“How Do I Know When It’s Working?” A Quick Troubleshooting Guide to Paleo

April 15, 2013 in FAQ, FAQ, How To Get Started

yoga1It’s a question that many people new to paleolithic nutrition ask either while they are going through that initial adjustment period (especially when jumping into paleo with both feet but also with gradual transitions) or as the months wear on and the difference is not as magical as anticipated.  How do I know when it’s working?  When will I start to lose tons of weight and have lots of energy?  When will my health conditions miraculously disappear?

Well, the answer is “it depends”.

How different did you eat before committing to paleolithic nutrition?  Generally, the more different you are eating now to before you discovered paleo, the harder and longer your adjustment period.  This is especially true if you ate a lot of carbohydrates before.  It can take up to a month for your body to switch over to a metabolism that runs better on fat and in the meantime, you may feel tired, lethargic, have headaches, and generally feel pretty terrible.  But, this isn’t true for everyone.  And of course, the opposite can also be true:  some people are made so sick by the foods they were eating before that they notice an instant improvement to their health.

What health issues are you challenged with?  In my personal experience, most gut health issues will improve dramatically the first couple of weeks on paleo and then continue to improve slowly over the next six months as your gut continues to heal (for more posts on gut health, see here and here).  Issues relating to inflammation typically take longer to show significant improvement depending on how well you are sleeping and managing your stress (typically another month or two).  Remember that for many health issues, you need to address all of the tenants of a paleolithic lifestyle (get good sleep, manage stress, get outside).

Are you in autoimmune denial?  I was.  While out-of-the-box paleo tackled most of my health issues, I still had unresolved autoimmune issues even after four months of strict paleolithic nutrition.  I had to do the autoimmune protocol (I’ve written about the autoimmune protocol extensively and this is also the topic of my book), in which you also exclude all the gray area foods.  If you have been eating a strict paleolithic diet for two months and are still dealing with health issues, you might have to do this too.  The good news is that after a few months of no eggs, no nuts, no seeds, no nightshades, no alcohol, no NSAIDs, low caffeine and no cheating, with a concurrent focus on eating extremely nutrient-dense foods (lots of vegetables, grass-fed meat, organ meat, fish and bone broth), most people can add at least some of those things back in.

Is your gut in REALLY bad shape?  It is possible that your gut was very leaky before you started paleo, so healing is just plain ol’ going to take a while.  Especially, if you suspect that you have Small Intestinal Bacterial Overgrowth or extensive gut damage, you’ll need to focus on Repairing The Gut, which can take 6 months to 2 years (although you should see continuous gradual improvement).  For all of the posts I’ve written on gut health, click here.

stomach acidHow is your digestion?  You might need to add some digestive support supplements for a little while to help your body heal.  These include digestive enzymes, ox bile, and stomach acid supplements (which are contraindicated for those with ulcers, blood clotting disorders, or taking NSAIDs).  Digestive enzymes and ox bile, while they can be expensive, are generally very safe to take as directed on the bottle (just make sure you actually eat once you take digestive enzymes because taking them and then not eating can cause damage to your gut).  If you are interested in a stomach acid supplement, check out my post on stomach acid here and this post by Steve Wright.

Do you have unknown food sensitivities?  If you’ve had a leaky gut for some time, you may have food sensitivities that you are unaware of.  Many alternative health care practitioners will order an IgG and/or IgA antibody screen which tests for food sensitivities.  The good news is that if you leave those foods out of your diet for a while, you can usually add them back in after your gut has fully healed.  If you have symptoms of Irritable Bowel Syndrome (like diarrhea, constipation, gas, bloating, acid reflux), another possibility is a FODMAP sensitivity.  Other potential culprits include salicylate sensitivity and food allergies (such as latex allergies, citrus, fish and shellfish, tree nuts, eggs, and dairy).

Do you need liver detox support? If you had/have an overgrowth of bacteria or yeast in your gut that are now dying off in great numbers, your liver might be working in overdrive.  B-vitamins (rich in red meat and organ meat), sulfur (rich in cruciferous vegetables and vegetables from the allium family), selenium (rich in seafood and organ meat) molybdenum (rich in organ meat) are important to support the liver.  Milk thistle (extract or tea) may also be helpful.  Choosing foods rich in these substances (or supplements) to help support liver detox is also useful for anyone losing weight, especially if the weight is coming off quickly.  This is because the body uses the fat tissues to store some toxins and excess hormones like estrogen (which gets them safely out of the body’s circulation) and rapid weigh loss has the potential to release these putting an additional strain on the liver.

