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Ep. 264: Coping Mentally with New Physical Limitations

In this episode, Stacy and Sarah talk about Adrenal Fatigue and how to keep your spirits up when you can't seem to get ahead.

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The Paleo View (TPV), Episode 264: Coping Mentally with New Physical Limitations

  • Intro (0:00)
  • News and Views (0:41)
    • Stacy is enjoying her long weekend because this is her busy season at work and the kids just went back to school!
    • She picked apples. See our Apple Tutorial!
    • Paleo Principles update: Sarah is doing her final read throughs! Almost done!
    • Sarah really enjoys reading this book. She thinks its her best one yet.
    • Stacy has been focusing on mindset lately to look at things more positively.
  • Question from Nancy (8:27): "My issue is I totally feel zonked out. Very little if any energy throughout the day. It's all I can do to make it through until bedtime at which time I crash and find it difficult to get up in the morning. I do realize this can at least in part be related to my elevated thyroid numbers. But I think that I have adrenal issues on top of it. I have a very stressful job (high school guidance counselor) and see very little reprieve during the day. I've worked as a school counselor for almost 20 years and I think it's caught up with me. I have gotten to the point where I have actually no (and I mean no) fight or flight response. Someone like Michael from Halloween could jump out of the bushes and try to scare me and the only response I would have would be "oh, hi!". I would have absolutely no racing heart, etc. or any of those normal fight or flight responses. This started about 8 months ago when I could feel my heart racing start to slow down or feel muffled. Now that feeling has evolved into having absolutely no flight or flight response at all.....not even when I see someone cute.....no heart flip flops. I've shared this information with my doctor and he feels some of it is related to my thyroid and some of it's related to adrenal fatigue. My doc wants to slowly regulate my thyroid medication as to move quickly will put too much strain on my adrenals. He says once we get my thyroid on track we'll work on the adrenals. But I'm not sure and it's starting to scare me and feel at some point my adrenals will just stop working all together. Not sure what to do about it as I'd like to get my adrenals back on track. Right now my doctor doesn't want me to do any strenuous exercise as he feels it would overtax my weakened adrenals. I'm an athlete who formerly ran, lifted weights, and biked throughout the week. And now I walk just to get fresh air and try to keep it moving. That's a downer for me, but it's all I can do. I also work on stress management by relaxing, meditating, listening to cool music and generally try to mentally separate from my work day when I'm not at work. I enjoyed your blog post Sarah about adrenal fatigue and feel the information helpful. Thanks so much for what you do, Sarah and Stacy. You both rock!!"
    • See Sarah's post series on Adrenal Fatigue here.
    • Stacy says take the saliva test if you think you have adrenal issues!
    • When Stacy had issues, she took supplements and changed lifestyle when she had issues.
    • Work on your sleep! See Sarah on naps.
    • Look at your life and take out anything that's not adding value and only adding stress. Stacy had to pull back from paleo blogging when she had issues.
    • Maybe change your job to be less stressful
    • Nutrient dense foods and supplements as well.
    • Anything that's a stress, you should tackle it. Stacy had to unpack boxes to reduce her stress.
    • Missing your workouts can be a downer, but focus on the positives of what you can do!
    • Her T3 and T4 thyroid hormones are not too bad, but her Thyroid stimulating hormone is very high.
    • Thyroid levels have to be taken on slowly because overdosing can be life threatening.
    • Sarah had been working on it for years now.
    • See our show with Isabella Wentz for more
    • There is crossover Thyroids, stress axis and sex hormones. She could have low progesterone levels too.
    • And cortisol could be high in the morning, low in the afternoon. She has to test to know how her thyroids are working.
    • There's so much going on with this stuff that you need a doctor that knows what to do with it.
    • Just because your doctor is working on thyroid doesn't mean you can't do diet and lifestyle factors to improve adrenals.
    • Going outside in the day, light therapy, amber glasses, meditation, stress reduction all good ideas
    • Walking is great but maybe yoga or martial arts as well?
    • Supplement with Vitamin C and Magnesium and B Vitamins to combat stress! Sarah likes Metagenics, Douglas Labs, Seeking Health, and Designs for Health brands.
    • Get Omega-3s from seafood once a day and maybe short term fish oil supplementation.
    • The most important tools for recovering: Patience (it takes time!) and self-care (you are important and you need to recognize and meet your needs!).
    • Develop priorities that protect you in the future.
    • This sucks, but you CAN recover from it!
    • Stacy points out that there's a reason the Serenity Prayer is popular. Don't focus on what you can't change. Focus on what you can change and think about the positivity!
    • Should isn't a positive word. Don't ever use it on yourself.
    • Again, see Sarah's post series on Adrenal Fatigue here.
    • Sarah doesn't know the sign of the horns, apparently. WTF. How is she going to ward off the evil eye?
    • Swedish Death Metal: Listen to Opeth, my favorite band.
  • Rate and review us. Goodbye!
  • Outro (36:29)

 

 

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Ep. 263: Asking Us Everything Part 2

 

In this episode, Stacy and Sarah respond to your Ask-Me-Anything style questions!

Click here to listen in iTunes

If you enjoy the show, please review it in iTunes!

