87% of Crohn’s Patients Can Eat Some Form of Bread

We asked 134 people with Crohn’s disease if they could eat bread and offered three possible answers to our survey.

47% said they could eat all types of bread.

40% said they could eat certain kinds of bread. Examples of that are white breads, or anything that isn’t whole grain, etc.

The remaining 13% said they can’t eat any breads.

This means 87% of Crohn’s patients can eat some type of bread.

87% of Crohn’s Patients Claim Lean Meats Cause Less Pain

Magazines and health professionals have suggested limiting red meat in your diet for a long time. It’s also been discussed often in the IBD space that red meat can be tough to digest and should be avoid. However, I noticed people say steak doesn’t bother their digestion. So I had to run a survey.

82 of the 93 respondents said chicken and turkey caused less pain than red meats did. That equates to a whopping 87% – one of our least divided surveys ever.

Of the 13% that said the meats digested similar, one said the rarer the meat, the easier it was to digest. My guess is those that find them similar, they are in remission or closer to it.

Remember, even in remission, it’s important to stick with safe foods. Even thought your gut is stronger now, abusing it can return you to your old days and it will. It happens all the time. People with IBD for over 25 years end up in the ER and when questioned on their diet, they say “what diet?”

3 Studies Testing Cannabis as Treatment for Crohn’s Disease

Prior to 2011, there was pretty much no research on the results of consuming cannabis to lower the effects of Crohn’s disease. Since then, studies have shed light on the substance.

Study 1

In a study published in The Israel Medical Association Journal, they studied 30 patients with active Crohn’s disease.

“The average Harvey Bradshaw index improved from 14 ± 6.7 to 7 ± 4.7,” the study reported. The Harvey Bradshaw index is one of the indexes used to measure Crohn’s disease activity.

Patients consumed one to three cannabis sativa joints per day, which each contained around 0.5 mg of THC. The CBD values were not reported or noted, although the study noted both cannabinoids have been known to have profound anti-inflammatory effects prior to the study.

Image result for 1 gram joint
Comparing joint sizes. Source: Nevada Says No

0.5 mg in the study seems low or incorrect. Let’s say you roll a 1 gram joint, and the vendor claims 15% THC, which is typical – not overly high and certainly not low. Let’s factor in the fact that the number is probably exaggerated a bit, so we’ll say 10% of absorbable THC.

1000 mg joint * 0.10 THC = 100 mg of THC per joint

100 mg is 200x the amount reported in the study, but luckily we have other studies.

Source: Treatment of Crohn’s disease with cannabis: an observational study. (PMID:21910367)

Study 2

In the next study, patients also consumed cannabis sativa. This was placebo-controlled. A decreased Crohn’s Disease Activity Score of >100 was observed in 10 of 11 subjects in the cannabis group (90%; from 330 ± 105 to 152 ± 109) and 4 of 10 in the placebo group (40%; from 373 ± 94 to 306 ± 143; P = .028).

I think it’s worth noting that 40% of people on placebo thought the effects were beneficial, as CDAI is based on a survey. Although not necessarily proper to do so, we could subtract 40% provided from the placebo group from the cannabis group (90%) and conclude it’s actually 50% effective.

In this study, patients took the cannabis via cigarette form, twice daily, with each joint containing 115 mg of Δ9-tetrahydrocannabinol (THC). That’s a 1 gram joint with a medium level of THC content.

Study 3

In another study that focused in CBD, researchers found that after offering low dosages of CBD (10 mg, twice daily) to Crohn’s disease patients, CBD was safe to consume but did not offer any beneficial effects. This was concluded to be either because CBD has no effect on Crohn’s disease activity or because the dosage was too low.

Bonus Note

“Its benefit may be simply derived from pain relief and not from improvement in inflammation” said one study.

