What Should You Eat To Heal a Leaky Gut?

April 5, 2012 in Gut Health

(Created as a guest post for The Paleo Parents)

If you are concerned that you may have, or could develop, a leaky gut, then changing your diet to one that protects the gut is a natural next step for you.  If you are already battling health conditions related to having a leaky gut, then you will have to be more strict with your dietary choices and also address other lifestyle factors like getting good quality sleep, managing stress, finding time for low-strain exercise, and getting outside.

The first and most important thing to do to heal a leaky gut is to stop eating foods that damage and inflame the gut lining!  It can take six months or more for the gut to fully heal depending on the extent of the damage, the health of the gut microflora and your individual genetics (for people with Small Intestinal Bacterial Overgrowth, recovery can take up to two years!).  Until the gut is completely healthy, it is important to abstain from all grains, all legumes, and all dairy products (some people may tolerate ghee and/or butter from grass-fed sources, but I recommend leaving it out for at least a month before trying it).  It is also important to avoid additives in processed foods (many of which irritate the gut) and refined sugars (which promote inflammation).  Some people will also need to eliminate vegetables from the nightshade family (tomatoes, eggplants, peppers of all kinds, and especially potatoes), eliminate egg whites (I actually rinse my egg yolks before eating them), and limit nut consumption (other than coconut and macadamias).  Changing your diet to avoid gut-irritating foods is critical.  But, it is also important to include foods that can reduce inflammation and help heal the damaged gut.

Eat foods that reduce inflammation.  It’s very important to be mindful of both your omega-6 and your omega-3 polyunsaturatedfatty acid intake.  Omega-6 polyunsaturated fats, which are found in large quantities in modern vegetable oils, meat from grain-fed animals, and many nuts and seeds, increase inflammation.  Omega-3 fatty acids, which are found in large quantities in wild-caught fish, pastured/free-range eggs, and meat from pastured animals, decrease inflammation.  To help reduce overall inflammation and heal the gut, aim for a 1:1 ratio of omega-3 to omega-6 fatty acid intake in your diet.  There are several ways of doing this:  you can make sure that all of the meat in your diet is exclusively from grass-fed animals (beef, bison, goat or lamb); you can eat plenty of wild-caught seafood; and/or you can supplement with a good quality fish oil. 

Vegetables are rich in anti-oxidants, vitamins and minerals which help control inflammation (and help with just about every other normal function of the body!).  Eating a variety of differently colored vegetables, a variety of dark green leafy vegetables, and a variety cruciferous vegetables (broccoli, cauliflower, cabbage, turnip greens, kale, Brussels sprouts, etc.) every day will provide all of the essential vitamins and minerals in a way that is easy for the body to absorb (no more need for a multivitamin!).  Fruits, especially berries, are also a good source of antioxidants, vitamins and minerals.  However, most people will need to exercise some portion control with fruits due to the high sugar content.  I recommend eating vegetables at every meal (it can be a bit strange getting used to eating vegetables at breakfast, but it’s amazing what a difference it makes to how you feel for the whole rest of the day!).

It is also important to make sure you are getting enough Vitamin D.  You can achieve this by simply spending some time outside in the sun every day, or from eating liver once or twice per week, or from supplementing with Cod Liver Oil or Vitamin D3 supplements.

Eat foods that restore gut microflora.  If you have a leaky and inflamed gut, chances are very good that your resident good bacteria are having trouble too.  To help restore their numbers and their diversity, eat as many different good sources of probiotics as possible.  You can do this by taking Probiotic supplements and changing brands every time you buy a bottle (the different brands all have different proprietary strains, which helps with increasing your gut microflora diversity).  Even better, you can consume probiotic rich foods, like unpasteurized Sauerkraut and other unpasteurized fermented vegetables, Kombucha Tea (my personal favorite), and coconut milk Yogurt or Kefir (which can be a little harder to find in stores but very easy to make at home).  All of these can be found at alternative grocery stores (like Whole Foods), and some can be found online, but all can also be made easily and inexpensively at home. 

