Guest Post by Angie Alt: How Getting Sick Made Me Passionate About Dirt

April 22, 2013 in Living with Autoimmune Disease

Angie AltAngie Alt is wife, mother, world traveler & blogger. She’s also a warrior in the autoimmunity war. Angie confronts three autoimmune disorders each day, including Celiac Disease, with powerful management techniques like AIPaleo & the Paleolithic lifestyle. She blogs regularly about the emotional side of tackling autoimmunity, adopting Paleo, and how it impacts her, her family, & their way of life. You can read more by Angela Alt at her blog and connect with her on Facebook.

I’ve been writing regularly for The Paleo Mom for a while now and in a few short weeks I will celebrate my first Paleo-versary.  All that time I’ve been slowly healing, learning, and growing as a person.  Along with my first few years as a parent and my time living in West Africa, this past year has been one of the most dramatic periods of personal growth in my life.  The road from illness to health has deeply impacted my values . . . I’d go as far as saying that being sick with autoimmunity made me passionate about dirt.

 It started with illness itself.  I was deep in it.  Deep, deep.  Long nights in lonely hospital beds on three separate continents, hours upon hours in overburdened ERs, protracted, solitary waits in doctor’s offices . . . I had a lot of time to think.  Naturally, I thought about illness, not just my own illness.  I thought about why so many of us have gotten sick and why we can’t seem to get well.  It did not take me long to understand that our “healthcare system” was more like a “sick care system.”

 When I got a diagnosis, Celiac Disease, I wasn’t all that surprised that it was a food causing my problems.  I would have never put my finger on it, but I’d already spent three years in Africa thinking about how food and water were the absolute foundation for global health.  They are the common thread connecting all of us.  I’d had this sneaking suspicion for quite some time that this common thread could also probably be the source of much of the illness.  I was about to begin learning how they could also be the source of healing.

 If the most nourishing foods could restore my health, they had to be produced in the most nourishing environments.  The dirt itself had to be healthy.  The conditions for the cows, chickens, pigs, and fish had to be clean and happy, if I wanted the nutrients in the meat to serve my body well.  The vegetables and fruits couldn’t be covered in poisonous pesticides or pumped full of genetic modifications, if I expected the powerful vitamins and minerals in them to aid my recovery.  It went beyond that though.  The people growing and harvesting my food deserved safety and security on the job and a decent living too.  If I knew them personally and could see they too enjoyed happy, healthy lives, I knew I could trust them to take special pride in their work and produce foods safe for me to eat.  As I learned, my values started to change.

 I am by no means 100% there yet, but more and more what I eat reflects my values.  My plate shows the world what really matters to me.  Healthy, well cared for animals, organic veggies and fruits raised in wholesome soil, farmers I know, trust, and am happy to help support . . . these are the things I have come to value as I’ve spent the last year healing and growing outside my former comfort zones.

 I think we are in the middle of a rapidly growing food movement.  We (especially those of us who have had health recoveries and can speak to the power of it) have an extraordinary opportunity to change how we, as a whole society, eat.  This is our moment to speak up, raise awareness, and share how food can change our health and our communities.  Changing how we eat, changes everything else . . . how we treat ourselves, our neighbors, our livestock, our water, our soil . . . our planet.  I’m no longer apathetic about a subject that is so integral to everything.  My hope is to raise my daughter to be part of a generation that won’t need to get sick before they get passionate about dirt.

Sometimes a Little Change Can Make a BIG Difference

February 19, 2013 in 2013, Sarah's Personal AI Struggles

(created as a guest post for The 21-Day Sugar Detox Blog)

21DSD_CoverDid I just call the 21-Day Sugar Detox a “little change”?  I guess I did.  I realize that it’s not a little change for most people tackling 3 weeks of no-sugar eating.  But going into this, I was already following the paleo autoimmune protocol, eating very few starchy vegetables and almost no paleo treats.  I didn’t feel like my eating was out of control and I didn’t feel like sugar cravings were controlling me.  That being said, I was completely in the habit of grabbing a piece of fruit (or two) any time I felt like a little something sweet.  I didn’t limit fruit consumption or the types of fruit I ate.  So, maybe I was in a little denial about having a sugar problem—because 5 or 6 pieces of fruit per day adds up to quite a bit of sugar!  I had known for a while that I was going to have to test what effect this large amount of fruit per day was having on my body and, in particular, my autoimmune disease.  The 21 Day Sugar Detox was the perfect experiment.

