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Intro to Functional Medicine: How I’m treating chronic health issues

December 31, 2015 by Heather 1 Comment

Intro to Functional Medicine

Intro to functional medicine how I am treating chronic health issues

In the spring of 2014, I heard a term I’d never heard before – functional medicine.

My digestive health had been on a steady decline for a year and a half, and I was reaching a point where something HAD to change.

I took a few ideas and started researching them online, and it didn’t take long for “digestive health” and “grain-free diet” to pop up together. The more I read about adopting a Paleo-like approach to eating, the more I saw authors and speakers recommend “functional medicine” doctors.

We’ve heard of Western and Alternative Medicine before, but what is Functional Medicine?

Intro to functional medicine -- why I am choosing functional medicine to diagnosis and treat chronic gut health issues

What is functional medicine

Functional medicine:

  • often combines elements of western/conventional medicine and alternative medicine (providing acute care and a preventative/wellness focus)
  • offers a more personal relationship and partnership between practitioner and patient (appointments are longer with ample time for questions and discussion)
  • assesses how the different systems within the body are or aren’t functioning properly (and how one may influence the others)
  • treats health issues by looking for the underlying causes of symptoms
  • focuses on how medicine, food, supplements, exercise, and lifestyle can help us pursue health and wellness

Learn more from the Institute for Functional Medicine.

Why functional medicine

Once the list of food allergies and intolerances started to grow out of control, I couldn’t eat a single meal without feeling miserable. Getting through the day just felt exhausting with all of the uncertainties, and I knew I needed major help.

It seems like many functional medicine practitioners entered the field after having gone through significant health issues themselves. And, they have loads of experience treating patients with digestive/gut health concerns. Experience + empathy sounded like exactly what I wanted from a doctor.

Plus, when it comes to everyday living, I’ve preferred more natural approaches to healthcare since my late teens/early 20s. As a rule, I don’t like taking medication unless necessary. I’m sure there are prescriptions and over-the-counter medications that could mask my digestive health symptoms. However, relief from symptoms doesn’t mean the source of the health problem has gone away. I want to get to the root cause of a health issue and tackle it directly.

My functional medicine experience

In the summer of 2014, when the GAPS diet wasn’t helping as much as I had hoped, I made my first appointment with a functional medicine doctor. For a year, I worked closely with the practice’s two doctors to make changes in my diet, identify helpful nutritional supplements, discuss lifestyle changes, and take tests to help identify underlying causes of my health problems.

While I saw some improvements in that last year, some issues persisted, and Gav and I decided it was time for a second opinion. In the summer of 2015, I scheduled an appointment with a new doctor, and I’m happy to say we’ve made significant progress in the last several months.

Functional medicine: Nutrition

Functional medicine approach to nutrition helps reduce symptoms and restore gut health

As a whole, functional medicine encourages us to eat real foods, minimize sources of added sugar, and eliminate foods that are causing allergy-like responses. By eating nutrient dense foods and reducing or eliminating problematic foods, we can improve our health both in the short and long term.

A paleo-ish diet is often followed, as it removes grains (which further inflame the gut of us sick folks), processed foods, and excess sugar. I add the “ish”, as people often modify the paleo diet for their unique needs. For me, paleo-ish has meant following paleo guidelines in addition to removing a variety of paleo-friendly foods, which my body hasn’t been responding well to.

functional medicine and treating food allergies

Functional medicine helped me identify the foods I was eating that were NOT working for me, even though they’re regarded as healthy. My body was unable to break down some of those foods and digest them properly, leading to a variety of problems. The dysfunction of my small intestines led to developing an allergy-like response to foods I had been consuming for years with no problem.

By working closely with functional medicine practitioners, I’ve been better able to identify which foods are best for my body in the moment, and that list of foods has changed (and improved!) as my health improves.

Functional medicine: Testing

Chris Kresser, one of my favorites in the health and wellness world, likes to say “test, don’t guess”.

While symptoms can help lead to a diagnosis and treatment, many health issues have similar symptoms, so it can be difficult to determine the underlying issue correctly. I strongly believe that a large part of the reason I’ve been struggling for so long is that my symptoms can be attributed to any number of issues. Finding the needle in the haystack is difficult and time consuming.

functional medicine testing, test dont guess

That’s where fairly comprehensive testing comes into play. My symptoms could point to a general imbalance of gut bacteria (the good and the bad), an overgrowth of bacteria in the small intestines, parasites in the large intestines, heavy metal toxicity, adrenal fatigue, or several other issues. Since these are each treated differently, it’s important to determine which, if any, of these issues are present.

In the last year, I’ve had my fair share of tests.

  • 3 different stool tests to look for parasites and other such fun things
  • hydrogen breath tests to test for SIBO (both the glucose and lactulose tests to best assess the entire length of the small intestines)
  • blood work for IgE food allergies
  • comprehensive blood panel for various wellness markers (thyroid, vitamins and minerals, candida, etc)
  • 2 different heavy metals (mercury focused) tests
  • methylation eval through 23andme.com and blood work to assess “functional methylation”
  • organic acids test
  • hormone and adrenal fatigue assessment
  • and perhaps another 1-2 tests I’m forgetting
  • more info on commonly used tests in functional medicine

Although taking this many tests has been costly, I’m more determined than ever to get to the bottom of this mystery. In future posts, I’ll share what I learn from the results, as well as a few of my test-taking experiences.

