SIFO? and constantly making changes.

I've been doing great since March, as I mentioned in my last post. However, starting around November it was more of a challenge to maintain a state of wellness. It's difficult to stay on top of all the moving parts that keep me feeling my best, especially in times of financial or physical (working late, etc.) hardship. I found that my body was inflamed and was more difficult to "chill out" than usual. (For me, this means I'm low-level bloated after eating almost anything, my eyes are puffy and tired looking, I'm sluggish, brain foggy and prone to be moody AF.) I was taking the supplements that usually helped me to reduce inflammation, doing my diet (fairly well) and maintaining lifestyle interventions. In all transparency, towards the end of the year, the issue was that I'd indulge in something (maybe more alcohol than usual or starches I usually stay away from) and then before I could "chill out" my system (which usually takes a week, for me) I'd have something else and the cycle would continue. 

Because the diet that makes me feel great (right now) is so limited in variety, I also had a suspicion that maybe we hadn't completely solved the puzzle. I'd cleared SIBO in 2015 (we tested 3x and besides, the diet I consume would mitigate any remaining imbalance there). I haven't been able to reintroduce anything beyond greens, cucumber, limited amounts of tomatoes and avocado and small amounts of fermented foods into my diet. For the sake of my quality of life, I'd like to be able to tolerate some more foods, mainly vegetables. It would really make eating out more fun and tasty. Not to mention, while greens are packed with vitamins and minerals, I'd like to get a wider variety from other foods.

I had been listening to Dr. Ruscio's podcast and some others and hypothesized that perhaps my gut was still in a state of dysbiosis or perhaps there was a pathogen I was keeping at bay but hadn't eradicated. It's possible I'd cleared SIBO but not all of a fungal overgrowth (Candida or otherwise) that could have been there in the first place. I also know that while not diagnosed (for those concerned if i've "been diagnosed", it's a thing, LMGTFY!) with Crohn's Disease but suffering from the symptoms of it and benefiting from the treatment of an IBD like Crohn's, that it's possible that I am destined for a Low FODMAP diet forever. Research shows that people with IBD that go off of a low FODMAP protocol, often get worse. However, as the ever (now greedy) wellness consumer, I'm willing to try all my options.

I knew the first step was on me. I had to get back into a wellness routine that I knew worked for me. January first, I decided to do the elemental diet (I've done the semi-elemental diet in the past, which I do not tolerate well.) I did this for 3.5-4 days, a short, reset period. It's homemade, you can get the list of ingredients here. The purpose of this experiment was to see if I removed digestion from the equation by consuming this pre-digested liquid diet, could I get my body to de-bloat and "prune" (as Dr. Ruscio likes to say) back any initial overgrowth of either fungus or bacteria in my gut. I also committed to doing the first month of an herbal anti-microbial/anti-fungal protocol. It's the same one that I'd done with SIBO, just to prune back anything that had gotten out of control between November and January. 

It turns out, I tolerate the elemental diet very well. I was tired the first day and had a headache but that's pretty typical for me as a withdrawal symptom. I was symptomatic for the first two weeks of the antimicrobials/antifungals which indicates to me that I had some dysbiosis and/or fungus in my gut. I set a follow up meeting with Dr. Ruscio for the next month to discuss what I suspected and to talk about doing the second month of antimicrobials/antifungals which were more geared toward fungus, or if he had another suggestion.

In talking to Dr. Ruscio, I let him know the symptoms I was still experiencing: Low-level bloating, inability to add in more vegetables, some fatigue depending on lifestyle. He suggested that it's possible that I may have a microbiota that needs occasional "pruning" and is prone to overgrowth if not kept in check. The suggestions were the following:

• Consider doing periodic bouts of the elemental diet (the one I tolerate) to give my digestion a break and starve out any dysbiosis. 
• Do a round of the 2nd month of SIBO/SIFO treatment (the antimicrobials/antifungals)
• Consider doing a round of Fluconazole, a pharmaceutical intervention for SIFO that doesn't show adverse effects on the mirobiota. (TBD if i do this in addition to the protocol above) 
• Consider going on LDN or low-dose naltrexone, an immune booster now commonly used for those with autoimmune diseases. (It's his opinion based on research that my body's immune system attacks my microbiota, if this drug can help calm my system down from being on red alert all the time, perhaps I'll feel better.)
• Do a week of a low histamine diet. I had additional concerns that maybe I have histamine intolerance (which may or may not be affected by the possible fungal presence). I have sometimes have allergic symptoms when consuming wine, my heart races after eating some foods, I flush when I have too much or certain alcohols and I am sometimes intolerant to fermented foods. My hypothesis is that this will change after antifungals, but we'll see. I do better when I avoid these foods, currently.
   

