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http://perfecthealthdiet.com/?s=fungal+infections

I've been dealing with a stubborn nail fungus for years now. I've seen some improvement from adopting paleo diet. Does any one know the reasoning behind Perfect Health Diet recommending adding glucose (from safe starch) to assist the body in fighting fungal infections? I basically follow a GAPS/SCD form of paleo and my only sources of carbs are fruit (2-3 servings daily,mainly berries), vegetables and honey. I am contemplating even going lower carb, but I am not certain how this will affect my nail fungus or gut flora.

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I have a good friend who had nail fungus problems that went away when moving from VLC to ZC. – Ambimorph Jan 5 2012 at 17:27

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The glucose does increase the hydration of the mucusu linings, which makes you more resistant to infection, but it seems the larger problem is that many fungi can use ketones for energy, while our defenses require glucose to function at peak effeciency. So swinging away from VLC/ketone metabolism and adding more glucose-based starches can increase the bodies immune response to these invaders, while decreasing the health of the fungi.

From http://perfecthealthdiet.com/?p=4878

Low-carb diets, alas, impair immunity to fungal and protozoal infections. The immune defense against these infections is glucose-dependent (as it relies on production of reactive oxygen species using glucose) and thyroid hormone-dependent (as thyroid hormone drives not only glucose availability, but also the availability of iodine for the myeloperoxidase pathway). Thus, anti-fungal immunity is downregulated on very low-carb diets.

Moreover, eukaryotic pathogens such as fungi and protozoa can metabolize ketones. Thus, a ketogenic diet promotes growth and systemic invasion of these pathogens.

As the fungal infection case studies on our “Results” page illustrate, low-carb dieters often develop fungal infections, and these often go away with increased starch consumption.

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Great answer, JG. Paul Jaminet himself (and I for that matter) experienced the VLC/fungal infection problem you describe. – Grocket Jan 5 2012 at 17:05
I experienced that very thing! Got better in the 60g/day range. – Ehmackin Jan 6 2012 at 4:43
My dermatitis improved when i started eating a lot of fruits (coming from vlc paleo) – paleoguy11 Mar 10 2012 at 20:25
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Fungi feed on sugar. I'm not sure there's much reasoning behind adding extra carbs if you're functioning healthily. But there's almost certainly some detail in the mirco-nutrient or environmental range which could be improved, and a change of diet would shake things up a bit. Your gut flora don't need to be intentionally fed carbs, but depending on your broth/fermented/just plain dirty food intake there could be room for improvement there. In any event, if it's been a problem for years, it's probably worth trying anything once.

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Sugar is not the same as starch. Safe starch = glucose, not fructose. That's why all of the safe starches do not have much sugar: yams, sweet potatoes, yuca, potatoes, white rice. If you want sugar, you should look to tropical fruits like watermelon, which provides carbs in the form of sugar (sucrose/fructose). That's not what's meant by safe starches. – Namby Pamby Jan 5 2012 at 15:33
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Starch is glucose though, which is quite a lot like sugar. And that's not the definition of safe starch. And I don't even know what your point is anyway, it doesn't seem to relate to what I wrote, but thanks for the tip. I'll look for watermelons just as soon as I want to. – AndyM Jan 5 2012 at 16:53
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Are you taking any probiotics?

You might need to do a month where you double up the dose of your probiotics (or get a really heafty strain) and add in some other ferments. You can also soak your nails in vinegar, that helps kill the fungi. Then rub on some tea tree oil to the infected areas, let dry - then keep dry until next soak. Consistency is key though, you have to attack it daily!

Fungi lives off sugars. I would think you should keep the sugars extremely low and cut the starches. Maybe one month of this could fix it then you could go back to normal eating and not 'doctoring'.

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thanks for the advice! – Edward41397 Jan 5 2012 at 15:33
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How's your Vitamin D Status? All my skin-related issues are gone now that I am sufficient in D.

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