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boyfriend has a lot of digestive problems pre-paleo, now they're worse! I don't know what to do please help me

Commented on October 10, 2013
Created October 08, 2013 at 8:27 PM

Basically I started eating the paleo way a month or two back and it's been life changing for me, used to binge/purge/do chronic cardio and was basically an overweight, depressed mess. My boyfriend wanted to try it out so we cut out all the grains from his diet. He had a lot of digestive problems, had bloating, flatulence, migraines, stomach pain you name it. It got a lot better... For about a couple of weeks. Then it was his bowels that got blocked up, he couldn't go to the bathroom, when he did it was excruciating, all the healthy paleo food had compacted in his gut and when he did manage to go it he said it tore him open and made him bleed! I tried to research heaps of stuff but he doesn't want to keep doing it for months just to hope there'll be progress. He also had like a few grain things like porridge or chips a few times, and still bought those sugary gelatin lollies and chocolate and stuff. Today he officially went back to grains with a bowl of cereal and six minutes later got an intense migraine. Please please please help me I don't know how to help he refuses to go to the doctor because they don't help it or something. I'm desperate to find a way of eating that he can actually survive on!

089dd41b18fbb95ebb5347cded708d98

(5635)

on October 10, 2013
at 05:40 PM

i agree!! I look at veggies as a garnish and meat as the star.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 11:29 AM

Yeah I'm going to order the red great Lakes gelatin in a few days hopefully :) haha it was mostly just for when I was craving bread for a few weeks starting out. I don't have them

2a6025992746ff6cd4ffb6ccf0aa03fc

(60)

on October 10, 2013
at 10:09 AM

As long as he's happy to do it!

It does sound like you guys are pretty early on with this paleo stuff. The good news is that this means much of the difficulty he is experiencing may be transition symptoms. Your plans for continuing sound good, though personally I would be careful with the starch. Don't forget the coconut oil and bone broth. Seriously, the gelatin in bone broth will really help. If you can't or don't want to do bone broth, consider buying a high quality gelatin powder like great lakes brand.

Oh and don't overdo the paleo "treats" (baked goodies)!

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 10:02 AM

Part 2 amount of rice/potato and only drop it very very slowly, so his digestive system doesn't suddenly flip it's shit and freak out like it did before.

Potato and Rice, Boiled + Well Cooked Low FODMAP Vegetables with Butter, and Fatty cuts of Meat, is probably the best bet. Then we can start playing with probiotics/fermented foods and drop his carbs/increase fibre to starve the SIBO.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 10:02 AM

Part 1 He just found it a lot more difficult to switch from his whole life being grains/starch to suddenly none. Also I found my way around cravings by making coconut bread and stuff like that, he didn't have the opportunity (or baking ability) to paleofy the stuff he liked.

Yeah that's definitely what needs to happen, but I think at the start he should have a plentiful

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 09:54 AM

Dammit just realised my comment hadn't worked ): sorry i'll reply to this again!

2a6025992746ff6cd4ffb6ccf0aa03fc

(60)

on October 10, 2013
at 02:28 AM

I agree - FODMAPS are a huge thing. And you are right, sometimes a change of mindset is required for veggies. Yes they are good for us. But if you eat massive massive amounts the benefit is not going to increase. It's actually going to decrease because you wont digest it properly! Eat sensible amounts of veg with every meal and you will get enough, no need to panic about it.

BTW I find sweet potatoes problematic in large portions for my tummy. So the OP's boyfriend needs to test what works for him.

Af679502f1e31c0c59c79bd08f324b35

(559)

on October 10, 2013
at 01:23 AM

Kefirlady.com she ships international

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 12:41 AM

"Do the squirm" hahahaha I'll definitely suggest both of those ideas! They sound pretty helpful :)

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 12:36 AM

I think at the start he simply must eat carbohydrate if he's going to be cutting out the fibre, otherwise all he's left to eat is meat and that's horribly expensive and he won't be able to eat enough to function. Eating carbs in the form of starches will make the transition from SAD to Paleo a lot easier on his gut (as well as cutting out FODMAP foods) and hopefully then we can start adding in probiotics, limiting carbs and getting him into more vegetables to heal his intestinal bacteria. Does that sound like a good plan?

