Why might I do an elimination diet?

Recently, a family member reached out looking for guidance with an elimination diet. She had just received the results of a food allergy test and now had a LONG list of foods to avoid and was feeling a bit overwhelmed. This got me thinking, that there are probably more people out there who are considering an elimination diet, but are a bit intimidated.

So first, what is an elimination diet?

An elimination diet is a process in which you remove all foods that you may (or may not) know to be irritating to your body for typically at least three weeks until symptoms subside and then gradually begin re-introducing these food items one at a time. As you reintroduce a food it gives you an opportunity to see whether your body reacts with certain symptoms or not. If you’ve taken a food sensitivity test then you’ll know exactly what foods are getting cut out. Typically you’ll cut out sugar (including fruit), nuts and alcohol during the first three weeks as well, regardless of whether those items showed up on a test as an irritant. 

Do I have to have food sensitivity testing done to do an elimination diet?

The short answer is ‘no’. The long answer is ‘it depends’. If you’ve already removed the most common food irritants out of your diet for a prolonged period of time and you’re still experiencing symptoms that you believe may be food-based, then it’s probably time to drop the money and get food sensitivity testing done. If you haven’t removed the most common food irritants from your diet, then that’s a great starting point!

What are the most common food irritants in the typical American diet?

The foods most commonly associated with food intolerances and allergies are dairy, gluten, caffeine (gasp), salicylates, amines (think histamine), FODMAPs, sulfites, and fructose! Some other common food irritants are aspartame, MSG, eggs, food coloring, yeast, and sugar alcohols (think sugar free drinks). [1] Each of these foods remain in the digestive system for different lengths of time so that is why it is important to remove your selected items until symptoms have completely resolved before re-introducing anything! 

What changes can you expect to see from following an elimination diet?

Some of the most common reasons for people to embark on an elimination diet are persistent symptoms such as abdominal pain, gas, diarrhea, constipation, headaches, eczema and other skin rashes, achey joints, hives, sinus congestion, asthma, and anxiety. So if you are able to pin point what foods are causing it, you should see a relief in that symptom!

Each of the above listed foods can be associated with a variety of symptoms, some of them overlapping with one another. That is why it is important to reintroduce one at a time in order to observe whether a symptom returns with that specific food! For example, dairy and eggs are both known to cause abdominal pain and diarrhea. If you were to cut out all dairy and eggs for three weeks and you are no longer experiencing abdominal pain or diarrhea, amazing!! Now is the point where you figure out whether it was dairy causing the issue, eggs causing the issue, or maybe both! So what you might do is slowly reintroduce eggs by eating them one time a day and waiting at least three days before introducing dairy. If the abdominal pain or diarrhea returns within those first three days of reintroducing eggs, then you know your body is not a fan of eggs! Common symptoms associated with dairy include gas, bloating, diarrhea, nausea, abdominal pain, and even eczema! 

What on earth am I supposed to eat?

What people often find overwhelming about an elimination diet is that there isn’t necessarily a cookie-cutter answer as to what to eat and not eat. Each person is different based on their symptoms and the foods that they are having to cut out, which obviously changes what their diet looks like! Since there isn’t a straight-forward answer, here are the best tips I can offer:

1) Change your mindset. I can almost guarantee you that as you set out to start your elimination diet, a large majority of foods you consider to be “breakfast foods” will have not made the cut. This can throw people off because they’re suddenly panicked trying to figure out what they’re going to eat for breakfast if they can’t eat eggs, sugar, or gluten! This is where a little mindset shift regarding what a “breakfast food” is can make a world of difference. It will sound crazy at first, but a bowl of roasted veggies with avocado and sugar free bacon or quinoa loaded with greens can absolutely be eaten for breakfast. For some recipe ideas check out this link. 

2) Phone a friend. Seek out others who have already done an elimination diet or are in process of doing one! There are plenty of websites and forums where you can ask for guidance, tips, and even share recipes!

