What is PoTS + Backpacking with PoTS

Backpacking meals are essential to a hikers nutrition but pricey, and accessible cheap options like ramen noodles and crushed chips and nuts only help so much. Making these meals at first seems like a simple task but if you don’t have a dehydrator, DIY meals seem impossible; but don’t fret, here are easy Backpacking Meals for those without a dehydrator. Not only will there be recipes for a full day of eating, but cost and nutrient breakdowns alongside and resources for sourcing your indegrients. These meals also are PoTS friendly and help people with PoTS feel their best on the trail.

“ A DAY OF EATIN’ IN THE BACKCOUNTRY”, “PoTS Friendly”, “Lexie Dellinger”

But before we get into the recipes and why they help me, a person with PoTS feel good, first we must answer, what is PoTS?

fig. 1. POTS Comorbidities and Symptoms

POTS is a chronic illness and stands for Postural tachycardia syndrome.

  • May be an auto immune condition

  • Don’t know the cause

  • Newer discovered syndrome, term first used in 1993. (Federowski)

  • Has Multiple Symptoms- including, “tachycardia, palpitations, chest pains, lightheadedness, fainting, nausea, fatigue, gastroparesis or rapid gastric emptying, migraines, blood pooling in the extremities, Raynaud’s, tremulousness, sleep abnormalities, cognitive impairments”(Dysautonomia International)

As someone who has PoTS my diet has a huge impact on how I feel, and if I don’t eat the right meals, I can trigger flareups and during those I can easily become unconscious, which is not ideal, especially while in the middle of nowhere.

Because of my condition, I’m interested eating smaller meals that are protein based, to keep you fueled and full for longer, and have low GI (glycemic Index) carbohydrates, meaning they take longer to breakdown and metabolize, with also including good sources of iron and salts.

fig. 2 Glycemic Index Blood Glucose Level Graph.
Title:Backpacking with PoTS: Food As Medicine, Symptoms of Pots alongside their Food Solutions. Other images “.

To help mitatigate Symptoms, eat foods/meals that are high in protein, and fats (particularly fatty acids). Also try to not eat a lot of foods with a high GI, to not spike your blood sugar, when this happens you will lose energy, and might feel tired and light-headed, since most of your blood is going to your stomach to digest/absorb those sugars.

Also people with PoTS tend to be more dehydrated then the average person, so drinking lots of water, especially when active, is a must!

Another thing to make sure your foods are important nutrients like Iron, Vitamin K, and Vitamin E, and Vitamin B12. People with PoTS tend to have these nutrional defecencies which can exaspeate symptoms and or cause more.

Backcountry Cooking

All though it’s important to bring the right foods on your trip, it’s arguably more important to bring the right gear. Backcountry Cooking for Backpacking is different than what some are used to as camping cooking. All the gear for backpacking is small, sturdy, and light weight. Saving weight in your pack can be easily done through purchasing the right gear. But keep in mind, the gear’s longevity, and price which are some of the most important factors.

Backcountry Cooking:Supplies listed and illustrated

If you’re just getting started and want some affordable gear, I highly recommend Looking on Facebook Marketplace in your area (especially if you live in an outdoor community or highly dense area)!

If you can;’t find anything on FB Marketplace and have some money to spend, I also recommend going to your local outdoor sporting store.

Other places to get good cooking gear would be REI, and Backcountry.

In general and for these recipes, you’ll need:

  • Camping Stove
  • Pot with a Lid
  • Container with a Lid
  • Wooden Spoon
  • Fuel Canister (that’s compatible with your stove)
  • Water Filtering System (I recommend buying new)

There are a few items you can get from most stores which include

  • Timer/watch
  • Plastic Airtight Bags (ziploc works)
  • Food Scale (unit of oz)

If you have no way of measuring water on the Trail with your gear I also recommend getting

  • Nalgene Water Bottle

Breakfast: Apple Pie Oatmeal

This Apple Pie Oatmeal is tasty and full of energy and the important nutrients to keep you fueled and feeling strong. Perfectly convenient for early mornings when you just want to get started in the trail and not have to get your stove out, or for when you want to have an easy morning at camp.

