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    Alternative Health

    The Autoimmune Wellness Podcast

    The Autoimmune Wellness Podcast is brought to you by Mickey Trescott, MSc., a functional nutritionist, chef, and author of three best-selling books: The Autoimmune Paleo Cookbook, The Autoimmune Wellness Handbook, and The Nutrient-Dense Kitchen. After personally navigating life with Hashimoto’s disease and celiac disease, Mickey is passionate about empowering others to take charge of their health. She is the creator of the AIP Certified Coach Practitioner Training Program and co-founder of Autoimmune Wellness, a platform dedicated to helping people find a path to healing using the Autoimmune Protocol (AIP). Her approach blends evidence-based principles from both natural and conventional medicine to give those with autoimmune disease their best chance at a vibrant, healthy life.

    This podcast was originally co-hosted with Angie Alt, NTC, CHC, who helped launch the show and contributed significantly to its early success through her advocacy and personal story of living with endometriosis, lichen sclerosis, and celiac disease.

    For more information on the Autoimmune Protocol (AIP), visit autoimmunewellness.com.

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    Copyright: © Copyright 2016 Autoimmune Paleo

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    Latest Episodes:
    Bonus Episode #1: Deep-Dive w/ Angie Dec 14, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!

    In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog.

    That being said, we only promote authors, products, and services that we wholeheartedly stand by!

    This is a special bonus series of The Autoimmune Wellness Podcast where we are sharing in long, conversational format our personal healing stories. In each of these episodes, we are joined by our Content Manager, Grace Heerman, who interviews us individually about our experiences with illness.

    If you are new to our podcast, we recommend starting at the very beginning of Season 1, where we take a deep look into the seven steps to living well with autoimmune disease, as outlined in our co-authored book, The Autoimmune Wellness Handbook. In season 2 we expanded the format to include Q and A episodes as well as interviews with those who have used AIP to successfully heal from chronic illness.

    Angie’s Interview

    Welcome back to The Autoimmune Wellness Podcast! We’re sorry that it has been so long since we’ve released any episodes; the truth is that we have spent a good part of this year working on training our AIP Certified Coaches, and now that our first class has graduated, we’re back to focusing on developing some new podcast content for you guys to enjoy. We can’t wait to share with you what we’ve been up to!

    In the meantime, we do have a couple of special bonus episodes to share with you guys. We’re going to give you a little backstory about how this came about, because it was definitely not something we’ve been planning. Our content director, Grace, interviewed Angie for some writing she was doing on the site.

    Now, at the time, neither Angie or Grace knew how deep and personal the interview would be, and they recorded it so that Grace could revisit some of the events Angie spoke about. None of us knew how moving and powerful this long, conversational interview would be, and when we all gave it a listen, we thought that we needed to share it in some way, and that some of you might find it helpful to hear our personal healing stories in this format. This conversation includes the full details of Angie’s 11-year struggle with obtaining her autoimmune diagnosis, much of which took place while living overseas in Africa.

    Thank you Grace, for facilitating these interviews for us! Enjoy everyone!

    How to listen:

    If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher!

    If you’d like to download the .mp3, you can do so by following this link.

    If you’d like to play the episode right now in your browser, use the player below!

    The post Bonus Episode #1: Deep-Dive w/ Angie appeared first on Autoimmune Wellness.


    S2 E8 Angie interviews Ryan Monahan, who is recovering from Hashimoto’s thyroiditis Jun 05, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! We’ve created this podcast as a free resource to accompany our book, The Autoimmune Wellness Handbook: A DIY Guide to Living Well with Chronic Illness. Season 2 Episode 8 is our final episode of the season! And what an episode to end on. We don’t often hear stories from men in the Hashimoto’s community but today, Angie is interviewing our friend Ryan Monahan who has managed his Hashi’s symptoms in one of the most challenging professional environments: a tour bus. As a traveling musician, Ryan had to become an expert at thinking ahead and being proactive about his healing. No matter your career, you will definitely find takeaways here. Scroll down for the full episode transcript! How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com, where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients just like you to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. On to the podcast! Topics:1. Introducing our guest, Ryan, and his diagnosis story [2:30]2. Learning about holistic treatment [13:17]3. Treatment with the greatest impact [19:53]4. AIP on the road and touring [24:54]5. Biggest dietary impact on symptoms [33:06]6. Stand-out supporters [36:17]7. Highest point of the journey [40:11]8. Final takeaways from Ryan [44:29] Angie Alt: Hi everyone! Welcome back to the Autoimmune Wellness podcast, season 2. This is Angie, and today I’m interviewing Ryan. He is a Hashi’s warrior, and also a functional diagnostic nutrition practitioner. And additionally, with all of that going on, he’s also a passionate musician who has been in the music industry for 15 years, and member of a regular touring band, Easter Island. We are going to dig into that, you guys; touring and AIP. It can be done. We’ve gotten a lot of feedback that you guys find it helpful to hear from folks who have taken on the healing journey in real life. So today we will be sharing a little bit of Ryan’s story. Thank you, Ryan, for joining us from Georgia. Are you ready to get started? Ryan: Absolutely. Thank you so much for having me on the show. I can’t tell you how much I appreciate it. 1. Introducing our guest, Ryan, and his diagnosis story [2:30] Angie Alt: Yeah. We’re really excited to share a lot of different stories this season. So let’s just dive in with some questions. You know, one of the areas we love to explore with people is diagnosis, and folks’ diagnosis story. Because as you probably know, in the autoimmune community, that can be kind of a harrowing journey. What was the first symptom you noticed of your autoimmune disease? Ryan: Yeah. So I had really struggled with allergies and asthma my entire life. And just generally symptoms of related to ear, nose, and throat. I was one of those just kind of sick all the time kids. Like, oh he’s on antibiotics; oh, he’s had bronchitis, the croup. You name it. Strep throat, just constantly. And that kind of persisted into my adult life. And then it started getting worse when I was in college. And it was really when I noticed that things were getting really bad was when I was sleeping for 10, 12 hours at a time, and was having trouble waking. So I would set three alarms, and that still wouldn’t wake me up. And I would set an alarm on my stereo system, and it would be shaking the entire room. Angie Alt: Oh boy! {laughs} Ryan: Yeah, and I would still just sleep through it and miss classes. It took me a few years to really piece it together. Because at that time, I had just assumed I’m burning the candle at both ends, I’m a busy guy, I’m just exhausted. I’m just kind of burnt out. And you know, that was kind of the narrative I told myself for a while. Angie Alt: Ok. So it was probably since childhood that you were kind of dealing with some of this stuff, and it sounds like it kind of came into full being in probably your early 20s, in college. I think that happens to a lot of us, actually, in this autoimmune world. And it can be hard to separate it, right? From, is this just regular, like you said, burning the candle at both ends, or not? Ryan: Absolutely. I think as a society, we’re just kind of accustomed to accepting a really low baseline for health. And when everybody is more or less sick around us, I don’t think. It’s kind of like that quote, “The last thing a fish would ever notice is water.” Angie Alt: Right. Ryan: And so I think, yeah, we just kind of assume that because symptoms are common that they’re normal. And we just try to cope with it, and maybe try things here and there. I’ll try some vitamin C, and kind of self-medicate a little bit. But as you know, that only lasts for so long until your symptoms are sort of screaming at you for help. Angie Alt: Right. So how long did it take you, then, to actually get an official diagnosis from that point when you were kind of like; “Oh, this is not normal. I can’t even get up to my stereo system screaming at me. What’s going on here?” Ryan: Well. You know, it’s really hard to say. Because I had been dealing with these things most of my life. It was just really in college that they kind of reached a peak. But I would say it’s at least 10 years. I wasn’t diagnosed with Hashimoto’s until I was 28. And this is kind of insane, but I actually had visited over 40 doctors before I received a diagnosis. Angie Alt: I actually don’t think that’s insane. I totally hear you brother! {laughs} I’ve been there too. Ryan: Yeah. Angie Alt: But yeah, it feels insane in comparison to a lot of other people. But you’re just searching and searching. Do you think that in part being a male was a barrier to getting a Hashi’s diagnosis, because it’s so commonly women? Ryan: Absolutely. I think doctors just didn’t think to check with the sort of constellation of symptoms that I was experiencing. Although, those are more commonly associated with women, I think I got overlooked by the traditional medical system. And no one had ever thought to look for those kinds of markers for the thyroid. Because it’s, what, 8 times, is that correct? About 8 times more likely in women than in men? Angie Alt: Boy, I don’t know the exact percentages. But yes, it’s much, much more common in women. But it does happen. I know of a lot of other men actually out there in our community, too, dealing with Hashi’s. It’s too bad that it’s not on more doctor’s radars. Ryan: it also makes me wonder how many men are just not seeking the kind of medical help or advice. I suspect that maybe they wouldn’t be as inclined to visit the doctor if they were experiencing the same symptoms that a woman would be. Angie Alt: Right. Yeah. Ryan: So there might be; in other words, there might be a little bit of male pride kind of issue going on there. Angie Alt: Yeah, maybe some male pride. And then the combination of the doctor’s kind of overlooking it. And it makes it tough for somebody like you to get a diagnosis. When you got the diagnosis, how did you handle it? Ryan: When I got the diagnosis, I was sort of a combination of scared and confused. And also really thrilled. Angie Alt: Yeah. Ryan: Like, this weight had been lifted off of my shoulders. Like, I didn’t even really know what the thyroid was or what it’s function was. But I was also just really extremely excited to have a diagnosis, and to know that I wasn’t crazy and that this wasn’t all in my head. I now had something concrete to work on. Angie Alt: Mm-hmm. Yeah, I totally relate to that feeling. For me, I kind of relate it; it was sort of like naming my enemy. And now I could actually fight effectively. Before that, I had no idea. It was kind of like being in the dark and sort of hoping that I could figure it out. So I really relate to that. How did your friends and family handle your diagnosis? Ryan: Well, I think everyone was just relieved to see me get better. I remember a good friend of mine seeing me only a week after I had been on Synthroid. And he said, “What did you do with Ryan?” Angie Alt: {laughs} Ryan: Because I just had this pep in my step all of a sudden. And my face physically looked different. I lost this sort of puffiness in my face. And my voice changed. It was kind of freaky. So people kind of looked at me funny at first. But I think everyone was relieved. Everyone kind of knew something was up, but nobody really knew what it was. Angie Alt: Mm-hmm. Yeah. I can totally understand that. Do you think that; this is a pretty common experience, but not everyone shares it in the community. Do you think that some of your friends and family kind of doubted that there was something really there? Did you ever feel like you were kind of desperately trying to make people believe that something really was wrong? Ryan: Yeah, 100%. And I won’t name names. Angie Alt: Yeah, I get it. {laughs} Ryan: But I think a lot of my friends and family thought I was a little bit of a hypochondriac, that it was in my head. Or some of the things that I had expressed to them that I was going through, I think they maybe overlooked, or had just kind of passed off as, oh that’s normal. You’re getting older. And it’s like, but wait a minute! I’m in my early or mid-20s. I shouldn’t be sleeping 12 hours a day, I shouldn’t be this depressed. I shouldn’t be this fatigued all the time. So it was really hard for that reason. I feel like I had to sort of internalize it. And kind of internalize the suffering, to an extent. In the sort of darkest hour, I remember feeling like I thought I was dying, and had no idea what was going on. And then I would beat myself up. Like, “Oh, you’re being so dramatic. You’re not dying.” And you know, I maybe wasn’t that far from it. Because when I was diagnosed with Hashimoto’s, my TSH was above 150. Angie Alt: Wow. Ryan: And for those of you who don’t know, optimal thyroid range is maybe between 0.5 and 1.5. So my TSH was actually above the detectible lab limit. So it was somewhere above 150; the lab couldn’t even detect it that high. Angie Alt: Wow. Ryan: But I remember my doctor saying, “I don’t even know how you were able to get up in the morning,” for years, potentially, that I was dealing with this without having any diagnosis. Angie Alt: Right. So you’re at the extreme end of experiencing, to that point, this undiagnosed autoimmune disease. And you’re unable to find answers. You’re seeing upwards of 40 doctors at this point trying to get those answers. And the people around you are beginning to doubt the validity of the problem. And yeah, you’re right. Of course you’re going to internalize all that. So then getting a diagnosis, in some ways, I think sometimes, maybe outside of our autoimmune community it can sound like we’re a little kooky, being a little thrilled or relieved to be given a diagnosis of having a chronic illness. {laughs} Ryan: Yeah. Angie Alt: But it’s actually really validating when you’re in that terrible spot for so many years. Ryan: Yeah. It’s incredibly validating. Because you realize that you didn’t have to beat yourself up so much over your diagnosis, you know. And I think sometimes even people get into the more psychospiritual aspect of their condition. And think, maybe it’s karma. Maybe I deserve this for some reason. I think you can get kind of deep into blaming yourself for your illness. And once you realize that it has a physiological root to it, I think that’s incredibly relieving. Because you can kind off cast aside that narrative that it’s your fault. 2. Learning about holistic treatment [13:17] Angie Alt: Mm-hmm. Right. So, how long after receiving the Hashi’s diagnosis did you start to dive in and learn about autoimmune disease itself, and start to kind of understand that process? Were you somebody who really wanted to kind of gather as much knowledge as you could, or did you feel a little fearful or tentative about getting some of that information? Ryan: It was a pretty gradual process. I would say the first 9 months I really didn’t understand much about what was going on, and I just sort of trusted the advice of my endocrinologist at the time. Which was just to take the Synthroid, there’s nothing you can do about it. And I kind of left it at that. Then, like many people experienced, the Synthroid only had a positive effect for so long. And a lot of my symptoms started popping up again. And that’s really when I started taking things into my own hands. Because I started to question. Ok, so my thyroid is malfunctioning. I get that. I get that my immune system is attacking my thyroid. But I wanted to know why, you know? I’ve never been the type of person to just kind of lie over and accept something. And that’s when I started to really kind of try to reverse engineer what was going on, and to do my own research and become my own health advocate. And at that point, I had started to do some internet research, and I came across Izabella Wentz’ book, which for many people is the thyroid/Hashimoto’s bible. Angie Alt: Right. Ryan: And you know, that was the first thing I had read that had opened me up to what functional medicine is, and what it could offer. And this whole concept of looking for root causes, and looking for nutrient deficiencies, and hormone imbalances, and gut infections, and even things like metal toxicity. All these things were just not on my radar until I had discovered her book. So that was really a game-changer for me. Because it provided a road map to how to manage the condition. And in some cases, people are even able to successfully put it into remission through implementing some of these strategies. So shortly after discovering her book, I came across Mickey’s website. Which, at the time, had her Autoimmune Paleo Cookbook, which was just an eBook at the time. So this was kind of really at the beginning stages of things. Angie Alt: That was back in the way back. {laughs} Ryan: Way back, yeah. And I can’t even say I remember how I found her website. But I did somehow. And I really resonated with her story, because I felt like we had a lot in common in the sense that we both had Hashimoto’s, we were both former vegans, we both ha…

