Fully Loaded anti-Inflammatory, protein rich and prebiotic edible cookie dough
I am obsessed with taking a much loved classic like cookie dough, and finding ways to make it packed with nutrition to help us fight endo, whilst also still being delicious.
This recipe is just that. I have crammed as much goodness in there as possible, so per serving it gives you:
Almost one serving of fruit
Almost one serving of veg
A full serving of nuts/seeds
12g protein
9g fibre (nearly 1/3 of your RDA for fibre!)
And a serious hit of gut loving polyphenols and hormone supportive anti-inflammatory nutrients
Plus, it’s also gluten dairy and egg free for my endo belly sensitive folk!
The even better news? You can eat it straight away. I am eagerly awaiting Saturday night to sit down with a tub (I am storing it in tubs so it feels like I got it from some fancy health store) and a movie, and tucking in!
This fully loaded cookie dough is…
High in vitamin E which can help reduce inflammation, oxidative stress levels and period pain, and support healthy progesterone levels.
Peanuts and almonds are a significant source of vitamin E (seriously, one 30g of almonds provides 50% of your RDA!), vitamin E can help us manage endo and the associated pain that comes with it. Just one serving of this cookie dough gives your 30% of you RDA.
A recent meta-analysis of over 589 participants, concluded that vit E supplementation can reduce period pain, pain with sex, daily pelvic pain and even improve quality of life with endometriosis patients. And a systematic review and meta-analysis of eight studies and over 1000 people concluded that vitamin E significantly reduced period pain and could be used as a treatment for dysmenorrhea.
But it’s not just supplements that help - food helps too!
One study found people with endo had a 40% reduced intake of vitamin E, but levels increased after following a high antioxidant diet, and oxidation levels reduced by 20% - this study used 4 tbsp sunflower seeds and 3 tbsps of peanuts per day to raise vitamin E levels, for four months.
Vitamin E can also help raise progesterone levels, and whilst we’re not using as high a dose as used in the studies, ensuring you’re getting enough vit E can support a healthy corpus luteum and progesterone production.
Gluten and dairy free to help minimise symptoms and reactions in certain endo folk.
Whilst not everyone with endometriosis needs to go dairy free or gluten free or entirely gluten/dairy free (some people feel better just not eating them that often), reducing gluten and/or dairy may help some of us manage our pain and endo belly symptoms.
In a major and recent survey study of 2388 endometriosis patients, out of those who removed or reduced gluten, 45% experienced a reduction in pain. In another study, 75% of patients had a significant reduction in painful symptoms after eliminating gluten for 12 months. There is also a significant association between endometriosis and coeliac disease. And whilst the research on endometriosis and gluten has limitations, I myself experienced improvements by reducing gluten in my diet (in fact, it was one of the key players for helping me live a normal life again no longer ruled by pain and my periods), as have many of my clients (though not all, it’s very individual).
Likewise, the same major study found that 45% of those who reduced dairy also had a reduction in pain.
If you’d like to learn more about why gluten or dairy may impact some of us with endo and how, and what all the research says, I recently did a huge deep dive into all the research on my podcast, here and here.
Blood sugar balancing to stabilise hormones, reduce PMS and lower oxidative stress.
The typical ingredients in standard cookie dough, like sugar and flour are some of the biggest blood sugar spikers, which can pose a problem for us endo peeps.
Blood sugar spiking foods such as high sugar foods and processed foods can potentially contribute to morePMS, menstrual pain and endo pain. Blood sugar spikes increase oxidative stress, which leads to more inflammation in the body and that may trigger further pain and symptoms. In fact, oxidative stress is higher in people with endo, and it’s a key driver of endo growth.
To avoid these issues, yet also deliver a delicious cookie dough you can’t stop thinking about (yes, that’s me), I have focused on the presence of healthy fats (from the peanut butter and almonds), fibre (chickpeas, peanut butter, almonds, oats and dates) and protein (chickpeas, almonds and peanut butter), which have all been shown to help stabilise blood sugar levels and slow down the uptake of glucose/starch from our food (oats, chickpeas, dates, and the chocolate, in this case) to our blood stream, preventing blood sugar spikes. In fact, just one serving gives us 12g protein and 9g of fibre!
One of the easiest ways for us to support our blood sugar is to opt for whole food carbohydrates, such as dates, instead of sugar or maple syrup, as I have done here. Whole foods still contain their fibre, which helps slow down digestion and the resulting absorption of glucose to the blood stream, creating a steady drip rather than a flood.
