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18:42 · Nov 02, 2024

What Happens To Crohn's Disease On a Carnivore Diet?

This solo episode addresses listener questions about Crohn's disease and fibromyalgia on a carnivore diet. Dr. Anthony Chaffee explains why gastroenterologists often recommend high-fiber, plant-based diets despite evidence showing these worsen inflammatory bowel conditions. He reveals that medical professionals frequently hold preconceived notions that aren't based on actual training or research, leading to counterproductive dietary advice for patients with autoimmune conditions.

The episode provides practical guidance for managing chronic conditions through strict carnivore eating, including troubleshooting fatigue adaptation and nutrient deficiencies. Dr. Anthony Chaffee discusses the connection between taurine deficiency and fibromyalgia, explaining how fiber consumption can deplete this essential amino acid by binding bile acids. He emphasizes the importance of blood work monitoring and specific nutritional targets for optimal recovery.

Key Takeaways

  • Studies show patients with Crohn's disease remained in remission for up to 51 months without medication when avoiding carbs and fiber, while those eating fiber could not maintain remission without drugs
  • Ketogenic elemental diets (essentially just nutrients without carbs/fiber) proved more effective than prednisone steroids for treating acute Crohn's flares in clinical trials
  • Fibromyalgia may be linked to taurine deficiency - this amino acid is made in the liver and expressed in bile, but fiber consumption binds and removes it from the body
  • Optimal carnivore adaptation requires eating fatty red meat with a 1:2 protein-to-fat ratio, drinking 3+ liters of water daily, and maintaining blood markers like B12 in the upper reference ranges rather than just 'normal' levels
  • Crohn's Disease and High Fiber Diets - Why Gastroenterologists Get It Wrong
  • Clinical Evidence for Carnivore Diet in Crohn's Disease Treatment
  • Fibromyalgia and Chronic Fatigue on Carnivore - Troubleshooting Energy Issues
  • Taurine Deficiency Connection to Fibromyalgia and Bile Acid Loss

This is an auto-generated transcript from YouTube and may contain errors or inaccuracies.

