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How to Eat More Organ Meats

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While organ meats have gotten a little more attention in the Paleo community recently, many people still don’t quite appreciate how vital it is to include these nutritional powerhouses in their regular diet. Plus, knowing we should be eating offal and actually eating these foods are two very different things. Though some people do love the taste of foods like liver, most people (myself included) don’t like the taste of organ meats and need to be persuaded to eat them.

In an effort to help you take the plunge into eating the whole animal, here are my thoughts on the top three organ meats to start out with and why.

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Beef Tongue

Because tongue is still technically muscle meat, the nutritional profile is similar to that of other beef muscle meats. It’s a good source of iron, zinc, choline, vitamin B12, other B vitamins, and trace minerals. (1) Tongue is a fatty cut of meat, with about 70% of its calories coming from fat, making it one of the most tender cuts of beef you can find.

Surprisingly, one of tongue’s biggest claims to fame is the taste. It’s also one of the easiest organ meats to cook. Once people get over the fact that it’s a tongue, they often find they like it better than other, more ‘normal’ meats! If you’re venturing into the world of organ meats for the first time, tongue is a great starting point. It will probably take a couple tries to get completely over the ‘ick’ factor (after all, it looks like a tongue), but the ease of cooking and the agreeable taste should make that process easier. Further, it should prepare you mentally for other organ meats, which can be a little harder to tackle!

Here are some tongue recipes to try:

Heart 

Once you’re comfortable eating tongue, heart can be a good next step. As with tongue, many people are pleasantly surprised when they taste heart, because despite its somewhat threatening outward appearance, its taste and texture have been compared to that of steak or brisket.

Like other red meat, heart is a good source of iron, zinc, selenium, and B vitamins, but where heart really shines is its CoQ10 content. CoQ10 is vital for energy production and prevention of oxidative stress, and people with chronic health conditions are often deficient. There are also some genetic factors that can impede the biosynthesis of CoQ10, making it more important for those people to have a source of pre-formed CoQ10 in their diet.

Heart is the best food source of CoQ10, with pork heart and beef heart topping the list at approximately 127 mcg/g and 113 mcg/g, respectively. (2) By comparison, sardines supply only about 64 mcg/g, beef liver contains 39 mcg, beef muscle meat contains 31 mcg, and pork muscle meat has anywhere from 24 to 41 mcg.

Unlike tongue, heart is extremely lean, so you want to be sure to cook it properly. One option is to grind it up and add it to ground beef. Here are some other ways to eat heart:

The easiest way to eat your organs.

Bio-Avail Organ from Adapt Naturals.

A blend of 5 freeze-dried organs from 100% pasture-raised cows.

Chris Kresser in kitchen

Liver

You didn’t think I’d write an article on organ meats without including liver, did you? While tongue and heart are both excellent choices and great introductions to organ meat consumption, liver is by far the most important organ meat you should be eating. It’s one of the most nutrient-dense foods in existence, and contains many nutrients that are difficult to get elsewhere.

Liver is an important source of retinol, which is pre-formed vitamin A. Just three ounces of beef liver contains 26,973 IU of vitamin A, while pork liver and chicken liver contain 15,306 IU and 11,335 IU, respectively. (3) If you aren’t supplementing with cod liver oil, you’ll probably want to eat liver a couple times a week to make sure you’re getting enough vitamin A, especially if you have skin problems.

Folate, choline, and vitamin B12 are three more nutrients that are found abundantly in liver, and they can be especially important in the context of a Paleo diet. Two Paleo staples – muscle meat and eggs – contain a high proportion of the amino acid methionine, and higher intakes of methionine increase homocysteine production. This increases the need for vitamins B6, B12, folate, betaine, and choline, which recycle homocysteine. (4, 5)

Although all meats contain some amount of vitamin B12, liver (especially beef liver) blows everything else out of the water, with almost three times as much B12 as kidney, seven times as much as heart, and about 17 times as much as tongue or ground beef. (6) Choline is concentrated mainly in egg yolks and liver, so if you aren’t eating egg yolks it’s important to get some liver into your diet. And as Chris Masterjohn points out, it can be difficult to get enough folate on a Paleo diet without including liver, because other than liver, beans are actually one of the best sources of folate. This is especially true if you eat lots of muscle meat and not enough folate-rich greens.

One of the main nutritional differences among the livers of different animals is copper content. Beef liver contains 14.3mg of copper per 100g, while chicken and pork livers contain less than 1mg. (7) Thus, beef liver is a great choice if you tend towards a copper nutrient deficiency, but as I mentioned in this podcast, copper excess can also be a problem. Luckily the choline, zinc, and B vitamins in liver significantly reduce the risk of copper toxicity, but if you need to limit copper in your diet, you can always opt for chicken or pork liver instead.