Functional medicine: Supplements

Though the most frequently asked question is “what CAN you eat?!“, folks also ask what kind of supplements I take and why.

I’m no stranger to taking nutritional supplements. Since my late teens, I’ve taken a supplement or two along with the rest of my family. But there are HUNDREDS if not thousands of supplements one could take, and purchasing more than a few can get quite expensive.

This is where the benefits of working with a skilled practitioner come into play. All of the supplements I’m currently taking were recommended AFTER discussing my health concerns at length with a doctor, reviewing test results, and discussing my progress over the course of several months.

Though I’ll go into more detail in a future post, I’m currently taking supplements to:

  • address leaky gut (permeability of the small intestines)
  • aid the digestion process (helping my body break down food properly)
  • reduce stress, anxiety, and sleep issues
  • help the thyroid functional optimally

One important note is that supplements are just that – supplementary. They’re not designed to be a crutch for poor decision making when it comes to taking care of ourselves, but they certainly shine in addressing gaps in health care that we might not be able to fill without them.

Functional medicine: Lifestyle

It’s no secret that stress is related to many health problems. It can be a vicious circle, as stress can lead to health problems, and health problems, in turn, often result in physical, emotional, and financial stress.

Functional medicine focuses on reducing sress and improving lifestyle

One thing I’ve relearned over and over throughout the last year – if you don’t reduce and manage stress, you’ll be limited in how much progress you can make. Or if you’ve made progress, you’re likely to suffer setbacks if you don’t get a handle on stress.

I FULLY admit to not handling stress very well. It’s always been that way! I pick up on and often absorb emotions from others. Over the last few years, between the health issues, challenges for various friends and family, and the emotional, physical, and mental challenges of having chronic health issues, there’s been a lot of stress to wrestle with.

Thankfully I’ve tried some tools to help deal with stress (though I still have a LONG way to go) and I’ll share those in a future post.

What’s next?

I’m writing this at the end of 2015 (literally — it’s the 31st!), and I’m 2 weeks away from wrapping up treatment for 2 conditions that were FINALLY identified in October. HOORAH!

I had planned to take copious notes and blog throughout the treatment process, but work + treatment + life kept the days and weeks full of activity with little time for processing and writing. Now that the this 1st round of treatment is almost complete, I’m ready to reflect, write, and share!

In early 2016, look for more info about my recent diagnoses and how they were treated, healthy and satisfying recipes, and helpful health-promoting resources.

Through food, functional medicine, and faith, we’re solving this health puzzle of mine, one piece at a time. Thanks for following my journey, and don’t hesitate to let me know if I can lend an ear during your own.

functional or integrative medicine addresses underlying causes of symptoms

Filed Under: wellnessjourney Tagged With: functionalmedicine

What to expect from a Hydrogen Breath Test for Small Intestinal Bacterial Overgrowth (SIBO)

March 15, 2015 by Heather Leave a Comment

I don’t think I’ve ever wanted to visit the hospital so badly as I did last month.

Before the age of 8, I was sick off and on for several years and was in and out of the hospital for various tests. While the early childhood hospital stays initially made me brave, by the time I was 10, I was scared of even going to the doctor for a routine check up. I’d had my fill of doctor visits and hospital tests.

Fast forward more than 20 years to the summer of 2014. After trying to resolve my digestive health issues with the GAPS diet, I found that I was still suffering on a daily basis from pain, discomfort, bloating, and very visible distension. I learned that a persistence of symptoms even on a clean diet could indicate fairly serious but treatable conditions. As Chris Kresser, one of my faves in the health and wellness space, likes to say “test, don’t guess” — so I decided to start working with a functional medicine doctor who could help me order the tests I needed to identify, treat, and heal the underlying causes of my chronic digestive distress.

One of the tests I most wanted to run was the hydrogen breath test, noted by many as the “gold standard” test for diagnosing small intestinal bacterial overgrowth (SIBO). While many GI health issues have overlapping symptoms, I was fairly positive that I had SIBO, and after getting to know me and monitoring my behaviors and symptoms for a couple of months, my doctors thought there was a strong possibility too.

In the hydrogen breath test, a patient consumes a sugary solution. If there is an overgrowth of bacteria in the small intestines, the bacteria will feed on these sugars and then produce hydrogen and/or methane, which can be measured through the breath. Sounds like fun, right?!

what-to-expect-from-hydrogen-breath-test

What I didn’t expect from the test — the emotional element

Once we found that the local hospital offers the test, my doctor sent in a request to schedule it. I anticipated I’d have to wait a couple of weeks to been seen. Instead, I learned the hospital didn’t have an opening in their schedule for another 2.5 months.

It was difficult waiting for the test, especially during the Thanksgiving, Christmas, and New Years holidays. I just wanted to know whether or not SIBO was a contributing factor to my health problems so I could keep moving forward on this journey to wellness. But as much as I wanted the test, I almost cancelled it four or five times in the three weeks leading up to the date. While the hydrogen breath test IS the gold standard for diagnosing SIBO, it’s not perfect, and I’d read stories about false negatives. I started doubting myself and the process, questioning why I was spending money on an imperfect test to look for something I may not even have. After days of wrestling with unexpected stress over a test I had wanted so badly for over half a year, I finally decided to move forward. Better to make decisions based on data versus guess work.

