Podcast Episode #57: Hormones, multivitamins, post-op & special diets (oh my!)

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Episode #57: Hormones, multivitamins, post-op & special diets-oh my!
UPCOMING EVENTS:
Balanced Bites Workshops:
SAT., October 20, Rochester, NY
SAT., November 17, Tacoma, WA - with special guest teacher Anthony DiSarro!
FREE Practical Paleo book signing events with Q&A:
FRI., October 12, 2012: 6-8pm, Pittsburgh, PA
THURS., October 18, 2012: 7-8:30pm, West Orange, NJ
FRI., October 26, 2012: 7-9pm, San Diego, CA
SAT., October 27, 2012: afternoon time TBA, Los Angeles, CA (Culver City)
TUES., October 30, 2012: 6-8pm, Fort Worth, TX
THURS., November 1, 2012: 6-8pm, Houston, TX
FRI., November 2, 2012: 7-9pm, San Antonio, TX
SAT., November 3, 2012: 11am-1pm, Austin, TX
Remember that all events are open to the public, you do not need to belong to the hosting gym to attend!

Topics:
#1. Low estrogen, progesterone and high stress. [9:36]
#2 & 3. Multivitamins & micronutrient sufficiency [18:39]
#4. Glucose increasing on a Paleo diet? [32:40]
#5. Pre & Post Op, What’s best? [42:00]
#6. FODMAPS, SCD and GAPS, oh my! [50:29]
Click here to download this episode as an MP3.
The episodes are currently available in iTunes, Stitcher & Blog Talk Radio.
Show notes/links:
PALEO POWER SOCKS!
Check them out and pre-order here.
Naked Calories – book by Dr. Jayson and Mira Calton.

