Submit your podcast questions for Dr. Paul Jaminet

pauljaminet

I’m excited to announce that Dr. Paul Jaminet from perfecthealthdiet.com will be joining us on the next episode of the podcast. Paul is one of the smartest people I know, and I’m very excited to have him on the show. A while back I reviewed his excellent book, The Perfect Health Diet, which is still the book I recommend to patients, family and friends who are interested in learning about the approach to nutrition I advocate.

I’m sure you’ll have a lot of questions for Paul; please leave them in the comments section and we’ll get to as many as we can. We’re recording on Friday the 19th, so make sure to ask your question by Thursday the 18th.

I think Paul will be a regular guest on the show, so if we don’t get to your question this time, don’t worry – you’ll have another chance!

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  1. says

    I’m interested in Paul’s thoughts on chronic infections and would love to hear him expand on how these would manifest as symptoms and his suggestions as to treatment.

    • says

      Hello Jamie,
      Recently I met a woman who has been in natural health as a counsellor, coach, writer and researcher for over 15 years. Her name is Charlene and she turned me onto a product called Vemma. I invite you to have a look at the ingredients and the testimonials as it has changed my life and the lives of many others in very positive ways. Please email me if you have any questions and I’ll put you in touch with Charlene.
      Take good care,
      Meeka

  2. says

    I’m Celiac with Collagenous Colitis. Besides gluten, I get the runs when ingesting just traces of coffee and chocolate. Nightshade plants, and rice (both brown and white rice) give me a burning-itch skin reaction with a bit of spontaneous capillary blood leakage under the skin. I found something on Mercola.com that I think explains my skin reaction: http://articles.mercola.com/sites/articles/archive/2011/07/05/other-nonwheat-grains-can-also-hurt-your-health.aspx
    Since most gluten free processed foods seem to have rice in them, I often have a little trouble getting something to eat. Thankfully I can handle a little dairy and corn but only on a rotation basis. Do you have any suggestions for me?

    • says

      I’m continuing to follow a “Paleo Diet” because that is really what’s left for me to eat. I do rotate in corn and dairy. Also, I rarely get grass fed beef and usually just make up for eating grain fed beef with daily fish oil supplements and by rotating in cold water fish at least 2x per week.

      • JGW says

        If you end up addressing this question, can you address the issues with Omega-3 and the perspectives out there that say you can’t simply “ramp up” your Omega-3 to balance out a disproportionate Omega-6? In other words, there are some perspectives that say Omega-3 *can* be damaging in certain ways. While he comes across a bit obnoxious, Brian Peskin’s Omega-3 perspective should at least be considered:

        “Fish oil supplement manufacturers often recommend “high dose” amounts. But the prevalent pharmacological overdoses of DHA and EPA from fish oil supplements range from 20-fold overdoses of DHA to 250-500-fold overdoses of EPA—far more than your body would ever produce on its own. Even so-called “low dose” fish oil supplementation approaches these overdose values.” – Brian Peskin, Fish & Fish Oil Fallacies

        • says

          Brian Peskin has been charged with deception by “QuackWatch.” See http://www.quackwatch.com/11Ind/Peskin/peskin.html
          I suggest that you check out other sources for reliable info for Omega-3′s like the non-profit Life Extension Foundation at http://www.lef.org. As long as you get fresh and good quality fish oils and take care to avoid peroxidization by storing in the frige, fish oil is great and not damaging when used in moderation. Anything is dangerous when used in excess.

          • JGW says

            I’m aware of the QuackWatch accusation and the dozens of other perspectives [often ad hominen attacks] on Peskin. Being *charged* with deception – especially since the deception isn’t 100% about the scientific claims he made with respect to fish oils – doesn’t automatically falsify any or all of his claims/substance. I’m an outsider, so I don’t care about the personalities so much as the substance. If you can provide a substantive argument against some of his perspectives, it’d be greatly appreciated. Otherwise, I’ll remain equally skeptical about Peskin’s claims as well as how they have been “refuted.”