I think I was also nervous about the test because while I expected (and wanted) it to be positive (I’d have something specific to treat!), I also dreaded the side effects I’d no doubt experience during the test and possibly for days afterward. The side effects? Those all-too-familiar painful, uncomfortable symptoms I experience on my worst days. I’d never willingly bring those on except for in a test that could help me determine the next best course of action.

Just keep swimming – keep hope alive during the journey to wellness

Hydrogen breath test instructions from the hospital

Shortly after scheduling the test, I received a letter from the hospital with pre-test instructions.

hydrogen breath test hospital instructions

My hydrogen breath test experience

On an overcast, gloomy Monday morning, I drove to the local hospital and arrived 45 minutes before my appointment. I’m glad I did! The hospital had my maiden name only on my official record. The fax machine wouldn’t send a copy of my driver’s license to the department that could update my record. The insurance card scanner wasn’t reading my card properly. It was a Monday morning.

As the waiting room filled up, I tried to relax and ignore the butterflies.

Right on time, a nurse called my name and took me back to a private, comfortable room where I’d spend the next few hours. And right away, she showed me the hydrogen breath test kit.

What to expect during a hydrogen breath test for small intestinal bacterial overgrowth (SIBO) | breath test kit

Every 20 minutes, I would need to inhale normally and then exhale normally, breathing out and into the mouth piece shown above. I was to exhale until I couldn’t any more. The small collection bag would inflate with my breath. Then, I would need to remove a sample of that breath with a plastic syringe, which has a component I could turn to “lock” in the breath sample.

First, we took a sample of my breath to identify a baseline that future samples would be compared to. This also serves as a practice run to show the nurse you know how to handle the rest of the test, as it’s largely self-administered.

After the baseline breath sample was taken, I consumed a lemon-flavored sugar-packed drink. I’d read that the hydrogen breath test may use a lactulose or glucose solution, and the nurse said that my drink contained dextrose, which is a form of glucose. I came into the test with the intention of asking for the ingredients and taking a picture of the bottle, but once I stepped into the test room, I completely forgot about it, other than to jot down the mention of dextrose!

What to expect during a hydrogen breath test for small intestinal bacterial overgrowth (SIBO)

Since I’d need to take samples every 20 minutes, the collection tubes/syringes were all pre-labeled.

What to expect during a hydrogen breath test for small intestinal bacterial overgrowth (SIBO)

While I waited to take my first sample, the nurse asked me to monitor and share any symptoms I may experience, mentioning that in addition to typical GI side effects, headaches were also quite common.

It’s been 7-8 months since I’ve consumed that much sugar at once, and I initially felt slightly jittery from head to toe while the sugar rushed through my system. My throat also felt a little raw, as if I’d been yelling and cheering at a sporting event the day before.

What to expect during a hydrogen breath test for small intestinal bacterial overgrowth (SIBO)

Every 18 minutes (I was given a timer to help me accurately keep track!), I eased the next syringe into the nozzle on the collection bag. I took a breath in, exhaled all of the breath into the bag through the mouth piece, and then pulled up on the syringe pump. To lock in the sample, I turned a small dial 90 degrees before removing the syringe from the bag. Then it was time to reset the timer to 18 minutes. Too easy.

Below is syringe 6, ready to be analyzed, and syringe 7, waiting to be used in 18 minutes.

What to expect during a hydrogen breath test for small intestinal bacterial overgrowth (SIBO)

Between samples, the nurse said I could stay in the room or walk around the hospital lobby as long as I brought the timer with me. I didn’t expected I’d be encouraged to get up and move, so I opted to leave the testing center and walk on three occasions. I brought more than enough reading material to keep me company, but all I managed was a few pages.

hospital reading material

Every 2-3 samples, the nurse returned to ask about changes in symptoms and add the collected breath samples to these machines. They instantly measured the amount of hydrogen and methane in each sample.

What to expect during a hydrogen breath test for small intestinal bacterial overgrowth (SIBO)

What to expect during a hydrogen breath test for small intestinal bacterial overgrowth (SIBO)

Toward the end of the test, the nurse started comparing these readings to the baseline. She shared that based on the numbers, it wasn’t likely that I had SIBO. At that stage, I wasn’t surprised.

What I least expected from the hydrogen breath test

As soon as I left the hospital, several people checked in on me to learn how it had gone. I found myself sharing the same message with everyone — it perfectly described how I felt.

I’m home from the hospital. The test went very well. Like suspiciously well. Other than feeling jittery from the sugar, I felt normal from start to finish with none of bad symptoms I was expecting. Nurse thinks readings look normal. Relieved to feel fairly normal (I thought I would be miserable all week!!!) and also sad/disappointed that the results will most likely be negative as I was 90% sure this would be it and I would finally have a diagnosis. I was positive SIBO was one of the problems. I just wanted to finally have a diagnosis because there are protocols to treat it. Now what…? Oh well, guess I’ll see what happens at the next doc appt in mid-February!

Words cannot express how shocked, pleased, and disappointed I felt at all once.

It was a blessing to breeze through the test with no pain, discomfort, or other negative symptoms. What was even better was that I didn’t spend the next few days in agony. Once something triggers my symptoms, it usually takes a full week before I might have a good day again.

And though I felt oh-so-grateful for feeling well during and after the fact, I couldn’t escape feelings of disappointment. Nothing had happened. Not a hint of bloating. Not a whisper of discomfort. Not a single sign that suggested, “hey, this might be SIBO after all!”

