Many of us have issues that we’ve been dealing with for a long time, and we’ve gotten used to them, to the extent that we don’t even notice them or pay attention to them on a regular basis.  As a practicing physician I see many patients who tell me they are fine and healthy, but when questioned admit to having headaches and migraines, joint or back pain, heartburn, skin rashes, or diarrhea among other things.  These things are not healthy, we’ve just gotten used to having them, and often take them for granted as “normal”.

Therefore it’s important to back up and take an inventory of your health and disease before you begin the ECD, so you can truly get a sense of how much benefit you’ve received from doing it.

I recommend creating an inventory of your health and disease.  Below I have provided you with a template that lets you rate your general health and well-being.  Answer each of the following categories from 1-10, with 1 being lowest/worst and 10 being highest/best, and answer yes or no to the sub-questions.  If you have specific issues you can add descriptions or notes afterward.

1. Sleep 1 – 10
2. Are you waking up feeling rested?
3. Energy 1 – 10
4. Do you have any energy crashes throughout the day?
5. Digestion 1 – 10
6. How often are you having a bowel movement? (1 per day, 1 per week, etc.)
7. Are you constipated?
8. Do you have diarrhea?
9. Gas or bloating?
10. Flatulence?
11. Mood 1 – 10
12. Anxiety?
13. Depression?
14. Menses (your period; for women only) 1 – 10
15. PMS?
16. Painful period?
17. Musculo-Skeletal 1 – 10
18. Joint pain?
19. Muscle pain?
20. Back pain?
21. Skin 1 – 10
22. Rashes?
23. Overall sense of well-being 1 – 10

After having taken an inventory, set it aside in a safe place.  Once you finish the elimination portion of the diet, you’ll fill out a second copy of the above questions which you’ll compare to the first to help solidify the benefit you’ve seen from the ECD.

What are your thoughts?  Feel free to share them with us in the comments section below.

Because it seems to cause the most negative reactions of any type of food and because it is hidden in EVERYTHING.

What is Wheat/Gluten intolerance?

Wheat or gluten intolerance is a broad category of NON-autoimmune problems brought on by the consumption of wheat or gluten.  People with wheat intolerance experience a variety of health conditions/symptoms from eating wheat but do NOT test positive for celiac disease.

What is Celiac Disease (CD)?

Celiac disease is an autoimmune disease (where the body attacks itself) that is triggered by the consumption of gluten (a protein that is contained in wheat).  This results in damage to the intestines (where food is absorbed) and also to other areas of the body such as the nerves, skin, bones, and thyroid.  People with CD test positive on blood and genetic testing for the disease.

Tests for Wheat/Gluten Intolerance

1. Elimination and Challenge Diet – Remove gluten STRICTLY from the diet for 3-4 weeks and note any change or improvement.  Then challenge yourself by having gluten and note any changes or worsening/return of symptoms.
2. IgG Food “Allergy” testing – this testing is done by drawing blood and is NOT done by conventional doctors.  It measures antibody reactions to various foods and can show a reaction to wheat (as well as other foods)

Tests for Celiac Disease

1. Antibody testing – this is the most common form of testing and is done by drawing blood.  The tests that you can ask your doctor for are:
   1. Total IgA
   2. IgA and IgG anti-gliadin antibodies
   3. IgA and IgG anti-endomysial antibodies
   4. IgA and IgG anti-tissue transglutaminase antibodies
2. Genetic testing – While anyone can have wheat intolerance, Celiac disease only seems to affect people with a genetic predisposition towards it.  Genetic testing can tell you if you have the potential to get Celiac disease (you have the genes) but NOT whether you actually have celiac disease or not.
3. Biopsy – reserved as a follow up to antibody testing where a colonoscopy is performed and a biopsy of the damaged tissue is taken to confirm the diagnosis of CD

Who should be tested for Celiac Disease (CD)?

What foods contain gluten?

When in doubt, ALL processed foods contain gluten unless they are labeled certified gluten free.

The short, short list

1.  Wheat, flour (bleached, unbleached, bread, bran), bulghur, wheat germ

2.  Barley, barley grass, barley malt

3.  Spelt

4.  Beer

5.  Cakes

6.  Cereals

7.  Cookies, cookie dough

8.  Crackers

9.  Einkorn

10.  Emmer

11.  Hydrolyzed wheat gluten, protein, or starch

12.  Kamut

13.  Soy Sauce

14.  Malted barley flour, milk, extract, syrup, or flavoring

15.  Malt vinegar

16.  Pasta

17.  Rye

18.  Semolina

Gluten is often but not always in products containing:

Artificial colorings, artificial flavorings, natural flavors, natural flavorings, vegetable broth, vegetable gum, vegetable protein, and vegetable starches

Gluten IS in vitamins (unless they are labeled gluten free) and can also be found in prescription medications!

For a more comprehensive list of where gluten can be found, go here.

What are your thoughts?  Share them with us in the comments section below.