Breakfast: Apple Pie Oats, Ingredients listed and illustrated. Step I listed.

I only had to go to 2 stores to source all the ingredients for the cheapest end cost, and those stores were my local Winco, andDollar Tree

INGREDIENTS:

  • Rolled Oats (3 oz)
  • Chia Seeds (.3oz)
  • Hemp Hearts (.3oz)
  • Freeze-Dried Apples (.5oz)
  • Pumpkin Pie Spice or Cinnamon (.17 oz/ 1/2 tsp) 
  • Salt (a pinch) 
  • Water (3-4 fl oz) (on TRAIL)
  • Stevia (optional)

Once you’ve measured/weighed and gathered your ingredients, EXCEPT your water. Put them into an air-tight bag together and label the date you packaged your meal and the name of the recipe: Apple Pie Oatmeal. You are now ready for breakfast on the trail!

Steps 2 illustrated with cold soak option directions

On the Trail:

Cold 

 

Pros– uses less water, ‘cooks’ on trail, doesn’t require stove + saves on fuel

cons-cold

Hot

  1. Add 3fl oz of filtered water to your pot and BOIL
  2. Add bag of Oatmeal
  3. Stir + Turn off stove
  4. Cover and wait 2 minutes
  5. Enjoy

Pros– Warm

Cons-uses fuel, uses more water

Nutrition Breakdowns

Overall Nutrition

  • Kcal: 405 kc
  • Carbs: 58 g
  • Protein: 16 g
  • Fat: 12 g
  • Sodium: 560 mg
  • Fiber: 9 g
  • Iron: 20% DV

Ingredient Nutrition

Cost Breakdown Illustrated. Stay Hydrated message

Cost

  • Rolled Oats 8.4. ¢
  • Chia Seeds. 6.54¢
  • Flaxseed Meal 4.08¢
  • Hemp hearts 13.08¢
  • Freeze-Dried Apples. $1.25
  • Pumpkin Pie Spice 1.24. ¢
  • Salt .09 ¢
  • water 0.00 ¢
  • Stevia 1.0 ¢

TOTAL: $1.60

Lunch: Curried Split Pea Soup

This meal takes less than 5 minutes to make and not only is it tasty but it will also keep you feeling energized and satisfied. For this soup I visited three stores to source my ingredients, two in person, my local Co-op, and Winco, and one online for the Olive Oil packets .

Lunch: curried Split Pea Soup, Ingredients listed and illustrated

INGREDIENTS:

  • Freeze-Dried Split Pea Flakes (3oz)
  • Dehydrated Onion Flakes (.1oz/2tsp)
  • Freeze-Dried Garlic (.05oz/1tsp)
  • Curry Powder (1/2 tsp)
  • Vegetable Bouillon (.2oz)
  • Dehydrated Vegetables (.4oz)
  • Black Pepper (a pinch)
  • Olive Oil (.4oz/1 packet)
  • Water (on trail)

* I really recommend purchasing the olive oil packets: they are a perfect amount and you don’t need to find a small dark container to store your oil in. Just remember to not use them a lot, they do add waste!

After you’ve Gathered and Measured your ingredients you can put them into an air-tight bag and labeled it Curried Split Pea Soup with the date.

Your lunch is now trail ready !

On the Trail:

Snacks examples, listed and illustrated

Once you’re feeling hungry after your breakfast have a couple morning snacks like, salted nuts, and fruit leather. For snacks stick to the general rules for eating with PoTS but don’t have to follow them as strictly. For example fruit leather and honey which are a majority of simple sugars, are still ok things to have while exercising, just remember moderation. Most importantly eat what makes you feel good!

Steps 1 -4 listed and illustrated with mountain goat character

Make sure you have a good place to stop to make your food and that you’ve already collected enough water or are near water to collect and filter. Once your water is filtered and collected you can start on step 1.

