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Please note that I am unable to give you medical or nutritional advice.  If you require medical or nutritional advice, you may take advantage of my consulting company.  My  consultants, with specialties in dietetics, nutritional therapy, health coaching, and functional medicine, offer a variety of packages, from simple 1-hour consultations where you can ask your questions to full 6-month packages.  You can learn more about the individual consultants and services offered here:

I also recommend finding a qualified physician or alternative healthcare provider (many of whom can work with patients remotely) to work with via:

You will also likely find many answers to your questions in my book, The Paleo Approach.

I currently have a 6-week backlog of e-mails due to the large volume of questions I get sent.  It will likely take me two months or longer for me to reply to your question, so please be patient. I do not triage questions but rather answer them simply on a first-come-first-serve basis.  If you have an urgent need for advice, please see the physician directories listed above.

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If you have a product or book you would like me to review, or a request for advertising pricing, please indicate your association in the “General Topic” box of the form below. 

Before submitting your question, please use the search box in the sidebar and browse the menus to first verify that the answer to your question can not be found among the hundreds of posts and thousands of comments on this blog.   If your question is one that could be easily answered with a rudimentary search, your e-mail will not be answered. If you have a question about a recipe or particular topic discussed within a blog post, please comment directly on the recipe or post.

You are also invited to submit your question to The Paleo View podcast to potentially be answered on the show.

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Hi Sarah,
I really loved your post about how to know how many carbs you need. It was very helpful and I feel fairly secure in my carb intake now. But I’m wondering about fats and proteins. Most paleo websites (yours included) reccomend a range of protein you might want, but it’s hard to know if I’m getting a good amount. Could you do a post about things you might notice in your body if you have too much/too little protein, and the same with fats?

Hi there,

Your blog page is quite impressive and it’s just too perfect for our project. I don’t know how to catch your attention but hopefully you could spare me a minute to read this message

It is noticeable that there is a great number of tasty recipes on your blog and we would like to suggest you to have a look at the “Top Food Blog” section on our recently launched site, the . Our site is a search engine that gathers all the best recipes from all major worldwide blogs and websites in one place.

We would like to give you an opportunity to add your food blog to the list and have your recipes indexed on our site. All you have to do is visit our site, click the big green button that says “Show all blogs or add your own” / “Join Top Food Blogs”, then add your blog’s url.

Our project is the second biggest worldwide when it comes to recipe search, and it’s already live in 37 countries, including countries in Europe, Asia, Middle-East, Australia, South America and South Africa. We deliver thousands of visitors to food blogs daily. Some of the top food blogs receive at least 20,000 visitors from us on a weekly basis.

This is something you can do to make your blog more visible and be exposed to a lot of people in United States, Canada and around the world; this can help your blog page to get more visitors and increase traffic.

You help us, we help you.

Hopefully your food blog will be up there in the top!

If you have any questions please don’t hesitate to contact us at

You can also find us on:
Facebook, Twitter and Pinterest

I want to talk with you about speaking to our group near Gettysburg. Just sent you an email but see that you are at an extreme back log. Can you reply directly from here? I would really love to have you at our spring event!

Hi. I’ve made my own coconut milk, which is delicious, and was wondering if milk kefir grains will continue to grow if used only to make coconut milk kefir.


Am looking to buy a bread machine. Are there any you recommend that work well with your Paleo bread recipes? I’ve never owned one and there are so many choose from, it’s overwhelming.



I just wanted to let you know that you have inspired me to go back to school! I am currently teaching Foods and Nutrition 1 and 2 at the high school level, but I have always had a smoldering desire to become a registered dietician. It was actually my major at one point in my college career (about 5 minutes), but then I walked into the first chemistry class. I bolted…..changed majors……and have wanted to try it again for many years since. Over the years I have kept up with nutrition research, so when I had a reaction to something I couldn’t figure out, I decided Paleo might be the way to go. That was two years ago, and I haven’t regretted it for one minute! Eventually I found you, and I was immediately in love!!! I have always, always loved the science behind food and nutrition, and you do the best job of putting it all together in a “digestible” form. (Pun intended of course!)
Anyway, now I am enrolling in classes with the goal of graduating in a couple of years as a Registered Dietician. Once I have the credentials, I want to work within the Paleo community.
Thanks again for the inspiration!!!

