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Alopecia

My experience of alopecia as a teenager

I asked my son, Harrison, now aged 16 about his thoughts on managing the autoimmune disease alopecia. He was diagnosed in 2016. You can read more about his and my experience over the last few years here. https://practicalhealthcoach.uk/child-develops-alopecia/ There’s never going to be a good time to lose your hair, but having alopecia as a teenager regardless of whether you’re a boy or girl has got to be one of the worst.

What did you think when you first found a bald spot?

When I first noticed I had a bald spot it was pointed out to me by everyone in my year at school. It made me feel very self-conscious and that feeling of constant self-consciousness has stayed with me to this day. I took the short term solution to the problem and simply wore a hat until my hair grew back. But years passed and nothing changed.

What worried you the most about losing hair?

What worried me most was that I would be looked at differently and judged for not having hair. It seemed that I was either seen as a thug or as someone who was sick. At a rugby training camp, some of the boys thought that I was a skinhead and were concerned about being friends with me because of this! I despised the unwelcome attention given to me constantly because of how I looked.

Which was your least favourite treatment protocol that you tried?

My least favourite treatment by far was taking corticosteroid pills. One of the dermatologists prescribed them a couple of years ago. They gave me extreme mood swings… for example, my mood could go from happy and hopeful to angry and back to happy in under ten seconds as I was walking around at school.

After you’d lost all of your hair did you think that it would ever grow back?

Once I lost all my hair, I did not think my hair would ever grow back due to the sheer number of treatments I tried that failed. Eventually I gave up on my hope of getting my hair back, and thought that I’d be wearing hats all of the time.

What does it feel like now that your hair is regrowing?

Now my hair is finally growing back I feel much more hopeful for the future. But I still feel self-conscious because I still have some bald spots. I know that they’ll fill in eventually, but it’s taking time.

How to improve your gut health

A key focus of mine as a Functional Medicine Health Coach is to support my clients to improve their gut health. We know that 70-80% of our immune system resides in the gut, and I work primarily with clients who are living with autoimmune diseases. It’s an area that fascinates me, so  I was delighted to catch up (in a socially distanced way) with Emma Cronin aka Wild Pickle to talk about all things related to gut health. Emma’s been running her fermenting business since 2015. She’s literally a walking-talking advert for fermenting because she herself looks so healthy!

The first time that you speak to Emma you are immediately struck by both her deep passion for fermenting, and her incredibly wide knowledge. Unlike some people who have spent years immersing themselves in a subject and live deep in the weeds of the technical details, Emma makes it easy for a first-time fermenter to understand the process. I attended two Wild Pickle workshops in 2019 and came away armed with huge amounts of knowledge, and perhaps more importantly the confidence that I wasn’t going to food poison myself!

What led you to first become interested in fermented foods?

My daughter was suffering from gluten and dairy intolerances from her early years. While I was fatigued and suffering from low mood and digestive problems. I started to look at our diet and lifestyle overall to improve our health and I was introduced to sauerkraut, milk kefir and kombucha. I started to work on cooking everything from scratch and eating the kind of food our great grandma ate  (no processed foods). Then I attended a sauerkraut making workshop. When you make everything from scratch, being able to make a fermented tomato ketchup that tasted amazing and lasted 2-3 months for a little one was like hitting the jackpot for me!

Foraged food ready to be fermented
Foraged from the hedgerow, ready to be fermented. Photo: Wild Pickle

What differences have you noticed in your own health since becoming a committed fermenter?

There’s been so many positive changes: social anxiety lessened; mental health improved; skin condition and colour improved; my hair stopped falling out as much as it was; stronger nails; digestive health recovered; hardly any colds in the winter; enhanced immunity and overall better gut health and I really appreciated feeling an increased vitality in everyday life.

What’s your favourite food/drink to make and why?

Kimchi has to be one of my favourite ferments to make. I enjoy the making process of chopping the vegetables, brining them and making the paste. It is therapeutic and I take my time. I love the Korean phrase “Son Mat” meaning the taste of one’s hands, in my case this translates as made by hand with love and awareness. It slows me down. Kimchi ferments in such a short time of 1-3 days. I then leave it for a couple of months in the cold and when it is brought out the depths of the flavours… are totally different from the beginning. They are complex and superb and I love that all the alchemy of the bacteria is working in kimchi to create the pungency and umami flavours that we love. Giving time and patience is worth it.