The Paleo View (TPV), Episode 263: Asking Us Everything Part 2

  • Intro (0:00)
  • News and Views (0:41)
    • We're back for more AMA! We think this is a lot of fun.
    • Paleo Principles update: We're at 688 pages. It's WAY TOO MANY!
    • How did you write such a long book? No one knows. Maybe we'll do a workout video with it.
    • Meanwhile, Stacy's kids are going to three different schools and one of them took the bus to middle school at 6:30! It's been exhausting!
    • More AMA questions! Fun questions we love and haven't been asked before!
  • Are either of you superstitious? (8:21)
    • Stacy believes that people can find themselves in advantageous or disadvantageous situations, but there's not some force in the world that notices when you follow superstitions
    • Sarah does do some superstitions out of habit, but doesn't think she actually believes that they have power.
    • Sarah does say she believes in karma and also believes that people are meant to do things, but also believes in the chaos and randomness in the universe. There is some cognitive dissonance there.
    • Stacy doesn't know why she does some superstitions, and catches herself doing them despite not really believing in them. They're fun for kids too.
  • Which character from The Walking Dead do you most identify with? (12:36)
    • Stacy definitely identifies with Maggie because she's kind and a leader who is into family.
    • Sarah doesn't watch the show.
  • Stacy modifies it to which character from Game of Thrones do you identify with? (13:03)
    • Stacy identifies with Sansa and Dany
    • Sarah took an online test that said she was a Robb Stark because of her leadership and strong moral compass. But Sarah also really loves Dany for similar reasons. Sarah also identifies with Samwell Tarly because she too would be in the back as a craven.
    • Stacy and Matt love Tormund Giantsbane and Samwell Tarly as well.
  • If you had to live in a house with other bloggers for a reality TV show, who would you choose? (16:18)
    • Number one for both is Russ Crandall, The Domestic Man.
    • Stacy also mentions Bill and Hayley from Primal Palate,
    • Stacy wonders what kind of show this is? Are we casting for a competition? Because we're not naming our bad guys!
    • Really, check out who we tag all the time on social media
    • Stacy: RealFoodLiz Liz Wolfe, That Paleo Couple, and A Tribe Beyond Blessed, Kaitlyn from Grassfed Girl
    • Sarah: Mickey and Angie from Autoimmune Wellness, Charissa Talbot from No Cook Paleo, Kirsten Peterson from Vibrant Life Army Wife, and Denise Minger.
    • Check out our Live from Paleo FX House show for more!
  • Is once a week for dessert too much? (19:48)
    • Sarah: it depends. Is it going to satisfy you so you won't crave it anymore or will it just trigger more cravings?
    • Stacy and Sarah both tend to be "fall off the wagon" types. In that case, maybe best to avoid it.
  • What is your most hated activity in Strongman or Crossfit?
    • Stacy: Running. It's why I started Strongman.
    • Sarah: Weighted lunges or running with a weight.
    • Stacy loved the feeling of being too sore to do normal activities. She always said "Bring it on!"
  • What is the most often cooked meal in your house? (26:06)
    • Stacy: Meatloaf and Chicken thighs.
    • Sarah: roast chicken or liver burgers.
  • Is there anyone in the paleo world you still get nervous talking to? (26:30)
    • Stacy: No, not in the paleo world
    • Sarah got giggly when talking to Mark (Definitely go back and listen to that one!)
    • Sarah gets excited when people know who she is. Like Art Devany and Dr. David Perlmutter
    • Stacy has learned that people are just people and are just like everyone else.
    • Stacy says only a few people would intimidate her or make her squee. One of them is a baby sloth.
    • Kristen Bell's sloth spatula is on backorder, but it is here.
  • How tall are you? (33:23)
    • Stacy: 5'7". People always think she's taller though.
    • Sarah is 5'5 3/4", but she always says she's 5'6".
  • Can you do a foreign accent? (36:33)
    • Stacy: It would be terrible. However, Stacy and her stepsister would go to the beach and pretend to be French with the names "Ginger Bread" and "Carry-on Bag".
    • Sarah: I do bad American versions of foreign accents and uses them to play with her kids.
  • Which is your favorite of your books (38:54)
    • That's like asking which is your favorite kid! They're all our favorites
    • But if pressed, Stacy likes Real Life Paleo because it's how we really eat, but Matt likes Beyond Bacon because its a more sophisticated foodie book.
    • Sarah: I really like my new one, Paleo Principles. It's like my previous books put together and made better!
  • Rate and review us. Goodbye!
  • Outro (1:05:15)

 

 

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Ep. 262: Asking Us Everything

 

In this episode, Stacy and Sarah respond to your Ask-Me-Anything style questions!

Click here to listen in iTunes

If you enjoy the show, please review it in iTunes!

The Paleo View (TPV), Episode 262: Asking Us Everything

  • Intro (0:00)
  • News and Views (0:41)
    • Sarah and her family watched the eclipse at totality, and she's probably not blind!
    • They drove to Athens, Tenn. but their first plan was closed, so they ended up in a random field.
    • There were lots of cool telescopes there her family got to use.
    • Sarah feels lucky they were close enough to drive.
    • Stacy's area had 84%, so she got to go watch at school with her boys.
  • It's an "Ask Me Anything" style podcast. We took your Q's from social media and got some great ones! (11:40)
    • Trisha: What brand of oral hygiene do you use?

