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Old 10-29-2007, 01:53 PM   #11
Mike ODonnell
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came across this at random today and it relates to this...interesting of course how it is a plan geared towards no meat or dairy...aka vegan...but what I took from it was more so the importance of enzymes from fruits and vegetables...perhaps an IF approach with digestive enzyme supplementation (on an empty stomach) would be of benefit? (disclaimer...not a dr...and nothing I say is or will ever be approved by the fda)

http://www.colitis-crohns.com/about.html
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Old 10-29-2007, 05:46 PM   #12
Garrett Smith
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MOD, I see your point. Just wanted to say that up front...

Ah yes, the raw food & enzyme vegan presentation.

Raw meat has enzymes too. I've also had to seriously repair folks who ate a nearly all raw fruit diet from systemic candidiasis that nearly killed them--but at least they were getting their enzymes!!!

Do I think that the best diet leans towards a majority of food taken raw or lightly cooked? Absolutely. Do I completely agree with the enzyme crowd, that enzymes will save the human race? Hardly.

I'd say there is a reason that guy is kneeling. If he stood up and turned sideways, it would probably be tough to see him. Same is true for another raw vegan guru, Dr. Gabriel Cousens.

Do I think a temporary meat-free diet could be of huge benefit? Absolutely. However, I also don't think it works for humans long-term.

Last thing on the enzymes--if there was such a huge deficiency from cooking our food and our lives have constantly been getting shorter due to a lack of enzymes, I'd have to think the human race would have petered out a LONG time ago.

Could proteolytic (in particular) enzymes help with improving health through reducing inflammation? Absolutely. Took me a while to get there, eh?
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Old 10-29-2007, 08:22 PM   #13
Mike ODonnell
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Quote:
Originally Posted by Garrett Smith View Post
Ah yes, the raw food & enzyme vegan presentation.

Could proteolytic (in particular) enzymes help with improving health through reducing inflammation? Absolutely. Took me a while to get there, eh?
eh? Going Canadian on us Dr G? Ha.....yes was only looking at the health benefits of supplementing dig enzymes during periods of no digestion (IF) and the benefits for repair of tissues and other cellular functions...I was in no way trying to promote vegan lifestyle as I think it is a crock and I love my dead animal meat!! Go meat!! Might try some enzymes am and before bed.
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Old 10-29-2007, 09:10 PM   #14
Garrett Smith
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Yes MOD,

GO MEAT!!!

For those considering taking enzymes on an empty stomach, just make sure that they don't contain HCl, okay?

And from my understanding, the only enzymes really worth taking on an empty stomach are proteolytic and/or pancreatic. No need to take amylase or lipase, as far as I can tell.
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Old 09-26-2009, 10:55 PM   #15
Miguel Sanchez
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The Paleo diet seems to be the general recommendation for "stomach issues." My question is what happens if you don't digest vegetables very well like so many with digestive issues?
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Old 10-03-2009, 05:15 AM   #16
Chris Longley
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Veggies and fruits can be an issue, but you need to get them down.

The main problem is from eating them raw.

Here's some options to make them go down better...
  1. Take digestive enzymes
  2. Juice the veggies (but only the same amount you would actually eat at a normal meal if they were whole)
  3. Use plenty of veggies in well cooked soups and stews.
  4. Stew your fruits before eating (this works really well with berries for breakfast)

Cooking them breaks down the fiber and makes them much easier to digest. The enzymes will do the rest.

This has been working real well for me...
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Old 01-16-2010, 07:18 PM   #17
Steve Shafley
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This topic has become interesting to me since my oldest boy, 15, may have some form of colitis, and I am looking for what'd be considered a better diet for him to help control his issues.

I'm still waiting on his tests at this time.

His doctors recommendations in the mean time:

-no juice but white grape juice, may have gatorade
-more starches
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Old 01-25-2010, 12:31 PM   #18
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Steve, there is very little peer-reviewed literature showing dietary recommendations for ulcerative colitis that work across the board. There is a low-residue diet that is recommended to ease the work of the digestive system when symptoms are flared-up, but that is not the same as a long-term dietary recommendation. From what I can tell of the anecdotal literature (i.e., the interweb), Dr. Garrett's recommendations (post #3 above) are as good a starting point as any.

People respond to food differently. What triggers the UC auto-immune response in one person may be different from another. The only way to really get a solid read on the dietary contributions to your son's UC is to do an elimination diet and see how he fares as the potential offenders are eliminated and then one-by-one reintroduced. When I say elimination and reintroduction, I'm talking weeks at a time to give time for symptoms to settled down and then more time for low-level inflammatory responses to manifest themselves as UC symptoms, if a given food is the cause of them.

