MattyB's full protocol for alkalosis/hives/digestion

mattyb

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Okay, so gbold thought it would be a good idea for me to outline what I did to fix myself using food and habits, as it might help to inform people with some similarities to myself.

I was suffering from chronic hives and dermatographia (very bad - half a dozen lesions popping up every day), very bad digestion with constant bloating after meals (hives would get worse then), and slightly lowered sex drive. I was very sensitive to amine rich foods, which would make all the symptoms worse, so DAO was likely very low. Sunlight would often give me hives as well. All blood tests had come back normal, except for high ferritin and low chloride, with iron and sodium being just borderline low, CO2 being on the upper end, and potassium middle of the range.

My first protocol that I tried, which I followed for about 3 months, was:
Vitamin A (retinol) topical, about 5000-10000 IU per day
Vitamin B Complex
Turmeric Suppelement
Zinc, 50mg/day
High fat diet (mostly dairy fat, so higher calcium too), moderate carb, low-moderate protein
Pea Shoots with most meals
Dandelion tea after meals
Hit 100% of RDA with almost all minerals/vitamins nearly every day

This helped a bit. Definitely lessened the hives for quite a while. But my digestion was not improving very much and the hives were still popping up. Then things just seemed to go back to baseline after 3-4 months. So I went back to the drawing board. Luckily that was around the time gbold started posting a lot on RPF, so it gave me inspiration to do a lot more reading and plan out a second protocol around fighting alkalosis, increasing stomach acidity, and reducing calcium/histamine exchange.

Second protocol, which I followed quite strictly for about 1 month, but still maintain some of these habits but in a more relaxed manner. I think certain parts are more important than other, which I will highlight. I definitely did the more important parts consistently, while the least important parts I did much less consistently.

1 week of low dose cyproheptadine (1g 2x day) before starting any of this (to sensitize cortisol and make fasting easier).

Important:
Morning salad with 1tbsp EVOO, salt, and 1/2 tsp ACV when waking at 6AM (from order of most to least greens: spinach, pea shoots, beet greens, lettuce, chard, dandelion greens)
Followed morning salad by a fast until around 11AM-1PM each day (stopped eating the night prior around 8PM).
Calories according to activity level (anywhere from 1000kcal to 3500kcal per day)
Eating only when really hungry or very fatigued
Caloric Restriction, hunger (lost 10lbs over ~4 months, was not overweight to begin with - 165lbs to 155lbs at 5"7. Still losing weight now)
Lowered calcium intake dramatically (very little dairy, mostly only butter)

Kind of important:
Breathing exercises - first diaphragmatic breathing, then diaphragmatic breathing with repeated maximal exhalations, especially if I was seated for long periods of time
Carbs according to activity level/recovery need (anywhere from 100g - 300g per day)
More exercise. 3 weightlifting or gymnastic sessions per week, 1-2 long runs per week (+60 minute runs, low intensity), stretches and light recovery work almost every day. In retrospect I would have ran more, but now it's winter and running outside sucks.
Cold showers or contrast showers

Least important:
Minimize sitting at desk job (get up often)
Drinking more water
Zinc, 10mg every other day - just enough to hit the RDA consistently
Still hitting 100% of RDA for most mineral/vitamins on normal days, but definitely lower on very low calorie days
Higher manganese intake, mostly from rice, oats and cinnamon
Turmeric (once every couple of weeks just to make sure gallbladder is getting cleared - I had gallstones last year, thankfully they were small and I passed them with very little discomfort by using high dose tumeric every day the year prior)

After about 3 weeks of this, I could eat protein in large amounts again with no digestion issues. Bloating went away completely. I was finally experiencing hunger again. I also really developed a taste for meat, so I began eating lots of it, as well as eggs and beans. Hitting well over 120g/day. Protein sources are mostly pork, eggs, and black beans. But I will eat steak, chicken and fish maybe 1-2 times per week as well. I began to also tolerate caffeine, so I could start drinking coffee again - before it used to give me hives and make me anxious. I love the taste of coffee, so I was happy to get that back.

I still practice much of this second protocol, but I am very relaxed about it and am not a perfectionist by any means. I eat lots of greens (mostly cooked), but never do the morning salad anymore because I don't find it necessary. I find now I can eat anything and be fine. I haven't had any hives or dermatographia in months. Sex drive has increased quite a bit too, back to a level I'm more comfortable with. On some days nowadays I will supplement with magnesium, NaCl, and KCl, but only when I am feeling dehydrated.
 

jaa

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Thanks for writing all that out. It helps to see it all in one place.

