It's OVER: Weeks 8-12(ish)

I am SO happy to announce that we had homemade pizza tonight!! With cheese! 

It's taken me awhile to get to this blog post, but have no fear, we made it through 12 full weeks on the 4R elimination diet and I am here to tell the story.  

Judah and her fancy curcumin drink.

Weeks 8-12 were pretty much the same as weeks before. For the most part uneventful, so I will try not to bore you with the same old. In a nutshell:

• Pinterest is my best friend. Why didn't I think of using this meal planning tool before??
• We started Judah on a DGL supplement --which is essentially a licorice powder supplement that helps with inflammation. She was supposed to take it 3x a day with meals. I was NOT good at remembering this. Also, the extra step of giving her something to eat 3x a day that it can be mixed into was quite a challenge. The other supplement we added in was Curcumin. Mucho thankful for the fizzy tabs that can be put into water with a citrus taste. Much easier than trying to get her to swallow a capsule. 
• The forum response to Judah's itchy rash was a bit disappointing and the reason we ultimately decided to add in the rest of the supplements. Basically, her issue was a bit to complex to just give advice over a forum. It would require a consult with Dr. Aviva (or another doc, I suppose), and we just can't swing that right now. Plus, I figured we might as well give the last step to the 4R program a shot, first. 
• By week 10, I found myself sneaking chocolate when the kids weren't looking. I know! So bad.  I have a problem. ;)
• Before we started the elimination diet, Simon had this kind of bumpy, pimply skin all over his arms and was spreading to his torso. I had read that it could be a sign of gluten intolerance-- and by week 10 I realized it was completely gone.
• I took the kids to visit some friends in New Hampshire for the day. ONE DAY and the food prep was overwhelming. I didn't want our friends to have to accommodate us, but I needed to make sure we had enough snacks and lunch and dinner so that the kids wouldn't be cranky pants all day long. It was difficult and I began (well, continued, probably) to become extremely SICK of the time commitment that goes along with super clean eating and food prep. Was definitely, definitely feeling DONE. 
• There was one day that I was scrambling at home because food was completely gone from the previous week and the car broke so we couldn't food shop until dinnertime.  Exhausted, hungry and walking through Whole Foods, I picked up some turkey dogs for dinner. I mean, they were 1/2 legal... boy, oh, boy did my stomach pay for that choice!

We can eat Keep Your Diet Real's Chicken Tortilla Soup again! 

Week TWELVE was an exciting one! Judah could see on the calendar that we were at the end so during the last week, we scrolled Pinterest, giddy, deciding which foods to add back in first. We decided to take it easy adding food back in by doing a sort of food challenge to see if we had any poor reactions to certain foods. Overall, we seemed to handle everything well. We did notice that nightshades made us feel bloated and gassy. 

Eggs are back. YUM.

We added eggs back in first, followed by nightshades, cocoa powder +honey or maple syrup, then beef and vinegar and yeast. We saved gluten and dairy for last. Once I started eating gluten again, I felt lots of brain fog and an overall "yuck" feeling-- it hasn't seemed to last but I do notice that processed food and refined carbs/sugar makes me feel  weird (which makes sense!). Unfortunately Simon's bumpy rash has come back slowly-- which tells me that it probably is gluten. He still eats it and I am trying to weigh just how important it is for him to stop eating it considering that, at this point, it's his only symptom. 

DAIRY was the big one. I waited and waited to add this back in. Not sure the best way to go about it, we eventually decided to start with a locally sourced, grass fed, organic, un-homogenized plain yogurt. Judah was in heaven. I only allowed a small bit a day, anything to her was such a treat. A week and a half in though, I noticed eczema on her hands.  We were all super bummed. It was the coldest week we had all winter and she was washing her hands a TON-- I wanted so badly to think it was from that. We cut out the yogurt and the rash went away :(  Next I decided to give her some cheddar cheese made from raw cow's milk-- NO PROBLEMS! We have continued to try cheese of different kinds either from raw cow's milk or cheese made from goat's milk and she has been doing great. It is SO nice to be able to garnish some meals with cheese!!

