The Gut Recovery diet, Zdrowie - Health
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Jacques Duff
MAPS, AMACNEM, MAAAPB, MECNS
Dr. Joe Nastasi
MBBS,B.Sc.(Path)DipGSIM,DipACU
Lena Wallish
BSc(Psy/Psyphys)Hons
Eden Foster
BSocSc(Psych);GradDipPsych/Stats
Behavioural Neurotherapy Clinic
2/314 Manningham Rd. Doncaster, 3108
Tel: (03)9848 9100 Fax: (03)9848 9300
The Gut Recovery Diet (GRD)
This diet was designed at the Behavioural Neurotherapy Clinic as an
adjunct in the treatment of Intestinal Dysbiosis associated with Autism,
Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), Chronic
Fatigue Syndrome (CFS) Fibromyalgia and Psychiatric Disorders [1]
It is intended that the GRD be used in conjunction with the following tests
and monitored by an experienced Health Practitioner who understands
their implications and their application in treating Intestinal dysbiosis.
•
Blood test for IgG food sensitivity
This diet is based on the following scientific foundations:
•
Faecal Microbiology Analysis from Bioscreen Medical (at Bio 21
Melbourne University). No other lab’s faecal tests will do, as they
are not sensitive enough.
•
That we are hosts to a rich ecology of symbiotic gut bacteria [2, 3], and that
we and these bacteria have evolved together and are genetically adapted to a
“hunter-gatherer”, sometimes referred to as an “Evolutionary” or “Paleolithic”
diet [4-8].
•
Regular blood test to monitor Kidney function as a precaution.
•
That in some people, this ecology is disrupted due to their genetic inability to
cope with the “high grain and dairy” based diet initially promoted by the United
States Department of Agriculture (USDA) over 40 years ago as “The healthy
eating food pyramid”. This diet has now been discredited, dismantled and
rebuilt by the Harvard School of Public Health [9].
•
That environmental toxins, antibiotics, food preservatives (that kill bacteria and
yeasts) and food processing methods damage this delicate gut bacteria
ecology[10-12].
•
That intestinal dysbiosis (disordered ecology of gut bacteria) drives IBS, IBD,
and CFS and is one of the maintaining factors in Autism and Psychiatric
disorders [10, 13-15]..
•
That limiting carbohydrates in the diet to simple sugars (monosaccharides),
will result in these being absorbed in the small intestine, and thereby starve
out toxic organisms in the large bowel and promote a more normal bacterial
gut ecology.
•
Supplementation with a range of specific broad spectrum probiotics will
promote a more normal gut ecology, integrity and immune function [10, 12,
16-18].
•
That maintaining a normal (slightly alkaline) pH balance in the gut promotes
normal gut bacteria recovery and general wellness. In the normal human
body, the blood and extracellular fluid are maintained close to a pH of 7.40.
Any increase in acidity or alkalinity is associated with ill-health.
Copyright 2006© Behavioural Neurotherapy Clinic
Do not reproduce without the permission of the authors.
1
The Gut Recovery Diet (GRD)
The GRD is a scientific diet based in part on the Specific Carbohydrate Diet
(SCD™) outlined in Elaine Gottschall’s book. Although the SCD™ was originally
used for adults with IBS, IBD and other gastrointestinal
disorders, the SCD™ has more recently been used
successfully by doctors from Defeat Autism Now (DAN)
organization in restoring gastrointestinal health of children with
autism. Some significant behavioral improvements have also
been reported.
In the GRD Gluten, Dairy, starches and refined sugars are
eliminated. The diet consists mainly of meats, fish, eggs,
vegetables, fruits, nuts, and seeds that they have not triggered
an IgG reaction (according to an individual IgG food sensitivity
blood test from an ELIZA panel). In addition careful monitoring of urine pH is
used to ensure that the diet maintains normal body pH balance for optimum
health.
STEP 1: Stick to the allowed GRD foods that are listed on page 4. Make sure
that you exclude foods that are on the IgG sensitivities list.
STEP 2: Test urine pH every few days and balance intake of foods so as to
promote a normal pH balance on the alkaline side of the healthy body urine pH
Range, which is usually between 6.4 to 6.8. Aim for 6.6 to 6.8.
STEP 3: Adjust the ratio of allowed Alkalinising to Acidifying GRD foods so as
to achieve a less acidic pH urine balance within the range of 6.6-6.8
STEP 4: Use Citravescent 2-8 sachets per day to achieve a urinary pH
between 6.6-6.8.
STEP5: When instructed by the clinic, repeat the Faecal Microbiology
Examination from Bioscreen.
Intestinal Dysbiosis:
Current research in Gastroenterology and Microbiology suggest that overgrowth
of certain bacteria in the gut may cause damage to the gut lining, and their
continued presence prevents healing of the gut wall, manifesting as, Irritable
Bowel Syndrome, IgG mediated food sensitivities and Leaky Gut.
A Leaky Gut in turn is responsible for allowing peptides such as those from
gluten and dairy and trace amines (certain bacteria produce amines) to pass into
the bloodstream and affect brain function.
Overgrown bacteria continuously release lipopolysaccharides and other toxins
that can interfere with brain function and increase the toxic load resulting in
behavioural and information processing problems.
Copyright 2006© Behavioural Neurotherapy Clinic
Do not reproduce without the permission of the authors.
2
•
Some children with autism and their parents have found that food
intolerances are greatly reduced after a year or so, and some foods can
be re-introduced.