  1. Boil 12 fl oz of water
  2. Add bag of soup + olive oil
  3. Simmer and wait 3 minutes
  4. Uncover, Stir, and Enjoy

Nutrition Breakdown listed and illustrated

Nutrition

Overall:

  • Kcals- 450 Kc
  • Carbs- 61 g
  • Protein- 23 g
  • Fat- 12.5 g
  • Sodium- 40 mg
  • Fiber- 15.5 g

*If you need more food then play around with doubling the recipe or making it 1.5x the normal amount

Ingredients:

Budget Breakdown listed with total coast and illustrated with Mountain Goat character eating his lunch

Budget Breakdown

  • Freeze-Dried Split Pea Flakes $1.37
  • Dehydrated Onion Flakes. 7.6¢
  • Freeze-Dried Garlic 22.15¢
  • Curry Powder 4.67¢
  • Vegetable Bouillon 13¢
  • Dehydrated Vegetables 37¢
  • Black Pepper. 7¢
  • Olive Oil 32¢
  • Water 0.00

COST $2.97

Dinner: Veggie Chili

Here’s a filling Veggie Chili you can enjoy for dinner for less than $2.00 a serving! For this Veggie Chili I went through 6 different versions which was based off of a modified family chili recipe.

I could source every ingredient for this recipe in store, and I only had to go to two stores to get everything, those stores being, my local Co-op, and Winco. After sourcing your ingredients, before hitting the road and the trails, measure and pack everything together. Similar to my other recipes, I like to store my meals in plastic, air-tight bags. For this recipe you will need three bags.

Dinner:Veggie Chili Ingredients listed and drawn

Before Backcountry:

INGREDIENTS:

  • Quinoa (1.6oz)
  • Freeze-Dried Garlic (.1oz/2tsp)
  • Dehydrated Onion Flakes (.2oz/1Tbs)
  • Tomato Powder (.4oz)
  • Taco Seasoning (.2oz)
  • Chili Powder (.1oz/1tsp)
  • Dehydrated Tofu Bits (.8oz)
  • Freeze-Dried Pinto Bean Flakes (.8oz)
  • Freeze-Dried Black Bean Flakes (.4oz)
  • Dehydrated Veggies (.5oz)
  • Pepper (a pinch)

Step 2 + 3 illustrated, Other Ingredients drawn

At Home/Pre Backcountry:

First: Measure Quinoa + put it into separate bag

Second: Measure Tofu, Onion, Garlic, Tomato Powder, Taco Seasoning, Chili Powder + put into a second separate bag

Third: Measure Pinto and Black Beans + put into a third separate bag (big enough to fit the other two bags in it)

Last: Put the Quinoa bag + Tofu/Seasoning bag into the bigger Bean bag

On Trail:

Step 4 + 5 + 6 illustrated. Mountain Goat character enjoying their chili.

  • Collect/Filter and boil 12 fl oz of water
  • Add Quinoa and Simmer
  • Cover + Wait 3 minutes
  • Then add Tofu + Seasoning bag
  • Cover + Wait another 3 minutes
  • Add Bean bag
  • Cover + Wait 4 minutes
  • Stir and Enjoy

Nutrition Facts illustrated

Nutrition

Overall

  • Kcals- 500 kc
  • Carbs- 85 g
  • Protein- 2.3 g
  • Fat- 30 g
  • Sodium- 300 mg
  • Fiber- 13 g
  • Iron- 34% DV

Ingredient Nutrition

Cost Breakdown Illustrated

Cost Breakdown

  • Quinoa: 26.8¢
  • Freeze-Dried Garlic: 22.15¢
  • Dehydrated Onion Flakes: 7.7¢
  • Tomato Powder: 10.2¢
  • Taco Seasoning: 5.32¢
  • Chili Powder: 2.74 ¢
  • Dehydrated Tofu Bits: 15.44¢
  • Freeze-Dried Pinto Bean Flakes: 22.67¢
  • Freeze-Dried Black Bean Flakes: 13.3¢
  • Dehydrated Veggies: 37¢

Total : $1.61

More Information + References

Additional PoTS Information

The Science behind ‘Why Salt?’

