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Former Keto dieter transititioning to Paleo after nearly dying...tips and support welcome

Commented on December 08, 2014
Created February 16, 2013 at 2:06 AM

Hello, I am new here. In order to receive helpful answers, I will share some detailed information about myself. I am a 33 year old woman.

I live in Eastern Asia. The usual diet here is very spicy stuff, rice, noodles, fermented veggies, meat, fish, alcohol, and fast food.

I have been on the ketogenic diet - in a reasonably consistent state of ketosis for about 6 months. I did this to combat intrusive blood sugar issues (low), a sugar addiction, and to become healthier. It was the first diet I had ever tried.

I am actually a "skinny fat person" who is technically under weight. My reasons were purely health-motivated, but I liked how my body firmed up, muscle tone began to improve, etc. I initially lost weight, but I did so in a way that made people say "you look great/fit".

My body appeared to like the loss of sugar and increase in protein and fat. I was previously a vegetarian. This was a huge change for me.

I have now landed myself in the hospital 3 times over 4 months with severe intestinal blockages, one leading to a serious infection, and several bouts of dehydration due to vomiting, racking up about 6 grand in bills and frankly, a lot of emotional stress and embarrassment.

My doctor is US-trained and does support Low carb dieting (LCD) for some people, but for me, he felt the sudden, induced ketosis was too much of a shock to my system. My cholesterol spiked in 3 weeks (not sure about the full analysis here but I do know that may mean nothing), and my blood chemistry changed dramatically in ways my physician felt my body couldn't handle.

After ER visits 1 and 2, I tried to adapt the keto diet by piling on the veggies and increasing the good fats and water intake, because I felt keto had real benefits. My husband also is on keto and the diet works well for him.

I liked the way that LCD kept my blood sugar stable, and initially, I felt better. However, after attempting to add lots of leafy greens, cope with an environment that uses rice as a staple (tough), my job (active), and numerous awful laxatives in addition to psyllium and Western natural source fiber, I am giving up. I am screwed up.

I need to transition back into a fiber-rich, paleo diet (or moving in the direction of paleo), and yet, it was (presumably) "the shock" of the sudden change I made that put my body into this crappy state (no pun untended).

If anyone has been in this situation, suffered from severe constipation or (in my case), a digestive system that DOES NOT WANT TO FUNCTION ANYMORE ON IT'S OWN, and felt this type of frustration, I'd like to hear how you helped yourself. I can't reach well-informed specialists where I am living. I turn to the net.

I have access to iherb.com SOME Western products MOST Western drugs (prescription) Nearly all fruits and veggies and fish found in the west Vitamins

This became a little long. I am emotional from being in pain, being embarrassed, and losing thousands of dollars due to hospitalisation and missed work.

Thank you.

3dc940ac9be21e45cf83207814c8cd46

(544)

on February 16, 2013
at 04:38 PM

Also, I began making water kefir last November and ever since, my BM have been like clockwork.

3dc940ac9be21e45cf83207814c8cd46

(544)

on February 16, 2013
at 04:37 PM

'Paleotrack' is a great site to track macro and micronutrients.

Ed0cb30f40daff568778b776b2a5a81d

(943)

on February 16, 2013
at 08:30 AM

What's the reasoning behind not eating dry or cold food?

3eca93d2e56dfcd768197dc5a50944f2

(11697)

on February 16, 2013
at 07:47 AM

Were you drinking enough water? On keto diets is very important to be drinking enough water. And of course, to continue eating fermented foods, and maybe a bit of fermented dairy too.

663d9c5681ca3c7398743b1536572991

(0)

on February 16, 2013
at 07:37 AM

And I will add briefly, you should not eat food that is dry or cold, and if you must then try to counteract it with something warm and unctuous.

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6 Answers

1
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on March 02, 2013
at 05:57 PM

If if by intrusive low blood sugar issues you mean reactive hypoglycemia, then low carb isn't the way to go. I was afflicted by that and found that low glycemic carbs eaten only in the context of a mixed meal was the best way to go. In practice, this means a slab of meat of some sort, some veggies, a cup or so of cooked basmati rice (that it is basmati really makes a difference in my experience) and an apple. I've found that apples in general are the single best food for recovering from a bout of hypoglycemia, but in the context of a meal are perfect for topping off of liver glycogen. The 2:1 or so fructose:glucose ratio that most people in Paleoland avoid like the plague is perfect for bringing my blood sugar back in order should it spiral out of control, which is exceeding rare these days. I kinda enjoy eating them too.