•
Removing starchy carbohydrates results in a much more “healthful”
diet, as "carb-addicted" ASD children will usually begin to accept more
meat, vegetables, and fruit.
•
Behavioral improvements such as better sleep, improved eye contact,
and increased cognitive function have been reported by many families
and individuals, and are usually apparent within a month.
•
As the overgrown bacteria die off, they release lipopolysaccharides and
other toxins that can interfere with brain function and increase the toxic
load resulting in behavioural regression. This is a normal reaction and
will only last for a week or two.
How strict does this diet need to be?
For Gastro Intestinal disorders like ulcerative colitis and Crohn’s disease, it has
been reported that strict adherence to the SCD™ is required for healing and the
relief of symptoms. In the case of autism disorders, many practitioners believe
that such rigor is also necessary to achieve good results, while others have noted
that cutting a substantial amount of starches and sugars will yield significant
benefits, and that the level of adherence can be fine-tuned to meet the needs of
the individual and the family. We suggest that you adhere strictly to the diet as
this approach may speed up recovery and reduce the total time needed for
normalisation of gut function.
The Dairy Debate:
Most of the celiac grain-free diets allow dairy products; however, they were not
designed for children on the autism spectrum. Many children with autism and
adults with CFS and IBS are seriously affected by opiate peptides resulting from
improperly digested milk and wheat proteins. DAN medical practitioners who
support dietary interventions are adamant that it is important to keep the dairy out
of the diet, regardless of claims that certain yogurts or cheeses will be tolerated
after the gut has healed.
How can you tell that the gut has healed?
A urine lactulose/manitol Intestinal Permeability Test can determine whether a
Leaky Gut has healed, regardless of gut symptoms. Although symptoms may
have normalised, the gut may still be leaky and reintroduction of IgG sensitive
foods of dairy and grains can start the damaging process all over again. The re-
emergence of symptoms may not be immediate, with symptoms re-occurring
over time.
Copyright 2006© Behavioural Neurotherapy Clinic
Do not reproduce without the permission of the authors.
3
Foods on The Gut Recovery diet
Foods Allowed
provided they are not on the IgG list
Foods Not Allowed
Foods with a rating above 2 on the IgG list
Fresh meats including beef, lamb, fish,
Cans of Paramount pink salmon (including
bones), chicken, turkey.
Processed meats, breaded , processed
cheeses, smoked or canned meat.
Cow’s milk products (milk, butter, cream,
yogurt, cheese, casein, whey, etc.) and
products containing these as ingredients.
Dried milk solids, Buttermilk or
acidophilus milk, commercially prepared
yogurt and sour cream, soymilk
Gluten-containing grains (wheat, barley,
rye, spelt, kamut, possibly oats) and any
products from these grains. All cereals
and grains, including, bean sprouts,
soybeans, mung beans, fava beans, and
seaweed, rice, corn. Flour, potatoes, yams,
parsnips, chickpeas. Cornstarch,
arrowroot or other starches, chocolate or
carob
Vegetables, whether fresh or frozen.
Fermented vegetables are highly
recommended and should be consumed
regularly. Juiced vegetables Ok.
Cranberry, blackcurrant, lemon or
Lime and Watermelon. Other fruits, cooked
in initial phase. Fruit Juice: Limited to ones
confirmed to be without added sugars.
Whole fruit that are juiced at home are
preferable
Canned vegetables, Canned fruits, unless
they are packed in their own juices
Milk, instant tea or coffee, coffee
substitutes, beer
All products made with refined sugar,
agar agar, pectin, ketchup, ice cream,
molasses, corn or maple syrup, flours
made from legumes, baking powder,
medication containing sugar, all seeds.
Oils rich in Omega 3 (unlimited),
Omega 6 oils in strict moderation
Omega 3 and Omega 6 oils must be cold
pressed. Baking allowed but frying is not.
Any form of trans fatty acids.
Do not fry with Omega 3 or Omega 6 oils,
as they will convert into trans-fatty acids.
Olive oil. Extra Virgin preferred.
Can be used for frying but do not over heat.
Olive oil overheated or heated for a
prolonged period, will also convert into
trans-fatty acids.
Condiments are OK if no added sugar or
spices. Turmeric highly recommended
Boullion cubes or instant soup bases
Most Nuts are allowed, provided that they
are not on the IgG sensitivity list –
However use only as freshly ground flour
in initial phase
Nuts on the IgG sensitivity list
Copyright 2006© Behavioural Neurotherapy Clinic
Do not reproduce without the permission of the authors.
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Beans: Soaked for 12 hours, allowed after
3 months, on advice of the clinic.
Seeds: Millet, Quinoa, Amaranth,
Buckwheat. Not for first 3 months, then
cautiously, on advice of the clinic.
Alcoholic Beverages (adults)
For occasional use: dry wine, gin, rye,
scotch, bourbon, vodka.
Beer
Coconut only grated and fresh - unlimited,
Introduce when nuts are added.
Gelatin without artificial flavourings and
colourings. Weak tea, Green tea is best.
Herb teas not recommended
Coffee
Sweeteners: Use Honey or Splenda
sweetener only
Vinegar White or apple cider
For suitable recipes look up
However make sure that there are no ingredients that
are excluded on the above list.
This diet is designed to starve out “acid–loving” large
bowel bacteria. And promote a more normal intestinal
flora. “Deviations from the GRD will defeat the purpose
of the diet and delay recovery from intestinal dysbiosis.
Copyright 2006© Behavioural Neurotherapy Clinic
Do not reproduce without the permission of the authors.
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