agenda –step 1: learn · module 1: learn – overview of scd preparing yourself and your family...

Agenda – Step 1: Learn

u 4 Cornerstones and 4 Steps for Starting and Thriving on SCD

u Getting Yourself and Your Family Ready to Make Changes

u Hopes and Fears

u What’s at Stake?

u Importance of Adherence

u What is SCD

u Science: 3 carbs, Intro and full

u What you’ll eat

u Nutrition

u What to Expect on the Healing Journey

u Herxheimer

u 2 Keys to Success

u Moms on Facebook Group

u Tips for Managing Change

u Readiness Activities

2Copyright © Beth Secosky

Steps for Starting and Thriving on SCD

1. Learn 2. Prepare 3. Take Action

4. Maintain

Copyright © Beth Secosky 3

4 Cornerstones of the SCD Kickstart System

Getting Yourself & Your Family Ready to Make

ChangesPlanning, Shopping & Cooking

Fitting SCD to Your Budget What to Expect on the Healing Journey

SCD Kickstart System

Copyright © Beth Secosky 4

Module 1: Learn –Overview of SCD

Preparing Yourself and Your Family to Make Changes

Hopes and Fears

Hopes Fears

6Copyright © Beth Secosky

Hopes and Fears

Hopesu Child feels better

u Hope to have less sillies, concentration at school, typical behavior

u Decrease tantrums, screaming

u Increase speech/comprehension

u Hoping my daughter will improve socially as enter MS

u Sleep better at night

u Daughter loses stomach ache

u Less behavior problems

u Overall better health

Fearsu Afraid I’ll be weak to handle my daughter’s

persistence about foods

u Cost

u Imbalance – Oxalates, yeast, ammonia

u They will feel “different” when they start understanding

u People’s reaction to diet change

u Family being negative about SCD

u Nutrition/balanced meals

u My child won’t eat diet foods

u Throwing prepared foods away

u Hunger strike, more strain on husband and me w/ time to prep meals

7Copyright © Beth Secosky

What’s At Stake…Adult Manifestation of Childhood GAPS ConditionsPer Dr. Campbell-McBride

ChildrenAutismADDDyspraxiaDyslexiaLearning, behavioral, social, mood

Impact of Lingering Disorders

Low Self-EsteemProduction of addictive

toxinsFurther damage to the gut

and brain

AdultsSubstance abuse (Marijuana can trigger schizophrenia)DepressionObsessive Compulsive DisorderBi-polar DisorderSchizophrenia (connected with Celiac)

8Copyright © Beth Secosky

Overview of SCD

3 Strategies for Health & Recovery

Food:nutrient-dense

& non-inflammatory

InfectionsCleared

ToxinsCleared

Health

Copyright © Beth Secosky 10

Healthy Gut FloraHealthy Bacteria Predominates

Healthy Bacteria

Pathogenic Bacteria

Copyright © Beth Secosky 11

Gut Flora is Common DenominatorPer Dr. Campbell-McBride

Gut Flora

Digestive Disorders

(Food)

Distressed Immune System

(Infections)

Poor Detoxification

(Toxins)

Copyright © Beth Secosky 12

SCD/GAPS – 3 Types of Carbohydrates

u Monosaccharide

u Non-starchy vegetables, fruits, nuts

u Disaccharide – Sugars

u Sugars – table sugar, agave, maple, etc.

u Lactose -- Unfermented dairy – milk, commercial yoghurt

u Maltose – Certain sweeteners

u Polysaccharide – Starches

u Grains – wheat, barley, rice, quinoa, etc.

u Some beans – soy beans, chick peas, etc.

u Some vegetables – potato, sweet potato, corn, etc.