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 12:35 AM

I think the big issue is that he has two potent problems that kinda can't be fixed without making the other worse. If he eats wheat products he gets migraines and really bad stomach boating and pain. However by cutting out grains he ate more fibre in terms of vegetables, which ended up wrecking havoc on his bowels. Even though I think there's a high possibility that he does have SIBO

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 12:25 AM

Is that an online site? Thank you so much for all the help :)

Af679502f1e31c0c59c79bd08f324b35

(559)

on October 10, 2013
at 12:19 AM

I make my own... Raw milk is 8$ a half gallon around here.Get your kefir grain from kefir lady she's the best

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 12:16 AM

Do you buy your kefir or make your own? We live in New Zealand so raw dairy is only found on Farms and sold for like $6 a bottle :/

Medium avatar

(624)

on October 09, 2013
at 06:12 PM

Two more things to look into:

Squatting - I no longer sit on the toilet, I put my feet up on the seat (with socks or TP to protect my feet and the seat) and squat there. Takes some getting used to at first but every little thing helps.

Relaxing (or "squirming" as my girlfriend calls it) - I take time each day to lay down, stretch, roll/squirm, and rub my tummy. I can feel things start to move right away when I do and regret it when I don't in a serious way. I've learned to not wait 'till it hurts to do the squirm.

Medium avatar

(624)

on October 09, 2013
at 06:09 PM

Keep in mind this isn't going to go away over night. I still suffer from mild constipation and digestive issues but it's WAY better now. I go almost every day with very little discomfort and I'm still finding ways to improve things.

Medium avatar

(624)

on October 09, 2013
at 06:03 PM

They need to be real ferments. They are found in the store's refrigerated foods section, NOT on a room temperature shelf. I trust bubbies.

http://www.bubbies.com/prod_sauerkraut.shtml

I usually buy it from Sprouts Farmers Market.

Most industrialized ferments these days (pickles and krauts alike) are more "preserved" than "fermented" and aren't very beneficial as a probiotic.

Medium avatar

(624)

on October 09, 2013
at 05:56 PM

He definitely needs to learn to prepare good whole food at home. My whole life got better, even though it takes some time.

I eat my sauerkraut shortly after or with my veggies. Yogurt or kefir after any unfermented dairy (which I usually avoid now). Digestive enzymes with all heavy meals (can just pop the pill with a bite of food if you're careful not to chew it) and probiotics at least once daily or after certain troublesome meals.

NOW Foods Super Enzymes and Dr. Ohhira's Probiotics, Original Formula can both be found on Amazon.com at good prices.

C6816fb493f17cd072af60b56215a055

(0)

on October 09, 2013
at 03:12 AM

Sauerkraut was good for me. Also adding magnesium supplements I think can help. Good luck

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 09, 2013
at 01:23 AM

Thank you so much Method :) we'll definitely try it. Also going to try cutting off the stalks of the broccoli and he can have the nice floret bits and i'll have the stalks. What fermented veges work best for you?

Medium avatar

(624)

on October 09, 2013
at 01:09 AM

Harder to digest - maybe. You shouldnt worry about "digesting" fiber. Fat helps it "slip" (lubricates). I tend to avoid salad more than once or twice a week even though I love it and I have it with plenty of olive oil. Helps me... I've suffered from chronic constipation a long time and been "tore up" and bleed upon poo more than I'd like to admit.

Medium avatar

(624)

on October 09, 2013
at 01:05 AM

I eat most of my veggies well cooked until soft. I think our bodies process it a lot more easily that way and it harbors good bacteria (emphasis on "I think" - it works for me). Again, I've been in the same situation and experienced similar things going paleo. There is still fiber in cooked veggies but it's a lot easier to pass. ESPECIALLY if eaten with lots of oil/fat (lubrication). So if he eats some broccoli do like I do and DRENCH IT IN BUTTER. I mean a lot of butter. It will slip right through.

