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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
18Copyright © Beth Secosky
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