Questions About the SCD, GAPS and PD

With the Paleo Diet, you’ll be restoring the diet you are genetically programmed to eat. You’ll be eating the diet that every single person on the planet ate only 500 generations ago. It is the diet the modern world has completely forgotten. The Paleo Diet is simplicity itself. Here are the ground rules:

  1. All the lean meats, fish and seafood you can eat
  2. All the fruits and non-starchy vegetables you can eat
  3. No cereals
  4. No legumes
  5. No dairy products
  6. No processed foods

The Paleo Diet is not a fat-free diet, it’s a “bad fat” free diet. It has few of the artery-clogging saturated fats found on the low carbohydrate, high fat fad diets, but there is plenty of low fat protein and good fats – such as those found in salmon and other cold water fish, as well as in nuts and olive oil.

The Paleo Diet by Loren Cordain

Recently, I have had a number of people ask my opinion about the Paleo Diet. If you put the three programs on a continuum from least restrictive to most restrictive, the Specific Carbohydrate Diet (SCD) would be first, followed by Gut And Psychology Syndrome (GAPS), then the Paleo Diet (PD). The only area that the PD is less restrictive then the SCD and GAPS is the PD allows starches. All these diets are very healing and can cure the incurable. All these dietary programs want you to get off industrial processed foods which may be the major reason why these dietary programs work so well. These dietary programs restrict many of the same foods but the diets have some major philosophical differences. The saying, “the devil is in the details,” is true for these diets.

Here is a tongue-in-cheek book review by Sally Fallon written in 2002 about The Paleo Diet by Loren Cordain. I found Sally Fallon’s humorous description of the PD very enlightening. In the past, I used to eat a low fat diet and was very worried about all fats, especially saturated fat. I used to skin my chicken, chop off all signs of fat from my steak, and ate only egg whites. The Paleo Diet by Loren Cordain would have agreed with my saturated fat phobia. When I read Sally Fallon’s description of “Peter Paleolith”, I laughed and laughed. After that description I knew the truth was our ancestors would have done anything for fat including cracking bones and skulls for marrow and brains! Sometimes, humor is the only way to break through closely held beliefs.

Loren Condain also does some interesting mental gymnastics in The Paleo Diet. He states, “lean meat is brain food” and follows up this statement with: “At first, humans were not terribly good hunters. They started out as scavengers who trailed behind predators such as lions and ate the leftovers remaining on abandoned carcasses. The pickings were slim: ravenous lions don’t leave much behind, except for bones. But with their handy tools (stone anvils and hammers), our early ancestors could crack the skulls and bones and still find something to eat – brains and fatty marrow. Marrow fat was the main concentrated energy source that enabled the early human gut to shrink, while the scavenged brains contained a specific type of omega 3 fat called “docosahexaenoic acid (DHA), which allowed the [human] brain to expand.”

So which is it? Does lean meat build brains or does fat build brains? Loren Condain likely believed the low fat dogma of his day like many other intelligent people. But he becomes disingenuous when he states the PD is a return to our ancestral diet while manipulating the diet to fit modern tastes and quoting current dietary dogma. I would image it was an easier sell to base a diet book on lean meat and vegetables rather than bone marrow and brains.

When I started eatkamloops.org, I had to decide which dietary program best illustrated my dietary approach. The SCD/GAPS program was the best fit but I always used some elements of the PD. I used many PD recipes and found PD resources to be very helpful. I just ignored the fat and salt phobia. I did not eat starches that are restricted on the SCD/GAPS program. At the time, a large segment of the Paleo movement were thinking some strange thoughts, like believing our ancestors ate skinned chicken breasts, didn’t use salt, and ignored the use of raw dairy in numerous traditional cultures.

The PD condemns all grains, legumes and beans. Grains, legumes, and beans are “poisons” for me, but I know many people do very well on these foods if properly prepared. Even though I do well on a low carbohydrate diet, low carbohydrate diets do not work well for all people. Some people need more carbohydrates to function optimally. Micro-nutrient needs are very individual and can change for the individual if activity levels change or as we age. The PD allows starches but both the SCD/GAPS restrict these foods because the people that are helped by the SCD/GAPS cannot digest complex starches.? Finally, the PD had many views that counter the opinions of the Weston A Price Foundation, an organization I have great respect for. The WAPF got me on a high fat diet, a change I will forever be grateful for.

