Diane Sanfilippo

SIBO and Its Potential Underlying Causes


At first I was vegan, then Wahls, and now Paleo. Some are able to go off of meds, others live well with a combo of meds and diet. Thank you so much for the response Mickey. Thanks for linking to your blog, and letting me know of the forum! I recommend giving it a week or two making sure to increase fats, especially saturated fats.

“Is _____ included in the elimination phase of the Autoimmune Protocol?”


Save your seat for free! There is also some evidence that hormonal birth control can contribute to hunger and digestive hormone disregulation, leading to inflammation. However, you may wish to address the other elements in this post before going off birth control, depending on your personal circumstances.

Terry Wahls lays out a very convincing argument for increased vegetable intake. Her focus is on eating vegetables from four main groups: Wahls recommends eating 3 cups per day of each of green veggies, colorful veggies and sulfur-rich veggies as well as at least once serving per week of seaweed.

Meat quality is very important as this profoundly impacts the types of fat that you consume. It is extremely important to be mindful of your omega-3 to omega-6 fatty acid intake ratio, aiming for between 1: The best way to do this is to ensure that all of your meat, poultry and fish comes from grass-fed, pastured or wild sources.

Oily cold-water fish like salmon, mackerel, sardines, herring, kipper, anchovies, trout, fresh tuna, and carp should be consumed at least three times per week for their high omega-3 content, easily absorbed protein, vitamin D and selenium content.

Grass-fed meat also contains Conjugated Linoleic Acid CLA , known to reduce inflammation, promote healing and even fight cancer. My post on the importance of grass-fed meat contains some suggestions for incorporating it into your diet in a budget-conscious way. It is also extremely helpful to incorporate organ meat into your diet at least twice per week due to its high nutrition density including some amino acids, vitamins and minerals that are not as concentrated in muscle meats.

It is also more important to eat organic produce as much as possible. Autoimmune conditions are also typically associated with disruption of normal gut microflora, often including Small Intestinal Bacterial Overgrowth SIBO. For individuals with suspected or confirmed SIBO, avoidance of starches and sugars other than monosaccharides like glucose and fructose is very important read my post Fruits and Starchy Vegetables with Small Intestinal Bacterial Overgrowth for a list of which starchy vegetables are okay and which to avoid , although this is one aspect of the autoimmune protocol which is highly individual.

Some people do extremely well with the inclusion of starchy vegetables in their diet. For those with gut dysbiosis any condition in which the type, amount or location gut bacteria are not normal , it is also important to help repopulate the gut microflora by eating raw fermented foods like sauerkraut, coconut milk kefir, or kombucha or taking a dairy-free probiotic supplement.

Others will need to limit themselves to cooked vegetables, which are typically easier to digest. Healing the gut becomes very important. I highly recommend consuming bone broth , organ meat note the caution against consuming liver initially described above , oily fish , and coconut oil on a fairly routine basis as well as making sure that you are getting adequate vitamin D, whether you are taking a supplement, food sources like liver and fish, or spending lots of time outside.

Note that coconut oil does not contain the phytic acid or inulin fiber both gut irritants that other coconut products contains a little coconut is typically tolerated, but I urge caution. Stress management is very important and I highly recommend doing at least one of the following: And I cannot emphasize enough the importance of getting lots of good quality sleep.

Aim for hours of sleep in a cool, pitch-black room, preferably waking up without the use of an alarm. It may help both stress hormone regulation and improve sleep quality to drastically reduce your caffeine intake. Aim for no caffeine if you can. It is also very helpful to drink plenty of water and to make sure you are consuming enough food. I know from experience that this is a very challenging task.

I know from experience that this increases your food budget although perhaps this can be negated by decreasing your medical expenses.

I try and focus on the delicious foods that I do get to eat. I try and focus on the fact that I have a strategy for improving my health that is far more powerful than any prescription medication Note that in many cases you will still need to be on prescription medications although you may be able to reduce your dose. Please work with your doctor on this one! And, compliance gets easier once you start to see improvement.

Are these restrictions for ever? Some may be and others might be successfully reintroduced after you see improvement in your symptoms. What foods you can reintroduce when if highly individual and will be the topic of a future post. Xero Shoes let you feel the ground, recruit more of the muscles and nerves in your feet and follow a more natural movement pattern! Award-winning public speaker, New York Times bestselling author and world-renowned health expert, Dr.

Sarah Ballantyne, PhD aka The Paleo Mom believes the key to reversing the current epidemics of chronic disease is scientific literacy. She creates educational resources to help people regain their health through diet and lifestyle choices informed by the most current evidenced-based scientific research.

The paleo Mom's FREE Member's Area provides an epic collection of absolutely free e-books, exclusive recipes, guides, videos, and discounts! I have Celiac Disease and I have to say that eggs and nuts are very tough to stop eating. I do buy raw nuts, then soak them overnight and roast at low heat. Graves disease is my problem opportunity? I feel much less fatigued and am rebuilding just a little muscle.