  3. says

    I asked this question on Paleo Hacks, but I’d love to hear what both of you have to say about it. Thanks!
    If there is a food that bothers you and you eliminate it for say a year and then reintroduce it, will you now:

    1.Be able to eat it without getting bad reactions because you’ve healed?
    2.react even more because your body is not longer used to it?
    Let me first say that I don’t think there is one answer to this question. I’m sure it both options are sometimes true.

    In some cases, removing a substance from your diet lets you heal. This means that the underlying problem was that there is some sort of damage caused by X. Remove X. Let the sore heal. Now that you don’t have an open sore, so to speak, you can handle small amounts of the offending food. This is the idea behind the GAPS diet.

    In another scenario, a person react to X because they don’t have enough of something like, for instance, and enzyme to digest it. You remove food X and later re-introdunce. Now you REALLY don’t have the missing enzyme/receptor/whatever after not needing it for a year. Dr. Ayers is against avoiding dairy. He says you should eat a small amount of yogurt daily to build up tolerance.

    What about FODMAP foods? If you eliminate then reintroduced? Does the sensitivity increase or decrease? I’d also love to understand why.
    P.S. Ordered Perfect Health Diet yesterday. Looking forward to reading it.

  4. Deanne says

    Is it unrealistic to hope an entirely natural approach can correct a persistent streptococcal bacterial infection? In my case, UTI for the last 3/4 of a year, perhaps complicated by long-term low white blood cell count. The infection was not helped by a course of penicillin, but has seemed to improve somewhat using the GAPS introductory diet. With the improvement on GAPS, I’ve been hesitant to use aggressive cranberry or high vitamin C approaches.

    Any advice?

    • Sherry says

      Uva Ursi is an herb that has been proven to kick persistant UTIs when abx could not. And kept them away for longer.

  5. Martin P says

    I appear to be insulin resistant and have followed a very low carb diet as advocated by Dr Bernstein. It has worked very well and my BMI has dropped to 19.9. I feel fine and don’t wish to raise carbs. Is that ok for me? Martin

  6. Sarah Madden says

    Hi Paul,

    Bought the book on Chris’ recommendation. It didn’t disappoint!

    On the subject of supplements, there is some controversy in the Paleosphere about whether we should supplement or not. I think this might be a point on which you and Chris differ too because you recommend a large range of supplements for even healthy people.

    You don’t recommend supplementing folate or omega 3 because of some adverse outcomes of recent studies, but considering widespread supplementation of D3, K2 or selenium hasn’t been completely studied is it possible these could also have unintended effects when consumed outside the context of a whole food. For example Don Matesz reported on a case of development of salivary stones in a woman taking D3 along with k2 and magnesium that resolved on the cessation of D.

    Grateful for your thoughts as always.

    Thanks to Chris for bringing such quality guests to his podcast too!

    Sarah

  7. Marlene R says

    1. How do you get rid of adult acne when diet isn’t helping with that?
    2. You tout the benefits of coconut oil but what can I do/use instead when too much coconut gives me stomach aches? (I can’t eat dairy either)
    Note: I have a problem digesting fats in the first place (causes me to have soft stools)
    Thanks!

  8. Leah says

    You talked a while back about a post on rosacea and I’m eagerly awaiting it! Do you believe that facial redness/rosacea can be caused by irritation in a leaky gut? How would you go about treating it? I’ve never been diagnosed with rosacea but do have a lot of facial redness. I’ve been attempting a candida/elimination (no gluten or dairy) diet for the last few months and my facial flushing does seem to improve. I can’t wait to hear your thoughts on this topic.

  9. Howard says

    I follow the PHD. Loren Cordain warns against oxidized cholesterol in canned fish. Can you speak to this?
    Canned wild salmon and sardines are an affordable omega 3 souce for me.

  10. zane says

    Could a cycle of being in a calorie deficit of over 1000 calories for three to four days( without realizing it) and then binge eating as though it is your last meal on Death Row, stall someones attempt to become lean?