All three dietary programs completely restrict all grains and their products. The SCD/GAPS does allow a limited amount of beans and legumes. Since I do not eat either of these food groups, I am more of a PD follower in this one area. In the past, I avoided all dairy which is one of the restrictions of the PD and the extreme version of GAPS. Since I found a source of raw milk, I have been able to re-introduce raw cheese, fermented dairy products, and even liquid raw milk. Liquid milk is restricted on all three dietary programs.

I was still scared about eating more fat. It was this book review and other WAPF articles about traditional diets that made me brave enough to take the chance and go high fat with my diet. My experience going high fat was very positive. I “cured” my health problems which included: asthma, allergies, chronic sinus infections, yeast infections, osteoarthritis and epilepsy. For more details please read: Specific Carbohydrate Diet: A Personal Story.

Over the last number of years more research has come to light about the importance of fat in the diet. If you read the link above you will know I identify with the SCD/GAPS but really I am on a combination of all three dietary approaches. In the past, I could not identify with the PD movement because of the Paleo dogma around low fat/high protein, salt, and dairy. Well now I can identify with the PD movement, because the PD movement is realizing that raw dairy, especially fermented dairy, high fat cream, and butter, can be good for many people. Of course, even the best quality dairy is not for everyone.

modified-paleo-burger

This is a modified paleo burger. Loren Cordain would be horrified to see raw cheese on this burger. Many paleo diet followers are now including raw dairy, if they consume dairy at all. In the Paleo Community the term "Swiss Paleo" is used to describe people consuming raw dairy.

The dogma about low fat diets being better is finally being seen as erroneous. I just found a great website about the “modified” PD called Paleo Diet Lifestyle. I have read most of the website and I agree with everything I have read. I also really like Mark’s Daily Apple for great PD recipes and “Paleo lifestyle” information. He has free ebooks for PD recipes and body weight exercises that can be done anywhere without any equipment. Even though I really like Mark’s Daily Apple, I do not endorse his use of supplements. These are not real foods but industrial nutraceuticals. Guidelines from the Weston A Price Foundation recommend eating real foods from a quality source first, and then the use of superfoods, if necessary. Here is my use of superfoods.

Finally, what I like about SCD/GAPS philosophy is that after the person heals their gut the person may be able to go back to eating ?some? of the restricted foods. For those people that can tolerate these foods, the WAPF gives good advice on how to properly prepare these sometime troublesome foods. Of course, many of us do not go back to eating these foods because if we do, we get sick again.

The PD would state that these foods are bad for everyone and if we value our health and longevity we should never eat these foods again. The WAPF states many traditional cultures used ?properly? prepared dairy, grains, legumes and beans. For many of us, we are too damaged to consume these foods. The question each of us must answer for ourselves is, which of these foods made us sick? My great-grandfather used to say: ?If the food doesn?t agree with you, leave it alone.? Good advice for all of us.

One last word about the PD. What I really like about the PD philosophy is trying to image the food and lifestyle of our ancestors. No one can doubt the vitality of these primate people nor that our modern food and lifestyle is not working for many of us. The PD has come a long way from its original form and the lifestyle of our ancestors might hold the key to functional longevity and a sane habitation of our planet.

The “modified” PD lifestyle might be the program for you if you would like to “plateau your aging at a younger age”. Did I say plateau your aging at a younger age? Did I say stop aging? Here is a link to a video about Michael Rose, an Evolutionary Biologist whose research focus has been on natural selection and aging. Here is Jimmy Moore’s Episode 478: Evolutionary Biologist Michael Rose On The Paleo Connection To Achieving Biological Immortality. If you find this video catches your interest, please see the 55 Theses, which explores and expands the ideas in the video.

Sorry, but the 55 Theses are a total grind, but if you live a longer functional life, you will have the time! The author of the 55 Theses is Rob Paterson who maintains a website called Missing Human Manual. Give yourself a few days to read the material. It will be a wild ride. I guarantee it!

Updated December 5, 2013: Sally Fallon Morell has written a essay on the Difference Between the Weston A Price Foundation Diet and the Paleo Diet.

What is a Healthy Gut?

