Low Carbs, the Paleo Diet and MC

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Rosie
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Low Carbs, the Paleo Diet and MC

Post by Rosie »

I just posted a lengthy update, but wanted to add this information and not have it get lost in all the other detail! :lol:

Polly and others have noted that even though they had felt pretty good, they felt even better after eliminating other grains like rice, corn, tapioca, etc that they didn't think that they were sensitive to. I wonder how much of this is reducing the total amount of carbs in their diet, based on my husband's recent experience with going low carb. He doesn't have MC and shares my gluten-free diet. At his last physical, the lab tests showed he had higher than normal blood glucose......not in the diabetes range, but heading there. He isn't overweight at 5' 10" and 165 lbs, and he gets a lot of exercise and is in pretty good shape. In talking with me about this, he admitted that most mornings he would feel bloated and have very uncomfortable colic-like pains when he was walking. And he felt his worst after our Sunday morning special breakfast of gluten-free waffles with maple syrup and fresh raspberries/blueberries. So I suggested that we look at how many carbs he was getting with meals, especially breakfast, as he was most symptomatic then. That waffle breakfast has a huge number of carbs, and so did his other breakfast choices of cereal, bagels, etc. with orange juice. So he decided to go lower carb (less than 50 g of carbs /meal) and see what happens. To put this in perspective, that waffle meal has around 250 g carbs. He's only been on it for 9 days now, but the turnaround has been dramatic! His bloating and colic pains totally disappeared the first day. And he had several other unexpected benefits. For the past 4 years he has been plagued with blocked tear ducts. He's forever mopping his eyes, and has lots of irritation of the skin at the corners of his eyes and uses cortisone cream on it. When the allergies hit in the spring he is miserable. He even had surgery on one of the tear ducts, but it didn't work. So imagine his surprise when after just one day, his tear ducts cleared up, and have remained totally clear since then! :shock: The annoying red irritation of the skin around his eyes has disappeared too. He is absolutely overjoyed! And now he thinks that his sense of smell, which had pretty much gone away, is starting to come back. Apparently he is very sensitive to carbs in his diet, and I can't help but think that the carbs have been responsible for lots of inflammation in his sinuses contributing to the blocked tear ducts and loss of smell. And who knows what other inflammatory processes have been going on undetected elsewhere in his body. He's a believer, and now is checking for carbs in whatever he eats. I've had to make some adjustments with cooking too, but since he has been so supportive with the menu changes around my LC, it's a small price to pay for him feeling so much better. He is basically now eating Paleo with the addition of dairy.

But now I have a conflict. My diet is already limited, and I want to put on some weight, and I actually slipped back a few pounds this past week eating the low carb meals I was cooking. I have noticed that I have less gas, but not much other improvement. So although I believe that lower carb is good, I don't think that I'm at a place where I can severely reduce carbs myself. It's really hard getting enough calories from meat, fruit and veggies without adding rice, potatoes, and the GF baked goods. Maybe as time goes on I'll be able to reduce even further, but for now my priority is getting the calories I need.

But I did want to post this to encourage people to look at the total amount of carbs in the diet, even though gluten has been eliminated, if they still have bloating or other GI symptoms.

Rosie
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tex
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Post by tex »

Rosie,

Wow! What an eyeopener. Those are dramatic results, to say the least.

As far as the calories are concerned, your husband will probably soon be facing the same dilemma that you are facing. Carbs turn into fat, and conversely, cutting carbs cuts fat. Farmers don't feed corn and other grains to feedlot pigs and cattle because they enjoy feeding expensive grains - they do it because it's the fastest, and most efficient way to put weight on the animals.

It's a calorie issue, (we lose weight if we don't take in enough calories), so my suggestion would be to try to replace some or all of the calories that will no longer be available from carbs, with fat from healthy sources, (saturated fats), such as animal fats found in cream, cheese, butter, ghee, tallow, lard, and fatty meats, plus certain vegetable products such as coconut oil, cottonseed oil, palm kernel oil, chocolate, avocados, etc. Of course, you'll need to avoid the dairy products in this list. I'm assuming that you've kept up with research that shows that fats in the diet don't make us fat - that unique distinction belongs to carbs.