Conclusions

  • Sativa is generally used in medicinal purposes over indica
  • Smoking 2-3 joints per day has proven beneficial in many cases
  • Smoking is not the only form that works – vaporizing via a bong and digesting via edibles is also effective
  • Cannabis is known to have a placebo effect and may not always help as much as patients believe
  • Researchers have yet not found benefits of CBD

Books on Cannabis and Crohn’s


70% of Crohn’s Disease Patients Find Dairy Gives Them Pain

Recently I asked members of a Crohn’s & Ulcerative Colitis group whether or not dairy gave them abdominal pain. Including my vote, of the 109 respondents, 76 said that dairy did indeed give them abdominal pain, which is 70% of the respondents.

“Dairy products have been perceived as having the potential to cause adverse effects in individuals with Crohn’s disease (CD) and are often avoided.” said one study. Specifically, “dairy products with a high fat content were most frequently reported to worsen perceived CD symptoms.”

Top 5 Shake Supplements for Crohn’s Disease

Doctors often recommend a 2000 calorie diet to maintain an overall healthy body – that includes a healthy weight, organs acting as they should, etc. However, that number is different based on each person, so first you should calculate your own calorie intake by watching this video.

Calories are made of up one of the 3 macronutrients: protein, carbohydrates and fats. You need a balance of all 3. The ratio recommended normally for those who don’t participate in heavy physical activity is:

  • 10–35% from protein
  • 45–65% from carbs
  • 20–35% from fats

The problem with most pre-made shakes like Ensure is they are expensive, and not very mobile. They also include a ton of sugar. When you’re going to drink purely shakes for multiple days to get through a flare, you will need a lot of shakes. Each Ensure is 220 calories, meaning you’ll need at least 9 per day. However, you can make your own and only have 3 sizeable shakes – one for each meal.

In this article, I will show you the ingredients you need to make a proper shake that fulfills your daily nutrition goals.

To mix these, you should add water and/or an alternative milk source. My favorite is oat milk. For flavor, you can add a banana. Then blend it.

Image result for oat milk earths own
Image result for fruits and veggies blender

Protein

For protein, my two favorite sources are from egg whites or yellow split peas. Eggs as a whole are fine when eating solid foods but if you eat more than half a dozen a day (which you need to to hit macro goals), you’re daily cholesterol will be something you need to watch.

Less Naked Pea – Vanilla Pea Protein

Now Sports Nutrition – Egg White Protein

Carbohydrates

For carbohydrates, sweet potatoes are my favorite source of complex carbs. For simple carbs, dextrose powder is a great option. To refresh your memory, complex and simple carbs are both fine but often complex carbs are favored because the energy they provide is extended throughout your day whereas simple carbs give you an instant energy boost, like candy does to a kid. One is not necessarily more healthy than the other per se. You can use either or both based on your needs.

Also note: you can easily add in fruits to your shakes when blending to add tasty carbs.

Now Sports Nutrition – Dextrose Powder

True Nutrition – Sweet Potato Powder

Fats

Fats give the most dense calories and are probably the nutrient with the most misunderstanding from the general public. I talk about fats more in other articles and on YouTube. Unsaturated fats are good, but some saturated fats are also good if it’s extracted, such as MCT. One of the best sources of fat is just that, MCT Oil, which often found in the health food aisle of your local grocery store.

The majority of saturated fat is long chain triglycerides which is bad. MCT is medium chain triglycerides and they are really only in coconut. However, in coconut oil, they are only a small percentage of the total saturated fats which is why coconut oil as a whole is not recommended. MCT also have health benefits associated with them. You can add the oil in it’s original form, oil, to your shakes or add the powder below. Both are fine.

Giant Sports International – MCT Oil Powder

Bonus: Total Meal Replacement

One of the strongest men in the world, Brian Shaw, uses this meal replacement in addition to some massive meals to help him stay healthy and strong. The only difference? He eats about 10x the amount you’ll be eating. Point being – this stuff works and it’s effective in staying healthy, full of energy and strong.

Image result for brian shaw pulling
Brian Shaw, one of the world’s strongest men

Redcon1 – MRE Real Whole Food – Chicken Protein, Salmon Protein, Oatmeal Powder & Dehydrated Sweet Potato

Choosing a Proper Protein Source with Crohn’s Disease

Most Crohn’s patients suffer from some form of malabsorption. This means we must choose protein sources that are easy to digest – which is measured based on bioavailability. Bioavailability is the proportion of the nutrient that is digested, absorbed and metabolized through normal pathways.