    I don’t feel hungry, so I don’t eat much until about the third to fourth day and then I feel as though I can’t get enough food. I will eat for a couple hours straight, of fat protein and carbs and I don’t feel full until my stomach is about to rupture. I have been eating a strict paleo diet for over 14 months with an occasianal piece of dark chocolate, and I can’t seem to lose body fat. All other factors are as good as I can make them, with the exception of a little anxiety. I really want my energy back and to be closer to my MMA fighting weight.
    Thanks

  11. JGW says

    How do your views on macronutrient breakdown (i.e. relative protein restriction) coincide with intensive athletic training and an overarching objective of building lean muscle mass? I read some of your work on your blog. Correct me if I’m wrong: some examples show 1.875*(bodyweight in kg) as the starting point where protein basically becomes unnecessary or even toxic. Those levels *feel* like a relative restriction on Protein intake for an athlete my size.

    Here was an example from your website of an 80kg man (I’m slightly less…):

    So we can summarize these results as follows:
    On a high-carb diet (>600 calories/day), 600 protein calories/day maximizes muscle gain.
    On a low-carb diet (<600 calories/day), 1200 carb+protein calories/day maximizes muscle gain.

    I think this is a very important aspect of your book/views. Certainly, most people on these sites fall on both sides of the fence: (1) those who seek weight loss, etc. and (2) those who seek to maintain or even maximize performance. While we try to clear up one side, the confusion for the other side often increases. My hope is that [perceived] "equilibrium" is eradicated for an overall mitigation of confusion.

  12. JGW says

    Along the lines of athletic training and protein intake, allow me to add that I’m approximately 70kg and my macronutrient ratio is something like 35-40% Protein/20-25% fat/40% carbs. I’m a “clean” eater. I do, however, splurge a bit on fruit. My fat sources are fairly good – coconut oil, avocado, EVOO, though I do incorporate some cheese (:/). I don’t delve into the fructose before and after HIIT, but the fruit generally makes me feel good (or so I think?!). While I feel good and I’m lean, I’m considering making a move to LowCarb-HighFat. I simply want to maximize my potential. What’s your view on this transition?

  13. Laura says

    I second the request for a more in-depth discussion on chronic infections, their diagnosis and treatment. Can chronic infections be treated through diet and lifestyle alone or are anti-fungals and/or antibiotics usually necessary? How does one convince a doctor to give a prescription for these in the absence of an acute condition?

    Thanks!

  14. Stabby says

    What are your views on lipotoxicity as it relates to the pathogenesis of obesity? Also, can a high fat diet be more problematic than a more moderate fat diet in the case of significant lipotoxicity due to the inability to oxidize fatty acids properly? If so, are there aspects of your diet that work to remedy the condition and promote more efficient fat metabolism so that it is not a problem?

    It might be a good idea to explain to the listeners when we’re talking about, since some of them are probably scratching their heads at this question.

  15. Blythe says

    Wondering about grains, and more specifically, oats. My husband has Crohn’s disease (still recovering from a perforated colon episode earlier this year), and I have rheumatoid arthritis. We have recently changed our diets to eliminate most grains (definitely wheat, but we still eat rice), soy, peanuts, added sugars, seed oils, and processed foods. We eat a lot more beef and fish, coconut oil, and home-grown veggies. We have both experienced reduced symptoms and higher energy levels as a result. I am confused, however, about the conflicting information on oats; it has become a staple for breakfast. I soak the rolled or steel-cut grains overnight with added whey & rinse before cooking; we eat them with coconut oil, rice milk or raw dairy milk (my husband is dairy intolerant but can digest the raw milk fine), & a variety of fruits. Is this making things worse? Thanks for your help.

  16. says

    Whats paul’s opinions in regards to various infections increasing inflammation in the body thus causing increased secretions of cortisol, decreasing hormone-sensitive lipase and increasing insulin secretion potentially leading to insulin resistance.

    Thanks Chris, I hope the baby is healthy, I am looking forward to hearing the blow by blow recap of the natural birthing process from you and your wife’s perspective.

    Best,
    Justin Marchegiani

  17. Juan Camilo says

    I’ve seen in the internet that kefir (water/milk) does colonize the gut when you’re on the gaps diet. Is that accurate or, the only way to recolonize the gut is through a fecal transplant.

