SCD Case Study of 50 Patients/Remission (Rush University in Chicago)

The Journal of the Academy of Nutrition and Dietetics has just published a case study of 50 Crohn's Disease (CD) and ulcerative colitis (UC) patients on the SCD. This is the largest case study of SCD patients so far. Here are the highlights:

  • The patients had their IBD diagnoses confirmed
  • All patients were in remission
  • Average age 36, range was from 10 to 66
  • "Real-world" conditions with patients regarding medications and compliance.
    • 36 patients with CD; 19 with no meds
    • 9 patients UC; 1 patient no meds
    • 5 patients indeterminate disease (couldn't tell if CD or UC); 2 patients no meds
  • Medications dropped. Of the 22 people on no meds who remained in remission:
    • 16 had discontinued steroids
    • 3 had stopped TNF inhibitors (which include Remicade, Humira, etc)
    • 5 had been on 6-MP
  • See the full study for details on current medications (includes over a dozen people using mesalamine)

The study's authors conclude that:

We now show that at least a subgroup of patients with IBD may notably improve as a result of following the SCD and/or dietary interventions in general. [emphasis added]

In addition, they write:

... this may be a low-cost intervention to induce and maintain remission with little or no known adverse reactions. As such, further interventional studies of SCD and diet therapies in general for IBD are urgently needed. [emphasis added]


Kakodkar, S., Farooqui, A. J., Mikolaitis, S. L., & Mutlu, E. a. (2015). The Specific Carbohydrate Diet for Inflammatory Bowel Disease: A Case Series. Journal of the Academy of Nutrition and Dietetics, 115(8), 1226–1232. doi:10.1016/j.jand.2015.04.016

SCD Everything Bagels

I finally got inspired to create SCD bagels. Although, the piping of the batter onto a baking tray resulted in smaller bagel sizes, it was very exciting to toast one of these every morning this past week and smother it with butter and strawberry jelly.

INGREDIENTS:
4 large eggs
1 tablespoon apple cider vinegar
1 tablespoon water
1/8 teaspoon salt
1/2 teaspoon baking soda
1/2 cup flax meal (flax seeds ground up and sort of shredded)
2 cups almond flour
Toppings:
1/2 teaspoon poppy seeds, or to taste
1/2 teaspoon minced dried garlic, or to taste
1/2 teaspoon sesame seeds, or to taste

INSTRUCTIONS:
Crack the eggs and put them in a mixing bowl. Add in teh cider vinegar and water to the eggs and stir until combined. Add in the salt, baking soda, flax meal, and almond flour to the mixing bowl and stir until the batter is ready.

On a greased baking tray, gently drop the batter into so that it resembles a circle with a hole in the middle. The batter should be about 1/2-1" thick and connected at all points so that it can bake into a circular shape like a bagel. Your other alternative is to pipe the batter from a homemade "pastry bag"-shaped-cone made of wax paper and sealed on the side except for the bottom edge which is snipped off to allow the batter to pipe through in a controlled manner.

Add in the toppings to the bagels by sprinkling them on top of each one. Bake for 20-25 minutes or until the bagels are golden brown and bakes through.

YIELD:
10-12 mini-bagels

Marion Institute SCD Presentations

We are finally posting the SCD-related presentations by Pamela Ferro and Raman Prasad, when they spoke at the Marion Institute in mid-May 2015 at the Biological Medicine Network's Connector Series. In these talks they speak about the Specific Carbohydrate Diet and Inflammation. The recording are hosted on the Marion Institute's Youtube Channel. Enjoy browsing!

Pamela Ferro
Calming Inflammation: Changing the Microbiome with the Specific Carbohydrate Diet

Raman Prasad
The SCD & Inflammation: What Does The Gut Have To Do With It

 

IBD Study Catch-Up 1 of 4: Stanford School of Medicine/Crohn's Disease

While working on the SCD for Autism and ADHD book, we read through literally hundreds of studies.  However, it left little time to write posts about IBD studies.

Last year, it became "official", a Harvard-led study of 447 children* newly diagnosed with Crohn's disease found a striking imbalance of gut bacteria, with pathogenic bacteria flourishing.  (*Places like Harvard often seem to be the most "conservative" to weigh in on "new" ideas.)