Unfortunately, the taste of liver can take some getting used to. But even if you’re one of the unlucky people (like myself) who don’t particularly enjoy the taste, it’s possible to develop a tolerance for it, especially if you find a good recipe. You can always start out by grinding it up and adding it to ground meat, but if you’re ready for something a bit more adventurous, you can try these recipes:

Once you’ve started eating liver regularly, maybe you’ll be interested in trying other unorthodox cuts of meat and less popular parts of the animal. Mark Sisson has written before about eating heads, feet, tails, and everything in between. Perhaps you’ll give tripe a try, or attempt a kidney recipe. Maybe you’ll even get the guts to try some of the more adventurous animal parts, such as “sweetbreads” (pancreas), blood, or maybe even “oysters” (testicles). In fact, Chowstalker even has a whole list of offal recipes to get creative with. No excuses… and no fear!

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149 Comments

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  1. I lucked out last week when I visited the Food Co-op to get seeds — they had fresh, tender, liver from grass-fed beef. I did my favorite “pepper steak” recipe with it: slice the liver in strips. Slice a small red onion, a jalepeno, half a sweet pepper and several mushrooms. Crush a clove or 2 of garlic and let the garlic sit for several minutes. Sautee the onion, pepper, and mushrooms in a little coconut oil over medium heat in a skillet. Add the garlic and cook until blended. Add the liver and cook until almost done. Stir in 1/2 tsp of 5-spice powder, 1 tbs broth, and 1 tbs organic fermented soy sauce or fish sauce. Cook until liver is just done and still tender. To serve, sprinkle with sesame seeds or slivered almonds.

  2. I love chopped liver. But I don’t cook. I have been unable to find prepared chopped liver from a grass-fed source anywhere in New York City. Is what I’m buying from the deli better than nothing or worse?

  3. I am one of those people that can’t get organ meats past my nose. But the biggest reason I don’t want to eat it is my health. I have had gouty arthritis since I was 18 years old, I am now 47. I have been repeatedly told to avoid all organ meats because of the high purine factor.

    I think I would be willing to try it if it was cooked in a way that I didn’t know what it was and if I had more information about it and how it would affect my gout flair-ups. Any ideas please would help out.

    Thank you

  4. Just popping in to say that the impact of culture in gastronomy is funny 🙂

    Where I live, the most traditional dish is tripe (cow) stew with white beans and carrots.
    On the 8th December, the traditional dish is pork blood sauteed with garlic and parsley (mmmmm…delicious), pork meat fried in lard and pork intestines with a seasoned flour filling…

    Another typical dish is boiled meats: bacon, cow belly, pig’s ear, nose and foot, various “chorizo” type sausages and chicken with potatoes, cabbage, leeks and carrots!

    Beef tongue is only edible (as far as I’m concerned) if it’s fried. Take the tongue out and in the same pan, fry garlic and thinly sliced onions and add a splash of vinegar – delicious!

  5. These are great first steps but don’t forget about tripe, kidneys, sweet breads, while not organs things like tendons, trotters, and tails. Good eats and great benifits.

  6. If you can get beef liver from grass-fed, relatively young cows, it generally doesn’t have a strong “liver” taste. Try it cooked Asian pepper-steak style: slice it in thin strips, sautee with onions, sliced sweet and/or hot peppers, and sliced mushrooms. Add a little dash of organic real soy sauce (the actually fermented, non-caramel-colored kind), and maybe a sprinkle of sesame seeds. It tastes more like sliced beef than liver. It’s my favorite liver dish.

  7. While I’ve saved several of the recipes- it boggles my mind that people are so apologetic about tongue, heart, and liver!

    OK, I did grow up eating them- mostly because my mother was very frugal, and these were cheap proteins. However, there were several of my mother’s dishes that I hated from day 1, soi it’s not all conditioning.

    I adored- and still adore- tongue. Cooked gently, it’s like a ready-made pate, almost. I grew up with beef occasionally, but have also enjoyed pork and lamb. It needs to be braised low and slow. it is also excellent smoked, again low and slow.

    I wish I could find a good source of chicken hearts- a favorite dish of mine when growing up was chicken hearts in gravy. Other heart is good, too! Last year I did a beef heart stew as a sort of culinary joke for Valentine’s Day, and my husband and i really enjoyed it.

    And liver??? OMG, we both ADORE liver! Pate! Liver and onions!!! Liverwurst! SO good, and easy to make (OK, the liverwurst is more fussy if one makes it) and delicious. The trick is to NOT overcook it; it needs to be tender, and that means being at least pink in the middle. When it’s overcooked, that’s when it gets objectionable and tough.

    I admit I am not a fan of kidneys- though I make them sometimes because my husband loves them. I am also loathe to try sweetbreads and brains.

    But liver, tongue and heart? WONDERFUL!

  8. I recently moved to Singapore and turns out you can get beef lung here….anyone know of the nutritional profile of that?

  9. I had a very elderly cat who lived much longer than expected because of her fondness for organic raw beef liver. That is all she wanted to eat towards the end – she seemed to know how to maximize the nutrients she was receiving.