Fermented foods. Photo: Wild Pickle

If someone is completely new to fermented foods, where do you suggest they start?

I would recommend that with fermented foods you start with something you enjoy, whether it is gherkins, kimchi, sauerkraut or kombucha. In all cases I would recommend trying small amounts and paying attention to how your body reacts. I would then recommend trying a wide variety of live, unpasteurised fermented foods.

I think that the easiest introduction to making fermented foods is sauerkraut. It is simple and does not need much in the form of ingredients or utensils to get going. It’s great as you can control how tangy it gets and what ingredients go into it. It is a powerhouse of goodness for not very much outlay and effort.

That said, sauerkraut is not always everyone’s cup of tea. So sometimes Kombucha, a sweetened fermented tea is a good gateway into fermented foods and maybe try that first. I think that Kombucha was the first fermented food that we tried. Again, we had to get used to drinking it and had it in small quantities to begin with but we loved it!

What plans do you have for the future of Wild Pickle?

Wild Pickle is moving to online workshops. It’s exciting to be able to reach out and share the fermenting fun with many more people than I could reach locally. The workshops are teaching sauerkraut, kimchi, kombucha, milk kefir, condiments, salsas and looking at incorporating more wild foraged foods.

I’m starting with smaller workshops (less than 10 people) in order to give all attendees focused attention. In addition to the workshops I also teach groups of friends who are keen to host a kombucha/sauerkraut making virtual party. Plus, I’m also offering bespoke and tailored one to one sessions which will really explore the flavours that you particularly enjoy.

We have a small commercial test kitchen based on a farm in the heart of Staffordshire countryside. We’re also busy creating a workshop there which will provide additional teaching space, but given the current environment that will be ready in 2021.

Fermentation is an increasingly important part of supporting our gut health and immunity. But let’s not forget the other roles that it fills. It’s a tool to help in minimising waste, it focuses our attention to use what we have available, it helps us to get away from the use of plastic, it preserves seasonal food at its best, and makes it easier to store food without the relying on refrigeration.

Fermentation of food creates such complex and amazing flavours that cannot be achieved by other means. What’s incredible is that you can easily make this at home with no fancy equipment. It’s too exciting and too delicious not to share!

How can people get in touch with you?

I’m on both Facebook https://www.facebook.com/WildPickle/ and Instagram https://www.instagram.com/wild.pickle/ or you can email me at info@wildpickle.co.uk

What to do if your child develops alopecia

First off, while it would be fantastic to receive a diagnosis at the very first hint of a bald spot, the chances are that it will take a period of time to receive a diagnosis after your child develops alopecia. Then you know what you’re dealing with, and can take appropriate action immediately. I’m speaking as someone who didn’t do this, and hindsight is a wonderful gift! It would have been much more straightforward, painless and quicker to address the autoimmune disease before it really dug in, took hold and became even more challenging to address.

What not to do…

We didn’t do this… My son, Harrison’s, alopecia didn’t start with an obvious spot. It began slowly during the Summer of 2016 with thinning eyebrows and the ophiasis pattern. The first time that we noticed it, we thought that it was just a bad haircut! His hair behind each ear had simply disappeared in even lines almost as if it had been waxed. It wasn’t until the next hair cut a few weeks later, with a different barber who announced that it looked like alopecia.

With the second hairdresser’s diagnosis we visited the GP who thought that maybe it could be alopecia, but he wasn’t sure. It was tempting to go back to the barber and ask for his recommendations given that the GP had none, other than there’s not much that you can do and it’ll probably grow back on its own. To be fair to the doctor maybe this would have happened, but unfortunately two other events happened in relatively quick succession which resulted in complete hair loss.

