Paleo

This diet/ nutrition plan is designed for patients at a stable(not perilously low) weight and seeking to overall feel better. Now just a disclaimer, this meal plan is not specifically designed to stop or drastically reduce the rate of the patient’s neuronal degeneration, though there have been several reports on ALS TDI Forums in which patients have experienced slowed progression and have had increased strength after as little at 2-3 weeks once they implemented a Paleo Diet into their treatment plan.

The majority of you have most likely heard of the Paleo Diet all over. It is very well known in the functional medicine and wellness community to boost focus and reduce or completely get rid of symptoms that commonly tag along with ALS such as nausea, headaches, muscle weakness, muscle stiffness, depression, and fatigue. 

To make it simple, this diet plan requires you to eliminate three of our most infamous guilty pleasures- added sugar, dairy, and all grains. I highly suggest this diet for someone who uses a feeding tube for the majority of all of the patient’s daily nutrition. (I will attach a tab with both paleo tube feed recipes as well as paleo food and drink recipes).

If you are looking for further evidence supporting the effects of the Paleo Diet I will attach some testimonials in the form of books, videos, and articles including Paleo’s effects on Neurological Disorders.

the Lalji family attending an ALS Heroes event
image of diagnosis of ALS disease

Ketogenic

The typical “Ketogenic Diet” has been around for many years with different variations such as the Atkins Diet or the South Beach Diet, but the current and most effectively proven ketogenic program is characterized by high fats, low carbohydrates, and moderate protein. A ratio of fat to protein to carb intake in terms of calories obtained from each macronutrient would desirably be 75:20:5. 

This is less of a diet and more of a lifestyle as it provides many fulfilling effects to anyone who commits to such a meal plan such as heightened focus, greater energy, the potential from greater muscle density, and increased growth hormone. A ketogenic diet through various research studies as well as many ALS testimonials on websites(that will be linked below) has been proven to protect motor neurons from further degeneration up to 30% more than a typical western diet. 

One major concern that prevents patients from following through with a ketogenic diet is the high chance of weight loss. In ALS, patients are stuck with a very heightened metabolic rate resulting in rapid weight loss. This is a growing challenge for most of the ALS community as patients struggle to maintain their weight and strength especially as oral feeding becomes increasingly difficult.

Our suggested ALS variation of this “diet” that has proven fairly well for us is more of a ketogenic-paleo blend. This nutritional plan strongly recommends the elimination of inflammatory foods such as dairy, sugar, and unnatural sweeteners and preservatives. Now, what we suggest to add to daily supplementation if pursuing a Ketogenic Diet to minimize muscle loss would be MCT Oil, Branch Chain Amino Acids(BCAA’s), Beta-hydroxy-beta-methyl butyric-acid(HMB) in conjunction with Resveratrol and Leucine, and exogenous ketones(or ketone esters if available or ketone salt if stomach can take it). In addition to the additional supplements, our variation of the diet would include all-natural foods, slightly increasing the carbohydrates and the protein to minimize weight loss. With these changes, the exogenous ketones come in to maintain ketone production. With these variations, the protein intake should be near 0.75 grams for each pound of body weight and carbohydrates should not exceed 100 grams daily.