The first step here is getting a handle on what you regularly eat.  Let me use myself as an example.  Before the ECD we ate fairly well; a low wheat diet without much added sugar.

A typical day looked something like this for me:

• Breakfast:  A smoothie made in my blender (3 raw eggs, ½ cup of whole milk unflavored yogurt, ½ cup of frozen blueberries, stevia to taste, added water to thin the consistency)
• Snack:  None
• Lunch:  Salad greens with roast chicken, peppers, avocado, and grated parmesan cheese.  Dressing typically either balsamic vinegar and olive oil or a prepared garlic-parmesan dressing.
• Snack:  An apple, or a piece of cheese.  Sometimes both.   Often a small handful of dark chocolate chips.
• Dinner:  A protein portion (chicken, protein, beef, fish) and a side of vegetables topped with butter, a sweet potato a couple of times per week.  A side salad with bleu cheese crumbles, balsamic and olive oil.
• Snack:  A coconut ice cream bar
• Fluids:  Mostly water, green tea, glass of kombucha with a few ounces of pomegranate juice added.

As you can see my standard diet was low in wheat and high in dairy.  Before you think I’m anywhere near perfect, we tended to eat out 1-2 times per week depending on the week.  This could range from relatively healthy food to pretty “junky” food like pizza, burritos, hamburgers, and ice cream cones.  I admit to a special fondness for donuts (about once per month; I highly recommend Top Pot donuts here in Seattle, if you’re going to eat a donut make it a good one) but I did draw the line at sodas, Twinkies, Slurpies, and potato chips.

So looking over my average day, it’s important to see what’s going to have to come out.  The biggest thing coming out for me are eggs for breakfast, and dairy in general.  It’s important to see what needs to come out and then even more importantly what is going to replace it.  Some people who aren’t prepared for an ECD do a kind of hunger strike for 2-3 days where they simply abstain from eating reactive foods but don’t put anything in its place.  This is a recipe for disaster.  One suggestion is to find two new foods to take the place of every food that is going to come out.  This may seem like a lot of work, but the effort you put in on the front end is going to make a huge amount of difference in the 3-4 weeks you are on the ECD.

I recommend you come up with 2 options for breakfast, 2-3 options for lunch, and 5-7 options for dinner, then plan to repeat these options for the 3-4 weeks of the ECD.  I used the Garden of Eating, a wonderful, highly recommended cookbook to plan out most of the recipes we’ll be using.

If at all possible, I highly recommend staying away from ‘faux’ foods.  That is, don’t replace milk with almond milk, cheese with a processed “no cheese” cheese, bread with rice bread, etc.  Simply removing the reactive foods will give you a huge boost in your health and well-being, but I recommend taking it a step farther, and at least for 3-4 weeks, purge fake food from your diet entirely.  I recommend you focus on: Meat, Fish, Fowl, Natural fats, Vegetables, Fruits & Nuts.

What are your thoughts?  Feel free to share them with us in the comments section below.

A quick update about the elimination diet (ECD).  I have a number of posts on it in the works, but let me give you a quick update.  I’m now in the second week of the elimination diet: no wheat or gluten grains, no dairy, no soy, no eggs, no citrus, no corn, no peanuts, and very little sugar.  What am I eating.  Lots of meat (beef, chicken, pork, fish) and plenty of vegetables.  How’s it going so far?  Very good.  The first week was a little rough, especially with some sugar cravings, and a deep feeling of loss around giving up butter!  Now into the second week and things are going along nicely.  I feel like I have more energy and it is much more stable throughout the day, the quality of my sleep is better, and my mood has been much more even keeled.  Bowel movements have taken some time to adjust, but seem easier (I have a mild tendency towards constipation), and hunger has largely disappeared and I have found myself a number of times unintentionally fasting until lunch time.  And so far my wife and I have each dropped a couple of pounds.  The best part is an intentionality around eating; more focus on what I’m going to have for my meals, instead of a more random, let’s see what’s here attitude.

Much more on the ECD to come.

If you don’t feel like you have strong willpower be sure you have eaten before going anywhere there is going to be food, and try to cancel out of all the obligations you can for the 3-4 weeks you are on the ECD.  When you’re on the ECD is not a good time to have business lunches, dinners, parties or other celebrations.  DON’T plan on doing the ECD around birthdays or the holidays.

More on the ECD coming soon.

What are your thoughts?  We’d love to hear them.  Please post them in the comments section below.

Let me give you an example.  A woman had severe seasonal allergies, she dreaded pollen season with a passion.  She was on the maximum doses of all the allergy medications and was still barely keeping her allergies under control.  Blood allergy testing showed that she was very reactive to wheat, dairy, and eggs (the big 3).  She cried a little bit at hearing this because it meant that virtually everything she ate on a regular basis was out.  But she took to the challenge with relish, and decided that this was going to be her chance to get back into the kitchen and experiment, finding tasty foods that she could eat and enjoy.  Within a few weeks her allergies were gone completely.  She stopped all of her allergy medication and has had no sign of her allergies, unless she eats some dairy, wheat, or eggs.  She is thrilled with her results and couldn’t be happier she took the plunge and did an elimination diet.  And for those who worry about giving up groups of foods forever, I expect over time as her gut heals and her immune system normalizes she will be able to reintroduce most of those foods back into her diet.