The bad news is my goiter seems to be getting bigger. I have a huge salad almost daily with my protein for lunch, and it includes arugula, spinach, chard. I hope eliminating these foods will help. Thanks for all the help you provide.

Thank you for posting all of this information on one handy site. Hi Andrea, Sorry to hear about your health issues. Or would you say once an auto-immune disease, always an auto-immune disease? Or would it depend on the disease? Clearly, her thyroid is wonky. Can she then reintroduce foods slowly? In principle, your body should stop making antibodies against itself after 6 months or so but it can take up to 2 years of strict diet to heal the gut, then 6 months after that to stop making antibodies.

Unfortunately, there is no good metric for when the gut is fully healed and antibodies are no longer being made. But I do think that if she follows the autoimmunity protocol and can get to the point of not needing any medication, then she can carefully play around a bit with small amount of nuts and eggs and see how she does.

This is a great post compiling this important info! I have been Paleo AIP since January and have seen encouraging progress with Ulcerative Colitis, enthesitis and liver enzyme numbers going down. I had some intentional and some unintentional forays off that track recently and I am seeing that it was too much, too soon. I hope one day to have a healed gut that tolerates Paleo-approved foods like delicious poached pastured eggs with coconut oil again… oh yum!

I have the exact same struggle with the temptation of nuts, seeds, eggs and tomatoes in my house. My best blood results for Hashimotos was after 30 days strict auto-immune protocol. The exception was cocoa. I have cocoa in hot water with a little coconut milk I then added back some foods — a little dairy, too much wine, eggs and tomatoes. Things with my thyroid went backwards! On the other hand all my joint issues mild auto-immune have gone and stayed away with the standard Paleo diet.

I think he said alcohol may be tolerated but not more than 10 grams that is one small glass wine. May I just say how jealous I am that you have met Mat Lalonde! The trick is to figure out how much of what you tolerate. For myself, it still feels like a moving target, but I hope I eventually can partake in some of these foods without paying for it immediately!

How would you know how strict you need to be? Does having more than one autoimmune disease make it more difficult to heal? Why should you avoid eggs?? I do 4 eggs for myself in the morning and, excepting the last 2 days, am not hungry until noon a good hr span. Cordain has suggested limiting eggs to 6 per week for everyone.

Some people do tolerate the yolks well, though. I would just go by how you feel. Or you could try leaving them out for a month or two and see if you do better.

Now, I typically have meat pastured pork sausage or leftovers for breakfast to help keep me full until lunch. I was hoping for more of the why rather than the what. Everyone is different and has different issues. Switching to pastured meats, removing sugar and getting at least 30mins of sun has done the most to relieve my symptoms. I can only have about one serving a day not the recommended three cups.

Since pain is part and parcel of my illness ditching pain meds is out of the question also. Kinda stuck between a rock and hard place on that one. Thanks for your comment. I had to lay out the foundation before I can get into the nuances and details. As for the cruciferous veggies, sounds like you may have a FODMAP sensitivity which basically means you get alot of gas etc. My husband does too which makes it tougher, for sure.

Have you tried sauerkraut? And if raw grass-fed milk seems to help, I would definitely leave it in your diet. If you could do a future post on it I would love to learn more about it. I love cabbage, brussel sprouts and broccoli I just have to keep the portions small. I want to start sneaking sauerkraut juice into my food to help with my digestion but I have to take things slow since I have to monitor changes for adverse reactions.

Over the last six months I have made huge changes to my diet. I seem to have settled into a Primal style diet as a happy compromise. Quite interesting and possibly contains the links between gut health and skin and brain health.

Have u tried curcumin for pain? Terry naturally has two products that are getting people off narcotics. I know raw cruiferous veggies can be bad for those with thyroid issues, but what if those foods are cooked?

Unfortunately, they are some of my favorites! I need to ammend that answer. I have now read some good info that cooking foods substantially decreases the goitrogenic activity of the various compounds in those foods.

I have Graves disease and limit cruciferous veggies to maybe once or twice a month, and always cooked. That way I can occasionally enjoy them. But there are so many other tasty veggies I feel why run the risk of jacking up my thyroid?

I would really like start this diet. Basically where your antibodies are destroying the cells that make insulin or something like that. Anyway, do you have any links to scientific research on if this diet really helps or whatever? He wants to be told by a doctor that I need this extreme of a diet change.

Any help would be much appreciated. What kind of Naturopath or whatever should I look for that treats autoimmune diseases? I think that the evidence for using Paleo to effectively treat autoimmune conditions such as celiac is still mostly anecdotal basically, thousand of people have tried it and found it helped. As far as I know, this is the first prospective study done using Paleo to treat autoimmunity. A really good resource for finding a physician to help is the Paleophysiciansnetwork.

Cathy, please tell your husband that whatever works is the goal. No MD had a diagnosis. After I got off dairy, gluten 6 months , corn and sugar, I improved physically and mentally so much that I got off of anti depression and anti anxiety meds and was immediately happier. Alternative medicine is where that expertise lies.