Immune System took a hammering

First, in December Harrison suffered a nasty spiral fracture to his leg while playing rugby. This meant that a super sporty boy was in a cast and stuck on the sofa for the best part of 12 weeks. He was annoyed at missing such a big chunk of the season, and unable to do any exercise at all. Being stuck inside and on the sofa had a negative impact on him. He then developed a throat infection. A week after starting a course of antibiotics his hair was falling out in handfuls. This was in March 2017.

Back at the GPs when I mentioned the timing they were genuinely confused and told me that hair loss wasn’t caused by antibiotics. It simply wasn’t a side effect of amoxicillin. At this time I had an awareness about gut health and knew that antibiotics could wipe out your ‘good’ bugs. I was wondering how I knew this but the doctor didn’t. Typically if your child develops alopecia you will be referred to a dermatologist, in our case he recommended a topical steroid cream. That didn’t work. Harrison lost all of his hair including eyebrows and lashes.

How many experts?

We then started along a path of seeing various experts including: a pediatric dermatologist, allergist, pediatric gastroenterologist (x2) and immunologist. Each of these doctors carried out their own tests, and some prescribed treatments too which we dutifully carried out. These appointments were mainly through our private health insurance, but none of them helped much either. Although the second dermatologist told us that the first had prescribed the wrong version of the steroid cream. Awesome.

This all took months during which time Harrison would have some patchy growth and brows and lashes would come and go. For the most part he was wearing a hat to school, and his friends and teachers knew of his condition. When he turned 14 he joined our local gym and started working out. He trained himself using youtube videos and after a year or so he bought Arnold Schwarzenegger’s Body Building bible.

While he did have some patchy regrowth during this time it never stayed, as I mentioned before the brows and lashes were particularly unpredictable. We’d also completely given up on conventional medicine as none of these experts had helped at all. What continues to astonish me is that the gastros didn’t have a clue about gut health. The problem with all of these specialists is that they are so focused on their own little niche, which they’ve spent years being immersed in, that they no longer see the body as a whole interdependent system.

Done with ‘normal’ medicine

Having given up on mainstream or ‘normal’ medicine while continuing to have an unhappy bald son we crossed over the line to alternative treatments… We saw a trichologist, Chinese Medicine doctor, bought hair growth products from Israel(!) and tried acupuncture. Do I have to mention the shampoos? Yes we tried ‘hair growth’ shampoos too. All the above served to do was lighten my purse. With the exception of the acupuncture which I’ll come to later, none of the above helped at all. Still bald, still not happy.

In the Summer of 2018 we experienced hope for the first time in two years. Harrison had an appointment with a Functional Medicine doctor who was the first person to utter these magic words: Root Cause. Rather than treating the symptoms of alopecia i.e. hair loss, we would get to the bottom of what was actually causing the hair loss. He started on the Auto Immune Protocol diet which produced limited success, in that his eyebrows which had grown back did not fall out. He was treated for an infection and placed on a supplement regime which he took for 2 to 3 months depending on the supplement.

Child Develops Alopecia
Back to school 2018

Back to school

He went back to school in September with a smile on his face. It didn’t last long, by November his eyebrows had gone again. I didn’t want to be the kind of Mother who was constantly hassling her child so we didn’t try anything else. In fact, I thought that he had come to terms with it, and if he was happy, then I was happy. But sadly that wasn’t the case. In February 2019 he asked if he could get a wig. Clearly he hadn’t come to terms with being a bald teenager, and was starting to grab at straws.

I didn’t have a clue about how one went about getting a wig, none of the doctors had mentioned it as an option. Plus because he played so much rugby I kept seeing this image of him being on the pitch in a scrum, and instead of the ball coming out, it would be a wig… So we went back to the drawing board.

LDN

I remembered an autoimmune web conference that I’d attended where a US pediatrician mentioned using LDN with children suffering from autoimmune disease. In a nutshell, for those of us who like our science to be understandable… it causes increased endorphin release, and increased endorphins modulate the immune response. His Functional Medicine doctor had experienced success with this strategy for other patients with alopecia. He started in February, and by May new hair growth had started. This is something that you could perhaps consider if your child develops alopecia. I’ve written about it here https://practicalhealthcoach.uk/alopecia-and-ldn/

Functional Medicine Health Coach

Also in May I took a  5 week course with a Functional Medicine Health Coach on alopecia. This was the first time that I heard that it was possible to regrow hair even if you’ve been bald for years! By June I was hooked and enrolled on the ADAPT Functional Medicine Health Coach program in order to help spread both the concept of Functional Medicine and Health Coaching in the UK. It has literally been the only thing that has worked for my son, and as you can tell we’ve tried a pretty big array of treatments over the years.