13Copyright © Beth Secosky

Intro vs. Full-SCD

u The Intro Diet (dairy-free version)

u SCD stages are not in Breaking the Vicious Cycle

u Intro stage (2-5 days)

u 5 additional stages (waiting 2-4 days between new foods)

u Elimination diet

u Ideally stay in intro diet for 30 – 90 days

u The Full-SCD Diet

u Includes all SCD-legal Foods

u Excludes food allergies and sensitivities

u May not include dairy for months (or years)

14Copyright © Beth Secosky

Full SCD Foods are Amazing!

15Copyright © Beth Secosky

Full SCD List

16Copyright © Beth Secosky

17Copyright © Beth Secosky

Intro Foods are Delicious

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In the Early Weeks on the Intro

Allowedpreparation methods

MEATSRoasted, Boiled, Broiled, Grilled

VEGETABLESPeeled, De-seeded, Well Cooked, & Pureed (if mod to severe symptoms)

FRUITSPeeled, De-seeded,Well- cooked

JUICENot from concentrate, diluted

NUTSHomemade Nut Milk

IntroDiet

Foods2-5 days

ChickenBeefTurkeyLean PorkLean Wild GameFishLambEggs

Carrots Grape juice Apple juice

Can make Jell-O, popsicles

None

Stage 1Foods

2+ weeks

All of the Above All of the Above Plus:Zucchini (and

other summer squash)Acorn SquashButtercup SquashButternut SquashSpinach

All of the Above Plus:Homemade Applesauce Homemade PearsauceRaw Banana (keep to a minimum, very ripe with spots)

Blanched Almond MilkPecan MilkHomemade Nut Milk yogurt

Stage 2Foods

2+ weeks

All of the Above All of the Above Plus:Artichoke-FrenchAsparagusCucumberGarlicGreen Beans MushroomPeppers Pumpkin and other winter squash varieties(but no spaghetti sq)Watercress

All of the Above Plus:ApricotAvocado (cooked or raw) PeachPineapplePlumTomato

All of the Above Plus:Nut ButtersBlanched AlmondPecanMilksHomemade Nut Milk Coconut MilkBlanched Cashew MilkBlanched Hazelnut MilkMacadamia Nut Milk

SCD

INTR

OD

UCT

ORY

TH

RU S

TAG

E 2

Copyright © Beth Secosky 19

Allowed Preparation Methods

MEATSRoasted, Boiled, Broiled, Grilled, Baked , Pan-fried

VEGETABLESPeeled, De-seeded, Well- Cooked, & Pureed (if mod to severe symptoms)

FRUITSPeeled, Deseeded, Well-cooked

JUICENot from concentrate, diluted

NUTSHomemade Nut Milk, Nut Butters, Nut Flour

Stage 3Foods

All of the Above Plus:Crisp-fried pork or LEGAL bacon can be added

All of the Above Plus:BeetsBok Choy/Swiss ChardBroccoliBrussels SproutsCabbage/Chinese CabbageCauliflowerCeleriacCeleryCollardsEggplantKaleLeekLettuceLima Beans-FreshOliveOnionParsleyPeasRhubarbShallotsSnow PeasSpaghetti SquashSugar Snap Peas

All of the Above Plus:BlueberryBlackberryCantaloupe CherryDateElderberryFigGooseberryGrapefruit Kiwi KumquatLemonLimeMangoOrangePapaya Passion FruitStrawberryTangerineWatermelon

Dried Fruit and Raisins –not recommended(well cooked in water and soft. Note: raisins are more advanced than other dried fruits)

All of the Above Plus:Nut ButtersRaw Cashew ButterBlanched Hazelnut ButterMacadamia Nut Butter

Nut FlourPecan FlourBlanched Almond Flour(Pecan flour and BlanchedAlmond Flour are the easiest to digest)

SCD

INTR

OD

UCT

ORY

STA

GE

3

Copyright © Beth Secosky 20

AllowedPreparation Methods

MEATSRoasted, Boiled, Broiled, Grilled, Baked, Pan-fried Battered & Deep-fried

VEGETABLESPeeledDe-seededWell CookedPureed (if mod to severe symptoms)Cooked whole, Raw

