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I've had a strange experience with paleo. Nearly 9 months in, and I've never looked worse on a daily basis in my life. All of the physical transformations people usually describe are played in reverse for me. I'm a slim, 26 y.o. male, no chronic health problems, and lately I wake up with the following symptoms, which I never had on my crappy mostly vegetarian/peanut butter and jelly diet:

1) Puffy face (eyes) and hands, especially in the morning. The face tends to sort itself out by night, but my hands almost always feel like 10 lbs of fluid in a 5 lb bag.

2) Reddish nose. It looks like I have a sunburn.

3) Abdominal weight gain. My weight was always extremely stable, even in the first few months of paleo, yet I've gained something like 12 pounds of belly fat.

4) Dandruff.

No matter what I do, or what I tweak in my diet, nothing seems to have a strong correlation. VLC, starches, changing protein, no salt, NoSalt, more water, supplements, full elimination diet,....I even went back to eating garbage for a week, and I looked exactly the same. One strange aspect is that every few weeks, all of these symptoms will disappear, if just for a couple days. Only then do I realize how just plain sick/hungover I usually look, because my hands and face feel drained and I recognize myself in the mirror. Had robust bloodwork done, including a morning cortisol blood serum, which was 9.4 ug/dL. My doctor thinks I'm full of it. No allergies besides a common mold allergy, but I don't have any of the respiratory symptoms. I take Mg and FCLO, plenty of sleep, no coffee. Digestion has been fine.

Anyone have such an experience, where the Before/After photos are switched? I read testimonials from the converted and it just baffles me. A lot of people's lingering problems on paleo are exactly that: problems left over from their SAD days. Stalled weight loss, not sudden weight gain etc... Yet I had none of this on SAD.

UPDATE 8/2012: So all of the stuff above and everything else I'd been complaining about on this site (constant flushing, swollen hands, numbness, lightheadedness, depression), which all lasted for about a year and was oddly starting become normal to me, cleared up almost immediately since switching to a Ray Peat diet several months ago as a lark. I know, I hate to say it, I thought he was a kook too. But it was startling, within one week I looked like a different person. I hardly think about food anymore because I'm not constantly managing symptoms. I have a lot of energy, my skin is better, my mood and creativity have improved immensely, have lost all of the extra weight, and my libido is back. Eating paleo as practiced by people in nearly every permutation (Kurt Harris, PHD, Weston Price etc), sent me down a rabbit hole that cost me thousands of dollars spent on supplements/tests/appointments and countless hours obsessing over food, and I'm glad to be out of it.

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What's your diet like? (I looked way worse when I started paleo because I ate nuts and fruits, I don't know about you). – Korion Nov 3 2011 at 16:22
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HMM i had all those symptoms for a while.... im not exactly sure what i changed though besides making sure my sources of fat were LEGIT(not from a grocery store...) and dont eat a lot at night, especially protein – Mallory Nov 3 2011 at 16:28
Highish fat paleo w/ tubers, mostly. Coconut oil, ghee, game, shellfish, organs, broth, plenty of vegetables, very occasional fruit (don't crave it), no nuts. Nothing too out there. I went down that whole elimination route and it didn't work, and I've stopped trying to blame certain food groups because that makes no sense chronologically. Anything I suspected I ate far more excessively on SAD. – StreakOfLean Nov 3 2011 at 16:33
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You may want to take supplemental D to balance out the amount of A in your FCLO. Getting my D level higher has made all the difference in the world to my health. The only other thing that has helped is dropping eggs for awhile. I ate so many, I became intolerant & was having inflammatory symptoms. – Dragonfly Nov 3 2011 at 17:45
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A parasite/infection? Too much magnesium? A few shots in the dark... – smartcookie Nov 3 2011 at 18:01
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8 Answers

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I agree with you that something isn't right, but you haven't given us enough info to make intelligent guesses.

While you're in the consultation process with your doctor, you need to take another look at which foods you're eating plus when.

Have you tried a Whole30 or a strict elimination diet? How did you react to that? Do you start your day with meat/fat before moving on to veggies? Do you normally emphasize fat or starch? What happens when you reverse that?

Is your appetite good, or is it off? How much do you move around? How's your sleep?

The questions are endless ...

