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IBD REMISSION DIET
Question:

I just finished reading "The IBD Remission Diet" and am in the middle of "Listen To Your Gut." These books are fantastic! I wish they were around 30 years ago. You really did your research and wrap everything up in an easy-to-use presentation.

I have had Crohn's Disease for 30 years (diagnosed at 12), which has included 3 resections (always at the terminal ileum). I related to so much of what you say in the books. I too came from a medical family, but unlike you, I accepted the medications, surgeries, and constant "diet doesn't matter" mantra. It is fascinating to me why the majority of people follow traditional medicine and "take their medicine" like sheep, but there are also people like you who are able to question the GI's, traditional thinking, and find a better way.

A few years ago, I finally started looking elsewhere for relief. Like you, I tried the Specific Carbohydrate Diet. After a week, I felt the best I had felt in years. 3 months into the diet, feeling fine, I went in for a routine physical and was so anemic that I needed 2 transfusions. I still can't figure that one out, since I was eating plenty of meat. Maybe all the nut flour, fruits, and veggies irritated the intestine. Shortly after, I had surgery. Now, a few years later, I am on the verge of surgery again and exploring options - your IBD Remission Diet and the diet below (I'm still afraid of the SCD). I've not wanted to speak out against the SCD because it helps so many - but I definitely believe something is missing. The engineer in me wants to believe in a "one size fits all" cure for this disease. Since the disease is probably not even one disease, the idea of one cure is folly. Your flexible attitude is much better - the idea that everyone is different and everyone's path to healing may be different as well.

My question to you is if you have ever considered the "raw-food" cure that is out there. One book is "Self-Healing Colitis & Crohn's" by David Klein and can be found at http://www.colitis-crohns.com/ The other book is "Healing Inflammatory Bowel Disease" by Paul Nison and can be found at http://www.rawlife.com/.

Both of these authors had Ulcerative Colitis and followed a "Natural Hygiene" diet to heal themselves. One claims to have healed around a thousand people. Basically this diet is fruits, veggies, nuts, and seeds, along with plenty of rest, sunshine, fresh air, and positive thinking. No nuts, seeds, or raw veggies until the gut is healed - just veggie juices. Also, no meat or cooked food. The basic philosophy is that the body heals itself - we just need to give it the nourishment and rest that it needs to do so.

Have you come across this? What do you think? I fully believe it would work - it seems that it might be difficult to follow, though.

One more question - If I listen to my gut, it will tell me to go get a pizza, a burger, french fries, and a 6-pack (seriously). Related to this, if you are allergic to something, your body often craves it and will "tell" you to go for it. How do you know the difference between this and what your gut is "really" trying to tell you???

Thanks again for the great books, Jini,
J.
San Antonio, TX

Answer:
Thanks for the email with your kind words and for sharing about your process so far. Another interesting thing about the SC Diet is that following my time on it (I was on it for a full year) I had IgE and IgG blood tests to test for food allergies (done years after I finished the SC Diet) and all my results came back positive (allergic) for all the staples of the SC Diet (eg. eggs, the different nuts, honey, etc.). Now, through food intolerance testing (elemental diet followed by food re-introduction one by one) I was NOT allergic to these substances, but obviously something in my blood was still registering an immune response to them. And I believe this was a combined body/mind response to (a) consuming such large, consistent amounts of the same foods every day and (b) the psychological stress from the strictness of the diet and having to spend all my time in food preparation - which I hated.

Well, the important thing to keep in mind is that different things work for different people - I've heard from several people who've followed the SC Diet for years and are very happy with it and feel it works well for their body. And I'm sure there are hundreds more people for whom this is true.

Which brings me to the Raw Food diets. In theory, I like these diets. Ideally, all of us should consume at least a portion of our food raw (although some plants have natural defense mechanisms blocking nutrient absorption that are only disabled via cooking) or at least only lightly steamed/cooked. If you could tolerate a completely raw diet, then great, go for it. Unfortunately, I've found that for many people with IBD, their digestive systems are simply too sensitive and impaired to tolerate raw foods and consumption can trigger a flare.

