1. [4:16] Appendicitis
2. [9:05 ] Recovering from Smoking
3. [12:16] Carbs for Endurance Training
4. [16:41 ] Limit of Protein Digestion
5. [24:42] Snacks
6. [26:48] Brain Function without Dietary Carbohydrate
7. [38:05] Heart Attack at 26
8. [44:56] Muscle Cramps
9. [47:53] Acne from Fish Oil
Anthony Says: Hey Robb and Greg, My family and I have been eating a paleo diet with the majority of protein from grass-fed beef, pastured pork and eggs. We also eat good amounts of fruits and veggies. A few days ago, my 9 year old son was complaining of stomach pains. The next morning, after some bilious vomiting, my wife (who’s an RN in a pediatric ER) did some tests and determined my son had appendicitis. Sure enough, we took him to his pediatrician who in turn sent him to the hospital. A few hours later, he was clinically diagnosed with appendicitis (no CT scan necessary, thankfully) and had it removed. It was a near-perfect procedure, thanks to my uber-smart wife and great staff, and he was home 14 hours after the surgery.
So here’s my question – could we have done something (nutritionally) to have avoided this? I know that appendicitis can be idiopathic, but the doctor did mention that there was a small ball of stool in his intestine, which may have been the cause. And of course now we have my brother-in-law saying it happened because my son doesn’t eat any whole grains and he needs that fiber. I’ve researched enough in the past to know that the fiber theory is bunk, but as a parent I don’t know if we could’ve prevented this.
To get a little more detailed about his diet, he does snack on nuts (maybe 1-2 oz/day) which I know can be a little much. Also, he still has hay fever symptoms even after giving up grains, so we decided to add local honey to his diet (about a tsp/day) to see if it would help. These are the only ‘non-paleo’ things he eats – could either of these caused a problem? Thanks in advance!
2. Recovering from Smoking
Lindsey Says: Hi Robb, After about 6 months of being paleo (thank you for that), and 7 years of being a smoker (I know, I know–the hypocrisy got to me), I’m quitting. I’m about 2 weeks into it, and am past the physical withdrawal, and perhaps the worst of the psychological withdrawal, and feeling good about the change, but not so good in other ways.
Two things: energy is in the toilet, and I’m steadily gaining weight, despite negligible–if any–change to my feeding habits, which are pristine. After some research, I discovered that nicotine converts fat stores into energy, thus raising blood sugar. That seems to explain a lot, and although I’m sure things will normalize on their own eventually, I’m wondering if there’s something I can do dietarily in the short term to ease the transition.
Do you have any suggestions for getting through this rough patch, i.e., keep my energy up, and hopefully be kind to the waistline? Thanks a lot for all you do, and any advice you might have.
3. Carbs for Endurance Training
Erin Says: I am a 32 yr old female marathoner runner/newbie ironman athlete/newbie crossfitter too! Recently diagnosed with Hashimotos and hypothyroid. I do not eat any dairy or gluten anymore but I still eat a lot of nuts. I am trying Paleo but I train almost 18 hrs a week and I need carbs. I train usually twice a day. How should I time my carb intake and what carbs exactly CAN I eat, without creating an adverse immune response?
4. Limit of Protein Digestion
Cameron Says: During Matt Lalonde podcast episode, Matt discussed his diet. He stated that he eats for lunch approximately 1 to 1.5 lbs of meat. I was always told that the body can only digest about 50g of protein per meal (I have heard the coaches at CF state this as well). As you know, 1 lb is more than double 50g of protein. Can a body digest more than 50g per meal? Currently I have to eat 5 times a day to get over 250g of protein and follow the 50g per meal rule. My current diet allows me to perform very well at CF, however; life would be much easier to cut down to eating 3 times a day if I knew my body could process more protein at one sitting. Thank you,
Wendy Says: Dear Robb/Robb’s Team, I’ve been trying a grain free diet for past 4 weeks and am feeling pretty good and finding the transition away from processed foods increasingly easier. I have just now discovered your fascinating site and intend a 30 day Paleo trial to test whether I can shed a few kilos and also increase energy levels/general wellbeing. On my grain free trial, lots of snacks have been encouraged but revolve around organic potato crisps, and dried/flavoured peas or soy beans, etc. Question (1) I wonder please what snacks are allowed (if any) on the Paleo trial, or perhaps I wouldn’t need any? If no such snacks are recommended, is it OK to snack frequently on the veggies if I get hungry or should I apply a daily limit to vegie intake? Question (2) I have developed a bit of an intolerance to eggs over the years and wonder if you have any views about such intolerances dissipating once a person is following a clean, organic, Paleo type lifestyle? I would love to be able to eat eggs without feeling nauseous/bloated. Thanks in advance for any guidance you can offer.
6. Brain Function without Dietary Carbohydrate
Craig Says: My girlfriend is a very recent graduate of nursing school and has been very helpful in my transition from a fellow vegetarian to a “things-with-a-face eater.” But she is very hesitant about my adoption of the Paleo diet mostly based on her contention that the brain cannot function properly without complex carbohydrates such as pastas and rice. I’ve been 98% paleo for the last two months with a few slips into ice cream hell. Can you give me a medical explanation that will help me in this battle? She will not join the meat-eating bandwagon but has definitely reaped the benefits of switching our diet to entirely whole foods. She is complete agreement with this aspect of Paleo nutrition but can’t understand the low-carb effect on the brain and other important bodily function. Thanks for being such an accessible and reliable scientific resource.
7. Heart Attack at 26
Joe Says: My wife had a Myocardial Infarct last year, at the age of 26. She has suffered with a whole bunch of problems over the last 8 years or so including severe joint pain, crohns-like bowel problems and a peanut allergy.
Since the heart attack, things only seem to have got worse and has been bounced around different consultants. Lupus is suspected, but no firm diagnosis yet.
She is a strict vegetarian and very resistant to the idea of eating meat. I feel that a paleo approach would seriously benefit her, and am working on how to do that within a vegetarian framework. She will eat eggs, but I now know your feelings on them with people with autoimmune problems. Milk is also out as she’s pretty clearly lactose intolerant.
Sorry for the rambling. The crux of my question is: Do you have any specific information on the Paleo Diet with regards to Systemic Lupus Erythamatosus. My wife has a medical background, so if I can point her at some actual papers it would really help.
8. Muscle Cramps
Alex Says: I was chatting with a Crossfitting Paleo eater who is having problems with muscle cramps. She comes from a medical background and explained to me that the mechanism of muscle cramps involves magnesium/calcium/phosphate balance and electrolytes. She did a little research and found out that grains are good sources of magnesium. We were wondering if, by cutting out grains, Paleo eaters are vulnerable to magnesium deficiency and thus, muscle cramps. Would you please enlighten us on this topic?
9. Acne from Fish Oil
Ryan Says: Have you heard of people getting acne plus a generally more oily face when they start using fish oil? I’ve always thought that fish oil would prevent breakouts but after getting my wife to start using them she started to breakout. I initially thought that it was something in her diet but she told me that her sister started to breakout too when she started taking fish oil? Any advice? maybe switch over to the Algae pills?