The Grain Brain Cookbook

Dr. David Perlmutter’s #1 New York Times Bestseller Grain Brainnow published in 26 countries, has revolutionized the way we think about our health by exposing the devastating effects of wheat, sugar, and carbs on the brain and empowering us with the knowledge that what we eat is the most important decision we make every day. If we eat the right foods, we can profoundly affect how our brains will be working next year, in five years, and for the rest of our lives.

Featuring more than 150 delicious recipes for complete health and vitality, The Grain Brain Cookbook (Little, Brown and Company) keeps our brains vibrant and sharp while dramatically reducing the risk of debilitating neurological diseases. The Grain Brain Cookbook provides the tools to create a gluten-free diet high in “good fats” and full of wholesome, flavorful foods.

Recipes for delicious, easy-to-make meals include: Eggs Benedict with Zucchini Pancakes; Green Mango, Watercress, and Arugula Salad; Artichoke Dip; Grilled Parmesan Tomatoes; Spicy Chicken Burgers with Guacamole; Gruyère-Glazed Pork Chops; and Cauliflower “Couscous.”  Not to be forgotten, there are wonderful snacks and desserts like Curried Almonds; Coconut-Cashew Bars; Chocolate-Hazelnut Truffles; and Lemon Soufflé Pudding, just to name a few.  Once you’ve tasted how delicious the Grain Brain diet is, it will be easy to keep making the right choices each day that will pave the way for brain health.

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Praise for Grain Brain

“Dr. Perlmutter outlines an innovative approach to our most fragile organ, the brain.” Mehmet Oz MD

“The definitive instruction book for the care and feeding of your brain! Grain Brain explains why our brains are under siege with sky-rocketing rates of depression, dementia, ADHD, autism, and more…. If you want to boost your brain power, keep your memory, and lift your mood and energy, Dr. Perlmutter is your guide.” Mark Hyman MD

“A detailed tour of the destructive effects that ‘healthy whole grains’ have on our brains…. A persuasive case for this wheat-free approach to preserve brain health.” William Davis MD

  • azucena

    what about oats? Is it as bad as wheat?

    • David Perlmutter

      You may want to watch my most recent video: http://www.drperlmutter.com/whats-breakfast/

      • Mary Lee Rossmaessler

        However – just to complete the circle – there are companies that plant in dedicated fields, transport in dedicated trucks and process in dedicated factories. I never ate oats after my celiac diagnosis because these products weren’t available. I never liked oats prior to my diagnosis and still don’t even if it is gluten free.

        • David Perlmutter

          good points

  • Jayson

    Can this help with MS?

    • David Perlmutter

      This is exactly the dietary plan we use in our clinic for our MS patients

    • David Perlmutter

      This is exactly the dietary plan we use in our clinic for our MS patients.

  • Ana Gabriela Gonzalez Meade

    What about vegans? Do you have a list of vegetable-based proteins
    for us to apply to your theory? And replacers for dairy and eggs?

  • Rob

    Is this cooking for a safe diet or should we control our progress with blood tests? I’ve been on the the paleo-gluten-dairy-free diet for 7 months and my inflammation marker c-reactive protein is less than 0.200, my triglycerides are at 49, my HDL at 47, but my LDL is at 158+ probably from all the meat I’ve been eating,,, Does this cookbook have guidelines for this kind of balancing? Thank you!

    • Joe Texan

      There are two types of LDL colesterol, A & B. Only LDL B is bad. LDL A should be grouped with the HDL. You might not have a colesterol problema at all.

  • Anne

    Dr Perlmutter, I just began your eating program a couple of weeks ago. I’m 52 yrs old, 5’2 and weigh 139 lbs. I haven’t had any previous chronic health issues. When I was 23 I tested positive for osteoarthritis and went through a serious of lupus testing which were inconclusive. I did not proceed to investigate the arthritis or lupus any further as I chose instead to work towards giving up some anxious thinking. In the past several years I have taken bioidentical hormones for perimenopause symptoms tweaking the dosage around how I feel. I have taken essential oil supplements for approx 6 months and I began a steady exercise program 6 weeks ago. I began running when I was 46 and because of ITband issues had to stop that. I was pretty sedentary for about 4 months until the past 6 weeks. Yesterday I had a physical and my thyroid is enlarged and I need to have an ultrasound. Could you please give me some guidance as to what steps you would suggest I take to eliminate any types of potential medication or surgery?

    • David Perlmutter

      Anne: You need to consult with your physician on that. However, what you can do, is start this lifestyle, or consult with your physician on it. Then, once you’ve seen results, you can begin to discuss your evolving medical options.

      • Anne

        Thank you for your response Dr. Perlmutter. All of my tests came back great. The ultrasound looked good and I am very healthy. I will be continuing on the Grain Brain plan. =)

  • Anne

    Dr Perlmutter, I just began your eating program a couple of weeks ago. I’m 52 yrs old, 5’2 and weigh 139 lbs. I haven’t had any previous chronic health issues. When I was 23 I tested positive for osteoarthritis and went through a serious of lupus testing which were inconclusive. I did not proceed to investigate the arthritis or lupus any further as I chose instead to work towards giving up some anxious thinking. In the past several years I have taken bioidentical hormones for perimenopause symptoms tweaking the dosage around how I feel. I have taken essential oil supplements for approx 6 months and I began a steady exercise program 6 weeks ago. I began running when I was 46 and because of ITband issues had to stop that. I was pretty sedentary for about 4 months until the past 6 weeks. Yesterday I had a physical and my thyroid is enlarged and I need to have an ultrasound. Could you please give me some guidance as to what steps you would suggest I take to eliminate any types of medication or potential surgery?

    • David Perlmutter

      Can’t answer yet. You need to wait for the ultrasound results to determine next appropriate steps

    • David Perlmutter

      Can’t answer yet. You need to wait for the ultrasound results to determine next appropriate steps

    • Cindy

      U need to start iodine drops daily to get your thyroid under control.

    • Eli

      It’s astounding that the famous, successful, and wealthy Dr. Perlmutter, is unable to give you answers. Anne, if you are looking for answers, do NOT follow the advice of a man whom either ignores an entire culture of rice eaters and chooses to “sell” or is unaware all together. I encourage you to follow a high carbohydrate vegan Lifestyle. At eighteen years old I was 5′ 4″ and weighed 140 lbs. Today I am 110 lbs and have been for the last four years. You and the entire Asian culture are not going to get dumber or fatter from eating freshly steamed white rice or potatoes.