Meal Plan/Nutrition Sources

  1. https://www.amazon.com/gp/product/1583335544/ref=dbs_a_def_rwt_bibl_vppi_i0 —  A link to Dr. Terry Wahls ‘The Wahls Protocol’ book on Amazon about how she(a Multiple Sclerosis patient) got her life back after being in a tilt-recline wheelchair three years after her diagnosis utilizing the Paleo Diet as well as adopting new therapeutic practices and treatments along the way.
  2. https://www.amazon.com/David-Perlmutter-books-collection-set/dp/9123631767/ref=sr_1_5?ie=UTF8&qid=1535771124&sr=8-5&keywords=Grain+Brain — A link to an Amazon collection of Dr. David Perlmutter’s ‘Grain Brain’ books that he wrote to reveal to people the hidden Neurological benefits to being on an all-natural(Paleo) diet.
  3. https://www.youtube.com/watch?v=Hh8k32VsxLA — A video of Bernardo Coelho explaining how he feels the Paleo Diet(as well as 4 of his other “ALS Rules” he learned along the way) is what allowed him to conquer ALS.
  4. https://www.amazon.com/Paleo-Approach-Reverse-Autoimmune-Disease/dp/1936608391/ref=sr_1_1?s=books&ie=UTF8&qid=1535773039&sr=1-1&keywords=the+paleo+approach+by+sarah+ballantyne — A link to Dr. Sarah Ballantyne’s book ‘The Paleo Approach’ on Amazon published to enlighten her readers on the wide range of different conditions and disorders the Paleo Diet can be beneficial for. 
  5. https://www.amazon.com/Paleo-Diet-Weight-Healthy-Designed/dp/0470913029/ref=sr_1_4?s=books&ie=UTF8&qid=1535772668&sr=1-4&keywords=The+Paleo+diet — A link to a book on Amazon by Dr. Loren Cordain called ‘The Paleo Diet’ written to educate readers about the potential this diet has to achieve “optimal health,” as Dr. Cordain words it.
  6. https://www.youtube.com/watch?v=f12xLlqPBeE — A link to a youtube video of Dr. David Steenblock speaking to his viewers about ALS on a more molecular level as well as stressing the need to detoxify your body of harmful chemicals such as toxic yeast, mercury, and toxic bacteria from your gut through a low sugar diet or the ‘ALS Diet,’ which turns out to be a slight variation of the renewed Paleo Diet. 
  7. https://www.drperlmutter.com/use-ketogenic-diet-treating-als/ — A link to a website advocating for the ketogenic diet and proving/explaining the benefits of pursuing such a meal plan.

image of ALS symptoms on the cellular level

Full Smoothie Guide

 Ingredient Suggestion/Option List

  • Almond butter    (Alternate Between Butters)
  • Peanut butter    (Alternate Between Butters)
  • Cashew butter   (Alternate Between Butters)
  • SunButter     (Alternate Between Butters)
  • Coconut butter  (Alternate Between Butters)
  • Alternate between oils– MCT oil, Body balance oil by Body Bio and Brain Octane oil by Bulletproof are the best — you can also use olive oil, coconut oil, or almond oil.
  • At Least 80% Cocoa Dark Chocolate Chunks
  • Chia seeds
  • Flax meal
  • Hemp hearts
  • Unsweetened shaved/flaked coconut
  • Cacao powder
  • Protein powder (whey, egg white, brown rice, pea, hemp, etc.)
    • Favorite Protein Powders: Klean Athlete Unflavored Whey Isolate, Garden of Life Plant Based Protein, Dr. Shel Pea and Plant Based Protein, Nutiva Organic Hemp Seed protein, Heal in a Meal (Meal Replacement)
  • Unsweetened almond or coconut milk (or other milk alternatives)
  • Avocado
  • Leafy greens
  • Berries
  • Monk fruit
  • CANNED Coconut Milk– find one with 150 calories per ⅓ cup 
  • Fresh pure green juice (don’t suggest in smoothie tastes better separately and can be very beneficial) — blend together kale spinach broccoli cilantro celery in addition to any fruits you find appealing for taste factor can use coconut water, water, or any fresh juice for the liquid to blend. Drink at least 2 cups per day.