    Full show notes at the publisher

    S2 E7 Q + A #4 – Friends and family, Epstein-Barr virus, white rice, and additional sensitivities May 29, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! We’ve created this podcast as a free resource to accompany our book, The Autoimmune Wellness Handbook: A DIY Guide to Living Well with Chronic Illness. Season 2 Episode 7 is our final Q + A episode of the season! This week, Mickey and Angie are focusing on questions about food sensitivities beyond the AIP, and how to tweak the protocol to address unusual symptoms such as protein cravings. They also touch on how to handle discussions about AIP with coworkers, friends and family. Plus, they start by chatting about how they’ve been managing stress recently, and their personal batch cooking neuroses. Scroll down for the full episode transcript! How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and Celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com, where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients, just like you, to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. On to the podcast! Topics:1. Mickey and Angie: Question of the week [2:39]2. Suggesting AIP to friends and family [5:31]3. Comments about diet and illness from coworkers [10:07]4. Intolerance to foods on AIP [16:32]5. Additional food sensitivities on AIP [20:30]6. White rice after reintroduction [24:44]7. Epstein-Barr and Hashimoto’s [27:05]8. Intense protein cravings [34:46] Mickey Trescott: Hey everybody! Mickey here, and welcome back to the Autoimmune Wellness podcast season 2. Today is our last round of question and answer for this season. Dun, dun, dunnn! How are you doing this week, Angie? Angie Alt: I’m doing good. It’s been a little crazy. We’ve both been busy with conferences and other work travel and stuff. But it’s good. What about you? How are you doing? Mickey Trescott: Yeah. Just trying to get control over the schedule and the cooking and the sleeping and the stress managing, and the texting. {laughs} Angie Alt: {laughs} Yeah. So appropriate. Mickey Trescott: It’s a lot. It’s a lot. Angie Alt: Yeah, it’s been a lot. Yesterday; excuse me. Two days ago I cooked all the things. I was like, “oh my god, I have to get on top of the cooking!” and I cooked so much food and now I have too much food. {laughs} Mickey Trescott: Well that’s not a big problem. Because you can always freeze it! Angie Alt: Yeah, that’s true. Mickey Trescott: That’s what I do. But yeah, the first thing I do when things start to get a little crazy is I start batch cooking. It’s like obsessive. Angie Alt: Mm-hmm. I hear you. 1. Mickey and Angie: Question of the week [2:39] Mickey Trescott: So, before we get onto our regular scheduled listener questions, we’re going to ask each other a question like we’ve been doing this whole series. I know Angie is ready to be done with this format, because she doesn’t like the random questions. Angie Alt: {laughs} Mickey Trescott: But Angie, my question for you this week, is what aspect of personal healing are you working your hardest on right now? Angie Alt: Oh boy. Mickey. You and the can of worms all the time. I would have to say honestly that I am probably in a period where I’m trying to be ok with things being the way they are. I’m trying to kind of let go of focusing a lot on healing, and just let things be kind of crazy, kind of hairy, kind of up and down. And just allow myself to kind of go with the flow. And sometimes the flow isn’t the direction you would hope for. But I’m just trying to be a little Zen about it at the moment. I think that’s where I’m really working, if I’m honest. What about you, Mick. What you do you have going on? Mickey Trescott: Yeah. You know, the meditation thing. It’s a little in the same vein; just kind of trying to accept the situation that I’m in. The stressors and the physical stuff. I feel like there are a lot of things I don’t have control over right now, so meditation has been very helpful. And I made a goal to meditate every day, and I was on a 68-day streak using the Calm app. Which, you know, you shared that with me and I got super into it. Of course, I’m an Upholder. Angie Alt: Calm is awesome. Calm is my spirit animal. Mickey Trescott: It’s the best. And I got really hooked in because I like having a perfect record, and so when it reminded me every day, it’s time to meditate, I would do a little meditation every day. And this week, it just fell off the rails, and I forgot one day. And I kid you not, I woke up at 3 in the morning, and the first thing I thought was, “Oh my gosh, I forgot to meditate yesterday!” And I was so sad I almost cried. Angie Alt: {laughs} Mickey Trescott: I was like, “I was on a streak!” And you know what I wanted to do was to do it for a whole year. But I’ll get back on the wagon and keep going. Angie Alt: Yeah, you’re doing great. You know what. You guys, this is a reason why you know Calm is really, really awesome. Mickey has the Upholder tendency. If you don’t know what we’re talking about, check out Gretchen Rubin and the Four Tendencies. So Mickey has the Upholder tendency, and she feels like she is going to do that internally and externally. She wants the reward of doing that. I am not the Upholder personality, but I still have had a similar experience where I woke up in the middle of the night and was like, “Oh no! I messed up my Calm streak!” That’s how great Calm is. Mickey Trescott: It gets into your subconscious, and it’s just like, “Meditate. Meditate. Meditate.” Angie Alt: It works for all tendencies. 2. Suggesting AIP to friends and family [5:31] Mickey Trescott: It’s great. So that was fun. So let’s get onto tackling some of our specific questions. I did another call out on Instagram. We always get so many questions; way more than we could answer in a series, or in a podcast. But today we actually had some people asking some pretty similar questions, and actually upvoting other people’s questions. So we’ve got some topics that I think will apply to a lot of you guys today. The first question, actually the first two questions are about friends, family, and the workplace. And HS; yeah I don’t know how to say that. Hutsau says, “How to approach friends and family who have autoimmune disorders, and think high power prescription drugs is the only reasonable treatment, or should you even go there?” Angie Alt: Yeah. Wow. This is, I think probably for those of us who know that there are other approaches, or that combinations of approaches can really be the most effective and maintain the highest quality of life, it can be so disheartening and frustrating, and even maybe a little sad or scary to see friends and family choose this other route. And you feel like you have this information that could benefit them so much, and you’re so worried about the impact of the choice they’ve made. It can be hard to know what to do. But, here’s the honest to goodness truth; you’re better off to not go there. You’re better off to just be a powerful example. People are changed not by your words, but by your actions. So just be a really strong example in your own life of healing, and how you’re able to either choose the completely natural route, which is awesome if you can do that. Or, combine, which a lot of us have to do. If you can just sort of give that example to your friends and family, that’s probably the best way to go. In time, when they are ready for that message, they’ll come to you. I think in my life it started out like, “This is kind of crazy. Angie’s doing this fringe whatever thing.” And now, honestly, I almost have to beg my friends and family not to ask me questions about it, and ask for my help on it. Because they see, powerfully, that I followed through and I’m a lot healthier than I was before. So that would probably be my best advice. What would you say, Mickey? Mickey Trescott: Yeah. I would just add that the biggest reason for that is because it’s almost, you can’t force them to change. What we’re asking people to do; changing their diet, and changing their lifestyle, and advocating for themselves is a lot of work. And it’s pretty intense. And if you’re doing this yourself, and then you tell someone else; “Oh, you need to do this too.” And maybe they don’t; I think there’s a lot of judgement that could come with that. People in your family could avoid you, or not want to talk to you about it. And that’s not what you want in that situation. You don’t want to see, “Ha. I know all of this and you don’t. And you don’t have the time to do it. And it’s too overwhelming.” You maybe leading by example sets you up as the person to comes to when they’re ready. And then it kind of takes out all of that judgement that people could perceive there. So I think that’s why it’s really important not to go there. And let people come to you when they’re ready. Like you said Angie; I’ve had so many people in my life. Like, really surprising, surprising people that I never would have thought would be asking me for help, and reach out. And I think it’s because I haven’t been pushy about telling everyone what they should do. You know? Angie Alt: Right. Right. Exactly. Considering the level of commitment that healing through diet and lifestyle takes, it’s best that each person arrives there themselves. Mickey Trescott: Well, it’s almost, to an addiction analogy. I have a lot of addiction history in my family. And there have been times where it would have been really easy to just force someone to go to rehab, or force them to confront their problem. But those are never the times when that person is able to make a sustainable change that actually changes their life. It’s painful for the people that know better, around them, and that’s the only thing I can maybe liken it to. That feeling of being someone that could help, but not being able to because the person isn’t ready yet. And that’s not in your control. 3. Comments about diet and illness from coworkers [10:07] Angie Alt: Yep. Exactly. Ok, let’s see. Moving on to another kind of friends, family, workplace question. Pick Perfect Love says, “How to deal with working when you have an autoimmune disease? I’m a teacher, and my peers and principal tends to make comments about my diet, which is AIP, and I’m ‘always’ sick or not feeling well. I have to give 110% as a teacher, but there are some days when I am just not feeling well.” Mickey, what would you say to her? Mickey Trescott: You know, this is definitely a situation where I would say these people are definitely not being supportive of your journey. And I think you might need to have a conversation about how what you’re doing is something that’s really difficult. You’re doing it for yourself, and these comments will not be tolerated in a work situation. I would say that this kind of discussion might come up in families, because families are so much more complicated, and you’re related by blood. But I really don’t think that your coworkers and your boss have any right to comment on the food that you’re eating, and if you’re always sick or not feeling well. Now, as it relates to your work, they have some say there. And that’s where it becomes tricky. Being an autoimmune patient and having a full-time career is no easy task. And I was confronted with this when I got really sick and had to go back to work. I wasn’t able to do my previous career. I got fired because I kept going into work sick, and tired, and I wasn’t able to keep up. And that’s how I got fired. And you know, that’s a dramatic situation, and it was very unpleasant and unhappy in the situation. But it actually made me realize that I needed to seek out a situation that was compatible with my illness. So, not saying that you can’t be a teacher. Obviously, it sounds like you love your job and you really want to make it work. And I think trying to bridge that gap between your coworkers and your boss’ perception about your illness without maybe oversharing and trying to make them feel bad for you. But also being very strong and saying, “This is what I’m doing for my body, and it’s working. I shouldn’t be getting any judgement from you.” Because that’s not really their place. Wouldn’t you say, Angie? Angie Alt: Yeah. One thing that I might kind of bring into your own awareness that sometimes folks; especially folks that want to comment on your food or what they see you bringing in to work to eat each day. Sometimes they’re doing that out of a place of feeling maybe a little insecure about their own food choices. They might feel like maybe your plate is a little bit of a judgement on their plate. Which it’s obviously not. You know you’re doing it just because you want to heal, but sometimes, oddly enough, we in this situation have to do the job of reaffirming the other people who are making the comments. I know this sounds backwards, but it might help if you say, “Whatever you’re eating, cool. This is what I’m eating today because it makes me feel better. No big deal.” Sometimes saying that one little sentence changes the whole dynamic and people feel a little more calm and less worried. Mickey Trescott: And Angie, you have a great thing that you say about this, “Don’t be weird.” And you know, if you’re kind of treating yourself as special, and you have this special food, and you make a big deal about it when people ask you about it. You’re like, “Oh my god, it’s really complicated, and it’s because I’m really sick.” You’re kind of weird about it, people are going to pick that up, and they’re going to be like, “Oh. That’s weird.” But if you’re just like; “Oh, this is what I eat because this is what makes me feel good,” and that’s all; no story to it. People might be like, “Oh, ok. She knows what she’s doing and I’ll move on to something else.” You know? Angie Alt: Right. If you act with a lot of confidence; this is where my little phrase, “Don’t be weird” comes from. If you act out of a lot of confidence, and just like, “This is my day to day, no commentary necessary.” The people around you will come to respect it. Mickey Trescott: Yep. Do you have any advice maybe, Angie, about how to work; I know a lot of people have had this question. How to find an autoimmune friendly career? Do you think it…