Another great way to support blood sugar is with lower glycemic index foods, and every ingredient in this recipe, even the dark chocolate (because we are opting for a high percentage and low sugar version) is low to moderate on the glycemic index scale. The glycemic index is a tool that looks at foods and the impact they can have on your blood sugar, on a scale of 0-100. A high GI index would be 70 and above, a medium GI is 56-69 and a low GI index is 55 or less. High GI foods are very likely to spike your blood sugar levels and do so quickly, foods with a medium GI rating tend to cause a moderate rise and low GI foods tend to keep blood sugar levels stable and steady over time with a gentle rise. This is because low GI foods break down slowly in the gut because they are rich in fibre and slow release carbohydrates, this means that the release of glucose to the blood stream is slow and gradual.
A quick word about dates: Dates have a low to moderate glycemic index, which means they shouldn’t cause a dramatic or quick rise in blood sugar. However, research has shown that individual blood sugar responses vary from person to person, and if you eat a lot of even a low glycemic index food, it may have a greater impact on your blood sugar levels because you’re eating more in one sitting. You can learn about this here. Therefore, I’ve kept the amounts of dates low and have deliberately ensured there is support from fat, fibre and protein, to further reduce the blood sugar impact. This isn’t because I don’t want you to enjoy dates, I just want to ensure I am catering as well as possible - including those who are more sensitive to dates!
I’ve also intentionally used oats, chickpeas and peanuts in this recipe to further support blood sugar.
Rolled oats contain beta-glucan, a special type of fibre found in oats that offers a wide range of health benefits, including stabilising blood sugar post-meals, and as a result, makes oat-based foods more effective than wheat based foods (like using regular flour) for blood sugar stability.
Oats also contain something called resistant starch. Resistant starch is a type of starch that resists digestion in the small intestine. Typically, starch is broken down and absorbed very quickly by the small intestine, which is why you may hear me or other health practitioners discuss moderation or being mindful with starchy foods, because it can spike blood sugar.
But resistant starch resists digestion. It makes its way to the large intestine, where good bacteria eat it and this has some incredible benefits for the gut and endo due (more on that below).
Because this type of starch resists digestion and breaks down slower, resistant starch is better for blood sugar vs. regular starch. In fact, resistant starch has been shown to be improve insulin sensitivity and blood sugar levels in multiple studies, and has even been shown to improve postprandial glucose levels when paired with a high sugar meal (in this study, it was 500g of syrup) in contrast to regular starch.
Uncooked oats, as we’re using here, are rich in resistant starch - when they’re cooked, that resistant starch turns into regular starch, which has the potential to affect blood sugar levels, which is why I always recommend pairing cooked oats with plenty of fat, fibre and healthy fats.
Now let’s look at chickpeas. Research has shown that when compared to other carbohydrates, like white bread, chickpeas not only cause a lesser spike, but a smaller crash as well. When compared to white bread, which created a large spike followed by a more severe crash, chickpeas created a gentler, more even rise in blood sugar that was followed by a gentle return to baseline blood sugar levels pre-meal. What’s even more interesting is that when eaten first, chickpeas reduce blood sugar spikes in the following meal!
Nuts have also been shown to have a positive effect on blood sugar, showing improvement in blood sugar responses when paired with high glycemic/high sugar foods. Adding 2 tbsp (32g) of peanut butter to high starchy, sugary and high carb foods has been shown to lessen the blood sugar spike that these foods would typically cause. We’re using 4 tbsps in this recipe to help reduce any spike that may come from the added sugars from the chocolate and the natural sugars in the dates (though as mentioned, the choc is low sugar and dates are fibre rich, so the impact shouldn't be high).
Constant blood sugar swings can take their toll on hormones, leading to issues like elevated androgens (think testosterone), which can affect ovulation and cycle length. Blood sugar swings may also cause oestrogen excess or dominance and low progesterone if ovulation is interrupted or stopped entirely. Both of these imbalances can cause more PMS, heavier periods, and may also exacerbate endometriosis symptoms.
Additionally, this dessert can help us out with luteal phase or period cravings. When we’re in our luteal phase, we often experience more blood sugar swings because oestrogen, which dominates in our follicular phase, helps us to regulate our blood sugar response, but is lower in the luteal phase. As a result, we tend to get cravings for sweet foods or foods high in starch. The problem is, these foods keep us on a blood sugar rollercoaster, and raise inflammation levels, resulting in more of those inflammatory symptoms and pain that we’re trying to avoid. This banana bread, being lower in sugar and rich in fibre, can help us get our fix without the pain and PMS triggering spikes.
Finally, blood sugar swings are linked heavily with mood disorders such as depression and anxiety, so if you struggle with low moods in your luteal phase, supporting blood sugar can actually support your mental health.