Basic Smoothie Outline–

Pick 2 Ingredients from Each Section/ 3 from fat

Fat:

  • Avocado
  • Choice of Oil (Olive, Coconut, MCT, BodyBio Balance Oil)
  • Nut/Seed Butter of Choice
  • Greek Yogurt
  • Nuts
  • Organic 100% Cocoa Dark Chocolate

Carbs:

  • Gluten-Free Oats
  • Banana
  • Berries
  • Acorn Squash
  • Sweet Potato

Protein:

  • Pea Protein
  • Hemp Seeds
  • Almond Butter
  • Bone Broth
  • Collagen Protein

Typical Smoothies 

  1. Hemp hearts (1 tbsp)
  2. Flax seed (1 tbsp)
  3. Chia (1 tbsp)
  4. MCT Oil (2 tbsp)
  5. Bodybio balance Oil (1 tbsp)
  6. Pea protein powder (1 scoop)
  7. Creatine powder (2 scoops)
  8. 1 banana
  9. Almond butter (2 tbsp) 

Chocolate Peanut Butter Smoothie

  • 1 cup nut milk e.g almond milk
  • ½ avocado
  • 3 tbsp organic peanut butter
  • 1 tbsp cacao powder
  • ¼ tsp cinnamon
  • 1 scoop whey protein
  • ½ cup Greek yogurt (optional)

Chia Seed Berry Peanut Butter Blend

  • 1 cup canned coconut milk
  • 1 cup mixed berries
  • 2 tbsp almond butter
  • 1-2 tbsp chia seeds
  • 1 tbsp flax seeds
  • 1 scoop whey protein
  • 2 tbsp oil of choice

Tube Feed Recipe Guide

  Ingredient Suggestion/Option List

  • Almond butter    (Alternate Between Butters)
  • Peanut butter    (Alternate Between Butters)
  • Cashew butter   (Alternate Between Butters)
  • SunButter     (Alternate Between Butters)
  • Coconut butter  (Alternate Between Butters) 
  • Nuts (Macadamia, pine nuts, Brazil Nuts, Cashews, and Almonds without the skin)
  • Alternate between oils– MCT oil, Body balance oil by Body Bio and Brain Octane oil by Bulletproof are the best — you can also use olive oil, coconut oil, or almond oil.
  • At Least 72% Cocoa Dark Chocolate Chunks
  • Chia seeds
  • Flax meal
  • Hemp hearts
  • Protein powder (whey, egg white, brown rice, pea, hemp, etc.)
  • Unsweetened almond or coconut milk (or other milk alternatives)
  • Avocado- makes thicker
  • Leafy greens
  • Berries
  • Monk fruit
  • CANNED Coconut Milk– find one with 150 calories per ⅓ cup 
  • Fresh pure green juice — blend together kale spinach broccoli cilantro celery in addition to any fruits you can use coconut water, water, or any fresh juice for the liquid to blend. 

Tip: Add Oils, nuts, dark chocolate, nuts, and other calorie dense ingredients to reach the desire calorie count, then complete the recipe with nutrient rich ingredients like colorful/green fruits and vegetables.

 

    Sample Feed Recipes–
    High-Calorie Energy Booster Recipe:
1 Whole Avocado–
322 Calories
1.5 cups Coconut milk–
750 Calories
2 Tbsp MCT Oil–
260 Calories
½ Cup 100% Cacao Dark Chocolate–
640 Calories
2 Tbsp Olive Oil–
240 Calories
1 Banana–
105 Calories
2 Scoops Pea Protein–
300 Calories
2 Tbsp Avocado Oil–
240 Calories
 
Nutrition Facts–
2,832 Calories
174g Fat
57g Protein
103g Carbohydrates
      High-Fat Immune System Booster Feed
    2 Tbsp MCT Oil–
    260 Calories
    2 Tbsp Olive Oil–
    240 Calories
    2 Tbsp Brain Octane Oil–
    260 Calories
    ½ cup Macadamia Nuts–
    480 Calories
    ½ cup Pine Nuts–
    450 Calories
    1 cup Warm Canned Coconut Milk–
    450 Calories
    Warm Fresh Green Juice as needed–
    20 Calories
    2 Scoops Bulletproof Collagen Protein–
    90 Calories
     
     
    Nutrition Facts–
    2,700 Total Calories
    238g Fat
    51g Protein
    80g Carbohydrates