I have reservations about pharmaceutical interventions.
Taking antibiotics throughout my life, I believe, helped me to arrive in this condition.
I'm starting with the herbal antimicrobials/antifungals and then we'll consider the rest of the options in a month or so. 
I'll update the site then!

A Couple of Side Notes

COST
I have a Covered California health care plan, the cheapest one that covers the least. Dr. Ruscio doesn't accept insurance so he's out of network no matter who I'm covered by (though his office does encourage you to super bill your insurance for their fees.) After 2015, I knew that my health care costs would be fewer in frequency and less in cost. I chose to downgrade the coverage I had to save money monthly (but not bankrupt myself if I have an accident). I do still have an HSA so if I make any money via w9, all of that money can go to paying me back (income tax free!) for any healthcare costs I incur during the year. This is one way that I help pay for my wellness on a budget.
Additionally, as Dr. Ruscio is an FMD, I needed a prescription written for the Fluconazole and the LDN (whether or not I fill them and take them we'll decide at a later date). Rather than paying another doctor for an appointment to get that written, I used my FREE (thanks #ACA) physical appointment to consult with my General Practitioner (who admittedly said he literally knows nothing about what I'm doing but if it works, then he's for it) and have him write me those prescriptions. That saved me an additional $150 on a doctor visit. 
 

In other exciting news, our new album is available for Pre-Order!

RESEARCH
Here's the info that I heard that made me consider SIFO or fungus a lingering issue:

• SIFO with Dr. Satish Rao
   
• LDN, Autoimmunity, and How SIBO Causes Symptoms Outside of the Gut with Dr. Leonard Weinstock
   
• SIBO Updates with Dr. Allison Siebecker

• Reacting to fermented foods? Could be a histamine intolerance

The Road to Recovery (or "Something is working!")

Hieeeeee. I've been waiting to post an update. I wanted to live with some dietary changes and lifestyle habits before writing.

Shocking revelation: I've come to find, that unfortunately, there may not be one diet that suits me.

When i started the more recent part of this journey, the last 2-3 years or so, my goal was to have a very specific list of foods i could and could not eat. Dream scenario: I would just stick to that and my skin would clear up, my energy would return and i wouldn't look pregnant after eating. Well folks, I'm sorry to say that may not be in the cards for me. 

It's become obvious to me through all of these dietary changes, treatments and experiments that one diet for the rest of my life isn't realistic. Not only am I in a different phase of healing than i was 2 years ago but so many factors affect my digestion, energy and general sense of well-being.

Um, so what's the good news? Why should I even listen to you?

The good news is that I AM feeling better.

When i'm tired on the road (Dustbowl travels 200 days a year now(!)) i feel like a normal tired person. I don't feel exhausted or like "how could i possibly get up there and perform this show right now/get out of bed" (which is what a lot of the past 2 years felt like.)
I don’t feel tired all the time. it’s not a perfect result. If i have some FODMAPS, or too much alcohol or something else that inflames my system, i feel like going to sleep. (I often will sleep if I can and that’s what my body is asking for.) But overall I’m feeling more "tired like the average person on a tour that doesn’t get regular sleep".
I also don't feel cripplingly depressed anymore which is a huge relief.

My skin has improved dramatically. The only treatment that seemed to budge that symptom was doing chelation. While it was expensive (and I'm still paying for that year of medical bills, thanks insurance!), I believe it was very necessary for me to rid my body of those toxins. My skin is proof of that.

Digestion wise, my diet is still very limited. But, if i stick to food in my life being practically perfect (in terms of what makes me feel best and not "what I'd like to be eating") then I can get away with this crazy tour lifestyle of never sleeping at the same bedtime and experiencing light to moderate stress on a consistent basis. I have energy and I am more patient, pleasant and physically comfortable.

HSP/Empath

The last 3 years or so have definitely been more about food for me. A lot of self-searching, a lot of self-love practice (still a lot of work to do there) and self-acceptance practice has been instrumental for my physical progress. The more I do this internal work, the less likely I am to self sabotage by going "off diet" as a way to distract my heart and mind from what it's feeling.