Table Salt is composed of two elements, Sodium, and Chloride. Sodium has an important role in blood volume since a key in fluid retention. Whenever a sodium ion is absorbed into the bloodstream through the kidneys, a water molecule is paired with it, due to osmosis. This then makes the body retain more water and in doing so, increases blood volume. Blood volume is important for PoTS because 70% of people with PoTS have low blood volume (Professional ) which is to be hypovolemic. Being hypovolemic causes you to feel dizzy, faint, have muscle cramping, have a harder time urinating, and feel fatigued and weak (Professional ), no wonder people with PoTS like salt! 

Why Does Protein keep me fuller?

Proteins are made up of amino acids which fold on one another, creating complex structures. Hundreds or even thousands of amino acids can make up these big, complex molecules (Carpi).

fig. 3. Levels of Protein Organization, Primary, Secondary, Teritary, and Quaternary protein structures.

Carbohydrates on the other hand are composed of simple sugars. A complex carbohydrate is a long chains of connected simple sugar molecules make up complex carbohydrates. But unlike proteins, they are smaller and don’t fold (Carpi), therefore they take shorter to digest.

fig. 4. Simple & Complex Carbohydrate Structures

Because of this proteins can digest considerably more slowly than carbohydrates, taking around 4-4 hours (Joslin)

Why Fiber?

Carbs with higher fiber content digest more slowly than those with lower fiber content (Joslin).

More stable blood sugar levels can be achieved by combining carbohydrates high in fiber, lean protein, and healthy fats, which in return helps your body maintain blood pressure by not allowing blood to pool in your stomach.

Why Iron?

PoTS is linked to low iron and moderate anemia, indicating that low iron is a symptom of PoTS (LK). Iron has the important role in creating hemoglobin; a molecule that carries oxygen throughout the body. Because of the connection with anemia and PoTS, its recommended to be aware of your iron intake, trying to make an effort to hit your daily Value, which is 18mg for those with XX chromosomes, 9 mg for XY, and 27 mg for Pregnant people (iron).

Citations and References for PoTs

Carbohydrate. BIOCHEMISTRY. (n.d.). http://syafinasaslan.weebly.com/carbohydrate.html

Carpi, A. (n.d.). Structure of proteins, carbohydrates and Fats. Strcuture of Proteins, Carbohydrates and Fats. https://www.sciencegeek.net/Chemistry/chempdfs/ProteinCarbsFat.pdf

CI;, H. (n.d.). Covid-19 increases the prevalence of postural orthostatic tachycardia syndrome: What nutrition and Dietetics Practitioners Need To Know. Journal of the Academy of Nutrition and Dietetics. Accessed February 1, 2024. https://pubmed.ncbi.nlm.nih.gov/35697326/

DiBaise , J. K. D. K., Lunsford, T. N., & Harris, L. A. (2019, June). The pots (postural tachycardia syndrome) epidemic. Accessed February 5, 2024. https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2019/06/POTS-June-2019.pdf

Diet and fluids. PoTS UK. (2023, November 2). Accessed January 19, 2024. https://www.potsuk.org/managingpots/diet-and-fluids2/#:~:text=Meals%20that%20are%20based%20on,rye%20bread%20may%20also%20help

Dysautonomia international: 10 facts doctors should know about pots. (n.d.). Accessed January 19, 2024. https://www.dysautonomiainternational.org/page.php?ID=180

Fedorowski , A. (n.d.). Postural orthostatic tachycardia syndrome … – wiley online library. Accessed February 1, 2024. https://onlinelibrary.wiley.com/doi/full/10.1111/joim.12852

Harris , C. I., & 1. (2022, June 10). Covid-19 increases the prevalence of postural orthostatic tachycardia syndrome: What nutrition and dietetics practitioners need to know. Journal of the Academy of Nutrition and Dietetics. Accessed February 5, 2024.  https://www.sciencedirect.com/science/article/pii/S2212267222003422

Health wise Staff. (n.d.). Hemoglobin. Home. https://www.uvmhealth.org/healthwise/topic/tp10337

Iron. The Nutrition Source. (2023, March 7). https://www.hsph.harvard.edu/nutritionsource/iron/#:~:text=RDA%3A%20The%20Recommended%20Dietary%20Allowance,and%209%20mg%20for%20lactation.