3) Fully commit. It can feel torturous (literally) cutting out all of our favorite foods, but the process is part of the healing. If you’ve been consuming a lot of foods that are extremely reactive, you may actually experience withdrawal symptoms. [2] This is especially common with caffeine and sugar. In that time that you’re refraining from all of the potentially irritating foods, you’re actually giving your body a chance to heal and renew! Inflammation in the gut will start to subside, allowing your body to better absorb nutrients and just feel better.

While an elimination diet may not be easy, the end result is absolutely worth it! Improving chronic symptoms that have likely been plaguing you for years without any sort of medication while improving your overall health is worth the price of admission in my book!

If you have questions specific to yourself or would like to do a food sensitivity test, please don’t hesitate to contact us! Even if you live outside of the Southlake or Las Colinas area, we are one virtual appointment away.

Resources

1. January 25, 2018. The 8 Most Common Food Intolerances. (Retrieved August 21, 2020). https://www.healthline.com/nutrition/common-food-intolerances#section10

2. TOP 10 ELIMINATION DIET MISTAKES. (Retrieved August 21, 2020). https://lilynicholsrdn.com/top-10-elimination-diet-mistakes/

Why Microbes Are Our Friends

We are currently living in a world where bacteria and microorganisms tend to be associated with fear, sickness and even death. While these things may all be true on occasion, in reality they tend to be the exception, not the rule. What if I told you that we actually NEED bacteria, like our lives depend on it? While you gradually start unfurrowing your brow, let me explain. Researchers have found that pretty much every surface of our body contains microorganisms, to the point that our human cells are actually outnumbered 10:1! This prolific population of bacteria and microorganisms are known as our microbiome and today I want to share three reasons why they are actually our friends. 

1) Bacteria allows us to digest and absorb nutrients from the food we eat.

When we consume a food, it’s actually the bacteria in our stomach and intestines that break those proteins, fats and carbohydrates into nutrients that our body is then able to use. The same goes for vitamins and anti-inflammatories found in the foods we eat. As humans, we don’t have all of the enzymes necessary to break these foods down, but fortunately these friendly microorganisms do! [1]

This is why supplements such as pre-biotics, probiotics and digestive enzymes provide so much relief when our gut flora is out of balance. 

2) Bacteria help regulate our immune systems.

While we are babies in the womb, we have a naive immune system and are therefore dependent on our mother’s antibodies to protect us from disease. The immune cells we are born with must be educated in order to protect us from the outside world and it is bacteria that does the teaching! When a baby is born vaginally, they receive their first inoculation of bacteria as they travel through the birth canal and these bacteria are what begin to shape the makeup of a baby’s gut flora. Studies have shown that babies born via c-section are at higher risk for certain diseases and sickness because they haven’t received this initial mega-dose of bacteria. In addition to the birth process, breastfeeding also helps introduce bacteria into the baby’s system. These initial colonizing bacteria have come to be known as the “pioneer microbiome” and it is responsible for educating the developing immune system and provides a favorable environment for the colonization of other microbiomes. [2]

Since it’s National Breastfeeding Month I’ll share one of the most fascinating facts regarding breastfeeding and bacteria. When a baby latches to the mother’s breast to nurse, if a pathogenic bacteria in the baby’s mouth comes in contact with the mother’s areola then the mother’s areola signals her body to produce antibodies for whatever pathogen was detected! These antibodies are then delivered to the baby in the breastmilk! [3] Not only is this mother nature’s antibiotic but it is naturally strengthening and developing baby’s immune system. 

Every day we are exposed to potentially harmful pathogens, additives, non-harmful bacteria and allergens in the environment. It is vital that our bodies are able to determine when to react and when to tolerate these “intruders” or else we would have a severe response or illness to every new interaction. The diverse population of microorganisms that develops in the gut early on is what teaches our immune system that not everything is bad. [4]

3) Microbes keep us healthy.