The elimination of nightshades was revelatory - less with respect to my UC symptoms, but more that the arthritic symptoms that I had always associated with UC flare-ups were simply gone. I think I had some luck with elimination of grains and sugar, but a few months of high-stress living showed that that wasn't a panacea. That being said, I have yet to go whole hog in hopes of demedicating myself by eliminating dairy and legumes as well (which are logical targets for me given my son's dairy and peanut allergies). If there is a history of food allergies in your family, that may help provide a good starting point for your son, as UC is largely (entirely?) an auto-immune response.

Certainly, diet is a big contributor to digestive health, but for UC, the most important thing for me has been making sure I get enough sleep and otherwise control my stress levels. This much seems to be a pretty common thread for others I know with UC. Maybe a super-strict diet would allow me to dine on stress without concern, but I haven't been able to test that one out yet. If your son can tweak his diet without undue stress, then he's in a good place. Good luck.
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Old 02-24-2010, 05:27 AM   #19
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I was diagnosed with Crohn's disease in '01. Because of Crohn's, I've been on some nasty nasty nasty drugs. Pentasa, happily, has the shortest book on side effects. From there they may bump you to immunosuppressants like Imuran (azathioprine) or even Remicade (infliximab). I would never tell you not to take these, but please do your own research on them. Talk to other GI docs, talk to pharmacists, talk to whoever would know. They are rough. One Pharmacists described my options as, "between a rock and the deep blue sea". anyway...

I've given a solid chance to just about all the different ways of eating there are minus the obviously unhealthy. My experience thus far:

Prior to finding PM and Xfit, I ate diets I found in "Power Eating" by, Susan Kleiner or the latest issue of Men's Health. (keep flames to moderate heat please, I have repented). I had regular flareups starting as soon as 3 months after my first surgery (i had roughly 2 feet of guts around my ilium removed). Later, i started to find eating changes that seemed to ease the symptoms of Crohn's and keep me out of the hospital. Here's what happened:

• I went gluten free. This was my first step in the right direction. I noticed a significant amount of joint pain went away, so did a significant amount of abdominal pain.

• Later I started zone ratios while staying gluten free. This was another good step, and was the first time my skin color returned to a no-pasty look. I did notice that all the raw leafy greens and raw fruit caused me to have, at times, significant discomfort. This has since lessoned to a very manageable level and no longer makes me worried that I'm having a flareup.

• Dropping any significant alcohol intake (i'll still have the occasional glass of wine or beer) was another step in the right direction.

• Going “primal” at least in the sense that I did all that I could to eliminate processed foods.

• From time to time, such as if I felt I was starting to slip towards a flareup, I would remove nightshades all together and slowly re-introduce them when I felt I was ok.

• From time to time I'll cold turkey the dairy as well. Minus of course kefir and/or greek yogurt.

I've found that significant spikes in insulin make me feel like crap. They make my joints hurt, they sour my stomach and generally make me feel like awful. Granted, eating gluten free, and avoiding processed foods of any sort generally keeps me from being able to spike my insulin.

I regularly have high amounts of fat in my diet. I've not noticed any pain associated with the fat intake; generally it's brought on by fiber, I believe, and I've gone so far as to take shots of olive oil. I will say that 12 trips to the bathroom are normal when fat starts hitting the 60% of total caloric intake mark. This usually makes it a necessity to drink copious amounts of water. Diarrhea is something of a constant regardless of what diet I've been on. I'm told it is as much because of the segment of intestines they removed as it is Crohn's itself.

Stress, as MOD would say, is a killer. I had my first operable Crohn's flare up about a month after my grandfather (who i had been taking care of daily for six years) died.

With regards to “self medication” I've been taking BCAA powder, glutamine, glucosamine, fish oils, a multi, and probiotics. I drink tons of slippery elm tea, but that is probably as much a comfort thing as it is anything else. You made the right choice in seeking out Dr. G. His suggestions have made me the healthiest I've been since 2001.

Please feel free to PM me whenever you would like. UC and Crohn's support groups are great, but they can be tear fests. That may work for a lot of folks, but for me it has been mentally healthier to hit the ground running with a “f*ck it, I'm alive” attitude.
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Old 02-24-2010, 06:10 AM   #20
Garrett Smith
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Matt, are you doing any enzymes? That might help to speed your digestion/absorption so that you aren't having loose bowels all the time.
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