Step 11: Balancing Protein, Fats, Carbs & Calories

1. Review Step 10: Clean Food, Part 1

• Make sure you read and review Step 10: Clean Food before continuing.

2. Major components of Food and Water

WATER/ELECTROLYTES

• Your body is approximately 60% water. It needs adequate hydration in or order to function properly and heal.
• Minerals are an essential part of water.

CALORIES

• Eat nutrient dense foods.
• If you are losing weight make sure you are getting enough calories in the right proportions.
• Most functional nutritionists suggest:
  • between 60 and 90% of your calories should come from fat
  • 20-25% from protein – about 1g per pound of your ideal weight.
  • The remaining percentage of your diet can be from complex carbohydrates that come from real food
• Search the Internet to see how many calories to sustain your exact weight.
  • It will vary, depending on your level of activity
  • If you have a lot of fasciculations or muscle cramping, you are using a lot of calories
• If you are not gaining weight, these are the most common reasons:
  • malabsorption
  • hypermetabolism
  • you are not getting enough calories in the right proportions, often not enough fat and/or not enough protein. See below.
  • parasites
  • See the Gut Step
  • See List of Causes below in the “Are you still losing weight?” section below.

FATS

• Your brain is made of 60% fat it is generally composed of roughly 80% water by total mass, meaning 60% of the solid weight is fat. Adequate fat intake is necessary for maintaining and healing neurons, including motor neurons to function.
• Adequate cholesterol is essential for brain health
  • A large portion of your brain is made of cholesterol
  • The human brain is the most cholesterol-rich organ, containing approximately 20% to 25% of the total cholesterol in the body. Although the brain represents only about 2% of total body weight, it contains roughly 35 grams of cholesterol, with 70–80% of it located in the myelin sheath insulating nerve cells
  • Cholesterol-enriches myelin sheaths. Myelin sheaths are fatty, inuslating layers that wrap around the nerve cells in the brain and spinal cord. This insulation layer increases nerve conduction velocity. Cholesterol is abundantly present in the synaptic membranes to aid in nerve signal transmission.
  • Warning: Cholesterol-lowering drugs such as statins have been shown to be a causative factor in ALS. Most neurologists know this and immediately take ALS patients off of statin drugs.
• It has been suggested that a healthy amount of fat is 4 Tablespoons fat per 75 lbs of body weight. Butch Machlan took 9T per day, 3 with each meal which along with significant magnesium helped reverse his ALS. Dr. Mary Newport, author of Alzheimer’s disease on coconut oil, gave her husband 12 T of coconut oil / MCT oil combination dialy to help reverse his Alzheiemer’s disease.

Are you digesting fat? You likely need digestive enzymes.

• Does your poop float? If yes, you are not absorbing the fat you are eating and you can increase your absorption with digestive enzymes.
• As we get older we often need digestive enzymes (Enzygest, bromelain, papain, Digestxym+ from US Enzymes, etc) and or bile salts (tudca, oxbile, etc) to assist in breaking up the fats and proteins so they can be fully absorbed by the body
• Even some younger people are not fully digesting their proteins and fats because of years of food additives, pesticides and chemicals.
• If you are losing muscle mass, you may need digestive enzymes.
• If your gall bladder has been removed, you definitely need digestive enzymes.

How to choose digestive enzymes.

• Choose from a reputable manufacturer.
• Ordering online is often less likely to have been on the shelf
• Complex versus single ingredient?

PROTEIN

• Adequate Protein:
  • is necessary to build muscles
  • is necessary to prevent muscle loss
• If you do not consume enough protein, your body will take the protein stores from your muscles (sarcopenia)

How much protein do I need daily?

• Most functional doctors suggest about 1.5 to 2 grams of protein for every kilogram of ideal body weight
• This is equivalent to .7 grams of protein per pound of ideal body weight
• You want to consume a minimum of this amount so that you do not lose muscle mass
• Some functional doctors suggest more than this (1 gram protein per pound of body weight) for those engaging in a lot of exercise and activity, or high metabolism (hypermetabolism) and fasciculations.
• Fat and protein should be consumed together in the same meal to increase the absorption of both protein and fat
• Making sure you are fully digesting the proteins you are eating very important to heal the body’s various organs and tissues and to prevent muscle loss.
• Warning: If you consume too much protein, the excess protein can turn to sugar, which can elevate glucose levels, raise insulin, and be detrimental to organs and tissues. This is called glyconeogenesis.

