The Paleo Elimination Diet (That “Cured” Me Before the Lion Diet)

By Mikhaila

Hi!

My name is Mikhaila Peterson. I’m a 26 year old mother (and loving it!). I live in Toronto.

Short background on me:

I was diagnosed with Juvenile Rheumatoid Arthritis when I was 7 years old. My parents think it started when I was around 2 noticing the way I walked. I was the first child in Canada to be put on injections of Enbrel, an immune suppressant. I was also put on injections of Methotrexate. In grade 5, when I was 12, I was diagnosed with severe depression/anxiety. I started taking Cipralex (Celexa), an SSRI. I was on a very high dose for a child, but if I tried to lower it, I couldn’t. That dose increased into my teenage years and early 20’s when my depression worsened. When I was 17 I had a hip and an ankle replacement from the arthritis (that diagnosis was changed from rheumatoid arthritis to idiopathic arthritis). I was prescribed Adderall to keep myself awake because I couldn’t stay awake. Diagnosed with idiopathic hypersomnia. My skin was itchy, I had mouth ulcers, floaters, and terrible skin problems starting in my early 20’s.

At the peak of my medicated times I was taking:
For Arthritis: Enbrel and Methotrexate, (immune suppressants). Folic acid because of the Methotrexate. Tylenol 3 so I could sleep at night without as much pain.
For depression: Cipralex and Wellbutrin
For fatigue: Adderall to keep me awake, Gravol and Lorazepam to put me to sleep from the Adderall.
For my skin: Minocycline (antibiotic), and later dapsone (antibiotic)
Other: Birth control (seasonique)

I’ve probably taken antibiotics 2-3 times a year since I was 2. That’s almost 40 rounds of antibiotics.

I’ve been on way more than that too. That was just at one point in time.
Anyways, all in all, I was very sick.

May 2015, I stopped eating gluten. I thought that my skin problems that had slowly been growing worse were probably Celiac related (dermatitis herpetiformis). I never had stomach pain so I had never looked at food before. Cutting out gluten maybe helped a bit… But not nearly enough.

September 2015, I went on an elimination diet. I went on it to see if I could control my arthritic symptoms. I could. 3 weeks into the diet my arthritis and skin issues went away. This was unheard of. I don’t have the type of arthritis that goes away.

3 months later my depression disappeared. My arthritis ate my hip and my ankle but I haven’t experienced anything more debilitating than depression.

A month after that my fatigue lifted.

Everything wrong with me was diet related. Arthritis, depression, anxiety, lower back pain, chronic fatigue, brain fog, itchy skin, acne, tiny blisters on my knuckles, floaters, mouth ulcers, twitching at night, night sweats, tooth sensitivity, and the list goes on, but everything was diet related. Every single thing wrong with me was fixable.

Then I got pregnant.

Things shifted in my body and the original diet I followed didn’t get rid of my symptoms anymore. My arthritis came back (albeit much less awful than before) and my depression came back (again, much less awful). I lost the ability to tolerate any carbs.

The following is a list of foods that I could originally eat without reacting. This is a good list of foods to start with for the elimination diet. In order to do this, you have to be very strict. If you have questions, please comment!  If the following list doesn’t work for you after a month, you can try even more strict, or you can go zero-carb/lion diet. If you’re suffering from an autoimmune disorder or you need to get better ASAP (as in you’re dying from what ails you), I’d recommend zero-carb. You can reintroduce vegetables after a month (if you want to).

If you can’t manage to do zero-carb, or the following list of foods, (it makes eating out almost impossible), at least cut-out gluten and dairy and sugar. If you’re a “healthy” person, cut out gluten and dairy. All of it. Gluten is hidden in soya sauce, twizzlers, malt vinegar. Cut it all out for 4 weeks and see how you feel. If you’re suffering from an autoimmune disorder or depression or another mental disorder than I would suggest doing the following diet or doing zero-carb. Cutting out gluten and dairy will help but it might not be enough. You may find that you’re able to reintroduce most foods after the elimination diet.

Meats:

  • turkey
  • beef
  • chicken
  • lamb
  • duck
  • wild game is fine too, elk, moose, etc.
  • wild salmon
  • tunacheck the ingredients! Get stuff that’s just tuna and water and perhaps salt.
  • organ meat – chicken liver tastes the best I find
  • wild herring – check the ingredients!
  • wild sardinescheck the ingredients!