Joslin Education Team. (2023, March 24). Carbs, protein and fats – their effect on glucose levels. Joslin Diabetes Center. https://www.joslin.org/patient-care/diabetes-education/diabetes-learning-center/carbs-protein-and-fats-their-effect

LK;, J. I. (n.d.). Low iron storage and mild anemia in postural tachycardia syndrome in adolescents. Clinical autonomic research : official journal of the Clinical Autonomic Research Society. https://pubmed.ncbi.nlm.nih.gov/23720007/#:~:text=Interpretation%3A%20Low%20iron%20storage%20and,in%20both%20POTS%20and%20NMS.

professional, C. C. medical. (n.d.). Hypovolemia symptoms, causes & treatment. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/22963-hypovolemia

Protein. Genome.gov. (n.d.). https://www.genome.gov/genetics-glossary/Protein

What is glycemic index. Glycemic Index Guide. (2023, January 7). Accessed March 1, 2024. https://glycemic-index.net/what-is-the-glycemic-index/

Citations and References for Backpacking Gear

Camp Kitchen & Cooking Gear: Rei Co-op. REI. (n.d.). Accessed February 27, 2024.  https://www.rei.com/c/camp-kitchen 

Cooking – search results. Cooking – Search Results | Backcountry.com. (n.d.). Accessed February 27, 2024. https://www.backcountry.com/search?q=Cooking&p=group_id%3Abc-hike-camp&s=u

 Facebook Marketplace. (n.d.). Marketplace. Facebook. Accessed February 27, 2024. https://www.facebook.com/marketplace/

Citations and References for Breakfast Ingredients

Dollartree.com. (n.d.). Accessed March 3, 2024. https://www.dollartree.com/store-locator

Chia seeds. The Nutrition Source. (2022, March 2). Accessed February 5, 2024.  https://www.hsph.harvard.edu/nutritionsource/food-features/chia-seeds/

 Fooddata Central Search Results. FoodData Central. (2019a). Accessed February 5, 2024.  https://fdc.nal.usda.gov/fdc-app.html#/food-details/370727/nutrients

Fooddata Central Search Results. FoodData Central. (2019). Accessed February 5, 2024. https://fdc.nal.usda.gov/fdc-app.html#/food-details/370727/nutrients

Katherine Zeratsky, R. D. (2023, January 31). Why buy ground flaxseed?. Mayo Clinic. Accessed February 5, 2024. https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/flaxseed/faq-20058354#:~:text=Flaxseed’s%20health%20benefits%20come%20from,dietary%20fiber%20and%2037%20calories

16 cheap grocery store dehydrated foods. TrailGourmet. (2021, April 22). Accessed January 19, 2024. https://trailgourmet.com/grocery-store-dehydrated-foods/

Stores | Winco Foods. (n.d.). Accessed March, 2 2024.  https://www.wincofoods.com/stores

Citations and References for Lunch Ingredients

Atal S;Agrawal RP;Vyas S;Phadnis P;Rai N; (2012). Evaluation of the effect of piperine per se on blood glucose level in alloxan-induced diabetic mice. Acta poloniae pharmaceutica. Accessed February 12, 2024. https://pubmed.ncbi.nlm.nih.gov/23061294/

CL;, T. R. D.-D. W. (2006). Curcumin content of turmeric and curry powders. Nutrition and cancer. Accessed February 13, 2024. https://pubmed.ncbi.nlm.nih.gov/17044766/#:~:text=Curcumin%20displays%20both%20anti%2Dinflammatory,and%20applications%20in%20clinical%20research.