If you had talked to me during the first week, I would have privately told you that nothing had changed.  My skin was doing some funny things, but it wasn’t better.  My energy level was about the same.  My sleep was about the same.  I wasn’t having headaches or carb flu type symptoms, so it didn’t feel like change was around the corner.  I was feeling some resentment that I couldn’t just eat those delicious berries or grapes that my kids were eating.  And it felt like I was depriving myself for nothing.

And then week two came.  I lost a couple of pounds.  Bloating that I didn’t even realize was there went away.  My skin completely cleared.  I started to notice differences in the skin lesions from my autoimmune disease.  My sleep seemed deeper.  I had more energy during the day.  My brain seemed to be working faster.  I seemed more productive.  And it just kept going into week three.  I lost a few more pounds.  My clothes started fitting way better (probably more because I wasn’t bloated anymore rather than weight changes, but I’ll still take it!).  My skin lesions looked better than they had in months.  I felt like everything was coming together.  I was seeing dramatic improvement in my health.  I felt great.

And then it hit me.  What all this amazingness actually meant.  I did have a problem with sugar.  Sure, I was choosing vitamin-rich whole food sources of sugar, but I was in a cycle of craving, feeding the craving, then craving more.  I am healthier when I eat less fruit and more vegetables.  Dang.  That first week I kept telling myself was that the upside was I wouldn’t have to change anything when I was done with this whole detox thing.  Now, I know that I need to be more moderate with my fruit intake.

So, what now?  I have relaxed some, but really most days look pretty much like how I ate on the 21-Day Sugar Detox.  I’m working on some autoimmune protocol-friendly dessert and treat recipes for my book and notice that on days when I have that extra dessert, I don’t feel very well (for the rest of that day and the next plus then I crave more sugar).  I’m looking forward to having these recipes done so there won’t be so many tempting sweet foods in my house, because I really do think these need to be much more occasional treats than how I was eating before.  I’m already planning on doing another 21-Day Sugar Detox when the recipes for the book are done.

So, what are great recipes that are both AIP-friendly and 21-Day Sugar Detox-friendly?  Actually, most AIP-friendly recipes are automatically 21-Day Sugar Detox-friendly and a quick browse through the AIP Recipe Section of my blog will provide you with lots of great options.  And of course, there will be over 100 new recipes in my book.  During my detox, I greatly enjoyed eating Egg-Free, Tomato-Free (Hidden Liver) Paleo Meatloaf (made with the suggested AIP-modifications in the recipe and made without the molasses).  I also enjoyed Lemon-Dill Poached Salmon and Greek-Inspired Slow-Roasted Leg of Lamb.

AIP FAQ: “I am confused about fruit on the paleo autoimmune protocol. Could you explain?”

February 4, 2013 in FAQ

I am going to be addressing many Frequently Asked Questions about the Autoimmune Protocol in some posts over the next few months.  If you have a question that you think should be answered, you may e-mail me at thepaleomommy@gmail.com.

I get asked about fruit on the AIP very frequently.  I am intentionally vague with my recommendations for and against fruit in the Autoimmune Protocol because tolerance and need are highly variable.  The short answer is, it’s individual.

I will, of course, be going into extreme detail to answer this question in my book.  However, I feel like this question also needs to be answered here.

There are a couple of factors that are going to determine whether or not fruit is okay or beneficial for you to include in your diet, which fruits and how much fruit.

Many autoimmune diseases are very sensitive to blood sugar changes. This is more likely to be true if you’ve had a history of obesity or metabolic derangement. In that case, limiting to one serving of fruit with each meal seems to work well.  Lower sugar fruits like berries tend to be better for blood sugar regulation.  Berries are also high in several vitamins and antioxidants, which can be very beneficial for resolving inflammation.  Other good low-sugar fruits include grapefruit (one of my personal favorites) and other citrus,  melons (except watermelon), kiwis, apricots, and tart green apples.