089dd41b18fbb95ebb5347cded708d98

(5635)

on October 09, 2013
at 12:46 AM

yeah, that's what i do. i learned all about fiber from this site:

http://www.gutsense.org/

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 09, 2013
at 12:29 AM

Okay I'll definitely put it to him. Ultimately of course it's his decision if he wants to try again, but hopefully by going super slow and still keeping his carbs up we won't get to the point of pain he had to suffer before.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 09, 2013
at 12:27 AM

Oh really? Okay so no to vegetables at all basically except in very small portions.

Be803dcde63e3cf5e21cc121097b8158

(529)

on October 09, 2013
at 12:19 AM

If his usual diet is high carb, then you definitely don't want to go low-carb in a quick shift, as it can exasperate digestive issues. Constipation is probably the most common symptom. You might want to start by replacing unhealthy processed carbs (like the cereal) with 'safe' starches like potatoes and white rice. In fact, swapping out offending food items one-by-one (by stop buying them and keeping them in the house) is a good and gentle approach to diet change.

089dd41b18fbb95ebb5347cded708d98

(5635)

on October 09, 2013
at 12:05 AM

oh yeah. broccoli is VERY fibrous. i only eat a few florets at a time even though it is very delicious. obviously, i'd love to eat a raw salad but it tears me up inside. cooking/steaming just concentrates the fiber so you are eating more fiber than you are raw if you eat the same amount. what cooking does is help break down the cellulose because we don't have a cellulase enzyme ourselves.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 08, 2013
at 11:33 PM

I think he's actually putting more in, since he became a bit of a salad fiend after eating them with my family! Yeah I'll try to get him into fermented foods, hopefully that should work. Should he cut down his fat content as well? Maybe that's making it harder to digest?

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 08, 2013
at 11:31 PM

Yeah he identified raw carrots as a big one, but steamed ones are fine for him. I was thinking that cooking/steaming veges drops the fiber content? He naturally prefers stuff like broccoli to be really really soft. So keep to meat and dairy mostly with no salad at all? Thank you so much for responding it's so helpful having people who actually went through it/

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 08, 2013
at 11:28 PM

Thank you so much :) how slow shall we do it? We live in separate houses so I can't prep his meals for him (he needs to learn how to do that!) so maybe some sauerkraut with every meal? Would Digestive enzymes & Probiotics be best found at a chemist?

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 08, 2013
at 10:44 PM

I've made sure from the very very beginning that turning to paleo was my decision and mine alone, it was really important to me that he found his diet on his own. He's just texted me saying that since that morning bowl of cereal he still has a really really bad migraine. I just want him to be healthy. Maybe upping his carbs with potato and other starches might help? Or taking a probiotic to restore his gut flora. I think it might be SIBO but honestly i'm not experienced enough with any of that to pinpoint it. It's just so frustrating watching him get sick no matter what.

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9 Answers

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0
Be803dcde63e3cf5e21cc121097b8158

on October 08, 2013
at 10:20 PM

Sorry to hear about your b/f's struggles. He should probably go back to SAD, then transition to paleo (if he wants) very gradually.

Even for healthy people, a sudden change in diet can lead to digestive problems, like serious constipation. The gut flora takes time to adjust.

Also, you can only nag/motivate him so much. Sometimes setting the example is the only way to go.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 08, 2013
at 10:44 PM

I've made sure from the very very beginning that turning to paleo was my decision and mine alone, it was really important to me that he found his diet on his own. He's just texted me saying that since that morning bowl of cereal he still has a really really bad migraine. I just want him to be healthy. Maybe upping his carbs with potato and other starches might help? Or taking a probiotic to restore his gut flora. I think it might be SIBO but honestly i'm not experienced enough with any of that to pinpoint it. It's just so frustrating watching him get sick no matter what.

best answer

0
2a6025992746ff6cd4ffb6ccf0aa03fc

on October 10, 2013
at 02:25 AM

@natsprat I am writing this as a new comment as I wrote another bloody essay! Sorry!