Eat foods that promote healing:  As the body tries to heal itself, it’s important to provide it with plenty of good quality protein (needed to make all those new cells and connective tissues) as well as vitamins, minerals and good fats.  In this way, the best way to promote healing is to eat a paleo diet that includes wild-caught fish, meat from grass-fed sources, organ meat (preferably from pastured sources), and plenty of vegetables.  There are two other healing foods that are very important to include: coconut and bone broth.  Antimicrobial short- and medium-chain saturated fats, like those found in coconut oil and other coconut products, help to reduce overgrowth of bad yeast, fungus and bacteria in the small intestine.  Medium chain saturated fats are very gentle on the cells that line the gut since they can be passively absorbed without being broken down by digestive enzymes and used for energy without any modification.  This source of easy energy is very helpful for healing the lining of the gut.  Broth made from the bones of chicken, turkey, duck, beef, lamb pork and/or fish are anti-microbial, anti-inflammatory, and contain nutrients which help rebuild the integrity of the digestive tract.  Most importantly, broth is rich in the amino acids proline and glycine, which help regulate digestion, reduce inflammation, and promote healing in every part of the body.

While these dietary changes may seem overwhelming, it is important to remember that making them will keep you healthy, put many diseases into remission, and prevent dozens of other diseases from developing.  For the vast majority of people, using diet to prioritize gut health will mean a lifetime of good health.  

“I Want to Eat Paleo, But I Don’t Know Where to Start!”

March 24, 2012 in How to Eat Paleo, How To Get Started

I have heard this question a few dozen times lately.  Often followed by a statement of “and I couldn’t possibly give up my [insert gut-damaging food here]!”.  The reply that I refrain from making is: “You start by just doing it.  You eat paleo foods and you stop eating [expletive deleted] stuff that hurts you.”.  And while this flippant reply is tempting (and valid), it’s also disrespectful of each individual’s challenges when it comes to major diet and lifestyle changes and it doesn’t answer the real question lurking in the background.  I understand the real question to be: “I am overwhelmed with making so many changes all at once, so please give me a list of priorities that I can tackle one step at a time.”.

So then, where do you start?  The first step is to understand what a paleo diet is and how you can expect to benefit from one.  Even if you chose to tackle your transition in small steps, you need to know what the goal is:  grain-free, dairy-free, legume-free, modern vegetable oil-free, refined sugar-free, and processed food-free.  Eating this way can completely resolve (or at least dramatically improve) dozens of health conditions (some of which you may not even realize that you have!).  I have written a collection of posts that address the why’s of the paleo diet (and continue to expand on these topics weekly).  They will help you understand why each aspect of this diet is important.  I suggest starting with the following posts:

Now, that you understand a bit more about why we make these food choices when following a paleo diet, you may feel that you can just dive right in, throw out all the neolithic foods in your house and just start eating paleo.  But if you still feel a little overwhelmed, here’s a step by step (these steps can overlap) guide to tackling the transition:

1.  Get the gut-irritating foods out of your diet.  This can be done as a multi-step process while you tackle the other steps.  I suggest focusing on gluten first.  This means cutting out all foods that contain wheat, oats and barley (as well as hidden gluten ingredients like malt).  As you cut these out though, don’t replace them with gluten-free alternatives unless they are also paleo (So don’t go buy rice-, potato-, or sorghum-based gluten free bread.  If you really want bread, make paleo bread.  Better yet, get used to not eating bread).  Next, focus on other grains (like rice) and pseudo-grains (like quinoa).  Next, cut out legumes.  You can switch to almond butter or other nut butters instead of peanut butter, but there really aren’t good replacements for soy products or dried/canned beans, so it’s really just a matter of getting used to life without them (note that even though green beans, sugar snap peas and snow peas are legumes, most people can tolerate them on a paleo diet since the majority of what you are eating is the pod).  Last, cut out dairy products.  Many people can tolerate ghee, butter and maybe even small amounts of heavy cream, but see if you can get these from grass-fed sources (better yet, cut them out for a month and see how you feel). 

2.  Start cooking all your own food.  Unfortunately, it’s really hard to get meals consistent with paleo diet principles from restaurants, take-out, delivery, or as pre-packaged meal options.  This can be one of the hardest aspects of paleolithic nutrition for people because we are so used to convenience foods.  Start collecting recipes for quick meals that can be prepared mid-week.  Start making large meals that can provide lots of leftovers.  And start filling your freezer with your own homemade meals that can be thawed and reheated for a quick, easy meal when you’re too busy or too tired to cook.  I very rarely cook one meal’s worth of anything anymore (unless it’s something that just really doesn’t reheat well).

3.  Get used to your meals consisting of some kind of protein (meat, fish or eggs) and some vegetables (maybe a few different vegetables).  This should be what every meal looks like, even breakfast.  Some fruit and nuts are okay, but they shouldn’t be the foundation of your diet.  This would be a good time to try some new vegetables or types of meat and fish and some new ways to mix them together and cook them.