Over the last 2-1/2 years there have been several small SCD posters as well as published studies from California, Chicago, and Georgia about different aspects of the SCD.

Starting with a Stanford School of Medicine Poster presented in Chicago in 2013, here is a quick recap.

Title: Specific Carbohydrate Diet in Five Pediatric Patients with Crohn’s Disease

Patient Description:

  • 5 patients, between ages 11 and 14-1/2
  • Patients diagnosed with severe to moderate Crohn's disease
  • They chose SCD as a primary treatment for their disease.

How the SCD was Used:

  • 3 patients started the SCD while tapering off of steroids.  After 4-6 weeks, the SCD was used for maintenance, without steroids
  • 2 patients used the SCD for both going into remission** as well as maintenance.

(**Note: Definitely coordinate with your doctor if trying the SCD.  Crohn's and ulcerative colitis usually need medication for remission.)

Results:

  • All five patients were in remission by 1 month and were symptom-free with improved growth and normalization of laboratory values while they remained on the SCD (up to 6 months).
  • The patient responses demonstrate that effective dietary intervention may lead to disease control and medication-free remission.

This experience closely mirrors that of patients at Seattle Children's Hospital.

Reference: Burgis J, Nguyen K, Park K, Cox K. Specific Carbohydrate Diet in Five Pediatric Patients with Crohn’s Disease. NASPGHAN, October 2013. Chicago, IL (Poster)

This Past Saturday at Duke's Bakery

This past weekend Duke's bakery invited us for a book signing*.  We spent an afternoon sipping SCD lemonade (with a touch of cumin) and talking with people interested in the SCD. (* South Coast Today - A cookbook aimed at autism)

One boy, "Kevin", who arrived with his mom, stood out.  Just under 4-years-old and wearing a baseball cap he confidently walked  around the store, curiously checking out people, display cases, and everything else (especially a couple of people with ipads).

His mother talked about he how much had changed since January. Diagnosed with ASD at 14 months and non-verbal, he is starting to attempt speech.  His pre-school teachers, initially resistant of supporting dietary changes, are now onboard.  This wasn't the case earlier in the year. As Dorry (co-owner of Duke's) describes it, Kevin first came to the store in January.  He came in screaming.  His mother was upset.  Nothing could calm Kevin down.  His mother had been trying various elimination diets and had heard about the prepared food at Duke's.  With the screaming still going on, Dorry made a split-decision and decided to call Pam IMMEDIATELY.

Less than 5 months later, we simply sat talking.  During his 45-minutes at Duke's Kevin never became upset, never became agitated.  Seeing this change was the reason we worked on the book. 

(A second reason was a chance to sit at Duke's for an afternoon and enjoy the food.  On the way out, Chris packed me SCD Chicken Parm. for dinner.  I kept extra aside so I could stretch the good taste into next day's lunch.)


Marion Institute's Connector Series to host SCD speakers

On May 16th, come and listen to Raman Prasad & Nurse Pamela Ferro speak about the SCD!

Calming Inflammation:
Changing the Microbiome with the Specific Carbohydrate Diet

May 16, 2015
8.30am-12.15pm

Greater New Bedford Community Health Center, 874 Purchase Street, New Bedford, MA

Raman Prasad & Pamela Ferro, R.N., authors of The SCD for Autism and ADHD: A Reference and Dairy-Free Cookbook for the Specific Carbohydrate Diet, will explain how dietary change can decrease inflammation, not only for serious digestive issues, but also conditions such as eczema, autism, ADHD, anxiety, and mood disorders. This workshop will explain the diet and demonstrate how these food changes can be implemented even into the busiest of schedules.

This event is hosted by the Marion Institute (marioninstitute.org) and is part of their Biological Medicine Series. You can read more about the event here.

 

Duke's Bakery in Southern MA to host SCD book event!

This local Massachusetts bakery will celebrate the April 2015 release of Raman Prasad and Pamela Ferro's new book The SCD for Autism and ADHD. Please come by and support this book event during Autism Awareness Month.

Meet the authors!
Purchase signed copies of this ground-breaking book!
Enjoy some delicacies baked from the Cookbook section!

Where: Duke's Bakery and Variety
When: Saturday, May 9, 2015
Time: 2-5 pm
Address: 162 Columbia Street, Fall River, MA 02721

Hope to see you there!