Mike's bday treat-- vegan, gluten-free, paleo raspberry chocolate tart from Bakerita

At this point, we are still unsure what her tolerance for dairy actually is, so we have decided to limit dairy to home only so that we can be sure of the source-- and even at home we eat it in small amounts. It has been working well so far. I am so pleased with our results: Judah's eczema is gone, we know where Simon's rash was coming from and I feel like life is SO much easier now that I can eat brie and get Chipotle take out! YUM!

Week One: Learning a new normal + some of our favorite recipes

I would say on a scale of one to ten, this week ranked as a five. It wasn't awesome, it definitely could have been better, but it wasn't terrible either. Maybe very typical of learning a new normal. As my body craved brie and crackers and dark chocolate, my mind kept thinking "Only X more days, no, shoot. 3 more months!" With that kind of thinking it was easy to feel discouraged. Early on I realized what a job food does on the mind. I couldn't think in terms of time, I had to think in terms of what was normal for our family right. now.

The first challenge was breakfast. We can't have eggs. We can't have toast. We can only have limited fruit: a choice of 1 cup of berries and 1 apple, 1 banana or 2 kiwis. So what do we do for breakfast?? This was the first question I asked on Dr. Aviva's Healthiest Kids forum. The answers I got were exactly what I was dreading. 

Dinner for breakfast. Leftovers for breakfast. Pumpkin pudding...sweet potatoes...

INSERT SOBS.

The first morning Simon woke up and immediately went to the fridge. He does this every morning, looking for an apple. He may do this because it's really the only snack he can get for himself while everyone else is still in bed-- but I like to think he eats an apple every morning because when I was pregnant with him, Mike would toss me an apple before he went to work. If I didn't eat before I got out of bed in the morning, I would pass out and an apple was the easiest fix.

Moving on... I had decided when I was prepping for the journey that we would have to eat smaller portions of fruit so that we didn't run out of snack choices before the days end. Limiting fruit is very challenging for us. I offered Simon a half of an apple (which miraculously, he seemed to be ok with) and then I proceeded to make the grossest smoothie ever. I don't even remember what I tried to put in it. I've blocked it out. Sorry. 

In hindsight, we should have stayed home this first day to get a handle on things. But alas, we went out for the morning. I packed what I thought would be enough snacks-- but I was dead wrong. Limited kiwi sent the kids into a maniac whirlwind. 

Lunch was next. I had planned Meghan Telpner's Heck No Mayo Salmon Salad with quinoa, over a bed of spinach. Hummus and a choice of carrots or cucumber. For me, I skipped the salmon but I had everything else. I am not a seafood person. At. All. 

This seemed to go over well except Judah was not pleased by the lack of mayo in the salmon salad. 

Dinner was, well, dinner was DELICIOUS. Here is what we made:

Roasted chicken and vegetables over brown rice! Sounds so simple doesn't it? It was easy to make, tasty, clean, filling, and made great leftovers. After a full day of hunger pangs we were all incredibly thankful for this meal.

Roasted chicken

Roasted Chicken and Vegetables
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Serves 4 (roughly)
Ingredients
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1 Whole Chicken
1 Lemon
1 Head of Garlic
Salt
Pepper
Dry Mustard
Garlic Powder
Olive Oil
3 Sweet Potatoes, chopped
4 Carrots, chopped
1 Head of Broccoli, chopped
1 Red Onion, cut into wedges

1. Preheat oven to 450 degrees F
2. While the oven is preheating, prepare the chicken and chop all vegetables. Taking into account how long the individual vegetable takes to cook through, the vegetables should be roughly the same size.
3. To prepare the chicken start by taking out any giblets and filling the chicken with lemon wedges and garlic cloves. You may want to truss the chicken too, but I didn't. 
4. In a small bowl mix together a few glugs of olive oil, some mustard, garlic powder, salt and pepper. The amount is different every time I make this. You will have to adjust to your liking-- but my advice is to go a bit heavier on the spices then you think you should.
5. Once everything is mixed cover the chicken with the mixture. Make sure to cover the whole thing and even a bit inside the opening of the cave. Cave, yes. I don't like to use actual body part terms because well, I get too grossed out. 
6. Place the chicken in a roasting pan along with all of the vegetables. Sprinkle a bit of seasoning on the vegetables and stick in the preheated oven.
7. After 15 minutes turn the heat down to 350 degrees F and roast for 20 minutes per pound.
8. Serve over brown rice. 

