Elimination Diet… Where I’m up to – A Summary!

My last post Elimination Diet…. What have I been eating?! received so many positive comments from Facebook, and additional questions posted on Facbook groups, that I feel perhaps I ought to expand a little! I am by no means an expert in this… this is a little personal experiment. There are things that I haven’t done perfectly, and there are things that I know in time I will need to adapt and adjust, and also, what works for me won’t be the same for you… that is the point of an Elimination Diet, to find out what is your own personal triggers.

Elimination Diet

I stated in A New Start with the Diet what I had decided to eliminate, this included: gluten, dairy, Sugar, Additives, Legumes, Citrus Fruits, Seeds and Nuts, Nightshade vegetables, Meat (excluding fish and turkey/wild game), Eggs, Most drinks!, Spices and Condiments (due to the inclusion of seeds, sugars, gluten etc. – therefor Himalayan Rock Salt, fresh herbs and dried leaves of herbs allowed). I decided on these things from reading The Paleo Approach, and this website which I found in the files section of the Facebook group Rheumatoid Arthritis Managed Naturally.

Pretty restrictive, but well worth it!!

So what have I learnt so far? Well… Initially I don’t think I ate enough. Now to be honest, it wouldn’t have been a problem, as it probably was enough, just not for a pregnant woman in her third trimester!! But this didn’t last too long, as my midwife noticed a high proportion of ketones in my urine after a fortnight of starting the diet. So how did I rectify this?? I added more starchy vegetables – butternut squash, sweet potato, beetroot… plus exactly what I had been eating on the first week of my elimination diet. The next urine test was spot on.
Other possible reasons that my urine test was slightly off that first week… was my appointment was at 9am on Monday morning, and I probably hadn’t drunk all that much before the test, therefore dehydration can affect ketone levels in urine. And also, along the lines of not eating enough, that weekend I had eaten out on both Saturday and Sunday, and generally been quite active (totally unheard of before when I could hardly move!!!).
Eating out is a bit of a problem, and I don’t mind too much as I had, more recently begun to feel that eating out was becoming too frequent, it was taking away the special-ness of going out for a meal for a special occasion. Plus, not eating out saves money… which can go directly into ensuring that the food I’m buying in for our daily meals is as good as we can afford!!
However, eating is a really social event, and it is nice, when friends are visiting, or there’s a get together that you can go out and still eat within your restrictions. Unfortunately, so far I have found that I tend to get one choice of fish or meat with a plain salad, or a plain portion of vegetables. As I go along with my reintroductions, and my diet 90% of the time is balanced and managing my inflammation, I am sure that I will have to be slightly less restricted in a restaurant, but for now it just isn’t worth it!!
In the meantime, I am going to start a little review of each of the places that I eat out at, looking at their choice, service, and food in general, as it’ll serve as a little reminder for me when it comes to having to pick somewhere to go out for food if the need arises!
Reintroductions
My reintroductions have been slow, and I have intended that because I want to know exactly what I can and can’t eat!! I have also so far only really reintroduced some ‘safe’ foods, with a view to building up my diet to an Autoimmune Paleo (AIP) type diet, trying to follow The Paleo Approach as closely as I can, food sensitivities (if found) allowing. The reason I’m aiming for an AIP diet is because The Paleo Approach book made sense to me, and I do eat meat!! And I like eating meat! A lot of other diets move towards a less ‘meaty’ approach, and I felt, for me, I wanted to try this… if I found that I couldn’t tolerate meat through my Elimination Diet then, of course, I would have addressed this and looked towards getting my nutrients from other sources, but everyone has to have a Plan A!!
So far, meat (grass fed Lamb, and grass fed Beef (as of this weekend), free range chicken, and wild game/duck etc.) has been good… No reactions… YES!! So fingers crossed, I can look to follow an AIP diet fully in time.

Eggs and almonds aren’t really in the AIP remit, but I thought I’d give them a go because of their usefulness in baking, and other cooking… Almonds seem OK (I eat in proportion anyway), eggs however didn’t go so well… but because I was doing a detailed Food diary, I have been able to look at the possibility of other possible reasons for my flare – so I plan on trying again with eggs on a clean day, and if the same reactions occur, then I’ll know!

I had my 30th Birthday in the midst of all this, so I did cheat a little for a few days – keeping within an AIP diet – but I did a bit of baking, and eating out once which meant on that weekend I had lots of new foods, and yes, I did feel a bit rubbish following this weekend… I just don’t know exactly weather it was the flax seeds, or honey, maple syrup in the baking, the extra sugar from the baking and eating lots of fruits rather than keeping a balance, maybe the yeast in a bullion that made a gravy… or any of the other little things that sneaked in over that weekend.
But all in all, it was nice to relax for a couple of days with my family and by eating clean the following week my fatigue and pain ebbed away quickly. And I think this is important!! It is important to be dedicated to your elimination diet to work out what your triggers are, but it mustn’t take over your life so much that it makes food a misery or a chore! Food is delicious, and especially so when you know it is healing your body!!
I look at reintroductions as an exciting time of the week… it’s a day to find out if there is one more food I can eat!! And it’s like an adventure, a discovery!

Supplements

This is my weakness… I’m only just getting my head around the nutrients that I am trying to balance in my whole foods… let alone where I’m deficient, and what will benefit me in long or short term. This is my next goal… I am going to wait until little junior is out of me though first, because even though I’m sure most supplements would only benefit me and the health of my baby, everything says ‘if you are pregnant or breast feeding please consult with your doctor’… and unfortunately when you do this, they have no idea of any impact on me or my baby… so I’m going to wait. This gives me time to continue with my reintroductions and get to grips with that anyway.
I’m excited about the addition of supplements and how it will be another piece to the puzzle, I think I may need a little extra help however, and I plan to speak to a nutritional naturopath when the time is right for guidance.

Support
I have been really lucky that my other half has been supportive of this adventure of mine… but I guess why wouldn’t he be?! He doesn’t need to help me on and off the settee anymore, or get woken up in the night to help me turn over and sort out the covers! I can come out on the dog walks, and I’m 100% happier, which makes the household a happier healthier place! And I’m doing most of the cooking (I’m going to have to try to train him back up to AIP cooking sooner or later though!!). Plus… He is very into his sport and fitness… and although we ate pretty well before, always eating our 5 a day, minimal bread or pastries, rarely potatoes, with fish a regular part of our diet… we weren’t eating CLEAN! So now we are… he can’t stop looking at the results he is seeing in the mirror… which is a constant source of amusement to me!

On wards and upwards!

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