Christmas Cookies from p.189 of The SCD for Autism & ADHD: A Reference and Dairy-Free Cookbook for the Specific Carbohydrate Diet™

Christmas Cookies from p.189 of The SCD for Autism & ADHD: A Reference and Dairy-Free Cookbook for the Specific Carbohydrate Diet™

Lucy's Cinnamom Cookies

After almost two decades of meeting and connecting with Elaine Gottschall and Lucy Rossett at a Defeat Autism Now conference in Washington, DC, and Los Angeles, I still have a memory of Lucy (of Lucy's Kitchen Shop) offering us an SCD treat from her stash of ziploc bags stacked away in her purse. One of these contained her scrumptious SCD Cinnamon Cookies that are so soft and chewy and sweet. You can simply just eat the batter before it is even set to bake! It can be found on page 87 of Lucy's Specific Carbohydrate Diet Cookbook, available here.

image3.JPG

Oatmeal Raisin Cookies

We have been obsessed by page 146 in Erica Kerwien's Cooking for the Specific Carbohydrate Diet. If you do not know this book and this specific page, it has the most delicious and easy recipe for SCD "oatmeal raisin" cookies. The texture of the oatmeal is provided by the shredded coconut, the sweetness by the raisins, and the smoothness by the almond butter.

When one of our family members had a birthday last week, instead of baking an SCD cake, we decided to double up on this recipe and created 75+ of these cookies. Stacking them together we created a plate of vertical sweetness with candles atop!

NOFA sponsors SCD Seminar in Southern MA

The Northeast Organic Farmer's Association (NOFA) is sponsoring a one-day SCD-related seminar/conference titled:

When the Belly is the Beast:
Dietary Interventions to Address Autism and Neuro-Degenerative Disease

When: December 4, 2014 - 9:30am to 4:00pm
Where: Bristol Community College, 777 Elsbree St, Fall River, MA

This seminar explains how environmental factors, including exposures to toxins in food and the environment, and the consumption of highly processed, nutrient-poor foods, are contributing to a wide range of chronic and neuro-degenerative illnesses in the population. These include autism, multiple sclerosis, dementia, Parkinson’s Disease, ADHD, ALS, and related disorders. Participants will learn how diets high in quality nutrient-dense foods support the brain as it attempts to repair itself, leading to improved behavior, mood, cognition, and muscular and neurological function.

Dietary intervention treatments highlighted in this seminar focus on providing excellent quality nutrition using whole, unprocessed foods that feed and nourish the body and brain. Among the approaches discussed will be the Specific Carbohydrate Diet (SCD) developed by Elaine Gottschall – presented by Raman Prasad of SCDRecipe.com and Pamela Ferro of Hopewell Associates. Other speakers include Dr. Martha Herbert of Mass General Hospital and Kelly Barnhill of The Johnson Center for Child Health and Development.

You can find out more about it at:
http://www.nofamass.org/events/when-belly-beast-dietary-interventions-address-autism-and-neuro-degenerative-disease#.VG5Xf4dYSJZ

Press release is available here.

You can use the NOFA link to sign up for the event if you are local. A full SCD lunch will be served!

Mom's Homemade Beef Lasagna

My mom, Sue, who has contributed recipes for the cookbooks I have written, stopped by earlier this Fall and left us with this delicious lasagna:

1 tablespoon olive oil
5 medium zuchhini, ends trimmed
lb organic ground beef
1 lb dry curd cottage cheese
1/4 cup fresh chopped basil leaves
1 lb organic ground beef
1 lb dry curd cottage cheese (dccc)
2 tablespoon fresh parsley, chopped fine
2/3 cups grated parmesan cheese
3 eggs
1 pint tomato sauce
1 large tomato, sliced into rounds
3 cloves garlic, peeled and chopped fine
salt and pepper to taste

In a stovetop cast-iron pan, sauté the beef with salt and minced garlic in the olive oil. Meanwhile, slice the zuchhini lengthwise into strips with a cheese slicer so that they are thin and long. Set aside.

Next, mix the dry curd cottage cheese with the 2 tablespoons of the grated parmesan cheese, eggs, and parsley. Add salt as desired.

