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How long do you stay in each Phase of SCD?

Answered on August 19, 2014
Created October 10, 2012 at 9:46 PM

I've got my 28 yo VCFS Crohnie son on SCD Lifestyles/Paleo diet. He lives at home and I've been Paleo 2 yrs (he's been 50% Paleo). I do all the cooking since he's cognitively challenged but high functioning. He was just discharged from a severe flare-up (cipro/flagyl, IV drip for days, clear liq x2d) and now SCD one week. He refuses bone broth, store bought Kefir and homemade yogurt (the whole Mom thing). I've got him on phase II of SCD Lifestyles. We skipped Phase I because he was NPO in the hospital and then clear liquids.

I haven't read the SCD Lifestyles book but had read the Vicious Cycle last year before I knew it would become important to me. I've just reordered VC from the library again.

But until I get it, does anyone know how long I have to keep him in each phase? One week each or as long as he tolerats meals? Niether the Lifestyles or VC websites say, or at least I can't find it. He's stoic and feels like I'm pestering him so I have a hard time getting feedback.

TIA

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6 Answers

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1
3846a3b61bc9051e4baebdef62e58c52

(18635)

on October 10, 2012
at 11:55 PM

I've read GAPS and its very subjective. A lot of people do the strict phase for a couple weeks and don't progress to Full Gaps (same as SCD) for about 6months to 2years from what I have read. It all depends on your response to foods when you attempt to reintroduce. If reintroduction is a fail, you would not reattempt it for some time 30-60 days maybe. I'd have to get the book back out to give definite answers as to how it reads, but I'd go with this.

0
4856eae0511e116135bba0acc3e42ce5

on June 02, 2013
at 01:18 PM

have you checked out the pecanbread.com website? they also have a yahoo group. it's geared specifically at parents/families and is a wonderful resource.
when we were working through the early stages of scd with our family (i have three small children) we did the phase 1 for two days, and then added in foods one at a time one new food every three days working through the phases that way. it has worked really well because we've been able to pinpoint problem foods as we introduce them.

0
4856eae0511e116135bba0acc3e42ce5

on June 02, 2013
at 01:14 PM

have you checked out the pecanbread.com website? they also have a yahoo group. it's geared specifically at parents/families and is a wonderful resource.
when we were working through the early stages of scd with our family (i have three small children) we did the phase 1 for two days, and then added in foods one at a time one new food every three days working through the phases that way. it has worked really well because we've been able to pinpoint problem foods as we introduce them.

0
6e37f170409bc1b100c880c57508c5fd

on October 15, 2012
at 12:55 PM

The hard part is he never had diarrhea, cramping, bleeding in the three yrs (2009) he's been diagnosed. His inflammation initially presented as an inflammed ileum (right where the food transitions from the small intestine to the large) which caused fullness, vomiting, fever. The few times that happened, our naturopath had instructed him to go back to liquids which is what we had done and managed the few tiny flares he had. A few wks ago now, he went from mild (we had gotten rid of Asacol 2 yrs ago on our own) to severe now (Prednisone tapering to Remicade, or not if SCD and belly xray show no flare). I've got him in Phase 3 now and tolerating very well. Normal BMs. I'll continue advancing with no more than one phase per week or two and look for that "not hungry" sign I guess. When they are special needs, it's very hard to get feedback of any kind on energy level, hunger and hydration level, BMs, signs of relapse. *I tried making this comment to JayJay but couldn't get it to work.

0
089dd41b18fbb95ebb5347cded708d98

(5635)

on October 11, 2012
at 12:15 AM

you only introduce foods when his diarrhea/bleeding/cramping has gone away. has he been doing the intro phase of meats, eggs, gelatin? you do the intro phase for as long as needed. he really needs to drink that bone broth though. i don't do dairy at all, but i think the bone broth is very important.

what will he eat?

0
1133603ea602c6824da56e8b596c9754

on October 10, 2012
at 10:44 PM

I saw on the SCD Lifestyle website, (might have been part of the free sample of the book) that you don't want to do the initial phase more than 5 days. (I'm pretty sure it was 5).

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