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    S2 E6 Mickey interviews Jolaine Weins, who is recovering from ankylosing spondylitis May 22, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! We’ve created this podcast as a free resource to accompany our book, The Autoimmune Wellness Handbook: A DIY Guide to Living Well with Chronic Illness. Season 2 Episode 6‘s interview features one of the most captivating stories of AI recovery we’ve ever heard. Jolaine Weins is recovering from a rare, arthritis-related autoimmune condition called ankylosing spondylitis. Following her initial symptom discovery, Jolaine waited 22 years to receive a diagnosis, all the while visiting countless practitioners and living in debilitating pain and lethargy. Shockingly, it wasn’t a practitioner but a social media post that finally pointed Jolaine in the right direction. Her story is one of the most powerful testaments to the importance of self-advocacy we’ve ever heard. You’ll want to listen to every fascinating detail! Scroll down for the full episode transcript. How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and Celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and Celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com, where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients, just like you, to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. Onto the podcast! Topics: 1. Jolaine’s diagnostic journey [2:33]2. Reaction of friends and family to the diagnosis [16:31]3. Low points on the journey [21:20]4. First action step towards health [24:08]5. Results on AIP [28:42]6. Lifestyle changes [34:43]7. Standout supporters [40:04]8. Takeaway points [43:42] Mickey Trescott: Hey everyone! Welcome back to the Autoimmune Wellness podcast season two. This is Mickey with you guys today, and I’m interviewing a very special friend of mine. We go way back in the autoimmune wellness journey. I first became aware of her almost, gosh, 6 years ago, through Sarah Ballantyne’s blog and Facebook. She was a very early member of the AIP community. Her name is Jolaine, and she has ankylosing spondylitis. So, we’ve heard from you guys that you find it really helpful to hear from these people who have taken on this healing journey in real life. I couldn’t think of a better example than someone like Jolaine. She’s been so kind to agree to interview with me to share with you guys a little bit about her story. So thank you so much, Jolaine, for joining us from your home country of Canada. Are you ready to get started? Jolaine: Thank you Mickey. I am. 1. Jolaine’s diagnostic journey [2:33] Mickey Trescott: Awesome. So, first thing’s first. We know that you have ankylosing spondylitis. But really; what was the first symptom, first thing that you noticed that something was wrong? Jolaine: I think I first noticed; I was about 21 years old, and I was just at work and I had all of a sudden a really sharp shooting pain at my leg into my pelvis area, and my sacrum joint, which is where the disease kind of starts. And that sort of just continued off and on. I just thought it was something wrong with my back. I used to walk to work, and I remember one day, I couldn’t walk the last block. I had to take the bus for one block. And that was, “Ok, something’s really wrong.” Mickey Trescott: Whoa. Yeah, that’s pretty debilitating when you can’t walk a block. In that moment, how did you feel having to wait for the bus? Were you like, “I need to call my doctor.” Or what was going through your mind? Jolaine: You know, I honestly just thought maybe I’m out of shape. {laughs} I don’t know. I really didn’t think that it was something that serious. Mickey Trescott: Mm-hmm. Jolaine: You know, I thought maybe I needed a trip to the chiropractor, or maybe I should exercise some more. Probably the normal thoughts that would go through anyone’s head. It never occurred to me it was a disease of any kind. Mickey Trescott: Yeah, especially when you’re young and you really haven’t had anything happen to you like that. I think our tendency is definitely to just be like; “Well, if I can just get through this, it will go away.” Or something. Jolaine: Yeah. Mickey Trescott: So from that first noticing those sharp pains, how long did it take until you actually got your diagnosis in? What was that process like? Jolaine: It took 22 years. Mickey Trescott: Oh my gosh! Jolaine: And that was; yeah. Mickey Trescott: That’s a long time. That’s probably one of the longer time frames I’ve ever heard. Jolaine: Yeah. So, that was a good chunk of my life, and it was horrible. It was a horrible 22 years. And oddly enough, the first year after my diagnosis was even worse. So, it was really difficult. I mean, like a lot of people with autoimmune, your doctors, your family, your circle of friends, your coworkers, they just think you’re a hypochondriac. Because, I mean the list of symptoms is so long. And even to hear myself say to somebody, “Well this hurts, and this happens, and this happens.” To myself, I sounded like a little excessive, you know? Mickey Trescott: Mm-hmm. Jolaine: It didn’t seem like it was a real thing. So I went to; I couldn’t even count the doctors and specialists and different diagnoses I was given in the meantime in that 22 years. I had a lot of disability; probably years of my life in bed in horrible pain, with no help whatsoever. Mickey Trescott: What were you told when you went in? Did you get misdiagnosed? Was that part of the reason? Why do you think it took so long? Jolaine: I think it’s a typical story. I had skeletal pain, so I was sent to a rheumatologist. I had digestive issues, so I also saw a gastroenterologist. I also had hormone issues, so I was also seeing an endocrinologist. It seems that every specialist I went to, I had their disease, or their issue. So you’re told you have IBS, and arthritis, and you’re too skinny, that’s why you don’t have your period. All these different diagnoses. But in my gut, I always knew these are connected. I’m one person, I’m one body. I need one doctor that will look at the whole picture; not just that it hurts here, or this isn’t working. You know? Mickey Trescott: Mm-hmm. So what was the final doctor that made the connection. How did that come about? Jolaine: It actually wasn’t a doctor that figured it out in the end. There were a few tests along the way that kind of led me towards the diagnosis; but the final sort of conclusion or thing that sort of propelled me to find out what it was was Facebook. The pain that I had shooting up my leg, the original one, that sort of kept coming back over the years; I thought it was something with my foot. At the time, I wore high heels to work, and I thought it was something wrong with my food and wearing high heels. So I was at a podiatrist, and he was asking me a bunch of questions to determine if I would heal well after a surgery. Because as it turns out, I’m missing a small little bone in my foot, and he thought if we did this surgery, it would get better. So after a series of questions, he said to me, “I don’t think by your answers that you’d be a good candidate for surgery. I don’t think you’d heal really well and it’s not going to benefit you. But I’m curious to know what your rheumatoid markers are like, and if you happen to carry this particular gene; HLAB27.” Which meant nothing to me, whatsoever. So I’m like, sure whatever. Let’s do a blood test. So it came back positive. I have this gene. And my rheumatoid markers were slightly elevated. And he said, “This isn’t a big deal. You might want to check this again in 5 or 10 years and see if its’ changed any.” And at the time, I was very sick. And I look back, and I think, it’s not my personality to go straight home and start Googling that, and figure out what is this gene, and what does that mean? But I think because I was just so overwhelmed with how I felt, I just kind of filed that in my head and never did anything with it. So then one day on Facebook, a friend of mine just wrote the strangest Facebook status. It said, “I am HLAB27 negative.” Which, probably, to most people meant nothing. So as soon as I read that, I was like, “Hey, that’s that gene that I had.” So I private messaged her. I was like, “I’m curious; why did you write that?” And she said, “3 of my sisters have AS.” I wrote back, and said, “I don’t know what that is. What is AS?” She answered, “Ankylosing spondylitis.” So I Googled it, and I had the entire list of symptoms. And I just knew, when I read that. “That’s it! That’s got to be it.” So all of the health care professionals I had in my life at that time; chiropractor, physiotherapist, rheumatologist, my GP, my naturopath; all of them said, “No, you don’t have that. You don’t fit the description.” But I still felt like, “Yeah I do.” I know that I’m still flexible, and I’m still mobile, and I can do all these things. But I feel what it says there. So I asked my GP for a referral to a specialist, and that took 9 months to get in. Mickey Trescott: Whoa. Jolaine: So I went to that specialist finally, after 9 months, and I said, “I have this gene. These are my symptoms. I think I have AS. What can we test me for this?” So he did some really, really simple tests. “Bend this way, bend forward, do this, do that. Tell me how you feel.” And he also said, “I really don’t think by looking at you and doing all of these hands-on exams that you have it. I really don’t.” And for the first time in 22 years, a doctor said, “But, I hear what you’re saying, I see this blood test. It’s just going to be a simple x-ray. Let’s do it.” And I felt like that was the first time someone actually heard what I said. Mickey Trescott: Mm-hmm. Jolaine: And that was really pivotal. So he took the x-ray, and it came back. And he goes, “Yeah. Sure enough, you have it, and it looks like you’ve had it for about 20 years.” And I said, “Yep. Yep, that’s about right.” Mickey Trescott: Wow. Jolaine: And that was it. Yeah. Mickey Trescott: Wow. That is just incredible. You know, incredible just because it’s so common for us to really feel intuitively that there is something wrong, and to be told; especially as a young woman. I think we’re a little bit; we’ve experienced this personally. I experienced my illness in my 20s. But when you go into the doctor’s office, and you’re a normal weight, and you’re kind of a cute young girl; they kind of go, “Oh, maybe you’re depressed. Maybe it’s in your head.” Jolaine: Yeah! Mickey Trescott: I cannot even imagine. I was told that for a year, and I was going out of my mind. I can’t imagine 22 years. Jolaine: Yeah, so many people were like, “Here, you need antidepressants.” So many things like that. And I was always, genetically, on the low end of the weight scale. So automatically that was a thing, too. It was, “Oh, you just need to gain weight. You’re deficient in nutrients. You’re not eating enough.” Things like that. But even he said; “You are not typical at all of any patient that I have.” And I think that’s probably because all of those 22 years, I still tried to do what I thought was the best thing with food, exercise, and sleep. So that probably really helped me. And I also knew that I had a really low bone density in my 20s. So I was trying to eat, and live, for that as well. So that probably all cumulatively really helped me. But I told him in that appointment, “Whatever your textbook says about AS and my future, you can throw it away when it comes to me. I’m not typical in anything, and I don’t intent to end up where your textbook says I will.” Mickey Trescott: I love that. You are on fire. But you know, you figured it out. And how empowering is that to just; that sequence of events. Finding out from a podiatrist that you have a genetic marker, and then a friend posting on Facebook, and then basically researching online, figuring out, “I probably have this disease.” All the things that had to happen to make you get there. Of course you told him that he couldn’t count on you just being a textbook case. {laughs} That’s a pretty incredible story. Jolaine: And you go through so many different doctors, and so much vulnerability, and so much; almost, I don’t know, maybe abuse is a strong word, but sometimes it feels like it the way that you’re treated. That you get to the point where you understand 100%; if I don’t speak for myself, nobody will. Mickey Trescott: Yeah. Jolaine: You have to be your own advocate. You have to say, “This is what I want, and this is what I know.” Mickey Trescott: Yeah. And you have a unique experience as the person who is feeling those symptoms, and whose body is physically expressing itself in that way. You deeply come to that understanding that it’s all you. All these people, they can give you information; they can try to help, but I think a lot of the way that people view the medical profession and in turn the same way that they treat us; especially chronically ill patients. Yeah, abuse is not too strong of a word {laughs}. It’s almost; you have to heal from that. I don’t know what your experience was like, but I knew that it took me a little while to gain my respect back for the medical profession after. I had a similar experience where I found out about Hashimoto’s, I read about it, I knew I had it, and I had to go through 6 doctors who told me, “No, no, no, no, no,” until I found the one, “Yes, actually, I did the test, you have it.” I was pretty pissed at the whole conventional medical system. And it probably took me a year or two to get back to the place where I was like; you know, there are good doctors out there. They get into this because they want to help, and I just have to figure out how to find the right one and how to communicate and how to advocate for myself properly. Jolaine: And I don’t think that ends. I’m still experiencing that at times, where a doctor doesn’t believe you. That just happened to me over Thanksgiving last year, and I ended up writing a 4-page letter to the emergency doctor at my local hospital just for the way they treated me, for the misunderstanding. And not in a hope of getting out my own anger, but to give her perspective on, “The next time you come across somebody like me, this is what you need to know. After we leave the hospital, this is what happens that you don’t see.” Th…

