Nutrition
Could you answer the second part of my question about protein-sparing modified fast?
Chris Kresser: Yes. Sorry about that. Generally you just watch. If the patient is doing it for just two or...
n Healthy Baby Code, you talk about introducing foods at six months and not introducing any potential allergens or gluten. Pediatricians are now recommending starting solids at four to six months and recommend introducing allergens. What are your thoughts on this? I know you put together a program a while ago. I don’t know if you changed any of your thoughts.
Chris Kresser: Yeah, I’m still not convinced about the allergens. The research is mixed whether you’re looking at gluten or...
You mention on the live call often that the elimination diet is the gold standard for discovering food sensitivities. But in your programs such as Healthy Baby Code and High Cholesterol Action Plan, you don’t start people out on elimination, rather, more on a standard Paleo diet. If a person doesn’t have results such as lower cholesterol or successful pregnancy, do you then move on to an elimination diet? And a related question, how do you decide which patients to put on an elimination diet and which to move to a Paleo diet?
Chris Kresser: I would typically just start with Paleo and then I would do, if the person is my patient,...
Looking for advice on an odd pattern we’ve been seeing for a while. We frequently find patients with a functionally normal thyroid panel on the initial case review testing. Then they do a 30- to 60-day reset, then repeat the blood about two to three months after the first test. Even with most markers on the case review panel improving, we invariably find total T3 has dropped to 80 or less with little to no change in other thyroid markers. Is there some other kind of physiologic reason for this other than standard factors that impair T4 to T3 conversion? Most of them are on a standard American diet, so they usually add lots of veggies.
Dr. Amy Nett: Total T3 is dropping and all of the other thyroid markers are staying normal. I’m just thinking,...
Chris mentioned some people can be sensitive to active forms of folate. What sort of symptoms would one get?
Dr. Amy Nett: Sometimes we actually see just like increased anxiety, people feel a little bit more wired, sometimes people...
What is your recommendation for a client who is not motivated enough to exclude gluten, dairy, and sugar from his diet even if he is very well informed and having health issues?
Laura Schoenfeld: All right, so that’s a great question. One thing to keep in mind when you’re working with clients...
Does the potency of resistant starch such as cooked and cooled potatoes, rice, etc., change with time? Does storing them longer in the fridge before eating them, for example, five days old versus three days, make them more potent? I have some patients who get mild gas, nothing life changing, when they eat older rice and potatoes. Just wondering what might cause this.
Kelsey Marksteiner: Good question. I don’t think it makes a difference. At least the research I’ve seen on resistant starch,...
Do you see a place for low-carb cycling? And if so, in what circumstances? What about carb refeeds post-workout? Do you find that useful? And if so, when?
Kelsey Marksteiner: So, yeah, I find carb cycling useful in some patients. And it depends on the intensity of the...
When you say low-carb, do you mean ketogenic or not quite?
Kelsey Marksteiner: I personally would not use a ketogenic diet for an athlete necessarily unless I had a patient that...
What do you think about using genomic reports to help determine the best macronutrient ratio for an individual such as the GXSlim report from Genetic Direction or Pathway Fit from Pathway Genomics?
Kelsey Marksteiner: So I looked at those. I had never heard of them before. And they’re interesting. Personally at this...