[Music] 15 years with crohn's uh why does my gastrologist recommend mainly plant-based high fiber I've been carnivore for five weeks and never felt better because he just doesn't know and that's the simple truth of it you know we're told all the time that that fiber implants are just so good for you and so good for your gut so he's a gastroenterologist so obviously that's what he recommends to people and because he's have the exact same results um you know every time this is why they say oh yeah diet doesn't have anything to do with it because put people on these like super healthy high fiber diets and makes it worse of anything so obviously diet diet's not something that's going to fix this um it's just this preconceived notion that is based on nothing you know I I I was saying earlier about you know just just um how we we misunderstand uh a lot of things we just s everything sort of a best guess and we guess about you know eating more protein would damage your kidneys it doesn't you know and then we're saying like oh fiber is good for your gut because someone said so and just repeated this a thousand times no it's not um it's it's just that he doesn't know and and the problem is is that you have this this inbuilt hubris um as a doctor even going through medical school you know you the preconceived notions that you had oh fiber is good for you now you have that stamp as you're a doctor even a medical student and whatever your thoughts were whatever your prejudices were and your predictions you now that's no that's that's that's what that is because I'm a medical school I'm a doctor so I know but it didn't actually come from Medical School it didn't come from your studies it didn't come from your personal experience and professional experience it it was just something you thought beforehand and now because you're an expert that's what that is and people speak with with with you know extreme confidence i' I've seen it so many times I I I saw this phenomenon when I was in in medical school and I saw you know my colleagues and and fell students doing this and um and I sort of caught myself doing it once and I remember thinking in my head I'm like hold on a second I mean that I I never learned that in here and I'm talking about it as if I that was something I was trained uh trained to think and and understand and I was just like oh that's that's dangerous that's a you know that's a bad habit to get into and so I I stopped it I stopped I stopped doing that um but I was able to notice that not everybody does and so they don't even realize that they just have these preconceived notions and just oh no that's what that is and I'm a doctor so I would know like well no you don't because it's not true so same same idea you know your your your gastroenterologist just doesn't know um hasn't come across literature I mean I I got into it with some gastrologists here in Perth they're oh there's no evidence to show this I'm like yeah there is there's a ton of evidence like why where have you been um you know you're you're a specialist in this and you don't even know about it and just you know just just went on Google Scholar and show them like there just laundry list lists of uh of studies with ketogenic diets you know carb and fiber free diets um you know and and having this massive benefits for Cron's disease and you know the patients that were eating U fiber and carbs you know weren't able to stay in remission without um medication at all for for you know zero months uh whereas people that avoided you know cut out carbs and fiber with crohn's disease without medication were able to stand remission up to 51 months without medication just by cutting out carbs and fiber and the people that ate fiber did not St in remission without medications um so it's in the literature you just have to look for it it's not going to be it's not spoonfed in a Residency program because there's no money at the other side of it there's money on the other side of medications and so you know your your gastrologist would be very hardpressed to come up with any randomized control trials or experimental Interventional trials showing that a high plant high fiber diet is going to improve cronin's disease because it won't um but there are studies Interventional trials in humans uh experimental data that we can show a cause and effect relationship from uh showing that removing plants and fiber improves Cron's disease there's another one with elemental die with ketogenic Elemental D which normally it's just the macros and micros that you need broken down into their element elements so you don't have to digest them and break them down you just absorb them um ketogenic is the key there um those are typically designed for um kids with epilepsy and so that just the nutrients you need nothing else um and no carbs uh was a better treatment for an acute flare of Crohn's than prazone steroids right so you know um that's what the data show and that's what the and what is an elemental diet what is what is just the nutrients you need with nothing else it's a steak right so just not eating certain things was a better treatment for Cron's disease than steroids which is a gold standard right and just not eating carbs and fiber kept people in in in remission up to 51 months you know versus the control which didn't stay in remission at all without medication so that means that there's something in the carbohydrates the carbohydrates or and the fiber themselves or something that came along with them is causing the Crohns hey guys just want to take a second to thank our sponsor at carnivore bar I don't promote many products because honestly all you need to be healthy is to just eat meat for those times that you're out hiking road tripping or stuck at work and you want a nutritious snack that is just meat fat and salt if you want it the carnivore bar is a great option so I like this product not because it's just pure meat but also because I want the carnivore Market to thrive as well and the more we support meat only products the more meat only products there will be available in the mainstream so if this sounds like something you'd like to get behind check it out using my discount code Anthony to get 10% off which also applies to subscriptions giving you 25% off total all right thanks guys so unfortunately your your gastrologist doesn't know and so