Are you sleeping enough?  Yes, this has nothing to do with diet.  But sleep has a profound effect on every system in your body and if you are not getting enough of it, you can’t heal properly.  Aim for 8-10 hours per night in a pitch black room (see this post if you’re having trouble getting good sleep).  You can read more about the importance of sleep on the immune system in this teaser excerpt from The Paleo Approach.

Are you stressed? If you are not taking adequate measures to manage your stress (like getting activity but avoiding excessively strenuous exercise, spending time outside, having fun, getting enough sleep and developing strategies to manage psychological stressors), then your stress hormones might be out of whack.  If you have been under high stress for a long time and have trouble sleeping, you may have adrenal fatigue.  Both www.RobbWolf.com and www.BalancedBites.com have lots of great suggestions for healing from adrenal fatigue.

Did you go too low carb? What types of carbs (fruit versus starchy vegetables versus both versus neither) and how many carbs we should eat (varying from ketogenic diets and 20g per day to plenty of “safe starches” and upwards of 300g per day) is probably the most hotly debated topic within the paleo community.  One of the reasons for there being no clear answer as to what is best is that the carb intake of historically-studied and modern hunter-gatherer populations varies wildly.  On one end of the extreme are the Eskimos, who consume a diet composed approximately of 50% fat, 35% protein and 15% carbohydrate.  On the other end of the extreme are the Kitavans, who consume a diet composed approximately of 20% fat, 10% protein and 70% carbohydrate.  And of course, everything in between.  This probably reflects the fact that macronutrient ratios are not as important as food quality and nutrient density.  So, if your introduction to the concept of paleo was through a resource that expounded on the benefits of low carb, it is important to understand that this view is not representative of the entire paleo community and no consensus exists.  It’s also important to understand, that while blood sugar regulation is extremely important, going too low carb can be tough on your thyroid and can decrease leptin sensitivity (see this post and this post).  Also, eating adequate carbohydrates and especially insoluble fiber is important for proper regulation of ghrelin levels (see this post).  So, what is a good carbohydrate intake?  That’s actually highly individual (you can read this series of posts about optimizing your carb intake here, here and here), but if you are not feeling very good on a standard paleo diet, adding a little fruit or starchy vegetables is a good idea to try.

Are you inappropriately IFing? There are many enthusiastic supporters of Intermittent Fasting, but it’s important to understand that this is only appropriate for very healthy people.  If your sleep is not great, if your stress in not managed, if you are substantially overweight or if you have any kind of chronic disease, skipping breakfast (or breakfast and lunch) can cause dysregulated cortisol and undermine your other efforts.  This is not something to experiment with early on in your paleo journey.

What are your goals and how far away from them are you?  If you have a lot of weight to lose, you will probably notice a big drop in weight fairly quickly.  This will be mostly water weight, but don’t worry, fat is also being burned and you should eventually settle down into some nice steady weight loss (slow and steady wins the race, so there is no reason to be frustrated with weight loss if you are “only” losing a half pound per week-that’s actually very healthy!).  When your body seems resistant to weight loss, try addressing sleep quality and stress levels, but also be aware of the impact of female hormones and hunger hormones (levels and sensitivity).  For more tips and tricks for losing weight, see this post.

gray foodsAre you truly complying with paleolithic nutrition?  There are few things worse than being “almost paleo” (depending on your health challenges and what “almost” actually means for you).  While many people can successfully navigate the murky waters of cheats and occasional gluten consumption, if you are asking the question “when will I feel fabulous” while not actually following a paleo diet as strictly as you can, then you might be a person who just can’t cheat or tolerate occasional gluten exposure.  And from a metabolism, hormone and taste-bud adaptation standpoint, allowing yourself the occasional slice of pizza or pie a la mode can really derail your efforts to get healthy and perpetuate cravings, food addictions, and feelings of deprivation.  I advise eating very strict paleo for at least a month before you play with eating small amounts of dairy or legumes or allowing yourself cheat meals (and I recommend a lifelong avoidance of gluten for most people).  If strict paleo isn’t enough to make you feel great, look at the gray area foods in your diet (eggs, nuts, seeds, nightshades, alcohol, caffeine).  Maybe one of them is the culprit (nightshades are my number one suspect).  But if you are truly sticking to it, my guess is you are already feeling much, much better!

