button mushrooms, cleaned and halved

4 cups Roasted Chicken Stock (see recipe in The HAPI Heart Diet and Cookbook)

8 oz assorted wild mushrooms (chanterelle, morel, oyster, shitake), thickly sliced

2 garlic cloves, peeled and minced

1 T. fresh thyme leaves

Fresh ground black pepper, to taste

 

In large heavy saucepan, warm two tablespoons olive oil and two tablespoons macadamia nut oil over moderate heat until shimmering; add onions, halved garlic, curry powder and ground thyme. Cook until onion is translucent, about ten minutes. Add white mushrooms and cook until vegetables are tender, about 20 minutes. Add stock, increasing heat just to the start of a boil then lower to simmer over moderate-low heat for about 30 minutes. Let cool slightly then purée in batches in food processor or blender. Return to stockpot and keep warm. Meanwhile, warm remaining oils in medium sauté pan over moderate-high heat. Add wild mushrooms, minced garlic and thyme leaves, season with some pepper and cook until mushrooms are starting to brown, about seven minutes.  Ladle some soup into each shallow soup bowl. Spoon some wild mushrooms on top in center, season with more pepper and serve immediately. Great with Californian or Australian Chardonnay or white Burgundy.

G.   Salads for the HAPI Heart

Festive Greek Salad

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Serves: 4

 

5 cups mixed baby salad greens

3 cups baby spinach leaves

1 yellow bell pepper, cored, halved, seeded and cut into ¼ inch strips

1 red bell pepper, cored, halved, seeded and cut into ¼ inch strips

1 European-style cucumber, peeled and diced

1 medium red onion, peeled and diced

4 large ripe tomatoes, cored and diced

½ cup extra-virgin olive oil (preferably Greek)

¼ cup fresh lemon juice

1 T. pomegranate molasses

1 t. ground oregano

1. t. ground white pepper

½ t. ground dried mint

12 Kalamata olives, soaked and rinsed multiple times to remove salt

8 Greek cracked green olives, soaked and rinsed as above       

¼ lb. crumbled non-fat/low-fat Feta cheese, soaked as above

Fresh ground black pepper, to taste

 

In large glass or stainless-steel bowl, combine salad greens and baby spinach with bell peppers, cucumber, red onion and tomatoes. In small glass or stainless-steel bowl, whisk olive oil with lemon juice and pomegranate molasses; season with oregano, white pepper and mint. Add vinaigrette to large bowl and toss. Place portion of salad onto center of each plate, topping each with three Kalamata and two cracked green olives. Sprinkle some feta on top, season with black pepper and serve.

H.   Grains for the HAPI Heart

Spaghetti with Feta, Olives & Green Beans

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Serves: 4

 

1 lb. mixed fresh green and yellow wax beans

¼ cup extra-virgin olive oil

¼ cup macadamia nut oil

1 medium yellow onion, peeled and diced

6 large garlic cloves, peeled, 3 minced and 3 coarsely chopped

⅔ lb. 100% whole wheat spaghetti, dried

30 Kalamata olives, soaked and rinsed multiple times to remove salt, pitted and coarsely chopped

3 large tomatoes, cored and diced

3 T. fresh lemon juice

½ cup crumbled low-fat/non-fat Feta cheese, soaked in water as above

Fresh ground black pepper, to taste

 

Trim ends of green/yellow beans and slice at angle into one-half inch pieces. In small sauté pan, warm two tablespoons of both oils over moderate-low heat until shimmering; add onion and cook slowly into translucent. Add minced garlic and cook for one minute longer. Add beans then cover pan. Cook slowly for about 20 minutes, until beans are beginning to soften. Season with some pepper and keep warm. Meanwhile, bring large pot of water to rolling boil. Add spaghetti and cook for about nine to ten minutes until al dente. Drain pasta well and transfer spaghetti to large saucepan over low heat to keep warm. In one small bowl, combine chopped olives with chopped garlic. In another small bowl, toss diced tomatoes with lemon juice. Set both aside. In large sauté pan, heat remaining oil over moderate heat until shimmering; add cooked pasta and toss. Transfer portion of pasta onto center of each plate. Top with mound of green bean mixture with dollop of olive-garlic mixture on top. Surround pasta with tomato-lemon mixture. Sprinkle feta on top, season with more pepper and serve immediately. Great with Californian Zinfandel, Australian Shiraz, Côte du Rhône, heavy Chianti Classico or red Rioja.

