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Proper Vegetable Fermentation and GI Health

The three most common gastrointestinal (GI) cancers are esophageal, gastric and colorectal. In all three types, studies have shown that pickled, fermented and preserved foods could be a contributing factor.
Pickled vegetables in particular have long been suspected of playing a role. In fact, a meta-analysis of relevant studies showed high rates of esophageal, gastric and colorectal cancer in Asian countries due to the consumption of fermented fish sauces and pickled vegetables. In some of these countries, these foods are eaten daily 9-12 months of the year.
One of the things we know about fermentation is that in certain cases it can generate n-nitroso compounds (NOCs) as well as mycotoxins, both of which are carcinogenic. The first category includes the chemical toxin nitrosamine, which can be formed by reactions involving sodium nitrates, which are synthetic preservatives found in processed foods. This process can also happen during fermentation.
Fermentation has been used by humans for thousands of years as a form of cooking food and preserving it long-term. It can be beneficial in restoring gut bacteria and building a stronger immune system, but there are serious risks to health from improper technique during preparation and storage.

Studies show that an intake of large amounts of non-fermented foods such as fruits and vegetables, particularly those in the cabbage family, is correlated with a lower incidence of GI cancers.
Cabbage comes from the family of cruciferous vegetables, which contain indole-3-carbinol, an inhibitor that plays several important roles: balancing hormones estrogen and cortisol,regulating transcription factors, and inducing cancer cell death. Incorporating cabbage into one’s diet – either in raw or properly fermented form – could potentially bring many health benefits. If fermented, the cabbage must be stored in adequate conditions and consumed within a relatively short time.
Cabbage is abundant in Vitamin C, which inhibits the process of nitrosation, and is a great source of pre- and pro-biotic food for our gut health. The microbiome is one of the systems that suffers most from GI cancers, and in order to rebuild it, probiotic foods in proper forms must be included in the diet. A two-tablespoon serving of sauerkraut meets the recommended daily dose of colony-forming units (CFUs).
Fermented dairy products are another effective way of building gut microflora. They are nutrient-rich and high in probiotic content, which are both important in the prevention and management of cancer. Statistical evidence shows that fermented dairy intake is associated with decreased colorectal and esophageal cancer risk, as well as decreased cancer risk overall.

It has been suggested that some of the bioactive compounds in kefir, such as polysaccharides and peptides, have great potential for inhibition of proliferation and induction of apoptosis in tumor cells. Bio-individuality, tolerance, and portion size are a key to getting these benefits. Just a few tablespoons a day can meet the recommended daily dose of probiotics. The product must be organic, grade A2, and come from pasture-raised, grass-fed animals.
References
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