A friend of mine suggested in the past month that I should read "The Highly Sensitive Person" a (self help) book about people who are easily overwhelmed by the world around them (stimuli) and their internal, emotional lives. I've been told my whole life "you're so sensitive" which, i often took as a criticism. That I should not be hurt or affected so deeply by everything. I always have been. I cried and almost threw up and had to run out of the movie theatre during the end of Edward Scissorhands (spoiler alert) when the town is chasing him. Similarly, I leapt out of bed to go bawl in the bathroom just this year when Brahm and i rented Chappie and (spoiler alert) the kids were throwing rocks, teasing and kicking him. And it obviously doesn't end with movies...

I've seen HSP lately all over the place, others confirming I'm not alone in essentially being shamed for operating from a place of feeling and intuition. It's real, I pick up on nuances that are definitely there and that not everyone picks up on in relationships, in conversation, in the temperature of a group. It's also called being an Empath which i think is seen as a little more woo woo. I'm beginning to let go of the self judgement that's been impressed upon me; it's gonna take some time.

I used to think this was a weakness. I realize now:

THIS IS MY (not so secret) SUPERPOWER.

Though annoying/eye rolling/tease-inducing to some, I think reading this book was one way for me to accept that yes, I am sensitive, but it's not something i need to hide or tuck away or PROVE myself out of. Being sensitive means that I have an explanation for the chronic empathy (or lastima as Katya would say) that i experience on a daily basis. I can revel in the emotions i feel while singing and then give that gift to our audience (or to myself if i so choose). It makes me a more intuitive friend and wife. 

I am still struggling with the New England work ethic i have, where i wrap up all my self worth in the job i'm doing and then harshly criticize myself for not being better. This whole life I've spent working to prove that i deserve a place on this planet. I wonder what it's like to feel like you're meant to be alive and not that you have to earn your keep.

It extends to physicality as well. If I weren't so sensitive (HSPs are statistically more likely to have digestive/autoimmune issues) who knows if I would have made all these changes to my life and ended up in a healthier, happier place? I've been eating "so clean" for so long that I can really feel the difference if I introduce a food that doesn't agree with me now, or if i over do it with booze (which takes much less, than It used to). It helps keep me on track because I don't want to feel like crap, i'm better at avoiding foods because it's usually not worth it for the "cheat" experience. 

Things I'm doing now to continue healing

You can follow what those meals look like on tour with my instagram hashtag #howdoyoueatontheroad and food I eat in general with my instagram hashtag #feelsgoodblog

 

DIET

I was focusing on SCD + Low FODMAP for a couple months and still experienced bloating. I started looking into the Fast Tract Diet (which does a Weight Watchers style points attribution to foods based on their "fermentation potential") to see if that would help. I believe it did to a point. However, for cases like mine that are a little more difficult to pinpoint and mitigate, Dr. Norm Robillard (author of The Fast Tract Diet) suggests limiting carbohydrates to 20g> day. His app doesn't account for that so I switched back to using My Fitness Pal where you can control macros you're tracking very specifically. I knew if I was going to limit carbs by that much, I'd need to up my fat intake. Essentially putting me in the ketogenic diet basic framework. Once I became vigilant at carb counting. I noticed that if could stay on track i was sated, my bloating reduced substantially and that overall, the diet generally agreed with my system (for now).

This means i'm aiming for percentages of 5% (specifically 20g> of carbs a day), 80% Fat and 15% Protein. I am not currently testing to make sure I stay "in ketosis" but I am concerned with the carbohydrate number as carbohydrate malabsorption and gut fermentation seems to be the more prominent reasons I keep bloating and feeling zapped of energy.

The foods I'm eating are very similar to what you've seen me list before, i'm just tracking how much I'm having now. Eggs, Pasture raised animal fat (no, i'm not worried about cholesterol ), Greens (wilted at home, usually a salad on the road), Pasture raised/organic meats (the fatty-est ones if available) and limited dairy (hard cheeses, experimenting with heavy cream in coffee etc.) I am allowing alcohol (red wine and tequila/soda mostly). I am very aware of the irritating and inflammatory effects and try my best to be picky of quality and not overdo it.

It's working for now; so I'll do it until I don't, just like everything else.

SUPPLEMENTS

Under the supervision of Dr. Ruscio, my functional medicine doctor in SF,  I'm on supplement rather than pharmaceutical treatment for Crohn's Disease: Curcumin from Turmeric for anti-inflammation, Vitamin A, Digestive Enzymes, Betaine HCL, three types of probiotics as well as self-prescribed/leftover from past doctors: Concen-Trace Minerals, and chlorella (to continue chelating until my skin is blemish free).