What are the reasons for the dandelion tea? Are there any issues with drinking it every day for a month or two?

Was tumeric in powder form?
 

Shadow

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my chronic hives and dermatographia started right before my sexual problems
 

mattyb

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jaa post_id=5813 time=1512411220 user_id=1352 said:
Thanks for writing all that out. It helps to see it all in one place.

What are the reasons for the dandelion tea? Are there any issues with drinking it every day for a month or two?

Was tumeric in powder form?

I tried it out because I had heard it helped with digestion. It helped a bit, but in high amounts it also made me lose sodium like crazy. I would pee like crazy and get dizzy if I drank too much. I don't recommend using it frequently.

Turmeric is in pill form with black pepper. I used the Gaia Herbs Turmeric Supreme. It worked very well for dealing with the small gallstones by stimulating gallbladder contraction, which I suspect was impaired from a short bout of PPIs I had taken early in 2016. I felt them pass, it was a weird but extremely relieving sensation - I remember it stopping me mid conversation when I was out for dinner with some friends and they all looked at me like I was crazy. I still take it on occasion just to make sure the gallbladder is up to speed.
 

mattyb

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Shadow post_id=5815 time=1512411495 user_id=54 said:
my chronic hives and dermatographia started right before my sexual problems

I think IV HCl and supping histidine are probably more direct ways to fix these issues. But for people who want to use food and lifestyle to fix things, my approach may be good to experiment with as well, and probably comes with less risk. Or you can use food/lifestyle approaches after doing a short bout of HCl/histidine to maintain the progress.
 

Canari

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What means EVOO and ACV?
 

Canari

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Thanks, this is my salad as well, and I missed it 4 days and I got gastritis after eating christmas turrón! Almonds and sugar....
OO is much better than coconut oil for digestion!

When you say alkalosis, do you mean tissue, inside cell or blood? I guess if you use this type of breathing you had too high CO2? That would mean acidic blood?
 

Helen

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[mention]mattyb[/mention]

https://www.hackstasis.com/viewtopic.php?f=51&t=292&p=5824#p5824



Matty I created this. Lets combine everything and make the optimal protocol. Look at what I wrote.

And we can just start adding and optimizing this protocol

Waiting for your suggestions.
 

Helen

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I think instead of doing what they are doing in Ray Peat forum. We can just create protocols, for different disorders, for people. [mention]mattyb[/mention] We can chose the disorder and outline it. This way we can have 20-30 protocols for everything.

What do you think? Matty?
 

jaa

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gbolduev post_id=5841 time=1512419019 user_id=90 said:
I think instead of doing what they are doing in Ray Peat forum. We can just create protocols, for different disorders, for people. @mattyb We can chose the disorder and outline it. This way we can have 20-30 protocols for everything.

What do you think? Matty?

If you guys can pull that off that would be an amazing feat!
 

mattyb

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gbolduev post_id=5841 time=1512419019 user_id=90 said:
I think instead of doing what they are doing in Ray Peat forum. We can just create protocols, for different disorders, for people. @mattyb We can chose the disorder and outline it. This way we can have 20-30 protocols for everything.

What do you think? Matty?

I think that is a good idea. It will take lots of brain storming and lots of work. We will need multiple cases for even single diseases, as I suspect lots of people who share primary symptoms have different mechanisms driving their diseases and will merit different treatments. Nina comes to mind, her CFS seems different than Canari's.
 

Canari

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mattyb post_id=5956 time=1512480394 user_id=95 said:
I suspect lots of people who share primary symptoms have different mechanisms driving their diseases and will merit different treatments.
Nina comes to mind, her CFS seems different than Canari's.
Totally different.
Also because we do not have the same age and my problem is life long and transforms slowly, though with a clear bad impact with RP diet, even in its most natural form with fruits and organic natural goat cheese.
Nina can do some training I could not think about, but she also seems more touched than me.

I also think about the importance of what is similar and different. And that we can learn by looking at this for men and women similitudes and differences. Both Nina and I have mentioned some issues with libido as well, that are not the same, but have equivalences with what some men mention.

Matty, as you mention your protocol and for helping similar persons, are you thinking about doing a hair analysis?
 

Aleksandr

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[mention]mattyb[/mention] i remember you mentioning focusing on exhalations before. Why is this a big focus - whats the reasoning behind it?

