Submit your podcast questions for Dr. Paul Jaminet

August 14, 2011 in Uncategorized | 38 comments


pauljaminetI’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!

{ 38 comments… read them below or add one }

Jamie Gisby August 14, 2011 at 10:04 am

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.

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meeka August 14, 2011 at 2:06 pm

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

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A August 14, 2011 at 11:12 am

What does your typical daily diet look like? Would you ever consider a higher carb diet a la Stephan Guyenet?

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Gus August 14, 2011 at 11:19 am

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?

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Ruth August 14, 2011 at 11:41 am

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.

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Jerry August 14, 2011 at 11:59 am

How would you go about treating depression?

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cary nosler August 14, 2011 at 12:02 pm

Are you still opposed to taking omega 3 fish oil supplements?

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Deanne August 14, 2011 at 12:37 pm

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?

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David Brown August 14, 2011 at 12:38 pm

Is Ray Peat correct to assert that unsaturated fatty acids are not essential? http://raypeat.com/articles/articles/unsaturatedfats.shtml

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Martin P August 14, 2011 at 12:42 pm

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

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David Brown August 14, 2011 at 12:44 pm

Some scientists say palmitate research supports the idea that saturated fats promote insulin resistance and inflammation. How would you interpret that research?

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Sarah Madden August 14, 2011 at 12:48 pm

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

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Marlene R August 14, 2011 at 12:55 pm

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!

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Leah August 14, 2011 at 12:55 pm

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.

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Howard August 14, 2011 at 12:57 pm

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.

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zane August 14, 2011 at 1:06 pm

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

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Vivian August 14, 2011 at 1:39 pm

Bought your book but still not clear – ice cream and chocolate are part of the “Perfect Health Diet?”

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JGW August 14, 2011 at 1:50 pm

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.

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JGW August 14, 2011 at 2:13 pm

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?

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Laura August 14, 2011 at 2:29 pm

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!

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Stabby August 14, 2011 at 2:48 pm

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.

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Blythe August 14, 2011 at 3:31 pm

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.

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Justin Marchegiani August 14, 2011 at 6:49 pm

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

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Juan Camilo August 14, 2011 at 7:36 pm

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

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rose August 14, 2011 at 7:42 pm

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

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Eric August 14, 2011 at 7:51 pm

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.

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kel August 14, 2011 at 8:31 pm

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!!

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Anne August 14, 2011 at 9:26 pm

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.

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Debbie August 14, 2011 at 8:54 pm

My daughter has ITP, is there a special type of diet that she should eat for this condition?

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Jeff August 14, 2011 at 11:01 pm

The link to perfecthealthdiet is foobar.

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

:-)

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Radkys August 15, 2011 at 2:55 am

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).

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Torea August 15, 2011 at 10:16 am

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!

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Stevie August 15, 2011 at 11:36 am

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.

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Shari August 15, 2011 at 12:14 pm

What are your thoughts on water kefir and kombucha? In your opinion are these healthy drinks?

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Franky August 15, 2011 at 1:34 pm

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.

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Swedish Omnivore August 15, 2011 at 2:49 pm

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!

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Colleen H. August 15, 2011 at 5:03 pm

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!

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Chris Barrera August 15, 2011 at 5:51 pm

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?

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