This is working out well for me. We talked about FMT as a last resort if the heavy probiotic therapy doesn't rebuild my gut microbials enough but we're not there yet.

SCOBY facial! also note how clear my cheeks are yahoo!

SKINCARE

I use FATCO religiously at home and on the road. Their oil cleansing method of feeding my skin from the outside while I'm working on changing the inside with diet has made my (non broken out) skin look so healthy! I am so hooked on using organic, conscientious skincare as I think that part of my problem in the first place was just chemically treating symptoms my whole young adult life. Their face cream is so damn soothing, I recommend all of their products (at least to try) to everyone.
I've also been doing SCOBY facials at home as well as organic peels, exfoliation and hydrating masks to keep the skin looking and feeling healthy and to prevent any breakouts from traveling/stress/not sleeping/dehydration. They look weird but the acid from the SCOBY really does a number on eating away dead skin cells and keeping my complexion bright. I do one RIGHT when i get home from tour and right before i leave again. As soon as I take it off I use these tools if i need any blackhead extraction while everything is moisturized and right at the surface, then i tone with FATCO toner + rose water. 

SLEEP/MEDITATION

It's very difficult for me to get proper "what is recommended for a normal adult" sleep on the road. We never go to bed at the same time and rarely get 8 hours consistently (listen to this podcast to learn more, see also page 17 of the transcript for shocking info on bed time/sleep amount if you're not going to listen to the podcast.)

What i do to "do my best" is go to bed ASAP after a gig, I wear amber glasses to cut blue light as soon as i'm in the hotel room (and i use night shift on my phone). I wear a sleep mask and earplugs while sleeping and I do a guided meditation every night. I sleep as long as long as my body allows and when we are off the road i try to go to bed around 10p as frequently as possible to recoup any sleep deficit. 

EXERCISE

Let's be honest, i'm not really exercising. I try to walk as much as possible at home and on the road. I have grand plans to do yoga but usually spend off tour times trying to get rested and chill for a minute before we go back out. Yoga though, not cross fit or spinning like the old days, is what I think would benefit my nervous system right now. I just need to motivate...

 

Revelations

I think I had to acknowledge I was ill to realize that I'm happier knowing I'm not perfect and don't need to be and stick to a lifestyle that makes me feel well.

Accepting that my body has trouble digesting and that I'm sensitive is part of my solution. There is no one diet for me, there is just what I'm tolerating right now. Of course, It's hard for a type A person like me not to have a "fix". To not be able to get to "normal". (What does that even mean? Be able to eat crap food and feel fine? To have a flat stomach 100% of the time? To have perfect skin?) Maybe I was presented with physical circumstances as a method of accepting myself, as a way of learning to let go of shit that doesn't matter and be a more patient, loving and positive person. I certainly think it's a good lesson to learn before I bring any children into this world. It helps me strive to be a better partner, friend, co-worker, self.

2015 was the year of "give no fucks", during which I gave entirely too many fucks about so much bullshit. I think 2016 is the year of letting go (dare i say, actually giving no fucks?). I've made a lot of progress in setting boundaries for myself (both work wise and also personally). I'm listening to myself and adjusting the plan of action as needed. I'm trying to be present in every moment and take everything i can from those experiences (whether pleasant or not). I'm sure I'll have to switch up what I'm doing again soon. It seems that going with the flow is the point.

OMG, IBD? (and my experience with the Elemental Diet)

I wrote in February how I'd done 9 rounds of Chelation, for Mercury and Lead toxicity. I've since stopped getting IV treatments and (at the suggestion of my budget conscious Doctor) am currently taking supplements to continue chelating in a less expensive, yet effective way. 

The plan was to go back on the diet that had made me feel best in the past. My experience had shown that would be the Autoimmune Paleo Protocol, combined with a Low FODMAP diet. However, this time around I remained symptomatic. I was still bloated after 2 weeks on that diet (strange, for me). I was also still very tired most of the time, something that usually improves on this diet. The one improvement I DID (very happily) notice that improved after chelation was my skin! My acne has really diminished from 8 breakouts a month to maybe 1 or two spots.

I had spoken to Dr. Ruscio and Dr. Lalezar about the diet not bringing about similar results as it had in the past. Dr. Lalezar suggested we re-test for SIBO as there is a chance that it had come back. She also tested me for leaky gut, (an Array 2 for you test savvy readers) to get a sense of how permeable my gut is right now. Dr. Ruscio suggested, prior to me going back on AIP + Low FODMAP, that one option would be going on the elemental diet (an easily absorbable liquid diet) for a time to see if giving my guts a rest on breaking food down would improve my tolerance.