Leading in bioavailability, whey protein isolate tops the chart with an index over 100. Although, since most Crohn’s patients have intolerances to dairy due to lack of proper enzymes that means eggs are the most reliable and most efficient protein source for Crohn’s sufferers.

For vegan options, the only protein with proper absorption comparable to chicken, egg and other traditional sources is pea protein isolate.

Foods to Eat During a Crohn’s Disease Flare

Besides a high water intake (3-4L daily), here are some foods to help you through a flare. I normally stick to these foods 80% of the time, even when not in a flare.

Foods I eat during a flare:

  • Soups (dairy-free) such as organic tomato soup (which are often dairy free)
  • White rice (avoid whole grain)
  • White bread (avoid whole grain)
  • Eggs (or egg whites)
  • Salmon or any kind of fish
  • Bananas
  • Porridge
  • Cream of Rice
  • Applesauce
  • Cooked carrots
  • Potatoes

Foods I eat during a serious flare:

  • Broths
  • Gatorade
  • Tea (ginger with turmeric, green, etc)
  • Jell-O

Foods I won’t eat during a flare by some others do:

  • Creamed soups
  • Ensure
  • Ginger ale
  • Kefir

Crohn’s Disease Diet – How I Eat 3650+ Calories per Day

In this video, I break down my diet that I used to eat around 4,000 calories per day with Crohn’s disease. So I’m not going to cover what you should eat and what you shouldn’t eat if you want to see that, check out my other video. In this video I’m actually going through my five meals and explaining to you the nutrition facts (mainly the calories) but I have calculated the protein, carbs and fats. It’s about 200 grams of protein and around 70 grams of fat. Then the rest of the calories are carbs.

For my first meal in the morning Igenerally don’t have any protein. I just want carbohydrates to give me enough energy to push me through my gym routine – to push me through the first part of my day. So it’s usually a one dish meal. Cream of Rice is what I eat if I’m not very hungry. It is 160 calories from 1/4 cup and it expands a little. Add a bit of honey, throw on some cinnamon. If I am hungry I’ll have hash browns. If I’m hungry I might eat towards half the bag and that’s going to be about somewhere between depending on how much I eat, between 400 if it’s a third if I’m eating more the bag to be upwards of 800 calories and then I have some sort of juice to go with that to drink along with a bottle of water because you’re dehydrated when you wake up. For the juice, usually just one cup of apple juice or orange juice, not from concentrate and that will give me a little bit of extra sugar to get me through my gym routine. I’m just going to call this meal at 500 calories – is somewhere on the average of my breakfast.

So for meal number two, the post-workout meal. It consists of 3 snacks. The first one is a muffin. Muffins are very calorie-dense. One small muffin might be 350-400 calories and often quite a bit more. If you go to Costco get those muffins they’re over 600 calories each. I also have a banana and depending on the size they’ll between 100 and 120 calories. Sometimes I add peanut butter if I want to add extra calories. A couple scoops of peanut butter could easily add 100-200 calories to this meal and for the third food is egg whites. A kilogram worth of egg whites contains 30 egg white so I drank about half of this. Most people say that’s gross initially. It’s not that bad. There’s no taste to it. If you can’t get past the idea, mix it with Nesquik, the ice cream syrup, and that makes it taste great but you really don’t need it. You eventually get to the point which is like I’m just going to drink this really quickly and it goes down super easy and the egg whites are about 250 calories and 50 grams of protein, so it’s a great protein source. It digest super easy for me. So this entire meal is 750 calories. So right now we are at 1250 calories.

Next is meal number 3. So generally I follow the 80-20 rule where 80% of our food is going to be clean food that is home cooked, and for the remaining 20%, we can go out we can go to a restaurant, could be fast food. We can kind of cheat. So I normally have a burger or preferably a chicken burger chicken as it digests a lot better than red meat but if your stomach is feeling pretty good you could push it with. This is only if you’re pretty advanced in your Crohn’s battle. So A&W has a double chicken buddy burger at 460 calories. I never have cheese on anything because cheese does hurt my stomach and another option is McDonald’s 1/4 Pounder with no cheese. I don’t have soda. I’ll drink water with it and I generally won’t give fries. It’s just a 500 calorie snack because I’m usually out running errands or doing something between work or whatever. it’s just 500 calories super quick for now because we’re going to get into something more bland and pay the price for having a cheat meal later.

