Wednesday, December 2, 2009

The case of the vanishing protein

I'm not all that good at mysteries. JFG usually guesses the secret villain on 24 much faster than I can (although I've learned that the most benign or patriotic character usually harbors the psychotic plot to blow up the world using toothpaste bombs). I wasn't even very good at Encyclopedia Brown or Nancy Drew mysteries.

Here's another mystery I failed to solve without my mother's help. For about a year before the diagnosis, JFG was exhausted. Too exhausted to ride his bike, too exhausted to do tasks around the house, too exhausted to stay up after 8:00 p.m. He'd start checking his watch shortly after dinner to determine how much longer he had to stay awake to be considered an adult.

Soon after the diagnosis, when we'd cleared gluten out of his diet, the exhaustion faded away! He could stay up later, he started riding his bike again . . . problem solved, or so we thought.

In the past couple of months, he's started to fall asleep in my lap around 8:30 p.m. again. He's checking his watch by 9:15 p.m., and if he's not in bed by 9:30 it's usually because he's fallen asleep on the couch. Even if he's getting stray traces of gluten, it can't be enough to throw his whole digestive system off again.

What to do, what to do? Is it too much work? Getting up too early? Does he have the flu? Is he just getting old?

So I was explaining this to my mother over Thanksgiving. My mother is a genius at problem-solving, much better than I will ever be (although my skills are improving). It's amazing how much you continue to need your mom at 35.

The first words out of her mouth: "Is he getting enough protein? Young men need a lot of protein."

Wheels spinning. We've never eaten a lot of meat or eggs at home, but before the diagnosis, he used to go out to lunch a lot with co-workers and eat pork or beef sandwiches or burritos. He also used to exercise a lot more, which meant that he ate many, many protein bars. Since the diagnosis, and since restaurants have become more challenging, he takes frozen lunches to work -- lunches that happen to be vegetarian and sometimes vegan. And protein bars almost always contain gluten, so now he eats fruit bars.

Ah-ha! How did she know?

You don't want to know about JFG's nutritional status, so I'll cut to the moral of the story. Cutting gluten out of your diet frequently, and accidentally, means that you're cutting other critical nutritional elements out as well. While you're making sure that you don't take in gluten, be sure that you are taking in as much protein, fiber, potassium and vitamins as you need to stay healthy.

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