Interview with Diane & Liz on the Balanced Bites Podcast about Digestion

Interview with Diane & Liz on the Balanced Bites Podcast about All Things Digestion

by Chris Kresser

Last updated on

On Wednesday the 19th I’ll be on the excellent new Balanced Bites podcast with Diane Sanfilippo of Balanced Bites and Liz Wolfe of Cave Girl Eats to discuss digestive health. Topics covered will include:

  • FODMAPs
  • Small intestinal bacterial overgrowth (SIBO)
  • Gut pathogens
  • Maintaining healthy gut flora
  • The best nutritional approaches for gut healing

Leave your questions in the comments section before the end of the day on Thursday (the 13th).

Diane and Liz have a great show. If your eyes start to glaze over when people (like me) start rambling about the finer points of scientific studies and physiological mechanisms, but you love practical, down-to-earth discussion about Paleo food and nutrition, their podcast is for you. Check it out!

  1. Hi Chris,

    Can you give me the information on the infant Pro-biotic you recommended on your talk of digestion on the Healthy bitespodcast? I had a c-section 3 weeks ago due to my baby being in a transverse position and his vitals decreasing with each contraction..I am breast feeding but would like to look into supplementing with the pro-biotic you recommended. Thanks for your time!

    Alisha

  2. Hey Chris,

    I’ve been a fan since your first appearence on Robb’s podcast. Been on a relatively low carb paleo diet since 03-10. Im a type 1 diabetic and have managed to lose 65 lbs. The problem is Im a 30 year old male 5’7 and now weigh about 130 lbs on a good day. I want to gain about 15 lbs but I have several issues. First is that my cholesterol is extremely high TC is over 300 so Im afraid to add more fat or protein to my diet. On your podcast with Dr Deans you seemed to indicate a TC level in the mid 200 as optimal for longevity. Second Ive tried adding carbs and fat to my diet but have generally been met with bloating and really bad pain as well as higher flucuations in BS. I had an endoscope done 6 months ago (no celiacs although I was already paleo for a year) and it seems to have started a lot of my problems as I get dizzy now when I eat too much (especially carbs.) I was a Crossfitter for two years but stopped after the endiscopy due to feelin weak and tired. I first thought it was the reason I couldn’t gain weight but after 4 months of just walking I’m still dropping weight and fast. I’ve lost 10 lbs since I stopped. I feel stuck in a box I can’t get out of.

    Help

    Daniel

  3. Per recent results from a Genova Diagnostics CDSA/P test, I am not digesting fats (long chain fatty acids at 29.7 mg/g, phospholipids at 10.5 mg/g and total fecal fat at 43.9 mg/g). Can you comment on what causes a person to stop digesting fats (as opposed to digesting protein and carbohydrates which I appear to be digesting adequately)? How can you treat fat malabsorption? Is this a condition that can be resolved/cured with the proper treatment? Do you recommend a paleo diet (which as you know encourages a higher consumption of good fats) for someone with fat malabsorption issues? Or should fat intake be limited? Is it also problematic to supplement with fish oils if I am not digesting fats? I have been diligently trying to adhere to a paleo diet for the past 8 months, but it has not been very successful. I have actually ended up gaining weight rather than loosing weight and I always feel very bloated (even when taking good quality probiotics and digestive enzymes) which I did not usually feel on a gluten-free but higher carbohydrate and lower fat diet. I imagine this is because on the paleo diet I have significantly increased my fat intake (avocados, nuts, nut butter, olive oil, coconut oil, bacon, etc). I would be very interested in any thoughts you have on this issue.

    Many thanks!

    Carrie

  4. I feel your pain Kaitlyn, I was doing well on paleo diet but tried to heal my Crohns once and for all with GAPS. Im doing it for about a year now but honestly still haven’t progressed comfortably past the intro stage. My overall health is way worse now than before GAPS with more allergies and sensitivies now. Its frustrating alright…
    I think the extreme low carb/low calorie nature of Gaps intro, if done for too long (which I did) can starve the already comprimised beneficial bacteria, fry the adrenals and take a big toll on the liver.
    From having learned the hard way, my advice is to only start the GAPS protocol conjunction with a practitioner who’s familiar with it and comfortable tweaking it!
    Keep up the good work Chris, appriciate your efforts!…’there’s more to life than health’!

  5. Does healing your gut remove IgG mediated food intolerances to otherwise “normal” paleo friendly foods or do you have to avoid the foods for a given time before re-introducing them?

  6. I find that fruit, nuts, and chocolate trigger acne. Eating very low carb and intermittent fasting kept the acne down, but caused other problems, so I have added “safe starches” as per PHD. I tolerate them well for the most part, though my acne flares are worse then when VLC. Paul Jaminet thought my sensitivities might be evidence of a small bowel dysbiosis, and suggested trying a detox agent. Activated charcoal seems to work very well at keeping the acne at bay.

    In your opinion, is the effectiveness of the activated charcoal evidence for a small bowel dysbiosis? If so, what strategy would you recommend to resolve it?

    (Background: I’ve had health issues for many years, chronic sinus infections throughout youth, acne since teens, IBD in 20’s. Went on SCD in 2004 which solved sinus infections and greatly improved gut symptoms. Added rice back into diet without much issue. Went very low carb paleo in 2010 which significantly improved acne, but caused terrible body odor. Added safe starches as per PHD and seem to tolerate them well.)

