Wednesday, June 27, 2012

Fructose malabsorption

I've been trying to mimic the approach I took two weeks ago, when I thought I saw real results from the diet/fitness. Over the last few weeks, with the exception of maybe two days, I've eaten a meat-based breakfast and lunch, followed by some sort of movement (mostly low-level, walking) and a dinner of 1-2 lb leafy greens along with some meat. There have been several problems with this:

-My salt intake at dinner is quite high
-I have not felt sated at dinner (and have increasingly felt less sated after breakfast), despite a full stomach -- this leads to eating too much and an overly full stomach
-I have put on weight; at first I thought it was bloating, but it's not. It's fat.
-It's either been too hot or I haven't had the energy to do any high-intensity exercise for two weeks. Yesterday was the first day since my first sprint set that I did any high-intensity work (heavy, crossfit-like lifting and 4-6 Tabata-ish running sprints)

Clothes fit more tightly, and I constantly have food in my gut, which makes me feel sluggish and means I'm accumulating fat. So...this method hasn't worked.

New strategy:
-decrease (but not eliminate) the amount of added salt on everything; I still need some sodium to prevent muscle cramps
-cut back on the vegetables; eating them as a side rather than main meal (I should experiment with eating them before/after meat, but am guessing it's better to start with them)
-estimate caloric intake and logging daily exercise/movement
-possibly experiment with soups? might help to fill the belly without the digestive issues related to high vegetable intake
-incorporate more running/cardio exercise; I have seriously slacked on the cardio front, though I have been doing plenty of strength work and walking


Yesterday's log:
Food
B: Korean short ribs - ~4-5 (400-500 cal)
L: Bone broth with marrow/cartilage - 1 c (~200 cal)
D: Leafy greens roasted with coconut oil - 400 cal
    Thai curry - 600 cal?

Exercise
crossfit workout (Train Like Jane)
run - 45 min, including 4-6 Tabata sprints
walk to work (4 mi)
walk home (5 mi)

Today's log:
Food
B: Korean short ribs - 6 (650 cal)
L: Bone broth, no marrow/cartilage - 50 cal
D: ???

Exercise
TA omnicentric DVDs, half-assed - 1 hr
teach BBB

Tomorrow's plan:
Food
B: Beef roast, no seasonings/sauces
L: Bone broth
D: Korean short rib/bok choy soup

Exercise
TA omnicentric DVDs x2
easy jog
walk to work (4 mi)


***Edit***
My attention was just drawn to this blog post: http://theprimalparent.com/2012/03/31/ibs-depression-skin-fructose-malabsorption/

Many of the symptoms I've been experiencing -- bloating (for nearly 2 weeks, my belly has looked like the "before" photo in this post, and I've lost muscle definition all over), constipation, carb cravings, acne, and headaches -- could be explained by this. But when my diet consists almost entirely of meat and leafy green vegetables, and I don't eat fruit or sweets, what could possibly contain fructose?

The list of fructan-containing foods toward the bottom of the page lists onions, garlic, coconut milk and meat (but not coconut oil), asparagus as containing fructans. Tomato paste contains fructose; tomatoes and red bell peppers also do, but can be eaten in very small quantities.

I don't entirely understand my symptoms, then, although I do eat tomatoes and onions on a regular basis. My positive results a few weeks ago weren't in response to decreased intake in those foods, I don't think...

Of the fructose/fructan-free foods listed, these are the ones I can eat without other intolerance issues (eg, intolerance to eggs, dairy, nuts):

meat
olives
lemons/limes
plantains
yams (not sweet potatoes)
leafy greens?? (the jury's out on this one)
coconut and olive oils

Okay in small quantities:
avocado
blueberries

From reading blog comments, onions and garlic/garlic powder can be major contributors to fructose malabsorption symptoms, so I suppose it's time to cut those out and see the effects. And buy some olives...

Perhaps a "guacamole" of avocados + lime juice + cumin + salt would be acceptable in small quantities...probably no more than 1/2 to 1 avocado/day, if no other fructans/fructose is consumed.

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