Remember how careful you what to put in your gas tanks? So we are on our own. Hallelujah for websites like this one!!!!!!! I had to figure this out by myself after consulting with 6 gastroenterologists and etc. I wish I had committed to this version of diet from the beginning and not cheated. I have been reading your blog for about 5 months and now I read this: I am wondering now what the heck I am going to eat for breakfast!

I really appreciate this article. And I usually have some veggies and berries on the side. I love having shrimp for breakfast. Eating fish for breakfast is common in other parts of the world. Being English kippers were always a breakfast option. I do think you could use coconut flour and I just bought some pumpkin flour to play with which should be okay.

I hope this helps! I love how informative your posts are! What about the GAPS diet protocol for gut healing? Also, I have severe seasonal allergies that are now year-round. That is the only autoimmune condition I have as far as I know. Would you consider that a reason to do the autoimmune protocol or are we talking about more severe conditions? I think GAPS-intro is awesome.

I think that if you have seasonal allergies, there is a good chance you are eating something you are sensitive to. The AIP is a good start for an elimination diet to try and figure out what that is, or you could get some food sensitivity testing done. But I doubt that you need to be on the AIP long term. Or any spices that are derived from seeds? Are they out as well? I read that yokes and flax are ok on this diet, what is your opinion? Seed-based spices are more individual.

I generally recommend eliminating them for the first few weeks and then trying them staying away from hot pepper spices which are also nightshades and high in capsaicin. It is a dose issue with spices, but since you are mostly using them in small quantities, many people tolerate them. As for flax, it is not recommended. Egg yolks are often okay though.

I have MS and just started the Paleo diet with most of the autoimmune protocol in place I still have bell pepper and tomato. My main symptom is weakness in my left-hand, which seems to have become more pronounced since I started Paleo.

I think it sounds like tomato is a bad idea for you it can rev up immune responses and is the most likely food to not be successfully reintroduced. One of my toughies to give up are eggs. My wife all but went ballistic when I started having eggs fried in butter grass fed each morning but here I am, with a stable disease, feeling far better than I probably should, and eating eggs plus the once and a while a night shade plant of potatoes and occasionally eggplant.

This is a great question! That being said, pulmonary fibrosis is an autoimmune disease. I think you have nothing to lose but potentially alot to gain. You could do a trial, maybe commit to one month, and see if it makes a noticeable difference for you.

Nine years ago I had my thyroid removed due to cancer, once the pathology came back we discovered I had had Hashimotos as well. I been treated for years prior to my thyroid cancer for hypothyroid. I have been eating Paleo for a couple of years. My eczema has cleared and I no longer take any allergy meds.

My question is should I be eating Paleo or Paleo with the autoimmune protocol? I feel great on Paleo, going through menopause, though and not losing weight. That is a fabulous question! My answer is no, if you are feeling great with how you are eating now, there is no good reason to restrict what you are eating any further. Weight loss is tough when your body is going through big hormone changes. Give it some time to adjust and if you are still not losing weight, you can play with macro-nutrient ratios and portion sizes which might mean up or down and see if you can get your body to lose more weight.

Patience is probably the best strategy for now though. I am just curious, what typically do you eat for breakfast if you are doing Paleo and avoiding eggs as well? I typically eat sausage mostly homemade but I do buy some pastured pork sausage from a couple of local farmers with some veggies typically homemade sauerkraut but sometimes spinach or kale sauteed in the sausage grease.

Sometimes I have berries or other fruit or a green juice on the side. I love the idea of this whole approach, sounds a little like GAPS? I feel like it has a lot of good benefits and personally it seems to make me feel so good when I drink it. What is your take on doing this and still drinking kefir?

Is dairy bad for all autoimmune disease or just some? Dairy is not universally bad and some people tolerate it, especially raw, grass-fed, and cultured. However, those with autoimmune disease tend to be ultra-sensitive to some proteins in milk that can make it hard to heal a leaky gut if not directly contribute to it. I suggest leaving it out until the health issue s you are trying to address improves and then add it back in.

If you make your own kefir, the grains will grow in full fat coconut milk fairly happily for a couple of months and then need to be refreshed in cow or goat milk for a week or two. Then you get the benefits of all those good probiotics without the potentially harmful proteins in milk. Also do you have an opinion on water kefir on the AIP? Thank you so much for all this helpful info!!!

The milk kefir grains are just an organism that likes living in a higher fat environment. You do need to refresh them in milk every so often, but rinsing will with eat before putting in coconut milk should handle any residual proteins. If you are crazy allergic, you co us throw out the first batch of coconut milk kefir too. This all sounds great. Coconut Oil is out if were talking Extra Virgin since it makes things flow like niagara falls if you know what I mean.