Fast forward to today and Harrison’s hair is continuing to grow in. Perhaps more importantly he hasn’t lost it either. I mentioned earlier about acupuncture, we tried that for a few weeks in the Summer of 2019 when his hair had already started to grow back, potentially that may have helped too.

My Health Coaching Practice

In my practice I work with clients (or their parents) to help them find their own root cause for alopecia. I can guarantee that your root cause will be different to other clients. There’s no magic lotion, potion or pill. Just because LDN helped Harrison it may not help you. If your child develops alopecia you need to start with gut health and diet, moving on to the importance of sleep and exercise, finally looking at breathing/meditation and environmental causes. I know, it all sounds so simple and straightforward!

What’s unique about my work is the focus on micro behaviour changes through the lens of autoimmune disease. I’ve spent the last four years learning about what works, and what doesn’t, for alopecia. I’m actually really excited to be able to share this with you in the hope that you save time and money yourselves. I will always work with people who can’t afford my fees on a pro-bono basis. Please get in touch if you’d like to go on my pro-bono waiting list. Obviously, like you, I can’t afford to work for free so each quarter I work with one client for 3 months on this basis.

Thanks for reading, I wanted to raise awareness that if your child develops alopecia it’s entirely possible for hair to regrow. I want to give you both insight and hope.

Can Rosemary Essential Oil help Alopecia?

Upon finding a bald spot in your hair, your first thought probably isn’t to reach for Rosemary Essential Oil… Typically in the UK if you visit your GP with a suspected case of alopecia, you’ll likely be referred to a dermatologist. If you’re lucky enough to receive a referral you will likely be prescribed with Minoxidil.

One of the standard treatments is Minoxidil (this is the active ingredient in over the counter Rogaine). This strategy is treating the end result of alopecia versus finding and treating the root cause. The tricky part of managing alopecia is that everyone will have a different trigger for the cause of their alopecia. It takes time and effort to unpick and get to the bottom of your root cause. It’s much easier to prescribe Minoxidil.

This means that when you stop using Minoxidil there is every possibility that your hair will start to shed again. When my son first received a diagnosis and tried it, it had no effect whatsoever. Although he started with the ophiasis pattern once the patchy circular areata pattern started he lost all of his hair incredibly quickly.

While he’s currently having amazing regrowth there’s a couple of stubborn patches which are requiring some additional encouragement. On these two areas we’re using rosemary essential oil in a carrier of black seed oil. Before you think that I’ve completely lost my marbles, gone all Woo Woo, and are scoffing at ‘essential oil’ as a means for hair growth, let me point you towards the science.

Historically rosemary essential oil has been used as a folk medicine treatment. In a 2015 study participants with androgenic alopecia were treated with either rosemary oil or Minoxidil 2.0%. Interestingly after 6 months the oil produced equal results with regards to Minoxidil with regards to the number of hairs that grew. Even better the oil didn’t have Minoxidil’s side effects.

We’ve just started this regime, and expect that it will take time to show results. I wanted to flag this alternative treatment as most people will be struggling to obtain a doctor’s appointment and/or prescription at this time. It’s also a more cost effective solution with fewer side effects (like irritated itchy scalp). Note: Only use rosemary oil in a carrier oil like grapeseed or jojoba. Do not use neat on skin.

Source: http://europepmc.org/article/med/25842469

How to make gluten free sourdough starter

There has literally never been a better time to start making sourdough bread. Literally. Never. After a couple of months of trying the keto diet, I could feel homemade carbs calling my name. I always keep a small stash of gluten free sourdough starter in the freezer to be used in case of emergencies. I feel that current times classify as such.