For others with better blood sugar regulation, fruit can be an important source of carbohydrates in the absence of starchy vegetables. Because of the high frequency of gut dysbiosis in autoimmune disease, most people with autoimmune diseases need to be very careful about starchy vegetables, at least at first.   But, going too low carbohydrate can also be problematic (increases leptin resistance which stimulates inflammation).  So, increasing fruit intake can be very helpful for anyone who is  underweight to normal weight (and not needing to lose weight) but who also doesn’t tolerate starchy vegetables.  In this case, higher sugar fruits and larger portions are typically well tolerated.  High glucose content fruits will be the most helpful for those who want to gain weight.  These include bananas, grapes, apricots, figs, plums, cherries, and pineapple.  Citrus, berries and melon (except watermelon) also tend to have more glucose than fructose.

Fructose contributes more to inflammation than glucose.  So, keeping portions of very high fructose content fruits on the small and infrequent side is a good idea even for those who don’t have FODMAP sensitivities (they aren’t explicitly banned, but do be aware of how you feel after you eat them).  These include mango, red apples, papaya, and watermelon.  Dried fruits tend to concentrate the sugars so extra caution is required in terms of portion size.

As a quick aside (but seems relevant here), starches are avoided for everyone with overgrowths (bacterial or yeast), which is the majority of those with autoimmune diseases.  But, some people suffer undergrowths in which cases starches are very valuable (starches tend to be high in “prebiotics” which is anything hard for you to digest but easy for your gut bacteria to digest). That mostly applies to people with gut disorders like celiac disease and IBD, but also anyone who has frequent diarrhea as a symptom of their disease.

More information on starches:

More information for anyone who is underweight:

More information about my book:

My 21-Day Sugar Detox Experiment: The Good and The Great!

January 23, 2013 in 2013, Sarah's Personal AI Struggles

21DSD_CoverSomewhere around Day 16, it felt like an eternity.  But here I am, all of a sudden, done my 21-Day Sugar Detox experiment.  And what a valuable and educational experiment it was!

If you recall (from this post), my goal was to test whether or not the hefty amount of fruit (and much less hefty but still present amount of honey, maple syrup and coconut-based baked goods) was perpetuating inflammation in my body and slowing down the healing process.  I have an autoimmune disease which is healing slowly on the autoimmune protocol.  I have a mild case of SIBO, which means starchy vegetables and high insulin fiber content foods are out (yes, that should have meant coconut flour was out and yet I often found an excuse–and it always set me back).  Really, my eating was pretty clean going into the 21-Day Sugar Detox.  Even through the holidays, I was doing a very good job sticking to the autoimmune protocol, but I have been using fruit as a crutch, eating 5 or 6 (sometimes more) servings per day.

So, for me, the 21-Day Sugar Detox wasn’t about reigning in bad habits.  I hadn’t fallen off the paleo bandwagon.  My eating was not crazy.  I was just enjoying fruit with every meal.  And sometimes snacks.  And sometimes before bed.  That’s not necessarily a bad thing.  I am not part of the anti-fruit paleo camp.  And even though I lost most of my weight following a low-carb diet, I’m not even part of the low-carb paleo camp (I understand much more about the relationship between what we eat and hunger hormones and inflammation and weight loss now, see this post for a bit more on leptin).  By the way, I’m also not in the “safe starch” paleo camp.  I’m more in the “find what works for you” paleo camp.  There are so many ways our different bodies react differently to fruit and starchy vegetables and there is a huge amount of individuality in terms of both tolerance of and need for these foods–I believe it would be foolish of me to recommend one prescription for everyone.  Without a doubt, eating 6 pieces of fruit a day is not bad for everyone.  Many others could eat that much fruit and be optimally healthy.  Of course, many others could eat a sun-dried tomato and bell pepper omelet with a cup of coffee dressed with grass-fed heavy cream for breakfast too.   Sadly, not me.  Sigh.

