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GAPS Diet: Who is it for and how to get started

adhd anxiety autism autoimmune brain health chronic infections depression digestion gaps ibs neurobehavioural neurodevelopmental neurodevelopmental disorder neuropsychiatry Mar 21, 2024

In recent years, there has been a surge in interest surrounding gut health and its profound impact on overall well-being. The Gut and Psychology Syndrome (GAPS) diet is one such approach that has garnered attention for its potential to heal the gut and address various health issues. In this comprehensive guide, we will delve into what the GAPS diet entails, who it is for, its origins, research findings, and practical steps for getting started.

Understanding the GAPS Diet

The GAPS diet is a nutritional protocol developed by Dr. Natasha Campbell-McBride, a medical doctor with a background in neurology and nutrition. Dr. Campbell-McBride created the GAPS diet based on her clinical experience working with patients suffering from a range of conditions, including autism spectrum disorders, ADHD, depression, anxiety, autoimmune diseases, digestive disorders, and more.

The underlying principle of the GAPS diet is that many health issues originate from an imbalance of gut flora, or dysbiosis, which can lead to a compromised gut lining (leaky gut) and systemic inflammation. By focusing on healing and sealing the gut lining, the GAPS diet aims to alleviate symptoms and promote overall health and well-being.

Who Is the GAPS Diet For?

The GAPS diet is primarily targeted towards individuals dealing with gut-related issues, autoimmune diseases, neurological disorders, and mental health conditions. It is also suitable for anyone seeking to optimize their gut health and overall wellness. Common conditions that may benefit from the GAPS diet include:

  • Irritable bowel syndrome (IBS)
  • Crohn's disease
  • Ulcerative colitis
  • Autism spectrum disorders
  • Attention deficit hyperactivity disorder (ADHD)
  • Depression and anxiety
  • Food allergies and sensitivities
  • Chronic fatigue syndrome
  • Rheumatoid arthritis
  • Eczema and other skin conditions

Research on the GAPS Diet

While the GAPS diet has gained popularity among holistic health practitioners and individuals seeking alternative approaches to health, scientific research on its efficacy is still emerging. Some studies and anecdotal evidence suggest that the GAPS diet may be beneficial for certain conditions, particularly those related to gut health and inflammation.

A study published in the Journal of Gastroenterology and Hepatology found that a similar dietary approach to the GAPS diet, known as the Specific Carbohydrate Diet (SCD), led to significant improvements in symptoms and inflammation markers in patients with Crohn's disease and ulcerative colitis. This suggests that dietary interventions targeting gut health can have a positive impact on inflammatory bowel diseases.

Another study published in Nutrients evaluated the effects of a grain-free, low-carbohydrate diet, similar to the GAPS diet, on children with autism spectrum disorder. The researchers observed improvements in gastrointestinal symptoms, behavior, and overall well-being in the participants following the dietary intervention.

While these studies provide promising insights into the potential benefits of the GAPS diet, more research is needed to fully understand its mechanisms of action and effectiveness for various health conditions.

The GAPS Diet Protocol

The GAPS diet consists of several stages designed to gradually heal and seal the gut lining, restore gut flora balance, and support overall health. Here is an overview of the main stages of the GAPS diet:

Stage 1: Introduction Diet

The introduction diet is the initial phase of the GAPS protocol, focusing on gentle foods that are easy to digest and unlikely to exacerbate gut inflammation. This stage typically lasts for a few weeks to several months, depending on individual tolerance and symptoms. Foods to include during the introduction diet include:

  • Homemade bone broth: Rich in collagen and essential nutrients, bone broth provides healing support for the gut lining.
  • Fermented foods: Probiotic-rich foods such as sauerkraut, kefir, and homemade yogurt help replenish beneficial gut bacteria.
  • Well-cooked vegetables: Non-starchy vegetables like carrots, zucchini, and squash are easier to digest when cooked thoroughly.
  • Homemade ghee or animal fats: Healthy fats are essential for nutrient absorption and gut health.
  • Soft-boiled eggs: A source of protein and essential nutrients, eggs are typically well-tolerated.
  • Freshly pressed vegetable juice: Juicing can provide a concentrated source of vitamins and minerals without fiber, which may be easier on the digestive system.

Foods to avoid during the introduction diet include:

  • Grains: Wheat, rice, corn, oats, and other grains are excluded due to their potential to irritate the gut lining.
  • Legumes: Beans, lentils, and peanuts contain anti-nutrients and may be difficult to digest for some individuals.
  • Starchy vegetables: Potatoes and sweet potatoes are high in starch and may exacerbate gut issues.
  • Processed foods: Packaged snacks, sugary treats, and processed meats are best avoided due to their inflammatory potential.
  • Sugar and artificial sweeteners: Refined sugar, high-fructose corn syrup, and artificial sweeteners can disrupt gut flora balance and promote inflammation.

During the introduction diet, it's essential to listen to your body and pay attention to any symptoms or reactions. Some individuals may experience temporary worsening of symptoms, known as a "healing crisis," as the body detoxifies and adjusts to the new dietary protocol. It's important to work closely with a qualified healthcare provider or nutritionist when embarking on the GAPS diet, especially if you have pre-existing health conditions or dietary restrictions.

Stage 2: Full GAPS Diet

Once you have successfully completed the introduction diet and experienced improvements in symptoms and overall well-being, you can transition to the full GAPS diet. This stage allows for a wider variety of foods while still emphasizing nutrient-dense, gut-healing foods. The full GAPS diet includes:

  • Organic meats and poultry: Grass-fed beef, pastured chicken, and wild-caught fish provide essential amino acids and nutrients.
  • Healthy fats: Coconut oil, olive oil, avocado oil, and pastured butter are excellent sources of healthy fats.
  • Non-starchy vegetables: Leafy greens, broccoli, cauliflower, Brussels sprouts, and asparagus are rich in vitamins, minerals, and fiber.
  • Fermented dairy: Homemade yogurt, kefir, and fermented cheeses can be reintroduced for their probiotic benefits.
  • Nuts and seeds: Almonds, walnuts, pumpkin seeds, and chia seeds provide healthy fats, protein, and fiber.
  • Fruits: Berries, apples, pears, and citrus fruits are lower in sugar and high in antioxidants and fiber.
  • Raw honey: A natural sweetener that may be tolerated by some individuals on the GAPS diet in moderation.

While the full GAPS diet offers more flexibility and variety compared to the introduction diet, it's essential to continue prioritizing nutrient-dense, whole foods and minimizing processed and inflammatory foods. Additionally, incorporating lifestyle factors such as stress management, adequate sleep, and regular physical activity is crucial for optimizing gut health and overall well-being.

The GAPS diet offers a holistic approach to healing the gut and addressing various health issues, from digestive disorders to neurological conditions and autoimmune diseases. By focusing on nutrient-dense, gut-healing foods and eliminating inflammatory triggers, the GAPS diet aims to restore gut flora balance, reduce inflammation, and promote overall health and well-being.

While scientific research on the GAPS diet is still emerging, anecdotal evidence and clinical experience suggest that it may be beneficial for many individuals seeking to improve their gut health and quality of life.