The other option would be to treat me for non-clinical IBD. This is a potential diagnosis for me. That I have an IBD (likely Crohn's due to my presentation of ulcers) but it doesn't present normally. This could be why the Gastrointestinal MD (Dr. Shaye) was hesitant to diagnose me with Crohn's after seeing my blood panel but thought it was likely that I had Crohn's after seeing my colonoscopy. Treatment for that would include a natural protocol of anti-inflammatory supplements/tinctures and making sure that I'm on the right diet for an IBD. (Dr. Ruscio is a "food first" doctor" he believes that for any of the natural/holistic methods of healing to work, you have to dial in food right for YOU first, then treat. I, clearly, am also very much on this train.)

My (Semi) Elemental Diet Experience

Of my own volition (because I hate waiting for doctor's for results and am trying to minimize costs) I decided to first try the elemental diet. I am familiar with three options for this diet: Vivonex Plus, Absorb Plus (which is a semi-elemental diet) and Homemade. The difference between elemental and semi elemental is protein and fat content and the size of the molecules you are absorbing for nutrients. Unsurprisingly, the larger the molecules get the more flavor improves. (I did Absorb Plus because apparently Vivonex tastes like the glue on a postage stamp (is made by Nestle, not the greatest track record for providing us with whole foods) and the homemade one you have to take like a shot because it tastes so bad.) For 6 days I drank a shake that tasted like the milk after a bowl of Kix cereal, not terrible. I remained bloated during the diet but that's not uncommon. It's still giving your guts a rest, even if that occurs. I had some reservations about it as the protein in the shake is from Whey and I don't do dairy on a regular basis. However, I don't have an allergy and despite any symptoms it would still be improving inflammation by reducing digestive work. (See the FAQs here about the soy and whey in the product, they calmed my fears.) This diet can also be used to effectively get rid of SIBO, but you have to take it for weeks at a time. I previously successfully treated my SIBO with anti-microbials, prescribed by Dr. Ruscio.

Things I noticed while doing the Absorb Plus semi-elemental diet:

• I wasn't hungry but I would get very hungry if i didn't continually sip my shake. Dr. Ruscio's suggestion for me was to sip slowly throughout the day rather than DRINK a shake at mealtimes. This would help keep my blood sugar from spiking since I don't seem to do well with sugars or carbohydrates. This was a personal precaution but I think i could have probably taken it normally and be fine. I didn't have a problem with energy or anger the whole week (sometimes an issue with me and carbs!)
• I did find some Casein Curds in my stool. I thought perhaps I'd swallowed a chunk of undissolved powder (that's what it looked like) but after a couple of these appearing and some intense internet research, I found that it's actually "casein coagula." I haven't been able to gather any information on why or how your body makes these little thumb-tip sized curds but it seems clear to me that my body was just trying to protect itself from the dairy and expel it. I noticed this happened again after having a raw milk latte at Mission Heirloom for my Birthday. I avoid dairy on a regular basis so this was a new experience and after I wasn't alarmed by it any more, I was more interested in the function. I can't wait to hear what Dr. Ruscio and Dr. Lalezar say about it. I'd never seen one before, and within this diet and one latte, I'd seen 3 over the course of a week.
• I didn't weigh myself but I'm sure i lost a little weight. My pants felt less tight and the idea was to reduce bloating. I did feel like overall the diet was a good "break" for my intestines, to reduce inflammation and I was able to go back to AIP + Low Fodmap feeling like it was more tolerable and with less bloating.
• I suspect that the treatment for chelation was very agitating for my system. I was symptomatic the entire time and was not strict about diet (more paleo than AIP or low FODMAP). This elemental diet was a good way for me to "reset" my system. Also, if my stool test comes back positive for SIBO again, it will also have been a good jump start to getting rid of it.

IBD info...

My miracle anti inflammation drink. Homemade bone broth and juiced turmeric.

My follow up with Dr. Lalezar for my SIBO and Array 2 results are in later this month. In the meantime, I had the fortune of coming across this podcast that Dr. Ruscio did on IBD! In it he speaks with Dr. Steven Sandberg-Lewis about his approach for IBD: supplements and diet etc. They discussed that the most useful diet for IBD, in their opinions, is the Specific Carbohydrate Diet (which I've mentioned here) combined with a Low FODMAP diet. They also talked about some supplements/nutrients that I take occasionally but not regularly, like curcumin (the anti-inflammatory component found in  turmeric root).

