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Answered on April 11, 2014
Created April 08, 2014 at 11:02 PM

Hello,

As of now, I have been eating paleo for over a year. I was rail thin when I started, and the diet has been an attempt to control autoimmune issues and an assortment of debilitating health problems, not to lose weight (I had none to lose, and have gained a little, which is great.)

My problem is this: though I have had wonderful results in so many regards -- huge alleviation (but not elimination) of autoimmune issues, curing of reactive hypoglycemia, and a huge increase in energy and mental/emotional health, I have been struggling terribly with one thing: eating enough.

There simply is no way I can seem to get enough calories. I am very restricted: I can't eat nuts/seeds/nut butters, nor starchy vegetables. Nuts/seeds give me autoimmune issues, and starch triggers my hypoglycemia, so I depend upon fruit for my carbs (and I do need carbs! I'm a 25-year-old, fit, active male.)

My only template for meals, then, is to load up a plate with fatty meat, plenty of non-starchy vegetables cooked in plenty of fat, and plenty of fruit (sometimes I even cook up fruit and add coconut oil). I will make "big ass salads" with lots of meat, lots of cooked veggies, plenty of fruit, and dump olive oil, and add olives, avocado, etc. The issue is this: I simply can't eat all those fruits and vegetables -- it gives me horrible stomach problems...pain, cramping, constipation, or diarrhea. If I just gorge on meat and fat, I also get stomach problems.

When I eat dairy, this entire problem is solved. If I eat fruit with yogurt, I'm fine, but if I eat fruit alone, it hurts my stomach. If I eat a huge plate of veggies with melted cheese, I'm fine, but veggies alone, it gives me terrible gas.

I'm not just talking adjustment -- I tried this for months and months. I just can't stomach all those fruits and veggies, and I can't make up for it with extra fat, either, because that too irritates my digestive system. If I add in dairy to fix this problem, I can get enough calories, and not kill my stomach, but -- dairy triggers my autoimmune issues.

Any thoughts??

618fc5298c4a96b817c4918c795a875f

(1217)

on April 10, 2014
at 02:14 AM

Yes, it sounds like you need someone working with you on your health - I hope you can find a good Dr in your area who is actually a healer and open to a preventative way of dealing with disease. In the meantime, I would try small amounts of raw dairy - maybe you won't be as intolerant to it and it will help you get some more calories in. Very best of luck.

Cf08ad26759fdd206a2c9f9385080a57

(995)

on April 09, 2014
at 03:52 AM

Ah, I take back the rice and fruit suggestion if you're that hypoglycemic. Although, if you're really restricting calories and your electrolytes are unbalanced, that would shake you up too.

You need to get in for some medical lab work.

3987b175423a6b007c201b52bdf52652

(0)

on April 09, 2014
at 03:20 AM

Ah, if only it were that simple. If the shaking hands weren't enough, blacking out while driving forced me to take hypoglycemia very seriously, as did my blood glucose meter. The brain is powerful, but not powerful enough to bring blood sugar into the 60s after eating some beets. Thanks for trying.

Cf08ad26759fdd206a2c9f9385080a57

(995)

on April 09, 2014
at 12:49 AM

As someone who eats broccoli, onions, brussels sprouts, and other plants all day long, it doesn't seem intuitive to me to exclude those unless you have some sort of gut dysfunction.

Good call on the FODMAPs issue.

Sometimes raw plants / nuts / seeds can mess me up if I eat them on an empty stomach too quickly without chewing them up well.

Adding fats seems intuitive to me, as it tastes much better that way and provides more energy. A salad without fat is just a pile of bitter fiber.

782d92f4127823bdfb2ddfcbcf961d0e

(5231)

on April 09, 2014
at 12:31 AM

That sounds more like a FODMAPS issue. Have you looked into a GAPS diet?

3987b175423a6b007c201b52bdf52652

(0)

on April 08, 2014
at 11:52 PM

Thanks for the response -- I may have worded part of my question incorrectly: I can eat as much meat as I want without digestive issues -- it just doesn't keep me full. I eat a decent chunk of meat with every meal, with fat/skin...but I have to fill the gap with fruits, veggies, and fats, and the sheer quantity of plants just kills my stomach.