      • LCHF

        Eli
        What you fail to mention that the Asian cultures that eat a lot of rice are genetically different to we in the western culture. I suggest that before you start giving advice of any sort, you should get yourself a few letters to put behind your name, you know things like a Phd of similar or maybe have a few dacades in a practice that has had as great a success & Dr Permutter’s. Otherwise you just make yourself look & sound like just another vegan crack pot.

        • Pup Mom

          Rice is only one component of Asian and Indian diets. Both cultures are primarily plant based adding prebiotics, high fiber and millions of micronutrients that would ameliorate any potentially deleterious effects of a high carb diet. Fish consumption in the Asian diets also protects the brain by adding substantial amounts of DHA for brain health. As I used to hear in Weight Watchers 40 years ago, “When in doubt, leave out.” If that means rice for you, then know yourself, your history and research. Dr. Perlmutter is the first to say that each person is different with different needs and requirements for optimal brain and physical fitness rather than make carte blanche assumptions regarding entire population groups.

      • David Perlmutter

        Hi Eli,
        Thank you for your kind note. In reality, the high rice and carb consumption of Asian cultures is now catching up with them The rates of diabetes in Japan for example are exploding, higher than almost any culture on the planet. Please take a look at this study, and again, thank you for commenting: http://www.ncbi.nlm.nih.gov/pubmed/19795421

        • SL

          It is a bit irresponsible to just linked an NCBI study of diabetes that shows no indication that the Japanese got their diabetes based on their rice based diet, maybe one should also take the diet shift into account: Asian cultures is now catching up by diabetes as they are increasingly SHIFTING to western fast food culture

          http://www.ncbi.nlm.nih.gov/pubmed/25264052

        • Duncan David Richardson

          Dr. Perlmutter, I have enjoyed reading Grain Brain, and I just ordered your cookbook. However, I didn’t feel like this particular response to Eli was very compelling, and I have to agree with her. Rice has been a staple in Asian culture for over a thousand years. How can their diet just now start “catching up with them?”

          I’m not posting this comment as an attack, but rather for further clarification and insight. For the record, I purchased your cookbook after I read this comment, and still support you.

    • Kermit

      If your IT band is problematic…get a bike Anne….it is a great non impact way to go for fitness.

    • Kermit

      I have just had a few seizures..very fit guy…healthy strong..very active…but I cannot handle Keppra or these other horrible pharmas….they turn me into a psycho..instead of the fun loving and affable me…good luck with your fitness… I live in northern Canada and I have taken to the bike and my CV fitness is way up…recent bp 104/60

      again all the best.

      • Carla

        Hi Kermit – I as well have epilepsy and I think brain maker may be better for us – did you get any response to this question?

  • Kerry

    Dr Perimutter, I was diagnosed with Fibromyalgia over eight years ago and this invisible illness has been devastating to my life. I suffer daily with chronic pain, fatigue, anxiety, high blood pressure, IBS, and insulin resistance. What are your thoughts on Fibromyalgia? Would your eating program be beneficial for a Fibromyalgia sufferer?

    • David Perlmutter

      This is the nutritional program we use for this disease.

  • Denise

    I saw Dr. Perlmutter on Dr. Oz discussing Grain Brain. I was so impressed with the findings that I bought the book that day which was last October. I had been diagnosed at least 5 years ago with peripheral neuropathy (toe neuropathy) which is ususally attributed to diabetes which I do not have. I couldn’t walk at all without very expensive orthotics in my shoes. The pain is not to be believed and yet they go numb at the same time. Truly a weird and horrible condition. I also had to switch to just wearing sneakers. I began following Grain Brain. My toes are back. I can feel them and I can walk on them. I discovered along the way that toe neuropathy is a big symptom of a gluten allergy. I just wish I had this information sooner. I can’t wait for the cookbook.

  • Peg Gilligan Bartles

    Wondering why this cook book is not available for pre-order through Amazon?

  • Jasper Simon

    Dr Perlmutter, I was extremely sugar addicted in the past and was dx with HFA (high functioning autism) in the past and later on with schizotypal PD and mild Tourette’s. I was overweight with a BMI of 31, even though if didn’t eat much (was I ate was 90% sugar and flower and other food high in carbs) and because of severe stomach problems, I was checked and I DIDN’T react towards lactose and not even gluten sensitivity what I was also checked, just the fructose was a bit funny. But there was found inflammation in the stomach.

    I went on a diet low in carbs a few months ago and went down to a BMI of 25 and my energy level increased, but still isn’t perfect. Now I read your book and actually I would like to go mainly on the Paleo diet how uses now milk nor gluten.

    But can I be 100% certain that I’m not gluten sensitive, when the blood samples came back negative?

    • Christie

      gluten Turns To Fructose Inthe Body. We Have Had Amazing Sucess Removing Gluten From My 5yYr Who Is Abeled HFA And Fructose Intollerent. We All Believe (Speech Therapist Included)It’s What Brought Her Mind Back To A Self Functioning State And Her speech.

      • Believe

        Christie, is it possible to contact you for couple questions.

      • Joe Texan

        I read a book recently written by a mom with an Autistic child. She finally discovered he had Candida yeast infection and did a detox program. It brought him back to normal. I don’t have the name just now, but will look for it.

    • David Perlmutter

      Depends on the type and sensitivity of the blood test. We use the Cyrex #3 study

      • Jasper Simon

        Okay, thank you very much.
        I’ve no idea actually. I haven’t seen the outcomes of the blood test who was done. But I’ll ask for it.

        I just know that gluten sensitivity was the first suspicion of the gastroenterologist, because of the slight changes of the stomach who were found. The second was that I could be a very mild form of Crohn’s Desease. Mainly because of my symptoms I described (periodic pain in the bowel on the right side occurring periodically etc). Nonne of both could be confirmed for sure.

        I just know that high amounts of gluten seem to be able to cause fatigue instantly I noticed.

  • Scout

    I just ordered the book from Barnes and Nobles, completed the submission form on Facebook, but have not received the email with my free 7 day meal plan yet. When will it arrive?

    • David Perlmutter

      It may take up to twelve hours to be delivered Scout.

      • Scout

        It’s been 21 hours now – still have not received.

        • David Perlmutter

          Has this been received yet Scout?