    Thanks

  18. rose says

    Hi There,

    I really hope you can help me. I’ve seen 2 dermotologists and been on 3 courses of antibiotics to try and get rid of an infection that keeps popping out on my face for the last 8 months. First doc, said it was impetigo. Second doc, sent to lab test and it came back as not staph. It’s especially worse around my period and if I get a bad night’s sleep, I wake up with a break out. They are small blisters that ooze a clear liquid that dries into a yellow-ish crust.

    I have a theory that it’s related to adrenal fatigue. While trying to research this, I found in Broda Barnes book that impetigo is rare in adults (usually a childhood thing) BUT can be caused or exasperated by adrenal fatigue which I think i have from chronic dieting/bingeing in my past. My body temp is low, My hands and feet often cold, I have insomnia trying to fall asleep, I have low energy later in the day, etc. Do you have ANY idea what the infection can be and how I can possibly cure it? I really don’t want to go to another dermo who will just prescribe yet another antibiotic! Thanks for ANY help. I’m desperate. BTW, I am 42yr old female. Kindly, Rose

  19. Eric says

    The Perfect Health Diet has been working better for me than a diet following Dr. Cordain’s guidance. Your logic is very empirical – which I find convincing. In the book, p.140 references a human study where raw kidney bean lectin was injected into healthy human volunteers and affected their gall bladder. In the same study, heat treated (as in cooked kidney beans) had no effect when injected. In a study I’ve seen where canned small white beans (e.g. navy beans) were analyzed for lectins – none where found. Skipping soybeans and under cooked beans, what is the negative impact of cooked navy or other small white beans? While I am not eating them, small white beans look to be a better choice than white rice. Congrats on finding answers that have benefited many people, including me.

  20. kel says

    HI!
    I have had severe IBS (constipation/crippling pain) since middle school and have seen some improvements since going strict paleo about 1 year ago (im 32 now). However, I still seem to have some reactions to certain foods or just in general when im under alot of stress. i have never been able to handle fruit very well, so have mostly cut it out except for a few berries here and there. i am frustrated because i think coconut is also giving me trouble . . . could it be the fructose or am i just losing my mind? i feel like the paleo diet utilizes coconut alot as a source of fat and all of the coconut milk curries sound amazing . . . ive also heard you say coconut is a gut healer, but should i be avoiding it because of the fructose or some other possible allergy? if so, what are your suggestions on substitutes? or (please please please) are there other things i can do so that i can tolerate the coconut a little better?
    Thank you so much for your time!!

    • Anne says

      You might consider the GAPS introductory diet which advises delaying use of coconut until gut healing has progressed, I think the reason is that it speeds flush of toxins and can cause difficult reactions.

  21. Jeff says

    The link to perfecthealthdiet is foobar.

    I think you’ve got it set to a relative URL since it prepends your own website address.

    :-)

  22. Radkys says

    Although I am able to control my, and my kids food, It is almost impossible to stay gluten free in our society (culture) – e.g. there is no gluten free wedding ceremony, or birthday ceremony. My doughter is 7month old, and there are papers suggesting early introduction od gluten during breastfeeding phase aimed at decreasing the future risk of celiac disease. What is your opinion? Early introduction – or rather no gluten at all? In our family, no one had been diagnosed with celliac disease (so far).

  23. Torea says

    In your PHD book you talk a bit about the benefits of supplementing with both Selenium and Iodine. I have Hashimoto’s and have just started iodine supplementation in small dose ramp-ups like you suggest. I have been grain free for 5 months and have been supplementing with Selenium during this time under Chris Kresser’s guidance.

    In Step Three you mention that during the step-ups you want to watch for “any autoimmune effects”, hold that dosage for several weeks to a month and then move up to the next gradual level. My research has been suggesting that these “effects” are less autoimmune, but rather bromine and/or bromide detox as the bromine/bromide are displaced from the tissues by the iodine. What are your thoughts on this theory and is there anything you would recommend for combatting the resulting bromoderma and other “effects” that seem to crop up when starting out with iodine supplementation? Thanks!

  24. Stevie says

    Question for either you or Dr. Jaminet: During Dr. Jaminet’s proscribed 36 hour ketogenic fasts, how does he insure that cortisol does not rise to unhealthy levels? Thanking you in advance.