I am really surprised that it seems nobody else has this problem. It seems quite intuitive, actually -- why wouldn't I have gas and stomach pain after eating massive quantities of broccoli, onions, brussels sprouts, apples, oranges, etc...?

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5 Answers

0
3987b175423a6b007c201b52bdf52652

on April 11, 2014
at 09:50 PM

Thanks for all the suggestions, everyone. Luckily, I seem to be doing well with raw, grass-fed dairy.

0
B5fb873f94766774e49a6f9d533a3223

on April 09, 2014
at 03:59 AM

I know it's not technically paleo, but what about protein shakes? You seem to eat dairy anyway, so what about an all natural whey protein with 1/2 can of coconut oil (if they aren't included in your intolerance), and/or a tablespoon of MCT/olive oil. I add a tablespoon of potato starch to my shakes as well, this will give you extra calories along with some resistant starch. Have one of these before lunch and one before dinner, it should add about 1000 calories to your daily ingestion.

P.S, I use "about time" protein. It is pretty cheap for an "all natural" protein.

http://www.vitacost.com/productResults.aspx?x=0&y=0&ntk=products&ss=1&Ntt=about%20time%20protein&csrc=PPCADW-about%20time%20protein&mtp=sRneSXXx0-dc|pcrid|26176592891|mt|e&gclid=CMXn5v-_0r0CFVJffgodj3wA_A

0
618fc5298c4a96b817c4918c795a875f

(1217)

on April 09, 2014
at 01:24 AM

Are you under a physician's care or self diagnosed? All of these intolerances sound like orthorexia to me. You might just be freaking yourself out - when we do this, we get anxiety, and the symptoms are very much like hypoglycemia and gut issues. Try to relax and just eat small quantities of those foods you have marked as "off limits". Maybe you just aren't made to eat huge amounts of anything. Eat smaller amounts of vegetables, try small bits of starch, have a bit of raw milk cheese or yogurt - ease into it calmly without fear of what might happen, and just see what develops. You might be okay.

3987b175423a6b007c201b52bdf52652

(0)

on April 09, 2014
at 03:20 AM

Ah, if only it were that simple. If the shaking hands weren't enough, blacking out while driving forced me to take hypoglycemia very seriously, as did my blood glucose meter. The brain is powerful, but not powerful enough to bring blood sugar into the 60s after eating some beets. Thanks for trying.

0
F92f0b6a3fe3d45a489e020076904f2f

on April 09, 2014
at 12:06 AM

One trick I have for getting calories is taking "shots" of red palm oil or coconut oil (two tablespoons at a time, diluted in warm water so it's melted). If I eat it with a meal it is not problematic digestively

0
Cf08ad26759fdd206a2c9f9385080a57

(995)

on April 08, 2014
at 11:24 PM

If you're unable to eat much fruit / veg, or much meat.. or starches..or nuts / seeds / butters.. or dairy.. or added oils.. and you're active, no wonder you're rail thin. (I'm guessing you avoid soy / beans / grains and all that too.) It sounds like you're running on yogurt and cheese.

Maybe you should get in to see a gastroenterologist.

At that point, fruit juices and rice start to sound like a good plan to me, but that doesn't seem optimal for anyone other than someone who has restricted just about everything else that can be eaten in larger quantities. I've never been more hungry than when I was running on rice and juice (4-5 large meals a day, no problem.)

My suggestion would be to substantially increase your sushi and fermented veg / drinks, and up the carbs until you can up the fats. And maybe find a good multivitamin.

If you're not fatigued and feel otherwise healthy, calorie restriction looks fine to me if its done with an optimal nutritional plan.

3987b175423a6b007c201b52bdf52652

(0)

on April 08, 2014
at 11:52 PM

Thanks for the response -- I may have worded part of my question incorrectly: I can eat as much meat as I want without digestive issues -- it just doesn't keep me full. I eat a decent chunk of meat with every meal, with fat/skin...but I have to fill the gap with fruits, veggies, and fats, and the sheer quantity of plants just kills my stomach.

I am really surprised that it seems nobody else has this problem. It seems quite intuitive, actually -- why wouldn't I have gas and stomach pain after eating massive quantities of broccoli, onions, brussels sprouts, apples, oranges, etc...?

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