Thus, I like the diet which recommends only raw juices first, until you're healed enough to handle raw foods. Unfortunately, again, many people may not even be able to tolerate raw vegetable juices (I was one of them) and they may cause violent diarrhea which can then trigger intestinal bleeding. Also, I don't know whether these diets would work if you were already at a low weight or suffering from malnutrition. If all you're going to consume is veggie juices for weeks (and/or raw veggies), you're going to lose some serious weight. Maybe you could throw in some whey protein (isolate) powder to counteract this (if you could tolerate the taste).

So, again, you really have to follow your own gut in this whole arena. If you feel a leaning towards trying a raw food diet, then give it a try, go slowly, and see how your body responds.

If you follow your own body wisdom, you may also come up with novel ways of eating that work best for you. For example, I was contacted by a reader who was 2 months pregnant and her symptoms flared terribly. She was worried about the effects of Prednisone on the fetus and was wondering if the IBD Remission Diet might be a better option. I agreed that it certainly would be better than Prednisone, but I was also concerned about the lack of phytonutrients (from plants) for the developing fetus. So, I suggested she try and see if she could tolerate a combination of the elemental diet (Absorb Plus) along with raw vegetable juicing. She could and it worked a charm and her baby was born completely healthy and continues to do well two years later.

I believe the best thing for all of us is to be open to all sources of knowledge and information and then bring that home to our gut and listen to what our body says feels right for us. And continue to listen/stay open. Your body may want raw food, but only for a week, then it might want something else, then back to raw food for a month, then something else, etc. (for example). As long as you're listening to and following your own body's wisdom, you'll do well in the long-term.

Regarding pizza and beer: When most people ask their gut what it wants to eat, they're usually asking their tastebuds - not their gut. Likewise with 'cravings' for foods you're actually allergic to, or addictive foods like sugar. Connecting with your gut (i.e. digestive system) will not give you same answer as if you ask your 'body' which usually means you're asking your tastebuds, or, the corresponding region of your brain. For example, 'hunger' is regulated by the stomach itself. But 'satiety' (feeling satisfied and not wanting any more food) is regulated by the brain. How many times have you been eating a meal and been offered seconds or thirds and you say, "Oh no, I couldn't eat another bite, I'm absolutely stuffed!" as you pat your distended, obviously full belly. But then your host brings out a mouthwatering chocolate torte and all of a sudden you find you have room in your stomach after all and actually WANT to put more food in your mouth? This is because whilst your hunger is certainly fulfilled and your stomach/gut has indeed had enough, the centre in your brain that controls satiety has not had enough of the tastes of cream, chocolate, etc. and thus you want to eat more. It is not your gut that wants to eat the cake, it is your tastebuds. Follow the instructions in "Dialoguing With Your Body" in LISTEN TO YOUR GUT for guidelines on how to do this. Unfortunately, there are no shortcuts and if you want to pursue the path of natural/holistic healing, this is a skill you're going to have to develop.