Grug’s Barbecued Stuffed Bananas—A Recipe Inspired by The Croods

February 27, 2013 in Decadent Desserts, Featured Recipes, Treats

GrugWho is Grug?  He is the overprotective yet loving dad (voiced by Nicolas Cage) in the new DreamWorks Animation film, The Croods.  The Croods is about a family of cavemen forced to embrace change.  This movie looks like a whole lot of fun and I can’t wait to take my girls to see it (you can watch the trailer here).

When I talk to my children about the way we eat, I like to phrase how we eat in a positive way (as you know, I like to approach every aspect of our diet and lifestyle in a positive manner).  I like to explain that we only eat the most nutritious foods so we can be healthy and happy.  But, my daughter is a language nerd (at the ripe old age of 6 years) and when she asks what the word “paleo” means, we do talk about cavemen living a long time ago, how they lived and how they ate.  The idea of cavemen is fascinating to my daughter, so I think when you combine cavemen with a family-friendly animated movie (about the importance of family no less!), it feels a little like striking gold!  So, of course when I was asked if I wanted to create a thematic recipe to support the movie, I couldn’t possibly say no!  I knew instantly that I wanted to create a recipe that used fire (okay, the barbecue but you could make this recipe over a campfire too).  I also knew I wanted to use an ingredient from the movie itself.  Enter the banana.

In the movie, The Croods meet the Punch Monkeys (aptly named monkeys who punch).  Grug discovers that the secret to not getting punched by the Punch Monkeys is to give them bananas.

Bananas and Punch Monkeys

And there is the inspiration for this recipe!  Fire + Banana!

These barbecued stuffed bananas are so delicious and very easy to make.  The secret is to use quite ripe bananas (they are sweeter but also their flavor works better once cooked).  I’ve included alternate directions for baking them in the oven, but I really do think they are better on the barbecue (isn’t everything?).  My husband and girls love these!

The stuffing is simply made from some chopped nuts and spices.  I used dried, ground spices, but you could use whole fresh spices and grind yourself if you prefer.

Barbecued Stuffed Bananas | The Paleo Mom

To stuff the bananas, cut lengthwise but be careful not to cut through the peel on the bottom.  You can get away with cutting about three quarters of the way through and the bananas will still open up easily.

Barbecued Stuffed Bananas | The Paleo Mom

Once sliced, open the banana to create a groove for the stuffing.

Barbecued Stuffed Bananas | The Paleo Mom

Sprinkle the nut and spice mixture in the banana (you can get quite a lot in there-about 3 Tbsp of filling for a medium banana and about 4 Tbsp for a large banana).

Barbecued Stuffed Bananas | The Paleo Mom

Repeat until all of your bananas are stuffed.

Barbecued Stuffed Bananas | The Paleo Mom

Now, place those bananas directly onto the barbecue after you’ve cooked the rest of your dinner and the coals aren’t super hot anymore.  In about fifteen minutes, you’ll have a very delicious treat.  The warm banana tastes very sweet and takes on a slightly lemony flavor from being cooked in the peel.  The nut and spice mix is reminiscent of a crumble topping.   It’s kindof like eating a warm and soft banana coffee cake.  I know The Croods couldn’t make ice cream, but you can, so feel free to serve these with a scoop of  The Best Ever Paleo Vanilla Ice “Cream” to make it an extra special dessert.

Barbecued Baked Bananas

This recipe makes 2 large or 3 medium bananas—2-4 servings.  This recipe doubles and triples well, so feel free to make a bunch!  We all like them warm, but they are still very good as leftovers.  Prep time:  5-10 minutes.  Cook time: 12-18 minutes.

Ingredients:

1. Chop nuts fairly finely (it’s okay if they aren’t completely evenly chopped). Combine chopped nuts with spices and mix to evenly coat.

2. Slice bananas lengthwise about three quarters of the way through the banana (careful not to cut the peel underneath).  Spread the banana open and fill the groove with the nut and spice mixture.

3. Barbecue on a medium to moderately hot grill for 14-18 minutes (time will vary based on the size of your bananas and how hot your grill is).  The peel will darken (and maybe turn completely black) which is normal.  You know they’re done when the peels are dark, the banana is bubbling away and they smell fantastic!

4. Alternatively, place stuffed bananas on a cookie sheet (line with parchment paper, tin foil or a silicone liner to make clean-up easier) and bake at 425F in the middle of the oven for 12-14 minutes.

5. Remove from the grill (or oven) and enjoy warm!  Eat with a spoon scooping right out of the peel!  A scoop of  The Best Ever Paleo Vanilla Ice “Cream” is optional.