My 6 month old son is exclusively breastfed and has had eczema since 3 months old. In the past three months, I’ve eliminated dairy, gluten, soy, corn, shellfish, fish, nightshades (most recently, but probably only 90% there), peanuts, nuts (except for almonds) and have limited legumes. I’m unclear if coconut oil / milk is ok and if chia seeds and hemp seeds are ok. There are certain days when I think his eczema is improving, but then it comes back with a vengeance. Is there a plan or article that Sarah has written for breastfeeding moms for babies with AI issues or leaky gut? Thanks so much.

I found a wonderful guy at our local farmer’s market today (I live in South Florida) that sells his local raw honey and also natural no-sugar-added jellies and jams made by the Amish in North Carolina. The honey is the best I have ever tasted- they’re feeding right now on orange blossoms apparently. Anyway, he has a web site and I just wanted to mention it to you. 🙂

I’ve read a lot of reviews on The Paleo Approach book for autoimmune disease which have all been amazing. However, it talks about all these different autoimmune diseases that it helps but doesn’t ever mention rhumatoid arthritis which I have. Would this fall under the category for one of the autoimmune diseases your book may help? I know food does affect me A LOT!

The book helps every autoimmune disease and has a complete list of them in the introductory chapters. It does not discuss every autoimmune disease individually. – Christina, Sarah’s assistant

Hello, my 7 year old has been diagnosed with an autoimmune disease and is receiving extensive medical treatment. I am thinking about putting her on the auto immune paleo diet. I feel like it is very restrictive, and I understand why, but would like your opinion: do you think it is appropriate for a child?

Thank you for your quick response! One more question. Do you recommend the auto immune paleo as a life long diet plan?

The AIP is meant to be a short-term elimination diet, after which you reintroduce foods to see how you tolerate them, but it certainly can be followed as long as necessary to maintain optimal health. Many people do follow it for years. – Christina, Sarah’s assistant

Hello Sarah & Team,

I was after some advice as I’ve hit a wall on how to interpret what I believe to be one of the causes of my acne, which I’ve had for 15 years+.

It appears to get aggravated by foods with a high glycemic load and liquids with a high sugar content (ie alcohol). Are you able to explain how these foods are causing my skin reactions in terms of their influence on the body? Apart from avoiding these foods, is there a way I can speed up the healing process or take a test to find out more? Any advice would be gratefully received.

All the best,

Can you give me any feedback as far as Ultra InflamX360? Dr. prescribed it for detox, I took for about 2 weeks and my eyes dried completely out – could not feel drops when I put them in and my ears are screaming. I stopped for 4 days and tried again, same results.
Is this part of the detox or is it a reaction to ingredients?

Sarah, you’re educational knowledge touched with nerdism ( which for me isn’t, but I get it!) and promoting how to adapt and finetune, hits a homerun for me. Your audio interview @ the Hashimoto’s Institute presentation, was just THE BEST, for me! Thank you for sharing soooo much nuance and information, so helpful!

I have been taking time to read your book. I understand the need for animal protein, but what do we do when the chickens have been fed corn and soy? I have researched a lot of organic producers of chicken, and if they do not get corn and soy they are fed grains. Frankly, I do not know how we can ingest chicken without it? Any suggestions? It has been 40 years that I have been a vegetarian and it was the most difficult thing to do, when I had to start eating animal protein. Any suggestions would be most welcome.

Hello, I love your website and your books, which I own.
However, I am unable to find information whether it is ok to drink the Cistus Incanus tea during autoimmune protocol. Are you able to help me with this? I have Hashimoto’s. Thank you!