So why bother making your own sourdough? Well, you don’t have to go to the shops for bread, you don’t need to keep a stock of yeast, you’re saving yourself from all of the mystery ingredients in supermarket bread and let’s face it most of us are at home with extra time on our hands. (I’ve gained around three hours every day due to not having the school run and after school sports activities).

“Think of your starter as a low-maintenance pet…” Yes, I’m actually quoting myself. Who does that?! It’s from my book The Twice as Nice Guide: Gluten Free and Dairy Free Baking. https://www.amazon.co.uk/Twice-Nice-Guide-Winning-Recipes/dp/1912009978/ref=sr_1_1?keywords=twice+as+nice+guide+gluten+free&qid=1584978302&sr=8-1

There are many different ways to begin making a starter. This is an updated version from my book. Did I mention my book yet?

Ingredients:

500g millet/sorghum/teff/buckwheat flour (use whichever gluten free wholegrain flour you have to hand)

500g white and brown rice flour by Dove’s Farm

1 litre bottled water

Kit:

Freezer bags (the kind that close like Ziploc) Medium size

Large thermos flask (I like to use an Easiyo yoghurt making container)

Instructions – Day 1:

Measure 25g of the wholegrain flour and 25g of the rice flour into a freezer bag. Add 120g of water, and mix well. Seal the bag. Mix again. Open and release any air. Reseal.

Place this bag into a second bag, seal, release any air and reseal.

Fill your flask three quarters full with hand hot water, and place the double-bagged flour and water into it. Seal the flask. Check it every few hours and make sure that the water stays warm.

24 hours later:

Fish out your flour and water bag from the flask. There may be a few bubbles, and maybe some yeasty aromas. Carefully open the bag, add 25g of the wholegrain flour, 25g of the rice flour and 80g of bottled water.

Mix, seal the bag, mix some more. Let out any air. Reseal. Return to the second bag, seal, let out any excess air from the second bag.

Refill your flask with hand hot water. Place the double-bagged flour mix into the flask, and periodically check to make sure that it stays warm.

24 hours later:

Weigh the flour mix, discard half. Put the remaining half into a clean (not sanitised – it’s not jam) lidded container. I like to use a Kilner jar without the rubber seal.

Add 25g wholegrain flour, 25g rice flour and 50g bottled water mix using a wooden spoon.

Close the lid and leave on the kitchen counter for an additional 24 hours. Do not use the locking mechanism.

Your starter is now ready to bake with! If you’re going to be using it regularly it’s fine to leave it on the kitchen counter. Every day remove a tablespoon of starter, and add a tablespoon of flour and water each day. If you know that you won’t be using it for a while place it in the fridge with the lid loose. Each week discard a couple of spoonfuls of the starter and add a couple of flour and water.

Keep using the flour mix of 50% wholegrain and 50% rice flour. After about a month it’s okay to move to tap water.

I find it helpful to freeze a couple of tablespoonfuls of starter in case something happens to it. You can then just defrost it and two tablespoons of the flour mix, and two tablespoons of water to kick it off again.

You’re now ready to bake which is where the fun starts. Please do message me with any questions.

Which vitamins support your immune system?

I’m lucky enough to have two parents in their 70s. My Dad, in particular, is part of the at risk group for coronavirus, as he used to smoke 40+ a day for 40+ years and my Mum was exposed to all of that second-hand smoke. Right now no-one in my immediate family is taking an immunosuppressant which would increase their risk of picking up any cold or virus going. So which vitamins and minerals support your immune system?

This is how we’re staying as healthy as possible. In addition to the common sense steps recommended by the WHO (not THE WHO) https://www.who.int/news-room/q-a-detail/q-a-coronaviruses we’re taking the following vitamins. While ordinarily I’d recommend a food first approach, I’m using these vitamins as back-up in case of a lack of access to fresh food.

Vitamin A: Supports cell growth, it acts as an antioxidant and is critical in maintaining the structure of mucosal cells (like those which line your respiratory and GI tracts). A lack of this vitamin results in poor night vision, keratosis pilaris aka ‘chicken skin’ that appears on the back of arms, dry skin, dry eyes, eczema, psoriasis, hypothyroidism, autoimmune disease and infertility. 

