 Hey everyone, I am here with Randy and he illustrates a very important concept of some people actually do better when they bring in more carbs, more grains, and it's even God forbid gluten into their diet and this is a pretty cathartic maneuver we just made for Randy that was very helpful and so I asked him if he'd be willing to share a story because I know that there are other people who will benefit from hearing this. So Randy thanks for taking a moment to talk with us. You're welcome. And you know there's a little bit of backstory I don't want to give too much of the way I'd like you to kind of tell people your experience but a couple of the things that I just want to lay the foundation with are you came in with some pre-existing gastrointestinal symptoms that you were struggling with but really the main manifestations were being underweight, fatigue, insomnia, some rashing and some back pain and you were trying to optimize your gut health to improve these things which makes a lot of sense and obviously is something I think is a little supported but when we had our first visit I had a sense that you were eating too restrictive of a diet and you actually needed to increase your carb intake, increase your grain intake and even flirt with some gluten-containing grains and see how you would do. And there's one other important piece of context here which is I think some improvements needed to be gained with your gut health so that you could tolerate carbs because you were a bit carb intolerant and this kind of led you to a lower carb diet which had a little bit of utility but you were kind of stuck in this low carb land and you were becoming fatigued and underweight and when we helped to improve your gut health that opened the door for you to be able to eat more carbs and now after eating more carbs it's fairly market improvement in only a few weeks after upping your carbs upping your grains and even having some gluten so that's the relevant context I wanted to lay but please, please tell us a little bit about your experience and what you've noticed. So like you said for the past three or four years I've been on a paleo diet, very low carb, for the past year or so I've been pretty much in the ketogenic zone, 50 to 20 carbs per day. Within the past just five weeks I've tried increasing my carb intake by adding in things like potatoes, rice, spelt, oatmeal, and wheat and the benefits I've seen is I've went from having no energy at all, from having difficulty walking up a flight of stairs on days to now having greatly improved energy, strength has greatly improved. I picked up 10 pounds which is the first time in the past five or six years I've seen the scale moving the right direction for me and the rash almost completely improved. The chills I was having completely diminished so I've seen a lot of success with just changing my carbohydrate intake. And you were saying also that your wife is happy because you have more energy and you also are able to power wash the deck which is you know from being barely able to walk upstairs now being able to power wash a deck and only three to four weeks time this is pretty remarkable. Right she's happy with my new found health also. I've stained the back deck, pressure washed the house and most importantly I can play with my eight-year-old son now I can almost keep up with him. Yeah never probably fully be able to keep up but we'll try right. Right. So that's fantastic I'm of course elated to hear that you're feeling better and I really wanted to capture this because in light of the recent video that we published about the prevalence of non-siliac gluten sensitivity wherein we showcased how yes it is a legitimate condition but the prevalence is probably lower than most people have been led to believe likely somewhere between 0.6 to roughly 6% of the US population. Some people had a hard time with that and wanted to you know counter me with reasons why no one should ever have any gluten and it's interesting that I'm in this position of having to defend eating gluten where I'm actually a proponent of everyone at least trying gluten-free diet but the other aspect of this conversation that I think pollutes some people is cases just like your own range where people were really making themselves ill because their metabolism needed more of a carbon take. Now is it the gluten that's helping you? No and it's the carbon take but one of the things that will make your carbon take easier is allowing you to have some gluten and certainly I'm guessing at certain social functions or if you're on the go you can't always procure a gluten-free carb source and so it's nice to have the leeway to be able to eat some gluten and so I think at very least just understanding that some people can eat grains and gluten and actually become healthier in the process and Randy is just a shining example of that. Randy as we kind of wrap this thought up here are there any other observations or items that you'd like to leave people with? I can definitely contest that it's that you know I'm one of those that avoided gluten for years and after adding it back in one of the positive aspects is I can now you know eat at restaurants along with my family and friends and have that improve social aspect of my life also. Absolutely absolutely and again to be clear for people if you have eliminated gluten and then reintroduced it and you clearly subjectively identified that you have a problem with it then I would recommend and I think anyone reasonably would agree to avoid gluten to the level of your intolerance but that oftentimes is left out and we cite just the evidence showing that gluten is bad and then we conflate that to the whole population. In your case Randy we didn't have to do mitochondrial testing, adrenal testing, hormone testing, any of that. All we needed to do was identify one of the pillars of health which is your diet, optimize for that and now you're almost keeping up with your eight-year-old, your power wash in the deck, the Mrs. is happy so happy wife happy life and everything seems to be moving in the direction. Yeah absolutely. Awesome well thank you again for getting ready for the time I think this video will hopefully help a lot of people congratulations on feeling so much better and again just just thank you for the openness to share this with people. Thank you Dr. Rishabh. My pleasure.