I couldn’t find a ‘contact us’ tab so thought I would ask here . . . I signed up for your newsletter but never received my Quick Start Guide. Also, do you recommend Almond Milk and if not, why not?

Brilliant site. I agree with a non dumbing-down yet still understandable approach to spreading science fact. It’s what I’ve tried to do with too (my support site for UK sufferers with inflammatory conditions). Any chance of fulfilling a shameless request for a FB shout out (if you ever check it out and like what you see of course!!)

I actually just wanted to let you know about a new food bar my sister sent me a link for this morning. She knows how careful I have to be with what I eat do to having celiac and I was thrilled to see how great the ingredients look. Totally autoimmune friendly! That’s been so hard for me to find- especially in grab & go food.
I don’t want to come across as a product pusher- I actually have no connection to the site or its owner. But I’ve gotten so much amazing help from Sara’s site & figured I’d pass along the link in case she hadn’t come across it.
Also wanted to say thanks for the amazing site, books, and podcast!! They’ve been a huge part my healing journey. Without all the amazing information I no I wouldn’t be doing as well as I am! & I only expect to keep getting better. That hope is something I didn’t have even a year ago.

I have always wondered about this. I have Lupus, Hashimoto’s,and Reynauds. I did not get diagnosed with any of these until my 30″s.I was a competitive swimmer as a teenager and whenever I was close to winning an entire race, right before the end, I would just lose ALL my energy. As hard as I could, I could not finish hard and win! I have always thought that I am just a “choker” but it would be nice if I could blame it on autoimmune issues that I did not know about then. Anyone have any thought on this?

I have recently been diagnosed with Hashimoto Thyroiditis. The diagnosis was casually brought up after an ultrasound of my thyroid. I have been “treating” hypothyroidism for 10 years as a rollercoaster of adjusting medications with no relief. I immediately started researching Hashimoto Thyroiditis and came across The Paleo Approach. I want to thank you, first for all the information my doctor failed to tell me, however, I am still on a prescription to “treat” the hypothyroidism and I am very overwhelmed with the information about medicines. I want to heal my body but if I am taking a daily medication to treat my condition, how do I know if I am fighting a losing battle by continuing to consume harmful ingredients that may be in my medication? Do you have any information about the medicines being allowed with this lifestyle?
Thank you in advance!

Hi Sarah and The Paleo Mom Team,
I am following you since last summer and I really feel thankful for all the work you are doing and sharing with us. I also love all the information in your books, it’s amazing how well you write about the science.
Now I have a small question: I am an illustrator with 2 small children and I am just getting back to resuming my illustration work (and I’m passionate about science!). I’ve read your post about the signs of low stomach acid and I’d love to make an informational illustration linking back to your post. Is that okay?

My immune system conditions seems to be affected most by UV. I have been following API for 2 months and have been working through other AI protocols for 6-8 months without much change, so I’m pretty sure I am missing something that I need a professional to help uncover.

I did speak with Anne, one of the TPM Consultants, but she had not seen my condition before.

Has Dr. Ballantyne ever addressed the science behind UV sensitivity and why it is often seen in people with auto-immune conditions?

Hi Sarah and Team!
Currently I am employed by a person with autoimmune diagnoses. I cook for her and am adhering to the AIP Paleo diet using your cookbook as well as Mickey Trescott’s. They have been an IMMENSE help! Thank you!
My background is in nursing and i have read some information about bone broth and the question of heavy metals / lead leaching from the bones. However, you also addressed a study that stated these lead levels are less than what is allowed and considered safe in our tap water which we drink. I cook bone broth from grass fed, no antibiotic, no hormone sourced animals.
My QUESTION IS THIS: Are there any health issues, that you know of, why the soft crumbling bones used to make the bone broth could not be blenderized (into a cream-like soup puree) along with the broth for maximum nutrition? I tried it and the cream-like consistency was EXCELLENT, the flavor AMAZING!!! Both my employer and I tried the broth blenderized with the crumbling bones in it – both LOVED it – and we both experienced an incredible amount of energy for hours, after consuming it.
Thanks for any information you may have regarding this – it is greatly appreciated!
Best to You – Jane