      • Sarah has been using Primal Life Organics Dirty Mouth Toothpowder and Dirty Mouth Boost recently.
      • At first there was some sensitivity as her teeth adjusted, but now it's working to remineralize her teeth.
      • Her kids like the sweeter flavors, which are new for kids.
      • Stacy uses Redmond Earth Paste. She's also used the PLO product but didn't like the powder.
      • Redmond Earth Paste is more like a traditional toothpaste, but it's also clay-based.
    • Nick: if you could go back in time and give your 24-year-old self some advice, what would it be?
      • Cole was not quite a toddler when Stacy was 24. She would tell herself to prioritize nutrients for herself as well as her baby.
      • She wasn't ready to hear about Paleo, but she did want to optimize his diet.
      • She didn't focus on herself for years, until she didn't have the energy to keep up with them.
      • Sarah was in grad school and had just lost 100 lbs (the first time) using a low-carb diet and had decided she would run marathons.
      • She thought that was proof that she was healthy, but she would tell herself to pay more attention to her other symptoms.
      • For example, she was struggling with constipation, skin problems, joint pain, asthma.
      • Nutrient density, gluten free and dairy free weren't on her radar, but she was really stressing her body.
      • Eventually she had to learn to see her health as more than her BMI, and she wishes she would have understood that earlier.
    • Hannah: what are your techniques for reducing stress?
      • Stacy likes cuddling and skin-to-skin contact with her family
      • Drinking a warm cup of tea is relaxing.
      • Her self-care routine and skincare are really helpful as well, or taking a bath with a bath bomb.
      • It's also critical for Stacy to separate food from emotions
      • Sarah's number 1 trick is to have a non-negotiable bed time and focus on sleep.
      • She also tries to get light exposure during the day (outside or sun lamp) and minimize exposure at night (with Swannies or lightbulbs).
      • She also prioritizes movement.
      • She seeks out laughter with her kids or with friends, hobbies, etc.
      • On the flip side, it's helpful to find stillness through stretching and meditation music.
    • Phillip: go-to fast Paleo breakfast options?
      • Stacy likes slow-cooked scrambled eggs, hard-boiled eggs, yogurt with chia seeds and blueberries, jerky, RXBars.
      • Sarah makes homemade sausage patties and freezes them, then eats them with saurkraut and a piece of fruit.
      • If she's running out the door she makes a Collagen Veggie Blend drink and eats a Beef Apple Bacon EPIC Bar.
      • On the weekends she makes a double or triple batch of Paleo Waffles.
      • Stacy recommends making soup, Simple Mills Muffins, egg muffins, banana bread or something else that can be reheated quickly.
      • Just think about what you like + what's portable and make that! Wesley likes eating trail mix, so he gets a good, energy-dense breakfast even though it's not a "typical" breakfast.
      • Sarah just tries to focus on protein and round it out with vegetables or fruit (but that's how she thinks of all meals).
    • Paleo-friendly deodorant?
      • Stacy has SUPER sensitive skin and has tried every "natural" deodorant out there.
      • She's been on a quest for a while, and every one has baking soda or coconut oil and both bother her skin.
      • The one she's found that works is available at One Stop Paleo Shop, it's E.M. Apothecary brand, and it's charcoal based.
      • It works well before the summer time, and the days she works out she still uses Dove brand deodorant.
      • She's working with E.M. Apothecary to develop a more feminine scent, but in the mean time she's still looking for "the one."
      • Sarah also gets a rash with baking soda deodorant. She likes ZAK Detox Deoderant — just be sure to get the baking soda-free.
      • They have 3 scents, a very feminine one, a very masculine one and a neutral one.
      • Have to remember that chemical-free deodorants just don't last as long, so staying on top of it with reapplications is helpful.
      • If baking soda DOES work for you, there are lots of options that work really well.
    • Trina: how do you come up with your recipes?
      • Stacy started with having a family who loves to cook and eat, and there were lots of recipes too difficult to give up.
      • She wanted to develop recipes she'd loved and missed, so she started recipe development following other people's recipes and tweaking them.
      • She and Matt co-develop: she's the idea man and Matt does the execution.
      • They've backed off on recipe development because they're are SO many in the community, and they've already developed over 2,000!
      • Sarah keeps a big book of notes.
      • She gets inspiration from all over the place, including family recipes, a meal she's had in a restaurant, buying a weird ingredient.
      • She looks through classic recipes and old ingredients to understand the chemistry so she can mimic it with Paleo ingredients.
      • She'll then write down her plan, make it a couple times, and adjust as she goes.
      • Baked goods can take 12-15 times to perfect.
      • Stacy says it's also a matter of making sure things are balanced on your site or in your book (mains versus treats, etc.).
      • Book recipe creation is more about the balance of nutrient density and simplicity, while website recipes can be more complex and tend to draw a lot of traffic if they have that "wow" factor.
    • We'll do a Part 2 of this AMA next week, since we weren't as rapid as could have been...
    • Your questions help us drive topics going forward, so please continue to ask questions.
    • Good luck to those of you with kiddos going back to school! Remember Paleo to Go is a great option if you need resources!
    • Sarah and Stacy still don't know what episode it is (bonus maniacal laughter).
    • Rate and review us. Goodbye!
  • Outro (1:05:15)

 

 

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Ep. 261: Can't Stand the Smell of Burning Flesh!

