1

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Autoimmune diet vs. FODMAPS elimination to heal leaky gut

Answered on August 19, 2014
Created April 27, 2012 at 7:04 PM

I have a history of Celiac and Hoshimotos hypothyroidism and was starting to get symptoms of Sjogren's syndrome so I started the Paleo diet about 6 months ago to try to heal my leaky gut. The Sjogren's symptoms are gone, headaches and fatigue are gone as well. I also have mostly eliminated nightshades as well. I do eat out once a week but am strict the rest of the time but still have stomach aches, bloating and brain fog. So, I am wondering if I should do the FODMAP elimination diet instead which includes nightshades and eggs. I am a busy mom with 3 kids and am finding the meal planning tough.

66974b2cb291799dcd661b7dec99a9e2

(11121)

on April 30, 2012
at 03:55 PM

+1 agree esp about the bone broth & Vit D,K2

Cd717290eb43a6e17061f9920deed977

(1267)

on April 27, 2012
at 08:59 PM

Are you suggesting nothing but bone broth for a week? As in, no other foods at all?

A521df2f0b237a17a1d314c322c30bd6

on April 27, 2012
at 08:56 PM

Yes, I wondered about the eating out - hard to maintain my marriage without getting out of the house:) I am careful when I order but I tend to not feel well the next day. I had symptoms since I was a kid but not dx with celiac until my kids were dx. I have been lactose intolerant for 20 years but never went dairy free until recently. Will try the bone broth idea. Not sure what you meant by your last paragraph. I'm on T4 and T3 replacement meds so not sure what I'd do differently. Thanks!!

A521df2f0b237a17a1d314c322c30bd6

on April 27, 2012
at 08:49 PM

Yes, tested for celiac and hashimoto's -have been gluten and lactose free for years so went paleo thinking that would prevent me from developing another autoimmune. Did not test pos. for Sjogren's but docs were puzzled with my symptoms and thought I was just catching it super early before my blood tested pos.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on April 27, 2012
at 08:39 PM

Have you actuallly tested postive for those 3 autoimmune conditions? And you're already gluten and dairy-free? Brain fog could be Sjogren but symptoms are vague so unless u definitely have connective tissue autoimmune condition, I'd try eliminating eggs first, then nightshades, then soy/nuts. I'd try FODMAPs last. But before that, I'd make sure I'm definitely Celiac, Hashi and Sjogren's.

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2 Answers

1
A980a13555ef30d83a0da52761606039

on April 27, 2012
at 08:33 PM

Most people with Celiac need to do more than just fix their diet to heal leaky gut. Going Paleo is a critical step, but you may want add other healing strategies. Bone broth is one of the best. Others include, but are not limited to: Fermented foods & probiotics, Vitamin D3 & K2, Curcumin and LDN.

Alan www.crohnsdad.com

66974b2cb291799dcd661b7dec99a9e2

(11121)

on April 30, 2012
at 03:55 PM

+1 agree esp about the bone broth & Vit D,K2

1
8496289baf18c2d3e210740614dc9082

on April 27, 2012
at 07:37 PM

It seems as though you've had a large amount of success so far with paleo, though incomplete. Now that you've been paleo for 6 months, I'm wondering if, instead of jumping ship to FODMAP, you might not want to consider going stricter paleo.

Eating out once a week can usually be done in a pretty paleo-friendly way if you do a little menu-research beforehand. If that's not feasible, you might want to consider foregoing the weekly indulgence for a month, to see if that's what's keeping you inflamed. If you haven't already, you might also want to consider straight bone-broth for a week ... it sounds like your gut is improved, but not fully healed yet. Part of the problem with Celiac (where it sounds like most of your symptomatology comes from) is that your body begins making auto-antibodies not only to the gliaden that initiates it, but also to the transglutaminase in your endomysial cells. This destroys the convoluted surface area of your gut lining (the intestinal brush border), giving you insufficient surface area to properly digest carbohydrates. Bone broth gives your body time to rebuild this surface area.

If this provides some level of relief, but insufficient, it would be pretty easy to combine FODMAP with paleo concepts, as there is considerable overlap. But while strict FODMAP does well for IBS, it is not quite as effective for Celiac and, furthermore, may see the return of some of your other symptoms.

As a final thought, many of the autoimmune diseases from which you suffer are associated with specific human leukocyte antigens (HLA markers) that predispose folks who inherit them to specific disorders. If you know for certain that you have, for example, HLAs DQ2 or DR5, that may change the way you think about the celiac or Hashimoto's, respectively.

A521df2f0b237a17a1d314c322c30bd6

on April 27, 2012
at 08:56 PM

Yes, I wondered about the eating out - hard to maintain my marriage without getting out of the house:) I am careful when I order but I tend to not feel well the next day. I had symptoms since I was a kid but not dx with celiac until my kids were dx. I have been lactose intolerant for 20 years but never went dairy free until recently. Will try the bone broth idea. Not sure what you meant by your last paragraph. I'm on T4 and T3 replacement meds so not sure what I'd do differently. Thanks!!

Cd717290eb43a6e17061f9920deed977

(1267)

on April 27, 2012
at 08:59 PM

Are you suggesting nothing but bone broth for a week? As in, no other foods at all?

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