I've been reading Paleohacks every day for the last 6 weeks as I've been trying to clear up my skin. I haven't had perfect success with that yet, but it seems that it usually takes 2 to 3 months to resolve skin issues, so I'll continue to wait (though I'm frustrated). My diet is: grass-fed beef, some fish and oysters, some chicken or pork (once a week or less), some liver and marrow, lots of vegetables, beets, yams, all green vegetables, carrots, cauliflower, coconut oil, beef tallow, occasional bone broth, fermented sauerkraut, no eggs, no dairy (including no butter), no nightshades, no nuts. I cut out the occasional glass of wine a few weeks ago. Recently I cut out coffee as well. I supplement with zinc, magnesium, vitamin D, K2, and sometimes I take a probiotic.
I still have some slowly healing break-outs from accidental gluten ingestion a few weeks ago (gluten gives me cysts and large areas of swelling on my face... lovely) but I was pleased because since I've been following this strict diet, my skin has been feeling softer and I wasn't really getting any new breakouts. Except two weeks ago, when I ate maybe 1.5 cups of grapes and the next day got 4 or 5 new break-outs on my temples (which had been clear). I didn't really think much of it. But then over this weekend, I ate several medjool dates, and again broke out all over my temples the next day. Additionally, I felt mildly depressed for about two days afterward, and my digestion (which is usually strong) was off.
I haven't really been eating fruit apart from those 2 instances, but now I'm scared to eat it at all. Does this mean that I likely have fructose malabsorption? Will I eventually be able to tolerate fruit again? I'd like to be able to eat it (along with a lot of other things, haha) but I really want to have nice skin. I'm willing to continue to be this strict with myself but it would be easier if I saw more improvement.... Thanks to all for your help!