Dr. Akil Palanisamy

So that's the main reason for that.

So that's the main reason for that.

Yep.

Yep.

Yep.

Yeah, exactly. My goal is always trying to expand the diet as much as possible, as much as someone will tolerate. I think the elimination phase is the phase one diet, but then the reintroductions are even more important, and that's part of the phase two. There's a lot of subtlety and nuance in that, which I work with my patients on, I talk about in the book.

Yeah, exactly. My goal is always trying to expand the diet as much as possible, as much as someone will tolerate. I think the elimination phase is the phase one diet, but then the reintroductions are even more important, and that's part of the phase two. There's a lot of subtlety and nuance in that, which I work with my patients on, I talk about in the book.

Yeah, exactly. My goal is always trying to expand the diet as much as possible, as much as someone will tolerate. I think the elimination phase is the phase one diet, but then the reintroductions are even more important, and that's part of the phase two. There's a lot of subtlety and nuance in that, which I work with my patients on, I talk about in the book.

what's the order to reintroduce foods, you should reintroduce the foods that are kind of least allergenic first. So you know, if you've eliminated like nuts and seeds or nightshades, or you know, the maybe those are earlier in the reintroduction, and then you reintroduce more allergenic foods like dairy towards the end and then gluten at the very end, because it's the most allergenic.

what's the order to reintroduce foods, you should reintroduce the foods that are kind of least allergenic first. So you know, if you've eliminated like nuts and seeds or nightshades, or you know, the maybe those are earlier in the reintroduction, and then you reintroduce more allergenic foods like dairy towards the end and then gluten at the very end, because it's the most allergenic.

what's the order to reintroduce foods, you should reintroduce the foods that are kind of least allergenic first. So you know, if you've eliminated like nuts and seeds or nightshades, or you know, the maybe those are earlier in the reintroduction, and then you reintroduce more allergenic foods like dairy towards the end and then gluten at the very end, because it's the most allergenic.

That maximizes the chance of success because the goal is always getting people to expand their diet to the maximum diversity they can tolerate, and then hoping we can heal their gut enough where they get to a point where they can tolerate some amount of gluten, some amount of dairy, fermented dairy, extremely beneficial like yogurt and kefir, and have that 80-20 rule that's our target.

That maximizes the chance of success because the goal is always getting people to expand their diet to the maximum diversity they can tolerate, and then hoping we can heal their gut enough where they get to a point where they can tolerate some amount of gluten, some amount of dairy, fermented dairy, extremely beneficial like yogurt and kefir, and have that 80-20 rule that's our target.

That maximizes the chance of success because the goal is always getting people to expand their diet to the maximum diversity they can tolerate, and then hoping we can heal their gut enough where they get to a point where they can tolerate some amount of gluten, some amount of dairy, fermented dairy, extremely beneficial like yogurt and kefir, and have that 80-20 rule that's our target.

Yeah. So that's one way I differ from the AIP diet is I- Autoimmune paleo. Yeah, autoimmune paleo, which the AIP diet does not allow any grains at all, even the gluten-free grains like rice and quinoa and so forth. But those are allowed in my elimination diet. So people can have oatmeal, they can have...

Yeah. So that's one way I differ from the AIP diet is I- Autoimmune paleo. Yeah, autoimmune paleo, which the AIP diet does not allow any grains at all, even the gluten-free grains like rice and quinoa and so forth. But those are allowed in my elimination diet. So people can have oatmeal, they can have...

Yeah. So that's one way I differ from the AIP diet is I- Autoimmune paleo. Yeah, autoimmune paleo, which the AIP diet does not allow any grains at all, even the gluten-free grains like rice and quinoa and so forth. But those are allowed in my elimination diet. So people can have oatmeal, they can have...

rice cereal, they can have quinoa, they can have- As long as they do okay with these, they can have them. Yeah, exactly. As long as they're not having an overt reaction, then those foods I have found very unlikely to cause issues. Some patients do react to all grains, but the majority can tolerate those gluten-free grains. That will open up a lot of options in terms of their diet.

rice cereal, they can have quinoa, they can have- As long as they do okay with these, they can have them. Yeah, exactly. As long as they're not having an overt reaction, then those foods I have found very unlikely to cause issues. Some patients do react to all grains, but the majority can tolerate those gluten-free grains. That will open up a lot of options in terms of their diet.

rice cereal, they can have quinoa, they can have- As long as they do okay with these, they can have them. Yeah, exactly. As long as they're not having an overt reaction, then those foods I have found very unlikely to cause issues. Some patients do react to all grains, but the majority can tolerate those gluten-free grains. That will open up a lot of options in terms of their diet.