Pour 1/2 cup of the tomato sauce into the bottom of an oiled/greased 9"x13" baking dish. Next, add in a layer of sliced tomatoes and sprinkle on a little bit of the chopped basil, chopped garlic, and 2 tablespoons of the parmesan cheese. Lay down the strips of zucchini "noodles" for the next layer so that it covers the tomato layer.

Take the prepared dry curd cottage cheese (dccc) mixture and pour over the zucchini strips. Next add in another layer of the zucchini strips so that they are evenly spaced and cover the dccc micture, and then add in the pre-cooked beef from the stovetop. Sprinkle with remaining basil.

For the final layers, pour the rest of the tomato sauce and spread evenly, then layer with any remaining zucchini strips for the topmost layer. Sprinkle the top with the remaining parmesan cheese and place in oven at 350F till the ingredients are cooked through.

 

SCD author in Book Festival Panel (Nov 1)

For all you local Northeasteners, Raman Prasad will be speaking at the Arlington Book Festival this coming Saturday, November 1st, 2014, about the SCD and health through diet. Although the book festival runs with several different panels through the whole day, he will be on a specific panel titled Writing on the Subject of Mental, Physical, and Spiritual Health. Please see details below!

Arlington Book Festival
Robbins Library

700 Massachussetts Avenue
Arlington, MA

11:00am
Writing on the Subject of Mental, Physical, and Spiritual Health
Authors who change lives through the written word.
Panelists: Pamela Donleavy, Emily Fox-Kales, Ph.D., Raman Prasad, Holly Lebowitz Rossi

If you are in the vicinity, please stop by. It is free!

You can find out more at:
https://www.robbinslibrary.org/events/details/2847

 

Not your average pizza shop...

We had family visiting us this past Wednesday, and decided to go to our favorite local pizza place. The first reason it is my favorite is because it sources most of its ingredients farm-to-table, especially for what goes on top of the pizzas–there are no frozen or wilted vegetables here. Your meal can be accompanied by specialty wines, craft beers, and delicious SCD-safe salads too.

However, the second, and most important reason, is that the manager there, has worked with us to support our dietary needs. Over the past year, he has provided different kinds of pizza pans, advised us on what oil would work best for when the pizza dough goes in a super-hot oven, and finally, permitting me to carry in my very own-pre-baked SCD crust from home. I use a modified version of the crust ingredients from John's Pizza at scdrecipe.com.

Once we are settled on a table, I get to choose whatever toppings that are in season and are SCD-legal. And I always ask for cheddar instead of the regular cheese.

You should consider asking your own local pizzeria if they would do the same!

SCD pizza with peppers, onions, cheddar cheese, and SCD-legal pepperoni.

SCD pizza with peppers, onions, cheddar cheese, and SCD-legal pepperoni.

Sunday Brunch Surprise!

We stopped by our friends place across the city this past Sunday to visit their 2 week old son. It was a lovely surprise to be greeted with a newborn to hold and fuss over. At the same time, our hosts had fussed over us and prepared us an SCD-legal brunch, that ranged from fresh fruit-vegetable juice to baked Cauliflower Hash Browns to dried fruit.

The centerpiece of this meal came out of the oven hot and ready to tuck into – was the egg-in-a-hole, except instead of cooking it within a bread piece, our hostess used avocados.

She gently dropped the cracked eggs into the avocado hollows (where the seed would have been and was removed) and sprinkled it with a bit of salt, pepper, and chives. It was baked in the oven till the eggs were cooked through. Super-delicious!

eggavocado

SCD Cashew Bread

My mom, Sue, came up this past week to visit us for a few days – to help prepare and stock the house with SCD goodies. She has always been an amazing presence in the garden and kitchen, but I was still surprised (after all these years on SCD) to watch her quickly whip together this delicious cashew bread one afternoon.

3 ripe bananas
1/4 cup melted butter
2 tablespoons olive oil
3 eggs
1 teaspoon cinnamon powder
1/4 teaspoon allspice powder
1 teaspoon vanilla
3 cups cashewnut flour (we got ours from Trader Joes)
1 teaspoon baking soda
2 teaspoons lemon juice

Mix all the above together in a processor, and pour in a baking pan in a pre-heated 350°F oven for 30-45 minutes, or until knife comes out clean. Enjoy!