Holotrophic breathing by comparison just does in and out breathing very fast and deep (breathing in as fast and hard as breathing out). It can make me pretty dizzy tho.

Also... what do you think about water with food? Should drinking water be avoided half an hour before or aftdr eating? Is it a stomach acid issue?
 

mattyb

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m_arch post_id=6031 time=1512516051 user_id=66 said:
@mattyb i remember you mentioning focusing on exhalations before. Why is this a big focus - whats the reasoning behind it?

Holotrophic breathing by comparison just does in and out breathing very fast and deep (breathing in as fast and hard as breathing out). It can make me pretty dizzy tho.

Also... what do you think about water with food? Should drinking water be avoided half an hour before or aftdr eating? Is it a stomach acid issue?

Reasoning is to blow off as much CO2 as possible when I am sitting. Otherwise I go into respiratory acidosis due to breathing limitations from some rib/spine/postural problems I have while sitting. This stops me from going into compensatory metabolic alkalosis once I get up and start moving around. And this stops primary symptoms of hives, dermatographia, anxiety, low sex drive, etc.
 

Canari

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When you lengthen exhalation, there is another side effect, which is to increase the general para-sympathetic activity!
 

mattyb

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Oh and to comment on water/food. If you have problems with digestion, right before and after food isn't a good idea. Wait 30-60 before/after meals before drinking water. It can dilute stomach acid acutely, but the water is drained relatively quickly (30 minutes is probably safe).

Swishing water in your mouth after a meal can be good though. Helps keep the teeth clean.
 

jaa

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mattyb post_id=6103 time=1512578471 user_id=95 said:
Oh and to comment on water/food. If you have problems with digestion, right before and after food isn't a good idea. Wait 30-60 before/after meals before drinking water. It can dilute stomach acid acutely, but the water is drained relatively quickly (30 minutes is probably safe).

Swishing water in your mouth after a meal can be good though. Helps keep the teeth clean.

This fits with my experience of eating soup (it really wreaks havoc on my digestion).

Slightly off topic, but you mentioned ACV with greens and EVOO. Do you think ACV superior to plain white vinegar or rice vinegar?
 

mattyb

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jaa post_id=6106 time=1512579329 user_id=1352 said:
This fits with my experience of eating soup (it really wreaks havoc on my digestion).

Slightly off topic, but you mentioned ACV with greens and EVOO. Do you think ACV superior to plain white vinegar or rice vinegar?

Any vinegar is probably fine. I just find ACV to have the best flavor and it's what I have around.
 

mattyb

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Actually i crave / consume a lot of whole egg mayo. I bet thats high in cholesterol?

I also crave / consume a lot of protein, although mostly meat. But i am trying to get morr seafood in. Often mackerel or tuna with mayo and rice. My digestion has been bad the last 5 years or so. Earlier this year my doc said i had IBS (was getting stabbing pains) but TWY on raypeatforum suggested hcl witg meals. So i popped 3 caps with each meal for months. I must have gone through 750+ capsules 500mg each. Instantly my bowel movements turn perfect on HCL , like the next day.

Actually my symptoms sound a lot like @Admiral , despite eating a lot of protein and cholesterol i dont feel like i have high hormone levels. My hair test suspected high aldosterone levels (because of high sodium) but i havent had bloods done.

I just stopped taking hcl the last few months cos of the $$$, and i havent been needing it until lately. But i think part of the reason is that ive been on a diet that i know digests well for me, and ive had a few blowouts lately cos christmas.

@gbolduev did you say popping hcl for a long time wasnt a good idea? Whats the logic behind this?

Whole egg mayo actually isn't high in cholesterol at all from the few I looked up. Mayo is mostly vegetable or sunflower oil. I've made my own mayo before, you need absurd amounts of oil to get the texture right. Whole eggs are really your best bet, and IMO, good quality eggs are the easiest type of protein to source. Any farmer's market will likely have multiple vendors selling free range eggs.

I think the concern with longterm HCl supplementation is that it can really increase iron absorption. That's why I like doing the salad during the fasting period of IF when I wake up - it provides basically no calories so pressure will remain on cortisol. I find it creates a ton of stomach acid (I could literally feel heat in my stomach after 1-2 hours) and it doesn't provide that much iron since the mineral profile is really balanced. Then anything I eat later in the day is very easy to digest. I never took HCl myself.