Today we are going to work the steps of the Madcap Route: The 3 R’s on all your PROTEIN & DAIRY.  Fasten your seatbelt because this is the real nitty-gritty part of the Madcap Diet for Narcolepsy. You should have already taken the first step and added MCT oil to your routine (details are here: Step 1, Guide to Step 1, and taking MCT oil to the MAX). Then last week I challenged you to some homework because I’m teaching this to you and not doing it for you.  Your homework assignment was as follows:
  1. Each time you ate a protein or dairy item last week I wanted you to look on the package for the carbohydrate amount.  If it was more than 5g of carbohydrates per serving it was a HIGH carb item that you would need to eventually remove from your diet. Another way to look at the carb count was via a tracker like MyFitnessPal but remember that TRACKING is NOT something we do in this diet because it is tedious and consumes energy that I want you to put toward LIVING.  This suggestion was just a starter to help you see what and where carbs are in your current diet.
  2. When you saw that the item needed to eventually be removed, you were to go to Google and search “Keto <insert protein/dairy item item here> to see what popped up as a REPLACEMENT for what you were eating.  That was just to get you seeing what your future options are and that you would not have to forgo eating yummy foods.  I swear that there is a keto/carb friendly replacement for practically everything you currently eat.
  3. When you ate your carb-y protein or dairy item, you were to set a timer for 30 mins.  When the timer went off, you were to make a note of how you felt.  Then you were to rate your sleepiness from 1-10 with 10 being the worst/sleepiest.
The point of this homework assignment was to help you begin to recognize what items you currently eat that will eventually go away, to give you an awareness of some of the narcolepsy friendly items that are out there that will eventually replace the carb-y ones AND to allow you to begin to make the connection between your sleepiness and what you eat. So how did it go with this assignment?  I’d love to hear from you in the comments. Now, remember, the secret of the Madcap Diet for Narcolepsy is that we take the Madcap Route since it is a process that eases you into making changes without all the heartache of yanking all of your favorite foods from your menu all at once. And keep in mind that each step of the 3R’s will get you higher levels of energy and wakefulness, and less brain fog throughout the day. You will apply the 3R’s to each food group and won’t move on to the next one till you are a master in the current group, which right now is PROTEIN & DAIRY. Don’t worry about any other foods and just stay focused on your protein and dairy items. By the time you get to the last food group, you will be a mega pro at this and it will be super easy.  To recap, the heart of the Madcap Route is the 3 R’s: REPLACE     REDUCE     REMOVE   —– How do we apply the 3 R’s to PROTEIN & DAIRY? REPLACE (plan to spend a few weeks on this step)
  • In this step we are learning what the BAD foods are and what are the GOOD foods in this group.
  • We are NOT reducing or removing anything, yet.
  • Right now you are just finding and testing out some REPLACEments.
  • Yes, we are just testing right now but try to eat as many of these items as you can to get a real feel for what you like and don’t like.
Which foods are BAD? 
  • Protein:
    • Oh mercy… I almost want to shy away and not lay all this on you but, gulp, we are basically talking about all the meats that are breaded.  Sigh… like fried chicken, chicken nuggets/fingers, fried fish… BREADED and FRIED are your key words.
    • And unfortunately, we are also talking about a lot of the protein powders, bars, and shakes out there not because protein is bad but because there is usually a pretty high carb count in these items from fillers and added sugars.
  • Dairy:
    • An obvious answer is all the ice cream products out there and yes, this includes frozen yogurt.  But a sneaky one is whole milk and all those coffee creamers we pour into our morning java.
    • Yogurt is supposed to be healthy too but most of us eat the fruity varieties and there are mega carbs in those.
Which foods are GOOD?
  • Protein:
    • Beef, pork, lamb, chicken, turkey, etc.  ANY MEAT, just avoid the breading.  Since we are currently not focusing on CLEAN eating (organic, non-gmo, etc), stick to the leaner cuts and avoid the skin.
    • Fish and seafood are awesome too!  Again, avoid the breading.
    • EGGS!  They are freakin’ fantastic in a carb controlled diet.
    • Protein powders, bars, shakes that are less than 5g carbs per serving.
  • Dairy:
    • Real cheese, real butter, heavy cream, half and half, real (unsweetened) Greek yogurt, sour cream, and cream cheese.
    • Ice cream and frozen yogurt type treats are a bit harder, but I cover that in the next section on how to FIND the replacements.
How do you find yummy REPLACEments for the “bad” ones?  