Thank you so much, for sharing this information.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Rosie
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Post by Rosie »

Thanks for the suggestions, Tex. After seeing my husband's dramatic health gains in just days, I now wonder what too many carbs are doing to me as well. So I'm motivated. I suspect that it will be a learning process, where I transition to getting many of the calories that I was formerly getting from carbs, from protein and fat. And of course, not all carbs are created equal. Carbs from "real" food, like fruits and veggies are much more nutritious. And I notice that chocolate is on your list of suggestions.....!! :grin:

Rosie
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Post by tex »

Rosie,

You've inspired me to change, as well. Most mornings, I eat eggs and bacon for breakfast, but about twice a week, for variety, I eat pancakes, (Pamela's GF mix), with maple syrup, and bacon. They taste mighty good, and they don't cause any bad reactions, but they leave me feeling too full, and something less than "rarin' to go", usually. I believe I'll just stick to eggs and bacon in the future, to see how that goes. It wouldn't hurt me to lose a few pounds, anyway. I can do without the variety.

Thanks for the inspiration.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by mbeezie »

Rosie,

I feel best when I eat fewer carbs as well. Every now and then I calculate how many grams I eat and I feel my best when I eat < 150 grams/day. But I do think it's hard when we are already so limited.

I am guessing your husband was sensitive to one of the grains he was eating (or maybe several). I used to have a similar problem with my eyes being very irritated from my tears as well and it went away when I changed my diet. I'm not exactly sure what the problme food was but I haven't experienced that in a few years.

Mary Beth
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Post by Polly »

What an interesting thread!

Rosie, thanks for sharing your thoughts and observations. As you know, I have long been a supporter of a low carb diet. I also am NOT a fan of grains - how the public was convinced that they are nutritious I'll never know. (How about that former food pyramid that considered 11 servings of grains a day to be allowable?) Perish the thought!!!! Well, I guess it's the same way "they" convinced us that dairy products were "healthful" - remember as kids those free coloring books the dairy industry gave schools? Where they convinced us that you couldn't have strong teeth and bones without drinking tons of milk? In fact it seems the opposite - the more dairy one eats, the more risk of osteoporosis. And there is nowhere near enough vitamin D added to dairy products to make it beneficial. (You would need to drink more than 20 glasses of milk a day - yikes!) Not to mention the fact that the latest research shows that women may be getting too much calcium. I think they are now saying not to exceed 700 mg. of supplementation per day.

Regarding your weight, have you considered that maybe you would naturally weigh less when eating properly? IOW, that the ideal baseline weight for you may be less than you think? I eat mostly paleo, and my weight stabilizes around 118 lb. (I am 5'5"). If I eat rice (the only grain I can tolerate) every day for a week, however, it inches up quickly to 124 lb. Do you feel OK when weighing less or are you lacking energy? I believe Cordain recommends that about 50% of diet should be protein/fats and 50% fruits and veggies. That's a lot of produce, but I am a firm believer that the carbs (and other nutrients) in fruits/veggies far outweigh any benefits in grains.

Don't forget Karen's (moremuscle's) motto: "Always carry a porkchop in your purse". LOL! And I think I saw Sara mention recently that she carries steak in her purse. I find this to be one of the biggest issues for cavepeople - i.e. the unavailability of quick and easy convenience foods. Calorie-dense snacks for me are olives (I love those olive bars in the grocery store and fill up a large container to take home every week), a nuked sweet potato, dates rolled in coconut, a hard-boiled egg, apple slices dipped in sunflower nut butter, a big chunk of Boar's Head turkey, walnut/pecans/pistachios (MRT showed me sensitive to almonds and cashews so I avoid them), etc. We always grill extra chicken to use as snacks. Canned tuna is easy too.

