Happy July everyone!

I’m guessing the majority of the CF community has heard the exciting news released earlier this month, in fact I would be surprised if you haven’t. Any guesses as to what I’m talking about?
Yep, I’m talking about the FDA approval of Orkambi! This is such big news for our community, following the release of Kalydeco. It means we are moving in the right direction and hopefully closer to a cure.

From what I have heard about Orkambi, from those who participated in the study, those who have started taking it since it was FDA approved, and from CF doctors and teams themselves, it’s recommended that each dose (morning and night) be taken with a high fat meal. I’ve even heard some saying 20g of fat is the magic number.

I’ve also seen parents and patients themselves looking for ideas on how to get 20g of fat into one meal/snack. 

I decided to put together some healthier ideas for high fat meals and snacks.  I know I personally have a better time absorbing fats, and get less stomach aches, when I stick to healthier fat choices. 

*In parentheses I have included the brands I use, keep in mind that different brands will vary.

2 pastured eggs (Vital Farms) 8g fat
2 slices cooked bacon (365*) 8g fat
1 tsp ghee (clarified butter) to cook the eggs in – 5g fat

                                                                       Total Fat – 21g

1 green apple or banana – 0-.6g fat
2 Tbsp coconut butter for dipping (Artisina) 18g fat
                                                             Total Fat – 18-18.6g fat

1 green apple or banana – 0-.6g fat
2 Tbsp almond butter (just almonds) – 17g fat
                                                             Total Fat – 17-17.6g fat

Toss one whole medium avocado in your fresh veggie and fruit smoothie. Tons of nutrients and the whole avocado adds 26.7g of fat plus creaminess! I make my smoothies with: 1 whole medium avocado, 1 beet, 2 small carrots, 2 handfuls of spinach, 1 medium green apple, 1 Tbsp Green Lakes gelatin (it heals the gut), ½-1 cup water, 2 small cloves garlic, ½ inch fresh ginger. Sometimes drinking calories is easier than eating them!

One raw salmon filet (about 5.5 oz) is around 20g of fat! Drizzle with olive oil after cooking for even more fat and flavor if desired.

Egg salad: 2 pastured eggs (Vital Farms) 8g fat
                 1 Tbsp mayo (Sir Kensingtons) 10g fat
                 1 slice cooked bacon, chopped – 4g fat
                 Add in chopped celery, sea salt, black pepper, granulated garlic, even add a dash of Sriracha for a kick!                              Total Fat – around 22g

Tuna salad: 4oz tuna (Wild Planet, each can contains 2.5 2oz servings) – about 6g fat
                   1 Tbsp mayo (Sir Kensingtons) 10g fat
                   Add in whatever else you like! I like adding chopped pink lady apples to my tuna salad.

Cooking fats: 1 Tbsp lard (Fatworks) 14g fat
                      1 Tbsp olive oil – 14g fat
                      1 Tbsp coconut oil (Nutiva) – 14g fat
                      1 Tbsp ghee – 20g fat

¼ cup homemade guacamole – about 5g fat
1 oz potato chips (Jacksons Honest purple heirloom chips cooked in coconut oil) – 9g fat
                                                     Total Fat – 14g

One sweet potato – 0-.3g fat
1 Tbsp butter (Kerrygold Grass Fed, unsalted) 12g fat
                                                        Total Fat – 12g

One sweet potato topped with 2 Tbsp almond butter and cinnamon – 17g fat
                                                  Or 2 Tbsp coconut butter (Artisana) and cinnamon – 18g fat

Deviled Eggs: 2 pastured eggs (Vital Farms) – 8g fat
                      2 Tbsp guacamole – about 5g fat
                      1 slice cooked bacon, crumbled – 4g fat
                                                                     Total Fat – 17g

Other tips for getting in those fat grams:
-Add guacamole to your burger
-Top your omelet or scrambled eggs with guacamole
-Snack on raw nuts and seeds, so high in health fats!
-Add 1 tablespoon butter and ½ tablespoon coconut oil to your coffee and blend
-Add full fat coconut milk or heavy cream to your coffee or tea
-Roast and sauté your meat and veggies with good quality cooking fats like ghee, butter, lard, tallow, coconut oil or avocado oil
-Add coconut oil to smoothies
-Finish your dishes with olive oil
-Add butter to your cooked veggies
-Add guacamole or avocados to everything. Seriously!

Bon Appetite!

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Aimee Lecointre is 30 years old and currently resides in Orange County, CA. She works full time as a substance abuse counselor while pursuing her Nutritional Therapy Practitioner certification. In her free time you can find her kayaking or paddle boarding in the ocean, at the pool, cooking, practicing yoga or hiking many of the local trails! You can follow her on Instagram at @innateliving or contact her at aimee@innatelivingsd.com