  25. Franky says

    Paul wrote a blog post about high LDL on a low carb paleo diet. http://perfecthealthdiet.com/?p=2547
    In it, he suggested that micronutrient deficiencies (most notably copper) are “the single most likely cause of elevated LDL on low-carb Paleo diets.” When Robb Wolf and Mat Lalonde came on your podcast (episode 8), they dismissed this idea pretty quickly and Mat suggested there were numerous “logical fallacies”. I’m wondering if Paul could further elaborate, support or explain his position in lieu of Robb’s and Mat’s criticism.

  26. Swedish Omnivore says

    Could you please give us your take on gluten! Are there strong evidence for a totaly gluten free diet for everyone? Or are one or two slices of sourdough rye bread a day healty for those who don´t feel bad from it?

    I have heard from different sources that a low carb diet can be healty, and so can a low fat diet. But by some reason i don´t understand are there problems with proportions in between. I think the blogger Castle Grok has mentioned this. I think it was something about fat impairing the ability of muscles to take up glucose.

    Sorry for any bad english!

  27. Colleen H. says

    Will following this diet permanantly reverse my insulin resistance and leaky gut or just help to manage it? I’ve never been overweight. Thanks for your wonderful insights!

  28. Chris Barrera says

    Paul, your perfect health diet is a wonderful book. I have bought probably 5 copies to give out to various people. I love how well researched, logical and matter of fact the information is.

    My question regards the recommendations for Iodine. Most discussions around Iodine reference how much is apparent in the Japanese diet. However, I have wondered if there are more data points than just the modern Japanese diet. Do we know just what intake was normal for healthy paleolithic (as well as healthy pre-modern) societies? Are we going to be supplementing 10-12 grams iodine for pretty much forever? Finally, it seems next to impossible to get sources of iodine for anything less than 6 grams per dosage. Iodoral 12mg is impossible to chop up in a way that doesn’t vary by more than 50% each way (cutting into 4ths to get 3mg) while a lugol’s iodine solution has the weirdest way to make drops that gives varied drops of iodine or multiple drops- there just seems no way to guarantee dosage without resorting to multiple kelp tablets until one gets to 3-6mg. How can one do it?

  29. grok48 says

    Paul, just wondering are there any studies that show that when a person goes low carb that it would affect their cortisol/anxiety levels? my anxiety levels seemed to have gotten worse since going paleo/low carb. thanks

  30. Kapeta says

    Jamie,

    I would also like to know your opinion on the need for a hypercaloric environment with adequate dietary protein to optimize protein synthesis. I’m thinking more in terms of athletic requirements.

    I’m primarily familiar with literature pieces pointing at 1.7-3g/kg (yes, wide range) shows more optimization, not necessarily NEEDS, but optimization of net protein synthesis.

    Appreciate your opinions as your website/blog/book has been a great piece that has greatly helped out my and my families health.

    Kapeta

  31. Lenny K. says

    Hi Chris, Danny, Paul,

    My question is in regards to our adaptability to different diets and how it may pertain to optimization or perfection… Thinking about diet, or anything for that matter, humans are seemingly always concerned with efficiency; it is from this standpoint that I reason an optimal diet would be closer to the 60 or 70+% mark in one particular macronutrient, rather than the mixed diet that the standard american fare has accustomed us to. Though, from my perspective it seems transitioning from High fat diet to transient periods of high carb (when your hunt didn’t go so well) seems pathological –due to high fat diets causing insulin resistance. On the other hand, maintaining a primarily high carb diet given to short periods of high fat fare seems perfectly fine–if anything high carb (safe starches) brings about low fasting insulin and low fasting glucose; none of which conflicts with introducing high fat foods.

    So my questions stands at this: from an evolutionary perspective, from the perspective of adapting to different conditions, and from the standpoint of efficiency, does it not reason that eating a higher carb diet is more “perfect”?

  32. says

    I have been sick for a few years and I believe my health problems are linked to a yeast overgrowth. I took many antibiotics for chronic sinus issues and was on the birth control pill for many years. I’ve been following a low carb, moderate protein, high fat diet paleo type diet. I always thought it was good to keep starchy veggies and fruit amounts low when trying to get rid of a fungal infection. Why do you suggest chronic fungal infections should be treated with consuming larger amounts of starch?