#1. Low estrogen, progesterone and high stress.
Bec says,
Hi Diane and Liz,
Firstly, I just wanted to say how much I love your podcast and approach to nutrition. It has given me so much inspiration! As an 18 year girl in my last year of high school, I have decided to work towards achieving a career in nutrition and health at university, but not conventional wisdom’s so-called idea of ‘health.’
My question involves a little bit of background information. after going on the pill for 4 months 3 years ago (I had been menstruating for a year and a half before that) I put on around 8 kilos (17 or so pounds). As a teenage girl I felt a lot of pressure to lose this weight and drastically changed my lifestyle by what I thought then to be right, exercising to chronic levels and removing all fat from my diet. Through lots of running and training (I was also fairly heavily involved in team sports), I lost this weight over the next year and developed compulsive eating habits – very restrictive, skipping lunch. Looking back on it now, I can see this is where my eating disorder began. After losing all this weight, I lost MORE and got to around 55 kilograms (120 pounds, I am 5’7) and looked very skeleton like! Around this time I had my last period and have not had another period nearly 2 years later, although I have put on 5 or 6 kilograms (12 pounds) through eating whole, nourishing foods, paleo-style. Discovering paleo and your book and website has completely changed our whole family, I love cooking for my family and buying food direct from the farmers. I am currently working with a naturopath who has diagnosed me with hypo active adrenals and we are trying to stimulate my hormones through supplements (after blood tests I have very, very low estrogen and progesterone) and control my stress levels.
I still struggle with some disordered eating and body image issues, by nature I am a perfectionist. However, I am about to enter my final exams for high school, a very stressful time, in a month and a half, and was wondering if either of you had any advice on how best to control my stress levels during this time, optimise my exam performance and possibly work towards having my period again. Any help would be appreciated, thanks!
Exercise: walking 4-5 times a week for an hour, lifting weights 1-2 times a week
Supplements: Fermented Cod liver oil (began a week ago), home-made sauerkraut, vitamin D, feroxin, mixed B-vitamins, supplements to support menstrual and thyroid health
Sleep: 8-9 hours a night
#2 & 3. Multivitamins & micronutrient sufficiency
Sage says,
I have recently been diagnosed with pretty severe adrenal fatigue and had a positive ANA test. I also have IBS (…I am a hot mess).I am doing the autoimmune paleo protocol and I am on a supplement regimen prescribed by my D.O. in order to address these issues. I have also taken my foot off the gas with my exercise and basically just walk and do light exercises per Paul Chek’s book. My question is, though my DO is good and takes a natural, non-Westernized approach, she isn’t exactly paleo. Because I don’t eat any fruit and a limited array of vegetables due to my IBS and those I do eat i typically cook (roast, steam) in order to facilitate digestion, I am wondering if I should consider a basic multivitamin for micronutrients I may not be getting much of like C, etc.
I am taking 500mg of Mg and 50,000 IU of D 1x a wk, and iodine as part of my Rx supplement regime, but the remainder are specific to my adrenal fatigue and gut health.
I know this is a loaded question, but any input would be greatly appreciated. Thanks for what you do, it is great to see RD’s embracing the science of and promoting a paleo way of eating. Thanks again!
A similar question from…
Magda says,
Regarding multi-vitamins…I know you don’t necessarily recommend them, but was wondering what the “best option” is in your opinion. I am currently taking a whole-food based multivitamin called “Athletic Greens” (not sure if you’ve heard of it before). I’m hoping to get off the supplement, but find it is difficult to get all the micro-nutrients in a single day (based on FitDay…not sure how accurate it is?). Any recommendations for ensuring I get all the required micro-nutrients without supplementation?
#4. Glucose increasing on a Paleo diet?
D. says,
Have you seen/heard of glucose increasing on a paleo diet? I have been following paleo for 8+ weeks, strict 30 day most recently. Felt great, positive body changes, lost 7lbs but not needed (19 bMI) had blood work last week and fasting bg was 118! Age 41 Never had high glucose before. Just trying to figure out possible causes. Have done lots of online reading (wolf, daily apply, Kreisler, American diabetes assoc, etc) will be seeing my gp in a few days but she’s not a nutritionist and I am trying to get as informed as possible.
My only sugar was occasional apple (each week), some berries daily/or weekly, larabar maybe every 3 days or less often. No grains, no grain oils, no dairy. Week prior to my testing had 4 glasses wine on the weekend (wedding anniversary).
Not looking for diagnoses but what could possibly be areas to look at as paleo is normally held up as great way to reduce diabetes risks. Thank you.
#5. Pre & Post Op, What’s best?
Stacy Says,
I started eating pure Paleo in July and have lost 20 pounds! I have had chronic pain and inflammation for my entire adult life. I am 39 years old and cannot remember feeling this good… ever! There are NO words to explain how grateful I am for your book and for how eating Paleo has changed my life, energy level, and virtually eliminated the inflammation in my joints.
My question is about preparing for an upcoming surgery. My husband and I have been infertile for our entire eight and a half year marriage. Today my doctor discovered two humongous polyps obstructing my cervix (kind of like a built in birth control… but I don’t want that!!) Interestingly enough, it seems that one of the main causes of polyps is chronic inflammation. My wonderful doctor is going to do a hysteroscopy to remove them, a D&C to make sure there aren’t any more in my uterus, and a laproscopy to check for endometriosis. How would you recommend that I prepare for my surgery and also what I can eat/do to best recover?
My surgery is scheduled for November 1, so l will be taking good notes! I’m planning to take 200c arnica Montana homeopathic tablets before and after surgery as well. I truly value your insight and input. I’m sure you get more questions than you can possibly answer and I truly appreciate your time and respect your advice so much. Thank you for all you have taught me through the podcast and the book! Thanks so much!
#6. FODMAPS, SCD and GAPS, oh my!
Ilissa Says,
I am a new convert to the Paleo lifestyle. I have been suffering with IBS-C my whole life (I am 38 years old and have had stomach issues since birth). I have been to countless gastroenterologists and have had many endoscopies and colonoscopies, all which never reveal anything. I also have GERD and have been on proton pump inhibitors for many years. Anyway, since I made the decision to go Paleo (and I just completed my first Whole 30) I have been digging deeper into research into my digestive issues since just doing paleo hasn’t resolved them.
Today, in Paleo Magazine, I read an article about SIBO, so I started researching that. Then I came across low FODMAPS, SCD, and GAPS diets.
I am so confused! How do I know if I have any of the issues that would call for trying these diets? How do I know which one to try? I am not sure what the differences are. I was just reading an article at The Paleo Mom, and she suggested contacting you for further information. This is all so confusing, yet I feel like I might be on the cusp of finally getting to the root of my digestive distress. Any help you can offer is greatly appreciated!

Cheers!
Diane & Liz
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