1. [3:46] MCAD Disease
2. [11:10] Lower Back Pain & Nutrition
3. [13:49] Suncreen & Vitamin D
4. [21:19] Enlarged Prostate
5. [27:56] Menstrual Symptoms
6. [32:37] Dangerously Low Weight
7. [35:10] Rosacea
8. [38:50] Usable Calories
9. [47:05] Adaptation to Foods
1. MCAD Disease
Justin Says: Robb, My wife and I have had a our first born son (Connor) a week ago and just found out today that he has a disease known as MCAD that is apparently fairly common. After sufficiently freaking out, we briefly researched it online and from I gather, it seems to be in the most simple terminology, the fatty acid equivalent to diabetes. Other than this my son is perfectly normal. 7.1 lbs 20″ and breast fed. He sleeps and eats with ease contrary to the horror stories we have heard from friends. My wife and I have followed the paleo life style for several years now varying anywhere from 50-100% strict. She ate about 75% strict throughout her pregnancy breaking mostly for intense cravings (namely, buffalo sauce and chocolate, go figure!). I am a trainer at a local box and she was mildly active up until a day or two before he was born.
After reading up on it, I find the irony of this situation almost poetic considering the foods that make up the “best diet” for this disease: lots of corn starch, no long and medium chain fatty acids, etc.
Have you dealt with any athletes that have this and is there anyway he will be able to somewhat live the lifestyle we have adopted? We decided long ago that we would let him choose his own lifestyle with no pushing in one direction but now we are very worried that he may not even have an option.
2. Lower Back Pain & Nutrition
Joss Says: Short question: can lower back pain worsen or improve with bad or good diet? If so, anything to be particularly careful about? (I’m not talking about obesity, which obviously increases stress on the back, just nutrients effect.) Many thanks.
3. Suncreen & Vitamin D
Jonah Says: Dear Robb, this is a quick one. I’m sure we’ve all heard about how sunscreen impedes our ability to synthesize vitamin D. Is this true and if so significant? and what is the pathway of vitamin D synthesis? Thanks!
4. Enlarged Prostate
Elizabeth Says: Hi Robb, I’m writing because I just got the ‘Are you CRAZY?!’ talk from my boyfriend. He’s been having trouble with his bladder recently and finally went to the doctor. He was experiencing frequent urination and pretty severe stomach cramps. When he went the urine test and blood work came back fine, so the doc recommended that he have an ultrasound and that he go see a urologist. The results from the ultrasound were that he had an enlarged prostate. They immediately recommended an antibiotic (which I dislike). He hasn’t seen the urologist yet. When we were discussing his ‘issues’ I suggested that we try an extremely strict paleo diet for ~30 days to see if it would help with the prostate problems and his overall well-being. He looked at me like I had five heads and said that if I think food is what is causing this I’m nuts.
A little background: He’s 25, 176 pounds, works out 6-7 days – alternating days of cardio and lifting weights. He eats a pretty clean diet (thanks to me!) that includes little to no gluten (unless he eats Subway for lunch) and mostly meats, veggies and fruit at home. He also takes a prescription drug for hair loss (generic of Propecia). I’m not sure if this is relevant or not, but he was also born with gastroschisis.
Basically, I just want to know if there is anything diet/lifestyle related that he can do to prevent prostate issues? Also, could it be something in his diet or the prescription for hair loss that caused the enlarged prostate?
One more thing- this is more of a personal question…how in the world do you get along without second guessing every diagnosis or every piece of advice given by a medical doctor? I have found that since I started reading and really believing that Paleo works, I question EVERYTHING. Perhaps even to the point that I’m rude.
Any guidance you can provide would be extremely helpful. Thanks for all that you do!
5. Menstrual Symptoms
Rachel Says: Hola, I’m a fit 27-year-old female whose body, within the last 2-3 years, recently learned how to ovulate somewhat regularly. With that being said, I am still getting used to the common symptoms that accompany my menstrual cycle. I’m sure these symptoms sound pretty normal but here are a few things I experience:
– for a few days up to a week, I feel like a complete pile of pterodactyl poo and can barley move (doesn’t help when i’m at work)
– for about a week, I have a bottomless stomach and usually gain about 5 pounds by the end of my period
– feel depressed or sad and have a short fuse when dealing with people, especially my boyfriend 🙂
My question: Can you explain what happens to a woman’s body during her menstrual cycle? What does my body need more/less of? What can I do/eat to help alleviate my symptoms so I’m not such a scary monster during this time? Thanks! Your work is much appreciated!
6. Dangerously Low Weight
Scott Says: I have a female friend who is 43 years old, 5′ 10″ and 88 lbs! she has had several small heart attacks and currently eats just about anything and everything including grains, dairy and legumes in order to gain some weight. What would you do for this women? is spiking insulin a good idea? should she be low carb? would high fat put her into a heart attack risk again? how would she gain good weight through paleo?
Ray Says: Hey Robb & Greg, Going only 3 months Paleo, but having fantastic results with allergies. For the first time in ~20 years, I’ve gone without daily meds through the spring season. I’m sold.
My question concerns “rosecea”. I’ve never heard of this affliction until a couple of friends were recently diagnosed with it. But as we google around, it seems to becoming more and more commonplace. Can suggesting going Paleo help these folks? So far, the fixes are avoidance of extreme temperatures, and antibiotics.
Also, had a side question about grapeseed oil. I believe the message from Dr. Cordain’s book says to avoid all seed oils. Should I stick with cold pressed olive oil for general cooking needs, or get the mega-jugs of grapeseed oil from Costco?
Thank you for all of the useful info from the podcast.
8. Usable Calories
Jason Says: Rob, this question has bugged me for a while: What percentage of the calories that go into my mouth are digested and metabolized by my body; and, if that’s not the whole story, what’s the whole story? Thanks.
9. Adaptation to Foods
Mike Says: Robb, I thought it’d be refreshing to hear your take on the following devil’s advocate questions (without using the words: “grains, legumes, dairy” in your response):
Some say that referring to a “Paleo Diet” is so vague as to be meaningless, since the time period is so long and the worldwide geography/weather so diverse. Can you expound on how the paleo diet lends itself to a broad variety of specific diets one might eat. Can you opine on whether one’s individual heritage should dictate one’s specific diet, or should it largely be left up to personal preference?
We have been eating grains in progressively processed amounts for about 10,000 years. Couldn’t we humans complete a genetic adaptation to grains if we reverted back to a modest pace of adaptation in that direction?