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.

My (Slightly Modified) 21-Day Sugar Detox (and Hitting a Speed Bump on Day 1?! Seriously?!)

January 2, 2013 in 2013

I am doing my first ever 21-Day Sugar Detox.  What is this Sugar Detox of which I speak?  It is Diane Sanfilippo (of www.BalancedBites.com and Practical Paleo fame) ‘s signature program.  Three full weeks of avoiding sugars, sweeteners, dense carbohydrates (with allowances for athletes and pregnant/lactating women), and fruit.  For more information, click here.

Many people follow a Sugar Detox as a way of quickly resetting body chemistry (specifically blood sugar regulation) and sensitizing taste buds when they feel that they are riding the sugar roller coaster (intense sugar cravings that lead to sugar binges, followed by sugar highs, followed by sugar lows, followed by more cravings).  Within the paleo community, this might mean someone who has been giving into some SAD  foods, or someone who has been indulging in too much paleofied baked foods, or even someone who is just feeling like they’re fruit intake is excessive.  It is essentially a fast way to reduce sugar cravings (let’s be honest because this really only gets rid of biochemical sugar cravings and not emotional ones) and get back on the bandwagon when we feel things unraveling.

Do I feel like things are unraveling?  Actually, no.  I feel like I’ve been in completely control over my diet.  I’ve been following the autoimmune protocol very strictly, doing a great job of avoiding snacking and eating in the evenings (I’m trying to work on hunger hormone regulation here, more on this in a future post), and have indulged in very limited paleo baking over the last two weeks (mainly because I only made one kind of cookie that didn’t have eggs or nuts in them this year).

So, why am I doing the 21-Day Sugar Detox?  Sugar is inflammatory.  Fructose reduces leptin sensitivity.  Leptin helps regulate the immune system (more on this in a future post too).  I have an autoimmune disease.  I avoid starches because of SIBO, but I eat a whole lot of fruit.  I have been curious for a while whether or not that amount of fruit in my diet is helping or hurting me.

Last time I attempted to substantially reduce my fruit intake (while still not eating starchy vegetables), my body did not respond well to going so low carbohydrate (this was back in the early spring).   I had a cortisol response and found my sleep quality decreased substantially.  When I increased my carbohydrate intake, my sleep improved and I felt much better.  So, I’ve stuck with that.  But I know so much more now, and I think it’s time to try again, doing things a little differently than last time.

I figure I typically eat between 100g and 150g of carbohydrates (total, not net) per day, predominantly from fruit and non-starchy vegetables; but a little honey or maple syrup sneak in here and there.  I think this is very healthy for most people and I don’t think that most people really need to limit fruit (unless you are dealing with inflammation, autoimmune disease, metabolic syndrome, or having strong sugar cravings).  But, I am not most people and many people with autoimmune disease reporting having a very low tolerance for fruit, especially high fructose fruit.

Going too low carbohydrate can also reduce leptin sensitivity, which would totally defeat the purpose here.  So, I will be eating plenty of non-starchy vegetables and those higher starch content veggies that I know I tolerate well (like carrots, winter squash and beets).  Quantities of beets and butternut squash are limited on the 21-Day Sugar Detox, and I will be adhering to that (because the allowance is already more than I can typically tolerate anyway).  I will also be continuing to avoid coffee (oh how I miss it though!) and working to keep my intake of caffeinated teas on the low side (my intake has crept up lately so I really need to get that in check anyway).  I will continue to use coconut oil and red palm oil as major fat sources in my diet to hopefully help avoid a cortisol response or reducing my leptin sensitivity.

Oh yeah, and I am doing this while also adhering to the autoimmune protocol.

The 21-Day Sugar Detox allows 1 green apple or 1 green-tipped banana per day.  I will be adding 1 small grapefruit to this list (and probably eating grapefruit every day instead, although just in case I crave a green apple in a couple of weeks, I’m keeping that option open).  Why grapefruit?  I have a 12-year history of chronic constipation before transitioning to a paleo diet.  I am battling SIBO and my digestion is still precarious.  I have found that eating grapefruit  improves my digestion (probably a combination of digestive enzymes in grapefruit and the acid).  I am also taking some digestive support supplements, but I really feel like going grapefruit-free would be counterproductive for me.  I also feel that grapefruit falls into the same category as green apples and green bananas: it doesn’t taste very sweet.    Grapefruit has the added benefit of being lower in sugar than either green apples or bananas, and having slightly less than half of its sugars as fructose (that beats apples but not bananas).  This is my slight modification.  The inclusion of grapefruit as an allowed fruit (but still limiting quantity).

