SCD
SCD
SCD
Home   >   Blog

In the beginning of August, the Seattle Children's hospital began posting a video series titled: SCDelicious: Recipes for the Specific Carbohydrate Diet.

Watch as Maddie, who uses the SCD to for her IBD, creates a tasty cake with Dr. David Suskind--her gastroenterologist!

If you are on the east coast, hear Dr. Suskind speak at the SCDRocks conference on October 6th!


image 1

On Saturday, April 9th, from 8am to 3:30pm, the Seattle Children's Hospital will be providing healthcare providers with their most recent information about treating IBD (Crohn's and ulcerative colitis) with nutrition--including their extensive work with the SCD.   Registration is here:

https://www.regonline.com/Register/Checkin.aspx?EventID=1797706

image 2

Please join us for a Book-Reading and Cooking Demonstration from the book The SCD For Autism & ADHD written by Raman Prasad & Pamela Ferro. This event will take place in downtown Boston at an established local venue – the Trident Booksellers & Cafe. Kids welcome!

Thursday, March 31, 2016 • 7pm

Trident Booksellers & Café
338 Newbury Street • Boston, MA 02115
617-267-8688 • tridentbookscafe.com
https://www.facebook.com/events/1709990282589257/

What's The Gut Got To Do With It: Dietary Interventions & Autism
A Book-Reading with Raman Prasad
SCD Cooking Demonstration with Nilou Moochhala

image 1

Find out how dietary change using this grain-free, dairy-free, soy-free, and sugar-free diet can decrease inflammation and alter the gut microbiome. The SCD has not only been used for serious digestive issues such as IBD and Crohn’s, but also for conditions such as autism, ADHD, anxiety, and mood disorders. We’ll discuss current relevant research and past history involving use of this diet.

Come meet the authors & sample some delicious treats!

Out for Pizzas with SCD Crusts

November 25, 2015
image 1

A week ago, we headed out to our favorite local gourmet pizza place that allows us to bring our own almond-flour crust for "pizza-ing."

Over the years, we have been perfecting the thickness and texture of the crust so that it can work in their oven – along with the other farm-to-table ingredients they add on top.

On this visit, instead of homemade crusts, we brought two crusts from Liberated Specialty Foods* (formerly Nourish Bakery), and were lucky enough to carry home some leftovers - one crust baked to perfection with peppers, mushrooms, and onions – and the other with SCD-safe chorizo - all topped with delicious cheddar cheese! 

(* I'm actually ordering more crusts from them this week.)

(Conflicts of interest: None:)

 

Nourish Bakery - name change

November 13, 2015

A few weeks ago, we posted about a new SCD-friendly bakery called Nourish Bakery. We wanted to update you to let you know the name of this bakery has been changed to Liberated Specialty Foods. You can now visit them at liberatedspecialtyfoods.com

image 1

SCD author Raman Prasad and nutritionist Cathy Malone (Massachusetts General Hospital) will present clinical and patient perspectives on the use of the Specific Carbohydrate Diet (SCD) for inflammatory bowel disease. This information is also applicable to IBS and celiac disease. 

Title: Calming Digestive Issues Through Diet

When: Saturday, October 24, 2015
Time: 2-3:30pm
Where: National Park Visitors Center, Corson Building, New Bedford, MA

Sponsored by: The Marion Institute
Event Type: Workshop, followed by book-signing

For more information, you can visit The Marion Institute's Connecting for Change Conference site.

 

 

A few weeks ago, we received a care package from Nourish Bakery, a new bakery in Madison, Alabama, that states it goes "Beyond Paleo" and is also very SCD- and GAPS-friendly.

Out of the numerous items packed into the box, the first item we were most excited to try was (yes, believe it or not!) the Nourish Bakery Ketchup. That evening, with burgers and veggies on the grill, we cracked open this SCD ketchup and generously spread it alongside our meal. This condiment has been sorely missed over the almost two decades we have been following this diet, and would have made Elaine proud! The hours we had combed through health food stores, reading ingredients, trying to find a store-bought ketchup that might work – made this item the first one we took out of the sampling box.

Up late that night, we took out another item called an Energy Bomb, that was a delicious snack to revive us and provided something sweet to bite into alongside our mint teas.

The next morning, yet another goodie bag was opened - this one containing waffles. These looked as good as store-bought ones, and yet were 100% SCD. Made with cashews, coconut flour, coconut oil, coconut milk, vanilla, honey, egg, and baking soda – they were warmed up in the toaster, dripped with honey and SCD yogurt, alongside some ripe bananas. The indulgence of being able to buy food that is SCD-friendly and tasty – added to the enjoyment (each bite reminded us what labor would go into making it were we to do it at home!)

Another item to note are the Fiesta Chips and Cheddar Crackers - which both have just the right amount of flavoring added to them. We could continue to write-up other items they sent us, but that would make for a very lengthy blog. Their website features breads, crackers, muffins, condiments, pizza crusts, donuts, and other baked goods for sale.

