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JODY22002 Posts: 372
6/12/10 3:35 P

I do see a dietitian anyway because given that I am a clean eater and I would prefer not to eat red meat and I was eating gluten-free, I was finding it difficult to meal plan. I am going to ask her for some tips.

The reason that it was suggested to me to do the low starch diet is because one of my doctors has the same condition and he has found it helpful for himself. There has been difficulty getting my pain under control even though I have a pain pump in my abdomen. I need a spinal fusion but I would like to hold off on it as long as possible.

Thank you guys for the suggestions.

TRILLIANTOO SparkPoints: (40,805)
Fitness Minutes: (30,218)
Posts: 16,787
6/12/10 3:05 P

I agree about getting a referal to a nutritionist, but also following something like Atkins or South Beach can help. Not starting with the first stage ... I'm familiar with Atkins and they call that Inductioin ... but rather eating mostly foods from that stage, plus fruit.

Just eat more veggies and less meat so you're fat percent isn't so high.

Another avenue to look for recipes is raw vegan recipes. Most of them are free of whole grains, beans and the like. You can certainly add meat to them if you like, and it's not just salads - there's all kinds of entrees, sandwiches, wraps, snacks, breakfasts and desserts.

I eat about 1500 calories a day, 140+g carbs, 30% fat, 100g protein and eat very few starchy carbs - sometimes none at all. It's very possible.


Be sure to eat leafy greens, things like celery, cucumber, sprouts, but vegetables you really want to focus on are things like broccoli, asparagus, peppers, onions, garlic, zuccchini, bamboo shoots, water chestnuts, tomatoes, tomatillos, etc.

Atkins allows winter squash but you might want to check with your doctor to see if it's too starchy for you or not.

You can also use nuts and seeds.

There are all kinds of recipes you can make your own vegi burgers for instance, without rice, beans, or grains, but instead with veggies and nuts.

For pasta, I make my own ravioli with a nut pate and wrap it in nori. For lasagne I use thinly sliced portobello mushrooms or zucchini. Get a Spirilizer and you can use zucchini to make spagehtti (or use spaghetti squash if you're allowed). Tofu Shiritaki noodles are great in place of pasta. Use a portobello mushroom for a pizza crust.

For sandwiches and wraps, I use big leaves like collards, iceberg lettuce (one time I have a use for it), swiss chard, or the larger Romaine lettuce leaves.

I also use nori. I use soy wrappers too.


In terms of eating, for breakfast I have an egg or tofu scramble, or a green smoothie, or leftovers from dinner. If I'm eating out, I get an omlette and don't eat the toast, or ask if I can have tomato wedges instead.

For lunch I usually have a salad (I make hundreds of kinds) topped with appropriate protein. I tend to go with seitan, but that's wheat gluten and might not be appropriate, but there's tofu, or any kind of cooked meat, eggs or cheese.

If I'm having a sandwich, I tend to make a wrap in a collard leaf (any usual or typical sandwich, but in collards, not bread), or if I'm doing an "on the road" thing I tend to make rice-less sushi.

For entrees, I'll have something like a stir fry, but then not eat the rice, or get an enchilada or fajitas and not eat the tortilla. Or get your entree with extra veggies in place of the rice or potato.

There are all kinds of wonderful hearty soups, or make a stew. Or a roast with onions, crimini mushrooms, bell peppers, celery.

Use cauilflower pretty much anywhere in place of potatoes (not potato chips), but potato salad, mashed potatoes, and you can run in through the food processor and make it into "rice".

For sushi I use shredded parsnip, cauilflower, or use alfalfa or other sprouts in place of rice.

For couscous I run a broccoli stalk through the food processor until it's cous cous size.

There are all kinds of great low carb (aka low starch) recipes out there to make.

I'm kind of petering out here, but I'm sure I'll have other ideas.

And I have a lot of recipes that I could SparkMail you or post here if you're interested, various fish stews, salads, sushi, soups.

It's VERY do-able!




LETOVERN Posts: 2,603
6/12/10 8:19 A

Can you get an appt. with a dietician/nutritionist? A starch-free diet is pretty much impossible, and maybe not exactly what you need for your condition. A dietician can help you come up with a plan to help you. Good luck.

ANARIE Posts: 12,485
6/12/10 3:45 A

I would question that advice if I were you. Ask the doctor(s) who suggested it what research they can point you to that supports it. They may be recommending it just because they "heard something about it somewhere" and it lets them feel like they're doing something for you. (Or, there might have been a really convincing new research study that just came out.) But according to the Spondylitis Association of America website, that low-starch recommendation seems to be based on ONE doctor's paper about ONE patient. He put that patient on a low-starch weight-loss diet and found that he felt better... But losing weight would make someone with ANY spine condition feel better. This doctor's own paper ends by saying that somebody should do some research; he himself doesn't say that this diet works. Later research didn't find a connection between the diet and the progression of the disease.

Here's the info I found about that:

www.spondylitis.org/about/diet_lowstarch.a
spx?PgSrch=starch


Here's the paper itself, on the website of another AS support group:


www.kickas.org/medical/15.shtml

And the diet that this doctor used wasn't starch-free. It was reduced starch. He recommended that you *reduce* intake of white bread, pasta, potatoes, junk food, and cereal, but increase peas and beans.

It certainly won't hurt you to follow a diet that's mostly lean protein, fruit, and veggies. The list of what to reduce and what to increase is in the second link I listed above. If you've been eating gluten-free, it's not going to seem like a huge change. But do question the doctors who suggested this. It's a good chance to see if they'll be honest with you about where they're getting the information they're giving you and how deeply they've studied this disease.

JODY22002 Posts: 372
6/11/10 11:23 P

I was diagnosed with Celiac Disease when I was 23 and have pretty much stuck to a gluten free diet since then. However, it has just been discovered that I don't have Rheumatoid Arthritis as my doctors thought or Celiacs. Instead, I have Ankylosing Spondilitis. They discovered it when I had a recent catscan and it showed that my ribs have fused to my spine. I have been instructed to go to a starch-free diet. It seems impossible.

Anyone else a clean eater and doing starch-free? How do you do it when you can't eat bread, potatoes, rice, beans, and corn?

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