    Full show notes at the publisher

    S2 E5 Q + A #3 – Weight loss, pregnancy, macronutrient ratios, and coffee replacement options while on AIP May 15, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! We’ve created this podcast as a free resource to accompany our book, The Autoimmune Wellness Handbook: A DIY Guide to Living Well with Chronic Illness. Season 2 Episode 5 takes us back to our Q+A style, where Mickey and Angie answer questions from listeners like you. In this episode, the ladies dig into how to address too much weight loss on AIP, how to navigate pregnancy while on AIP, good carb-y snacks for type 1 diabetics, and coffee replacements. Plus, they start by chatting about common (and confounding) misconceptions about AIP, and the questions they wish they’d get asked more often. Scroll down for the full episode transcript. How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and Celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and Celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com, where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients, just like you, to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. On to the podcast! Topics: 1. Mickey and Angie ask each other a question [2:53]2. Losing too much weight on AIP [8:10]3. Over-restriction, losing too much weight [13:31]4. Pregnancy and AIP [17:43]5. Macronutrients: Cutting down on meat [25:00]6. Carby snacks for type 1 diabetic [29:07]7. Replacement for coffee [31:16] Mickey Trescott: Hey everybody! Mickey here, and welcome back to the Autoimmune Wellness podcast. If you’re here, you know that we are right in the middle of our second season; sharing with you guys a series of Q&A and interview today, because we’ve got both Angie and I on the line. We are doing a Q&A episode. We’re going to answer some of you guys’ questions. But first, I’d love to hear from Angie, how she’s doing this week. Angie Alt: Hey everybody. I am doing good. I just got done having a little timeout week. I put myself in timeout, and had to do a bunch of regrouping, so that I could keep my head on my shoulders, and figure out how to do all the things that I do. I’m actually feeling a lot better this week, for taking that time. How are you Mickey? Mickey Trescott: I’m feeling a lot better now that you {laughs} had a timeout. Angie Alt: Yeah, heads up everybody. Mickey Trescott: Because I got a timeout, too. It was a really nice reminder that we both needed to slow down. And I wasn’t thinking about slowing down until you were like; I can’t this week. I was like, “You know what? I can’t either.” {laughs} Angie Alt: Yeah. If you work in partnership; if one of you is losing it, the other one will be impacted. {laughs} Mickey Trescott: Totally. Totally. So, yeah, I’m feeling pretty good after the weekend. Angie Alt: Nice. 1. Mickey and Angie ask each other a question [2:53] Mickey Trescott: Yeah, so. Before we get to these listener questions, going on our theme that we started last time we did one of these, we’re going to ask each other a question. So Angie, my question for you this week, is what is one thing that we get asked all the time that sometimes you just can’t wrap your head around where all of the confusion comes from? {laughs} Angie Alt: {laughs} Ok. Well, there’s probably a couple of areas to explore here. One that comes to the top of my mind right away is kind of the misconception that AIP is a no-sugar protocol. That comes up pretty often. I see it especially in my group program, because there’s high volume of people going through there. I get to be exposed to this really often. And you know, its’ a very low-sugar protocol, for sure. It’s nowhere near what a Standard American Diet has; not even in the same ballpark. Not even on the same continent in terms of sugar intake. You know, people will say, “I thought I couldn’t eat any fruit, because there’s sugar.” You know. If they see a paleo treat recipe, they’re like, “I thought we couldn’t eat maple syrup!” Of course, we’re not encouraging everybody to go out and drink a gallon of it or anything, but a very small amount of sugar is totally within bounds for the protocol. Mickey Trescott: Yeah. And don’t you think sometimes when people ask this, they’re angry. Angie Alt: Yeah. Mickey Trescott: Like, they have; there are these anti-sugar people. Which, you know, sugar; especially if you’re someone who has a history of the blood sugar thing. We’re not saying sugar is the best thing ever. But sometimes when people write in, they’ll be like, “I am so disappointed. I thought this was sugar free. You should know better!” {laughs} Angie Alt: Yeah. Mickey Trescott: And it’s just like; uh, I mean, you know a little treat in moderation after dinner in the context of a balanced meal usually brings a lot of people happiness. Angie Alt: Right. You know, the point. As always, I think we’ve said this many, many times now. But the point of this protocol is not to burden our hearts and minds; it’s to heal. And if you feel like you can never enjoy a small treat, and have a celebration with your family, or have something special over a holiday. If there is no option for that, it’s not going to be sustainable in real life. And you won’t be able to heal. Mickey Trescott: Agreed. Angie Alt: So, a little bit of balance there. Ok, so I have a question for you, Mickey. If there was one question that you wish we would be asked more often, what would it be? Do you think there are some under-explored facets of AIP? Mickey Trescott: You know, one thing I haven’t really been asked very often that I actually think is a really interesting thing about my experience is just how my relationships with my friends and with my family, and even my relationship to the world; my career, what I do, how that has all changed as I undertook the autoimmune protocol. I mean, it’s kind of one of those things; defining moments in your life. I think when you have a health crisis and you decide to embark on something that is going to help you feel better, and empowered, and in control; I think that those changes kind of ripple out. And you know, people don’t really talk about it. There is bad; or hard parts about that. When I was diagnosed, I had been vegan for a very long time. I had a lot of friends who were in the vegan/vegetarian community, and I had a lot of friends who weren’t vegan that I worked with. When I started eating different, and was sick all the time, and was kind of not that fun to be around because, you know, I needed a lot of support, a lot of these people just kind of disappeared out of my life. And it sounds kind of sad, but what ended up happening was I connected with a lot of incredible people, and made almost a whole new group of friends that I feel get me on a level, and we are close. Like, you and I, Angie, are close in a way that I don’t get that with a lot of people. So I don’t know. A lot of that has changed, and I think that’s something that I haven’t really been asked about. Then changing your whole life, you just have a different outlook on life when you have one of those kind of lifechanging moments. It’s almost like going to college, or getting married. A big event in your life, but it’s unexpected, you know? Angie Alt: Yeah. Mm-hmm. It’s a little bit of a come to Jesus moment. Mickey Trescott: Yeah, totally. Angie Alt: In my world. Mickey Trescott: And in that moment, you have the opportunity to change anything you want. And some things have to change, and some things that you never would have changed. Like, I probably would not have changed my career. But I was there, and there was the opportunity, and I went for it. And for a lot of people, that happens, you know. Angie Alt: Yeah. Exactly. Good answer, Mickey. 2. Losing too much weight on AIP [8:10] Mickey Trescott: Sweet. So that was fun. Now, let’s get on to tackling some questions from our audience. We have a few different topics today. We’re going to talk a little bit about weight loss on the autoimmune protocol. Pregnancy, some macronutrients, and a question about coffee. So, Tina asks, “I have been strict full AIP for 8 months. I have alopecia, and have been trying to heal this. The good news is my hair is growing back.” Angie Alt: Woot, woot! Mickey Trescott: Yay. Side note; Tina, that’s awesome to hear. “Bad news is I’m losing too much weight. Instead of white potatoes I eat sweet potatoes, swede, squash, plantains, and parsnips. But I’m still losing weight. I additionally eat one avocado each morning with my breakfast. I eat 3 large meals a day; and I mean large, but I’m still dropping weight. What do you think could be the cause, and how could I put some weight on?” Angie Alt: It sounds to me like Tina is doing a lot of the things that we would probably recommend, right? She’s trying to get in some carbs, and she’s working on getting in more fat when she can. She’s having pretty big servings of food. I would be wondering if she could add in even still a little more fat? So that’s kind of the first step. Make sure you’re eating more fat. Ways to do this beyond the avocados are roasting your vegetables in coconut oil, maybe trying to drizzle a little olive oil on just about everything you’re eating. I drizzle olive oil on just about everything you can imagine. Maybe trying to work in some fat bombs or some full-fat coconut milk into things. Then, of course, maybe going a little bit further with the carbs. Even getting into some of the high glucose fruits; because you need a little bit of insulin response to store fat in the body. So maybe bananas, pineapples, apricots, plums, prunes, grapes, raisins, figs, dates. These really sugary kinds of starchy carb sources. And she’s kind of already working on the starchy vegetables, it sounds like. And then probably last is not to forget the protein. I would wonder how much protein she’s eating per day. If it’s not enough, maybe bumping that up a little bit. In terms of lifestyle, making sure she’s getting enough rest, and managing her stress. Unmanaged stress can be a problem here with weight. Mickey Trescott: Yeah, another thing that I would think of too; this is kind of the opposite that we tell anyone who is having trouble losing weight on AIP, or even general AIP advice. So for any of you who don’t want to gain weight or are a healthy weight, ignore this. But this is a case where smoothies may be helpful. Angie Alt: Yeah. That’s where I was going with the full-fat coconut milk. Mickey Trescott: Yeah. Especially between meals, trying to get in some snacks. She says she’s eating 3 large meals a day. There have been periods where I really needed to gain weight, and I just couldn’t do it without a snack that had a lot of calories in it. And smoothies can actually trick your brain pretty well into getting some calories into your stomach without actually feeling like you’re too full; which is why a lot of people gain weight with them. But you can make smoothies with some of those higher glycemic fruits, and some coconut milk with some fat. And some collagen, and maybe throw some greens in there. That would be great. The other thing I might thing is digestion. If her digestion isn’t great, things could be moving through too quick, and she might not actually be accessing those nutrients. So troubleshooting, maybe a reason for digestive issues. Angie Alt: Yeah. Maybe even starting as simple as food hygiene. Like sitting down and having a very restful environment while you eat; chewing very, very thoroughly. Taking time to kind of concentrate on your food. The textures, the tastes, the smells. Just starting as simple as that, and seeing if it causes any changes. I’ve even recently experimented with this with my husband. And even after 5 years of having me live in his house, he has been shocked at how much it’s making a difference to take time for that. Mickey Trescott: And it sounds like, too, if her hair is growing back, she might start thinking about reintroduction soon. Like, if she’s ready and she wants to start reintroducing food, something like white rice might be something to move up the stages, and maybe try that first. Because that’s a pretty good starchy carb that you can cook in some bone broth, and really cover it in some fat. And that might help it be another vehicle for getting some fat into her body. Angie Alt: Right, she could even maybe try some butter pretty soon, and have another fat option in there. Mickey Trescott: And the nuts and seeds. Angie Alt: Yep. Yep. Congratulations Tina, on the hair regrowth! We’re happy for you. 3. Over-restriction, losing too much weight [13:31] Angie Alt: Alright, let’s see. So we have another question about weight loss, Mickey. Jules asks, “I have been doing AIP for 2 months now and have lost too much weight. I know that adding more starchy veggies will help, but I’m not sure if SIBO is a factor or not. Also, I have some yeast/bacteria that I am dealing with, so I’m trying to limit starches and sugars. Any advice on this would be great. Thank you.” Mickey Trescott: Yeah. So, Jules, I think that what’s going on is you’re restricting too many categories of food in addition to the autoimmune protocol. So it sounds like you’re limiting starches and sugars; and those are actually really needed to create energy in your body when you’re eating on such a restricted diet. So, it sounds like you’re not sure if it’s SIBO, and you maybe know about some yeast and bacteria. The best course of action for someone like you is actually to find a practitioner and get tested for all of these issues that are potentially there. Going online and looking at Candida symptoms, or SIBO symptoms, is not good enough. A lot of these things kind of manifest differently in different people. And you really need to get treated. So restricting these starches and sugars, in addition to AIP, in a lot of cases is not going to make these issues go away. You’re just going to end up really frustrated with like 5 foods to eat, and I’m not surprised that you’re losing too much weight. So if SIBO is something that you’re suspecting. For those of you guys that SIBO is maybe a new word, that stands for small intestine bacterial overgrowth. It’s very common in people with autoimmune disease, but not everyone has it. If you suffer from bloating, gas, diarrhea…

