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There was once a time when people could enjoy a birthday cake loaded with sugar and calories. Then those people grew up and became health conscious. Does that mean that you can't make them a birthday cake? Absolutely not. You just need to understand how to rework your recipe so that it's healthy. Step 1 Choose a healthy flour. Replace all of the flour with a whole wheat pastry flour or replace half of the all purpose flour with whole wheat flour. Whole wheat pastry flour is recommended for cakes because it creates a fluffier texture. Regular whole wheat must be mixed with all purpose flour to achieve the same results. Step 2 Substitute the eggs. Egg substitutes are fat and cholesterol free, which makes them perfect for a healthy birthday cake. Add 1/4 cup of egg substitute for each egg. Step 3 Take out the fat. The fat in a cake can easily be replaced with healthy ingredients. For example, fat-free yogurt makes a great substitute for oil. Step 4 Use a sugar substitute. You can find store-bought sugar substitutes that taste just like sugar or you can use natural substitutes. Natural substitutes, such as honey or maple syrup, will add additional flavor to a healthy birthday cake. Step 5 Prepare a low-fat frosting. Even a healthy birthday cake can have a delicious frosting. You can use a fat-free whipped topping or you could also use fat-free cream cheese sweetened with maple syrup or honey

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