what you need to do is you just need to document what's going on and you need to be like hey I'm doing this thing there are hundreds of thousands of people around the world doing this for autoimmune issues including chronis disease and um and there's studies and things like that if you go on I have things on autoimmunity I did a a video on was called autoimmune diseases what they don't want you to know it's quick video it's like 16 minutes it's one of my earlier ones it's like the first one to go viral um and then my channel got um shadowbanned and throttled and um it just was going up up up Flatline but you know it's grown since but um but if you go to that one there those studies that I just mentioned are are in the description and I talk about them in that in that video and I also uh have links for them and there's way more just go on Google Scholar and just go Crohn's disease ketogenic diets you'll find a ton of stuff um and uh um yeah you may have to search around with different key terms but uh it was very easy to for me to find a ton of literature on this all there's no there's no data there's no studies yeah there's a ton of studies actually and and there's a lot of there's even more lived experience so yeah what you do is you just you just um you keep doing what you're doing you never felt better why the hell would you go back to the other way um and when you go into full remission which you will especially if you're you're like Lion diet strict lion diet just red meat and water you will not have Crohn's disease in the future if you just keep eating that way um the good thing about Crohn's is it's so dramatic you know when you have a flare up it's just like you even have like a piece of chicken or some bacon and that causes you to react you're just like not doing that again you know he's have bloody diarrhea for three days or like absolutely not you know or you have a piece of fruit or some Fiber and it's just horrific you know your body's not GNA not GNA want to touch that stuff and so it's a lot easier to stay strict but that's how you do the best always it's just red meat and water and um you're probably very close to remission of your symptoms at this point and um you know the next few weeks or a couple months you will probably have clinical remission on biopsy and so you do that just say hey this is what I'm doing this is what hundreds of thousands of other people are doing around the world this actually is literature on this um this is something you need to look into you tell your your gastron neurologist this and say Hey you what you're saying whenever I eat plants whenever I eat fiber I get way worse and in fact these studies show that if you cut out fiber and carbs you get better with crohn's disease specifically it's like you this is something you need to look into because this is this is what's going to help your patients and if and if you give them other advice going to hurt them and um you know and so you could you could definitely change uh change their mind and that would be really important because then they're going to disseminate that to other people and you use yourself as an example and just say you know if you don't think it's true prove me wrong you know what other people on it see what happens and um if if it no one else gets the same result okay well then it was just a fluke it's just anecdotal but if it keeps happening it keeps happening keeps happening then there's something there that that is um worth investigating and who knows you know you could you could win a you know a major medical award or Nobel Prize for curing Crohn's Disease by you know doing the big studies showing that this actually works and uh you know you could you know get your your name and lights as a result of this you know appeal to his um you know better nature first and you know appeal to his greed and you know and and um uh after that and uh see you go but you know this is how a lot of doctors are coming around is that they're seeing patients doing these things they're seeing the the results that you're getting and they're like okay well I need to I need to look into this because uh that's I was not expecting that result Louis pretorius says hi thanks for all you do my wife recently started carnivore and just over a month in she has fibromyalgia is just over a month in she has fibromyalgia and chronic fatigue so far symptoms have gotten worse any advice um well certainly with the fatigue you know that can be um an issue early on when you're adapting and you just need to get you know fat adapted keto adapted and that that actually realistically takes months but most people start feeling that you know their energy rise uh after several weeks or usually after about a month people are are start feeling like they have more energy but it can take more than that there's some people that you know three months in they're still feeling pretty low and then their energy comes up I've seen probably two people two or three people that after about 6 months um were they're feeling pretty low energy and rotten for about 6 months and then they had this takeoff anytime I see somebody struggling with energy or having you know you know sort of a slow burn I always I always will check their blood work and or suggest they check their blood work my patients I just check their blood work so I I can see this all ahead of time and headed off at the past but if you are having If you're sort of struggling it's a month in you know it could just be you know you're you're still adapting could be you're not drinking enough water could be you're not eating enough fat that's a real hard one for a lot of people is actually getting enough fat and that's where your energy comes from and uh could also be you know it it matters how strict she is as well a lot of people when they go carnivore they you know they eat a lot more meat and they eat a lot less of the other things which is great it's a big step in the right direction but there's a there is a big difference between eating mostly meat and a bit of things and eating 100% fatty meat and water and getting enough of it that it actually makes a massive massive difference especially if you're someone who's you know very low energy and and fibromyalgia and things like that uh fibromyalgia I I spoke to a pain specialist about this been doing this for 20 plus years I