The story behind Nourish Bakery is as fascinating as all the SCD-approved food items they create. You can read about Stacey's motivation and commitment to feed her kids healthy foods that led her to renovate an old church in the countryside!

image 1 Stacey Schlaman, second from left, founder of Nourish Bakery, in Madison, Alabama.
image 1

The Diagnosis

As an infant, Jack Woodward suffered from reflux. As he grew older, his abdominal problems always seemed to be present, including diarrhea and stomachaches. The symptoms steadily worsened and in October 2010, at age 7, he could barely move because of abdominal pain. His mom Gisele made urgent calls to doctors near their home in Charleston, South Carolina, but no one would give an appointment earlier than 6 months.

In an act of desperation, they traveled to Massachusetts General Hospital (MGH) in Boston. After an endoscopy, the gastroenterologist diagnosed Jack with ulcerative colitis. Jack received prescriptions for Pentasa and Entocort which began to ease his symptoms. Before flying back to South Carolina, Gisele asked for advice on follow-up care closer to home.

The doctor at MGH strongly recommended Benjamin Gold at Children's Healthcare in Atlanta* noting that: "We [MGH] tried to recruit Dr. Gold to come up here but he's not willing to trade the Georgia weather for Boston winters." (* One of U.S. News and World Report's top-rated children's hospitals.)

From ages 7 to 8, Jack's symptoms were more manageable on medication but he stopped growing. In October of 2011, Dr. Gold ordered more diagnostics, including an endoscopy and colonoscopy. The tests showed inflammation not only in Jack's colon but also his small intestine. As a result, Jack's diagnosis was switched from ulcerative colitis to Crohn's disease.

To make matters worse, in February of 2012, five months after Jack's diagnosis of Crohn's, his older sister Kristina was diagnosed with ulcerative colitis. Her outer symptoms had been milder, initially showing up as joint pain. However, tests revealed that her intestinal inflammation and lesions were more serious than Jack's. Both brother and sister officially had IBD.


No Stranger to IBD

It's important to point out that Gisele was no stranger to IBD. Her husband Mark, Jack and Kristina's father, had a long history of Crohn's disease. Mark was rushed to emergency surgery in 1989 for a resection, underwent another resection surgery in 2003, and carefully followed his medication regimen, all while balancing a demanding work schedule. During their years together, Gisele made it a point to understand the disease.

Long before Jack's diagnosis, Gisele actively volunteered with the Cohn's Colitis Foundation of America. Over the years, she raised tens of thousands of dollars for the local chapter. Gisele was no stranger to the impact of IBD on an adult. She was also a person used to taking action. However, now she had two children with IBD. Knowing the lifelong health issues and medications faced by Jack and Kristina, she began to feel at a loss. What could she do to help them?


Another Possibility

Serendipity intervened. Jack and Kristina's visits to Dr. Gold coincided with the start of an SCD pilot study. Dr. Gold explained to Gisele how the SCD had helped other patients in his practice.

After careful consideration, the family decided that both Jack and Kristina would start the SCD together. Although they didn't participate in the study, they followed the same protocol and stayed under Dr. Gold's medical supervision. The family went through the hard work of understanding the diet, reading labels, and reconfiguring their household food supply.

Six months later, the effort starting showing results. If you remember, Jack had stopped growing for one year, during ages 7 and 8. He literally fell off the growth chart for children his age. The inflammation from Crohn's had impaired his body's ability to absorb critical nutrients. But during the first six months on the SCD, something changed. His intestines started to heal, his body began to absorb nutrients, and he grew an inch. One inch in 6 months! His parents sighed with relief, the team at Children's Healthcare in Atlanta celebrated, Jack was getting better.

Kristina's fared even better, her symptoms resolved by 6 months. Three and a half years since starting the diet, Kristina has remained completely prescription-free while Jack's medication is limited to Pentasa. They have both grown taller and gained weight--although Jack has not completely compensated for his sickest year when his growth had stopped.

image 2

Study Results

The children enrolled in the study also thrived on the SCD. In the October 2014 issue of the Journal of Pediatric Gastroenterology & Nutrition, the researchers noted "clinical and mucosal improvement" at both 12 weeks, and for those who continued, at 52 weeks. More specifically:

  • 8 out of the 9* patients who completed the study showed clinical improvement at 12 weeks. (*1 of the original 10 patients dropped out, not able to comply with the diet)
  • 6 of these 8 who improved achieved clinical remission at 12 weeks
  • "Sustained clinical remission was shown in 6 of the 7 patients who remained on the diet to 52 weeks"

source: Cohen, Stanley A., et al. "Clinical and mucosal improvement with specific carbohydrate diet in pediatric Crohn disease." Journal of pediatric gastroenterology and nutrition 59.4 (2014): 516-521.