He can try different things and see what it works. Certainly he should stop overstuffing himself with vegetables. He doesn't have to avoid them by any means, but he needs to be sensible. A portion of some protein with a nice serving or two of veggies, NOT massive salads or piles of veg garnished with a piece or two of protein. This is not to say veg are not healthy, but gut problems requires adjustments. And make sure he is eating fat! If I were him, I would focus more on energy from fat and less on starch. He needs to concentrate on a decent portion of protein for satiation, then fat to make it tasty and digestible. Sensible size portions of veg. Then he can think about whether he wants more carbs (when I say carbs I mean heavier starches like potato, taro, etc.) for satisfaction. Although many people adjust the amount of protein they eat with time, a good starting point would be for him to plan a meal around a piece of protein and work from there.

Having said all of this, if the only way he will try paleo is if he can do potentially problematic things like eating tonnes of nuts, gorging on fruit, etc. (those were just random examples btw), then it probably won't work for him. Does he actually want to go paleo? Does he understand that it will require him to be willing to change and try new things? It sounds like he tried paleo by eating more vegetables but still kept eating grains and sugar every now and then. So it was not so much paleo as....eating more veg.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 10:02 AM

Part 2 amount of rice/potato and only drop it very very slowly, so his digestive system doesn't suddenly flip it's shit and freak out like it did before.

Potato and Rice, Boiled + Well Cooked Low FODMAP Vegetables with Butter, and Fatty cuts of Meat, is probably the best bet. Then we can start playing with probiotics/fermented foods and drop his carbs/increase fibre to starve the SIBO.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 09:54 AM

Dammit just realised my comment hadn't worked ): sorry i'll reply to this again!

089dd41b18fbb95ebb5347cded708d98

(5635)

on October 10, 2013
at 05:40 PM

i agree!! I look at veggies as a garnish and meat as the star.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 10:02 AM

Part 1 He just found it a lot more difficult to switch from his whole life being grains/starch to suddenly none. Also I found my way around cravings by making coconut bread and stuff like that, he didn't have the opportunity (or baking ability) to paleofy the stuff he liked.

Yeah that's definitely what needs to happen, but I think at the start he should have a plentiful

0
Af679502f1e31c0c59c79bd08f324b35

on October 09, 2013
at 11:07 PM

I had very similar issues Chris Kressor has a great writeup on FODMAPS and reading it and following his advice made me normal again. I was coming home and snacking on half of a head of raw broccoli and thinking that it was helping my digestive health... I was wrong. I recommend making homemade Kefir and eating lots of prebiotics emphasizing on sweet potatoes. I take 1/3 cup of raw milk kefir 5 days a week on an empy stomach. I also make sure I get in a minimum of 12 ounces sweet potato slathered in grass fed butter.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 12:16 AM

Do you buy your kefir or make your own? We live in New Zealand so raw dairy is only found on Farms and sold for like $6 a bottle :/

Af679502f1e31c0c59c79bd08f324b35

(559)

on October 10, 2013
at 01:23 AM

Kefirlady.com she ships international

Af679502f1e31c0c59c79bd08f324b35

(559)

on October 10, 2013
at 12:19 AM

I make my own... Raw milk is 8$ a half gallon around here.Get your kefir grain from kefir lady she's the best

2a6025992746ff6cd4ffb6ccf0aa03fc

(60)

on October 10, 2013
at 02:28 AM

I agree - FODMAPS are a huge thing. And you are right, sometimes a change of mindset is required for veggies. Yes they are good for us. But if you eat massive massive amounts the benefit is not going to increase. It's actually going to decrease because you wont digest it properly! Eat sensible amounts of veg with every meal and you will get enough, no need to panic about it.

BTW I find sweet potatoes problematic in large portions for my tummy. So the OP's boyfriend needs to test what works for him.

