A Substitute for Pizza

Treating inflammatory bowel disease through food as medicine often means not following the SAD (Standard American Diet). Sadly, the most fun foods in SAD make the intestines (and resident gut microbiome) really… sad.

I’m talking about ice cream, soda, and pizza!

Making the transition away from SAD to the Specific Carbohydrate Diet (SCD), Paleo, or Gut and Psychology Syndrome (GAPS) usually starts with the person trying to find suitable replacements for their favorite SAD foods.

I’m happy to report, that after rigorous scientific testing during dinner last night, I have found an awesome replacement for pizza that is Vegetarian, Paleo, SCD, and GAPS friendly.

Introducing, Portobello Pizzas!


What I LOVE about Portobello Pizzas is that I don’t need to bake the pie using almond flour as other pizza substitute recipes call for. Nature has created a great pie alternative in the Portobello mushroom.

I recommend eating it with a fork and knife because the Portobello can get very juicy, making a mess all over your hands.

The Ingredients

When possible, try to make all of your ingredients organic. You don’t want to eat pesticides, and other chemicals used on conventional food.

  • As many Portobello mushrooms you want to eat (2 – 4, depending on size and appetite)
  • Marinara sauce, either homemade or store bought
  • Acceptable cheeses, like provolone, and parmesan
  • Any assortment of vegetables, herbs, and meat that you like.

image of portobello pizza


  • Pull and twist off the stems of the Portobello mushrooms to create a flat or bowl surface area where the ingredients will go.
  • Clean off the top of mushroom if desired.
  • Cut your ingredients as desired.
  • Set the Portobello mushroom bottom up.
  • Spread the marina sauce into the bottom of the mushroom.
  • Sprinkle/spread the ingredients into the mushroom. I did cheese, spinach, onion, and bacon, in several layers.
  • Bake in an oven at 350 degrees F for about 10 minutes.
  • Let cool for a few minutes after, and then enjoy!

Stay colonized,

Reid Kimball Signature