1. [3:30] Type 1 Diabetes
2. [9:14] Brain Fog & Fatigue
3. [15:48] Ketogenesis, Iron & CVD
4. [25:33] Gut Health & Testosterone Levels
5. [37:02] Underweight Kids
6. [42:31] Cold Hands, Warm Derriere
7. [48:37] Drinking While Eating
1. Type 1 Diabetes
Melissa Says: In the overview of the Paleo Diet, you mention that the diet can reverse the effects of Type 2 Diabetes, but never get into the affects the diet can have on those who suffer from Type 1 Diabetes. I am trying to help my father, who has been affected by Type 1 Diabetes since he was 7 (now he is 51) live a healthier lifestyle (although, for someone with Diabetes, he is remarkably healthy and in great physical condition). Do you recommend the Paleo solution for someone in his position? What are the pro’s and con’s for someone living with Type 1 Diabetes? Any pointers to make the diet more effective for someone like my father?
2. Brain Fog & Fatigue
Brian Says: Starting about 4 or 5 years ago I began experiencing mild brain fog or a “detached” feeling for a few hours somewhat frequently. Since then it has become progressively worse both in severity and duration. Now it will last days or weeks at a time and is coupled with a host of other “symptoms”. The brain fog is so bad it feels almost like I have had a few drinks, I am a little disoriented, I can’t focus, I’m fatigued, I don’t sleep well, I wake up in an awful mood feeling like a got hit by a train, my performance in the gym suffers, I am generally irritable with bad mood swings, my motivation to do anything is piss poor, and a quirky one – I have trouble focusing my eyes. However, these symptoms seem to completely disappear after some good strength training or a metcon (CF), at least for a little while. Occasionally everything will clear up for a few days on it’s own.
Background – I’m 26, 5’9”, 175#, about 15% BF, been doing bodybuilding type stuff for the past 5 or 6 years and Crossfit for the past year. Nutrition was clean and looked more like Zone but not paleo until about two months ago. Now I would say I am about 75% paleo (still getting used to it). What could be causing this awful feeling and what steps can I take to get rid of it? Thanks!
3. Ketogenesis, Iron & CVD
Anthony Says: About a week ago I started a ketogenic mass gain a la The Kracken and I noticed on my Fitday calculations that my iron level is pretty high. I’m doing about a pound of grass fed beef liver 3 times/week and on those days my iron content is around 30-35mg. On non-liver days it’s still about 17-20mg. I know in most cases the RDA is a minimum allowance but I’ve read about some Japanese studies concerning iron and its relation to CVD, where the study explains that excessive amounts of iron can oxidize and essentially ‘rust’ our arteries. I know it’s probably just red meat vegan shenanigans but I just want to make sure I’m not hitting the upper level. This is only a 6 week mass gain so I’m not too worried, but I thought I would ask the expert. Thanks.
4. Gut Health & Testosterone Levels
Mike Says: I apologize for the less-than-succinct question but in my efforts to regain optimal health I’ve scratched the surface of what I am looking for but I know there is still plenty of work to be done, I can say with some certainty though, that I think the paleo lifestyle is what I have been looking for.
My main question addresses testosterone and gut health. So here is a bit of medical history on me. I thought I was a fairly average teenager, had skin issues, some occasional bouts of sleeplessness, but neither of those would be case for any red flags. To tackle my acne I was on antibiotics for years (monocyclin, amoxacylin, tetracyclin, if I recall correctly) and had mild success. When I turned 18 I had chronic insomnia that continued for 3 years where I had about 3-4 hours of advil pm induced sleep each night. My skin was horrible, so within those 3 years I went on accutane twice, with success when I was on it but my skin would always take a turn for the worse there after. My mood was down, I could no longer maintain erections, I couldn’t look people in the eye, I would cry trying to sleep but my brain would never shut off. I still had enough drive to maintain some exercise, but that was probably the last thing I need at this point. SO!
Last February I had my testosterone checked and at 20 years old I had ng/dl of 242. The traditional MD thought I had gender issues, or that I needed to be in the sun and exercise more. Well in hindsight, not horrible advice but come on doc! I started p90x and started eating cleaner. I had a friend who turned me on to gluten free dieting with huge success in skin and sleep. I went to a more forward thinking doctor still had very low testosterone but had food allergens checked. Found out I had class IV allergens to almost everything (brussel sprouts, avocado, blueberries, you name it). He recommended that I start a plant-based testosterone therapy to get myself out of the deficit. Started training based upon Poliquin/Chek principles this summer, leaned out to 11% body fat while gaining 19lbs of muscle. All good things, my testosterone increased to 930 for awhile but has since dropped to 360. For the last month I have done your autoimmune protocol with high doses of glutamine (40g), aloe vera juice, zinc carnosine and chlorophyll. I am getting blood work done soon to retest my testosterone.