Before undertaking an ECD it’s important to determine your motivation.  What is going to give you the drive to persist through the early cravings?  What is going to allow you to say no when you get in situations where it would be so much easier to simply say yes?  Unless you plan to be a hermit for the 3-4 week duration of the elimination part of the diet, you need to have motivation.  One strong source of motivation is others.  Most of us don’t tell anyone about any diet or lifestyle changes we’re trying to make, that way if we fail, no one knows.  Turn that around, and tell all your friends, tell your co-workers.  Enlist their help and let them hold you accountable.  That way when you are tempted to reach for that food you know you others are going to know.

For me, I have three sources of motivation.  The first is simply curiosity.  As mentioned in my previous post when we saw the changes a change in diet caused in our pets, I became curious.  What changes would I see in myself if I did the same?  So this is an experiment to see what happens.  The second source of motivation is my desire to have experienced the therapies I ask my patients to go through.  It is a belief of mine to, whenever possible, try the therapies out on myself that I recommend to my patients.  That way I know what the therapies feel like, and it helps me understand what my patients are going through.  The ECD is one that I have held out on, because without any major health problems I simply did not want to give up the foods that I enjoy.  The third source of motivation is others, when my wife and I first came up with the idea, the first thing I did was quickly post the idea to my blog and to my mailing list.  That way, many people know about this, and are going to hold me accountable for completing it.

If possible, get your friends or family to join you on the ECD (often easier said than done).  It’s especially important to have the help of people you are living with.  If you can all go on the diet together it creates a shared camaraderie and helps to keep the foods that have been removed out of the house.

Stay tuned as this series on the ECD will continue.

Do you have any thoughts on the ECD?  Have you tried one?  We’d love to hear your comments, please post them in the comments section below.

We had been told by our vet that one of our dogs would need bilateral hip replacement (due to hip dysplasia) at around age 6 and who was very unlikely to survive past 9.  She is now 11 years old with both natural hips intact.  One of our cats who was on the road to having teeth removed due to periodontal (gum) disease has all his teeth and his gums are in great shape (and truth be told we have never brushed his teeth).  The vet was absolutely shocked at the change.  Our other cat lost his behavior problems and has become a much more mellow, friendly cat since stopping the junk food.  And here’s perhaps the least and most important change: their poop does not smell.  The difference in the odor of their feces from kibble to raw meat is night and day.  Most noticeably our 2 litter boxes used by our 2 indoor cats only begin to stink after a week or so (versus 2 or 3 days when they are on kibble).

That’s the good news, a dramatic improvement in physical and mental well-being for our four pets.  The bad news, like any therapeutic eating plan, a raw meat diet is a pain in the butt.  We order 50 lbs boxes of turkey and chicken necks special order from our butcher, usually ordering 2-3 months worth at a time.  Then we defrost the boxes and re-bag the necks into gallon freezer bags and refreeze them in a garage freezer we keep for the purpose, transferring them to the fridge for daily feeding.  It’s a lot of work, and every once in a while my wife and I look at each other and really question whether it’s worth it.

Recently we ran out of raw meat and our butcher was backordered so we transitioned back to kibble.  Within a few days the litter boxes stunk, the dogs themselves began to smell noticeably ‘doggy’, both the dogs and cats fur began to lose its shine, and one of our cats began manifesting behavior problems again.  Even for a Naturopathic doctor, someone who knows the tremendous difference food can make, the change was shocking.

Over dinner a week ago my wife and I were talking about the huge changes we saw in our pets.  If a change from a junk food to a high-quality diet could make such a tremendous change in our pets, what changes would we see in ourselves if we did the same thing?  We both are in a good health, and eat a pretty good diet.  But we were curious,  and so we decided to do just that.

In the month of March I will be transitioning to a diet free of sugar, gluten, dairy, eggs, soy, and citrus foods (the five most common reactive foods I see in my practice are: gluten, dairy, eggs, soy and citrus).  In future posts I will be talking about making the transition, and detailing my experiences on this therapeutic eating plan.  I invite you to follow along to any extent you wish.  If you would like to join me through cyberspace, I invite you to post your experiences in the comments section through the month of March.

For those of you in the Seattle area who are interested and would like more intensive support, I will be offering a series of support classes over the month of March.  This is a prototype in design, and is currently 4-5 thirty to sixty minute group classes where we meet weekly to share information and support one another.  Because this is the first class and we will be working the bugs out, we are discounting the cost to $100 for the series.  A minimum of 5 participants are required for the series to go forward, so if you are interested or would like more information please email us right away at info@aspirenaturalhealth.com.

Stay tuned for future posts in the next 10 days as I lay out my planning for the month of March.

Do you have any thoughts or opinions?  We’d love to hear them.  Please post them in the comments section below?