Barbecued Stuffed Bananas | The Paleo MomNo one wanted to wait until I was done photographing the bananas to dig in–which made for some fun extra photos.  Yes, these are that good!

IMG_2613

And a big thank you to The Croods for the inspiration!  The film hits theaters on March 22, check out the official website here and don’t forget to like The Croods on Facebook too.

Croods_Poster

The Science and Art of Paleofying—Part 1 Paleo Flours

November 15, 2012 in Baking Ingredients, Cooking Tips

Paleofying is often used as a derogatory term to describe the process of adapting Neolithic foods, typically desserts and sweet treats, to use only paleo-approved ingredients.  While some people look down on this practice as not addressing the problems of excess carbohydrate consumption and food addiction, I look at it as an important tool—it is a powerful strategy for making paleo accessible and sustainable for the general public.  Eating a restricted diet is much easier when you feel like you can still have birthday cake, can still celebrate a job promotion with a special dessert, can still bring cookies to your kid’s bake sale, can still make pancakes for Sunday brunch, and generally still get to eat delicious foods.  Paleofied baked goods mean that having a treat won’t damage your gut, cause rampant inflammation, or create a cycle of food cravings.  I like the word paleofy.  To me, this represents the union of nutrient-rich, anti-inflammatory “old” foods and modern life.

As we start the lead up to the holiday season, many of us are looking at conventional holiday baked good recipes and wondering how easy those recipes would be to adapt to paleo ingredients.  Yep, I’m doing this too.  Whether these are family favorites or recipes that just look delicious off of pinterest or in magazines, the first step to paelofying is deciding what recipe to start with.  Gluten-free recipes are often a great place to start, as long as the recipe don’t rely too heavily on xanthum gum to hold it together.  Other recipes that are often good bets too are those that use cake flour, use at least a couple of eggs, have dried fruit, have fruit or vegetable purees, have liquid sweeteners (like honey), or that have fairly large amounts of fat in them.

Paleofying is as much an art as it is a science.  I vaguely remember a time when I did not have extremely well-honed cooking instincts (I think that was back in middle school).  But even starting out as a fairly good cook, there was a steep learning curve to all of these new ingredients and to baking without gluten.  After a year of paleo baking (and blogging!), I have a much better understanding of how to adapt conventional recipes now and thought it was high time I share some of this knowledge and experience with you, in addition to my perfected recipes.

This post is the first in a 4-post series.  In this post, I will discuss paleo flours and other ingredients that add bulk to a recipe.  Part 2 of this series will discuss binders (ingredients that hold baking together).  Part 3 will discuss leavening agents and sweeteners.  Part 4 will discuss some strategies for doing iterations and troubleshooting your recipes.  You may also be interested in some of my posts that reference paleo baking ingredients:  Important Pantry Items for The Paleo Baker, Paleo Flour Substitutes, Sugar vs. Sweeteners, and Is Sugar Paleo?).

I am continuing to expand my paleo baking tool kit by playing with new ingredients.  Below is a list of all the paleo flour substitutes I can think of and other ingredients that add bulk to a recipe.  Some of these are still fairly new to me, so I still have fairly limited experience with them.  Which flour substitute(s) you choose really depends on the type of recipe and what the texture of the finished product should be.  I will try and give you enough information to help get you started.

Blanched Almond FlourThis is the stereotypical paleo flour substitute.  A high quality blanched almond flour (like Honeyville Farms or JK Gourmet) is very finely milled and can be quite light compared to other nut and seed flours or even a less finely milled almond flour (like Bob’s Red Mill, which I consider and almond meal).  Generally, it measures 1:1 when substituting for wheat flour.  It works very well in baking where you want a denser crumb, like muffins, coffee cakes and chewy cookies.  In recipes that also have a fairly large amount of wet ingredients, adding a starch or coconut flour can be helpful.

Almond MealThis is a less finely ground version of blanched almond flour.  It typically uses the whole almond (like NaturAlmond, Trader Joe’s or Honeyville Farms) but some blanched almond flours (like Bob’s Red Mill) actually qualify more as a meal than a flour.  This is best for breading meat, but also can be used for dense baking like dense cakes (e.g. fruit cake), some cookie recipes and pie crusts.  If you are using almond meal in place of almond flour in a recipe, use slightly less as it tends to be denser.