  33. Alissa Friedman says

    Hi Chris and Paul,

    Thanks, Paul, to you and your wife for the PHD! Here are a few miscellaneous questions:
    1. Is it OK to have green tea while fasting?
    2. Night foot and calf cramps: could they be caused by not adding enough safe starches to the diet (I typically have about half a yam or sweet potato a day), or is it more likely a supplementation issue (I take cod liver oil, vitamin D, alpha lipoic acid, magnesium and selenium)?
    3. Hot flashes: I recently tried stopping use of the lowest dose estradiol patch (after 1.5 years using it), hoping that diet and lifestyle changes would now keep the sleep-killing, work-interrupting flashes away. They came back. Any dietary refinements you can suggest?
    Many thanks,
    Alissa

  34. Shari says

    I have so many questions:
    1.What are your thoughts on fresh vegetable juicing? Is it a good thing to do in your eyes?
    2. What are your thoughts on fermented cod liver oil/butter oil for supplementation?
    3. Is white potatoes a good starch?
    4. What do you think of coffee enemas?
    I just started reading your book (it has been on my shelf ) and hope it will be the answer to my problems.
    I have “tried it all” the last being Bee Wilder’s Candida Diet and GAPS, and most recently the low FODMAPS diet. They all seem to help some but just can’t get rid of my lingering symptoms: constipation, constant mild headaches, tinninitis, fatigue, brain fog, deteriorating eye sight.

    • says

      I too have try Bee’s diet, paleo, autoimmune paleo, etc. I also will get rid of some of my symptoms, but my headaches, fatigue, body aches, yeast infections and sore throat linger.

  35. clarevh says

    I had a subtotal thyroidectomy in 1980. Since that time, my remaining gland has served me well and I am very protective of it! After the HRT debacle in 2002, soy was touted for menopausal symptoms, and I almost fell for it. Then I read on the WAPF website that soy is a goitrogen, and I have since avoided soy as much as possible. Within the last couple of weeks, a study was published that showed soy does not protect against bone loss or mitigate hot flashes in menopausal women any better than a placebo.
    So, soy consumption has increased in the last ten years, and so has the incidence of autoimmune thyroiditis and papillary thyroid carcinoma.

    My question: In your opinion, what role (if any) does soy play in causing or promoting Hashimoto’s/autoimmune thyroiditis and/or papillary thyroid cancer?

    Thanks!

  36. Angie says

    What would you recommend as standard supplements for children in middle childhood (9-12 range)? We’ve been eating PHD or in that style for about 2 years. Both my children were conceived and had early childhood eating a mostly standard American diet using conventional wisdom to make “healthy” food choices, i.e., a Nutri-grain bar instead of Poptarts. Many health and behavioral issues have improved and continue to improve eating this way, but as my oldest is coming into early puberty, I’m curious how best to support him as his body makes such big changes.

    Thank You!
    Angie
    Portland, OR

  37. Erik says

    Dr. Jaminet, I’ve been following the Perfect Health Diet for several months but recently my therapist warned me that such a low macro nutrient ratio of carbohydrates could have an adverse effect on my serotonin levels, especially for those who are prone to depression. Is this true?

  38. Suzanne Palermo says

    Dr. Jaminet, I would be interested in your thoughts on eating in season – I live in Vermont, bought a share in a local organic vegetable farm this summer and have been eating only the produce in my weekly delivery, with just a little supplementation from the supermarket. Of course this will be trickier during the winter months…do you think there are health advantages to limiting consumption of fruits and vegetables (within reason) to those months when they are in season? I love berries though and will probably buy frozen ones to supplement over the winter.
    I discovered the PHD while doing research on nutrition for my teenage son who has ulcerative colitis. I’m still trying to get him to make the changes in his diet, but I’ve been on the PHD for 2 months and feel great! Thank you and your wife so much, and thank you also to Chris for your great site!

  39. Shari says

    What are your thoughts on stevia?
    If someone follows the more ketogenic diet you prescribe for deeper problems, how does a person get 12 tablespoons of coconut oil down??

