Sasha has been off naltrexone (100 mg/day) for about two weeks now. So far, we haven't seen much of a difference- there were a couple of incidents of more "food intensity" (increased insistence about being in control of food, displays of unhappiness when not getting his own way around food) last week but it may have been because we were more sensitive to changes. Fortunately, there were no signs of extra food sneaking/stealing. His weight has remained exactly the same as it was last week so this is reassuring that the therapeutic effect (re: energy metabolism) of the experiment is remaining intact even with the removal of naltrexone. We have been a little more generous with carbohydrates. He has had some legumes, oatmeal, Chap Jae (Korean glass noodles), and once last week, we even went out for dessert and permitted Sasha to order a bread pudding dessert (modest sized piece but made of sugar and butter and flour). After the sugary dessert, we went back to our regular lower carb eating and it did not seem to trigger any ill effects such as increased carb seeking.
An article about how chronic consumption of sugar blunts activity of pathways that mediate satiety.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175817/
I'm hoping that this implies that non-chronic consumption (an occasional once-a-week treat, perhaps?) may be less risky for the mediation of satiety. If we can keep this balancing act, I will be very pleased indeed!
Tomorrow we are heading to a week-long vacation at our favorite performing arts family camp. They serve excellent tasty and healthy food but there is always the spread of cereals in the mornings and the peanut butter and jelly sandwich bar that is there between meal times. We will be performing Willy Wonka and the Chocolate Factory (musical based on book by Roald Dahl) and I have been cast as Mrs. Gloop! The irony has not been lost on me. I only hope that Sasha does not behave like Augustus Gloop at camp...
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