This post provides an intro to my favorite new guilt-free vegetable, the humble Choko or Chayote Squash.
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Mast Cell Activation Syndrome (MCAS) is a chronic condition that affects all organ systems. MCAS is serious and disabling and people with MCAS experience often significant and debilitating symptoms daily, including anaphylaxis, which can be fatal.
MCAS is often found in combination with other chronic conditions such as Ehlers-Danlos Syndrome (EDS) and Postural Orthostatic Tachycardia Syndrome (POTS).
Frequently healthcare providers do not know about MCAS, and the tests for MCAS are problematic because they are not uniformly reliable. MCAS can be difficult to manage. Treatments include blocking mast cell mediators with anti-histamines and mast cell stabilizers, as well as avoiding triggers.
Check out this post on how to manage MCAS.
Salicylate is a natural chemical found in plants that protects them against disease, bacteria, fungi, and insects. It is found in varying amounts in foods and drinks that we consume, including vegetables, fruits, nuts, spices, alcohol, coffee, and tea.
Salicylates are problematic for some people with MCAS because they can build up in the body and compromise liver function.
Chokos are low in salicylates making them ideal for replacing higher salicylate veggies in standard recipes when you have MCAS or other chronic illnesses. You can use chokos in place of zucchini, broccoli, potatoes, and even apples and pears. There are hundreds of recipes online for using chockos in everything from stirfry, to gratins, to souffle, and even in tarts. In the recipe below I provide a delicious chicken veggie tray bake with choko.
Eating a diet lower in carbs and inflammatory foods can help to control histamine intolerance. To learn more about the lower histamine Keto diet click here!
The bucket theory offers a helpful analogy for understanding symptom reactions with MCAS.
Think of your body as an empty bucket that you want to keep from overflowing. Different foods and activities fill your histamine bucket at different speeds but combine to form the total level of histamine in your body (how full your bucket is). A fuller bucket means you have more histamine symptoms. When you manage triggers, reduce exposure to known triggers, and take medications and supplements to reduce histamine, you can manage the level of your bucket.
Knowing your symptom progression in a symptom flare is the key to developing your own rescue plan. In this post, I discuss how to determine your own symptom progression. Once you know what typically happens in your symptom progression you can design a rescue plan to address those symptoms.
Want a tool to easily keep track of your symptoms? Sign up for my newsletter and you will receive my free 50-page ebook of lower-histamine, grain-free, sugar-free, Keto recipes, my free symptom log, and a free two-week meal plan!
Choko, chayote (Sechium edule), also known as mirliton and chayote squash, is an edible plant belonging to the gourd family, Cucurbitaceae. This fruit was first cultivated in Mesoamerica between southern Mexico and Honduras, with the most genetic diversity available in both Mexico and Guatemala.
Chokos are available at many modern grocery stores in my area of the Midwest, perhaps because we have a sizable population of Mexican people.
Here is a photo of a choko after being sliced.
Here is another photo of a choko that has been halved. You want to remove the seed in the center as well as the fibrous part surrounding the seed.
I’ve read that the choko is considered a fruit, but it can be used in recipes that call for vegetables as well.
Chokos are extremely versatile and can be made into both sweet and savory dishes, or even eaten raw.
The following recipe calls for my Lower Histamine Pesto which you can find here! I love this recipe when made with the garlic scape version of my Lower Histamine Pesto!
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