  • Elizabeth

    Having read your book, i’m eager to get the new cookbook that is coming out in September. I do have one question about a recipe in your first book …..Chardonnay Baked Fish that you suggest having “wild rice” as an accompaniment. Isn’t that a grain as well?

    • David Perlmutter

      Yes, though an acceptable, low-carb one in moderation. It’s an option, but certainly not a requirement.

  • Maryann

    Hi Dr. Perlmutter,
    Is this cookbook low carb or ketogenic in addition to being gluten-free? I know you are an advocate of these strategies for health. Also wondering how to receive the gift if not on facebook.
    Thank you for all you do!
    Blessings,
    Maryann

    • David Perlmutter

      Yes, this is low-carb and grain-free as well.

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  • Dottie Nash

    If I get the book from Orca books locally, can I still get the 7 days recipes?

    • David Perlmutter

      Of course! As long as you have an order number.

  • Maggie

    I am not on Face Book, can I still get the 7 day menus, if I pre-order?

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  • Bert Barth

    I am a 68 yo male with a family hx of heart disease; am considering going off statins, and I was 230 without statins, 200 with them. Do I risk cv disease by going off?

  • Topaz

    Hi, Dr Perlmutter. I am very interested in your cookbook, and I have been checking out other nutritional cookbooks. I was wondering if your book gives the information on which food is best for the brain, ilimainates inflammation, and how much to eat each day and calories or glycimic values? I have Gerd with Barrrets Esophagus. I don’t really have heart burn, it silient and I am unaware it must happen in my sleep. But my throat gets raw some times. So I am perplexed on wht to eat. and I am insulin resistant. Hypothroidism, fatuiged and my nails are spliting and peeling. also hair loss.? I am a mess at 72 3/4 and in desperate need of help. And Alzheimes disease and Heart and stroke run in my family. Thank you for all your hard work in your Brain Health studies..

    • David Perlmutter

      Topaz: The Grain Brain Cookbook is all about low-carb, gluten-free recipes that boost brain health. Every recipe includes nutritional information.

  • Kim

    I have had type 1 Diabetes for 38 years and Celiac Disease for 25 years. I have PAD in both my legs and am in
    danger of loosing one of my feet. Can this diet help reverse PAD or is it helpful in prevention only?

    • David Perlmutter

      I would not expect to see a reversal of significant PAD with this or any other dietary plan. We have clearly seen improvement however

    • David Perlmutter

      I would not expect to see a reversal of significant PAD with this or any other dietary plan. We have clearly seen improvement however.

  • dee

    ordering with hopes that the recipes aew ease and qiuck. thanks

  • dee

    Ordering with hopes that the recipes are quick and easy. Thanks

    • David Perlmutter

      Many options for all levels of cooking and speed.

  • Stephanie Backler Bell

    I have impaired glucose intolerance, arthritis, fibromyalgia, Crohn’s disease, migraines and am slightly intolerant to carbs and not tolerating salicylates. Will this type of eating be ok for me. Many thanks.

    • David Perlmutter

      This is the dietary approach we use in our clinic for these problems

    • David Perlmutter

      This is the dietary approach we use in our clinic for these problems.

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  • julia

    How do i get the 7 day meal plan. I pre-ordered the book, but the link for the facebook submission form just returns an error that page is not found.

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  • Carol-Ann

    Hi Dr Perlmutter, where can I get this book in New Zealand?

  • Kelli Ewasiuk

    Are legumes considered grains? What are your thoughts on quinoa?

    • David Perlmutter

      Legumes are not seeds of grass (grain). Quinoa is generally considered as a grain, but by strict definition, it is not actually the seed of a grass. It is acceptable, but keep in mind that 100g of uncooked quinoa contains

      64 grams of carbs

  • Mellan

    Does reordering from Amazon count? I notice they aren’t listed.

  • Carrol Hutchinson

    Wow! This time around on a ketogenic diet I have lost 28lbs. I did this in the 90s and had good results but did not have enough info. Thanks Dr Permutter for raising our awareness and consciousness about what we eat, exercise and how that changes who we are. You make excellent points in your writing about how we are being misinformed about what we need in our diets by the FDA and the AMA. Not only have I lost weight which is great, but more importantly, I do not have inflammation in joints. Since my mother had Alzheimer’s as well as most of her siblings, I felt this change was essential. We have to do our best with the research and lifestyle choices to prevent this terrible disease. What hospitals and geriatric care centres feed their clients is appalling.
    We are sticking to it! NO brain plaque for us. We have great access to fresh fish, grass fed meat and wonderful veggies here in the Northwest. Basically, we have stopped eating bread, grains and I have stopped baking. Kale chips, nuts, coconut are our go to snacks.
    I only wish I had had this info when my kids were little and I really wish they would both take this and go with it to enhance their own and their children’s’ lives. They are totally fine with us eating ketogenically and when friends visit, we model this diet through our cooking. However, eating is very cultural – all families and friends have their traditions. We have broken that cycle and would love to see our loved ones join us:)

  • Terry

    Do you have to go gluten free to reap benefits or can you go low gluten? It is hard to have a gluten free diet when socializing at friends homes, or out for dinner, etc. I have bipolar and if I eliminate gluten most of the time should I notice a benefit to brain function or does it have to be 100%?

    • David Perlmutter

      Halfway measures only work halfway.

  • Terry

    Can I order your cook book from an independent book store in town and still qualify for your free gift?

  • Megan

    Dr. Perlmutter I have palindromic rheumatism in my feet that is debilitating without the use of prednisone during flareups. I also take ibuprofen for the severe pain caused by this disease (although not effective). I also believe I have a gluten sensitivity and tested “negative” by my rheumatologist but only for “celiac disease” which I have read in your books that it is not sensitive to pickup on everything. My diet is very healthy with fruits, vegetables, fish and rarely meat. I do live a stressful life and notice I am more prone to inflammatory arthritis when I eat potatoes and any fried/fast foods make me flare up. Thankfully, having read your “Better Brain” book, I am starting your tier 2/3 supplement recommendations. I thank you so much for your wonderful book and I really hope to benefit with my new routine on this plan. Question: Would you recommend anything else for someone who needs prednisone and pain medications during such awful flareups? They usually last 2-3 weeks once a year or so. With my pain my sleep, nutrition and well being goes out the window. I’m concerned as my C reactive results go through the roof during these flares and return to normal when gone. I thoroughly enjoy your books and look forward to your new cookbook!