What am I hoping to gain on the 21-Day Sugar Detox?  I am hoping to better understand the role that fruit is playing in my diet.  Is it contributing vitamins and antioxidants and helping control inflammation?  Is the sugar content contributing to inflammation?  Is my higher carbohydrate intake helping to regulate my cortisol?  Is my higher carbohydrate intake inhibiting normal regulation of my immue system?  I am not doing this to address sugar cravings.  I am not doing this to lose weight (although I’ll take it if I happen to).  I am not doing this because I believe that fruit is in any way bad for you (at least most of you).

What will I judge my success on?  Well, largely on the symptoms I associated with my autoimmune disease:  the look and itchiness of my lichen planus lesions, how my joints feel, the frequency of the mild headaches and tinnitus I sometimes get, how I’m sleeping, my energy level, my mood and my ability to handle stress.  The bigger part of this evaluation is going to be how I feel when I add more fruit back in at the end of these three weeks.

 So, I’m on Day 1 as I type this.  How is it going?  I have already hit my first speed bump.  My mom is visiting and she also loves grapefruit.  We have both been eating grapefruit every day, so we actually shared the last one for breakfast this morning.  Because there were so many other things that I had to do today, I sent my husband to the grocery store.  I instructed him to look for white grapefruit, since they are the least sweet, then pink if he couldn’t find white.  He came home with oroblancos.

I didn’t know what oroblancos were either.  They are a cross between an acidless pomelo and a white grapefruit.  They look alot like slightly green grapefruit, but have a super thick peel so the fruit inside is the size of an orange, if that.  According to Wikipedia, they are sweeter than white grapefruit.  I nearly cried when I read that.  I also closed some doors a little more forcefully than normal.  Now I have no grapefruit in the house (nor green enough bananas nor green apples) and I’m on Day 1 and I won’ t have time to run out to the store for a couple of days.

My mother came to the rescue.  She peeled and ate an oroblanco with her lunch.  She made such a face at how tart they are, that I agreed to try a segment.  Well, they are slightly sweeter than white grapefruit, but they are NOT sweet.  Probably about the same as or slightly tarter than the pink grapefruit I’ve been buying.  I also don’t like them as much as grapefruit.  I figure that’s actually completely in line with 21-Day Sugar Detox philosophy.

So, I’m going to include 1 small grapefruit OR 1 oroblanco.  I don’t know if oroblancos will help my digestion as much as grapefruit do, but I figure I can make do for a couple of days until I have time to go out shopping and buy actual grapefruit.  So, a speed bump, but not a calamity (even if it felt like one for about twenty minutes).

As mentioned in my New Year’s post, I am going to be the featured blogger for January on The 21-Day Sugar Detox Blog.  I also posted photos my meals today on Facebook (I know many people are interested in how do you eat AIP and 21-Day Sugar Detox?!) and will try to keep that up for the next three weeks as much as possible.  I will also be posting updates on my Facebook page and Twitter, on the 21-Day Sugar Detox Facebook page, and a post or two on the blog over the next few weeks about how I’m feeling, what effects I may or may not be noticing, and generally how this whole sugar detox thing is going for me.

If you are interested in joining me on this 21-Day Sugar Detox adventure, it’s not too late to start (or you could start February 1st if you wanted to too).  This is the biggest group ever and one of the reasons why it is so successful is because of the online community of people making you feel like you are not alone as you go through the (sometimes way not fun) transition to a lower sugar diet.  Solidarity!

TPV Episode 12 Show Notes: Please Help Our Kids!

October 26, 2012 in Show Notes

Our twelfth show!
Ep. 12: Please Help Our Kids!

In this episode, Stacy and Sarah tackle all your questions about the eating habits of your kids. Do you have a picky eater? Do you have a child who snacks too much? Are you at wits end, living in a world of no convenient packaged foods? Does your child refuse to eat vegetables or meat? Should you supplement? Stacy and Sarah try to help you out while sharing some of their favorite tips!