    Full show notes at the publisher

    S2 E4 Angie interviews Stacy Smith, who is recovering from a suspected autoimmune condition May 08, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! We’ve created this podcast as a free resource to accompany our book, The Autoimmune Wellness Handbook: A DIY Guide to Living Well with Chronic Illness. Season 2 Episode 4 is all about how to start the work and begin healing, even without a diagnosis. It’s our second interview episode of the season and in it, Angie sits down with her friend Stacy Smith to discuss how Stacy has managed an unidentified autoimmune condition for nearly 20 years. Angie and Stacy dig into how Stacy came to terms with her condition, how she went from vegan fitness competitor to AIPer, how to find your “best fit” doctor, steps toward self-empowerment, and much more. Scroll down for the full episode transcript. How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and Celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and Celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com, where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients, just like you, to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. Onto the podcast! Topics:1. Stacy’s diagnosis story [2:35]2. Coming to terms with the diagnosis [7:30]3. Support of friends and family [10:38]4. First discovering it’s autoimmune [12:34]5. Finding your best fit doctor [15:58]6. First steps towards self-empowerment [21:36]7. Greatest dietary and lifestyle impact of AIP [27:52]8. Lowest and highest points of Stacy’s journey [34:50]9. Stacy’s present health situation [37:29]10. Tips for beginning the journey [41:29] Angie Alt: Hi everyone! Welcome back to Autoimmune Wellness podcast season 2. This is Angie, and today I’m interviewing Stacy Smith of Viridis Wellness, LLC. She is a fellow nutritional therapy consultant, and an Instagrammer extraordinaire. If you are not following her at Viridis Wellness on Instagram; you should definitely pop in there. She shares beautiful, very informative posts on the daily. She’s a much better Instagrammer than I am. We have gotten a lot of feedback that you guys find it helpful to hear from folks who have taken on the healing journey in real life. So today, we’re going to be sharing a little bit of Stacy’s story. Thank you, Stacy, for joining us from the Midwest. Are you ready to get started? Stacy Smith: I am. Hey Angie, how’s it going to day? Angie Alt: It is going pretty good. There’s always way too much to do in life. Stacy Smith: So true. Angie Alt: But I am managing it somehow. {laughs} Stacy Smith: So true. 1. Stacy’s diagnosis story [2:35] Angie Alt: So, let’s just jump right in. I think it’s always good for folks to kind of tell their diagnosis story, and to kind of share what that part of the journey was like. One of our first questions that we always ask people is, what was the first symptom you noticed of your autoimmune disease? What was the first thing that popped up that made you go; “Hmm. I better investigate this?” Stacy Smith: Something’s not right? Angie Alt: Yeah. Stacy Smith: Yeah. In my case, that would be harkening all the way back to 1998, when I moved to the Midwest from California. My first symptom was definitely severe fatigue, and that’s the one that I’m still working on today, many years later. Angie Alt: Ok. Ok. Yeah, there should be a total different word to describe fatigue when it’s autoimmune fatigue. It’s on a whole other level. Stacy Smith: Absolutely. So that should be the word that we make up this year. Angie Alt: Right. {laughs} Stacy Smith: {laughs} Angie Alt: The word of 2017. Stacy Smith: That’s right. That’s right. So yes; I went from being very healthy, very active at age 20, to completely debilitated, couldn’t get out of bed, and that was definitely tough at the time. Angie Alt: Yeah. Ok. How long did it take, from noticing that first system, that really extreme fatigue, until you got an actual diagnosis? Stacy Smith: You know, I still don’t have a diagnosis to this day. So I would say that that level of fatigue waxed and waned between 1998 and 2013. I would call that my silent autoimmunity period, which was quite long. And in 2013, I had this constellation of events happen in my life all at the same time. I switched jobs, I was working 80 hours a week at a very fast paced finance firm. I had someone in my family with whom I was close pass away. I had some issues in my relationship. I was training to compete in fitness; so I would say I really kind of pulled the trigger on the autoimmunity at that time; became very ill. I saw three different rheumatologists at the time. One told me, “You definitely have lupus.” One said, “You absolutely do not have lupus.” And another said, “You have undifferentiated connective tissue disease, which will probably turn into lupus.” So with lupus, as with many autoimmune diseases, it’s obviously very common to take an extraordinarily long time to reach a diagnosis, and to receive conflicting information along the way. So, just the past month, I have been seeking out additional information. Decided I was going to find a new rheumatologist; interviewed several, and was told again, by one, “You definitely have lupus.” By the second one, “You definitely do not have lupus.” By the third one, “You may or may not have lupus, but you may have an unusual presentation of some other thing, such as ankylosing spondylitis or psoriasis, or psoriatic arthritis; a couple of other possibilities.” So, long story short, a couple of decades in, still no diagnosis. Angie Alt: Yeah; this is a really hard one for us. And part of the reason that I chose to interview you today, because I really wanted to share with the audience; which I know there are many of them out there just like you, that sometimes getting a diagnosis is a very long journey, a very protracted journey for a lot of us. And sometimes we’re starting the work of healing before we’re even 100% sure what we’re dealing with. For some of us, that may never come. And you’re a really great example of somebody who is persevering despite not having that information yet. Stacy Smith: Right. One of the; I would almost say it’s a benefit of the autoimmune situation, is that there are certain things. Even if you don’t have a diagnosis, there are certain commonalities; quite a few of them, that can yield improvement for almost everyone. And diet, specifically AIP in this case, has been extraordinarily helpful for me. So even though I don’t have a diagnosis, I have a suspected diagnosis of lupus, which may or may not be the case. There are still things I can do to improve my situation, and that’s what I’ve been focusing on, while also trying to figure out exactly what it is that’s going on with me. 2. Coming to terms with the diagnosis [7:30] Angie Alt: So, one of the questions that we often ask folks is about their experience coping with the disease, and how they felt when they were diagnosed. Obviously, you don’t have that piece of the story, but how do you feel not having that diagnosis? Stacy Smith: Well, you know, I felt like I had that diagnosis, honestly. I spent several years identifying as part of the lupus community. And I still do, to a large point. That first doctor that I saw is the one that I stuck with, and to quote him, he said that my presentation was very likely to develop into the type of lupus where your kidneys are involved, and that I should expect to pass away from kidney disease. That was very clear-cut to me, regardless of what the others said. That was going from being a very healthy person with having no; I certainly hadn’t accepted that whatever was going on with me would possibly be life-threatening, because it had been going on for 15 years. Honestly, my thought was, “Whatever is going on with me is not life-threatening, or I wouldn’t still be here 15 years later.” So for him to tell me that was honestly devastating. I would say that at the time I did not cope very well with my diagnosis. And it was one of those things that really took hitting rock bottom, and starting to pull yourself out over an extended period of time. Angie Alt: Yeah. Yeah. You know, not every autoimmune disease that’s out there is quite so aggressive, or necessarily life-threatening. Certainly, it diminishes quality of life, but there are some that are really aggressive, and it’s scary to face a diagnosis like that. I can certainly understand that initially trying to cope with being told that this might be what’s happening must have been really tough. Stacy Smith: Yes, and he didn’t have any doubt in his mind, and the way that he portrayed it. And my doubt has come since then with the more information that I gather, and the more educated I become, and the more that I advocate for myself. I question whether or not that’s really what’s going on, or if it isn’t something more unusual. So, regardless, it certainly has impacted my quality of life. But at this point, the wondering what is going on is driving me a little bit crazy. Angie Alt: {laughs} Yeah. Stacy Smith: {laughs} So. I’m putting a lot of energy into trying to get that answer, while at the same time trying to cultivate an acceptance that I may never actually achieve that. 3. Support of friends and family [10:38] Angie Alt: Right. Right. Tell us about how your friends and family have handled your walk with chronic illness. Whatever we’re working with here. Have they been a source of support and strength for you? Stacy Smith: You know, I found honestly that most of my friends did not understand what was happening at all. And I found that the most useful thing I could do was actually create new friendships with a different kind of people who got it. So I would encourage anyone who is finding that they don’t have the level of support that they need to be successful in their journey, in their life as it sits now, to consider releasing some of those relationships and building new and better ones. Angie Alt: That’s such good advice {laughs}. Stacy Smith: Go ahead? Angie Alt: That’s such good advice. Stacy Smith: You know, it’s hard. You want people to accept you as you are, but at some point, if they don’t, then you know what, that’s on them. And just let it go, and create a new community of people who are supportive. Because I think; as you know very well; connection is a critical piece of being able to manage your autoimmunity. Luckily, I did have someone in my life who was very understanding and supportive, and is to this day, and that is my boyfriend. He has been with me from the beginning, and really unshakeable in his support. I was a very different person when we met, with very different capabilities than I am now, and he just won’t quit. And on the days that I feel like quitting, he won’t let me quit. So I’m very thankful for him. He’s been a blessing. 4. First discovering it’s autoimmune [12:34] Angie Alt: Aww. That’s great. That’s great to have that one rock-solid supporter. That’s my husband, too. So, let’s backtrack a little bit. When you first learned that what you could possibly be dealing with, and we realize this is an ongoing investigation for you. Stacy Smith: Right. Angie Alt: But when you first learned that what you could be dealing with was an autoimmune disease, what did you think about autoimmune disease? Was that something that you knew about prior, or was it like; “Oh my gosh, I didn’t even know that these existed?” Stacy Smith: Well, during the period from when I first, let’s say got sick, to when I had a “diagnosis” in 2013, I had been to what felt like every doctor on the planet. Every specialty trying to get to the bottom of this. And I had been told that based on my very vague symptoms of fatigue, and my family history, that it was probably some form of autoimmune disease. Which was not rearing its ugly head to the point where it was observable with typical labs yet. So I was somewhat prepared. I thought at the time; my mother has a wide variety of autoimmune diseases, unfortunately, and so do many of the women in my family. So, I knew that it was possible. But what I didn’t do, unfortunately, that I would like to encourage anyone who maybe doesn’t have a diagnosis yet, and has this really precious window in which to do something, is to educate yourself now and take preemptive steps before something happens. So, I had an early tip. And I didn’t utilize it. Which is spilled milk now, but I wish that I had known now what I did then, or I wish that I had known then what I do now. Excuse me. As many of us do. Because I did have sort of a wasted opportunity there to do something about it. So, I kind of knew it was coming, but didn’t really understand how it worked. My family had only ever used conventional medical treatment, and had more of a conventional thought process as to what autoimmune disease was. Angie Alt: Mm-hmm. So it was making that leap. Maybe it was too early in your journey to know you should have made it. But I think all of us who chose other routes initially wish we could go back and put some of this diet and lifestyle stuff in place sooner. Stacy Smith: Right, right. Exactly. Because traditional medicine is so much more focused on, “We’re going to wait until you are severely ill before we try and put a Band-Aid on it.” I really didn’t receive a message of, “Hey, this is what you can do now.” So that’s something that I like to try to educate others on today, hoping that maybe someone out there will hear the message and take the opportunity if it’s presented to them. Angie Alt: Right. Right. So in that initial health care experience, it sounds like at first maybe you didn’t really react one way or the other. But then you may have started out trying to follow some conventional routes to dealing with the problem. Stacy Smith: Yeah. 5. Finding your best fit doctor [15:58] Angie Alt: So, there were obviously some doctors along the way. And folks you’re still probably working with. How did you find your best and most helpful doctor? This is such a tough one for those of us in the autoimmune community to find doctors that are really great people to have on our team. So how did you find your best and most helpful doctor? Stacy Smith: You know; I would say that I’m still doing that now. I have had a diffi…

    Full show notes at the publisher

    S2 E3 Q + A #2 – Undiagnosed, reintroduction issues, and how to make greens interesting May 01, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! We’ve created this podcast as a free resource to accompany our book, The Autoimmune Wellness Handbook: A DIY Guide to Living Well with Chronic Illness. Season 2 Episode 3 is our second Q + A episode where we answer questions submitted by AIPers just like you! Angie and Mickey answer eight reader-submitted questions and, as usual, they pack in a lot of information. Topics discussed include what to do if you don’t receive a diagnosis, how long to wait before beginning reintroductions, determining what a “bad reaction” looks like, how to keep leafy greens interesting, and how to find a natural doctor. Scroll down for the full episode transcript. How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and Celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and Celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients, just like you, to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. Onto the podcast! Topics:1. Mickey and Angie answer non-AIP related question [2:48]2. No diagnosis despite blood work [6:38]3. Continuing AIP without an exact diagnosis [12:00]4. How long before reintroductions? [14:14]5. Determining a detrimental reaction after reintroduction [17:31]6. Mickey and Angie’s personal experience with elimination and reintroduction [20:44]7. Adding more greens, keeping them interesting [26:49]8. Getting in calcium [29:56]9. Resource for finding natural doctors [32:09] Mickey Trescott: Hey everyone! Mickey here, and welcome back to the Autoimmune Wellness podcast. We’re in the middle of our season two. Today we’ve got a great question and answer episode for you, and we realize that some of you guys might be new to the podcast, or even to AIP in general. So if some of the questions on these podcasts sound a little bit above your head; kind of gibberish to you, we recommend going way back to the beginning of season one where we take you through every step of living well with autoimmune disease, starting with informing yourself. There is a ton of information there; we don’t want you guys to miss it. Right Angie? Angie Alt: Yeah, we did a podcast episode for every chapter of our book; both one sharing our personal stories on that particular topic; as well as in-depth interviews with various experts for each of the topics. Trust us, there is a ton of information. What was there; like 18 episodes or something, Mickey? Mickey Trescott: Yeah, it was a very comprehensive and well-produced season. So if you guys are new, don’t be afraid to go back there and start. We cover a lot of information that we’re actually getting questions about that are in those episodes, so we wanted to send you guys a little reminder. Say, hey, start there if you’re kind of new to this. If you guys have been on the road for a while, then you’re in the right place. 1. Mickey and Angie answer non-AIP related question [2:48] So before we get started with today’s episode, I actually kind of had a little idea. And I think it would be fun, Angie, to ask each other an AIP related question before our reader questions. What do you think? Angie Alt: Um; well, thanks for springing this on me. {laughs} Mickey Trescott: {laughs} Angie Alt: And yeah, I’m into it. Let’s do it. Mickey Trescott: Ok, cool. So, I want to ask you; what was the most non-AIP you ate or did this week? Angie Alt: Non-AIP thing I ate or did this week. Well, so my birthday was on Saturday. Mickey Trescott: Woot, woot! Angie Alt: Yeah. {laughs} So I went out and had a glass of wine, that was very yummy. Mickey Trescott: Oh my gosh. Angie Alt: Yep. And then, yesterday I actually made the fish pie recipe from Russ Crandall’s first cookbook; The Ancestral Table. Russ Crandall goes by The Domestic Man on his blog and social media accounts. And that recipe includes heavy cream, butter, and white potatoes. So I super went into some reintro mode there with that delicious meal. Mickey Trescott: How did you feel after eating it? Angie Alt: Pretty good. You know, I’ve been pretty lucky in the dairy department in terms of reintroductions, and I seem to do pretty ok. I don’t eat dairy every single day, by any means. Not even every single week. But if I have it in small amounts; like, the last time I had any dairy was at Christmas time; I seem to do ok. Mickey Trescott: Yeah, that would probably take it over the edge for me. Angie Alt: I know; don’t worry, I won’t make it when you’re here. {laughs} Mickey Trescott: Actually, thinking about it right now is maybe producing a reaction, so let’s move on. Angie Alt: {laughs} Ok. Don’t start wheezing. Ok, so my question for you; you know, I think folks have the impression that we work a lot; and we do. But we also take breaks, and I’m wondering what kind of vacation plans you have this year. Mickey Trescott: Yeah, so you know what kind of vacation plans I have this year. Angie Alt: {laughs} Mickey Trescott: Because; when we were on book tour in November… Angie Alt: Oh my god. Mickey Trescott: I stayed up; well I didn’t stay up. I set my alarm for 1:30 in the morning so that I could get up and buy Radiohead tickets in Europe. Because my husband and I have been trying to see them since I saw them 10 years ago without him, and he’s been kind of hurt and sad {laughs} ever since then that we haven’t been able to get tickets, which are kind of hard to come by. And they were going on a European tour, and I was like; well, if I can get tickets anywhere in Europe, I guess we’ll go there. {laughs} Angie Alt: Yeah. Mickey Trescott: So Sweden won; I won tickets in Sweden, so we’re going to go there in June. And I have nothing planned, except for a plane ticket and a Radiohead ticket. So if you guys know any cool things going on in Sweden, send me a message on Instagram or something. Angie Alt: And I’m like a really cool partner, because even though this craziness was happening at 1:30 in the morning, while we were supposed to be on book tour; I was like, “Yeah, dude, I’m down with live music. Do what you gotta do!” {laughs} Mickey Trescott: I’m like, I was in the bathroom because I didn’t want my computer screen to wake you up. And then I was trying to type in my credit card number, and the website was all in Swedish. I actually accidentally bought the Norwegian tickets; which I really. The date was wrong; anyways, I’m in the bathroom with my computer, in the dark, and the bright light is blinding me; and I’ve got Google Translate, and my credit card, and I’m like, “Angie is probably thinking I’m a crazy person right now!” {laughs} Angie Alt: No. No. I was totally behind you. 2. No diagnosis despite blood work [6:38] Mickey Trescott: Yep. That happened. So that was fun. So, now let’s get onto tackling some of your specific questions about AIP, because we know you guys have got a lot; you always send in a lot when we ask. So let’s start with some questions about diagnosis. Sound good Angie? Angie Alt: Yeah. Mickey Trescott: Alright. So, Good Eats Gal has a question about those who are undiagnosed despite heaps of blood work. She says she has a definite positive ANA, and symptoms but no confirmed diagnosis. She is worried about people like her who are put on a “wait and see” track, and that it would be great to hear in-depth about another way of how to find hope without those answers. Angie Alt: So, the first thing I would say to Good Eats Gal is we actually are going to have an interviewee during this season who doesn’t have a diagnosis, and has been following the AIP for a long time despite that. She’s still working towards her answers, and it’s been a decade’s long process for her. So don’t give up hope, and definitely stay tuned to this series, because there are other folks out there just like you that don’t have confirmed diagnoses. Mickey, what else would you say to her? Mickey Trescott: I would say a positive ANA; so for those of you who don’t know what that is, that’s anti-nuclear antibodies, and that’s an antibody that by itself is not indicative of an autoimmune disease. So when they test the healthy population, a certain percentage of people have a positive ANA without any symptoms or other autoimmune disease. So that by itself; this is probably why your symptoms might not fall into the category of diseases that go with ANA. Which doesn’t mean you don’t have an autoimmune disease, but it’s part of the reason why it’s unclear. Because ANA isn’t really one of those things that’s very obvious. Usually, there are more of the mixed connective tissue types of diseases, so things like lupus or Sjogren’s or rheumatoid arthritis, which affect kind of the way connective tissue affects the body. So maybe the joint, and some of the organs, and that kind of thing. So those are usually the diseases that a good rheumatologist will kind of look into. If you’re one of these people that’s been searching for a long time, you really do feel like you’ve been seeing high level doctors and they’ve been testing you thoroughly and they’re still not coming up with anything, it really is ok to try to work on your own stuff before you get answers; and maybe in the absence of any answers ever. A lot of people have that experience; I know I had this experience when I was diagnosed with Hashimoto’s and Celiac; I went through a period after my diagnosis where I started developing more symptoms. So I started to develop neurological symptoms; I started to develop some of these connective tissue symptoms. I did not have positive ANA; but I actually had a lot of markers for illnesses like lupus, and I was actually told that I very well could have that, but I needed to wait for 6 more months before I got a formal diagnosis, and in that period of time I discovered the autoimmune protocol, and slowly some of those symptoms started to peel away, so that diagnosis was no longer obvious. I think for the people who are kind of waiting in that; you know, their body is just starting to kind of express those symptoms, and that’s why we have, in our book, we present autoimmunity as a spectrum and not just black or white. A lot of the people that are kind of in the middle of that spectrum, not really ready for diagnosis yet but experiencing autoimmune symptoms, those are the best people to try and work on your own. Work with diet; maybe see a functional medicine practitioner to try to root out some underlying issues, and then prevent going down that road of being diagnosed with a clear illness because of your symptoms, if that makes sense. Angie Alt: Right. Yeah, I mean it’s definitely ok to start doing what you can on your own. Many of the principles that are part of the autoimmune protocol are just great principles for living a fuller, healthier life anyway; so even if autoimmune disease doesn’t turn out to be an underlier for you, some of the principles of the process could be positive. Mickey Trescott: Yeah, they could. You never really know until you try what level of success you’re going to see. So some people have been in that murky; like, how can I get diagnosed, I can’t really figure this out, and then they try the lifestyle and the diet changes, and they’re able to completely reverse whatever they’re symptoms were; and then that’s great. They know exactly what they put in, in order to get healthy, and they know how to avoid it for the future. And for some people, that’s best-case scenario, because then they never really have to deal with that mental part of getting a diagnosis and having to go through all that testing. It’s a lot. 3. Continuing AIP without an exact diagnosis [12:00] Angie Alt: Right. So, the next question is kind of in this same category; it looks like Sue asked us. “Is it best, or do most people, continue on the autoimmune protocol diet for a long time, even without an exact diagnosis?” Mickey Trescott: So, I think for people that don’t have a diagnosis, it’s the same. It doesn’t matter if you have a diagnosis or if you don’t. When you go onto the autoimmune protocol, the elimination diet; really the standard recommendation is 30 to 90 days. And that is to see if your body is responding; or basically to really see if there are any underlying issues. So you try the elimination diet for one to three months; and then if you have positive changes, it means that there were some food triggers in your diet that are affecting you. If you don’t have positive changes, then that’s time to go start working with a functional medicine practitioner, or a nutritional therapy practitioner, or someone who can really guide you on looking into those root causes. It doesn’t really matter if you have a diagnosis or not. Of course, having a diagnosis might give you more information to be looking for clues about improvement. So, for instance. If you have Hashimoto’s disease, over time you might see your thyroid lab markers change. Or if you have Celiac disease, over time you might see your antibodies change. That’s where having a diagnosis, I think, helps you track; but it doesn’t really matter if you have a diagnosis or not when you go into the process, because the protocol is basically about feeling your own body and seeing how food affects you. And this woman is talking about, “do most people continue it for a long time.” You know, we’ve reiterated this a lot. The autoimmune protocol; the elimination diet is not something that you do for a very long time without guidance. If you’re doing it for a very long time, expecting results and not getting results, that’s really a clear indicator that you need to bring in some outside support and trouble shoot a little bit. Angie Alt: Right. 4. How long before reintroductions? [14:14] Mickey Trescott: Alright. So Misha Cooks AIP; or it might be Misha, probably. Misha. Angie Alt: Yeah, Misha. Mickey Trescott: So she said she loved podcast season one. Angie Alt: Thank you! Mickey Trescott: “How long is it recommended to continue the strict phase of AIP before starting reintroductions after healing the gut. She says she has a program she’ll be starting from her functional medicine doctor. Angie Alt: Well; there’s a couple of things here. First…