I've been doing AIP (cross referenced with SCD, GAPS, low FODMAP) for the past 2.5 years. So scaling back to just SCD and Low FODMAP would mean re-introducing some foods that I had an instinct weren't causing an issue for me but I wasn't quite sure and was too nervous to truly re-introduce them. I did not do what would have been the most thorough method, which would have been to try one food for 3 days to see how I react. I just jumped in. 

It's important to mention that during Chelation I was not super strict. Since i was so symptomatic from the treatment and chemicals floating around, I ate more liberally, fodmaps and some non-AIP friendly foods that I thought "were fine". I also think, that my wishful thinking about eventually being paleo in the future (which is so much easier than any of these diets, in my opinion) that I wasn't seriously considering FODMAPS my main issue. I think now, that I was wrong.

Last week, I converted over to SCD combined with Low FODMAP, the IBD specific diet. The symptoms of IBD really resonate with my experience and it seems like if that is the real underlying issue (now that mercury/lead are removed as toxins) then this should be the right track. I also had experiential evidence that tomatoes and spices had never really caused a reaction that I'd been aware of. So this was worth a shot.

Within two days, I wasn't completely not bloated but I definitely felt a difference. My pants felt lighter/less restricted, even after eating. My exhaustion didn't disappear but it receded (by about 2hrs less sleep). It seems like, FODMAPS and really focusing on fermentation in my gut could be the key to healing my leaky gut and also figuring out the "right for me" lifestyle and diet. I also noticed a new symptom that I hadn't before, either because it was lumped in with general un-wellness or I was confusing it with my monthly cycle. Intestinal cramping is happening to me if i have FODMAPS, like onions in my Chipotle Guacamole for instance (which, if you know me, is a TRAGIC symptom to discover). It feels like period cramps, despite not being on my period.

Over the past week I've been able to hone in on some things that are true for me, right now:

• I cannot have any FODMAPs, even Avocado
• I must stay strict on SCD (no starches of any kind that aren't "legal")
• I can tolerate tomatoes
• I can have (approved) drinks ONE night a week, two is pushing it, three is fully symptomatic.
• I can only have dry farm wines right now, if at all.
• I can have tequila or potato/corn vodka ONLY as liquour
• Eggs, on occasion may be fine. Not pushing it.
• I can have ONE glass of Kombucha a day
• I can have coffee if I dilute it but 1 or 2 a day max
• I definitely still have parasites. Doing another cleanse in april. Organic Olivia's is out now!

I do think I mentally blocked fermentation and FODMAPS as being the true possible culprit. For me, it's way easier to just eat tons of vegetables and proteins rather than a Low FODMAP diet. SCD already doesn't allow starches: grain is out, potatoes are out, sweet potatoes are out. Low FODMAP cuts out a ton of fruits and vegetables. This diet is very similar to what I'd already been doing but I can add back in things like: Eggs! Seed Spices! Some Nightshades! In hindsight, my GI doc, prior to my colonoscopy, mentioned they tried to get patients with Crohn's to go on a low FODMAP diet but it's hard for people to stick to. The podcast I linked to above also talks a lot about the science behind the digestive system, IBDs and FODMAPS/fermentable prone foods. Like AIP, this doesn't have to be forever! It can be a tool to help heal up the inflammation/ulcers and then you can re-test (by careful introduction), if over time you can tolerate more FODMAPS.

AIP, SCD, Low FODMAP, GAPS and Paleo friendly dinner: Kabocha Squash, Duck, Wilted Chard.

So, with renewed vigor (and a little bit of disappointment about avocados and Chipotle). I am committing to SCD and low FODMAP. It's my way of doing field research before paying someone to tell me what to try next. Beyond that, I'll circle back with my Docs (and possibly may even re visit my GI doc to check in) to see about how to move forward with treatment. 

UPDATE 3/30/16

I spoke with Dr. Ruscio today and followed up with Dr. Lalezar this past Monday. The plan going forward is to focus on IBD therapy. That will include a specific probiotic therapy protocol, changing up the digestive enzymes that I take with each meal, experimenting with a semi-elemental diet from time to time (see Absorb Plus, above) and some other Crohn's/ IBD support supplements. In a month we'll check in to see how it's going. I'm also to experiment with a low fiber diet and see how I fare. Some people with IBDs have a hard time with insoluble fiber (see the podcast mentioned earlier for more info). We talked about FMT being a sort of "last resort" but it exists as an option and has been proven to help many people with Inflammatory Bowel Diseases. That's a little further down the road at this point.