The refined Organic stuff NOT hydrogenated.. How do you handle very well cooked vegetables and fruits thinking like applesauce, stewed berries etc. The other option with ulcerative colitis is green juices, because they can be much easier to digest after you remove all the fiber and pack a nice carbohydrate punch for you to help with weight maintenance or weight gain.

With naturally refined coconut oil, like Spectrum, you get the beneficial medium chain triglycerides, but not as much of the antioxidants. Keeping the carbohydrates from dipping too low and making sure you are getting lots of good protein and fat is my general guideline for weight maintenance and gain. Cooked veggies…well I can steam the hell out of broccoli and I seem to do ok some excess gas. When you say green juices you mean actually juicing veggies? Good to know about the refined coco oil.

As far as protein goes. Even before colitis I was about the same. Male by the way. Sorry I meant varying reports on how much protein I should eat…also maybe it would help I post my normal daily intake. Breakfast — 5 pieces of Jones Sausage links no sugar. Lunch — plaintain chips cooked in palm oil.

Dried apricots just recently starting eating these. No added anything including no sulphur. Maybe half a cup.

Lunch I skimp on so that I can make it through the work day. Eating tends to get things moving bathroom trips. I think eating a more substantial lunch would probably do you alot of good or finding another time of day to eat more? What about adding a couple of small snacks? How about adding a cup or two of bone broth throughout the day or with lunch?

How do you do with something like jerky? And how does fish affect you easier to digest proteins than meat. Yes, I mean vegetable juices or vegetable mixed with fruit juices you can go to a juice bar or whole foods and try some premade ones before investing in a juicer. I plan on making the bone broth later this week actually. Jerky I actually do fine with. Of course I could buy a dehydrator and make my own I guess. Fish…o how I miss it!

Living in SoCal I literally ate wild salmon every single day. A bit pricey but they seem legit sustainable.. Thank you so much for all the suggestions! Do you my breakfast is excessive with bad fats? The sausage in particular? Well, it would be better if your sausage was grass-fed beef sausage or pastured pork sausage. Is that easy for you to get a hold of? Eggs may or may not be a problem with ulcerative colitis.

It might be good to try a couple weeks with a bigger sausage serving and no eggs maybe add some cooked veggies too? I buy frozen wild-caught pink salmon at my local grocery store fairly inexpensively. Pastured pork however I could get my hands on! I could just eat more sausage links I suppose. Any reason to be concerned with eating that much sausage? My girlfriend said she saw Wild Salmon at Costco today though. That is a huge savings! Thank you so much for the dehydrator link!

Looks like Nesco has a bunch of models with great prices with my amazon prime account. I remember looking into these a while ago and for some reason got turned off by it…. Your website is an amazing wealth of information. I have kefir grains.

My question is this: Is raw goat milk kefir ok with autoimmune conditions or should I just do the coconut milk kefir? It really depend on whether or not you are sensitive. Most people with autoimmune issue are sensitive to all dairy, but not everyone. You could approach this one of two ways: I think which ever way makes more sense to you is fine. I read that strawberries are more seed than fruit — do they count as seeds?

Berries are usually considered okay since the lectins they contain are not damaging in the way that other seed lectins are. They are also very high in vitamins and antioxidants, which can help healing. That being said, strawberries are a common food allergy which always makes me suspicious.

Thank you so much for sharing all of this information. I just found your website and it has cleared up so much for me. I was wondering about hemp hearts and chia seeds? Because hemp hearts have the omega fatty acids and protein are they permitted? And can we have chia seeds if soaked? Hemp hearts would still have phytic acid and lectins, although less because those are usually concentrated in the shell, but the omega-3 fats are ALA, not DHA and EPA which is what is really needed by the body.

I would try leaving both out for a couple of weeks and then try some and see if you notice a difference. HI, I have Hashimotos and my Endocrinologist said no special dietary requirements were necessary but I was already familiar with and have followed the Paleo diet. THe most I get is slight bloat but have always had this my whole life with things like pasta and bread like most people I know.

You will want to have your thyroid hormones tested more frequently while you do this so that the levels of your medications can be adjusted. When you try and reintroduce foods again, look for the signs of hypothyroidism like fatigue.

Paleo is fine and can be very beneficial for autoimmune issues. But what is left to eat here? A good option is to go Paleo and take an immune modulator like Low Dose Naltrexone, DMG or immunovir to help your messed up immune system function properly and lower antibodies. I love your posts!! Is that just until the gut heals or forever? I have been printing out your recipes and many of the snacks have nuts and eggs in them and I eat spinach and strawberries everyday.

I do have lots of recipes that are not appropriate for the autoimmune protocol because I cook more for my family than I do for myself.

I will have more and more autoimmune friendly recipes in the next couple of months though. Thank you for your response! I was on a gut-healing protocol for several months using supplements and of course going GF, while under the care of a functional medicine doctor.

I appreciate your response and feedback, thank you so much, you have put a lot of hard work into your blog to help others! My doctor told me there was nothing I could do but to take meds for the rest of my life.