  7. My food is not digesting. I have been following a Paleo diet since January and I have very little gas and distention, but I continue to have diarrhea three to four times a day. I take a dietary enzyme and supplement with probiotics. I avoid nuts and raw veggies as this makes it worse. I try to eat well-cooked veggies and meat as the staple of my diet. I eat no grains. The food often comes out looking exactly like it went down, only in smaller pieces. Please help, I have had diarrhea on and off for almost 15 years. BTW, I also have hypothyroidism. I have a history of anemia, but that has been cured with the Paleo diet, so I know that I am absorbing more nutrients that I was pre-Paleo, but I would just like to have a normal bm each day instead of what I am dealing with now. Paleo has cured my stinky gas and cramping, but not the diarrhea. Thanks Chris and Balanced Bites for tackling this not so glamorous issue.

  8. Can you also talk about how you typically “tweak” the GAPS diet for your patients and when you add in safe starches?

  9. I’ve been following your recommended diet for about 1 1/2 years now. Started GAPS Intro 4 months ago but can’t comfortably move on to Full GAPS. I feel like I have more constipation and bloating problems as I’m purposefully trying to heal my gut flora than I ever did before starting GAPS. How is that possible?! Pretty frustrating. My husband has been eating the same as me and also can’t move to Full GAPS. He now has persistant bloating and diarrhea but never had either before GAPS. (We both consume plenty of fermented foods, Bio-Kult, and fermented cod liver oil. I take magnesium supplements each day to try to prevent the constipation but my husband does not use magnesium since his digestion tips the other way.) Are all of these symptoms just part of a long healing process or is something else going on?

  10. I believe I have dysbiosis due to all my symptoms (bloating, pain, nausea, lack of appetite, brain fog, etc), and I’ve been taking probiotics for years without any improvement in my symptoms. I’ve tried many different brands that work for many people, but haven’t worked for me. However, recently I read that most of the bacteria in our gut is from the Bacteroides family, which isn’t in probiotics, with lactobacillus and bifidobacteria making up only a small percent of the total bacteria in the gut. I also read that having too much bifidobacteria from probiotics in the small intestine can cause problems since they’re supposed to be in higher amounts in the colon instead. I would like to know how to increase the good bacteria in my gut and decrease the bad, besides just reduce carbs, which I’ve done already. I have no wheat or dairy in my diet and eat a relatively healthy diet with a good amount of fat in it. I also would like to know if there’s something that modulates the immune system that you would recommend to reduce the inflammation that causes this brain fog. Thanks.

  11. Hey. I suffer from chronic fatigue syndrome. I am house bound 90 percent of the time. I follow a paleo type diet I guess you could say or an evolutionary correct diet of organic vegetables mostly non starch apart from sweet potato, grass fed lamb, chicken, seafood and eggs, coconut oil and milk, bone broths etc. I do not go to the toilet generally unless I take oxypowder which my naturopath told me I must use. I do also take very high does vitamin c and moderate magnesium but these do not make alot of difference bowel movement wise to get things moving. What are your thoughts on oxypowder by GHC? Can the oxygen wipe out good bacteria? They claim not, I am suss. The company promises no dependance will occur with this product. Also can severe hormone imbalances cause constipation and digestive issues ie: low progesterone, no oestradiol production, low oestrone etc? high night time cortisol? I try to eat more glutinous meats, marrow etc over high muscle meats as recommended in GAPS diet. I use Dr ohiras OMX-100, Symbion, Syntol and make my own coconut kefir. Cheers, Amy

  12. I’m very interested in reading your upcoming series on iron excess and how it relates to glucose intolerance. I am aware of some individuals who have donated blood to manage high iron levels and ended up sick afterwards. Can you address why this may have happened? Is there any way of knowing ahead of time whether or not one with high iron would be at risk for an adverse reaction to a blood donation?

  13. Just want to second Nancy’s question re: the dental – digestive connection. I’m very curious about your opinion on that as well.

  14. What do you have to say on the topic of a “dental – digestive” connection? For example, could toxins from anarobic bacteria from root canals, implants, cavitations, or bacteria from low grade, chronic, dental infections or heavy metal toxicity or reactivities be experienced as digestive issues? The mouth, being part of the digestive system, it would seem, that dental work would influence what happens down stream, so to speak. Any thoughts? Thanks.

  15. I have Bristol Type 1 stools. I eat sweet potatoes, collard greens, kale, and drink kombucha daily. I also eat dairy, red meat and alot of healthy fats. Why am I always constipated and why do I always need coffee to stimulate a BM? I quit coffee for along time and my body didn’t sort out the constipation on its own. Is it the heavy creams, meats and fats slowing motility? Would digestive enzymes help and why? Please go in depth on the subject of Bristol Type 1 stools, it’s much appreciated.

  16. I’ve been VLC for 2+ years. Just started to experiment with veggies in my diet. I’ve noticed no ill effects with sweet potatoes, but I with cruciferous veggies like broccoli and cauliflower I have. Not major issues or pain, just lower gut gas. What do you suggest I do? Normally it wouldn’t be that big of a deal because it mainly shows up around night time — but my girlfriend is actually suggesting I go back to carnivore. Never thought I’d hear that.

    Thanks.

  17. Brassica vegetables – should I get bloated/gassy after eating many brussel sprouts or broccolli florets?

  18. I too get bloating and/or pain after eating ANY FOOD. Looking forward to the podcast. Hoping to hear something that I can apply immediately.

    • I second Talayna’s comment, except that I notice the bloating more after a mid-day meal than I do in the morning (which is usually eaten after working out) or in the evening (when I am more relaxed and usually going to bed shortly afterward anyway). I supplement with probiotics and HCl at each meal, but the bloating that occurs after lunch makes for a long afternoon. This seems to occur regardless of what I eat.

[if lte IE 8]
[if lte IE 8]