Sibby,
Here's the thing about LDN, it will still work but not as quickly and perhaps not as effectively if you are not on a diet such as SCD or Gaps or Paleo. IMO the reason for that is that when you take out the offending foods (for most of us that's gluten and dairy, and wheat), you give your colon a rest from those offenders doing continual damage to it and THAT enables the LDN to work at 100%.
Again, IMO, eating offending foods is analagous to keep pouring acid on open wounds, whatever you might use to "treat" those open wounds wouldn't be as effective or work as quickly as if you stopped pouring acid on those open wounds.
I hope I'm explaining it properly? Does it makes sense?
So Sibby, you can still take LDN without making diet modifications, but it will not (as evidenced by others who have done it that way) work as fast. Instead of taking a few days to a week to see greatly reduced symptoms, it may take several weeks or months.
I understand about your needing carbs. How about replacing the wheat and gluten products with some rice (white and not brown rice) and some potatoes?
What's the hold up on your doc giving you VSL?
Good luck with your "negotiations" with your doc, should we ask Hillary Clinton if she can lend a hand on these talks, lol?
Seriously though, I do hope he'll come around and prescribe it for you.