Despite the wonderful meal, the evening brought some irritable feelings effecting all of us, but by the next morning we were back at it. Mike was off to work and the kids and I discussed how the day before went for us. We openly expressed how hard it was and how we were sad and frustrated at times. I asked them if they wanted to continue on (mostly Judah) and they said yes. In that moment, I was so proud of their determination and I already felt better about Day #2-- we had learned so much the previous day. I decided on something different for breakfast, set specific snack times to avoid the constant asking for food (and the possibility of running out!) and I spent the morning making large batches of our new staples.

For breakfast we each had banana boats and a half of an apple. The kids LOVED the banana boats! Morning snack consisted of black olives, almonds and a choice of carrots or celery. For lunch we had leftovers of the salmon salad over quinoa with a side of black beans and sweet potato. Afternoon snack was a 1/2 cup of frozen berries and for dinner I served leftovers of the yummy chicken (with absolutely no complaints)!

Banana Boats with almond butter, hemp seed and coconut flakes.

Banana Boats
=========

Ingredients (Serves 1)
----------

Half of a banana
Almond butter; unsweetened (we used chunky)
Ground flax seed, hemp seed, chia seed --whatever you prefer
Unsweetened coconut flakes
Pecans

1. Slice the banana lengthwise.
2. Smooth on some almond butter, sprinkle some flax, coconut flakes and pecans.
3. Eat!

Here is my FIRST WEEK RECAP!

• Making a shopping list takes a massive amount of time. I need to plan ahead for this.
• Pasta is my BEST FRIEND. We found a brown rice and quinoa pasta at Trader Joe's that is not only delicious but meets the criteria for our diet. Although processed foods are frowned upon, the pasta has saved my sanity for when I need to make something fast, or when we have nothing left and shopping is not an option. Hallelujah! 
• Making large batches of things like quinoa, brown rice and sweet potatoes is a GAME CHANGER.
• Setting snack times and sticking by them is super important for all of us. The kids are crazy if I don't do this and that makes ME crazy. It was interesting to see how much eating we all do out of boredom, having set snack times has pushed us past that into CREATIVITY.
• Oh, and Mike and the kids are sick. Interestingly enough this is often a sign that the body is detoxing! Yahoo!
• AND!! We got our apartment! Looks like PVD doula is moving back to PVD! 
• Husband says that he's "not hungry, he's just not satisfied." Our addiction to flour and sugar is really coming out, eeek!  But, we survived the first week and we are mostly smiling. This is good.

We can do this! 

A Little Prep (for a long elimination diet!) Goes a Long Way

Elimination diets aren't easy. For anyone. I know this. What I didn't realize was how hard it was going to be for me to even begin.

About 3 years ago, we started realizing that our oldest child was having some issues with her skin. At first, it seemed like her skin was "sensitive"-- whatever that means. She would react poorly to different types of soap and she had some really gnarly patches of eczema. As time went on, it seemed we couldn't figure out what her triggers were and it was rather frustrating. Have you been there? Could it be this? Oh it's definitely that! Wow, look! She seems to be clearing up!

Not.

I had about had it, and then poop really hit the fan. (Side note: What? Hit the fan?) She had been having this red burn-like rash on her bottom (different than the patches), it would come and go but when it came, it was painful! Our pediatrician assured us it was because she wasn't keeping herself clean and dry and for us to consider helping her wipe after she went to the bathroom. Could this really be the issue? Such an easy fix-- although my heart did sink a bit, as I would have to take back the happy dance I did when I realized I had finally broken free of wiping her butt!

Time went by and I just wasn't convinced.

What we were convinced of was that sugar and highly processed foods made it worse. So we avoided them. Even fruit.

Things would be good. And then the rash would come back. F.