Now, let’s be clear before we wrap up this section. I am not saying you have to avoid sugar or refined carbs for the rest of your life, but if like me, you enjoy a sweet treat as a snack or after dinner, it can help to make these regular goodies a bit more blood sugar balancing, so that we’re looking after ourselves on a day to day basis.
Rich in prebiotics and polyphenols to help heal the endo belly and reduce systemic inflammation.
The latest data shows that 96% of UK adults are getting less than the recommended 30g fibre a day. That’s not great for our guts, which rely on fibre to thrive, and people with endo need extra gut support already (as you’ll come to learn shortly) so a lack of fibre isn’t going to help the situation (though you may find you need to tailor your fibre sources if you have IBS or SIBO). Thanks to the addition of dates, chickpeas, almonds, oats, and peanut butter, this cookie dough offers 9g of your recommended 30g, per serve.
Additionally, a major study of 10,000 people found that eating 30 or more plant foods a week helps to create a healthier and more diverse microbiome. This recipe offers you 6 of your 30 already, and with herbs, spices, olive oil, fruits, veggies, beans/legumes, teas and coffee and whole grains all counting, you can easily top up your levels further. For extra guidance on how to reach your 30 a week, check out this article by The Gut Health Doctor or this one by Zoe.
And thanks to our specific ingredients of dark chocolate, peanuts, almonds, dates and chickpeas, this recipe is also high in polyphenols. Polyphenols are types of antioxidants found in certain plant foods that not only reduce inflammation levels and improve overall health, but they are also an absolute favourite food (prebiotic) for our gut microbiome, which means they can support our good gut bugs to thrive.
But why does this matter for us endo folk?
Research is finding a strong correlation between microbiome disturbances and endometriosis development, such as reduced levels and variety of good gut bugs and higher levels of pathogenic (bad, infectious), opportunistic (in high numbers, can cause problems like inflammation) gut bugs, as well as gut bugs linked to elevated oestrogen levels. These microbiome differences have also been associated with higher IL-8 levels, a type of inflammatory cytokine shown to be involved in the development of endometriosis.
Polyphenols and prebiotic fibre are like gut bug boosters - the more we provide to our good gut bugs, the more they grow and outnumber the bad guys. This helps to bring the gut back into harmony, which can improve gut symptoms and intestinal inflammation and whilst we need to do more research, could even help us fight endo.
These prebiotic fibres help us to increase our production of gut friendly fats, called short chain fatty acids, which are made when good bacteria consume fibre. Research shows that people with endo may be low in short chain fatty acids, especially one called butyrate. Butyrate is a short-chain fatty acid produced by our gut microbiome, and has been found to be low in people with endo. Butyrate has a range of benefits for endometriosis and gut health (so therefore, can help us tackle endo belly) such as reducing intestinal inflammation, improving insulin sensitivity, preventing leaky gut, promoting the growth of beneficial bacteria and inhibiting the growth of harmful bacteria. But here’s what I find most interesting. Butyrate inhibits our inflammatory immune response to lipopolysaccharides (LPS). LPS are toxins that come from certain bacteria, and have been shown to be heavily involved in endo pathogenesis. Chickpeas and oats may be especially beneficial for improving butyrate levels, so we have a double whammy of support with this recipe!
Rich with hormone and endo beneficial nutrients, including magnesium, zinc, folate, B6 and iron.
Research has shown magnesium to be an effective treatment in preventing dysmenorrhea (period pain) because it reduces inflammatory prostaglandins that are the drivers of both endo and period pain. One study showed that six months of magnesium treatment reduced prostaglandin F2a by over half! In fact, in recent research, magnesium is being explored as a dietary treatment for endo and a higher intake of magnesium rich foods was associated with a lower risk of endo.
Additionally, magnesium helps to regulate our sex hormones, and as result, is a recognised treatment for preventing PMS.
Low levels of zinc have been linked to endo, and research has shown it can significantly reduce period pain thanks to its anti-inflammatory benefits. It additionally supports follicle development and ovulation, while deficiency has been linked to infertility.
Folate is crucial to ovarian function and ovulation, and low folate levels can cause irritability, mood swings and fatigue, and fertility problems.
B6 is one of the most important B vitamins for balanced hormones as it supports progesterone production and oestrogen metabolism. Additionally, research has shown that B6 treatment can help reduce PMS, especially the mood challenges that can come with the syndrome.
Finally, iron deficiency is extremely common in general, but even more so in people with heavy menstrual bleeding and even more so in endo, with a recent major study of over 43,000 endo patients finding that we have a six-fold higher odds of iron deficiency.
