Combining CSID and Paleo
In response to a mom who recently contacted me about adjusting her toddler’s diet while waiting for testing and results to confirm CSID, I provided the below information via email. Then I realized other parents might find this helpful. So with a few revisions to apply to a general audience, here is my summarized list of foods to start with while trying to determine a CSID diagnosis or to use after confirmation as an Induction Diet modified from my original.
If you can get the books below as well, I am sure you will find them as helpful as I have. The authors do not mention CSID specifically, so some modifications are needed, but they have far more credibility than I do and Diane speaks on many things I did not feel qualified to mention in my book, though felt strongly about!
Her recipes are not exactly “kid-friendly” but between this book, Danielle Walker’s Against All Grain books and cross-referencing the information I have regarding CSID, I think you will feel some control and direction.
Suggested PALEO Recipe Books
As a disclaimer, I have no connection nor do I receive any compensation for these recommendations — they are simply books and food philosophies that have helped me to feed my family.
Against All Grain
21-Day Sugar Detox
Modified 21-Day Sugar Detox Food List for CSID-based Induction Diet
Modified SMOOTHIE RECIPE: amounts of each will vary depending on how many servings, so experiment until you find the right combination. In general: 1 can of coconut milk or 1 cup of almond milk, 1 cup frozen strawberries or blueberries, a handful of greens (kale or spinach), 1/4 cup soaked and drained almonds, 2 tablespoons coconut oil.
Meats, Seafood, Eggs
all okay with minimal processing and no added “flavors” etc. which may contain hidden ingredients.
broccoli, cauliflower (makes a good mashed potato or pasta substitute), celery (cooked in soup for toddlers), cucumber, kale, green beans, bell peppers, sugar-snap peas, spinach, tomato, zucchini or yellow summer squash, spaghetti squash, mushrooms, collard greens, lettuce, artichoke, asparagus.
from my best understanding, the sugars in these are fructose only, CSID is a disaccharide deficiency for digesting sucrose and maltose. Fructose is a monosaccharide or single-chain sugar. However, some fruits may irritate until the gut heals, especially those with seeds like strawberries. But you could boil strawberries and strain the seeds out to use the juice for smoothies if you want.
Lemon, lime, and not included in the 21-day sugar detox but should be okay for CSID you can also include: blueberries, raspberries, strawberries, green or red grapes, cherries and add ripe banana(with brown spots) 1/3 per day after the first 10 days if doing okay with the other fruits. I have also heard that granny smith apples and Asian pears are tolerable as a part of the initial diet. Again, wait to see if berries and grapes are tolerable first, and keep in mind serving sizes. A small portion may be tolerable, but too much over a short period of time may not be. This also goes for some allowable starch-based foods.
Allowing almonds is debatable among CSID philosophies. What I have found is that when no signs of inflammation are present, almonds provide a great source of nutrients, fat, calcium and even iron. To start, soak raw almonds in distilled water overnight.
I make a “porridge” with them — 1 cup soaked and rinsed almonds, 1 cup full-fat coconut milk from a can (Thai Kitchen is the best), 1 ripe banana, 2 tablespoons cinnamon, 1 tsp pure vanilla (no sugar added). Blend and then cook in a pot on the stove on low heat. Add a little almond milk or water if it is too thick. This is not an exact recipe, so you may need to modify amounts.
You may also try the Fake Granola “Almond Cereal Recipe” for children who can chew the ground nuts.
Other nuts, seeds, legumes
that should be okay if they are soaked and added to a smoothie or baked goods: Unsweetened Coconut (MANY health and digestive benefits to coconut if child will/can eat it, so include all forms of coconut whenever you can), pecans, walnuts. Soaked chia or flax seeds may be tolerable after a couple of months and are very beneficial if they can be included once signs are inflammation are gone.
NOTE: NO Peanuts in any shape or form! Peanuts cause inflammation and promote acidity, and if they are not organic, also contain high levels of pesticides and fungus.
Fats and Oils
avocado (1 whole per day if possible, add to smoothies, sliced with a dash of sea salt, layer on lunch meat or over grilled chicken breast or hamburger patties, use in place of mayonnaise and blend with tuna, etc.), coconut oil, olives and olive oil, fats from animal meats like bacon, chicken broth, etc.
hold off for now. Once you get the CSID test to determine Lactase levels, you can begin adding some milk-based products. (organic, full-fat, grass-fed dairy if possible)
unsweetened, homemade almond milk, coconut milk and coconut cream (full-fat), distilled water (will help to flush out toxins and excess salts) ABSOLUTELY NO JUICE!
Starchy Vegetables or Fruits
These may contain low-levels of natural amounts of sucrose. Add after three weeks success on the above foods: (start with one at a time in small servings once per day over three days, then add another, etc.)
acorn squash, butternut squash, light sweet potatoes (white flesh, creamy skin), pumpkin, green peas, green-tipped banana, grapefruit, apples, carrots, garlic, ginger
not included in Paleo diet, but are okay for CSID. To start, use dried white Lima or northern beans, soak in distilled water overnight. After cooking, they can be used for soups or blended with onion, garlic, salt and pepper for a white sauce. I’ve used them as pasta substitute too.
homemade broth containing fat, gluten-free mustard, all spices and herbs as long as they are not purchased in a mixed version (some have added fillers or starches), black pepper, sea salt, apple cider vinegar
Digestive Enzyme Links
Print and provide to your doctor and dietitian: Klaire Labs Vital-Zymes
Order from Amazon for best price:Order Vital-Zymes (various distributors, this is just one link)
Although I have done many things to help Parker recover from his eczema and the problems from his food allergies, I believe the regular use of these enzymes over the past year have allowed him to be nearly symptom free as well as to tolerate additional foods. Keep in mind he is 11 years old now and has had several stages of healing and dietary adjustments over the years, but perhaps your daughter will experience better results and not have the addition of food allergies with regular use. Each person is so different, so it is hard to know for sure.