Coconut FlourThis flour has a very high fiber content and absorbs liquid very efficiently, so it is really only used in recipes that have a large amount of wet ingredients.  Because it makes for a finer crumb than nut flours, I like coconut flour for cake and cupcake recipes.  It is also good for shortbread style cookies.  This is a very tricky flour to work with; often 1tsp can make the difference between the texture you are going for and something completely different.  When doing iterations with recipes that use coconut flour, always make small changes to the amount of flour used.  Always sift coconut flour before adding to your recipe, unless you are blending your batter in a blender or food processor.  When you add coconut flour to wet ingredients, the batter will thicken as it sits for the first few minutes.  It’s always a good idea to give your batter time to thicken before putting it in the oven.  The general rule of thumb is to replace wheat flour with ¼ the amount of coconut flour.  This will be sufficient for some recipes; but if you need to bulk up your dry ingredients, you can then add some nut or seed flours to bring the volume up a little (a good place to start is with the same volume you are using of coconut flour).  Different coconut flour brands do behave slightly differently depending on how finely they are ground.  I typically use Tropical Traditions brand now but I find that Bob’s Red Mill behaves very similarly.

Arrowroot PowderThis is the dehydrated and ground arrowroot tuber (not the cassava root).  It is mostly a starch and is great for adding lightness to a recipe (also lovely for thickening sauces).  Arrowroot powder can replace corn starch in recipe 1:1.  You can also mix arrowroot powder with very finely ground granulated sugar to make an acceptable substitute for icing/confectioner’s sugar.  If replacing wheat flour with arrowroot flour to add lightness to a recipe, replacing up to ¼ of your flour with arrowroot is typical.  I love using arrowroot in conjunction with coconut flour for cake recipes.  It doesn’t add much hold to baking that don’t have much binding ingredients, though.  I use arrowroot powder frequently enough that I actually use the Subscribe&Save program from amazon to have it automatically shipped to me.

Tapioca StarchThis starch comes from the ground cassava (a.k.a. yucca, yuca, manioc, tapioca) root.  This is not the same as arrowroot powder.  Even though many people use tapioca and arrowroot interchangeably, they actually have fairly different properties in baking.  Tapioca adds elasticity to baking, helping bind as well as giving more bounce (the cassava root is naturally a very slimy starch).  Tapioca nice to use in paleo bread recipes and can be useful in cake recipes as well to give a little more bounce to the baking.  You can replace up to about half of the flour normally called for in a recipe with tapioca (some gluten-free baking replaces all of the flour with tapioca, but tapioca is probably the least healthy of the paleo flours, so I don’t recommend this).  Tapioca also isn’t a very good substitute for corn starch, but would do in a pinch.

Most paleo baking you will find on my site and others use various combinations of the above four flours.  But, these aren’t the only paleo flours out there and there are some really great less-frequently used options to consider.

Plantain FlourPlantain flour is quickly becoming one of my favorite flours to work with, although I am still experimenting with it.  It is simply ground dehydrated plantain.  It does have a distinct plantain taste so it doesn’t work in all baking.  It has a lovely ability to bind (similar to tapioca starch, but with more of a wheat flour like texture and crumb) and generally can be substitute wheat flour 1:1.  It seems to work very well in soft, cakey and/or chewy baking recipes and not as well if you want some crunch or crispness.  A word of caution.  Some flour are labeled as plantain flour but actually contain a mix of different tubers, often containing potato starch in addition to plantain flour.   If you are buying this from a store, make sure to check the ingredients label.  I buy Barry Farm plantain flour from amazon.

Sweet Potato StarchThis is sometimes labeled as sweet potato flour, but this fine white powder is actually a processed flour/starch.  It substitutes well for arrowroot, but has almost no ability to hold baking together.  You can use this as a corn starch substitute or in combination with other flours as a flour substitute.  I’m not super enthusiastic about this starch, but it’s a good option if arrowroot is hard for you to find.

Sweet Potato PowderThis is also sometimes labeled as sweet potato flour, which can be very confusing.  Sweet potato powder is ground dried sweet potatoes and still retains its orange color (sweet potato starch is white).  This is a more interesting flour because it has some fiber and can absorb liquid so it has more ability to hold baking together.  I have used it in pancakes and have played with it as a flour substitute for brownies.  I’m still getting familiar with this flour, but it’s definitely a neat one to play with.

Kuzu StarchI am just starting to play with kuzu starch (which is ground dehydrated kuzu root, used in Asian cooking).  Apparently, it is even better than arrowroot at thickening and I’m hoping that it will be useful to help get a few recipes I’m working on a little firmer in texture.

Sunflower Seed FlourFor those allergic to nuts or just almonds, sunflower seed flour can be used the same as almond flour (it can be a little denser depending on brand, so you might need to pull back the amount somewhat).  It has the fun property of turning green when used in baking that also contains baking soda (it’s totally safe to eat when it does this).