So, how did I feel following the 21-Day Sugar Detox Check out my updates for week 1 and week 2.  Looking back on all three weeks, the first week, I really didn’t notice much difference other than the fact that my skin was doing some weird things.  I realize now, that that was a bit of a detox reaction because my skin cleared up dramatically in the second week.  Then, I had some fresh coconut on days 15 and 16 and had a very dramatic reaction to it in the sense that I had the worst acne breakout I’ve had in months.  And I didn’t even eat that much!  So, I have finally accepted that whole coconut is not good for me, dangit.  The bright side?  Getting my diet so clean during the detox allowed me to finally identify coconut as a trigger without any room for doubt.  That knowledge is very valuable for me–even though the actual fact of being sensitive to whole coconut (on top of everything else) can be described by a variety of inappropriate consonant-heavy words.  At least the acne seems to be healing quickly.

Aside from acne, I noticed some extremely dramatic improvements in my mental clarity, which started in week 2 and just keeps getting better.  This is important for me (especially given the BIG announcement tomorrow).  I would never have described myself as suffering from brain fog before, but now that I see just how much more productive and efficient I am and just how much quicker I seem to be able to think, it’s obvious that sugar was impeding my mental processes.   I also feel like I’m sleeping better and waking up feeling more rested, which again, I would never have described my sleep quality as lacking beforehand.  I also feel like my energy levels are better (and following the healthy pattern of waking up with energy and then gradually running out of energy throughout the day until bedtime).

I also lost 4 lbs during my 21-Day Sugar Detox, 2 lbs in week 2 and 2 lbs in week 3.  Weight loss was not one of my goals, but this makes me happy anyway!  I actually think that the majority of this weight was bacterial overgrowth (although my body fat percentage did drop too, so maybe it’s a bit of both).  I say this because I also have noticed a pretty dramatic reduction in bloating in my abdomen.  There I was thinking that my abdomen was hard because I was getting so muscular.  Nope, that was SIBO.   But, it totally rocks to see that bloating resolve and see the scale move in my favorite direction.  I wish I could show you before and after photos (like Stacy of  Paleo Parents did! Wow!), but I didn’t take before photos.  Suffice it to say, that my I’m fitting into my smallest pants comfortably again and several people who know me well have commented that I look like I’ve lost weight (actually, they started commenting before I technically did lose any weight too!).

I also want to point out here that many people have commented that my meals are huge.  They are!  And I’ve lost weight!  I’ve heard that many people have a tendency to under-eat when they tackle the 21-Day Sugar Detox, or the autoimmune protocol, or if they just want to lose weight.  It’s extremely hard for your body to heal and/or lose weight healthily if you are not providing it with enough nutrition.  Reducing food intake too much increases cortisol and makes it impossible to lose weight; it also messes with leptin.  Eating enough is really important and I hope my meals have helped provide some guidance, both in terms of portion size and in terms of just how many vegetables I eat.  That’s another thing that happens when people tackle the autoimmune protocol–they get so scared of starchy vegetables and FODMAPs that they eat very little vegetable matter.  Vegetables are important for healing and even if variety is limited (even if some people have a hard time with raw veggies and can only digest them well when cooked), it’s important to remember to eat enough of them!  (I will refer you once again to Dr. Terry Wahl’s TedX talk here)

I never experienced a carb flu (although I have caught my daughter’s cold, but I hardly think that counts) or headaches or severe energy crashes–probably because the difference in total carbohydrate intake for me wasn’t as dramatic as many people who tackle the 21-Day Sugar Detox.  I had a few days where I felt resentful and begrudged not being able to partake in treats around me, but I got through it.  I had a couple of evenings where I felt snacky and normally would have indulged in a bowl of frozen fruit, but avoided the temptation by just going to bed (that’s usually the eating to stay awake bad habit that I still battle from my long years of obesity and metabolic derangement).  Let me just add here that yes, I do still sometimes get sick and no, that is not a statement of my diet and lifestyle (unless I am seriously that sensitive to skipping bone broth for few days!).  I get sick way way way less often than I used to, don’t get anywhere near as sick as used to be typical for me, and get better much more quickly.  But, I do have a dysfunctional immune system due to my autoimmune disease and I expect to always be a person who does catch at least some of the colds and flus going around, especially while living in the petri dish that life with young kids is.

