The following are updates to GAPS Guide.
Dairy
As of March 2009, a ‘how to intro dairy’ sheet is included with each book. (If you did not receive one, please contact the company from which you purchased the book.)
P. 35 – Intro – Supplements In
Except for those required to preserve life or limb, remove *all* supplements -even GAPS ones like EFAs- before Stage 1. You can reduce them slowly as you prepare for intro. Then add only necessary ones back in very slowly, starting with teeny doses of the GAPS supplements, and building those up slowly.
Page 35 – Intro Diet – Pregnancy, Nursing, Babies
For instructions specific to women who are hoping to conceive or who are pregnant, click here. For instructions specific to nursing mothers, babies and toddlers, please click here.
P. 39 – Moving From Stage to Stage (“Pacing”)
Where there is bleeding, cramping or true diarrhea (not simply three or fewer “looser stools” per day), stay on Stage 1 until that resolves, or a maximum of 7 days, whichever comes first.
Other than that, simply keep moving forward with a new prep, amount or food every few days unless you get an obvious reaction to one of those new foods. If obviously reacting to newly introduced food, take that food out, allow a few days to recover, skip the reactive food and move on to the subsequent one.
P. 39 – Constipation (“Pacing”)
Constipation during intro is often due to die-off. If you have constipation, keep moving forward regardless. If necessary, do enemas to ensure a BM every 24-36 hours (max) until they start coming on their own. See GAPS Guide for a list of things that often trigger BMs for different people. CLO + carrot juice in Stage 2 is one option for stubborn constipation.
Page 4o – Intro Vegetables [Asterisked Point]
Some people may tolerate any GAPS-friendly vegetables right off the bat; others will need to use trial and error to find the best starting veggies for them. For some sample approaches, click here.
Page 41 – Intro Diet – “Every Morning”
Here I recommend not starting a commercial probiotic until the diet’s initial die-off has eased. I would add to this to also skip the juice from fermented veggies, or any other form of probiotic, until the same point.
P. 47 – Progressing Further – Water
To calculate water intake suggested by a variety of sources, take your current weight in kilos, divide by two and consume that much non-caffeinated liquid in ounces.
P. 48 – Saccharomyces Boulardii
Start with a pinch to test tolerance, then build to a dose just short of noticeable die-off. Take that dose three weeks on, three weeks off, then three weeks on again. See also this post.
Note: NuTriVene’s GAPS store is able to provide free samples of various GAPS supplements, including Bio-Kult, Betaine, and S Boulardii.
P. 70 – Medical and/or Nutritional Authorities
In addition to those mentioned in the book, practitioners offering live and/or phone consultations regarding GAPS are:
Dr Rosann Volmert, D.O.
Pasadena, California, USA
www.drvolmert.com
*
Liz Lipski, PhD, CCN
Asheville, NC
www.innovativehealing. com
*
Dr. Tim Gerstmar, ND
Redmond, WA
http://aspirenaturalhealth.com/
*
Also, Dr Campbell-McBride now has a website:
www.gaps.me
P. 76 – More Info/Support
Click here.
P. 87 – Die Off Symptoms
In addition to the symptoms listed in the book, die-off can trigger also the following symptoms: extreme lethargy, pallor, irritability, total loss of appetite (for up to four days in the first round of intro), dramatic increase in hunger, sadness, any flu-like symptoms. For tips on avoiding or relieving these, see GAPS Guide p 87-88 and this post.
P. 122 – Favourite Products
I no longer recommend the Omega 8005 juicer/homogenizer. Although its juicing and homogenizing functions did work very well, the machine I received had problems and the company’s response to this was very, very poor. While several list members are loving their Omega 8005, others delight in their Champion Juicer and/or Vitamix for their functions, durability, and customer service.
Personally, I’m back for now to just a simple Cuisinart stick blender, for which I paid $63 at my local department store.
P. 131 – Probiotics With Betaine HCL
If using probiotics and no Betaine HCL, take your probiotic with food.
If using Betaine HCL, take the Betaine with meals and take your probiotic away from food.
P. 132 – Supplements – Essential Fatty Acids
Besides the four products listed in the book, Dr Campbell-McBride also recommends a “good nut/seed oil blend in the ratio of 2:1 of omega-3:omega-6 fatty acids” supplied in an opaque glass bottle and refrigerated. For a child, start with a few drops added to cold or warm food and slowly build the dose to 1-3 tablespoons per day (under 18 months of age, 1-2 teaspoons). Adults work up to 4-5 tablespoons per day. For more info, click here.
P 135 – Broth
For detailed information on meat and bone broth, see GAPS Guide. Note there that Dr Campbell-McBride initially and primarily recommends meat broth, not bone broth. Early in healing, bone broth causes problems for some people. For ideas on how to get broth into children, click here.
P. 135+ – Recipes – Yogurt
For yogurt, click here.
P. 140 – Recipes – Sauerkraut
For additional (and simpler) fermented vegetable recipes, click here.
Chapters 10, 11, 12 – Discount on Supplements
Due to changes in US laws, we are no longer able to provide a discount code for NuTriVene supplements. However, two new options exist: With purchase of GAPS Guide, NuTriVene offers a discount coupon which can be applied to their other products. NuTriVene also offers samplers of various GAPS supplements.
p 151 – Whey
Commercial whey is not used on GAPS and appears on the ‘not recommended’ list. Whey drawn from homemade ferments is, however, recommended.