0
2a6025992746ff6cd4ffb6ccf0aa03fc

on October 09, 2013
at 04:46 AM

It will take time to restore your boyfriends digestive problems, but it is doable. A lot of digestive problems are caused by overgrowth of unhelpful bacteria in the digestive system - stuff like SIBO. The bacteria overgrowth needs to removed, digestion improved and healthy bacteria restored.

First of all he can look at eliminating FODMAPs to help with bloating and general digestion. I have been doing that recently to fix a problem with bloating and heartburn and it has made a HUGE difference. Onions are the worst for me. Most common fruits are also terrible for bloating for me. A small banana or a portion of berries seems to be safe. You can google FODMAPs for more info, I won't fill up a lot of space here. Staying low in carbohydrates (e.g. minimising starchy veg and fruit - the small amount of carbs in non-starchy veg is ok) can help because there will be less carbs feeding the bacteria.

He may also benefit from something like the GAPs diet. Again, google is your friend here, I don't think I know enough to explain it all myself. If he doesn't want to do full GAPs, then he can certainly benefit from simplifying his diet for a few months. I would recommend bone in meat (so it's not just solid protein but gristle and marrow and fat), bone broths (gelatin is amazing for healing digestive problems), reasonably well cooked veggies (raw is harder to digest and even "crunchy" cooked veg can be unhelpful - go for cooked until tender), plus coconut oil. He needs to make sure he is eating enough fat, as this can help with digestion.

If his problems are severe, then I would eliminate fermented foods and probiotics for a couple of weeks just to get the body started as sometimes too much fermented food can make the problem worse. After a couple of weeks he can start adding fermented foods, but not in excessive quantities. He may want to experiment with take HCL and digestive enzymes with food.

It goes without saying that nutritional deficiencies can cause problems. He's better avoiding too many supplements and sticking with getting as much from food as possible. Plenty of outdoor time in the sun for vitamin D, or supplement this. I wouldn't bother with a vitamin A supplement and would instead go for eating liver 1-2 times a week. Magnesium can also help with digestion and stress. Talking of stress, make sure he is sleeping enough and practicing some kind of techniques for reducing stress.

Exercise can help digestion, but many with digestive problems find it unpleasant due to bloating. A good solution is walking. This is an incredibly easy activity that everyone can do. He should also avoid long periods of sitting around. It's not good for general health, and it certainly doesn't help your digestion. Frequent low level activity will get things moving.

Finally, keeping meals at regular times can help. I would say three meals a day with no snacks in between - avoiding eating meals that are too small and also that are too large. Between supper and breakfast make sure he is going at least 12 hours so that he has a nice break.

I hope some of this may help. I myself am healing some digestive problems from years of abuse of my body, and these things have all helped. Positive attitude, a simple diet and plenty of gentle activity and sleep will really help.

Btw here are some links about digestive problems from a paleo perspective that I used when I was looking for info on how to heal my problems:

http://chriskresser.com/paleo-diet-challenges-solutions-ii-its-all-about-the-gut

http://www.eat-real-food-paleodietitian.com/paleo-diet-and-ibs.html (this website has tonnes of info - have a good look around on it)

http://www.paleoplan.com/2012/09-17/still-having-digestive-problems-while-eating-paleo/

http://www.thepaleomom.com/2012/02/repairing-gut.html (another website with a tonne of info for digestive problems)

Good luck!

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 12:36 AM

I think at the start he simply must eat carbohydrate if he's going to be cutting out the fibre, otherwise all he's left to eat is meat and that's horribly expensive and he won't be able to eat enough to function. Eating carbs in the form of starches will make the transition from SAD to Paleo a lot easier on his gut (as well as cutting out FODMAP foods) and hopefully then we can start adding in probiotics, limiting carbs and getting him into more vegetables to heal his intestinal bacteria. Does that sound like a good plan?