Are you digesting protein? You likely need digestive enzymes.

• As we get older we often need digestive enzymes (Enzygest, bromelain, papain, Digestxym+ from US Enzymes, etc) and or bile salts (tudca, oxbile, etc) to assist in breaking up the fats and proteins so they can be fully absorbed by the body
• Even some younger people are not fully digesting their proteins and fats because of years of food additives, pesticides and chemicals.
• If you are losing muscle mass, you may need digestive enzymes.
• If your gall bladder has been removed, you definitely need digestive enzymes.

CARBOHYDRATES

• Daily Carbohydrate requirement for humans is zero
• Different PALS do better with different amounts of carbs.

Diet Options

• Carnivore – 0 carbohydrates – includes beef, butter, bacon, eggs, fish, chicken, pork, wild game
• Carnivore Lion – 0 carbohydrates – Lion Diet includes beef, lamb, wild game, no dairy, includes only ruminant meat (grazers with 4 stomachs)
• Ketovore – less than 10 grams carbohydrates per day
• Ketogenic – 11 to 25 grams carbohydrates per day
• Limited Carbohydrate – 25 to 50 grams carbohydrates per day
• Low Carbohydrate – 51 to 75 grams carbohydrates per day
• Moderate Carbohydrate – 76 to 150 grams carbohydrates per day
• Unrestricted Carbohydrate – over 150 grams carbohydrates per day

Transition Slowly

• Be kind to your gut. If you choose to lower your carbohydrates, do it slowly over weeks even months so your gut microbiome can adjust.
• Transitioning too quickly can also release toxins too quickly. Remember the ALS rule: low and slow
• Most functional practitioners suggest moving slowly towards around 50 grams of carbohydrates per day then adjust from there.

Dairy

• Dairy can be very inflammatory and it can cause mucus and phlegm
• Butter is dairy but many people can handle butter and it has butyrate which can be good for the gut
• Always buy grass fed and organic butter!
• Ghee is clarified butter and removes all of the dairy – those who have difficulty with butter can virtually always benefit from ghee
• Some people are able to handle heavy cream – and it has no carbohydrates
• Whey is another dairy product that some people can tolerate in some forms

Grains and Gluten

• Grains are inflamatory and mostly contaminated with pesticides.
• Even organic grains often contain pesticides and are inflammatory
• Gluten can cause stomach issues including bloating, diarrhea, constipation, and abdominal pain, often indicate celiac disease or non-celiac gluten sensitivity (NCGS). These symptoms occur when the body struggles to digest gluten, causing inflammation or autoimmune responses.
• Corn contains no gluten, yet is highly inflammatory and mostly GMO (genetically modified)
• Rice can cause digestive issues such as bloating, gas, stomach pain, or constipation due to rice sensitivity, high insoluble fiber (especially in brown rice), or improper preparation that leaves behind digestive-irritating lectins. It can also trigger symptoms in those with low stomach acid, irritable bowel syndrome (IBS), or through “fried rice syndrome” caused by B. cereus bacteria in improperly stored leftovers.
• Rice also has no gluten, yet can be very high in arsenic.
• Basmati rice is best if still consuming rice. Avoid brown rice.

MAINTAINING WEIGHT

Monitor an average day of food and water intake

Why is this important?

• Maintaining body weight is a primary factor in predicting longevity in ALS.
• Average food and water intake is taking a typical day and recording it
• Make sure you are eating enough calories, protein, and fats to maintain body weight.
• What percentage of fats, proteins and carbs are you eating?
• Then, experiment with different combination to find out what your body does best on.

The easiest way to monitor your intake is to use a free App online. Examples are:

• Carb Manager
• My Fitness Pal
• Cronometer
• Any other app that measures proteins, fats and carbohydrates.

How many grams of each of category did you consume?