  • sue

    Dr Perlmutter, I have been diagnosed with CFS due to epstein-barr virus about 20 years ago… making it difficult to maintain an exercise program without “crashing.” Recently had tests done that showed very high oxidative stress and an A1C of 5.9 (has come back twice now at that level, even with cutting out almost all carbs.) Also my dad died with Lewy Body Dementia. Heard you speak on the Metabolic Summit. Incredible information. Have purchased your book and cookbook. Is there anything else I could do to get the CFS under control and the 5.9 down? Thank you so very much for all you do..

  • sue

    Have been gluten-free for almost a year now.

    • David Perlmutter

      Here’s to the next year Sue!

  • Vanita

    Is this a good program for lupus patients?

  • Danielle

    Hello, I tried to register for winning your cookbook that look great, but the system refuses my email address from Switzerland. The system wants me to end .ca instead of .ch which is the Swiss (Confederation Helveticus).
    Certainly you have ambition beyond the US for your cookbook … I read your regular letter for sometime now.

    • David Perlmutter

      Please provide your email Danielle. We can add you to the list and enter you in today’s contest.

  • ataprice

    Dr Perlmutter,
    What % of good fats, protein and carbs do you recommned for a now 200# female hoping to soon be 150# female? Thx

  • Terry

    I just spoke with the Account Dept at my doctor’s office as my doctor said the insurance might not pay for them (I don’t think she felt they were necessary). The Account Dept did not know what fasting insulin was. Is there another name for it? What should I tell them?

  • Terry

    What supplements are most important for bipolar?

  • Brooke Kaitlyn

    Dr. Perlmutter, are there vegetarian recipes in the Grain Brain Cookbook?

  • AJ

    There seems to be a glitch with the “enter to win” popup. I am asked if I am human and I see the drop-down list with Yes & No answers but no other fields to fill in. I would think my email should be requested. I am using Mozilla Firefox browser version 31.

    • David Perlmutter

      We will look into this, thanks AJ.

  • vicki

    Hi! I tried to sign up for the contest also, kept going back and forth between my email address and the human question, no answer was right! Would love to have your book and would like to enter!

    • David Perlmutter

      We will look into this, thanks Vicki.

  • Shaul Shaked

    Dr. Perlmutter,
    Is the cookbook about to be published in Hebrew in Israel too?
    Shaul.

    • David Perlmutter

      Should the rights be picked up, yes.

  • Amy

    Dr P, Mona Lisa Shultz asked me to contact you as my mom has MS and I get precise medical intuitive/psychic medium hits. I guess she thought there was a correlation there or increased chance of MS with that combo. I didn’t call you…and here I am 2yrs later and I keep seeing your name pop up everywhere and now this! Maybe I’m supposed to buy this, I recently went starch and sugar free and lost 21lbs.

  • Cyndi Phillips

    Hi. We have been researching and researching. What is your take on Grain Brain and heart disease reversal? Thank you Dr.

  • rose casanova

    Hi Dr. Perlmutter,

    Your book was suggested to me by Dr. Maurice Beer here in NYC. I’ve read it…the research is amazing to read! In 1992 I was overcome with a debilitating depression. After many hospitalizations, suicide attempts, self-medications, prescribed medications, and every kind of talk therapy invented, I finally just decided that it’s something I had to learn to live with, especially since I was no good at killing myself! Living with depression is not so easy. I’m on medications that mostly don’t work so I take medication boosters, which is basically amphetamine. It really sucks because I used to be social and now I am more agoraphobic than I am social. In the past two years I’ve developed Acne Rosacea and Migraines. I’ve always had periodic outbreaks of eczema, but the headaches are fairly new. Under the supervision of my doc I’ve been eliminating suspecting foods from my diet for a couple of months, and he prescribed all the supplements you outline in the book and a few extras. I can’t really tell if I feel better, although the migraines seem to be less severe. I would really love to be able to write a “success” story. I’ll keep you updated. Thanks for sharing your knowledge.

    • David Perlmutter

      And thank you for sharing your story Rose.

      • rose casanova

        Hi Again Doctor,
        Update to my comment 10 days ago…as I writing the comment, I had also been on Ciprofloxacin. I noted that I had not felt any better since adapting your plan because I was in the midst of being poisoned by a seemingly “safe” antibiotic. A few days after the post, I was literally beginning to go completely mad, could not walk more than five steps and the physical sensations and pain I felt became way beyond the scope of my depression related aches. On the 13th day of Cipro tx, I called the doctor. It is confirmed that I have fluoroquinolone toxicity syndrome (FTS). I have researched and what I find only heightens my fears. Can you suggest any papers, articles, books etc. that might help solve these very unfortunate events? Thanks in advance.
        Rose

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  • Jorge Bonassa

    Dr Perlmutter, I’m training for a marathon and discovered your book. How can I replace large carb intake recommended during training period and also during training sessions.

  • Diane Allen

    I am a vegetarian does your cookbook apply..Please advise

  • Cyndi Phillips

    Hi again, I am still waiting on your thoughts on Grain Brain and heart disease, heart disease reversal. I understand the implications of inflammation on heart attack, dementia, etc. Would you consider the Grain Brain diet inappropriate for those with heart disease? Thank you Dr.

    • David Perlmutter

      It’s a healthful option. However, for someone diagnosed with heart disease, it is necessary to consult with a physician.

  • Maggie

    Hello Dr Perlmutter, I just got your Grain Brain Cookbook. I wish there would have been a picture for each recipe… My eyes choose what I eat (in a cookbook), and since they see almost only words, I tend to close the book and not use it. It’s sad, because the only few pictures included look so delicious!!

    • David Perlmutter

      Unfortunately, we were unable to do that Maggie. But yes, those pictures do look delicious don’t they!

  • Rich Fitforlife

    Dr. Perlmutter, will the Grain Brain diet help somebody that has Lyme disease?

    • mary

      Hey Rich –
      I struggled with Lyme disease, and now consider myself to be completely healed. I believe that those who contract Lyme’s have an already weakened immune system, putting us at risk to fighting off the bacterial infection, that is Lyme’s. I have found that by boosting my immune system, as well as making other positive changes in my life, I overcame the disease. Making healthy dietary changes can only HELP those suffering with any kind of illness or disease. Feel free to contact me. Mary cburnham82@hotmail.com

  • Lise Lalonde

    Dr Perlmutter, have suffered from ulcerative colitis/proctitis for over 31 years. Literature on internet states that diet will NOT make any difference. Can you suggest the best approach to reduce/eliminate painful flareups? Also, when I job every day for 30 minutes, I get a flarerup, in fact I was diagnosed when I was training for 15 K runs. Thank you so much.