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 10, 2013
at 12:35 AM

I think the big issue is that he has two potent problems that kinda can't be fixed without making the other worse. If he eats wheat products he gets migraines and really bad stomach boating and pain. However by cutting out grains he ate more fibre in terms of vegetables, which ended up wrecking havoc on his bowels. Even though I think there's a high possibility that he does have SIBO

0
C6816fb493f17cd072af60b56215a055

on October 09, 2013
at 03:13 AM

Sauerkraut was good for me. Also adding magnesium supplements I believe can help. Good luck.

0
4a26439959f4321cf8069ed6e29ed73c

on October 09, 2013
at 12:44 AM

@joanna 4 would you be able to list the food you can eat without problem? I've talked to him about it and he said he would be happy to eat sauerkraut. Are there any probiotics anyone can recommend for him? Thank you so much for the help everyone :)

C6816fb493f17cd072af60b56215a055

(0)

on October 09, 2013
at 03:12 AM

Sauerkraut was good for me. Also adding magnesium supplements I think can help. Good luck

0
Medium avatar

(238)

on October 08, 2013
at 11:29 PM

Potatoes or similar, probiotics, fermented foods, more water . . . he should add them into his diet. And remember that if you are putting less bulk fiber into your body, then you should expect less to come out the other end. I think it is tough for people to deal with this at first and then they tend to strain and get hemorrhoids.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 08, 2013
at 11:33 PM

I think he's actually putting more in, since he became a bit of a salad fiend after eating them with my family! Yeah I'll try to get him into fermented foods, hopefully that should work. Should he cut down his fat content as well? Maybe that's making it harder to digest?

0
089dd41b18fbb95ebb5347cded708d98

(5635)

on October 08, 2013
at 11:11 PM

if he is getting so backed up, he really needs to drop his fiber content down. i had an incident in august where i went to the ER. i thought i had a colon perforation or my appendix burst... it was just that i had so much shit backed up in my right side! it was excruciating. i've cut out raw veggies out again and don't eat any greens. this has helped a lot.

Medium avatar

(624)

on October 09, 2013
at 01:05 AM

I eat most of my veggies well cooked until soft. I think our bodies process it a lot more easily that way and it harbors good bacteria (emphasis on "I think" - it works for me). Again, I've been in the same situation and experienced similar things going paleo. There is still fiber in cooked veggies but it's a lot easier to pass. ESPECIALLY if eaten with lots of oil/fat (lubrication). So if he eats some broccoli do like I do and DRENCH IT IN BUTTER. I mean a lot of butter. It will slip right through.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 08, 2013
at 11:31 PM

Yeah he identified raw carrots as a big one, but steamed ones are fine for him. I was thinking that cooking/steaming veges drops the fiber content? He naturally prefers stuff like broccoli to be really really soft. So keep to meat and dairy mostly with no salad at all? Thank you so much for responding it's so helpful having people who actually went through it/

0
Medium avatar

on October 08, 2013
at 11:04 PM

I was in a similar situation and I made a very gradual transition to Paleo and had only minor complications along the way. A little bit of what you described but mostly just improvements. I never do anything cold turkey. Get him back to however he ate before then make a gradual transition. Also, incorporating some fermented foods (always) and some digestive enzymes and probiotics (just to transition) can help.

4a26439959f4321cf8069ed6e29ed73c

(0)

on October 08, 2013
at 11:28 PM

Thank you so much :) how slow shall we do it? We live in separate houses so I can't prep his meals for him (he needs to learn how to do that!) so maybe some sauerkraut with every meal? Would Digestive enzymes & Probiotics be best found at a chemist?

Medium avatar

(624)

on October 09, 2013
at 05:56 PM

He definitely needs to learn to prepare good whole food at home. My whole life got better, even though it takes some time.

I eat my sauerkraut shortly after or with my veggies. Yogurt or kefir after any unfermented dairy (which I usually avoid now). Digestive enzymes with all heavy meals (can just pop the pill with a bite of food if you're careful not to chew it) and probiotics at least once daily or after certain troublesome meals.

NOW Foods Super Enzymes and Dr. Ohhira's Probiotics, Original Formula can both be found on Amazon.com at good prices.

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