I felt a little silly for thinking it could be SIBO for the better part of a year. I felt let down that my body didn’t respond as I expected it to do. I felt ridiculous for feeling disappointed. I wondered how much this test was going to cost.

I spent the next few days assuming that I didn’t have SIBO. My new doctor once said that I was the “perfect storm” and probably have multiple things going on that will take some time to figure out. People have always said I’m an overachiever, and it looks like it’s no different with my gut health — THE PERFECT STORM!

the perfect storm of GI issues

When I met with my doctor in mid-February, he shared that the test results were indeed negative. After revisiting the differences in the glucose and lactulose drinks, I wonder if the glucose test was the right one for me. Dr. Allison Siebecker, considered by many as THE expert on all things SIBO, shares an important distinction between the two on her website — each type of drink solution best measures overgrowth in different parts of the small intestines! With that in mind, I’m not 100% ready to rule out the possibility of SIBO.

So what’s next?

I need to continue to pray about my health and have faith in the functional medicine process. I need to maintain the positive outlook and attitude I’ve had 90% of the time and allow myself the 10% where I wrestle with the mental and emotional toll that comes along with chronic health concerns.

If you found this page because you’re thinking about the hydrogen breath test but can’t find a place that administers it, Dr. Siebecker has shared a list of at-home test kits to consider.

Have you taken the hydrogen breath test? Was your experience different to mine? I’d love to hear your story. Let’s support one another on our road to wellness.

Filed Under: wellnessjourney Tagged With: sibo

GAPS Diet Preparation: Intro GAPS

March 5, 2015 by Heather Leave a Comment

Disclosure: This page contains affiliate links.

Tips for GAPS diet intro phase preparation | Healthy Life Heather

Last summer I started the GAPS diet in an effort to help heal my GI tract.

Before starting GAPS, I compared it to similar diets that offer holistic approaches to treating food sensitivities, digestive issues, and other health concerns. I’m so glad that I spent HOURS reading blogs, locating recipes, and mentally preparing myself for a diet that suggests adhering to it for at least six months. Now that I’ve concluded my GAPS experiment, I want to share my experiences in case my journey can be helpful to someone else.

GAPS diet reading

Before I began the GAPS intro diet on May 23, 2014 I had poured hours of time into reading about the diet in the evenings and on weekends.

Every blog post and article I read highly recommended purchasing Gut and Psychology Syndrome, written by the creator of GAPS Dr. Natasha Campbell-McBride. Although many of the key elements of the diet can be found for free online at The GAPS Diet, I’m glad I ultimately decided to buy the book, as it goes into more detail than any of the GAPS related websites do.

In addition to the official GAPS book, everyone suggested buying What Can I Eat Now? 30 Days of recipes and tips for the GAPS™ Intro Diet from Cara of Health, Home & Happiness. I wondered if I would benefit from the e-book since I had already found GAPS recipes on my own. One day, Cara’s e-book went on sale, and I snatched it up! Reading the recipes and to-do lists made me feel better about my own plan and research. While I did not end up following Cara’s plan (since I’d already developed my own), I can see how helpful the resource would be for someone who doesn’t love to research and plan as much as I do!

The reading prep I enjoyed the most was spending COUNTLESS hours on Pinterest and food blogs, looking for GAPS recipes.

GAPS intro diet preparation

For GAPS (and for my specific pre-existing food issues), recipes had to be free of grains, gluten, dairy, soy, nuts, seeds, legumes, starches, and low in sugar (only raw honey and some fruit allowed). Many paleo and real food bloggers also share GAPS compliant recipes, though some will need a few changes, like swapping out sweet potato (not allowed on GAPS) for butternut squash.

GAPS intro diet preparation

Many of the recipes I pinned are found on these sites — I subscribe to them all and continue to have new recipes delivered to my inbox.

AIP Lifestyle
Grass Fed Girl
Comfy Belly
Fork and Beans
Tasty Yummies
Wellness Mama
Against All Grain
The Paleo Mom
Gutsy
The Urban Poser
Paleo Leap
Plaid and Paleo
Meatified
Savory Lotus
The Well Fed Homestead
Nourished Kitchen
The Healthy Foodie
Detoxinista
Nom Nom Paleo
Empowered Sustenance
Phoenix Helix
Autoimmune Paleo
PaleOMG
Purely Twins

The GAPS intro diet follows six stages, and each new stage allows you to introduce additional foods to your diet. Since vegetables are a huge staple of the diet, preparing meals from scratch can take quite a bit of time with all of the peeling, chopping, slicing and dicing. To save time AND to make sure I was only eating the foods I was allowed at each stage, I copied and pasted the recipes I had pinned into a Word document, being certain to list them by stage.

GAPS diet food preparation

After I found healthy, GAPS compliant recipes and read the GAPS book, I started purchasing and preparing some of the GAPS staples.

GAPS diet and bone broth

First, I sourced beef and chicken bones (from grass fed and pastured animals) so I could make homemade bone broth. Homemade broth is essential to GAPS, and I assumed I would find the best prices online. While I found some good deals, companies required shoppers to purchase much more than I needed, and shipping rates were higher than I liked. Thankfully I soon found three sources of bones in my own backyard! In Charlottesville, I purchased beef bones from The Organic Butcher, JM Stock, and Rebecca’s Natural Food and chicken bones from Rebecca’s. If you can’t find bones locally, the websites I found and compared include US Wellness Meats, Good Earth Farms, Grow and Behold, Slanker’s Grass-fed meats, and KOL Foods.