Best food source: Liver (from cows, sheep, chickens, geese, turkeys or fish) followed by egg yolks, it’s a fat soluble compound so requires fat to be absorbed.

Note: Taking Vitamin A along with Vitamins D and K2 significantly reduces the potential risk of vitamin A toxicity.

Vitamin D: Increases intestinal absorption of calcium and is a known immune modulator. If your levels of Vitamin D are outside of the optimal range then your immunity can be compromised which increases your risk of infections. You can find this vitamin in food, sun and supplements. I like the dminder app which calculates how much Vitamin D you’re being exposed to depending on your skin type, location and clothes. This article by Chris Kresser will give you more info on Vitamin D https://chriskresser.com/vitamin-d-the-new-super-nutrient/.

Best food source: Cod liver oil, fish, shellfish, grass-fed meat.

Vitamin K2: Works in synergy with Vitamins A and D. It may prevent toxicity from these other two fat-soluble vitamins.

Best food source: Natto (Japanese fermented soy product), Gouda, Brie, Poultry liver

Vitamin C: Probably the best known vitamin for supporting the immune system. It’s an antioxidant and a cofactor for many enzymatic reactions like producing collagen and neurotransmitters. It’s not stored in the body so we have to obtain it from our diet or supplements as we can’t produce it ourselves. A deficiency results in poor wound healing and fatigue. Good levels of Vitamin C reduces all causes mortality risk. That said, there’s some controversial evidence that large doses of this vitamin can block the actions of anticoagulant drugs. I prefer to take liposomal Vitamin C, but given the cost of purchasing this form I’m choosing to alternate with other types.

Best food source: Red peppers, citrus fruits, kiwis, strawberries, grapefruit.

Vitamin E: Another fat soluble vitamin that’s needed to maintain proper immune function. Are you seeing a theme here?

Best food source: Avocados, olives, nuts and seeds.

Zinc: This mineral is necessary for both the development and function of immune cells. It functions as a cofactor for over 300 enzymes and chemical reactions. Like Vitamin C it can’t be stored in the body and so you need to make sure that you’re consuming it regularly or supplementing. Zinc is a cofactor that helps to convert Vitamin A to its active form.

Best food source: Oysters, red meat, cheese, crab, turkey.

While I would always prefer to obtain these vitamins from food which increases their bio-availability, I’m trying to cover my bases by having them on hand in case of drastic measures such as isolation. You can see that the majority of best food sources come from animal products, so veggies and vegans should be ready to start supplementation. These vitamins and minerals are necessary to support your immune system.

Treating Alopecia with LDN

Over a year ago my son who’d lost all of his hair due to alopecia came to me and asked if he could get a wig. This knocked my sideways as I thought that he was dealing with his hair loss well. More to the point, I didn’t want to be the type of Mother that was constantly on at her child giving him the impression that he needed to be ‘fixed’. If he was happy, then I was happy. The converse was also true. I recalled some research that I’d done the year before with regards to treating alopecia with LDN. I’d not done anything with this info at the time, just stored it away.

I didn’t think that the answer for a super-sporty boy would be a wig. I revisited my alopecia studies, and recalled an auto-immune seminar that I’d attended with US pediatrician Dr Elisa Song https://healthykidshappykids.com/ She’d mentioned that some of her patients who had been diagnosed with auto-immune diseases had responded positively to the medication LDN. This medication was side effect free which was important to both my son and me. (We’d previously discussed Jak inhibitors with a dermatologist and not felt confident that the benefits outweighed the risks).

After finding out more via the LDN Research Trust https://www.ldnresearchtrust.org/ I was intrigued to find some examples of people with alopecia who’d experienced regrowth. Given the tricky nature of this auto-immune disease we’d already tried many different ‘experiments’, and saw this as another avenue to pursue. After discussing further with his functional medical doctor, we decided try treating his alopecia with LDN.

Three months later his completely smooth head developed some under the skin lumps and bumps, these developed into fine white growth which ultimately grew back in as his thick dark hair. It’s still growing back now.

This medication has been a critical part of the alopecia puzzle along with many significant lifestyle changes which would be challenging to anyone let alone a teenager. His strength of resolve and character inspires me every day.