    Full show notes at the publisher

    S2 E2 Mickey interviews Susan McCauley, who is recovering from ulcerative proctitis Apr 24, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! We’ve created this podcast as a free resource to accompany our book, The Autoimmune Wellness Handbook: A DIY Guide to Living Well with Chronic Illness. Season 2 Episode 2 is the first of our interview episodes this season! This week, Mickey sits down with her friend Susan McCauley to discuss Susan’s experience managing an unidentified autoimmune condition for many years. Susan was eventually diagnosed with ulcerative proctitis, but her healing approach has been all about addressing the root causes from the beginning. Susan and Mickey dig into what it was like for Susan to finally receive a diagnosis, they myriad treatments and tests she underwent, low-dose naltrexone, stress management, and the importance of a support system. Scroll down for the full episode transcript. How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and Celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and Celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com, where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients, just like you, to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. Onto the podcast! Topics:1. Introducing our guest, Susan, and her autoimmune wellness story [3:19]2. Officially a diagnosis [8:14]3. Varying treatments and testing [18:07]4. Low-dose naltrexone [24:24]5. Stress management and sleep [28:31]6. Having a support system [35:48]7. Tips for the beginning of your autoimmune journey [40:21] Mickey Trescott: Hey everyone! Welcome back to the Autoimmune Wellness podcast. We are in season 2 of the podcast. This is Mickey if you guys haven’t figured out the differences between Angie and mine voice yet. Today I am doing a personal interview with my friend Susan; hey Susan. Susan: Hey Mickey! How’s it going? Mickey Trescott: Awesome. Susan is one of my AIP and paleo BFFs. We met at PaleoFx; gosh, 3 years ago? Susan: It was actually AHS. Mickey Trescott: Oh! AHS, yep. So there we go. Susan: And it was longer than that. Mickey Trescott: Four! Susan: I think it was 4 years ago. Mickey Trescott: Yeah. Susan: Yeah, 4 years ago. Mickey Trescott: I was looking for a ride home from the airport, and Susan had a rental car, and she was also picking up Ben Greenfield, so I got to meet him. So Susan was one of my first paleo friends. Susan: And Mickey was one of mine. And we had the same shoes on, and it was like; BFFs at first site. Mickey Trescott: Yep! {laughs} Susan: {laughs} Mickey Trescott: Basically. We couldn’t not be friends. Susan: Yes, exactly. It was meant to be. Mickey Trescott: So I’m really excited to share a little bit of Susan’s story today because Susan is one of these people who hasn’t had a clear autoimmune diagnosis from the outset, but she has done a really great job at kind of tirelessly working out some of these root causes and kind of still working on some of that; we’ll talk about that. And I think she just has such a great attitude about the healing journey. She’s also a coach, so she has a lot of experience about this stuff. But Susan, thank you so much for being here; joining us from California. You ready to get started? Susan: Sure; shoot. Go ahead. 1. Introducing our guest, Susan, and her autoimmune wellness story [3:19] Mickey Trescott: Alright. So, I know that this question is a little bit more complicated for you; but tell me a little bit about your autoimmune disease, and what you first noticed when you first realized maybe that’s something you were struggling with. Susan: Well, I first had symptoms a long time ago. I kind of am the example of what not to do, or how to go about everything backwards. I didn’t come to paleo because I was sick; I came to paleo because I wanted to lose weight, and because I had kind of developed a binge eating disorder from all the yo-yo dieting, so I was trying to change my relationship with food. But my first autoimmune symptoms; I have ulcerative proctitis, which is like the cousin of ulcerative colitis. It’s just less severe, and in the lower part; the distal part of the colon. I had symptoms as early as probably 10 years ago; which I don’t know how much TMI about symptoms is on your podcast {laughs}. Mickey Trescott: Anything goes. We talk about poop all the time. Susan: So basically, bleeding; rectal bleeding, bleeding when you have your bowel movements, and it started when I was doing the yo-yo dieting and the Weight Watchers; and paid attention to conventional wisdom on things like fiber. And I remember one time I ate four Fiber One bars; and I don’t know if you’ve ever had one of those, but they have like; I don’t know how much fiber in them, but they’re like a cookie, you know? And I had a binge eating problem. So one is delicious; four even more delicious. And that’s when the gut problems started. I went to Kaiser, and they did a sigmoidoscopy; I think that’s what you call it, it’s been so long. And then they gave me some medication and told me not to eat too many vegetables; that was it. You know; it was basically, “take some medication; you have to take it, and you might have ulcerative colitis, right now we’re just going to call it undetermined.” Mickey Trescott: And you got this diagnosis once you had been paleo for a little while, too, right? Susan: I didn’t get the official diagnosis until much later. This was way before paleo, when I was doing the yo-yo dieting. I didn’t know it was autoimmune; it didn’t have a name. It said, you might have ulcerative colitis, but you’re too old to get ulcerative colitis. Most people get it in their 20s. Mickey Trescott: Isn’t that funny how you need to be a picture of a disease when you walk into a doctor’s office; otherwise you get kind of thrown out, door slammed behind you? Susan: Yeah. So they just gave me the suppositories and told me I had to take them every day, so I took them for a little bit and of course it worked. And then I kind of forgot about it; and it would come and go over the years. Enter paleo, and I think in a way, paleo prevented me from getting my diagnosis as soon as I probably would have gotten it if I would have kept eating the Standard American Diet. Because I took gluten out; and I had some other health issues, inflammatory issues, pain related, so I decided that I was not; even though when I ate gluten I didn’t immediately feel bad, but once I took it out, a lot of things got better including my UP symptoms. And so I would go for 3, 4, 5, 6 months without any symptoms; and then they would come, and then they would go. But I was a bandwagon jumper in early paleo days; whatever the newest thing that came down the road; Susan was like, potato starch; if you have ulcerative proctitis, potato starch is probably one of the last things that you {laughs} should do. And of course I would be doubled over in pain. Mickey Trescott: You didn’t jump on the AIP bandwagon back then, though. Susan: I did though. Mickey Trescott: Eventually. {laughs} Susan: I didn’t jump on the bandwagon, but of course I was one of those people; and this is what I totally tried to make sure people understand about AIP now; AIP is not more perfect paleo. Mickey Trescott: Amen, sister. Susan: You know? So when I wasn’t losing weight, and I’m using my little air quotes, well I just needed to eat less foods. So I did do 30 days of AIP, but never the full Sarah Ballantyne AIP where you take out all seed spices. I took out the bases; the Robb Wolf, Whole30 AIP list, you know what I mean. Mickey Trescott: Mm-hmm. Mm-hmm. Susan: And I never planned my reintroductions correctly, because I always had; like, I did AIP 30 days before Thanksgiving. And then of course, you can’t just do one thing at a time, so I never really got the full impact of what I think AIP could have been for me. And I still didn’t have an AIP diagnosis. 2. Officially a diagnosis [8:14] Mickey Trescott: Yeah, I was going to say, that was at a point where you still didn’t even really know that you had an autoimmune disease. Tell me about how you got the official diagnosis, and what that felt like when you made the connection that it was actually an autoimmune disease. Susan: So, my chief symptoms, the reason I came to paleo; I talk about the binge eating disorder. I also suffer from severe fatigue. So my digestive symptoms always made it lower on the symptom list, whenever I talked to any kind of functional medicine person. So they were never really; and I think that’s my fault, and that’s part of the communication and collaboration; sometimes we don’t know that those symptoms are part of something bigger. And to me, losing weight was really important, and my fatigue was really important, so I was always trying to focus. That’s where that bandwagon jumping comes on. Adrenals, thyroid; what could it be? Going through all that whole list. It wasn’t until, I think it was Mickey; it was Mickey. It was at AHS in Berkeley, which was how many years ago? 2014. Mickey Trescott: Yeah, 2.5 years, yeah. Susan: It was 2014, and that was right around when I decided that the pain was back, the blood; the bleeding was really quite severe. And I knew I was getting older, and I knew the implications. The colon isn’t a thing to mess with; when you’re pushing towards; I’m going to be 50 this year. Mickey Trescott: Well and with some of those diseases, they take it away when it’s really inflamed. They remove it. Susan: And Mickey said something to me; because she saw how many tomatoes I was actually eating back then, and she said; “Maybe you might want to think about cutting out nightshades.” And of all the things on the autoimmune protocol that I don’t want to give up; and sometimes it’s that thing that you don’t want to give up, is the thing that you need to give up; was nightshades, because I love Mexican food; I love tomatoes. We used to grow 3 tomato plants every year, my husband and I; and I would fill up big huge Tupperware full of cherry tomatoes and just eat on them all day. That was August 2014; and then I decided to talk to my doctor; my regular old, MD. And he referred me to a GI doctor who said I needed a colonoscopy. Because I thought I had SIBO, because that was the bandwagon I was jumping on then, you know what I mean? {laughs} Mickey Trescott: Mm-hmm. Susan: And he’s like; no, see that’s not where; even though, to me still, where he said I was bloated. To me still, that is still part of my small intestine, as well, so it could have been. So he did the colonoscopy, and then he said, “You don’t have cancer” which I think is what every doctor, after they do a colonoscopy, tells people. “Don’t worry, you don’t have cancer, but you have ulcerative proctitis.” And he was Indian, with a very heavy accent, and I said; I knew about ulcerative colitis, but I’d never heard of ulcerative proctitis, and I said, “Is that an autoimmune disease?” And he said yes; and then he said, “Here’s your prescription, you need to take this medicine every day for the rest of your life; and here’s a low-residue, low-fiber diet protocol.” And handed it to me. Luckily; I had known Mickey {laughs}, and luckily all the places we’d gone to; all the seminars, and conventions, and conferences, is that I kind of, through Mickey, surrounded myself with AIP people. So I did cut the nightshades out, and I don’t eat a lot of nuts still to this day. I know that I don’t digest them well so I don’t really eat them often. I’ve learned, though; I just can’t eat anything every day. I can’t eat eggs every day; I can eat eggs occasionally. But the nightshades were the magic bullet, you know. And it was hard; and I didn’t eat a tomato for 2 years, and I didn’t eat a pepper or anything; and at home I still don’t. But I did some more research; and I didn’t go back to that doctor because I didn’t understand the whole collaboration thing until Autoimmune Wellness Handbook, and I just thought I could do it on my own, you know. Mickey Trescott: Well part of it; part of it is guiding that process. But I think, too, when you’re presented with only conventional options and no input from a doctor as far as, “Hey I’m trying this thing for myself, and it’s kind of working, can you keep monitoring?” A lot of doctors don’t really care to follow-up with a patient who is working like that, you know, so it’s hard. Susan: Yeah. Mickey Trescott: And I think too; Susan, you and I are pretty similar in the sense that we went off, and we studied nutrition, and we go to conferences, and we do a lot of reading; like, self-knowledge is really important to us, so it’s tempted to just be like, “I got this. I got this.” You know? Susan: Yeah. Mickey Trescott: And I do it too; still. Susan: And I did, and the nightshades were huge, but I would still have periods; like I had a flare last, right before NTA conference last year. I had a really bad flare; and I don’t know if I had gotten glutened or what had happened. So when I had that flare, it was kind of a wakeup call that I needed to find a new GI doc, and I needed to find one that specialized in my autoimmune; that recognized autoimmune for what it was, and just, “Here’s a medication to take every day for the rest of your life.” So my husband actually did the research, and found me a doc at Stanford, which I live in the Silicon Valley/San Francisco Bay area, so Stanford is like the gold standard. We had a great talk about my autoimmune disease. He said how far along; further along I was than any of his patients, because I had gotten the diet down. He recognized that certain foods weren’t good for people with ulcerative proctitis; although he also wanted me to get a flu shot and make sure to wear SPF 80 on my face. Mickey Trescott: {laughs} Susan: Because {laughs} people with autoimmune disease can get sick more often. {laughing} Mickey Trescott: {laughs} Susan: But he does have me on a regimen now, where we’re going to; he brought to my attention the fact that just because I don’t have symptoms, doesn’t mean that the tissue in my colon is healthy. Mickey Trescott: Mm-hmm. Susan: It’s a sign that it could be; but it still could not. It could be just that it’s not unhealthy enough to bleed, it could still be inflamed. So he said w…

