Jason, you asked if anyone was following the PKD diet. I am.
I come from a 3 yr plus high fat carnivore background and was a carnivore coach. I didn’t eat organ meats. I took advice and supplemented magnesium, electrolytes, and other vitamins and minerals to combat the odd symptom. I have found continued success working with Paleomedicina and following the PKD diet as it was tweaked for my body. My high heartrate and palpitations were due to the thyroid meds, supplements, and overeating for my body. As a coach, I have learned so much more. I do not eat 400 grams of food at the 100g protein to 30g fat numbers. That was too much for me, personally and it showed though my glucose levels, ketones, energy, and weight loss. Instead of supplements I eat liver regularly mixed with ground beef. I no longer am on any kind of thyroid medicine or supplements and all my numbers and heartrate is normal. I no longer experience palpitations.
Below are my answers to your questions based solely on my experience.
1. Heart palpitations only in the hours after a very high fat meal. Need more sodium?
I would suggest working with the clinic. My guess is it is likely too much fuel for your particular body. It could also be a result of something you are eating…an inflammatory or allergen response.
2. How long does PKD typically take to heal the gut?
It depends on the person. Everyone is different. I personally experienced some symptom healing as early as the first week. I do not believe my gut is healed though. I suggest working with the clinic if you can.
3. Would you ever re-introduce plants or carbs?
I would to a small extent but I quite like being zero carb. I am not opposed to plants or carbs but I do find my health still suffers when I include them with any consistency. Perhaps once I am completely healed, I will include them from time to time.
4. How do you handle restaurants (dating is gonna be interesting…) and travel?
I think because I have been eating zero carb carnivore for so long these things don’t bother me. I order what I want and ask for what I need. When the inquiries come, and they do come, I explain my body does not process carbs well and I feel better eating this way. As for dating, I would feel a whole lot more self conscious if I couldn’t walk after a meal or night out due to swelling of my joints than I do asking for what I need to maintain my health. I plan ahead when I can and try to find places that accommodate. I actually created a little business card that explains what I can eat and what I don’t eat. Whenever I want to be a little more discreet I will hand that to the waiter and ask for help selecting a meal that will meet the criteria.
When traveling to somewhere where food is raved over, or when on vacation, I still try to order close to my normal diet but I am not militant. If it is someplace where food is a specialty, like in Italy, I may have a taste of a dish but not choose to order one for myself. Or, I may have one meal towards the end of the trip to get the experience. Knowing how my body reacts to foods keeps me a little stricter. No food is worth missing out on site seeing or events because my body hurts too bad to enjoy the adventure. But that is me.
5. Is exercise really so discouraged? No running, lifting, backpacking, etc.? That sounds rough.
I was instructed only to walk. But as my health improves I find I am able to do more. We did not talk about doing more than walking but for now that is what I do.
Again, everyone is different. Despite being a carnivore and a carnivore coach at that, I am a middle aged overweight woman. I honestly swell up when I eat carbs and my joints all hurt. Looking at my food as a mechanism for health and good times or for pain and problems helps me stay on track.