I.   Seafood Entrées for the HAPI Heart

Sautéed Salmon with Sun-Dried

Tomato-Kalamata Sauce

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Serves: 4

 

2 T. capers, soaked and rinsed multiple times to remove salt

10 Kalamata olives, soaked and rinsed as above, pitted and coarsely chopped

¼ cup sun-dried tomatoes (packed in extra-virgin olive oil), coarsely chopped

2 T. fresh basil leaves, finely chopped

2 garlic cloves, peeled and minced

2 T. extra-virgin olive oil

½ T. Benecol Light

1½ T. macadamia nut oil

3 T. Italian Spice Rub (see recipe in The HAPI Heart Diet and Cookbook)

4 6-oz skinless center-cut salmon fillets (preferably wild coho)

1 T. JR Carlson liquid fish oil

Fresh ground black pepper, to taste

 

In small bowl, combine capers, kalamatas, sun-dried tomatoes, basil, garlic and olive oil. Heat small skillet over moderate heat; add contents of small bowl, cooking for about four minutes then returning contents to small bowl and seasoning with some pepper. Meanwhile, in large skillet, melt Benecol in macadamia nut oil over moderate-high heat. Season both sides of salmon fillets with spice rub then add to large skillet, cooking about three minutes per side, until fish just cooked through. Transfer one salmon fillet onto center of each plate. Top with mound of sautéed vegetables, drizzle with fish oil, season with more pepper then serve immediately. Great with Californian or Oregonian Pinot Noir or red Burgundy.

J.   Non-Seafood Entrées for the HAPI Heart

Pan-Roasted Beef Tenderloin with Morel Sauce

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Serves: 4

 

2 cups Roasted Beef Stock (see recipe in The HAPI Heart Diet and Cookbook)

1 oz dried morel mushrooms

1 T. extra-virgin olive oil

3½ T. macadamia nut oil

¼ cup Cognac, Armagnac or other French Brandy

1 cup dry full-bodied red wine (preferably Pinot Noir)

1 cup Demi-Glace (made from Roasted Beef Stock – see recipes in The HAPI Heart Diet and Cookbook)

2 T. port (Ruby or Late-Bottled Vintage)

¼ cup Sauce Béchamel (see recipe in The HAPI Heart Diet and Cookbook) thinned with 1 T. low-fat/non-fat milk

2 T. fresh lemon juice

1½ lb chateaubriand (center-cut) portion of beef tenderloin, trimmed of all visible fat

2 T. Dr. V’s Favorite Spice Rub (see recipe in The HAPI Heart Diet and Cookbook)

1 T. Benecol Light

1 T. JR Carlson liquid fish oil (optional)

Fresh ground black pepper, to taste

 

Preheat oven to 4250F. Place stock in medium pot, bring just to a boil, remove from heat, mix in dried morels, cover and let sit for about 30 minutes. Strain liquid into clean pot and keep warm. Rinse reconstituted morels several times in fresh water to remove grit then place between paper towels and press firmly to remove moisture. Warm olive oil and one tablespoon macadamia nut oil over moderate-high heat in medium saucepan; add mushrooms and cook until nicely browned, about four minutes. Warm Cognac in small saucepan, remove from heat and carefully ignite. Remove medium saucepan from heat and pour flaming Cognac on top, shaking pan carefully until flambé subsides. Set sautéed mushrooms aside. Add morel soaking liquid and wine to separate medium saucepan. Bring to a boil then reduce to simmer over moderate-high heat until reduced to one-half cup. Add Demi-Glace, port and thinned Sauce Béchamel, bring almost to a boil then reduce heat, mix in sautéed morels and one tablespoon lemon juice and keep warm. Dry tenderloin surface completely then season well with spice rub. Melt Benecol in remaining macadamia nut oil in large ovenproof skillet over moderate-high heat and add tenderloin, searing each side for about two minutes per side. Place skillet in oven and roast for about eight minutes, until instead-read thermometer inserted into center reads 1250F (medium rare). Transfer beef to cutting board, cover loosely with foil and let cool for about five minutes. Blend remaining lemon juice and fish oil into sauce. Carve tenderloin into eight slices, place two slices on center of each plate, cover with morel sauce, season with pepper and serve immediately. Great with Californian or Oregonian Pinot Noir or red Burgundy.