Chicken bone broth with spaghetti squash, zucchini, carrot, onion, chicken, and basil
Intro GAPS diet soup

I wanted to make as much broth as possible in a short amount of time, so I borrowed my mom’s crock pot and set it up just beside mine. I made the broth in mid-to-late spring, but the heat from both crock pots made the apartment really warm. I realized if I didn’t make enough in the spring, making it in the high heat and humidity of summer would be miserable!

Once the broth was done, I portioned it into numerous BPA free containers (I used these), labeled them with the type of broth and date, and sent them to my parents who could store the broth in their basement freezer.

While I was preparing the broth, I scouted for other GAPS staples that would be new additions to our kitchen.

GAPS diet and cooking fats

We had been cooking and baking with olive oil and coconut oil exclusively, but animal fats from grass-fed, pastured sources are at the heart of GAPS and the only fats allowed in the early stages (unless you can tolerate ghee, which I chose to skip after not tolerating it well previously). I had come to enjoy eating generous amounts of healthy fats from olive and coconut oil, but I was not excited about adding tallow (beef) or lard (pork) as new fats.

Committed to doing the diet properly, I found tallow from Fatworks at a shop in town (though $20/jar it lasted longer than expected), and I picked up a generous container of leaf lard at JM Stock for just $5. I was nervous that the animals fats would have unhealthy consequences, but all of the reading I’d done suggested that as long as animal fats come from healthy, more natural sources, they provide numerous health benefits.

I’m glad to say that after nine months of cooking with animal fats, I haven’t gained any weight, and aside from my digestive issues, my doctor was very pleased with the results of my other tests. I shouldn’t have been surprised — after all, I didn’t gain weight when I started eating saturated fat from coconut oil (I actually slimmed down!), but I had to mentally overcome years of hearing and believing saturated fats in animals were completely unhealthy. I now really love using them to sauté veggies, wilt spinach, cook burgers, and more! A recent allergy test took all things coconut off of the menu, so at the moment we’re cooking almost exclusively with tallow and leaf lard.

GAPS diet cooking fats

If you’re new to coconut oil, try one of my favorites — Dr. Bronner’s or Nutiva.

GAPS diet and fermented foods

Raw, unpasteurized fermented foods are another GAPS staple and something I’ve never included in my diet. I wasn’t looking forward to adding sauerkraut juice to soup or a few bites of sauerkraut to meals. Instead of preparing my own, I went with another local source! I’m so thankful that Farmstead Ferments exists in my own backyard, and after trying three flavors, I can say without question that the Garlicky Greens is my favorite. This kraut is different than the stuff you’d normally find on the shelf. It tastes and smells soooo much better.

GAPS diet sauerkraut and kraut juice

I realize that I am incredibly fortunate to live where I do. We have so many wonderful farmers in Virginia, and I’m able to purchase local grass fed ground beef from pastured cows, pastured chicken, and eggs from pastured chickens who ate non-GMO and non-soy feed.

In the final week leading up to GAPS, my awesome husband peeled and cubed four butternut squash. Two of them were the tallest I’d ever seen. We filled two 1-gallon freezer bags to their max, and whenever I wanted to steam and puree squash in the first few weeks, all I had to do was go to the freezer. We also peeled and chopped enough veggies to get me through the first few days of soups. I highly recommend pre-diet peeling, chopping, and freezing!

In the final days of prep, I also borrowed my parents’ juicer and purchased stainless steel thermoses to carry my soups in for work I bought three of these. Microwaves are not allowed on GAPS, so each morning I had to warm up enough soup for breakfast and for work, and I also carried a small thermos of bone broth to sip between meals.

GAPS diet detox preparation

One of the ways GAPS differs from similar diets is the use of nightly detox baths.

Using the suggestions from the posts on my GAPS info and preparation board, I decided to rotate through adding epsom salts, apple cider vinegar, and baking soda to my baths. Someone recommended fine grain epsom salts from Salt Works, and I still have half of a 25lb bag!

GAPS also suggests reviewing the body care and home cleaning products we use to find the cleanest, least toxic options. I like using the Environmental Working Group’s (EWG) Skin Deep database to compare body care products and am still in the process of swapping out everything from deodorant to shampoo to toothpaste. I’ll write a future post about all of the changes I’ve made!

GAPS diet supplement preparation

Finally, before GAPS started I reviewed the supplements I was currently taking and compared them to the ones Dr. Campbell-McBride recommends. Thankfully I was already taking a probiotic, digestive enzymes, and essential fatty acids (through a fish oil capsule), but I was missing the cod liver oil. I must admit that once I decided on a brand and even located it here in town, I never started taking it. There are so many supplements out there and SO many brands offering the same supplements, it can be difficult to know which ones to choose. I highly recommend working with a naturopath, nutritionist, or integrative/functional medicine practitioner to help decide what’s best for you! I’ve been working with an MD and RD at an integrative medicine practice for eight months and it’s helped tremendously.

What’s next?

I’m so glad I took the time to prepare for GAPS. I found that mentally, I was ready to take on the challenge, and the preparation made the first week easier than expected.