  40. Sherri says

    Hi,
    I have a question about auto-immune Hashimoto’s Disease. In the Perfect Health Diet, Dr Jaminet discusses the correlation between gluten and its aggrevating effects on Hashimoto’s hypothyroidism. If a Hashimoto’s patient completely eliminates gluten (I’ve read that your thyroid can have a reaction up to 60 days after ingesting gluten), can a patient successfully decrease their thyroid medicine and hopefully decrease their chances of burning their thyroid out over the long run? Or, if a Hashmimoto’s patient removes gluten, can they expect to take relatively the same amount of thyroid hormone (ex Armour), expereince some of the positive effects but not really hope to dramaticaly decrease their thyroid medication. Also, would taking Naltrexone help with this? Thank you very much!

  41. Hunter says

    Chris-
    Thanks for introducing me to PHD and congrats on the birth!

    Paul- Love the info. in the book. I was hoping you could go in to more detail on your thoughts regarding “safe starches.” I think the book recommends 200 calories of carbohydrate/day for weight loss and maybe up to 400 calories otherwise. I could be wrong on that. I was wondering if you think someone could or would still lose weight with a higher daily carbohydrate intake if the calories were all from “safe starches” such as white rice, potatoes. Also, are there any other starches you would consider safe that aren’t listed in the book? What are your thoughts on sweet potatoes and do you still recommend avoiding brown rice?

    Also, would you advise against eating bacon?

  42. Anja says

    Hallo,
    I suffer from Hashimoto. Unfortunately I started taking T4 on May 2010 instead of filling my body with vitamins, minerals etc. and eating more than 50g carbohydrates. This time my thyroid looked healthy and it was big enough (18ml) and my free T4 and T3 weren’t too bad. But I had bad symptoms from the low fT3.
    TSH (0,27-4,2): 4,44
    ft3 (2-4,4ng/l): 2,7 (29%)
    ft4 (9,3-17ng/l): 15,2 (76%)
    Big mistake to start with T4. I never had so good blood levels again. With 100 LT:
    TSH (0,27-4,2): 2,6
    ft3 (2,21-4,43ng/l): 2,43 (10%)
    ft4 (9,3-17ng/l): 14,57 (68%)
    Now my thyorid volume is only about 11ml. And I have Tg-Antibodies now. Symptoms became worse over the year.
    Then I started with natural thyroid 5 weeks ago. I feel a little bit better. But my TSH will be surpressed soon I think. I wonder if this is a big mistake again. I have now a healthy high fat diet with 100g carbohydrates and I take vitamin/mineral supplements.

    My question is: Will it ever be possible to get off thyroid hormones if the TSH is surpressed one time? Would be the body damage too much when you get off the medication when the TSH needs too much time to become higher and so T3 and T4 fall to very low?
    Have you ever met somebody who took T3 once and could get off the supplement anyway? Or is T3 a no way back supplement because of the TSH surpessing and the shrinking thyroid?

    Thank you!!!!!!
    Best regards from Germany!
    Anja

  43. Matt says

    In your book you mention the idea that we are meant to get strong, rather than fat in the summer in order to prepare for the winter months when food is scarce.

    I would love to hear this elaborated upon. Until I read the PHD i never considered that fat might not be the ideal place to store excess calories.
    So these are my questions..
    Were carbs even more available during the summer months?
    If so, does eating more starchy carbs lead to muscle gain?
    Is it just a coincidence that sugar is only available during the summer months?
    Is food even scarce in the winter months??????

    gahh im so confused

    Thanks, matt

  44. Jess says

    I’m also interested in hearing Paul and Chris talk about candida. I would love it if you could tackle any of these questions: Is candida an overused, catch-all diagnosis? What is the difference between candida and gut dysbiosis? Do diets such as the Body Ecology Diet have any merit (especially when it comes to eliminating things like vinegar, wine, etc., and cooking food very thoroughly)? Is there any reliable testing for candida? What are the most effective steps for treatment in your opinion? Do chronic vaginal yeast infections = candida?

    Thank you!