Microbes maintain a sterile mucus layer between the intestinal cells and the bacteria-rich gut, creating a bacteria-free zone that protects us from continuous immune system activation and inflammation. The microbiome lining our digestive tract also prevents pathogenic microorganisms from attaching to the intestine or colon walls. [2]

In higher-income countries there has been an exponential rise in the use of antibiotics, number of non-emergent c-sections, dietary changes, and excessive cleaning and sterilization. While these procedures may kill pathogenic microorganisms, they also kill the good bacteria that our body is dependent on! With this, we are seeing an increase in auto-immune and inflammatory diseases. The top three common auto-immune conditions we are seeing in the United States include Crohn’s, Type 1 Diabetes and Multiple Sclerosis. 

Clearly these friendly microbes are important, so it is vital that we are intentional in keeping them healthy and balanced. Here are some simple tips to do just that:

• Wash your hands with soap and water whenever possible. While hand-sanitizer is convenient and quick, most of them kill all bacteria rather than just the bad. In addition to it’s non-selective destruction, many hand-sanitizers have been found to contain toxic ingredients such as methanol and 1-propanol. [5]

• Eat foods that are rich in prebiotics and probiotics. A few common prebiotic-loaded foods include garlic, onion, leeks, asparagus, and bananas. Some common probiotic-loaded foods include kefir, sauerkraut, kombucha, and yogurt.

• Avoid unnecessary antibiotics. There is a time and a place for antibiotics, but if you’re being prescribed an antibiotic for an illness that is typically caused by a virus (think flu) then you might want to think twice or at least get a second opinion. In the event that an antibiotic is necessary, be sure to load up on a probiotic during and after! 

If you have further questions about supporting your microbiome or are needing recommendations for probiotic or prebiotic supplements, be sure to reach out! Renew & Restore Wellness is more than just a chiropractic office, we are here to support your overall health and well-being! 

Resources

1. June 13, 2012. NIH Human Microbiome Project defines normal bacterial makeup of the body. (Retrieved August 12, 2020). https://www.nih.gov/news-events/news-releases/nih-human-microbiome-project-defines-normal-bacterial-makeup-body

2. March, 2015. Why is initial bacterial colonization of the intestine important to the infant’s and child’s health? (Retrieved August 12, 2020). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340742/

3. January 28, 2020. Contributions to human breast milk microbiome and enteromammary transfer of Bifidobacterium breve. (Retrieved August 12, 2020). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986747/

4. March 27, 2014. Role of the Microbiota in Immunity and inflammation. (Retrieved August 12, 2020). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4056765/

5. August 13, 2020. FDA Warns of New Hand Sanitizer Ingredient as List of Dangerous Products Grows. (Retrieved August 13, 2020). https://www.nbcconnecticut.com/news/health/fda-warns-of-new-hand-sanitizer-ingredient-as-list-of-dangerous-products-grows/2318431/

You can go with this, or you can go with that!

One of my favorite ways to unwind and relax is cooking. There’s something therapeutic about creating a meal from scratch while listening to music and maybe enjoying a glass of wine! But what I’m even more passionate about is creating healthy meals that are full of life-giving nutrients. I think that it can sometimes feel overwhelming to attempt a meal that is healthy but also tastes good and still allows you to feel like you are indulging rather than punishing yourself. That is why I thought it might be helpful to share some of my simple substitutes that I use with everyday recipes to make them a little bit healthier without feeling like I’m totally depriving myself.

Butter. While it’s absolutely delicious, it also contains dairy. Many people experience digestive problems when consuming dairy products and often times eczema and other skin problems as well as allergies and sinus congestion can be exacerbated by dairy. If you’re really looking for that buttery flavor without the lactose, ghee is a great option. Ghee is also known as clarified butter, which basically means that butter is heated until the water in it evaporates and the milk solids separate from the fat by either floating to the top or sinking to the bottom. Those milk solids, which contain lactose, are removed and you’re left with ghee, a nutty and tasty butter alternative. [1] If you don’t care about the butter-flavor factor or you’re wanting to avoid lactose-free dairy product all together, then coconut oil is a great option! Simply replace the called-for butter with the same amount of coconut oil and keep on cookin.