 

In this episode, Stacy and Sarah answer a question from a vegetarian mother who wants to put her daughter on the Autoimmune Protocol, but doesn't like to cook meat

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The Paleo View (TPV), Episode 261: Can't Stand the Smell of Burning Flesh!

  • Intro (0:00)
  • News and Views (0:41)
    • Welcome back! Stacy's feeling much better now!
    • Meanwhile, Sarah jinked herself by thinking about her family's resilience against illness and her daughter got a stomach bug.
    • Paleo won't make you impervious, but it does help! Mostly, chronic illness is what's most affected.
    • Stacy says that eating #morevegetablesthanavegetarian is one of the best factors in her strong immune system.
    • Our paleo isn't a re-enactment, its simply choosing the foods that best promote the health of our bodies.
    • Choosing nutrient density, avoiding what makes you sick.
    • In the end, it is a very vegetable focused diet.
    • Recent health studies show that it's not just 5+ vegetables per day but even 8 or more servings for ideal health!
    • Fiber is great for gut bacteria, and the great vitamins, minerals and phytochemicals are wonderful for health!
    • Sarah says that her paleo is a plant based diet composed of 3/4 vegetables, eating the rainbow!
    • But paleo isn't vegan! Meat is a healthy, important, nutrient dense food!
  • Question from Claudia: "My 16 yr old daughter who has had eczema since early birth, along with severe respiratory and immune issues. She missed over 100 days of school spring 2016 due to flu, turned to bronchitis, turned to pneumonia, turned to mono. My daughter loves grains/beans (I know the worst thing for her), but eats mostly whole, plant-based food with me, plus chicken. She doesn't eat much cheese or crave it the way I do. I have shared custody with my ex husband, and she said crying to me on Christmas Eve, even if I eat perfect with you, I can't at my dad's because he doesn't support it. Help...I know my daughter needs to be on autoimmune protocol, but refuses to exclude grains and legumes. I can make her chicken but can't do red meat, never ever could tolerate the smell of cooking flesh. Not total hippie, not about animal rights, though I do love animals. It's about the smell of burnt flesh and Vado vegan response." (16:36)
    • Stacy says there are ways to not create the smell of burnt flesh: slow cooking or braising, for example. Or using premade broth.
    • There are ways to transition to AIP that will help her with her nutrient deficiencies in things like B12, K2, etc.
    • Transition first away from grains and beans, like using less harmful grains like white rice.
    • Start with eggs and seafoods as proteins first instead of moving right into red meat.
    • More vegetables to replace beans and grains.
    • Then when she's with her father, ask for something simple like chicken and rice casserole.
    • But it's a huge change to go straight to AIP! Start slowly!
    • Sarah sees a need to have a conversation around food with her daughter about figuring out how to change to a better diet.
    • Paleo is definitely something to try for eczema! Sarah found paleo that way!
    • Eggs, Dairy, Grains are all common links with eczema
    • Try a paleo diet with rice and may be with soaked and well prepared beans. But not peanuts or kidney beans!
    • Instead of red meat, try shellfish and fatty fish instead for the same nutrients!
    • Sarah recommends going dairy free as well.
    • Try Paleo Principles, Real Life Paleo and The Paleo Approach as well!
    • Track your nutrients with stuff like MyFitnessPal or Chronometer.
    • Having data will help her have a conversation with her dad.
    • At 16, she can also take ownership of cooking and shopping for herself as well.
    • But she needs the education to want to buy in herself as well.
    • See Planning ahead podcasts: TPV Podcast, Episode 205, Melissa Joulwan and the Weekly Cookup and TPV Podcast, Episode 182, How to “Do it All” In a Healthy Way
    • Empower her to set her up for success.
    • Broiled fish might be a good choice, as well as cooking outside to eliminate the smell. Use an aluminum pouch to contain the smell.
    • Familiarity is crucial to our preference for foods. The more you try something, the more likely you'll be to like something. The one bite rule works! Same with positive reinforcement!
    • Go for high quality prepared meat and get yourself used to the taste so it becomes more palatable for you.
    • "Eat more vegetables, but don't forget the meat!"
  • Sarah's book tour! She's finished with the major edits!
    • Book is out November 7th.
    • Seattle on November 8th.
    • San Francisco on November 9th.
    • Boston on November 11th.
    • New York on November 12th.
    • Chicago on November 14th.
    • Minneapolis on November 15th.
    • Atlanta on November 16th at Foxtail Book Shop.
    • Maybe more in January!
    • Preorder Paleo Principles!
  • Outro (51:20)

 

 

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Ep. 260: Uh Oh! Stacy Got Sick!

 

In this episode, unfortunately Stacy got sick after her camping trip. So this show is just a brief check in! Sarah's almost done with Paleo Principles!