Sometimes I don’t have a cheat meal. I’ll instead have meal 4, twice, as meal 3 and 4. 

Meal 4
If you don’t like potatoes, you can also do rice.

So for meal #4, my metabolism is fired up now I’m a little more hungry later in the day. This is now around 4-6 PM, basically an early dinner, and for that I’m going to have 6 ounces of shredded chicken. I boil the chicken and then I pull it and then add a bunch of avocado oil to  just make it a little less dry and then I put taco seasoning on it to add some flavour. I also have two sweet potatoes, like large sweet potatoes, around 14 ounces. Two of these and then I’ll have some sort of vegetable, so broccoli or kale or something to aid digestion. You can choose pretty much any vegetables. The shredded chicken is 280 calories, and the potatoes are 580 calories. I don’t eat the skin – you don’t really need to eat the skin. When I cook my sweet potatos and I shut the oven off, I let them sit in the oven for about another half hour or 45 minutes. I find the longer they sit in the oven the more they start separating from the skin, so a few days after you reheat them in the microwave, I can just slice them down the middle. It’s really easy to pull a potato off the skin so you really can just eat all the inside contents of it. So for this meal it’s about 900 calories and like I said if I don’t have a cheat meal I’ll do this meal at like 2-3 PM and then I’ll have it again around 5-6 PM.

Okay last meal is meal number 5. This is my shake. So for my shake, it tastes pretty good. You might not like the contents but with the strawberries it really take over the flavour and tastes like strawberries and bananas. The shake is 1000 calories. You might want to read the nutrition facts and calculate it out the first time so you know how much are pouring but first, egg whites. I only drink half of the container meal 2 and the other half I’ll put into my blender for my shake. I’ll throw in a handful of strawberries. My hands pretty big. The more you add the better it will taste. I put in one banana. I put in a cup of oats – quick oats from Quaker is fine. Then I add in basically a few tablespoons of avocado oil like maybe a shot worth (an ounce) and then add in either almond milk but my favourite milk that is really easy on my stomach is oat milk. I can get that at my local grocery stores. Dairy again I try to avoid because it’s pretty hard on stomachs. So with the strawberries, the banana, the egg whites, the oats and then the avocado oil or olive oil – I don’t use coconut oil for health reasons and because it tastes awful when you blend it up it just it messes up the whole shaking it really ruins it. Then we also have the milk. I’ll just add milk until it really becomes a viscous enough to blend properly.

We got:

  1. Meal number one at 500 calories.
  2. Meal number two at 750 calories.
  3. Meal number three at 500 calories.
  4. Meal number four at 900 calories.
  5. Meal number five at 1000 calories.

We’re sitting around 3650 calories if you have snacks like I do – like I’ll have a cupcake at a meeting at the office if someone bakes, or something like that. It’s not hard to get that 4000 calorie mark. Now if you’re newly diagnosed with Crohn’s you’re not going to push it like I am. You know I’ve had Crohn’s for over five years. The cheat meal might not be an option for you might have to just repeat that meal four twice and you’re going to have a higher calorie count if you do. That will be easier on your stomach. Everything else here is super light. In the morning my stomach is more sensitive to harsh food so like I said I start off with really safe food. Cream of Rice is super soft on your stomach and some sort of potato is another great option, and then I have some sort of juice. If I’m drinking orange juice, I think it’s Tropicana offers a low acid form or I drink apple juice which has less acid. So anyways, any questions drop them in the comments and that’s how I eat around 3500 to 4000 calories per day.

My 4 and 5-day split workout routine

In my first 6 months of lifting, I gained 27 to 30 pounds. Diet had a lot to do with it, but in this article I’m going to cover my routine.