  • I truly feel there is a low-carb and/or ketogenic (keto) adaptation to almost every single food out there. 
    • Use GOOGLE and find some products and recipes that are good REPLACEments for the foods you love. 
    • Your Google search will look like this:  “Keto fried chicken,”  “Low carb chicken nuggets,” and “Low carb protein shake”… see what I’m doing there?  Or “Low carb coffee creamer” and “Keto Ice Cream.”
  • Your goal is to find some new recipes, and some new products that are less carbohydrates than what you currently eat. 
  • Remember that you can look at the labels but you can also check out carb counts on a tracker like MyFitnessPal. 
  • Make a note of the items you find and like… my favorite thing to do is to just keep a running list on my phone or in a notebook.  Pinterest is a good option as well. 
  • But always remember, that this stage is just a discovery stage and you can still have all your current carb-y things till we get to the next step, REDUCE.
REDUCE (plan to spend at least a week on this step)
  • In this step you begin to REDUCE your intake of the bad versions and instead eat the yummy, good versions that you found in the REPLACE step above.
  • The good news is that when you have been finding REPLACEments you are naturally nudging the bad versions off your plate and have already begun this step before actually having to enforce it.  Haha!  So sneaky.
  • Make a concerted effort to use the REPLACEment items as much as you can.
    • If you still need the carb-y version you can have it but ONLY AFTER you have eaten the replacement version.
    • Your stomach will be full of the replacement so you won’t eat as much of the carb-y stuff.
    • Maybe you will be too full to even touch the carb-y stuff.
  • Warning:  the next step of REMOVE will be crazy hard if you don’t try your best in this step.
REMOVE (this step is for life babe so there is no time frame)
  • Here is where you suck it up and get rid of the bad versions altogether
  • Buck up Buttercup! 
  • But see, there’s a secret here… you have already REDUCED your consumption of these so it is WAY WAY WAY easier to take this final step where you REMOVE them.
  • AND you should be seeing a shift in how you feel by now.  No more heavy feeling after eating that fried chicken, no more sleepiness after eating that bowl of ice cream.  WIN!!!  Use this newfound wakefulness to keep you motivated and moving forward.
  • IF you find you are still having a hard time removing some of these foods, make a list of the easiest one to the hardest one.  Then spend a week without the easiest one.  And then work on the item that is next on the list, and so on.  You will eventually succeed at removing them ALL.  
— That is IT y’all. OH, wait!!! Don’t forget to keep building up your MCT oil intake to the full 2 tablespoons per day!  And just so you know, the next group we will work on is a relatively easy one:  VEGGIES & FRUIT. To help you get a visual on what is allowed on a carb management diet, this is a GREAT brochure by the website Diet Doctor.  Pay special attention the protein and dairy section of the brochure as these are the items you should be focusing on.  It has information on the other groups we will work on in the future so you can catch a sneak peak at what lies ahead.  LOW CARB FOR BEGINNERS I know, this seems super slow and you want some fast results. But I need you to do these things in the order I lay them out, I wouldn’t steer you wrong. I promise that you can go faster each time you work your way through the process of the 3 R’s on a food category. You will seriously get this down to a science and remember that as we make our way through the categories you are actually already doing some of the work on the harder bits. This means that when you get to those bits it will be faster and easier because you’ve already done so much of the work already. Now take a deep breath and go to it! Your Madcap Miss (a.k.a. Gina Dennis) *For a deeper dive into the science behind this diet, check out my 2016 presentation at the Narcolepsy Network Conference (video) OR read Posts 1, 2, and 3 in the 30,000 Foot View Science-y Series. **For an overview of all the steps in the Diet for Narcolepsy you can check out my presentation at the 2017 Narcolepsy Network Conference. BE SURE TO CHECK OUT THE OTHER POSTS IN THIS SERIES: Let me be totally up front here…I AM NOT A DOCTOR, nor am I a nutritionist, I only have a tiny amount of formal training in such things as a Health Coach.  But I am a person with narcolepsy who uses dietary and lifestyle changes to mitigate my narcolepsy symptoms.  I’ve been experimenting with these changes since July 2011 and have successfully maintained a high level of narcolepsy symptom management since that date.  And so has my family with narcolepsy.   This website contains our personal stories, failures, and experiments.  In this website I will share with you the information that I have found most credible and some practical ideas for mitigating narcolepsy symptoms.  I beg you to check with your doctor before initiating any of the dietary changes I speak of, especially if you are taking any medications. Madcap Disclaimer