Tex, I have always noticed how much better I feel with eggs for breakfast. They fill me up and keep me full for hours afterwards. Let us know how you feel and if you lose weight on your new breakfast plan.

Rosie, keep us posted as you experiment with your ideal carb intake. Amazing about your hubby! My hubby eats my diet too - he is 6'6" and weighs 185 lb. with tons of energy.

Hugs,

Polly
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Post by sarkin »

These are great thoughts at a good time for me. I've been heading more hard-core in a Paleo direction. I definitely feel better without any grains at all, and though white potatoes have been useful, I believe I feel better on days when I skip those and have more other veg instead. (Goodbye, potato chips - you have helped me a lot, but I'm moving on.)

Polly, I *wish* I always had a steak in my purse. I'm in training to get there ;) I did bring some leftover steak in a freezer-bag yesterday to eat between the wedding & reception. I should have brought more - it is hard to get used to the idea that the meat portion has to be larger when you cut down the other categories (especially for a recovering vegetarian). I also had freeze-dried pumpkin chips (expensive but portable). If only I could eat eggs, I'd hardboil a bunch every couple of days - that would be the perfect purse food! (I have a dream that I will get eggs back in my diet one day, but the more I think about it, the more that seems like an irrational hope.)

I also put on a pound or two when I eat starches. I am leaner and feel stronger and more energetic without them, no doubt. This is such a great time of year for fruits & veg., I'm going to do something like the "Whole30" hard-core paleo program to get my pantry management and food-prep (and lunch-packing) skills up to snuff. It's not so different from the way I eat now, when I'm prepared (except for the eggs.... sigh).

Polly, I hadn't thought of carrying good olives - great idea. I also enjoy apple slices or carrots/celery with almond butter. I am looking for an unsweetened sunflower seed butter (I just don't like sweetened things that much - I think my body has been waving a low-carb flag and trying to get my attention for some time). I'm also going to try to make savory macaroons, with shredded coconut, nuts, coconut oil, and salt (and something else I haven't dreamed up yet). Having some fat really helps with feeling satisfied.

My energy is much more even and stable throughout the day, eating this way. (So much fun on the dance floor at a wedding yesterday - I haven't been that kind of dancin' fool for 20 years.) One day I felt something in my tummy and started to panic that some new horrible symptom was arising. And then I realized I was *hungry* - the feeling I always thought of as hunger was a blood-sugar alarm going off. Interesting.

Packing a steak for the day right now - thanks for these thoughts, all, and Rosie - those are some great results and great thinking. I really appreciate this topic as I ponder the "Whole30" (or my homebrewed version thereof).

(I would post links to the Whole30 but haven't pondered it sufficiently to endorse/recommend - it is, of course, Google-able; it's Paleo from folks in the CrossFit world of fitness, I believe, but they do seem smart and thoughtful, near as I can tell so far.)

Love,
Sara
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Post by tex »

Sara wrote:it is hard to get used to the idea that the meat portion has to be larger when you cut down the other categories
That's a very good observation. So often I see people on restricted diets posting that they aren't getting enough calories. I have trouble understanding that, because I've been on some very restricted diets, and I have never seen a problem with getting enough calories - I just eat more of what I can. :shrug: Actually, I'm on a very restricted diet now. Have you ever seen the ileostomy diet? When you place those restrictions on top of avoiding gluten, dairy, and soy, you end up with a rather limited diet, but it still leaves plenty or room for taking in too many calories. (Actually, I can tolerate dairy and soy, these days, but I don't believe that they are any healthier than gluten, so I generally avoid them.)

Note that the ileostomy diet excludes, (among many other things), all raw fruits and vegetables, whole grains, (and high fiber grains, such as brown rice), and most fiber. I find it very interesting that the few cooked fruits and veggies that are allowed, are pretty much the same ones that we have found to work for someone recovering from MC. :shock: Ditto on the other non-dairy, non-gluten foods. How about that? Obviously, the common ground is low fiber, and easy digestibility. If you eliminate the gluten and dairy products, (and soy in processed foods), you are left with pretty much a good, safe diet for most people who are trying to recover from MC.

http://www.nutritioncare.org/uploadedFi ... y_Diet.pdf

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Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by Rosie »

What a helpful discussion this has turned out to be!