Hazelnut FlourThis can also be used the same as almond flour, but yields a different flavor to the baking.

Chestnut FlourThis can also be used the same as almond flour, but yields a different flavor to the baking.  It has a  more hold than almond flour, which is very handy, so you can easily use this flour on its own in some recipe.  It’s also quite a bit sweeter so you may want to reduce the sweet ingredients in your recipe if you are using this.

Pumpkin Seed FlourThis is another seed alternative to almond flour.  Pumpkin seed flour measures more closely to almond flour due to its higher protein content.  Also has a distinct flavor and slightly green color and is easier to make at home than most other nut flours.

Ground nuts and seeds—Ground nuts and seeds are a wonderful way to add more texture and bulk to making.  Many of them can help act as binders as well.  Mostly, you’ll be grinding your own in a food processor or blender.  A finer grind will act more like a nut flour, but you can also grind more coarsely which replicates the texture of oatmeal or other whole grain ingredients very well.  Making a mix of different nuts can replicate the flavor and texture of oatmeal and can help fix texture problems when working on denser baking recipes like cookies and muffins.  Ground flax seed also qualifies here as a way to add bulk and texture to baking and is an excellent binder too.  Chia seeds are often used similarly to flax seeds but these are a pseudograin, and Prof. Loren Cordain comes down pretty hard on chia in The Paleo Answer.  My favorites to use are Whole Almonds, Pecan Halves, Walnuts HalvesMacadamia Nuts, Hazelnuts (Filberts), Pistachios, Cashews, Brazil NutsPepitas (hulled pumpkin seeds), Sunflower Seeds, Brown Sesame Seeds, Black Sesame Seeds, and ground flax seed (golden or regular, which act the same but just look different).  The combination of walnuts, coconut, and pumpkin seeds makes for a fantastic oat-like flavor (see my recipe for paleo porridge, “oatmeal” cookies, and apple crisp for examples).

Finely Shredded CoconutThis is also a good bulking ingredient, similar to ground nuts and seeds but with a slightly different texture and flavor.  Because of the fiber content, it will absorb a little liquid (although nothing like coconut flour), so it does behave slightly differently than other nuts and seeds.

Vegetable Powders—Pumpkin, carrot, spinach, sweet potato, winter squash, red cabbage, and beet powders are all available.  I have only used a handful of these in pancake recipes, but I think these are a very fun way to deal with recipes where you want the sweetness and maybe flavor of these vegetables but are struggling with too many wet ingredients.  These are also a great way to add natural color to recipes (usually you can use little enough that these contribute color but not flavor).

Pureed Green Plantain—This is my newest secret weapon in paleo baking.  Green plantains are very starchy, have a fairly neutral flavor and can act as a binder and give bulk to a recipe.  I have several recipes that use green plantains and many more ideas for this versatile fruit!  Check out my paleo pancakes, paleo crepes, and decadent double chocolate cookie recipes for examples.  Ripe plantains are another option, but behave quite differently in baking (sweeter, more flavorful, act more as a binder than a flour).

Pureed or Ground Root Vegetables —Don’t underestimate the versatility of canned or pureed root vegetables in your baking.  And you aren’t limited to canned pumpkin.  Sweet potato, yucca, taro, parsnip, carrot, winter squash, and plantain are all good options (see my recipe for paleo biscuits for an example).  When cooked and pureed, they can both act as a binder and add bulk to a recipe (see my spinach brownies or pumpkin gingerbread muffin recipes as examples).  When ground and raw, they have a very different effect on texture (see my carrot parsnip muffins for an example).  They also can add some sweetness without the use of sugars and the flavors are often well camouflaged by other ingredients.

So, which one do you use?  The classic is to use almond flour on its own or in conjunction with arrowroot, tapioca and/or coconut flour as a first attempt in a recipe.  The reason why this is so common is because the ingredients are fairly easy for most people to find and they are fairly predictable in how they will behave in recipes.  And while I encourage you to play with the other flour substitute options, to get you started on your paleofying adventure here is my basic formula for replacing wheat flour with almond, coconut, arrowroot and/or tapioca flours.