Find a co-op. Co+op. (n.d.). Accessed March, 3 2024. https://www.grocery.coop/all-coops

Fooddata Central Search Results. FoodData Central. (2018). Accessed February 12, 2024. https://fdc.nal.usda.gov/fdc-app.html#/food-details/171413/nutrients

Garden Valley Foods. (n.d.). Green pea flakes, no salt. Accessed February 12, 2024. https://www.gardenvalleyfoods.com/products/green-pea-flakes

 Onions, dehydrated flakes. Onions, dehydrated flakes nutrition facts and analysis. (n.d.). Accessed February 16, 2024. https://www.nutritionvalue.org/Onions,_dehydrated_flakes_nutritional_value.html

Russell, L., & Ferrara, D. A. (n.d.). Dehydrated vegetable soup: Veggie soup mix: Harmony house. Harmony House Foods, Inc. Accessed February 11, 2024. https://www.harmonyhousefoods.com/Dried-Vegetable-Soup-Mix-9-oz_p_1867.html

Stores | Winco Foods. (n.d.). https://www.wincofoods.com/stores

Vegetable broth, bouillon. Vegetable broth, bouillon nutrition facts and analysis. (n.d.). Accessed February 14, 2024 https://www.nutritionvalue.org/Vegetable_broth%2C_bouillon_75657000_nutritional_value.html#:~:text=Vegetable%20broth%2C%20bouillon%20contains%2012,and%202.2%20g%20of%20carbohydrate.Stores | Winco Foods. (n.d.). Accessed March, 2 2024.  https://www.wincofoods.com/stores

Citations and References for Dinner Ingredients

Atal S;Agrawal RP;Vyas S;Phadnis P;Rai N; (2012). Evaluation of the effect of piperine per se on blood glucose level in alloxan-induced diabetic mice. Acta poloniae pharmaceutica. Accessed February 12, 2024. https://pubmed.ncbi.nlm.nih.gov/23061294/

Bulk Pinto Bean Flakes: Harmony House Foods. Harmony House Foods, Inc. (n.d.). Accessed February 18, 2024. https://www.harmonyhousefoods.com/Pinto-Bean-Flakes-18-lbs_p_2205.html

Find a co-op. Co+op. (n.d.). https://www.grocery.coop/all-coops

Fooddata Central Search Results. FoodData Central. (2018a). https://fdc.nal.usda.gov/fdc-app.html#/food-details/171319/nutrients

Harmony house: Freeze Dried & Dehydrated Foods, Non-GMO. Harmony House Foods. (n.d.). Accessed February 18, 2024. https://www.harmonyhousefoods.com/

Onions, dehydrated flakes. Onions, dehydrated flakes nutrition facts and analysis. (n.d.). Accessed February 16, 2024. https://www.nutritionvalue.org/Onions,_dehydrated_flakes_nutritional_value.html

Quinoa. The Nutrition Source. (2021b, July 6). Accessed February 18, 2024. https://www.hsph.harvard.edu/nutritionsource/food-features/quinoa/

Russell, L., & Ferrara, D. A. (n.d.). Dehydrated vegetable soup: Veggie soup mix: Harmony house. Harmony House Foods, Inc. Accessed February 11, 2024. https://www.harmonyhousefoods.com/Dried-Vegetable-Soup-Mix-9-oz_p_1867.html

Stores | Winco Foods. (n.d.). https://www.wincofoods.com/stores

 Taco Seasoning mix packet. Ortega®. (2024, February 13). Accessed February 18, 2024. https://ortega.com/product/taco-seasoning-mix/

Tofu, dried-frozen (Koyadofu). Tofu, dried-frozen (koyadofu) nutrition facts and analysis. (n.d.).

Accessed February 15, 2024. https://www.nutritionvalue.org/Tofu%2C_dried-frozen_%28koyadofu%29_nutritional_value.html#:~:text=Tofu%2C%20dried%2Dfrozen%20(koyadofu)%20contains%2081%20calories%20per,the%20rest%20is%20complex%20carbohydrate

Tomato Powder. Tomato powder nutrition facts and analysis. (2024). Accessed February 22, 2024. https://www.nutritionvalue.org/Tomato_powder_nutritional_value.html#:~:text=Tomato%20powder%20contains%20302%20calories,mg%20of%20cholesterol%20per%20serving.