A well-functioning gut with healthy gut flora holds the roots of our health. And, like a tree with sick roots is not going to thrive, the rest of the body cannot thrive without a well functioning digestion system. The bacterial population of the gut – the gut flora – is the soil around these roots, giving them their habitat, protection, support and nourishment.
Gut and Psychology Syndrome by Dr Natasha Campbell-McBride

The are 400-500 different microbes in the human gut. There is a great deal of difference between the types of strains within the gut of individuals. Drug treatment, poor dietary choices, stress and disease can disturb the natural balance within the gut. The biggest factor that we control on a daily basis is the type of foods we eat. Food will change the environment of the digestive system for better or worse.

Inside and outside our body is a microscopic ecosystem. As with all ecosystems this microbial world is highly organized. Any area open to the environment, such as integumentary, digestive, respiratory and excretory systems, is inhabited by a huge number of microbes living in mutually beneficial symbiotic relationship with their host.

The largest number of microbes live in our digestive system. Most of these microbes help us digest our food and also produce vitamins for our use. In fact, we cannot live without them. Like plants protect the soil from erosion, our microbes protect the walls of the gut from outside forces. Our microbes are our first line of defense from outside infectious or poisonous agents.

Before we are born, our gut is sterile. We get our gut flora from our mothers. As a baby passes through the birth canal, the baby gulps down vaginal fluid filled with the type of microbes found in the mother’s body. During breast feeding, the baby consumes more microbes from the skin of the mother’s body. Not all children are born vaginally or breast fed so some children do not get this natural, first large microbial transfer from the mother’s body.

Assuming the mother is healthy, the microbes will be well suited to the environment. If the mother has abnormal gut flora, she will pass the abnormal gut flora on to her child. This is part of the “environmental inheritance” children get from their parents. Over the first few days of life, the microbes colonize the baby’s body. This first microbial colonization is extremely important for the long term health of the child. The microbes will attach themselves to the wall of the gut and somehow communicate chemically with a vast array of neurons known as the gut brain. It is thought that our immune system is somehow interconnected with this microbial world through the gut brain. If our microbes are not doing well, we will soon be sick too.

There are three main types of gut flora:

  1. Beneficial flora, sometimes called the “good bacteria”, are found in very large numbers in healthy people. These microbes help us digest our food and produce numerous vitamins for our use. The microbes will also “sacrifice themselves” by engulfing an infectious or poisonous substance and then be excreted by the body. The main types are: Bifidobacteria, Lactobacteria, Proppioncbacteria, Peptostreptococci, Enteroccci and Escherichia.
  2. Opportunistic flora, sometimes called the “bad bacteria”, vary a lot between individuals. In a healthy person, these microbes are under the strict control of the “good bacteria” but can overgrow and cause disease in the sick person. It appears we need the “bad bacteria” too.
  3. Transitory flora come from the water and food we eat each day. These are normally gram-negative bacteria. In a healthy gut, these microbes do not harm and actually helps nourish the person, and pass out of the body in a few days.

The best way to help our gut flora is to eat nourishing traditional foods, especially fermented foods, and avoid the processed foods coming out of the Industrial Food System. For more information please read 25 Step to Eating Nourishing Traditional Food and I Got Culture!

For most people this will be enough to tip the balance toward health. More sensitive people may find health by using the Specific Carbohydrate Diet. There is a small group of people that have a profound imbalance in their gut flora usually due to long-term drug treatment, stress or environmental issues. These people may find relief with supplementing probiotics. If you would like to learn more about probiotics please read Probiotics and Intestinal Microflora by Harry Bronozian.

Industrial Food Sickness

wine-cheese-board

Use whole food from a quality source as your medicine. But even the best food doesn't agree with everyone. Additives can be a real problem for some.

All disease begins in the gut.
Hippocrates

Since my family has been eating exclusively whole, unprocessed foods for over three years, I have noticed a strange occurrence. When my girls go to birthday parties or indulge in holiday festivities such as Halloween or Easter, they don’t feel very well afterward. After eating the processed foods out of the Industrial Food System, the girls become nauseous and complain about stomach pain within a few hours. My eldest daughter has vomited a number of times after these meals. My youngest daughter is very sensitive to something in these foods. More often than not, it causes behavioral problems for a day or two after eating the processed food. My husband occasionally eats out at restaurants and complains about not feeling well after most meals. Even our cat Tabs, who has been on a raw meat diet since we got her, has become sick from getting into a friend’s processed cat food. As I observe their sickness, I notice it is like a mild flu that includes stomach upset or vomiting.