Iron plays a major role in preventing fatigue, and yet many of the clients who I work with, come to me with significantly low levels. Supporting healthy iron absorption and intake is a key part of beating endo fatigue and recovering from heavy blood loss and low levels can cause brain fog, extreme tiredness, heart palpitations, dizziness, muscle weakness and depression to name a few.
Healthy iron levels are also essential for ovarian function, which is key to producing healthy amounts of sex hormones and low levels are associated with menstrual irregularities and fertility problems. Additionally, low iron levels are linked to ADHD development and can worsen ADHD symptoms, and ADHD is a condition which many people with endo struggle with.
Whilst heme iron (found in animal products and spirulina) is the easiest form of iron to absorb, we can also top up our iron levels with non-heme iron rich foods, found in plants. Chocolate, dates, almonds and chickpeas are all great sources of non-heme iron, making this chocolate bar surprisingly high in iron. Ideally, pair with a vitamin C food like berries, to aid absorption, as non-heme iron can be difficult for our body to absorb, but vit C has been shown to aid this process.
Important notes to help you tailor this recipe to your own body and needs (and tastebuds!)
Everything you’ve said about blood sugar and processed foods, does that mean I can never have my favourite treats again?
Absolutely not. I am all for ‘worth it moments’. Enjoy our fav foods, whatever they are, in moments when we really desire them. But I am a health coach, and my goal is to minimise your symptoms and lower things like oxidative stress and inflammation that could contribute them, so I am going to encourage snacking smarter and leaning on healthier treats on a day to day basis, and that’s way these recipes are for. So you can have your cake, and eat it!
Not sweet enough?
I don’t use a lot of added sugar in my recipes to keep inflammation levels and blood sugar spikes at bay, and I am very used to using lower sugar amounts and natural alternatives like dates, bananas or apple puree, so for me, my tastebuds have adjusted. If something is not sweet enough for you, give it a few bites and some time, and you may surprise yourself as your palate starts to change. However, if you do want some more sweetness to this recipe, trying using an extra date or two.
Is this low FODMAP?
Yes - a 1/4 of this recipe (one serve) is a low FODMAP serving.
Why do you make so many recipes low FODMAP?
The low FODMAP diet is being shown in the research to be one of the most effective dietary interventions we have for symptom relief in endo (esp. for those with IBS issues). That doesn’t mean you have to do it, and if you do, it should be done under supervision of a doctor or low FODMAP trained professional, but some people may be on the diet already, so I like to tailor to as many people as possible. It also means this recipe is less likely to trigger bloating (though that’s not guaranteed, because everyone is different).
Is this recipe suitable for SIBO?
Everyone’s triggers vary with SIBO, but this recipe is low FODMAP so can help reduce bloating and flares, though some people do find chickpeas challenging - hopefully this smaller amount makes them more tolerable.
Further resources
If you’re struggling with your endo symptoms or gut health, you might find my courses and one to one coaching helpful. You can find out more here. I’ve also got endless podcast episodes on endometriosis and SIBO.
Fully Loaded anti-Inflammatory, protein rich and prebiotic edible cookie dough
Ingredients:
240g canned chickpeas
80g nut butter (I used peanut butter)
4 medjool dates (soak in hot water for 5-10 minutes if they feel very dry/hard)
30g rolled oats or oat flour (we will be grinding the oats in a food processor or spice grinder)
2 tbsps milk of choice (low FODMAP if needed) or water
30g almonds
50g 85% dark chocolate
1 tsp vanilla extract or 1/2 vanilla pod
serves: 4
prep time: 10 minutes
chill time: 10-15 (optional)
Method:
Drain and rinse the chickpeas and remove the stones from the dates. If using whole oats, blend in a food processor or spice grinder until a flour forms. Scrape out the vanilla seeds from the vanilla pod if using.
Add to a food processor the nut butter, dates, oat flour, chickpeas, vanilla extract/seeds and milk, and pulse a few times before blending fully. You may need to stop a few times to scrape down the sides and go again.
Roughly chop the almonds and chocolate, then stir through the batter. You can eat straight away, but it’s even better after being refrigerated for even 10-15 minutes, as the dough becomes firmer, more like a dough and less like a batter. Serve with a sprinkle of flaked sea salt if desired.
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These are some of my favourite brands…
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Need more help or want to learn how to work with me?
Ways to work with me:
One to one coaching info and application
Live and Thrive with Endo 2.0 DIY online course
Endo Sessions: Single and mini-package one to one endo coaching
SIBO Sessions: Single and mini-package one to one SIBO coaching
Masterclasses in endo nutrition, surgery prep and recovery and pain relief
This EndoLife, It Starts with Breakfast digital cookbook
Free resources:
This podcast!