In upcoming GAPS posts I look forward to sharing my experience on the six stages of the intro diet, including successes, missteps, and surprises.

If you’re considering a big diet change, what’s your biggest motivation for taking the plunge? What’s a healthy choice that you’ve made for yourself lately?

Filed Under: wellnessjourney

What is the GAPS diet and how can it help

March 3, 2015 by Heather 2 Comments

Disclosure: This page contains affiliate links.
The GAPS diet -- what it is and how it can help

Last May I told family and friends I was embarking on a new adventure.

I wasn’t traveling to a new destination (I wish!).

I wasn’t following up my first half marathon with a marathon (HA!).

Instead, I was planning on starting the GAPS diet. I hoped that this holistic approach to health would help heal some long standing health concerns. After preparing for the diet for several months, I officially kicked things off on Friday, May 23. While on the GAPS diet, I took daily notes on meals, digestive responses, and overall feelings of well-being — these notes are now the foundation of a multi-post series about my GAPS experiences.

What is the GAPS diet?

GAPS stands for Gut and Psychology Syndrome, and the GAPS healing protocol was developed by Dr. Natasha Campbell-McBride, MD. Dr. Campbell-McBride created this nutritional and healing program to help her autistic son, and she’s found that the GAPS diet has helped patients who have mental health diagnoses, autoimmune conditions, or multiple food sensitivities.

The goal of GAPS is to heal the digestive system, which I’ve heard countless times in recent years is the home of our immune system, as approximately 70% of the cells that make up our immune system reside in the gut! Happier gut = better health!

Complete GI tract - sized
By Mikael Häggström [Public domain], via Wikimedia Commons

How does the GAPS program help heal the gut?

1) diet
2) supplementation
3) detox and lifestyle changes

GAPS Diet

The GAPS dietary guidelines are based on the Specific Carbohydrate Diet (SCD), which removes grains, starches, and other foods which aren’t easily or properly digested in some people. Improperly digested food creates all sorts of problems, including overgrowth of bad bacteria. An SCD and GAPS approach to healing helps get rid of the bad bacteria while reintroducing the good bacteria. A happy GI tract makes a more happy and healthy immune system.

In future posts, I look forward to talking about the two phases of the GAPS diet — the 6-stage introduction phase and the regular, or what’s often called “full” GAPS phase.

full-gaps-diet-pinterest-boards

GAPS Supplementation

An overview of GAPS supplementation and their purpose is available on GAPSdiet.com, and a more in-depth explanation of the supplements and why they’re recommended can be found in Dr. Campbell-McBride’s GAPS book. Thankfully I was already taking most of the supplements before starting GAPS (a probiotic, fish oil, and digestive enzymes), so I didn’t have to adapt to a handful of new supplements while also getting adjusted to a different way of eating.

Detoxification on GAPS

GAPS also identifies several ways to detoxify the body. Due to my interest in health and wellness, I already try to use the cleanest body care products available. For the last year or so, I’ve used the Environmental Working Group’s (EWG) Skin Deep database to compare product ingredients and have made several changes in what I buy based on their results.

Detox baths are also a big part of the healing protocol, and nightly baths with epsom salts, baking soda, or apple cider vinegar are recommended. I’ve pinned several articles about detox baths on my GAPS information and prep board on Pinterest.

gaps-diet-pinterest-boards

My health journey and why I choose GAPS

As most of my friends and family know, I’ve had food sensitivities for years. Troubles with dairy began in my early 20s, and when I was 27, I learned I was also sensitive to gluten and soy. As soon as I removed these foods, I immediately felt better.

I haven’t always stuck to a 100% allergen free lifestyle, however. From time to time, I’d sneak a bite of pizza or dessert. In the last few months of my year in Australia, I enjoyed a handful of lattes and pastries. I didn’t feel too poorly at the time and wrongfully assumed the the worst consequences of my choices would be the bloating or discomfort I might feel after the fact.

For a gal who loves health and wellness, I was either in denial or simply hadn’t done enough research. Even if I felt fine after some of these gluten and dairy cheats, I was still unknowingly damaging my gut lining by contributing to gut inflammation and permeability.

You don’t want gut permeability. It allows things to pass through the barrier of your intestines and into your bloodstream. This puts our body on the defensive, and we attack these new invaders to our bloodstream. When our gut isn’t happy, our immune system is compromised, and this sets up the possibility for a whole host of health problems.

I’ve heard that food sensitivities/intolerances tend to grow worse over time, and I’ve found that to be true. For example, things I used to be able to eat like nuts, seeds, and yeast (in gluten free breads) began causing digestive distress. Though I’m now able to eat most nuts and seeds again, a recent allergy panel showed that foods I was eating frequently without concern, such as eggs, coconut, and mushrooms, now cause my body to produce antibodies toward them. Due to intestinal permeability, I was growing more and more resistant to a growing list of foods.

I became fearful that every year or two I might become intolerant to more foods, especially because there are a handful of foods that are cross-reactive with gluten, meaning they appear similar to gluten’s structure to our bodies, so we develop a negative reaction when we eat these other foods too.

Food intolerances tend to contribute to or occur alongside other health issues, such as adrenal fatigue, hormonal imbalances, the presence of heavy metals in our body, gut infections, and many more. I have taken supplements to help support my adrenals, and in early 2014 we (me + health care practitioner) detected lead and chlorine in my body! We immediately began a process to remove both substances. Within 6 weeks the lead and chlorine loads had been reduced.