I first found gluten-free research, and I thought that was restrictive. I thought that would be impossible. My question is can a high-quality fish oil supplement take the place of eating the amount of fish you recommend per week?

I think it was helpful for me too.: And you can include high glucose fruits like bananas, grapes, figs and apricots I have a post coming about high glucose fruits too.

I also think you can try sweet potatoes and see how you feel; they are really only an issue if you have SIBO in addition to autoimmunity. Squash should be fine with autoimmunity and still provide a little more energy. Chances are that your energy will rebound once your thyroid is happier too. Thanks so much for the suggestions — I really appreciate you being able to explain in such depth.

Please keep it up. The AI community needs more information such as yours! I came in stages too. Gluten free for 2. I think it helped to start with GF before moving on. All at once would have been very scary. Somehow, I completely missed that before. Are Pine Nuts considered seeds, or nuts, or are they ok to eat? I wonder if this would help with my psoriasis. Since starting Paleo, my psoriasis has calmed down but not gotten better as a whole. Must stop drinking alcohol too. I am so overwhelmed.

I was diagnosed with celiac disease back in December Giving up gluten was actually fairly easy, however, all these other conditions are driving me mad. It started with dairy and soy, then eggs, then yeast. I read one article that says these supplements are good I started daily flax and chia seeds ….

Everyone feels guilty about eating around me and going out to dinner is a plain nightmare! How do you do this? AND gave up coffee. Sorry…having a woe-is-me day. Just frustrating trying to figure it all out. I know that it can feel very frustrations and very limiting. The idea behind flax and chia is to increase your omega The idea is really good, but flax and chia are not good sources of the omega-3 fats that your body actually uses those come from fish and grass-fed meat. The part about the fruits and vegetables is very individual and most people just need to experiment and see what works for them which it sounds like you are doing.

I would recommend the book Practical Paleo for a really succinct list of supplements and foods to avoid for autoimmune disease and for digestive problems.

As your gut heals, you will hopefully find that the range of foods you can tolerate increases. I wish I had a better answer for you. Thank you for your response and I apologize for my rant, it just gets me every now and then how difficult this is.

At 42 years, new habits are hard to create. Thank you for sharing all your expertise…. I look forward to learning more! You might be interested to know that a fungal problem could be at the root of all your issues…. What if you freeze fresh strawberries? Does that help to eliminate any goitrogenic properties at all? As far as I understand it, they really have to be cooked.

But I should probably also mention that how important it is to cut out Goitrogens is fairly controversial. I was labeled with ms in January of Upon finding out what it was that ailed me, this year has been a world wind of information.

At first I was vegan, then Wahls, and now Paleo. Thank you for all the information it is very enlightening. I wish I would have found this first off, but now that I have my diet is veggies, wild salmon, grass fed liver and some fruits and some nuts. My supplements are D, fish oil, B12 and B Complex. My question is, have you heard of a person with ms putting it into remission and getting their balance back?

Wahls is actually running clinical trials right now with her version of the autoimmune protocol and the early reports are that they are seeing great improvement. Actually, there seems to be abetter success rate for MS than skin-related autoimmune conditions, maybe because the brain can adapt so well? Yes besides Dr Wahls. She is my hero. I try to keep my mind open to the fact I got labeled with ms and I will reverse it. Keep that positive attitude! Surround yourself with people and information that believe the body is designed to heal.

Blessings and vibrant health to you. Kerry, yes you know someone who reversed their ms besides Wahls? That guy is amazing and he takes Paleo to another level. Paleomom is great because it lays it out simply and takes a lot of info and makes it applicable.

I also like the fact she replied too my comment. The world will always need people like her. Thanks for the Elanspantry websit, she sounds amazing and so encouraging. I will read more on her. In the meantime I did find Rosemary Fletcher off of the raw food website. Through diet, mental exercises and Chi Kung aka qigong he completely cured himself of MS. Here is an overview of his story, from an Irish newspaper. I only take homeopathic remedies as well.

I am very athletic. All that being said I am inflamed and hurting… I have been doing whole30 for about 40 days now. It does flair up during season changes… Alisa. It could be, especially the peppers. Since it flares seasonally, it may be that you just need to be extra strict with your diet when the polens or molds that you are allergic to are blooming. I wonder if my symptoms might be helped by a diet like this. I have chronic anxiety, acne, hair loss, cold hands and feet in the winter, gas, constipation, eczema, dandruff, muscle pains and mites allergy.

It certainly sounds like early symptoms of autoimmunity. These could also be explained by a leaky gut and food sensitivities too. Are you eating Paleo now? I definitely think that this diet has the possibility to help dramatically.

Sleep and stress management are also very important. Thanks for the reply. Maybe I really have to have a food diary and try these variations…. You recommend coconut oil for healing the gut. Do you mean cooking with it or consuming it by itself? If so, how much is recommended daily? And I do say that with a tear in my eye! My eldest daughter and I have gluten intolerance, I have hypothyroid, my eldest son has migraines and a thankfully going-away pituitary tumor, and my youngest son has extensive vitiligo and anaphylactic peanut allergy.