  45. george says

    Chris, thank you so much for this opportunity to ask Paul a question. Three years ago I went low carb ala adkins and had good results. Over that time I was introduced to a Paleo Style of eating (Cordain, Wolff, etc). For the most part I believe my health has improved with one caveat. Over the course of the last three years I have had three bouts of very painful kidney stones. My doctors are appalled at my low carb diet and blame this for my kidney stones. I have done a 24 hour urine test which reveals that I have high uric acid levels and high oxalates. (My kidney stones are calcium/oxalate stones). These stones are excruciatingly painful that always result in an ER visit and morphine to address the pain. I am at a loss of what to eat to stop this. My doctors and convential medical advice tell me to strictly limit meat and high oxalate foods (beets, spinach, etc), both mainstays of a paleo diet. What do you suggest for kidney stone sufferers? Thanks again.

  46. trina says

    i read the book and thought your discussion of carnivore/herbivore/omnivore nutrition was fascinating. I’ve looked at many many books about nutrition and never seen anything like it. Amazing.

    I have a question about your 20 65 15 ratio. You list 4 sources that you used to come up with this number:
    hunter/gatherers had a variable ratio, but averaged out at 20 60 20
    human milk adjusted for adult needs 20 64 16
    composition of human body leads to a 20 60 20
    animal models suggesting lower carb generally.
    None of these have a protein intake as low as 15. Why do you not use 20 60 20 as your ratio? how did you decide upon the 20 65 15?

    And a second question
    you list iodine as one of your suggested supplements, but iodine is very dangerous to people with hyperthyroidism, and the symptoms are not that easily distinguished from hypothyrodism. as your book had as a main theme the avoidance of toxic doses of needed nutrients, why do you recommend iodine so freely for everyone? are there any tests one can take to determine if iodine is appropriate?

    Thanks
    Trina

  47. Marcela says

    I’ve been doing PHD for a week and feel great. However, I started it along with an elimination/limitation of the poisons of modern life (tv, internet, video games, etc). I did this because I started to feel like a rat hitting a lever for another pellet. I’ve been trying paleo/primal for a while but was not doing well. I think the 200-400 starch calories really help me. Changing my diet to PHD has strengthened me to not fall into the other bad habits. And vice versa. Can you comment please on the yin/yang of nutrition and the rest of our lives (emotional and intellectual)?

    Thank you very much for the work you do… your book has been incredibly helpful. It has given me such a positive attitude toward food. I have ~50lbs to lose but my focus is on nutrition.

  48. Kim says

    I’m wondering if there is anything I can do to readjust my “set point”? I’ve followed pretty closely a paleo diet with a little fermented full fat dairy and a (very little) bit of rice and corn for nearly four months. Although my blood work has gone from ok to pretty much perfect (CRP and Lp-plA way down), my body fat still hovers at about 29%. I’m a 48 year old woman and my hormone levels don’t look like I’m getting even close to menopause. I work out 4-5 days a week. I look exactly like I did back when I was drinking 1-2 beers a day and snacking on the baked treats that are brought to work. Any suggestions?

  49. Ben says

    I have a pesky case of tinea versicolor that I can’t quite shake. I thought I had it beat, but it recently came back. I was blaming dairy, as I recently got carried away with goat cheese and kefir, thinking I could handle goat dairy. But spending some time on Paul’s website, I might also try to cut out my beloved eggs (or at least the whites) as well. So I’d be interested to hear more about dealing with yeast. This seems like a minor gut problem to me, but tips on how exactly to manage the gut healing process and how long it generally takes would be helpful.

    Congrats Chris. I am enjoying the healthy baby code very much.

  50. Mary says

    I have to admit that after listening to Jaminet on podcasts and reading (halfway so far) PHD, I find myself growing increasingly anxious over what to eat. How on earth do people make mind-numbing calculations meal after meal without losing their minds. I found myself longing for a reassuring “don’t worry about being perfect,” but I never heard that from him. I began logging my food, but worried when carb/fat/protien grams didn’t match my goals exactly. I understand and appreciate the science behind the recommendations, but I wish that Jaminet had acknowledged along the way that the diet would be undertaken by humans who live in the real world, and not lab rats who are doled out their macros in handy little pellets. I know you weren’t soliciting reviews, but I’m feeling more orthorexic than ever.

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