So finally, my questions! How long does it take to repair leaky gut syndrome? Will my testosterone improve once my gut is repaired? How long should I stay on the autoimmune protocol (I miss beef, and nitrate free bacon!)? What else can I be doing to attack more aggressively?… I hate having to explain to my girlfriend that it’s not her it’s my hormone output, I just want to have normal ranges for someone that eats as clean and works out as efficiently as I do. Thank you so much for your wisdom.
5. Underweight Kids
Sally Says: I have been doing Paleo for a few months with dramatic results. But I have been reluctant to extend it to my kids. I have 2 boys 13 and 9 and both are tall but very lean. My 13 year old in particular has been having trouble gaining weight. They have both cut back on their sugar in take, but I have been reluctant to take them paleo because I don’t want them to lose weight. Also, it is hard enough to get them to eat, though I am excellent cook. How can I get their diet under control without risking weight loss?
A typical day looks like:
Breakfast: Pancakes with some syrup. Eggs or sausage. Fruit.
Lunch: Ham or cured meat sandwich with goat cheese. Fruit.
Snack: sausages or english muffin.
Dinner: Paleo meat and vegtables with pasta or rice
Dessert: store bought ice cream
6. Cold Hands, Warm Derriere
Amy Says: I have a freakish circulation problem in my hands and occasionally my feet. Anytime I’m out in the cold (it doesn’t even need to be a very low temperature) I will literally completely lose circulation to my extremities. There is a distinct line between the normal colored hand and the whitish-yellow fingers where the blood flow stops. The longer I’m out and the colder the temperature the more fingers it progresses to.
Even at normal temperatures my hands are always noticeably cooler than the rest of my body. Despite the fact that this defies some law of physics, I’m pretty sure my hands are sometimes colder than the ambient temperature of the room.
I have diagnosed myself with Raynaud’s phenomenon (I believe it’s primary as I have no other conditions to the best of my knowledge), and while having a label seems to legitimize my condition as more than me just being whiny, it has done nothing to make my hands warmer. The web has been a bountiful source of useful information which can basically be summarized as “we have no idea what the hell causes it” and “move to some place warmer.” I could also apparently get a prescription for viagra, which I would really look forward to picking up at the pharmacy (“it’s not for ME, I swear, it’s for my 70 year-old boyfriend?”)
While it is occasionally entertaining to freak people out with my corpse-esque digits, I really enjoy outdoor activities and would love to be able to do so without losing my fingers.
My mother tries to say that I get cold so easily because I don’t have enough bodyfat, but I think this is completely unrelated (I’m 5’6 140lbs and 17 or 18% bodyfat, the majority of which is concentrated in my derriere, which, incidentally, never gets cold, so maybe she has a point).
I wanted to know if there’s anything I can do nutritionally to improve my circulation or if I should just get fat or move to Hawaii.
Info which may be helpful): 27 year-old female. I’ve been eating almost 100% paleo for about a year now, but never ate badly prior to that (basically I cut out grains and stopped being scared of fat). Lots of meats (grass-fed when I can afford), veggies, coconut products, sweet potatoes post workout, eggs, avocados, small amounts of fruit. Some grass-fed butter but no other dairy. I avoid doing many nuts or anything high in omega-6s. The only supplements I use are vitamin D and fish oil (I mostly just try to keep my omega-6 intake down). My most frequent cheat is alcohol, but I stick to liquor or wine (maybe once a week) and pizza (once a month?) or occasional dark chocolate. I avoid caffeine since it’s a vasoconstrictor which I hardly think would improve my issues with already spastic veins. I’m freakishly strong for a girl and I exercise on a regular basis with an unprogrammed conglomeration of whatever makes me happy at the moment (heavy lifting, olmpic lifts, some running, sprinting, mountain biking, hiking, salsa, crossfit-esque workouts, but I don’t go ape-shit with any of it). I try to make sleep a priority, but my sleep quality is always a struggle (most likely because I’m a genius). In essence I have all the basic bases covered.
I don’t have any other health issues that I’m aware of. Haven’t been to a doctor in years so I have no information on bloodwork or anything along those lines (Sorry 🙁 ).
One thing that did intrigue me in my research is that Raynaud’s phenomenon is often secondary to an array of autoimmune diseases which led me to wonder if I might have some underlying issue or sensitivity that I’m unaware of.
I’ve been making my way through the podcasst, but haven’t heard anything on this topic yet. Any help you can offer would be much appreciated.
7. Drinking While Eating
Mats Says: In your experience, does drinking while eating influence digestion? Some say it is not advisable to drink while you eat, supposing this would dilute the gastric acids and enzymes. The idea is the stomach is an acidic oven burning the food and fluids would extinguish the flame. Then again others say you have to drink with food so it becomes a more even and moist (opposed to chunky and dry) mass in the stomach in which the gastric acids and enzymes are then evenly distributed for optimum chemical digestion.
Quickly thought thru I think both theories sound reasonable. It seems natural to drink with food but then again it might also be a cultural habit. I’ve noticed I feel more of that satisfying warmth after eating if I dont drink with the food. What are your thoughts on the matter, does drinking with food influence digestion?
My thanks and appreciation for all your work!