Still losing weight? Here are some possible causes.

• Are you eating enough calories?
• Are you eating enough fats and proteins in proper proportions?
• Are you taking digestive enzymes, pancreatic enzymes and bile salts?
• Do you have enough stomach acid? (See pH step for instructions)
• Have you done a food sensitivity test OR a Coca-pulse test?
• Have you checked for intestinal dysbiosis from candida or other fungus? (See candida test below)
• Have you done a parasite cleanse?
• Do you have low NAD+?
  • Have you done oxidative therapies to help convert NADH to NAD+?
  • Examples are:
    • Nebulized hydrogen peroxide
    • Chlorine dioxide
    • Ozone
• Do you have leaky gut?
  • Zonulin is the most common marker for leaky gut
  • Leaky gut is damage to mucosal lining. Undigested proteins get through gut wall which means white blood cells go after it and you end up with food allergies which mean you are not absorbing nutrients.
• Are you bathing or showering in tap water?
  • If yes, you are getting toxins through your skin.
    • Pesticides through the skin can cause leaky gut
    • Chlorine which is a toxin and can block hormone receptors
    • Fluroride is a neurotoxin
    • Pharmaceuticals are also absorbed through the skin and can contribute to leaky gut
• Are you consuming Fructose?
  • Fructose can damage the liver and contribute to nonalcoholic fatty liver disease.
  • NAC and L-glyceine and mitigate this.
• Have you considered taking free form amino acids
  • Amino acids are easier to digest than meat and take less energy
  • Examples are Leap2BFit at Leapxx.com and Perfect Aminos.
  • Consider getting an amino acid profile (LabCorps, covered by most insurance) to find which amino acids your are deficient in.

Are you Insulin Resistant?

• If your Triglycerides divided by HDL (High density Lipoprotein from your Lipid profile) are greater than 1.5, you are likely insulin resistant.
• Triglycerides / HCL ratio should be Less than 1.5.
• If you are insulin resistant, it means you need to seriously consider a ketogenic diet.
• Please listen to the 3 videos below. This information could save your life.

Test for Glucose and Ketones, marker for insulin resistance

Listen to the Diet Videos Below

Feel free to watch the Presentation Only of the 3 videos below, which is 1 hour per video. The Q&A is Optional.
These video are very important. Please do not miss them.

Candida

• Sugar feeds candida
• If you have candida consider cutting all carbs, sugars, vinegars and foods that turn quickly to sugar for a period of time
• Ketogenic diets can be a good remedy for candida

OAT Testing – Organic Acid Testing – Great Plains Laboratory (optional)

Alakaline versus Acidic Foods – pH of the Body

• In general you want your pH to be around 7.3.
  • Best pH Strips for testing urine and saliva https://amzn.to/3KAyOpb
  • Test the morning saliva by spitting into a spoon upon waking and before drinking ANYTHING, including water.
  • Test every morning until your pH is at 7.3 consistently!
• You can raise pH with
  • baking soda
  • diet (example: squeezing half a lemon in water in the morning can raise your pH since lemon turns alkaline in the body)
  • combination
  • Alkaline water will NOT significantly change pH.
• Many chronically ill people have low pH
  • When Heather’s son was at his sickest, his pH was 4.5, Heather’s was 5.5 pH
  • Since then, I have tested the pH of many people and the sickest have pH below 6.
• Book with very thorough science behind pH and using baking soda to raise pH
  • Sodium Bicarbonate: A Full Medical Review
  • Both baking soda can artificially raise pH temporarily until the numbers are higher. This alone can help make the body eject some of the unhealthy critters that have taken up residence.
  • Please be aware that you should not take baking soda or high pH water right before a meal because they will lower the acidity of your stomach.

pH of the Stomach

• Your stomach needs very low acidity, ideally 1.5 to 3 pH to digest food. Closer to 1.5 is better. Some doctors sugget 1 – 2 pH for the stomach
  • Consider taking HCL or HCL with Pepsin to help with digestion while you are artificially raising your pH.
  • Take HCL right before or even midway through your meal.
  • See pH step for more details.
• There are different opinions by different clinicians on these. Some of these may be relevant, others not.

