I have a very adrenal fatigue, leaky gut, h,pylori/gastritis. My leaky gut is so bad that I cannot break down solid foods and I seem to react to everything.
I cannot take hcl due to gastritis and digestive enzymes didn't work either. It seemed to me an elemental diet was the best way to heal and I was looking at the GAPS diet.
She says at the beginning take meat broths and egg yolk and then progress to stews/veg as you become tolerant. What does she mean. Firstly egg is one of the first things I became sensitive to in a bad way so how can would I be able to use egg yolk?
Secondly, even if I could would enough broth and egg yolk give enough calories? Is she saying to keep eating this until the leaky gut recovers and you can have solid protein, veg etc.
Its impossible to live on broth alone and I'm wondering if egg and broth will do it enough and make the gut recover until you can start introducing many foods.
I also note in stage 1 she says simmered meat in another document but the whole point is people with leaky gut can't have solid meat and this will prevent recovery of the leaky gut bringing you back to stage 1.
Can somebody clarify what a elemental GAPS diet for a severe leaky gut looks like.
@HelicoVictim I did the GAPS diet to heal my severe Crohn's disease and was on it for a year and half. Stage 1 is basically homemade meat stock and boiled meats and veggies. If you're extra-sensitive you can peel the veggies and/or blend the soups. The length of this stage varies depending on the individual but generally, 3-7 days is recommended. Boiled meats are fine for leaky gut and I've never heard differently. I too, in addition to leaky gut from Crohn's had h.pylori and adrenal fatigue at the time I was on GAPS and my symptoms were severe. Stage 2 you add in the raw egg yolks for another few days until you are having one egg yolk in each bowl of soup. If you cannot do eggs, just skip them. In a few months you can test and see if you can add them in. Many many people who are GAPS cannot do eggs in the beginning so it's not a deal breaker although it can be a bit more challenging to not have that option. Stage 2 is also stews and casseroles which basically means more meat and veggies but you can now cook them in the oven in a "casserole" instead of always having to boil them. You can increase juice from fermented veggies in stage 2 and also try a bit of ghee. If you'd like to read about what it was like to be on the GAPS diet you can read my healing story here: http://crohnsbabe.com/about/my-healing-story/
Hope that helps! -Tara :)
Thank you for your answer. Your response makes me wonder if your leaky gut developed to the point where you developed protein indigestion due to low hydrochloric acid. You see, as the leaky gut gets worse and worse, stomach acid and pancreatic enzymes production decreases. Many people don't reach this stage where they can no longer break down proteins but they just have sensitivities. When people have protein indigestion, they experience bloating when taking protein, pain and the large protein molecules pass through the gut wall.
At this point one must take hydrochloric acid supplements in order to break down protein but if they have h pylori(which you say you did) they can't. An alternative is digestive enzymes which didn't work for me, however did they work for you?
If one does not address the protein digestion via hcl or digestive enzymes they must go elemental i.e. hydrolysed protein otherwise large protein particles will continue to irritate the gut. This is why I can't understand what an elemental GAPS diet would look like, if you have solid food e.g. simmered meat that is not an elemental formula i.e. liquid diet for people who lack the ability to break foods down.
Do you experience protein indigestion or not? If no surely your protocol won't work for me?
@HelicoVictim Ran out of characters on the last reply... If you feel that your protein indigestion is so severe that you cannot have solid protein then perhaps this isn't the right diet for you because as you said, that would only leave broth and boiled veggies which is not enough calories. All I know is that I had h.pylori (even though I didn't know it at the time) and severe leaky gut and did phenomenally on GAPS. I do know that the broth helps make the protein more digestible but you would have to see for yourself. Blending the protein in the broth also an option to ease digestion.
@HelicoVictim 1) I tried HCL as an experiment because I knew of its benefit to digestion. It did help me very much initially (great stools, and this is when I knew had h. pylori) but then I took too much and felt a little nauseated. I tried it again later but it didn't have the same benefit it did in the beginning. I was also aware that there is controversy about it causing bleeding and since this was one of my biggest symptoms in my past, I decided to let the HCL go for the time being. 2) I use Klaire Labs Vital-Zymes complete. To clear the h pylori was a very involved protocol that took several months. I worked with a team of two functional medicine doctors on it. I had giardia parasite in conjunction so it was complicated. In short, it was two rounds of two different allopathic antibiotics spaced apart with simultaneous heavy probiotic supplementation at specific times of day. Then another break with just probiotics, then followed by about 3 months of herbal antibiotics with simultaneous probiotics. It took a long time but it worked. I was very reluctant to do the traditional antibiotics in the beginning because they are so risky but two FM docs I was working with who are very experienced advised that my situation was an instance where to not do it would make it quite challenging to clear the infection. One of the docs has successfully eradicated h pylori in over 500 patients so I felt I could trust his experience and advice. It was a tough decision that I did not take lightly, but I did do the allopathic ABx at the beginning and am now thankful that I did since we got it on the first try.
@HelicoVictim You're very welcome. The doctor who helped me eradicate the h pylori is Dr. Dan Kalish: http://www.kalishresearch.com/patients/index.html Regarding conventional antibiotics, I did use them. Perhaps it wasn't clear but that's what I meant by allopathic antibiotics. That's what I had a hard time making the decision around - whether or not to use the conventional antibiotics as they can cause many problems because they wipe out so much good bacterial flora along with the bad. Conventional antibiotics are one of the biggest reasons I ended up with Crohn's so I was very hesitant to go that route after having achieved such healing on GAPS. So to be clear, after weighing the situation, I DID end up using conventional antibiotics in the beginning of my treatment protocol.
Gaps is NOT and elemental diet since it permits meat tissue after 3 days which does require digestion. In elemental diets no digestion is required e.g. liquid amino acid are fed to the patient for protein.
If you cannot take stomach acid supplements to break down protein and digestive enzymes don't work for other food, then you will need an elemental diet. Be sure to check you really are sensitive to ALL foods. I thought I was, however I suddenly found I could eat kale and other leafy greens(not big ones e.g. cauliflower) for carbs since they require less stomach acid to digest(something which people with advanced leaky gut have).