  1. For a recipe without many wet ingredients (like cookies):  replace wheat flour with 80-100% almond flour, 0-20% arrowroot or tapioca (depending on whether I want the lightness or the elasticity) and 0-20% coconut flour.  Yes, there is a range here.  I am more likely to use a starch and coconut flour if the volume of flour is fairly high (almond flour is expensive!).
  2. For a recipe with substantial wet ingredients (like muffins or cakes):  replace wheat flour with 25% nut flour, 25% coconut flour, 25% arrowroot or tapioca (depending on whether I want the lightness or the elasticity).  Yes, this doesn’t add up to 100%, which is because of the properties of coconut flour.
  3. I don’t have a fixed formula for replacing flours when the desired outcome is nut-free.  I just wing it.
  4. These are just my first iterations.  Sometimes I change things up as soon as I see the texture and thickness of the batter (that might be harder for you to do if you aren’t used to working with the flours).  After I see what the texture and taste is of my first attempt, I either change quantities or try different flours.  And of course, as I play with other flour substitutes, this may change, my default formulas are likely to change.

I hope this will get you started on your paleofying adventures.  As you play more and more with these ingredients and get to understand their properties better, it will be easier to intuit what will work in any particular recipe.  But, I still have recipes that take me many iterations to get right.  And of course, if you adapt a recipe that is absolutely awesome, you are welcome to e-mail it to me to share on the blog:  thepaleomommy@gmail.com

How to Gain (or Maintain) Weight on The Autoimmune Protocol

November 6, 2012 in FAQ, Weight Loss/Gain

The autoimmune protocol is, by default, a fairly low-carbohydrate diet.  This is especially true for those with gastrointestinal symptoms, suspected or confirmed Small Intestinal Bacterial Overgrowth, and/or FODMAP sensitivity because these conditions warrant the elimination of starchy vegetables.  Sugar (even from fruits and starchy vegetables) can be a strong trigger for many with autoimmune disease, so many people find that even fruit can aggravate their symptoms.  This is because sugar itself is inflammatory but also because the insulin secreted to help our bodies use and store that sugar is inflammatory.  The most effective version of the autoimmune protocol for most people is a fairly low carbohydrate implementation (although typically not so low that you are going into ketosis).  This is a fabulous way to lose weight and many overweight people with autoimmune disease see the weight loss that goes with this diet as an added bonus to managing their disease (or maybe a silver lining to living with such a restricted diet).

But what if you don’t have weight to lose?!

An often glossed-over fact is that a large percentage of autoimmune disease patients are underweight (or at least not overweight).  The last thing these people need is to follow a diet conducive to weight loss!  And if you suffer from a disease in which flares mean dramatic weight loss (as is the case with inflammatory bowel diseases but also many other severe autoimmune diseases), then you probably prefer walking around with a little extra weight to help protect yourself from getting too ill should you experience another flare–and the sad truth about autoimmune disease is that even following the AIP is not a guarantee that you will never flare again.  This diet is a management strategy and not a cure.

So, how do you gain weight while following the autoimmune protocol?  The most important thing is to increase overall caloric intake.  So, first and foremost, eat more fat–especially healthy, easy to digest, healing fats.

The best fat sources are:

  • Coconut Oil (my preference is Gold Label from Tropical Traditions)
  • Palm Oil (Red Palm Oil from Tropical Traditions is ethical and sustainable) – NOT Palm Kernel Oil
  • Palm Shortening
  • Avocado Oil (not for cooking)
  • Olive Oil (not for cooking)
  • Avocadoes—this is a FODMAP so be cautious
  • Olives
  • Tallow from grass-fed beef or lamb
  • Lard from pastured pigs
  • Fatty cuts of meat and organ meat from grass-fed and pastured animals
  • Fermented Cod Liver Oil
  • Fatty wild-caught cold-water fish (salmon, sardines, mackerel…)
  • Full-fat coconut milk
  • Coconut Butter (aka coconut cream concentrate or creamed coconut)—this is a FODMAP, so be cautious

The fats in coconut and palm are especially easy to digest.  These medium chain triglycerides (MCTs) can be passively absorbed (no digestive enzymes necessary) and used as fuel by your cells without modification.  These MCTs are also antimicrobial, so they are very useful for those with overgrowth of bacteria or yeast in their digestive tracts, and they promote healing.  Saturated fats are not easily oxidized so they supply the body with essential fatty acids without causing inflammation.  The conjugated linoleic acid (CLA) in the fat from grass-fed animals has potent anti-inflammatory properties and can help promote healing.  The omega-3 fats in fish and the fat from grass-fed animals is also critical for reducing inflammation.