Okay, so the real reason for doing the 21-Day Sugar Detox was to see if it would make a difference to my autoimmune disease.  And WOW! Did it ever!  Below are before and after photos.  Now, the before photo was actually taken two months ago, right before I realized that chocolate was a problem for me.  I did see improvement in my lesions after cutting out chocolate and then things stabilized again over the holidays (probably because I was eating coconut and so much fruit).  So, not all of the difference between before and after can be attributed to the sugar detox, but more than half of it can! (The detox amateur that I am, it never occurred to me to take before and after photos of how I look or my lesions right before starting, so you’ll just have to take my word for it…. I’ll do better next time, I promise!)

LP Before and After (w dates)

Pretty dramatic, right?  Every one of those red, raised, scaly lichen planus lesions were very itchy and painful in November.  What is still healing and visible now, is flat and not itchy or painful in the slightest!  I have not used any steroids or anything other than the autoimmune protocol and the 21-Day Sugar Detox to achieve these results.

Why do I think that eating fruit is such a problem for me?  There is a strong link between elevated blood sugar  and autoimmune disease.  Only a few years ago, I was obese and had pre-diabetes among my laundry list of health conditions.  I think it’s fairly obvious that before the detox, I was eating enough fruit  to cause enough of a spike in my blood sugar (and enough of a release of insulin) to perpetuate some inflammation and continue to stimulate the immune system.  I was healing, so clearly I wasn’t causing such a spike in blood sugar to completely derail all of my other efforts–but regulating my blood sugar more tightly has obviously created an environment within my body more conducive to healing.  And that is the whole point.  Not everyone with autoimmune disease is going to need to go to these lengths to regulate their blood sugars.  This is what I need to do likely because of the long lasting damage being obese did to my metabolism.

So, what did I eat in week 3?  I didn’t actually post all of my photos on Facebook this week (in part because I was busy and in part because those meals were very similar to several I had already posted).  But, I did take photos, and here is the round-up.

21DSD Week3

  • # of cups of bone broth: 1
  • # of meals with bone broth as an ingredient: 3
  • # of meals that included organ meat: 10 (heart and liver this week)
  • # of meals that included fish: 5
  • # of meals that included bacon: 6 (pastured, sugar-free, nitrate/nitrite-free from )
  • # of meals that included vegetables: 21
  • # of meals that included meat on the bone: 1
  • # of meals that included fermented food: 8
  • # of meals that included seaweed: 0
  • # of snacks: 0
  • # of days with a spoon of coconut oil between meals: 0
  • # of meals shaped like a smiley face: 2

So, where do I go from here?  Not backwards, that’s for sure!  This is working just too darned well for me!  I have adjusted to 1 or 2 servings of fruit per day and my plan is to keep it that way (especially since my sleep and energy levels seem so good!).  It is important to me to allow more flexibility in my life.  The autoimmune protocol is restrictive enough and I have to be cautious that I don’t create such a sense of deprivation in myself that I rebel and make really, really bad choices.  So, what being off the 21-Day Sugar Detox means for me now is simply that those servings of fruit can be any fruit.  In fact,  my breakfast this morning (which was my first post-detox meal) looked an awful lot like my breakfasts throughout the 21-Day Sugar Detox, except I ate a bowl of blackberries instead of half a grapefruit.  And were those blackberries ever the sweetest most wonderful tasting things ever!

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Would I do it again?  Yes!  In a heartbeat!  But, WILL I do it again?  I hope I don’t need to.  I hope that what I’ve learned stays with me and that this is just the way I eat now.  If I can accomplish that, then there will be no need to repeat this experiment.  Do I recommend the 21-Day Sugar Detox?  Just like everything, I don’t think it’s for everyone.  If you know you’re a person for whom firm rules creates disordered eating, then this is not for you.  If you know that plowing through an adjustment period to get to the rainbow at the other side works for you, then this is a great way to go.  I for one, am greatly enjoying the pot of gold (er, blackberries) at the other side.