I am suffering from some health challenges and just received “The Paleo Approach” and “The Paleo Approach Cookbook” in the mail. I’ve had a lot of time to look them over (since I’m not sleeping well these days — or at all, some days). I am totally geeking over these books! I think you thought of everything! I love the pictorial recipe index and the tear-out reference sheets. The only other thing I’ve noticed that I would have liked to have seen would be a tear-out list of “yes foods” to take to the store with me. My health has slowly but steadily declined over the last few years (despite bring my family and friends’ go-to source for nutrition and health info), culminating in this lack of rest which I fear will be my undoing. I was feeling pretty helpless a few days ago (and yet another sleepless night has left me unsteady), but I feel like I have functional tools that I can work with here and some ideas of what I need to ask my doctor to look for. Thank you so much for all the time and thought you put into this work. I don’t think I would have as good a chance to regain my health without this information. I heard of and “The Paleo Approach” on the Paleohacks video event a few weeks ago.

I bought the Kindle version of the Paleo Approach. The food list tables are formatted terribly and, basically, are not usable. I saw a reference in a feedback comment on Amazon saying that someone else bought the Kindle version, discovered the issue, and was able to get a good copy of the lists drum the website somewhere. I can’t find this. Is there, in fact, a list that I can get to replace the wacky ones in the Kindle book? Thanks!

BTW.. I realize someone else published a couple of two page charts. These are nice but not complete. I want replacement liars from palemom.

Hi guys, I know that you are very back-logged with emails but I just had a question about a foreword for my new bookazine project in Australia. I just sent through an inquiry, but thought you might be able to reply here if you thought this was a possibility. Sarah reviewed my last bookazine on her site and I would love to get in touch about the possibility of a short contribution to my next one. Thanks and I look forward to hearing from you, Lizzy.

Thank you so much for your book, your Facebook presence, and your website. About a year ago I was diagnosed with Cutaneous Lupus, which, I’m sure you know, is photosensitive and my question relates to the photo-sensitivity. But before I get to the question I want to let you know that the information in your book and on your web sites has been so valuable in helping me manage this disease. After being on AIP diet for a year (I started last September 1st) and following the other advise in your book, I am not totally symptom free yet but I am about 95% (or more) symptom free. I have you (and a very dedicated wife) to thank for that. This disease no longer has much effect on my daily life in terms of what I can or can’t do. Yes, I do have to be careful about sun exposure, but I still fish and do yard work and participate in many other outdoor activities. I just have to do it with sun protective clothing and sunscreen. So here is my question. Could you please tell me HOW the sun causes a flare? What role does it play in causing a flare? What mechanisms does it affect that lead to a flare? I have been unable to find any information about this topic and it would be most helpful for me to understand it.
Thank you again, Sarah, for all that you do. You are truly a difference maker.

My journey to better health began 3 y ago, when my husband met a heart surgeon from Colombia who is a friend & colleague of Dr. William Davis. They sat next to each other in a plane. My husband was in deep denial about his sleep apnea and this man made him aware and recommended “Wheat Belly” to him. Well, my husband only made it to page 32, now has a bi-pap machine, made very few dietary changes and is still obese. I read “Wheat Belly” cover to cover and stopped wheat 99.99% immediately. My debilitating plantar fasciitis went away, no more joint pain, my eczema has completely disappeared, no more migraines and I feel so much better. Last year I came across your fb page and just recently, I ordered your book. What an incredible eye-opener. I’ve been allergic to raw potatoes all my life and realize at 48 that I’m nightshade sensitive. I’m wondering what else I’ll discover. My 25 y old daughter has suffered from so many ailments described in the first few pages of your book, that I just sent her a copy of The Paleo Approach. She has had 4 ACL reconstructions in 9 years, but they just keep tearing for no obvious reason, she has insomnia, anxiety, depression, frequent vomiting since she was about 6 years old, GERD, sinusitis and tonsillitis, rashes, blisters in her mouth and on her hands, hives and she has gained a lot of weight in a very short time. Doctors just happily prescribe more meds, many causing more rashes and outbreaks. I’ve been telling her for the past few years that she needs to change the way she eats and the way she lives. There simply is no magic pill. She finally realizes that a lifestyle change is inevitable and that is always difficult for someone who just wants to be a normal young adult. I hope that your book will help guide her in her journey to health and well-being. Thank you so very much for creating awareness.