  • Knowledge

    Might exist a big probability of cancer development by eating to much animal protein?
    Is there any viable carbohydrates? It’s just the high intake that contribute to alzheimer development or we can consume refined carbohydrates in a smallest proportion that doesn’t kill the brain?

    I would like to evaluate the common opinions.
    Regards.

    • David Perlmutter

      A Grain Brain Lifestyle does allow for 50-80g of carbs/day.

      • Knowledge

        And What about the consume of animal protein?
        Is there a relation to cancer?

        • David Perlmutter

          I do advocate for the consumption of grass-fed beef.

  • AEZ

    Before I present my question, I would like to thank Dr.Perlmutter for all the important information he has presented and for his honest care about the health of people in general. I personally appreciate it, because Dr. Perlmutter has helped me understand better my father health issues and allowed to me to help my father through a better diet.
    I understand that it is recommended to ingest up to 80 grams of carbohydrates a day, but what about a very active person. By active I mean someone who lift heavy weights (for 45min-1hr each workout) 5-6 days a week and gets into high intensity aerobic exercise 3 days a week. Aerobics consists of 40-50 of spinning twice a week after lifting weight, and walking up a mountain at a very fast pace for 24min once a week. For the past 2-3 weeks, I have cut my carbohydrate intake and included more healthy fats, and I have been able to get through the mentioned exercise routine. But I would like to know if it is sustainable. Should I stay below 80 grams a day of crabs? Will my body eventually pay a price if I stay below 80 grams? I believe that my daily carb intake now might vary between 80-95grams a day. I have also been modifying my diet little by little to get it closer and closer to Dr. Perlmutter recommendations ( including the elimination of gluten and vegetable oils ). I am 46 years old. Thank you.

  • Natalia

    Dr. Perlmutter, I bought your book because I had the feeling that I’m addicted to wheat. I’ve been trying to leave it for years but I find it impossible. I absolutely can’t do it. Not even for a single day. It makes me feel anxious, bad tempered and even depressed. I don’t smoke but this surely feels like trying to quit smoking. What can I do?

    Natalia from Argentina

    • velvetpunch

      Natalia,
      The best and easiest way to give up wheat and therefore gluten is to rid yourself of the craving to eat bread, pasta and starchy foods. Wheat in particular has been genetically modified so many times so that it is addicting as you have described and I liken the feeling just like smoking cigarettes or any other addicting drug. Your brain craves those carbs just as you’d crave that next cigarette.
      I too tried and failed to give up wheat and gluten and starches several years ago but now after learning the physiological and scientific reasons of how detrimental they are to your health, it has been pretty easy to not eat those poisons. Yes, poisons.
      Once you realize how bad these carbs are for you and you eliminate them from your daily diet, you will soon lose the desire to eat them. I no longer crave nor desire bread or pastas at all. It is amazing how this happens. As an Uruguayan with a father from Argentina, there was never a dinner without bread. It seemed unfathomable to give up bread. Ever.
      But being very health conscious made me look into what we eat and why so many people are obese and I’ve found the reason. Sugar and carbs. Not fats.
      I hope this helps and buena suerte 🙂

    • Charlie

      Natalia: I had the same symptoms as you describe. IT took me ten years to get rid of the cravings for wheat products. If I allow myself to eat any, I will crave them the next day. Just know that the withdrawals will eventually quit and then you will feel so much better!

  • monique

    dear Dr Perlmutter, I have been grain and dairy free and pretty low-carb (I do not have the tests to measure ketosis) for 7 months and feel great.
    Except when I exercise. A few hours after a few hours low-impact exercise I get headaches and nausea. When I eat a plate full of carbs like pumpkin and fried plantain I feel good again. What is this body dynamic?

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  • Alisa

    Dr. Perlmutter: in an interview with Dr. Mercola I believe it was identified that we should avoid casein on the altheimer’s prevention lifestyle, and yet in the book “Grain Brain” you allow some cheese. Can you help to clarify what cheese is acceptable and why? I removed it from my diet but would love to add it back in.

  • shay

    My 13 year old daughter was diagnosed with petit Mal seizures, is this diet safe for her?

  • dianne Banner

    How about Barley grass – is it modified like wheat?

  • Mike

    What is the quickest time to notice improvement of migraines? Also what is the average and longest time to see improvement? Mike

    • David Perlmutter

      That truly varies person to person. However, perhaps community members here can share their experience.

  • Nicole

    So what is your take on a vegetarian diet and your nutrition advice? I also wonder what people should do that are allergic donuts, eggs and chickens these items seem to be big indoor recipes.

    • David Perlmutter
    • Nicole

      I looked up the link and am still struggling. What would you use as substitute for nuts, eggs and chicken? I am allergic to all of these and wonder how to substitute them and a lot of your recipes are using these ingredients. BTW, the recipes are great and taste fantastic.

  • Doug

    I heard you say on the Autoimmune Summit that breastfeeding cannot completely fix the biome transfer loss to baby delivered by C-section. How, then, is this repaired? Probiotics?

  • Mompeas

    Dr. Perlmutter. I am 61 and have had Torticollis since I was 38. I had Botox injections that helped release the pull tremendously, but I became immune to them and stopped. I had been on different medications for many years but my torticollis was not that bad so I went off the drugs. Now my head has the ‘yes’ and ‘no’ tremors most the time. I see my neurologist again tomorrow and I am bringing your book. I know he will probably not know which, if any, medication could help me since the last two did not help. He suggested deep brain stimulation which I will never do.
    Several years ago I got a wheat allergy test and it came back showing that I had antibodies for wheat. I recently did another test for it by a different doctor and they said it was normal. I started last week avoiding gluten, but see no change yet. Do you have any suggestions? Thank you.

  • Mompeas

    Dr. Perlmutter, I failed to mention that I am pre-diabetic. My Dad became diabetic in his 60s and my brother, who is a vegetarian, in his 50s. I am not overweight. 5’5″ and 133 lbs. I had abdomen pain a few years ago and had Gall stones and had my gall bladder removed. I still have abdomen issues. I’ve had headaches since a child. I used to go to the chiropractor for a stiff neck and the day after an adjustment, my head turned all the way to the left. Torticollis.