Veggies:

  • lettuce
  • arugula
  • arugula microgreens (arugula sprouts)
  • cucumber
  • swiss chard
  • seaweed – check the ingredients! this is hard to find without soy and other things. The brand I’ve linked to is safe and really tasty
  • cilantro
  • collard greens
  • broccoli
  • turnips
  • cauliflower
  • parsnips
  • sweet potatoes
  • spinach

Fruit:

  • olives – check the ingredients! see my olive post. be super careful about which brands you buy here too, many have preservatives and flavours and dyes.

Vinegars:

Oils:

  • coconut oil – get unrefined. And try to avoid the Nutiva brand. It’s everywhere but it doesn’t taste as good, and I’ve had ones that have gone bad before.
  • olive oil – make sure your olive oil is pure olive oil. Sometimes it’s also soybean oil!

Spices/Seasonings

  • salt
  • pepper
  • marjoram
  • parsley
  • oregano
  • thyme
  • rosemary
  • peppermint
  • turmeric
  • basil
  • bay leaf
  • coriander

Other:

  • baking soda (probably won’t eat this but it’s good for toothpaste 🙂 )
  • peppermint tea – check the ingredients. Buy loose leaf (David’s sells an organic peppermint which is lovely) or organic. We want to make sure there aren’t preservatives or flavours added. White tea bags or coffee filters are often bleached with sulfites. If you’re super sensitive (dad and I), you’ll react to these. So make sure you get organic tea bags as well!
  • black tea- check the ingredients. Buy loose leaf if possible
  • green tea- check the ingredients. Buy loose leaf if possible

Alcohol – not for the first month. I can kinda handle it, but lots of people can’t.

  • vodka
  • bourbon and American Whiskey labeled “straight” whiskey

Good luck! If you try this for 4 weeks you should be able to see a huge difference. Then reintroduce foods by having a bite of it. I do not recommend reintroducing dairy and gluten ever but do so if need be. It took me 8 months to realize how sensitive I was, it doesn’t seem possible, but I react strongly to half bite of food. Have a bite or two of the new food and then wait 4 days before reintroducing something else. Most of my reactions (but definitely not all) take about 4 days to hit peak terrible – particularly arthritis and definitely the depression. Skin issues take about 7 days to come up after eating an offending food.

Things to try and reintroduce first after the first month:

  • avocados
  • other leafy greens
  • macademia nuts
  • foods that are listed as okay by the AIP or SCD diets

Foods to always be wary of:

  • grains
  • dairy
  • sugar
  • soy

Foods that I had major issues with when I tried to reintroduce

  • almonds
  • rice
  • sulphites
  • dairy – ouchhhh that was not fun to experience
  • gluten
  • kelp noodles
  • white cabbage
  • bananas – terrible for the arthritis
  • cane sugar
  • food dyes
  • citrus
  • melons
  • grapes
  • onions
  • zucchini
  • soy
  • probiotics – I can’t handle them, but that doesn’t mean they’re bad. Hopefully, after some healing, I’ll be able to handle them too.

My father and my husband have the same sensitivities, and I’ve been contacted by people who also have extremely similar reactions to the same foods. This is widespread. These are terrible reactions that most people don’t realize until they’re gone. What’s the point of realistically thinking about everything bodily that’s bugging you? Muscle pain, fatigue, digestive issues, minor skin problems, the occasional mouth ulcer – all things people ignore. Don’t. These are signs. Good luck!!

To find out exactly how to go about doing an elimination diet please read this (especially if you suffer from depression/anxiety, there are some things you should know before going on an elimination diet).

UPDATE: Zero-carb – for when going down to meat and greens isn’t good enough. Or if you’ve already been on a keto diet or paleo diet and you’re still not better

Join the Conversation

444 Comments

  1. Hello!

    A friend of mine (Serene Desiree) just shared this page with me and I am so glad she did. My husband has a very similar story to yours – diagnosed with JRA (later JIA) when he was 12, all the drugs, pain, treatment for ADD, etc. When I met him at age 24 he was really sick but had just kind of given in to what he thought the realities of his life where. When he was 27 we lost access to his medications due to health insurance issues so I took it upon myself to heal him. The biggest things I have done include changing his diet. We eat a few more things than you do, but less meat. He is all better, no more evidence of his JRA at all, no more meds. I have continued researching beyond the good into gene mutation and why young people are developing “JIA”. I have also found help for him (Thomas) from the right supplements. For example, giving you folic acid wasn’t good enough – you need 5-mthf folate specifically. Anyway, maybe you already know about that stuff too and just didn’t write it here, but I would love to talk with you if you ever have the time. I am glad you are feeling better.