Now my family has not eaten unprocessed foods our whole lives. We used to eat processed foods everyday without feeling sick. (Okay, my family wasn’t the picture of health, but we weren’t vomiting after a meal either.) One would hope that eating nourishing traditional foods regularly would strengthen a person’s constitution so an occasional meal of highly processed foods would have no effect. But the reverse appears to be true. The longer my family eats nourishing traditional foods, the more sensitive we become to these processed foods.

Why are they now having industrial food sickness? Why in the past did these same processed foods not cause sickness? What has changed? I have been thinking about this question for quite some time. It is hypothesized that the healing action of the Specific Carbohydrate Diet is that it changes the composition of gut flora or reverses gut dysbiosis. Gut dysbiosis is the lack of gut flora or an unhealthy gut flora imbalance which causes illness.

What if this progressive industrial food sickness is caused by changes in the gut flora community? Do the processed foods damage or kill healthy gut flora? Does the gut flora “communicate” this damage to the “gut brain” causing the feeling of sickness? The gut brain is an extensive grouping of neurons in the digestive system, which gut flora attaches to and chemically communicates with the nervous system. What if the gut flora community is causing the feeling of being sick after my family eats the processed foods?

This would explain the progressive nature of industrial food sickness and why it seems to worsen the longer my family eats nourishing traditional foods. The longer my family eats better, the stronger the population of healthy gut flora becomes. As the healthy gut flora population increases, it can send a very strong message to the nervous system that the processed food is making the gut flora’s environment poisonous to them. The reason why the processed food did not cause illness before eating nourishing traditional foods is because of gut dysbiosis. There was not enough healthy gut flora to send a strong message of dismay to the nervous system about our food choices.

One thing I notice is that it is getting easier to get my children to eat better. Every round of industrial food sickness reinforces good eating patterns. The sad part is thinking about all of the people walking around with very sick gut flora communities, too weak to send a danger warning. Most people are not aware that we are indeed “individuals” but our bodies are a vast and complex microcosm of interrelating organisms. We are in peril if we forget that we interface with the environment on a microscope level and our first line of defense is our symbiotic gut flora community.

For more information about this topic please read What is a Healthy Gut? For more information about gut dysbiosis please read Gut and Psychology Syndrome and GAPS In Our Medical Knowledge. For more information about the gut brain connection please read Breaking the Vicious Cycle.

Supplements or Superfoods: A Personal Story

Past:
I first started taking the standard synthetic multivitamins found in most drug and grocery stores. I took these standard preparations for most of my life. I felt that these vitamins were “insurance” against my less than ideal diet. As for my diet, I was a vegetarian for six years. But most of my life, I consumed the Standard American Diet (SAD) with a low fat focus.

In 2001, I fell sick after the birth of my first child. I tried all the normal medications recommended by the medical profession. These drugs helped with symptoms of my disorder but never seemed to treat the root cause. I started thinking about diet and nutrition. I upgraded my multivitamins to the kind found in health food stores.

In 2003, after the birth of my second child, I went on Weight Watchers. The diet is an eat anything you want but be low fat program. I lost over 40 pounds on Weight Watchers. I was still on all my medications. I frequently got sick and I was extremely tired all the time. I was taking a standard multivitamin found in health food stores.

In 2004, I decided to update my multivitamin supplements. I chose the “best supplements in the world” produced by Life Extension Foundation. They have an extensive program which focuses on longevity and using nutraceuticals for treatment of common chronic disorders. If you would like to see Life Extension’s program read: Top 10 Steps for Achieving Ultimate Health. I did most of this program which is not cheap. I was spending about $2500 a year or $6.85 a day on supplements. I used their program for about three years.

In 2005, I learned about the Specific Carbohydrate Diet. I took the Weight Watchers program and removed foods not allowed on the SCD. I saw an immediate improvement in my condition. I started withdrawing from all my asthma and allergy medications. I was on the full nutraceutical program produced by Life Extension Foundation.