Spicy Chicken A’ La Orange

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Serves: 4

 

4 6-oz chicken breasts, boneless, skinless

¼ cup whole wheat flour

2 t. French Spice Rub (see recipe in The HAPI Heart Diet and Cookbook)

2 t. ground cayenne pepper

1 t. red pepper flakes

1 t. ground thyme

½ T. Benecol Light

2 T. extra-virgin olive oil

1 T. macadamia nut oil

1 cup fresh orange juice, strained

½ cup chili sauce

2 T. low-sodium soy sauce

2 T. blackstrap molasses

1 T. Dijon mustard

1 yellow bell pepper, cored, cut into large dice

1 red bell pepper, cored, cut into large dice

4 garlic cloves, peeled and minced

1 T. JR Carlson liquid fish oil (optional)

1 T. Grand Marnier (or other orange-flavored brandy)

½ T. pure orange extract

Fresh ground black pepper, to taste

 

Preheat oven to 3500F. On plate, combine whole wheat flour with spice rub, cayenne, red pepper flakes and thyme. Dredge chicken breasts in seasoned flour, shaking off excess then season with some pepper. In medium bowl, whisk together orange juice, chili sauce, soy sauce, molasses and mustard. In large skillet, melt Benecol in olive oil and macadamia nut oil over moderate-high heat and add chicken breasts, cooking about two minutes per side. Transfer chicken breasts to casserole. Add bell peppers and garlic to skillet and sauté for about three minutes. Add contents of medium bowl to skillet and simmer another three minutes. Pour this sauce over chicken breasts in casserole, cover then bake in oven for about 50-55 minutes until chicken quite tender. Remove from oven, remove cover and let cool slightly, blend in liquid fish oil, Grand Marnier and orange extract and let stand for five minutes. Transfer one chicken breast onto center of each plate. Cover with some sauce, season with more pepper then serve immediately. Great with Californian, Washingtonian, Chilean or Australian Cabernet Sauvignon or red Bordeaux.

Rack of Lamb with Pomegranate Sauce

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Serves: 4

 

1 8-bone rack of domestic lamb, trimmed of all fat, bones frenched

2 cups pomegranate juice

1 medium onion, peeled and coarsely chopped

1 large carrot, peeled and coarsely chopped

1 celery stalk, coarsely chopped

3 garlic cloves, peeled and halved

½ T. whole black peppercorns

1 medium bay leaf (preferably European)

1 cup Demi-Glace (mae from Roasted Lamb Stock - see recipes in The HAPI Heart Diet and Cookbook)

2 T. pomegranate molasses

2 T. Greek Spice Rub (see recipe in The HAPI Heart Diet and Cookbook)

½ T. Benecol Light

1½ T. macadamia nut oil

1 T. JR Carlson liquid fish oil (optional)

2 T. fresh flat-leaf parsley leaves, coarsely chopped

Fresh ground black pepper, to taste

 