    – Rebecca

    1. Thanks! I looked into genetics. I had my whole family do 23andme before I even started with diet.. I couldn’t find anything so if you have any interesting pointers, shoot me an email or comment, I’m definitely interested. I’d also be interested in the supplements you’re using. I’ve read a lot but it’s always good to talk to other people!

    2. My pleasure.
      She’s interested in increasing healthspan (years of health) as opposed to the more traditional lifespan.
      You seem to have taken a good look at WHAT you put (or not) in your body, have you done any tests as to WHEN you do so (looking into circadian rhythms and clocks)?
      Rhonda Patrick has interviewed Satchin Panda (who seems to be the leading researcher on the subject) that I would strongly recommend watching/listening to.
      Further down that path, there’s the subject of fasting, outright, as a means to trigger autophagy in damaged cells which she goes into a little bit with Ray Cronise.
      I hope you find even one extra tidbit of knowledge that you can apply to yours (and possibly your father’s and husband’s) life to make it better.
      Be well.
      Nikola

  2. Hi Mikhaila,

    I was wondering what your thoughts are with regards to tryptophan and serotonin, in treating depression. Since you have had a lot of food problems in general, I expect it’s hard to deduce the effectiveness of it in your own case, but perhaps you have stumbled upon its effects and how it has helped people during your research?

    Congratulations on your engagement and your pregnancy,

    Many thanks!

    1. Oh, I’ll write a post on this. I’m not using 5HTP currently (mainly due to the pregnancy), but I find it helps immensely. Before the pregnancy and a number of rounds of antibiotics I was able to get my mood stable enough that I didn’t need anything, but if I ever triggered something by reintroducing a food I’d take 5HTP. A fairly high dose. It’s great, I didn’t get any side effects either. I’ll make this into a short post, thanks!

  3. Mikaila, Have you considered whether childhood vaccines had a role in your arthritis, etc.?

    1. I honestly have no idea. My mom has brought it up, and that’s a really scary idea. I don’t know what to think about that. My symptoms did show up about the same time, but there were other factors (C-section birth, etc.) Who knows. It has crossed my mind though.

  4. Love this. I’ve done pretty strict diets but never probably strict enough, for long enough, to be sure whether they helped. I have a number of issues similar to the ones you had yourself.
    One question, did you also avoid diet sodas? In order to do this properly I’ll have to quit caffeine, but it would be nice to at least drink diet decaf sodas.
    Anyway, good stuff. Thanks!

    1. Yeah, diet sodas are out unfortunately. I used to live off of diet coke in university too. I can drink organic black tea. I know that doesn’t have as much caffeine as something you’re used to but once you cut out the things making you sleepy, it should be enough. I don’t need any caffeine anymore. Hell, caffeine wasn’t even good enough, I used to be on adderall. For some people (like my dad and I), in order to see the difference, you need to stick with it strictly for a month. My fatigue didn’t subside for 3 months. But it’s been gone for a couple of years now. It doesn’t even come back when I react now. Same with dad.

    2. Thanks. Yeah, I have a number of issues which relate to cognition and fatigue, including depression, anxiety, and insomnia. I know well that cutting out caffeine is overall good in my case.
      I also noticed that nuts aren’t mentioned in your post. They’re often used as a good source of fatty calories for the sort of diet you’re doing. Do you also eliminate them to identify sensitivities and have you added them back in at all?

    3. I can’t do nuts. Those are one of the first things I tried to add back in just because they’re so easy (almonds). They flared my autoimmune problems and brought back the depression. I tried them 3 times to be sure too. I’m so sensitive to almonds that I reacted to gin that (turns out) had almonds added. Beefeaters and Bombay Sapphire. I’d remove nuts if you have issues, and test them out when you’re feeling better but almonds are a common IgG issue.

    4. I’m curious if you only tried almonds? Just wondering because walnuts and almonds seem like they are very different.

      I’m also curious if you’ve tried dates? I’ve been trying to eliminate refined sugar from my diet because it causes my joints to swell. I can barely move my fingers when I eat it. I’ve noticed that dates are good for sugar craving and don’t cause my joints to swell, at least not to the extent that white cane or beet sugar does.

      I’ll be looking forward to your report on tomatoes if you end up doing them. I didn’t eat them for quite a while then when I went back to them I noticed they seem to be a rather inflammatory food.

