I have a history of Celiac and Hoshimotos hypothyroidism and was starting to get symptoms of Sjogren's syndrome so I started the Paleo diet about 6 months ago to try to heal my leaky gut. The Sjogren's symptoms are gone, headaches and fatigue are gone as well. I also have mostly eliminated nightshades as well. I do eat out once a week but am strict the rest of the time but still have stomach aches, bloating and brain fog. So, I am wondering if I should do the FODMAP elimination diet instead which includes nightshades and eggs. I am a busy mom with 3 kids and am finding the meal planning tough.
It seems as though you've had a large amount of success so far with paleo, though incomplete. Now that you've been paleo for 6 months, I'm wondering if, instead of jumping ship to FODMAP, you might not want to consider going stricter paleo.
Eating out once a week can usually be done in a pretty paleo-friendly way if you do a little menu-research beforehand. If that's not feasible, you might want to consider foregoing the weekly indulgence for a month, to see if that's what's keeping you inflamed. If you haven't already, you might also want to consider straight bone-broth for a week ... it sounds like your gut is improved, but not fully healed yet. Part of the problem with Celiac (where it sounds like most of your symptomatology comes from) is that your body begins making auto-antibodies not only to the gliaden that initiates it, but also to the transglutaminase in your endomysial cells. This destroys the convoluted surface area of your gut lining (the intestinal brush border), giving you insufficient surface area to properly digest carbohydrates. Bone broth gives your body time to rebuild this surface area.
If this provides some level of relief, but insufficient, it would be pretty easy to combine FODMAP with paleo concepts, as there is considerable overlap. But while strict FODMAP does well for IBS, it is not quite as effective for Celiac and, furthermore, may see the return of some of your other symptoms.
As a final thought, many of the autoimmune diseases from which you suffer are associated with specific human leukocyte antigens (HLA markers) that predispose folks who inherit them to specific disorders. If you know for certain that you have, for example, HLAs DQ2 or DR5, that may change the way you think about the celiac or Hashimoto's, respectively.
Most people with Celiac need to do more than just fix their diet to heal leaky gut. Going Paleo is a critical step, but you may want add other healing strategies. Bone broth is one of the best. Others include, but are not limited to: Fermented foods & probiotics, Vitamin D3 & K2, Curcumin and LDN.
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