While trying to get to the bottom of my persistent GI problems, I was encouraged to eliminate grains from my diet too. I didn’t want to. As a gluten-free gal, I didn’t eat heavily processed grains or even gluten free junk food. But I did consume a fair amount of certified gluten free oats and millet, along with quinoa (which I tend to forget is a seed and not a grain). And I didn’t want to believe that these beloved gluten free goodies could be part of the problem.

But apparently they were! Though I’d heard that some foods were cross-reactive with gluten, I never read that grains were on this list — or I had blinders on when I read the lists! And once I read a few articles about how beneficial being grain free can be for people with food sensitivities, autoimmune conditions, and other health issues, I immediately decided I had to make a change.

Making big changes to find health and healing

I read about the GAPS diet, SCD, and the Autoimmune Paleo protocol, all of which go beyond being simply grain free. I read blog posts from people who have endured symptoms just like mine and people who have suffered much worse. I read about how they eliminated common food allergens from their diets (gluten, dairy, soy, eggs, beans, grains, nightshades, nuts) and felt better for it. I read stories from people who had successfully healed from health concerns like mine, and I knew I had to try the GAPS diet to see if it could help me too.

I don’t want my list of foods-to-avoid to increase every year or two. I don’t want to develop an autoimmune condition if my gut health worsens. I don’t want other organs in my body to suffer if my immune system becomes weaker. If I can change a few habits and prevent health problems down the line with food and lifestyle choices now, then any sacrifices I need to make now are well worth it.

In the summer or 2014, I journaled about my experiences on the GAPS diet, from pre-diet prep work, to the 6-phase intro diet (including meals and how I fared), to the full GAPS diet and when and why I decided to end the experiment and start something new. Being healthy and feeling well are so important to me, and I’m looking forward to sharing the GAPS journey with you!

Filed Under: wellnessjourney

My story: How and why I want to be well

February 24, 2015 by Heather Leave a Comment

Everyone has a story to tell. As a story teller, I want to share mine.

I’ve struggled with my health for several years, and while I’ve always taken these issues seriously, it wasn’t until one year ago that I got really serious. I changed the way I ate, moving from a 90% vegetarian diet to a paleo one and eliminating many foods that my body could no longer tolerate. I started working closely with two new doctors, who have ordered tests so we can evaluate hard data and who sit with me for an hour each visit so we can discuss changes, progress, set backs, and next steps.

One of my new doctors described me as the “perfect storm”. He doesn’t think there’s one BIG thing that’s causing my symptoms. Instead, he believes there are several things working against me, and like an onion, we’ll have to peel back a layer at a time and address it.

“Perfect storm gal” at a stormy football game
Heather, the perfect storm

Friends and family have been curious about my journey, some asking for resources and ideas as they find themselves battling similar issues. I’ve learned that several people I know have also been silently suffering, and as a story teller, I decided it was important to put my story out there. I hope if you’re reading this and you’re struggling with your digestive health, you’ll know you’re not alone. Reading other people’s stories over the last few years has certainly helped me.

While digestive health has been my primary concern, I value health and wellness from head to toe! As we’re getting to know one another, here’s a little bit more about where I’ve been and where I’m going.

Food and digestive health

Over the last few years, my digestive system has been my most pressing health concern. After being in daily pain and discomfort for over a year, I’m happy to share that at this moment, I’m having just as many, if not more, good days than bad ones. As Healthy Life Heather gets underway, I look forward to sharing details about the steps taken to heal my GI tract and the tests I’ve undergone to identify the underlying issues. For now, I thought I’d share a little bit about how my digestive health has changed in the last 10-15 years.

Gluten, dairy, and soy free

I was able to eat anything I wanted until my early 20s.

In the last year at college, I started realizing how some forms of dairy didn’t seem to sit well with me. What was more curious at the time was how some things really bothered me (cheese, milk, ice cream), while others (cottage cheese, yogurt) didn’t. I wasn’t interested in giving up dairy and didn’t think I had a true problem with it. My thinking was that if I had an allergy to dairy, I would have had it since I was born. I realized there was an issue but wasn’t too concerned.

During graduate school, I rapidly gained weight as late night food consumption increased and exercise decreased. I felt bloated all of the time. Looking back, I remember thinking that how I felt was just how someone must feel after eating a meal.

After grad school, I returned to the city where my family was living to start my new job. My mom had started working with a new healthcare practitioner who suggested she remove gluten, dairy, soy, and a few other foods from her diet and she was feeling great. When she encouraged me to schedule an appointment, I was hesitant. I still didn’t think I had an issue with these foods, but at the same time, I was afraid gluten and dairy could be the very culprits behind my digestive health questions. Eventually I made an appointment.

The practitioners used muscle testing to identify food sensitivities. I still don’t quite understand how muscle testing works, but I do know that removing those foods led to almost immediate improvements.

Functional medicine and paleo-ish

Eliminating gluten, dairy, and soy worked for a long time. However, in the fall of 2012, I started noticing changes in my appetite, GI tract, and overall feeling of wellness. By the summer of 2013, I was experiencing anything from slight discomfort to a strong, localized pain in my stomach at least five days out of the week. I felt and looked bloated constantly. Pressure would build up, pushing my stomach up into my diaphragm, mimicking a hiatal hernia. This led to pain, nausea, and anxiety. It wasn’t fun, and it wasn’t normal. Something needed to change.