      Also wondering if you ever have problems with certain types of lettuce? Seems like only the dark green types and parts agree with my gut. Such as the tops and outer leaves of romaine. I give the hearts and bases to my chickens.

      Great blog I’m going to bookmark it.

    5. I haven’t tried dates, it seems like anything with any amount of sugar gives me a flare. I haven’t had any problems with any types of lettuce (thank goodness), even the sweeter, lighter parts near the base.

  5. Hi Mikhaila, this Wednesday I am going to do a 30 day elimination diet, I just have a few questions before I start.

    I am from and currently live in Sweden so I have a few specific questions regarding staple food in Sweden that might not be the same in Canada, specifically certain type of root vegetables and a few other things. Thank you in advance.

    On your vegetables list I only see a few and I was wondering if potatoes has had a negative effect on you, it is technically a vegetable anyways. I see that you have put sweet potatoes, that’s good to see there.

    What about carrots?

    What about rapeseed oil/canola oil? If it’s cold pressed and it’s local? 😀

    What about gluten free soy sauce? (brand: Kikkoman) Perhaps I should quit it anyways but I really enjoy the taste of soy sauce.

    I can imagine one of your tip is to start with your list of safe foods and then continue after 30 days to one at a time introduce food you’ve eaten before.

    I do know gluten and dairy affects me in ways I’ve looked the other way since the last couple of months when I discovered your blog and your father. This is the first time in my life I will be cutting it completely out of my diet.

    I am extremely excited because since I was (at least what I can remember)16 years old I’ve had long periods of depression and fatigue and I recently quit smoking after 6 years and it feels as if a cloud has been cleared from my mind and now I’m looking at my diet.

    I know my issues are not as grave as yours in terms of skin problems and other physical issues, it has been very mental for me with the exception of an extremely bloated stomach since I can’t even remember, perhaps it has to do with the gluten/dairy/sugar diet I have partaken in for the majority of my life, because my body in general is very thin but my stomach is always bloated.

    Thank you for reading, you’re an inspiration and a really good source of information.

    ps: If I can live off of chicken with salt+pepper in the oven I think I’m super fine because I looove roasted chicken :D, I assume there’s no issue with eating chicken skin?

    Best wishes from Sweden.

    1. Definitely no issues with chicken skin… that’s pretty much the best part of chicken anyways so that’s good. Any part of the chicken is fine. I haven’t tried feathers obviously (: You definitely need to get rid of the soya sauce. Gluten free is better, but soy was a HUGE problem for me. And I added soya sauce to everything. That was probably my favourite food. Get rid of the canola oil too, use coconut or olive oil… I do recommend starting with that list of foods if you’re able, no potatoes either (sorry), and if you get really bad cravings and you cant solve them with chicken wings, buy some honey and eat that. It’s better to mess up and eat honey than mess up and eat pizza. Good luck! Sorry for the late reply, keep me updated.

    2. Thank you, good to know that no soy sauce, I’ve been very good at not using it. Thought I would miss it more!

      Ok no canola oil and no potatoes, I will have to try to do mashed potatoes with sweet potatoes. Probably works just as fine! It is such a big staple in Sweden, regular potatoes that is.

      I bought honey and dark chocolate (70%) just to battle the sugar cravings at least for the first month.

      It’s been about 5 weeks since I wrote that post, my diet is definitely improved but not to the extent of a 30 day elimination diet. It is kind of weird at the moment, it’s been going from two extremes, from sweet potatoes and chicken to crisps and candy. I think I’ve started to realise I rely on candy and crisps as a comfort food (and not in a good way, the illusion of safety that any thing you might over consume makes you temporarily feel or the idea that you’re missing something, this void you’d like to fill, I can recall feeling this compulsive need to buy candy because I’ve felt the need to fill something that is missing). I think I’ve been trying to combat my low moments by making poor food choices.

      If I can face that issue I think this diet is highly motivating, but it comes down to that, whether the motivation is there, the cause or the reason has to exist, at least for me.

      Hope this is adequate of an update for you. Would love to hear your thoughts whenever possible.

    3. Cutting out sugar is extremely difficult, and the cravings are intense. I’ve messed up before. When I first started cutting it out I would go through jars of honey. Kind of gross, but it was at least a step in the right direction.

    4. It’s nice to hear that when you started out it wasn’t just going from zero to hero but a challenging and arduous process, I think for me just going from candy to honey and dark chocolate is a hard process in itself so that’s my first big step.

      Thank you for replying so quickly and it’s wonderful to been able to have gotten help from across the globe!

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