  • Ana Lya Saez

    Hi, is the grain brain cook book available in Spanish? If it is, can you tell how could I get it?. I am from Chile, and I am just reading your book grain brain, It is a very good book, thank you for all the information you put in this book.!!

    • David Perlmutter

      Not yet, but my hope is that it will be soon!

      • Ana Lya Saez

        Hi Doctor,

        I am really worry for my mother because she is going to get corticoid in her shoulder since she has tendonitis. Besides She is hypertensive and she has gastritis and reflux (lactose intolerance). I am persuading her to follow the grain brain meal plan, and I would like to know if the shoulder issue can change following this plan. I will appreciate your answer

  • Nancy Elder Key

    Have been gluten free for 3 months now, had lost weight however I would still get inflammation in my hands and feet, so just had the Array 4 Gluten associated cross-reactive foods labs completed. One of the “out of range” was all dairy and also eggs. What would you suggest as a substitute for eggs?

  • Nancy Elder Key

    Born a Biscuit Baby! I Have been gluten free for 3 months and recently had some additional lab work that showed I have sensitivity to Cross Reactive foods such as dairy, Whey Protein, Tapioca and eggs. What substitutes would you recommend for eggs and Tapioca? I am a great cook when it comes to down home country cooking, and now am trying to be a great cook without the down home country gluten in the ingredients.

  • Barbie Pagliarini

    David, I was wondering if the new cookbook was useful for different blood types? I am a A blood type and searching for better diet.

    Thank you..
    Barbie

  • helen

    i’v started to eat squirrel bagels by hillcrest bakery

  • Paulette

    I had my gallbladder removed emergently due to a stone blocking the neck of it. How will that affect my fat intake/Vitamin D intake?

  • julie

    About 10 years ago, my family had an intervention for the addiction I had for Diet Dr. Pepper…I was suffering from brain fog, forgetful, fatigued, scattered. Within weeks I could tell a difference. I have also been off/on Adkins for approximately 15 years and have control of my weight. However, after suffering many gastric issues, I began bio-identical hormones and started to really watch processed foods. Now that I have been avoiding gluten, I will say it is a tremendous improvement of my allergies (gastric, sinus, phlegm, headaches, and edema). I am ordering your cookbook. It’s now much easier to cook gluten free, but even the gluten free products out there still contain a lot of “processed foods and additives” that I want to avoid.

  • ruth

    Dr permitted.with your ‘grain brain’ cook book will help with demyllatating disease in your brain and what does it means this disease and also will your diet help with high Cholestrol and prediabietes.thanks

    • ruth

      Dr Perlmutter I heard a lot of good things about your book by my pcp doctor.
      I have inust discovered I have demyelinating disease and vasculitis/vasculopathy and
      infectious/inflammatory disorder in my brain.I dont what it means
      I always feel that I am going to fall.not good right.and low energy.
      I also have fluctuating blood pressure/high cholestrol and I am
      prediabetic.I dont know if I have a metabolism problem.I do eat healthy
      I need to know if your work is going to help that is your research, book etc.thanks

  • Sandy

    Dr Perlmutter, I am vegan and wish to follow your Grain Brain diet. Is this possible? I don’t eat any animal products, or soy, so how might I substitute to make this possible?

    • David Perlmutter

      Absolutely Sandy: drperlmutter.com/learn/faq/why-do-you-advise-against-a-vegan-diet

  • kathryn

    Dr Perlmutter is the grain free diet beneficial to those with parkinson’s disease?

  • Douglas Ricchini

    Hey Doc, I heard that if a food is high in fiber, the fiber cancels out the carbs in it. Is this true?

    • David Perlmutter

      This sounds like you’re asking about net vs. total carbs. Always look to total carbs.

    • ohneclue@yahoo.com

      All the fiber does is to SLOW the glucose entrance into the blood stream but it NEVER “cancels out carbs”. That’s just some garbage put out there to get people to eat “whole grain” breads when at best these are only 4-9% of calories as fiber vs veggies that are 24-82% of calories as fiber.

  • Lauren

    Is gelatin (grass-fed) allowed on this diet?

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  • Francisco Javier Sanchez Osuna

    Good day Dr. Perlmutter i have diagnosed polymiositis, which supplements are the best for me

  • Laurie

    Is miracle whip the devil or is it ok? I think I know the answer just want to confirm. Thanks!

    • David Perlmutter

      Best to avoid.

  • kee

    Thanks Dr. P for all the fantastic information. I started your program 2 weeks ago and lost 5 lbs. I lost 10 last year due a shoulder injury, severe pain. I have had a hard time putting that back on. I’m tall and thin, have been all my life but older now and need to put back on 10 to 15 lbs. I would like to know your thought on the best healthiest way to do this and stay with your grain brain program.

  • Iris D

    Dr P, My husband and I are currently taking 5000 mg of vitamin D as per your recommendation in the book a long with the other supplements.
    As I continue my research, I came across the importance of adding vitamin K2.
    with high doses of vitamin D.
    You don’t mention this in the book. Should we add this to the list of supplements?

  • Iris D

    Do we need vitamin K2 a long with the high dose of vitamin D that you recommend in the book?

  • kee

    Is the Doc or anyone on this blog or should we be on a different one to get Dr. P’s comments.

  • Sylvia

    Dr. Perlmutter: LE ENVÍO MI HISTORIAL DE 16 AÑOS CON MIGRAÑAS !!!!

    Cuando empecé la menopausia llegó con ella las migrañas. Yo siempre pensé que era por la falta de hormonas consulté varios neurocirujanos y ninguno me dió una solución a mi problema sólo muchos medicamentos para aliviar mi dolor. Como yo estoy en el área de la medicina me puse a investigar sobre las migrañas y encontré que las personas que tomaban lácteos padecían de éste problema así que en mi afán de curarme de las migrañas dejé absolutamente todos los lácteos durante 2 años pero las migrañas no desaparecieron. Tomando como base el grado de dolor del 1 al 10. Diariamente sentía el dolor grado 1, 2 o 3 que a veces se disparaba al 7, 8, 9 o hasta el 10 dependiendo de lo que había comido, de la cantidad de horas que había dormido o si algún día me había atrevido a tomar media copa de vino.
    El 15 de Diciembre de 2014 llegó a mis manos su libro de Cerebro de pan y empecé la dieta libre de gluten y en tres días con su dieta me alivié totalmente de mis migrañas. No estoy diciendo mentiras!!!!.En tres días yo podía desvelarme, tomar vino, tomar café, chocolate y todas las cosas de las que yo me cuidé, durante 16 años,de no hacer o comer. Las personas que han sufrido éste tipo de dolor saben perfectamente de lo que estoy hablando es un dolor horrible que te incapacita totalmente ya que no me dejaba hacer nada, ni trabajar, ni comer y mucho menos descansar y dormir.