The routine you choose is going to depend on your goals and how much time/effort you can commit. If you can commit 5-6 days a week and want optimal results then you can start with this split. If you can only do 3 days a week (which I don’t recommend) then you can look at a program like 5×5 ICF (Ice Cream Fitness).

My routine is something like this:

Day 1 – Arms
Day 2 – Legs
Day 3 – Chest
Day 4 – Back
Day 5 – Shoulders
Day 6 – Rest
Day 7 – Rest (Optional)

I keep arms at least a day away from chest and back for optimal recovery as your triceps are worked on chest day and biceps on back day. I also keep shoulders away from chest as incline chest work will bring in the shoulders. If you want quicker results, drop day 7th, the additional rest day.

I’m going to write down some of the movements I do. Generally I like to do 16-18 sets in a workout. This can last anywhere from 45 to 75 minutes depending on the length of rest periods. My rest periods are longer on compound movements and shorter on isolation. After each set, I increase the weight. Each week, I try to add more weight or more reps to my sets.

Arms

  • Dips – On all 4 sets, go until failure. For example, to warm up I bang out 20 reps with no added weight. Then 10 reps with 25lb, 8 with 35, 8 with 45 and if I’m feeling good 5 or 6 reps with 55 or 65 pounds.
  • Curls – Either barbell curls with the E-Z curl bar, or seated hammer curls.
  • Some overhead tricep movement – I like to change it up. Sometimes skull crushers. Sometimes overhead cable tricep extensions or you can do extensions with the barbell while seated.
  • Rope curl and tricep push down super set – Probably my favorite movement to end with. Set up ropes both on the bottom and top of the pulley. I choose a lightwight. Example – For a bodyweight of 145, I do 45 or 50 pounds which is about 70% of what I would use for a normal 10 rep set. Here are the sets, and there’s no rest anywhere in this entire routine.
    • 20 reps of tricep pushdowns with the rope followed by 20 bicep curls with the lower rope. Immediately:
    • 15 reps of tricep, 15 reps of bicep.
    • 12 reps of tricep, 12 reps of bicep.
    • 10 reps of tricep, 10 reps of bicep.
    • 8 reps of tricep, 8 reps of bicep.
    • If I feel like I have an ounce of energy left after that, which is rare, I increase the weight 30% and bang out another 8 reps of each.

Legs

  • Leg extensions – Warm up with 3 sets of 15 or 20 reps.
  • Hamstring curls – Again, these are just warm up for squats. It helps exhaust the hamstrings and quads so you can hit the glutes harder next. 3 sets of 15 or 20 reps.
  • Squats – 4 or 5 sets of standard back squats with the barbell. This is the primary component of my workout. On my last set when I’m usually pushing for a new personal record, I rack the bar after and immediately drop the weight down 50% and go for 20 or even 30 reps.
  • Deadlift – 2-3 sets. They tax the central nervous system (CNS) pretty hard (which is necessary) so I don’t usually go up to 4 sets.
  • Leg press – I usually only do these if I don’t deadlift, even though the muscles are different. 4 sets.
  • Lunges – Did them more with bodyweight and dumbbells in my first 2 months.
  • Calf raises – Great isolation to finish with. Good calves are important for proportion. Especially on tall people.

Chest

  • Dips – I hit dips twice a week to help with development in my favorite areas (chest, tri, shoulders)
  • Flat dumbbell chest press – 4 sets, progressing to a PR
  • Incline dumbbell chest press – 4 sets
  • Fly machine – Be sure to pause during complete contraction

Back

  • Iso-lateral row – 4 sets
  • Overhand wide grip pull up – 4 sets. Use assisted if needed.
  • Landline row or barbell row
  • Lat pull downs – Close grip or traditionally with the bar is also fine

Shoulders

  • Shoulder Press – Either hammer strength or dumbbell
  • Vertical rows – Either with E-Z curl bar or overhand with rope pulley
  • Front raises – Dumbbell or rope pulley between the legs
  • Side raises – Dumbell or with the lower pulley and no attachment
  • Face pulls – Use the pulleys to hit the rear delts best.