4. Start thinking about carbohydrates, especially added sugars.  Chances are that just by cutting grains, legumes, and dairy out of your diet, you have dramatically reduced your carbohydrate intake.  Once everything else is in place, have a look at what sugars and starches remain in your diet.  A paleo diet is not necessarily a low-carb diet and you may choose to include lots of starchy vegetables and fruits in your diet.  But, you still want to cut out the added sugars in your diet.  If you have been relying on paleo baked goods to get you through cravings, now is the time to cut back.  If you still add sugar or sweetener to your tea or coffee, try weaning yourself off or finding a different beverage that you like unsweetened.  Cut out juice, soda, and other high-sugar/high-sweetener drinks entirely (even diet soda!). 

5.  Start thinking about fats.  Switch to using tallow, lard, bacon fat (all preferably pastured), and coconut oil as your main cooking fats.  Use olive oil, avocado oil and macadamina nut oil as your raw fats (like salad dressings).  Also start thinking about your omega-3 to omega-6 intake.  If you’re still eating alot of conventional meat, maybe you want to take a fish oil supplement.  Better yet, go straight to the next step…

6.  Address food quality.  You’ve probably already cut out all of the processed food from your diet just by cutting out sugars and pre-packaged foods.  If there are any remaining processed food chemicals in your diet (like bacon or deli meats with nitrates), now is the time to cut them out.  It’s also time to start thinking about where your food is coming from.  Budget permitting, start eating grass-fed meat, wild-caught fish, pastured eggs, and organic, locally-grown and in-season fruits and vegetables. 

7. Purge your pantry.  As you go through each step, throw out foods you have in the house that you don’t eat anymore (or compost, or feed to some ducks, or give to a food bank or a non-paleo friend). 

8.  Find support.  One of the toughest things about switching to a paleo diet can be the lack of understanding from friends and family.  I suggest finding some blogs (like mine!) and/or podcasts to follow, some forums where you can post questions, and see if any of your friends/acquaintances have restricted diets (someone who eats gluten-free will be fairly understanding of your choices even if they don’t eat paleo).  Feeling like you are part of a paleo community will help you find ways to cope with questions and uninformed judgments from those around you.

9.  Address other lifestyle factors.  Once you have transitioned to a paleo diet, make sure that you don’t ignore the other aspects of a paleolithic lifestyle, especially sleep, managing stress, getting sun exposure and getting exercise

10.  Celebrate!  You’ve done it!  Appreciate how far you’ve come and revel in how great you feel.

Chicken Bone Broth (Revisited)

March 9, 2012 in Essentials, Soups and Stews, Soups and Stews

I have been experimenting with the best way to maximize the nutritional content of my chicken bone broth.  Essentially, the longer you boil the bones, the more they break down, the more calcium, magnesium, phosphorous, proline and glycine you get in the broth.  By 48 hours, the bones are so brittle that you can eat what’s left of them when you strain your broth (which I do and find delightful).  I make this on my stove top, but this would be a great time to break out the crock pot if you have one (I still don’t, but it’s on my wish list).  I like to get my bone broth started first thing in the morning for supper the next night (or the one after that).  Enjoy on its own or use as the base for soups and stews.  Yields approximately 8-10 cups.

Ingredients-Chicken Bone Broth:

  • Giblets and carcasses from 2-3 chickens (I might use the carcasses from two chickens but also bones saved from a night of wings)
  • 1 Tbsp apple cider vinegar
  • 2 medium yellow onions, roots cut off and halved
  • 4-5 carrots, washed and cut in half (or about 2 cups of baby carrots)
  • 6-8 celery stalks, washed and cut into thirds
  • 6-8 cloves of garlic
  • 3 bay leaves
  • 1 tsp salt
  • 1 gallon cold water (enough to cover the ingredients)

 

1.    Place chicken giblets and carcasses into a big stock pot.  Add enough water to cover the bones (approximately 1 gallon) and the apple cider vinegar. 
2.    Cover and bring to a boil on top of the stove, then turn down the heat to keep a low simmer for 24-48 hours.  Stir once or twice in the first few hours, and then stir at least a couple of times over the next couple of days.
3.    Add the vegetables, garlic, salt and bay leaves to the pot.  Increase heat to bring back up to a boil, then cover and reduce heat to maintain a simmer.
4.    Cook for 4-8 hours more, stirring every hour or so.  Let simmer with lid off for the last 2-3 hours.
5.    Strain all the ingredients by pouring bone broth from one pot to another through a colander or strainer.