I worked with a couple of doctors and health care practitioners to figure out what was going on, but found I was taking one step forward and two steps back. When I eventually read that the paleo diet can be good for people with multiple food intolerances and GI issues, I decided to give it a try. I also started working with functional medicine doctors and have continued to do so. By working closely with the practice’s MD and RD, I’ve seen improvements in my digestive health, and we continue to investigate the underlying causes of these issues.

As I start Healthy Life Heather, I’ll be sharing my trials and triumphs as I receive test results, modify diet and supplement plans, and make lifestyle changes. It’s my hope and prayer that in a few years time my gut health will be restored.

Exercise and fitness

To be well, I believe we need to eat well AND move well.

I loved playing outdoors as a child, and my dad frequently took us on bike rides and nature walks. I fared well enough in gym class and took dance classes for three years, but I never tried out for or played on a sports team. In college, I started a fairly consistent exercise routine to avoid gaining the “Freshmen 15”. For the first time in my life, I enjoyed lifting weights and even jogging.

In 2013, I decided to join my dad and husband and sign up for a half marathon. It was a crazy move at the time for several reasons:

1) I’d never been able to push past 3 miles, mentally or physically. One morning, without planning on it, I ran 4 miles, shocking both me and my dad/running partner. I proved to myself that I could run more than 3 miles at once…but 13?!
2) I had just recovered from a relapse in my lower back problems and to celebrate/prove to myself that I was really okay, I decided to push myself. Perhaps not the smartest move, but I wanted to see if I could do it.
3) The digestive health issues were bothering me almost daily, and perhaps I wanted to show myself that I could take on a huge physical challenge in spite of it all.

So I trained. And in 2014, I somehow ran a 14k, half marathon, and 10k.

14k, half marathon, 10k

Since then, I’ve had to hang up my running shoes.

I read that putting physical stress on your body (like training for a race) wasn’t a wise move when your body was already enduring ample physical stress, such as chronic problems with digestion. So I decided to give my GI tract a little more love and put running and intense workouts on the back burner for a while. It’s been difficult to do, as I’ve seen my weight fluctuate a little, and I miss more intensive training.

The most important thing? Getting my digestive health back on track. THEN, I can focus on EAT CLEAN/TRAIN MEAN.

eat clean train mean

Back pain and spine health

One morning in my early 20s, I woke up with a pain in my lower back. I went to the gym anyway, assuming that my muscles were talking to me after a tough abs workout the day before. When the pain continued over the course of the week and my range of motion became more limited, I knew I could no longer blame it on sore muscles.

I started seeing a chiropractor a family member was working with at the time and found some relief. From that time forward I wasn’t able to go more than 4-6 weeks without a visit, and a visit every 2-3 weeks was more common.

Since that first experience with back pain, I’ve continued to suffer with spinal health issues over the years. I’ve worked with several chiropractors as I’ve traveled or moved to new locations, and frequent visits have helped keep things fairly manageable. However, in the last 4-5 months I’ve experienced more consistent lower back pain, especially with exercise, and I’ve found myself going back and forth with periods of rest (for my back) and those with moderate exercise (as I love to move and try to make up for lost time).

I knew that this see-saw approach wasn’t healthy or sustainable, so I’ve just started working with an Egoscue therapist. I hope we can address possible issues with my posture, and I can live a more pain-free life. I’m already seeing improvements and hope that in the months to come I’ll experience even more positive change.

Sleep (or lack thereof)

For as long as I can remember, I’ve never been a good sleeper.

I was the kid in kindergarten who couldn’t fall asleep during nap time.

For nearly a decade, I’ve struggled to sleep more than five hours a night. I know not everyone needs the recommended eight hours a night, but by mid-day, I’m exhausted. Usually I wake up between 3:00-3:30am and am unable to fall back to sleep until 5:30-6:00am — by this time, however, I need to get up and get ready for work!

When I started working with the integrative medicine doctor, we discussed my long-standing troubles with sleep. He recommended a couple of supplements, which have helped, and I’m experimenting with other suggestions and techniques to get a good night’s rest. Of course I’ll share more details on what has worked for me in the near future!

Eat well. Move well. Sleep well. Be well.

Eat well. Move well. Sleep well. Be well. I think this needs to be the tag line for Healthy Life Heather — they’re things I want to do and be. Healthy Life Heather will share my gut-healing journey, as well as how I’m working toward health and wellness on all fronts, using food, functional medicine, and faith in the process.

By the way, and this should come as no surprise, although I’m starting a blog about wellness, I’m far from perfect. I spend more time with Netflix than I should. At the moment, I’m enjoying more paleo treats than I ought to. I definitely need to stress less. Like all of us, I’m a work in progress.

This glimpse into my background is only the beginning. I hope the stories to come are interesting, helpful, and encouraging for you, no matter where you may be on the road to wellness.

Thanks for reading! I’m looking forward to your story telling in the comments.

Filed Under: wellnessjourney

About Me

Welcome! I'm Heather, and I'm on a mission to restore my health through food, functional medicine, and faith. On Healthy Life Heather, I'll share the information and resources I'm using in my road to wellness in hopes that they can help you too. Oh, and if you love baking, we'll get along just fine.

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