Other topics to research.

Some people are sensitive to the items below. Please research each of these topics so you can become aware of your own sensitivities.

• oxalates in your diet are an issue only if you have high oxalates.
• lectins
• night shades
• histamines

Intermittent fasting

• In the past the research showed this was not recommended for ALS patients, yet now we know that a percentage of PALS are improving and feel better with Intermittent fasting.
• It seems to be beneficial to some ALS patients and for others, they seem to be worse.
• Proceed with caution.

Commit to eating clean all the time – at least until you are 90% well.

Managing your body’s nutritional composition is important for your health, especially for people with neurodegenerative conditions like amyotrophic lateral sclerosis ALS disease. With conscientious dietary and health practices, you can start to reverse ALS symptoms and extend your ALS life expectancy.

AO Scan testing – for food sensitivities

Get a free demo scan with Heather: text: 518-361-7369

Optional – watch Sunday webinar video presentation on AO Scan here

Check for Understanding and Completion of Step 11:

I understand the importance of a clean diet

I understand how to measure my macros and the importance of calories, fats, proteins and carbohydrdates

I know what leaky gut is and I know what I am going to do to try to repair leaky gut

I have done at least one pH strip test using morning saliva.

If I am losing weight, I understand the causes and am taking steps to remedy the weight loss.

I have.watched the three Diana Noland diet videos.

I have done the spit test for Candida

I have considered doing some kind of testing for food allergies, gut function, and checking for gut microbes.

I am committed to eating clean until I am 90% better

If you have checked all boxes, Congratulations! You have completed Step 10!

References:

Fasano A. (2012). Intestinal permeability and its regulation by zonulin: diagnostic and therapeutic implications. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 10(10), 1096–1100. https://doi.org/10.1016/j.cgh.2012.08.012

Dorst J, Doenz J, Kandler K, et alFat-rich versus carbohydrate-rich nutrition in ALS: a randomised controlled studyJournal of Neurology, Neurosurgery & Psychiatry 2022;93:298-302. https://doi.org/10.1136/jnnp-2021-328331

Dorst, J., Cypionka, J., & Ludolph, A. C. (2013). High-caloric food supplements in the treatment of amyotrophic lateral sclerosis: a prospective interventional study. Amyotrophic lateral sclerosis & frontotemporal degeneration, 14(7-8), 533–536. https://doi.org/10.3109/21678421.2013.823999

Sanaie, S., & Mahmoodpoor, A. (2023).
Efficacy, safety and tolerability of high caloric diet in amyotrophic lateral sclerosis patients: A systematic review and meta-analysis. Revue Neurologique, 179(9), 1008–1019. https://doi.org/10.1016/j.neurol.2023.01.731

Sanaie, S., & Mahmoodpoor, A. (2019).
High caloric diet for ALS patients: High fat, high carbohydrate or high protein? Advances in Bioscience and Clinical Medicine, 7(3). https://journals.aiac.org.au/index.php/ABCMED/article/view/672

Desport, J. C., Preux, P. M., Truong, T. C., Vallat, J. M., Sautereau, D., & Couratier, P. (1999).
Nutritional status is a prognostic factor for survival in ALS patients. Neurology, 53(5), 1059–1063.
https://doi.org/10.1212/WNL.53.5.1059

Bouteloup, C., Desport, J. C., Clavelou, P., Guy, N., Derumeaux-Burel, H., Ferrier, A., & Couratier, P. (2009).
Hypermetabolism in ALS patients: An early and persistent phenomenon. Journal of Neurology, 256(8), 1236–1242.
https://doi.org/10.1007/s00415-009-5100-z

Miller, R. G., Jackson, C. E., Kasarskis, E. J., et al. (2009). Practice Parameter update:
The care of the patient with amyotrophic lateral sclerosis: Multidisciplinary care,
symptom management, and cognitive/behavioral impairment (an evidence-based
review): Report of the Quality Standards Subcommittee of the American Academy of
Neurology. Neurology, 73(15), 1227–1233. https://pubmed.ncbi.nlm.nih.gov/19822872/

