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Diet and Nutrition By popular demand our nutritional message board. This board will be monitored by a Registered RD who is certified in oncology by the American Dietetic Association

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Old 08-18-2012, 07:59 AM   #1
Mtngrl
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Join Date: May 2011
Location: Denver, CO
Posts: 1,427
Yogurt Making

Now that I'm taking Tykerb I want to do all I can to keep my GI tract working well. I also think yogurt, and the friendly bacteria that it contains, may play a role in boosting the immune system and in contributing to digestive health.

Did you know you can easily make yogurt? It's the best way to insure that the milk is free of added hormones, and that it is fresh. The fresher it is, the more live and active cultures are in it. It's also very easy to make Greek yogurt.

There are some challenges to yogurt making that are easy to meet. One is to be sure you don't accidentally grow undesirable bacteria or wild yeasts in your culture. Another is to keep it at the right temperature while it is culturing. I solve the first challenge by boiling or scalding everything that comes into contact with the yogurt (jars, spoons, ladle, whisk). I also make a separate small jar of yogurt to be used solely for starter. I put it in the refrigerator and don't open until time to make the next batch. The challenge of keeping it warm long enough is easily solved by putting the jars of milk-plus-starter into an ice chest, filling the ice chest with warm water above the tops of the jars (between 115 and 120 degrees) and letting it sit until it turns into yogurt--about 3 to 4 hours. It's done when it's noticeably thickened and doesn't shift when you tip the jar.

There's a third challenge, which is how to get yogurt that is thick enough to eat with a spoon without having to add anything but milk. After months of trial and error, I figured out that you have to heat it to 180 degrees F., not just to scalding (150 degrees.) I don't know why this works. I think maybe there's an enzyme in the milk that inhibits growth of the yogurt bacteria, and is only deactivated at the higher temperature.

After heating, the milk has to be cooled down to around 118 degrees Fahrenheit before the starter is introduced. Strain the hot milk (to take out the rubbery "skin" that forms on top) into a bowl set into a larger bowl filled with ice and water. Then when it gets cool enough, whisk in some yogurt, pour into jars, put on the lids, and incubate.

To make Greek yogurt, first chill a new batch of regular yogurt, then put it in a strainer lined with a clean muslin cloth used only for this purpose, and set the strainer on a rack inside a big bowl to collect the liquid that comes off. Put the whole thing into the refrigerator for several hours to drain, and transfer to a clean container.

Not only is homemade yogurt higher quality, with (probably) a lot more live bacteria in it, but it's also less expensive than store-bought.

If you want more detail, the instructions for making yogurt in Laurel's Kitchen are helpful, except I prefer boiling the jars to sterilizing them with chlorine. Also, there's my discovery that for thicker yogurt you need to heat the milk to almost-boiling, then cool it down.
__________________
Amy
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4/19/11 Diagnosed invasive ductal carcinoma in left breast; 2.3 cm tumor, 1 axillary lymph node, weakly ER+, HER2+++
4/29/11 CT scan shows suspicious lesions on liver and lungs
5/17/11 liver biopsy
5/24/11 liver met confirmed--Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin for 3 months (standard of care at the time of my DX)
7/18/11 Switch to weekly Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Finish Abraxane. Start Herceptin every 3 weeks. Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine (one vertebra)
5/22/12 Stop taking Arimidex; stay on Herceptin
6/11/12 Started Tykerb and Herceptin on clinical trial (w/no chemo)
9/24/12 CT scan--No new mets. Everything stable.
3/11/13 CT Scan--two small new possible mets and odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Begin Kadcyla/TDM-1
8/16/13 PET scan "mixed," with some areas of increased uptake, but also some definite improvement, so I'll stay on TDM-1/Kadcyla.
11/11/13 Finally get hormone receptor results from lung biopsy of 4/2/13. My cancer is no longer ER positive.
11/13/13 PET scan mixed results again. We're calling it "stable." Problems breathing on exertion.
2/18/14 PET scan shows a new lesion and newly active lymph node in chest, other progression. Bye bye TDM-1.
2/28/14 Begin Herceptin/Perjeta every 3 weeks.
6/8/14 PET "mixed," with no new lesions, and everything but lower lungs improving. My breathing is better.
8/18/14 PET "mixed" again. Upper lungs & one spine met stable, lower lungs less FDG avid, original tumor more avid, one lymph node in mediastinum more avid.
9/1/14 Begin taking Xeloda one week on, one week off. Will also stay on Herceptin and Perjeta every three weeks.
12/11/14 PET Scan--no new lesions, and everything looks better than it did.
3/20/15 PET Scan--no new lesions, but lower lung lesions larger and a bit more avid.
4/13/15 Increasing Xeloda dose to 10 days on, one week off.
7/1/15 Scan "mixed" again, but suggests continuing progression. Stop Xeloda. Substitute Abraxane every 3 weeks starting 7/13.
10/28/15 PET scan shows dramatic improvement everywhere. All lesions except lower lungs have resolved; lower lungs noticeably improved.
12/18/15 Last Abraxane. Continue on Herceptin and Perjeta alone beginning 1/8/16.
1/27/16 PET scan shows cancer is stable.
5/11/16 PET scan shows uptake in some areas that were resolved on the last two scans.
6/3/16 Begin Kadcyla and Tykerb combination
6/5 - 6/23 Horrible diarrhea from K&T together. Got pneumonia.
7/15/16 Begin Kadcyla only every 3 weeks.
9/6/16 Begin radiation therapy on right lung lesion that caused the pneumonia.
10/3/16 Last of 12 radiation treatments to right lung.
11/4/16 Huffing and puffing, low O2, high heart rate, on tiniest bit of exertion. Diagnosed as radiation pneumonitis. Treated with Prednisone.
11/11/16 PET scan shows significant improvement to radiated part of right lung BUT a bunch of new lung lesions, and the bone met is getting worse.
11/22/16 Begin Eribulin and Herceptin. H every 3 weeks. E two weeks on, one week off.
3/6/17 Scan shows progression in lungs. Bone met a little better.
3/23/17 Lung biopsy. Tumor sampled is ER-, PR+ (5%), HER2+++. Getting Herceptin and Perjeta as a maintenance treatment.
5/31/17 Port placement
6/1/17 Start Navelbine & Tykerb

Last edited by Mtngrl; 11-25-2012 at 01:04 PM.. Reason: Rewrite based on more yogurt making experience
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