I have recently decided to pack my family up onto the Paleo bandwagon for our health. My eldest son is the one who has had the most resistance to this new lifestyle. I am especially concerned about the little guy with the vitiligo.

You might want to try a nightshade- free version to start though. You might want to check out this post https: I wonder if you know of any apps that might make it easier to track the symptoms evolution along the elimination diet so that I know what is working and what is not working… Thanks. What do you think of this product: Do you think that the butter oil which adds more K2 to the blend can be problematic? Would it be safer for me to consume just the Fermented Cod Liver Oil?

I would definitely recommend going with the straight fermented CLO and not the butter oil blend for autoimmune. My only caution is that the extra vitamin A can exaggerate a food sensitivity reaction if you are still consuming any foods that you are sensitive to.

I am blown away. I just discovered your site link hopping via Chris Kresser ; what an amazing resource this is. I am in the middle of a confused tangle of celiac, hypothyroid and incredibly upsetting adult acne. And painful arthritis at 40, really now?!

I feel pretty lost in it all, and hence your ability to present the information so very clearly, to make this accessible to non-scientists … wow. I can see I have a lot of reading ahead, and the AIP to trial given the insane amount of eggs in my diet, I wonder if a solution could really be this simple. Question — do you know if Pernicious Anemia falls under the same cloud as these other autoimmune disorders in relation to diet?

Thanks so much for all your wonderfully informative posts! I have type 1 diabetes, and was just diagnosed with stage 1 lipedema. I am wondering if, instead of first trying the AIP, and removing nightshades, alcohol, etc.

Yes, that makes a lot of sense to me. If you have already tested positive to a variety of foods, eliminating those before the other foods on the AIP is what I would recommend. Thanks for the prompt reply! This is going to be pretty overwhelming, so I need to review it again and mentally get my go power ready. Hi — Very interesting article!

I was diagnosed with APS Antiphosolipid Syndrome recently which is an auto immune disease of the blood. I have been following a Primal Diet for the last month, Paleo most recent weeks and aside from dramamtic weightloss and feeling better than ever, i have very little symptoms of my disease.

Im still all new to the Paleo world and researching heaps but i was almost heartbroken when i read that Eggs, Nuts seeds, Nightshades should be competly avoided! Im not sure if APS falls under the same class as these other autoimmune disorders in relation to diet….

If you are experiencing vast improvement in your symptoms with a standard Paleo diet, then it makes a whole lot of sense to stick with that. Just keep the idea of the autoimmune protocol in the back of your mind.

Sometimes things like stress can cause a flare, and then this more restricted diet might be very helpful in dealing with that. Will you please explain why cocoa and chocolate should be eliminated?

Is it because they are seeds? You explanation about coffee helped motivate me to give that up, and I really notice a difference. I have to be very strict with this diet: Before finding your site, cocoa, red wine, and coffee were my cheat foods! And I was unclear about why I should avoid nightshades tomatoes and peppers. So sad to give those up. Your site is a goldmine of information. There are a few reasons. Most importantly, chocolate is a gluten cross-reactor.

So, if you have gluten intolerance and your body is producing antibodies against gluten, there is a good chance those antibodies will see chocolate as being exactly the same thing as gluten this is true for coffee as well.

Chocolate is extremely high in phytic acid more than most nuts and seeds , which can be a gut irritant, especially in high quantities. I did give up coffee, chocolate, and red wine, and notice right away that I feel better. I read in one of your comments that skin-related conditions may not show as much improvement on the AI protocol as MS. Do you know of any other sources with skin-specific AI protocol information? When I was pregnant I improved quite a bit, but started getting these really weird skin issues—like all of a sudden my eyelids were extremely flaky, red, and blotchy.

Now that I had my baby, I have psoriasis developing quickly on my arms—it started on my forearms but is spreading up. And just today, after a hot bath and blow drying my hair, I looked in the mirror and my face was almost maroon—it literally looked like I had a maroon mask on, with a clear demarcation line extending all the way down to my neck It went away after I cooled down. The reason skin conditions can be tougher to resolve is the gut-brain-skin axis Chris Kresser has written about this a fair bit.

It even merge important to get a good source of probiotics, get alot of sleep, and manage stress. Mindful meditation can be very helpful 5 minus of sitting quietly of focussing on your brething. Also doing puzzles, cross-words, sudoku things like that can help turn off the inflammation in the brain. Getting some not too sensuous exercise is very important. And Vitamin d3, probably a fairly hefty dose iu daily. Also, L-glutamine can help speed healing of the gut.

Plus all the other recommendations in the AIP! Good luck and let me know how it goes! I re-read this page quite frequently comments are helpful, they let us all know we are not alone , and, with apologies for being so immature … I have to say that sensuous exercise, above, made me laugh.