    Estoy cumpliendo dos meses con la dieta libre de gluten y de azúcares y de mi migraña ni quién se acuerde. Gracias Dr. Perlmutter!!!!!!!!!

  • Josh Gold

    Dr. Perlmutter,
    Are you familuiar with any research on phytates as causing inflammation in digestive tract. I was told by my nutritionist to not eat potato skins or sweet potato skins, for example, for this reason.

  • edna gurule

    I was diagnosed in Oct with Celiac disease in Jan I’m also lactose intolerance I’m getting frustrated with the whole thing natural flavor is a hidden work for gluten and soy but everything made with both. help I’m about ready never to eat again but rabbit food. lol

    • edna gurule

      so what do I do in this case even gluten free stuff has egg and mil ingredients if not it has soy can you help me?

  • abigail sperry

    How do you deal with being a vegetarian? No meat or fish?

  • Lisa Hilsenrad Spring

    Is it difficult to follow this lifestyle if I am allergic to eggs? When I did an IGG and an IGE allergy test, both times, egg whites came up as a high sensitivity. What would you eat for breakfast instead of eggs on your diet plan?

  • john1821

    Dr Perimutter, I was diagnosed with generalized dystonia about 10 years ago.I’m 22 now and this disease has ruined my life.Will this Grain Brain diet help me?

  • Colin Corne

    Dr Perlman, I am about halfway through your excellent book brain maker and totally enthralled at the phenomenal detail on how the gut biome reacts with the brain and the sheer extent to which various other neurological issues are clearly implicated in the gut/brain connection. I was diagnosed as a likely Coeliac about 5 years ago, I say likely, as I went through all the tests, including the rather unpleasant endoscopy/colonoscopy only to find that the villi were indeed damaged and flattened but had largely recovered, it was at this point they discovered I had been on a self instructed Gluten Free Diet for over 6 months but I didn’t want to implicate the dietitian who advised me, and therefore the results were a little less than clear cut. But, the minute I eat Gluten, it sets off all my old symptoms. I have just ordered your grain brain cookbook, and wanted to thank you from my home in the UK, for the fantastic advice and sheer brilliance of your writing. I hope this information becomes more universally acknowledged and applied. |The information on dementia and no coeliac related issues just as riveting, as many of my family have one auto immune disease or another. I hope to convey the knowledge you book has imparted to the benefit of their health and mental well being. Thank you again.

    • David Perlmutter

      This message is so meaningful Colin. Thank you for taking the time to write to me.

      • john1821

        Dr Perlmutter, I was diagnosed with generalized dystonia about 10 years
        ago.I’m 22 now and this disease has ruined my life.Will this Grain Brain
        diet help me?

  • kewlgeek

    I am 64, and have a total cholesterol of 359, LDL of 222, and HDL of 107, am a little overweight, but not terribly. A nuclear stress test shows my heart is normal but my doctor still wants to put me on statins, which I am resistant to taking. After reading your book, Grain Brain, even more so. Do you think my cholesterol numbers would justify my taking statins?

  • mghoney

    What do you think about this method in which your week consist of a few low carb or no (approaching zero) carb days followed by the high carbohydrate day? I’m seeing positive effects since when I began it a few months ago. This works by giving your body the fuel it needs to increase your metabolism and create a calorie deficit to increase fat loss (more about this method: http://everydayhealthhero.com/can-carb-cycling-help-you-lose-weight/ ) At first this may seem an desperate attempt of achieving everything at once but bodybuilders have done this for quite a while and it is that were now adjusted for weight loss purposes

  • teresa sharp

    Good day Mr Perimutter

  • teresa sharp

    Good day Mr Perlmutter,

    A gentleman in my MS group has been suggesting your diet for me as well as Terry Whals. I have leaky gut, IBS, Candida, dysbiosis and elevated homocysteine. I have started with Vitamin B, probiotics and plant enzymes and have been wheat, dairy, soy and sugar free for 1 1/2 years now. My confusion is what eat eat with all these issues and have lost so much weight and muscle and so hungry. My stomach does not tolerate fiber (eg. quinoa, teff) and only egg whites. I am down to eating the same five things every (egg white, toast, chicken, rice cereal, only banana, potato, veggies raw only, and lentil chips) day and have to take food with me when going out. I have been to so many Natropaths but no help. I hope you will be able to give me some help.

    Signed “Melting slowly”
    Teresa

    • David Perlmutter

      I encourage you to look into the work of Terry Wahls. Dr. Wahls is doing some incredible work in this area.

  • Van

    The recommendation from Dr. Oz blows any credibility out of the water.

  • julie cerrito

    hi; I have eczema problems; age ;52; developed two years ago; other allergies include mold and ragweed; any dietary suggestions ? I try to eat vegan but I am considering gluten free. tks.

  • Daniela

    it says that to much animal protein can make Alzheimer, what do you say to this?

  • Donna Green

    I have always gotten congested when I eat dairy. You mention that gluten sensitivity can cause dairy intolerance. Congestion is inflammation. So maybe once I get my metabolism changed I might be able to eat cheese? I find this type of diet drops my blood sugar low, and I get so hungry. Will this change or do I need to eat more fat? If I could eat cheese, Id be totally happy with this diet. Thanks!

  • phil eb

    hi dr david, i am 71 my memory is getting worse i have acid problemsand i have austioarthritis all over my body just been reading brain maker,what an inspiration what an eye openeri must admit some of the info shocked meare manufactureres really allowed to poison us like that and get away with it?, i need some advice re my arthritis,i use magnets and they do help a lot,i think i need some dietry help, what do you suggest

  • Michelle Perez

    My doctor recommended this diet… I’m all for it… Just got it yesterday ,don’t know what to have for breakfast

  • Phyllis Methot

    Where do I find the supplements Reveratrol and Alpha-lipoic acid? I have not found them in my area and I want to start your program. Also, is krill oil better than fish oil?