    Full show notes at the publisher

    S2 E1 Q + A #1 – Thyroid medication, Hashimoto’s remission, and finding balance with AIP Apr 17, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! We’ve created this podcast as a free resource to accompany our book, The Autoimmune Wellness Handbook: A DIY Guide to Living Well with Chronic Illness. Season 2 Episode 1 Q + A #1 is the first installment of our new Q + A format. In these episodes, we’re answering questions you submitted to us via social media! This season, the podcast will alternate between Q + A episodes like this and interview episodes featuring the voices of real AIPers just like you. We cover a lot of ground in this first Q + A episode! Topics discussed include thyroid hormone replacement, AIP dogma, our personal reintroduction journeys, balance over perfection, adrenal support, and diet modifications for neurological disorders. Scroll down for the full episode transcript. How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and Celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and Celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com, where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients, just like you, to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. Onto the podcast! Topics:1. Thyroid hormone replacement [6:29]2. Dogmatic AIP; elimination and reintroduction [11:54]3. Weaning off thyroid hormone replacement [17:21]4. Mickey and Angie’s personal reintroduction journey [21:37]5. Iodine supplementation for thyroid [28:13]6. Balance over perfection [29:32]7. Non-AIP fillers in medications [33.10]8. Adrenal support [35:23]9. AIP and autoimmune neurological disorders [43:11] Mickey Trescott: Hey everybody! Mickey here, and welcome back to the Autoimmune Wellness podcast, season two. We had some really awesome feedback from you guys; it was really overwhelming on our blog posts, our Instagram accounts, and also the reviews in iTunes. So thank you guys so much for sharing. And we decided to bring things back for another round, since you guys told us that it was so helpful. So we’ve got a little bit of a program ready for you. Angie; should we tell everyone what we’ve been up to since the last season of our podcast ended? Angie Alt: Yeah, sure. We’re trying not to get too chatty on you guys for this podcast. We’ve had a pretty fun few months, and we wanted to update you. The Autoimmune Wellness Handbook came out in November; woot, woot! And we had a great time on our 5-city book tour. We’re so grateful for everyone’s support; it was a great experience getting to meet so many of you, and hearing your stories, and watching your local communities kind of take shape and seeing you meet each other and sharing stories together at those book signings. Mickey, what was your favorite part of the tour? Mickey Trescott: I loved the events with the food. So of course, I liked all the events; but enjoying AIP food with an AIP community is such a rare thing, that it was just really fun, those bookend events. So our first event was at Mission Heirloom and they just made this delicious meal for us, which is so fun to hang out with a bunch of other AIP people. I actually think that those two events; so then we did Hu Kitchen in New York City; both of them had almost 100 people, which I’ve never had the experience to hang out with 100 of my friends that eat like me, so that was really powerful. Angie Alt: {laughs} Mickey Trescott: And really fun. What about you, Angie? Angie Alt: Yeah. A big, big thank you to Mission Heirloom and Hu Kitchen; that was amazing. We really appreciated that support for our peeps. I don’t know what my favorite part was. I think getting to hear everybody’s stories, and see the way our work is impacting real live people out there; that’s really exciting. Getting stranded on train tracks was pretty fun; do you remember that, Mickey? Mickey Trescott: {laughs} Angie Alt: {laughs} Mickey Trescott: Yeah, we almost didn’t make it to D. C., but we made it happen. Angie Alt: Yeah. Let’s see; what else have we been up to since the book tour? Mickey Trescott: Yeah, so you know, the first thing we did was take a chill period. You know, we spent some time resting and relaxing, taking care of ourselves; because we spent the better part of two years writing that book, and it was a big labor of love, but I think we needed to have a little season of kind of coming down off of that epic workload situation. Angie Alt: Right. But, we did put in a little bit of work. One of our big projects that we worked on for the beginning of 2017 was relaunching our website under the brand Autoimmune Wellness. Hopefully, you guys are seeing that out there. We just think that the name really suits our mission, and will help us take our message to a more mainstream audience; viva la revolution, people. Mickey Trescott: Woot, woot! Angie Alt: We’re really focused on eventually making AIP this mainstream option for folks with autoimmune disease, and we feel like Autoimmune Wellness will help us get there. Let’s see; what else have we been up to, Mickey? Mickey Trescott: So, we have recently been working on a special project that those of you that are health coaches; so nutritional therapy practitioners, or other kind of practitioners in the natural health scene, will be really interested in. so make sure that you guys are on our email list to be the first to hear about it. You can sign up at our website; www.autoimmunewellness.com, or the old website, www.autoimmune-paleo.com, will redirect there, and you can opt in and you’ll be the first to hear about it. And I’m sorry we can’t share any more details, but it’s going to be really fun. Angie Alt: Super secret squirrel. Mickey Trescott: Secret squirrel; that’s one of Angie’s favorite phrases. So back to the podcast; we want to tell you guys a little bit about what to expect this season, because our format is going to be a little different this time around. Angie Alt: Yeah, so this season we’re going to be alternating between Q&A episodes, where Mickey and I are just going to take as many of your questions as we can and answer them for you guys. and then we’re going to be doing interview with real people who are going to share their journeys to autoimmune wellness, and what it’s actually been like for them. Just regular people out in the community who are using this method of working toward healing. Today is our first Q&A episode, and we asked you guys to submit your questions; I think we took these mostly on Instagram, right Mickey? Mickey Trescott: Yep. Angie Alt: And boy; you guys gave us a lot of questions. Mickey Trescott: A lot of questions. {laughs} 1. Thyroid hormone replacement [6:29] Angie Alt: We’re going to do our very best to get through as many as we can, so let’s get started. Let’s see; so we have some thyroid questions. Mickey, let me ask you this first one. It looks like Hannah asked, “At what point should you ask to start taking thyroid hormone; especially if you feel good about 25% of the time and your labs are within normal range, and you’ve followed the protocol for a while. And once you start taking it, do you have to continue for a while? “ Mickey Trescott: Yeah, so this is a really good question for anyone with thyroid issues or Hashimoto’s, listen up. The autoimmune protocol does a really great job for most people taking out that inflammatory process, and taking out all those foods that are irritating to the gut. It does not reverse the damage that has been done to your thyroid, and it is not a replacement for thyroid hormone therapy if you need it. So, a lot of us; if you have thyroid disease, it’s possible that you have Hashimoto’s, which is an autoimmune thyroid disease. And Hashimoto’s is actually the cause of 80% of hypothyroidism. So if you’ve been diagnosed at any time in the past with hypothyroidism, and you haven’t really been told about the cause, but you’ve been told to take thyroid hormone, it’s very likely that you have Hashimoto’s. and you haven’t ever had your antibodies tested, it’s a good idea to get those checked. So what happens in Hashimoto’s is your immune system starts to destroy your thyroid slowly, over time. For a lot of people, it can take decades before they even start to get symptoms. But by the time people get diagnosed, and they notice the symptoms, and they get their labs done and their thyroid is suboptimal, they usually get on thyroid medication. And this medication is to replace the thyroid hormone that their thyroid would normally be making. So a part of the casualty of Hashimoto’s; there are some other reasons for thyroid dysfunction, but a lot of the time, it just means that your thyroid is not making enough hormone. And that thyroid hormone is needed by every cell in your body. So it’s really important if you need it to get a prescription and take it. So, I would encourage anyone who is on the autoimmune protocol, who knows that they have Hashimoto’s disease or thyroid dysfunction, if they’ve tried the elimination diet for a little while; like it sounds like Hannah, she’s been on the protocol for a while, and she is only feeling well 25% of the time. The catch here is she says her labs are within the normal range. Now, a lot of people are told their labs are within the normal range, when they aren’t. so this is probably a situation where Hannah, you should find a more open minded doctor that is willing to do thorough testing. So for thyroid disease, you really want to be testing free hormone levels; so free T3, free T4, in addition to the usually ordered TSH, sometimes reverse T3 can be helpful; and then again those antibodies to kind of tell how the autoimmune process is going. And then, you want to find a doctor who doesn’t believe in the conventional ranges, but who treats based on a little bit more of a narrow, functional range. And this can be hard to find; it doesn’t have to be a functional medicine doctor. It can be a savvy regular medical doctor; it could be a naturopath. But I’ll tell you; I went to 6 doctors who told me my levels were normal before I found the one who said; “You know what, they’re not.” And that thyroid hormone replacement, that medication, was the difference between me feeling 60-70% better and 90-95% better. So it can make a really big effect, even if you’re doing the diet and everything. So, I don’t think that people should be denying themselves thyroid medication. Like I said, it is something that every cell in your body needs, and if you need that and you need to eat a certain way to feel well; that’s what I do personally, there is no harm in that. And you should continue as long as your doctor, and your labs, and your symptoms indicate that you should. So, I know that’s kind of a long answer, but the thyroid stuff can get kind of complicated. And a lot of times, it’s not either/or; a lot times, that’s just another tool that we have in our tool box to live well with thyroid conditions. Angie Alt: Yeah, right. We’re fans of the both/and, right? Mickey Trescott: Yeah, totally. I mean, if you know that there is something you can do that’s going to help you feel better, why would you not use it? A lot of medications have side effects, but thyroid medication is actually a lot of times bioidentical to what your body would actually be producing. And so it doesn’t have the same mechanism. Most medications work by inhibiting something, or stopping something. But thyroid medication, it’s almost like a nutrient in that way. Your body needs a certain amount, and if you’re not getting enough, you’re just going to have symptoms. So I’m very pro- working that out. And you know, some people might not need thyroid medication. But if you think you might need it, it’s really worthy of investigation. So, let’s move on to a question for you, Angie. Angie Alt: Sure. 2. Dogmatic AIP; elimination and reintroduction [11:54] Mickey Trescott: So we have a question from Jay, and it’s about balance, which is one of your awesome expertise. “I’d love to hear the benefits and problems with staying on AIP with no reintroductions. I’m hoping AIP is a bridge to healing, and that I can add back a lot of the foods I’ve eliminated. Eggs, nightshades, and occasional grains. But the AIP community at large seems so dogmatic about this being a lifestyle, and a forever thing. What’s the point of forever elimination?” Angie Alt: Oh boy. Mickey Trescott: Who are you talking about, Jay? {laughs} Hopefully not us. Angie Alt: Jay, you need to give us their name and number, and we’re going to go tell them what we think about that. No, I’m just kidding. I’m really sorry that you’ve encountered this feeling in the AIP community that it’s dogmatic, and that we believe that you should be in the elimination phase forever. That’s definitely not what we’re hoping to promote in the community, and it’s definitely not how the protocol is laid out. So the protocol is an elimination AND reintroduction protocol; so that’s really important to understand that part of the healing process is reintroducing foods. I think it could be maybe a little bit of a misunderstanding of the idea “lifestyle”, of making AIP a lifestyle. By that, it’s more talking about healing in general, and incorporating more than just diet into your autoimmune wellness journey. So hopefully it’s just a misunderstanding and you’re not, hopefully, running into too many people that are being super dogmatic about staying in elimination forever. So, you know you wanted to hear about the benefits and problems of staying in AIP with no reintroductions. I honestly don’t think that there are benefits to staying on the elimination phase of AIP forever. I think, actually, you’re really limiting diversity in your diet, and it’s also psychologically really hard. Not to mention, in our modern world, it’s not the most convenient thing to have to be in that kind of restricted zone that long. Generally, you’re looking to stay on the protocol; the elimination part of the protocol, for at least 30 days. That’s enough time to kind of clean your slate, and make it so that you can understand foods that are a problem for you as you begin to reintroduce, versus foods that really work for your body. Ideally, it would probably be better if you shot for more like 60 to…