  10. As a grass-based livestock farmer who sells direct via farmers markets, for years I was consistently left with the organ meats and learned to prepare them in a multitude of ways. Thanks to better nutritional education about the benefits of eating organ meats, they’re now the first to go. Don’t forget the less conventional stuff like heads (brains, cheeks, eyes), marrow from long bones, caul, lungs, intestines, feet & combs–all of which I’ve been fed and learned to prepare from my ethnic customers. All good!

  11. I tried making beef liver once a few months ago and it was so awful to me that I had to give it away on Freecycle. The person I gave it to said that it was wonderful and she ate it all up. I can sneak a little bit into burgers if I mince it finely, but I am looking forward to some new recipes to try. My toddler eats it just fine. Really, the key is introducing it early!

    • +jennifer L
      try it with 2 onions and 4cloves of garlic then mashed with potatoes…but don’t eat it too late bcoz you’ll be energised till 4 in the morning

  12. Just be mindful with eating raw frozen liver. I was freezing organic chicken livers and eating them raw (along with my son) and we both contracted campylobacter and had bloody diarrhea. Perhaps if we had stuck to beef or lamb liver this wouldn’t have happened….?

    I always cook my liver now. Unfortunately, the only way i can reluctantly eat organ meats is blended with tomatoes (as in chili) or with cream and butter (as in pate) and I’m not tolerating either nightshades or dairy right now. I will keep trying and hopefully i can override my senses. I think back to my mom cooking meals and the fact that even cooking a whole chicken grossed her out too much, she had to buy all the chicken parts separately.

    • The idea that freezing kills much of anything is a myth – it only puts the bacteria into hibernation. Every time you were eating raw meat you were taking a risk and it eventually cought up with you. The species wouldn’t have mattered.

  13. I chop liver into bite-size morsels and freeze it (I use good quality liver that came from grass-fed cows)
    I have one ‘liver bite’ every morning with a teaspoon of coconut oil, it really helps it go down, then follow it with a water chaser.
    I’ve been wanting to add more organ meats but couldn’t bring myself to try offal, looks like I can probably stomach the tongue though 🙂

  14. My Doctor is Bulgarian. She was telling me how they would slaughter the roosters before winter (20 or more) and cook and preserve them. The best treat was “Pope’s beans soup” – soup made from the “oysters” of the roosters. I was told they are internal and the size of a small plum. Sorry I do not have the recipe.

  15. another great way to get organ meats into the diet if you’re squeamish about eating them directly (which i think changes once you actually dive in and DO IT) is to “sneak” them into other things.

    liver in ground beef for hamburgers, chili, and of course with plenty of grass fed butter in pate (if you’re more on the WAPF spectrum of Paleo, like I am 🙂

    Three Stone Hearth in Berkeley does this quite well for anyone who’s local. and i’ll be doing a whole series on this for my cooking channel on YouTube.

    i know you’re in berkeley chris so you know all about TSH. eventually i’d love to meet you!
    that goes for all the local bloggers i follow (michelle, danielle, etc) the paleo community is always looping back to each other, and since i haven’t been able to make any of the conferences i haven’t had the chance to met any of you yet.

    but i have a feeling you’d all really like me 🙂 cheers!

  16. We make liverwurst by boiling equal amounts of heart, liver and pork shoulder till done. Then meat grinder it with a cooked onion. Season to taste with salt and pepper (others flavors if desired) It can be packed in pint jars and eaten as is or frozen. We also can that mixture. We find the local butcher who slaughters on the farms and ask for the organ meats. It is often free or $1 per pound. That way it can be grass fed and locally grown.

  17. Chris, when health stakes are too high to innocently make the “wrong” choice, can you suggest whether Beef vs. Chicken liver makes more sense? Stakes high = on last try for a successful pregnancy, like many of your women readers. Told copper intake should be minimal, so Beef lLiver & Beef Liver capsules may jeopardize chances, correct? HOWEVER, is organic Chicken Liver safe, given 1. not pasture-raised, and no chicken is fed 100% pastured.. 2. Organic Chicken is fed SOY/CORN, & isn’t there a debate about whether the organic label excludes GMO grains? 3. Are Organs from grain-fed animals grain free? 4. Organic choices still = confined, fattened, animals (choices at Whole Foods, for ex.) 5. Isn’t the jury still out on toxins in organ meats that survive cooking –are we just speculating or are there studies?
    Please help us “pick our poison” –just not too much poison 🙂 The benefits need to outweigh the negatives when the stakes are high and timely. Thanks in advance for your opinion!

    • Best wishes in your efforts to conceive. I am new to the Paleo thing, but I have to say that the idea of worrying about what my food eats sounds like a bit too much stress for me! Maybe pop some chickens out in your yard and feed them what you want them to eat, then live off the eggs? Add a goat for milk? Throw some pigs in a pen? We had all of these when I was a kid and it wasn’t so hard, especially if you have some neighbors to trade foods with. And the manure grows a lovely garden full of organic veggies. Two acres and a micro-house would do the job. Otherwise, you are right, your animal food’s food is not something you can control.