Question:
Hi Jini, just wanted to write you a quick note to let you know how I am doing! I have done the remission diet for just over five weeks now and I started introducing food this week. I feel that I have made some improvements in my health, but I still feel that I am on a much longer healing journey that will take some time! I went off all my meds (azathioprine, pentasa, cipro, metronidazole) at the same time as I started the diet. At the same time I have been supplementing with grape seed extract, coenzyme Q10, vit C, mucosaheal, Chitaq - NAG, fish oil, ferrasorb iron, hydroxy-cal, zinc and george's aloe vera. I have had some problems with swollen nodules coming up on my body as well as very sore joints. It got so bad last week that I had to resort to starting a short course of prednisone. The prednisone helps but I feel as though I may be counter-acting the other
immune-enhancing supplements which is confusing and frustrating. I also have been struggling with some anal fissures (fissureheal is not going to be available for another 3 weeks, unfortunately!). My gastroenterologist did a colonoscopy right before I started the remission diet and he said that it was only my large bowel that had inflammation throughout it. I was wondering if you know of any supplements or treatment that targets this area? I have also started some cranial-sacral therapy. I am still very hopeful that I can get my condition under better control than it is now. Maybe it will just take time?! Thanks for your support! Also thank you for sending me the list of therapists in the Vancouver area, I really appreciated you taking the time to do that!
Answer:
Congratulations on completing a difficult but very worthwhile task!! Unfortunately, yes, you are counter-acting the supplements. Prednisone is a VERY damaging drug. Doctors have gotten so used to prescribing it though, that they seem to forget it should be a severely restricted drug. When it was first released, the pharmaceutical companies themselves warned that it should 'only be used in life-threatening conditions'. So you need to ask yourself: are my sore joints and nodules life-threatening conditions? Re-read ch.1 of Listen To Your Gut; you're going to go through cycles and spirals in your health as you heal yourself, and if you want to support the long-term, holistic healing of your body, you're going to have to try to get through these times without resorting to drug use. Otherwise it's going to take you a lot longer to heal yourself because you'll be in a 'two steps forward-one step back' pattern. Of course, if you'd rather take longer and feel more comfortable being able to use the drugs, that's up to you. Follow your gut and you'll know what's right/best for you. Personally, I suspect the sore joints and nodules may be side-effects or detox symptoms from one or a combination of the drugs you've been on (they are documented side effects of Asacol, for example). The MucosaHeal, George's Aloe Vera, NAG, and CoQ10 all directly target the large bowel and there's nothing more you really need to do for it, aside from the Natren probiotics. Have you started those yet? All in all, sounds great and your progress sounds wonderful, I'd say you're really on track!
Question:
How does THE IBD REMISSION DIET differ from LISTEN TO YOUR GUT, which I already have?
Answer:
THE IBD REMISSION DIET was written in response to readers of Jini's first book (LISTEN TO YOUR GUT: Natural Healing & Dealing With Inflammatory Bowel Disease & Irritable Bowel Syndrome), who wrote in asking for more detailed instructions on following the Bowel Rest Elemental Diet outlined in Chapter 3 of that book.

LISTEN TO YOUR GUT is a comprehensive compendium of a variety of natural, alternative therapies that work to address specific symptoms of IBD and IBS. THE IBD REMISSION DIET however, focuses on just one of those natural therapies (the elemental diet) and then adds a natural supplementation plan to produce an effective program for inducing disease remission.

Whilst LISTEN TO YOUR GUT provides you with a variety of treatment options and you put together your own plan based on your individual symptom profile, THE IBD REMISSION DIET is a set, step-by-step treatment program that is the same for everyone - the only variable is the length of time you stay on the Diet.

THE IBD REMISSION DIET is definitely the fastest way to heal yourself, but it requires a lot more self-discipline and involves short-term, radical change. You can also attain solid, long-term healing using LISTEN TO YOUR GUT but it usually takes longer to achieve the same results - as you pick and choose from the therapies listed and go at your own pace. Both contain very valuable information and healing tools for healing Crohn's, Ulcerative Colitis, Diverticulitis and Irritable Bowel Syndrome (IBS).

Question:
I know you recommend Natren probiotics in the book, but these are the most expensive on the market - why do they cost so much more than the others?
Answer:
Natren probiotics are the most expensive because they're a) one of the few companies to guarantee stated levels of live bacteria per dose, b) a top of the line product and c) one of the only companies to use human strains of probiotics. Nearly all others use porcine or bovine strains (from pigs or cows). Therefore, I've found their probiotics to be the most effective and well tolerated. If price is a barrier, then you can try reducing the dosage, or use them every 2nd day, and see if you still get the same results.


 
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