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What to eat to sustain myself?
January 30, 2012
2:11 am
duske
West Bloomfield, MI
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January 30, 2012
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Dear Doctor,

For 7 months, I have been avoiding 30 foods and 20 herbs/spices shown as "high" and "moderate" on my igG test and rotating  all other basic foods 1x or 2x/week.  I have noticed a significant reduction in my itchy rash reaction when avoiding these foods.  When I consume the questionable foods (and sometimes untested substitutions), my reaction comes right back, which indicates no improvement in my diagnosed Leaky Gut Syndrome.  I've dropped to 105 lbs. (5'6" height, female age 40), my well-meaning family members tell me I look thin and sickly and need to stop this "crazy diet".  I'm afraid of losing more weight and would really like to take in enough calories to start working out again.  I'm under the care of an integrated doctor, who doesn't offer much of an action plan other than avoiding these foods (including wheat, corn, soy, legumes, potato, as well as dairy) and taking supplements (including L-glutamine and Azeo Pangen).  I've read about your belief of people usually having only 1 food allergy, but what about sensitivites?  I'm debating whether to give up avoiding the foods on this long list and trying to rotate them all instead, and deal with the rash.  Would this hinder the healing of my intestine, or am I on the wrong path? Any suggestions would be appreciated. 

January 30, 2012
8:47 pm
drgangemi
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January 19, 2011
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Correct, typically I see only one or sometimes two true food reactions, including sensitivities or intolerances. The question is though, what is causing you to react to so many foods? Is there one main food that's the culprit, a dysbiosis problem, a yeast issue perhaps, or some other problem (fructose malabsorption FODMAPs common)? If you remove all those foods are you reacting to each and every one when you re-introduce?

February 17, 2012
9:16 am
duske
West Bloomfield, MI
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January 30, 2012
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I have no idea- if I did, maybe I could cure myself! I can't imagine eliminating any more foods than I already do. Are there any tests I can ask my doctor for? I did a stool test. There was some "bad" bacteria, but no parasites. She gave me an antibiotic, and now I take good quality probiotics. I also did the "Guts and Glory" detox on my own. I've been consuming more yeast lately, (bought a bread machine)and haven't noticed a difference, so I doubt it's problematic. I don't know how to test myself for fructose malabsorption. I try to limit my sugars to good quality sugars (honey, maple syrup, some unbleached cane) but maybe that's irrelevant since I'm eating fruits/vegs. Thanks for your reply.

February 18, 2012
8:28 am
drgangemi
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Check out the allergy labs from Cyrex as well as the GI test from Diagnos-techs, they're much more sensitive than typical conventional medical labs. The way to test for fructose malabsorption can be done via a breath test but I think the best way is just to follow the FODMAPS diet – if you feel better, then consider it to be so.

February 20, 2012
8:23 am
duske
West Bloomfield, MI
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January 30, 2012
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Thank you so much for this input.  I have never thought of researching/experimenting in these directions before.  The test I had done was the CDSA, through Genova Diagnostics.  I will try the FODMAPS diet.  It's not that different than my current diet, except that I would be eliminating more produce.  First I am going to try eliminating phytic acid by soaking whole wheat and if I do not react, then seeds and nuts.  I will let you know if I figure out anything new.

February 20, 2012
9:03 am
drgangemi
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The CDSA from Genova is okay, but I don't use it anymore. I've seen it miss parasites that Diagnos-Techs picks up. I'm surprised your integrated doc used antibiotics for your "bad" bacteria. I've never heard of anyone doing that before just for dysbiosis, especially some who claims to be "integrated."

With your symptoms, I think it's a mistake that you'd even consider wheat, even soaking it. The phytic acid is only part of the problem there for most people.

February 20, 2012
9:54 am
duske
West Bloomfield, MI
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January 30, 2012
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Thanks for the warning.  Can you recommend any local doctors to guide me through this?  In my experience, traditional doctors have never even heard of Leaky Gut Syndrome.  I couldn't find anyone by searching on the internet, except one chiropractor (and I wonder if he lumps LG under a host of other things he can cure) and some nutritionists (who are unwilling to communicate until I pay out of pocket for a consultation).  I'm in Farmington Hills, (SouthEast) Michigan.  By the way- I heard of you through my sister-in-law, whose daughter you are treating for RA.

February 20, 2012
8:24 pm
drgangemi
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Thanks. I'm not inclined to refer too much anymore unless I really know a doc, sorry.

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