The purpose of this article is to let you know that other options exist that may support your hair regrowth. You could discuss LDN with your functional medicine practitioner. Alternatively you can get in touch with the compounding pharmacy that supplies LDN and can arrange delivery directly to your home as a private patient. This treatment is not available on the NHS. If you’re keen to pursue this option, here’s the link to the pharmacy https://dicksonchemist.co.uk/new/.

Alopecia is a disease which can affect anyone. My experience of living with someone impacted by this particular auto-immune disease is what made me decide to retrain as a Health Coach. Conventional medicine had no answers for us, even worse it had no hope. From the outset functional medicine gave us a measure of confidence, and the opportunity to try different protocols which have ultimately been successful.

Please leave a comment if you’ve had experience, positive or negative, of trying LDN.  

Thirty Day Paleo Reset

After embarking upon a rigorous course with the Kresser Institute to study and train to be an ADAPT Health Coach, I decided to put myself in my prospective client’s shoes and begin a Thirty Day Reset diet following a Paleo template (sometimes called ancestral health diet). Typically a client would be prescribed a diet protocol by a Functional Medicine doctor, a Registered Dietitian or Nutritionist to address their health concerns.

In fact, last year my family and I were placed on the Auto-Immune Protocol (AIP) by a Functional Medicine doctor and I found that to be very challenging. The Thirty Day Paleo Reset is quite similar in approach with some subtle differences, e.g. unlike AIP it includes nuts and seeds in moderation, and excludes natural sweeteners like maple syrup and honey completely.  I wanted to understand the challenges that clients would be dealing with when faced with a prescription or protocol that you can’t just hand in to the pharmacy to fill.

Let me start by saying that the Thirty Day Reset was a lot more straightforward than last year’s AIP. This was due at least in part to the fact that I’d already made so many lifestyle changes over the last 12 months. I felt overwhelmed by the AIP because it was a huge amount of food shopping, cooking and preparation. As soon as one meal was finished and I’d cleaned up, I’d start to prep the next as we’re a family of 5, with 3 of us battling auto-immune diseases. I remember walking into the supermarket and thinking ‘this will be quick!’ as only the first aisle had the fish, meat, vegetables and fruit that were part of our ‘new’ diet. I found the supermarket incredibly expensive and soon turned to my local butcher, fruit and veg stall, fish man and egg lady who not only provided a wider and better priced array of local produce, but could also vouch for the provenance.

A key difference with my AIP experience was that this time it was just me, and not my entire family. This meant that I didn’t have to spend time preparing food, then more time talking people into eating it, teenagers don’t tend to like hot smoked mackerel salad. Surprisingly I still had the caffeine withdrawal symptoms on Day 2, but this was less severe and more short-lived than before. One of the worst days was Day 5 which was the first Friday night. Typically my husband and I will have a glass of wine or a G&T to mark the start of the weekend. This ritual effectively disappeared as a glass of San Pellegrino with a slice doesn’t really cut it.

Another challenge was going out to dinner with friends. I was driving so not having an alcoholic drink wasn’t a problem. However, I became that person, you know the one who asks for the salad, but then proceeds to ask for half of the ingredients listed on the menu to be excluded. My three friends had ordered their complicated tapas dishes in the time that it took to figure out my amended salad.

How did it go? Well, I feel fantastic. My sleep has improved, my skin is clearer, my thoughts are sharper and I’m much less tired than before. I’m waiting on blood test results to see if my auto-immune disease has been pushed into remission. Was it easy? Yes, because this time around I knew what to expect and I had a far greater insight into the science behind the diet because of my Health Coach training. Was I hungry? No, although I did have some cravings for sweet food. Did I lose weight? Yes, I lost 3 kilos over the month which was an unintended benefit.

The most important thing is that I feel more like myself and have so much more energy. Now the fun starts with the food reintroductions, I’m going to take it slowly and carefully monitor any side-effects. By the time that I’m finished I’ll have created a personal paleo template that will be the perfect diet for me at this time in my life. For more info, take a look at The Paleo Cure by Chris Kresser or e info, take a look at The Paleo Cure by Chris Kresser or https://chriskresser.com/