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Tried strict elimination, autoimmune protocol. Still had symptoms, plus was miserable from the paranoia about what I was eating. Usually emphasize fat, but started eating more starch. No real change, but feel better than when I was on VLC/autoimmune. My appetite seems fine. Eat 3 times a day. If I eat sugar I get voracious. My job is active and I move around a lot. My sleep was much improved (in fact, it was beautiful, waking up at dawn, no more insomnia) when I first went paleo, but those benefits are now weaning. I'm waking up later and feeling heavy/hungover. – StreakOfLean Nov 3 2011 at 16:51
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Something's definitely getting between you and your food, and I doubt SAD would heal it. Could you be getting TOO MUCH of something, such as iron or some other nutrient that has a maximum/too much value? – Nance Nov 3 2011 at 17:07
@Nance: I've considered that, and noticed I felt worse eating more meat, while supplementing zinc for acne, and thought perhaps it was too much. But I've stopped zinc and don't eat a lot of straight muscle-meat, or a ton of protein beyond what's necessary. But still feel off. I eat shellfish 1-2 per week and offal maybe once every 2 weeks. – StreakOfLean Nov 3 2011 at 17:18
What did your lab work look like? Have you been tested for thyroid disease? If so could you post the numbers as doctors don't in general read these tests with more than a modicum of knowledge about the thyroid and what is actually normal. – Terry Nov 3 2011 at 17:48
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@Terry: My first thought was thyroid too. Of course my Dr just ordered TSH, which was 1.44 uIU/mL. The only other abnormalities was slight hypoglycemia with no symptoms from oral glucose test (which I could have guessed, ie the effect of sugar on most of us here) but I know this is under control with paleo. Liver enzymes were slightly elevated, in the 30's. They said it was nothing to worry about, as I've had issues with alcohol in the past, but have been sober for a year. My ALT was fine when I first got sober and was on SAD, but they've crept up a little. – StreakOfLean Nov 3 2011 at 18:12
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I didn't notice you saying how many calories you're eating daily. Perhaps you're not actually eating as much as is required by your body and the abdominal fat is a stress response. You mentioned you're very active so that may come into play.

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I'm pretty sure I'm eating enough, though I haven't put it into fit day for a while. I did IF for a while, skipping breakfast, but it didn't make much of a difference. When I first went paleo, like the first week, I didn't know I had to up the fat, and was noticeably tired from the caloric deficit. I don't feel that way now. – StreakOfLean Nov 3 2011 at 18:13
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Sounds like a candida overgrowth. In one of his posts, Paul Jaminet noted that both high HDL and LDL can potentially promote a candida overgrowth, and if you were doing a VLC diet then you might have run into that. http://perfecthealthdiet.com/?p=4066

So have you tried doing something like 50% carbs, 30% fat and 20% protein, or did you just add a cup or two of tubers to your already low carb high fat diet? Try taking pantethine, it is really good for combating the toxic effects of candida. http://www.wellnessresources.com/studies/pantethine_activates_aldehyde_dehydrogenase/ and it also helps to efficiently metabolize blood lipids. Give it a month with it and see if that helps while you work on candida. I don't know if it really is a candida infection but it is a good guess. You might have to be patient and work at it with anti-fungals.

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Question about the candida: Is a moderate fat, high(er) carb, moderate protein diet the best for candida? I've seen different Rx's and am a little confused about it. – blueballoon Nov 3 2011 at 21:25
I'm not entirely sure, I was just guessing in this case. Fructose is a problem, but I'm not sure about glucose. Paul thinks that hyperlipoproteinemia can impair the ability to fight candida, and so can a low glucose diet. I just said higher carb because the fat has a small but significant effect on lipoproteins. The biggest effect from low carb would actually probably be the reduced thyroid activity elevating serum lipoproteins. – Stabby Nov 3 2011 at 21:59
Thanks for the clarification on your comments! – blueballoon Nov 3 2011 at 22:35
I lowered the fat and protein when I added tubers. I didn't feel good with too much protein, and needed something to bulk up my meals and make them somewhat economical. The entire candida thing has always seemed like kind of an iffy catch-all to me, mainly because I didn't want to go down that rabbit hole of the treatment it entails, and I've never really heard of anyone getting definitive diagnosis-treatment-improvement from candida stuff. ALso, how would I now be experiencing issues with candida and not before on a terrible diet which candida would thrive on? That's the vexing part. – StreakOfLean Nov 3 2011 at 23:20
I made an attempt to explain that. VLC can cause hyperlipidemia which impairs the ability of the immune system to keep it at bay. It was just a guess. – Stabby Nov 4 2011 at 0:21
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Chriskresser.com has some interesting stuff about not having results with a Paleo type diet. If I remember correctly, it had something to do with gut flora and probiotics. I believe the gist was bad bacteria in the gut thrive on certain foods and wreak havoc in yer body. Looks like he just posted a podcast on his site regarding this.

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You're obseravtions of yourself at not crazy. I've been thinking similar things about myself.

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It's frustrating, especially when the symptoms are so vague in the eyes of doctors. I tell them my face is puffy and they expect the elephant man to walk into their office, or that I've gained belly fat, yet I'm still pretty slim by American standards. I've been brushing my teeth in the mirror every day of my life, and I know when I look different. Lately I've been getting comments at work like "Have a rough night?" – StreakOfLean Nov 3 2011 at 17:28
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I would have your doctors do a full autoimmune blood work run up. There are a lot of people with some low titers of lupus or low antibodies to Sjogren's, but do not have the classic symptoms, just other weird symptoms.

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Any solutions to this...? Updates?

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Yes, in fact. Just updated the post for you. – StreakOfLean Aug 24 at 2:44
I'm glad you solved your problem! Out of curiosity, what's an example day for you? What exactly did you add to the Paleo Template? – Knarf Aug 24 at 6:50
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Your update is very interesting.

More carbs! Some people just need them to function well.

This is interesting from Perfect health diet http://perfecthealthdiet.com/category/diets/ray-peat-diet/

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