Note: Taking into consideration their own bias toward the SCD, the researchers used an independent evaluator to review the clinical results.

Helping Other Families - A Second Study

With both Jack and Kristina doing so well, Gisele saw a way to take action on behalf of everyone with IBD. She became involved in fund-raising, creating the Woodward Crohn's and Colitis Foundation. So far she has raised $150,000.

This money has been used to start a second round SCD study, this time with 20 patients. For this multi-site effort, Dr. Gold and his team are collaborating with Dr. Suskind at the Seattle Children's Hospital. They are studying how the Specific Carbohydrate Diet changes the flora of the gastrointestinal tract as well as reduces the inflammation on the lining of the intestine.

More information on the Woodward Crohn's and Colitis Foundation may be found below:

Website:

http://www.woodwardccf.com/

Contact:

Gisele Serralles Woodward

Mark Woodward

While visiting a local farm this past Saturday, we decided to purchase a few white eggplants, also known as "Snowy Eggplants". The next day, during a lazy Sunday afternoon, we sliced the snowy eggplants very thin; prepared two eggs (beaten) in one bowl; set aside almond flour for dipping in another bowl; and heated up a sauté pan for cooking them.

After adding in enough oil for frying, we dipped each snowy piece into the egg mixture and then the almond flour to create a sufficient coating, and then into the pan. After a few minutes, we turned them over to ensure they were cooked on either side. (The key is to slide the eggplant into VERY THIN rounds).

To add to this, we heated up some leftover homemade tomato sauce, and poured that over the fried almond-flour-breaded eggplant and proceeded to eat this divine meal!

image 1

Report from Omaha, Nebraska...

The August volume of Case Reports in Gastroenterology includes an article on a 73-year-old female physician with ulcerative colitis who recovered on the SCD.

The case report is notable for diagnostic images taken before and after the SCD. The before photos show active inflammation while the after SCD photos show no sign of inflammation. In addition, biopsies confirmed both the UC diagnosis and subsequent remission.

[caption id="" align="alignnone" width="590.0"]image 1 Fig. 1. Terminal ileum (a, b) and cecum (c). Endoscopic photographs of the sigmoid and left side of the colon demonstrating active mucosal inflammation taken prior to institution of the SCD in December 2010, following 1 year of an acute exacerbation of UC in a 73-year-old patient. Pancolitis was noted on complete colonoscopy.[/caption] [caption id="" align="alignnone" width="589.0"]image 2 Fig. 2. Terminal ileum (a, b) and cecum (c) demonstrating normal colonic mucosa with no inflammation after 2 years of the SCD (December 2012). Complete colonoscopy confirmed resolution in all segments of the colon.[/caption]

The details are as follows:

Diagnosis of UC, Relative stability

  • 1997 - While in her early 40s, the patient experienced abdominal pain and rectal bleeding. After a colonoscopy, she was diagnosed with ulcerative colitis.
  • 1997 to mid-2009 - After 6 weeks of Asacol (mesalamine), she was relatively stable for the next 12 years.

Pain Returns, Drugs don't help, Unable to Work

  • Winter 2009 - The patient experienced intermittent burning and shooting pain in the left lower abdomen. Occasional pain also occurred in the right abdomen.
  • 2010 - The pain continued. Loose stools and rectal bleeding worsened over the next year. Her appetite decreased.
    • She consulted various gastroenterologists
    • Treatment with steroids and mesalamine failed to alleviate the symptoms.
  • December 2010 - Experiencing constant abdominal pain and unremitting bloody diarrhea, she was unable to work.
    • A colonoscopy showed mild to moderate UC with inflammation throughout the colon. Biopsies confirmed the UC diagnosis.
    • The "colonic mucosa revealed friability, multiple tiny ulcers and mucosa edema".

SCD Started, Health Improves

“a remarkable absence of any inflammation”
  • Winter 2010 (December) - The SCD was started.
    • Within 3-6 months, she went to the bathroom less often, the abdominal pain resolved, and blood no longer showed in the stools.
    • In 6 months, she returned to normal activities--including work as a physician.
    • Anemia resolved, with hemoglobin returning to a normal range.
    • All symptoms dissipated over the next 18 months.
  • December 2012 - An endoscopy showed "a remarkable absence of any inflammation". Biopsies confirmed the remission of ulcerative colitis with no inflammation present.

The authors of the report note:

We report complete healing of UC in a patient who had failed conventional therapies within a 2-year period. The use of the SCD for UC in patients who are able to make sustainable dietary changes should be considered more often.

citation: Khandalavala, B. N., & Nirmalraj, M. C. (2015). Resolution of Severe Ulcerative Colitis with the Specific Carbohydrate Diet. Case Reports in Gastroenterology, 3075, 291–295. doi:10.1159/000438745