    I take a probiotic called Raw Probiotics ultimate care. It has 34 probiotic strains. I was wondering what type of probiotic I should take. Thank you for any information you can provide.

  • Karen Morris

    Dr Perlmutter: does cooking the fermented sauerkraut destroy any of the probiotics in it? Karen, Ohio

  • Steffany Hicks Marshall

    What has your research revealed about Meniere’s Disease and Tinnitus related to brain inflammation? Would appreciate you sharing your research & thoughts on this subject. Thank you.

  • Courtney Gores

    Dr. Perlmutter,

    I just finished Grain Brain and was completely enthralled by it. My question is, do your findings correlate with other countries as well? The reason I ask is that I lived in Italy a few years back where I mostly ate carbs and the country as a whole seems very healthy, but of course that’s only based on what I see and I have no indication of their brain health.

    In addition, you mentioned that during the industrial age when we began mass producing our grains we were changing their genetics compared to what our earlier ancestors ate. With that being the case, are grains forever changed all around the world or could you still get healthier grains in a country that doesn’t mass produce on such a high scale? (ie: would Italy produce a safer gluten product than the United States?)

  • Ana Archer-Nolan

    I was diagnosed with an inflammation on my joints, pointing to Polymialgya, although not typical, according to my doctor.
    I am taking prednisolone which makes my feeling very toxic!
    Do you think that the problem is in the gut?
    I am reading your grain brain book and I am fascinated but what I am learning! I believe that if I start changing my diet, I might have a chance to better my condition. Do you agree?

  • Glenda

    I have a 10 year old who has ADHD and other behavioral issues. is the brain grain safe for him ?

  • Mart Amick

    I am a primary care physician interested in implementing your recommendations for my practice. Do you have any recommendations on how to start?

  • Del

    Can I still gain muscle mass like most bodybuilders do with your diet. Most bodybuilding diets contain high amount of carbs and thats how they have energy for those long workouts and able to put on muscle. Without carbs how can I put on quality muscle mass and have energy for the gym? Bodybuilders have been eating this way for over 40 years.

  • Patricia G

    Afternoon, would you send my a list of the supplements that you recommend

  • Veronica Perez

    Dr. Perlmutter, I heard about a home-made sirup you recommend to keep the body hydrated. Where can I find the recipe?

  • Luke Parker

    My wife and I live in Guadalajara, Mexico. She grew up here on a classic Mexican diet. She loves cooking Mexican dishes and there are always fresh corn tortillas on the table. I finished “Grain Brain” and I’m almost half way through “Brain Maker” and I feel like every time I talk to my wife about changing the way we eat, she gets overwhelmed. I bought the Grain Brain Cookbook, hoping that showing her the recipes would help but that seemed to overwhelm her more.

  • Sheila

    I just made the Walnut Aioli on page 142 of the grain brain and the recipe calls for 2 3/4 cups of EVO, which I thought was a bit much so I used much less, however it was still very oily. I think there is a typo, possibly 2 2/3 Tablespoons?? Has anyone else tried this recipe?

  • Pat howe

    I’m reading Grain Brain, recommended by my Naturopath. I love the connect-the-dots approach and the physiology discussions. Amunition when I talk to my family skeptics (who should know better).
    Question is that so little research separates the Organic and GMO issues. I would like to see more information on this aspect. It’s important because, like gluten, it’s an elephant in the room, that’s not being discussed. I think more clinicians need to step forward. I have been struggling with gluten (and perhaps casein) sensitivity, for six years, I work in an organic food grocery store, and I hear these questions daily.
    Thank you for your work, Dr. Perlmutter. My mom could have benefitted from this approach.
    Thank you for allowing discussion.
    Pat Howe

  • Susan

    Dear Dr. Perlmutter!…what about essential tremor? Have you investigated the relation between it and grains?…what do you think about?…many many thanks….

  • felismina

    Dr. Perlmutter
    I know not speak much English. I have the book Cerebro flour. I’m vegetarian. I can not eat animals. There are some hypothesis I follow your method. Very many thanks

  • jngordon

    What is your opinion of bacon? We just took the Wheat Belly course in Tucson for 4 days and listened to your book all the way home. I have been on a whole food Plant Based diet for over a year, and am gluten intolerant so had already eliminated most gluten. But now my husband is onboard and we are starting this new path. Restarting using animal protein and fats, is scary to me and was counter intuitive, but I believe what you discuss makes sense. My husband thinks eating bacon every morning with an egg is now healthy. What is your opinion? Also, we are overwhelmed with counting carbs to limit each meal to a total of 15 net carbs. Is this necessary????

  • Cindy

    Hi Dr Perlmutter, I’ve been doing no suger no grains for a few months now and am currently reading your book, mind blowing how much damage we’re doing to our own bodies with food we’ve been told for so many years is healthy for us. I am at this point attempting to get my husband and 2 teenage kids to join my healthy lifestyle, however I am struggling to find recipes for crackers that are ok to eat. I found one with Amaranth in it, is this ok? Also, thanks for writing such a great book 🙂

    • David Perlmutter

      An acceptable non-gluten grain, but always watch the carb load.

  • Julie

    Hi,
    I just finished reading your book “Grain Brain” after 2 years of having some medical tests done without ever finding out what it is that’s wrong with me.
    I’ve changed the way I eat a long time ago but your book changes everything again, and I would really like to try to implement it in my life BUT I’m allergic to ALL dairy AND to eggs. What’s the solution for people like me?
    Thanks
    Juli

  • Cindy

    Hi Dr Perlmutter, I have a 14 year old son who suffers terribly from OCD and he’s very much a germaphobe. Is it just gluten that I need to remove from his diet or are grains and sugar also playing a very large part in what we are having to deal with on a daily basis?
    Thanx

  • jjgorny

    Ok what do you do if you are a vegetarian? Do you address this? I also enjoy the Forks over Knives approach to healthy eating.

  • Donna Ashlock

    I am 55 years old and have been gaining weight with no reason. They finally diagnosed me with PBC (Primary biliary cirrhosis). My liver isn’t working to break down the fats. Will this diet help me lose weight for I feel like it’s a lost cause. No cause or cure for this disease except a full liver transplant after my liver finally shuts down all together.