I have a quick question, are flax seeds and bell peppers included on the no-go list for the AIP? And what about sweet potatoes? How come they are not excluded while while white potatoes are? Bell peppers and white potatoes are nightshades are excluded on the AIP. Flax seeds are a seed and all seeds and pseudograins like chia are excluded in the AIP.

So someone with all these things am I only eating meat and bone broth at this point since almost everything seems off limits? Woa this totally sounds like my tone is being mean, I assure you it is not intended that way at all! I appreciate any advice you may be able to give me, just having a hard time looking throu charts for each protocol and figuring out what a sick person like me needs to be eating to get on the right path.

In the meantime, do you have a copy of Practical Paleo? Basically, sticking with non-starchy vegetables are completely fine, which still should provide lots of variety. The skin autoimmune conditions seem to be the longest to heal.

Eating organ meat seems very important maybe because of the trace minerals found in organ meat, also vitamin D , having a good source of probiotics is also important, and eating fish to balance omega3 to omega 6 raio.

Do you have a good functional medicine practitioner? Food sensitivity tests, micronutrient deficiency tests, and liver detoxification support can all be very helpful with psoriasis. I drink a lot of herbal infusions like nettle leaf, raspberry, etc which are trace mineral rich and really help my skin and body a lot. I used to take cod liver oil the green pastures kind and found it really helped me.

Never took birth control but I have Interstitial Cystitis imagine having to pee and you are crying in pain because your bladder actually has no urine in it, very painful. I have just now started to feel bladder pain again because I try to be accommodating when we visit friends and I eat their food to not offend them and I literally feel like it is reversing all the progress I have done.

I cook most of our food at home organic or grass fed meats local and organic produce. Acidic foods really bother my bladder though so onions and pork I have to be careful with. You mention yeast infections, I have had chronic infections and been on many rounds of antibiotics to combat bladder issues. My urologist put me on them capsules a day indefinitely since he said some women just get them and that is life basically. That is why I had IC so long without treatment, he was very unkind to be so I went 3 years in pain before finally seeing a female doctor this year who diagnosed me properly for IC this Feb and that I have kept the IC symptoms in check by avoiding acidic foods for the most part, drinking nettle, and making sure I am not dehydrated.

For liver detox I was thinking of eating a lot of prepared burdock root and eating dandelion greens. Its ironic that you say that I need non starchy veggies because I looked up non starchy like you said and many of the foods listed my body has actually been craving lately!

I do not have my own doctor but if anyone knows of a good functional medical doc in the Atlanta, GA area I am all ears! Ghee can have trace milk proteins which can be a problem for some people. It would be best to avoid it.

As far as probiotics, I used to take goat milk yogurt but stopped since dairy. I was told that probiotics do not survive the digestive process so my option is the fecal transplant thing that I have read about several places recently if I really needed to reintroduce bacteria that I am missing or low on in my body. Any thought about this? Some but not all of the probiotics will survive the digestive tract.

Thank you for pointing out this resource, I will try to see if I can find one that I will be comfortable seeing. I have never done the Paleo AIP before. A recent flare up of psoriasis from poor quality city water even with a nice shower filter has really made me want to kick it into gear and figure out how to get my body functioning properly.

I hope you can find a good doctor that you like. The leaky gut hypothesis for autoimmune conditions is completely discounted by modern medical science. I asked my rheumy and have searched medical journals. Could you please point to any evidence about leaky gut.

I would refer you to the research done by Dr. A google search will lead you to his interviews and public appearances. A PubMed search will lead you to his research papers. Hi- I just found your blog and am going to try the Paleo AIP protocol since after two years of food elimation for a few weeks at a time here and there, I have seen no improvement in my myesthenia gravis manifested with a droopy right eyelid.

I eat vegan chocolate and use coconut creamer in my coffee. If I had cross reactions, they would all have shown up on my test, correct? Also, I really struggle with breakfast, especially as a nursing mother with an appetite! Has anyone tried protein powders? First is strict Paleo with also eliminating the foods you are allergic to this makes a lot of sense to me as a first step.

Second if full AIP. Either way, the pea protein powder is out. As for breakfast, mine typically includes homemade sausage I also have one source of nightshade-free sausage that I purchase locally with some fruit and veggies or leftovers.

It takes some getting used to eating unconventional breakfast foods, but you do get used to it. Have you ever posted information about the homemade sausage you make? That sounds like a great option.

We just moved to Connecticut and are just getting to know the local farms, so we have good resources nearby. They are under breakfast in the recipe menu.

I just stumbled across your blog and wow! Okay where do I even start? My psoriasis has gotten worse since my sons birth 3months ago which I see in your writings is totally expected. I started doing some research and realized since its an autoimmune disease that maybe going gluten free would help.

But now i see there are even more restrictions that you recommend and it seems overwhelming. Should I just start with eliminating the biggest offender gluten for 30 days and see how I do? If not much improvement, what do I do next?