Mary Beth, I hadn't considered that my DH might actually be sensitive to one or more of the grains, but that's a real possibility. Your experience with teary eyes that went away with eliminating certain foods makes me wonder too. On the other hand, my DH's problems with blocked tear ducts are different from allergic type weepy eyes. He was tested before surgery and both of his tear ducts were blocked. During hay fever season his eyes are much worse, because more tears are being produced with no place to go but run down his face! I'll keep a close watch, and if he has any setbacks, look carefully at what he had been eating to see if any pattern emerges. As we well know, food sensitivities can develop at any time, and sometimes the symptoms can be a bit vague and hard to associate with foods. Coincidentally with reducing carbs he has also eliminated all of the other grains, except for rice (and barley from beer), so I can't tell if it's the reduced carbs or elimination of specific grains that he is sensitive to. Right now he is so ecstatic about his non-drippy eyes that he doesn't want to mess with success. But in a few weeks we might start testing. It's interesting that you have a goal of around 150 g of carbs a day, as that is the number I came up with as a reasonable goal from my research too.

Polly, you wrote:
Regarding your weight, have you considered that maybe you would naturally weigh less when eating properly? IOW, that the ideal baseline weight for you may be less than you think? I eat mostly paleo, and my weight stabilizes around 118 lb. (I am 5'5").
That's really interesting, because that's exactly my height and weight. I have been pretty much at that weight for the last several months, and have a hard time going higher. So maybe you are right, and that's my ideal baseline weight. I don't feel hungry, and have to force myself to eat more. I guess I keep hearing my mother's voice that it's important to have some spare pounds in case of illness. I've always been slender, so maybe I shouldn't worry so much and just let my body tell me what I should eat. I haven't been eating many olives....I like them, but just haven't been in the routine of having them. Market of Choice has a nice olive bar, so I'll check them out. Actually, trying different varieties will be very enjoyable, as my diet tends to get stuck in a bit of a rut. I have trouble just eating hunks of meat, and always have. But if I mix the meat with other fruits and veggies, I can down more. Also, I got to thinking about making some jerky (I have a food dehydrator), or buying some at Market of Choice. They make their own jerky that is nitrate, gluten and soy-free, but at $29/lb, a bit pricey. If I freeze the jerky and just take out what I need for the day, I can use a recipe that isn't nearly as salty. I like the idea of apples and nut butters....that sounds very tasty.

Sara, you provide some good ideas for getting the calories in a wholesome way. I'll check out the Whole 30 site and see what suggestions they might have.

Tex, very interesting about the ileosotmy diet......... And good point that if I simply up my intake of the allowed Paleo foods, I can most likely maintain my weight quite nicely!

Adjusting for the right amount of carbs for both my DH and me will take some time and experience. For example, my DH has been really gung ho about reducing carbs. Yesterday he was playing golf, his favorite pastime, and something he is very serious about. He walks the course, would never think of riding in a cart, and gets a fair amount of exercise with it. He said that toward the end of his round he was feeling uncharacteristically a bit weak and tired, and wondered if he needed to up his carbs a bit to provide some energy. We looked at his carb intake and he only had about 20 g of carbs for lunch. So he decided to add a banana to his carb intake plus more protein and see how that works today. As has been said many times here, we are all different, but the cool thing is that this forum provides a lot of experience and general guidelines in figuring this out!

I realize that it will be some work to transition, but I'm motivated to make it happen. My first step that I'm working on is to only eat carbs from "real" food. That means I'm eliminating GF breads, baked goods, chips, etc. But for right now I'm allowing myself high carb real foods like rice and potatoes, but cutting down on the amounts.

Thanks, everyone!!

Rosie
Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time………Thomas Edison
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