    Full show notes at the publisher

    Bonus Ep: Cooking For Life, Multiple Sclerosis, and a research update w/ Dr. Terry Wahls Apr 10, 2017
    Show notes

    This post contains affiliate links. Click here to see what that means!In order to support our blogging activities, we may receive monetary compensation or other types or remuneration for our endorsement, recommendation, testimonial, and/or link to any products or services from this blog. That being said, we only promote authors, products, and services that we wholeheartedly stand by! Welcome to The Autoimmune Wellness Podcast Season 2! Bonus Ep: Cooking For Life, Multiple Sclerosis, and a research update w/ Dr. Terry Wahls is our second bonus episode, and an introduction to Season 2 of the podcast. In this episode, we interview our personal inspiration, Dr. Terry Wahls, the creator of The Wahls Protocol and the author of the new book, The Wahls Protocol Cooking For Life. In addition to discussing Dr. Wahls’ new book, topics we cover include how to embrace a healing diet on a budget, approaching your doctor about utilizing nutrition for health, why we believe in templates over recipes, Dr. Wahls’ go-to meal, and much more. This is a juicy and informative episode with one of the most inspirational voices in the chronic illness community. It’s perfect for folks looking for some practical advice on how to sustain a healing lifestyle. Scroll down for the full episode transcript. How to listen: If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher! If you’d like to download the .mp3, you can do so by following this link. If you’d like to play the episode right now in your browser, use the player below! Full Transcript: Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a complimentary resource for those on the road to recovery. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’ve got both Hashimoto’s and Celiac disease. Angie Alt: And I’m Angie Alt, a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I have endometriosis, lichen sclerosis, and Celiac disease. After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.Autimmune-Paleo.com, where our collective mission is seeking wellness and building community. Mickey Trescott: This podcast is sponsored by The Autoimmune Wellness Handbook; our co-authored guide to living well with chronic illness. We saw the need for a comprehensive resource that goes beyond nutrition to connect savvy patients, just like you, to the resources they need to achieve vibrant health. Through the use of self assessments, checklists, handy guides and templates, you get to experience the joy of discovery; finding out which areas to prioritize on your healing journey. Pick up a copy wherever books are sold. Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. Onto the podcast! Topics:1. Introducing our guest, Dr. Terry Wahls [2:20]2. Utilizing a healing diet on a budget [6:56]3. The importance of diet shift in the medical community [11:01]4. Approaching your doctor about utilizing nutrition for health [16:32]5. Dr. Wahls’ newest book [19:55]6. Templates, not recipes [23:26]7. Dr. Wahls’ go-to meal [27:15]8. Success stories from the Lifestyle Clinic [31:42]9. Response to the naysayers [34:08]10. What’s coming up for Dr. Wahls [38:12] Angie Alt: Hi everyone! Welcome back to the Autoimmune Wellness podcast. Angie here; today we are bringing you the second of our pre-season bonus interview episodes, so you guys are super lucky, these are going to be great. Mickey, how are you doing today? Mickey Trescott: Super awesome, especially because I am so excited about chatting our guest today. She’s one of our favorite people in the autoimmune world. And we got feedback from you guys last season that you really value these expert interviews, and we didn’t really have any in the can for you guys for season 2; but then we decided we had this incredible opportunity to interview a couple of really awesome people; one of them today. And we got her on the line for you. So, Angie, do you want to tell our listeners about who this super special, amazing person is, who happens to be a total rockstar in our world? 1. Introducing our guest, Dr. Terry Wahls [2:20] Angie Alt: Yeah, sure I would love to. Our guest today is the amazing Dr. Terry Wahls, a fellow autoimmune warrior, who went from secondary progressive multiple sclerosis that had left her in a wheelchair in 2003, to the vibrant, dancing; more on that in a minute; and world-changing lady we are honored to speak with today. Terry is the author of several books, including The Wahls Protocol, and her latest, The Wahls Protocol Cooking for Life. In addition to over 60 peer-reviewed abstracts, papers, and posters. She also runs a groundbreaking lifestyle clinic in Iowa, and conducts clinical research that is changing how we treat MS and other autoimmune diseases. Additionally, she is behind the Wahls Foundation, a nonprofit created in 2011 whose mission is to replace the epidemic of chronic disease with an epidemic of health; I love that. To say Terry is purpose driven is basically an understatement, you guys. Thanks so much for being on the show today, Terry! Dr. Terry Wahls: Hey, thank you so much for having me. Mickey Trescott: Awesome. So Terry, most of our readers are familiar with your story at this point, and your TED Talk. And if anyone listening goes; “Wait a minute; I haven’t heard about that.” You guys should definitely check it out. Just Google Terry Wahls TED Talk and start there; it’s awesome. So we know; your healing has progressed considerably over time. When I actually met you at the Ancestral Health Symposium a few years ago, you showed the audience that you weren’t able to raise your arms over your head. And last month, Angie and I were hanging out with you at the NTA conference, and you were pulling some dance moves where your hands were definitely over your head. Dr. Terry Wahls: {laughs} Mickey Trescott: So, you know, your healing has increased a lot even since you’ve been on this journey. I am always shocked at how you look younger and more vibrant as time goes on. Can you give everyone a little bit of an update about those changes that you’ve noticed in your long-term healing; especially since you gave your TED Talk. Dr. Terry Wahls: Sure. So, I’ll sort of give a quick high-level synopsis. I do this wonderful thing with biological age; and there are several online calculators that you can use, it’s pretty fun. I did mine based on what my answer would have been at 52, which was at my worst, and my biological age at that point was 69. Which is probably pretty accurate; I couldn’t sit up, I couldn’t do a pushup; I was struggling to walk 10 feet, I had all these markers. So, I have since calculated that biologic age using that marker, and I’m down to the age of 39. Mickey Trescott: Wow! Dr. Terry Wahls: And that’s pretty cool. When I was 39, I was developing my MS symptoms. I was still skiing, still jogging, still biking, but I certainly could not bike as far as I can now. So already I was beginning to have problems with the MS, that had not yet come to diagnosis. And if we line up photos of me, you see that rapid aging, that aggressive decline; and then you see what literally looks like this stunning recovery from 2007 to 2008; the wheelchair, looking pretty sickly, to being on my bike. But people noticed that if you line up photos from 2008, and keep going; I just keep looking younger and younger. Now, my hair is still graying, so we have to take the hair out. But the quality of my skin looks younger and younger; I can walk further, I can get my arms up over my head. I’m doing pushups; and I’m up to 10, so that’s pretty exciting for me. And you know, I keep working closely with physical therapy, and they can keep advancing the exercises that I do. I did get sidelined last year, because I ended up having surgery for some severe back pain. So since I was 60 when I had that, that has taken a little bit longer to recover from than I expected, but still, I’m out on the floor dancing; I’m walking, hiking, and biking once again. Mickey Trescott: That’s so amazing. I better stay on my game, Terry; because your biological age is only a year older than me. You’re going to be younger than me soon! {laughs} Dr. Terry Wahls: You know, my kids are laughing. They’re like, “Oh my god, mom. Are you like Merlin? You keep getting younger and younger.” So. Mickey Trescott: Right. Dr. Terry Wahls: We have a lot of laughter with that. 2. Utilizing a healing diet on a limited budget [6:56] Angie Alt: So Terry; at the Nutritional Therapy Conference, one of the talks I attended was the panel discussion you were on about serving diverse and working class groups. That conversation is one that is just really extra close to my heart, because I don’t think healing has to be limited to certain groups, or those with upper class incomes. What are your kind of top 3 pointers on how to make a healing diet and lifestyle work, even on limited budgets, or in challenging settings; maybe geographic locations with limited access. Dr. Terry Wahls: Oh sure. For years I worked at the VA, and in both my Traumatic Brain Injury Clinic and in my Therapeutic Lifestyle Clinic at the VA. Most of my patients did not have money; they were on fixed incomes. What they did have, was they had access to me, so they could come see me; Traumatic Brain Injury Clinic I would see them once every 6 months. The Lifestyle Clinic we could see them monthly for a year. And we could give cooking classes in my lifestyle clinic. So in the cooking class, we taught people how to cook at home. I helped them understand that the food budget is everything you put in your mouth. It’s your alcohol, tobacco, fancy drinks, fancy coffees, lattes, fast food, restaurant meals; plus your grocery bill. And we total all of that up to get a food budget. Then I let people know what we have to do is begin cooking at home with vegetables and your source of meat. We had a different plan if you were a meat eater, or if you were vegetarian or vegan. We certainly still had people, even in the VA, who were vegetarian and vegan. But really, the very most important thing is, most people had forgotten how to cook. Or their lives are too pressed for time, or for money. So they aren’t cooking. So we spent a lot of time teaching cooking skills, and we spent time teaching menu planning, prioritizing, and most importantly, how to eliminate food waste. Because most Americans are throwing away 40% of our food; whether we’re buying it in the grocery store, or at the restaurant. So learning how to better plan, so we actually consume all the food we buy, saves a considerable amount of money. We were quite successful. We had many of our patients tell us; in the group classes the more senior folks would tell the newbies that you can do this and save money, but you’re going to have to plan. You’re going to have to pay attention in our cooking classes. Angie Alt: Right. Those are such great tips, just kind of going back to; basically home economics 101 right there. Mickey Trescott: Yeah, I can definitely also resonate with taking all of the restaurant meals and all of the stuff that people think of as an additional budget expense and really looping that into the entire food budget; and a lot of people on low incomes think that the grocery budget and maybe that other budget is separate. But when you put that all together, and you prepare all your food at home, and you brown-bag it for lunch, and you don’t do those extras that are also not helping your situation when you have health problems, like cigarettes and alcohol and coffees, and that kind of stuff; people find that they have a little more wiggle room there to actually afford that real food. Dr. Terry Wahls: It’s really important to have that conversation of, “What is your food budget?” Because if you don’t, people will see the grocery bill doubling, and feel very uncomfortable with that. So, we learned that it was very important to have that big conversation about what’s in your food budget first. And then, we talk about planning, menus, and how we’re going to make this change in an affordable way. 3. The importance of diet shift in the medical community [11:01] Mickey Trescott: That’s great. So Terry; one of the things that really impresses me about you is your willingness to work within disastrously broken system with both creativity and perseverance. I don’t know anyone like you who is just like willing to dig in and get this work done. At the NTA conference, you told the story about how you figured out how to recommend dietary and lifestyle modifications while working with veterans; it was a little unconventional and kind of; it was hard to do within that system. And I think a lot of practitioners get discouraged or lose hope when they run up against the system. So you recently received a $1 million grant from the National MS Society to further your research on dietary and lifestyle interventions with MS. That is so fantastic; we’re so excited for you. Can you tell us how you think things are shifting in the medical community to accommodate more of this research and recommendations for diet and lifestyle changes? Dr. Terry Wahls: I think it’s very helpful to have the public awareness; of course, the medical community, the scientific community. I think it’s also incredibly helpful that our awareness of how the environment is speaking to our genes through epigenetics, and creating either an inflamed, sickly, disease prone-body, or a resilient disease resistant body. So the epigenetic insights are helpful. The microbiome insights are helpful, and understanding how food changes the microbiome; and you change the microbiome, of course changes the risk for autoimmune disease and the severity of the autoimmune disease, as well as many other complicated, chronic health problems. So, as my scientific colleagues could now measure the mechanisms by which diet and lifestyle works, they began to realize that we are not so crazy in our approaches. The public pressure goes to their various non-profit organizations, insisting that you need to support these researchers. And another thing I think is very telling; and I heard from people who are big donors with some of these nonprofits, that these major donors went to the organizations to say, “If you want to continue receiving our support, you’re going to have to fund diet and lifestyle research.” So I became aware of that; I wrote my protocol when they put out their call for research in the dietary realm, and I was funded. And I should be, because I’m one of the few people who have actually studied it in the last few years. So it’s no surprise that our research lab is very competitive. Mickey Trescott: That’s so great. Terry, what do you think is the key to having the public be so well-informed and push? Dr. Terry Wahls: Well, I think the key is having people who develop untreatable, incurable, devastating diseases, get hopelessly disabled, recover, have the extraordinary good fortune to do a TED Talk that has 3 million views. Mickey Trescott: {laughs} Dr. Terry Wahls: That created; that experience, difficult as it was at the time, has been this incredible gift to me, and probably to humanity, because it put me in a position to learn all this stuff, experience all this stuff, recover, and because I happen to be well connected and I speak well. I told this story that’s deeply resonating; and then the public spread it in this pretty amazing way. I think this led then, I’m sure, to millions of conversations in doctors’ offices around the globe, saying, “What about diet?” And physician had to see that some of their patients would ignore the...

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