In large glass bowl, combine lamb with juice, onion, carrot, celery, garlic, peppercorns and bay leaf. Cover and refrigerate for up to two days (at least overnight). Preheat oven to 4250F. Drain lamb and vegetables in colander, reserving marinade and discarding vegetables, peppercorns and bay leaf. Place marinade in medium saucepan, bring to boil over high heat and reduce to one-quarter cup, about eight minutes. Strain into small bowl and set aside. Warm Demi-Glace in separate medium saucepan over low heat and stir in two tablespoons of reduced marinade. Stir molasses into small bowl with remainder of marinade. Pat lamb completely dry with paper towels then season with spice rub. Melt Benecol in macadamia nut oil in large ovenproof skillet over moderate-high heat; add lamb meaty side down and cook about three minutes, until nicely browned. Turn and cook another two minutes. Transfer skillet to oven and roast until instant-read thermometer inserted into center of lamb reads 1200F (medium-rare), about ten minutes. Return skillet to stovetop over moderate heat and baste with fat in pan and contents of small bowl for about two minutes. Transfer lamb to cutting surface, cover loosely with foil and let cool for at least five minutes. Blend fish oil and parsley into sauce. Cut rack into eight chops then place two of them onto center of each plate. Cover with some sauce, season with pepper and serve immediately. Great with Côte Rôtie, Hermitage or Cornas.

Pan-Roasted Pork Tenderloin with Porcini,

Sun-Dried Tomatoes and Balsamic Sauce

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Serves: 4

 

1 cup Roasted Chicken Stock (see recipe in The HAPI Heart Diet and Cookbook)

1 oz package of dried porcini mushrooms

¼ cup sun-dried tomatoes (packed in extra-virgin olive oil), coarsely chopped

2 T. extra-virgin olive oil

2½ T. macadamia nut oil

1 cup balsamic vinegar

1 cup Demi-Glace (made from Roasted Chicken Stock - see recipes in The HAPI Heart Diet and Cookbook)

1½ T. Italian Spice Rub (see recipe in The HAPI Heart Diet and Cookbook)

1 whole clove, ground

1 allspice berry, ground

3 dried porcini mushroom slices, ground

1½ lb. boneless pork tenderloin, trimmed of all visible fat

½ T. Benecol Light

1 T. JR Carlson liquid fish oil (optional)

1 T. Madeira (wine)

Fresh ground black pepper, to taste

 

Preheat oven to 4000F. Place stock in medium pot, bring just a boil, remove from heat, mix in package of dried porcini mushrooms, cover and let sit for about 30 minutes. Strain porcini stock into clean pot and keep warm. Rinse reconstituted mushrooms several times in fresh water to remove grit then place between some paper towels and press firmly to remove moisture. Warm one tablespoon olive oil and one tablespoon macadamia nut oil in medium saucepan over moderate-high heat until shimmering; add chopped sun-dried tomatoes and reconstituted mushrooms. Sauté until vegetables just start to brown, about four minutes, then add porcini stock (stopping at grit on bottom) and vinegar. Cook until liquid reduced to about one-half cup then lower heat, mix in Demi-Glace and keep warm. Meanwhile, in small bowl, blend spice rub, ground clove, ground allspice and ground porcini then generously season pork surface with this spice blend. In large ovenproof skillet, melt Benecol in remaining macadamia nut oil over moderate-high heat; add pork tenderloin and sear each side until well-browned, about two minutes per side. Place skillet into oven and roast for about eight to ten minutes, until instant-read thermometer inserted into center of pork reads 1500F (medium). Transfer pork to cutting surface, cover loosely with foil and allowing cooling. Blend fish oil and Madeira into sauce. Cut tenderloin into eight slices then place two of them onto center of each plate. Cover with some sauce, season with pepper and serve immediately. Great with Amarone, Barolo or Barbaresco.

K.   Desserts for the HAPI Heart

On the HAPI Heart Diet, you should avoid most prepared desserts. Fresh fruit (especially berries), a small amount of dark chocolate or a small amount of dessert wine should be good enough on a daily basis. Not more than once per week, you can split a dessert to share (and finish no more than half of it between the two of you) when going out to eat. However, after altering your lifestyle sufficiently in order to lead to steady, persistent weight loss and once feeling secure of the inevitable success of your personalized weight loss program, then and only then can you take a small break from the HAPI Heart program, kick back and enjoy yourself on a very special occasion (anniversary, birthday, major holiday, wedding, etc…) Just remember to make up for whatever ‘"badness" you do that day with a whole bunch of extra "goodness" the very next day (more exercise, less caloric intake) and you’ll be fine.

 

Call (239) 261-HAPI today for an appointment at the Heart Attack Prevention Institute (HAPI) with Dr. V.