Just take your experience with low carb as a sunk cost and walk away from it. In your case (and mine) it is suboptimal at best.

P.S. you may also be experiencing a magnesium insufficiency.

0
F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 02, 2013
at 06:17 PM

If I were you, I would stick to the Perfect Health Diet. Just google it. It is very close to all Asian diets. White rice and starchy tubers (including sweet potatoes) are permitted.

If it does not work for you, try Weston Price. I think your physician will approve it.

0
Daee038b2da136bc8e817e3889c746c5

(139)

on March 02, 2013
at 09:12 AM

I also have a digestive system verging war against me from time to time, despite not having the exact same problem as you (the opposite actually).

I have Chron's and Atrophic gastritis and for me the key have always been to introduce things slowly. I was very ill before starting Paleo and could not eat anything for weeks which gave my body time to time"reset", after this I could slowly reintroduce food again.

I think that whichever "diet" you choose to follow you should be careful not to rush it. Take it in small increments and don't forget the water!

(btw I'm eating a ketogenic Paleo "diet".)

0
663d9c5681ca3c7398743b1536572991

on February 16, 2013
at 07:35 AM

In Ayurveda, constipation is associated with Vata imbalance. Some of its main characteristics are being skinny, having excess nervous energy, moving and/or talking fast, erratic behavior. If you look into this, you will learn a lot, it will help you very much, and it is simple and practical. To make sure that you are getting enough nutrition, I recommend trying fitday.com or similar sites that allow you to calculate your daily nutrition easily.

3dc940ac9be21e45cf83207814c8cd46

(544)

on February 16, 2013
at 04:38 PM

Also, I began making water kefir last November and ever since, my BM have been like clockwork.

3dc940ac9be21e45cf83207814c8cd46

(544)

on February 16, 2013
at 04:37 PM

'Paleotrack' is a great site to track macro and micronutrients.

Ed0cb30f40daff568778b776b2a5a81d

(943)

on February 16, 2013
at 08:30 AM

What's the reasoning behind not eating dry or cold food?

663d9c5681ca3c7398743b1536572991

(0)

on February 16, 2013
at 07:37 AM

And I will add briefly, you should not eat food that is dry or cold, and if you must then try to counteract it with something warm and unctuous.

0
705e66484ed64fe8e188123de398413e

on February 16, 2013
at 07:34 AM

The GAPS diet resolved my digestion issues without fiber. I have been able to combine it with low-carb and moderate carb dieting.

http://www.gapsdiet.com/The_Diet.html

0
657682ed96bc66d0bea7eb7aa40ab123

(153)

on February 16, 2013
at 05:40 AM

Wow, that is a pretty intense story. I'm sorry you are going through all this. Your experience is definitely a heads-up for others trying keto for a long time.

This started happening to me after I very successfully began Paleo and wanted to accelerate my fat loss. I started the Jack Kruse leptin-reset, then had to restart it twice. By the third month similar things were happening to me, though not so severe. It was as if my body was drying up from the inside out. Women seem to have more adverse effects like this from long-term keto, at least that's what I noticed from browsing the net to figure out what was going wrong with my body.

I added more fruit, potatoes, greens, yogurt and kefir. I ate only when I was hungry, no more forced fat feedings or massive chunks of protein in the morning. B vitamins and digestive enzymes, probiotics, and Omega 3 oils also seemed to help. Nowadays I even put a little honey in my tea at night. My digestive system recovered for the most part, though I think it will take several more months before everything has normalized.

For "garden variety" constipation, people who think they might be having some nutritional imbalances often use things like vitamin C and/or magnesium. Keep on talking to your doctor, it sounds like he can really help you.

I don't know what else to tell you, what has happened to you is now obviously a medical problem, though I am guessing you are on the path to getting well. I certainly hope so.

7de0a85b4eb1c711d1817ca582d3bdbe

(5)

on December 08, 2014
at 02:09 PM

I'm going through this exact same thing right now. I was keto for over a year, stuck in the 250lb range, tried to get out of it using keto. Only ended up not only being stuck there but I almost died do to electrolyte loss and dehydration. Plus my kidneys are screwed right now. I'm switching back to just a regular paleo (albeit lower in carbs just not under 30g like I was) and now I have to deal with my body freaking out and holding onto every ounce of fat it possibly can and I'm suffering a gain in weight. 

 

I don't have any advice as I'm lost too, I just wanted to say good luck to you.

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