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The Paleo View (TPV), Episode 260: Uh Oh! Stacy Got Sick!

  • Intro (0:00)
  • News and Views (0:41)
    • Stacy went camping over the weekend and brought back some flu-like symptoms!
    • Meanwhile, Sarah is finishing her edits for Paleo Principles! It's become a monstrously large resource. Can she keep it under 650 pages?!
  • Outro (15:15)

 

 

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Ep. 259: Has Wheat Increased in Gluten?

 

In this episode, Stacy and Sarah contemplate whether wheat has increased it's amount of gluten in recent times.

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or download and listen by clicking the PodBean Player below

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The Paleo View (TPV), Episode 259: Has Wheat Increased in Gluten?

 

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Ep. 258: Bad Pseudoscience about MTHFR

 

In this episode, we discuss pseudoscience and how to recognize it in relation to an article about "bad foods with MTHFR variations".

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If you enjoy the show, please review it in iTunes!

The Paleo View (TPV), Episode 258: Bad Pseudoscience about MTHFR

  • Intro (0:00)
  • News and Views (0:41)
    • Stacy is in her brand new office in her new home!
    • She's unpacked almost everything. Man is it a lot of stuff!
    • She found that she has too many clothes because when she unpacked it all she found herself paralyzed by too many choices.
    • Thank you for the fun live show, everyone who attended! It was so much fun! Sarah also loved her road trip to Washington!
    • She felt inspired by surviving the trip to visit other places.
    • Stacy gets stressed out by clutter, so showing her house still with boxes was stressful.
    • And it was a new house: Stacy, Sarah and Matt had to Google how to turn on the stove.
    • On top of it, the kids all got along really well. It's such a crap shoot whether your friends' kids will like your kids, but it worked out splendidly!
    • The live show was fantastic! We loved the instant feedback and follow up!
  • "Pseudo-Science BS on the internet" (18:10)
    • Sarah puts a lot of time and research into what she puts out on the internet. She even is comfortable with nuance on topics like "Is this good to eat? What are the pros and cons?" But not everyone is like that.
    • Some people take a grain of scientific truth and uses jargon to report things in a sensational way. If you seen that kind of sensationalism, turn around and walk away.
    • One of the biggest issues in society is fact checking. And when it comes to health information, misinformation can be dangerous.
    • Look for things like citations, especially with links. Check the citations to make sure they say what the article says it does!
    • Be skeptical of things that sound too good to be true or are too condescending.
    • Look for multiple sources. The more sources, the more likely something is to be valid.
    • This article is like that: Bullet points of technical language with no sources.
  • The article from a MTHFR information site was called: "MTHFR Bad Food List" (27:12)
    • It starts by saying that folic acid wouldn't be good because you need real folate.
    • But the subsequent list is full of unconnected list of foods with no themes or sources.
    • The reason was only "Known powerful enzyme and metabolic inhibitors" and "As a result you will make fewer amino acids and can’t make as much protein as you should. This leads to lower immunity by reducing glutathione which is one of the bodies most important antioxidants involved in the homocysteine cycle."
    • What's the process here? What's going on!? And where's the reference to extra B12 and what foods are GOOD to eat?
    • This list doesn't make sense on folate rich foods and includes nutrient rich foods.
    • It references mechanisms that don't make sense either.
    • Sarah feels that it's "here's a bunch of sciencey words related to a bunch of foods not to eat!"
    • The grain of science here is that folate rich foods might not be good for people with MTHFR variants.
    • These variants affect the efficiency of the enzyme MTHFR which affects your methylation ability. And it never stops it completely.
    • MTHFR is the rate limiting enzyme. It controls how quickly you can methylate (activate) proteins.
    • Problems with MTHFR affect with lots of autoimmune and mental disorders. Also liver detoxification and neurotransmitter regulation.
    • It affects the usability of vitamins (like B9, folate). You can't convert folic acid into methlfolate. Folate itself is better.
    • Some people who can't convert folic acid may have issues from overdose of folic acid supplements.
    • It turns out the grain of truth in this article is that folic acid can be bad for people with MTHFR variance. But that doesn't mean that FOLATE is bad for you!
    • We do love the Vital Proteins Beef Liver Pills as a supplement for folate, though!
    • Sarah did searches in PubMed for any connection between the science words and these foods. And a bunch of these foods did the OPPOSITE of what was claimed! None were metabolic inhibitors and only a few could be a possible enzyme inhibitor.
    • There is a lot of information out there for MTHFR challenged people. Find a good doctor to work with to help you!
    • Pseudoscience is rampant on the internet. Take the time to become informed for yourself. The more people around on the internet when a story is shared, the less an article is seen critically. Because people assume everyone else much have checked it!
    • "Trust but verify." - an old Russian proverb that Ronald Reagan liked to quote.
    • Don't be afraid to ask, don't be afraid to discuss it! Help your friends and family learn to be skeptical!
  • Rate and Review us! Goodbye!
  • Outro (1:07:24)

 

 

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Ep. 257: Live Show Part 3: Not-So-Rapid Fire

 

In this episode, it's the third and final part of our LIVE show! We go rapid fire with the questions, but still long winded with the answers!