I wish to unsubscribe but cannot see a way to do so. Nice list, but not for my current existence as retired grandmother.

Margaret L. N. Hundleby

Help! I need input! I’ve been told I have an autoimmune disease, from bloodwork, but too early to say which one! I was doing better ( muscle pain, weakness, headaches) with the AIP! But every time I eat beef, diarrhea and pain! Is this a problem with digesting the protein? I’m trying g to help myself, we are in a very remote, rural location. Thank you anybody!!! BTW, I’m living by The Paleo Approach by Sarah!

What do you think of Dr. Millers holy tea for gut motility?..I am working with a naturopath for sibo and am endlessly trying everything…antibiotics, prokinetics, aloe Vera, magnesium, triphala, 5htp , low fodmap…on and on,but always have to go to this herbal blend for relief

Berberine significantly ameliorates tight junction damage and I believe is one of the most important supplements for leaky gut/intestinal permeability. It would be amazing for Sarah to review and write on this, because I think many people stand to benefit, and personally I’d love to know her thoughts. I’ve included a number of studies below that may be helpful or of interest. I think Sarah is a genius and I think it would be a service to the public for her to review and tells us what it all means! (and no, I don’t work for any supplement company or have any vested interest. I’m just a fellow auto-immune sufferer on AIP doing the best he can)

Berberine Ameliorates Intestinal Epithelial Tight-Junction Damage and Down-regulates Myosin Light Chain Kinase Pathways in a Mouse Model of Endotoxinemia

The effect of berberine in vitro on tight junctions in human Caco-2 intestinal epithelial cells

Berberine Ameliorates Ethanol-Induced Disruption of Intestinal Epithelial Tight Junction

Berberine attenuates pro-inflammatory cytokine-induced tight junction disruption in an in vitro model of intestinal epithelial cells.

TNFα-induced and berberine-antagonized tight junction barrier impairment via tyrosine kinase, Akt and NFκB signaling

Hi Sarah,
I’m enjoying the foods from the $1000 giveaway. It’s a great opportunity to try new things. Unfortunately, I haven’t received:
$300 Tropical Traditions Gift Card
One Variety 4 pack of Wholly Pops PLUS an awesome T-shirt
1 box of Epic Bar Liver Bites (8 2.5oz bags) and a pair Epic Shades
Farmbox Direct Organic Large Box (Fresh Organic frozen veggies sent to your front door)
4-pack of 16oz Sippable Broth pouches from Bare Bones

I look forward to trying these additional foods and wonder why I haven’t received them.

Hi there, I would like to buy the go to sleep eBook, but I don’t have a paypal account. Can I pay with credit card directly and be sent the updates and the ebooks to an email address that I’ll provide seperately?

I ordered your The Paleo Family Toolkit but never received it or how to contact you. Please contact me re this order

Your book, has played a major role in greatly improving my psoriatic arthritis. Thanks you very much!!!
Yet,t a major side effect has been weight loss.
Luckily, I found out that white rice is very good for me, and I eat about a pound a day.
Still, it is a struggle to maintain my weight. I wonder if there are other grains that are likely to be well
tolerated by someone who has no problem with white rice, so that I can try to expand my sources.



Hello Sarah:
I have just bought your new cookbook.The recipes look great!
The only concern and question I have is that alot of recipes have cinnamon in them and my son is allergic to them.
What shall I do since he cannot eat cinnamon? Do you have any other substutions you think may work and still taste good.
Can you please reply directly to my email address. thank you

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