spoke to another researcher on this um that seems to be a metabolic right so you have to fix your metabolic issues and they have these pain issues when you're in ketosis ketones go up that suppresses inflammation but also you're removing a lot of inflammatory products and and fixing your metabolism and so that tends to improve um but it also seems to be there's a very strong link between fibromyalgia and torine torine is an amino acid that we normally make but not everybody necessarily makes enough of it and when people are eating fiber they may lose the torine because torine is made in the liver it's expressed in the bile and everyone goes o bile so bad we have to get because it's made out of cholesterol we have to get rid of it to lower your cholesterol because it's just a waste product it's not that your body's making this on purpose to meet specific demand no you have to clear it out and flush it out and get rid of it because it's toxic all these toxins no that's not what bile is for bile is not a waste product that you're trying to get rid of your body works really hard to bring it back in in fact and we're trying to manipulate that and block that process and fiber is one of the ways that people do that and so and that's how you lower cholesterol with fiber because it binds bile and removes it out and then you have to use cholesterol to make more bile and your body does not stop making bile it is it h it needs bile it tries to recycle bile it's that important hey everyone really happy to announce a new sponsor for the show and for everybody down in Australia Stockman staks who are delivering highquality grass-fed and finished pasture raised beef and other meats flash frozen and vacuum sealed tood door something that I've been enjoying a lot of myself recently as well they also have a great range of specialty items such as high fat keto mints and carnivore beef and organs mints with liver kidneys and beef art as well so use code chaffy today for free order of beef mints or another specialty gift along with your order at Stockman steaks.com and I'll see you over there thanks guys so torine gets made and expressed in the bile and when you bind it with fiber or medications that combin bile to lower the cholesterol you lose the torine and so you know people eating a high-fiber diet can actually lose more of this toine and uh and develop fibromyalgia so torine also is in meat of course but it gets denatured when you cook meat this is why cats have to have raw meat or at least some raw meat because they need torine that's an essential nutrient for them uh but it's really good for us to have have more torine in your diet plenty of studies that uh show that and specifically for f fibromyalgia this is something you should look into so cook you know more rare meat and to get the torine you can even take a torine supplement um and uh and I would check her Bloods I would check her blood work you can even check for her torine see if she has adequate torine levels um and um but I would also check things like B12 um folate RBC zinc RBC magnesium vitamin D those sorts of things thyroid you know she's has has um you know chronic fatigue and really tired all the time she could have a thyroid issue um you know one month in you know I'm sure she's going to be getting more nutrients but if she's super low on a lot of these things it's going to take a long time and so I think that a lot of these people that take three months six months to start getting better energy they probably have an underlying thyroid condition or a very very deficient in nutrients like B12 which you don't have enough that you'll have horrible energy the reference R so many people are deficient in these things that the reference range have actually shifted left and so um you know all of a sudden no one's def no one's deficient because everyone's deficient so the reference ranges just show deficiency but they say oh that's normal now because it's normal to be deficient so you want to be on the high end of whatever reference range they have or even above for most things such as B12 you definitely want to be sort of above their range for B12 um on on almost every lab test because you all lab tests have different reference ranges and that there in lies the problem like these are not optimal reference ranges these are just averages for that lab and so that's not what you want to go by so you you know check all these things you know make sure she's got you know good levels of of thyroid on the on the better ends the higher ends of you know T4 and T3 or you know at least middle to Upper and um and TSH being on the lower end you know that's just thyroid stimulating hormone so that the higher that is you know the less functional your thyroid is you really want that to be below 2.0 um a lot of these ranges go to four or five but anything above 2.0 actually doubles your risk for developing thyroid cancer so that's clearly not the way to go and not an acceptable range so I'll try all those I have a video online on YouTube about you know being tired on a carnivore diet and there's a couple things to troubleshoot there as well main ones are are you actually are you actually eating a carnivore diet or you just eating a lot of meat if you're only if you're eating a lot of meat Go full 100% just meat and water eat enough fat want to get one to two grams of fat to every one gram of protein you need to eat fatty meat until it stops tasting good you need to get a lot of water almost everyone is under Dr under um hydrated drink aim for three liters a day you know and drink more if your body's telling you to um proper sleep stress all these other sorts of things toring as we discussed um checking your blood work and uh otherwise you know there is there is keto adaptation and it can just take time um for your body to get to the point that it can um uh you know you know utilize the ketones effectively so take a look at that literature and um once you're confident enough and you start talking to patients about it you will see results like you've never seen before in your entire life and you know that's why I I have I use diet and lifestyle as a as a major part of my practice because it works you know and we have medicines that can fill in the gaps but so many things just go away and stop being a problem
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