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The Paleo View (TPV), Episode 257: Live Show Part 3: Not-So-Rapid Fire

  • Intro (0:00)
  • Welcome to the live show, this is Part 3 of our show! Listen to Part 2 of the live show here and Part 1 of the live show here!
  • Question 1: Christine asks, how do you find out which vitamin and mineral defficiencies are associated with your autoimmune disease?
    • Sarah: Some studies have shown deficiencies, others have just shown improvements with supplementation, but not very many of these studies group autoimmune diseases and study deficiency differences across all of them
    • Right now, there are incomplete data showing which is most important
    • "Frequent flyers" are Vitamin A, Vitamin D, Zinc and Omega-3 Fats.
      • You can also look at what the immune system uses, Vitamin A and D and Zinc are key for regulatory actions
      • The immune system's proteins need methylation, so B6, B9, B12 are key for that as are Vitamin C and E as antioxidants
      • Iron, Copper, Magnesium (maybe more minerals)
      • All these have key role in the immune system, so it's unsurprising that these deficiencies are linked with diseases
  • Question 2: If my children (an older daughter and a baby son) never try gluten and dairy, how will I know if they have an intolerance or Celiac Disease?
    • Stacy: we decided to just assume that our kids have it, given our family history, and to not test
    • If it's important for you to test Celiac, you'll have to expose your kids
    • Sarah: chances are very good that your daughter (who was never exposed) will rebel and eat some gluten eventually, and it's ok to wait for that challenge
    • Stacy: reminder that some people can have issues with gluten and no physical symptoms. Stacy and Cole just get emotional and depressed when they're reacting
    • They can't tell you to fix anything if you DO get a positive result—you just have to avoid it anyway.
    • Sarah: research shows there's a lower risk of Celiac if gluten is introduced while breastfeeding, and the longer you breastfeed the lower the risk, so introducing to a baby is more backed by research
    • In the same situation, Sarah would probably include a little wheat a couple of times toward the end of breastfeeding (around 2 years) so they can communicate whether something is wrong
    • In peanut allergy studies, babies were fed a very small amount to help reduce allergies, so it doesn't have to be a huge serving
  • Question 3: Jessica's son did the cheek swab DNA test, with her second child she's just said "we have Celiac." Is the DNA test helpful?
    • Sarah: studies of people with Celiac susceptibility genes, HLADQ2 and HLADQ8, have shown that people without Celiac who also have digestive symptoms still have a zonulin response to gluten. They're still getting a leaky gut in response to gluten, even though it's not Celiac
    • 60% of the population has one or both of these genes, which explains non-Celiac gluten sensitivity
    • Having one of those risk genes is a compelling argument not to mess with Gluten, because of the risk of a leaky gut reaction
  • Question 4: The Dr. from the Gluten Free Society's website claims there are two other genes associated with Gluten sensitivity, HLADQ1 and HLADQ3, which no standard Celiac test looks for. Any other research on this?
    • Sarah hasn't seen anything on that, but she's never specifically looked through the research for that
    • 3% of Celiacs don't have HLADQ2 or HLADQ8, that 3% could have that other selection of genes
    • Already more than a dozen HLA variants linked with autoimmune diseases
  • Question 5: Can Sarah share her Paleo road trip snacks?
    • She didn't try to eat on the road, she packed picnic lunches

    • Stacy
      • Her family has done grocery store rotisserie chickens or chicken strips from Trader Joe's, because they're easy to pull apart and share
    • Sarah
      • On the way back, they'll probably try to find a burger place
      • Hard to find grass-fed, but places that clean the grill, lettuce wrap or do gluten free buns would be ideal
      • Overall, she has a cooler in the back and a snack bag between the kids
      • It's the same snacks they use at home, but she always makes sure to include protein, like EPIC Strips
      • She always includes raw veggies, fruit and something sweet, like Power Balls
      • When everybody's miserable having a treat is really helpful for mood
      • Sarah's oldest loves Cliff Kit's Organic Bars and her youngest loves raisins
    • Stacy
  • Question: Do either Sarah or Stacy use a water filter, and which one?
    • Matt:

      • tap water is one of the greatest inventions of mankind.
      • The fact that we have potable water delivered to our house for cheap, any time we want, is great.
      • It goes through so much processing to get to potability in our houses that he really feels like honoring tap water by drinking it
    • Sarah
      • She agrees, but a lot of the members of her family have chloramine sensitivity (her brother missed a year of school due to this sensitivity) so Sarah has always used at least a Brita filter
      • Her municipal water is Dasani so that's basically what they're drinking if they use a charcoal filter
      • Sarah recently won a reverse-osmosis filter, but she feels like she has to add back in so many minerals to make it a helpful source of minerals
      • Sarah thinks we should remineralize our tap water - she uses Trace Minerals and EM Drops
      • Mostly adding Magnesium, Calcium, Potassium and some trace minerals. Most people (yes even Paleo peeps) are mineral deficient
      • She's adding probably up to 20% of her family's RDA to their water
      • Reminder: Sarah comes from socialist Canada and sort of automatically trusts the government, but recognizes that doesn't necessarily reflect the American experience
      • Pay attention to stuff, there's plenty of contaminated water out there, so you might want to make sure your municipal water is safe
      • BUT she thinks tap water is fine
    • Matt
      • When he was growing up in Mass., well water is pretty hit-or-miss, so his dentist prescribed fluoride to everyone
      • He and his brother (who did not have well water) had stained teeth from too much fluoride
      • So, it's just a matter of knowing what's in your water
    • Sarah
      • There's not a lot of evidence that fluoride is causing health problems, but also little evidence it's helping dental health
      • Fluoridated toothpaste, on the other hand, has some really compelling science backing its efficacy
      • There's some science to show that fluoride might sequester in the pineal gland and over 60, 70, 80 years decrease the amount of melatonin secreted by that gland, linked with sleep disturbances in the elderly, but that's sort of a big leap at this point
      • But you can take that out with a normal carbon filter if you are concerned
  • Rate and Review us! Goodbye!
  • Outro (33:00)