FRUITSCookedRaw

JUICENot from concentrate

NUTSHomemade Nut Milk, Nut Butters, Nut Flour, Nut pieces

BEANSCooked(prepared accordingto BTVC)

Stage 4Foods

All of the Above All of the Above All of the Above Plus:PomegranatePersimmon

All of the Above Plus:Nut FlourMacadamia Nut FlourWalnut FlourCoconut flourBlanched Hazelnut FlourCashew FlourCoconut Flour

Nut PiecesBlanched AlmondPecan Shredded Coconut

All of the Above Plus:Haricot BeansLentilsLima BeansNavy BeansSplit Peas

SCD

INTR

OD

UCT

ORY

STA

GE

4

Copyright © Beth Secosky 21

AllowedPreparationMethods

MEATSRoasted, Boiled, Broiled, Grilled, Baked, Pan-friedBattered & Deep-fried, Dried Beef Jerky

VEGETABLESPeeledDe-seededWell CookedPureed (if mod to severe symptoms)Cooked whole, Raw

FRUITSCookedRaw

JUICESNot from concentrate

NUTSHomemade Nut MilkNut Butters, Nut Flour, Whole Nuts

BEANSCooked(prepared accordingto BTVC)

Stage 5Foods

All of the Above All of the Above All of the Above All of the Above Plus:

Whole Nuts(chewed well) Blanched almondPecanBlanched HazelnutCashews, rawMacadamia NutWalnutShredded Coconut

All of the Above Plus:Black BeansKidney Beans

SCD

INTR

OD

UCT

ORY

STA

GE

5

Copyright © Beth Secosky 22

About Honey

u Honey is a monosacchride

u Honey is introduced in stage 5 in GAPS (in small amounts)

u Honey is not prohibited in early SCD

u Wait until later stages unless:

u Significant Herxheimer’s Reaction

u To help a picky eater

23Copyright © Beth Secosky

Nutrition Theories

Alternativeu Low carbohydrate

u Medium to high fat

Mainstreamu Low fat

u High carbohydrate

24

See Gary Taubes book, Why We Get Fat, or videos of him speaking on You Tube for research that supports the alternative nutritional theory.

Copyright © Beth Secosky

Possible Influences on Nutritional Advice

25Copyright © Beth Secosky

Gary Taubes

https://www.youtube.com/watch?v=qEuIlQONcHwCopyright © Beth Secosky 26

SCD is Moving into the Mainstream!

27Copyright © Beth Secosky

Nutrition Experts Who Know SCD

u Pam Ferro – author of The SCD for Autism and ADHD and nurse (MAPS practitioner) using SCD for autism/ADD for over 20 years

u MAPS Practice – Hopewell Associates

u Waiting list for work as MAPS practitioner

u IS available for 1-2 sessions for troubleshooting, GI testing and other brief engagements

u (508) 758-3200

u Cathy Malone – nutritionist with over 10 years of experience with SCD – works out of Harvard and also has private practice

u (617) 513-7057

28Copyright © Beth Secosky

Module 1: Learn –Overview of SCD

Cornerstone: What to Expect on the Healing Journey

What is a Herxheimer’s Reaction? (Die-off)

u 1984 Study in The Journal of Infectious Diseases

u Test animals infected with Escherichia coli

u Group 1: Given antibiotics

u Group 2: Given placebo

30Copyright © Beth Secosky

What is a Herxheimer’s Reaction? (Die-off)

u Group 1: Antibiotics

u Endotoxins increased from 10-fold to 2,000 fold

u Bacteria in blood decreased

u In some animals the endotoxins continued to increase after bacteria cleared from the blood

u Group 2: Placebo

u Endotoxins stayed proportional to the amount of bacteria in the blood

u Conclusion

u When bacteria are killed (by antibiotics in the study), the level of endotoxins increases significantly.