Cui, F., Sun, L., Xiong, J., et al. (2018). Percutaneous endoscopic gastrostomy in
amyotrophic lateral sclerosis: A systematic review and meta-analysis. PLOS ONE,
13(2), e0192243. https://pubmed.ncbi.nlm.nih.gov/29408898/

Zhu, Q., Wang, Q., Li, X., et al. (2023). The safety and effectiveness of high-calorie
therapy for treating amyotrophic lateral sclerosis: A systematic review and meta-
analysis. Frontiers in Nutrition, 10, 1229422.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10511594/

Dardiotis, E., Siokas, V., Sokratous, M., et al. (2018). Body mass index and survival
from amyotrophic lateral sclerosis: A meta-analysis. Neurological Sciences, 39(5),
857–864. https://pubmed.ncbi.nlm.nih.gov/30564498/

Kamel, F., Umbach, D. M., Bedlack, R. S., et al. (2012). Pesticide exposure and
amyotrophic lateral sclerosis. Neurotoxicology, 33(3), 457–462.
https://pubmed.ncbi.nlm.nih.gov/22387698/

Golomb BA, et al. Amyotrophic Lateral Sclerosis Associated with Statin Use: A
Disproportionality Analysis of the FDA’s Adverse Event Reporting System. Drug
Saf 41, 403–413 (2018). https://link.springer.com/article/10.1007/s40264-017-0620-4
(9-fold to 107-fold increase risk of developing ALS if on statins from FDA reported data)

Nabizadeh, F., Balabandian, M., Sharafi, A. M., Ghaderi, A., Rostami, M. R., &
Moghadasi, A. N. (2022). Statins and risk of amyotrophic lateral sclerosis: A systematic
review and meta-analysis. Acta Neurologica Belgica, 122(4), 979–986.
https://doi.org/10.1007/s13760-021-01753-8

Dardiotis, E., Siokas, V., Sokratous, M., Tsouris, Z., Aloizou, A.-M., Florou, D.,
Dastamani, M., Mentis, A. F. A., & Brotis, A. G. (2018). Body mass index and survival
from amyotrophic lateral sclerosis: A meta-analysis. Neurology: Clinical Practice, 8(5),
437–444. https://doi.org/10.1212/CPJ.0000000000000521. PMID: 30564498.

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(ProGas): A prospective cohort study. The Lancet Neurology, 14(7), 702–709.
https://doi.org/10.1016/S1474-4422(15)00104-0 PMID: 26027943

Wills, A.M., Hubbard, J., Macklin, E. A., Glass, J., Tandan, R., Simpson, E. P., et al.
(2014). Hypercaloric enteral nutrition in patients with amyotrophic lateral sclerosis: A
randomised, double-blind, placebo-controlled phase 2 trial. The Lancet, 383(9934),
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Ludolph, A. C., Dorst, J., Dreyhaupt, J., Weishaupt, J. H., Kassubek, J., Weiland, U., et
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PMID: 27775751

The information we share is for educational purposes and should not be treated as medical advice.

© Copyright Healing Advocates Registry and Ministry

Clear Body, Clear Mind is a book about Sauna detox with ramping up of B3 and other vitamins, minerals and oils and eating a large salad every day- exercise or vibration to get the lymph moving and then doing a sauna.
The book is available for free here

Dr. Simon Yu also does sauna detox with Niacin flush

I mention sauna detox with food because this balanced nutrition, combined with some kind of lymph stimulation, balanced & clean nutrition, sauna and coffee enemas is how we got well.
We then built a detox center and over 5 years many other very sick people got well too.

The sauna detox was used to help emergency workers after the 9-11 catastrophy. The ones who did the detox lived normal lives – many who did not detox developed cancers and many died.

Lily of the Desert Aloe – up to 1 cup, 4 times a day START Slow! 1tsp, 1tbs, 1/8 cup.

Optional:
Read the book “Clean” by Alejandro Junger

3. Vagus Nerve Exercises

Look up Vagus Nerve Exercises on YouTube and TRY SOME!! Find one that you will use DAILY.

vagus nerve exercises – YouTube