Handout Diet and Lifestyle Recommendations For Autoimmune Disease 1

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Diet and Lifestyle Recommendations

for Autoimmune Disease


While autoimmune disease may not be completely curable, removing the triggers can often lead to
a significant reduction in symptoms or even complete remission. Use the following guidelines to
remove the triggers from your diet and lifestyle.

Remove foods that may trigger or exacerbate an


immune response
Follow a basic Paleo diet with the additional foods removed completely:
Eggs (both yolks and whites)
Nightshade fruits and vegetables: potatoes, tomatoes, sweet and hot peppers, eggplant,
tomatillos, pepinos, pimentos, paprika, cayenne pepper (but not black pepper)
Dairy products (with the exception of ghee)
Nuts (optional). While nuts are widely recognized to be nutritious and beneficial to health,
a 30-day elimination may be a good option for very sensitive patients or those with
dicult-to-solve cases. Nuts are one of the more common allergens, and people with
autoimmune disease are more likely to develop allergies and sensitivities, which could
counteract eorts to heal the gut.

These are all healthy foods when well tolerated, but they may provoke or perpetuate inflammation
in those with autoimmune disease. That said, not everyone with autoimmune disease will have
trouble with them, so the key is to experiment to determine where you fall on that spectrum. Take
them out for a full 30 days, then reintroduce one at a time to see which ones you react to, starting
with egg yolks, then egg whites, nightshades (do them one at a time), and finally dairy.

Increase your intake of nutrients that promote


optimal immune function
Glutathione To support the production and recycling of glutathione, increase your
intake of:
Protein aim for at least 15 percent of calories as protein (75 grams on a 2,000-
calorie diet or 95 grams on a 2,500-calorie diet)
Collagen-rich animal parts (skin, cartilage, and bone) these foods contain
glycine, which is needed for glutathione synthesis and recycling

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Polyphenol-rich fruits and vegetables berries, peaches, pears, pomegranates,
purple sweet potatoes, broccoli, garlic, cabbage, and spinach
Selenium-rich foods Brazil nuts, ocean fish, and poultry
EPA and DHA
Consume at least one pound of cold-water, fatty fish per week, such as salmon,
mackerel, herring, and sardines
Vitamin D
The best food sources of vitamin D are cod liver oil, cold-water fatty fish, and
pastured duck and chicken eggs. Make sure youre regularly eating these foods!
Other nutrients Several other nutrients directly or indirectly contribute to glutathione
synthesis and immune health, including niacin (B3), riboflavin (B2), pyridoxine (B6),
vitamin C, magnesium, iron, copper, zinc, and manganese. The best way to optimize your
intake of these nutrients is to focus on foods with the highest nutrient density:
Organ meats
Herbs and spices
Nuts and seeds (preferably soaked and dehydrated first to maximize nutrient
absorption)
Cacao
Fish and seafood
Fresh vegetables
Red meat, pork, and poultry
Eggs and dairy (provided you tolerate it)
Seaweed

Increase your intake of foods that support a healthy


gut microbiota
Fermented foods fermented foods contain beneficial bacteria and yeasts. These
probiotics dont just support gut healththey also regulate and balance the immune
system. Aim for at least a small amount of fermented foods with each meal.
Fermentable fibers Soluble fibers naturally found in fruits, vegetables, starches, and nuts
and seeds provide a food source for the beneficial bacteria in the gut. Starches like
potatoes, sweet potatoes, plantains, taro root, and yuca are particularly good sources of
soluble fibers. Note: some people with gut issues may benefit from reducing intake of fiber
for a time.

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Make lifestyle changes that can aid your recovery
Exercise Regular aerobic exercise and strength training have been shown to increase
glutathione levels in both healthy and sick people. Exercise also releases chemicals called
endorphins. Endorphins are similar in chemical structure to morphine and opium, and
theyre responsible for the runners high that some people experience with intense
exercise. However, we now know that endorphins also play an important role in regulating
the immune system. Endorphin levels are low in animals with autoimmune disease,
and medications that increase circulating endorphin levels improve autoimmune disease
in humans.
Acupuncture There are two primary types of immunity: cellular and humoral. Cellular
immunity is our first line of defense against pathogens like viruses and bacteria. It includes
immune cells that directly attack and destroy these pathogens, regardless of whether or
not the body has seen them before. Humoral immunity is our second line of defense. It
involves immune cells that produce antibodies, which bind to specific pathogens that the
body has been exposed to in the past. In autoimmune disease, there is often an imbalance
between the cellular and humoral branches of the immune system, and acupuncture has
been shown to restore that balance.
Pleasure and Connection Like exercise, pleasure and physical contact also produce
endorphins, which have a regulatory eect on the immune system. But theres another less
scientific reason to cultivate pleasure and connection when youre suering from
autoimmune disease: they provide an important counterweight against the pain and social
isolation that people with chronic disease often experience.
Sun Exposure Exposure to sunlight (or UVA/UVB light in tanning beds) appears to be
especially important for those with autoimmune disease. The more hours of sun there are
where you were born, the lower the risk youll develop multiple sclerosis (MS). Evidence for
benefit from sunlight is strong for other autoimmune diseases as well, such as type 1
diabetes. Spend time outside in the sunlight as much as you can.

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