Spring of 2014 rolled around and she got a strange bite on her neck accompanied by a very high fever about two days later. Unsure if it was Lyme or not, our new and very conservative pediatrician apologized to me profusely but said that he would like to put her on 2-3 weeks of antibiotics. I partially knew about the negative effects of antibiotics on our gut, but not to the extent I know now.

And I hate Lyme. So we went for it.

A few days into the prescription, her red rash turned purple. A few more days go by and we let her have a BITE of birthday cake and she turned into a maniac. Screaming in pain that her bottom hurt. Crying. Waking in the night... the whole thing.

What does a mother do when her baby is in pain and there is nothing she can do to help? Google. Ha. No, really. We all do it, don't we? I read and I read and I read. And I ended up...

Confused.

I started to think back on her life a bit. In her 3 years of living she had antibiotics at birth, she had prophylactic meds for Malaria (for our trip to Haiti) and now another round of antibiotics right around her 3rd birthday. Was this considered a lot? Could the antibiotics be contributing to the problem?

After much prayer and thought and research and frustration, we decided to (randomly, this had not been on our radar) cut out dairy from her diet. To our surprise in 3 months her eczema was completely gone and her rash on her bottom was gone and it didn't come back!               CUE THE CLAPPING!!!!

I was finally able to REST. And she was finally able to eat a damn apple again.

She kept on me though, kept asking when we would try to figure out what was going on. The girl is persistent. So I finally did it. I set a date and I didn't budge on it.

Let me tell you. Prepping for this sucked. Meal planning for this first week had me in tears.

The 4R's stand for Remove, Replace, Reinoculate and Repair. So we planned to remove anything that could trigger inflammation, to replace with healthier choices and a digestive enzyme, to reinoculate with probiotics but then...

DANG, this was EXPENSIVE; so we decided to hold off on the repair for now.

Let's chat a minute about making a shopping list for myself, a husband, a four year old and a two year old when all of our go- to snacks were on the naughty list. And I'm not talking about candy or fruit snacks either, I'm talking about mango and bell peppers! (The top photo isn't accurate, we can't even have freaking bell peppers). Yogurt, cottage cheese... EGGS! Wh

Life was sweet. For awhile. Until she really wanted some yogurt and I really wanted to let her have some.

I wanted to get to the root of the food sensitivity.

Which is what led me to Dr. Aviva Romm's Healthiest Kids University and the Allergy Epidemic. In this course she discusses the root causes of some allergies and even auto-immune diseases and guess what one of them was? Antibiotics, yes, but more specifically, treatment using antibiotics for Group B Strep during birth.

BINGO.

So began our journey with Dr. Aviva's 4R program. Well, in theory anyway. Anything sounds good in theory right? I would set dates to start, and then cancel them. I would think about how to prepare and then not prepare. She and I would talk about it at length and she would get excited at the idea to eat cheese again, possibly-- but then a family party would come up or she would get invited to a friend's birthday or we could go away for the weekend and I would put it off.

Because who the heck can fit an elimination diet like this into their life? Don't get me wrong, we cook the majority of food at home anyway-- we eat well, mostly vegetarian, I pay attention to the dirty dozen, we brew our own Kombucha for goodness sakes! But what if I wanted to quickly grab Chipotle one night? Or go to a friend's home for a meal? What happens then?

It seemed impossible.

Dairy-free. Gluten-free. Sugar-free. Red-meat free. Limited fruit. No nightshades.

AND THE LIST GOES ON.

What the heck would we eat for breakfast, I want to know??? I can only seem to scrounge up recipes for dinner, but am at a complete loss for breakfast, lunch and snacks.

I plan on having smoothies (which take up all of our fruit choices) for breakfast almost every single morning. For 3 months. Everybody laugh along with me!! Only a crazy person would attempt this with whole family.

Hello, nice to meet you. I'm CRAZY.

When we aren't having smoothies-- well, I guess we can have bananas and almond butter.

Lunch: Rice and carrot sticks? Will my two year old eat a salad?

Snacks: Green beans.

Is that enough? Ha. I'm tired already. That's it folks. That's all I've got.

Wish me luck!