In 2007, I learned about the Weston A Price Foundation. I learned about nutrient dense foods and why it was important to get your nutrients from whole foods. It was my first introduction to the idea that traditional fats were safer than modern vegetable oils. It took me months of research to finally consider that saturated fats might not be as dangerous as I once thought.

This was a big breakthrough for me. I even read books on Atkin’s low-carbohydrate diets, something that in my Weight Watchers days I would never even consider. Using the protocol from Life Without Bread by Wolfgang Lutz, I went high-fat and low-carbohydrate with the SCD. I stopped all nutraceuticals from Life Extension Foundation.

In 2008, I stopped my anti-convulsion medication for epilepsy. I have been drug and seizure free for a year. I am now pharmaceutical free. I do not suffer from allergies, asthma, sinus infections, yeast infections, hormone imbalances, osteoarthritis or epilepsy.

Present:
1. I eat a diet comprised of nourishing traditional foods. This includes: bone broths; meat and fat from pastured animals; raw or fermented pastured dairy; lacto-fermented vegetables; and local seasonal vegetable and fruits. I eat some raw animal products numerous times each week. I follow a low-carbohydrate version of the Specific Carbohydrate Diet. My personal macro-nutrient ratios are: 65-70% fat, 15-20% protein, and about 10-15% carbohydrate. My personal carbohydrate load is 40-60gm per day and I can safely go to 90gm if very active.
2. I take the following supplements daily: 1tsp fermented cod liver oil, and 1tsp high vitamin butter oil and Swedish Bitters before each meal.
3. I eat the following superfoods. (I am a very small woman. Larger women or men would have to eat more to maintain their weight.)
2-3 whole pastured eggs, daily (preferably pastured and/or organic)
1-3c raw whole milk, 1c homemade whole yoghurt, 1/4c heavy no-additive cream or 1/4c raw cheese, daily (preferably raw, pastured and/or organic)
1-3T unsalted no-additive butter, daily (preferably raw, pastured and/or organic)
1-3T virgin coconut oil, seasonal (organic)
1-3T pastured pork lard, seasonal (pastured and/or organic)
1tsp unrefined celtic sea salt or other quality mineral salts, daily (wildcraft)
1/2-1c liver, 1-2 times weekly (pastured and/or organic)
1c wild salmon, shellfish and/or fish eggs, 2-3 times weekly, seasonal (wildcraft)
4. I use special superfoods for personal use. (I do not use these special superfoods regularly. The last four, I use very rarely.)
raw honey, pollen and propolis (enzymes and immunity)
variety of herbs (seasonal tonic)
traditional homeopathic remedy
Custom Probiotics (gut dysbiosis)
Serrapeptase (colds/sinus infections)
Lugol’s iodine solution (thyroid and endocrine system)
omega 3 oil (joint pain)
rhodiola (adaptogen)

Updated June 21, 2013: Just an update on Serrapeptase. The company I got it from has moved from tablets to capsules. Unfortunately, they use ?rice flour? for a flow agent in the capsules. I react to the tiny amounts of rice flour in the supplement so now the supplement does not work for me. I have found another solution, ionic silver. I didn?t get sick or develop a sinus infection this winter. I used the Sovereign Silver nasal spray if I felt a bit ?stuffy?, but there are other good brands available or you can make your own at home. I have only used ionic silver externally so I have no experience with internal use. From my experience, ionic silver is also great for cuts, scraps and wart removal.

Specific Carbohydrate Diet (SCD)

SCD

This book saved my health and the health of my daughter.

The Specific Carbohydrate Diet is a special dietary program for very sick people. This diet was originally, developed and clinically tested by Drs Sidney and Merrill Haas. They wrote a book in the 1950s called Management of Celiac Disease, where they treated and cured hundreds of cases of celiac disease and cystic fibrosis of the pancreas.

At this time, celiac disease included a number of other disorders the medical profession now considers different diseases such as: ulcerative colitis, diverticulitis and chronic diarrhea. For some reason, SCD disappeared as a first line of treatment for intestinal disease around the time that celiac disease became connected with the protein gluten. Celiac disease is now considered a genetic disorder and the standard treatment is the Gluten Free Diet. This diet works well with about half of all celiac patients.