 

 

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Ep. 256: Live Show Part 2

 

In this episode, it's the second part of our LIVE show! With tricky questions and thorough answers!

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The Paleo View (TPV), Episode 256: Live Show Part 2

  • Intro (0:00)
  • Welcome to the live show, this is Part 2 of our show! Listen to Part 1 of the live show here!
  • Question 1: (:40) Lee's Question: should she do an elimination diet, take a food allergy/sensitivity test with her doctor, or make other lifestyle changes to deal with autoimmunity? What's the easiest way to identify her triggers?
    • Sarah: two issues here, dealing with a lifestyle triggers AND making positive changes to lifestyle.

      • Lee needs to figure out if she has SIBO, through further testing, and her doctor should be able to help her figure out this aspect of her intolerances. She should also retest.
      • She could also just be dealing with fructose malabsorption, which requires a different course of treatment.
      • Gut health is important either way—work up to 8 servings of veggies per day, eat more fish, don't over-exercise, sleep enough.
      • Emotionally speaking: you can shorten your elimination phase to get into reintroductions more quickly
      • Keep a food journal for reintroductions, and try to keep a couple days between your reintroductions. Know also that if you're stressed physically or mentally, your immune response will be affected.
    • Stacy: there are other outside factors like cleaning products, beauty products, other lifestyle factors in the home.
      • Stacy's approach is build up healthy choices and nourish the body so that your health should get better over time. It's a trajectory, not a matter of waking up one morning to completely new picture of health.
      • Remember that flares are to be expected, sometimes even caused by detoxing.
      • Consistency is really important - approach it from a place of doing it for yourself, for your health.
    • Lee has been trying to focus on the positives of her new healing life rather than the negatives of "losing" old foods
      • Stacy takes that approach too. Her family cooks better food, she's healthier and her life is better.
    • Sarah: instead of doing EVERYTHING at once, breaking up your changes into pieces can be helpful.
      • Sarah went from Paleo 6 years ago, to AIP elimination, to CrossFit when she wanted to try it. It's been a refinement of lifestyle and dietary choices that incrementally help her feel better
      • Matt and Stacy wrote the book (Real Life Paleo) on taking the diet part of Paleo and breaking it up into pieces.
      • Just do one thing until you get it down.
      • It needs to be sustainable in order to really last. Sarah has a couple posts about that called "Making Healthy Choices: What's Your Currency" and "Transitions: All In or Baby Steps?"
      • It's not hard, although everyone mourns something different.
    • Stacy: the food shouldn't be stressful
      • Sometimes Stacy and Sarah are eating pizza and ice cream in their crazy dreams. And that's usually a sign for Stacy that she's thinking about food too much.
    • Lee says she's struggled with reactions from people in her life.
      • Sarah says it's not hard, it just has a learning curve.
      • Everybody has comfort recipes, but finding new go-to's that fit a healthier lifestyle just takes a little time
  • Melissa's Q: (28:00) How should someone without a gallbladder approach beginning a Paleo journey?
    • Stacy:

      • She doesn't have a gallbladder. Understand you are missing part of your digestive tract.
      • Eliminating wheat and processed oils made the biggest difference. There's a strong correlation between wheat intolerances/Celiac disease and gallbladder inflammation.
      • You want to watch the state of your bowel movements to track how your body is digesting.
      • Stacy does not do well with coconut oil, but does well with avocado oil and solid fats like tallow, lard, butter, duck fat.
      • Stacy also has a post on this, How to Enjoy Bacon Without a Gallbladder.
      • Insoluble fiber can be difficult for Stacy's body as well.
        • Cabbage used to be tough for Stacy to digest.
        • She's learned to cook foods that are high in insoluble fiber very thoroughly.
      • When you start your first meal of the day, start slow, reintroduce food to your body.
        • Intermittent fasting does not work because you don't have bile storage.
    • Sarah
      • You can take ox bile, in a pill, at the beginning of a meal (work with a practitioner on this).
      • As lipases break apart fat, bile salts help to create a structure around fat molecules that brings them into the body.
      • So, it's helpful in digesting and absorbing fat but ALSO in digesting and absorbing vitamins. It can help with nutrient sufficiency.
    • Stacy
      • Her mom doesn't have a gallbladder, and when she was still eating vegetarian, she was low fat (and high soy/wheat) and still struggling.
      • Stacy doesn't think it's a low-fat diet that actually helps.
  • Melissa's second question: On Lichen Planus?
    • Sarah