31Copyright © Beth Secosky

Dr. Campbell-McBride and nutritionist, Donna Gates on Herxheimer Reactions

u https://www.youtube.com/watch?v=nLP0Ijo2CK4

32Copyright © Beth Secosky

Two Keys to SCD Success

u Strict Adherence

u Customized to Your Child

33Copyright © Beth Secosky

Preventing Brain Inflammation

Copyright © Beth Secosky 34

What Happens When We Feed Pathogenic Bacteria?Per Dr. Martha Herbert

Study: Short-term immune triggers cause long-term brain inflammation

u TNF-a increases are triggered by bacterial and other exposures.

u In the bloodstream this increase lasts 9 hours

u In the liver it lists 1 week

u In the BRAIN it lasts 10 months

u This means that someone who gets exposed to a trigger of TNF-a every now and then could like they have a chronic and untreatable brain problem.

*In other words, when we feed the pathogenic bacteria, it feeds the fire and makes it more difficult to put it out.

Copyright © Beth Secosky 35

Setbacks

u Learn from slips

u Understand what happened

u What can you do differently?

u Manage Symptoms

u Digestive enzymes

u Activated charcoal

u Epson salt and baking soda bath

36Copyright © Beth Secosky

Parting Tips

u It’s normal at this stage to feel ambivalent

u Your pros probably don’t exceed your cons – YET

u Take small steps forward

u Journal

u Talk with people in our Facebook group who have already been there

u Listen to testimonials

u Work on your pros and cons list

37Copyright © Beth Secosky

Pros and Cons Exercise(Envision the Pros/Mitigate the Cons)

Pros Cons

38Copyright © Beth Secosky

SCD – Motivational Story

u Alex’s Story

u http://www.bethsecosky.com/research-and-articles

Copyright © Beth Secosky 39

Wrap-up – Step 1: Learn

u 4 Cornerstones and 4 Steps for Starting and Thriving on SCD

u Getting Yourself and Your Family Ready to Make Changes

u Hopes and Fears

u What’s at Stake?

u What is SCD

u Science: 3 carbs, Intro and full

u What you’ll eat

u Nutrition

u What to Expect on the Healing Journey

u Herxheimer

u 2 Keys to Success

u Moms on Facebook Group

u Tips for Managing Change

u Readiness Activities

40Copyright © Beth Secosky

Next Module – Step 2: Planu Cornerstone: Getting Yourself and Your Family Ready to Make Changes

u Review pros and cons

u Will I be mainstream?

u Helping your kids become committed

u Bringing in friends and family as support

u Cornerstone: Planning, Shopping, & Cooking

u Set the Mood for Change

u Preparing your home and kitchen

u Review of cooking resources

u “Day 0” Shopping and Cooking

u Menu plans

u Decisions for moving forward

u Cornerstone: Fitting SCD to Your Budget

u Budget and values exercise

u Choosing your financial investment in SCD

u Money saving ideas

u Cornerstone: What to Expect on the Healing Journey

u Recognizing improvement

u Tracking progress

u Herxheimer prevention & shopping list41Copyright © Beth Secosky

A Few Moms on Our Facebook Group

Allison

Children, age, diagnosis How long have you been on biomed?

• Jackson, 5, healthy until 15 mo (regressive) –ATEC 130, now 32ish

• Jenna, 2, by 14 months regained what she’d lost

Feb 2014

Copyright © Beth Secosky 43

TaraChildren, age, diagnosis How long have you been on

biomed?

Johnny, 16, milk allergy, GFJoseph, 13 w/ pandas huge, was sweet autistic child who made great gains until PANDAS – now homebound. Heart, lung surgery

Since 2 ½

Copyright © Beth Secosky 44

Jessica

Children, age, diagnosis How long have you been on biomed?

• Caden, 5, ASD – 2 ½ diagnosis – ATEC 83 now 23

• Reid, 4, ear infections, etc.

2 ½ year

Copyright © Beth Secosky 45

Svetlana

Children, age, diagnosis How long have you been on biomed?

Copyright © Beth Secosky 46