What CAN I eat? You may end up needing to remove more form your diet, but I think doing it in pieces makes a lot of sense, both from a practical implementation point of view and from a health point of view. I would definitely start with gluten as the most likely and wrist offender. Try not to replace things with gluten with gluten-free products since these have a high likelihood of having very similar effects in your body. This really means just getting used to more Meath, fish, eggs, fish, veggies, fruit, nuts and seeds and getting away from grains.

Once this feels more manageable, you can work on other grains, legumes, dairy, and start switching to better fats. Wow, this is very interesting. I first went GF and felt better. Then my endo put me off all grains, legumes, and sugar because of my severe GI symptoms. Should I eliminate those as well? I am also cutting nuts and seeds out not that they were a staple of my diet, anyway. Before becoming a successful technician and business owner, Kate started out as a first-year automotive service technician student at Alfred State.

Sarah loves the real-world experience she gets in her program through working on a variety of commercial and residential projects. I was less nervous working with them because, through my class projects, I already knew what it was like to have clients and to have to meet their expectations. Mel Chambliss has touched the lives of countless people and animals, both on campus and in the community.

The impact of his skills, knowledge, and expertise in his field has been felt by students, pet owners, and animal care organizations alike. Charles Richards Culinary arts Being at Alfred State, Charles said, is like a second home because of the friendliness of the college community. Charles Richards began honing his culinary arts skills a few years ago when he studied at the only culinary-based high school in New York City. After enrolling at Alfred State, Charles was able to expand his knowledge to include all facets of the food industry, from mass food production to fine dining, the latter of which is his favorite.

He plans on pursuing either catering or becoming a private chef. Being at Alfred State, Charles said, is like a second home because of the friendliness of the college community.

Olufunmilola Olojede Nursing Though she admits nursing requires a lot of hard work, she acknowledges that it pays off in the end. Although she initially chose to study nursing at the urging of her parents, Olufunmilola Olojede discovered her passion for the field at Alfred State. Thomas Richards Information technology: From making lifelong friendships, to gaining leadership skills, to becoming well-prepared for the workforce, the ways in which Thomas Richards benefited from his Alfred State experience are many.

Elizabeth Glick Mechanical engineering technology After she graduates, Elizabeth plans on designing equipment for the Navy. As an intern at a Tonawanda-based mechanical contractor, he was able to get hands-on project management experience, which he also received this summer at an internship in Washington, DC with a leading international infrastructure group.

However, after Alfred State helped her land an internship at the Alfred Montessori School, she changed her mind. Rather than become a forensic psychologist, Nahillah decided she wanted to be a child psychologist instead. Aaron Aumick Building trades: Aaron Aumick loves learning all of the different aspects of the construction world at Alfred State, from drywall, to interior surfaces, to rough framing.

In his major, Aaron is being educated on how to build a house from the foundation to the last shingle on the roof. Aniko Constantine Getting to know Annie Dr. In her plus years of teaching English at Alfred State, Dr. He continued his education with a PhD degree in biochemistry from the University of Illinois in He was appointed assistant professor of microbiology at Virginia Tech in , where he rose to the rank of professor. Al Styrcula General business management, '59 When Albert Styrcula entered the workforce in , he was fresh out of college.

He started out at Foodcraft Inc. His jobs varied from accounting work to driving trucks to delivering milk to washing bottles. However, by , Styrcula had worked his way up to the top of Foodcraft, becoming CEO and chairman of the board, positions he held until , when Uni-Marts Inc. Chad Dispenza Information technology: In his senior year of high school, Buffalo native Chad Dispenza was voted shyest person in his class.

But once he came to Alfred State, he came out of his shell. I looked at a lot of schools, thought about pre-med, law enforcement, everything. Travis Harvey Building Construction, Technology Management Travis is passionate about all things green—from renewable energy and resources to green building techniques.

Travis was attracted to the building construction major at Alfred State because of the incredible hands-on learning opportunities it offers. Courtney Cardinal Forensic science technology BS , biological science AAS Strong work ethic and leadership skills were the direct result of her programs and getting involved on campus.

In addition, she co-founded Live to Fight, a group that brings awareness to all types of cancer and terminal diseases. Christy Dodd is a force to be reckoned with. Truck and Diesel Technician Zach Diangelo, of Nunda, has a love of all things fast, powerful, and four-wheeled. I love seeing how I can make them go faster and be more powerful. My dream is to work on Lamborghinis and Mercedes.

Hands-on learning and knowing the vehicles from the ground up makes a big difference. Ryan Dontoh Autobody repair Ryan had the opportunity to gain live, hands-on experience as a technician, and work alongside instructors very well-versed in their field.

Ryan Dontoh can attest that Alfred State played a huge role in helping him become the person he is today. The Dryden native is now employed as a senior build technician at Local Motors, Inc. Although he never attended or worked at Alfred State, Koller has been a Pioneer for more than 30 years. In , he was appointed to the Alfred State College Council, an advisory group to the president of the college. He would serve for two additional seven-year terms, the legal limit.

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