P 151 – Cocoa
Dr Campbell-McBride states that cocoa is too irritating on the digestrive tract to use in a compromised gut, but that after sufficient healing has taken place, pure cocoa (not chocolate) may be used. My own suggestion is to use only organic, and preferably raw, cocoa at that point and infrequently.
Can’t get the first link to work, just refers back to home page. thanks
in reference to:
“Page 35 – Intro Diet – Pregnancy, Nursing, Babies
For instructions specific to pregnant women, nursing mothers, babies and toddlers, please click here.”
Hello,
very helpful updates.
Can’t get the last link to work (the “samplers”).
Best regards,
Helga
Helga,
Thank you so much for letting me know! It appears I had at some point clicked ‘move to trash’ rather than ‘update’! It is now repaired (and improved).
I always appreciate when people let me know what in the book or website needs clarification or repair.
All my best,
Baden
Hi Baden,
I know a rash of people wanting/planning to start GAPS soon – including my parents – and, of course, have recommended they all buy the GAPS Guide. My question is: are you still selling the first edition? (Is there a 2nd edition out yet?) And if you’re still contemplating a 2nd, I want to suggest adding an index, if you haven’t already. It would make looking things up much easier. Also, I’d be glad to help create an index if that would be useful (I used to work as a technical writer).
In gratitude for all your GAPS offerings,
Seanain
Hi Seanain,
Thanks so much for your note.
Yes, GAPS Guide 1st Edition is still the current one, and will be for at least another year or so, I’d say.
Yes, definitely any subsequent edition will need an index and I may well take you up on your offer to help with this!
All my best,
Baden
Hi Baden,
Thanks for the great web site and helpful guide. When we tell people we’re not eating grains, they start freaking out about ketosis and damaging our kidneys, etc. Can you or Dr. NCM directly address the issue of ketosis? Specifically, what is the difference between die-off and ketosis? What role, if any, does it play in the introduction diet? Is ketosis an issue on the full GAPS diet?
Thanks!
Angie
Can you give any advice about finding Lima beans in the UK? The English dictionary says they are butter beans but I know these are on the forbidden list. Do they maybe go by a different name here?
I have returned to GAPS diet after 3 year lapse. After 3 days felt vastly different and have been improving ever since after long chronic fatigue and periods stopping. I’ve had 2 periods and also been running!
Hi Sophia,
Very interesting! Your note prompted me to do some research and I, too, found that while most sources say “butter beans” and “lima beans” are one and the same, one is on the SCD legal list and the other is on the illegal! I suggest you post your question to the support group. Hopefully someone has done further investigating, and/or has sourced lima beans in the UK. Please let me know what you find out.
Congrats on your return to GAPS and on your great results to date!
Best,
Baden
Baden,
Thank you so much for sharing the results of all your information-gathering!
The link you give for nursing moms, babies, and toddlers is really geared towards new babies, and doesn’t help me at all in planning to start GAPS with my two-year old nursling who has been eating solid food since he was seven months old. Can we start intro together, or must we go to full GAPS and go back to intro when he weans, a year or three from now? What’s the consensus?
Hi Amity,
Thank you for the clarity of your post. Dr Natasha’s recommendation is that a nursing mother do full GAPS. Within the GAPS community, some nursing mothers did intro, some did full GAPS, some put their toddlers (nursing or not) onto intro, some directly onto full GAPS. Personally, I would encourage you to put both yourself and your toddler onto full GAPS and after he has weaned himself, or if problems are stubborn, look at the possibility of intro for you or you and him.
Note that I recommend all people transition gently to full GAPS before considering doing intro. Certainly one can go directly to intro -I did, and my son (then 3 years old) was nursing heavily at the time- but I know Dr Natasha to be a very conscientious person who does not make recommendations lightly. (I only did otherwise because this recommendation did not yet exist.)
Does this help at all?
All my best,
Baden
Indeed it does help! That “if problems are stubborn” rider does a great deal towards calming my urge to do-the-intro-NOW! On the other hand, if I take into account my food intolerances and my son’s soft tooth enamel, almost the only things we can eat on full GAPS that we can’t on the intro are nuts and legumes. I guess we’ll continue transitioning gently into full GAPS and worry about intro somewhere down the line. Thank you.
hi baden,
i’m trying to start the gaps intro diet and am confused about when to use bone broth vs meat stock. in chapter 13 – recipes for intro, bone broth is discussed at some length. however, in chapter 3 – implementing the program, i don’t see how to integrate into the intro diet. it seems to refer to using meat stock only. after reading the update above referring to p.135 – broth, and how natasha doesn’t recommend it in the intro; i’m even more confused about chapter 13′s references to bone broth in the intro diet. i just made a big batch of bone broth and don’t know what to do with it. i’d appreciate your thoughts.
Hi Sasha,
Dr Natasha’s recommendation is for meat stock only. Some people like to incorporate bone broth instead of that right from the beginning, or after some healing has occured. Some people, though, are sensitive to bone broth.
I suggest you
-freeze your bone broth in small batches
-use meat stock for the first few months, then
-trial the bone broth and see how your family does with it
All my best,
Baden