The SCD would have likely passed into medical history, if it wasn’t for a mom with a very sick child. Elaine Gottchall’s daughter was dying from ulcerative colitis and was plagued by seizures. She found out about the diet, cured her daughter, and went back to school and became a biochemist. She wrote a number of books including: Breaking the Vicious Cycle: Intestinal Health Through Diet. She became a crusader on behalf of dietary approaches to illnesses.

Elaine Gottchall developed a website called: www.breakingtheviciouscycle.info. The website was formed to help people with digestive disorders find answers not known in conventional medical circles. The modern SCD restricts all disaccharide sugars and complex starches. All processed foods are eliminated. Grains, legumes, and most beans are eliminated. No starchy vegetables are allowed. Dairy is carefully restricted or in some serious cases eliminated. Nuts and seeds can be eaten with care. The diet consists of unprocessed fats, proteins and monosaccharide sugars. Monosaccharide sugars include non-starchy vegetables, whole fruit, and honey.

Over time something began to happen. People using the SCD found their other chronic health conditions became less serious or completely disappeared. Diseases caused by inflammation or autoimmune reactions seem to be helped in some way by the diet. This includes: asthma, allergies, chronic sinus infections, type two diabetes, arthritis, MS, heart disease, seizure disorders, epilepsy, depression, schizophrenia, autism and the spectrum disorders. The list continues to grow.

GAPS

GAPS is the new SCD. GAPS adds probiotics and nourishing traditional food preparation.

Gut and Psychology Syndrome (GAPS): A New Evolution of the SCD

The Gut and Psychology Syndrome is a new evolution of the SCD. It was developed by Dr Natasha Campbell-McBride, a neurologist and nutritionist working in the UK. She has a son diagnosed with autism. As a neurologist she knew the conventional medical profession had little to offer her son. She took a degree in nutrition. She was introduced to the SCD at a lecture by Elaine Gottchall.

Over the last 15 years she has used the SCD clinically with her patients. She has changed the SCD in two major ways. She uses high dose probiotic treatment and WAPF traditional food preparation methods with her patients. She has had very good results in her clinical practice with patients with autism, schizophrenia and the spectrum disorders. Her son is now a teenager and no one would know he was once diagnosed with autism.

Dr Campbell-McBride has written two lay publications: Gut and Psychology Syndrome and Put Your Heart in Your Mouth. Both are available in the Kamloops Public Library. She has two websites that outlines the program called: www.gaps.me and www.behealthy.org.uk. A helpful North American website is called: www.gapsdiet.com. GAPS Guide is a website to help newcomers to the diet.

More Posts the SCD and GAPS
Specific Carbohydrate Diet: A Personal Story
Specific Carbohydrate Diet: Common Problems
Industrial Food Sickness
What is a Healthy Gut?
Questions about SCD, GAPS and PD

More Posts on Related Diet Topics
Supplements or Superfoods
Supplements or Superfoods: A Personal Story
Funny Troubles
Diabetes: A Modern Epidemic

Update December 16, 2009: This essay is by Dr Natasha Campbell-McBride about Gut and Psychology Syndrome.

Updated March 1, 2010: This is from dogtorj.com about Gut Absorption Recovery Diet (GARD). John B. Symes is a vet and uses his experiences with animals to enlighten us on human health. The diet sounds a lot like the SCD/GAPS. It would be good for people with seizure disorders to read his material.

Updated April 16, 2010: Here is a video presentation by Mercola with Dr Andrew Wakefield. You may know of his work with developmental disorders, bowel disease and early exposure to vaccines. It is a long presentation but worth it for anyone interested in Autism and the Spectrum Disorders.

Updated April 16, 2011: Here is Dr Natasha Campbell-McBride lecturing on GAPS at the Weston A Price Foundation 2007 Conference. Her lecture is in two parts and can be downloaded here. Sally Fallon gives a brief overview of the research of Dr Weston A Price before introducing Dr Natasha Campbell-McBride. Please put some time aside to listen to this very interesting lecture:
WAPF2007 GAPS part1 6203.mp3
WAPF2007 GAPS part2 6219.mp3

Updated April 22, 2011: Sarah Smith is the WAPF Chapter Co-leader for Las Cruces, NM. She is also on the GAPS program with her family. If you are interested in GAPS recipes, gardening, and traditional meal preparation, please see Nourished and Nurtured.