 

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The Paleo View (TPV), Episode 12: Please Help Our Kids!

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Carbohydrate Recommendations For Kids

August 28, 2012 in Practical Tips, Practical Tips, Practical Tips, Sugar/Carbs

As adults, it can be overwhelming wading through the varying opinions on how many carbohydrates we should eat.  Many of us with a history of being overweight find that low to moderate carbohydrate consumption works very well for us.  Many others find success at either of the extremes of paleo carbohydrate intake: ketosis versus plenty carbohydrates from “safe starches”.  This is why I wrote my 3-part series on Optimizing Carbohydrate Intake for Your Body (see here, here and here).  However, this opened up the question from many of you:  what about kids?

In general, I’m not a big fan of counting macronutrients for kids (or anyone, if you can get away with it).  If you present your child with a variety of healthy foods, most kids will naturally eat what their body needs to be healthy.  However, it is the natural tendency of parents (especially parents who are trying to address their own health issues with a paleo diet) to worry about whether or not their child is getting the right amount of, well, just about everything.  It is also helpful to have some guidance as to what exactly you should put in front of your kids.  For example, is it healthy to let them eat as much fruit as they want?  I know my kids would gladly eat fruit all day!

When it comes to macronutrient ratios for kids, I think we can get a very good idea of how they should be eating by looking at the composition of human breast milk.  In prehistoric cultures, children likely received at least some breast milk until the age of 4 or 5 years, so it’s a pretty safe bet that the macronutrient ratio of breast milk is a good guide at least for kids up to that age.  Milk is considered the perfect food for growth of a young child and I believe that we can continue to use the macronutrient ratio of breast milk as a general guide for the diets of our children for as long as they are growing (after all, the macronutrient ratio of breast milk is often used to as a guide for carbohydrate consumption for adults!).

The macronutrient ratio of human breast milk is quite variable, depending on the diet of the mother, the amount the baby nurses, and the age of the baby.  There seems to be some signaling from the baby to the mother, and it is very likely that much of this variability reflects the specific dietary needs of the baby at that time.  The carbohydrate content of human breast milk varies between 57% to 70% (as a percentage of total milk solids).  Fat makes up 28-39% of milk and protein makes up about 7-10% (as a percentage of total milk solids) [1].  Translating this to a percentage of caloric intake (which is a far more familiar number for most of us) the carbohydrate content of human breast milk is 40-55%.  When these numbers are used to provide guidelines for adult carbohydrate consumption, an amount of glucose needed by the growing brain of a baby/child is subtracted (which is why The Perfect Health Diet ends up with a recommendation closer to 20-30% carbs for adults).  We don’t need to go to these lengths here (phew! because this has already been enough math for me for one day!) because kids brains continue to grow and develop, even until their mid-twenties (sorry if I just offended anyone in their early- to mid-twenties by calling them kids).

Your child’s carbohydrate need will probably vary with growth spurts, developmental spurts, and age.  On average, their carbohydrate needs will probably tend to go down as they get older (protein especially will take its place).  Caloric intake varies dramatically with growth spurts, developmental spurts and age as well, so it’s tough to convert this to a number of grams of carbohydrates your kid should be eating.  Instead, think of it this way:  to achieve 40% of their calories from carbohydrates, something like half to three quarters of their plates should be fruit and vegetables (including plenty of starchy vegetables).  The reason why 40% of calories from carbohydrates doesn’t just translate to 40% of their plate being fruits and vegetables is because non-starchy vegetables are not very carbohydrate/calorie dense (especially compared to whatever fat you may also have on the plate).

The point of this post isn’t to get you counting the carbohydrates your child is eating, but rather to point out that quite a lot of fruit and vegetables is just fine for your growing child.  And as long as they are eating some of their meat and healthy fats and you are presenting them with a variety of healthy food options (think meat, fish, organ meat, healthy fats such as avocado, olives, and coconut oil, green veggies, colorful veggies, cruciferous veggies, starchy veggies and all kinds of fruit), it’s probably not worth worrying about.

baby
1 Nutrition in Pediatrics: Basic Science, Clinical Applications  By Duggan, Christopher, John B. Watkins, and W. Allan Walker. Published by BC Decker Inc. 2008