That spread looks ghastly. Is the spread for the sandwich? What about a homemade mayo? Just oil to moisten the bread?

As for bread look into coconut flour recipes so you can minimize the nut intake. Some use a small amount of nut flour but many none at all. Also, what about wrapping the sandwich ingredients in lettuce or, my favorite, blanched collard leaves? Same convenience without all the issues?

It's so hard when we "love" foods that don't love us back. Perhaps just encouraging her to bite the bullet and suspend any lingering disbelieve in the diet protocol (which it appears she has given her little bit of resistance regarding bread and spread) and then you can reevaluate after a month based on how she is feeling? Either way congratulations on coming this far and achieving great results. Keep up the excellent work!

http://thecoconutmama.com/2012/01/grain-free-flat-brea/

I used to consume that stuff when I was vegan. Blech. It tastes like chemicals to me. But, if you want a good spread for sandwiches? Do this:

Whisk together a little extra virgin olive oil and fine sea salt. Put it in the fridge so that it hardens; then use that as a soft spread for sandwiches, etc. You can add roasted garlic or herbs if you like. Works like a charm, and is so much better than the Earth Balance junk.

As someone else with MS, I can tell you that that spread is NASTY. I would definitely go with the grass-fed butter. (I order mine from Tropical Traditions, or purchase the Organic Valley Pastured Butter in the green foil wrapper when I don't make my own).

There is no really "good" substitute for sandwich bread. I just consider it as something I let go of in order to be healthier and restore my lost mobility. There are a lot of alternatives. Maybe, instead of a sandwich, she could take a pureed soup in a thermos -- just as fast to eat as a sandwich.

We also substitute "inside-out- lettuce rolls for sandwiches when we're traveling.

Inside-Out Lettuce Rolls

• 8 very thin slices ham, roast beef, etc.
• About 4 cups shredded lettuce
• Homemade mayo
• Good quality mustard

For each Lettuce Roll:

Lay out 2 slices of meat lengthwise, so that 60% of the top slice is overlapping the bottom slice.

Spread the meat with mayo and/or mustard

Roll meat lengthwise over lettuce and tuck in ends.

If you're doing tuna fish, we use the method used by Jimmy Johns for their "unwiches"...

Take 2 outer leaves from a head of iceberg lettuce, and slip them inside each other so that the stem portion is in the center and the leaves overlap substantially. Place 1/4 to 1/2 cup tuna salad in the middle. Top with your choice of toppings. Roll along the width of the lettuce leaves, tucking in the sides as you go like rolling a burrito.

If you MUST have bread, consider Chebe bread:

• 2 cups tapioca flour
• 3 eggs
• 1/4 cup melted butter
• 1 tsp salt
• Herbs and spices.

Add melted butter and eggs to tapioca flour, salt and herbs/spices. Stir until it makes a soft dough. Oil your hands, and roll the dough out into the appropriate shape (for sandwiches, I'd use a shape like a sandwich roll). Bake in a 400 degree oven for about 15-20 minutes (when the top gets nicely browned).

In my opinion, these are significantly improved by the addition of 3/4 cup of hard cheese, but they're perfectly tasty without.

If you have autoimmune worries, sticking to simple food choices versus pre-made seems like it might be the best plan. That spread has a lot of ingredients that might cause a reaction. Just the Canola alone is full of pufu, ugh! I agree that you should cut back on the nuts if you are having issues. That would have been my first thing to go.

I agree grass fed butter would be 100% better than the earth balance spread. the ingredients in that sound like a science experiment. We try to stick to only foods that have 5 ingredients or less and all pronounceable and stuff you could make at home. EverydayPaleo.com has some awesome home made, easy mayo recipe http://everydaypaleo.com/2011/06/20/homemade-paleo-mayo-cooking-demo/ or you could try mashing up an avocado with salt and spread that on. As for the bread..we have given up trying to find substitutes for it. For a quick easy meal we roll up some lunch meat, (cheese if you aren't dairy free) along with some sliced veggies and avacado. Very yummy! Good luck!

Obviously, nothing with soy in it! You can try ghee, it probably won't have any effects. But avoid soy, it's a full on, evil, health damaging, omega-6 PUFA.

If for some reason you find ghee problematic, switch to bacon fat, or lard.

Like some others have said, try to get her to try out lettuce wraps or collard wraps, or just no bread at all. Does she just not like the taste of ghee? Maybe a touch of olive oil would be better? It is hard when dealing with a loved one and trying to get him/her on a healthier track with eating, but keep trying to find ways, and maybe slowly she will come around. Good luck!

That New Balance Spread scares me, it is just margarine dressed up in better clothes, butter is a million times better from every angle in my opinion. I have dairy issues, but I've found butter has little enough of the offending ingredients so as not to be an obvious problem. Whether there is enough lactose or milk protein to be problematic for MS I don't know.

It isn't anything even like bread, but for convenience eating I've taken to wrapping things in the nori sheets used for sushi to wrap sandwich ingredients. I've even made a snack with just butter and nori. If you get one of those sushi rolling mats you can make her super tidy little sandwich rolls that can be eaten quickly. Smashed up avocado is yummy on it too.

For the bread sub what about GF savory waffles? Google for some recipes!

I found a home-made delicious bread/sandwich spread I love! In a blender combine 1 cup soaked raw unsalted cashews (soak one hour, drain), 1/2 cup fresh squeezed lemon juice, 3 scallions (green onions), and 1/2 tsp. sea salt. Blend til smooth - it's delicious and can be used for salad dressing or on baked potatoes too.

Avocado is the best sandwhich spread substite!