Milk/Cream. As I mentioned above, dairy seems to be a problem child for a lot of people these days. Two of my go-to’s when a recipe calls for milk are almond milk or coconut milk. I typically look for an almond milk that doesn’t have any added preservatives or gums. Malk is a brand that I grab often, but there are a few options out there! Canned coconut milk is another solid option when you’re looking for something a little more creamy. I should mention that coconut milk may have a slightly “coconuty” flavor so if that is going to mess with your palate then you may want to consider another nut milk such as cashew. 

Rice. While it is a gluten free complex carbohydrate, it is a grain and may be hard for some people to digest. Other people may looking to cut out high carb foods or simply get more veggies in their diet. Cauliflower rice is a wonderful alternative! You can make it using a head of fresh cauliflower and a food processor or you can buy it pre-made in the freezer section of your local grocery store. If I’m making a dish that is typically served over rice, I’ll simply substitute the cauliflower rice for regular rice. The addition of cauliflower rice to a meal is a great way to load up on antioxidants and fiber! [2]

Pasta. Often times pasta is one of the major foods that are mourned when someone is deciding to cut gluten and/or other processed carbs out of their diet. The good news is there are several plant-based options! Zucchini noodles (also known as Zoodles) are one of my favorites. You can make them yourself using a spiralizer and fresh zucchini or you can purchase them pre-made in the produce section at most major grocery stores. Along the same lines, you can also spiralize sweet potatoes, butternut squash or beets. If you’re not up for spiralizing or paying the extra money to purchase pre-spiralized veggies, another option is spaghetti squash. Simply cut the spaghetti squash in half and roast in the oven until soft. Scrape the inside out with a fork and it will somewhat resemble angel hair pasta. If a recipe involves serving something over pasta, give one of these veggie options a try!

Sugar. It’s one of the most addictive food items in the American diet and you’ll find it hidden in things you would never suspect! Linked with obesity, heart disease, obesity, high blood pressure and high cholesterol, it’s something I like to avoid whenever possible. Luckily there are some great alternatives to sugar. Honey and maple syrup are probably my favorites. Not only are they full of minerals and antioxidants but you are able to achieve the same amount of sweetness you would with sugar, but using less! [3] If you’re looking for something that is granulated rather than liquid, monk fruit is a great option. Something unique about monk fruit sweetener is that is doesn’t contain fructose or glucose because the sweetness actually comes from an antioxidant in the fruit rather than the fruit itself. [4] Monkfruit sweetener is typically sweeter than sugar so be sure to add to taste when using it!

As you can see, once you have a toolbox of healthy alternatives it is fairly easy to make substitutions while cooking. If you’re apprehensive, it’s easiest to make one change at a time rather than switching everything at once!

We really just scratched the surface of healthy cooking so, if you have a favorite food or meal that you would like to make healthier, we would love to hear about it and give you guidance and possibly include it in part 2 of this blog post. Leave a comment below or message us on social media with any requests or questions. 

Resources

1) Is Ghee Dairy-Free? What to Know About This Butter Alternative (Retrieved July 8, 2020) https://spoonuniversity.com/lifestyle/is-ghee-dairy-free

2) April 14, 2017. The Top 8 Health Benefits of Cauliflower (Retrieved July 8, 2020) https://www.healthline.com/nutrition/benefits-of-cauliflower#section2

3) June 24, 2019. Are Sugar Substitutes Like Honey And Maple Syrup Actually Healthier Than The Real Deal? (Retrieved July 9, 2020) https://www.chatelaine.com/health/healthiest-sugar-substitutes/

4) June 14, 2019. Monk Fruit Sweetener: Good or Bad? (Retrieved July 9, 2020) https://www.healthline.com/nutrition/monk-fruit-sweetener#benefits