Saturated fats are the best for cooking.  This means that good cooking fats are coconut oil, palm oil, palm shortening, tallow, and lard.  Monounsaturated fats are better used raw such as in dressings for salads and steamed vegetables.  Olive or avocado oil makes a great dressing with lemon juice, lime juice, or balsamic vinegar (you can throw some herbs in too if you like).  When mono- and polyunsaturated fats are part of a whole food (as in grass-fed meat, fish, olives and avocado), they are less likely to oxidize with cooking.

In conjunction with eating more fat, it’s important to have enough carbohydrates in your diet for your body to store the fat.  You need some insulin to store fat.  I recommend getting these carbohydrates from higher glucose fruits and from glucose-based starches for those without Small Intestinal Bacterial Overgrowth.

Higher glucose fruits include:

  • Bananas (the best choice)
  • Pineapple
  • Apricots (FODMAP, so use with caution
  • Plums/prunes (also FODMAP)
  • Grapes
  • Raisins
  • Figs
  • Dates

Because you don’t want to overdo the sugar, dose is important here.  Whether your carbs come from fruit or starchy vegetables (see below), aim to consume between 15g and 30g of carbohydrates with each meal (perhaps as much as 45g with a large meal).  This will ensure your blood glucose doesn’t get high enough to cause problems, but that there’s enough insulin to help store fat.  Other lower sugar fruits are just fine too, such as berries, citrus and some melons.  Look for any fruit that is at least half glucose compared to fructose.  If the sugars are more than half fructose, then avoid those fruits (there’s a great table here; look for the fructose number being smaller than or the same as the glucose number).

Lower starch starchy vegetables are often well tolerated.  These include:

  • Winter squash (e.g. butternut, acorn, spaghetti)
  • Onion (FODMAP)
  • Beet (FODMAP)
  • Carrots
  • Rutabaga
  • Jicama
  • Kohlrabi
  • Turnips
  • Pumpkin

If you know from experience that you can handle denser starch starchy vegetables, then by all means go for it.

Don’t forget the protein.  Protein from quality meats and fish is still essential.  You should be aiming to consume anywhere between ½ and 1 gram of protein per pound of your bodyweight per day.  For me, this amounts to at least 6oz of meat or fish with each meal.

For those with difficulty digesting food (basically, if you have any digestive symptoms), cooked vegetables (and even stewed fruits) will be the easiest to digest.  Some people report diarrhea from coconut and palm oils, which may be due to die-off (the excess bacteria in your get dying).  If you do experience diarrhea from too much fat with each meal, pull back on the dose.  You can add a teaspoon of coconut oil between meals several times a day, which is typically a small enough dose to be well tolerated.  If you digest animals fats better, then it’s perfectly fine to just stick with that.

Other factors that will help with normalizing weight are getting enough rest, managing stress, and making sure you have enough Vitamin D.  Anything you can do to help reduce inflammation and heal the gut will help you absorb more nutrition from your food, regulate hormones, and regulate your weight (basically following the autoimmune protocol is designed to do this).  L-glutamine and zinc can be very useful supplements for those with autoimmune disease to help restore gut barrier function.  Probiotics, either as a supplement or from live fermented foods, can also be beneficial since our gut microflora have an important role to play in our digestion.

I don’t advocate eating more frequently to try to gain weight since there is pretty good evidence that spacing out meals (4-5 hours between them) is better for regulating some hormones that are key in reducing inflammation.  However, a mid-day snack would be appropriate (try to get at least 3 hours between your meal and snack) for those with schedules that would mean that more than 5-6 hours would pass between meals.  Also, while eating shortly before bed can completely undermine one person’s attempt to lose weight, it might be a good tool for those trying to gain weight.  This is because eating carbohydrates (whether on their own or with a meal) can suppress the release of human growth hormone, which is required for the body to convert stored fat into glucose.  If there is less human growth hormone in your system, your body cannot as easily burn fat while you sleep.  There is a balance here because this can also affect sleep quality, which is why people who have difficulty sleeping are advised to not eat for at least 2-3 hours before bed.  If sleep is an issue for you, try to eat around 2 hours before bed, otherwise, you can try as close to bedtime as 1 hour, but watch for signs that your sleep is not as restorative as usual (getting up to pee in the night, remembering many dreams when you wake up, having a harder time getting out of bed in the morning, a crash of energy in the afternoon, feeling moody or feeling like you’re thinking clearly).

It might take a little self-experimentation to figure out how to eat to achieve a healthy weight while following the autoimmune protocol, but gaining weight is completely achievable.  Remember that slow and steady wins the race and don’t get too frustrated if it takes a few weeks to figure out exactly what is going to work for you.