Stay Tuned…

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I am putting together some sample growth charts illustrating how well LCHF works in our overweight children and teens….

Non-Celiac Wheat Sensitivity – It Truly Exists

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I have had increasing success with my patients who have chronic abdominal discomfort.  We certainly have to think about the usual suspects such as gastritis, constipation, lactose-intolerance and food allergies that can be confirmed through allergy testing (and rarely crohns).  However, I am seeing increasing failures in correct diagnosis and treatment of these conditions. I’ve started trying more and more of these patients off of the genetically modified wheat that is found in everything.  Actually, it is not found in everything, I exaggerate. But it is found in more than you would think.  I use Dr. Davis’ “Wheat Belly Quick and Dirty” post from his blog to help the patient identify which foods to avoid, the devil is in the details. I hand the patient a copy of this. They generally have been through other tests and treatment methods that have failed and are eager to try it. I recommend a one month trial and a follow up visit with me. The results are wonderful. Particularly with my teenage patients from whom I get a much more accurate history. Once they experience life without daily abdominal discomfort they don’t want to go back. It should be emphasized that these are patients who test negative for celiac antibodies, have normal duodenal biopsies with the gastroenterologist, and test negative for wheat allergy. Here is a wonderful study which identifies non-celiac wheat sensitivity via randomized controlled trial (a gold standard study design). Please note the study discusses irritable bowel syndrome. IBS is a diagnosis of exclusion which is used when no other diagnosis can be successfully made for chronic abdominal pain. The study confirms what I am clinically seeing in my office. Therefore, I am starting to use a trial of wheat restriction much sooner in my workup for these patients.

A Fine Looking Coconut Butter Bread Recipe!

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Staying with the “back to school” theme for a little bit, I have another great bread recipe I want to pass along.  We did try Jeff Nimoy’s recipe and it was a hit – to be utilized frequently in the future for sure. Here is a fabulous looking coconut butter bread recipe from Dana Carpender. This is a nice option for your carb-sensitive child. Only 2 grams of carb per slice. As she mentions, there is some room to play around with some of the ingredients. Don’t misunderstand, however, in our most carb sensitive children, no bread or minimal bread is still the better option!

Back to School Musings

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Here is a new bread idea I want to pass along.  This comes from Jeff Nimoy at cookingcaveman.com and there are two versions.  Here is the first. He seems most excited about this second version. Almond butter, eggs, lemon juice and baking soda. I have not tried this yet but was planning to. No wheat. Minimal carb. Depending on how carbohydrate tolerant your child is, you could use this every now and then. Don’t forget to checkout the lunchboxes that make bread-free lunches much easier . This year we have started using the bento brand and the kids seem to love them!

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