      • It's most commonly a secondary disease (Hashimoto's and Celiac are more likely to be primary).
      • It's worthwhile to do some digging to find out if you have another autoimmune disease. If you haven't given up gluten you can still test for Celiac.
      • Zinc, Vitamin D, Vitamin C deficiencies are worth testing for as well.
      • Supplement or look for food solutions if you're deficient (sometimes Vitamin C supplements are corn-based, which might be an issue if you do have Celiac disease).
        • Sarah takes a Douglas Labs powdered version.
      • Wheat, soy, peanuts, tomatoes are immune triggers and lichen planus is an autoimmune condition. Figuring out triggers is key.
        • The AIP will guide you through this, as well as focus on nutrient-dense foods.
        • Fixing nutrient difficiencies can be very therapeutic for immune regulation.
        • It doesn't mean there isn't other tinkering outside of the AIP to be done, or that conventional medicine isn't helpful, but after a couple months it's an amazingly helpful intervention.
  • Rate and Review us! Goodbye!
  • Outro (53:08)

 

 

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Ep. 255: Live Show Part 1

In this episode, it's the first part of our first live show! We take live questions and answer them thorougly!

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If you enjoy the show, please review it in iTunes!

The Paleo View (TPV), Episode 255: Live Show Part 1

  • Intro (0:00)
  • Welcome to the live show (:40)
  • How this show is different from our normal shows
    • There's a live audience (duh!)
    • We are in the same room
    • We don't have notes, which is really unusual for Sarah!
  • Sarah's family is visiting Stacy's for the holiday weekend
    • The road trip was tiring for Sarah's family
    • Yesterday they took all the kids from the National Mall to all the national memorials
    • Sarah's kids are dual citizens, and there's a great tie-in with what they're learning in school
  • Finn and Adele say "hi" to the audience
  • Laurel's Question: should she introduce her toddler to wheat given her family's history with Celiac disease?
    • Sarah says there's some scientific evidence for the idea of introducing Top 8 Allergen Foods before weaning to reduce overt reactions

      • This might work because of the positive effects of antibodies from breast milk and its gut protecting benefits
    • Once you've missed that window, other things that affect a reaction are gut health, stress (maybe not for toddlers), sleep, activity
    • If you're doing all the things to promote a healthy lifestyle and gut health, there's a higher probability you won't see a reaction
    • In that case, it might help you feel a little more at ease in case your child is accidentally exposed to the allergen
    • Stacy and Matt went through this with their youngest, who was never exposed to allergens intentionally, and had a good experience with his preschool even when he was accidentally exposed to wheat because his immune system is so strong from years of a healthy gut and great lifestyle choices
    • Sarah's youngest has a stronger reaction to dairy than to gluten, and she's tested raw, A2 milk with her (her tonsils swelled up in 5 minutes and stayed swollen for months, so that was a no-go as a cross-contamination exposure)
      • Interestingly, we think the tonsils are an early-detection system for food antigens we don't deal well with
      • Upwards of 50% of kids awaiting tonsillectomies will see a reduction in swelling when they go dairy-free. Sarah's thinking is the other 50% are probably just dealing with another type of food sensitivity.
    • Unfortunately, sometimes the challenge part of reintroductions can yield tricky reactions. We just have to plan for different outcomes
    • Stacy says try not to worry too much about what your children will choose for themselves when they get older
  • Can you develop Celiac if you're never exposed to Gluten?
    • Sarah says it's a Chicken 'n Egg situation: we can't test if there's no exposure, but we can't know if you were never going to develop it either way
    • If you have the predisposition, immune dysregulation, but are missing the trigger, you can't actually develop without it. Stacy asks, "what about Gluten cross-reactivity?"
      • In the case of Celiac, it's not actually antibody driven. The damage to the intestine is driven by the zonulin response. Sarah hasn't seen any papers indicating Celiac can be triggered by rice or corn, for example, likely because kids living without any gluten exposure is a fairly new concept
      • Also no evidence (to Sarah's knowledge) of a zonulin response to a different protein, other than gluten
    • Basically, comes down to the idea that you can't get a positive Celiac test result without exposure. False negatives are common
  • Amy's question: what's the optimal time to start solids, given that he has some symptoms of eczema which would indicate problems with gut health?
    • Usually, 6 months is the standard, as gut becomes mature enough for solids around this time
    • There's also evidence that introducing solids actually drives the maturation of the gut
    • There really isn't a way to know whether your baby's gut is mature or not
    • You could also start with a little sauerkraut juice, sips of broth to help prepare the gut for solids
    • The other signs you're looking for are tongue thrusts, baby's interest in solids, not spitting things out, baby is sitting up straight — these are all signs used in baby-led weaning
    • Stacy and Matt called this the "lazy" approach to parenting, but it's actually very instinctual and closer to the attachment parenting style
  • Rate and Review us! Goodbye!
  • Outro (34:55)

 

 

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